2

Health Problem
Poor
home/environment
condition/sanitation
(1)
Northwestern University
Vedasto J. Samonte School Of Graduate Studies
Master Of Arts In Nursing
Laoag City, Ilocos Norte, 2900
Philippines
Family Nursing
Goal of Care
Objectiv Intervent
Problem
e of Care ion
Inability to provide
a
home
environment
conducive
to
health
maintenance and
personal
development due
to
lack
of/
inadequate
knowledge
of
preventive
measures
as
manifested
by
presence
of
stagnant water in
below
their
bathing
and
washing area, in
pails
of
water
which
are
left
uncovered, in an
uncovered
deep
well situated 25
meters away from
After
series
of
rendering care, the
family will be able
to provide a home
environment
conducive to health
maintenance
and
personal
development
as
would
be
manifested
by
proper
drainage
system below their
bathing
and
washing
area,
covered pails and
pitcher of water,
covered deep well
situated 25 meters
away
from
the
house,
piles
of
wood
properly
arranged
in
a
sarusar
and
absence
of
After
series of
rendering
interventi
on, the
family
will;
1. Be
aware of
the
importan
ce of
proper
sanitation
2.Recogni
ze the
ways of
maintaini
ng an
clean and
safe
environm
1. Discuss
with the
family the
illnesses
that
mosquitoe
s and
other
insects
can give.
Rationale:
If the
family is
aware of
such, then
they will
be
encourage
d to get
rid of
possible
illnesses
2. Discuss
with the
Metho
d of
Conta
ct
Home
visit
Resourc
es
(Materi
als)
Human
Resource
s:
1.) skills,
knowled
ge,
abilities,
and
compete
nt
thinking
of the
student
nurse
and the
clinical
instructo
r
2.)Coope
ration of
the
Evaluation
Standard:
After series of
rendering
care, the
family will be
able to
provide a
home
environment
conducive to
health
maintenance
and personal
development
with
adequate
knowledge of
preventive
measures and
the
importance of
hygiene and
sanitation as
manifested
by the
Philippines
the house and in a manures
of ent
family the
pitcher
without chicken, goats and
importanc
3.
make
cover,
piles
of cow near the house
e of
wood kept in the which is a good necessary having a
open sarusar and breeding sites for actions
clean and
presence
of insects, mosquitoes on how to organize
improve
manures
of and flies.
environme
their
chicken, goats and .
nt
living
cow
near
the
Rationale:
environm
house which is a
ent
If the
good
breeding
family will
sites for insects,
have
mosquitoes
and
enough
flies.
knowledge
, they will
be able to
make
necessary
interventio
ns
3. Work
with the
family to
organize
and
arrange
their
things
family
member
s
3.)
Dedicati
on and
effort of
the
student
nurse
and the
clinical
instructo
r
4.)
Interacti
on
between
the
student
nurse
and the
family
member
s
presence of
recognized
the ways and
importance of
having
proper
drainage
system below
their bathing
and washing
area, covered
pails and
pitcher of
water,
covered deep
well situated
25 meters
away from
the house,
piles of wood
properly
arranged in a
sarusar and
absence of
manures of
chicken,
goats and
cow near the
house which
Philippines
inside the
house
Material
Resource
s:
is a good
breeding sites
for insects,
mosquitoes
Pamphlet and flies.
, leaflets
Criteria:
Visual
aids
After series of
rendering
care, the
family will be
able to
Writing
materials 1. 1. Be aware of
the importance o
proper sanitation
and organized
Financial environment and
resource be able to
s:
enumerate steps
improve the
Money
situation.
needed
for fare,
2.Recognize the
snack,
ways and
writing
importance of
materials having a clean a
, and
safe environmen
visual
and will be able
aids
Philippines
change the prese

situation
3. make
necessary
actions on
how to
improve their
living
environment
by arranging
the things
inside and
outside their
house.
Health Problem
Family Nursing
Problem
Goal of Care
Objectives of
Care
Method
of
Contact
Resources
Required
Evaluation
Poor
home/environment
condition/sanitation
(2)
Inability
to
provide a home
environment
conducive
to
health
maintenance
and
personal
development
due to lack of/
inadequate
knowledge
of
preventive
measures
as
manifested
by
collecting
garbage without
proper
segregation and
burning them 11
meters
away
from the house.
Philippines
After
1-3 After 1-3 hours of
hours
of rendering nursing
imparting
intervention, the
H
health
family will;
O
teachings, the 1. Be aware of the
M
family will be significance of
E
able
to proper sanitation.
provide
a 2.Recognize the
V
home
ways of
I
environment
maintaining a
S
conducive to clean and safe
I
health
environment
T
maintenance
3. recognize the
and personal ways on how to
development
segregate and
as would be dispose garbage
manifested by properly.
proper
4. make
garbage
necessary actions
disposal.
on how to
improve their
living
environment.
Human
Resources:
1. Time and
effort of both
the student
nurse and the
family.
2. Knowledge of
the student
nurse about
the different
ways of
garbage
disposal.
3. Participation
and
cooperation
of the family.
After 1-3 hours of

rendering
nursing
interventions,
the
family is able to
provide
a
home
environment
conducive to health
maintenance
and
personal
development
as
would be manifested
by
proper garbage
disposal.
Philippines
Health Problem
Family Nursing
Problem
Goal of Care
Objective
of Care
Intervention
Method
of
Contact
Resources (Materials)
Poor home/environment
condition/sanitation (3)
Inability to provide
a
home
environment
conducive to health
maintenance and
personal
development due to
inadequate
knowledge
of
preventive
measures
as
manifested
by
poor lighting.
After 1-3 hours

of imparting
health
teachings, the
family will be
able to provide
a home
environment
conducive to
health
maintenance
and personal
development as
would be
manifested by
proper lighting.
After 1-3
hours of
imparting
of health
teachings,
the family
will;
1. Discuss with
the family the
importance of
having a well-lit
house
Rationale:
Home
visit
Human Resources:
1.Recogni
ze the
ways and
importanc
e of
having a
well-lit
house.
If the family will

have enough
knowledge, they
will be able to
make necessary
interventions.
Evaluation
Standard: After
1-3 hours of
1.) skills, knowledge,
imparting health
abilities, and competent teachings,
the
thinking of the student family will be
nurse and the clinical
able to provide a
instructor
home
environment
2.)Cooperation of the
conducive
to
family
health
maintenance and
members
personal
3.) Dedication and
development
effort of the student
with
adequate
nurse and the clinical
knowledge
of
instructor
importance
of
having a proper
4.) Interaction between lighting.
the student nurse and
the family members
Criteria:
After 1-3 hours
of
imparting
Philippines
Material Resources:
Pamphlet, leaflets
Visual aids
Writing materials
Financial resources:
health teachings,
the family will
be able to:
1..Recognize the
and
importance
having a well-lit
and will be ab
change
the
p
situation
Money needed for fare,

snack, writing
materials, and visual
aids
Health
Family Nursing
Goal of Care
Objective of
Interventi
Metho Resources Evaluation
Problem
Presence
accidental
hazards
Problem
Philippines
Care
on
of Inability
to
provide a home
environment
conducive
to
health
maintenance and
personal
development due
to
inadequate
skill in carrying
out measures to
improve
home
environment
as
manifested by the
presence of fire
hazards,
fall
hazards,
and
improperly
kept
sharp objects.
After 1-3 hours of

imparting health
teachings, the
family will be able
to provide a home
environment
conducive to
health
maintenance and
personal
development as
would be
manifested by the
absence of fire
hazards, fall
hazards, and
properly kept
sharp objects.
After 1-3 hours

of imparting
health
teachings, the
family will be
able to:
1.) realize the
benefits in
managing the
accidental
hazards
2.) identify
ways to
manage
accidental
hazards
3.) organize all
the scattered
sharp objects
in their proper
places out of
Arjays reach.
1.) Educate
the family
about the
importance
and
benefits of
being free
from
accidental
hazards
2.) Discuss
the
consequen
ces of the
accidental
hazards if
not
managed
well
3.) Suggest
possible
ways for
the family
to be able
4.) improve the
d of
Conta
ct
Home
visit
(Materials
)
Standard:
Human
Resources:
After 1-3
hours of
imparting
1.) skills,
health
knowledge, teachings,
abilities,
the family
and
will be able
competent to provide
thinking of a home
the student environme
nurse and
nt
the clinical conducive
instructor
to health
2.)Coopera maintenanc
e and
tion of the
personal
family
developme
nt as would
members
be
3.)
manifested
Dedication by the
and effort
absence of
of the
fire
student
hazards,
Philippines
location of
to continue
their earthen
keeping
stove.
the
hazards at
minimum
level or
even
eradicating
it.
nurse and
the clinical
instructor
fall
hazards,
and
properly
kept sharp
objects,
Criteria:
4.)
Interaction
between
the student
nurse and
After 1-3
the family
hours of
members
imparting
health
teachings,
the family
Material
Resources: will be able
to:
Pamphlet,
1.) realize
leaflets
the
benefits in
managing
Visual aids the
accidental
hazards
Writing
2.) identify
materials
ways to
Financial
resources:
manage
accidental
Philippines
Money
needed for
fare, snack,
writing
materials,
and visual
aids
hazards
3.)
organize all
the
scattered
sharp
objects in
their proper
places.
4.) improve
the location
of their
earthen
stove.
Philippines
Health
Problem
Family Nursing
Problem
Goal of Care
Objective of
Care
Interventi
on
Metho Resources Evaluation

d of
(Materials
Conta )
ct
Unhealthy
lifestyle, habits
and
personal
practices
Inability
to
recognize
the
presence of the
condition due to
lack of knowledge
as manifested by
walking of Arjay
bare
footedly
inside and outside
the house and the
couple
wears
After 1-3 hours of

imparting health
teachings, the
family will be able
to recognize the
presence of the
condition as would
be manifested by
Arjay wearing
slippers inside and
outside the house
After 1-3 hours

of imparting
health
teachings, the
family will be
able to:
1.) Educate
the family
about the
importance
and
benefits of
having
healthy
lifestyle,
habits and
Home
visit
1.) realize the

benefits of
having a
healthy
Standard:
Human
Resources:
1.) skills,
knowledge,
abilities,
and
competent
thinking of
After 1-3
hours of
imparting
health
teachings,
the family
will be able
to
recognize
Philippines
slippers
when and the couple
lifestyle, habits practices.
they are outdoors wearing slippers
and practices
2.) Discuss
but
walks inside the house,
2.)
identify
the
barefooted inside and Mrs. S
ways to
consequen
the house, and cleaning first her
promote
a
ces of
Mrs.
S breast before
healthy
having
breastfeeding
breastfeeding.
lifestyle,
habits
unhealthy
Arjay
without
and practices
lifestyle,
cleaning
her
habits and
breasts first.
practices
3.) Suggest
possible
ways for
the family
to be able
to continue
maintainin
g a healthy
lifestyle,
habits and
practices.
the student
nurse and
the clinical
instructor
the
presence of
the
condition
as
2.)Coopera manifested
tion of the
by Arjay
family
wearing
slippers
members
inside and
outside the
3.)
Dedication house and
the couple
and effort
wearing
of the
slippers
student
inside the
nurse and
the clinical house and
Mrs. S
instructor
cleaning
4.)
her breasts
Interaction first before
between
breastfeedi
the student ng.
nurse and
Criteria:
the family
members
After 1-3
hours of
Material
Resources: imparting
health
Philippines
Pamphlet,
leaflets
Visual aids
Writing
materials
teachings,
the family
will be able
to:
1.) realize
the
benefits of
Financial
having
resources:
healthy
lifestyle,
Money
needed for habits and
fare, snack, practices
writing
2.) identify
materials,
ways to
and visual
promote
aids
healthy
lifestyle,
habits and
practices.
Health
Problem
Family
Nursing
Problem
Goal of Care
Objective of
Care
Intervention
Method of
Contact
Resources
Evaluation
Lack of Toilet
Facility
Philippines
Inability to
After 1-3 hours After 1-3 hours 1. Discuss with Home Visit
of imparting
of imparting
the family the
provide a
health
health
illnesses that
home
teachings, the
may acquire
environment teachings, the
family will
family will:
using a
conducive
provide a home
communal
to health
environment
1.
be
aware
toilet facility
maintenanc
and understand
conducive
e and
the importance Rationale: If
to health
personal
the family is
developmen maintenanc of having an
owned toilet
aware of such,
e and
t due to
facility
then they will
personal
inadequate
be encouraged
developmen
family
2. recognize
to get rid of
t as would be
resources
the effects of
possible
manifested by
specifically
using a
illnesses
understanding
financial
the importance communal
constraints
toilet facility
2. Discuss with
of having an
or limited
the family the
owned toilet
financial
importance of
resources as facility.
having an
manifested
owned toilet
by sharing
facility
with the
toilet facility
Rationale: If
of Mang Jills
the family will
patients
Human
Resources:
1.) skills,
knowledge,
abilities, and
competent
thinking of the
student nurse
and the clinical
instructor
2.)Cooperation
of the family
members
3.) Dedication
and effort of
the student
nurse and the
clinical
instructor
4.) Interaction
between the
student nurse
and the family
members
Standard: After 1-3

hours of imparting
health teachings, the
family will be able
to provide a home
environment
conducive to health
maintenance and
personal
development with
adequate knowledge
of preventive
measures and the
importance of
hygiene and
sanitation as
manifested by the
presence of ability to
recognize the
importance of
having an owned
toilet facility.
Criteria:
After 1-3
hours of
which is
situated 30
meters
away from
their house.
Philippines
have enough
knowledge,
they will be
able to make
necessary
interventions
Material
Resources:
Pamphlet,
leaflets
imparting
health
teachings, the
family will be
able to:
Visual aids
Writing
materials
Financial
resources:
Money needed
for fare, snack,
writing
materials, and
visual aids
be aware and
understand the
importance of
having an owned
toilet facility
2. recognize
the effects of
using a
communal
toilet facility
3. Make
necessary
actions on
having an
owned toilet
facility.
Philippines
DEMOGRAPHIC DATA
Table 1. Demographic Data of the Family
Members Name
Jill Silao
Marlyn Silao
Margie Silao
Sex
Age
Male
48
years
old
Female
38
years
old
Female
14
years
old
Civil Status
Position in
the Family
Married
Head of the
Family
Elementary
Wife
3rd year high

school
undergraduat
e
Daughter
2nd year high

school
student
Married
Single
Educational
Attainment
Occupation
Address
Religion
Farmer
Brgy. 6 Sta.
Rita Paoay,
Ilocos Norte
Roman Catholic
Housewife
Brgy. 6 Sta.Rita
Paoay, Ilocos
Norte
Roman Catholic
N/A
Brgy. 6 Sta.
Rita Paoay,
Ilocos Norte
Roman Catholic
Philippines
RJ Silao
Male
3 years
old
Single
Son
N/A
C. HOME AND ENVIRONMENT

FLOOR PLAN
N/A
Brgy. 6 Sta.
Rita Paoay,
Ilocos Norte
Roman Catholic
Philippines
Philippines
Philippines
GENOGRAM
LEGEND:
-Living Male
- Deceased Male
-Living Female
- Deceased Female
Carmelita Silao
Jose Silao
75
52
HTN- Hypertension
UR- Unknown Reason
GM- German Measles
BV- Blurring of Vision

Rudy
Malabad
Rosario
Malabad
60
58
HTN
Elsie SilaoDadoy
Aida Silao
Susana
Silao
Artemio
Silao
Miriam
44
40
UR
48
52
Rizal Silao
Jill Silao
49
46
Marilyn
Silao
Mario
Malabad
37
Analyn
Malabad
Myco
Malabad
23
19
Maria 3
GM
30
Marianita
Silao
Betriz
Malabad
Marites
Malabad
Georgie
Malabad
Robert
Malabad
Benjamin
Malabad
Mylene
Malabad
42
42
40
36
28
20
18
BV
Margie Silao
14
Arjay Silao
3

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Health Problem

change the prese

After 1-3 hours of

After 1-3 hours

If the family will

Money needed for fare,

Metho Resources Evaluation

After 1-3 hours of

After 1-3 hours

Metho Resources Evaluation

After 1-3 hours of

After 1-3 hours

1.) realize the

Standard: After 1-3

3rd year high

2nd year high

C. HOME AND ENVIRONMENT

UR- Unknown Reason

GM- German Measles

BV- Blurring of Vision

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