Postpartum

MALJACAN, CHRISTIAN
NAVERRA, CHRISTELANN
PAULIN, YBARRA BAGHANI
SAMLA, AZIZ-KHAN
INTRODUCTION
MANALILI-GUIYAB FAMILY

▪ Address: #2697 Magnolia St.,

Camarin, Caloocan City
▪ Household type: Extended
▪ Members: 5
 INITIAL DATA BASE (POSTPARTUM)
Family Information

EDUCATIONAL
NAME AGE RELATIONSHIP GENDER
ATTAINMENT

James Guiyab 18 Husband Male Highschool

Ailyn Manalili 18 Mother Female Grade-10 student

Abria Leign Guiyab 2 months Daughter Female N/A

*Conception Guiyab 50 Mother-in-law Female Highschool

Angel Guiyab 22 Sister-in-law Female Highschool

INITIAL DATA BASE (POSTPARTUM)
FAMILY STRUCTURE AND CHARACTERS

▪ Family structure: Extended

▪ Head of the family: Conception Manalili
▪ Makes decisions regarding health care: Ailyn Manalili
▪ Relationship: No conflicts
▪ Retiring/Getting up hours: 11pm / 5am
▪ Nap during the day: 1pm / 2 – 3 hours
▪ Do members sleep together? Yes
INITIAL DATA BASE (POSTPARTUM)
FAMILY STRUCTURE AND CHARACTERS continued

▪ Meals: 3 times a day, usual diet is soup and rice. Does not eat
vegetables
▪ Baby weight: 3.9 kg
▪ Baby height: 52.9 cm
▪ Baby sex and age group? Appropriate
▪ How does each member spend leisure hours? Watching T.V. and
caring for baby
▪ What is the effect to the family? Bonding
▪ Any joint activities for leisure? None
INITIAL DATA BASE (POSTPARTUM)
SOCIO-ECONOMIC AND CULTURAL FACTORS

NAME OCCUPATION INCOME

James Guiyab Part- time flower vendor 500 pesos a day (on call)

Angel Guiyab Customer service 12,000 pesos a month

INITIAL DATA BASE (POSTPARTUM)
FAMILY STRUCTURE AND CHARACTERS continued

▪ Does the working family member meet the basic necessities? No

▪ Who makes decisions regarding money matters? Ailyn Manalili
▪ Religious affiliation? Mixed (Roman Catholic and Christian)
▪ What roles does the family play in the community? None
INITIAL DATA BASE (POSTPARTUM)
ENVIRONMENTAL FACTORS

▪ Do they own the house? Yes

▪ Construction material used? Mixed
▪ Living space: Inadequate
▪ . Sleeping arrangement: Sleeping Together
▪ Furnitures: Inadequate
▪ Water Source: Private
▪ Food storage: Cabinet
▪ Cooking facility: Gas stove
INITIAL DATA BASE (POSTPARTUM)
ENVIRONMENTAL FACTORS continued

▪ Drainage type: Blind

▪ Toilet facilities/type: Pail system
▪ Sanitary condition: Fair
▪ Neighborhood: Congested
▪ Availability of Health care facility: Walking Distance
▪ Garbage disposal: Picked up by garbage collector
INITIAL DATA BASE (POSTPARTUM)
Health and Medical History

▪ Presence of illness: None

▪ Protective practices practiced by the family: Immunization
▪ Sources of Health care: Health Center
▪ Family members with illness:

NAME OF CHILD AGE COMPLETE INCOMPLETE

Abria Leign Guiyab Hypertension Deceased Didn’t take proper medication

5 FAMILY PROBLEMS
 POOR BREASTFEEDING TECHNIQUES
(POSTPARTUM)
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

The nature of the problem is a

health threat because the baby
NATURE OF THE PROBLEM 2/3 x 1 0.66
might get poor nutrition due to
improper breastfeeding techniques..

The modifiability of the problem is

MODIFIABILITY OF THE PROBLEM
partially modifiable since the
mother is aware that her baby
1/2 x 2 1 might get poor nutrition if she does
not use proper breastfeeding
techniques.
 POOR BREASTFEEDING TECHNIQUES (POSTPARTUM)
continued

The preventive potential of the

problem is moderate and needs
some health teaching about the
PREVENTIVE POTENTIAL 2/3 x 1 0.66
importance of breastfeeding like
giving all nutrient needed by the
baby and to develop mother-child
relationship.

The salience of the problem

needing an immediate attention
SALIENCE OF THE PROBLEM 2/2 x 1 1 because the health of the baby will
be compromised if immediate
action is not taken.

TOTAL 3.32
 EMOTIONAL STRESS (POSTPARTUM)

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

The nature of the problem is

health threat because emotional
NATURE OF THE PROBLEM 2/3 x 1 0.66 stress to a postpartum mother
may lead to postpartum
depression.

The modifiability of the problem

MODIFIABILITY OF THE PROBLEM 1/2 x 2 1 is partially modifiable because
the mother doesn’t open up
unless we ask.
 EMOTIONAL STRESS (POSTPARTUM)
continued

The preventive potential of the problem is

high because if the mother is properly
PREVENTIVE POTENTIAL 2/3 x 1 0.66 educated about the benefits of eating
vegetables, she might consider having it on
her diet.

The salience of the problem is

not needing immediate attention
SALIENCE OF THE PROBLEM 2/2 x 1 1 because the mother has a few
coping skills, which can affect
her attitude on caring for the
baby .

TOTAL 3.32
 INADEQUATE INTAKE OF NUTRITION OF
MOTHER(POSTPARTUM)

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

The nature of the problem is a health

threat because of inability of the mother to
NATURE OF THE PROBLEM 2/3 x 1 0.66
have a proper nutrition due to her food
preferences.

The modifiability of the problem is partially

MODIFIABILITY OF THE PROBLEM 1/2 x 2 1 modifiable since the mother does not want
to eat vegetables but is concerned about
the wellbeing of the baby.
 INADEQUATE INTAKE OF NUTRITION OF
MOTHER(POSTPARTUM) continued

The preventive potential of the problem is

PREVENTIVE POTENTIAL 3/3 x 1 1 high because if the mother is properly
educated about the benefits of eating
vegetables, she might reconsider her diet.

The salience of the problem is a problem but

SALIENCE OF THE PROBLEM 1/2 x 1 0.5 not needing an immediate action because if
we encourage the mother to eat vegetables,
the baby and her will receive proper nutrition.

TOTAL 3.16
 IMPROPER SANITATION OF ENVIRONMENT
(POSTPARTUM)
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

The nature of the problem is a foreseeable crisis

because poor garbage storage can promote
NATURE OF THE PROBLEM 1/3 x 1 0.33
growth of pathogens that can infect the family
members.

The modifiability of the problem is partially

MODIFIABILITY OF THE PROBLEM 1/2 x 2 1
modifiable because the family can be educated
about proper waste disposal
 IMPROPER SANITATION OF ENVIRONMENT
(POSTPARTUM) continued

The preventive potential of the problem is

PREVENTIVE POTENTIAL 3/3 x 1 1 high because the family is not following the
schedule of their garbage disposal every
Saturday.

The salience of the problem is a problem

SALIENCE OF THE PROBLEM 1/2 x 1 0.5 needing an immediate action to the health of
the mother and baby, but if handled may not
need immediate action.

TOTAL 2.83
 PRESENCE OF BREEDING SITES FOR MOSQUITOES
(POSTPARTUM)

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

The nature of the problem is a health

NATURE OF THE PROBLEM 2/3 x 1 0.66 threat because it may harbor mosquitoes
that causes disease(dengue)

The problem is partially modifiable

MODIFIABILITY OF THE PROBLEM
because family is aware of their living
1/2 x 2 1
environment for living in congested area
that is not suited for the health of
postpartum mother and the baby.
 PRESENCE OF BREEDING PLACES FOR VECTORS
continued

The problem has moderate preventive

potential because the members of the
PREVENTIVE POTENTIAL 2/3 x 1 0.66
family have little time for cleaning their
house which causes breeding site for
mosquitoes.

The salience of the problem is

serious and needing an
SALIENCE OF THE PROBLEM 1/2 x 1 0.5 immediate action, since they use
insecticides for prevention. The
chemical might be breath in by
the infant which is dangerous.

TOTAL 2.82
FAMILY NURSING CARE PLAN
(POSTPARTUM)
 METHOD OF FAMILY
FAMILY NURSING OBJECTIVE OF CARE NURSING INTERVENTION RESOURCE REQUIRED
HEALTH PROBLEM GOALS OF CARE NURSE CONTACT EVALUATION
PROBLEM

Within 30 minutes of
Emotional Stress as Emotional Stress After 1 week of nursing Nursing Interventions, the  Explain the possible Human resources: Initial interview: After 1 week of nursing
health threat: ```````as health intervention the family mother will be able to: effects of stress to her August 1, 2019 intervention and some series
problem due to: will be able to: health Time and Effort of (Thursday) of health teachings the
Subjective Data:  Know and mother will be able to:
determine the  Encourage the mother
“namimiss ko yung  Possibility of the  Help the mother - Barangay Health 1st Home visit:
effects of stress on to verbalize fears and
pamilya ko” mother to suffer to cope with Workers August 2, 2019  State someways to
her health anxieties
from anxiety that stressors - Our Clinical (Friday) cope up with her own
 Discuss and emphasize
“nahihiya ako sa can lead to  Talk about her Instructor Mrs. stress
 Avoid worsening the importance of
mga schoolm depression feelings Thelma Adzuara Farewell visit:
of stress communication inside  Share and
ates ko kasi may  Lack of proper - BSN Students Group August 15, 2019
the family communicate her
anak na ako knowledge about 19 (Batch 2019- (Thursday)
 Encourage the husband thoughts to her family.
“ the effects of 2020)
to give attention to the
stress to a - Respondents
mother’s emotional
postpartum status
mother Other resources:
OB bag, paper, pen,
laptops, cell phone, visual
materials
 FAMILY NURSING METHOD OF FAMILY NURSE
GOALS OF CARE OBJECTIVE OF CARE NURSING INTERVENTION RESOURCE REQUIRED EVALUATION
HEALTH PROBLEM PROBLEM CONTACT

Within 30 minutes of
Poor Breastfeeding Poor Breastfeeding After 1 week of nursing Nursing Interventions, the Explain the importance of Human resources: Initial interview: After 1 week of nursing
Techniques as health Techniques as health intervention the family will mother will be able to: knowing proper breastfeeding August 1, 2019 (Thursday) intervention and some series of
threat: problem due to: be able to: techniques and demonstrate if Time and Effort of health teachings the mother will
 Discuss proper needed 1st Home visit: be able to:
Subjective Data:  Lack of knowledge  Help the mother to breastfeeding - Barangay Health August 2, 2019
“hindi kasi ako sanay about the proper do proper techniques and the  Explain the different Workers (Friday)  State proper ways on how
magpa-dede medyo breastfeeding breastfeeding advantages of advantages of - Our Clinical Instructor to breastfeed her baby
nahihirapan ako” techniques techniques breastfeeding breastfeeding Mrs. Thelma Adzuara Farewell visit:  Discuss some advantages
 Lack of proper  Know the early  Discuss to the mother the - BSN Students Group 19 August 15, 2019 of breastfeeding
 Help the mother
“pinapa-dede ko lang knowledge about feeding cues of her early signs of feeding (Batch 2019-2020) (Thursday)  Identify the feeding cues
know the
siya kapag umiiyak na” the advantages of baby cues - Respondents of her baby
advantages of
breastfeeding breastfeeding
Other resources:
 Lack of knowledge OB bag, paper, pen, laptops,
 Help the mother to
about assessing cell phone, visual materials
distinguish feeding
feeding cues cues of the baby
 MORBID
(Pulmonary
Tuberculosis)
FEDERICO L. OBIEDO III
JASON A. OGALESCO
ANGEL CHRIS T. SALES
MARINEL PRUDENCIADO
INTRODUCTION
Loyola Family

▪ Address: #2457 Waling waling

St.Camarin Caloocan City
▪ Household Type: Nuclear
▪ Members: 5
▪ Diagnosed with Pulmonary
Tuberculosis: Liezel Ann Loyola
 INITIAL DATA BASE (MORBID)

NAME AGE RELATIONSHIP GENDER EDUCATIONAL

ATTAINMENT

Pedro Loyola 52 Father Male Undergraduate

Linda Loyola 54 Mother Female Undergraduate

Loren May Loyola 20 Sister Female College graduate at

Access Camarin

Lenilyn Loyola 19 Female 1st year college at

(Diagnosed with PTB) UCC College
Liezel Ann Loyola 17 Sister Female Senior High School at
Mystical Cruz
Peter John Loyola 15 Brother Male High School at
Camarin High School
INITIAL DATA BASE (MORBID)
FAMILY STRUCTURE AND CHARACTERS

▪ Family Structure: Nuclear

▪ Head of the family: Pedro Loyola
▪ Makes decision regarding health care: Pedro Loyola
▪ Relationship: No conflicts
▪ Retiring/Getting up hours: 12 noon
▪ Nap during day: 2 hours
▪ Do members sleep together? Yes
INITIAL DATA BASE (MORBID)
FAMILY STRUCTURE AND CHARACTERS (continued)

▪ Meals: 3 times a day

▪ How does each member spend leisure hours? Gathering/Bonding
▪ Is it appropriate for the sex and age group? Yes
▪ Any joint activities for leisure? Lenilyn: Reading
INITIAL DATA BASE (MORBID)
SOCIO-ECONOMIC AND CULTURAL FACTORS

Name Occupation Income

Pedro Loyola Welder 12,000/month
INITIAL DATA BASE (MORBID)
FAMILY STRUCTURE AND CHARACTERS continued

▪ Does the working family member meet the basic necessities? No

▪ Who makes decisions regarding money matters? Pedro Loyola
▪ Religious affiliation? Roman Catholic
▪ What roles does the family play in the community? None/Citizen
INITIAL DATA BASE (MORBID)
ENVIRONMENTAL FACTORS

▪ Do they own the house? Yes

▪ Construction material used? Mixed
▪ Living space: Inadequate
▪ . Sleeping arrangement: The girls and the boys are seperate
▪ Furnitures: Inadequate
▪ Water Source: Public
▪ Food storage: Refrigerator
▪ Cooking facility: Gas stove
INITIAL DATA BASE (MORBID)
ENVIRONMENTAL FACTORS

▪ Drainage type: Open Drainage

▪ Toilet facilities/type: Pail system
▪ Sanitary condition: Poor
▪ Neighborhood: Congested
▪ Availability of Health care facility: Walking Distance (Regular
Visitation)
▪ Garbage disposal: Picked up by garbage collector
▪ Presence of illness: Diagnosed with PTB (Lenilyn Loyola)
▪ Protective practices practiced by the family: Regular Check Up
▪ Sources of Health care: Health Center
▪ Family members with illness:

Name Past Illness Illness State Health Action

Taken
Lenilyn Loyola Cold and Cough PTB(Pulmonary Medicine
Tuberculosis) (Rifampicin
500mg intake
daily)
5 FAMILY PROBLEMS
 PULMONARY TUBERCULOSIS (MORBID)

Criteria Computation Actual Score Justification

Nature of the problem 3/3 x 1 1 This is perceived as health deficit

because patient was currently
diagnosed for acquiring pulmonary
tuberculosis.

Modifiability of the problem 2/2 x 2 2 This is easily modifiable in the fact

that the family and the patient is
well informed on her current disease
which is pulmonary tuberculosis and
the patient is currently taking
medication. (Rifampicin)

Preventive Potential 3/3 x 1 1 This is highly preventive through

the medications given by the health
center and proper health teaching to
the patient.

Salience of the problem 2/2 x 1 1 An Immediate attention is needed to

this serious problem to avoid
deterioration of the current disease
of the patient.

Total =5
 MALNUTRITION (MORBID)

Criteria Computation Actual Score Justification

Nature of the 3/3 x 1 1 This is classified as health deficit because their food intake are not
sufficient in nutrients that leads to poor health and underweight
problem children.

Modifiability of the 2/2 x 1 2 This is easily modifiable with the health teachings, such as taking
vitamins to improve appetite.
problem

Preventive Potential 3/3 x 1 1 This is highly preventive with the participation of health center in
promoting proper nutrition.

Salience of the 2/2 x 1 1 This is a serious problem that needs immediate attention to
prevent malnutrition that leads to being underweight of the
problem children.

Total =5
 POOR ENVIRONMENTAL SANITATION AND
HYGIENE (MORBID
Criteria Computation Actual Score Justification

Nature of the problem 3/3 x 1 1 This is classified as health deficit because

it leads to health problems like airborne
diseases.

Modifiability of the ½x1 1 This is partially modifiable by conducting

general cleaning and arranging their house
problem materials in proper places.

This is highly preventive with daily

Preventive Potential 3/3 x 1 1 maintenance of cleanliness/orderliness of
their surroundings and most effectively
maintaining hand washing and family’s
cooperation.

Salience of the problem 2/2 x 1 1 This is a serious problem needed an

immediate attention to prevent hazardous
and risk of the surroundings.

Total =4
 POOR HEALTHY LIFESTYLE (MORBID)

Criteria Computation Actual Score Justification

Nature of the problem 3/3 x 1 1 This is classified as health deficit because

having inadequate nutrition will increased
the probability to various disease, most
importantly PTB.

Modifiability of the ½x2 1 This is partially modifiable because

adequate health teaching might help, but it
problem depends on the family’s financial status.

This is moderately preventive because it

Preventive Potential 2/3 x 1 0.66 is dependent on the willingness of the
family to comply regarding the proper
nutrition

Salience of the problem 2/2 x 1 1 This is a serious problem that need

immediate attention such as serious
transmission of infectious diseases

Total 3.66
 CROSS INFECTION (MORBID)

Criteria Computation Actual Score Justification

Nature of the problem 2/3 x 1 0.66 This is classified as health for the
family to stop the possibility of infection
thru proper hand washing and using
face mask.

Modifiability of the 1/2 x 2 1 The problem is easily modifiable by the

fact that one of the family member is
problem currently infected by tuberculosis and
taking a medication

Preventive Potential 1/3 x 1 0.33 It is highly preventive with health

teaching and health education about
transmission of microorganism Myo-
bacterium tuberculosis from droplet
infection upon sneezing and coughing

Salience of the problem 2/2 x 1 1 A serious problem needed immediate

attention to prevent the spread of
microorganism to the whole family and
neighborhood as well and if not treated it
affect the whole community

Total =2.99
FAMILY NURSING CARE PLAN
(MORBID)
 HEALTH PROBLEM Family Nursing Problem Goals of Care Objective of Care Nursing Intervention Resource Required Method of Family Nurse Evaluation
Contact

Pulmonary Tuberculosis Pulmonary Tuberculosis Short term goal: Within 2-3 days of • Discuss the Human Resources: Home visits and health After 2 weeks of nursing
as Health Deficit as a Health Problem Nursing Interventions, possible source of teachings: intervention and some
due to: the family will be able signs and series of health
SUBJECTIVE: to: symptoms. Time and Effort of teachings the family
 Well informed and First Home Visit now:
“Dalawang lingo ng ubo  Lack of knowledge  After 1 hour of have adequate • Identify others at - Barangay Health (August 2,2019) • The family identified
at sipon on identifying factors nursing intervention knowledge on the risk of tuberculosis Workers the people that are
that contributes risk the family as well as possible like relatives, close risk of tuberculosis
“Lost of appetite” of tuberculosis. the patient will complications and friends, etc. -Our Clinical Instructor Second Home Visit
 Inability to decide perceive risks of having Mrs. Thelma Adzuara (August15,2019) • The family identified
“Nagkakalagnatrinako” about the current the importance of Pulmonary • Instruct patient to the importance of
health condition due knowing the signs Tuberculosis. cough or sneeze -BSN Students Group 19 the assigned check
OBJECTIVE: to lack of knowledge and symptoms of the into a tissue to (Batch 2019-2020) up given by the
about health and tuberculosisdisease  Gain knowledge and cover the mouth Respondents. health center staff.
• Looks underweight illnesses. better understanding and prevent
• Not appropriate Long term goal: within of the importance of spreading. Other resources: • The family practiced
physical grooming 2-3 of nursing proper healthy OB bag, paper, pen, healthy lifestyle and
• Pale looking with intervention: lifestyle in regards to fliers, umbrella proper nutrition.
Low self-esteem • Explain the
• Unresponsive  The patient will be nutrition . importance of the
able to implement assigned check up
Vital Signs: safety precautions to given by the health
Weight: 40kg prevent the cross- center staff.
Height: 5’0 (1.5 infection among the
meter) family members as
Heart Rate: 112 well on the • Explain the
community pharmacodynamic
beats/min . s of the prescribed
medicine
(Rifampicin).