COMMUNITY HEALTH NURSING

(FAMILY HEALTH DIAGNOSIS)

SUBMITTED BY: NIKKI- KARREN C. GATO BSN 4E GROUP 15

SUBMITTED TO: MS. APITA

DATE SUBMITTED: OCTOBER 09, 2009

FAMILY SERVICE AND PROGRESS RECORD

Head of the Family: Rogelio Secina Address: Target 1 BF Homes Paranaque City Assessment of the Family, Home, and Environmental Conditions: Family member Leonora Secina Maricel Secina Marites Secina Sarah Secina Roxanne Secina Erick Secina Rogelio Jr. Secina Marla Secina Rose Ann Secina Paul Secina Relation to Head Wife Child Child Child Child Child Child Child Child Sex F F F F F M M F M Birth Date/ Year 1937 1970 1972 1988 1990 1991 1993 1995 1992 Marital Status M M M M S S S S S S

Family Number: 2158

Highest Education HS High school N/A Grade 6 Grade 6 N/A Grade 3 Grade 4 Grade 3 N/A

Occupation House wife House wife House wife House wife House wife N/A N/A N/A N/A N/A

Remarks ------

Home and Environment Date Assessed: October 8, 2009 1. Home a. b. c. d. e. Ownership: owned Construction materials used: Light Number of rooms used for sleeping: 1 Lighting facilities: Kerosene General Sanitary condition: Poor environment and home sanitation (home is located beside a creek)

2. Drinking water supply a. b. c. Source: Tank Distance from the house: Walking distance Storage: Large covered container

3. Kitchen a. Cooking facility: Firewood/charcoal b. Sanitary condition: poor sanitation c. Drainage facility: open drainage (creek) 4. Waste disposal a. b. c. d. e. Refuse and garbage Container: covered Method of disposal: open dumping at creek Toilet: pail system Sanitation: poor sanitation

5. Community in general a. Poor Environmental sanitation: presence of creek (garbage, presence of vectors: mosquitos, flies..) b. Availability of health care service: BF Dela Rama Health Center (walking distance from home) RANKING HEALTH CONDITIONS AND PROBLEMS ACCORDING TO PRIORITIES

1. PREGNANCY CRITERIA 1. Nature of the condition - foreseeable crisis 2. Modifiability - partially modifiable COMPUTATION 1/3 x 1= .3 1/2x 2= 1 JUSTIFICATION -inadequate knowledge of the client on pregnancy because of young age -client will gain knowledge or background in relation to her pregnancy thru possible health teachings -it can be highly preventive by giving right teachings regarding pregnancy that will educate and help the client to mange her present condition -the client perceives her condition which requires an immediate attention

3. Preventive potential - high

3/3x 1= 1

4. Salience - a condition, needing immediate attention

2/2x 1= 1 ___________ Total score= 3.3

2. ACCIDENT HAZARDS

CRITERIA 1 Nature of the condition - health threat 2 Modifiability of the condition - Partially modifiable

COMPUTATION 2/3x 1= .7

1/2x 2= 1

3 Preventive potential - moderate 4 Salience - a condition not needing immediate attention

2/3x 1= .7

JUSTIFICATION -presence of accident hazards like broken stairs, pointed parts of the house (wood) can be a health threat to the family -the problem can only be partially modified because it requires quite a financial expenditure and resources are presently not adequate -it can be moderately prevented by fixing or removing pointed part that will prevent possibility of accident -they dont perceive the condition that needs intervention or attention

1/2x 1= .5 ________ Total score= 2.9

3. PRESENCE OF BREEDING SITES OF VECTORS OF DISEASES (CREEK) CRITERIA a. Nature of the problem -health threat COMPUTATION 2/3x1= .7 JUSTIFICATION -the presence of creek beside the home (which consists of vectors), that considered a health threat to the family for it may a give or cause a disease -partially modifiable because the interventions needed can be performed by the family within their scope -through proper action and immediate attention of the family to maintain the cleanliness (e.g. proper waste disposal) -the family do not perceive the condition as a problem

b. Modifiability of the condition -partially modifiable c. Preventive potential -moderate d. Salience -not perceived as a problem

1/2x 2= 1

2/3x1= .7

0/2x 1= 0 _______ Total score= 2.4

FAMILY CARE PLAN

CUES FAMILY NSG PROBLEM GOAL OF CARE OBJECTIVES OF CARE NURSING INTERVENTI ONS Health teachings to the client during home visit: -discuss to the client the importance of vitamins and iron supplements; advise client to continue taking vitamins -discuss about the importance of proper nutrition, personal hygiene, taking enough rest, using loose clothing, and importance of METHOD OF NURSEFAMILY CONTACT Home visit Resources

Subjective cues: wala p po ako msyado alam sa pagbubuntis Objective cues: -client G1P0 20- 21 weeks of gestation -at a young age of 18 yrs. old (minor age) -Elementary graduate (highest education) -family structure environmenta

Second Level Assessment (forseeable crisis): Inability to take appropriate health action due to inadequate knowledge and skill in carrying out necessary intervention/ca re secondary to pregnancy.

After giving health teachings, Roxanne can verbalize as to proper or appropriate action regarding her pregnancy (adequate knowledge).

After the health teachings, the client will perform appropriate action or management during pregnancy thru adequate knowledge.

Material resources: -visual aids -pamphlet -

l condition

exercise -discuss to the client the following: a.nausea and vomitinghave a light breakfast b.heartburnhave a small frequent meals c.constipationrink plenty of fluids 4.shortness of breathingassume a semi sitting position with back well supported by pillows -educate the client to prepare babys things as soon as possible -discuss the importance of breastfeeding for the immunity of the baby -encourage patient to

have regular pre-natal check- up

Evaluation: after health teachings were given, the patient verbalizes: 1. understanding the importance of taking vitamins and iron supplements;2. Importance of proper nutrition, personal hygiene, taking enough rest, using loose
clothing;3 understanding on how to relieve the minor discomforts of pregnancy;4. importance of exercise;5. Importance of regular check- up and specially importance of breastfeeding