Family Case Study Rural UTTAI
Family Case Study Rural UTTAI
Family Case Study Rural UTTAI
DEFINITION:
Family health nursing is nursing aspects of organized family health care services which are directed or focused
on the family as the unit of care with health on the goal.
INFLUENTIAL PERSONS:
The various influential persons in community:
Surpanch
Anganwadi worker
Private practitioners
FAMILY GENOME:
ENVIRONMENTAL SANITATION:
DISPOAL OF REFUSE:
They disposed off the refuse by dumping in a common place or by burning.
DISPOSAL OF SEWAGE:
There is no proper disposal facility to drain sewage in the home.
ENVIRONMENTAL FACTORS:
HOUSING:
Type of house : It is a semi- pucca house.
Ventilation: Ventilation is not adequate since there is only one door & no window at the house.
Kitchen & hand washing facility: They have no separate kitchen and hand washing facility is available.
Presence of insect & rodents: Insects and rodents are present in the house.
Presence of domestic animals: They rear cows but no separate place for it.
Water: They have no hand pump in their house rather they have a common one in their locality.
NEIGHBOURHOOD:
Type of dwelling: There are pucca as well as kutcha houses in neighbourhood of my family.
DIETARY PRACTICES:
Type of diet: Family is non-vegetarian and consumes chicken twice in a month.
Number of meals: Family takes 3 meals per day i.e.- breakfast, lunch, dinner
General meal for each meal :
Breakfast - Roti/Poha , tea, subji
Lunch - Rice, dal , vegetable curry
Dinner - Rice/ roti dal , vegetable curry
Method of cooking: They cook food in chula and use methods of cooking such as boiling, steaming, frying etc.
Special need: There are under-five children in family, which requires special attention towards good nutrition for proper
growth and development.
General knowledge and attitude towards diet: They do not have adequate knowledge about balanced diet.
SOCIO-ECONOMIC ASPECTS:
Religion: The family believes in Hindu religion.
Income: 120/day or 3600/month
Earning members:
Mr.Ajeet
Place of work: Work as a laborer anywhere.
Monthly expenditure:
Food- 50% of income spent in food
ASSESSMENT:
Child (Anurag) is having diarrhea- lethargic, weak, irritable.
Wife is having fever cold and cough
Child (Anurag) is climbing upstairs alone and risk of fall down
Improper collection and disposal of waste
Couples were not aware of family planning methods.
Wife is not aware of weaning foods
NURSING DIAGNOSIS:
Altered bowel movement related to diarrhoea
Altered thermoregulation related to respiratory infection
Potential for health injury related to home accidents
Poor environmental sanitation related to improper disposal of waste.
Knowledge deficit regarding small family norm.
Knowledge deficit regarding weaning foods.
ASSESSMENT NURSING GOAL & PLANNING INTERVENTION EVALUATION
DIAGNOSIS
Subjective data Altered bowel Goal: 1.Education of family on nature & Family was cooperative &
Mrs. Shiv Kumari movement related After nursing intervention the extent of the problem gained knowledge by the
verbalizes son Anurag is to diarrhoea mother will comprehend the Provide information on sign & advices given.
having diarrhoea. nature and extend of problem symptoms and compare with sign Could implement the care
Objective data and will be able to: and symptoms with present in child. as planned.
On physical examination Interpret signs & symptoms of Discuss modes of transmission of
& observation, it was diarrhoea disease and identify the contracting
found : Explain the mode of spread of cause/ mode in the child.
Lethargic disease Provide information on ORS therapy.
Irritable Appreciate the importance of # Take one litre of clean drinking
Mild dehydration ORS therapy water and boil it. Allow it cool.
Avail medical services from the # add 1 ORS packet & stir it well till it
concerned health agency dissolves
# Give a teaspoonful every 1-2 min.
and if child vomits wait for 10
minutes then give solution more
slowly.
# The solution should be used within
24 hours.
# also give home available fluids such
as dal water, rice water sikanji,
buttermilk, mashed ripe banana and
continue breast feeding
If condition persists, avail medical
services from health agency.
On observation, Anurag Potential for health Goal: Education of mother on home The family understands
tries to climb upstairs hazards or injury After nursing intervention, the accident understand the extent of about the home accidents
related to home mother will be able to problem and its prevention.
accidents understand the extent of home Provide information about the causes
accident as a problem: of home accident
Enumerate the causes of home Discuss measures prevent home
accidents accident:
Explain the preventive aspects Keep constant watch on child and
of home accident keep medicines, solutions out of
reach
Advise to keep the sharp objects
away from reach of child.
Ask to fix a wooden piece over the
staircase so that he will not climb
upstairs.
Always see child is away from animals
Subjective Data Altered Goal: 1. Education of client on fever, cold & They appreciated the
Mrs. Shiv Kumari is thermoregulation After nursing intervention , cough as problem. advices given.
having fever related to infection temperature will be reduce Provide information regarding the
Objective Data and will comprehend the care during illness
On touch, feverish nature and extend of problem Take rest
Temperature- 100of Interpret the sign & symptoms Advice to take plenty of fluids and
Pulse - 88/min Appreciate the importance of liquid diet.
Respiration - 22/min proper treatment Encouraged to take high calorie and
Avail medical services from the small frequent diet.
concerned agency Do cold sponging
Follow treatment as prescribed Provide information on medical
examination & diagnosis, medical
facilities
Discuss the importance and
continuous treatment
Help to avail medical services from
concerned health agency.
There is no proper Poor environmental Goal: Education of family on nature and Family accepted the advice
disposal of animal sanitation related to After nursing intervention they extent of problem. and decided to follow it
excreta improper disposal will understood the nature and Provide information on proper
of waste extend of problem and will be disposal of waste
able to: Proper disposal of animal excreta by
Enumerate about the proper compositing, burial or by manure
disposal of animal excreta. pits.
Explain the mode of diseases Proper cleaning of stable
spread by unhygienic condition Do not allow the water to stagnate
Appreciate the good over the place.
environment sanitation Provide knowledge about the
communicable disease such as
malaria & its preventive measures to
prevent it
She verbalized that she Knowledge deficit After nursing intervention, she Education of family on methods of They appreciated the
has not adopted any related to small will understood the importance family planning & importance of advices given & decided to
family planning family norm of small family norm small family norm. accept to follow it.
Recognize the advantages of Provide information about the
small family norm advantages of small family to mother,
father & child
Mother can maintain good health,
have less strain & worry due to
limited no. of children.
Children have conducive
environment for proper physical,
psychological growth & development.
Father can provide children better
education, comfort, food, clothing &
education.
She reported that his Knowledge deficit After nursing intervention, she Education on weaning helps her to They gained sufficient
son is not eating enough related to weaning will understand the weaning. provide the supplementary foods. knowledge and could
foods Provide knowledge regarding Give dal water, rice water& vegetable implement the advice
weaning soup within available resources.
Appreciate the importance of Advised to give tomato soup. Palak
weaning foods. dal, mango pulp or papaya pulp
Give khichdi, rice gruel.
Give cooked mashed potato, mashed
apple, banana & vegetables
Give soft cooked rice, boiled
vegetables, boiled egg(first start with
yolk, tolerates then give white of an
egg)
Offer one new food at a time interval
of over one week & start with small
quantity before breast feed & when
child tolerates, quantity should be
increased.
HEALTH EDUCATION:
As concerning the needs of family, the health education was imparted:
DIARRHOEA:
Wife was advised to:
To ensure safe drinking water
Maintain sanitation & hygienic conditions
Protecting food from contaminated flies.
Ensure hand washing while preparing and eating food.
Improving weaning practices by using nutritious & locally available foods will reduces the diarrhoeal
incidence.
To prevent dehydration, oral rehydration solution should be given.
Home made solution such as dal water, carrot juice, tender coconut water, kanji, fruit juice & banana can
be given but under strict hygienic conditions.
Breast feeding should be encouraged during diarrhoea.
Normal food intake should be promoted as soon as child is able to eat.
Low roughage food with small frequent meals can be encouraged
MALARIA:
Wife was advised to:
Malaria prevalence can be reduced by proper antimosquito and antilarval measures.
Mosquito breeding places can be removed by filling the pits and avoid stagnation of water
The antilarval measures e.g., putting kerosene oil on the collection of stagnated water.
Personal protection against mosquito bite by use of repellants, protective clothes, bed mosquito nets,
mosquito coils etc.
Household methods such as application of mustard oil and fumes of burning neem leaves also help in
control of mosquitoes.
Old types can store under a roof or cover to prevent collection of rain water.
The spraying of indoor surface of homes with residual insecticides is still most effective measure to kill
the adult mosquito.
BALANCED DIET:
A balanced diet is a diet that includes all the nutrients in adequate and appropriate amount.
All growing children should be given adequate diet for growth and development
Advised to take more green leafy vegetables in diet.
Take regular diet within resources.
Salts to be used in moderation
VISIT REPORTS
SUMMARY:
I selected a home in Banjari Para Uttai, rural community to provide comprehensive care to family. On
first day of visits, I introduced and established positive interpersonal relations with family members. On
subsequent visits, I had identified some health matters such as diarrhoea, home accidents, proper
disposal of waste, weaning and gave need based care regarding all the problems of family. Finally, family
members gained knowledge & appreciated for help in future.