Colegio San Agustin-Bacolod

COLLEGE OF NURSING

Family Case Study

In Partial Fulfillment of a Requirement

of the Course

COMMUNITY HEALTH NURSING

Submitted by:
Untalan, Angel Mae
(Group 11 | BSN2C)

Submitted to:
Melissa Tan Kit RN, Man

December 2023

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 Table of Contents

Chapter I Introduction………………………………………………………. 3

Chapter II Initial Database of Adopted Family…………………………....…5

Chapter III Objectives of the Study………………………………………...…6

Chapter IV Family Background……………………………………………....14

Chapter V Family Coping Index……………………………………………..17

Chapter VI Typology of Nursing Problem……………………………………25

Chapter VII Prioritizing Problems……………………………………………..27

Chapter VIII Family Nursing Care Plan………………………………………...31

Chapter IX Summary, Evaluation, and Recommendation…………………….37

References ………………………………………………………………………..37

Appendices A Barangay Health Profile…………………………………………...37

Appendices B Family Health Data Card………………………………………….37

Appendices C Process Recording…………………………………………………38

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 Chapter I

Introduction

The community is a group of people sharing geographic boundaries and/or values and interests

(Maglaya, 2004). Family, a group of one or more parents and their children living together as a

unit and also, the smallest unit of the society is one of the important recipients in nursing

practice since the primitive period. This is where the family members can develop traits and

behaviors that will magnify their own individual health. Henceforth, the individual, family and

the community will be able to follow the important actions to insure optimum health.

Community Health Nursing aims to deliver assistance on treating medical conditions and

maintaining health for individuals, families, and groups that do not have access to health care.

This program is given to student nurses for them to possess strong clinical and critical thinking

skills and have the analytical ability to solve problems and make decisions. This can help them

have advanced knowledge of taking care of individuals and families in their assigned

communities through the Community Health Nursing exposure. This is a win-win program

because not only the student nurses will benefit from this but most especially the people in the

community because of the services that these student nurses will offer like promoting optimum

health to uplift the condition of the individual and families in the community.

Barangay Bata is a constituent barangay of Bacolod City which is located in the north part of the

City. The community site is Purok Villagracia, Brgy Bata, located along with several households

wherein most of the people in the community is participative. Hospitality is one of the best traits

of every Filipino and people in Purok Villagracia, Brgy Bata was no different, and they catered

to the student nurses of the Colegio San Agustin Bacolod with no hesitations for several days

during their exposure week. The exposure week was a success because of the active participation

of the people in the community and was also made possible by the student nurses who delivered

their services effectively.

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Mr. A.J.and her family are living in a semi-concrete house which was built by her grandfather

and grandmother. They have 2 (two) children, the eldest was the child of Mr. A.J. to his first

girlfriend and the youngest was his child to Ms. M.S., his current live in partner. In complying

with the Community Health Nursing program, this family was the adopted family of one of the

student nurses at Colegio San Agustin Bacolod which is responsible for assessing and guiding

the family with the family’s overall health. The student nurse assigned shall be abstained from

something deleterious and mischievous to the family and will only carry out to the best of its

will something that would give the family the optimum health.

Through assessment and critical inspection, the student nurse will be able to identify and

determine the health-related problems of Mr. A.J.’s family, thus giving the student nurse the idea

of where to act and how to intervene. Mr. A.J.’s family will be enlightened of their own

individual health problems and will be able to formulate a successful plan to give an effective

solution to their family’s welfare. These are just some of the goals of the family case study

wherein a family case study is a detailed study of the family’s overall health. To come up with a

family case study is one of the leading goals in the family nursing practice which will not just

mold the nursing student into a more competent nurse but most especially to improve the overall

health of Mr. A.J.’s family.

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 Chapter II

Objectives of the study

This chapter presents the general and specific objectives of this family case study. Setting

objectives provides direction for planning a family nursing intervention. It facilitates motivation

for the client and the nurse by providing a sense of achievement. (Kozier, 2004).

General Objectives:

At the end of the student nurse-family relationship, the adopted family will be able to

improve their health status and become self - reliant in maintaining their health through

appropriate interventions in a given time frame.

Specific objectives:

After 25.5 hours of home visits and student nurse-family interaction, the family should be

able to:

1. Establish rapport and cooperation to the student nurses;

2. Provide relevant and accurate information during interviews;

3. Show willingness to learn and further assessments during home visits;

4. Identify health crisis present in their family; and

5. Acquire knowledge from any intervention and health teaching conducted by the student

nurses;

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 Chapter III

Initial Database of Adopted Family

A .1 Family Structure can play a role in child development partly affecting family

dynamics, such as how families behave and interact. Family structure can facilitate families in

providing basic economic and resource support and love, feelings of value and competence,

companionship, and shared values.

Provide chart to show the initial database

Name of Age Sex Status Position in Occupation Educational

Household the Family Attainment

Member

Mr. A. J. 21 Male Single Father Painter Elementary

Level

Mrs. M. S 22 Female Single Mother Housewife College

Level

Child 1 4 Male Single Child None Preschooler

Child 2 2 Male Single Child None None

Mr. A.J’s family is a traditional nuclear family and is composed of four family members. Mr.

A.J., 21 years old, is the head of the family. His liv in partner currently and the mother of his son

is Ms. M.S. She is 22 years old. They have one son, he is 2 years old. Living with them is Mrs.

L.T., 77 years old, a widow and the grandmother of Mr. A.J. Ms, M.S., being the housewife, is

the one who is responsible for all the household chores especially in taking good care of their

children while he partner works as a painter

Ms. M.S.’s family is a matriarchal family because she has absolute authority over the family

group, especially in making decisions on a day to day household basis, managing the funds and

health care system of the family. Financial problem have caused a conflict between her

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relationship with Mr. AJ., they would often quarrel about their failed responsibilities

A .2 Socio Economic Status

Socioeconomic status is considered to be a major social basis of inequalities and an important

predictor of health. Socioeconomic deprivation appears to predispose to a wide range of health

issues from disease to access to the provision of and outcomes of health care. The client’s

monthly family allowance sums up to 7, 000- 8, 000 pesos. This amount is expended on the

family’s food, water, electricity, health and education. The father is the only person that

generates income from painter. The mother is a housewife and takes care of the children. For

their educational attainment: Mrs. M.S. is a 2nd-year college graduate while her partner is an

elementary graduate

The family has pure Filipino blood and can speak Hiligaynon, Bisaya and Tagalog. The client

and her family are Christians specifically Born Again. They are firm believers of God. The

family seldom goes to church but when they can they make sure to attend the mass. According to

Ms. M.S., their community is generally peaceful and they have a good relationship with their

neighbors.

A .3 Physical Environment

Mr. A and Mrs. M and their kids are living in a small concrete-wood and hollow blocks house

consist of one room where the four of them sleeps together and a small living room for TV set up

and for the kids to play, then their kitchen are place outside the house, it is made up of wood-like

house or ‘bahay-kubo’ and they also uses woods to make fire so that they can cook their meals.

Their place of residence are next to the house of Mr. A’s grandmother because they are a

compound-like where in one lot there are two houses and those houses belongs to Mr. A and his

family and the other house is owned by her grandmother at Purok Villagracia, Brgy. Bata.

According to Mrs. M, they have been residing in Purok Villagracia for almost 3 years already.

Though their house is a mixture of wood and hollow blocks, their surroundings are surrounded

by soil, plenty of small rocks and trees.

As stated by Mrs. M, even though their houses are small it can still manage to shelter them in

times of calamities that’s why they rarely evacuate compared to their neighbors. They

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have a TV set up but their TV is still not used since it is broken and requires much money to fix.

That's why they just settle for no TV for a while. As for their food, they just find something to

cover it for a night or day as they have no refrigerator to use since the refrigerator is out of their

budget but they hope to own one someday. Their source of water in taking a bath and washing

their household necessities is a distribution pipeline and for their drinking is mineral water in a

container with safety covers which is delivered to them daily.

Their house has a front yard but no backyard. In their front yard it is surrounded by plants

including herbal plants like ‘Lagundi’ and ‘Tawa-tawa’ which they use whenever someone is

feeling sick. But despite the healthy plants they have, their house is still near accidents for they

don’t have a gate and is near the street road where bikes, motors, and tricycles cross. The family

seems to not acknowledge this and is just fine with the set up of their house including the

grandmother that is beside their house.

The family doesn’t own any vehicle and commutes using tricycles whenever they have

somewhere to go. They also owned one ‘carabao’ but considered it only as their pet and not

some source of their income.

The nearest health facility for the family is the barangay health center. There is another health

facility, but it is beyond the barangay according to Mrs. M. In terms of food resources, there is a

market near them. However, it is also outside the barangay that’s why they usually buy food

resources in a sari-sari store.

A .4 Health Status of Each Family Member

The members of the family get sick several times a year. The client verbalized that they have

ailments such as cold and fever but mostly coughs. To address the illnesses that the family

experience, they purchase over-the-counter drugs such as, paracetamol, bioflu and balsam for

baby and the use of manzanilla/alcanforado, pito pito as maintenance for stomache and

amoxicillin. They also sought consultation with a “hilot” and used some herbal plants like tawa

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tawa, and lagundi. The client stated that they very seldom avail the services in the Barangay

Health Center, they only seek consultation if the symptoms worsened. The client also stated that

her 2 children had completed immunization through the Health Center except for the vaccination

of Covid-19.

Upon gathering information of the children’s anthropometric data we found out that Child 1, a 4-

years old boy, weighed 37.5 lbs, and has a height of 44 inches, and mid-upper arm

circumference of 11.5 cm. Then child 2, a 2-years old boy, weighing 21 lbs., height of 34 inches,

and mid-upper arm circumference of 9.5 cm. According to the client their food intake consists of

sardines, fish or sometimes pork and vegetables that they buy from the market. The family only

eats enough for them, since the husband’s monthly income is not enough and at times is not

stable.

Family Assessment based on functional Health Patterns

Mr. A.J. (Father)

Functional Health Pattern Pattern Describe

Health Perception/Health Comply with health promotion such as doing extra

Management Pattern activities and regular exercise as also part of his job.

Client’s perceived pattern of There was no maintenance drug noted.

health and well-being and how

health is managed.

Nutritional Metabolic He eats 3 times a day as needed because for his work

Pattern of food and fluid The nutrient intake is not enough for his body since he

consumption relative to metabolic works under the heat of the sun and even rain from

need and pattern; indicators of 8AM to 4PM.

local nutrient supply.

Elimination The client was able to defecate normally.

Describes pattern of excretory

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 function

Activity - Exercise The client is seen to have normal ADL. He always go

Describes patterns of exercise, to work, carrying container of paint a paint brush that

activity, leisure, and recreation. he used to work

Cognitive perceptual There were no issues in his vision, sight, hearing,

describes sensory, perceptual, taste, pain perception and management. He is able to

and cognitive pattern make a decision together with his wife.

Sleep Rest Client stated having inadequate sleep due to work

Describes patterns of sleep, activity that involves physical work from morning to

rest, and relaxation. evening. As well as during the rainy season, they are

constantly checking the raindrops coming inside their

house.

Self-Perception / Self Concept None stated

Describes self-concept and

perceptions of self (body comfort,

image, feeling state)

Role-Relationship The father is able to perform his role well as the

Describes a pattern of role breadwinner of the family. He is their source of

engagements and relationships. income by being a barangay painter.

Sexuality - Reproductive Not stated

Describes the client's pattern of

satisfaction and dissatisfaction

with sexuality, describes

reproductive patterns.

Coping / Stress Tolerance The father is able to sustain the hardship felt in order

Describes general coping to meet the needs of their family.

patterns and effectiveness of the

pattern in terms of stress tolerance.

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Value - Belief The father shares the same values and beliefs with the

Describes a pattern of values family as they have Sto. Niño being enshrined at their

and beliefs, including spiritual and house.

/or goals that guide choices or

decisions.

Ms. M.S. (Mother)

Functional Health Pattern Pattern Describe

Health Perception/Health There was no maintenance drug noted.

Management

Client’s perceived pattern of

health and well-being and how

health is managed.

Nutritional Metabolic Only eats twice a day with food that does not reach

Pattern of food and fluid the minimum nutrient requirements.

consumption relative to metabolic

need and pattern; indicators of

local nutrient supply.

Elimination The client was able to defecate normally.

Describes pattern of excretory

function

Activity - Exercise The mother has adequate exercise as she tends to do

Describes patterns of exercise, the house chores such as washing dishes, and cooking.

activity, leisure, and recreation. Taking care of their children by bathing them and

guarding them when they play outside.

Cognitive perceptual There were no issues in her vision, sight, hearing,

describes sensory, perceptual, taste, pain perception and management. She is able to

and cognitive pattern make a decision together with her husband. She is the

one that decides and handles their finances.

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Sleep Rest The mother wasn’t able to get adequate rest since she

Describes patterns of sleep, takes care of her son and do all the chores.

rest, and relaxation.

Self-Perception / Self Concept None stated

Describes self-concept and

perceptions of self (body comfort,

image, feeling state)

Role-Relationship The mother is able to perform his role as the

Describes a pattern of role housewife of the house such as doing the house chores

engagements and relationships. and tending with the kids.

Sexuality - Reproductive She had a hard time delivering her first son.

Describes the client's pattern of

satisfaction and dissatisfaction

with sexuality, describes

reproductive patterns.

Coping / Stress Tolerance The mother is able to cope with stresses around the

Describes general coping house by having therapeutic communication within the

patterns and effectiveness of the family.

pattern in terms of stress tolerance.

Value - Belief Every Sunday, they attend mass because the family

Describes a pattern of values shares the same values.

and beliefs, including spiritual and

/or goals that guide choices or

decisions.

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A .5 Values Habits, Practices on Health Promotion, Maintenance and Disease Prevention

The members of the Family are complete in immunization. No current health problems

were noted and everyone in the family functioned perfectly. Mrs. M stated that maintaining the

health of her family is essential, which is why they follow preventive measures and protocol for

COVID-19. Whenever someone gets sick in the family, they sometimes self-medicate, but they

also make use of the health facilities within the barangay. They are also taking advantage of

various medical services, such as free consultation. They believe in both herbal remedies for they

have herbals plants around them, fake healers, and drugs prescribed over the counter as a means

to cure their illness.

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 Chapter IV

Family Background

This chapter illustrates the Family Background of the study which includes

Database of the Respondent, Family Tree, General Household Data, Activities of Daily

Living which could be an indicative for the present health status of the family as it

continues to influence each of the family members.

A) Family History

The family consists of 4 members. Mr. A, 21 years old who is the head of the family and

the source of income for he works as a community painter. Mrs. M, 21 years old full time

housewife and the one who takes care of the two children all day. The two children are child 1

who is 4 years old and is currently in nursery school, and child 2 who is 2 years old.

Both Mr. A and Mrs. M are still not married despite bearing a child. The first child which

is Child 1 is not the child of Mrs. M biologically. Child 1 is a son of Mr. A from his first live in

partner before meeting Mrs. B. But despite the no blood related between child 1 and Mrs. M,

Mrs. M is still doing her best to be more than just a step mom to child 1. Both child 1 and child

2, which is the biological son of Mrs. M, have a good relationship together. Overall, according to

Mrs. M they are already contented with their little family and has no any conflict between her

and Mr. A.

B) Database of the Respondents:

Name: Mr. A.J.

Age: 21

Gender: Male

Address: Purok Villagracia, Brgy Bata

Religion: Christian

Occupation: Painter

Civil Status: Single

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Nationality: Filipino

Ordinal number of Children: unknown

Educational Attainment: Elementary Level

Estimated Monthly Income: 8,000

Name: Mrs. M. S.

Age: 22

Gender: Female

Address: Purok Villagracia, Brgy Bata

Religion: Christian

Occupation: Housewife

Civil Status: Single

Nationality: Filipino

Ordinal number of Children: unknown

Educational Attainment: College Level

Estimated Monthly Income: 0

Name: Child 1

Age: 4

Gender: Male

Address: Purok Villagracia, Brgy Bata

Religion: Roman Catholic

Occupation: None

Civil Status: Single

Nationality: Filipino

Ordinal number of Children: First

Educational Attainment: Nursery

Estimated Monthly Income: 0

Name: Child

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 Age: 2

Gender: Male

Address: Purok Villagracia, Brgy Bata

Religion: Christian

Occupation: None

Civil Status: Single

Nationality: Filipino

Ordinal number of Children: unknown

Educational Attainment: None

Estimated Monthly Income: 0

C) Family tree:

Child 1 Mr. A.J Ms. M.S.

Child 2

D) General Household data

1) Total Number of children – 2

2) List of household Members

Household Statu Occupatio Sex Educational Religion Position Immuniz

Members s n Attainment in ation

Family Status

1. Mr. A. J. Single Painter Male Elementary Christian Husband unknown

Level

2. Ms. M. S Single Housewife Femal College Christian Mother unknown

3. Child 1 Single None e Level Roman 1st Son Complete

Male Nursery Catholic

4. Child 2 Single None Male None Christian 2nd Son Complete

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 Chapter V

Family Coping Index

This chapter depicts the actual observation of the family behavior and practices in

contrast to the ideal family attitude and behavior. It includes an assessment on how the family

handles various stressors. The observations are analyzed to see the occurrence of health problems

or negative attitudes and behavior.

The family coping index is measured with following scores:

1 - no competence 3 - moderately competence 5 - complete competence

Criteria Ideal Actual Rating Justification

Physical The family The members of All members of the

Independence members have the family do not family can function

mobility and need assistance to effectively and has

ability to move do their activities no signs of

about, to get out of daily living disability. Mr. A.J.

of bed, to take such as walking, goes to the work

care of daily cooking, bathing while Ms. is taking

grooming, and eating. 5 care of the children,

walking and other cooking for their

things which meal and washing

involve daily clothes. All

activities. children can’t do

personal tasks

independently.

Therapeutic The family is able The use of The family is able

Competence to comply with the medication and to manage common

prescribed or home remedies ailments such as

recommended are based on the colds, cough, fever,

procedures done at traditions of the diarrhea by taking

home. family such as over the counter

17
 “hilot” and other medications or seek

available to “manog hilot”.

resources in the Using home

3
community such remedies like tawa-

as herbal tawa and lagundi is

medicines. Also, utilized if

over the counter medications are

medications are unavailable. With

used to relieve all that said though,

symptoms. their therapeutic

competency is not

yet fully developed

as they avail

services from the

health center rarely.

Knowledge of The family is able The family’s The family is not

Health to understand the awareness of their fully aware of their

Condition health condition or health condition is health conditions

essentials of care somewhat and still needs more

according to the lacking. The improvement. They

developmental nutritional status manage their illness

stages of family of the children is by using over the

members. impaired as 3 counter drugs and

evidenced by their herbal treatments

weight being which is good for

below the normal the management of

range and being illness but they

thin in only seek

appearance. consultancy after

Although they the condition is at

18
 manage their its worst and they

illnesses with rarely go to the

medications and health center for

herbal treatments, check-up. The

they rarely go to children’s nutrition

the health center is also not being

for check ups and taken seriously as

only seek upon assessment

treatments after they are

the conditions underweight and

have worsened thin.

Application of The family is The family has The family’s

the Principles concerned with inadequacy in the nutrition and proper

of General the family action amount of food hygiene are not

Hygiene in relation to intake and has appropriately met

maintaining insufficient since they only eat

family nutrition, knowledge about the amount of food

3
securing adequate proper hygiene enough for the day

rest and relaxation and health and do not

for family problems related overindulge since

members, carrying to unhygienic the budget and

out accepted practices. allowance of the

preventive family does not

measures such as allow them to do

The family also
immunization. so. In addition, the
avails free
lack of proper
immunization of
plumbing in the
the children
household and the
provided by the
presence of rodents
barangay health
in the house further

19
 center. strengthens the risk

for problems to

arise with regards

to hygiene.

Health Care This refers to the The family is well The family has not

Attitude family’s informed of the been properly

perception of barangay health educated of the free

health care in center in the health services of

general, including community their community

preventive nevertheless they wherein they can

services, care of do not avail the avail for

illness and public services all the consultations and

3
health measures. time. free medicine when

and if available.

The family doesn’t

Immunizations of
also have the
the children are
privilege of time to
updated however,
avail of these
when the family is
services since the
sick they choose
adults of the
to go to a “hilot”
household are too
and would only
busy providing for
avail of the
the family and there
barangay health
is no near health
care services if
service in their
the condition is
area. They would
worsened.
rather avail of

“hilots” since it is

more affordable

and less time

20
 consuming.

Emotional The members of Despite their The members of the

Competence the family are able substandard family are

to meet the usual socioeconomic emotionally

3
stresses and status, the family competent in facing

problems of life, is very resilient everyday problems,

their ability to even though the they are resilient,

sacrifice and think family’s income is optimistic, and

of others and to unlikely to strong-willed.

plan for happy and accommodate the Excluding the times

fruitful living with needs of each whenever Mr. A.J.

maturity and family member. and Ms. M.S.

integrity. They are very quarrels about

optimistic towards failed

everyday responsibilities

problems and since it can affect

strong-willed to at their children

least to have emotionally.

something to fill

in their hunger.

Although Andrea

and Ritchie often

quarrel because of

each other’s failed

responsibilities.

Family Living This refers to the As bonding time Mr. A.J. and Ms.

Patterns family’s concern goes, the five M.S. often quarrel

largely with the children normally because of each

21
 interpersonal or go out of the other’s failed

group aspects of house to play. The responsibilities like

family life and family lacks the mother unable

1
how well the communication to cook for dinner

members of the and respect while the husband

family get along between each is always drunk.

with one another, member that leads

the ways in which to intolerable

they take events happening.

decisions affecting

the family as a

whole.

Physical The family is The family’s lives The community

concerned with in a semi-concrete and almost

Environment
the home, the house, the everyone knows

community and community is one another,

the work peaceful with interpersonal

environment as it minor incidents problems are less

affects family which can be likely to occur but

3
health. resolved by the rather health risks

barangay officials. are more likely to

However, the happen with the

22
 family has poor waste management

waste practices of the

management. family.

They do not

practice proper

waste disposal,

they throw their

garbage in the

streams or

sometimes burn it

in the backyard

which is a health

threat to the

family and to the

neighboring

houses.

Use of The ability of the The family takes The family is well

Community family to seek and advantage of the aware of

Facilitate utilize both community government and

government-run facilities which private

and private health, are free and establishments that

education and accessible and is may be of help. The

other community very seldom avail client’s child goes

services. of the services in 5 to school in a

the Barangay public school. The

Health Center or family goes to the

any health care Barangay Health

facility. If there is Center if there is a

a major ailment, serious health

they go to problem.

23
Barangay Health

Center for a

check-up.

24
 Chapter VI

Typology of Nursing Problem

Cues/Data Family Nursing Problems

1. Subjective: 1. Poor Environmental Sanitation as a

“Halin sang una gina tumpok na lang Health Threat

na da namun sa kilid ang basura kay

wala kami d halabuyan sa purok kag

wala kami kwarta nga inugbayad para

lang makwa amun basura”

Objective:

Poor waste segregation was seen

and noted.

Disregard of social norms was noted.

2. Subjective:

“Gaproblema kami kung mag-inulan 2. Risk for Mosquitoes-borne Disease as a

kay ang tubig sa basura ga panimaho Health Threat

kag gatipon, abot namn nga sunod

inadlaw graben a lamok”

Objective:

Unclean Stump Water Canal

Contaminated Water Bucket

3. Subjective:

“Ga upod gid na ang mga bata samun 3. Risk for Sudden Injury as a Health

kuha bayabas kay mon a hilig namun” Threat

Objective:

25
Several trees surrounding the house

and wooden furnishments was

noted.

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 Chapter VII

Prioritizing Problems

Priority Problem#1

Poor Environmental Sanitation as a Health Threat

Criteria Computation Score Justification

Nature of the 2/3 x 1 0.66 The problem is a health threat because their

Problem environment is contaminated with waste, which will

cause a variety of ailments owing to the quick spread

of microbes. There were numerous mosquitos that

may carry a disease and infect people by biting. They

have no adequate waste disposal and have simply

dumped their human waste outside their house.

Modifiability 2/2 x 2 2 It is easily modifiable by continuous health education

of the problem about proper trash segregation and disposal, as well as

the negative consequences of having a lot of trash

piled up in your surroundings. If the family takes

action against it, and the neighborhood joins forces to

take action against it.

Preventive 2/3 x 1 0.66 It is moderately preventable because these trash piles

Potential can be reduced with consistent work by the family and

community. By taking the initiative to take the initial

action by segregating and disposing of garbage

properly, cleaning their surroundings, and

encouraging cleanliness to their neighbors.

The spread of vector-borne disease will be reduced if

breeding locations are discovered and eradicated.

27
 Salience 0/2 x 1 0 The family did not recognize this as a problem as long

as they had a place to live.

Total: 3.32

Priority Problem #2

Risk for Mosquitoes-borne Disease as a Health Threat

Criteria Computation Score Justification

Nature of the 2/3 x 1 0.66 Mosquitoes spread severe viruses like dengue and

Problem malaria, putting the family's health at risk. They do

not protect their water sources, and it is also next to

their waste. Their environment is also a breeding

place for mosquitoes as they are surrounded with piles

of trash.

Modifiability 1/2 x 2 1 The problem is partially modifiable since they may be

of the problem taught how to prevent mosquitoes from multiplying,

which is to seek for and remove any possible breeding

location (old cans, old tires, containers with water that

do not have a lid, canals, and so on). Also, the

consequences if you simply ignore it. If the family can

cover their water sources and follow proper waste

segregation, they may be able to mitigate the problem.

However, they are unable to fix the situation instantly

because the rubbish in their surroundings cannot be

resolved without the cooperation of the residents in

that area.

Preventive 1/3 x 1 0.33 The preventive potential is low because the stagnant

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 Potential water is one of the most breeding sites of mosquitoes.

It cannot be easily prevented when the rainy season

begins. The water will be stagnant on the plastics,

cans, containers and other things that can hold water.

Salience 0/2 x 1 0 The family wasn’t able to recognize the problem as

they still continue their practice of piling their

garbage.

Total: 1.99

Priority Problem #3

Risk for Sudden Fracture as a Health Threat

Criteria Computation Score Justification

Nature of the 2/3 x 1 0.66 The problem is health threat since they lived in a

Problem prone of injury area which can endanger the small

kids. When it rains their footstep gets slippery. The

mother also mentioned that it’s their habit to climb

tree in front of their house.

Modifiability of 2/2 x 2 1 It is easy modifiable by constant health teaching

the problem about how to reduce the risk of injury.

Preventive 2/3 x 1 0.33 The preventive potential is moderate since the family

Potential can be able to address their problem if the family

members will start giving attention to their

surroundings

Salience 0/2 x 1 0 Due to their ignorance of correct practices to

minimize injury, the family doesn't truly take

sufficient note of this type of issue and instead just

endures having a slippery footsteps.

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Total: 2.32

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 Chapter VIII

Family Care Plan

A) Problem list

Problems Identified Score

1. Poor Environmental Sanitation 3.32

2. Risk for Sudden Injury 2.23

3. Risk for Mosquitoes-borne Disease 1.99

B) Family Care Plan (Make one for each problem identified)

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 Chapter IX

Summary, Evaluation, and Recommendation

All things considered, this CHN community exposure has been a great opportunity for everyone

who got involved as it helped various families attain and learn about better qualities of health.

The whole experience was inspiring since it motivated us to do better in our part of educating

these families, who in turn were also very participative and willing to help make this experience

a meaningful one. Each student nurse established a professional rapport and effective nurse-

patient relationship, creating trust between each other. With Mr. A.J.’s family’s constant

cooperation and involvement, this study has been successfully completed, with each problem and

concern carefully addressed. And for that, we are thankful to have had the opportunity of

experiencing this study with their participation.

References

Famorca, et. al. (2013). Nursing Care of the Community. Singapore. Elsevier Maglaya, et. al (2009).

Nursing Practice in the Community (5thed.). Philippines: Argonauta Corporation. Rinkesh. (n.d.).

Retrieved from Conserve Energy Future: https://www.conserve-energy-future.com/waste-management-

and-waste-disposal-methods. php

Appendices:

Appendices A:Barangay Health Profile

N/A

Appendices B: Family Health Data Card

Health Indicators Mr. A.J. Mrs. M. Child 1 Child 2

S.

Family Planning Yes Yes N/A N/A

Prenatal N/A YES N/A N/A

Immunization complete complete mplete complete

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Nutrition Good Good Good Good

Water No No No No

Potable Potable Potable Potable

Garbage Disposal Do not Do not Do not Do not

practice practice practice practice

Toilet Yes Yes Yes Yes

Alcoholism No No No No

Smoking No No No No

Appendices C: Process Recording (check your DPA/HVR on this; whole CHN RLE exposure)

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