Sample FNCP
March 25, 2017 | Author: muddVayne | Category: N/A
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VI. FAMILY NURSING PLANS PROBLEM # 1: PRESENCE OF BREEDING PLACES FOR MOSQUITOES, FLIES AND RODENTS 1ST LEVEL ASSESSMENT: Health threat 2ND LEVEL ASSESSMENT: Inability to make decisions with respect to taking appropriate health action d/t insufficient knowledge Cues
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
Analysis
Objective
The problem of is due to its:
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.
> 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
Long Term: After 3 weeks of home visits, the family will be able to show behavior and compliance on
Interventions
•Assessed condition of the house and level of knowledge •Discussed the possible sources of the presence of rodents, insects and mosquitoes.
Rationale
Method of contact
• To have baseline data to plan the appropriate interventions to be done.
• Home visits • Interview Method
Resources required
Evaluation
•
Health teachings
•
Time and effort of the student in discussing health teachings and assisting the mother in cleaning the house.
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.
•
Cooper ation of the family.
• Observation
• Knowing the causes of the problem serves as one way to manage it.
•Explained to • To increase the family all their the possible awareness harmful regarding the effects that presence of these vectors the breeding can cause to sites so as to the health of persuade the entire them in doing family. actions that would avoid
•
use of broom and dustpan
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.
them from acquiring diseases. •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.
• To provide initial action necessary for the prevention of diseases that might arise by increasing the family’s awareness through nurses’ initiative.
•Encouraged maintaining cleanliness by regular cleaning of the surrounding area of their house.
• 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 threat 2ND LEVEL ASSESSMENT: Inability to promote proper hygiene care to risk members of the family d/t lack of knowledge
Cues 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.
Analysis 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.
Objectives
Interventions
Short Term: • Established After 3 hours good working of nursing and interventions therapeutic the family will communicatio demonstrate n among the understanding members of on the health the family. teachings given • Stressed the regarding the importance of importance of maintaining maintaining proper proper personal personal hygiene. hygiene. • Encouraged Long Term: the children After 3 weeks to take a bath of Home visits everyday in the family will the morning be able to and before show going to compliance on sleep the health teachings given.
• Advised the family to
Rationale
Method of contact
• To gain familiarity and to establish a good working relationship with the family.
• Home Visits
• 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
•
Time and effort of the student nurses to render proper hygienic care and practices to the family.
•
Cooper ation of the family members especially the mother.
•
Use of water, soap, cotton buds, slippers, powder, nail cutter, clean clothes, towel basin, and toothbrush.
• Interview Method •
• In order to motivate them to improve their hygiene.
Resources Required
Obser vation
•
PHN bag
Evaluation 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 recommende d 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 Threat 2ND LEVEL ASSESSMENT: Inability to provide a home environment conducive to health maintenance Cues S: Ø O:>candy wrappers, soiled plastic bags are present and scattered inside the house >absence of garbage containers, inside and outside the house
Analysis
Objectives
Interventions
Rationale
Inability to provide a home environment conducive to health maintenanc e due to: >failure to comprehend the nature of the problem >lack of knowledge on the consequenc es of poor environment al 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.
>establish rapport
>to gain the trust and cooperation of the family
Long-term: After 3 weeks of home visits, the family will demonstrate the use and maintenance of
>discuss importance of waste segregation
>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
>explain the effects of untidy environment to a healthy living
>facilitates the importance of proper garbage disposal system
>encourage the family to utilize resources like empty rice sacks or cans as
>maximizing the community/family’ s resources while minimizing the cost of
Method of contact Home visits
Resources Required Family resources:
Observation >initiative, time and full participation of family members in applying the segregation system >garbage cans and sacks Studentnurse resources: >knowledge , skills and proper attitude in discussing the nature of the
Evaluation 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.
purchasing garbage containers
>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.
>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 Deficit 2ND LEVEL ASSESSMENT: Inability to make decisions with respect to taking appropriate health action due to lack of adequate knowledge. Cues 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.
Analysis
Objective
Inability to make decisions with respect to taking appropriate health action due to:
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.
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
Long-term: After 5 days of home visit, the family will be able to show compliance on
Interventions
• Established
therapeutic relationship with the family.
• Made a thorough assessment of a family member with cough and colds.
Rationale
• To gain familiarity and to establish a Interview good working method relationship with the family. Observation • To determine whether the current status of the condition is already progressing or not.
• Monitored and
• To have a baseline data.
• Auscultated the
• This procedure may indicate presence of mucus plug or airway obstruction.
recorded vital signs.
lungs for the presence of adventitious breath sounds such as rales and wheezes.
• Instructed and
Method of contact Home visits.
• These
Resources Required •Knowledge and skills of the student nurses. •Therapeutic Communicatio n 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
Evaluation 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.
techniques help mobilize the secretions thus keeping the airway clear.
• Instructed the
• Increased fluid intake liquefies and loosens secretions thus making it easier to expectorate so as to clear secretions from the bronchial tubes.
• Instructed the
• To boost the immune system, keep up the body resistance against harmful pathogens and for faster recuperation.
• Instructed the
• To prevent complications.
• Provided health
• To promote healthy living.
family to provide an increase fluid intake
family to provide an increase intake of Vitamin C, which is rich in citrus fruits and orange juice; also to provide adequate rest
family to keep the back dry.
teachings which
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
• To prevent cross contamination.
• Instructed the
• 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
• Advised the
• Herbal medicines, such as Lagundi and Yerba Buena are advocated
demonstrated to the family the proper way of hand washing.
sick member of the family to cover the mouth when coughing and immediately sneeze out retained secretions in the nose.
family to use herbal medicines that could alleviate the
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 Deficit 2ND LEVEL ASSESSMENT: Inability to provide adequate nursing care to the sick
Cues S> Ø O>The second child has a
Analysis Inability to provide adequate nursing care to
Objective
Interventions
Rationale
Method of contact
Resources Required
Evaluation
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.
1. Time and effort of the student nurses and the family
Short-term: The family was able to verbalize
2. Interview method.
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.
relationship with the family. 2. Made a thorough assessment of the family members with fever, cough and colds.
2. To determine the current status of the condition, if it is already progressing or not.
3. Monitored and recorded vital signs.
3. To have a baseline data.
4. Instructed and demonstrated to the family the proper way of doing tepidsponge bath.
4. Tepid-sponge bath is one intervention that promotes heat loss through the process of convection.
5. Instructed the family to take ample rest periods and sleep.
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. Instruct the
6. To promote
members. 3. Observation
understanding on the health 2. Participation teachings and given cooperation of regarding the the family management members with of fever and the student ARI and nurse. effectively demonstrate 3. Pencil and such actions paper (for afterwards. illustration purposes). Long-term: The family was 4. Therapeutic able to show Communicatio compliance on n Skills. the management 5. PHN bag. given regarding the prevention of ARI and the absence of fever on the members of the family.
family to increase fluid intake.
adequate hydration and loosen out secretions.
7. Instruct and demonstrate to the family the proper way of doing chest tappings, back rubs and steam inhalation.
7. Steam inhalation aids in loosening retained secretions in the tracheobronchia l tree. Chest tappings and back rubs help in mobilizing secretions.
8. Instruct the family to have an increase intake of Vitamin C, which is rich in citrus fruits and orange juice.
8. To increase resistance.
9.Instruct the family to keep the back dry.
9. To prevent complications.
10. Provide health teachings on the importance of
10. To promote healthy living.
having proper personal hygiene. 11. Instruct and demonstrate to the family the proper way of hand washing.
11. To prevent cross contamination.
12. Instruct the sick members of the family to cover the mouth when coughing and immediately sneeze out retained secretions in the nose.
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. Instruct the family about the herbal medicines that could alleviate the illness.
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 Deficit 2ND LEVEL ASSESSMENT: Inability to recognize the presence of problem due to lack of knowledge Cues S>∅ O> Children’s FNRI are said to be Below Normal > Children were thin > Lack of
Analysis
Objective
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
Interventions
Rationale
• Provided information about nutrition through health teachings
• Help the family realize the importance of proper nutrition
• Discussed with the family the factors that contributed
• For family to be aware of the factors that affects and
Method of contact • Home visits. • Interview method. • Observation
Resources Required • Time and effort of the student nurses and the family members. •
Participa tion and cooperation of the family members with the student
Evaluation 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
failure to comprehend the nature, magnitude and scope of the problem.
> Irregular eating pattern (skipping meals)
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.
may affect their health. •
• Stressed the importance of good nutrition and how to achieve it.
• To give information about malnutrition.
• Taught the mother to prepare nutritious food for family that are within their capability to produce.
• To provide well balance diet and to increase body resistance
• Discussed to the family the importance of proper food selection to the family • Advised them to avoid eating junk foods • Instructed the
nurse.
• to encourage the family to implement proper food selection
• to prevent lessening appetite
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 Deficit 2ND LEVEL ASSESSMENT: Inability to recognize the presence of the problem Cues
Analysis
Objective
Interventions
S: “nagtatae si cutfive at ang nanay ko” as verbalized by the cutma
Inability to recognize the presence of the problem due to:
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
>to determine Home visits the status of the condition if it is already progressing or not.
>vital signs taken and recorded
>to get baseline data
>instructed the family to avoid solid food intake
> to reduce intestinal workload
>instructed to limit
>to prevent
O: Cutfive: o Defecated three times o Watery stool o Yellowish in color
>inadequate knowledge about the consequenc es of the problem >inadequate financial
Rationale
Method of contact
Resources Required 1.time and effort of the student nurses and the family members. 2.participation and cooperation of the family members with the student nurses
Evaluation 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 times o Watery stool o Greenish in color o Moderate in quantity o Weak ness o 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
promotion of diarrhea
>instructed to increase fluid intake
>to prevent dehydration
>taught them how to make oral rehydration solution: 1 tbsp salt, 8 tbsp sugar, 1l of H2O
> to overcome dehydration
>instructed the mother to handle foods properly
>to prevent diarrhea
>stressed proper handwashing
>to prevent crosscontamination
3.therapeutic communicatio n 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 threat 2ND LEVEL ASSESSMENT: Inability to take appropriate health action d/t lack of adequate knowledge Cues 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 > children were seen eating without even washing their hands
Analysis
Objective
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 developmen t 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
Interventions 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 medications that would disinfestate the children.
Rationale 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 .
Method of contact 1. Home visits. 2. Interview method. 3. Observation
Resources Required 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 Communicati on Skills.
4. In order to have the therapeutic regimen that
5. PHN bag.
Evaluation 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 Threat 2ND LEVEL ASSESSMENT: Inability to take appropriate health action due to failure to comprehend the scope of problem Cues 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
Analysis
Objective
Inability to make decisions with respect to taking appropriate action due to:
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.
>failure to comprehend the nature, scope/magnitud e of the problem >limited financial resources
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
Interventions
Rationale
Method of contact
Resources Required
• Discussed to
• To increase awareness among the members of the family.
• Home visits
• Time and effort of the nurse and the family members.
the family the presence of the accident hazards inside their home.
• Discussed
and elaborate to the family all the possible consequence s that may come about from having these accident hazards in their home environment.
• Taught the
family to become resourceful
• Members realize the bad outcome of these accident hazards thus prevent possible occurrences.
• This prevents the unnecessary use of their
• Interview Method • Observa tion
• Participation and cooperation of the family members with the nurse. • Equipments to be used are electric tape, excess plywood, nails, hammer
Expected Outcome 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 solution to solve
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.
limited finances and also enhances their capability in handling possible hazards and corrects them.
• Helped the
• To reduce the risk for cuts and lacerations.
• Helped the
• To reduce the risk for cuts and lacerations.
family in placing properly the sharp and dangerous objects/materi als at a level where children cannot reach.
family to bend the sharp edges of the
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 Threat 2ND LEVEL ASSESSMENT: Inability to recognize the presence of problem due to inadequate knowledge Cues S> ∅ O:> the family has no refrigerator >they have no cabinet for food storage
Analysis
Objective
Inability to recognize the presence of the problem due to:
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.
>inadequate knowledge about the consequences of the problem
>inadequate financial >leftover resources to foods left on the table avail food storage facilities without cover
Long-term: After five days of home visits, the family will be able to show compliance with the health teachings
Interventions
• Established
therapeutic communication with the family
• Discussed to
Rationale • To gain the trust and cooperation of the family
• To develop
the family the possibilities of contaminating the food if not properly stored.
awareness to the family about the problem and intervene about it.
• Explained the
• To increase their awareness that this could bring about complication s to their health
possible consequences and complication that they may acquire from contaminated food due to improper storage. • Encourag ed covering food properly
• To prevent easy spoilage and
Method of contact • Home visits • Interview Method •
Obser vation
Resources Required • Time and effort with the cooperation and participation of the family and student nurse. • Plates and plastic food covers
Evaluation Short-term: The family was able to demonstrate understandin g 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.
contaminatio n of foods.
storage.
PROBLEM # 7: FAMILY SIZE BEYOND WHAT FAMILY RESOURCES CAN ADEQUATELY PROVIDE 1ST LEVEL ASSESSMENT: Health threat 2ND LEVEL ASSESSMENT: Inability to recognize the magnitude of the problem d/t inadequate knowledge Cues 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.
Analysis
Objective
Interventions
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.
• Discussed the effects of improper budgeting of financial resources.
Long Term: After 3 weeks of Home visits the family members will employ the means of improving their resources they have identified.
Rationale • To increase their awareness on the possible effects of having inadequate resources
• Advised family members to practice • In order to proper ensure proper utilization of allocation of finances by their scarce avoiding resources in purchasing meeting the of needs of the unnecessar family y things. members. • Assisted the family members especially the mother in prioritizing the needs
• In order to avoid mismanageme nt of their already
Method of contact • Home visits • Interview Method • Observ ation
Resources Required
Evaluation
• Time and cooperation of the family members.
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.
• Necessary teachings given to the family.
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 Threat 2ND LEVL ASSESSMENT: Inability to provide a home environment conducive to health maintenance due to inadequate resources Cues S> ∅ O>Presence of one window for the whole house. > Flow of air is inadequate because of only one window.
Analysis
Objectives
Interventions
Inability to provide a home environment conducive to health maintenance and personal development due to:
Short Term: After 2-3 hours of nursing intervention, the family will be able to identify possible result or consequences of the existing problem.
• Discussed to the family the importance of good ventilation
•Reinforcement • Home Visits of knowledge increases • Interview awareness of Method the existing problem • Observation
• Removed the things the blocks the passage of air coming from the window.
•To provide adequate amount of air that will flow inside the house.
• Instructed the family to open the windows as frequently as possible
•To prevent any suffocation or exhaustion due to inadequate supply of oxygen
• Instructed the family
•To allow adequate
>inadequate family resources especially financial constraints/ limited resources.
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
Rationale
Method of Contact
Resources required
Evaluation
• Knowledge of the student nurses
Short Term: The family was able to identify possible result or consequences of the existing problem.
• Cooperation of the family members.
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
ventilation inside the house.
• Encouraged the family whenever possible to have an additional window
•To improve the ventilation inside the house.
• Advised family members to wear loose clothing as this provides comfort
•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 Threat 2ND LEVEL ASSESSMENT: Inability to provide lighting due to lack of financial resources and magnitude of problem. Cues 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.
Analysis
Objective
Interventions
Rationale
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.
• Opened the door.
• To facilitate the passage of light.
• Encouraged the family to remove all things which block the window and throw the things which are not needed.
• To facilitate the passage of light.
• Explained to the family the effect of poor lighting especially to their vision.
• To increase their awareness on the consequenc es of poor lighting
• Explained the significance
• To let them understand the relation
Long Term: After five days of nursing interventions the family members will be able to maintain good lighting condition.
Method of contact •
Hom e Visits
• Interview Method •
Obse rvation
Resources Required • Knowledge and time of the student nurses. • Cooperation of the family members.
Evaluation 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 ANALYSIS CUES
OF THE
S - “ubo at
PROBLEM Inability of
SHORT
sipon lang
the family to
ang hindi
METHOD
RESOURCES
EXPECTED
REQUIRED
OUTCOMES
>The student
SHORT TERM:
nurses time
After 2 hours of
>Giving
knowledge
home visits the
and know
health
and skills.
family shall have
where to start
teachings
RATIONALE
OF FAMILY
>assess the
>to acquire
CONTACT >Home visits
TERM:
family’s
necessary
provide
-After 2 hours
knowledge
information
naaalis sa
nursing care
of home visits,
regarding their
bahay na
to its
Close-Up will
present condition
ito” as
members
verbalize
verbalized
due to
understanding
>explain to the
>to develop
the mother
insufficient
on the health
family the effect
awareness
knowledge
teaching about
of this problem to
and initiates
about nature
measures on
their health
action in
O - Aqua
OBJECTIVES
NURSING INTERVENTION
>Observation >Interview
verbalized >Family's
understanding on
cooperation.
the health
Material
teachings and
Resources:
shall have
List of cheap
demonstrated
Fresh,
and
how to alleviate
controlling this
accessible
effective
Unique and
management
as well to
problem.
fruits rich in
expectoration or
Kutitap have
of the health
prevent this
Vitamin
clearing of
coughs and
condition or
problem and
>discuss with the
>to actively
colds during
attitude
will be able to
family members
understand
>Community
the home
towards the
demonstrate
the nature and
the
resources:
visits. Aqua
health of its
effective
signs and
transmission
Health Center
Fresh is
member.
expectoration
symptoms of the
of infection
always
or clearing
problem
and on how to
experiencing
secretions.
secretions.
prevent its
colds which
occurrence
is clear in
LONG TERM:
consistency,
After 2-5 days
>encourage to
>to loosen
After 2-5 days of
while
of home visit
increase fluid
excessive
home visits the
Unique and
the family will
intake
secretions
family was able
Kutitap have
show
been
compliance to
>instruct the
>hand
compliance to
experiencing
the health
family regarding
washing is an
the health
their colds
teaching given
proper hand
effective way
teachings given
washing
in preventing
for 3 days
LONG TERM:
to show
which is also
transmission
clear in
of
consistency.
microorganism
>instruct the
>foods rich in
family to provide
vitamin C
the fruit juices
prevent further
available in the
infection
community, like calamansi juice >instruct the
>this is to
parents to visit
detect serious
the health center
conditions
if symptoms of
which need
cold persist
immediate medical attention
>provide
>to conserve
adequate rest
energy that is
and sleep to the
needed to
children
increase body’s resistance
>advise the
>to maintain
family to maintain
and promote
personal hygiene
good health and prevent bacteria that causes diseases
> instruct the
>to avoid
family to keep
aggravation of
away from
the disease
allergens like dust >instruct the
>to prevent
family to cover
contamination
the mouth and
among the
nose when
family
coughing with
members
clean cloth
since there is inadequacy in the living space
>advice the
>to provide
mother to keep
optimal lung
the children in
expansion for
Semi-fowlers
easy
position and
expectoration
demonstrate
and keep and
effective deep
maintain an
breathing
open airway to
exercise when
breath
coughing
normally
>encourage the
> to prevent
mother to change
any
clothes when wet
complication
and keep back
and to
dry
promote comfort
>if signs and
>to lessen the
symptoms
chances of
persist,
worsening or
encourage the
aggravating
mother to seek
the situation
physician’s help Problem No. 2.33: Health Threat – Presence of Insects CUES
ANALYSIS OF THE
OBJECTIVES
NURSING INTERVENTIONS
RATIONALE
METHOD OF
RESOURC
EXPECTED
FAMILY
ES
OUTCOME
S - “Malamok
PROBLEM >Inability to
SHORT TERM:
>Assess the
>To have a
nga dito eh,
make
After 2 hours of
salience of the
baseline data
ipis meron
decisions
family-nurse
family toward the
of the health
din.
with respect
interaction, the
problem in poor
teachings to be
Kompleto
to taking
family will
environmental
provided
pati alupihan”
appropriate
verbalize and
sanitation
As verbalized
health
be able to
by mother.
action due
identify the
>Listen the family
>To know
to
diseases that
mention the
which
O - Presence
inadequate
these vectors
measures they
measures will
>Cooperati
diseases that
of
knowledge/
might cause if
are doing in
be supported
on of the
they possibly
mosquitoes
insight as to
not given
controlling rodents
and
family
acquire if
and roaches.
alternative
attention.
and mosquitoes
encouraged
courses of
CONTACT >Home visits
REQUIRED >Health
SHORT
teachings
TERM:
>Observation Interview
After 2 hours >Time and
of family-
knowledge
nurse
and skills of
interaction,
the student
the family
nurses
should have identified the
they don’t get rid of these
>Presence of
action
>Provide health
>To inspire the
junks below
opens to
teachings on the
family to clean
the house
them.
LONG TERM:
importance of
environment
LONG
After 3 days of
clean environment
often
TERM:
structure.
vectors.
> Inability to
home visit, the
After 3 days
> Opened
provide a
family will be
>Discuss with the
>To provide
of home visit,
plastic
home
able to do
family the
them
the family
garbage
environment
some
diseases that
knowledge
was able to
container.
, which is
measures to
these vectors
about the
do some
conducive
get rid the
might cause
possible
measures to
to health
breeding place
disease these
get rid the
maintenanc
of insects.
pests may
breeding
bring
place of
e and personal
insects.
developmen
>Encourage the
>To get rid of
t due to
family to clean
the breeding
inadequate
every corner of
places where
family
their house
roaches and
resources
including the
mosquitoes
specifically
outside of their
love to stay
financial
house
constraints and limited
>Instruct them to
>To get rid of
physical
remove any
the breeding
resources.
stagnant water
site of mosquitoes
>Instructed the
>To keep the
family to remove
surroundings
the junks
free from
surrounding their
propagation
house
site of insects.
>Instruct the family
>To remove a
to remove the
surrounding
hanging clothes
where
inside the house
mosquitoes love to stay
>Encourage the
>To protect
family to sleep with
them from
a mosquito net
contact or bite of insects
>Encourage the
>To kill and
family to make use
control the
of cheap
pests
pesticides like chalk pesticides >Encourage the
>To prevent
family to clean the
the breeding of
house and the
insects
surroundings frequently Problem No. 2.33: Family Size Beyond What Family Resources Can Adequately Provide CUES
ANALYSIS OF THE PROBLEM
OBJECTIVES
NURSING INTERVENTION
RATIONALE
METHOD OF
RESOURCES
EXPECTED
FAMILY CONTACT
REQUIRED
OUTCOMES
S - “wala man
Inability to
SHORT TERM:
>assess the mother’s
>to know other
kaming naiipon”
provide a home
After 3 hours of
knowledge regarding
underlying cause of
verbalized the
environment
nursing intervention,
budgeting
the said problem
mother
conducive to
the family shall
health
recognize the
>interview mother about
O - the family is
maintenance and
existence of the
the current family
>to have a basis of
composed of
personal
problem and its
budget
the other nursing
eight members.
development due
effects.
the breadwinner
to inadequate
is the father who
family resources,
>explain the importance
>to let the family
-family
earns an average
specifically
of proper budgeting
receive good
-community
of P400 a day for
limited physical
LONG TERM:
benefits from the
After four home
a total P12000 a
resources
After four home visits,
least of the income
visits, the family
interventions
>Home visit
>Utilized family’s
SHORT TERM:
available
After 3 hours of
>Health teachings
resources and
nursing
with demonstration
sample budget
intervention, the
meals.
family shall have
>Interview >Observation
recognized the >Resources from
existence of the
the:
problem and its
-nurse
effects. LONG TERM:
month. according
the family will practice
shall have
to National
proper budget
>encourage mother to
>to prevent
practiced proper
Economic
allowance to meet the
continue utilizing family
increasing the
budget allowance
Development
needs of each
planning
severity of the
to meet the needs
Authority, a family
member.
problem
of each member.
must have a
>show sample budgets
budget of
appropriate for the
>to show the
P2,768.60 per
monthly income of the
mother other
member in a
family
alternatives
month. >give examples of
cheap meals with high nutritional content
>to give the mother an idea about nutritious but cheap
>advise the family to
meals
use their money wisely and buy things that are
>to have money in
needed
case of emergency
>provide the family with information regarding different methods in
>to inform the
earning extra money
family of the
such as recycled
different options in
papers and bottles
order to have extra income
>help the family plant backyard vegetables such as malunggay, eggplants, etc. >to minimize the expenses spent on >encouraged the family
foods at the same
to prioritized their needs
time, these are also
from wants
nutritious
>instruct the family to
>this will facilitate
have a list when buying
them to spend their
foods
money wisely >to avoid buying unnecessary stuffs
Problem No. 2.33: Poor Housing Condition – Inadequate Living Space ANALYSIS CUES
OF THE
S–O
PROBLEM > Inability to
SHORT TERM:
make O – the
METHODS OF
RESOURCES
EXPECTED
REQUIRED
OUTCOME
>Availability of
SHORT
with Health
both student
TERM:
Teachings
nurse and the
After one
family
home visits
members
the family
RATIONALE
FAMILY
>assess the
>to know what
CONTACT > Home visits
After one home
family’s
are the
decision
visit the family
awareness
appropriate
house
related to
shall recognize
regarding the
interventions to
measurement
taking
the problem
situation
be made
is as follows:
appropriate
and the risk of
-length: 93
action to
having
>explain to the
>to let the
inches
lessen the
inadequate
family the risks
family
-width: 115
effects of the
living space to
of acquiring
understand and
inches
problem.
their health.
diseases due to
identify
inadequate
possible
living space
illnesses/
there are no available
> Inability to
OBJECTIVES
NURSING INTERVENTION
> Home Management > Interview
shall have >Cooperation
recognize the
of the family
problem and the risk of
>Observsation
> Health
having
Teachings
inadequate living space to
furniture since provide home
diseases that
their health.
there is no
environment
can be acquire
place to
conducive to
LONG TERM:
by an
LONG TERM:
accommodate
health
After four home
overcrowded
After four
them
enhancement
visits the family
house.
home visits
related to
shall be able to
inadequate
practice house
> suggest
> to increase
able to
living space
management
furniture
the living space
practice
that would help
arrangement
in the house
house
them increase
that may
management
the living space
increase the
that would
capacity
living space
help them
capacity and
increase the
remove
living space
unnecessary
capacity
the family was
objects. >advise the
>to promote
father to do
manpower and
some fixing in
improve
removing stuffs
ventilation as
that covers the
well
door
>provide the
>to promote
family with the
decision-
alternative
making and self
solutions they
reliance
can use in response to the problem >encourage the
>to allow air to
mother to
pass through,
maintain the
thus improving
cleanliness and
ventilation
always open the window and door during day time >advise the
>to prevent the
family to do all
risk for injury
important activities at daytime >help the family
>to show
in arranging the
sincerity in
items inside the
improving the
house
health of the family
>encourage
> to minimize
frequent
cross
cleaning of the
contamination
house and
and spread of
proper
microorganisms
arrangement of the equipment inside >discuss the
>to realize the
possible
end result of
untoward
having
consequences
inadequate
that may result
living space to
from having
prevent spread
inadequate
of disease and
living space
accidents to the
such as cross-
family
contamination of
a disease from one family member to another >explain to the
>to provide
mother the
awareness of
significance of
having
an adequate
adequate living
living space
space
Problem No. 3: Home Condition – Inadequate Water Supply and Facility ANALYSIS OBJECTIVES
NURSING
RESOURCES
FAMILY
OF
EXPECTED
CUES
OF THE
S – “Yung
PROBLEM Inability of
SHORT
> Assess the
>To gather the
lumalabas na
the family
TERM:
family’s
necessary
tubig sa gripo pag
to solve
After 2 – 3
understanding
information & to
>Observations participation
minsan
the existing
hours of
regarding the
know where to
of the family
of nursing
nangangalawang.”
problem.
home visit the
situation
start
->Health
and student
interventions,
This is
family will
Teachings
nurse.
O – There is no
because
recognize the
faucet inside the
the family’s
importance of
> Encourage the
> To kill the
>Health
bathroom. The
income is
water storage
family to boil their
water borne
Teachings.
pipes are old and
not
and the
drinking water
molecules and
INTERVENTIONS
RATIONALE
METHOD OF
intervening
CONTACT >Home visits
REQUIRED >Time effort with
OUTCOME SHORT TERM: After 2 hours
the family shall have verbalized understanding the
rusty. The only
adequate
proper way of
microorganisms
importance of
source of water
to install
acquiring safe
present is found
their own
and steady
>Explain to the
>To develop
and practice
behind the house
water
water supply
family the effect
awareness and
proper way of
which is shared by
supply,
at home.
of this problem in
initiate action in
acquiring safe
3 families.
they have
their health
controlling this
and steady
problem
water supply
water storage
to walk to fetch or go
at home.
outside
>Explain to the
>To let the
their house
LONG TERM:
family the
family know the
LONG TERM:
to get
After 2-5 days
possible water
risk they are
After 2 -5
water.
of home visit,
borne diseases
into if the
days of home
the family will
that they can
problem is not
visits, the
show
acquire from the
given proper
family shall
compliance to
problem
attention
have
the health
complied with
teachings
>Suggest
>To decrease
the health
given.
technique that
the risk of
teachings
may help prevent
contracting
given.
the occurrence of
diseases
borne illness like
caused by dirty
boiling of water
and unsafe
before drinking
drinking water
and use of filters
>Encourage the
>To have an
family to store
adequate
their water in a
supply of clean
clean container
water
with cover >Encourage the
>To lessen the
family to secure
time of going to
more containers
their house to
and fill it with
fetch water
water >Suggest to make
>To have free
their pitcher pump
and available water supply
Problem No. 4.33: Condition – Lack of Food Storage Facilities CUES
ANALYSIS OF THE PROBLEM
OBJECTIVES
NURSING INTERVENTION
METHOD OF RATIONALE
FAMILY CONTACT >Home visit
S - ”Yung
Inability to make decisions
SHORT TERM:
>Discuss the
>To be aware of
mga
with respect to taking
After 2 hours of
significance of having
its effect on the
natitirang
appropriate health action
nursing
a food storage facility
daily living of the
>Health teachings
ulam
due to failure to comprehend
interventions the
family
with demonstration
RESOURCES
EXPECTED
REQUIRED
OUTCOMES
>Participation
SHORT TERM:
and cooperation
After 2 hours of
of the family
home visit the family shall have
linalagay
the nature/magnitude of the
family will verbalize
>Discuss correct
naming sa
problem/condition and low
understanding of
placement of food
>To prevent cross-
party box”
salience of the
the appropriate
within the storage
contamination of
as
problem/condition.
storage facilities
facility
food
verbalized
Inability to provide a home
and its significance
by the
environment conducive to
and the proper way
>Encourage frequent
>To prevent
mother
health maintenance and
of preparing and
cleaning of the
cockroach egg or
preparing and
personal development due
handling food.
storage facility
other vectors to
handling food.
O
to inadequate family
- Presence
resources limited financial
LONG TERM:
of detergent
resources.
After 2-6 home
>Interview
>Knowledge and
verbalized
skills of the
understanding of the
student nurses
appropriate storage
>Observation
facilities and its >Health
significance and the
teachings
proper way of
nest within the storage facility
LONG TERM: After 2-5 days of
powder and
visits the family will
>Assist in cleaning the
>To show sincerity
home visits the
bans on the
be able to
storage facility
of the nurses in
family shall have
food storage
demonstrate
alleviating this
demonstrated
facility.
compliance to the
problem
compliance to the
Some
health teachings
leftovers are
given by correct
>Site examples of
>Offer affordable
given by correct
not properly
arrangement of
good storage facility
alternatives
arrangement of food
covered.
food on the storage
health teachings
on the storage
facility and the
>Suggest alternatives
>To let the family
facility and the
proper way of
that the family can
decide which
proper way of
preparing and
utilize
alternative to use
preparing and
handling food.
handling food. >To let the family
>Identify options for
take the initial step
financial assistance
in avoiding all the risk >To create or
>Assist family to
maintain a safe,
develop a plan for
growth-promoting
maintaining a clean,
environment
healthful environment Problem No. 4.33: Poor Home Condition – Poor Lighting METHOD
ANALYSIS CUES
OF THE
OBJECTIVES
PROBLEM
NURSING INTERVENTIONS
RATIONALE
OF FAMILY
RESOURCES OF REQUIRED
EXPECTED OUTCOME
S–O
Knowledge
SHORT TERM:
>Assess the living
>To have a
CONTACT Home
O - >upon
deficit r/t lack
After 2-3 days
condition of the
baseline
visits
entering, a person
of knowledge
of home visits,
family
data
can’t read
on the
the family will
properly
importance of
be able to
>Discuss how
>For the
visits, the
proper
verbalize
inadequate
family to
family shall
>windows are
lighting to
importance of
lighting may affect
gain
have
obstructed which
prevent poor
proper lighting.
their health
knowledge
verbalized the
means there is
living
especially their
so as to
importance of
blocking in the
standards
eyesight as well
prevent eye
proper
Participation
SHORT
and
TERM:
cooperation of
After 2-3 days
the family
of home
passage of light
and eye
as to their living
straining that
even at daytime
straining.
standards.
leads to poor
lighting.
living
LONG TERM
standards.
After 5 days
>uses
LONG TERM:
incandescent bulb
After 5 days of
less than 50 watts
home visits, the
>suggest to make
> to facilitate
visits, the
or 20-40 watts
family will be
two more
the coming
family shall
fluorescent bulb
able to show
windows one on
of light from
have shown
compliance
the 1st floor and
the sun
compliance
with regards to
2nd floor
of home
with regards
having
to having
adequate
>suggest to buy a
> to properly
adequate
lighting in the
light bulb
see all the
lighting in the
materials
house.
house.
inside the house >suggest to make
>to facilitate
a small
the entry of
transparent roof
light
>instruct the
>to have an
family to use the
adequate
space in front to
space to
make hanging
lighten up
wire
the whole house
>suggest to the
> to have a
father to make a
adequate
closet to make
light of the
room for their
house
clothes which are hanged on the walls >Stress the
>To help
importance of
them realize
lighting in
the need for
performing some
lighting
activities.
source especially at night.
>Advise the
>To prevent
family to do all
the risk for
important
injury or
activities at day
accidents
time.
during night.
>Encourage
>To allow
family to remove
entrance of
things that block
enough light
the entrance of
to the house.
light. >Encourage the
>To allow air
mother to
to pass
maintain the
through thus
cleanliness and
it helps in
always open the
ventilation.
window and the door at daytime. >Encourage the
>To improve
family to add a
adequacy of
window or a light
lighting.
bulb if their resources would allow. > Provide the
>To promote
family with the
decision-
alternative
making and
solutions they can
self-reliance.
use in response to the problem >Advise the father
>To promote
to do some fixing
man-power
and removing
and improve
stuffs that cover
ventilation
the door. Problem No. 4.33: Poor House Condition – Lack of Toilet Facility ANALYSIS CUES
OF THE
OBJECTIVES
S - “ilang
PROBLEM This
SHORT TERM:
pamilya
condition
kaming
NURSING
METHOD OF RATIONALE
FAMILY
>explain to the
>to develop
CONTACT >Home visits
After 2-3 hours
family the effect
awareness and
affects the
of home visit
of this problem
initiate action in
gumagamit
family
the family will
to their health.
controlling this
diyan,
because
be able to
minsan
they are
verbalize
kailangan
susceptible
understanding
> discuss to
>to provide
naming
to infectious
of the
family the
proper knowledge
maghintay”
diseases
importance of
importance of
among the
INTERVENTION
problem.
>Observations
RESOURCES
EXPECTED
REQUIRED
OUTCOME
>Cooperation
SHORT TERM:
of the family
After 2 hours of
members.
nursing interventions
>Health
>Time and
the family shall
teachings
effort of the
verbalized
student nurse.
understanding
>Interview
of the >Health
importance of
verbalized
because of
having a toilet
having their own
members of the
the mother
lack toilet
facility and
toilet facility.
family.
facilities.
recognize the
teachings.
having a toilet facility and recognized the
O – the
diseases that
>discuss to the
>to prevent the
diseases that
family is
may be brought
family the
occurrence of
may be brought
sharing
by the
possible
certain disease
by the
their toilet
presence of
diseases they
presence of this
with other
this problem
can acquire like
problem and
families
and health
UTI, diarrhea,
health
nearby
teachings given
etc.
teachings given.
>encourage
>to prevent
LONG TERM:
them to practice
cross-
LONG TERM;
After 2-5 days
proper hand
contamination
After 2-5 days
of home visit
washing
within the
of home visits
the family will
members of the
the family shall
be able to
family.
have
demonstrate
demonstrate
compliance to
>involve in
>to increase
compliance to
health
appropriate
awareness of
health
teachings
community
spread/prevention
teachings
given.
education
of communicable
given.
programs
diseases.
>identify
>to
resources
reduce/correct
available to the
existing risk
family
factors
>note age and
> to evaluate
sex (children,
degrees/source of
young adult,
risks inherent in
elderly persons,
the family
and men are at
situation
greater risk) >evaluate
>may determine
family’s
ability to access
response to
health for
violence in the
identified problem
surroundings >note
>indicator for
socioeconomic
need for
status/availability
information,
and use of
assistance with
resources
making positive changes,
promoting safety and a sense of security >ascertain
>helps client to
knowledge of
identify what is
needs/cross-
really based
contamination prevention and motivation to prevent diarrheal diseases >encourage the
>to prevent
users to clean
cross-
and disinfect the
contamination
toilet after using Problem No. 5: Lifestyle and Personal Habits/Practices: Walking Barefooted or Inadequate Footwear ANALYSIS CUES
OF THE
OBJECTIVES
S - “marami
PROBLEM inability to
SHORT TERM:
naman
recognize
kaming mga
the
NURSING
METHOD RATIONALE
OF FAMILY
>assess family’s
>to know
CONTACT >home visits
After 2 hours of
understanding
where to start
home visits, the
with regards to
and to know
INTERVENTIONS
>interview
RESOURCES
EXPECTED
OF REQUIRED
OUTCOME
knowledge,
SHORT TERM:
time and effort
After 2 hours of
of the student
home visits, the
tsinelas, di
presence of
family will be
importance of
the appropriate
lang sila
condition
able to
wearing feet
health
nasanay sa
due to:
verbalize
protections
pagsusuot
a) failure to
understanding
kaya inaalis
comprehend
regarding the
nila.”
the
importance of
>assess the
>to know other
wearing
verbalized
magnitude
wearing
availability of
underlying
slippers.
the mother
of the
slippers.
resources
reasons as to
(slippers)
why they are
problem O - the
b) low
children
salience of
seen walking
the problem
nurses with the
family shall
cooperation of
have verbalized
teachings to
the family
understanding
be provided
members.
regarding the
>observation
importance of
LONG TERM:
not wearing
LONG TERM:
feet After 2 days of
protections
After 2 days of
barefooted
home visit, the
home visit, the
(Unique,
family will be
>assess
>to know if the
family shall
Aqua Fresh)
able to
availability of
family could
have
demonstrate
monetary
buy new ones
demonstrated
compliance on
resources
compliance on
the health
the health
teachings
>instruct the
>to have them
teachings
provided by the
mother to teach
practice this
provided by the
student nurses.
the children wear
safety
student nurses.
slippers for them
precaution as
to get used to it
early as possible
>instruct the
>to have them
mother to attach
get used to
rubber bands for
wearing
the children not
slippers
be able to remove the slippers >encourage the
>to know if
mother to check
they are much
on the children if
more safer
they are wearing slippers while playing outdoors >instruct the
>to lessen the
mother to teach
possibility of
the children to
acquiring
wash their feet
diseases
after playing outside >instruct the
>to lessen the
mother to trim
chances of
and clean nails
acquiring
often
diseases
>instruct the
>a good
mother to teach
hygiene is
the children to
tantamount to
wash their feet
a good health
before going to bed >instruct the
>to lessen the
mother to clean
possibility of
the environment
acquiring disease conditions
>instruct the
>regular check
mother to
ups lessens
frequently bring
the odds of
her children to the
acquiring
health center for
disease and
check ups
can help in early diagnosis of an
occurrence of a disease >educate the
>to understand
mother of the
the importance
possible diseases
of wearing feet
that could be
protection
required like Leptospirosis, Tetanus, athlete’s foot, etc.
Problem No. 6: Presence of Health Threats – Accident Hazards, Fire, Falls, Pointed Objects CUES S-O
ANALYSIS OF THE PROBLEM
OBJECTIVES
NURSING INTERVENTION
METHOD OF RATIONALE
FAMILY CONTACT >Home visit
RESOURCES
EXPECTED
REQUIRED
OUTCOMES
>Utilized the
SHORT TERM:
available
After an hour of
Inability to recognize
SHORT TERM:
>Provide health
>To let the family
the presence of the
After an hour of
teachings about the
avoid injuries that
O - the family’s
problem due to low
nursing
accident hazards
can be caused by
>Health teachings
resources of the
nursing intervention,
house is
salience of the
interventions, the
the problem
with demonstration
family.
the family shall have
composed of three
problem.
family will
recognized the
floors and there’s
Inability to provide a
recognize the
>To let the family
the presence of
home environment
problem and its
>Suggest alternatives
decide which
children
conducive to health
possible effects to
that the family can
alternative to use
- the stairs are
maintenance and
them.
utilize
made up of wood
personal development
and it is very
due to inadequate
LONG TERM:
narrow
family resources,
After four home
specifically limited physical resources
>Interview >Observation
>Resources of
problem and its
the:
possible effects on
-nurse
them.
-community >to promote a
LONG TERM:
better and much
After four home
>coordinate with the
more satisfying,
visits, the family
visits, the family will
Barangay and Local
risk-free
shall have avoided
avoid the possible
Government Unit for
environment
the possible
consequences of
records of plans to
consequences of the
the problem.
improve and eliminate
problem.
presence of accident hazards >To help the family >Demonstrate first aid
learn the first aid
in cases of fire or burn
techniques in
accidents
cases of emergency. >To let the family
>Explain the
take the initial step
importance of knowing
in avoiding all the
the accident hazards
risk
present in the
surroundings >indicator of need >ascertain knowledge
for information,
of injury prevention
assistance with
and motivation to
making positive
prevent further injury
changes, promoting safety, and sense of security >to emphasize to the mother the
>determine children’s
need of further
chronological and
guidance
developmental age >discuss importance
>recognizing these
of self-monitoring of
factors and dealing
conditions or emotions
with them
that can contribute to
appropriately can
occurrence of injury,
reduce family’s
example: ignoring
risks
basic needs, fatigue, irritability
>note socio-economic status/availability and use of resources
>may determine ability to access health for identified
>assist in providing
problems
first aid in anticipation of injury
>to avoid panicking in cases of actual accidents
>demonstrate proper way of discharging
>to prevent fire
flammable materials to
accidents
prevent accidents >keep matchboxes, disinfectants (soap) out of reach of the children >to prevent unwanted accidents
Problem No. 7.33: Poor Home Condition – Poor Ventilation ANALYSIS CUES
OF THE
OBJECTIVES
S–O
PROBLEM Inability to
SHORT TERM:
recognize O – there
NURSING
METHODS OF
RESOURCES
EXPECTED
REQUIRED
OUTCOME
>Availability of
SHORT
both student
TERM:
nurse and the
After an hour
family
of home visit,
members.
the family
well ventilated
> Health
shall have
home
teachings
recognized
RATIONALE
FAMILY
>assess the
>to know other
CONTACT >Home Visits
After an hour of
family’s
underlying
the problem
home visit, the
knowledge
cause of such
is one
due lack of
family shall
regarding the
condition
window for
knowledge
recognize the
importance of a
the whole
as
problem and
house
evidenced
other
which is 34
by small
complications of
inches in
window,
having
>have the family
>to determine
and other
height and
dark field
inadequate
say their
family’s
complications
23 inches
area and
ventilation.
perception
awareness of
of having
in width
insufficient
about the
the problem
inadequate
fresh air
problem
and present
ventilation.
INTERVENTION
>Interview >Observation
the problem
circulating
effects that the
inside the
LONG TERM:
problem posts
LONG TERM:
house.
After four home
against them
After four
visits the family
home visits
shall take action
>check other
>to know what
the family
to promote
ways of
are the
shall have
ventilation to
improving the
interventions
taken action
increase fresh
ventilation in the
that should be
to promote
air inside their
house
made
ventilation to
house.
increase fresh >discuss home
>to determine
air inside their
environment
ability to care
house.
for self and to identify potential health and safety hazards >explain to the
>to make the
family the
family aware of
effects of
the presence of
inadequate
the problem
ventilation
and its effect
>suggest
>to increase
addition of
the source of
windows to
ventilation
provide adequate air
>encourage the
>to lessen the
mother to keep
risk of affecting
a conducive
the respiratory
environment, as
system
much as possible, one which is free from dust >determine
>to adjust the
financial
possible
resources to
interventions
meet needs of
and know the
individual
limitations
situation >assist family to
>to create or
develop a plan
maintain a
for maintaining a
safe, growth-
clean, healthful
promoting
environment
environment
>assess
>determines
environment,
what changes
noting unsafe
need to be
factors and
made
ability of the family to care for themselves >encourage
>to allow air to
family to remove
pass through
things that block
thus it helps
the entrance of
ventilation
air Problem No. 7.33: Poor Housing Condition – Improper Drainage System ANALYSIS
METHOD
RESOURCES
EXPECTED
REQUIRED
OUTCOME
Sufficient
Short Term:
observation,
knowledge
After 1 home
interview
about the
visit, the
promote
problem,
family shall
awareness of
patience on
have
understanding
the diseases
the part of the
verbalized
maintenance
of the
that could
student nurse,
understanding
being open
and personal
importance of
arise from the
participation,
of the
and stagnant.
development
proper drainage
problem.
cooperation,
importance of
CUES
OF THE
OBJECTIVES
S-O
PROBLEM Inability to
Short Term:
provide a O-
NURSING
RATIONALE
OF FAMILY
>Inform of the
>To provide
CONTACT Home visits,
After 1 home
possible diseases
knowledge
home
visit, the family
they could get from
and make the
>Observation
environment
will be able to
an improper
of the
conducive to
verbalize
drainage system.
drainage
health
system type,
INTERVENTIONS
r/t lack of
system.
and
proper
>Obstructed
knowledge
>Give health
>To empower
enthusiasm
drainage
passageway
regarding
teachings about the
the family to
from the
system.
of water.
environment
Long Term:
effects of the
apply the
family
al sanitation
After 5 home
problem and
concepts
Long Term:
visits, the family
provide
learned and
After 5 home
Inability to
will be able to
suggestions on
find ways on
visits, the
recognize
demonstrate
how to minimize
how to correct
family shall
the presence
behaviors in
the problem.
and solve the
have
of a problem
applying the
problem.
demonstrated
r/t ignorance
learning derived
of facts.
from the health
> discuss the
> to promote
applying the
teachings and
consequences of
awareness of
learning
maintaining an
the problem
the problem
derived from
behaviors in
improved
the health
drainage
> provide
> to promote
teachings and
system.
information on how
environment
maintaining
to maintain a clean
conducive for
an improved
drainage system
health
drainage
promotion
system.
> instruct the family
>to prevent
to always keep
breeding
their drainage
places of
system close
insects and rodents and to prevent accident hazards
> help the family to
>to promote
understand that the
awareness
problem is a threat to their health >explain to the
> to develop
family the effect of
awareness
this problem in their
and initiate
health
action in controlling this problem
>Discuss with the
>Motivating
family the
the family do
importance of good
something
environmental
about the
sanitation and
problem.
personal hygiene.
> Inform the family
>This will
of the problem that
make the
may arise from
family aware
poor environmental
of the
sanitation like the
importance of
occurrence of
personal
diseases.
hygiene and good sanitation to avoid diseases.
>Plan with the
>This will
family on how to
further give
solve the problem
them an ides
by demonstrating
on what is the
with them the
proper way of
proper maintaining
maintaining a
a clean
clean
environment.
environment.
>use of proper
>One of the
referral system by
principles in
reporting to the
community
barangay halls or
health nursing
sanitary officials the
is the
proper
utilization of
maintenance of the
community
surrounding by
health
eliminating
resources.
resource of foul scent from the current. >assign a task for
>In this
each member of
manner, there
the family to what
will be a equal
job the will perform
distribution of
every now and then
work.
Problem No. 7.33: Unsanitary Food Handling and Preparation
ANALYSIS
METHOD
RESOURCES
EXPECTED
REQUIRED
OUTCOME
Knowledge,
SHORT
time and
TERM:
and to know
effort of the
After 3-4 hrs
importance of
the
student
of Nursing
the family will
having clean
appropriate
nurses with
Interventions
verbalized the
equipments in
health
the
the family
preparing food
teachings to
cooperation of
shall have
be provided
the family
verbalized the
members
understanding
CUES
OF THE
RATIONALE
OF FAMILY
S–O
PROBLEM >Inadequate
>Assess family’s
>To know
CONTACT >Home
SHORT TERM:
knowledge in
After 3-4 hrs of
understanding with
where to start
visits
O-
carrying out
nursing
regards to
Presence of
the necessary
interventions
dirty kitchen
procedure
(use for food
OBJECTIVES
NURSING INTERVENTIONS
preparation);
>inability to
understanding
cooking
provide home
about different
outside of
environment
ways of proper
the house;
conducive to
food
>Assess availability
>To
about
presence of
health
preparation and
of cleaning
understand
different ways
uncovered
maintenance
sanitation.
resources
other
of proper food
utensils
and personal
underlying
preparation
development
causes for the
and
occurrence of
sanitation.
>Inadequate
the problem
family
LONG TERM:
LONG TERM:
resources,
After 2 days of
>Explain the
>To have
After 2 days
specifically
Home Visits,
importance of
sufficient
of home
limited
the family will
proper hand
knowledge
visits, the
monetary
able to identify
washing
regarding the
family shall
resources
and prepare
said problem
have
meals properly.
identified and >Discuss with the
>Knowledge
prepare
family presence of
of the effect of
meals
the problem and its
the problem
properly.
effect to their health
will motivate them to improve food preparation and handling techniques
>Assist in cleaning
>To show
the food
sincerity of
preparation site as
the nurses to
well as the other
alleviate this
utensils and
problem
equipments used in cooking >Instruct the
>To lessen
mother to clean the
the possibility
environment
of acquiring disease conditions
>Instruct the
>This will help
mother to provide
strengthen
nutritious food
the children’s body to resist diseases
>Instruct the
>Regular
mother to
check ups
frequently bring her
lessens the
children to the
odds of
health center for
acquiring
check ups
disease and can help in early diagnosis of an occurrence of a disease
>Have the family
>To
say their perception
determine
about the problem
family’s awareness of the problem
and present effects that the problem posts against them
Problem No. 8: Malnutrition ANALYSIS CUES
OF THE
OBJECTIVES
S–O
PROBLEM Inability to
SHORT TERM:
recognize O–
NURSING
METHODS
RESOURCES
EXPECTED
REQUIRED
OUTCOME
> Availability
SHORT
of both the
TERM:
student nurse
After an hour
the stated
and the family
of nursing
problem
members.
intervention
RATIONALE
OF FAMILY
> Assess the
> To gather
CONTACT > Home Visits
After an hour of
family’s
baseline data
the
nursing
awareness of
Aqua Fresh
presence of
intervention the
wt.: 30 kgs
condition
family shall
BMI: 17.21
due to lack
recognize the
INTERVENTION
> Interview
the family
problem of
> Identify
> To
> Cooperation
shall have an
knowledge
malnutrition and
causes and
increase knowledge;
of the family
awareness
Happee
about
its effect on the
effects of
motivate family to
wt.:14 kgs
nutrition
individual.
malnutrition like
address the
> Health
BMI: 11
having low body
situation as soon as
Teachings
emaciated
LONG TERM:
weight,
possible.
After four home
decrease
After four
visits the family
resistance to
home visits
will able to
diseases and
the family will
underweight
of
regarding their BMI. LONG TERM:
identify nutritious food and plan
have the easy fatigability.
meals which are
knowledge to > To provide
identify
affordable to the
> Encourage the
adequate nutrition
nutritious food
budget
mother to cook
to the family
and plan
meals with
meals which
enough
are affordable
nutrition.
to the budget. > To gain weight
> Encourage the
and right nutrition
children to eat
needed by the body.
vegetables and high Protein foods > To let the family > Explain the
recognize the
importance of
problem and the
achieving
ways it can be
optimum
alleviated/eliminated
nutrition of an individual and the risk of having malnutrition due to inadequate
nutrition
Improper Food Storage Facility Cues Analysis of the Problem
Objective
S>
Short Term:
The family has containers / dish that are half open.
O>The family’s dwelling manifested the following: >presence of open dish cabinet >presence of uncovered spoon and fork canister
After an hour of nursing intervention, the family shall have verbalized understanding and willingness to fix faulty storage facility.
The family may manifest the following:
After 2 days of nursing intervention, the family shall have fixed/replaced the defective dish cabinet.
>stomach upsets >loose watery stool
Long Term:
Nursing Interventions
Rationale
1. Explain the importance of sanitation of cooking and eating utensils
1. To provide practical preventive measures on possible GITrelated diseases
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
2. To further encourage them to perform sanitation on their utensils
Resources Required >The Student Nurses’ knowledge >Rural Health Unit
Expected outcome Short Term: The family shall have verbalized understanding and willingness to fix faulty storage facility. Long Term: The family shall have fixed/replaced the defective dish cabinet.
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
Method of Family Contact >Home Visits >Health Teachings
3. To make proper referrals should the diseases to be discussed arise, in consideration to
5. Encourage to repair cabinet.
6. Instruct to avoid leaving unwashed dishes
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
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 capacity 6. 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
not they will eat using spoons and forks.
Inadequate Lighting /Poor Ventilatilation Cues Analysis of the Problem S>“Yung asawa ko kasi hindi nakakauwi arawaraw 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:
>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.
Objective 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.
Nursing Interventions 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
hands, which could be ingested along with the food
Rationale 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
Method of Family Contact >Home Visits >Health Teachings
Resources Required
Expected outcome
>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.
>blurred vision >bumps and bruises
proper reading posture
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
5. Encourage to install/have installed adequate lighting 7. To prevent electrical overload, leading to possible onset of fire, and to conserve energy 8. To be readily able to install light source 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
Poor Personal Hygiene (Oral) Cues Analysis of the Problem 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
Objective 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.
Nursing Interventions 1. Assess family’s perception of the problem 2. Assess the Hygienic practices of the family 3. Examine the dentition of each member
Long Term: After 2 home visits, the family will be able to demonstrate lifestyle changes affecting their oral hygiene.
Rationale 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. Explain the importance of tooth brushing
4.To address their knowledge deficit in the importance of dental care
5. Explain the implications
5.To give them an extra push to adhere to dental
Method of Family Contact Home visit and Health teachings
Resources Required
Expected outcome
>Student Nurses’ knowledge regarding oral hygiene
Short Term:
>Rural Health Unit Dental Clinic
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
of neglecting dental care 6. Teach them proper way of brushing the teeth
7. Provide material for dental care (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
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 best cater to their needs
8.To promote regularity grin their practice of oral hygiene
9.To promote stronger teeth
10. Encourage to avoid eating sweets in excess 10. To avoid aggravation of dental carries and plaque build up 11. Encourage to visit the dental clinic in the Rural health Unit
11. To make proper referrals to other health professional that could
render free services that would better cater to current problem 12. Encourage to make visits regular
Unsafe Drinking Water Cues Analysis of the Problem 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
Objective 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.
Nursing Interventions 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
12.
For maintenance
Rationale 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
Method of Family Contact
Resources Required
Expected outcome
>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
water to clean, covered containers.
4. To prevent contamination
PROBLEM # : Walking barefooted CUES S> θ O> children are seen not wearing slippers and walks barefooted inside the house
FAMILY NURSING PROBLEM 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.
OBJECTIVES
INTERVENTIONS
Short Term: After 1 hours of Nursing Intervention, the children will verbalize understanding regarding the health teachings given and its rationale.
>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.
Long Term: After 2 days of home visits the children will show compliance to the health teachings provided.
RATIONALE >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.
METHODS OF NURSING
RESOURCE S
EXPECTED OUTCOME
> 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 NURSING PROBLEM
OBJECTIVES
INTERVENTION S
RATIONALE
METHODS OF NURSING
RESOURCES
EXPECTED 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 disease b. 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
> To have a baseline data
> Discuss the possible causes of illness
> To prevent the occurrence of the condition
> Encourage the mother to always clean the surroundings so that it will not trigger the occurrence of asthma.
> To prevent the occurrence of asthma since dust can trigger asthma attacks
> Instruct the mother to go to the health center
> 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 S> o O> presence of drainage system in which water is stagnant and contaminated and it is conducive for the growth and reproduction of disease causing organisms.
FAMILY NURSING PROBLEM 1. Inability to provide healthy environment due to negligence to proper environment al sanitation.
OBJECTIVES
INTERVENTION S
Short Term: After 1 hour of Nursing Intervention, the family will demonstrate understanding regarding the importance of having good environmental sanitation.
>Explain importance of good environmental sanitation
Long Term: After 2 home visits, the family members will carry out interventions to improve environmental condition.
>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.
RATIONALE >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 good environmental
METHODS OF NURSING > Home visits
RESOURCES > Time, perseverance and effort of the student nurses and family involve
EXPECTED OUTCOME 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.
sanitation and prevent injury
PROBLEM # lack of family sources CUES S> Ф O> 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 10271029)
FAMILY NURSING PROBLEM >inaccessibilit y to appropriate sources for care specifically financial inaccesibilty. >lack of knowledge regarding the importance of having financial assets for emergency use.
OBJECTIVES
INTERVENTION S
Short Term: After 1 hour of Nursing Intervention, the family will be able to acknowledge the importance of having financial assests.
> discuss the importance of financial assests for emergency use.
Long Term: After 3 home visits, the family will be able to save an amount of money for emergency use.
>help the family to think ways to earn a living. >instruct family to save small amount when there is extra income.
RATIONALE > to increase family awareness > to have extra income To save money for future use.
METHODS OF NURSING
RESOURCES
> Home visits
> Time, perseverance and effort of the student nurses and family involve
EXPECTED OUTCOME 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 S> the mother verbalize “pagkatapos nya sa work di maiiwasang magkayayaang uminom” O> Ф
FAMILY NURSING PROBLEM 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.
OBJECTIVES
INTERVENTION S
Short Term: >After 1 hour of Nursing Intervention, the client will verbalize understanding regarding the effects of alcohol drinking in the body.
> discuss to the client to possible effects of alcohol drinking
> to increase awareness
> instruct the client to teach him with other divertional activities like eating candies instead of drinking.
> to divert self from drinking.
Long Term: >After 1-2 days of Home visits, the client will demonstrate skills on how to control drinking habits.
RATIONALE
METHODS OF NURSING
RESOURCES
EXPECTED OUTCOME
> 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.
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