Table of Contents

I. Introduction

II. Acknowledgement

III. Biographical Data

A. Family Structure and Characteristics
B. Biological and Socio-cultural Factors
C. Environmental Factors
D. Health and Medical History
E. Type of Family Structure

IV. Activities of Daily Living

A. Sleeping Pattern
B. Eating Pattern
C. Leisure Time Activities

V. First Level of Assessment

VI. Second Level of Assessment

VII. Scales of Ranking Family Health Problems

VIII. Ranking OF the Identified Health Problems

IX. Cues and Data

X. Family Nursing Care Plan

XI. Learning Experience

XII. Conclusion
 I. Introduction

As health advocates in the society, we are obliged to maintain or restore

the optimum health of the people within the community and that aim we have as
actively participating student nurses of this generation, we adhere to the
problems of our family, which is the basic unit of the society and the most
important component of our country.

We met the family for the first time last January 15, 2010 at San Roque
Seaside, Lapasan, Cagayan de Oro City. Their geographical location is readily
accessible because you don’t to ride a “trisikad” in order for you to locate the
place; instead, we took a walk in order for to reach the place.

The Head of the Family is Mr. Eusebio Agbong, a 48 year old original
resident of Barangay Lapasan. He is living together with his wife, Mrs. Flordeliza
Agbong, 39 year old native from Talakag, Bukidnon and his five children. The
head of the Family is a security guard from the Sagittarius Agency and currently
working at Gusa, Mindanao Tracking Corporation and earns at approximately
Php 7,000 per month regardless with the expenses at home and daily needs.
The husband seldom drinks and smoke because of his night duty shift while
Flordeliza is a plain housewife who’s focus is to take care of the children
especially their youngest son who always acquires such illnesses.

As the real aim of the nursing profession, which is to give care to the
people, takes place, we took it as a stepping stone in helping the family in
making them realize the essence of a simple yet healthy life through many ways
of living. We are also responsible for giving our family the importance of
prioritizing such health problems whether a health deficit or threat in order to give
specific actions for us, together with the cooperation of the family, to achieve,
solve, reduce and/or completely eliminate the different kinds of problems through
establishing a good foundation of prioritizing actions and care to promote,
prevent or keep the family away from the occurrence of various diseases.
 II. Acknowledgement

As health providers of this society, we ought to give our all in order to help
the people in this community achieve their main goal--- the health yet joyful life.

A big and unending thanks to our Clinical Instructor, Ms. Doreen Grace
Contreras, RN, who brought our ideas and our clinical experiences into more
productive yet helpful to all the people in the community because through hr fun-
filled way of teaching, we are able to inculcate in our minds and most especially
to our hearts the importance of helping family in a certain community to achieve
their optimum health which is predominantly the aim of this project. She
enhanced our capabilities in giving care to the people who needed the most out
of it.

In addition, we can’t also forget the endless effort of the Health Care
provider residing at San Juan Lapasan Health Center as well as to the Barangay
Health Workers and most especially to the Public Health Nurse of the Barangay,
MR. Rex Ranile, RN, who taught us how to give importance to the families
especially to those indigent people.

The said action will never be attained without the courage and selfless
effort of my group mates: Lyra, Riezel, Crystal, Irish, Hannah and Jairus, who
took this challenge seriously and did it without any hesitations to help a family
who needed much care from us trough the sleepless nights that we had, and the
money, time, and effort that we exerted, shared and sacrificed, the project
became possible that I can say, it all worth it.

We would never forget the big help of our Almighty God, the creator of all
living and non-living things and who provided all the resources that we need in
order to give the necessary care to our chosen family. He miraculously made
things possible through giving us knowledge, the abilities and the resources that
we need. He helped us in many ways and we undoubtly appreciate it and we
give Him all our praises.

In accordance to the vision of the Department of Health in the Philippines:

“The Leader of Health in all Filipinos in the Philippines”, we, in the least that we
did, contributed to its vision through giving our willingness and determination to
devout ourselves in giving care to our Filipino countrymen and someday, as we
go on with our chosen profession, we will be able to give care also to all the
people in the world not just Filipinos regardless with their gender, creed, color
and race. Because through this vision that is within us, we would be able to help
in the progress of the over-all health of our country and to the world.
 III. Biographical Data

NURSING ASSESSMENT: QUESTIONAIRRE AND DATA SHEET

A. FAMILY STRUCTURE AND CHARACTERISTICS

HEAD OF THE FAMILY

AGBONG EUSEBIO 48
Last Name First Name Age

ADDRESS:

SEASIDE SAN ROQUE, LAPASAN, CAGAYAN DE ORO CITY

MEMBERS OF THE FAMILY

NAME AGE SEX CIVIL POSITION RELATIONSHIP PLACE OF

STATUS IN THE TO THE FAMILY RESIDENCE
FAMILY
Flordeliza 39 F Married Wife Wife Seaside, San
Agbong Roque,
Lapazan
Marlon 18 M Single Eldest Son Son Seaside, San
Agbong Roque,
Lapazan
Candy 17 F Single 2nd child Daughter Seaside, San
Agbong Roque,
Lapazan
rd
Cindy 16 F Single 3 child Daughter Seaside, San
Agbong Roque,
Lapazan
Mary Jane 8 F Single 4th child Daughter Seaside, San
Agbong Roque,
Lapazan
Aldren 2 Single 5th child Son Seaside, San
Agbong Roque,
Lapazan

B. BIOLOGICAL AND SOCIO-CULTURAL FACTORS

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 members of the family speak Visayan. They
are “Philippinista” but their first born son separately goes to church
at United Christian Church of the Philippines (UCCP).

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.
C. ENVIRONMENTAL FACTORS
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 members 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 members 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 terms 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.

D. HEALTH AND MEDICAL HISTORY

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
passed 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.

• Here is the summary of the immunizations received by the children

of the said family:

Child’s DPT BCG OPV Hepatitis B Measles

Name
Marlon     
Agbong
Candy     
Agbong
Cindy     
Agbong
Mary Jane     
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 members 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.

E. TYPE OF FAMILY STRUCTURE

Patriarchal  Extended  Matriarchal
 Single Parent  Nuclear  Alternate Family
 1. Dominant family members in terms 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.

IV. Activities for Daily Living

A. SLEEPING PATTERN
1. Are there hours for retiring and getting up?
 • All of the family members 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 members 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?

Members Age Weight Height BMI Classification

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 Underweight
Cindy 12 26 kg 138cm 13.65 Underweight
Mary Jane 8 24 kg 133cm 13.56 Underweight
Aldren 2 10kg 8214.87 underweight

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 joint activity for leisure? What is it? How often
do they do this limited activity?
• The family’s joint activity includes attending church during Sundays
and sometimes they go to the bench for fun.

V. FIRST LEVEL OF ASSESSMENT

I. Presence of Health threats, Health deficits, Foreseeable crisis/ stress

points of the family.
A. Health Threats (Color the applicable vertical scrolls)
Family history of hereditary diseases
Specify disease/s: Hypertension
Family size beyond family resources
Threats of cross-infection from a communicable disease
Specify disease/s: cough and colds, fever
Inappropriate immunization status especially of children:
Poor environmental situation
Inadequate living space
Inadequate personal belongings/utensils
Lack of food storage
Polluted water supply
Presence of breeding places of insects and rodents
Improper refuse disposal
Improper drainage system
Poor ventilation and lightning
Noise pollution
Unsanitary food handling and preparation
Others, please specify: ____________________________
Inherent personality characteristics
Short temper
Others, please specify: ____________________________
Inappropriate role consumption
Child assuming mother’s role
Others, please specify: ____________________________
Accident hazards
Broken stairs
Pointed sharp objects
Poison and medicines improperly kept
Fire hazards
Fall hazards
Others, please specify: Unprotected stairs

Nutritional
Inadequate food intake both in quality and quantity
Excessive intake of certain nutrients
Faulty eating habits
Others, please specify: ______________________
Stress provoking factors
 Strained marital relationship
Immature parents
Interpersonal conflicts between family members
Others, please specify: ______________________
Personal habits/practices
Excessive smoking
Walking barefooted
Eating raw fish and meat
Poor personal hygiene
Self-medicated
Others, please specify: ______________________
Health history that may precipitate the occurrence of a health
problem
Specify: Hypertension
Family disunity
Self-oriented behaviour
Unresolved conflicts
Intolerable disagreements
Others, please specify: ______________________
B. Health Deficits (Enumerable and discuss briefly)
• Malnutrition – The children shows signs and symptoms of
malnutrition (underweight, poor skin integrity)

• Diarrhea – one their children shows impending characteristics

of diarrhea that predisposes him in dehydration that may alter
the normal functioning of his body. Some of the manifestation
are frequent defecation in just one day and watery stool.

C. Stress points/foreseeable crisis situations

VI. SECOND LEVEL OF ASSESSMENT

I. Inability to recognize the presence of a problem due to:

Ignorance of facts
Fear of consequences of diagnosis of problem
 Social (Stigma, loss of respect of peer/significant
others)
Economic (Cost)
Physical/Psychological
Attitude/Philosophy in life

II. Inability to make decisions with respect to taking appropriate health

actions due to: (Color applicable horizontal boxes)
Failure to comprehend the nature, magnitude or scope of the
problem
Low salience of the problem
Feeling of confusion and resignation brought about by failure
to breakdown problems into manageable units of attack
Lack of knowledge/insight as to alternative course of action
open to them
Inability to decide which action to take among the list of
alternatives
Conflicting opinion among members regarding action to take
Ignorance of community resources for health care
Fear of consequences of action
Social
Economic
Physical/Psychological
Negative attitude toward the health problem
Lack of trust/confidence in health personnel/agency
Misconception of erroneous information about proposed
course/s of action
Inability of appropriate resources of care
Pregnancy, labor, puerperium
Parenthood
Additional member of the family
Abortion
Entrance at school
Adolescence
Loss of job
Death of a member
Illegitimacy
Resettlement in a new community
Others, please specify: ____________________________
 Physical (location)
Cost

III. Inability to provide nursing care to the sick, disabled, or dependent

member of the family due to: (Color the applicable horizontal scrolls)
Ignorance of the facts about the disease/health condition
(Nature, severity, complications, prognosis, and management)
Ignorance of the nature and extent of the nursing care needed
Lack of necessary facilities (equipment and supplies) for care
Lack of knowledge and skill in carrying out the necessary
treatment/procedure/care
Inadequate resources for care
Responsible family member
Financial
Physical resources (e.g. isolation room)
Failure to see benefits (especially long term ones) of
investments in home environment improvement
Present of physical/psychological conflicts
Identify crisis/psychological conflicts
Jealousy/rivalry
Guilt feelings
Others, please specify: ____________________________
Ignorance of preventive measures
Attitude/philosophy on life
Family disunity
Self-oriented behavior of members
Intolerable disagreements
Lack of support to members in crisis
Others, please specify: ____________________________

IV. Inability to utilize community resources for health due to: (Put Color
Green to the applicable horizontal scrolls)
Ignorance of lack of awareness of community resources for
health care
Failure to perceive benefits of health care/services
Lack of trust/confidence in health agency/personnel
Previous unpleasant experience with health worker
 Fear of consequences of action
Physical/psychological
Financial
Social
Unavailability of required care/services
Inaccessibility of required care/services
Cost
Physical
Inadequate family services
Manpower
Financial
Feelings of alienation/lack of support form from the
community

Attitude/philosophy in life:

Whatever Happens, Let it be.

VII. SCALES FOR RANKING FAMILY HEALTH

PROBLEMS
(According to priorities)
1. UNSANITARY TOILET
CRITERIA COMPU- ACTUAL JUSTIFICATION
TATION WEIGHT
Nature of the 2/3 (1) .67 It is classified as health threat.
Problem

Modifiability 2/2 (2) 2 There is a greater chance of

of the modifying this problem.
Problem
Preventive 3/3 (1) 1 Communicable diseases will be
Potential prevented if this problem will be
managed well.
Salience 1/2 (1) .5 It is identified by the family as a
problem but they uttered that it
doesn’t need an immediate
attention.

TOTAL 4.17

2. PRESENCE OF BREEDING PLACES OF INSECTS AND RODENTS

CRITERIA COMPU- ACTUAL JUSTIFICATION
TATION WEIGHT
Nature of the 2/3 (1) .67 The existing problem is
Problem categorized as a health threat to
the members of the family.
Modifiability 2/2 (2) 2 Modifiability of the problem is
of the possible because there are lots of
Problem ways to prevent the occurrence of
such diseases.
Preventive 3/3 (1) 1 Prevention of communicable
Potential diseases is easily achieved
through proper precautionary
measurement and most especially
by cleaning their surroundings.
Salience 1/2 (1) .5 They knew that the problem is
existing problem but does not
require immediate actions.
TOTAL 4.17

3. MALNUTRITION
 CRITERIA COMPU- ACTUAL JUSTIFICATION
TATION WEIGHT
Nature of the 3/3 (1) 1 The problem identified is classified
Problem as health threat.

Modifiability 2/2 (2) 2 Modifying this problem is possible

of the through effective ways in achieving
Problem the ideal BMI.
Preventive 3/3 (1) 1 The emergence of various diseases
Potential may be prevented if each of the
family members if the existing
problem is given an attention.
Salience 0/2 (1) 0 None of the family members knew
that some of them were
malnourished.
TOTAL 4

4. IMPROPER GARBAGE DISPOSAL

CRITERIA COMPU- ACTUAL JUSTIFICATION
TATION WEIGHT
Nature of the 2/3 (1) .67 Characterized as a health deficit.
Problem

Modifiability 2/2 (2) 2 Preventive measurements are

of the readily available in order to put
Problem action to this problem.
Preventive 2/3 (1) .67 The possibility of the spread of
Potential many infections is readily
available.
Salience 1/2 (1) .5 They have knowledge about the
problem but according to the
mother it doesn’t require urgent
actions.
TOTAL 3.84

5. FAMILY HISTORY OF SPECIFIC CONDITION (HYPERTENSION)

CRITERIA COMPU- ACTUAL JUSTIFICATION
TATION WEIGHT
Nature of the 1/3 (1) .33 Classified as Health threat
Problem
Modifiability 2/2 (2) 2 Problem is modifiable through a
of the healthy lifestyle.
Problem
Preventive 3/3 (1) 1 Problem like hypertension can be
Potential prevented if this problem given
action.
Salience 1/2 (1) .5 They knew that they have a family
history of hypertension but they
uttered that it doesn’t need
immediate action.
TOTAL 3.83

6. INADEQUATE LIVING SPACE

CRITERIA COMPU- ACTUAL JUSTIFICATION
TATION WEIGHT
Nature of the 2/3 (1) .67 It classified as health threat.
Problem

Modifiability 1/2 (2) 1 Cannot be easily solved due to

of the financial problem.
Problem
Preventive 3/3 (1) 1 Spread of disease can be
Potential minimized if this problem is given
attention.
Salience 1/2 (1) .5 It is a felt problem but doesn’t need
immediate attention.

TOTAL 3.17

7. ACCIDENTAL HAZARDS
CRITERIA COMPU- ACTUAL JUSTIFICATION
TATION WEIGHT
Nature of the 2/3 (1) .67 Considered as a health threat.
Problem

Modifiability 1/2 (2) 1 It is modifiable because the family

of the has the option to transfer and fixed
Problem the wirings to a safer place.
Preventive 2/3 (1) .67 Accident can be prevented if
Potential problem is felt and proper action is
implemented.
 Salience 1/2 (1) .5 They knew that the problem is
existing but according mother it
does not require immediate action.
TOTAL 2.84

8. FAMILY BEYOND WHAT FAMILY RESOURCES CAN ADEQUATELY

PROVIDE
CRITERIA COMPU- ACTUAL JUSTIFICATION
TATION WEIGHT
Nature of the 2/3 (1) .67 Considered as health threat.
Problem

Modifiability 1/2 (2) 1 It is not modifiable since the father

of the is the only one working and his
Problem monthly salary is only php 7000
Preventive 2/3 (1) .67 Health problems will be given
Potential attention if both parents are
working.
Salience 1/2 (1) .5 Felt problem but not given prompt
attention

TOTAL 2.84
9. LACK OF FOOD STORAGE FACILITIES
CRITERIA COMPU- ACTUAL JUSTIFICATION
TATION WEIGHT
Nature of the 2/3 (1) .67 Classified as health threat
Problem

Modifiability 1/2 (2) 1 Family income is not enough to

of the buy more for food storage.
Problem
Preventive 3/3 (1) 1 Food contamination can be
Potential prevented if there is adequate food
storage.
Salience 0/2 (1) 0 It is not felt as a problem.

TOTAL 2.67

10. INADEQUATE PERSONAL BELONGINGS UTENSILS

CRITERIA COMPU- ACTUAL JUSTIFICATION
 TATION WEIGHT

Nature of the 2/3 (1) .67 Considered as health threat

Problem

Modifiability 1/2 (2) 1 Family’s income is not enough to

of the buy more utensils.
Problem
Preventive 3/3 (1) 1 Spreading of disease can be
Potential prevented if members has each
own utensils
Salience 0/2 (1) 0 It is not felt problem.

TOTAL 2.67

VIII. RANKING OF THE 10 FAMILY HEALTH

PROBLEMS

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 FAMILY BEYOND WHAT FAMILY RESOURCES CAN
ADEQUATELY PROVIDE
7 2.67 LACK OF FOOD STORAGE FACILITIES
2.67 INADEQUATE PERSONAL BELONGINGS UTENSILS
 IX. CUES AND DATA
CUES AND DATA
Subjective:
“ usahay ikaduha rami maka kaon
sa usa ka adlaw, usahay pod gani
dili mi maka kaon og tarong kay
wala mi sud-an, kan-on nalang
amoang kaonon” as verbalized by
the mother Flordeliza.
Objective:
The following are the malnourished
members of the family:
 Flordeliza, 39 years old,
weighing 52kg, 158cm height.
 Candy, 17 years old, weighing
39kg, 155cm height.
FAMILY NURSING PROBLEMS
Malnutrition
A. Inability to recognize the
presence of a problem due to:
 Fear of consequences of
diagnosis of problem as
inadequate financial
expenditure.
B. Inability to make decisions with
respect in taking appropriate health
actions due to:
 Failure to comprehend the
nature, magnitude or scope of
the problem
 Lack of knowledge/ insight as

 Cindy, 12 years old, weighing
26kg, 138cm height.
 Aldren, 2 years old, weighing
10kg, 82cm height, big
stomach.
nursing care to at risk member of
Subjective:
“wala paman na nahuman,
temporary lang man na among
gihimo nga CR” as verbalized by the
father Eusebio.
Objective:
 Dirty toilet bowl, no cover
to alternative courses of
actions open to them
 Low salience of the problem
 Inability to decide which
action to take among the list
of alternatives
 Fear of consequences of
action financially
 Inaccessibilty of appropriate
resources of care financially
C. Inability to provide adequate
the family due to:
 Ignorance of the facts about
the health condition; child
development and child care
 Lack of necessary facilities for
care
 Lack of knowledge and skill in
carrying out the necessary
care
 Inadequate family resources
for care
Unsanitary Toilet
A. Inability to recognize the
presence of a problem due to:
 Ignorance of the facts
 Fear of consequences of
diagnosis of problem as
inadequate financial
expenditure.
 stinky odor  Attitudes/philosophy in life

B. Inability to make decisions with

respect in taking appropriate health
actions due to:

 Failure to comprehend the

nature, magnitude or
scope of the problem
 Lack of knowledge/ insight
as to alternative courses of
actions open to them
 Inability to decide which
action to take among the
list of alternatives
 Fear of consequences of
action financially
 Inaccessibilty of
appropriate resources of
care financially

C. Inabilty to provide a home

environment which conducive to
health maintenance and personal
development due to:

 Inadequate family
resources financially
 Failure to see benefits of
investment in home
environment improvement
 Ignorance of importance of
hygiene and sanitation
 Lack of skill in carrying out
measures to improve home
environment
 Attitude
Subjective: Presence of breeding places of
insects and rodents
“ daghan kaayo lamok among balay
daghan pod ilaga” as verbalized by
A. Inability to recognize the
the mother.
presence of a problem due to:

Objective:
 Fear of consequences of
diagnosis of problem about
 Poorly ventilated
lack os space to organize
 Dimly lighted things
 House is messy and
disoriented B. Inability to make decisions with
 Presence of rats in the house respect in taking appropriate health
as observed actions due to:
 Mosquito flying and biting as
observed.  Inaccessibilty of appropriate
resources of care physically

C. Inabilty to provide a home

environment which conducive to
health maintenance and personal
development due to:

 Inadequate family resources

for care like location
 Failure to see benefits of
investment in home
environment improvement
 Ignorance of importance of
hygiene and sanitation
 Lack of skill in carrying out
measures to improve home
environment
 Attitude
 XI. LEARNING EXPERIENCE

As we are doing our project, first we thought of doing it for the sake
of complying to our RLE30 requirements but as we go on with our
Assessment with the family, we realize the importance of this project and
how it will touch the lives of the people whom we will b helping. From that
day one, we are doing our project vigorously with interest in our minds and
most especially in our hearts not just for the compliance of our project but
also to help the family in achieving their optimum health.

Meeting different kinds of people tests our patience and our ability to
socialize with them. It also measures on how we should response to their
needs as a health care provider. My group mates and I observed that the
people of that community craves for medical help and you can see straight
to their eyes their hunger for any form of medical help. For that, I realized
that the people needs a big help from medical personnel and the
government must impose more programs like this that reaching families
especially to the rural areas and to those people who are indigent and
couldn’t afford to secure their health care needs. As a group, we are so
happy that in the least that we did. We helped some of the people living in
the community to ease the hunger that they felt for many years through
checking their Blood Pressure and giving away essential health teachings
o how to improve a healthy yet productive lifestyle.
 Experiencing those thrills during our rotation becomes an eye-
opener to all of us that tells all of us that the people need us, as healthcare
providers in this society, to ease the pain they are suffering from and to
achieve their ideal health into the maximum level.

XII. CONCLUSION

The main problems in our group are malnutrition, presence of

insects and rodents and unsanitary toilet. We taught the family how to

avoid these problems like eating the right food, how to clean their toilet and

how to keep rodents away from the house. We learned that our family

didn’t think that these are big problems which they are. It is important to

notice these problems to prevent bigger problems from occurring

especially that they have younger children.

Therefore, we as a group helped the family to better understand why

these are health threats and health deficits. We gave them health teachings

to give them information regarding the problem at hand. We learned as a

group that it is important to know our family and level to them to help them

understand better. In these ways, we rendered service to our family and

somehow helped them from their problems.