Family Care Study c5

8/3/2019 Family Care Study c5

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I. INTRODUCTION

The family is the basic unit of a society. As a universal social institution, it may be

defined according to Burgess, as a group of persons united by ties of marriage, blood or

adoption; constituting a single household unit, interacting and communicating with each

other in their respective social rules of husband and wife, mother and father, son and

daughter, and creating and maintaining a common culture. Based on his definition, the

nature of family will be affected by several modifications foremost of which is the socio-

cultural factor. The family will inevitably be affected by the changes that occur within the

society of which it is a part. Society is never static. It is constantly changing. Changes

that may occur will be reflected in family life. Considering the impact of the family in

molding the personality of its members, one cannot overemphasize the importance of

knowing the interrelationship of family and socio-cultural forces.

A family may also be two or more people who live in the same household

(usually), share a common emotional bond, and perform certain interrelated tasks.

Spradley (1990, p. 100). The second definition is more favorable for healthcare

providers because it gives emphasis on the fact that there are different types of families.

Many types of families exist, and a family will change over time as it is affected by birth,work, death, divorce and growth of each family member.

A family represents a certain group in a community, and as a group, each

member must have a certain role to play or complete a certain task. Majority of the roles

people view as appropriate are the roles they see their parents fulfill.

Each generation takes on the values and traditions of the past generation, handing

down tradition and culture from one generation to the next.

Some of the main tasks that essentially should be carried down or passed on

from one family to the next are basically norms in society pertaining to family, which are:

A family must provide food, shelter, clothing and health care for its members; prepare

children to live in the community and interact with people outside the family; determine


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which family needs will be met and their order of priority; open an effective means of

communication between family members, establish family values and enforce common

regulations for all members; apply division of labor; place members of the family into

different sectors of society such as school, religious affiliations, or political groups; and

maintain motivation and morale. The stability of the family is a delicate thing made up of

the interplay and exchange between members. Crisis occur when change in role is

necessary and the emotional balance within the family is disturbed. Illness of an

individual member often creates a difficult change in role and a crisis occurs. As with the

individual, the stage of development of which illness is interjected affects the nature and

severity of the crisis of the family.

The family as a group has the dual task of attaining its goals and meeting the

needs of its individual members. Within the constraints of its social roles, each family

develops its own set of values, its own patterns of behavior, or no communication

between husband and wife and between parents and children are among the tasks.

By fulfilling these tasks through the developmental stages, each family member

must work with every other member and play his designated role.

Through positive means, in effect the family structure will be healthy resulting in eachmembers successful growth and development.

As a requirement of NCM501104, we the students were required to conduct a

family care study in Zone 2, Brgy. Canitoan, Cagayan de Oro City. In relation to this,

we have chosen the Yamit Family for our family care study for they poses the criteria for

the need of family care. Thus, education on health and health teachings regarding

possible diseases at risk was emphasized.

A. OBJECTIVE

At the end of two (2) weeks of Community Health Exposure at Zone 2, Barangay

Canitoan, we would be able to:


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Gather informations needed in formulating the family care plan

Obtain the vital signs and conduct physical assessment for each member of the

family for our reference and for future purposes.

Analyze the data gathered during the assessment to understand further their

health condition

Determine the health condition and problems of the family

Help the family in finding ways and solutions in treating their current health

problem

Identify environment problems if there is any.

B. Scope and Limitation of the Study

This Family Health Care Study provides information and additional

Knowledge to the family concerned. By this, we are focusing only on the Yamit Family,

on its health problems, on Most importantly the prevention of illnesses, and health and

also they will be thoroughly assessed and monitored on its health condition.


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II. SPOT MAP

DISTRICT 2, ISLA, CANITOAN, CAGAYAN DE ORO CIT


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III. FAMILY PROFILE

HEAD OF THE FAMILY

Name: Trinido Yamit

Age: 38 yrs. old

B-day: May 28, 1973

Sex: male

Nationality: Filipino

Address: District 2, Isla Canitoan, Cagayan De Oro City

Religion: Roman Catholic

Occupation: Hollow Block Maker

Income: P5000 / monthEducational Attainment: Elementary Level

Positioning in the family: Father

Drinking: Beer and Tanduay Occasionally

Allergies: No Allergies

Hereditary of family conditions: No hereditary of family conditions

Food included in diet: Fish, Pork, Beef, Vegetables and fruits.

Baseline Data:

Blood pressure:

Pulse rate: no oppurtunity

Respiratory rate:

Temperature:

Height:

Weight:


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Name: Myerna Yamit

Age: 32 yrs. old

B-day: February 1, 1979

Sex: female




Occupation: Housewife/ Manicurista

Income: P 2000

Educational Attainment: High School level

Positioning in the family: Mother

Drinking: water, milk, and softdrinks

Allergies: None

Hereditary of family conditions: No hereditary of family conditions

Food included in diet: fish, pork, beef, vegetables and fruits.

Baseline Data:

Blood pressure: 120/80 mmHg

Pulse rate: 65 bpm

Respiratory rate: 22 cpm

Temperature: 36.2 C

Height: 5'2

Weight: 110 lbs.


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Name: Benjie Yamit

Age: 16 yrs. old

B-day: September 17, 1995

Sex: Male




Occupation: NONE / Student

Income: NONE

Educational Attainment: High School

Positioning in the family: Eldest Son

Drinking: water, milk and soft drinks

Allergies: NONE

Hereditary of family conditions: No hereditary family conditions

Food included in diet: Fish, pork, beef, vegetables and fruits

Baseline Data:

Blood pressure:

Pulse rate: no opportunity

Respiratory rate:

Temperature:

Height:

Weight:


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Name: Sheila Mae Yamit

Age: 11 yrs old

B-day: April 25, 2000

Sex: Female




Occupation: NONE

Income: NONE

Educational Attainment: Grade 6

Positioning in the family: Middle child

Drinking: water, milk and soft dinks

Allergies: NONE

Hereditary of family conditions: No hereditary family conditions

Food included in diet: Fish, beef, pork, vegetables and fruits

Baseline Data:

Blood pressure:

Pulse rate:

Respiratory rate: no opportunity

Temperature:

Height:

Weight:


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Name: Esteven Yamit

Age: 3 years old

B-day: November 6, 2011

Sex: Male


Address: Zone-1 Macahambos Burgos, Brgy. Consolacion


Occupation: NONE

Income: NONE

Educational Attainment: Not yet

Positioning in the family: Youngest child

Drinking: breastfeeding

Allergies: None

Hereditary of family conditions: No hereditary family condition

Food included in diet: Breastfeeding

Baseline Data:

Blood pressure: refuse

Pulse rate: 134 bpm

Respiratory rate: 50 cpm

Temperature: 37 C

Height: 61 cm

Weight: 13 kgs


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IV. HEALTH HISTORY

During our interview to them, they said that they dont have any underlying

problems. In the case of the Yamit Family, they are not predisposed to any illness in

both sides

Mr. Trinido Yamit is 35 years of age, and is presently residing now in District 2,

Isla ,Canitoan, CDO. He had 3 children with the age of 16, 11, and 3 years of age. He

works as a Hollow Block Maker. No known food and drug allergy. No hospital record for

him so far.

Mrs. Myerna Yamit is 32 years of age, she married Mr. Trinido. She is a plain

housewife and she also works as a part time manicurista and she also stays most of

the time at home. She said that she is not predisposed to any illnesses. She has not

been hospitalized due to any illnesses/ diseases but she is had undergone check up

at X for prenatal.

Mr. Benjie Yamit is 16 years of age, he was the eldest child of Mr. and Mrs.

Yamit, he was delivered normally. And also no hospital record for him so far.

Ms. Sheila Mae Yamit 11 years of age, she was is also delivered normally, and

same as his brother, no hospital record for her so far.

Mr. Esteven Yamit 3 years of age, he was is also delivered normally, and no

hospital record for him so far. He completed all the

IMMUNIZATION:

NAME BENJIE SHEILA MAE ESTEVEN

BCG FINISHED FINISHED FINISHED

HEP-B1 FINISHED FINISHED FINISHED



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NAME BENJIE SHEILA MAE ESTEVEN


DPT1 FINISHED FINISHED FINISHED



OPV1 FINISHED FINISHED FINISHED



MEASLES FINISHED FINISHED FINISHED

For the immunization of the children, They have already completed their

immunization..

The family is aware on the immunization schedule which actively being followed

up and met the appropriate age of their child for compliance and prevention of

unprecedented illnesses such as polio, measles, diphtheria, hepatitis and others. It is

also emphasized that the mother will give immediate attention to her children health.

FAMILY PLANNING

On the extent of family planning and contraceptive, pills is utilized within the

family. The family verbalized their awareness regarding family planning.

SMOKING

In the family , they dont know how to smoke and uses it.

ALLERGY

They dont have any allergies experienced.

HEREDOFAMILIAL CONDITIONS

They dont have any heredo familial conditions in every sides of their family. They

just experience common illnesses as of now, like cough, colds and fever.


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V. PRESENT HEALTH STATUSNURSING SYSTEM REVIEW CHARTName: Myerna Yamit Date: September 12, 2011

Vital signs:

Pulse: 65bpm BP: 120/80 mmHg Temp: 36.2 C Height: 52 ft Weight:. 110 lbs.

INSTRUCTIONS: Place an (x) in the area of abnormality. Write comment on the space.Indicated the location of the problem in the figure using (x).

EENT:[ ] impaired vision [ ] blind

[ ] pain reddened [ ] drainage

[ ] gums [ ] hard of hearing [ ]deaf[ ] assess eyes, ears, nose

[ ] throat for abnormality [x] no problem

RESPIRATION

[ ] asymmetric [ ] tachypnea [ ] barrel chest dry and warm

[ ] apnea [ ] rales [ ] cough[ ] bradypnea [ ] shallow [ ] rhonchi

[ ] sputum [ ] diminished [ ] dysypnea[ ] orthopnea [ ] labored [ ] wheezing

[ ] pain [ ] cyanotic

[ ] assess resp. rate, rhythm, depth, pattern[x] breath sound, comfort or no problem

GASTROINTESTINAL TRACT[ ] obese [ ] distention [ ] mass

[ ] dysphagia [ ] rigidly [ ] pain[ ] assess abdomen, bowel habits, swallowing

[x] bowel sounds, comfort o no problem

GENITO-URINARY AND GYNE

[ ] pain [ ] urine color [ ] vaginal bleeding dry hair not yet[ ] hermaturia [ ] discharge [ ]noctoria taken a bath

[ ] assess urine freq., color, odor, comfort

[ ] gyn-bleeding [ ] discharge [x] no problem

NEURO dry and warm[ ]paralysis [ ] stuporous [ ] unsteady [ ] seizures

[ ] lethartic [ ] comatose [ ] vertigo [ ] tremors[ ] confused [ ] vision [ ] grip

[ ] assess motor function, sensation, LOC, strength,

[ ] grip, galt, coordination, speech, [x] no problem

MUSCULOSKELETAL[ ] appliance [ ] stiffness [ ]itching [ ] petechiae

[ ] hot [ ] drainage [ ]prosthesis [ ] swelling

[ ] lesion [ ] poor turgor [ ] cool [ ]deformity[ ] atrophy [ ]pain [ ] ecchymosis [ ] diaphoretic o moist

[ ] assess mobility, motion, galt, alignment, joint function

[x] skin color, texture, turgor, integrity o no problem


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NURSING ASSESSMENT 2

SUBJECTIVE OBJECTIVE

COMMUNICATION:

[ ] Hearing loss comments: ok raman ako

[ ] Visual changes ng pandungog [x] DeniedVerbalized by the pt.

[ ] glasses [ ] language

[ ] contract lenses [ ] hearing aideR L

Pupil size: 3-4 mm [ ] speech difficulties

Reaction pupils equally rounded reaction tolights accommodation.

OXYGENATION

[ ] dyspnea comments: ok raman[ ] smokling history akong gininhawaan

none verbalized by the patient.[ ] cough

[ ] sputum[x] denied

Resp. [x] regular [ ] irregular

Describe: respiratory rate is with in normal

range and limit.

R: right symmetric to the left

L: left symmetric to the right

CIRCULATION:

[ ] chest pain comments: wala man[ ] leg pain gasakita akong paa[ ] numbness of verbalized by

Extremeties the patient.

[x] denied

Heart rhythm [x] regular [ ] iiregularAnkle edema :

Carotid radial dorsal pedis femoral

R : + + + +L : + + + +

Comments: all pulse are palpable.

NUTRIRION:Diet

[ ] N [ ] V comments: maayo manCharacteristic pod ko magkaona, basta

[ ] recent appetite in lang naa mi makaonWeight, appetite verbalized by the patient.

[ ] swallowing

Difficulty[x] denied

[ ] dentures [x] none

Full partial with patient

Upper [x] [ ] [ ]

Lower [ ] [x] [ ]

ELIMINATION:

Usual bowel pattern [ ] urine frequency

Every morning[ ] constipation [ ] urgencyRemedies [ ] dysuria

NONE [ ] hematuria

Date of last BM [ ] incontinence

none [ ] polyuria[ ] diarrhea [ ] foly in place

Character [x] denied

Comments Bowel sounds

Bowel sounds normoactive

Presence With Abdominal Distentionin normal limit Present [ ] yes [x] noUrine ( color, consistency

Odor) yellow.

Moderate and aromatic

* if foley bag catheter is

In place


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SUBJECTIVE OBJECTIVE

MGT. OF HEALTH & ILLNESS:[ ] Alcohol [x] denied

( amount, frequency) dili man ko gainumverbalized by the patient

[ ] SBE last Pap Smear:did not have pap smear

LMP: forgotten

Briefly describe the patients ability to followtreatments ( diet, meds, etc.) for chronic health

problems.( if present)Do not have any chronic health problems.

SKIN INTEGRITY:

[x] dry comments: dry lang ako[ ] itching paminaw sa ko panit kay

[ ] other ilabe na wala pa ko naligo[ ] denied verbalized by the patient.

[x] dry [ ] cold [ ] pale

[ ] flushed [x] warm

[ ] moist [ ] cyanotic

rashes, ulcers, decubitis( describe size,locartion, drainage) No rashes, ucers,

decubitis present.

ACTIVITY/ SAFETY:

[ ] convulsion comments: makalihok[ ] dizziness lihok man ko sa mga

[ ] limited motion buluhaton sa balay dili

Of joins man ko mag lisud.[ ] ambulate verbalized by the patient.

[ ] bathe self

[ ] other

[x] denied

[ ] LOC and orientation: patient is conscious andoriented to live, space, person, and participates

when asked.

[ ] gait [x] walker [ ] care [ ] other

[ ] steady [ ] unsteadySensory and motor losses in face or extremities

No sensory and motor losses in face or

extremeties

[ ] ROM limitations: she has no problemregarding ROM

COMFORT/ SLEEP/ AWAKE:[ ] pain comments: makatulog( location) frequency man ko ug tarungRemedies verbalized by the pt.

[ ] nocturia

[ ] sleep difficulties[x] denied

[ ] facial grimaces[ ] guarding

[ ] other signs of pain:

No other signs of pain observed.

[ ] side rail release form signed (60 + years)Not applicable.

COPING:

Occupation:housewifeMembers of households:5

Most supportive person: Trinido Yamit

Observed non- verbal behavior:

Smiling to us as we go on to our interview.

Person ( phone number): Dont have any mobileor phone no.


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NURSING SYSTEM REVIEW CHART

Name: Date: September 12, 2011

Vital signs:

Pulse: 134 bpm BP: refused Temp:36C Height:61 cm Weight: 13 kg

INSTRUCTIONS: Place an (x) in the area of abnormality. Write comment on the space.Indicated the location of the problem in the figure using (x).

EENT:[ ] impaired vision [ ] blind

[ ] pain reddened [ ] drainage

[ ] gums [ ] hard of hearing [ ]deaf[ ] throat for abnormality [X] no problem

RESPIRATION c dry skin[ ] asymmetric [ ] tachypnea [ ] barrel chest

[ ] apnea [ ] rales [x] cough

[ ] bradypnea [ ] shallow [ ] rhonch warm[ ] sputum [ ] diminished [ ] dyspnea

[ ] orthopnea [ ] labored [ ] wheezing[ ] pain [ ] cyanotic

[ ] assess resp. rate, rhythm, depth, pattern

[ ] breath sound, comfort or no problem

GASTROINTESTINAL TRACT[ ] obese [ ] distention [ ] mass

[ ] dysphagia [ ] rigidly [ ] pain

[ ] assess abdomen, bowel habits, swallowing[X] bowel sounds, comfort o no problem

GENITO-URINARY AND GYNE

[ ] pain [ ] urine color [ ] vaginal bleeding

[ ] hematuria [ ] discharge [ ]nocturia[ ] assess urine freq., color, odor, comfort

[ ] gyn-bleeding [ ] discharge [X] no problem

NEURO[ ]paralysis [ ] stuporous [ ] unsteady [ ] seizures

[ ] lethartic [ ] comatose [ ] vertigo [ ] tremors

[ ] confused [ ] vision [ ] grip[ ] assess motor function, sensation, LOC, strength,

[ ] grip, galt, coordination, speech, [X] no problem

MUSCULOSKELETAL

[ ] appliance [ ] stiffness [ ]itching [ ] petechiae[ ] hot [ ] drainage [ ]prosthesis [ ] swelling

[ ] lesion [ ] poor turgor [ ] cool [ ]deformity

[ ] atrophy [ ]pain [ ] ecchymosis [ ] diaphoretic o moist[ ] assess mobility, motion, gait, alignment, joint function

[x] skin color, texture, turgor, integrity o no problem


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VI. NURSING CARE PLAN

Name of Patient: Myerna Yamit

CUES NURSING DX OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

S>dry lang ako

paminaw sa ko panitkay wala pa pud konaligoas verbalized by thept.

O> the pt. manifestedthe ff.

scratching

Risk for Impaired skinintegrity r/t dry skin

After 1 hr of nursingintervention, The

client and theSO shall haveverbalizedunderstanding ofindividual factorsthat contribute topossibility of skinintegrity impairmentand takes steps tocorrect the situation.

>Establish rapport

>Monitor VS.

>Note age and sex

>Assess mood,abilities, and personalstyles.

>Provide healthteachings regardingtheimportance ofmaintaining an intactand moist skin.

>Teach the pt. to give

the client a balance,andnutritious foodespeciallyfoods rich in Iron andvitamin C

>To gain the client>To obtain data for

comparison.>to evaluatedegree/source of riskinherent in theindividual situation.>to evaluate pt.sattitude which maycontribute to skinbreakdown.>To increase the ptknowledge thus,prevention of skinbreakdown is realizedand taken intoconsideration by thept.> To improve clients

The client shall haveverbalized

understanding ofindividual factorsthat contribute topossibility of skinintegrity impairmentand takes steps tocorrect thesituation.


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Name of Patiet: Esteven Yamit

S>wla pa na siya maligomao cgurogapangatol

as verbalized by themother of the pt.

O> the pt. manifestedthe ff.

scratching

Risk for Impaired skinintegrity r/t dry skin

After 1 hr of nursingintervention, Theclient and theSO shall have

verbalizedunderstanding ofindividual factorsthat contribute topossibility of skinintegrity impairmentand takes steps tocorrect the situation.

>Establish rapport

>Monitor VS.

>Note age and sex

>Assess mood,abilities, and personalstyles.

>Provide healthteachings regardingtheimportance ofmaintaining an intactand moist skin.

>Teach the pt. to givethe client a balance,and

nutritious foodespeciallyfoods rich in Iron andvitamin C

>To gain the client>To obtain data forcomparison.>to evaluate

degree/source of riskinherent in theindividual situation.>to evaluate pt.sattitude which maycontribute to skinbreakdown.>To increase the ptknowledge thus,prevention of skinbreakdown is realizedand taken intoconsideration by thept.> To improve clients

The client shall haveverbalizedunderstanding ofindividual factors

that contribute topossibility of skinintegrity impairmentand takes steps tocorrect thesituation.


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Child

Mr. Trinodo was also not present during the interview and some of the children of Mr. &Mrs Yamit was not present during the interview except to their youngest child Esteven.

VII: LABORATORY RESULTS

none

VIII. HOME AND ENVIRONMENT

HOME

A. General sanitary condition:B. Ownership: ( ) owned ( ) rented ( ) rent freeC. construction materials used: ( ) light ( ) mixed ( ) strongD. numbers of rooms used for sleeping: 2E. lighting facilities: ( ) electricity ( ) kerosene ( ) othersF. general sanitary condition: unsanitary

WATER SUPPLY


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A. Drinking waterSource : ( ) private ( ) publicDistance from the house:

Storage: ( ) none, direct from the faucet

( ) container with cover( ) container without cover( ) others

KITCHEN:

A. cooking facility: ( ) electric stove ( ) gas stove ( ) firewood/charcoal

DRAINAGE:

drainage facility: ( ) none () open drainage ( ) blind/ close drainage

WASTE DISPOSAL:

A. Garbage disposal1. Container : ( ) covered ( ) open ( ) none2. Method of disposal: ( ) opening dumping ( ) open burning

( ) compost pit


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B. Toilet1. type

( ) pit privy ( ) pail system

( ) flush type ( ) antipolo system( ) water- sealed ( ) none

DOMESTIC ANIMALS:

KIND NUMBER PLACE KEPT

COW 2 Tied at the coconut trees

VIII. Family Coping Index

This indicator is designed to rate the abilities of each members of the household,

including the mother, father and the children in their performance inside and outside the

house. This is not intended to rate the problems existing within the family, rather, rate

the family for their coping capacities and for their actual competencies. Family is not

seen as a factor that affects health but a patient that manifesting ability in coping

problem.

LEGEND:

[ 5 ]Complete Competence

[ 3 ]Moderate Competence

[ 1 ]No competence


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AREA RATE JUSTIFICATION

PHYSICAL INDEPENDENCE

ability to move out, get up from bed

and perform daily activities.

5

All of the members of the family can

perform their activities of daily living

like fixing their bed as soon as waking

up early in the morning. The father

provides the basic needs to sustain the

needs of the family while the Mother

takes care some household chores.

THERAPEUTIC INDEPENDENCE

includes procedure or treatment

prescribed knowledge to condition.

3

The family is capable of treating minor

kinds of illnesses and health

threatening conditions. They haveknowledge regarding their health

status.

KNOWLEDGE IN HEALTH

includes health condition

(concerned with the particular health

condition that is the occasion of care)

3

The Mother knows when a member of

the household is sick. She knows the

signs and symptoms of the common

diseases that a family may have.

APPLICATION OF PRINCIPLES

includes of general hygiene, family

nutrition and adequate rest and

relaxation.

3

The family members know how to

conduct and observe proper hygiene.

The mother and sometimes the

daughter prepare foods such as green-

leafy vegetables and meat.

HEALTH ATTITUDE

the way the family feels about

health care in general.

3

The family views health care as the

capability to promote health.

EMOTIONAL COMPETENCE

maturity and integrity with which

the members of the family are able to

meet usual stresses and problems of

life and to plan for a happy and fruitful

living.

3

The family was able to handle and

manage the problems that came into

their lives. They were able to cope up

with stress and other problems in the

environment and in the family.

FAMILY LIVING

how well the family member gets

along with another in an interpersonal

3

The members of the family get along

with each other very well. They help

each other to achieve common goals.


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relationship. Theres no problem occurring regarding

their interpersonal relationship.

PHYSICAL ENVIRONMENT

home, community and the work

environment

1

The family belongs in a community with

non cooperative neighbourhood. They

are not helping with each other.USE OF COMMUNITY

degree of the family use and

awareness of available community

facilities for health education and

welfare to physician.

3

The family is aware of the health

programs that the barangay health

center is rendering to the people in the

community.


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CUES HEALTH

PROBLEM

FAMILY NURSING

PROBLEM

GOAL OF CARE OBJECTIVES OF

CARE

NURSING

INTERVENTION

METHOD

OF NURSE

FAMILY

CONTACT

RESOURCES

REQUIRED

EVALUATION

Subjective:Medyohugaw gyud

ang amongpalibotas verbalizedby themother/wife

Objective: Housesurroundedby murkyand stagnantwater Floodingoftenoccursduringrainyseasons

Presenceofflies andmosquitoesflying thehouse.

Environm-ental

sanitationas healththreat

Inability tomaintainsanitary

environmentdue toenvironmentalcondition suchas flooding ofwater in theseareas.Inability tocontrol insectsand vermin dueto lack ofknowledge onimportance oferadicatingthem.

After nursingintervention,the family will

be able torecognize theimportance ofkeepingenvironmentclean andsanitary andappreciatethe effects.

After nursingintervention,the family will

be able to: identifycauses or rootof problemregardingenvironmentalsanitation Will be able tokeep andmaintain asanitaryenvironmentconducive forHealth. will be able toeradicate orminimize

presence ofinsects andvermin onsurroundingsespecially inthe house.

1. Discussed with thefamily the importanceof keepingenvironment cleanand sanitary.2. Explained to thefamily that keepingenvironmentconducive for healthhelps in the diseaseprevention.3. Encouraged /advised to screenwindows and doors toprevent / avoidinsects such asmosquitoesand flies to enter thehouse and advised tokill roaches and otherinsects.4. Encouraged toproperly segregateand dispose garbage

according to kind, andpractice it religiouslyfor health promotionand diseasepreventive measures.5. Made the familyaware of the risks andeffects of not keepingenvironment sanitary.

Home

Visit

Materialresources:

Visual aidsTime and effortaids andtransportationof the studentnurse.

Expenses forteaching aids

After thenursingintervention, th

family was ablto:1. Practiced ofkeepingenvironment osurroundingsclean andsanitary.2. eradicates /control ofinsects,vermins, androdents (if any

IX. FAMILY CARE PLAN


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Subjective: Gamayraman angKita saakongbana

verbalizedbythe motherObjective: Fatherearns7,000Php/month

Absenceof basicnecessitiesand othermaterialsfor first aid

Lowfamilyincomeasforeseeablecirisis.

Inability tomake decisionswith respect totakingappropriatehealth actionand inability to

decide whichaction to takefrom among alist ofalternatives.

At the end ofnursinginterventionsthe family willfind enoughresourcesthat could

sustainfamily healthneeds.

At the end ofnursinginterventionsthe family willbe able toidentify waysto utilize family

income wiselyand earnmoney forhealthcivilization.

1. Discussed tothe family theimportance offinding additionalways to earnmoney.

2. Explained tothe family to learnto prioritize needsof the family.3. Educated thefamily tominimizeunnecessaryspending.4. Teaches topractice properbudgeting of theirincome5. Emphasized toinclude in theirbudget themoney needed

Home visit Materialresources:Visual aids,examples of foodstuffs fordemonstratingpreparation of

low-cost menus,for cookingdemonstrations.Time and effortaids andtransportation ofthe nurse.Expenses forteaching aids andtransportation ofthe nurse.

At the end ofnursinginterventions,the family wasable to identifysome ways toutilize their

income andwas able tounderstandthe proper wayof spending orsaving even jua littleamount ofmoneyeveryday.


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X. SCHEMATIC PRESENTATION OF THE FAMILY CARE PROBLEM

XI. ACTUAL IMPLEMENTATION

ACTUAL IMPLEMENTATIONDay 1

Orientation Phase

On the very first day of duty in the community, we need to find our own patient

and at the same time choosing our family care study patient that will be visited and

assessed. Basically, we have to follow on the criteria given to us that will qualify a

family to be our respective patients. If we are to base on the problems the family has,

the community has less problems that concerns on health related areas since more of

the identified dilemmas were environmentally traces.

Despite of this fact, we patiently took the time in finding our patients that can be

of help to us and we can be a help to them as well as a change agent or an educator


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in their humiliating health conditions. So, as we have tried to move on and grabbed

some learning that skilfully enhances our knowledge in close contact to people and

showing them of how to be a people to people, we were able to select the family

based on their needs. Through this manner, prioritization is being practiced and

sharpened.

As finally decided, We able to choose the patient that bests seek our support in

their living. Most likely, the need to establish rapport and gauging their interest and

participation is our main goal at this moment of time. Determination of their effort to

participate and sincerest approval to our presence is also a great deal to be cleared

and promoted throughout the entire visit that we are to take with them.

As we begin this contact with them, we initiatively took the step to have

personal contact; we visit them in their households and take some part of their time.

We took the step in taking their data, which in this way, collection of data is performing

the procedures that will be more sharpened as the more we do it.

DAY 2

Working PhaseIn our 2nd day we do the pahina with the help of some of the community

members in District 2, Isla, Canitoan, even though some community members were

not cooperative during the pahina somehow all senses were being improved to find

flaws and comprehend the application of learned theories in actual setting by doing

health teachings and giving guidelines to be followed by them. This task took us

responsible to what we could bring to the family in so many ways we can as student

nurses. This activity is believed to take a closer connection to the family that

applications of needed activities require thorough study to prevent errors and faulty

nursing practices. The building of trust may be noticed in time towards the end of the

actual performances. In response to their short responses, we believe that this has

captured and enlightened their function as a human of their own. Helping them enrich

their lives calls a sense of responsibility and accountability to their selves.


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Everyone wish to help our family clients, addressing their needs and giving

them care to what they wish. It is our chance to share our knowledge through giving

health teachings and imparting information for their own benefits. Most likely, our

tasks as student nurses are primarily focused on the basic areas to be implanted to

them in action and words. This may be appreciated once the taught knowledge will be

applied and inhibited. We gladly thank our patients in giving their time and may they

be able to find their position in life as a person.

XII. REFERRAL AND FOLLOW UP

The family was advice and encourage to have a regular check up to theBarangay Clinic, health center or Hospital. This is to determine if some members of

the family is sick and to easily prevent diseases. And they should also follow the

advices or instructions that was given by the health provider.

XIII.EVALUATION

Although some short comings were not thoroughly anticipated during the care

of the family as well as referral was not very successful due to the unavailability of the

family members to be referred.

Still we were able to care to the concerned family. There were no difficulties

encountered as to the family members attitude because they were participative and

accommodating throughout the care rendered to them. Furthermore, as of other

aspects was difficult to plan because it was not anticipated, such mentioned difficulty

was encountered with the father of the family because of his unavailability during the

process of care.


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We give them some health tips that were emphasized to the concerned family,

these were discussed as to anticipate the care of the individual and the family as a

whole.

XIV. BIBLIOGRAPHY

Maglaya, A., & Earnshaw , R., Nursing Practice in the Community.

Community Health Nursing by DOH

Kozier, et al. Fundamentals of Nursing. Singapore: Pearson Education Asia

Ltd.,2004

www.wikipedia.com/family

www.nursingcrib.com/fcp
http://www.wikipedia.com/familyhttp://www.wikipedia.com/family


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DOCUMENTATION:

GROUP C5 =)

SPOT MAPPING

INTERVIEWING OUR CLIENT

Documents

Family Care Study c5