Family Nursing Care Plan 4k3g32

NAME

Flordeliza

AGE

39

SEX

F

CIVIL

POSITION INRELATIONSHIP

PLACE

STATUS

THE FAMILY TO THE FAMILY

RESIDENCE

Married

Wife

Seaside,

Wife

Agbong Marlon

OF

San

Roque, Lapazan 18

M

Single

Eldest Son

Son

Agbong

Seaside,

San

Roque, Lapazan

Candy Agbong17

F

Single

2nd child

Daughter

Seaside,

San

Roque, Lapazan Cindy Agbong 16

F

Single

3rd child

Daughter

Seaside,

San

Roque, Lapazan Mary

Jane8

F

Single

4th child

Daughter

Agbong Aldren Agbong

Seaside,

San

Roque, Lapazan 2

Single

5th child

Son

Seaside,

San

Roque, Lapazan

1. What is the family’s source of income? The family’s source of income is from the husband only. The husband works as a security guard at Gusa, Mindanao Tracking Corporation from the Sagittarius Agency. He works about an average of 8 hours/day. His monthly income averages Php 7,000 per month.   2. What is their ethnic background? Their religious affiliation? When it comes to their ethnic background, the husband is purely Kagay-anon while the wife is from Talakag, Bukidnon. They are currently residing at San Roque Seaside, Lapasan Cagayan de Oro City. The rest of the of the family speak Visayan. They are “Philippinista” but their first born son separately goes to church at United Christian Church of the Philippines (UC).

3. Who are the family’s significant others? What roles do they play in the family’s life? The family’s significant others are their in-laws, siblings of the husband and their children who lived next to their home. The role of their significant others is to help them in times of need just like emotional and most especially during financial problems. 4. Does the family participate in the activities of the community? If yes what are these activities. If no, what are the reasons why they do not participate? Yes, family participates in the activities of the community like feeding programs; outreach programs and community clean up of the environment.

1. Housing a. Is the family’s living space adequate for their number? The family’s living space is inadequate for their number. It has one room in near their kitchen for the couple and small portion upstairs for their five children. All the children sleep together in one room including the 2 year old boy. b. Is their furniture adequate for them? Is it enough for their needs? The family’s furniture is enough for their needs. They have one table, small cabinet for their TV and DVD and small sofa for their visitors but their kitchen utensils do not sustain their needs.   c. Are their insects and rodents in their house? Their house has a plenty of insects such as flies, rats, ants, especially mosquitoes. Mosquitoes are present day and night. Rats is as big as small cats but they don’t do any precautionary measures in order to eliminate or even reduce these rodents.

d. Are their accident hazards in and around the house? If yes, please enumerate. The house is made of light materials. They cooked their foods inside the house using liquefied petroleum gas (LPG) but sometimes if they ran out of LPG, they used to cook their food inside the house using the “kahoy” located in the ground beside the wall. This can cause fire and considered as hazardous to well being of all the of the family. The wirings are too close to each other that might result to a short circuit that will eventually lead to fir The house is always affected by flood due to its location and structure since their house is not elevated, thus, causes the water to go inside and flood their things inside. e. What are their cooking utensils? What is their storage? Their cooking utensils include only of one small frying pan and pots. They use plastic ware for their food. They don’t have enough storage for their utensils because some utensils are just place in the anywhere. In addition, they have poor food storage because they don’t have the refrigerator, thus, their food must be all consumed in order for the food not to become spoiled.

f. What is their water supply? Where is the source? Is it potable? They do not have their own water supply. The source of their drinking water is from the Cagayan de Oro Water District (COWD), government own free for the residents in their place. They wake up early and gather some water and store it in the plastic container, which is slightly dirty.   g. What is their toilet facility? What is its condition? Is it sanitary? The family does have a toilet of their own but it somewhat unsanitary. It is open and located at the corner of their kitchen beside the unprotected stairs. It is water –sealed type of toilet with black dirt surrounded on it. The only barrier to their toilet from the other parts of the house is the bathroom curtains only, thus, when someone defecates, all the family will know because they can smell the not-so-fragrant smell.

h. What is the type of their garbage and refuse disposal system? Is it sanitary? They use sack for their garbage, which is collected by the garbage truck every Tuesday. It has no cover and the flies are all around but as we go on with our assessment we found out that there are scattered trashes at the back of their house situated beside the toilet. i. Describe their drainage system. Is it sanitary? The drainage system is closely sealed but still it is smelly and unsanitary since they do not have the willingness to clean their drainage.

2. What type of neighborhood does the family belong to? Describe. The type of their neighborhood is like squatter’s area. They belong in a low-income level family. It is noisy, crowded and cannot accessed by vehicles especially fire trucks.   3. Are their social and health facilities in the neighborhood? If yes, please enumerate and describe each? In of their social facilities, they have basketball court 30 meters away from their house. They also have a Catholic Church in the area. As to health facilities, there is a health center which is approximately 45 meters away from their house   4. What is the family’s mean of communication and transportation? The family has a television and a radio as a means of communication. His oldest son has a cell phone for emergency cases. Their means of transportation are jeepneys and trisikads.  

1. Medical and health history of each family member. The children of the Agbong Family already completed their immunization as evidenced by immunization record situated at the San Roque Health Center that was provided by the Barangay Health Worker (BHW). Vaccines given were one dose of BCG, 3 doses of OPV, 3 doses of Hepa B, 1 dose of measles. The youngest son of the family, Aldren experienced hospitalization during the year 2008 because of diarrhea. There is no further ed hospitalization experienced by the children of the said family. Currently, Aldren is suffering from diarrhea but they did not consult yet any doctors because according to the mother it is not yet severe and the child is still responding effectively.   2. Value placed on disease prevention. a. Are the children immunized? What is their immunization status? All of the five children were fully immunized because they availed the immunization program implemented by the government through their Barangay Health Center.

Child’s

DPT

BCG

OPV

Hepatitis B

Measles































Jane



















Name Marlon Agbong Candy Agbong Cindy Agbong Mary Agbong Aldren Agbong

b. Does the family utilize other preventive actions? If yes, what are they? The family does not have other preventive actions.   3. What is the family’s source of medication? The family’s source of medication is from their health center. These medications include paracetamol (biogesic) and amoxicillin. If and when that one of their family will get severe illness they often borrow money with the siblings of the husband.

4. What are their perception of the role of the health professional and their services? What are their expectations of the services of the community health? Nurse? They have high respect for the health professionals. They were contented with the free services given by the health workers since they were treated very well regardless of their economic status.   5. Do they have previous experience with the health professionals? If yes, were they satisfied with the results? Yes, They have previous experience with the health professionals. It was when they consulted at the health center and their youngest son was hospitalized in NMMC. So far all health professionals they have encountered treated them well. They were satisfied of the services.

 Patriarchal  Single Parent

 Extended  Matriarchal  Nuclear  Alternate Family

1. Dominant family in of decision making, especially in health care. The husband and wife often share the obligation of making decisions relative to health care. The father predominantly makes the decision regarding with the activities of the family. But when it comes to caring the sick family member it is the mother who take good care of them.   2. Describe the general family relationship. As what we have observed, the family has a good, harmonious relationship. The husband does not have any vices but drinks occasionally like during fiestas and birthdays. The husband is responsible enough to provide the family’s needs while the wife is taking good care of their children.

A. SLEEPING PATTERN 1. Are there hours for retiring and getting up? All of the family wake up at 5 am because they have their own chores to do and they prepare themselves for school. 2. Do the family nap during the day? Only the mother and her youngest son can nap during the day because the husband is working while the rest are at school. They usually nap at around 2 pm of the day after house hold chores and after watching noon time show.   3. Do the of the family sleep together? The couple sleep together in their bed beside the kitchen while the children sleeps together also in the other room upstairs

B. EATING PATTERN 1. How many meals do the family have each day? The family can eat three meals a day. Their meals usually consist of vegetables, sardines and dried fish. They eat snacks sometimes during afternoon. But sometimes when they are out of budget, they take their meals twice only. 2. Does anyone of the family appear over weight or under weight? Who they are?



Age

Weight

Height

BMI

Classific ation

Eusebio (father)

48

61 kg

160 cm

23.82

Normal

Flordeliza (wife)

39

52kg

158 cm

20.82

Normal

Marlon

18

48kg

157cm

19.47

Normal

Candy

17

39kg

155cm

16.23

Underwe ight

Cindy

12

26 kg

138cm

13.65

Underwe ight

Mary Jane

8

24 kg

133cm

13.56

Underwe ight

Aldren

2

10kg

82.82cm 14.87

underwei ght

C. LEISURE TIME ACTIVITIES 1. How does each member spend his/ her leisure hours? Is the leisure time appropriate for the sex and age group of the individual? The father does not have leisure time because he is at work and when if it’s his off day he spent it by resting in the house. He leaves early for work and went home late. The mother does not also have leisure time because she’s so busy doing laundry and giving care to the children.   2. Does any member have an all- consuming hobby? If yes, What affects does this on the family. Any of the family does not have any all- consuming hobbies because they prioritized their work rather than their hobbies. 3. Does the family have any t activity for leisure? What is it? How often do they do this limited activity? The family’s t activity includes attending church during Sundays and sometimes they go to the bench for fun.

RANK

SCORE

FAMILY HEALTH PROBLEMS

1

4.17

UNSANITARY TOILET

4.17

PRESENCE OF BREEDING PLACES OF INSECTS AND RODENTS

2

4

MALNUTRITION

3

3.84

IMPROPER GARBAGE DISPOSAL

4

3.83

FAMILY HISTORY OF SPECIFIC CONDITION (HYPERTENSION)

5

3.17

INADEQUATE LIVING SPACE

6

2.84

ACCIDENTAL HAZARDS

2.84

FAMLY BEYONG WHAT FAMILY RESOURCES CAN ADEQUATELY PROVIDE

7

2.67

LACK OF FOOD STORAGE FACILITIES

2.67

INADEQUATE PERSONAL BELONGINGS UTENSILS

Health Problems

Family Nursing Problem

Goal of Care (General)

Objective of care (specific)

Intervention Measures

Method of Nurse-Family

Malnutrition - Inability to recognize - After the nursing -After a month of nursing Home Visit Underweight the problem of intervention, the family will intervention, the family -Emphasize the BMI of the malnutrition due to: be able to: will be able to: importance of following family Ignorance of facts that • Perform the • Improve the weight proper nutrition : some of the family -Teach the family importance of nutrition of the malnourished = Candy (17 are on proper food among the family child with the help of years old) malnourished preparation through their the health teachings 16.23 Fear of Consequences actions of abstaining - Enumerate the being taught to eat =Cindy (12 of diagnosis of problem unhealthy food. various kinds of food. advantages and years old) related to economic. • Identify cheaper yet • Demonstrate the disadvantages of 13.65 - Inability to make nutritious and healthy proper way of preparingmalnutrition =Mary Jane (8 decisions with respect to foods - Identify cheaper nutritious food. years old) taking appropriate health nutritious and 13.56 actions due to: healthy foods =Aldren (2 Low salience of the years old) family about the existing 14.87 problem of malnutrition in the family. Inability to decide which action action to take among the list alternatives I order to be healthy. Fear of consequences of action related to economic.

Resources Required -Time -Effort -Money -Camera -Weighing Scale -Tape Measure (for BMI) -Notebook -Pen -BMI chart

Evaluation

Goals partially met: -They are able to perform the importance of nutrition through abstaining unnecessary food like “junk” foods. and able to identify cheaper nutritious and healthy foods but fail to demonstrate the importance of food preparation due to the location of their kitchen and the lack of necessary utensils.

Health Problems

Unsanitary Toilet

Family Nursing Problem

Goal of Care (General)

Objective of care (specific)

Intervention Measures

Method of Nurse-Family

- Inability to make - After the nursing -After an hour of -Provide proper Home Visit decisions with intervention, the family nursing intervention, Health teachings respect to taking will be able to: the family will be able in maintaining appropriate health • good hygiene To demonstrate the to: action due to: within their effects of unsanitary • To perform Fear of scope of toilet to the health of the proper waste consequences of family. disposal (feces and environment. action secondary to• -provide To perform the urine) economic proper use of toilet • To identify and effective -Inability to information facility and keeping it differentiate the recognize the clean and therapeutic to advantages of proper about the various presence of a diseases that the all the family . waste disposal in problem due to: preventing the spreadfamily can Ignorance of acquire with of communicable facts that unsanitary toilet diseases. unsanitary toilet -d might cause the spread of any kinds of infection.

Resources Required

-Time -Effort -Money -Camera -Weighing Scale -Tape Measure (for BMI) -Notebook -Pen -BMI chart

Evaluation

Goals partially met: -They are able to verbalize the importance of nutrition and able to identify cheaper nutritious and healthy foods but fail to demonstrate the importance of food preparation due to the location of there kitchen.

Health Problems

Presence of Breeding Places of Rodents and Insects

Family Nursing Problem

Goal of Care (General)

- Inability to recognize - After the nursing the problem of having intervention, the family will breeding places of be able to: rodents and insects due • To to: demonstrate on how to Ignorance of facts prevent the numbers of that these rodents rodents and insects in could cause different their house. kinds of disease. • To know what Fear of consequences diseases will be acquired of diagnosis of in having these insects problem secondary to and rodents. economic. -Inability to make decisions with respect to taking appropriate health actions due to: Inability to decide which action to take among the list of alternatives. Fear of consequence of action secondary to economic.

Objective of care (specific)

Intervention Measures

Method of Nurse-Family

-After an hour of nursing -Perform to the Home Visit intervention, the family family the various will be able to: yet very effective • Earn a sufficient strategies in eliminating these knowledge on what rodents and insects things to be done in order for these rodents through promoting a clean to be eliminated. environment. • identify the advantages of having a -Provide proper clean environment in health teaching about the relation to the advantages and elimination of these. disadvantages of having breeding places of insects and rodents.

Resources Required

-Time -Effort -Money -Camera (for Documentation) -Good sound Conversation

Evaluation

Goals met: -Each of the family were able to demonstrate correctly the ways in preventing the increase of these rodents as well as able to know the disadvantages of having these rodents around.