IV.

SOCIO ECONOMIC, CULTURAL AND ENVIRONMENTAL ASSESSMENT

This Chapter gives a more detailed background about the family regarding their
income and expenditures, working hours, ethnic background and religious affiliation,
other’s significant role in their family life, health habits related to health, family’s
involvement and utilization of the community’s resources, and housing condition.

A. Type of Family

The Rainbow Family is an extended type of family wherein Mr. Red and
his family are living with his nieces and nephew.

B. Decision-making

With regards to major decision making in the family, Mr. Red’s sister is
the one taking charge of everything especially when it comes to decision making.
Since his sister is the eldest among them siblings and she is just residing near
their place, the family is dependent with his eldest sister. When it comes to health
and finances, still Mr. Red’s eldest sister is the dominant decision maker in the
family since she is the eldest and both of their parents had already passed away.
She is the one who often budgets the money for their daily expenses.

C. Source of income, expenditure

The family’s main source of income is from the given financial support of
Mr. Red’s eldest sister. Unfortunately, his family is solely dependent to his sister.
The story behind it is that Mr. Red is very sickly; his body is not capable of
performing heavy duty works every time he tries his asthma attack would persist
so his family in turn decided that he should just stay home instead of earning just
to avoid compromising his health, though Mr. Red would also do part time jobs
sometimes to add in the financial support coming from her sister.

The total amount that the family of Mr. Red is earning per month is
20,400Php which is further distributed to 10 individuals including Mr. Red’s
 brother-in-law, eldest sister and younger brother. Each individual only receives
2,040Php per month which indicates that the family is poor. Although the family’s
income does not meet the suggested monthly income per individual which is
2,768.60Php, the ones that they are making every month is budgeted to be
sufficient to support their daily needs. If ever there will be excess from their daily
budget it would be saved for emergency purposes or in paying their regular
monthly bills.

The family’s monthly expenses are electric bill which amounts to

300Php/month; water bill which amounts to 170Php/month; school allowance
which amounts to 1,900Php/month; 2,000Php for the expenses of the baby;
3,000Php for their other expenses; 9,200Php/month for their food and 2,000Php
for their monthly saving. To sum all their expenses it would amount to
18,570Php.

D. Working Hours

Whenever Mr. Red does part time job, he would often start his day at 7am
up until 8pm. On the other hand Mrs. Orange also starts her day early; she would
take care of her daughter, clean the house and wash clothes. On the weekdays,
their nieces and nephew goes to school specifically Yellow, Green and Blue
while Indigo stays with Mrs. Orange together with her daughter Violet.

E. Religious beliefs

The Mr. Red, Mrs. Orange and their daughter Violet is affiliated under the
Born Again church. Before Mr. Red is affiliated under the Catholic Church but
when he married Mrs. Orange he converted from being a Catholic to Born Again.
Mrs. Orange verbalized that they attend to their church at least twice a week.

F. Significant Other’s role

 Mr. Red’s eldest sister often decides for the family. She is also being
consulted whenever there are family matters which need to be discussed. Since
both of Mr. Red’s parents have already passed away and their relatives are far
from them, his eldest sister serves as the guide of their family.

G. Health Habits/beliefs

The family seldom utilizes the heath center of the baranggay since the
family would go directly to a hospital. The family believes in the concept of
“tawas”, “usog” and herbolarios. They believe at these concepts and never
disregarded the importance of seeking a professional help when it comes to
illnesses, but before that the family would first consult to herbolarios but after
some time if the child does not recover from a herbolario then they will consult a
physician. They also do believe in the effectiveness and usefulness of herbal
plants. They use lagundi for treating asthma by boiling its leaves and drinking
one glass per day.

H. Family’s involvement in community activities

The family is often active and participates about the different activities in
the community such as mother’s class, medical mission and different meetings
and seminars because they believe that it will benefit them.

I. Family’s utilization of community resources

Before, the family used to utilize the programs of the Health Center like
the Expanded Program on Immunization however due to lack of finances the
family could not avail of the services of the health center and often times they are
lazy to go to the Health Center.

J. Housing Condition
 The family lives on a 60 sq. m lot and the floor area of the house is 11.15
sq. m. The house is made up of bamboo tree; literally the house is a nipa hut. It
is a crowded house, with the combination of living room, bedroom, and kitchen
while the wash room is outside. The house is not adequate for all the family
members since the criteria is that it should be at least 3.5 sq. m per individual.
There required length should be 22 sq. m for it to be considered adequate but the
results showed that the family only utilizes 11.15sq. m.
Computation for Floor Area of living room: Length: 2.58 meters
Width X 2.67 meters
TOTAL 6.89sq.m
Computation for Floor Area of bed room: Length: 1.80 meters
Width X 2.46 meters
TOTAL 4.26sq.m
Total Floor Area: 11.15sq.m

The ventilation is adequate since the house is open to ventilation. The

ventilation exceeded the floor area which could be considered to be adequate in
terms of ventilation. Regarding the lighting it is adequate on daylight and
inadequate at nighttime because the family only utilizes one light bulb that is
40watts.
Computation for Ventilation:
Window size: Length: 0.37 meters 2(# of windows)2.14meter(size)
X Width: 0.54 meters 11.15 sq.m(floor area)
TOTAL 2.14sq.m =0.38 x 100= 38%

They have inadequate furniture. The sleeping arrangements are improper

because the 3 of them sleeps in the same bed and the other four sleeps at the
floor which makes it more likely to acquire and transfer diseases especially if the
living space is in adequate and if there is presence of poor hygiene. There are
also presence of rodents and other insects which in turn may cause a treat in the
health of the family. Accident hazards are also present in the house which is very
dangerous especially the family has little children who might get hurt if those
 hazards will continuously be present in the home. The overcrowding of the house
and lack of space makes it more dangerous to health.

K. Food Sources, storage, and cooking facilities

Mr. Red’s eldest sister usually is the one who buys food because she is
the only one accessible and has the resources. She usually buys cooked food at
the near by neighbor or sometimes at the wet market if there is extra money
coming from their daily income. After buying the family would then eat or she
cooks it and if there are leftover of the food they will save it for the other meal.
Their form of storage is through covering plates which is not safe because of the
presence of rodents in the vicinity. The cooking facilities are inadequate and are
not in good condition.

L. Water Supply

Their water supply comes from the local water district (Angeles Water
District), though they do not have their own the faucet they only share with their
neighbor as well as the payment. They drink their water directly from the faucet
and store it in a pitcher except for the youngest child they boil the water that she
drinks and stores it in an another glass.

M. Toilet facility

The family does not have their own toilet bowl they only have a place to
bathe which is in poor sanitary condition; because there are parts of the
bathroom is totally dirty especially the surrounding area there are presence of
mud and dried leaves. They defecate in the house of Mr. Red’s eldest sister.

N. Drainage system
 The family does not have any drainage system, often times they would
just throw the water everywhere knowing that the soil would absorb it leaving the
place muddy. It is considered to have a poor environmental sanitation.

O. Social and Health Facilities available

There are available facilities in the community such as the health center,
the public elementary school and the barangay hall. There is also presence of
business establishments which means that Brgy. Sapalibutad is a well developed
barangay.

P. Communication and Transportation available

The family does not have cellular phones to use as a form of

communication. There are tricycles everywhere as a the main form of
transportation within the vicinity. If for an instance that there will be the inability of
the tricycle there are still other forms of transportation in the vicinity like the public
utility jeepneys which the family can utilize.
 V. Problem Identification

A. List of Problems Identified

PROBLEMS SCORE

PROBLEM # 1 – PRESENCE OF COUGH AND COLDS AS A

4.17
HEALTH DEFICIT

PROBLEM # 2 – FAMILY SIZE BEYOND WHAT FAMILY

3.34
RESOURCES CAN ADEQUATELY PROVIDE

PROBLEM # 3 – PRESENCE OF WOUNDS AS A HEALTH

3.17
DEFICIT
PROBLEM # 4 – PRESENCE OF ACCIDENT HAZARDS
SUCH AS EXPOSED ELECTRIC CORD AS A HEALTH 2.84
THREAT

PROBLEM # 5 – PRESENCE OF MALNUTRITION 2.67

PROBLEM # 6 – POOR ENVIRONMENTAL SANITATION:

2.5
PRESENCE OF BREEDING SITES OF RODENTS
PROBLEM # 7 – POOR ENVIRONMENTAL SANITATION:
2
IMPROPER GARBAGE DISPOSAL

PROBLEM # 8 – POOR HOME CONDITION: IMPROPER

1.34
FOOD STORAGE

PROBLEM # 9 – UNHEALTHEFUL LIFESTYLE AND

1
PERSONAL HABITS: POOR PERSONAL HYGIENE

PROBLEM # 10 – PERSONAL HABITS: WALKING

1
BEARFOOTED

PROBLEM # 1
PRESENCE OF COUGH AND COLDS AS HEALTH DEFICIT (4.17)
Criteria Computation Score Justification

1. Nature of the 3/3 x 1 1 The problem is a health deficit.

Presence of colds signifies failure of
Problem the body’s normal defences to protect
itself from invading microorganisms
thus making the person manifest the
illness. Moreover, presence of illness
 affects the family members’ activities
of daily living and predisposes the
other family members to acquire the
condition. The presence of illness
decreases the body’s ability to
perform work. In addition, there is
already alteration in the normal
functioning of the body and it requires
immediate intervention because if not
treated may cause further damage to
the individual.
2. Modifiability of 2/2 x 2 2 The problem is easily modifiable.
the Problem
Current Knowledge.
Before the Student Nurses intervene,
the family already knows the problem.
Current Moreover, they treat it by increasing

Knowledge the oral fluid intake of the affected
family member and provide adequate
Resources
rest. They know that the presence of
of  these diseases could be brought
about by pathogenic microorganisms
the Family
and viruses. They also know that its
Resources
presence signifies the decrease in the
of  body’s immune system.
the Nurse
Resources of the Family.
Resources
Even though the family lacks financial
of resources, they provide the affected
 family member with oral fluids and
the
place that is conducive for rest;
Community therefore the family could still provide
the appropriate management to solve
the problem.

Resources of the Nurse.

The student nurses use their time,
knowledge and skills to provide health
teachings with regards to promotion of
wellness, prevention of the
occurrence of the disease and proper
management of the illness. These
include encouraging them to continue
water therapy and drink calamansi
juice as well as the use of herbal
plants specifically lagundi.

Resources of the Community.

The health center provides free
check-up and medicine to treat illness.
 Moreover, there is an attending
physician and other health care
provider at the nearby rural health unit
in which the family could obtain health
services and teachings to prevent and
manage this health illness.
3. Preventive 2/3 x 1 0.67 The problem has a moderate
preventive potential.
Potential
Gravity of the problem.
Even though presence of colds may
Severity ↓ be common, this problem is severe
Duration ↓ because it is already an alteration with
Management ↑ the body’s normal defence
mechanisms. It interferes with the
Exposure of family members’ activity especially
High risk ↑ when performing their daily activities
and predisposes the person in
groups acquiring other illnesses. Moreover,
the children have already acquired
cough and colds as well as the other
family members are starting to have
cough and colds.

Duration.
The problem has been present for
even before the student nurses have
intervene. The colds of Indigo and
Violet have been present for weeks.
Moreover, Microbes that cause colds
are self-limiting which eventually
makes the illness disappear after a
number of days.

Management.
The family’s usual management of the
illness is to increase the affected
member’s fluid intake and provide
adequate rest.

Exposure of High Risk Group.

All family members are at risk of
acquiring the illness since they all live
in close proximity with each other
which potentiates the easy transfer of
microorganism that can cause illness.
While two of them were already
affected by the problem.
4. Salience 1/2 x 1 0.5 The family recognizes the problem as
a condition not needing immediate
 attention because they know that this
will eventually disappear after a
number of days and their interventions
are enough to resolve the problem.
Total Score 4.17
 PROBLEM # 2
FAMILY SIZE BEYOND WHAT FAMILY RESOURCES CAN ADEQUATELY PROVIDE
(3.34)
Criteria Computation Score Justification

1. Nature of the 2/3 x 1 0.67 The problem is considered as a health

threat due to the imbalance between family
Problem
size and family resources that poses
financial constraint on part of the family.
Financial constraint would lead to
inadequate allocation of resources making
the problem a health threat. For instance,
the family is unable to provide extra budget
for other needs such as, health assistance.
2. Modifiability of 1/2 x 2 1 The problem is not modifiable.
the Problem
Current Knowledge.
Current The family inhibits in spending from
 unnecessary things and they only spend for
Knowledge their basic physiological needs. Mr. Red’s
Resources eldest sister also maximizes the budget of
of X the family in order to meet the other needs
of each member. Unfortunately, the family is
the Family not aware that the inadequacy of family
Resources resources may affect their health.
of 
Resources of the Family.
the Nurse Financially and its manpower, the family is in
Resources constraint because the total of the family’s
of income is not enough to meet all the need of
X its members and there is only one main
the source of family income which from Mr.
Community Red’s eldest sister’s salary.

Resources of the Nurse.

The student nurses can impart their
knowledge about family planning and
explain its importance in the context the
family is in. The control in the family size will
prevent further aggravation of the problem.
They can also impart some information
about maximizing their budget and planting
of vegetables in a vacant lot wherein it can
be a source of food for them.

Resources of the Community. The

community is providing free health teachings
and health services such as seminars
regarding family planning. Although
available, it is not free of service obliging the
 family to pay for the artificial contraceptive
which makes it less accessible.
3. Preventive 2/3 x 1 0.67 The problem has a moderate preventive
potential.
Potential
Severity.
The problem is considered severe because
Severity ↓ the family is having difficulty in properly
Duration ↓ allocating their income. They only pay
attention in maximizing the budget for their
Management ↑ daily and monthly expenses compromising
Exposure of the need for health assistance.
high risk ↑
Duration.
groups The problem has existed for years and the
family is having difficulty at times.

Management.
Mr. Red’s sister is properly budgeting their
monthly income. As a form of management
she also does part time job by selling
condoms. As well as with Mr. Red and his
brother, they also do part time job whenever
they have the opportunity to, in order to add
in the total income of the family.

Exposure of High Risk Group.

The four children are more at risk because
they need more resources in order to satisfy
their physiological needs. Moreover, if these
needs are not satisfied it may lead to illness.
4. Salience 2/2 x 1 1 The family sees the problem as needing
immediate attention because they know that
any aggravation of it may lead to serious
consequences. They still consider the fact
that health is wealth and if compromised
may lead to more serious problem.
Total Score 3.34

PROBLEM # 3
 PRESENCE OF WOUNDS AS HEALTH DEFICIT (3.17)
Criteria Computation Score Justification

1. Nature of the 3/3 x 1 1 The problem is considered as a health

deficit because there is a failure to attain
Problem
first line of defence due to the presence of
wounds thus, making the person susceptible
to infection. The impairment in the skin
integrity weakens the person’s defence
mechanism due to the break in the person’s
first line of defence.
2. Modifiability of 1/2 x 2 1 The problem is partially modifiable.
the Problem
Current Knowledge.
Current The problem was recognized by the family
 and they are knowledgeable on how to
Knowledge intervene with it. The family knows that the
Resources skin is an important part of the person’s
of X defence and any break through it makes
them susceptible to infection.
the Family
Resources Resources of the Family.
of  Due to lack of financial resources the family
cannot provide materials which can make
the Nurse the healing of the wounds faster such as
Resources cottons, alcohol and betadine wherein these
of should be using in order to clean and treat
 their wounds instead the family made use of
the soap and water to wash the wound.
Community
Resources of the Nurse.
The student nurses used their knowledge,
skills and paraphernalia in providing proper
wound care to the affected family members
during their home visits. They are fully
equipped with necessary materials in order
to perform wound cleaning. By means of
providing proper wound cleaning, the
student nurses have intervened to the
current problem.

Resources of the Community.

The health center provides free check up
and medicine to the community that can
alleviate the problem.
3. Preventive 2/3 x 1 0.67 The problem has a moderate preventive
potential.
Potential
Gravity of the problem.
The problem is not severe since it does not
 Severity ↑ affect the activities of daily living of Indigo
and her wounds are almost healed.
Duration ↓
Management ↓ Duration.
Exposure of The problem has existed even before the
student nurses had their initial visit, during
high risk ↑ that time the wound is now on its healing
groups process.

Management.
The type of intervention that the family is
using to clean the wound is through the use
of soap and water only which is not enough
to make the healing process faster.

Exposure of High Risk Group.

The children are the risk group because they
play more outside that can cause injuries to
them especially there is no supervision
coming from their parents.
4. Salience 1/2 x 1 0.5 The family considers the problem as a
problem not needing immediate attention
because it doesn’t interfere with the family’s
daily activity specifically with Green.
Total Score 3.17

PROBLEM # 4

PRESENCE OF ACCIDENT HAZARDS SUCH AS PRESENCE OF EXPOSED

ELECTRICAL CORD AS A HEALTH THREAT (2.84)
 Criteria Computation Score Justification

1. Nature of the 2/3 x 1 0.67 The presence of accident hazards is

considered as a health threat because it may
Problem
affect the health of each member since they
are at risk for electrocution from the exposed
extension cord and sharp objects such as
embedded nails that are within the reach of
children.
2. Modifiability of 1/2 x 2 1 The problem is partially modifiable.
the Problem
Current Knowledge.
The family is aware of the presence of
exposed extension cord within the reach of
Current children that is why Mrs. Orange is not letting

Knowledge the children touch the extension cord.
Resources
Resources of the Family.
of  Although the family is presently in financial
the Family constraint, they can still use manpower in
Resources order to fix the problem. They can remove
sharp and pointy metal edges and elevate
of  extension cord In order to reduce the risk for
the Nurse any accidents.
Resources
Resources of the Nurse.
of The student nurses may impart their
X
the knowledge regarding the effects of the
presence of accident hazards. Moreover, the
Community student nurses can teach the family of ways
on how to reduce if not completely remove
accident hazards. They can also be additional
manpower to remove the existing accident
hazards.

Resources of the Community.

The community doesn’t have any programs
that would help in eradicating the problem and
making the community about its presence.
3. Preventive 2/3 x 1 0.67 The problem has a moderate preventive
potential.
Potential
Severity.
The problem is not severe because no family
Severity ↑ member has acquired any injury due to the
Duration ↓ presence of the mentioned hazards.
Management ↑
Exposure of ↑ Duration.
The problem has existed for years. Moreover,
high risk the family members are already accustomed
 groups to that kind of setting.

Management.
The family members specifically the old ones
are consistently reminding the children of
avoiding coming in contact with the exposed
electrical cord to avoid accidents.

Exposure of High Risk Group.

The family is composed of five children and
three of them are still young thus, they are at
risk of acquiring injuries from the said hazards.
4. Salience 1/2 x 1 0.50 The family considers it as a problem not
needing immediate attention since it has been
their practice, to use extension cords, and they
are also looking after the small children
making sure not to come in contact with the
electric wire.
Total Score 2.84
 PROBLEM # 5

PRESENCE OF MALNUTRITION (2.67)

Criteria Computation Score Justification

1. Nature of the 3/3 x 1 1 The problem is considered as a health

deficit because there is a failure to attain
Problem
the normal body weight due to
inappropriate intake of nutritious food intake
thus, resulting to malnutrition of the three
member of the family. Inadequate
nourishment can result or may lead to
development of other illness.
2. Modifiability of 1/2 x 2 1 The problem is partially modifiable.
the Problem
Current Knowledge.
Current The family is not aware of the problem and
X they lack knowledge about alternative foods
Knowledge that they can eat in order to meet the
Resources required nutrients yet it doesn’t require
of X bulky budget.

the Family Resources of the Family.

Resources The family is having difficulties in budgeting
of  their income. They would often buy the
ones which are needed first to meet their
the Nurse physiologic need however due to financial
Resources constraints the family is incapable of
of providing adequate and nutritious food for
 the family; it is not enough to buy nutritious
the foods for the family.
Community
Resources of the Nurse.
The student nurses can impart their
knowledge about the possible food that can
give nutrients to the family even though
they lack finances there are still alternative
that they can afford. They emphasize the
importance of properly nourished and its
benefits. They can teach the family to
prepare a meal which is nutritious and
budget friendly. They can also provide
basic ingredients for the family to start with
their food and dietary modification.

Resources of the Community.

The health center can provide health
teachings regarding proper nutrition such
as avoidance of junk foods. There are also
feeding programs that are held in public
 schools.
3. Preventive 2/3 x 1 0.67 The problem has a moderate preventive
potential
Potential
.
Severity.
One of the family member is underweight
Severity ↑ based form her BMI, specifically Yellow and
Duration ↓ Indigo. Presently, the problem is not yet felt
by the family but could be severe if taken
Management ↓ for granted.
Exposure of
high risk ↑ Duration.
The problem is present even before the
groups initial visit until the final visit of the student
nurses. But due to lack of knowledge the
family is not even aware of this problem.

Management.
Presently the family has no management to
address the problem. They continuously
stick to their practice of eating unhealthy
foods.

Exposure of High Risk Group.

All the family members are at risk of being
underweight because of inadequacy of
resources.
4. Salience 0/2 x 1 0 The family does not perceive it as a
problem due to their lack of awareness with
regards to the identified health problem and
since they themselves are not aware and
knowledgeable of their own health
condition.
Total Score 2.67
 PROBLEM # 6

POOR ENVIRONMENTAL SANITATION: PRESENCE OF BREEDING SITES OF

RODENTS (2.5)

Criteria Computation Score Justification

1. Nature of the 2/3 x 1 0.67 The problem is considered to be a
health threat because rodents can
Problem serve as carriers of different diseases
causing microorganisms such as
Leptospirosis and presence of
stagnant water could serve as a
breeding site for mosquitoes such as
Dengue carrying mosquitoes.
2. Modifiability of 1/2 x 2 1 The problem is can be considered as
partially modifiable.
the problem
Current knowledge.
Current The family is knowledgeable
 regarding the presence of rodents
Knowledge
and mosquitoes which some possible
Resources diseases can arise from them. They
of X know that the presence of breeding
sites makes them at high risk of
the Family acquiring diseases.
Resources
of  Resources of the Family.
The family is currently not utilizing
the Nurse any means or source in eradicating
Resources the rodents which in turn does not
of control the multiplication of rodents in
 their house. On the other hand they
the are also taking for granted the
Community presence of stagnant water in which
this could be a breeding site for
mosquitoes.

Resources of the Student Nurse.

The student nurses use their time,
knowledge and skills to provide
health teachings with regards to
prevention of the occurrence of the
disease and proper management of
the environment to control the growth
of the rodents and mosquitoes.
These include encouraging them to
maintain the cleanliness of their
surroundings.
 Resources of the Community.
The community, specifically the
health center, is regularly reminding
the people with regards to the
maintenance of cleanliness in the
community through different
seminars, chat sessions and mother’s
class.
3. Preventive 1/3 x 1 0.33 The problem has a low preventive
potential.
Potential
Gravity of the Problem.
Severity ↓ The gravity of the problem is high
Duration ↓ because the rodents are not
Management ↓ eradicated and are taken for granted
which could be the cause of different
Exposure of infectious diseases. The problem is
High risk ↑ considered severe as evidenced by
the mosquito bites present in the
groups family.

Duration of the Problem.

The problem already existed before
the student nurses visited the family.
They have also verbalized that the
presence of stagnant water has been
present.

Current Management.
The family does not give emphasis to
eradicate the rodents and mosquitoes
though health teachings were given
but due to prioritization of other basic
needs this problem is being the last
priority of the family so they just
resulted to the utilization of pet
animals.

Exposure to High Risk Groups.

All of the family members are
exposed because most of the time
they stay at home especially the
children and the presence of stagnant
water is in the vicinity were the family
resides.
4. Salience 1/2 x 1 0.5 The family perceived this as a
problem not needing immediate
attention because the family has
verbalized that they are having a hard
time to eradicate the presence of
 stagnant water and yet .they are
prioritizing their basic needs more
and eventually got used to the
presence of rodents so they are just
taking for granted the problem.
Total 2.5
 PROBLEM # 7

POOR ENVIRONMENTAL SANITATION: IMPROPER GARBAGE DISPOSAL (2)

Criteria Computation Score Justification

1. Nature of the 2/3 x 1 0.67 This problem is considered as health

threat since this may cause different
Problem
diseases by serving as breeding site
of different organisms such as
rodents, flies and mosquitoes which
in turn could serve as vectors of
diseases. If this problem would not
be intervened, in the long run it may
affect the family’s health due to the
exposure to poor environment.
2. Modifiability of 1/2 x 2 1 The problem is partially modifiable.
the Problem
Current Knowledge.
The family does know proper
garbage disposal even though there
Current are sacks in which garbage can be
X
Knowledge thrown still they lack the initiative to
Resources do so. They are not also aware on
how to segregate their garbage into
of  biodegradable and non
the Family biodegradable.
Resources
Resources of the Family.
of  The family have broom sticks and
the Nurse bamboo sticks which they can utilize
Resources in order to maintain the cleanliness of
their surroundings. They also have
of old sacks in which they can throw
 their garbage.
the
Community Resources of the Nurse.
The student nurses can use their
knowledge, skills and time to provide
health teachings regarding proper
garbage disposal like proper
segregation of their garbage.
Through demonstration and health
teachings the students also teach
and show the family on how to
segregate their wastes in such a way
that they may benefit from recyclable
products like plastic bottles and
papers by selling them in the junk
shop.
 Resources of the Community.
The barangay’s garbage collector
does collect garbage in the family’s
vicinity during Thursdays so the
garbage within the community is not
deposited in their houses for a long
time.
3. Preventive 1/3 x 1 0.33 The problem has a low preventive
potential.
Potential
Gravity of the problem.
The problem is severe because the
Severity ↓ family’s habit of not disposing their
Duration ↓ garbage in the right container have
Management ↓ been their habitual practice making it
as their usual routine and not
Exposure of keeping in mind that this practice
high risk ↑ could predispose to more serious
problem regarding health. Moreover,
groups their effort of keeping their
surroundings clean was not evident.

Duration.
This problem has been present for
years. The family does not provide
covered containers or even close the
containers for the garbage and do
not practice proper garbage disposal
specifically segregating their garbage
and throwing their garbage into
garbage bags.

Management.
The family does not perform any
interventions since the family does
not consider this as a serious
problem needing intervention. They
don’t make effort to clear up the
environment of the house of garbage
thus making the house not conducive
to health maintenance.

Exposure of High Risk Group.

All the family members are at risk
since they put their trash just outside
the house and left uncovered. The
children often plays outside the
house are more vulnerable to
possible diseases the problem could
predispose.
4. Salience 1/2 x 1 0 This is perceived by the family as a
problem not needing immediate
attention since this has been their
practice ever since. They consider it
as a condition which does not need
change since they are not aware that
this could predispose them to
illnesses. Moreover, the family is
already used to it.
Total Score 2
 PROBLEM # 8

POOR HOME CONDITION: IMPROPER FOOD STORAGE (1.34)

Criteria Computation Score Justification

1.Nature of the 2/3 x 1 0.67 The problem is considered to be a health
threat because improper food storage
Problem
could let insects or rodents could get in
contact with the food and the improper
storage of food could also lead to early
spoilage of the food that could lead to
different disease conditions if eaten by
the family members.
2.Modifiability of 0/2 x 2 0 The problem is not modifiable.
the problem
Current knowledge.
The family isn’t aware that they have
improper food storage until the student
Current nurses have commended it.
X
Knowledge
Resources Resources of the Family.
The family does not have enough utensils
of X which can allow them to store their food
the Family properly.
Resources
Resources of the Student Nurse.
of  Health teachings regarding the proper
the Nurse way of storing food so that vectors or
Resources rodents cannot get in contact with it or so
that it won’t spoil easily is provided by the
of student nurses.
X
the
Resources of the Community.
Community The community does not have anything to
do with the food storage of the family.
3.Preventive 2/3 x 1 0.67 The problem has moderate preventive
potential.
Potential
Gravity of the Problem.
The problem has low gravity because
Severity ↑ there are no reported case in the family of
Duration ↓ food poisoning due to eating of spoiled
Management ↓ food but it can predispose many problems
in the future like disease conditions such
Exposure of
as typhoid fever.
high risk ↑
groups Duration of the Problem.
The problem already existed even before
the student nurses visited the family.
 Current Management.
The family is not doing anything to
alleviate the problem.

Exposure to High Risk Groups.

All the family members are exposed and
are in high risk since all of them are
eating in the house.
4.Salience 0/2 x 1 0 It is not perceived by the family as a
problem since they were not aware of it
not until it was mentioned by the student
nurses.
Total 1.34
 PROBLEM # 9

UNHEALTHFUL LIFESTYLE AND PERSONAL HABITS: POOR PERSONAL

HYGIENE (1)
Criteria Computation Score Justification

1. Nature of the 2/3 x 1 0.67 The problem is considered as a health

threat because having a poor hygiene is a
Problem
conducive environment for the occurrence of
various conditions such as infestation of lice
and parasitism. Transmission and infection
may also occur due to this problem.
2. Modifiability of 0/2 x 2 0 The problem is not modifiable.
the Problem
Current Knowledge.
Current The family does not know the importance of
x maintaining proper personal hygiene and
Knowledge proper grooming.
Resources
of x Resources of the Family.
The family fails to provide the necessary
the Family materials in order to maintain proper
Resources personal hygiene such as toiletries. The
of  family does not even have a toilet facility and
water supply. They still need to ask from the
the Nurse neighbours whenever they are about to
Resources bathe.
of
x Resources of the Nurse.
the The student nurses provide information
Community regarding the importance in maintaining
personal hygiene and the possible
consequences of not maintain such. They
also provide information regarding
misconceptions in hygienic practices.

Resources of the Community.

The community doesn’t have any specific
programs regarding this problem.
3. Preventive 1/3 x 1 0.33 The problem has a low preventive potential.
Potential
Severity.
The problem is severe because all of the
family members bathe seldom and in
Severity ↓ addition they don’t properly wash /clean their
Duration ↓ body or keep their nails clean. They also do
not practice maintaining proper hygiene and
Management ↑ does not use appropriate deodorant to
Exposure of prevent occurrence of body odour.
↓
high risk
 groups Duration.
The problem occurs consistently from the
first visit up until the fifth this is due to lack of
toilet facility and water supply. They seldom
perform hygienic practices however, they
don’t maintain it.

Management.
There are measures done by the family such
as taking a bath but not does it on a regular
basis, and does not maintain it.

Exposure of High Risk Group.

No one in the family is exposed to having
poor hygiene since all of them have already
acquired poor personal hygiene.
4. Salience 0/2 x 1 0 It is not perceived as a problem by the family
since they are not aware of having proper
personal hygiene and considers this as a
normal situation.
Total Score 1
 PROBLEM # 10

POOR PERSONAL HABITS: WALKING BAREFOOTED (1)

Criteria Computation Score Justification

1. Nature of the 2/3 x 1 0.67 The problem is considered to be a
health threat because parasites can
Problem easily come in contact within the
body because of lack of foot
protection. Parasites can easily
penetrate into the body through the
lack of foot protection. Due to this
problem the family is more
susceptible in acquiring diseases
such as parasitism.
2. Modifiability of 0/2 x 2 0 The problem is not modifiable.
the problem
Current knowledge.
The family is not aware of the
Current importance of foot protection. The
X mother herself does not practice it.
Knowledge
The children are also not reinforced
Resources to wear slippers. The family does not
of X know the danger that can be brought
about by lack of foot protection.
the Family
Resources Resources of the Family.
of  Although each family member has
slippers, the problem is the practice
the Nurse of wearing them was not fully
Resources established and implemented by the
of elders; in return children also do the
 same.
the
Community Resources of the Student Nurse.
The student nurse can provide health
teachings regarding some of the
diseases that can be acquired, such
as parasitism. Some health teachings
that the student nurses could impart
are the practice of wearing slippers in
and out of the house. They can also
teach the family of regular cutting of
their toe nails. The students can also
provide health teachings regarding
proper sanitation. They can also
teach them the effects of not wearing
slippers.
 Resources of the Community.
There is a Community Health center
which can help in providing health
teachings regarding the importance
of proper sanitation to prevent the
occurrence of parasites. The
community also offers free anti-
vermicule medications to help
eradicate parasites.
3. Preventive 1/3 x 1 0.33 The problem has a low preventive
potential.
Potential
Gravity of the problem.
Severity ↓ The problem has high gravity
Duration ↓ because all of the family members
Management ↓ are affected because of their constant
practices of not wearing slippers. It is
Exposure of considered severe as evidenced by
↓ the children having ascaris which is a
High risk
intestinal parasite.
groups
Duration of the Problem.
The problem already existed for
many years because they came into
the practice of not wearing it all the
time.

Current Management.
The family does not perform any
interventions since they are not
aware of the possible illnesses the
identified problem could lead to. They
don’t take the initiative of protecting
their feet by wearing slippers and do
not strictly enforce regular wearing of
sleepers.

Exposure to High Risk Groups.

Since all the family members are
already exposed there are no high
risk groups at present.
4. Salience 1/2 x 1 0 The family does perceive it as a
problem not needing immediate
attention since it has been their
practice and they don’t see the need
of wearing slippers and are not doing
anything to strictly implement to their
children and family members the
practice of wearing slippers.
Total 1
FAMILY NURSING CARE PLANS

PROBLEM # 1
First Level Assessment: PRESENCE OF COUGH AND COLDS AS A HEALTH DEFICIT (4.17)
Second Level Assessment: Inability to make decisions with respect to taking appropriate health action due to inability to make decisions
with respect to taking appropriate health action
NURSING NURSING METHOD OF EXPECTED
RESOURCES
CUES PROBLEM OBJECTIVES INTERVENTIO RATIONALE FAMILY OUTCOME
REQUIRED
ANALYSIS NS CONTACT
S: “Awa Presence of Short term: > Assess the -To attain and - Knowledge of Short term:
sisipun ku Cough and After 2 hours condition of the use baseline -Home visits the student The family
ampo Colds as of student patients. data and to nurse about shall have
manguku.” as health deficit nurse-family prepare for cough and verbalized
verbalized by DUE TO: interaction, the appropriate colds. understanding
Sister India -Inability to family will be nursing care of the
O: make able to >Explain to the -For the family - Cooperation importance of
- Presence of decisions with verbalize family the to gain of the family. strong immune
clear nasal respect to understanding factors that knowledge system by
secretion taking of the cause the about the - Resources of repeating the
-Productive appropriate importance of problem and causes and the community health
cough health action strong immune consequences consequences health center teachings
due to: system by of cough and of the problem like free given by the
-Abnormal >Inaccessibility repeating the colds to the and for them to medicines. students.
breathing of appropriate health family’s health gain
pattern resources for teachings status awareness.
cure especially given by the
-Adventitious lost constraints students. >Discuss the -To increase Long term:
breath sounds or economic/ importance of the body’s The affected
upon financial Long Term: preventive resistance and family
auscultation inaccessibility. After 5 days of measures such improve members shall
(rales) -Inability to home visits, as boosting prognosis of have
provide home the affected immune the problem. demonstrated
environment family system and complied
which is members will through proper with the
conducive to be able to nutrition. treatment
health demonstrate regimen given
maintenance and comply > Encourage - To replace by the student
and personal with the to continue lost body fluids nurses to
development treatment water therapy. and liquefy eradicate the
due to limited regimen given secretions. problem.
physical by the student
resources and nurses to >Instruct the - To build up
inadequate eradicate the affected family resistance and
knowledge of problem. members to provide source
importance of drink of Vitamin C.
hygiene and Calamansi
sanitation. juice.

>Discuss to -To utilize

the family the community
appropriate resources
use of herbal which are
medicine for effective and
the treatment readily
of illness such available.
as Lagundi.

>Encourage -To prevent

the mother to further
adjust the exposure to
playtime of the external stimuli
children and that may affect
provide health and
adequate time increase the
to rest. conserve
energy
 PROBLEM # 2
First Level Assessment: FAMILY SIZE BEYOND WHAT THE FAMILY RESOURCES CAN ADEQUATELY PROVIDE (3.34)
Second Level Assessment: Inability to provide appropriate actions related to financial constraints and limited physical resources such as
manpower
NURSING NURSING METHOD OF
RESOURCES EXPECTED
CUES PROBLEM OBJECTIVES INTERVENTI RATIONALE FAMILY
REQUIRED OUTCOME
ANALYSIS ONS CONTACT
S: “Sakto lang, Family size Short Term: >Establish -To gain trust -Home visits Cooperation Short Term:
pinagkakasya beyond what After 1-2 hours rapport. and of the family The family
ung pera” as the family of home visits, cooperation members shall
verbalized by resources can the family will from the verbalized
the mother. adequately verbalize family. Knowledge, understanding
provide as a understanding >Assess the - To gain time and of the problem
O: health threat of the problem family for baseline data effort of the and would
- the family and would adequacy and student cooperate to
has an income DUE TO: cooperate to allocation of nurses the
of Inability to the their intervention or
P20,400.00/m provide intervention or resources. health
onth when appropriate health >Provide -To increase teachings
divided to 10 actions related teachings information awareness on provided to
members, it to financial provided to regarding how to control them.
will yield to constraints them. family the increasing
P2,040 which and limited planning. family size.
is inadequate physical Long Term: Long Term:
to the family resources After 4-5 days The family
since each of such as of home visits, >Suggest -To provide shall have
the family manpower. the family will buying of adequate taken apt
must have take apt nutritious but nutrition measures to
P2,768.60 measures to cheap foods. without maximize their
maximize their spending a lot resources
- two children resources. of money.
are
underweight >Instruct - To have
-insufficiency utilization of other means of
of food surroundings source of
provided such as foods.
planting of
vegetables.

>Reinforces - To ensure
family proper
members to allocation of
practice proper their scarce
utilization of resources in
finances by meeting the
avoidance of needs of the
purchasing family
unnecessary members.
things.

>Provide the -Provides a

family better aspect
information or on the family’s
other means of effort on
earning extra raising their
income by source of
trying to income.
recycle things
that they do
not use
anymore or
sell them such
as plastics,
bottles, and
papers
 PROBLEM # 3
First Level Assessment: PRESENCE OF WOUNDS AS A HEALTH DEFICIT (3.17)
Second Level Assessment: Inability to provide adequate care to vulnerable member of the family related to lack of necessary equipment
and supplies for care
NURSING NURSING METHOD OF EXPECTED
RESOURCES
CUES PROBLEM OBJECTIVES INTERVENTIO RATIONALE FAMILY OUTCOME
REQUIRED
ANALYSIS NS CONTACT
S: Ø Presence of Short term: >Establish -To gain trust -Home visits - Knowledge of Short term:
O: Wounds as After 2 hours rapport and the student The family
-Scars on health deficit of student cooperation to nurse about shall have
Green’s left leg DUE TO: nurse-family the family the problem. verbalized
anterior part -Inability to interaction, the members. understanding
provide family will be -Effort and of the
adequate care able to >Assess the -To attain & cooperation of importance of
to vulnerable verbalize site of wound use baseline the family. proper wound
member of the understanding and how it was data and to care and
family related of the attained. prepare for - Resources of prevention of
to lack of importance of appropriate the community acquiring
necessary proper wound nursing care. health center wounds.
equipment and care and like free
supplies for prevention of >Clean the -To prevent medicines and
care. acquiring wound further consultation.
-Inability to wounds. complication
provide home and growth of -Hydrogen Long term:
environment Long Term: microorganism Peroxide, The family
which is After 4 days of in the site of betadine, member shall
conducive to home visits, wound. cotton balls have initiated
health the family will and sterile proper wound
maintenance initiate proper >Demonstrate -To gain gauze care to
and personal wound care to proper wound knowledge affected
development affected care and about the member.
related to lack member. dressing. proper wound
of adequate care: to
knowledge of promote self
preventive reliance to the
measures. family
member.

>Emphasize to -To promote

the family the awareness and
importance of prevent
immediate infection.
intervention to
open wounds.

>Emphasize to -To prevent

the family acquiring
members who wounds and
are at risk of breakage of
acquiring the skin.
wounds to
prevent from
going to areas
which are
prone to
accidents.

>Instruct -To promote

mother to responsible
watch out for parenthood
her children. and preventing
the children
from having
wounds.
>Instruct family
to take foods -To boost
rich in Vitamin immune
C system
PROBLEM # 4
First Level Assessment: PRESENCE OF ACCIDENT HAZARDS SUCH AS PRESENCE OF EXPOSED ELECTRICAL CORD AS A
HEALTH THREAT (2.84)
Second Level Assessment: Inability to provide a home environment conducive to health maintenance and personal development due to
Inability to perceive the possible accident that can occur
NURSING NURSING METHOD OF
RESOURCES EXPECTED
CUES PROBLEM OBJECTIVES INTERVENTIO RATIONALE FAMILY
REQUIRED OUTCOME
ANALYSIS NS CONTACT
S: Ø Presence of Short-term: > Establish - To gain trust - home visits - Cooperation Short term:
O: accident After 1-2 hours rapport and of the family The family
-Extension hazard as a of student cooperation members. shall
cord is health threat. nurse-family > Assess the - Serves as verbalized
exposed DUE TO: interaction, the condition of the baseline data - Equipments understanding
-Inability to family will be house in for the of the
provide a able to implementing reduction of consequences
home verbalize proper the hazards of the problem.
environment understanding interventions such as wires
conducive to of the and nail Long term:
health consequences >Discuss the -To help the remover. The family
maintenance of the problem. consequences family realize shall have
and personal of the problem the importance - Knowledge, demonstrated
development Long-term: identified of preventive skill and time reduction or
due to Inability After 3-4 days measures. of the student removal of
to perceive the of home visits, nurse objects that
possible the family will >Encourage to -To encourage are hazardous
accident that be able to express own motivation and to health.
can occur demonstrate suggestion. decision
reduction or making ability
-Inability to removal of of the family.
make objects that
decisions with are hazardous >Collaborate -To prevent
respect to take to health. with the family accident
appropriate in eradicating hazards and
health actions or reducing promote self
related to these accident reliance.
failure to hazards
comprehend
on the nature >Encourage - Us e of
of the problem. the family to slippers as a
wear slippers personal
regularly. protective
equipment for
the feet to
prevent
injuries.

>Instruct the -To prevent the

mother to children from
watch out for going to the
the children. area

>Remove the -To eradicate

embedded the problem.
nails and
elevate the
extension cord.

>Instruct - To give
mother to immediate
provide wound intervention
care or refer to and prevent
the health further harm.
center if
accident
happens
 PROBLEM # 5
First Level Assessment: PRESENCE OF MALNUTRITION (2.67)
Second Level Assessment: Inability to make decisions with respect to taking appropriate health actions related to inaccessibility of
appropriate resources of care, specifically cost constraint and manpower
NURSING NURSING METHOD OF
RESOURCES EXPECTED
CUES PROBLEM OBJECTIVES INTERVENTIO RATIONALE FAMILY
REQUIRED OUTCOME
ANALYSIS NS CONTACT
S: Ø Presence of Short term: >Establish -To gain trust -Home visits -Family’s Short term:
O: Malnutrition After1-24 Rapport and cooperation The family
-Two of the DUE TO: hours of home cooperation with the shall have
family Inability to visits, the from the interventions. verbalized
members are make family will family. -Student understanding
underweight decisions with verbalize >Assess the -To obtain nurses’ skills, on the
-Bony respect to understanding height and baseline data knowledge and importance of
prominence on taking on the weight of each and get their time. nutrition in
the cheek appropriate importance of family BMI to -weighing ones health.
-Skinny health actions nutrition in member. determine their scale and tape
appearance related to ones health. nutritional measure. Long term:
inaccessibility status. -Community -T he family
of appropriate Long term: program such members who
resources of After 4-6 days >Identify the -To provide as feeding are
care, of home visits, causes and information program. underweight
specifically the family consequences regarding the shall have
cost constraint members who of low body problem. complied with
and are weight. the diet
manpower. underweight regimen given
will comply >Discuss to -For the family to them.
with the diet the family to be aware of
regimen given about the the importance
to them. importance of of diet in their
balanced diet. health.

>Plan together -To give the

with the mother an idea
mother the on what to
foods that are prepare and be
nutritious yet able to
has low cost. implement self
reliance
regarding
decision
making.

>Discourage -To correct

eating of junk faulty habits.
foods.

>Encourage -To prevent

proper transmission of
handwashing microorganism
during food via fecal-oral
preparation. route.

>Advice -To boost

mother to avail immune
supplemental system and
vitamins in utilize
health center community
or join in their resources.
projects/
programs.
 PROBLEM # 6
First Level Assessment: POOR ENVIRONMENTAL SANITATION: PRESENCE OF BREEDING SITES OF RODENTS (2.5)
Second Level Assessment: Inability to provide a home environment, which is conducive to health maintenance and personal
development due to inadequate family resources, specifically, financial constraints Inability to provide a home environment, which is
conducive to health maintenance and personal development due to inadequate family resources, specifically, financial constraints

Cues Problem Objectives Nursing Rationale Method of Resources Expected

Analysis Interventions Family Required Outcome
Contact

S: Ø Inability to Short Term: >Assess the -To obtain -Home Visit -Knowledge of Short term:
provide a After 2 hours severity and baseline data the student The family
O: home of home visit, possible about the nurses about shall have
-Presence of environment, the family will location of problem and the problem identified
stagnant water which is identify factors, breeding sites how to solve it and its con- factors which
near the conducive to which sequences contribute to
kitchen sink health contribute to >Discuss with -To make the poor
and comfort maintenance poor the family the family aware of -Cooperation environmental
room and personal environmental presence of the presence of the family sanitation such
development sanitation such the problem of the problem members as presence of
-Improper due to as presence of and discuss breeding sites
garbage inadequate breeding sites possible -Time and of rodents and
disposal due to family of rodents and solutions. effort of the mosquitoes.
lack of proper resources, mosquitoes. Student nurses
garbage specifically, >Explain the -For the and the family
collection financial Long Term: importance of family’s
within the constraints. After 5 days of having rodent- awareness, -Additional Long term:
community home visits, free thus promoting trash cans The family
the family will environment compliance shall have
-Presence of devise ways in and -Shovel and identified ways
rodents in the promoting maintenance sand in promoting
kitchen and good to prevent the good
living room environmental occurrence of environmental
sanitation as diseases sanitation as
evidence by evidence by
maintaining the maintaining the
whole house >Encourage -To prevent whole house
clean, proper the family to aggravation of clean, proper
garbage allot time in the situation. garbage
disposal and cleaning the disposal and
eradication of house. eradication of
stagnant stagnant
water. >Instruct the -Odor that water.
family to emanates from
dispose open trash
unnecessary containers
objects such attracts insects
as empty particularly
boxes, old tires flies by
which could covering it this
serve as could prevent
breeding sites. the occurrence
of rodents.

>Stress to the -To effectively

family that eradicate the
garbage must presence of
be put inside a rodents and
covered trash insects.
can.
 PROBLEM # 7
First Level Assessment: POOR ENVIRONMANTAL SANITATION: IMPROPER GARBAGE DISPOSAL (2)
Second Level Assessment: Inability to recognize the presence of the condition related to inadequate knowledge and attitude in life which
hinders recognition of the problem
NURSING NURSING METHOD OF
RESOURCES EXPECTED
CUES PROBLEM OBJECTIVES INTERVENTIO RATIONALE FAMILY
REQUIRED OUTCOME
ANALYSIS NS CONTACT
S: “Dyang Poor Short Term: > Establish - To gain trust -Home visits -Knowledge Short Term:
nokarin Environmental After 2 hours of rapport and and skills of The family
manugse keng Sanitation: Student-Nurse cooperation proper shall have
basura” as Improper –family with the family garbage verbalized
verbalized by garbage interactions, members. disposal and understanding
the family disposal. the family will >Assess environment about the
O: DUE TO: verbalize garbage -For baseline sanitation of importance of
-Plastics are -Inability to understanding condition and data and the student proper garbage
scattered at recognize the about the ways of reference. nurses. disposal.
the backyard presence of importance of disposal.
-The family the condition proper garbage -Cooperation
usually related to disposal > Discuss the and willingness
disposes their inadequate importance of -To promote of the family to Long Term:
outside the knowledge and Long Term: waste awareness and identify The family
house attitude in life After 3 home segregation. determine existence of shall have
which hinders visits, the which objects the problem demonstrated
recognition of family will can still be and effort to the use and
the problem. demonstrate utilized by the attempt to maintenance of
-Inability to the use and family. solve the proper garbage
provide a maintenance of >Instruct the problem disposal.
home proper garbage family on the -To prevent or
environment disposal. use of garbage reduce -In
conducive to containers with breeding sites collaboration
health cover or can of vectors that with the
maintenance be covered/ can cause community
related to closed. illness. officials, the
failure to regular
comprehend >Instruct the collection of
the nature of family to place -To prevent garbage in the
the problem garbage transmission of community.
and lack of container away microbes to
knowledge in from where the children.
carrying out children play.
measures to
improve home >Explain and
environment. identify - To provide
different awareness to
diseases that the family and
the family prevent
could get from occurrence of
improper diseases.
disposal of
garbage

>Encourage
family to - To prevent
cooperate to further
the projects of aggravation of
barangay the problem.
officials
regarding
environmental
sanitation

>Encourage
family to go to -To make the
barangay officials aware
center and of the problem
consult to the that would lead
barangay to helping in
officials about solving the
the problem. problem.
 PROBLEM # 8
First Level Assessment: POOR HOME CONDITION: IMPROPER FOOD STORAGE (1.34)
Second Level Assessment: Inability to recognize the presence of a problem due to fear to consequences of disease or problem
specifically economic cost implications
CUES FAMILY OBJECTIVES NURSING METHOD OF RESOURCES EVALUATION
NURSING INTERVENTIO RATIONALE FAMILY REQUIRED
ANALYSIS NS CONTACT
S> Ø >Inability to Short Term: >Explain to the >Let them be >Home Visits >Knowledge of Short Term:
recognize the After the family the aware of the the student After the
O>Absence of presence of a initial home importance of disadvantages nurses initial home
refrigerator for problem due visit, the family adequate food of improper visit, the family
storage of their to: will be able to storage garbage >Time and shall have the
food a. Fear to understand the facilities disposal perseverance understanding
consequences importance of of the student regarding the
>Cooking of disease or proper food >Demonstrate >To prevent nurses importance of
facilities problem handling and proper ways to spreading proper food
located outside specifically food storage store foods microorganism >Participation handling and
of their house economic cost facility. s caused by of the family food storage
implications. insects facility.
>They do not Long Term:
cover leftover >Inability to After the final >Demonstrate >To prevent Long Term:
food provide a home visits, the proper transmission of The family
home the family will hand washing diseases shall have
environment be able to before and complied on
which is show after preparing the health
conducive for compliance on food teachings and
health the health maintained
maintenance teachings and >Demonstrate >To prevent proper
and personal maintain to the mother contamination handling
development proper on how to of food preparations
due to: handling proper store and presence
a. Inadequate preparations their food away of proper food
family and presence from dusts storage facility.
resources of food storage
specifically facility. >Enumerate to >To prevent
financial the mother food poisoning
constraints foods that
would easily
b. Failure to get spoiled
see benefits of
investments of
home
environment
improvements
 PROBLEM # 9
First Level Assessment: UNHEALTHFUL LIFESTYLE AND PERSONAL HABITS: POOR PERSONAL HYGIENE (1)
Second Level Assessment: Inability to recognize the presence of a problem related to lack of adequate knowledge of the importance of
hygiene and sanitation
NURSING NURSING METHOD OF
RESOURCES EXPECTED
CUES PROBLEM OBJECTIVES INTERVENTIO RATIONALE FAMILY
REQUIRED OUTCOME
ANALYSIS NS CONTACT
S:Ø Unhealthful Short-term >Assess for -To note any -home visit -Cooperation Short-term:
O: Lifestyle and After 1-2 hours hygienic status deviations and of the family The family
-with dirty Personal of home visit, and have a have a member. shall have
finger nails Habits: Poor the family will thorough baseline data. -Time and verbalized
-presence of Personal verbalize assessment on effort by the understanding
body odor Hygiene understanding all the family student nurses of the
DUE TO: of the members. -Health importance
Inability to importance teachings that and the
recognize the and the >Assist in -To prevent are done by consequences
presence of a consequences trimming of accumulation the student of the problem.
problem of the problem. finger nails of dirt this may nurses.
related to lack and toe nails. result to a poor -Toiletries and
of adequate Long-term: hygiene. nail cutter. Long-term:
knowledge of After 4-6 days The family
the importance of home visits, >Demonstrate -Hand washing shall have
of hygiene and the family will to them the is still the best exhibited the
sanitation. be able to proper hand way in practice of
exhibit the washing preventing good personal
practice of technique. acquisition of hygiene
good personal various
hygiene diseases.

>Instruct to -To promote

brush their oral hygiene
teeth at least and refresh
twice daily. their mouth.

>Instruct to -To prevent the

take daily bath acquisition of
and health
demonstrate problems
hair care. related to
improper
hygienic
practices.

>Present the -To promote

effect of poor awareness of
personal the
hygiene such consequences.
as it helps
reduce the
chances of
acquiring
various
infections.

>Emphasize or -To promote

identify some awareness to
misconception different beliefs
s about that could
hygienic result to poor
practices such hygiene
as not to take leading to
a bath while infection.
having a
menstruation.
 PROBLEM # 10
First Level Assessment: POOR PERSONAL HABITS: WALKING BAREFOOTED (1)
Second Level Assessment: Inability to recognize the presence of the problem due to inadequate knowledge

Cues Problem Objectives Interventions Rationale Method Of Resources Expected

Analysis Family Required Outcome
Contact

S: Ø Inability to Short term: >Discuss with -To make the -Home Visit -Knowledge of Short term:
recognize the After 2 hours of the family the family aware of the student -The family
O: presence of the nursing presence of the the presence of nurses about shall have
-Family problem due to intervention, problem the problem. the problem verbalized
members have inadequate the family will and its con- understanding
their slippers knowledge verbalize >Explain -To know the sequences of the
but they do not about its understanding importance of complications importance of
use them most consequences of the wearing and provide -Cooperation of health
of the time and due to the importance of slippers base line the family teachings given
fact that this is health information and members regarding
-All family a part of their teachings given acknowledge wearing
members are lifestyle. regarding the presence of -Time and effort slippers as
with dirty feet wearing the problem of the Student evidenced by
slippers as nurses and the the mother’s
-Toe nails of all evidenced by family verbalization of
of the family the mother’s -To understand the importance
members are verbalization of >Discuss the the importance -Additional of wearing
long and dirty the importance possible of wearing slippers and slippers.
of wearing untoward slippers and nail cutter
slippers. consequences prevent
of not wearing possible illness
Long term: slippers which can be Long term:
At the end of brought about -The family
the home visit by not wearing shall have
the family slippers complied on the
members will interventions
comply on the and health
interventions >Give -Proper teachings give
and health preventive wearing slipper as evidenced
teachings given measures such and trimming by the family
as evidenced as wearing of nails are members
by the family slippers, preventive wearing their
members washing hands, measures that slippers all the
wearing their and trimming will help control time and
slippers all the toe nails of getting some practice of
time and the complications proper foot
proper such as care.
observance of parasitism
foot care.
>Encourage the -To prevent any
mother to occurrence of
always keep microorganisms
her children’s .
fingernails and
toenails short
and clean
 “The best helping hand is at the end of your own arm.”

Living is taking in so many responsibilities; choices that you have to make,

problems that you have to face and obstacles that you must pass through. Indeed, life is
so difficult but in times of problems, obstacles and dilemma the best helping hand that
you can find is at the end of your own arm.

We are all aware of the current problems of our country, one of which is extreme
poverty. In line with this, as students who are integrated in the community of
Sapalibutad, we were assigned to a specific family and tried to intervene with the
problems that the family is facing. Being a researcher of the Rainbow Family, I am
aware of the current problems of the family. There is really a need for a Public Health
Nurse to intervene with the family and as we go along with the home visits I came to
know the family better. The family’s main problem is that they are not doing anything to
fight poverty and the family lacks initiative to do things. They do not give importance to
education and rely solely with one provider. For me if you want to improve your living
you have to help yourself. The family members were so dependent to the eldest sister
where in fact the amount that she is earning is not even enough for them. The family
really does not practice good environmental sanitation as well as their personal hygiene
is considered poor. It doesn’t necessarily mean that if one person is suffering from
poverty he/she cannot even practice cleanliness. As we all know cleanliness starts from
our selves. Same is through with the other problems, if we want change we must first
start it with ourselves, with our own home by then you will see a difference.

Despite everything, they taught me a lot of things about life. They made me
realize the different realities of life. They taught me how to be a versatile in my craft. But
most of all, I came to realize that I am so fortunate because not all people have the
same life as I do.

In doing this Family Case Analysis, perseverance and determination is what we

needed in order to accomplish it. Cooperation and trust with the family where we are
integrated and collaboration with my group mates are some of the very important factors
so that we will be able to come up with very effective interventions to help our adopted
family. It also requires the passion for helping others because what you ever you will do
or offer the family they will forever be grateful for it.

Pinpin, Janella Jean G.

BSNIV-2; Group 06
 Angeles University Foundation
Angeles City
College of Nursing
SY 2010- 2011

FAMILY CASE ANALYSIS

Rainbow Family

Submitted by:
Basilio, Francis Jonell B.
Lagason, Ada Mae
Pinpin, Janella Jean G.
BSN IV – 2; Group 06

Submitted to:
Michael Cruz, RN MN
Clinical Instructor