PPt Pres- FCS.pptx

7/27/2019 PPt Pres- FCS.pptx

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Family Case

Study


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Objectives of the

studyGeneral ObjectiveAfter one (1) hour of family case presentation, the

student nurses will be able to:

Apply the already acquired knowledgeand skills about assessing family health

status and prioritizing family health

problems in the community for the

formulation of a family care plan which

aims to prevent diseases and promote

overall health of the family.


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Objectives of the

studySpecific ObjectivesAfter one (1) hour of family case presentation, thestudent nurses will be able to:

Knowledge/ Cognitive

Identify the family structure, socioeconomic

and culture behavior, home and present

environmental sanitation with the values, belief

and practices of the family which contribute to

their present health status.

Recognize the present problems or health risk

factors of the family which may affect their

health.


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Objectives of the

studySpecific ObjectivesAfter one (1) hour of family case presentation, thestudent nurses will be able to:

Skills/Psychomotor

List the priority health problems through scalingfrom highest to lowest rank.

Discuss interventions and preventions which was

conducted together with the family for the

identified health problems and risk factors with theuse of available resources.

Assess the activities and procedures such as

health teaching in promoting health and

prevention of communicable diseases.


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Objectives of the

studySpecific ObjectivesAfter one (1) hour of family case presentation, the

student nurses will be able to:

Attitude/ Affective Show importance on the discussion of family

case study from bringing the identified and

prioritized health needs to formulation of a

family care plan in aiding the health problems.


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Family Structure

Characteristics and DynamicsName Age Sex Status Position in the Family Occupation Educational AttainmentMr. R 25 Male Married Head Laborer High School

Mrs. R 34 Female Married Wife Housewife High SchoolChild R 3 Male Child Child N/A N/A

a nuclear type of family

lives in Purok Violeta II Barangay Don JorgeCentral Ma-ao Bago City

Mr. and Mrs. R have been married for about four

years now and at the moment they dont have a

plan on having more kids due to financial matters


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Mr. R works as a laborer at various barangays

Mrs. R, on the other hand is a housewife and at

the same time sells native goods to the residentsin their purok during her spare time

Family Structure

Characteristics and Dynamics


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family Rs main source of income comes from the nativegoods sold by Mrs. R

have an estimated monthly income of 8,500/ month

good for the members to be fed with food and other

needs they are currently experiencing some financial difficulties

since Mr. R currently dont have a job

to compensate his current unemployment, Mrs. R

sells baye-baye, bitso-bitso, bitchocoy,kalamayhati and other native foods to the other

members of the community in the morning and

the afternoon

Socio Economic Status


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Mrs. R receives these native goods from her aunt andwhen she sells these snacks she was able to get a small

portion of money, porsyento, usually ranging from P200

P500 a day depends on the number of goods sold.

Mrs. R usually starts selling at around 6 a.m. roamingand shouting on the streets on their purok baye-baye

bitso-bitso kamo da in order to attract customers.

Around 10 a.m. she does her lunch break to fill up

her stomach and after which, she continues to selluntil all her native goods have been sold which is

usually at around 5 p.m.



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Mr. R, as claimed by Mrs. R, often feels disappointed

that he cannot support well and uplift the status of their

family and as a result causes him to feel stressed and

sometimes even trigger arguments between the two.

They are currently living with Mr. Rs parents who also

help support them with whatever needs they can provide

for the family.

Most of the decisions related to money and the

family itself are made by Mr. Rs mother.



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three members of the chosen adopted family and at themoment, they all live in one house with two rooms and

were made of cement and wood

the house has five (5) windows and can sustain the

adequate ventilation needed by the family has a backyard in which rooted there were herbal

plants use to treat certain illnesses such as

lagundi, oregano, ampalaya, pito-pito and tsaang

gubat

Mrs. R together with her son child R both sleep in

one room that has a full sized bed while mr. R

often sleeps in the living room

Physical Environment


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their house was furnished suitably with chairs, tables,

beds as well as drawers and cabinets for their clothes

and other items

they also have electricity, which allows them to watchtelevision and listen to the radio for any news and

updates; also a source of lighting during the night

able to obtain their source of water from a deep

well located few meters outside their house in

which they used it to wash their clothes, for

bathing and for drinking



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regarding the open well as their source of water for

drinking, first and foremost, they boil it until boiling point

was reached such by presence of bubbles in order to

make sure that it is potable to drink for sanitary and

safety purposes

they dont have a refrigerator to store their food so

they usually placed it in a bowl or plate with a cover

on it, same as true with their jug of water with cover

placed above it.



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family R practiced this segregation practices by placing

their garbage into their specified categories: Mapuslan

(still usable), Madunot (easily rot) and Indi madunot

(do not easily rot/ destroyed) placing it on a sack, which

is then collected and thrown away by the garbage

collector every week

if the garbage seems to be too much, Family R

sometimes burns it so that they can minimize the

amount of garbage being thrown and usually mostof the stuffs are papers and fallen leaves



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drainage system of the family is an open type where in

the drainage flows anywhere and is continuous

family raised pets in their place such as chicken and

ducks family R take jeeps in moving to far areas such as

going to bacolod city premises and other areas while

in near distant places like the barangay health

station, market place, etc. they usually take a ride to

a motortricycle



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Health Assessment/Status of each Household Member Mr. R is currently twenty-five years old and is quite thin in

appearance.

weight is about 47 kilograms and his height is 54

BMI reveals that he is underweight with a value of 17.8 received all his immunizations when he was a child making

him a fully immunized person.

he does not have any genetic or hereditary illnesses

there was one occasion where he had an allergicreaction to the Anti Tetanus Serum Vaccine

about 2 years ago he visited Bago City Hospital to

receive an injection for the Tetanus Toxoid vaccine

Past and Present

History


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Health Assessment/Status of each Household Member Skin test was performed prior to instilling it intramuscularly to

note for any allergic reaction after 15 minutes and noticed that

the nurse checks his arm less than the scheduled time and

preceded the intramuscular injection of Anti Tetanus Serum

thinking Mr. R dont have a any allergies to the vaccine thatled to the development of a severe allergic reaction that

almost killed him and according to him, this was the first time

he ever experienced this type of allergic reaction

had an experience of loose bowel movement due tointake of contaminated water

does not smoke but likes to drink whiskey every once

in awhile or in any special celebrations/ occasions

Past and Present

History

P d P


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Health Assessment/Status of each Household Member

Mrs. R is currently thirty-five years old

weighs 56 kilograms and her height is 411,

her a BMI score of 24.8 which shows that she is within

the normal weight range currently fully immunized and receives booster shots

when necessary

she has a family history of slight problems in the

ears, such as hearing difficulties and ear infections when she was a child she had a problem with her

ear wherein a callus had formed within her ear

and she had no choice but to submit herself for

surgical removal of the callus

Past and Present

History

P t d P t


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experienced an injury on her left arm and fractured it

when she fell down to the stairs which was the reason

why her left arm is smaller in appearance than her right

had an experience of urinary tract infection during the

end of her pregnancy to Child R

in addition, Mrs. R often has UTI due to her increase of

soft drink consumption within the past few months

experience of loose bowel movement after

ingesting contaminated water

currently is in good health and has not had any

severe illnesses experienced

Past and Present

History


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Child R is currently three years old

weighs 19 kilograms and has a height of 311

a BMI score of 13.4 which shows that he is underweight also fully immunized and received booster vaccines

whenever they are available or necessary

has no chronic diseases but lately, he experienced

having an ear infection where pus came out of hisears

Past and Present

History


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he had a cough and cold when suddenly his snot came

out of his ear rather that his nose

experience loose bowel after ingesting contaminated

water

currently has no severe illnesses aside from the common

cough and cold that he experiences every once in awhile

Past and Present

History

F il A t B d


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Health Perception - Heath Management Patterns

family has no chronic illnesses and they rarely get sick

and usually if they do get sick it is usually minor fever or

colds

So in situations where one of the family members

does get sick and it seems to be mild, they often

prefer herbal remedies than medications but in

cases when the herbal plants do not suffice, theyseek consultation on their Barangay Health

Station and seek medical advice from the doctor

Family Assessment Based

on Functional Health

Patterns

F il A t B d


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Health Perception - Heath Management Patterns

she believes that the best cure for any minor illness,

such as a cough or cold, is an increase in fluid intake

especially water

the family tries to maintain good health at all times by

practicing good hygiene by doing one of the most

important procedures that most people tend to take

for granted these days, hand washing



Patterns

F il A t B d


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Nutritional-Metabolic Pattern

Family R eats three times a day and on a daily basis

they usually eat fish and vegetables with white rice once

in awhile, seldom they are able to have meat such aschicken

None of the members in the family are malnourished

Mr. R have allergies to sea foods such as

shellfish, crabs and shrimps while Mrs. R havenone



Patterns

F il A t B d


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Child R has mild allergies to chicken and eggs as claimed by

Mrs. R. Child R takes vitamins such as Tiki-Tiki or Cherifer

syrup if they have enough money to buy it Mr. R and Mrs. R also took vitamin supplements such as

Fern-C when available

Child R usually has a very good appetite and she has

no problem feeding him

During the day, Ms R allows Child R to eat a few junk

foods such as biscuits, candy or chips whenever they

have extra money



Patterns

F il A t B d


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they were able to take protein, carbohydrate and

vitamins in their meal.

able to provide proper nutrition most especially to theirchild thus is very essential to prevent any kind of

diseases



Patterns

F il A t B d


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Elimination Pattern

Family R has no difficulties with urination or defecation

Mr. R is able to defecate at least once a day and the

same goes for Mrs. R

Child R currently is also potty trained and has no

problems with his elimination pattern

When it comes to urinary tract infections,

previously Mrs. R had an experience of urinary

tract infection during the end of her pregnancy to

Child R



Patterns

F il A t B d


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Elimination Pattern

Mrs. R often has UTI due to her increase of soft drink

consumption within the past few months

She explained that she experiences pain during urination

and aware that she must increase her fluid intake

There also cases when the family members have

experienced loose bowel movement or diarrhea

due to their consumption of contaminated waterwhich paved them to consult medical assistance

and was advised to drink Oresol and increase

their fluid intake



Patterns

Famil Assessment Based


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Activity-Exercise Pattern

family R all members are able to get their daily dose of

exercise in their own way

Mr. R likes to play basketball once a week with his

friends at the communitys basketball court

Mrs. R, on the other hand gets her exercise when

she walks around the community selling her

native goods

Child R is an only child he likes to play with other

children in their community, which is his form of

exercise



Patterns



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Sleep-Rest Pattern

the family sleeps at night at around 10:00 pm 11:00pm

after eating their dinner and watching television as their

siesta time to bond together

Mrs. R and Child R joins together in a one bed when

sleeping while Mr. R sleeps on their living room

family R claimed no sleeping problems and

difficulties except for Child R who sometimes bedwets the bed



Patterns



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Sleep-Rest Pattern

usually wake up at around 5:00am most specially to Mrs.

R who prepares early in the morning with her native

goods while Child R at 8:00am to fully regain his energy

family R takes afternoon naps for just a short while if

time permits

claimed they do have a balanced of work and

rest activities such like if they felt that they arestressed or overworked out, they rest for awhile

by taking naps or just sit on a sofa/ chair to relax

their muscles



Patterns



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Cognitive-Perceptual Pattern

Mr. R and Mrs. R were very cooperative and oriented to

the time and place

they are both young, they have no problems identifying

people and their names

Both were able to answered questions accordingly

and at the same time were able to fully express

themselves openly to their problems with regardsto health



Patterns



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Cognitive-Perceptual Pattern

no speech difficulties noted in Mr. and Mrs. R

they had no problem recalling past events in their lives

Child R is also able to respond to simple questions that

are asked with a simple Hu ohorIndi.

Child R was able to identify colors, animals, sounds,

names, food and objects.



Patterns



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Self Perception/Self Concept

family as claimed by Mrs. R is adjusted to their living

condition from the attainment of their needs to the

relationship within. Mr. R being the head of the familysometimes feels disappointed or depressed because of

inability to find a job, with that to find an outlet of his

feelings he sometimes argue with his wife and seeks

comfort in drinking alcohol with his friends Mrs. Rs self perception is positive and she was

able to cope with the difficult situations that may

come about



Patterns



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Self Perception/Self Concept

Her main motivation is her son, Child R is the main

reason why Mr. R and Mrs. R must maintain harmony

with one another, since if they do get into argumentstheir son is the one who will be affected to the point that

he gets sick

Currently, Mr. R does not have a stable job making

Mrs. R the breadwinner of the family. .



Patterns



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Roles and Relationship

Mr. R and Mrs. R are currently going through difficulties

in their relationship

Mrs. R expressed that recently they have been having

arguments and are having communication problem with

Mrs. R

Unfortunately, she also said that if given the

chance she would want to move out on their houseand go to Manila with Child R and live with her

sister there



Patterns



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As of right now, things between Mr. R and Mrs. R may not be

at its best but they are as much as possible, trying to work

things out for the good of their family As much as possible Mrs. R wants Child R to have a father

figure in his life that will teach him discipline and how to

become a good man



Patterns



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When it comes to Mrs. R and her relationship with her

son, the statement A mothers love for her child is

unconditional is what comes into play

She does not only care for him but also tries to educate

him with simple things such as what certain objects are

called to like how to wash his hands and brush his teeth

Mrs. R also stated that if she were to have it herway, her dream is to have Child R go to college

and become an architect



Patterns



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Sexual-Reproductive

Mrs. R is currently on birth control and receives her

family planning from the Barangay Health Center

Mrs. R prefers the Depo-Provera shots as family

planning method

She stated that she does not plan on having a

child any time soon since she and Mr. R are not

only experiencing financial problems but problemswith their relationship as well



Patterns



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Coping Stress

in times of stress, Mr. R likes to play basketball or have a

drink with friends in order to relieve his stress

but the idea of drinking for Mrs. R only increases her

level of stress so she likes to read pocket books and

watch TV as a way of diverting herself away from her

problem

they mostly experience stressful situations whenMr. R goes home drunk causing them get into an

argument late at night



Patterns



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Coping Stress

after that, it usually takes them a few days or even

weeks to make peace with one another since in most

situations, Mrs. R refuses to speak or even be aroundwith Mr. R

they also experience stressful situations when Child

R gets sick and if they are experiencing financial

problem



Patterns



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Values/Beliefs Pattern

all members of the family are Catholic

although they are Catholic, they do not go to church as

often as they used to

Mrs. R explained that since their family is

experiencing problems in their relationship she

feels that going to church does not have any

positive effect on their relationship since after thatthe arguing still exist



Patterns



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Values/Beliefs Pattern

but even though the family does not go to mass, they

always pray daily right when they wake up and before

they sleep at night Mr. R and Mrs. R believe in the power of prayer and that

with God anything is possible

believe that everything happens for a reason and

that God will always provide on what things theyneed



Patterns



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Values Habits, Practices on Health Promotion,

Maintenance and Disease Prevention

All the members of Family R were fully immunized and

received boosters when available or necessary family has no problems in their health status, which

shows that they are able to meet the adequate

necessities of living

When it comes to adequate rest, they usuallysleep at around eight in the evening and wake up

at around four in the morning allowing them to get

the amount of rest that is necessary



Patterns



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able to get their exercise from their daily activities of

living such as washing clothes, cleaning, walking andengaging in sports

all well clothed and Mrs. R expressed that they do

no not buy clothes very often since most of the

time their relatives also gave them clothes that

have outgrown them

able to eat their meals three times a day with good

source of nutrients such as vegetables, white rice

and meat



Patterns



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within the barangay, they make use of the health facilities

such as the health station and first aid services offered tothem

they also took advantage of various services such as medical

missions and what we student nurses have to offer to them

believe in both herbal remedies and drugs prescribed

and over the counter as means to cure their illness

religiously take the prescribed medicines by the doctor

as to the prescribed dose and time



Patterns


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Family History Family R is composed of three members

Mr. R is the head of the family and he is currently twenty-five

years old. Mrs. R, his wife is thirty-four years old. Their one

and only son, Child R is currently 3 years old

Mr. R was born and grew up in Purok Violeta II, Don George

Araneta, Central Ma-ao, Bago City, Negros Occidental

His father is a farmer and his mother earns money for a

living helping those who live in the community

He is the youngest of four boys and one of his brotherspassed away three years ago in a motorcycle accident

Currently, his highest educational attainment is his high

school diploma

Family Background


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Family History Mrs. R was also born and grew up in Don George

Araneta, Central Ma-ao, Bago City, Negros Occidental

Her father is a laborer and her mother is a housewife

She is the youngest of four girls She was able to attain her high school diploma, but was

not able to go to college due to financial problem

Instead, she helped her parents at home and

doing chores and taking care of her other siblings

Family Background


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Family History Mrs. R was also born and grew up in Don George Araneta,

Central Ma-ao, Bago City, Negros Occidental

Her father is a laborer and her mother is a housewife

She is the youngest of four girls She was able to attain her high school diploma, but was not

able to go to college due to financial problem

Instead, she helped her parents at home and doing

chores and taking care of her other siblings Child R was also born at Bago City Hospital and lives

with his parents. At the moment he is the only child

and once he reaches four years of age, his mother

plans on sending him to school.

Family Background


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Database of the Respondent Name: Mrs. R

Age: 34

Gender: Female

Address: Purok Violeta II Barangay Don Jorge Central Ma-ao

Bago City Negros Occidental

Religion: Catholic

Occupation: Housewife

Civil Status: Married

Nationality: Filipino Ordinal Number of Children: 1

Educational Attainment: High School Diploma

Estimated Monthly Income: P 8,500

Family Background


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Family Tree

Family Background


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General Household Data1.Number of Children: 1

2.List of Household Members: 3

Family Background

Name Age Sex Status Position in the Family Occupation Educational AttainmentMr. R 25 Male Married Head Laborer High School

Mrs. R 34 Female Married Wife Housewife High SchoolChild R 3 Male Child Child N/A N/A


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Family Coping IndexCriteria Ideal Actual Rating Justification

1. Physical

IndependenceIs concerned with

ability to move

about, to get out

of bed, to take

care of daily

grooming,

walking, etc.

All the members in the

family are able to

perform their activities

of daily living with the

exception of Child R

who needs assistance

since he is only 3

years old.

5The members in the family

have no problems carrying

out their ADLs and there are

no noted disabilities in their

movement.


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2. Therapeutic

CompetenceIncludes all of the

procedures or

treatments

prescribed for the

care of illness such

as giving

medications, using

appliances,

dressing, exercise,

relaxation, special

diets, etc.

The parents are aware on

what to do if one of the

members gets sick. In

the instance where one

member gets sick they

utilized the herbal

medicines present in

their backyard and seek

consultation from the

health center or hospital.

5The members of the family put

health as their main priority and

are willing to do whatever it

takes to live and maintain a

healthy lifestyle.


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3. Knowledge of

Health ConditionConcerned with the particular

health condition that is the

occasion for care such as

knowledge of the disease or

inability to understand

communicability of diseases

and mode of transmission.

Understanding the general

pattern of development of

newborn baby and basic needs

of infants for physical care.

The parents of the

family are aware of

their past and

present illnesses.

They are also aware

of what needs to be

done in order to

prevent further

diseases.

5The mother is aware that she needs to

keep her son away from areas with

too much smoke since it may trigger

his ear infection. The mother and

father are also able to understand the

process of simple illnesses.


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4. Application of

Principles of

General Hygiene

Concerned with family

action in relation to

maintaining family

nutrition, securing

adequate rest and

relaxation for family

members, carrying out

accepted preventive

measures (immunizations,

medical appraisal, safe

home-making in relation to

storing and preparing of

food).

All the members of the

family practice general

hygiene. From washing

their hands before and

after eating and after

using the toilet every

day. Unfortunately,

sometimes their son

refuses to wear slippers

when roaming around

and forgets to wash his

hands.

3The parents in the family are old

enough to be able to know how to

practice good hygiene but since their

son is still too young to be able to

care for himself fully, his parents

assist him in hand washing as well as

tell him to always wear his slippers

especially when going outside of the

house.


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Family Coping IndexCriteria Ideal Actual Rating Justification5. Health

ActivitiesConcerned with the way

the family feels about

health care in general,

including preventive

services, care of illness,

and public health

measures.

The parents are

concerned about the

health of the members

of the family and they

participate actively in

maintaining their

optimum health,

especially when it

comes to their son. On

the other hand if they

have financial

problems, they are

unable to provide.

5Parents as much as possible want to

provide the best for their children and

protect them from harm. But if they

are lack the money, all they can do is

provide what they can.


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6. Emotional

CompetenceHas to do with the maturity and integrity

with which the members of the family

are able to meet the usual stresses and

problems of life, and to plan for happy

and fruitful living. The degree to which

individuals accept the necessary

disciplines imposed by ones family and

culture. The development of the

individuals responsibilities and

decision. Willingness to meet reasonable

obligations, to accept adversity with

fortitude, to consider the needs of others

as well as ones own.

The parents of the

family often have

their

misunderstandings

that can affect their

son. At the same time,

when they get along

they are able to work

as a family to

overcome the

problems they face.

3Overall, they live in a home were the

parents can communicate with each

other. But when the parents get into

an argument, they can go for days

not speaking to each other.


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Family Coping IndexCriteria Ideal Actual Rating Justification7. Family

LivingConcerned with the interpersonal or

group aspect of family life. The family

members get along with one another, the

ways in which they make decisions

affecting the family, the degree to which

they support one another and do things

as family, the degree of respect and

affection, and the ways in which they

manage the family budget.

In terms of making

decisions, the parents

are responsible for

making the decisions.

There are times when

they are able to agree

on an idea but there

are also times when

they disagree.

3Since the father of the family has

trouble finding a stable job, they

often get into arguments leaving the

mother to make the decisions. Yet,

no matter what happens, the

decisions they make are always for

their son.


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Family Coping IndexCriteria Ideal Actual Rating Justification8. Physical

EnvironmentConcerned with home, the

community and work

environment as its affect

family health. The condition of

the house such as pressure of

accident hazards, screening,

plumbing, system, facilities of

cooking, privacy, level of

community (deteriorated

neighborhood, presence of

social hazards, pests),

transportation of schools and

availability.

Aside from the minor casualties of

their home, their house environment

is fitted for them. But on the other

hand, the outside of their house has

an open well that is covered by a

thin net. This can be a threat since it

may be harboring mosquitoes and

insects. They also have a backyard,

which their son can play in, and

they also have a living room where

the whole family can sit and watch

television.

3The familys house space is adequate

enough for the three of them. There is

a separate room for the kitchen where

they cook their food using wood and

charcoal. They have their own eating

utensils, plates and cups. Their rooms

also have mosquito nets, which they

use on a daily basis. Their home itself

is made out of wood and concrete and

seems sturdy, but not sturdy enough

to survive a storm if ever.


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Family Coping IndexCriteria Ideal Actual Rating Justification9. Use of

Community

Resources

Degree of the family use and

awareness of the available

community facilities for

education and welfare.

The family is aware of the

available sources in the

community, both in health and

education. They usually avail the

programs and services that are

given at the health centers and

medical missions. The

community resources are also

easily accessible for them and

they are able to get to these

sources by walking or riding a

motor tricycle.

5When other schools go to the

community for medical missions,

especially dental medical missions,

the family always grabs the

opportunity. The community also has

a basketball court where the father

plays at, at least once a week. It is

also very easy to access

transportation, if they travel, in the

community since there are many

motor tricycles and jeeps within the

area.

Typology of Nursing


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Typology of Nursing

ProblemsCues or Data Family Nursing Problems

Objective Data:

- Their son often plays in the soil and dirt, wearing no

shoes or slippers.

Subjective Data:

- The mother verbalized, Halin sang una, namian na siya

mag hampang sa balhas. Feeling ko indi pa na siya kabalo

mag lakat if wala cya namun gin sugtan mag hmpang sa

balhas. Asta subong indi siya namian mag suksuk

slippers. Yawan na kami hmbal cya na ma suksuk cya.

1. Poor personal hygiene as a Health Threat

Typology of Nursing


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Typology of Nursing


Objective Data:

- At the moment Mr. R, doesnt have a stable job leaving

Mrs. R as the breadwinner. Mrs. R only makes

p8,000/month for the family.

Subjective Data:

- The mother verbalized, Si Mr. R, wala na cya ga ubra

subong ako na lang para may ma bantay kay Child R.

Okay man lang na sakon, pero kis-a ga inaway kami

tungod sa kwarta kay indi ya ma accept na ako ang ga

earn para samun nga tatlo.

2. Low income as a Health Threat

Typology of Nursing


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Typology of Nursing


Objective Data- Presence of an open well dug out in their backyard in

the ground without any blocks on the sides with just a

bunch of logs being put together to create a barrier.- Mosquitoes breeding in the open well were also presentSubjective Data:

The mother verbalized, Gin tabunan lang namon da kag

gin butangan kahoy kay waay na namon ginagamit kag

para indi madagdag ang mga bata kung magdinalagan

kag waay may ma aksidente. Gusto na namun e pa kayo

pero walapa kami budget.

3. Poor Environment Sanitation specifically

presence of breeding or resting sites of vectors

as a Health Deficit

Typology of Nursing


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Typology of Nursing


Objective Data:- There have been many instances where Mr. R would come home

drunk and would lead to arguments between Mr. R and Mrs. R.

They would go for days without talking and even though things

were at peace, they would argue again.

Subjective Data:- The mother verbalized, Tak-an na ko kisa kay c Mr. R, permi ya

upod iya migo. Pero kun ara lang di sya sa balay, wala gid kaso.

Kay kun ma inom na siya ka gahod na cya, grabe siya mag

wakal. Kis-a si Child R ara gid sa tunga namun ga hibi. Tani

lang ma untat cya para wala na problema sa mga away-away

na..

4. Stress provoking factor specifically strained

marital relationship as a Health Threat

Typology of Nursing


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Typology of Nursing


Objective Data:

- Child R is now 3 years old and will be attending school next year. He

has trouble speaking since the children around his neighborhood do

not know how to speak that well either. Mrs. R is worried that he will

have a hard time adapting to the school environment. In addition Mrs.

R is unaware if she will have enough money to send him to school.Subjective Data:

- The mother verbalized, Worriedko para kay Child R kay indi pa

siya mayo ka storya kay i yang mga upod ya mag hampng daw pitla

sila tapos wala sila mayo ga hmbal. Tapos next year if ma school na

siya tapos wala pa ubra si papa ya ambot kun diin ko ma kwa kwarta

para siya. Gusto ko gd cya ya ipa school, kag dream ko gid na nga ma

attend siya college tapos ma kwa architecture.

5. Entrance at school as a Foreseeable Crisis

Prioritizing


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Prioritizing

ProblemsPoor personal hygiene as a Health ThreatCriteria Computation Score Justification

1. Nature of the Problem 2/3 x 1 0.7 This problem is a health threat.2. Modifiability of the

Problem1/2 x 2 1 The problem is partially modifiable since it their son

who is at risk when it comes to poor personal

hygiene.3. Prevention Potential 3/3 x 1 1 By simply teaching their son about proper personal

hygiene, future illnesses can be prevented.4. Salience 2/2 x 1 1 The parents needs to educate their soon immediately

in order to prevent the occurrence of future illnesses.TOTAL 3.7

Prioritizing


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Prioritizing

ProblemsLow income as a Health ThreatCriteria Computation Score Justification

1. Nature of the Problem 2/3 x1 0.7 The problem is a health threat.2. Modifiability of the

Problem1/2 x 2 1 The problem is partially modifiable since it can be rather

difficult to find a stable job.3. Prevention Potential 2/3 x 1 0.7 By increasing their monthly income, the parents will be

able to provide adequate food, vitamins and medications in

cases when a family member gets sick.4. Salience 1/2 x 1 0.5 The parents dont perceive this as something that needs

urgent attention since at the moment they are already able

to buy enough food and medications if necessary.

TOTAL 2.9

Prioritizing


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Prioritizing

ProblemsPoor Environment Sanitation specifically presence of breeding orresting sites of vectors as a Health Deficit

Criteria Computation Score Justification1. Nature of the Problem 3/3 x 1 1 The problem is a Health Deficit

2. Modifiability of the

Problem1/2 x 2

1

The problem is partially modifiable since fixing this problem

entails financial resources that will fix the open well in their

backyard.3. Prevention Potential 3/3 x 1 1 By fixing the open well in their backyard, not only can they

eliminate the resting sites of vectors but they can also prevent

children accidentally falling into the open well.

4. Salience 1/2 x 1 0.5 The family doesnt see this problem as something that needsimmediate attention since it has been there for a few years now

and they dont have the money to fix it.

Prioritizing


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Prioritizing

ProblemsStress provoking factor specifically strained marital relationship as aHealth Threat

Criteria Computation Score Justification1. Nature of the Problem 2/3 x 1 0.7 The problem is a Health Threat.


Problem1/2 x 2

1

The problem is partially modifiable since, in order to fix their

relationship, both parents need to cooperate with one another.3. Prevention Potential 2/3 x 1 0.7 By fixing their relationship, they can prevent further problems

from arising and likewise be able to work together for the

benefit of their family.

4. Salience 2/2 x 1 1 Both parents dont see this problem as something that needsimmediate attention because both of them prefer to put their

problems aside than solve it.

TOTAL 3.4

Prioritizing


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Prioritizing

ProblemsEntrance at school as a Foreseeable Crisis

Criteria Computation Score Justification1. Nature of the Problem 1/3 x 1 0.3 The problem is a foreseeable crisis.


Problem1/2 x 2 1 The problem is partially modifiable since it is quite

difficult for Mr. and Ms. R to find a job that will be able to

sustain their familys needs.3. Prevention Potential 1/3 x 1 0.3 If they are able to successfully send their son to school he

will be able to learn and get a good education.

4. Salience 1/2 x 1 0.5 Currently, the parents do not see this as a problem needingimmediate attention since they still have a few months to

find a solution to the problem.

TOTAL 2.1

F il C Pl


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Family Care PlanProblem List

Problems Identified Score1. Poor personal hygiene as a Health Threat

2. Poor Environment Sanitation specifically presence of

breeding or resting sites of vectors as a Health Deficit

3. Stress provoking factor specifically strained marital

relationship as a Health Threat

4. Low income as a Health Threat

5. Entrance at school as a Foreseeable Crisis

3.7

3.5

3.4

2.9

2.1


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Family

Care Plan

S E l ti d
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Summary, Evaluation, and

RecommendationSummary and Evaluation

Family R. is considered a nuclear type of family, which is

composed of a father, mother, and a child. Family R. resides in

Purok Violeta II, Barangay Don Jorge, Central Ma-ao, Bago City.

They currently live in a house made of cement and wood,

and with 5 windows to provide them adequate ventilation. Their

house only has one bedroom where Mrs. R and Child R sleep in

while Mr. R sleeps in the living room. They also have a decent

amount of furniture suited for their simple way of living. Theirbackyard contains herbal plants such as lagundi, oregano,

ampalaya, and tsaang gubat. They have electricity and water which

they get from a deep well, and they boil their water for drinking.

They dont have a proper drainage yet they provide a water sealed

toilet.

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RecommendationSummary and Evaluation

Mrs. R is the familys breadwinner because Mr. R currently has

no job. Mrs. R earns money through selling native goods and snacks,

she is able to earn a decent amount of money which ranges from

8,000-8,500php a month. Mr. Rs parents also provide them support

and money, so Mr. Rs mother is in charge with money matters.

Family R is identified to have poor environmental sanitation.

With this situation and family condition, many problems were identified

such as health threats and health deficits which include Poor personalhygiene, Poor Environmental Sanitation specifically presence of

breeding or resting sites of vectors. Family also faces low income,

marital status and entrance at school of child R. Nursing care plans

are then formulated to address the different problems identified.

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Recommendation

Summary and Evaluation

The family has the ability to improve their health conditions.

They just have to maximize their available resources to be used for

them to improve their health conditions and lessen the healththreats identified. And with the help of other people especially the

health care providers and the student nurses who would provide

them with proper education and alternative interventions to their

problem they will be able to solve their health problems through

their participation and willingness to cooperate.

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RecommendationRecommendations

The student nurse have identified and prioritized problems and needs

together with the family. The student nurse have also created a care plan

on how to deliver the best nursing care for the family to address their

needs. The following below are propositions recognized by both

the student nurse and family:

1. Maintain an open communication with each other so that there will be

an understanding with one another.

2. Children should be monitored for any health threats in order to take

preventive measures if there are any present.

3. Continue to have good nutrition habits, such as eating fruits and

vegetables on a regular basis and include calcium-rich foods in their

diet.

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RecommendationRecommendations

4. Take time to rest every now and then to reduce the amount of stress

on the body, which may make them at risk in their health.

5. Have an open and honest relationship so that current problems can befixed and future problems avoided.

6. The family should also maintain proper hygiene such as taking a bath

regularly, trimming their nails, frequent changing of clean clothes

especially when come in contact with filthy objects or experienced

wetness of the back, refraining from walking barefooted, brushing of

teeth frequently, and proper and regular hand washing.

7. The family should maintain a healthy and clean environment. They

must clean their surroundings to avoid the presence of vectors of

diseases.

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