FAMILY HEALTH NURSING ASSESSMENT OF FAMILY D

IN STO. NIÑO 2 DASMARIÑAS CAVITE

A Family Health Nursing Assessment

Presented to the Faculty of School of Nursing
St. Jude College Dasmariñas Inc., Cavite

Presented By:
Olavario, Irish Faye N.
Operiano, Kristine A.
Sabino, Allyana Lohan B.
Saldua, Marc Lawrence C.
Sambo, Clark A.
Saramines, Jazzlyn Mae C.
Shackleton, Angeline L.
Level 2 – BS Nursing (2V RLE)

Presented to:
Ms. Kristelle Lynne Manlapas RN
Faculty

Batch 2025
TABLE OF CONTENTS
I.INTRODUCTION
A. INTRODUCTION TO THE FAMILY
B. FAMILY DEMOGRAPHY
C. PHYSICAL ENVIRONMENT
D. PHYSIOLOGICAL AND SPIRITUAL
E. PURPOSE OF THE STUDY
F. SPECIFIC OBJECTIVES OF THE STUDY
G. LOCATION MAP
H. SPOT MAP

II. PRESENTATION OF DATA AND ANALYSIS

A. DEMOGRAPHIC PROFILE
B. ECONOMIC ASPECTS
C. ENVIRONMENTAL ASPECTS
D. HEALTH ASPECTS
E. SOCIAL ASPECTS

III. FAMILY CARE PLAN

A. COGNITION PERCEPTION PATTERN
B. SELF-PERCEPTION / SELF-CONCEPT PATTERN
C. NUTRITIONAL METABOLIC PATTERN
D. ELIMINATION PATTERN
E. ACTIVITY-EXCERCISE PATTERN
F. ACTIVITY-SLEEPING PATTERN
G. SEXUAL REPRODUCTION PATTERN
H. VALUES AND BELIEF PATTERN
I. COPING STRESS TOLERANCE PATTERN
J. HEALTH PERCEPTION / HEALTH MANAGEMENT
IV. PROBLEM PRIORITIZATION
A. PRESENCE OF BREEDING OR RESTING SIGHTS OF FEMAL
AEDES AEGYPTI
B. POLLUTED WATER SUPPLY
C. INADEQUATE REST/SLEEP RELATED TO IMPAIRED URINARY
ELIMINATION
D. GOITER
E. INADEQUATE LIVING SPACE

V. FAMILY NURSING CARE PLAN (FNCP)

A. PRESENCE OF BREEDING OR RESTING SIGHTS OF FEMAL
AEDES AEGYPTI
B. POLLUTED WATER SUPPLY
C. INADEQUATE REST/SLEEP RELATED TO IMPAIRED URINARY
ELIMINATION
D. GOITER
E. INADEQUATE LIVING SPACE

VI. RECOMMENDATIONS AND CONCLUSIONS

A. RECOMMENDATIONS
B. CONCLUSIONS
VII. DOCUMENTATIONS
A. PICTURES
B. DATA GATHERING TOOL
- CONSENT FORM
- COMMUNITY HEALTH ASSESSMENT FORM
I. INTRODUCTION
A. INTRODUCTION TO THE FAMILY

The family is the cornerstone of society. People develop their

customs, beliefs, and moral values here, which have a significant impact on
the state of the community as it influences every facet of their lives. Family
plays a crucial role in shaping views, norms, and practices relevant to health
in the community as it is the basic unit of social interaction and the main
predictor of these factors.

This study focuses on the selected family residing in Barangay Sto

Niño II, City of Dasmarinas Cavite. On November 14, 2022, the student
nurses handpicked Family D as they satisfy the criteria for a family with a
health problem. This presents a good opportunity for student nurses to work
with the family to alleviate and feasibly prevent those issues by putting their
community health nursing skills into practice. On the grounds of this, the
student nurses intend to provide the family with health education and
interventions that promote health wellness and maintenance by explaining
the current and potential health problems that may arise and capacitating
them with knowledge and awareness of how to solve the problem so that
this does not interfere with their daily activities and help them maintain their
health in good condition.

B. FAMILY DEMOGRAPHY

The family that the student nurses assessed and interviewed is Family D,
which is composed of a married couple with five children: Father D is 54
years old while Mother D is 53 years old. They have two sons and three
daughters. Son D, the firstborn, is 19 years old, Son 2D is 18 years old,
the first daughter is 16 years old, the second daughter is 14 years old, and
the youngest daughter is 10 years old. All of them are studying except the
eldest son. The youngest is still in elementary school, and three of them
are enrolled in high school. Both of their parents are unemployed and
stay at home. Family D's income is derived from the remittances of Father
D's other children from his first family; they get 1500 on the 15th and 30th
of each month. The family M is considered a nuclear family. A Nuclear
type of family consists of the parents and the children alone. The M family
resides in Barangay Sto Niño II, City of Dasmarinas Cavite. They have
been residing there since 2004, living harmoniously for 18 years.

C. PHYSICAL ENVIRONMENT

Family D lives in Barangay Sto Niño II, Dasmarinas City, Cavite. The
residence of Family D is next to the court and close to the creek. The family
resides in a modestly sized concrete home. The roof is made of galvanized
iron sheets, and the floors are tiled Their jalousie-covered windows have
curtains that are custom-fitted. Their furniture was mostly made of wood and
plastic. They claimed to plant their crops to use as food for every meal on
an empty lot behind their house.

There is a wooden door at the main entrance. Before you enter, you
can see a chicken cage parallel to the door. Also nearby are a flat tire, a
broken beige plastic table, and other sundry items. The house has a kitchen,
a living room, a bedroom, and a bathroom that is only partially curtained.
According to them, they have set up their bed in the living area, which is
entirely composed of a long meter of plywood. They have a bedroom close
to their kitchen. They store their personal belongings, furniture, and
appliances in this room. Moving on to their kitchen, a pile of unwashed
plates, disorganized kitchen stuff and a gallon of water that is used for
cooking. Additionally, there is a single bathroom in the home that they both
share. It has a single toilet, a sizable blue plastic barrel, and a bucket where
people keep their water.

In terms of waste disposal, the community has a garbage collector

roaming around the barangay every Friday. The family's water supply is
surface water from their neighbour's faucet, which is three houses away and
costs ₱3.00 pesos per gallon. They use it to take a bath and wash dishes
and clothes. Some of their containers are kept outside their home and are
missing their lids. Mineral water is the family's main source of drinking water,
which is delivered to their home.

D. PHYSIOLOGICAL AND SPIRITUAL

The entire family affiliates with Iglesia ni Cristo. They explained that
it had become a family custom to attend church and express gratitude to
the Lord. They go to two worship services every Wednesday and Sunday.
Their worship and service included hymn singing, prayers, almsgiving, and
the study of God's words to guide them in their daily lives.

E. PURPOSE OF THE STUDY

Following a sequence of nursing interventions, the family should be

able to identify the root cause of the problem and take the appropriate
measures to resolve it on their own. They must be able to recognize their
own strengths and shortcomings to cope with the diverse problems that may
occur within their family. Finally, the family should be able to complete the
tasks necessary for their independent health maintenance, assisting them
in developing a sense of holistic health and well-being.

F. SPECIFIC OBJECTIVES OF THE STUDY

After rendering different nursing processes, the community health nurse
should:
1. Foster a relationship of trust between the family and the nurse.
2. Gather data to identify the issues that must be addressed in the
Family Nursing Care Plan (FNCP).
3. Assist the family to become aware of their issues and suggest
solutions.
4. Provide health education that the family can use to address the
problem.
5. Evaluate whether the goal of health education in dealing with the
family's problem was met.

G. LOCATION MAP
H. SPOT MAP
II. PRESENTATION OF DATA AND ANALYSIS
A. DEMOGRAPHIC PROFILE
DEMOGRAPHIC DATA
1 2 3 4 5 6 7 8 9
N For children 0-1
Is birth
U years old:
Relationship registered
Gender Is/are the vaccine
M Who are the members A. Father with the local
B. Mother Civil received right for
Age Religion Birthday registrar?
B of the household? A. Male C. Children Status the age of the
E B. Female D. Others child?
A. Yes
R B. No
A. Yes
B. No

1 Lucas Deluna A 54 C OCT. 18 A B A

1967
2 Saraina Deluna B 53 C DEC. 31 B B A
1966
3 Jocas Deluna A 19 C JUL. 22, C A A
2002
4 Kenlee Deluna A 18 C NOV. 5, C A A
2003
5 Deveka Deluna B 16 C SEPT. 20, C A A
2006
6 Shaina Deluna B 14 C JUN. 20, C A A
2008
7 Hanna Mae Deluna b 10 C MAY 14, C A A
2012

(4) Religion

A. Catholic
(3) Age (7) Civil Status
B. Protestant
C. Iglesia ni Kristo
A. 0-5 years old F. 30-35 years old K. 60-65 years old A. Single
D. Aglipay
B. 6-11 years old G. 36-41 years old L. 66 years old and B. Legally Married
E. Islam
C. 12-17 years old H. 42-47 years old above C. Widowed
F. Born-Again
D. 18-23 years old I. 48-53 years old D. Separated
G. Mormons
E. 24-29 years old J. 54-59 years old E. Live in
H. Jehovah’s witness
I. 7th day Adventist
J. Others

There are seven members in family D, 3 of them are male and 4 of them are
female, composed of Father D and mother D and their 5 children. Their age is
ranging to 10-54 years old. Their religion is Iglesia ni Cristo.

Mother D's highest educational attainment is high school level. While her oldest
son that lives with her is currently not attending school because of their decision
to stop him. While the second son is a senior high school and two of her
daughters is in junior high school lastly her youngest daughter is in elementary.
Their source of income is from mother D's Child on her first husband, and she
doesn't live with her because she already has a family. She gives 1500 pesos
every 15th and 30th day of every month. And that's their source of income.

B. ECONOMIC ASPECTS
Family D gets their needs in every living on mother D's daughter who gives them
1500 every 15 days of the month. And that's it they just budget it so that they can
eat and pay bills.

C. ENVIRONMENTAL ASPECTS
In family D's house there are buckets of water that are not closed so there is a
high possibility that mosquitoes and flies can lay eggs there. Linking to that there
are a lot of mosquitoes and flies in the area.

D. HEALTH ASPECTS
In health both Mother D and Father D have an underlying health condition. Mother
D has Goiter and Father D has Gout. And they can't buy any medication for
mother D's Goiter because she refuses to seek medical attention. While Father D
took medication for a while because his sister insisted on to shoulder for his
medical check-up and even bought him the medication, he needs but it's only one
time and now they lack the needed medication, and they can't buy anymore
because they are in tight budget

E. SOCIAL ASPECTS
Family D has a good relationship with their neighbors, her neighbors sometimes
give them food. And one of her neighbors is the one from whom they get their
water supply. She gets along with her neighbors, and they all chat every time
even her children get along with the neighbor’s children. But sometimes she gets
irritated when her neighbor gets too loud because of the shouting and everything.
Additionally, while the student Nurses Are asking if they can interview her, they
already feel that they are welcome. And the Filipino trait of being hospitable is
seen in Mother D's Actions.

GENOGRAM
II. FAMILY CARE PLAN

GORDON’S 11 FUNCTIONAL HEALTH PATTERNS

Cognitive Perception Father D reported that he became disoriented about the time, place, and
Pattern person. Has frequent memory loss but not difficulty in sentence making.
Also, most of the family members are persistent in the importance of
education.

Family Self Their house is composed of limited and inadequate space for living. Their
Perception/Self Concept perception in life is to always be positive and grateful even though life is
Pattern hard. Also, Father D is satisfied with his self-body image and considers
grooming as essential because it promotes cleanliness.

Family Nutritional The family attempts to eat a healthy diet and foods such as vegetables
Metabolic Pattern daily. The family doesn’t have restrictions regarding disease and religious
point of view as well as dislike in food and allergies.

Family Elimination There have not been any difficulties in defecation noticed recently. But
Pattern Father D reported urinating frequently during the night (nocturia).

Family Activity Exercise Walking is the only exercise that the Family D do. They also don’t
Pattern experience any breathing problem, cough, changes in heartbeat, and
feeling pale when walking

Family Activity Sleep The family’s sleeping hour seems to be inadequate due to frequent
Pattern urination. Father D also reported that he experienced a headache after
waking up. They don’t use any medication related to sleeping and don't
exercise at night.

Family Sexuality- Mother S reported that she had five pregnancies and also five births, And
Reproductive Pattern the family was informed and aware of family planning practices Mother S
is not sexually active.

Family Values and Belief According to the family, they value doing the right thing and being a nice
Pattern person in general. They are all members of Iglesia ni Cristo (INC), and
prayer for them is vital. They always pray and praise the Lord before
going to bed.

Family Coping Stress The family's coping mechanisms include listening to their favorite music
Tolerance and yelling when irritated.

Family Health All family members have a limited understanding of the Covid-19 Vaccine
Perceptional and Health because of their fear of potential side effects, their refusal to take
Management Pattern medication, and their lack of regular checkups. However, in their view, it
is vital to take care of one's health.
A. COGNITION PERCEPTION PATTERN
As interviewed by Father D, according to him, He is ___ graduate while
his spouse is ___ graduate. Their eldest Son 1 D is not studying anymore.
Their Son 2 D, Daughter 3 D, and Daughter 4 D are enrolled in high
school while Daughter 5 D is in elementary school. All except the eldest
son are in face-to-face learning wherein the course content and learning
material are taught in person to a group of students. Father D also
reported that he became disoriented about the time, place, and person.
Has frequent memory loss but no difficulty in sentence making. Also, most
of the family members are persistent in the importance of education.

B. SELF-PERCEPTION / SELF-CONCEPT PATTERN

The house of Family D is in a rural area. Their house is composed of
inadequate space for bedrooms, a kitchen, a living area, and a bathroom
that are only partially separated by curtains. They are a nuclear type of
family with five children. Their perception in life is to always be positive
and grateful even though life is hard. Also, the family have high regard
when it comes to education. Even though their eldest son doesn’t go to
school, they make sure to give proper education to their 4 children.

C. NUTRITIONAL METABOLIC PATTERN

The family attempts to eat a healthy diet and foods such as vegetables
daily. The father ensures that the children eat healthy meals. The family
doesn’t have restrictions regarding disease and religious points of view as
well as a dislike of food and allergies. They are also not picky when it
comes to food.

D. ELIMINATION PATTERN
There have not been any difficulties in defecation noticed recently. The
appearance of urine is yellow and clear without sediments. No pain from
urination or any of the family members. But Father D reported urinating
frequently during the night (nocturia)

E. ACTIVITY-EXCERCISE PATTERN
Walking is the only exercise that Family D do. They also don’t experience
any breathing problems, cough, changes in heartbeat, and feeling pale
when walking.

F. ACTIVITY-SLEEPING PATTERN
The family was only able to sleep four to five hours because of frequent
urination and they did not take a nap. Father D also reported that he
experienced a headache after waking up. They don’t use any medication
related to sleeping and don't exercise at night.

G. SEXUAL REPRODUCTION PATTERN

Mother E reported that she had five pregnancies and five births and based
on the student nurse interview Mother E and her elder children were all
aware and informed regarding family planning practices because they
cannot afford to have another kid.

H. VALUES AND BELIEF PATTERN

According to the family, they value doing the right thing and being a nice
person in general. They are all members of Iglesia ni Cristo (INC), and
prayer for them is vital. They always pray and praise the Lord before going
to bed, as they are grateful to him for allowing them to survive another
day. They are grateful to God for the many blessings they have received.

I. COPING STRESS TOLERANCE PATTERN

The family's coping mechanisms include listening to their favorite music
and yelling when irritated. The family recognizes that stress is a vital
component of life. The mother noted that stress becomes problematic
when a person's stress tolerance is low, which might interfere with their
everyday activities.

J. HEALTH PERCEPTION / HEALTH MANAGEMENT

Their opinion on health that should be taken care of, they have received a
vaccine other than the Covid 19 Vaccine maybe they are afraid of a side
effect of the vaccine because they lack knowledge about it, they also did
not buy medicine because they are short of money, They don't even check
up at the health center closest to them.
IV. PROBLEM PRIORITIZATION
SCALE FOR RANKING
A. CRITERIA
CRITERIA SCORE WEIGHT

1. Nature of the Problem 3

Health Deficit 2 1
Health Threat 1
Foreseeable Crisis

2. Modifiability 2
Easily 1 2
Moderate 0
Not Modifiable

3. Preventive/Potential 3
High 2 1
Moderate 1
Low

4. Salience of the Problem 2

Problem needing urgent attention 1 1
Problem not needing urgent attention 0
Not perceive as a problem
B. SCORING

1. Decide a Score of each criteria.

2. Divide the score by the highest possible score and multiply by the
weight:
Score
X Weight
Highest Score
3. Sum up the scores for all the criteria. The highest score is 5 (equal to
total weight).
4. The higher the score (near 5 and above) of a given problem, is more
likely taken as a PRIORITY
5. With the available scores, the nurse then RANKS health problems
accordingly.

LIST OF HEALTH PROBLEMS RANKED ACCORDING TO PRIORITIES

HEALTH PROBLEM SCORE

Presence of breeding or resting sights 3.32

of female Aedes aegypti

Inadequate Rest/Sleep related to 2.49

impaired urinary elimination
Polluted Water Supply 2.32

Goiter 1.83

Inadequate living space 1.49

A.) Presence of breeding or resting sights of female Aedes aegypti

CRITERIA SCORE JUSTIFICATION

1. Nature of the Problem 2/3 x 1 = 0.66 It is considered as a threat to
the health of the family
Health Threat because it can cause
serious complications like
severe dengue, internal
bleeding and even death.

2. Modifiability 1/2 x 2 = 1 This problem is considered

as moderate modifiable
Moderate because it can be discussed
to the family through health
teaching about dengue
prevention like using of
insect repellent, avoiding the
storage of stagnant water,
and keeping their house
clean.

3. Preventive / Potential 2/3 x 1 = 0.66 It is considered as

moderately preventative by
Moderate educating the family to keep
their house clean and wear a
protective clothing to prevent
any worse or risk condition.

4. Salience of the Problem 2/2 x 1 = 1

The family perceived the
Problem needing urgent problem as needing urgent
attention attention because it is more
important for them to provide
solutions about the risk of
dengue.

TOTAL 3.32
B.) Inadequate Rest/Sleep related to impaired urinary elimination

CRITERIA SCORE JUSTIFICATION

1. Nature of the Problem 2/3 x 1 = 0.66 It is considered as a health
threat to the family because
Health Threat being sleep deprived could
lead to serious illnesses like
insomnia, stroke,
depression, and anxiety.

2. Modifiability 1/2 x 2 = 1 This problem is moderately

modifiable through health
Moderate teaching with the
cooperation of the family.

3. Preventive / Potential 1/3 x 1 = 0.33 This problem is considered

as low preventative as the
High family members does not
prioritize their sleep since
they only have limited
awareness to the problem.

4. Salience of the Problem 1/2 x 1 = 0.5 The family perceived this

problem as not needing
Problem not needing urgent attention because
urgent attention according to them, this is not
their priority.

TOTAL 2.49
C.) Polluted Water Supply

CRITERIA SCORE JUSTIFICATION

1. Nature of the Problem 2/3 x 1 = 0.66 It is considered as a health
threat to the family because
Health Threat poor sanitation can cause
serious diseases and other
health problems to each
member of the family.

2. Modifiability 0/2 x 2 = 0 This problem is considered

as not modifiable because
Not Modifiable they do not know how to
manage the proper
sanitation of their home and
the family does not prioritize
it.

3. Preventive / Potential 2/3 x 1 = 0.66 It is considered a moderate

preventative through health
Moderate teaching and gives them an
awareness of risk factors.
They can be encouraged to
properly sanitize their area
and their environment.

4. Salience of the Problem 2/2 x 1 = 1 The family perceived the

problem as needing urgent
Problem needing urgent attention because their
attention health is more important to
them.

TOTAL 2.32
D.) Goiter

CRITERIA SCORE JUSTIFICATION

1. Nature of the Problem 3/3 x 1 = 1 It is a health deficit because
there are times where the
Health Deficit mother feels normal despite
the presence of the lump.
The mother herself doesn’t
have the ability to recognize
the presence of her
conditions due to anxiety
and inadequacy of
knowledge.
2. Modifiability 0/2 x 2 = 0 The problem is not
modifiable since the mother
Not Modifiable refuses to seek medical
attention and proceeds with
herbal medication.

3. Preventive / Potential 1/3 x 1 = 0.33 It is considered a low

potential problem to the
Low family but still candidate for
further complications and
must be given a careful
attention.

4. Salience of the Problem 1/2 x 1 = 0.5 The family does not

recognize this a problem
Problem not needing needing immediate attention
urgent attention because the problem has
not yet worsened.

TOTAL 1.83
E.) Inadequate living space
CRITERIA SCORE JUSTIFICATION
1. Nature of the Problem 2/3 x 1 = 0.66 This is considered as a
health threat because
Health Threat inadequate living space and
ventilation could put the
family’s health at risk and
may affect their daily
activities.

2. Modifiability 0/2 x 2 = 0 This problem is considered

as not modifiable because
Not Modifiable the family cannot provide
the necessity for a large
renovation due to the lack of
budget, health conditions as
their daily needs is their top
priority.

3. Preventive / Potential 1/3 x 1 = 0.33 It is considered as low

preventative to the family
Low because it is challenging or
difficult for them to achieve
this problem due to lack or
resources.

4. Salience of the Problem 1/2 x 1 = 0.5

The family perceived this
Problem not needing problem as not needing
urgent attention urgent action because it is
more important for them to
have a house to sleep in.

TOTAL 1.49
V. FAMILY NURSING CARE PLAN (FNCP)
A. PRESENCE OF BREEDING OR RESTING SIGHTS OF FEMALE AEDES AEGYPTI

HEALTH FAMILY GOAL OF OBJECTIVE OF INTERVENTION PLAN METHOD RECOURSES EVALUATION

NURSING CARE CARE OF NURSE REQUIRED
PROBLEM PROBLEM

Presence Poor home After 2days After the nursing - Encourage the family - Health -Time and
of sanitation of intervention, the to clean their Teaching effort of a
breeding secondary completing family will be aware surroundings every student nurse.
or resting to the the of: day. -Home
sights of presence interventio visitation - Knowledge
female of breeding n, the -The potential -Encourage the family about dengue
Aedes or resting family will implication and always cover their stock vectors.
aegypti sights of be able to adverse effects of an water by informing
female clean their uncovered water them of the potential -Pamphlets
Aedes area and bucket that can be consequences of about dengue.
aegypti as always the resting sights of having an uncovered
evidenced cover their female Aedes bucket of water that can -Time and
by stock water aegypti. be stagnant water that attention of the
uncovered and have can be a resting sight of family.
water enough -Know the importance female Aedes aegypti.
bucket full knowledge of treating the dengue
of stagnant about virus early -Discuss with the family
water and mosquitoes about the dengue virus
there is a . and how to assess its
early symptoms
presence
of larva. -Have an -Explain the importance
understanding of how of seeking healthcare
the dengue works while the virus is at its
early stage.
B.) INADEQUATE REST / SLEEP IMPAIRED URINARY ELIMINATION

HEALTH FAMILY GOAL OF OBJECTIVE INTERVENTION METHOD OF RECOURSES EVALUATION

NURSING CARE OF CARE PLAN NURSE REQUIRED
PROBLEM PROBLEM

- Suggest avoiding 1. Time and

Inadequate Inability to make Within 5 After the drinking any kind Through effort of the
Rest/Sleep decisions days of nursing of liquid 2-3 home community
related to concerning taking performing intervention, hours before visitation health nurse
impaired appropriate health the nursing the family and family
sleeping and
urinary action due to: interventio member will be members
explain why it
elimination n, the able to
1. Lacking family recognize the should be Through
sufficient member factors that avoided. health
knowledge of will exhibit interfere with teaching 2. Cooperation
urinary improved sleep and will - Discuss the of family
frequency rest and be able to different risks / members
management sleep control them complications
measures patterns. using a variety caused by
of sleep- nocturia.
2. 4 hours of promoting 3. Adequate
sleep during techniques. knowledge of
nighttime - Inform the family
the lecturer
about the about the
3. Increase importance of importance
urinary having enough of having an
frequency at sleep during adequate
night nighttime. sleep pattern
C.) POLLUTED WATER SUPPLY

HEALTH FAMILY GOAL OF OBJECTIVE OF INTERVENTION METHOD RECOURSES EVALUATION

NURSING CARE CARE PLAN OF REQUIRED
PROBLEM PROBLEM NURSE

Polluted Poor Within 7 days After the nursing Inform the family • Through • Visual Aids
water environmen of nursing intervention, the familyabout the risk factors health
supply tal intervention, should be able to: of drinking tap water teaching • Time and
conditions the family will without boiling it. effort of the
secondary reconsider - Understand the risks • Through student nurse
to the before of using tap water for • Discuss possible home and family
polluted prioritizing their drink without diseases that can be visits
water house boiling the water acquired from
supply as amenities for drinking tap water
evidenced a sufficient - Understand the such as diarrheal
by the water supply. significance of hygiene diseases
absence of and the usage of
availability purified water, •Discuss parasite
of clean especially for the contamination such
drinking younger children in the as schistosomiasis,
water. family. capillariasis, filariasis
and intestinal
-Determine whether to helminthiasis caused
prioritize the issue by contaminated
relative to other water supplies.
issues or to ignore it
due to their financial
difficulties.
D.) GOITER

HEALTH FAMILY GOAL OF CARE OBJECTIVE OF INTERVENTION METHOD OF RECOURSES

NURSING CARE PLAN NURSE REQUIRED
PROBLEM PROBLEM

1) Discuss the Through • Visual aids and

Goiter Presence of health Within 4 days of After performing different parts of home materials are
deficits-instances performing the interventions, the the food pyramid visitation needed to
of failure in health nursing family: and their nutrient improve
maintenance interventions, the content and understanding of
secondary family will be able 1. Will be able to provide potential Proper
inadequate to recognize and understand the health benefits Nutrition.
knowledge understand the importance of an regarding proper Through
regarding the importance and iodine-rich diet diet. Health
benefits of eating purpose of having and nutritious Teaching • Time and effort
healthy foods, adequate good food in their daily of both the nurse
particularly Iodine and nutritious diet. 2) Inform the family and the family
rich foods and foods in their daily regarding the members.
ignorance of the diet. current illness/es
current illness/es 2. Verbalize that can get worse
of a with a family understanding of due to continuous
member as the possible risk ignorance of the • Cooperation of
evidenced by factors that can problem. every member of
hypersecretion of worsen the illness the family.
thyroid hormone due to the
and the presence ignorance of the
family. 3) Discuss the
importance of
of a lump in the seeking medical
neck. 3. Will be able to attention once
understand and complications arise
enumerate the caused by the
advantages and
presence lump in
positive effects of
the neck.
considering the
doctor’s opinion
about the removal
of the lump.
E.) INADEQUATE LIVING SPACE

HEALTH FAMILY GOAL OF OBJECTIVE OF INTERVENTION PLAN METHOD RECOURSES EVALUATION

NURSING CARE CARE OF REQUIRED
PROBLEM PROBLEM NURSE

Home
Inadequate Poor home Within 5 After the nursing -Suggest ways how to visits Time and
living condition days of intervention the family maximize the available effort on the
space secondary nursing should be able: living space by re- Health part of the
to intervention, arrangement of furniture. teaching nurse and
inadequate the family 1. Identify the risk family
living will devise factors that lead to -Advise the family to
space as strategies to the area's congestion, separate things they don't
evidenced minimize such as unused use anymore.
by limited the items.
space for problem, as -Inform the family
seven evidenced 2. Show techniques regarding the early
people. by furniture for promoting good transmission of disease
rearranging environmental due to inadequate space.
to maximize conditions, such as
their living proper appliance
space placement. -Explain to the family the
advantage of having
3. Demonstrate an adequate space such as
understanding of the preventing illness, and a
significance of comfortable living situation
adequate living
VI. RECOMMENDATIONS AND CONCLUSIONS

RECOMMENDATIONS:
The student nurse has determined and prioritized problems and needs with the
family. The student nurse also has created a care plan on how to deliver the best
nursing care for the family to address the family's needed solution to the health
problem. Below are propositions and recommendations recognized both by the
student nurse and the family:

• Dispose of the contaminated water supply that can be a breeding sight for
vectors such as mosquitoes and provide a proper water container with a
lid before storing.

• Rearrangement of furniture for a better living/bed space for them to not be

congested.

• Maintain proper hygiene by suggestively hand washing

• Any ailment arises do not wait until it becomes severe do seek medical
attention immediately.

• Instead of drinking water directly from the tap boil the water to make it safe
to drink (if mineral water is not available or the family refuse to buy mineral
water.)

• Follow proper preparations of herbal medicines and/or consult the

attending physician present at the barangay health center for prescribed
medication as much as possible.

• Proper food preparation and storage must be practiced.\

CONCLUSIONS:
After rendering various interventions, the student nurse was able to provide
health teaching to Family D regarding their situation. The problems were also
identified by the student nurse who made a nursing care plan for each problem of
the family. Upon conducting the diagnosis and analysis, the identified problems
are prioritized accordingly. Although Family D was unable to fully accomplish the
different interventions or solutions for each family problem discussed because of
some constraints, specifically medical constraints the family was still able to
absorb and understand the knowledge imparted to them throughout the health
teaching. Thus, the goal was partially met.

VII. DOCUMENTATIONS

First image shows the front of Family D’s

house where present scraps can be seen even
from a far distance.

Here shows a uncover water container of the

family which they say they use the water inside
the container.

In this image shows the family’s

kitchen and how limited the space
provided for their food preparation
(also the present water gallon
contains tap water which serves as
their “drinking water”)
Point of view from the main door
going inside the house. Shows
exactly where their living / bed space
is located.

On the left side of the photo a wooden

jalousie window can be seen, and they
use the curtain rod as their clothing rack
for them to dry their clothes.

In this image shows their current bathroom / toilet

state. Where multiple water pails can be seen and
store their water used for bathing and flushing the
toilet.