FAMILY CASE STUDY III_A

Republic of the Philippines

University of Northern Philippines Tamag, Vigan City

College of Nursing

A FAMILY CASE STUDY

In partial fulfillment of the Requirements in Community Health Nursing

Submitted to: Mrs. Maureen Angelica G. Florendo, RN

Submitted by: Goldwyn Adversalo BSN III-AMARYLLIS

July 19, 2010

INTRODUCTION 1

Community is a group of people sharing common geographic boundaries and a common shared interest or purpose. It is also where we can find individual, family, children, elderly and a population group. In a community we can find a lot of families and a lot of problems also. Problems like diseases which are categorized by communicable and noncommunicable, so a nurse has to make an action to prevent the problems they might be encountering. Knowing that not all people in a certain community are financially capable and educated. Large number of people has a low level education. Problems are often unidentified because they lack knowledge about the signs, symptoms, the nature and treatment of a particular diseases. So Community Health Nurse makes action to educate people by helping them identify their needs, identify problems in their family and render their service. Nurses in the community often give helth teachings, preventive measures and enhances the people’s knowledge about health promotion and disease prevention. This case study is focused on one of the family in Barangay 7, Pagburnayan Vigan City Particularly in Block A. The Rapada family is the one involved in this case study. We will be encountering health threats as well as health deficit and forseeable crisis present in their family.

OBJECTIVES • To help the family attain a wellness state • To establish a good rapport to the family to gain their trust for them to share with me the information needed for this case study • To identify health threats, health deficit, and stress points present in their family • To enhance their knowledge about health promotion and disease prevention •

To make a family nursing care plan appropriate for their problems 2

FAMILY MEMBERS AND CHARACTERISTICS

NAME

RELATIO N

AG E

SE X

EDUCATIONA L ATTAINMENT COLLEGE UNDERGRADU ATE

OCCUPATION

RELIGI ON

M

CIVIL STAT US M

A. RUBEN RAPADA

HEAD

39

JAR MAKER

RC

ANALYN RAPADA

WIFE

40

F

M

ELEMENTARY GRADUATE

LAUNDRYWOM AN

RC

POSTERS 20 RON ON ALD PALECP EC SON 13 MAR K ANTHO NY RAPADA RUBIL DAUGHTE 11 R YN RAPADA DAUGHTE 6 MARY R ANN RAPADA

M

S

ELEMENTARY UNDERGRADU ATE

JAR MAKER

RC

M

S

ELEMENTARY UNDERGRADU ATE

RC

F

CHILD

-

RC

F

CHILD

-

-

RC

SHIE LA MAE RAPADA

DAUGHTE R

3

F

CHILD

-

-

RC

CHAR LENE RAPADA B. REYNAL YN PELECP EC REXE L MARK PELECP EC C. ANNA BEL CORTEL

DAUGHTE R

1 9/1 2 22

F

CHILD

-

-

RC

F

S

-

NONE

RC

SON

1 3/1 3

M

CHILD

-

-

RC

HEAD

34

F

S

-

LAUNDRYWOM AN

RC

HEAD

3

FAMILY STRUCTURE, CHARACTERISTICS AND DYNAMICS

In Barangay Parburnayan, Vigan City particularly, there live a family headed by Mr. Ruben Rapada, 39 yrs old. He is married tto Mrs. Analyn, 40 yrs old. They are blessed with 5 children. Eldest is Mark anthony 13 yrs old, next is rubilyn 11 yrs old, then mary ann 6 yrs old, then shiela mae 3 yrs old and the yougest is charlene 1 9/12 yr old. But Mrs. Annalyn had 3 children before she got married to Mr. Ruben. Her eldest is Reynalyn a 22 year old single mother, gave birth to a healthy son named Rexel mark. Next is Ronald 20 years old and currently working as a jar maker. And also together living with them is Ms. Annabel Cortel, 34 years old and a laundry woman. They are an extended family, they live together in one house. They have a good family rerationship, they do help each others in many matters like financial matters but sometimes conflicts cannot be avoided but they make sure of it that they do fix their conflicts as soon as they can. Mang Ruben as the head of the family decides especially in matters of health care.They are an extended family that’s why sometimes there are conflicts that cannot be avoided among the family members like matters of everyday financial isssues.

4

SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS Family’s monthly income NAME

INCOME

RUBEN RAPADA

3,000.00

ANALYN RAPADA

500.00

ANNABEL CORTEL

500.00

TOTAL

4,000.00

MONTHLY EXPENSES Electicity Water Foods Allowance of children Groceries and other expenses TOTAL

350.00 350.00 2000.00 800.00 500.00 4,000.00

5

Mang Ruben’s Income as a jar maker is not enough for their family though Manang Analyn and Manang Annabel works as a laundry woman, they dont have a stable job. They are just waiting for people to demand their service. Mang Ruben is the one deciding about money matters and how should be spent. He wishes to give his housemates a better life but since he weren’t able to finish his studies, it is imposible so they are just sharing what they have and what can he provide in their everyday life. Also Manang Annalyn and Annabel finished Elementary Level only. All of the members of the family are Roman Catholic.They dont often go to church for a mass, they only go if there is a special ocassion like birthday, christmas and new year. They are not affiliated into any other groups, they are Ilocano.

6

HOME ENVIRONMENT 4m

Room of Ate Reynalyn, Manang Annabel and Rexel Mark

5m

C a b i n e t D

D

Room of Manong Ruben, Manang Analyn and their children

Dinning Area D

Kitchen

Bathro om

7

CR

The family lives into a four by five meters house made up of light materials like woods, hallowblocks and cemented flooring, they have a ground as the flooring in the kitchen. They only have 1 bedroom

but 2

beds.Manang Analyn and Manong Ruben together with their childrens occupies the first bed. Manang Annabel and Reynalyn together with Reel Mark sleeps in the second bed which is located in the living room. They have a small living room and they also use it as dining area and sleeping place for Ronald and Mark Anthony . There is a presence of breeding sites and resting sites of mosquitoes and flies. There are also accident hazards present in their house as observed by loose stair going up the comfort room, fragile windows, and scattered kitchen utensils like spoon, pork, copping board and knife. It is also fire hazardous because of earthened stove is situated just beside their wall. They usually store their foods in a covered plate placed on top of the table. They used kettle and casserole in cooking their food. They also use woods and coal in cooking. Their clothes are just hanging around at the inside of their house. They get their water supply in NAWASA. They used karamba, waterjag and bottled container in storing their water. They drink water directly without boiling. They have a water sealed toilet. They usually packed their garbage in an open receptacle and dispose in the garbage dump in their block. Sometimes they burn their garbage infront of their house ofr even at the side of their house. They have a blind drainage system with an unsanitary condition because of the presence of molds and worms.

8

The family lives in a cogested neighborhood as evidenced by the number of the houses around them. They have a lack of knowledge about social and health facilities. They also use cellphone as a mean of communication and

listen to radio for other news and informations. They

dont own any transport vehicle but uses trycicle as mean of transportation. They dont have any health facility like first aid kit inside their house.

HEALTH STATUS OF EACH MEMBER Rexel mark always suffer from fever, colds and cough as verbalized by her mother. They often practice self treatment. They only go to doctor,s if they cannot tolerate what they feel anymore.Also the immunization status are not complete. Manang Annable and Analyn are risk for Hypertension because of their body built. BP were taken during home visits and recorded as follows 130/80mmHg for Manang Annabel and 130/70mmhg for Manang Analyn. Immunization status card were not present and according to the mother it is misplaced. All other member of the family rarely experincing illnesses and if there is they do only suffer from cough, fever and common colds.

VALUES,

HABITS

AND

PRACTICES

ON

HEALTH

PROMOTION, MAINTENANCE AND DISEASE PREVENTION. IMMUNIZATION STATUS Name

BCG

DPT

HEP B

OPV

MEASLE S

REXEL

X

X

X

(-)

(-) 9

MARK CHARLEN

X

X

X

X

(-)

E

LEGEND: X- completed (-)-uncompleted

BP MONITORING NAME

JULY 6,2010

JULY 12,2010

Analyn

130/90

130/90

Annabel

130/80

130/80

The family has an inadequate knowledge with regards to their healthy lifestyle as evidenced by they just eating whatever they have, they dont even limit their meats and also they eat noddles and canned foods. During night

time,

they

use

mosquito

net

as

a

protective

measure

from

mosquitoes.They use sleepers wherever they as as a proctection for their feet. They do use katol in driving away mosquitoes.They have a good sleep pattern eventhough they dont have adequate living space they still have a enough rest and sleep. They usually treat common illness such as cold, cough and fever with over the counter drugs like paracetamol and pain relievers. Babies are not fully immunized.They have adequate clothing.

10

FIRST LEVEL ASSESSMENT I. PRESENCE OF WELNESS STATE Ate Reynalyn knows the importance of breast feeding and she is ready to enhance the wellness state

even if they lack resources

particularly money, she still have the desire for the improvement of her baby.

II.

PRESENCE OF HEALTH THREATS The family lives in a 4 by 5 meter house of light materials

situated in a congested area as observed by the number of houses around theirs. There is a threat in accident hazards as evidenced by poor foundation and structure of the house, fragile windows, walls covered by a galvanized roof or plywoods and galvanized roofs. The utensils like knife and metal tubings are improperly kept. The light stucture of the house may add as a threat of fire hazards as well as the earthened stove. There is an unhealthful eating and nutritional habits due to inufficient food intake both in quality and

11

quantity. They lack food storage and sometimes the basin used for washing clothes are also used in covering their foods. A health threat due to unsanitary food handling and preparation because of the scattered kitchen utensils and the sanitation of the area. Unpleasant environment due to scattered personal belongings like clothes are not properly kept.They also practices self medicationwhich is a form of unhealthy lifestyle practice. A health threat may increase with the presence of breeding on resting sites of vectors of diseases like cross infections from communicable diseases from dogs, mosquitoes and even flies. The unsanitary garbage disposal is also a health threat to the family . Burning their garbage in the backyard may contribute to air pollution. They have a poor lighting and ventilation as evidenced by only 1 electrifan is used inside the house and 1 flourescent lamp lights the entire house. Intrapersonal conflicts is a stresss-provoking factor that may cause to health threat because it my lead to family disunity due to self oriented behavior of members nd financial matters. And aprehence of this may lead to failure in maintaining the wellnes state.

III. PRESENCE OF HEALTH DEFICIT Rexel and all other children in the family are not fully immunized so they are at risk for easily acquiring such diseases that is not prevented becase of incomplete immunization status. And also Manang Annabel and Analyn are at high risk for Hypertension because of their lifestyle like they dont limit their meats, taking food rich in sodium and because of their body built.

12

IV.

PRESENCE OF STRESS POINTS AND FORSEEABLE CRISIS Marriage is considered as a stress point of the family wherein Ate

reynalyn is not married but she has a child. Ate Reynalyn doesn’t have work to support the needs of her son, lack of job is also considered as a stress provoking factor because her son might not be able to finish his studies.

SECOND LEVEL ASSESSMENT INABILITY TO RECOGNIZE THE PRESENCE OF THE PROBLEM DUE TO: The family lack knowledge because they werent able to finish their studies, most of them reached only the elementary level.

INABILITY

TO

MAKE

DECISIONS

WITH

RESPECT

TO

TAKING APPROPRIATE HEALTH ACTIONS DUE TO: The family fail to comprehend the nature of conditions, lack of knowledge as to alternative causes of action open to them and conflicting opinions among the family members regarding actions to take with regards to money matters.

13

INABILITY TO PROVIDE ADEQUATE NURSING CARE TO THE SICK DUE TO: The family has inadequate knowledge about disease condition, its nature, complications and management because of inadequate kowledge as evidenced by praciticing self medication. And also because of inadequate family resources for care as evidenced by no first aid kit and even a thermometer present in their house.

INABILITY TO PROVIDE HOME ENVIRONMENT CONDUCIVE TO

HEALTH

MAINTENANCE

AND

PERSONAL

DEVELOPMENT DUE TO: Inadequate family resources specifically limited fiancial resources as evidenced by knowledge

loose structure/foundation of the house. Inadequate

of importance of hygiene and sanitation as evidenced by

unsanitary environment that may cause breeding or resting sites of vectors of diseases.

FAILURE

TO

UTILIZE

COMMUNITY

RESOURCES

FOR

HEALTH CARE DUE TO: Inadequate knowledge of community resources for health care and lack of family resources specifically financial resources.

CUES IMPROPER

HYGIENE

 Clothes are hanging inside TECHNIQUES there house

>INABILITY

TO

ENVIRONMENT

PROVIDE

HOME

CONDUCIVE

TO 14

 They dont often wash their HEALTH

water

being

AND

PERSONAL DEVELOPMENT DUE TO:

hands when eating  The

MAINTENANCE

used

in

 Inadequate family resources specially financial constraints

takig a bath has algae

and physical resources  The

water

containers

are

okey but e are not sure if its

 Lack

of

kowledge

of

importance of hygiene and

safe inside

sanitation  Lack of skill on carrying out measures to improve home environment IMPROPER GARBAGE DISPOSAL  They

often

garbage

burn infront

their >INABILITY

or ENVIRONMENT

sometimes at the side of HEALTH

PROVIDE

HOME

CONDUCIVE

MAINTENANCE

TO AND

PERSONAL DEVELOPMENT DUE TO:

their house  They usually packed their garbage

TO

in

an

open

receptacle and dispose the garbage dump in their blocks

 Lack

of

kowledge

of

importance of hygiene and sanitation  Lack of skill on carrying out measures to improve home environment UNSANITARY FOOD HANDLING

 Kitchen utensils are being INABITY TO MAKE DECISIONS WITH scattered in the kitchen like RESPECT TO TAKING APPROPRIATE spoon, pork, chopping board, HEALTH ACTION DUE TO: and knife.

 Failure to comprehend the

15

 They store their water in a bottle containers, waterjag, and even jars which they use

nature/

magnitude

of

the

condition  Low salience of the problem

in washing and cooking their foods

SELF MEDICATION AS HEALTH  The family verbalized that THREAT they dont often go to the INABILITY TO PROVIDE ADEQUATE hospital when one member NURSING

 They just take medications without doctors prescription

 They treat common illnesses

common

fever,

colds

by

THE

SICK

 Lack of knowledge and skill in carrying

out

necessary

interventions/ care

as claimed by the family

cough,

TO

MEMBER OF THE FAMILY DUE TO:

of the family is sick

like

CARE

and taking

 Inadequate knowledge about child child development and care

unprescribed drugs. POOR  The

family

lives

in

ENVIRONMENTAL

a SANITATION >INABILITY

cogected neighborhood  The flooring of their kitchen

ENVIRONMENT HEALTH

is uncemented

TO

PROVIDE

HOME

CONDUCIVE

MAINTENANCE

TO AND

PERSONAL DEVELOPMENT DUE TO:  The comfort room is situated beside the house, it is made up

of

light

materials

like

 Failure to see the benefits of invesment

in

home

environment improvement

galvanized roof, woods and 16

piece of cloth

 Inadequate family resources specially financial constraints

 The environment is dirty

INADEQUATE LIVING SPACE  They live in a 4 x 5 meter >INABILITY house materials

made like

of

TO

light ENVIRONMENT

galvanized HEALTH

roof, woods and hallowblocks  The living room functions as a sleeping area and dining

HOME

CONDUCIVE

MAINTENANCE

TO AND

PERSONAL DEVELOPMENT DUE TO:  Inadequate family resources specifically constraints

room

PROVIDE

financial and

limited

physical resources  The houses consist of

1

room and 2 beds

TYPOLOGY OF THE NURSING HEALTH PROBLEMS IN THE FAMILY NURSING PRACTICE

17

1. UNSANITARY FOOD HANDLING PROBLEM

COMPUTATIO

ACTUAL

N

SCORE

NATURE

2/3*1

0.67

Unsanitary food handling is a health threat because this will bring the family into harm when not solve

MODIFIABILI TY

2/2*2

2

The resources and the interventions needed to solve the problem are available to the family

PREVENTIVE POTENTIAL

3/3*1

1

The possible effect of unsanitary food handling may be prevented if they will practice the right way of handling foods

SALIENCE

½

0.5

The family identified it as a problem not needing immidiate attention because they dont even rocognize the presence of this problem

TOTAL SCORE

JUSTIFICATION

4.17

2. IMPROPER HYGIENE TECHNIQUE

18

PROBLEM

COMPUTATIO

ACTUAL

N

SCORE

NATURE

2/3*1

0.67

Improper hygiene technique is a theat to the family because of the possible effect that might happen if they continue to practice this

MODIFIABILI TY

2/2*2

2

The nuse is present to share and educate the family the interventions needed to eradicate this problem

PREVENTIVE POTENTIAL

3/3*1

1

Practicing proper hygiene technique is a way of preventing this problem

SALIENCE

2/2

1

This problem needs immidiate attention to prevent occurence of diseases that can be acquired if they continue to practice this problem.

TOTAL SCORE

3.

JUSTIFICATION

4.67

INADEQUATE IMMUNIZATION STATUS OF THE CHILD

19

PROBLEM

COMPUTATIO

ACTUAL

N

SCORE

NATURE

2/3*1

0.67

It is a health threat because it may bring possible illness for the child

MODIFIABILI TY

1/2*2

1

The resources and the interventions needed to solve the problem are not available to the family

PREVENTIVE POTENTIAL

2/3*1

0.67

The family lack knowledge about the importance of having their child be immunized, this can be prevented if the family is knowledgable enough, the Rural Health Unit is just a half kilometer away from the house

SALIENCE

2/2

1

This problems needs immmidiate attention because its not too late to educate the mother

TOTAL SCORE

JUSTIFICATION

3.34

4. IMPROPER GARBAGE DISPOSAL

20

PROBLEM

COMPUTATIO

ACTUAL

N

SCORE

NATURE

2/3*1

0.67

Improper garbage disposal is a threat to the family and even their nieghbors

MODIFIABILI TY

2/2*2

2

The nurse is available, he/she can share the konowledge that is neede for the family to understand the importance of preventing the bigger effect of the identified problem

PREVENTIVE POTENTIAL

3/3*1

1

The possible effect of improper garbage disposal may be prevented if they will practice the right way of disposing their garbage

SALIENCE

2/2

1

It is a problem needing immidiate attention because it can affect the coomunity not the family alone

TOTAL SCORE

JUSTIFICATION

4.67

5. INADEQUATE LIVING SPACE

21

PROBLEM

COMPUTATIO

ACTUAL

N

SCORE

NATURE

2/3*1

0.67

It is a health threat that does not demad immediate action because of lack of family resources, it is inadequate

MODIFIABILI TY

1/2*2

2

Increasing the living space will require quite financial expenditure. The family’s resources are presently not adequate considering other problems; however, furnitures can be arranged to allow more space

PREVENTIVE POTENTIAL

3/3*1

1

Increasing the living space will: provide bigger space to allow adequate movements when perfoming housework and joint recreation, leisure or play

SALIENCE

-

-

-

TOTAL SCORE

JUSTIFICATION

2.67

6. ENVIRONMENT SANITATION

22

PROBLEM

COMPUTATIO

ACTUAL

N

SCORE

NATURE

2/3*1

0.67

It is a health that demand immediate action because it is not conducive for the family and also the neighborhood

MODIFIABILI TY

2/2*2

1

The problem is easily modifiable since the nurse’s resources are available ; he can help the family in mking or taking actions that are needed to improve the environmental sanitation

PREVENTIVE POTENTIAL

3/3*1

1

The problem is highly preventable if the family is willing to cooperate and listen to the nurse

SALIENCE

0/2

0

It is not a feltproblem

TOTAL SCORE

JUSTIFICATION

2.67

7. UNHEALTHY LIFESTYLE PRACTICE- SELF MEDICATION

23

PROBLEM

COMPUTATIO

ACTUAL

N

SCORE

NATURE

2/3*1

0.67

It is a health threat that needs immediate action because of the harmful effects of drugs specially if taken without prescription

MODIFIABILI TY

2/2*2

2

Knowledge of the nurse and interventions are available to solve this problem

PREVENTIVE POTENTIAL

3/3*1

1

Self medication can be explained by the nurse, its harmful effectsso it is a problem that can be prevented

SALIENCE

0/2

0

They dont percieve it as a problem

TOTAL SCORE

JUSTIFICATION

4

PRIORITIZATION 24

PROBLEM

SCORE

IMPROPER

HYGIENE

4.67

TECHNIQUE IMPROPER

GARBAGE

4.67

FOOD

4.17

DISPOSAL UNSANITARY HANDLING SELF MEDICATION INADEQUATE

4 3.34

IMMUNIZATION STATUS

POOR ENVIRONMENTAL

2.67

SANITATION

INADEQUATE

LIVING

2.67

SPACE

25

HEALTH PROBLEM

FAMILY NURSING PROBLEMS

IMPROPER HYGIENE TECHNIQUE

• Inability to provide home environment coducive to health and maintenance due to improper hygiene techniques

GOAL OF CARE

• After nursing interventions, the family will be able to identify hygienic measures such as proper handwashong and its significants

OBJECTIVES OF CARE

After nursing interventions the family will: a. Include proper handwashing techniques b. Enumerate the health problems that will possibly cause spread of infection c. Identify ways on how to maintain hygiene d. Gain understanding about the importance of proper hygiene in activities of daily living

NURSING INTERVENTIONS NURSING INTERVENTIONS • Assess the degree of awareness with regards to the existing problem by interviewing the family • Discuss the importance of hygiene in their health like preventin of such diseases that can be acquired if they will not practice proper hygiene techniques

METHOD OF NURSE-FAMILY CONTACT Home visit

RESOURCES REQUIRED Home visits Discussion Demonstration Time and effort of the nurse nd family members.

• Enourage them to wash their hands before eating because if they wont mouth is an entry of microorganisms that may harm their health

26

• Discuss potential health problems that could arise like infection

27

HEALTH PROBLEM

FAMILY NURSING PROBLEMS

GOAL OF CARE

INADEQUATE IMMUNIZATI ON OF THE CHILD

• Inability to recognize the presence of health threat due to lack of knowledge about the conditon

•After nursing interventions, the family will be able determine the importance of having complete immunization

OBJECTIVES OF CARE

After nursing interventions the the family will: a.determine the importance of complete immunization b.enumerate posssible illness that can occur due to in complete vaccination c.follow-up vaccine of the children d.give the specific attention to the schedules of child immunization

NURSING INTERVENTIONS NURSING INTERVENTIONS •Assess the family’s degree of perception with concerns to the immunization of children by means of interview •Discuss with he family the significance of completing the immunization schedules for their children like it will prevent the child from fatal diseases •Encourage the family to actively visit RHU’s during scheduled immunizations for them to have an idea what immunization should their child will take

METHOD OF NURSE-FAMILY CONTACT HOME VISIT

RESOURCES REQUIRED HOME VISIT ASSESSMENT DISCUSSION

28

HEALTH PROBLEM

UNSANITARY GARBAGE DISPOSAL

FAMILY NURSING PROBLEMS • Inability to decide about taking appropriate actions due to failure to comprehend the natue and scope of the problems.

GOAL OF CARE

• After nursing interventions, the family will be able to determine the importance of practicing proper methods on waste disposal

OBJECTIVES OF CARE

After nursing interventions, the family will be able to: a.identify the different ways on proper disposal of garbage b.enumerate the proper techniques on keeping the surrroundings clean and through using proper method of waste disposal c.advantages of proper waste disposal d.recognize the possible effects of garbage burning

NURSING INTERVENTIONS NURSING INTERVENTIONS • Assess the family’s level of understanding with regard to the problem by asking some questions • Assess the surrrounding and the house of the family like identifying what is the reason of the occurence o the problem • Demonstrate methods of proper garbage disposal like correct way of burning, separating bio and non biodegradable waste • Explore with the family the advantages and disadvantages of different methods of waste disposal like: • Burning

METHOD OF NURSE-FAMILY CONTACT HOME VISIT

RESOURCES REQUIRED HOME VISITS ASSESSMENT DISCUSSION TIME AND EFFORT OF THE NURSE AND THE AMILY

29

• composting

HEALTH PROBLEM

IMPROPER FOOD HANDLING

FAMILY NURSING PROBLEMS • Inability to decide about taking appropriate actions due to failure to comprehend the identified problem as a health threat

GOAL OF CARE

• After nursing interventions, the family will be able to practice proper ways on handling food and recognize the importance of food handling

OBJECTIVES OF CARE

After nursing interventions, the family will be able to: a.recognize the risk factors that will conribute to the identified problems b.identify te different measures to prevent the arousal of the risk factors of the problem c.determine the importance of preparing and handling the food

NURSING INTERVENTIONS NURSING INTERVENTIONS • Assess the family the way they prepare food by observing them and interviewing them • Discuss woth the family the health problems that may occur if this problem will perisist like a. Food poisoning b. Ingestion of microorganism s • Teach the family to do proper handwashng and encourage them to perform it

METHOD OF NURSE-FAMILY CONTACT HOME VISIT

RESOURCES REQUIRED HOME VISITS DISCUSSION TIME AND EFFORT OF THE NURSE AND THE FAMILY MEMBERS

30

properly d.practice and apply the techniques of food handling and preparation

HEALTH PROBLEM

SELF MEDICATION

FAMILY NURSING PROBLEMS • Inability to provide adequate nursing care to the sick member of the family because of lack of knowledge in carrying the skills needed

GOAL OF CARE

• After nursing interventions, the family will be able to practice healthy lifestyle practice by not taking unprescribed drugs and know the dangers of it

OBJECTIVES OF CARE

After nursing interventions, the family will be able to: a. Know the harmful effects of self medication b. Know what drugs can do if taken unprescribed

c. Determine the importance of

before and after handling foods • Instruct them to store food in a clean place like in the table but they must see to it that they will cover it well

NURSING INTERVENTIONS NURSING INTERVENTIONS • Discuss with the family the importance of taking prescribed drugs. a. Prescribed drugs are safe to use b. It will not harm the patient c. You will be sure that the drug you are taking is safe

METHOD OF NURSE-FAMILY CONTACT HOME VISITS

RESOURCES REQUIRED HOME VISITS DISCUSSION TIME AND EFORT OF THE NURSE AND THE FAMILY MEMBERS

• Discuss the danger of taking unprescribed 31

taking prescribed drugs rather than self medicatiom

drugs a.It may harm the patient b. May sometimes cause death c.May cause toxicity • Teach the family to consult the doctor frequently well or unwell, with or without symptoms

HEALTH PROBLEM

FAMILY NURSING PROBLEMS

GOAL OF CARE

OBJECTIVES OF CARE

NURSING INTERVENTIONS

NURSING INTERVENTIONS

INADEQUAT E LIVING SPACE

• Inability to provide home environment conducive to health maintenance due to indequate

• After nursing interventions, the family will be able to know the importance of having an

After nursing interventions, the family will be able to: a.recognize the importance of having an

• Discuss the worth of having a enough space for living • Teach the family on how to make their house more spacious

METHOD OF NURSE-FAMILY CONTACT HOME VISIT

RESOURCES REQUIRED HOME VISITS DISCUSSION TIME aND EFORT OF THE NURSE AND THE FAMILY MEMBERS 32

family resources specially limited financial resources

adequate space and its benefits

adequate living space b.The benefits of having a adequate living space c. How to make their house spacious without wasting money for construction

HEALTH PROBLEM

POOR ENVIRONMEN TAL

FAMILY NURSING PROBLEMS • Inability to provide home and environment

GOAL OF CARE

• After nursing interventions, the family will

like a. Buy only thinhs that are needed to maximize the space of their house b. Buy space limiting furnitures c. Fix or arrange furnitures that would maximize the house space

OBJECTIVES OF CARE

After nursing interventions, the family will be able to:

NURSING INTERVENTIONS NURSING INTERVENTIONS • Broaden the knowledge of the family on the benefits of a

METHOD OF NURSE-FAMILY CONTACT HOME VISIT

RESOURCES REQUIRED HOME VISITS DISCUSSION 33

SANITATION

conducive to health maintenance due to failure to see of the investment in home environ improvement

be able to learn the necessary measures to make their environment conducive to health

a.know the importance of good environment and it will prevent them in acquiring diseases easily b. see the benefit of having a good environmental conditon and sanitation c.Learn to make the environment a conducive for health

sanitary environment like: • If the environment is clean the lesser the possibility of acquiring disease is. • Less vectors of diseases will be present in the house like mosquitoes, flies and rats

TIME AND EFFORT OF THE NURSE AND THE FAMILY MEMBERS

• Discuss ways on how to provide a home that is coducive to health like: a.Make a habit in cleaning the surroundings b. Always make the surroundings clean c. work hand in hand in clening the surooundings

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The surroundings of the Rapada Family

Taking the Blood Pressure of Manang Analyn

The room of Manong Ruben and Manang Annalyn

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Front of the house of the Rapada Family Mark

The Room of Ate Reynalyn, Manang Annabel and Rexel

Only 1 fan ventilates the house

The Kitchen of the Family

The Dinning Area of the family

The Bathroom of the Family

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The bottles as water containers and plates

The unsanitary Environment of the family

Inside of the family’s bathroom

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