I.

Introduction

Community Health Nursing is one of the major fields of nursing. Through this, nursing
care is provided to community people, specifically for the member of each family. The
American Nurses Association wrote that: Community health nursing practice promotes and
preserves the health of populations by integrating the skills and knowledge relevant to both
nursing and public health. The practice is comprehensive and general, and is not limited to a
particular age or diagnostic group; it is continual, and it is not limited to episodic are . While
community health nursing practice includes nursing directed to individuals, families and groups,
the dominant responsibility is to the population as a whole (Clark, 1999:50).

Family is a basic unit of society. Which is according to Maglaya it perform a two major
functions, the reproduction and socialization. It is generally considered as the basic unit of care
in community health nursing for many reasons. In addition to that, Family also performs health-
promoting, health, maintaining and disease prevention activities.

In the Philippines there are many social changes that are affecting the family. Due to
social problems in our society such as corruption, poverty, education system, lack of government
support, increasing unemployment rate, insufficient and ineffective provision particularly to the
marginal sector. Determining these common problems that has a great impact to the society
would lead to developmental problem such as lack of education, lack of prevention and
ignorance of diseases, inability to provide the needs of the family and others.

Providing this information about the concept of family. It is understood that family plays
a vital role. And as far as community health nursing is concern, it is ought to provide an adequate
care, to support population health and deliver preventive health care services.

II. Background Information

The BSN2- Section 2 of Group D was given the opportunity to have a community
exposure last January 30 to February 1, 2017 at Barangay Ucab, White Fence, Itogon, Beguet.
Our group is conducting together with the helped of our Instructor with some barangay nurses we
had or survey for the purpose of Family Profiling in the said barangay. I was assigned to visit the
Cassinga family and had the opportunity to interview the family and gather all the important data.
Cassinga family is my client, it is perceptible that the family belongs in the lower class. Upon
visitation, I tried to observe the house structure and surroundings, the head of the family offered

Page 1 of 24
 us a seat and we had a communication, in a therapeutic manner. The head of the family discussed
how their life is going on and while listening I’m taking down notes at the same time particularly
in the important areas. After further discussion and chatting with him, I assessed the condition of
his father in-law, performing the 13 areas of assessment which will be elaborated on the
succeeding parts of this study.

Community health nursing provides an extra effort. For me, community exposure is more
challenging aside from having a long walk, knocking on every house door, we sometimes also
are being rejected. However, nursing taught us, that it is our duty to respect the culture and
beliefs of every person. Doing community service, a person will find themselves and be exposed
to the lifestyle of other people. It taught us that being nurse must be flexible.
III. Initial Data Base for Family Nursing Practice

1. Family Structure, Characteristics, and Dynamics

Name Age Sex Civil Status Religion Position in the Family

Shelhamer Cassinga 33 y/o M M Catholic Head of the
Family(Father)
Jingjing Sabawil- 31 y/o F M Catholic Mother
Cassinga
Zyril Cassinga 16 y/o F S Catholic 1st Child
Mcrey Cassinga 9 y/o M S Catholic 2nd Child
Sheagin Cassinga 2 y/o M S Catholic 3rd Child
Jesville Cassinga 1 y/o M S Catholic 4th Child
Benigno Sabawil 66y/o M M Catholic Father of Jingjing

The Cassinga Family is a Nuclear type of family. However, the father of Jingjing who just
came from Tabuks, Kalinga stayed with them for a while because he need to undergo for a
chemotherapy here in Baguio. They lived in a house made up of light materials. The family,
ethnic background is pure Ikalinga. No significant beliefs were noted that is related to the
health of the family. When we got there, the wife of Shelhamer was not around as told by the
husband that she went to sell food at the school. Some complaints were verbalize by
Shelhamer (husband) regarding the health status of her wife. When we were there the
husband was taking care of his four children while Benigno is lying on bed. No significant
beliefs noted that is related to the health of the family

2. Socioeconomic and Cultural Characteristics

The father stated that they were able to provide the needs of the family wherein Mrs.
Jingjing is a vendor in school who has an income of not less than 300 pesos per day. While
Mr. Shelhamer is underemployed . The monthly income of the family approximately 7000
pesos. The family was able to provide the necessities of the family, such as foods and they
were able to sent their two children in school. Mrs. Jingjing is the one who is responsible in
budgeting the needs of the family.

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 On the side of Mr. Benigno Sabawil, his wife who is a farmer back there in their
province is one who is paying his hospital bills and maintenance. One of the children of Mr.
Benigno Sabawil who works in abroad also sends money to help his father. The family has a
PhilHealth Insurance.
Educational attainment of each family member:

Name of the Family Member Educational Attainment

Shelhamer Cassinga College Graduate
Jingjing Sabawil- Cassinga College Undergraduate
Zyril Cassing Grade 8- student
Mcrey Cassinga Grade 3- student
Sheagin Cassinga Not attending school
Jesville Cassinga Not attending school
Benigno Sabawil College- Undergraduate

3. Environmental Factors

 The Cassinga’s house is made up of galvanized sheet, one floor house with cemented
flooring. Inadequate living space to accommodate all the family member.
 Dining and cooking area is not separated.
 Toilet facility is located outside the house, open-pit type covered with steel sheet and
sack with presence of flies, shared with neighbors.
 They burn their garbages.
 Segregation of garbages is observed
 There were presence of rodents, flies, mosquitoes, cockroaches and rats.
 Cassinga’s place location is far and dangerous, especially when wet because it is slippery.
 Water supply came from the stream, they used it for washing and boil it when used for
drinking.
 Cassinga’s drainage is open.
 Neighbors houses are quite close to them.
 Barangay health center is quite near to their house. They have to walk for about twenty
minutes to thirty minutes to reach the health center.

4. Health Assessment of Each Family Member

1. Shelhamer- with minimal cough, currently had his rashes, eat foods like vegetables,
fruits, fish and meat, drink alcohol occasionally.
2. Jingjing- Irregular menstruation ever since she started taking the pills (family planning).
Fully immunized mother
3. Zyril-no significant illness,
4. Mcrey- no significant illness,
5. Sheagin- no significant illness, completed the immunization, unclean shirt
6. Jesville- no significant illness completed the immunization.

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 7. Benigno- client is skinny, has a skin cancer stage 4, open wound located below the ear,
covered with gauze, daughter clean the wound regularly. Restlessness, diminished
hearing. Eat nutritious foods such as vegetables and meat
5. Value Placed on Prevention of Disease

The family completed the immunization, able to seek the clinic or barangay health center
when feeling sick.

IV. Typology of Nursing problems in Family Nursing Care Practice

1. First Level of Assessment
i. Presence of Health Threats
A. Health history of specific condition or disease
- The family has a history of cancer. The Family has insufficient knowledge on
preventive ways of cancer.
- Mr. Shelhamer currently had his rashes and fever. Signs and symptoms of dengue
detected.

B. Threat of cross infection from a communicable case

C. Family size what beyond family resources can adequately provide

- There are seven members of the family. The house consists of one room only.

D. Accident hazards
- Materials such as toys, slipper, containers and cleaning materials are scattered
everywhere. Materials are not in place, fall hazard noted.

E. Faulty/Unhealthful nutritional/ eating

- The family eats three times a day. Able to eat nutritious foods such as leafy
vegetables, meat, fish and fruits. Food that are bought are based on the budget of the
family.

F. Stress provoking factors

-The family is in good relationship with each other, there is no conflict with any
other member of the family. The family has a good communication with their relatives.

G. Poor home/environmental condition/sanitation

- The house of Cassinga is bungalow house type, closely spaced. Dining, kitchen
and room is divided only by cloth curtain. Upon visitation, scattered materials such as toys,
socks and containers are everywhere. The toilet facility of the house is made up of steel sheet
covered with a sack with presence of flies. Also, their drainage system is open with
presence of breeding sites of vectors such as mosquitoes, roaches and rodents. The
garbages are burned and some are segregated.

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 -Water is came from a stream, the family used it is washing, cooking and they
used to boil it for drinking purposes. The water is said to be clean.
-Location has good ventilation. The family shared their electric supply with the
neighbor. The house is located far from the road and neighbors’ houses are quite near to each
other that is why there minimal noise in the surrounding.
H. Unsanitary food handling and preparation
- The family uses the utensils when eating. Sometimes they tend to forget to wash
their hands when eating.

I. Unhealthful lifestyle and personal habits/ practices

- Mr. Shelhamer drink alcohol occasionally.
-Mr. Benigno he used to eat tobacco before, but because of his current situation he
stopped.
- Proper oral hygiene and hand washing is not being initiated to the family.
- The family does not engage themselves in any physical exercise.

J. Inherent personal characteristics

- No inherent personal characteristic of the family.

K. Health history, which may participate the occurrence of a health deficit

- Mr. Benigno currently has stage four skin cancer.

L. Inappropriate role assumption

-No inappropriate role assumption

M. Lack of Immunization/ Inadequate immunization specially of children

- Children was able to complete their immunization. Mrs Jinjing is fully immunized
mother.

N. Family Disunity
- No family conflicts

ii. Presence of Health Deficits

- Mr. Benigno stage four skin cancer
- Mr. Shelhamer cough

iii. Presence of Stress Points/ Forseeable Crisis

- Mr. Shelhamer is underemployment, most the time he stayed at home takin care of his children.

2. Second Level of Assessment

i. Inability to recognize the presence of the condition due to:

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  Lack of knowledge
-Mr. Shelhamer had his rashes and fever prior to visitation, he said that he didn’t go
to the clinic for medical check-up.
 Denial about its existence or severity as a result of fear of consequences of diagnosis
of problem
- 10 years ago Mr. Benigno noticed a small lump below his ear. However, he never
bothers to seek a physician, because as he said its just a small lump.
- Mrs. Jingjing experience irregular menstruation since she started taking the pills.

ii. Inability to make decisions with respect to taking appropriate health action
due to:
 Lack of/ inadequate knowledge/insight as to alternative courses of action open to
them
- The couple lack of knowledge about other family planning aside from pills and
natural method.
 Failure to comprehend the nature/ magnitude of the problem/condition
- Unsanitary waste disposal, inadequate living space, improper drainage system,
presence of breeding sites of vectors

iii. Inability to provide adequate nursing care to the sick, disabled, dependent
or vulnerable/ at risk of the family member due to:
 Inadequate family resources for care
- The family is helping each other in times of need. Mr. Benigno is being taken care
of by her daughter and son-in-law.

iv. Inability to provide a home environment conducive to health maintenance

and personal development due to:
 Inadequate family resources
- They lack of skill in carrying out measures to improve home environment. Another
factor that contributes is due to limited financial resources.

v. Failure to utilize community resources for health care due to:

 Lack of/ inadequate knowledge of community resources for care

- Mr. and Mrs. Cassinga has four children. They used pills as their family planning
method. However, they want to use another type of family planning aside from pills.
The family is not aware that Ucab Barangay Health Center offers IUD.
V. Cues and Data

Cues/Data Family Nursing Problem

 Mr. Shelhamer experienced fever and 1. Possible dengue as health threat
rashes accompanied by cough. a. Inability to recognize the presence of the

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 condition or problem due to:
 Denial about its existence or
severity
 Lack of knowledge
 He is also underemployed 2. Foreseeable Crisis
 Miss Jingjing experienced irregular and 3. Risk for ovarian complication as health
missed menstruation threat
a. Inability to recognize the presence of the
condition or problem due to:
 Denial about its existence or
severity
 Lack of knowledge
b. Failure to utilize community resources
 Father verbalize” My wife started to have for health care due to:
irregular menstruation since she started  Lack/ inadequate knowledge of
taking pills, we want to use another community resources for health care
method”.

 Mr. Benigno has a skin cancer, stage four. 4. With family history of hereditary disease
He verbalized “kinmutokotong ak di  Inability of the family to manage health
nagrugi ak nga nagsakit” and non health crisis related to not
seeking health care to appropriate health
worker about the hereditary disease.
5. Illness state as health deficit
 Inability to continue medication due to
unable to remind himself taking due
medication.
 Zyril is already 16 years old 6. Adolescence as Foreseeable Crisis
 Family income is 500 pesos per day. 7. Inadequate family resources
a. Financial constraint
b. Family size beyond what family
resources can adequately provide as
health threats
 Seven members of the family live in a one 8. Poor home/environmental
room house without division. condition/sanitation
 Lack of food storage facilities. a. Inadequate living space
 Type of toilet facility is open pit b. Lack of food storage facilities

 With presence of flies located near the c. Unsanitary waste disposal

house. d. Improper drainage system

 Open drainage with presence with

presence of mosquitoes and flies.

VI. Scale for Ranking Health Conditions and Problems

Page 7 of 24
 1. Family beyond what family resources can adequately provide

Criteria Standard Computation Actual Score Justification

1. Nature of Health Deficit 2/3 x 1 0.6 It is a health threat

the problem
Health Threat

Foreseeable Crisis

2. Modifiability Removable 2/2 x 2 2 Current knowledge,

of the problem interventions and resources
Partially Modifiable
are available to solve
Not Modifiable problem.

3. Preventive High 3/3 x 1 1 The possibility of increasing

potential family size is reduced; the
Moderate
available family resources can
Low be utilized to encourage
growth promoting
experiences for members.

4. Salience of Needs immediate 2/2 x 1 1 The family perceives it as a

the problem attention serious problem attention to
ensure that fourth child would
Does not need
immediate attention be thelast one.

Not a problem

Score: 4.6

2. Possible Dengue

Criteria Standard Computation Actual Score Justification

1. Nature of Health Deficit 3/3 x 1 1 The problem is a health

the problem deficit it requires more
Health Threat
immediate intervention.
Foreseeable Crisis

2. Modifiability Removable 2/2 x 2 2 The resources and

of the problem interventions needed to solve
Partially Modifiable
the problem are available to
Not Modifiable the family

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3. Preventive High 3/3 x 1 1 Risk of acquiring dengue can
potential be prevented in many ways.
Moderate

Low

4. Salience of Needs immediate 0/2 x 1 0 The family does not recognize

the problem attention the existence of the problem.
Does not need
immediate attention

Not a problem

Score: 4

3. Risk for Ovarian Complication

Criteria Standard Computation Actual Score Justification

1. Nature of Health Deficit 3/3 x 1 1 The problem is health deficit

the problem it requires immedetiate
Health Threat
intervention.
Foreseeable Crisis

2. Modifiability Removable 2/2 x 2 2 The resources and

of the problem interventions needed to solve
Partially Modifiable
the problem are available to
Not Modifiable the family and the
community.

3. Preventive High 3/3 x 1 1 Possible complications can be

potential eliminated if immediate
Moderate
intervention is done.
Low

4. Salience of Needs immediate 0/2 x 1 0 The family does not recognize

the problem attention the existence of the problem.
Does not need
immediate attention

Not a problem

Score: 4

4. Cancer

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Criteria Standard Computation Actual Score Justification

1. Nature of Health Deficit 3/3 x 1 1 It is a health deficit that

the problem requires immediate
Health Threat
management.
Foreseeable Crisis

2. Modifiability Removable 1/2 x 2 1 Partially modifiable since the

of the problem client has a maintenance and
Partially Modifiable
engaging himself to the
Not Modifiable theraphy.

3. Preventive High 3/3 x 1 1 Proper management and and

potential healthy lifestyle and regular
Moderate
check-up are ways to prevent
Low from obtaining the disease.

4. Salience of Needs immediate 2/2 x 1 1 The family recognize it as a

the problem attention problem that needs an
immediate attention.
Does not need
immediate attention

Not a problem

Score: 4

5. Unsanitary waste disposal and toilet facility open-pit

Criteria Standard Computation Actual Score Justification

1. Nature of Health Deficit 2/3 x 1 0.6 It is a health threat.

the problem
Health Threat

Foreseeable Crisis

2. Modifiability Removable 2/2 x 2 2 Resources are available and

of the problem interventions are possible.
Partially Modifiable

Not Modifiable

3. Preventive High 3/3 x 1 1 Occurrence of parasitism and

potential other communicable diseases
Moderate
can be reduced or minimized.
Low

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4. Salience of Needs immediate 0/2 x 1 0 The family does not
the problem attention recognized it as a problem.
Does not need
immediate attention

Not a problem

Score: 3.6

6. Inadequate living space

Criteria Standard Computation Actual Score Justification

1. Nature of Health Deficit 2/3 x 1 0.6 It is a health threat that does

the problem not demand immediate action.
Health Threat

Foreseeable Crisis

2. Modifiability Removable 1/2 x 2 1 Increasing the living space

of the problem will require qiute a financial
Partially Modifiable
expenditure. The family’s
Not Modifiable resources are presently not
adequate considering the
other problems. However
furnitures can be arranged to
allow more space.

3. Preventive High 3/3 x 1 1 Increasing living space will

potential reduce possibility of
Moderate
transferability of
Low communicable diseases,
provide privacy to the
members, provide bigger
space to allow adequate
movements when performing
housework and joint
recreational, leisure or play
activities.

4. Salience of Needs immediate 1/2 x 1 0.3 The family recognize it as

the problem attention does not need immediate
attention
Does not need
immediate attention

Not a problem

Score: 2.9

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 7. Presence of hereditary disease

Criteria Standard Computation Actual Score Justification

1. Nature of Health Deficit 2/3 x 1 0.3 Their family shows a

the problem  history of cancer so the
Health Threat
family is risk of inheriting
Foreseeable Crisis this disease.

2. Modifiability Removable 1/2 x 2 1 It is partially modifiable

of the problem because they have a
Partially Modifiable
knowledge on what is cancer.
Not Modifiable

3. Preventive High 3/3 x 1 1 High preventive through

potential healthy lifestyle and regular
Moderate
check-up.
Low

4. Salience of Needs immediate 0/2 x 1 0 The family doesn’t perceive it

the problem attention as a problem.
Does not need
immediate attention

Not a problem

Score: 2.3

The Prioritized Health Problems

The list of health condition or problems ranked according to priorities is presented:
1. Family beyond what family resources 4.6
can adequately provide
2. Possible Dengue 4
3. Risk for Ovarian Complications 4
4. Cancer 4
5. Unsanitary waste disposal and toilet 3.6
facility open-pit
6. Inadequate living space 2.9
7. Presence of hereditary disease 2.3

VII. 13 Areas of Assessment

Client Name: Benigno Sabawil

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1. Psychosocial Status

He is under Erick Erisckson’s integrity and despair stage of development (ages 65- death. During
this stage it involves much reflection. As older adults, some can look back with a feeling of integrity- that
is feeling of contentment and fulfillment. Others may have sense of despair, reflecting their failures.

a. General Social Status

 Ethinic Background: Ikalinga
 Occupation: Farmer
 ReligionAffiliation: Roman Catholic
 He lives with his wife at Kaling but currently moved in Baguio to continue his treatment.

b. Social and Emotional Status

 Age: 66 years old
 Gender: Male
 Marital Status: Married

2. Mental and Emotional Status

a. Mental Status
 He is conversant. Able to follow directions when asked. He is oriented about day, time
and place. Responsive where he can identifies things and names.
b. Emotional Status
 Client is in good mood when taling to him.

3. Environmental Status

Client lives in a quite place with with trees, neighbors are close to them. The location has a
good ventilation and lighting.

4. Sensory Status

a. Visual Status
 Eyes are symmetrically aligned and showed equal movement when asked to raise and
lower eyebrows. Pupils of the eyes are black and equal in size. Pupils are round and
reactive to light and accommodation. Pupils converge when object is moved towards the
nose. Able to distinguish far objects. Conjuctiva is pale.
b. Auditory Status
 Diminished hearing, needs repetition of words.
c. Olfactory Status
 Has no difficulty in classifying fragrant and sour odor.
d. Gustatory Status
 Able to discriminate sweet, salty and sour.
e. Tactile Status
 Able to identify sharp or dull when elicited to the client.
c. Motor Status

a. Musculo-Skeletal Status
 During assessment, there is no difficulty in abducting, flexing, extending in upper and
lower extremities is observed. No known deformities and with good posture.
b. Mobility
 Nomal mobility and able to perform ADL

6. Nutritional Status

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 The client verbalized that he cooked meat combined with vegetables. He was able to finished
he meals but sometimes he cannot.

7. Fluids and Electrolytes Status

Skin is dry, with good skin turgor, no presence of edema.

8. Elimination Status

He usually defecates once a day and able to urinates five times a day. With hyperactive
bowel sound.

9. Circulatory Status

a. Pulse rate
 76 bpm
b. Blood pressue
 100/90 mmhg
c. Capillary refill
 Goes back 2-3 seconds

10. Respiratory Status

16 cpm, no crackels, no difficulty in breathing and no use of accessory muscles

11. Temperature Status

Patient’s temperature is 37 C. The patient has normal temperature.

12. Integumentary Status

Skin is brown with good skin turgor as evidenced by pinching then goes back 1-2 seconds. There
are no rashes noted. Wound is located in below the ear.

13. Rest and Comfort Status

Client usually sleeps 8 hours and able to take a nap at noon.

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VIII. Family Nursing Care Plan

1st LEVEL ASSESSMENT: Family beyond what family resources can adequately provide as Health threat
2nd LEVEL ASSESSMENT: Inability to make decisions with respect to taking appropriate health action

Health Family Nursing Problem Goal of Care Objectives of Care Intervention Plan
Problems
Nursing Intervention Method of nurse Resources
Family contact Required

1. Family  Inability to make After nursing After nursing intervention, the  Discuss with the HOME VISIT Time and effort of
beyond what decisions with respect intervention, the family couple: couple the alternative the student nurse
family resources to taking appropriate will decide on appropriate  Can explain what courses of action and the family
can adequately health action due to actions to maintain family planning the family is  Explore with the members
provide lack of knowledge as size based on a sense of all about family especially Expenses of
to alternative courses responsibility for love  Can enumerate the with the couple ways transportation of
of action open to the and life various ways or of encouraging the student nurse
family. maintaining the size of growth- promoting
the family. activities to enhance
 Will select a method marital relationship
most appropriate for for family life
them. education
 Analyze with the
couple the
advantages and
disadvantages of
each
alternative/method to
encourage better
decision-making on
the best option given
the family’s situated

Page 15 of 24
 possibilities.

1st LEVEL ASSESSMENT: Possible dengue as Health Deficit

2nd LEVEL ASSESSMENT: Inability to recognize the presence of possible complication

Health Family Nursing Problem Goal of Care Objectives of Care Intervention Plan
Problems
Nursing Intervention Method of Resources
nurse Family Required
contact

2. Possible  Inability to recognize the After nursing After nursing intervention, the  Broaden the knowledge of HOME VISIT Time and effort of
dengue presence of possible intervention the family will: the family about the signs the student nurse
complication due to lack husband will visit the  Implement agreed- and symptoms of dengue. and the family

Page 16 of 24
 of knowledge. health center for the upon health actions to a. Discuss the members
 Inability to provide test and will take the Mr. Shelhammer implication of signs Expenses of
adequate nursing care due necessary measures to especially in and symptoms transportation of
to prevent dengue laboratory work-up. presented by Mr. the student nurse
a. Lack of  Demonstrate Shelhammer.
knowledge on the understanding about b. Discuss the
nature and preventive measures consequences of
management of of obtaining dengue. failure to take
health condition appropriate action
 Inability to utilize on the problem.
resources for health care
due to:
a. Lack of
knowledge of
community
resources for
health care.

Page 17 of 24
1st LEVEL ASSESSMENT: Risk fro Ovarian complication as health deficit
2nd LEVEL ASSESSMENT: Inability to recognize the presence of possible complication

Health Family Nursing Problem Goal of Care Objectives of Care Intervention Plan
Problems
Nursing Intervention Method of nurse Resources
Family contact Required

3. Risk for  Inability to recognize the After nursing After nursing intervention, the  Discuss to the HOME VISIT Time and effort of
Ovarian presence of possible intervention the couple couple: couple the the student nurse
complication complication due to lack will visit the nearby  Implement agreed- implication of the and the family
of knowledge. hospital for laboratory upon health actions to signs and symptoms members
 Inability to make test. The couple will take Mrs. Jingjing presented by Mrs. Expenses of
decisions with respect to alternative action especially in Jingjing. transportation of
taking appropriate action laboratory work-up.  Discuss the the student nurse
health action due to  Will able to decide consequences of
inadequate knowledge as what alternative action failure to take
to alternative courses of they can use for family appropriate action on
action open to them planning the problem.
 Inability to utilize  Educate the couple
resources for health care about the side effects
due to: brought by

Page 18 of 24
 a. Lack of prolonged used of
knowledge of pills.
community  Discuss other family
resources for planning choices.
health care.

1st LEVEL ASSESSMENT: Cancer as health deficit

2nd LEVEL ASSESSMENT: Inability to continue medication due to unable to remind himself taking due medication

Page 19 of 24
 Health Family Nursing Problem Goal of Care Objectives of Care Intervention Plan
Problems
Nursing Intervention Method of nurse Resources
Family contact Required

4. Cancer  Inability to continue After nursing intervention After nursing intervention, the  Educate the client HOME VISIT Time and effort of
medication due to the client will be able to client will able to: about the existing the student nurse
unable to remind remind herself in taking  Explain the importance disease. and the family
himself taking due of her medication of complying in  Encourage them to members
medication. treatment regimen. consider lifestyle Expenses of
The family will be able to help modification for their transportation of
in reminding the client taking benefits. the student nurse
the medication regularly.  Reiterate the
importance taking
the medication
regularly

1st LEVEL ASSESSMENT: Unsanitary was disposal as Health threat

2nd LEVEL ASSESSMENT: Inability to provide a home environment which is conducive to health maintenance and development

Page 20 of 24
 Health Family Nursing Problem Goal of Care Objectives of Care Intervention Plan
Problems
Nursing Intervention Method of nurse Resources
Family contact Required

5. Unsanitary  Inability to provide home After nursing After nursing intervention, the  Establish rapport HOME VISIT Time and effort of
waste environment which is intervention, the family family will:  Explain the diseases the student nurse
disposal and conducive to health will be able to know on  Verbalize that might occur to the and the family
toilet facility maintenance and family due to
how to prevent diseases understanding of members
open-pit development due to: improper waste
a. Lack of due to unclean individual risk factor disposal. Expenses of
knowledge of environment and know that contribute to  Demonstrate to the transportation of
importance of the importance proper unsanitary waste family the proper the student nurse
hygiene and waste disposal. disposal including ways of excreta
sanitation. diseases that may disposal.
b. Lack of acquire.  Discuss to the family
knowledge of the advantage in
 Implement agreed-
preventive having a clean
measures. upon health actions environment.
 Presence of risk factors of such as maintaining
specific disease the toilet clean and
free from flies.

1st LEVEL ASSESSMENT: Inadequate living space Health threat

2nd LEVEL ASSESSMENT: Inability to provide a home environment which is conducive for health maintenance and personal development 

Health Problems Family Nursing Problem Goal of Care Objectives of Care Intervention Plan

Nursing Intervention Method of nurse Resources

Family contact Required

6. Inadequate  Inability to provide a After the nursing After nursing intervention,  Suggest ways on h HOME VISIT Time and effort of
living space home environment which intervention the family will the family: ow to maximize the student nurse
is conducive for health develop ways on how  Identify risk factors the available living and the family

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maintenance and personal to minimize the that contribute to the space by re- members
development due to: problem as evidence by congestion in the arrangement. Expenses of
a. Financial rearrangement of furniture area such as unused  Advise transportation of
constraints to maximize their living things the family to separ the student nurse
b. Limited physical space.  Demonstrate ate things they
resources techniques to don’t use anymore.
promote good  Inform the family
environment regarding the easy
condition such as transmission of
proper arrangement disease due to
of appliances. inadequate space.
 Verbalize  Explain to the fami
understanding about ly possible effects
the of having
importance of having inadequate living
adequate living space.
space.  Explain to the
family advantages
of having adequate
living space
 Aid the family in
maximizing the
living space.

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1st LEVEL ASSESSMENT: Presence of hereditary disease as health threat
2nd LEVEL ASSESSMENT: Inability to provide the necessities of the family

Health Family Nursing Problem Goal of Care Objectives of Care Intervention Plan
Problems
Nursing Intervention Method of nurse Resources
Family contact Required

7. Presence of  Inability of the family After nursing After nursing intervention, the  Assessed the family HOME VISIT Time and effort of
Hereditary intervention, the family family will: history of the the student nurse
to manage health and
disease will take necessary  Engage themselves to hereditary disease. and the family
non health crisis
measures to prevent or regular check-up.  Discuss to the family members
related to not seeking properly management for  Able to understand the the importance of Expenses of
health care to cancer. importance of healthy healthy lifestyle and transportation of
lifestyle such as eating causative factors. the student nurse
appropriate health
nutritious foods,  Encourage the family
worker about the exercise and other to have regular
hereditary disease. preventive measures. check-up.
 Provide preventive
measures from
acquiring hereditary
disease.

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IX. Conclusion and Recommendation

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