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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..” 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

Ariane FNCP

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Page 1: Ariane FNCP

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

Page 2: Ariane FNCP

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

Page 3: Ariane FNCP

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

Page 4: Ariane FNCP

“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

Page 5: Ariane FNCP

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

Page 6: Ariane FNCP

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

Page 7: Ariane FNCP

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

Page 8: Ariane FNCP

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

Page 9: Ariane FNCP

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.

Page 10: Ariane FNCP

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

Page 11: Ariane FNCP

Submitted to:

Mr. Reymund Samonte

Submitted by:

Ariane Rose Cedron

BSN2-1

Group 4

Page 12: Ariane FNCP