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VI. FAMILY NURSING PLANS
PROBLEM # 1: PRESENCE OF BREEDING PLACES FOR MOSQUITOES, FLIES AND RODENTS
1ST LEVEL ASSESSMENT: Health threat2ND LEVEL ASSESSMENT: Inability to make decisions with respect to taking appropriate health action d/t insufficient knowledge
Cues Analysis Objective Interventions Rationale Method of contact
Resources required
Evaluation
S>ӯ
O>Presence of open area inside their house
> Presence of cockroaches was seen on the kitchen area.
> Presence of mosquitoes on the bedroom
> Leftover foods were stored in an open can which is just near the vicinity of their house.
> stagnant and uncovered
The problem of is due to its:
> Inability to provide a home environment which is conducive to health maintenance and personal development
> Inability To recognize the possible diseases that could be acquired through the presence of rodents, insects or mosquitoes
Short Term:After 2 hours of nursing interventions, the family will be able to demonstrate understanding of the health teachings with regards to the possible causes and effects of the presence of these vectors.
Long Term:After 3 weeks of home visits, the family will be able to show behavior and compliance on
Assessed condition of the house and level of knowledge
Discussed the possible sources of the presence of rodents, insects and mosquitoes.
Explained to the family all the possible harmful effects that these vectors can cause to the health of the entire family.
To have baseline data to plan the appropriate interventions to be done.
Knowing the causes of the problem serves as one way to manage it.
To increase their awareness regarding the presence of the breeding sites so as to persuade them in doing actions that would avoid
Home visits
InterviewMethod
Observation
Health teachings
Time and effort of the student in discussing health teachings and assisting the mother in cleaning the house.
Cooperation of the family.
use of broom and dustpan
Short Term:The family was able to demonstrate understanding of the health teachings with regards to the possible causes and effects of the presence of these vectors.
Long Term:The family was able to show behavior and compliance on measures on how to maintain a clean environment in order to eradicate
drainage system > Inability to produce sufficient financial means to replace the damaged area of the house.
> Lack of willingness to do an action due to the fact that they don’t own the house. Thus leaving the problem to the owners.
> Owner’s lack of awareness that the problem may cause harm to his/her boarders.
measures on how to maintain a clean environment in order to eradicate breeding sites of mosquitoes, flies and rodents.
Assisted the family in cleaning the house, removing the spoiled foods and providing a cover on each trash can so as to avoid breeding places for these vectors.
Encouraged maintaining cleanliness by regular cleaning of the surrounding area of their house.
them from acquiring diseases.
To provide initial action necessary for the prevention of diseases that might arise by increasing the family’s awareness through nurses’ initiative.
To prevent vectors to breed
breeding sites of mosquitoes, flies and rodents.
PROBLEM # 2: POOR PERSONAL AND DENTAL HYGIENE AND DENTAL
1ST LEVEL ASSESSMENT: Health threat2ND LEVEL ASSESSMENT: Inability to promote proper hygiene care to risk members of the family d/t lack of knowledge
Cues Analysis Objectives Interventions Rationale Method of contact
Resources Required
Evaluation
S>
O> Upon the assessment made, it was observed that the family members have dirty and untrimmed fingernails and toenails.
>The children have dirty clothes.
> Children have yellowish teeth, with dental caries
> Children is always seen walking without any footwear inside and outside the house.
Poor hygienic care is contributed by the family’s Inability to provide a home environment conducive to health maintenance and personal development due to lack of adequate knowledge and skills in carrying out action for proper hygiene regimen.
Short Term:After 3 hours of nursing interventions the family will demonstrate understanding on the health teachings given regarding the importance of maintaining proper personal hygiene.
Long Term:After 3 weeks of Home visits the family will be able to show compliance on the health teachings given.
Established good working and therapeutic communication among the members of the family.
Stressed the importance of maintaining proper personal hygiene.
Encouraged the children to take a bath everyday in the morning and before going to sleep
Advised the family to
To gain familiarity and to establish a good working relationship with the family.
In order to motivate them to improve their hygiene.
To provide comfort and soothing feeling which promotes proper blood circulation; cleansing the body helps removes dirt from skin thus protecting them from invading microorganism
To keep free from microorganisms
HomeVisits
InterviewMethod
Observation
Time and effort of the student nurses to render proper hygienic care and practices to the family.
Cooperation of the family members especially the mother.
Use of water, soap, cotton buds, slippers, powder, nail cutter, clean clothes, towel basin, and toothbrush.
PHN bag
Short Term:The family was able to demonstrate understanding on the health teachings given regarding the importance of maintaining proper personal hygiene.
Long Term:The family was able to show compliance on the health teachings given.
change their clothing regularly, every after bath or when the need excessive sweating in playing or doing household chores)
Instructed the family to trim their finger and toe nails regularly.
Instructed the family to brush their teeth regularly, three times a day is recommended after eating their meals.
Emphasized
causing body odor due to excessive perspiration and unchanged clothes. It is also to prevent complications like pneumonia.
Having untrimmed finger and toe nails carries a higher risk of developing complications. Having dirty nails may lead to parasitism.
When food sticks longer on the teeth, dental problems may occur such as the build up of tartar, dental caries, and halitosis, etc.
To prevent cross-
the importance of proper hand washing regularly especially:- before eating- after eating- after handling unclean objects- after bowel and bladder elimination
Stressed the
importance of wearing footwear in and out of the house.
contamination of microorganisms
Wearing foot wears reduces the risk of being contaminated with certain microorganisms. It reduces the risk of possible accident like stepping on sharp objects.
PROBLEM # 3: POOR ENVIRONMENTAL SANITATION: IMPROPER GARBAGE DIPOSAL 1st LEVEL ASSESSMENT: Health Threat2ND LEVEL ASSESSMENT: Inability to provide a home environment conducive to health maintenance
Cues Analysis Objectives Interventions Rationale Method of contact
Resources Required
Evaluation
S: Ø O:>candy wrappers, soiled plastic bags are present and scattered inside the house
>absence of garbage containers, inside and outside the house
Inability to provide a home environment conducive to health maintenance due to:>failure to comprehend the nature of the problem>lack of knowledge on the consequences of poor environmental sanitation in one’s health
Short-term: After 2 hours of nursing intervention, the family will verbalize understanding of the actual condition that exist within the family and know how of the proper disposal techniques with the consequences of disregarding it. Long-term: After 3 weeks of home visits, the family will demonstrate the use and maintenance of
>establish rapport >discuss importance of waste segregation >explain the effects of untidy environment to a healthy living >encourage the family to utilize resources like empty rice sacks or cans as
>to gain the trust and cooperation of the family
>Determined products which can be recycled and utilize by the family members like empty bottles and newspapers which can be sold or organic waste material as fertilizer
>facilitates the importance of proper garbage disposal system
>maximizing the community/family’s resources while minimizing the cost of
Home visits
Observation
Family resources: >initiative, time and full participation of family members in applying the segregation system>garbage cans and sacks Student-nurse resources: >knowledge, skills and proper attitude in discussing the nature of the
Short-term: The family was able to verbalize understanding of the actual condition that exist within the family and know how of the proper disposal techniques with the consequences of disregarding it. Long-term: The family was able to demonstrate the use and maintenance of a clean environment
a clean environment and proper garbage disposal system in compliance with the health teachings provided.
garbage containers, making sure that they are left covered. >point out the result of piles of garbage settled along the river to the health of the people by using water on the river, adding up to air, land and water pollution.
purchasing garbage containers
>to make the family members realized the consequences of irresponsible throwing of garbage to the riverside which serves s breeding sites of rodents, thereby increasing the possibility of water-borne infection or other diseases.
problem.
and proper garbage disposal system in compliance with the health teachings provided.
PROBLEM # 4a: PRESENCE OF COUGH AND COLDS
1ST LEVEL ASSESSMENT: Health Deficit2ND LEVEL ASSESSMENT: Inability to make decisions with respect to taking appropriate health action due to lack of adequate
knowledge.
Cues Analysis Objective Interventions Rationale Method of contact
Resources Required
Evaluation
S> “Sinisipon at inuubo sila” verbalized by Cuttma
O> >Cuttwana has productive cough and colds
> Cuttu has colds and productive cough with rales on both lower lobe of the lungs upon auscultation
> Cuttri, Cuttfour and Cuttfive have colds.
Inability to make decisions with respect to taking appropriate health action due to:
a. Lack of adequate knowledge as to alternative courses of action open to them
b. Failure to comprehend the nature or scope of problem.
Lack of ability to provide a home environment which is
Short-term:After 3 hours of nursing interventions in one home visit, the family will be able to demonstrate understanding on the health teachings given regarding on the nature, causative factors and proper management and prevention of cough and colds.
Long-term:After 5 days of home visit, the family will be able to show compliance on
Established therapeutic relationship with the family.
Made a thorough assessment of a family member with cough and colds.
Monitored and recorded vital signs.
Auscultated the lungs for the presence of adventitious breath sounds such as rales and wheezes.
Instructed and
To gain familiarity and to establish a good working relationship with the family.
To determine whether the current status of the condition is already progressing or not.
To have a baseline data.
This procedure may indicate presence of mucus plug or airway obstruction.
These
Home visits.
Interviewmethod
Observation
Knowledge and skills of the student nurses.
Therapeutic Communication Skills.
Health teachings rendered.
Participation and cooperation of the family members with the student nurse.
Time and effort of the student nurses and the family members.
PHN bag
Short-term:The family was able to demonstrate understanding on the health teachings given regarding on the nature, causative factors and proper management and prevention of cough and colds.
Long-term:The family was to show compliance on the management
conducive to health and maintenance to personal development due to
a. Inadequate knowledge of preventive measures.
the management given, practice ways in preventing cough and colds and maintaining clear airway such as instructing the mother to provide children increase fluid intake, take of Vitamin C, adequate rest and instructing the mother to keep her children back dry.
teached the family proper coughing and deep breathing techniques.
Instructed the family to provide an increase fluid intake
Instructed the family to provide an increase intake of Vitamin C, which is rich in citrus fruits and orange juice; also to provide adequate rest
Instructed the family to keep the back dry.
Provided health teachings which
techniques help mobilize the secretions thus keeping the airway clear.
Increased fluid intake liquefies and loosens secretions thus making it easier to expectorate so as to clear secretions from the bronchial tubes.
To boost the immune system, keep up the body resistance against harmful pathogens and for faster recuperation.
To prevent complications.
To promote healthy living.
given, practice ways in preventing cough and colds and maintaining clear airway such as instructing the mother to provide children increase fluid intake, take of Vitamin C, adequate rest and instructing the mother to keep her children back dry.
is to emphasize the importance of having proper personal hygiene
Instructed and demonstrated to the family the proper way of hand washing.
Instructed the sick member of the family to cover the mouth when coughing and immediately sneeze out retained secretions in the nose.
Advised the family to use herbal medicines that could alleviate the
To prevent cross contamination.
Covering your mouth when coughing and sneezing is one way to reduce the risk of spreading contamination. The purpose of immediately sneezing out retained secretions would decrease the risk of potential areas for microorganisms to be contained
Herbal medicines, such as Lagundi and Yerba Buena are advocated
illness.
Advised the mother to avail services/ medicine in the health center.
by the Department of Health. These herbal plants have its active components which could alleviate the cough and colds.
In order to have the therapeutic treatment that shall address the problem of the family.
PROBLEM # 4b: HYPERTHERMIA 1st LEVEL ASSESSMENT: Health Deficit2ND LEVEL ASSESSMENT: Inability to provide adequate nursing care to the sick
Cues Analysis Objective Interventions Rationale Method of contact
Resources Required
Evaluation
S> Ø
O>The second child has a
Inability to provide adequate nursing care to
Short-term:After 4 hours of nursing interventions in
1. Established rapport with the family.
1. To gain familiarity and to establish a good working
1. Home visits.
2. Interview method.
1. Time and effort of the student nurses and the family
Short-term:The family was able to verbalize
temperature of 38C, flushed skin, warm to touch
>The third child also has a temperature of 38.3C, flushed skin warm to touch
the sick due to:
>ignorance of facts about the nature and extent of nursing care needed
>Lack of knowledge and skills in carrying out the necessary care.
one home visit, the family will be able to verbalize understanding on the health teachings given regarding the management of fever and ARI and effectively demonstrate such actions afterwards.
Long-term:After 2 days of home visit, the family will be able to show compliance on the management given regarding the prevention of ARI and the absence of fever on the members of the family.
2. Made a thorough assessment of the family members with fever, cough and colds.
3. Monitored and recorded vital signs.
4. Instructed and demonstrated to the family the proper way of doing tepid-sponge bath.
5. Instructed the family to take ample rest periods and sleep.
6. Instruct the
relationship with the family.
2. To determine the current status of the condition, if it is already progressing or not.
3. To have a baseline data.
4. Tepid-sponge bath is one intervention that promotes heat loss through the process of convection.
5. Activities may worsen condition. It may increase the hypermetabolic state of the body that would in turn increase the body’s core temperature.
6. To promote
3. Observation members.
2. Participation and cooperation of the family members with the student nurse.
3. Pencil and paper (for illustration purposes).
4. Therapeutic Communication Skills.
5. PHN bag.
understanding on the health teachings given regarding the management of fever and ARI and effectively demonstrate such actions afterwards.
Long-term:The family was able to show compliance on the management given regarding the prevention of ARI and the absence of fever on the members of the family.
family to increase fluid intake.
7. Instruct and demonstrate to the family the proper way of doing chest tappings, back rubs and steam inhalation.
8. Instruct the family to have an increase intake of Vitamin C, which is rich in citrus fruits and orange juice.
9.Instruct the family to keep the back dry.
10. Provide health teachings on the importance of
adequate hydration and loosen out secretions.
7. Steam inhalation aids in loosening retained secretions in the tracheobronchial tree. Chest tappings and back rubs help in mobilizing secretions.
8. To increase resistance.
9. To prevent complications.
10. To promote healthy living.
having proper personal hygiene.
11. Instruct and demonstrate to the family the proper way of hand washing.
12. Instruct the sick members of the family to cover the mouth when coughing and immediately sneeze out retained secretions in the nose.
13. Instruct the family about the herbal medicines that could alleviate the illness.
11. To prevent cross contamination.
12. Covering the mouth when coughing reduces the risk of spreading contamination. Immediately sneezing out retained secretions would decrease the risk of potential areas for microorganisms to be contained.
13. Herbal medicines, such as Lagundi is advocated by the Department of Health in alleviating such. Preparation would include:
for lagundi: boil raw fruits or leaves in 2 glasses of water for 15 minutes, until one glass of gluid is left (decoction). Chop the leaves and strain. Drink the glassful of decoction.
PROBLEM # 4c: MALNUTRITION
1ST LEVEL ASSESSMENT: Health Deficit2ND LEVEL ASSESSMENT: Inability to recognize the presence of problem due to lack of knowledge
Cues Analysis Objective Interventions Rationale Method of contact
Resources Required
Evaluation
S>
O> Children’s FNRI are said to be Below Normal
> Children were thin
> Lack of
Inability to recognize the presence of malnutrition in a dependent member due to lack of knowledge.> Inability to decide about taking appropriate action due to
Short Term: After 3-4 hours of nursing interventions, the family will be able to understand the health teachings given regarding the management of malnutrition such as
Provided information about nutrition through health teachings
Discussed with the family the factors that contributed
Help the family realize the importance of proper nutrition
For family to be aware of the factors that affects and
Home visits.
Interview method.
Observation
Time and effort of the student nurses and the family members.
Participation and cooperation of the family members with the student
Short Term: The family has understood the health teachings given regarding the management of malnutrition such as emphasizing the importance of eating nutritious
financial resources to provide nutrirional foods for the whole family
> Irregular eating pattern (skipping meals)
failure to comprehend the nature, magnitude and scope of the problem.
Inability to provide Adequate nursing care to the members suffering from malnutrition due to:
a. lack of knowledge about the health condition.
b. lack of knowledge on the nature and extent of nursing care needed.
c. inadequate resources for care (e.g. responsible family members and financial
emphasizing the importance of eating nutritious food like vegetables and avoid junk foods.
Long Term:After five days of home visits the family will exhibit proper ways in prioritizing what food selection is appropriate to meet the necessary needs in order to achieve a desirable body weight. And to promote good nutritional habits.
to inadequate nutrition.
Stressed the importance of good nutrition and how to achieve it.
Taught the mother to prepare nutritious food for family that are within their capability to produce.
Discussed to the family the importance of proper food selection to the family
Advised them to avoid eating junk foods
Instructed the
may affect their health.
To give information about malnutrition.
To provide well balance diet and to increase body resistance
to encourage the family to implement proper food selection
to prevent lessening appetite
nurse.
PHN bag
food like vegetables and avoids junk foods.
Long Term:The family exhibited proper ways in prioritizing what food selection is appropriate to meet the necessary needs in order to achieve a desirable body weight. And to promote good nutritional habits.
mother during meals
To lessen financial expenses, thus providing more for the family
.
PROBLEM # 5: DIARRHEA 1st LEVEL ASSESSMENT: Health Deficit2ND LEVEL ASSESSMENT: Inability to recognize the presence of the problem
Cues Analysis Objective Interventions Rationale Method of contact
Resources Required
Evaluation
S: “nagtatae si cutfive at ang nanay ko” as verbalized by the cutma O: Cutfive:o Defecated
three timesoWatery
stoolo Yellowish
in color
Inability to recognize the presence of the problem due to:
>inadequate knowledge about the consequences of the problem >inadequate financial
Short-term: After 4 hours of nursing interventions in one home visit, the family will be albe to verbalize understanding on the health teachings given regarding the
>made a thorough assessment of the family members with diarrhea
>vital signs taken and recorded
>instructed the family to avoid solid food intake
>instructed to limit
>to determine the status of the condition if it is already progressing or not.
>to get baseline data
> to reduce intestinal workload
>to prevent
Home visits 1.time and effort of the student nurses and the family members.
2.participation and cooperation of the family members with the student nurses
Short-term: The family was able to the verbalize understanding on the health teachings given regarding the management of diarrhea and effectively demonstrate each actions such as how to
Cutla:o Defecated
two timesoWatery
stooloGreenish in
coloroModerate
in quantityo Weak
nesso pale
resources to treat the problem
management of diarrhea and effectively demonstrate each actions such as how to make oral rehydration solution.
Long term:After 2 days of home visits, the family will be able to show compliance on the management given regarding the prevention and absence of diarrhea
caffeine and high fiber foods, and avoid milk & fruits
>instructed to increase fluid intake
>taught them how to make oral rehydration solution: 1 tbsp salt, 8 tbsp sugar, 1l of H2O
>instructed the mother to handle foods properly
>stressed proper handwashing
promotion of diarrhea
>to prevent dehydration
> to overcome dehydration
>to prevent diarrhea
>to prevent cross-contamination
3.therapeutic communication skills.
make oral rehydration solution.
Long-term: The family was able to show compliance on the management given regarding the prevention and absence of diarrhea
PROBLEM NO 6a: POTENTIAL FOR PARASITISM
1ST LEVEL ASSESSMENT: Health threat2ND LEVEL ASSESSMENT: Inability to take appropriate health action d/t lack of adequate knowledge
Cues Analysis Objective Interventions Rationale Method of contact
Resources Required
Evaluation
S> Ø
O> with dirty and untrimmed finger and toe nails
> abnormally large abdominal girth> children is always seen walking barefooted in and out of the house
> childrenwere seen eating without even washing their hands
Walking barefooted, having dirty and untrimmed finger and toenails and placing the toys towards the mouth are health threats that carries a very high risk of the development of parasitism. This is due to the low salience of the family towards the occurrence of such.
Short-term:After 3 hours of nursing interventions in one family visit, the family will be able to verbalize understanding on the heath teachings in preventing the potential for parasitism.
Long-term:After 3 days of home visit, the family will be able to demonstrate and show compliance on the interventions to control the potential for
1. Established rapport with the family.
2. Discussed with the family the importance of wearing foot wears in and out of the house.3. Discussed and demonstrated the proper way of hand washing, before and after eating and after defecating.4. Advised the family to visit the health center in order to seek proper medical attention to get medicationsthat would disinfestate the children.
1. To gain familiarity and to establish a good working relationship with the family.2. This practice promotes hygiene and decreases the occurrence of diseases.
3. To prevent cross contamination.
4. In order to have the therapeutic regimen that
1. Home visits.
2. Interview method.
3. Observation
1. Time and effort of the student nurses and the family members.
2. Participation and cooperation of the family members with the student nurse.
3. Pencil and paper (for illustration purposes).
4. Therapeutic Communication Skills.
5. PHN bag.
Short-term:The family was able to verbalize understanding on the heath teachings in preventing the potential for parasitism.
Long-term:The family was able to demonstrate and show compliance on the interventions to control the potential for parasitism.
More so, lack of financial resources led to the problem’s occurrence.
parasitism. shall address the problem of the family.
PROBLEM # 6b: PRESENCE OF ACCIDENTAL HAZARDS
1ST LEVEL ASSESSMENT: Health Threat2ND LEVEL ASSESSMENT: Inability to take appropriate health action due to failure to comprehend the scope of problem
Cues Analysis Objective Interventions Rationale Method of contact
Resources Required
Expected Outcome
S>
O> The ceiling of the house is quite worn off
> Presence of sharp rusty edges at the entrance of the house
> Presence of woods for cooking are located in their kitchen area.
> Facility for heating is placed in the kitchen where fire is not
Inability to make decisions with respect to taking appropriate action due to:
>failure to comprehend the nature, scope/magnitude of the problem >limited financial resources
Short Term:After 2-3 hours of home visits the family will be able to recognize the presence of the existing problems and identify ways in eliminating accidental hazards present inside the house.
Long Term:After five days of home visits, the family will show adherence in the teachings given as evidenced by getting rid of all the possible accident
Discussed to the family the presence of the accident hazards inside their home.
Discussed and elaborate to the family all the possible consequences that may come about from having these accident hazards in their home environment.
Taught the family to become resourceful
To increase awareness among the members of the family.
Members realize the bad outcome of these accident hazards thus prevent possible occurrences.
This prevents the unnecessary use of their
Home visits
InterviewMethod
Observation
Time and effort of the nurse and the family members.
Participation and cooperation of the family members with the nurse.
Equipments to be used are electric tape, excess plywood, nails, hammer
Short Term:The family was able to recognize the presence of the existing problems and identify ways in eliminating accidental hazards present inside the home.
Long Term:The family showed adherence in the teachings given as evidenced by getting rid of all the possible accident hazards and shall develop
controlled because of the use of woods. > Presence of pointed nails on the wall
hazards and will develop solution to solve the existing identified problem corresponding to their available resources.
and use only what physical resources they have and try to recycle them such that they may be able to utilize them in eliminating accident hazards like unused pieces of woods in correctly sealing the open and unsafe area.
Helped the family in placing properly the sharp and dangerous objects/materials at a level where children cannot reach.
Helped the family to bend the sharp edges of the
limited finances and also enhances their capability in handling possible hazards and corrects them.
To reduce the risk for cuts and lacerations.
To reduce the risk for cuts and lacerations.
solution to solve the existing identified problem corresponding to their available resources.
toilet door.
Instructed the family to move their cooking facility outside the house.
This is to prevent fire and to prevent smoke inhalation.
PROBLEM #6c: LACK OF FOOD STORAGE FACILITIES
1st LEVEL ASSESSMENT: Health Threat2ND LEVEL ASSESSMENT: Inability to recognize the presence of problem due to inadequate knowledge
Cues Analysis Objective Interventions Rationale Method of contact
Resources Required
Evaluation
S> O:> the family has no refrigerator >they have no cabinet for food storage >leftover foods left on the table without cover
Inability to recognize the presence of the problem due to:
>inadequate knowledge about the consequences of the problem >inadequate financial resources to avail food storage facilities
Short-term:After 2 hours of nursing intervention, the family will be able to demonstrate understanding on the importance of proper storage of food such as instructing the family members to cover their food. Long-term: After five days of home visits, the family will be able to show compliance with the health teachings
Established therapeutic communication with the family
Discussed to the family the possibilities of contaminating the food if not properly stored.
Explained the possible consequences and complication that they may acquire from contaminated food due to improper storage.
Encouraged covering food properly
To gain the trust and cooperation of the family
To develop awareness to the family about the problem and intervene about it.
To increase their awareness that this could bring about complications to their health
To prevent easy spoilage and
Home visits
InterviewMethod
Observation
Time and effort with the cooperation and participation of the family and student nurse.
Plates and plastic food covers
Short-term:The family was able to demonstrate understanding on the importance of proper storage of food such as instructing the family members to cover their food.
Long-term:The family was able to show compliance with the health teachings given on proper food
given on proper food storage.
with plates or any available and appropriate cover.
contamination of foods.
storage.
PROBLEM # 7: FAMILY SIZE BEYOND WHAT FAMILY RESOURCES CAN ADEQUATELY PROVIDE
1ST LEVEL ASSESSMENT: Health threat2ND LEVEL ASSESSMENT: Inability to recognize the magnitude of the problem d/t inadequate knowledge
Cues Analysis Objective Interventions Rationale Method of contact
Resources Required
Evaluation
S>
O> cutdad only had a temporary or seasonal job as a farmer.
>his income is not enough to support the whole members of the family (around 100 pesos per day)
>he has low educational attainment, thus it is difficult for him to find a more stable job.
The problem arises due to the country’s low economic progress which has a greater impact on some families who strives hard to a better living. Another reason is that improper budgeting could lead to improper allocation of the financial resources..
Short Term:After 2 hours of Home visit the family will demonstrate understanding and realization on the effect of having inadequate financial resources to meet the needs of each in the family members.
Long Term:After 3 weeks of Home visits the family members will employ the means of improving their resources they have identified.
Discussed the effects of improper budgeting of financial resources.
Advised family members to practice proper utilization of finances by avoiding purchasing of unnecessary things.
Assisted the family members especially the mother in prioritizing the needs
To increase their awareness on the possible effects of having inadequate resources
In order to ensure proper allocation of their scarce resources in meeting the needs of the family members.
In order to avoid mismanagement of their already
Home visits
InterviewMethod
Observation
Time and cooperation of the family members.
Necessary teachings given to the family.
Short Term:The family was able to demonstrate understanding and realization on the effect of having inadequate financial resources to meet the needs of each in the family members.
Long Term:The family members were able to employ the means of improving their resources they have identified.
of the family members
inadequate resources.
PROBLEM # 8a : POOR HOUSING CONDITION: INADEQUATE VENTILATION
1ST LEVEL ASSESSMENT: Health Threat2ND LEVL ASSESSMENT: Inability to provide a home environment conducive to health maintenance due to inadequate resources
Cues Analysis Objectives Interventions Rationale Method of Contact
Resources required
Evaluation
S>
O>Presence of one window for the whole house.
> Flow of air is inadequate because of only one window.
Inability to provide a home environment conducive to health maintenance and personal development due to:
>inadequate family resources especially financial constraints/limited resources.
Short Term:After 2-3 hours of nursing intervention, the family will be able to identify possible result or consequences of the existing problem.
Long Term:After five days of home visits, the family will be able to show improvement in the maintenance of adequate ventilation inside their house such as
Discussed to the family the importance of good ventilation
Removed the things the blocks the passage of air coming from the window.
Instructed the family to open the windows as frequently as possible
Instructed the family
Reinforcement of knowledge increases awareness of the existing problem
To provide adequate amount of air that will flow inside the house.
To prevent any suffocation or exhaustion due to inadequate supply of oxygen
To allow adequate
Home Visits
InterviewMethod
Observation
Knowledge of the student nurses
Cooperation of the family members.
Short Term:The family was able to identify possible result or consequences of the existing problem.
Long Term:The family was able to show improvement in the maintenance of adequate ventilation inside their house such as instructing them not to
instructing them not to block the window and always tie the curtains.
sees to it that the window curtains are tied
Encouraged the family whenever possible to have an additional window
Advised family members to wear loose clothing as this provides comfort
ventilation inside the house.
To improve the ventilation inside the house.
Minimizes diaphoresis or over sweating thus providing comfort and feeling of freshness
block the window and always tie the curtains.
PROBLEM # 8b : POOR HOUSING CONDITION: INADEQUATE LIGHTING CONDITION
1ST LEVEL ASSESSMENT: Health Threat2ND LEVEL ASSESSMENT: Inability to provide lighting due to lack of financial resources and magnitude of problem.
Cues Analysis Objective Interventions Rationale Method of contact
Resources Required
Evaluation
S>
O>Presence of one incandescent bulb in the entire house.
> A car battery is used as their source of electricity.
> The house has only one window which the light can pass through.
Inability to provide adequate lighting in the house. There is insufficient light inside the house because there is only 1 window open. Moreover, they have 1 incandescent light which is supplied from a car battery for the entire house which cannot supply enough light during nighttime. This reason can be traced from such as lack of financial resources and
Short Term:After two hours of nursing interventions the family will be able to demonstrate comprehension on the importance of adequate lighting.
Long Term:After five days of nursing interventions the family members will be able to maintain good lighting condition.
Opened the door.
Encouraged the family to remove all things which block the window and throw the things which are not needed.
Explained to the family the effect of poor lighting especially to their vision.
Explained the significance
To facilitate the passage of light.
To facilitate the passage of light.
To increase their awareness on the consequences of poor lighting
To let them understand the relation
Home Visits
InterviewMethod
Observation
Knowledge and time of the student nurses.
Cooperation of the family members.
Short Term:The family was able to demonstrate comprehension on the importance of adequate lighting.
Long Term:The family members was able to maintain good lighting condition.
they can’t afford to buy a fluorescent light. This problem may also be due to the lack of knowledge about the advantage of sufficient lighting.
of good lighting in relation to health and safety
of health to their lighting system
FAMILY NURSING CARE PLANS
Problem No. 1: Health Deficit – Presence of Coughs and Colds
CUES
ANALYSIS
OF THE
PROBLEM
OBJECTIVESNURSING
INTERVENTIONRATIONALE
METHOD
OF FAMILY
CONTACT
RESOURCES
REQUIRED
EXPECTED
OUTCOMES
S - “ubo at
sipon lang
ang hindi
naaalis sa
bahay na
ito” as
verbalized
the mother
O - Aqua
Inability of
the family to
provide
nursing care
to its
members
due to
insufficient
knowledge
about nature
SHORT
TERM:
-After 2 hours
of home visits,
Close-Up will
verbalize
understanding
on the health
teaching about
measures on
>assess the
family’s
knowledge
regarding their
present condition
>explain to the
family the effect
of this problem to
their health
>to acquire
necessary
information
and know
where to start
>to develop
awareness
and initiates
action in
>Home visits
>Giving
health
teachings
>Observation
>Interview
>The student
nurses time
knowledge
and skills.
>Family's
cooperation.
Material
Resources:
List of cheap
SHORT TERM:
After 2 hours of
home visits the
family shall have
verbalized
understanding
on the health
teachings and
shall have
demonstrated
Fresh,
Unique and
Kutitap have
coughs and
colds during
the home
visits. Aqua
Fresh is
always
experiencing
colds which
is clear in
consistency,
while
Unique and
Kutitap have
been
experiencing
their colds
for 3 days
which is also
clear in
consistency.
and
management
of the health
condition or
attitude
towards the
health of its
member.
how to alleviate
as well to
prevent this
problem and
will be able to
demonstrate
effective
expectoration
or clearing
secretions.
LONG TERM:
After 2-5 days
of home visit
the family will
show
compliance to
the health
teaching given
>discuss with the
family members
the nature and
signs and
symptoms of the
problem
>encourage to
increase fluid
intake
>instruct the
family regarding
proper hand
washing
controlling this
problem.
>to actively
understand
the
transmission
of infection
and on how to
prevent its
occurrence
>to loosen
excessive
secretions
>hand
washing is an
effective way
in preventing
transmission
of
microorganism
accessible
fruits rich in
Vitamin
>Community
resources:
Health Center
effective
expectoration or
clearing of
secretions.
LONG TERM:
After 2-5 days of
home visits the
family was able
to show
compliance to
the health
teachings given
>instruct the
family to provide
the fruit juices
available in the
community, like
calamansi juice
>instruct the
parents to visit
the health center
if symptoms of
cold persist
>provide
adequate rest
and sleep to the
children
>advise the
family to maintain
>foods rich in
vitamin C
prevent further
infection
>this is to
detect serious
conditions
which need
immediate
medical
attention
>to conserve
energy that is
needed to
increase
body’s
resistance
>to maintain
and promote
personal hygiene
> instruct the
family to keep
away from
allergens like dust
>instruct the
family to cover
the mouth and
nose when
coughing with
clean cloth
>advice the
mother to keep
the children in
good health
and prevent
bacteria that
causes
diseases
>to avoid
aggravation of
the disease
>to prevent
contamination
among the
family
members
since there is
inadequacy in
the living
space
>to provide
optimal lung
expansion for
Semi-fowlers
position and
demonstrate
effective deep
breathing
exercise when
coughing
>encourage the
mother to change
clothes when wet
and keep back
dry
>if signs and
symptoms
persist,
encourage the
mother to seek
physician’s help
easy
expectoration
and keep and
maintain an
open airway to
breath
normally
> to prevent
any
complication
and to
promote
comfort
>to lessen the
chances of
worsening or
aggravating
the situation
Problem No. 2.33: Health Threat – Presence of Insects
CUES ANALYSIS OBJECTIVES NURSING RATIONALE METHOD OF RESOURC EXPECTED
OF THE
PROBLEMINTERVENTIONS
FAMILY
CONTACT
ES
REQUIREDOUTCOME
S - “Malamok
nga dito eh,
ipis meron
din.
Kompleto
pati alupihan”
As verbalized
by mother.
O - Presence
of
mosquitoes
and roaches.
>Presence of
junks below
the house
structure.
> Opened
plastic
garbage
>Inability to
make
decisions
with respect
to taking
appropriate
health
action due
to
inadequate
knowledge/
insight as to
alternative
courses of
action
opens to
them.
> Inability to
provide a
home
environment
SHORT TERM:
After 2 hours of
family-nurse
interaction, the
family will
verbalize and
be able to
identify the
diseases that
these vectors
might cause if
not given
attention.
LONG TERM:
After 3 days of
home visit, the
family will be
able to do
some
>Assess the
salience of the
family toward the
problem in poor
environmental
sanitation
>Listen the family
mention the
measures they
are doing in
controlling rodents
and mosquitoes
>Provide health
teachings on the
importance of
clean environment
>Discuss with the
family the
diseases that
>To have a
baseline data
of the health
teachings to be
provided
>To know
which
measures will
be supported
and
encouraged
>To inspire the
family to clean
environment
often
>To provide
them
knowledge
>Home visits
>Observation
Interview
>Health
teachings
>Time and
knowledge
and skills of
the student
nurses
>Cooperati
on of the
family
SHORT
TERM:
After 2 hours
of family-
nurse
interaction,
the family
should have
identified the
diseases that
they possibly
acquire if
they don’t get
rid of these
vectors.
LONG
TERM:
After 3 days
of home visit,
the family
was able to
container. , which is
conducive
to health
maintenanc
e and
personal
developmen
t due to
inadequate
family
resources
specifically
financial
constraints
and limited
physical
resources.
measures to
get rid the
breeding place
of insects.
these vectors
might cause
>Encourage the
family to clean
every corner of
their house
including the
outside of their
house
>Instruct them to
remove any
stagnant water
>Instructed the
family to remove
the junks
surrounding their
house
about the
possible
disease these
pests may
bring
>To get rid of
the breeding
places where
roaches and
mosquitoes
love to stay
>To get rid of
the breeding
site of
mosquitoes
>To keep the
surroundings
free from
propagation
site of insects.
do some
measures to
get rid the
breeding
place of
insects.
>Instruct the family
to remove the
hanging clothes
inside the house
>Encourage the
family to sleep with
a mosquito net
>Encourage the
family to make use
of cheap
pesticides like
chalk pesticides
>Encourage the
family to clean the
house and the
surroundings
frequently
>To remove a
surrounding
where
mosquitoes
love to stay
>To protect
them from
contact or bite
of insects
>To kill and
control the
pests
>To prevent
the breeding of
insects
Problem No. 2.33: Family Size Beyond What Family Resources Can Adequately Provide
CUESANALYSIS OF
THE PROBLEMOBJECTIVES
NURSING
INTERVENTIONRATIONALE
METHOD OF
FAMILY
CONTACT
RESOURCES
REQUIRED
EXPECTED
OUTCOMES
S - “wala man
kaming naiipon”
verbalized the
mother
O - the family is
composed of
eight members.
the breadwinner
is the father who
earns an average
of P400 a day for
a total P12000 a
month. according
to National
Economic
Development
Authority, a family
must have a
budget of
Inability to
provide a home
environment
conducive to
health
maintenance and
personal
development due
to inadequate
family resources,
specifically
limited physical
resources
SHORT TERM:
After 3 hours of
nursing intervention,
the family shall
recognize the
existence of the
problem and its
effects.
LONG TERM:
After four home visits,
the family will practice
proper budget
allowance to meet the
needs of each
member.
>assess the mother’s
knowledge regarding
budgeting
>interview mother
about the current family
budget
>explain the
importance of proper
budgeting
>encourage mother to
continue utilizing family
planning
>show sample budgets
>to know other
underlying cause
of the said problem
>to have a basis of
the other nursing
interventions
>to let the family
receive good
benefits from the
least of the income
>to prevent
increasing the
severity of the
problem
>to show the
>Home visit
>Health teachings
with demonstration
>Interview
>Observation
>Utilized family’s
available
resources and
sample budget
meals.
>Resources from
the:
-nurse
-family
-community
SHORT TERM:
After 3 hours of
nursing
intervention, the
family shall have
recognized the
existence of the
problem and its
effects.
LONG TERM:
After four home
visits, the family
shall have
practiced proper
budget allowance
to meet the needs
of each member.
P2,768.60 per
member in a
month.
appropriate for the
monthly income of the
family
>give examples of
cheap meals with high
nutritional content
>advise the family to
use their money wisely
and buy things that are
needed
>provide the family with
information regarding
different methods in
earning extra money
such as recycled
papers and bottles
>help the family plant
backyard vegetables
such as malunggay,
mother other
alternatives
>to give the mother
an idea about
nutritious but
cheap meals
>to have money in
case of emergency
>to inform the
family of the
different options in
order to have extra
income
eggplants, etc.
>encouraged the family
to prioritized their
needs from wants
>instruct the family to
have a list when buying
foods
>to minimize the
expenses spent on
foods at the same
time, these are
also nutritious
>this will facilitate
them to spend their
money wisely
>to avoid buying
unnecessary stuffs
Problem No. 2.33: Poor Housing Condition – Inadequate Living Space
CUES
ANALYSIS
OF THE
PROBLEM
OBJECTIVESNURSING
INTERVENTIONRATIONALE
METHODS OF
FAMILY
CONTACT
RESOURCES
REQUIRED
EXPECTED
OUTCOME
S – O
O – the house
measurement
is as follows:
-length: 93
inches
> Inability to
make
decision
related to
taking
appropriate
action to
SHORT TERM:
After one home
visit the family
shall recognize
the problem
and the risk of
having
>assess the
family’s
awareness
regarding the
situation
>explain to the
>to know what
are the
appropriate
interventions to
be made
>to let the
> Home visits
with Health
Teachings
> Home
Management
>Availability of
both student
nurse and the
family
members
>Cooperation
SHORT
TERM:
After one
home visits
the family
shall have
recognize the
-width: 115
inches
there are no
available
furniture since
there is no
place to
accommodate
them
lessen the
effects of the
problem.
> Inability to
provide home
environment
conducive to
health
enhancement
related to
inadequate
living space
inadequate
living space to
their health.
LONG TERM:
After four home
visits the family
shall be able to
practice house
management
that would help
them increase
the living space
capacity
family the risks
of acquiring
diseases due to
inadequate
living space
> suggest
furniture
arrangement
that may
increase the
living space
capacity and
remove
unnecessary
objects.
>advise the
father to do
family
understand and
identify
possible
illnesses/
diseases that
can be acquire
by an
overcrowded
house.
> to increase
the living space
in the house
>to promote
manpower and
> Interview
>Observsation
of the family
> Health
Teachings
problem and
the risk of
having
inadequate
living space to
their health.
LONG TERM:
After four
home visits
the family was
able to
practice
house
management
that would
help them
increase the
living space
capacity
some fixing in
removing stuffs
that covers the
door
>provide the
family with the
alternative
solutions they
can use in
response to the
problem
>encourage the
mother to
maintain the
cleanliness and
always open the
window and
door during day
time
>advise the
family to do all
improve
ventilation as
well
>to promote
decision-
making and self
reliance
>to allow air to
pass through,
thus improving
ventilation
>to prevent the
risk for injury
important
activities at
daytime
>help the family
in arranging the
items inside the
house
>encourage
frequent
cleaning of the
house and
proper
arrangement of
the equipment
inside
>discuss the
possible
untoward
consequences
that may result
>to show
sincerity in
improving the
health of the
family
> to minimize
cross
contamination
and spread of
microorganisms
>to realize the
end result of
having
inadequate
living space to
from having
inadequate
living space
such as cross-
contamination of
a disease from
one family
member to
another
>explain to the
mother the
significance of
an adequate
living space
prevent spread
of disease and
accidents to the
family
>to provide
awareness of
having
adequate living
space
Problem No. 3: Home Condition – Inadequate Water Supply and Facility
CUES
ANALYSIS
OF THE
PROBLEM
OBJECTIVESNURSING
INTERVENTIONSRATIONALE
METHOD OF
FAMILY
CONTACT
RESOURCES
OF
REQUIRED
EXPECTED
OUTCOME
S – “Yung
lumalabas na
tubig sa gripo pag
minsan
Inability of
the family
to solve
the existing
SHORT
TERM:
After 2 – 3
hours of
> Assess the
family’s
understanding
regarding the
>To gather the
necessary
information & to
know where to
>Home visits
>Observations
>Time effort
with
participation
of the family
SHORT
TERM:
After 2 hours
of nursing
nangangalawang.”
O – There is no
faucet inside the
bathroom. The
pipes are old and
rusty. The only
source of water
present is found
behind the house
which is shared by
3 families.
problem.
This is
because
the family’s
income is
not
adequate
to install
their own
water
supply,
they have
to walk to
fetch or go
outside
their house
to get
water.
home visit the
family will
recognize the
importance of
water storage
and the
proper way of
acquiring safe
and steady
water supply
at home.
LONG TERM:
After 2-5 days
of home visit,
the family will
show
compliance to
the health
teachings
given.
situation
> Encourage the
family to boil their
drinking water
>Explain to the
family the effect
of this problem in
their health
>Explain to the
family the
possible water
borne diseases
that they can
acquire from the
problem
>Suggest
technique that
start
intervening
> To kill the
water borne
molecules and
microorganisms
>To develop
awareness and
initiate action in
controlling this
problem
>To let the
family know the
risk they are
into if the
problem is not
given proper
attention
>To decrease
the risk of
->Health
Teachings
and student
nurse.
>Health
Teachings.
interventions,
the family
shall have
verbalized
understanding
the
importance of
water storage
and practice
proper way of
acquiring safe
and steady
water supply
at home.
LONG TERM:
After 2 -5
days of home
visits, the
family shall
have
complied with
the health
teachings
may help prevent
the occurrence of
borne illness like
boiling of water
before drinking
and use of filters
>Encourage the
family to store
their water in a
clean container
with cover
>Encourage the
family to secure
more containers
and fill it with
water
>Suggest to make
their pitcher pump
contracting
diseases
caused by dirty
and unsafe
drinking water
>To have an
adequate
supply of clean
water
>To lessen the
time of going to
their house to
fetch water
>To have free
and available
water supply
given.
Problem No. 4.33: Condition – Lack of Food Storage Facilities
CUESANALYSIS OF THE
PROBLEMOBJECTIVES
NURSING
INTERVENTIONRATIONALE
METHOD OF
FAMILY
CONTACT
RESOURCES
REQUIRED
EXPECTED
OUTCOMES
S - ”Yung
mga
natitirang
ulam
linalagay
naming sa
party box”
as
verbalized
by the
mother
O
- Presence
of detergent
powder and
bans on the
food storage
facility.
Some
leftovers are
Inability to make decisions
with respect to taking
appropriate health action
due to failure to
comprehend the
nature/magnitude of the
problem/condition and low
salience of the
problem/condition.
Inability to provide a home
environment conducive to
health maintenance and
personal development due
to inadequate family
resources limited financial
resources.
SHORT TERM:
After 2 hours of
nursing
interventions the
family will verbalize
understanding of
the appropriate
storage facilities
and its significance
and the proper way
of preparing and
handling food.
LONG TERM:
After 2-6 home
visits the family will
be able to
demonstrate
compliance to the
health teachings
given by correct
>Discuss the
significance of having
a food storage facility
>Discuss correct
placement of food
within the storage
facility
>Encourage frequent
cleaning of the
storage facility
>Assist in cleaning
the storage facility
>Site examples of
>To be aware of
its effect on the
daily living of the
family
>To prevent cross-
contamination of
food
>To prevent
cockroach egg or
other vectors to
nest within the
storage facility
>To show sincerity
of the nurses in
alleviating this
problem
>Offer affordable
>Home visit
>Health teachings
with demonstration
>Interview
>Observation
>Participation
and cooperation
of the family
>Knowledge and
skills of the
student nurses
>Health
teachings
SHORT TERM:
After 2 hours of
home visit the family
shall have
verbalized
understanding of
the appropriate
storage facilities
and its significance
and the proper way
of preparing and
handling food.
LONG TERM:
After 2-5 days of
home visits the
family shall have
demonstrated
compliance to the
health teachings
given by correct
not properly
covered.
arrangement of
food on the storage
facility and the
proper way of
preparing and
handling food.
good storage facility
>Suggest alternatives
that the family can
utilize
>Identify options for
financial assistance
>Assist family to
develop a plan for
maintaining a clean,
healthful environment
alternatives
>To let the family
decide which
alternative to use
>To let the family
take the initial step
in avoiding all the
risk
>To create or
maintain a safe,
growth-promoting
environment
arrangement of food
on the storage
facility and the
proper way of
preparing and
handling food.
Problem No. 4.33: Poor Home Condition – Poor Lighting
CUES
ANALYSIS
OF THE
PROBLEM
OBJECTIVESNURSING
INTERVENTIONSRATIONALE
METHOD
OF
FAMILY
CONTACT
RESOURCES
OF
REQUIRED
EXPECTED
OUTCOME
S – O
O - >upon
Knowledge
deficit r/t lack
SHORT TERM:
After 2-3 days
>Assess the living
condition of the
>To have a
baseline
Home
visits
Participation
and
SHORT
TERM:
entering, a person
can’t read
properly
>windows are
obstructed which
means there is
blocking in the
passage of light
even at daytime
>uses
incandescent bulb
less than 50 watts
or 20-40 watts
fluorescent bulb
of knowledge
on the
importance of
proper
lighting to
prevent poor
living
standards
and eye
straining.
of home visits,
the family will
be able to
verbalize
importance of
proper lighting.
LONG TERM:
After 5 days of
home visits, the
family will be
able to show
compliance
with regards to
having
adequate
lighting in the
house.
family
>Discuss how
inadequate
lighting may affect
their health
especially their
eyesight as well
as to their living
standards.
>suggest to make
two more
windows one on
the 1st floor and
2nd floor
>suggest to buy a
light bulb
data
>For the
family to
gain
knowledge
so as to
prevent eye
straining that
leads to poor
living
standards.
> to facilitate
the coming
of light from
the sun
> to properly
see all the
materials
inside the
house
cooperation of
the family
After 2-3 days
of home
visits, the
family shall
have
verbalized the
importance of
proper
lighting.
LONG TERM
After 5 days
of home
visits, the
family shall
have shown
compliance
with regards
to having
adequate
lighting in the
house.
>suggest to make
a small
transparent roof
>instruct the
family to use the
space in front to
make hanging
wire
>suggest to the
father to make a
closet to make
room for their
clothes which are
hanged on the
walls
>Stress the
importance of
lighting in
performing some
>to facilitate
the entry of
light
>to have an
adequate
space to
lighten up
the whole
house
> to have a
adequate
light of the
house
>To help
them realize
the need for
lighting
activities.
>Advise the
family to do all
important
activities at day
time.
>Encourage
family to remove
things that block
the entrance of
light.
>Encourage the
mother to
maintain the
cleanliness and
always open the
window and the
door at daytime.
source
especially at
night.
>To prevent
the risk for
injury or
accidents
during night.
>To allow
entrance of
enough light
to the house.
>To allow air
to pass
through thus
it helps in
ventilation.
>Encourage the
family to add a
window or a light
bulb if their
resources would
allow.
> Provide the
family with the
alternative
solutions they can
use in response
to the problem
>Advise the father
to do some fixing
and removing
stuffs that cover
the door.
>To improve
adequacy of
lighting.
>To promote
decision-
making and
self-reliance.
>To promote
man-power
and improve
ventilation
Problem No. 4.33: Poor House Condition – Lack of Toilet Facility
CUES
ANALYSIS
OF THE
PROBLEM
OBJECTIVESNURSING
INTERVENTIONRATIONALE
METHOD OF
FAMILY
CONTACT
RESOURCES
REQUIRED
EXPECTED
OUTCOME
S - “ilang
pamilya
kaming
gumagamit
diyan,
minsan
kailangan
naming
maghintay”
verbalized
the mother
O – the
family is
sharing
their toilet
with other
families
nearby
This
condition
affects the
family
because
they are
susceptible
to infectious
diseases
because of
lack toilet
facilities.
SHORT TERM:
After 2-3 hours
of home visit
the family will
be able to
verbalize
understanding
of the
importance of
having a toilet
facility and
recognize the
diseases that
may be brought
by the
presence of
this problem
and health
teachings given
LONG TERM:
After 2-5 days
of home visit
>explain to the
family the effect
of this problem
to their health.
> discuss to
family the
importance of
having their own
toilet facility.
>discuss to the
family the
possible
diseases they
can acquire like
UTI, diarrhea,
etc.
>encourage
them to practice
proper hand
washing
>to develop
awareness and
initiate action in
controlling this
problem.
>to provide
proper knowledge
among the
members of the
family.
>to prevent the
occurrence of
certain disease
>to prevent
cross-
contamination
within the
>Home visits
>Observations
>Health
teachings
>Interview
>Cooperation
of the family
members.
>Time and
effort of the
student nurse.
>Health
teachings.
SHORT TERM:
After 2 hours of
nursing
interventions
the family shall
verbalized
understanding
of the
importance of
having a toilet
facility and
recognized the
diseases that
may be brought
by the
presence of
this problem
and health
teachings
given.
LONG TERM;
After 2-5 days
of home visits
the family will
be able to
demonstrate
compliance to
health
teachings
given.
>involve in
appropriate
community
education
programs
>identify
resources
available to the
family
>note age and
sex (children,
young adult,
elderly persons,
and men are at
greater risk)
>evaluate
family’s
response to
members of the
family.
>to increase
awareness of
spread/prevention
of communicable
diseases.
>to
reduce/correct
existing risk
factors
> to evaluate
degrees/source of
risks inherent in
the family
situation
>may determine
ability to access
health for
the family shall
have
demonstrate
compliance to
health
teachings
given.
violence in the
surroundings
>note
socioeconomic
status/availability
and use of
resources
>ascertain
knowledge of
needs/cross-
contamination
prevention and
motivation to
prevent diarrheal
diseases
>encourage the
users to clean
identified problem
>indicator for
need for
information,
assistance with
making positive
changes,
promoting safety
and a sense of
security
>helps client to
identify what is
really based
>to prevent
cross-
and disinfect the
toilet after using
contamination
Problem No. 5: Lifestyle and Personal Habits/Practices: Walking Barefooted or Inadequate Footwear
CUES
ANALYSIS
OF THE
PROBLEM
OBJECTIVESNURSING
INTERVENTIONSRATIONALE
METHOD
OF FAMILY
CONTACT
RESOURCES
OF REQUIRED
EXPECTED
OUTCOME
S - “marami
naman
kaming mga
tsinelas, di
lang sila
nasanay sa
pagsusuot
kaya inaalis
nila.”
verbalized
the mother
O - the
children
seen walking
barefooted
(Unique,
inability to
recognize
the
presence of
condition
due to:
a) failure to
comprehend
the
magnitude
of the
problem
b) low
salience of
the problem
SHORT TERM:
After 2 hours of
home visits, the
family will be
able to
verbalize
understanding
regarding the
importance of
wearing
slippers.
LONG TERM:
After 2 days of
home visit, the
family will be
>assess family’s
understanding
with regards to
importance of
wearing feet
protections
>assess the
availability of
resources
(slippers)
>assess
>to know
where to start
and to know
the appropriate
health
teachings to
be provided
>to know other
underlying
reasons as to
why they are
not wearing
feet
protections
>to know if the
>home visits
>interview
>observation
knowledge,
time and effort
of the student
nurses with the
cooperation of
the family
members.
SHORT TERM:
After 2 hours of
home visits, the
family shall
have
verbalized
understanding
regarding the
importance of
wearing
slippers.
LONG TERM:
After 2 days of
home visit, the
Aqua Fresh) able to
demonstrate
compliance on
the health
teachings
provided by the
student nurses.
availability of
monetary
resources
>instruct the
mother to teach
the children wear
slippers for them
to get used to it
>instruct the
mother to attach
rubber bands for
the children not
be able to remove
the slippers
>encourage the
mother to check
on the children if
they are wearing
slippers while
playing outdoors
family could
buy new ones
>to have them
practice this
safety
precaution as
early as
possible
>to have them
get used to
wearing
slippers
>to know if
they are much
more safer
family shall
have
demonstrated
compliance on
the health
teachings
provided by the
student nurses.
>instruct the
mother to teach
the children to
wash their feet
after playing
outside
>instruct the
mother to trim
and clean nails
often
>instruct the
mother to teach
the children to
wash their feet
before going to
bed
>instruct the
mother to clean
the environment
>to lessen the
possibility of
acquiring
diseases
>to lessen the
chances of
acquiring
diseases
>a good
hygiene is
tantamount to
a good health
>to lessen the
possibility of
acquiring
disease
>instruct the
mother to
frequently bring
her children to the
health center for
check ups
>educate the
mother of the
possible diseases
that could be
required like
Leptospirosis,
Tetanus, athlete’s
foot, etc.
conditions
>regular check
ups lessens
the odds of
acquiring
disease and
can help in
early diagnosis
of an
occurrence of
a disease
>to understand
the importance
of wearing feet
protection
Problem No. 6: Presence of Health Threats – Accident Hazards, Fire, Falls, Pointed Objects
CUESANALYSIS OF THE
PROBLEMOBJECTIVES
NURSING
INTERVENTIONRATIONALE
METHOD OF
FAMILY
CONTACT
RESOURCES
REQUIRED
EXPECTED
OUTCOMES
S - O
O - the family’s
house is
composed of three
floors and there’s
the presence of
children
- the stairs are
made up of wood
and it is very
narrow
Inability to recognize
the presence of the
problem due to low
salience of the
problem.
Inability to provide a
home environment
conducive to health
maintenance and
personal development
due to inadequate
family resources,
specifically limited
physical resources
SHORT TERM:
After an hour of
nursing
interventions, the
family will
recognize the
problem and its
possible effects to
them.
LONG TERM:
After four home
visits, the family will
avoid the possible
consequences of
the problem.
>Provide health
teachings about the
accident hazards
>Suggest alternatives
that the family can
utilize
>coordinate with the
Barangay and Local
Government Unit for
records of plans to
improve and eliminate
presence of accident
hazards
>To let the family
avoid injuries that
can be caused by
the problem
>To let the family
decide which
alternative to use
>to promote a
better and much
more satisfying,
risk-free
environment
>Home visit
>Health teachings
with demonstration
>Interview
>Observation
>Utilized the
available
resources of the
family.
>Resources of
the:
-nurse
-community
SHORT TERM:
After an hour of
nursing intervention,
the family shall have
recognized the
problem and its
possible effects on
them.
LONG TERM:
After four home
visits, the family
shall have avoided
the possible
consequences of
the problem.
>Demonstrate first aid
in cases of fire or burn
accidents
>Explain the
importance of
knowing the accident
hazards present in the
surroundings
>ascertain knowledge
of injury prevention
and motivation to
prevent further injury
>determine children’s
>To help the
family learn the
first aid techniques
in cases of
emergency.
>To let the family
take the initial step
in avoiding all the
risk
>indicator of need
for information,
assistance with
making positive
changes,
promoting safety,
and sense of
security
>to emphasize to
the mother the
need of further
chronological and
developmental age
>discuss importance
of self-monitoring of
conditions or
emotions that can
contribute to
occurrence of injury,
example: ignoring
basic needs, fatigue,
irritability
>note socio-economic
status/availability and
use of resources
>assist in providing
first aid in anticipation
of injury
>demonstrate proper
guidance
>recognizing
these factors and
dealing with them
appropriately can
reduce family’s
risks
>may determine
ability to access
health for
identified problems
>to avoid
panicking in cases
of actual accidents
>to prevent fire
way of discharging
flammable materials
to prevent accidents
>keep matchboxes,
disinfectants (soap)
out of reach of the
children
accidents
>to prevent
unwanted
accidents
Problem No. 7.33: Poor Home Condition – Poor Ventilation
CUES
ANALYSIS
OF THE
PROBLEM
OBJECTIVESNURSING
INTERVENTIONRATIONALE
METHODS OF
FAMILY
CONTACT
RESOURCES
REQUIRED
EXPECTED
OUTCOME
S – O
O – there
is one
window for
the whole
house
Inability to
recognize
the problem
due lack of
knowledge
as
evidenced
SHORT TERM:
After an hour of
home visit, the
family shall
recognize the
problem and
other
>assess the
family’s
knowledge
regarding the
importance of a
well ventilated
home
>to know other
underlying
cause of such
condition
>Home Visits
>Interview
>Observation
>Availability of
both student
nurse and the
family
members.
> Health
teachings
SHORT
TERM:
After an hour
of home visit,
the family
shall have
recognized
which is 34
inches in
height and
23 inches
in width
by small
window,
dark field
area and
insufficient
fresh air
circulating
inside the
house.
complications of
having
inadequate
ventilation.
LONG TERM:
After four home
visits the family
shall take action
to promote
ventilation to
increase fresh
air inside their
house.
>have the family
say their
perception
about the
problem
>check other
ways of
improving the
ventilation in the
house
>discuss home
environment
>to determine
family’s
awareness of
the problem
and present
effects that the
problem posts
against them
>to know what
are the
interventions
that should be
made
>to determine
ability to care
for self and to
identify
potential health
and safety
hazards
the problem
and other
complications
of having
inadequate
ventilation.
LONG TERM:
After four
home visits
the family
shall have
taken action
to promote
ventilation to
increase fresh
air inside their
house.
>explain to the
family the
effects of
inadequate
ventilation
>suggest
addition of
windows to
provide
adequate air
>encourage the
mother to keep
a conducive
environment, as
much as
possible, one
which is free
from dust
>determine
financial
resources to
>to make the
family aware of
the presence of
the problem
and its effect
>to increase
the source of
ventilation
>to lessen the
risk of affecting
the respiratory
system
>to adjust the
possible
interventions
meet needs of
individual
situation
>assist family to
develop a plan
for maintaining a
clean, healthful
environment
>assess
environment,
noting unsafe
factors and
ability of the
family to care for
themselves
>encourage
family to remove
things that block
the entrance of
air
and know the
limitations
>to create or
maintain a
safe, growth-
promoting
environment
>determines
what changes
need to be
made
>to allow air to
pass through
thus it helps
ventilation
Problem No. 7.33: Poor Housing Condition – Improper Drainage System
CUES
ANALYSIS
OF THE
PROBLEM
OBJECTIVESNURSING
INTERVENTIONSRATIONALE
METHOD
OF FAMILY
CONTACT
RESOURCES
REQUIRED
EXPECTED
OUTCOME
S - O
O -
>Observation
of the
drainage
system type,
being open
and stagnant.
>Obstructed
passageway
of water.
Inability to
provide a
home
environment
conducive to
health
maintenance
and personal
development
r/t lack of
knowledge
regarding
environment
al sanitation
Inability to
recognize
the presence
of a problem
r/t ignorance
Short Term:
After 1 home
visit, the family
will be able to
verbalize
understanding
of the
importance of
proper drainage
system.
Long Term:
After 5 home
visits, the family
will be able to
demonstrate
behaviors in
applying the
learning derived
>Inform of the
possible diseases
they could get from
an improper
drainage system.
>Give health
teachings about the
effects of the
problem and
provide
suggestions on
how to minimize
the problem.
>To provide
knowledge
and make the
promote
awareness of
the diseases
that could
arise from the
problem.
>To empower
the family to
apply the
concepts
learned and
find ways on
how to correct
and solve the
problem.
Home visits,
observation,
interview
Sufficient
knowledge
about the
problem,
patience on
the part of the
student nurse,
participation,
cooperation,
and
enthusiasm
from the
family
Short Term:
After 1 home
visit, the
family shall
have
verbalized
understandin
g of the
importance of
proper
drainage
system.
Long Term:
After 5 home
visits, the
family shall
have
demonstrated
behaviors in
of facts. from the health
teachings and
maintaining an
improved
drainage
system.
> discuss the
consequences of
the problem
> provide
information on how
to maintain a clean
drainage system
> instruct the family
to always keep
their drainage
system close
> help the family to
understand that the
problem is a threat
to their health
> to promote
awareness of
the problem
> to promote
environment
conducive for
health
promotion
>to prevent
breeding
places of
insects and
rodents and
to prevent
accident
hazards
>to promote
awareness
applying the
learning
derived from
the health
teachings and
maintaining
an improved
drainage
system.
>explain to the
family the effect of
this problem in their
health
>Discuss with the
family the
importance of good
environmental
sanitation and
personal hygiene.
> Inform the family
of the problem that
may arise from
poor environmental
sanitation like the
occurrence of
diseases.
> to develop
awareness
and initiate
action in
controlling
this problem
>Motivating
the family do
something
about the
problem.
>This will
make the
family aware
of the
importance of
personal
hygiene and
good
sanitation to
avoid
>Plan with the
family on how to
solve the problem
by demonstrating
with them the
proper maintaining
a clean
environment.
>use of proper
referral system by
reporting to the
barangay halls or
sanitary officials the
proper
maintenance of the
surrounding by
eliminating
resource of foul
scent from the
current.
diseases.
>This will
further give
them an ides
on what is the
proper way of
maintaining a
clean
environment.
>One of the
principles in
community
health nursing
is the
utilization of
community
health
resources.
>assign a task for
each member of
the family to what
job the will perform
every now and then
>In this
manner, there
will be a equal
distribution of
work.
Problem No. 7.33: Unsanitary Food Handling and Preparation
CUES
ANALYSIS
OF THE
PROBLEM
OBJECTIVESNURSING
INTERVENTIONSRATIONALE
METHOD
OF FAMILY
CONTACT
RESOURCES
REQUIRED
EXPECTED
OUTCOME
S – O
O -
Presence of
dirty kitchen
(use for food
preparation);
>Inadequate
knowledge in
carrying out
the necessary
procedure
>inability to
SHORT TERM:
After 3-4 hrs of
nursing
interventions
the family will
verbalized the
understanding
>Assess family’s
understanding with
regards to
importance of
having clean
equipments in
preparing food
>To know
where to start
and to know
the
appropriate
health
teachings to
>Home
visits
Knowledge,
time and
effort of the
student
nurses with
the
cooperation of
SHORT
TERM:
After 3-4 hrs
of Nursing
Interventions
the family
shall have
cooking
outside of
the house;
presence of
uncovered
utensils
provide home
environment
conducive to
health
maintenance
and personal
development
>Inadequate
family
resources,
specifically
limited
monetary
resources
about different
ways of proper
food
preparation and
sanitation.
LONG TERM:
After 2 days of
Home Visits,
the family will
able to identify
and prepare
meals properly.
>Assess availability
of cleaning
resources
>Explain the
importance of
proper hand
washing
>Discuss with the
family presence of
the problem and its
effect to their health
be provided
>To
understand
other
underlying
causes for the
occurrence of
the problem
>To have
sufficient
knowledge
regarding the
said problem
>Knowledge
of the effect of
the problem
will motivate
them to
improve food
preparation
and handling
the family
members
verbalized the
understandin
g about
different ways
of proper food
preparation
and
sanitation.
LONG
TERM:
After 2 days
of home
visits, the
family shall
have
identified and
prepare
meals
properly.
>Assist in cleaning
the food
preparation site as
well as the other
utensils and
equipments used in
cooking
>Instruct the
mother to clean the
environment
>Instruct the
mother to provide
nutritious food
>Instruct the
mother to
techniques
>To show
sincerity of
the nurses to
alleviate this
problem
>To lessen
the possibility
of acquiring
disease
conditions
>This will help
strengthen
the children’s
body to resist
diseases
>Regular
check ups
frequently bring her
children to the
health center for
check ups
>Have the family
say their perception
about the problem
lessens the
odds of
acquiring
disease and
can help in
early
diagnosis of
an occurrence
of a disease
>To
determine
family’s
awareness of
the problem
and present
effects that
the problem
posts against
them
Problem No. 8: Malnutrition
CUES ANALYSIS
OF THE
OBJECTIVES NURSING
INTERVENTION
RATIONALE METHODS
OF FAMILY
RESOURCES
REQUIRED
EXPECTED
OUTCOME
PROBLEM CONTACT
S – O
O –
Aqua Fresh
wt.: 30 kgs
BMI: 17.21
underweight
Happee
wt.:14 kgs
BMI: 11
emaciated
Inability to
recognize
the
presence of
condition
due to lack
of
knowledge
about
nutrition
SHORT TERM:
After an hour of
nursing
intervention the
family shall
recognize the
problem of
malnutrition and
its effect on the
individual.
LONG TERM:
After four home
visits the family
will able to
identify nutritious
food and plan
meals which are
affordable to the
budget
> Assess the
family’s
awareness of
the stated
problem
> Identify
causes and
effects of
malnutrition like
having low body
weight,
decrease
resistance to
diseases and
easy fatigability.
> Encourage the
mother to cook
meals with
enough
nutrition.
> Encourage the
> To gather
baseline data
> To
increase knowledge;
motivate family to
address the
situation as soon as
possible.
> To provide
adequate nutrition to
the family
> To gain weight
> Home Visits
> Interview
> Availability
of both the
student nurse
and the family
members.
> Cooperation
of the family
> Health
Teachings
SHORT
TERM:
After an hour
of nursing
intervention
the family
shall have an
awareness
regarding
their BMI.
LONG TERM:
After four
home visits
the family will
have the
knowledge to
identify
nutritious food
and plan
meals which
are affordable
to the budget.
children to eat
vegetables and
high Protein
foods
> Explain the
importance of
achieving
optimum
nutrition of an
individual and
the risk of
having
malnutrition due
to inadequate
nutrition
and right nutrition
needed by the body.
> To let the family
recognize the
problem and the
ways it can be
alleviated/eliminated
Improper Food Storage FacilityCues Analysis of the Problem Objective Nursing Interventions Rationale Method of Family
ContactResources Required
Expected outcome
S>
O>The family’s dwelling manifested the following:
The family has containers / dish that are half open.
Short Term:
After an hour of nursing intervention, the family shall have
1. Explain the importance of sanitation of cooking and eating utensils
1. To provide practical preventive measures on possible GIT-related
>Home Visits>Health Teachings
>The Student Nurses’ knowledge>Rural Health Unit
Short Term:
The family shall have verbalized understandin
>presence of open dish cabinet>presence of uncovered spoon and fork canister
The family may manifest the following:
>stomach upsets>loose watery stool
verbalized understanding and willingness to fix faulty storage facility.
Long Term:
After 2 days of nursing intervention, the family shall have fixed/replaced the defective dish cabinet.
2. Discuss the diseases they are at risk to acquiring due to improper storage and handling of food, and cooking and eating utensils and expound on the casualties and complications brought about if such diseases (to be discussed) should arise
3. Provide information regarding the free access to health care should diseases should be acquired
4. Instruct family to provide store utensils in covered containers
5. Encourage to repair cabinet.
6. Instruct to avoid leaving unwashed dishes
diseases
2. To further encourage them to perform sanitation on their utensils
3. To make proper referrals should the diseases to be discussed arise, in consideration to the family’s financial capabilities.
4. To prevent contamination by rodents
5. To provide interventions that will satisfy rationale #4, in consideration to the family’s financial
g and willingness to fix faulty storage facility.
Long Term:
The family shall have fixed/replaced the defective dish cabinet.
7. Encourage to keep washing material (soap and sponge) in clean, covered containers.
8. Instruct family to use warm water in washing the utensils
9. Instruct patients to perform proper handwashing before and after eating regardless whether or not they will eat using spoons and forks.
capacity6. To prevent
contamination of rodents and to prevent growth and proliferation of molds and other microorganisms which could be potential pathogens
7. To prevent contamination
8. To better sanitize the utensils, making them safer for use
9. To minimize the microorganisms present in the hands, which could be ingested along with the food
Inadequate Lighting /Poor VentilatilationCues Analysis of the Problem Objective Nursing Interventions Rationale Method of
Family Resources Required
Expected outcome
ContactS>“Yung asawa ko kasi hindi nakakauwi araw-araw kaya hindi niya malagyan na ilaw.”
O>The family’s dwelling place manifested the following:>absence of lighting facility in the kitchen and in the bedroom>Lack of opened windows>presence of structures (houses on both sides of the family’s residence) that could block the entry of sunlight through the window
The family may manifest:>blurred vision>bumps and bruises
>Inibality to install lighting facility due to lack of knowledge in electrical installation:
a. Mother assume a feminine role of mere housekeeping
b. Mother perceives electrical works and house repair as a masculine role
>On ventilation, six windows are present but only three are opened.
Short Term:
After an hour of nursing intervention, the family shall have agreed to and have opened the other closed windows.
Long Term:
After the five home visits, the family shall have continued to keep windows open.
1. Explain the danger of wandering around in the dark.
2. Encourage to keep windows open, especially during the day
3. Instruct family, especially the children, to do their reading in the well-lighted area of the house.
4. Instructed to assume proper reading posture
5. Encourage to install/have installed adequate lighting
1. To encourage then to address the inadequacy of illumination in their home
2. To have light without consuming electricity and to permit air circulation inside the house
3. To prevent eye defects
4. To avoid eye defects as well as to prevent body pains and strains that could be related to posture and position
5. To acquire lighting without having to wait for the father to come home and put the installation himself
6. To prevent risk for electrocution
>Home Visits>Health Teachings
>The Student Nurses’ Knowledge>The family’s monetary capacity>The community’s Electrical Company
Short Term:
The family shall have agreed to and have opened the other closed windows.
Long Term:
The family shall have continued to keep windows open.
6. Instruct to keep the light switch off of the electrical line without a light/fluorescent bulb installed
7. Instruct to turn off the lights, including electronic appliances when not in use
8. Provide light/fluorescent bulb ready for installation
7. To prevent electrical overload, leading to possible onset of fire, and to conserve energy
8. To be readily able to install light source
Poor Personal Hygiene (Oral)
Cues Analysis of the Problem
Objective Nursing Interventions Rationale Method of Family Contact
Resources Required
Expected outcome
S>”Ayaw nyang mag-toothbrush.”O> The family manifested the following:>Presence of dental carries among the children>Presence of plaque on each of them
>Inability to recognize the presence of the problem due to ignorance>Inability to provide a home environment conducive to health maintenance>Personal development due to knowledge deficit in regard to the importance of hygiene
Short Term:
After 2 hours of Nursing Interventions, the family will be able to verbalize understanding on and willingness to apply the health teachings given regarding oral hygiene.
Long Term:
After 2 home visits, the family will be able to demonstrate lifestyle changes affecting their oral hygiene.
1. Assess family’s perception of the problem
2. Assess the Hygienic practices of the family
3. Examine the dentition of each member
4. Explain the importance of tooth brushing
5. Explain the implications of neglecting dental care
6. Teach them proper way of brushing the teeth
7. Provide material for dental care
1.To determine if the family is affected or prioritize the problem.
2.To obtain general information to be used as basis in providing health teachings
3.As part of Physical Assessment; to obtain data to be used in providing specific health teachings that would address an specific problem
4.To address their knowledge deficit in the importance of dental care
5.To give them an extra push to adhere to dental care
6.To empower them with the practical knowledge of taking care of their own teeth
7.To provide materials for dental care that would
Home visit and Health teachings
>Student Nurses’ knowledge regarding oral hygiene
>Rural Health Unit Dental Clinic
Short Term:
The family will be able to verbalize understanding on and willingness to apply the health teachings given regarding oral hygiene.
Long Term:
After 2 home visits, the family will be able to demonstrate lifestyle changes affecting their oral hygiene
(toothbrushes ; kiddy toothbrush for the children and kiddy toothpaste for the young ones)
8. Instruct to brush teeth three times a day
9. Encourage to take foods rich in calcium and vitamin D
10. Encourage to avoid eating sweets in excess
11. Encourage to visit the dental clinic in the Rural health Unit
12. Encourage to make visits regular
best cater to their needs
8.To promote regularity grin their practice of oral hygiene
9.To promote stronger teeth
10. To avoid aggravation of dental carries and plaque build up
11. To make proper referrals to other health professional that could render free services that would better cater to current problem
12. For maintenance
Unsafe Drinking WaterCues Analysis
of the Problem
Objective Nursing Interventions Rationale Method of Family Contact
Resources Required
Expected outcome
S> “Hindi..” verbalized by Jenny upon query regarding boiling their drinking water.
O> The family may manifest the following:>Stomach upset>loose, watery stool>slow capillary refill>dry mucus membranes
Short Term:
After one hour of health teaching, the family shall have performed health teaching to be given regarding boiling of drinking water.
Long Term:
After 5 home visits, the family shall have sustained the practice of boiling their drinking water.
1. Explain the importance of drinking clean water and discuss the possible diseases and complications brought about by drinking unsafe water
2. Provide information regarding the facilities which offer free treatment, should water-borne diseases occur
3. Instruct to boil drinking water for at least three minutes
4. Instruct to store drinking water to clean, covered containers.
1. To encourage them to take measures regarding assuring the safety of their drinking water
2. To make proper referral, in consideration to their financial capabilities, should water-borne disease occur
3. To kill microorganisms present in their drinking water, which may cause diseases
4. To prevent contamination
>Home Visits>Observations>Interview
>The student nurses’ knowledge>Cooperation of the family throughout the home visits>Rural Health Unit
Short Term:
The family shall have performed health teaching to be given regarding boiling of drinking water.
Long Term:
The family shall have sustained the practice of boiling their drinking water
PROBLEM # : Walking barefooted
CUES FAMILY OBJECTIVES INTERVENTIONS RATIONALE METHODS RESOURCE EXPECTED
NURSING PROBLEM
OF NURSING S OUTCOME
S> O> children are seen not wearing slippers and walks barefooted inside the house
1. Inability of the family to provide health care to its members due to lack of knowledge regarding the importance and probable results of not wearing slippers or footwear.
Short Term: After 1 hours of Nursing Intervention, the children will verbalize understanding regarding the health teachings given and its rationale.
Long Term: After 2 days of home visits the children will show compliance to the health teachings provided.
>Explain to the family the importance and rationale of wearing footwear.>Encourage the children to wear slippers when leaving out of the house.>Discuss to the family the probable results of not wearing slippers.
>To make the family knowledgeable and for the family to do immediate action.>To prevent the acquisition of microorganisms.>To develop the awareness of the family and motivate them to comply with the teachings.
> Home visits > Time and effort of the student nurses and the family> Participation and cooperation of the family
Short Term:, the children shall have verbalized understanding regarding the health teachings given and its rationale.
Long Term: the children shall have shown compliance to the health teachings provided.
PROBLEM # Asthma
CUES FAMILY OBJECTIVES INTERVENTION RATIONALE METHODS RESOURCES EXPECTED
NURSING PROBLEM
S OF NURSING OUTCOME
S> “last week ako huling sinumpong”, “mahilig akong mag-alaga ng pusa at aso,di ko din naman sila mapaalis ”O> cats and dogs are seen inside the house.
1. Inability to provide adequate nursing care due to:a. Lack of knowledge about the diseaseb. Lack of knowledge of the nature extent of nursing care need c. Lack of knowledge and skills in caring out necessary treatment
Short Term: After 1 hour of Nursing Intervention, the client will be able to verbalize knowledge and understanding about the health hazards that is bought about by taking care of cats and dogs and the presence of other agents that could trigger asthma attack.
Long Term:After 2 home visits, the client will demonstrate lifestyle changes to prevent asthma attack.
> Assess the child’s condition
> Discuss the possible causes of illness
> Encourage the mother to always clean the surroundings so that it will not trigger the occurrence of asthma.
> Instruct the mother to go to the health center
> To have a baseline data
> To prevent the occurrence of the condition
> To prevent the occurrence of asthma since dust can trigger asthma attacks
> To give the proper medication to the condition
> Home visits > Time, perseverance and effort of the student nurses and family involve
Short Term: the client shall have verbalized knowledge and understanding about the health hazards that is bought about by taking care of cats and dogs and the presence of other agents that could trigger asthma attack.
Long Term:the client shall have demonstrated lifestyle changes to prevent asthma attack.
PROBLEM # : Presence of insects and rats and improper prevention
CUES FAMILY NURSING PROBLEM
OBJECTIVES INTERVENTIONS
RATIONALE METHODS OF
NURSING
RESOURCES EXPECTED OUTCOME
S> oO> presence of drainage system in which water is stagnant and contaminated and it is conducive for the growth and reproduction of disease causing organisms.
1. Inability to provide healthy environment due to negligence to proper environmental sanitation.
Short Term: After 1 hour of Nursing Intervention, the family will demonstrate understanding regarding the importance of having good environmental sanitation.
Long Term:After 2 home visits, the family members will carry out interventions to improve environmental condition.
>Explain importance of good environmental sanitation
>Encourage to clean the area where most flies may breed.
> Instruct the family to make improvised method of disposing garbage like empty big can with cover or a sac. > Instruct the family to set a time for cleaning.
>To know the complication and provide base line information and acknowledge the presence of the problem
>Bury or burying is the safest method on eradicating the vectors and rodents from accumulating.
>To encourage the family to initiate proper garbage disposal.
>To promote
> Home visits
> Time, perseverance and effort of the student nurses and family involve
Short Term: The family shall have demonstrated understanding regarding the importance of having good environmental sanitation.
Long Term:At the end of the 5th home visit,the family members shall have carried out interventions to improve environmental condition.
good environmental sanitation and prevent injury
PROBLEM # lack of family sources
CUES FAMILY NURSING PROBLEM
OBJECTIVES INTERVENTIONS
RATIONALE METHODS OF NURSING
RESOURCES EXPECTED OUTCOME
S> ФO> presence of financial instability and family’s average income is less than php 2768.60 per individual per month. (php 7,200-7,600/7 members = php 1027-1029)
>inaccessibility to appropriate sources for care specifically financial inaccesibilty.>lack of knowledge regarding the importance of having financial assets for emergency use.
Short Term: After 1 hour of Nursing Intervention, the family will be able to acknowledge the importance of having financial assests.
Long Term:After 3 home visits, the family will be able to save an amount of money for emergency use.
> discuss the importance of financial assests for emergency use.
>help the family to think ways to earn a living.
>instruct family to save small amount when there is extra income.
> to increase family awareness
> to have extra income
To save money for future use.
> Home visits > Time, perseverance and effort of the student nurses and family involve
Short Term: the family shall have acknowledged the importance of having financial assests.
Long Term:At the end of the 5th home visit,the family shall have saved an amount of money for emergency use.
PROBLEM # alcohol drinking
CUES FAMILY NURSING PROBLEM
OBJECTIVES INTERVENTIONS
RATIONALE METHODS OF NURSING
RESOURCES EXPECTED OUTCOME
S> the mother verbalize “pagkatapos nya sa work di maiiwasang magkayayaang uminom”O> Ф
1. Inability to provide adequate nursing care due to:a. Lack of knowledge about the situation.b. lack of knowledge about the effects of alcohol drinking in the body.
Short Term: >After 1 hour of Nursing Intervention, the client will verbalize understanding regarding the effects of alcohol drinking in the body.
Long Term:>After 1-2 days of Home visits, the client will demonstrate skills on how to control drinking habits.
> discuss to the client to possible effects of alcohol drinking
> instruct the client to teach him with other divertional activities like eating candies instead of drinking.
> to increase awareness
> to divert self from drinking.
> Home visits > Time, perseverance and effort of the student nurses and family involve
Short Term: > The client shall have verbalized understanding regarding the effects of alcohol drinking in the body.
Long Term:.> the client shall have demonstrated skills on how to control drinking habits.
