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Cues/ Data Family Nursing Problem Cues/ Data Family Nursing Problem
36 years old mother of 3 children with a:
Weight: 42 kg Height: 4’9 ft Bp : 90/50 mmHg
“Nahihilo ako minsan, hindi ko alam kung dahil ba sa mata ko at ang lakas nang regal ko…” stated by the mother.
Mother verbalized..” nainom ako nang ferrous sulfate, 2 tablets a day..”
She has pallor on the hands and has a pale conjunctiva; her finger nails are also pale in color.
Anemia as a Health Deficit
Inability to recognize the presence of the condition or problem due to:
a) Lack of inadequate knowledge
Nizel 3 years old with a: Weight: 12 kg Height: 3’1 ft BMI: 13.58
Nicho 8 years old with a: Weight: 20 kg Height: 4’3 ft BMI: 11.91
Nicole 9 years old with a: Weight : 21 kg Height : 4 ft BMI: 14.12
Malnutrition as a Health Deficit
Inability to provide adequate nursing care to the dependent or vulnerable at risk member of the family due to:
a) Lack of knowledge about the health condition
b) Lack of knowledge about child development and care
Lack of knowledge of the nature and extend of nursing care needed
Cues/ Data Family Nursing Problem Cues/ Data Family Nursing Problem
Water supply is taken from a poso, 10m away from home
“ Mahirap ang tubig samin dahil nagiigib lang kami”. As verbalized by the mother.
The family is not fun of changing clothes everyday, they seldom take a bath
Poor Personal Hygiene
Inability to provide a home environment conducive to health maintenance and personal development due to:
a) Lack of knowledge of importance of hygiene and sanitation
b) Lack of knowledge of pretive measures
The children often forgot to wear slippers when playing outside the house, and has a habit of biting their finger nails
Walking Barefooted and Fingernail Biting as a Health
Threat
Inability to provide home environment conducive to health maintenance and personal development due to:
a) Lack of knowledge of importance of hygiene and sanitation
b) Lack of knowledge of preventive measures
Cues/ Data Family Nursing Problem Cues/ Data Family Nursing Problem
Nizel has a macules on her lips and under it, with pus and redness, I looks like infected
“Butlig lang yan nung una, kinakamot niya kata dumami at ngayon may nana na”.. stated by the mother.
Shingles as a Health Deficit
Inability to provide adequate nursing care to the sick dependent member of the family due to:
a) Lack of knowledge about the health condition
b) Lack of knowledge of the nature and extend of nursing care needed
c) Lack of knowledge and skill in carrying out the necessary intervention/ treatment/ procedure/ care
Mother verbalize “Sensitive talaga ang batang yan, kahit alikabok lang nagkakaganyan na, siya lang ang ganyan sa magkakapatid.”
Allergy as a Health deficit
Inability to provide adequate nursing care to the dependent member of the family due to:
a) Lack of knowledge of the nature and extend of nursing care needed
Cues/ Data Family Nursing Problem Cues/ Data Family Nursing Problem
“Nilalagyan ko lang nang erythromycin ointment yung mga sugat niya sa muka” stated by the mother.
Self- medication as a Health Threat
Inability to provide adequate nursing care to the sick , dependent member of the family due to:
a) Lack of knowledge about the disease/ health condition
b) Lack of knowledge of the nature and extend of nursing care needed
c) Lack of knowledge and skill carrying out the necessary intervention/ treatment/ procedure/ care
The family lives in a one room house with 3 windows.
All the things inside the house are unorganized, its too many to fit inside.
The surroundings of the house is unorganized to.
Inadequate Living Space
inability to provide a home environment conducive to health maintenance and personal development due to:
a) Inadequate family resources, specifically limited physical resources.
b) Failure to see benefits of investment in home environment improvement.
Goals/ Objectives Intervention Evaluation
SHINGLESANEMIA
Criteria Computation ActualScore
Justification Criteria Computation ActualScore
Justification
Nature of the Problem
3/3*1
1
The problem is a health deficit that needs
immediate action to prevent cross-
contamination to other members of the family
Nature of the Problem
3/3*11
The problem is a health threat that needs immediate action to prevent further complications
Modifiability of the
Problem2/2*2
2
It is a easily modifiable since the nurse can
teach the proper handling of a patient
with condition, and she can monitor the
medication that must be applied.
Modifiability of the Problem
2/2*2
2The problem is easily modified since the nurse can encourage the mother to drink her medication and eat foods that are rich in iron, vitamins and minerals.
Preventive Potential
3/3*1
1
It is highly preventive if the family will pay
attention on taking care of the sick member, and
know the do’s and don’ts
Preventive Potential
3/3*11
It is highly preventive if the mother will understand how important the eating of rich in iron food is.
Salience2/2*1 1
The family sees it as a problem that need immediate action
Salience1/2*1
0.5 Families perceive it is a problem, but not needing immediate attention.
Total: 5 Total: 4.5
ALLERGY MALNUTRITION
Criteria Computation ActualScore
Justification Criteria Computation ActualScore
Justification
Nature of the It is a health deficit that Nature of the It is a health deficit that
Health Problem/ Family Nursing
Problem
1. SHINGLES AS A HEALTH DEFICIT
Inability to provide adequate nursing care to the sick, dependent member of the family due to:
a) Lack of knowledge about the health condition
b) Lack of knowledge of the nature and extend of nursing care needed
c) Lack of knowledge and skill in carrying out the necessary intervention/ treatment/ procedure/ care
After 1 week of nursing intervention the mother will be able to:
Gain knowledge on what shingles is, what causes the viral infection and the right treatment for it
Properly treat the wounds that the shingles cause and do proper hand washing
Encourage her children to do frequent hand washing to avoid cross- contamination
1. Assess the patients condition, the severity of the wounds
2. Discuss how viral infection can cross- contaminate the other members of the family
3. Teach proper hand washing
4. Discuss the proper handling and cleaning of the wound
Health Problem/ Family Nursing
Problem
Goals/ Objectives Intervention Evaluation
2. ANEMIA AS A HEALTH DEFICIT
Inability to recognize the presence of the condition or problem due to:
a) Lack of inadequate knowledge
After one week of nursing intervention the mother will be able to:
Gain knowledge about the signs and symptoms of anemia and the proper food to eat and how to treat it
Plan and prepare meals that are rich in iron and other minerals that will help in hemoglobin formation.
Frequently visit the health center for check- ups
1. Assess the severity of anemia on the mother
2. Discuss the things, medication and foods that can help in treating anemia
3. Discuss the importance of check- ups in her condition
Health Problem/ Family Nursing
Problem
Goals/ Objectives Intervention Evaluation
3. ALLERGY AS A HEALTH DEFICIT
Inability to provide adequate nursing care to the dependent member of the family due to:
a) Lack of knowledge of the nature and extend of the nursing care needed.
After one week of nursing intervention the family will be able to:
Know the signs and symptoms of allergy, what causes it and the right treatment for it.
Treat the allergy properly, with the right medication
Avoid the foods or other things that can trigger allergy.
.
1. Discuss the following:
a) The implications of the signs and symptoms of an allergy
b) The consequences of having it
c) Treatment for it
2. Discuss with the family why allergy occurs to them, observe the food they it and the things in their surroundings
Health Problem/ Family Nursing
Problem
Goals/ Objectives Intervention Evaluation
3. MALNUTRITION AS A HEALTH DEFICIT
Inability to provide adequate nursing care to the sick, dependent member of the family due to:
a) Lack of knowledge about the health condition
b) Lack of knowledge about child development and care
c) Lack of knowledge of the nature and extend of nursing care needed
After one week of nursing intervention the family will be able to:
Gain knowledge on how malnutrition occur, what are the implications of malnutrition and the treatment for it
Plan and prepare meals that will help the children gain weight and at the same time foods that will give them a lot of vitamins and minerals.
Encourage each members to eat right and healthy foods and fight malnutrition
1. Discuss the following:
a) signs and symptoms of malnutrition
b) how the family will prevent members of the family to have malnutrition
2. Develop the skills of family members on proper food selection and preparation
Health Problem/ Family Nursing
Problem
Goals/ Objectives Intervention Evaluation
3. SELF-MEDICATION AS A HEALTH THREAT
Inability to provide adequate nursing care to the sick, dependent or vulnerable member of the family due to:
a) Lack of knowledge about the disease/ health condition
b) Lack of knowledge of the nature and extend of nursing care needed
c) Lack of knowledge and skill carrying out the necessary intervention/ treatment/ procedure/ care
After one week of nursing intervention the family will be able to:
Know how important proper medication and consultation is, and how self- medication can be dangerous to the health of the family
Give proper medication to the sick member prescribed by a doctor or by an authorized health care provider
Avoid self -medication because she already knows the consequences.
1. Discuss the following:
a) The consequences of self- medication
b) Importance of consultation and proper medication to the sick.
PRIORITIZED HEALTH PROBLEMS
1. Shingles ----------------------------- 52. Anemia ------------------------------ 4.53. Allergy ------------------------------- 44. Malnutrition ----------------------- 4.165. Self- Medication ------------------ 3.66
SELF- MEDICATION
Criteria computation ActualScore
Justification
Nature of the Problem 2/3* 1 0.66
It is a health threat that can lead to other health problems, like severity of a disease.
Modifiability of a Problem 2/2*2 2
The problem is easily modifiable because the resources needed to solve the problem are available to the family. The nurse just need a proper health teaching
Preventive Potentials 3/3*1 1
It is highly preventive if the family will know the importance of proper medication and consultation
Salience0/2*1 0
It is not seen as a problem that must be given attention
Total: 3.66
Submitted to:
Mr. Reymund Samonte
Submitted by:
Ariane Rose Cedron
BSN2-1
Group 4