Pamantasan ng Lungsod ng Marikina

Brazil St., Green heights Subd., Concepcion Uno, Marikina City

COLLEGE OF HEALTH SCIENCES

In Partial Fulfillment of the Requirement in

Community Health Nursing (CHN-1)

A FAMILY CASE STUDY

Presented to the Faculty

of the Pamantasan ng Lungsod ng Marikina,

College of Health Sciences

Presented by:

Level II Bachelor of Science in Nursing, Batch 2023

Obrero, John Mark L.

COMMUNITY PRECEPTOR:

Ms. Jacqueline M. Calaycay R.N., M.S.N.

DECEMBER 2020

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 ACKNOWLEDGEMENT

The student nurse would like to express her sincere gratitude and appreciation to

the following for their endless support and guidance, without them, the completion of this

case study would not be possible.

To the "A" family, thank you so much for being very cooperative throughout all

the interviews and assessments. Thank you for trusting the researcher with your basic and

personal information which made the case study successful.

To the researcher's family and friends, thank you so much for the support and

motivation. All of your presence and cheers have been very comforting.

To Mrs. Vilma S. Cordova RN, MAN as well as the other clinical instructors,

your support and guidance have been very much appreciated. Thank you for giving us this

experience despite the current circumstances.

Above all, to Lord Almighty, thank you for making all these things possible.

Thank you for all the blessings and for giving me the strength to finish this study

successfully.

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 TABLE OF CONTENTS

1. Chapter I

INTRODUCTION ……………………………………………………………………5

2. Chapter II

OBJECTIVES OF THE STUDY ………………………………………….………….6

a. General Objectives

b. Specific Objectives

3. Chapter III

INITIAL DATABASE ………………………………………………….……………7

A. Family Structure, Characteristics, and Dynamics……………………..………7

B. Socio-Economic and Cultural Characteristics…………………….…………..8

C. Home and Environment……………………………………………….……... 8

D. Health Assessment of Each Family Member …………………………..……..9

1. Past and Present Illness ………………………………….………………45

a. Father – Mr. P.A.

b. Mother – Mrs. R.A.

c. Child 1 – C.J.A.

d. Child 2 – C.T.A.

2. Gordon‘s 11 Functional Health Patterns …………………………..…….46

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 1. Health Perception-health management patterns

2. Nutritional-metabolic pattern

3. Elimination pattern

4. Activity-Exercise Pattern

5. Sleep-Rest Pattern

6. Cognitive-Perceptual Pattern

7. Self-Perception/ Self-Concept

8. Roles and Relationship

9. Sexual Reproductive

10. Coping Stress

11. Values/ Beliefs Pattern

E. Values, Habits, practices on Health Promotion, Maintenance and Disease

Prevention ……………………………………………………………..…….52

4. Chapter IV

FAMILY BACKGROUND

a. Family History ………………………………………………………………54

b. Data Base of the Respondent ………………………………………………..55

c. Family Tree ………………………………………………………………….58

d. General Household Data …………………………………………………….59

5. Chapter V

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 FAMILY COPING INDEX …………………………………………………………60

6. Chapter VI

TYPOLOGY OF NURSING PROBLEM …………………………………………..62

7. Chapter VII

PRIORITIZING PROBLEMS ………………………………………………………64

8. Chapter VIII

FAMILY NURSING CARE PLAN ………………………………………...………76

9. Chapter IX

SUMMARY, EVALUATION AND RECOMMENDATION …………....…….82

10. REFERENCES ………………………………………………………………………85

11. APPENDICES ……………………………………………………………………….86

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 CHAPTER I

INTRODUCTION

American Nurses Association defined Community Health Nursing as a synthesis of nursing

practice and public health practice applied to promoting and preserving the health of

populations. The practice is general and comprehensive. It is not limited to a particular age

group or diagnosis, and it is continuing, not episodic. The focus of community health nursing is

on the prevention of illness and the promotion and maintenance of health.

Community health nursing provides health care and service to everyone regardless if the

person is well or sick. Promotion and preservation of the health of its different clients is the

primary goal of community health nursing. In connection with community health nursing, family

is the foundation of community. Society‘s definition of ‗family‘ is rapidly expanding and has

come to include single parents, biracial couples, blended families, unrelated individuals living

cooperatively, and homosexual couples, among others (Crawford,1999).

Because of the COVID-19 pandemic the researcher was tasked to choose a student

partner that lives near; convenient enough for the researcher to conduct home visit, the family of

their chosen partner will be their adaptive family. This is to secure safety for both the researcher

and the chosen family. For that reason we chose the ―A‖ family of Barangay Parang, Marikina

City which consists of 4 members. Mrs. R.A. is a work from home elementary teacher, a

graduate school student. Mr. P.A. is a self - employed. The family can be classified as a member

of middle class family since both parents able to provide for the needs of their two children.

In this case study all members of the family were willing to be interviewed giving them

the assurance of confidentiality of all information that was gathered.

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 CHAPTER II

OBJECTIVES OF THE STUDY

GENERAL OBJECTIVE

At the end of the study, the family will be able to improve their health status and will be

knowledgeable enough to maintain and improve their health through the appropriate

interventions.

SPECIFIC OBJECTIVES

1. Establish rapport with the family

2. Gather data of the family

3. Analyze the data gathered

4. Identify the actual and potential health problems of the family

5. Plan the appropriate nursing interventions

6. Implement nursing care plan for the identified health problems

7. Evaluate the effectiveness of the nursing interventions performed to the family

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 CHAPTER 3

FAMILY’S INITIAL DATA BASE

NAME AGE CIVIL POSITION IN OCCUPATION EDUCATIONAL

STATUS THE FAMILY ATTAINMENT

Mr. P.A. 48 Married Head Self-employed College Graduate

Mrs. R.A 45 Married Wife Teacher College Graduate

Ms. C.J.A. 19 Single Eldest Daughter Student Still in college

Ms. C.T.A. 12 Single Youngest Daughter Student Still in high school

A. Family Structure, Characteristics and Dynamics

The family of ―A‖ is a nuclear type of family residing at Barangay Parang, Marikina

City. The father is a self-employed worker for almost 2 years, the salary which he gets from

selling; the mother works as a teacher for almost 7 years and aside from that, she loves to train

her students in journalism. She also tutors so that she can add some extra money for their needs,

while their 2 daughters are still studying.

B. Socio-Economic and Cultural Characteristics

The ―A‖ Family income is from the mother and father since both of them has a respective

work; Mr. P.A. has an estimated income of 5,000-10,000. He provides the needs of the family

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with the help of his monthly income. Using this amount of money he was able to pay their bills

such as the electric bill, water bill, school fees of their daughters. While the mother who earns

25,000 a month is responsible for budgeting groceries and house rent.

The members of the family believe that their first priority should be their family. The

children were taught to use ‗po‘ and ‗opo‘ and never to talk back to their parents since they were

small. When it comes to cultural characteristics family A embodied the values of a citizen of

Marikina such as having a good attitude and good heart. Everyone in the family is baptized in a

roman catholic church.

C. Home and Environment

The ―A‖ family is residing at Parang, Marikina for almost 19 years now. Their house is a

2-storey but doesn‘t have enough space for their family. It has 1 bedroom, 1 toilet, and mini

garage, their living room is also their kitchen. The roof of the kitchen also has leaks but it is far

from where they cook and eat so it does not bother them. They have a mini garage but since the

online class started it is used to be a place for them to study. Their terrace also has stacked boxes

and books, stray cats lingers around. They put garbage bags beside the sink in their kitchen, at

the bathroom and near their gate. The kind of neighborhood they have is not that congested.

Their means of transportation is by public utility vehicle.

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 D. Health Assessment of Each Family Member

Name Age Birth date Height Weight

Mr. P.A. 48 September 15, 1972 5‘7 70kg

Temperature Pulse rate Respiratory rate Blood pressure BMI

36.8°C 82 bpm 15 bpm 110/80 mmHg 24.2

AREA TO BE METHOD NORMAL ACTUAL ANALYSIS

ASSESED FINDINGS FINDINGS

SKIN INSPECTION Skin color should be Has presence of The presence

generally uniform scar at the deltoid of scar is due

except in areas area of the right to the BCG he

exposed to sun. Skin arm. had.

has no presence of

reddened areas and

discoloration.

Smooth and has no

presence of lesion.

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 PALPATION For testing of skin Skin immediately NORMAL

turgor, the skin returns to its shape

should immediately when pinched. For

return to its normal testing edema,

state after being skin rebounds

pinched. In testing when pressure is

edema, the skin will released

easily rebound

when pressure is

released.

INSPECTION Nail bed should be His nails are pink, NORMAL

pink and has a clean and neatly

smooth texture. Nail cut and have an

plate shape should angle of 160°.

be in convex
NAILS curvature; the angle

is 160°. Nails are

clean and neatly cut.

Positive capillary
By performing
PALPATION NORMAL
refill pink tone
blanch test of
returns 2 seconds
capillary refill the
after pressure is

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 pink tones returns released.

immediately

(generally less than

2 seconds)

HEAD INSPECTION Head should be By inspecting the NORMAL

rounded Head, the head is

(normocephalic) and round and

symmetric symmetrical.

The head‘s contour Contour was

PALPATION NORMAL
should be smooth smooth, no masses

and without any palpated, no pain

masses. The client felt by client

shouldn‘t feel any

pain

HAIR INSPECTION The natural hair White hair is White hair and

color varies among present to clients‘ hair loss caused

clients. The color of hair. There is a by aging.

the hair shows the presence of hair

amount of melanin loss.

present. The hair

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 should be evenly

distributed that

covers the scalp and

also the hair should

be silky and

resilient.

SCALP INSPECTION Scalp can be moist, The scalp is dry, NORMAL

oily and dry. There no parasites and

should be no there is small

presence of visible dandruff,

infection and and there are no

infestation. No lesions

lesions.

There were no
PALPATION There should be no masses and pain NORMAL

presence of mass felt by clients

and no pain felt. when palpated.

FACE INSPECTION Symmetric facial Face shape is NORMAL

features and round. Facial

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 movements. features and

movements are

symmetrical.

EYES INSPECTION The eyes are Eyes are NORMAL

symmetrically symmetrically

aligned in sockets aligned in sockets

without protruding without

or sinking. protruding.

PUPILS INSPECTION Black in color; equal His pupils are NORMAL

in size; normally 3 black and equally

to 7 mm in round

diameter; round,

smooth border, iris

flat and round.

Pupils equally round

and react to light

and accommodation.

VISUAL ACUITY INSPECTION Able to read He was able to NORMAL

newsprint. 20/20 read newsprint.

vision on handheld

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 snellen chart held at

a distance of 14in.

EYEBROWS INSPECTION Eyebrows are The eyebrows are

symmetrically thick and the color

aligned; equal is black. It is

movement. Hair is symmetrically NORMAL

evenly distributed aligned; there is no

and has no dandruff presence of

and pimples. dandruff, and

pimples.

EYELASHES INSPECTION Hair on eyelashes Hair on eyelashes NORMAL

should be evenly is evenly

distributed and distributed and

curled slightly color is consistent.

outward. The color

of the hair is similar

to the hair that can

be seen in the body.

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EYELIDS INSPECTION Eyelids should close His eyelids are NORMAL

symmetrically. symmetrical when

There should be no closed. Skin is

discharge, no intact and has no

discoloration, no discharge and

swelling and discoloration.

lesions. The eyelids

should have no

signs of turning in

and out.

CONJUNCTIVA INSPECTION It should be pink, Conjunctiva is NORMAL

moist and smooth moist smooth, no

without swelling swelling and

and lesions. lesions

EARS INSPECTION Ears should be equal Ears are NORMAL

in size. The auricle symmetrical in

aligns with outer size. Color is same

canthus of the eye. with facial color

Ear colour should be (dark brown).

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 same as facial skin. Auricle aligns

Dry, sticky or wet with the outer

cerumen in various canthus. Earlobes

shades of brown are round and free.

may be present.

Ears should be His ears are

PALPATION mobile, firm and not mobile, firm and NORMAL

tender. Pinna should not tender.

recoil after it is

folded.

HEARING ACUITY

Able to repeat the 2

VOICEWHISPER He was able to NORMAL
words correctly
TEST repeat 2 words
whispered in both
correctly.
ears.

INSPECTION

Sound is heard in
TUNING FORK Sounds were heard NORMAL
both ears or is
TEST in both of his ears.
localized at the

center of the head

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 (Weber negative)

NOSE INSPECTION The external nose Nose is in midline NORMAL

should be symmetric and symmetric. No

and straight, no discharge and

discharge or nasal nasal flaring was

flaring. The color observed.

should be uniform

as the rest of the

face. No lesions and

swelling.

PALPATION No pain, masses NORMAL

No presence of pain,
and tenderness
masses, lumps and
were palpated.
tenderness during

palpation.

SINUSES PALPATION No tenderness No tenderness felt NORMAL

by the client

LIPS INSPECTION Lip color should be Lips are light Lips are

pink and uniform. purple in color, dry purplish and

Moist, soft, smooth and contour is dry due to

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 texture and the symmetric. He was prolonged

contour are able to purse lips. smoking.

symmetric. No

presence of lesions

and swelling.

PALPATION There should be no

There is no
presence of
presence of
tenderness and NORMAL
tenderness, lumps
lumps. The client
and pain when
shouldn‘t feel pain.
palpating the lips.

GUMS INSPECTION The gums are pink Gums are light Due to

in color, moist, and purple in color. prolonged

firm. There‘s no smoking.

bleeding and

swelling.

TEETH INSPECTION The teeth should be There are 32 Due to poor

complete, smooth yellowish teeth hygiene.

and white. No signs and some tooth

19
 of decayed or caries.

missing teeth.

TONGUE INSPECTION The tongue should Light purple Due to

be color pink and tongue seen, moist prolonged

moist, a moderate with papillae smoking.

size with papillae present. It is in

present. The center and moves

position is in center, freely.

moves freely.

OROPHARYNX AND INSPECTION Pink and smooth Posterior wall is NORMAL

TONSILS posterior wall. pink and smooth.

For the tonsils, it Tonsils are pink

should be pink and and smooth w/o

smooth with no discharge.

discharge present.

NECK INSPECTION Muscles are equal in Muscles are equal NORMAL

size and strength. In in size and

movement, it should strength.

be coordinated, Movements are

coordinated and

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 smooth movement smooth with no

with no discomfort. discomfort.

PALPATION No lymph nodes

No lymph nodes.
palpated and NORMAL
Trachea should be
trachea is in
in central placement
midline.
in midline of neck.

THORAX INSPECTION The thorax has The skin of his NORMAL

evenly colored skin thorax is evenly

tone, without colored.

unusual or

prominent

discoloration..

POSTERIOR INSPECTION Scapulae should be His Scapulae is NORMAL

THORAX symmetric and symmetric,

protruding should shoulders and

not be observed. scapula are at

Spine should be equal horizontal

vertically aligned. positions.

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PALPATION No tenderness and NORMAL
Skin should be

intact. No masses were

tenderness and palpated. Thoracic

masses should be expansion is full

palpated. Palpate the and symmetric.

posterior chest for

thoracic expansion; NORMAL

it should be full and

symmetric.

Percussion notes
PERCUSSION resonate down to the
Resonance was
sixth rib at the level NORMAL
heard while
of the diaphragm
percussing over
but are flat over
lungs.
areas of heavy

muscle and bone,

dull on areas over

the heart and the

liver.

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 AUSCULTATION Normal breath NORMAL

sounds should be

auscultated. No No adventitious

adventitious breath breath sounds

sounds. were heard.

ANTERIOR INSPECTION The breathing His breathing NORMAL

THORAX should be quiet, pattern is quiet,

rhythmic, effortless rhythmic, and

respirations. The effortless. Sternum

sternum is is in midline and

positioned at straight. No

midline and straight. retraction was

Retractions not observed.

observed.

PALPATION Palpate the anterior NORMAL

Respiratory
thorax for expansion is full
respiratory and symmetric. No
expansion; it should masses and
be full and tenderness was
symmetric. No palpated.
masses and

23
 tenderness.

Percussion notes

PERCUSSION resonate but flat NORMAL

Percussion notes

resonate down to the over areas of

sixth rib at the level heavy muscle and

of the diaphragm bone.

but are flat over

areas of heavy

muscle and bone,

dull on areas over

the heart and the

liver.

Normal breath

AUSCULTATI sounds were NORMAL

Normal breath
ON auscultated. No
sounds should be
crackles or
auscultated. No
wheezes were
adventitious breath
heard.
sounds.

HEART INSPECTION No pulsation, lifts No pulsation, lifts NORMAL

AND and heaves and heaves

PALPATION

24
JUGULAR VEIN INSPECTION Veins should not be Vein is not visible NORMAL

visible

CAROTID

ARTERIES PALPATION Symmetric pulse Symmetric pulse NORMAL

volume and full volumes and full
pulsations pulsation. Quality

remains the same

when client

breaths, turns head

and changes

position.

NORMAL
S1 heard at all sites;
S1 AND S2 were
AUSCULTATION
usually louder at
heard clearly and
Abase of heart. S2
no murmurs
Uusually heard at all

S sites; usually louder

Cat the base of heart.

ABDOMEN INSPECTION Abdomen should Flat abdomen, NORMAL

have unblemished Slightly tanned

25
 skin and uniform

color. Silver-white .
striae or surgical

marks may be

present. The

abdominal contour

can be flat, round or

scaphoid and it

should be

symmetric.

The Borborygmi
Audible bowel
AUSCULTATI NORMAL
sound was heard
sounds, absence of
ON
13 times. No
arterial bruits,
bruits were heard.
absence of friction

rub.

Tympany over the

Tympany over the
PERCUSSION NORMAL
stomach and gas-
stomach
filled bowels.

Dullness over the

liver and spleen.

No tenderness and

PALPATION pain during NORMAL

No tenderness,

26
relaxed abdomen, palpation

with smooth,

consistent tension.

No pain while

palpating.

27
 Name Age Birthdate Height Weight

Mrs. R.A. 45 January 17, 1975 5‘0 85kg

Temperature Pulse rate Respiratory rate Blood pressure BMI

37.5°C 86 bpm 16 bpm 130/80 mmHg 28

AREA TO BE METHOD NORMAL ACTUAL ANALYSIS

ASSESSED FINDINGS FINDINGS

INSPECTION Skin color should Her skin color is NORMAL

be generally uniformly light

uniform except in brown. No

areas exposed to presence of lesion

SKIN
sun. Skin has no and discoloration

presence of was inspected.

reddened areas

and discoloration.

Smooth and has

no presence of

lesion.

28
 PALPATION For testing of Her skin NORMAL

skin turgor, the temperature is

skin should uniform.

immediately Skin returns to

return to its normal when
normal state after pinched.
being pinched. In

testing edema,

the skin will

easily rebound

when pressure is

released.

INSPECTION Nail bed should Her nails are pink, NORMAL

be pink and has a clean and neatly

smooth texture. cut and have an

Nail plate shape angle of 160°.

should be in

convex curvature;

the angle is 160°.

Nails are clean

and neatly cut.

NAILS

29
 By performing

PALPATION blanch test of Positive capillary NORMAL

capillary refill the refill pink tone
pink tones returns returns 2 seconds
immediately after pressure is
(generally less released.
than 2 seconds)

INSPECTION Head should be Her head is round NORMAL

rounded and symmetrical

HEAD
(normocephalic)

and symmetric
PALPATION

NORMAL
The head‘s
No masses were
contour should be
palpated. The
smooth and
client didn‘t feel
without any
any pain.
masses. The client

shouldn‘t feel any

pain.

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 INSPECTION The natural hair Almost half of her Gray hair is due to

color varies hair has gray decrease of

among clients. color but she uses melanin

HAIR
The color of the black hair dye.

hair shows the Her hair is thick,

amount of long and wavy.

melanin present.

The hair should

be evenly

distributed that

covers the scalp

and also the hair

should be silky

and resilient.

INSPECTION Scalp can be Her scalp is clean NORMAL

moist, oily and and oily. No

dry. There should infestations

be no presence of present

infection and
SCALP infestation. No

lesions.

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 PALPATION There should be No masses were NORMAL

no presence of palpated and no

mass and no pain pain was felt by

felt. the client.

FACE INSPECTION Symmetric facial The shape of her NORMAL

features and face is round.

movements. Facial features

and movement

are symmetrical

EYES INSPECTION The eyes are Her eyes are NORMAL

symmetrically round and

aligned in sockets symmetrically

without aligned.

protruding or

sinking.

PUPILS INSPECTION Black in color; Her pupils are NORMAL

equal in size; black and equally

normally 3 to 7 round

32
 mm in diameter.

It should have

round and smooth

border. Pupils

equally round and

react to light and

accommodation.

VISUAL ACUITY INSPECTION Able to read She can read Farsighted vision.

newsprint. 20/20 newspaper in far

vision on distance

handheld snellen

chart held at a

distance of 14in.

EYEBROWS INSPECTION Eyebrows are Her eyebrows are NORMAL

symmetrically symmetrically

aligned; equal aligned and have

movement. Hair equal movement.

is evenly Hair is black and

distributed and evenly

33
 has no dandruff distributed.

and pimples.

EYELASHES INSPECTION Hair on eyelashes Her eyelashes is NORMAL

should be evenly evenly distributed

distributed and and curled

curled slightly slightly outward.

outward. The

color of the hair is

similar to the hair

that can be seen

in the body.

EYELIDS INSPECTION Eyelids should Her eyelids are NORMAL

close symmetrical

symmetrically. when closed. No

There should be discharge,

no discharge, no discoloration, and

discoloration, no lesions were

swelling and inspected.

lesions. The

eyelids should

have no signs of

34
 turning in and

out.

CONJUNCTIVA INSPECTION It should be pink, Conjunctiva is NORMAL

moist and smooth pink, smooth, and

without swelling moist.

and lesions,

EARS INSPECTION Ears should be Her ear color is NORMAL

equal in size. The the same as her

auricle aligns facial skin and is

with outer equal in size.

canthus of the Auricle aligns

eye. Ear color with the outer

should be same as canthus of the

facial skin. Dry, eye. Dry cerumen

sticky or wet was inspected.

cerumen in

various shades of

brown may be

present.

35
 PALPATION Ears should be Her ears are NORMAL

mobile, firm and mobile, firm and

not tender. Pinna tender. Pinna

should recoil after recoils after being

it is folded. folded.

HEARING ACUITY

VOICE WHISPER

TEST Able to repeat the She was able to NORMAL

2 words correctly repeat 2 words

whispered in both correctly.

ears.
INSPECTION

Sound is heard in Sounds were

TUNING FORK NORMAL
both ears or is heard in both
TEST
localized ears.

at the center of

the head (Weber

negative)

36
 INSPECTION The external nose Her nose is NORMAL

should be symmetric and

NOSE
symmetric and straight. No

straight, no discharge, nasal

discharge or nasal flaring, and

flaring. The color lesions was

should be uniform inspected.

as the rest of the

face. No lesions

and swelling.

PALPATION No masses and NORMAL

No masses and
tenderness
tenderness should
palpated.
be felt.

SINUSES PALPATION No tenderness No tenderness NORMAL

INSPECTION Lip color should The color of the NORMAL

be pink and lips is pinkish and

LIPS
uniform. Moist, it is moist. There

soft, smooth is no presence of

37
 texture and the lesions or

contour is swelling.

symmetric. No

presence of

lesions and

swelling.

PALPATION NORMAL

No presence of
There should be
tenderness and
no presence of
lumps. No pain
tenderness and
was felt by the
lumps. The client
patient.
shouldn‘t feel

pain.

GUMS INSPECTION The gums are Her gums are NORMAL

pink in color, pink in color. No

moist, and firm. bleeding and

There‘s no swelling was

bleeding and inspected.

swelling.

38
TEETH INSPECTION The teeth should She is using Extraction of teeth

be complete, dentures. She was due to poor

smooth and white. refused to have oral hygiene and

No signs of her teeth faulty eating habits

decayed or counted/examined (chewing sugar

missing teeth. canes) when she

was young.

TONGUE INSPECTION The tongue Tongue is pink in NORMAL

should be color color and moist. It

pink and moist, a is at center and

moderate size moves freely.

with papillae

present. The

position is in

center, moves

freely.

OROPHARYNX INSPECTION Pink and smooth Posterior wall is NORMAL

AND TONSILS posterior wall. pink and smooth.

For the tonsils, it Tonsils are pink

39
 should be pink and smooth w/o

and smooth with discharge.

no discharge

present.

NECK INSPECTION Muscles are equal Muscles have NORMAL

in size and equal strength.

strength. In Movements are

movement, it coordinated and

should be smooth with no

coordinated, discomfort. A

smooth mole was

movement with inspected.

no discomfort and

equal in strength

No lymph nodes.
No lymph nodes
NORMAL
Trachea should be
palpated and
in central
trachea is in
placement in
midline.
midline of neck.

40
THORAX INSPECTION The thorax has Color of the NORMAL

evenly colored thorax is light

skin tone, without brown, same as

unusual or her skin color.

prominent

discoloration.

POSTERIOR INSPECTION Scapulae should Her scapulae are NORMAL

THORAX be symmetric and symmetric and

protruding should her spine is

not be observed. vertically aligned.

Spine should be

vertically aligned.

PALPATION Skin should be NORMAL

No tenderness and
intact. No
masses were
tenderness and
palpated.
masses should be
Thoracic
palpated. Palpate
expansion is full

41
 the posterior chest and symmetric.

for thoracic

expansion; it

should be full and

symmetric.
PERCUSSION NORMAL

Percussion notes
Percussion notes
resonate, except
resonate over
over scapula.
normal lung

tissue. Percussion

produces a flat

tone when

percussed over
Vesicular breath
AUSCULTATION the scapula. NORMAL
sounds were

heard. No

Normal breath adventitious

sounds should be breath sounds

auscultated. No auscultated.

INSPECTION The breathing Her breathing is NORMAL

should be quiet, quiet, rhythmic,

rhythmic, and effortless.

effortless Sternum is in

42
 respirations. The midline and

sternum is straight.

positioned at
ANTERIOR
midline and
THORAX
straight.

Retractions not

observed.

Palpate the Thoracic

anterior thorax for expansion was

NORMAL
respiratory full and
PALPATION
expansion; it symmetric. No

should be full and masses and

symmetric. No tenderness

masses and palpated.

tenderness.

Percussion notes Percussion notes

PERCUSSION NORMAL
resonate down to resonate but dull

the sixth rib at the in the areas of

level of the

43
 diaphragm but are heart and liver.

flat over areas of

heavy muscle and

bone, dull on

areas over the

heart and the NORMAL

liver. Bronchial breath

sounds were

heard over the

AUSCULTATION Normal breath
trachea. Vesicular
sounds should be
and
auscultated. No
bronchovesicular
adventitious
breath sounds
breath sounds.
were heard over

normal lung

tissues.

HEART INSPECTION No pulsation, lifts No pulsation, lifts NORMAL

AND and heaves and heaves

PALPATION

INSPECTION Veins should not Vein is not visible

JUGULAR VEIN NORMAL
be visible

44
CAROTID PALPATION Symmetric pulse Symmetric pulse NORMAL

ARTERIES volume and full volumes and full

pulsations pulsation. Quality

remains the same

when client

breaths, turns

head and changes

position.

S1 heard at all S1 AND S2 were

AUSCULTATION NORMAL
sites; usually heard clearly and
louder at base of no murmurs
heart. S2 usually

heard at all sites;

usually louder at

the base of heart.

INSPECTION Abdomen should Presence of white Presence of striae

have unblemished striae was is due to her past

skin and uniform inspected. The pregnancies.

color. Silver- abdominal

white striae or contour is round

45
 surgical marks and symmetric.

may be present.

The abdominal

contour can be

flat, round or
ABDOMEN scaphoid and it

should be

symmetric.

Audible bowel
AUSCULTATION Bowel sounds are NORMAL
sounds, absence
audible.
of arterial bruits,

absence of

friction rub.

PERCUSSION Tympany was NORMAL

Tympany over the
heard over the
stomach and gas-
stomach and
filled bowels.
dullness over the
Dullness over the
liver and spleen.
liver and spleen.

No tenderness and NORMAL

No tenderness,
PALPATION pain felt during
relaxed abdomen,

46
with smooth, palpation

consistent

tension. No pain

while palpating.

47
 Name Age Birthdate Height Weight

Ms. C.J.A. 19 April 21, 2001 5‘0 50kg

Temperature Pulse rate Respiratory rate Blood pressure BMI

36.8°C 94 bpm 17 bpm 120/80 mmHg 21.5

AREA TO BE METHOD NORMAL ACTUAL ANALYSIS

ASSESED FINDINGS FINDINGS

SKIN INSPECTION Skin is evenly Has the appearance Scar is due to the

colored with no of scar on deltoid VCG she had.

reddened areas or area of her arm.

presence of other

discoloration. Skin is

smooth, and no

secondary lesions

found.

In testing the turgor,

PALPATION The skin instantly NORMAL
the skin immediately
returns to its shape
returns to its shape
when it is pinched.
once pinched. For
For testing the

48
 testing edema, the edema, skin

skin rebounds when rebounds when the

pressure is released. pressure is

released.

INSPECTION Nail bed should be Nail has pink NORMAL

pink and has a color. Nail bed has

smooth texture. Nail convex curvature

plate shape should at 160° angle.

NAILS
be in convex Clean and neatly

curvature; the angle cut.

is 160°. Nails are

clean and neatly cut.

By performing
PALPATION Positive capillary NORMAL
blanch test of
refill pink tone
capillary refill the
returns 2 seconds
pink tones returns
after pressure is
immediately
released.
(generally less than

2 seconds)

HEAD INSPECTION Head is round and Head is round and NORMAL

49
 symmetrical. symmetrical.

PALPATION The contour should Contour was NORMAL

be smooth without smooth, no masses

any masses. No pain were palpated, and

should be felt by the no discomfort was

client. felt by the client.

HAIR INSPECTION Blonde color varies Her hair color is Dryness is due to

to the client. The naturally black over exposed to

color is determined Dryness of hair can the sunlight.

by the amount of be seen.

melanin present.

Evenly distributed There is no

amount of terminal presence of hair NORMAL

hair covers the scalp. loss.

INSPECTION Scalp can be moist, Her scalp is clean NORMAL

oily and dry. There and oily. No

should be no infestations present

presence of
SCALP
infection and

infestation. No

50
 lesions.

PALPATION There should be no No masses were NORMAL

presence of mass palpated and no

and no pain felt. pain was felt by

the client.

FACE INSPECTION The face is Round, NORMAL

symmetrical the symmetrical face.

shape can be round, No scars, pimple

oval, square. There and acne.

should be no scars,

pimples and acne

EYES INSPECTION The eyes are Her eyes are round NORMAL

symmetrically and symmetrically

aligned in sockets aligned.

without protruding

or sinking.

PUPILS INSPECTION Black in color; equal Her pupils are NORMAL

in size; normally 3 black and equally

to 7 mm in round.

diameter; round,

51
 smooth border, iris

flat and round.

Pupils equally round

and react to light

and accommodation.

VISUAL INSPECTION Able to read She was able to NORMAL

ACUITY newsprint. 20/20 read newsprint.

vision

EYEBROWS INSPECTION Eyebrows are Eyebrows are NORMAL

symmetrically symmetrically

aligned and have no aligned. No

dandruff, and dandruff and

pimples. pimples visible

EYELASHES INSPECTION Hair on eyelashes is Hair on eyelashes NORMAL

evenly distributed is evenly

and the color is distributed and

consistent with the color is consistent.

color of all the hair

found in the body.

EYELIDS INSPECTION The eyelids have no Eyelids have no NORMAL

signs of turning in signs of turning in

52
 and out and no signs and on, no signs of

of swelling and swelling and

lesions are observed. lesions are

observed.

PALPATION No tenderness and No tenderness and NORMAL

lumps are felt. lumps palpated.

CONJUNCTIVA INSPECTION The Conjunctiva is Conjunctiva is NORMAL

clear, moist and clear, moist and

smooth without any smooth without

swelling and lesions. any swelling and

lesions.

INSPECTION Ears should be equal Her ear color is the NORMAL

in size. The auricle same as her facial

aligns with outer skin and is equal in

canthus of the eye. size. Auricle aligns

Ear color should be with the outer

EARS same as facial skin. canthus of the eye.

Dry, sticky or wet Dry cerumen was

cerumen in various inspected.

shades of brown

may be present.

53
 PALPATION Her ears are NORMAL

Ears should be mobile, firm and

mobile, firm and not tender. Pinna

tender. Pinna should recoils after being

recoil after it is folded.

folded.

HEARING

ACUITY

VOICE Able to repeat the 2 She was able to NORMAL

WHISPER words correctly repeat 2 words
TEST whispered in both correctly.

ears.
INSPECTION

Sound is heard in Sounds were heard

both ears or is in both ears.
TUNING FORK
localized NORMAL
TEST

at the center of the

head (Weber

negative)

54
NOSE INSPECTION Color is the same as Her nose is NORMAL

the rest of the face; symmetric and

the nasal structure is straight. No

smooth and discharge, nasal

symmetric; No flaring, and lesions

lesions, swelling and was inspected.

masses.

No tenderness is felt No masses and

PALPATION NORMAL
by the client. tenderness

palpated.

SINUSES PALPATION No tenderness. No tenderness was NORMAL

palpated

INSPECTION Lips are swollen and Lip is color pink

moist without and uniform, moist,

lesions or swelling. and contour is

They are pink in symmetric.

LIPS color. NORMAL

PALPATION There are no No presence of

tenderness, lumps tenderness and

and pain felt while lumps. No pain..

palpating the lips.

55
GUMS INSPECTION The Gums are Her gum is pink in

pinkish-red color. No presence NORMAL

consistent with the of bleeding and

color on the cheeks swelling inspected.

without swelling and

bleeding.

TEETH INSPECTION The teeth are There are 26 Due to poor

complete no signs of yellowish and has hygiene.

decayed or missing some tooth carries.

teeth.

TONGUE INSPECTION The tongue should Pinkish tongue; it NORMAL

be pink, moist a is at center and can
moderate size with move freely.
papillae present.

NECK INSPECTION Jugular is not No visible NORMAL

distended and pulsation, no

pulsation is not distension.

visible.

OROPHARYNX INSPECTION Pink and smooth Posterior wall is NORMAL

AND TONSILS posterior wall. pink and smooth.

56
 For the tonsils, it Tonsils are pink

should be pink and and smooth w/o

smooth with no discharge.

discharge present.

THORAX INSPECTION The thorax evenly NORMAL

colored skin tone, Her thorax has the

without unusual or same skin tone as
prominent the rest of her
discoloration. body.

INSPECTION Scapulae should be Scapulae are NORMAL

symmetric and symmetric and the

protruding should spine is vertically

not be observed. aligned.

Spine should be

vertically aligned.

PALPATION Skin should be NORMAL

No masses and
intact. No
tenderness was
tenderness and
palpated
masses should be

palpated. Palpate the

57
POSTERIOR posterior chest for

THORAX thoracic expansion;

it should be full and

symmetric.

Percussion notes
PERCUSSION Percussion notes NORMAL
resonate
resonate except
over normal lung
over scapula
tissue. Percussion

produces a flat tone

when percussed

over the scapula.

Normal breath Normal breath

AUSCULTATION NORMAL
sounds should be sounds were

auscultated. No auscultated

presence of crackles

or wheezing sound.

INSPECTION The breathing Her breathing is NORMAL

should be quiet, quiet, rhythmic,

58
 rhythmic, effortless and effortless. No

respirations. The retraction

sternum is observed.

positioned at
ANTERIOR
midline and straight.
THORAX
Retractions not

observed.

PALPATION NORMAL
No masses and
Palpate the anterior
tenderness was
thorax for
palpated.
respiratory

expansion; it should

be full and

symmetric. No

masses and

tenderness.

Percussion notes
PERCUSSION NORMAL
Resonance is the
resonate down to the
percussion tone
sixth rib at the level
heard.
of the diaphragm

but are flat over

areas of heavy

59
 muscle and bone,

dull on areas over

the heart and the

AUSCULTATION NORMAL
liver.
No adventitious

breath sounds were

Normal breath heard.
sounds should be

auscultated. No

adventitious breath

sounds.

HEART AND INSPECTION No pulsation, lifts No pulsation, lifts NORMAL

CENTRAL AND and heaves and heaves

VESSELS
PALPATION

Veins should not be Not visible NORMAL

JUGULAR visible
INSPECTION
VEIN

Symmetric pulse Full pulsation, NORMAL

volume and full symmetric.
PALPATION
pulsations

60
 S1 heard at all sites;

CAROTID AUSCULTATION usually louder at S1 AND S2 were NORMAL

base of heart. S2 heard clearly.
ARTERIES
usually heard at all

sites; usually louder

at the base of heart.

ABDOMEN INSPECTION Abdomen should Abdominal NORMAL

have unblemished contour is flat.

skin and uniform Skin unblemished

color. Silver-white with no striae

striae or surgical present.

marks may be

present. The

abdominal contour

can be flat, round or

scaphoid and it

should be

symmetric.

AUSCULTATION Audible bowel NORMAL

Audible bowel

61
 sounds, absence of sounds.

arterial bruits,

absence of friction

rub.

PERCUSSION
Tympany over the
Tympany over the NORMAL
stomach and gas-
stomach.
filled bowels.

Dullness over the

liver and spleen.

No tenderness, Abdomen is NORMAL

relaxed abdomen, relaxed with
PALPATION
with smooth, smooth and

consistent tension. consistent tension.

No pain while

palpating.

62
 Name Age Birthdate Height Weight

Ms. C.T.A. 12 August 27, 2008 4‘8 38kg

Temperature Pulse rate Respiratory rate Blood pressure BMI

37.6°C 73bpm 16 bpm 120/80 mmHg 20.4

AREA TO BE METHOD NORMAL ACTUAL ANALYSIS

ASSESED FINDINGS FINDINGS

SKIN INSPECTION Skin color should be A white scar with a The scar was from

generally uniform size of 1.5cm was an injury she got

except in areas seen on her outer 10 years ago.

exposed to sun. Skin thigh.

has no presence of

reddened areas and

discoloration. Smooth

and has no presence

of lesion.

PALPATION

For testing of skin In testing skin NORMAL

turgor, the skin should turgor, skin

immediately return to immediately

its normal state after returns to normal

63
 being pinched. In state. No edema

testing edema, the was present

skin will easily

rebound when

pressure is released.

HEAD INSPECTION Head is round and The head of the NORMAL

symmetrical. client is round and

symmetrical

PALPATION The contour should be Contour is smooth NORMAL

smooth without any without any masses.

masses. No pain No pain was felt by

should be felt by the the client when

client. palpated.

HAIR INSPECTION Blonde color varies to Hair color is NORMAL

the client. The color is brownish. Hair is

determined by the evenly distributed.

amount of melanin

present. Evenly

distributed amount of

terminal hair covers

the scalp.

64
SCALP INSPECTION Scalp can be moist, Her scalp is oily NORMAL

oily and dry. There with no

should be no infestations

presence of present.

infection and

infestation. No

lesions.

No masses were
PALPATION There should be no NORMAL
palpated and no
presence of mass
pain was felt by
and no pain felt.
the client.

FACE INSPECTION The face is Face is round and NORMAL

symmetrical the shape symmetrical. No

can be round, oval, presence of acne,

square. There should pimples or scars can

be no scars, pimples be seen.

and acne.

EYES INSPECTION The eyes are Her eyes are NORMAL

symmetrically aligned symmetrically

in sockets without aligned

protruding or sinking.

65
PUPILS INSPECTION Black in color; equal Her pupils are NORMAL

in size; normally 3 black and equally

to 7 mm in round.

diameter; round,

smooth border, iris

flat and round.

Pupils equally round

and react to light

and accommodation.

VISUAL ACUITY INSPECTION Able to read She was able to NORMAL

newsprint. 20/20 read newsprint.

vision

EYEBROWS INSPECTION Eyebrows are The eyebrows are NORMAL

symmetrically aligned thick and the color is

and have no dandruff, black. It is

and pimples. symmetrically

aligned, there is no

presence of dandruff,

EYELASHES INSPECTION Hair on eyelashes is The color of the NORMAL

evenly distributed and eyelashes is black

the color is consistent and it is evenly

66
 with the color of all distributed.

the hair found in the

body.

EYELIDS INSPECTION The eyelids have no The eyelids can NORMAL

signs of turning in and close and open

out and no signs of together, no lesions

swelling and lesions and swelling.

are observed.

CONJUCTIVA INSPECTION The Conjunctiva is Conjunctiva is moist NORMAL

clear, moist and smooth, no swelling

smooth without any and lesions.

swelling and lesions.

EARS

INSPECTION Ears should be equal Her ears are equal NORMAL

in size. The auricle in size. The auricle

aligns with outer aligns with the

canthus of the eye. outer canthus of

Ear colour should be her eyes. Brown

same as facial skin. sticky cerumen

Dry, sticky or wet was inspected.

cerumen in various

shades of brown

may be present.

67
 Ears should be

PALPATION mobile, firm and not Her ears are NORMAL

tender. Pinna should mobile, firm and
recoil after it is not tender. The
folded. pinna recoils after

being folded.

HEARING

ACUITY

VOICE WHISPER INSPECTION Able to repeat the 2 She was able to NORMAL
TEST words correctly repeat 2 words

whispered in both correctly.

ears.

Sound is heard in Sounds were heard

TUNING FORK
NORMAL
both ears or is in both ears.
TEST
localized

at the center of the

head (Weber

negative)

68
NOSE INSPECTION Color is the same as The color is the same NORMAL

the rest of the face; in the whole face. It

the nasal structure is is symmetrical and

smooth and there is no presence

symmetric; No of lesions, swelling

lesions, swelling and and masses.

masses.

No tenderness is felt There is no

PALPATION NORMAL
by the client. tenderness

SINUSES PALPATION No tenderness. There is no NORMAL

tenderness felt by

the client.

LIPS NSPECTION Lip color should be Lip is color pink NORMAL

pink and uniform. and uniform,

Moist, soft, smooth moist, and contour

texture and the is symmetric.

contour are

symmetric. No

presence of lesions

PALPATION and swelling. NORMAL

69
 There should be no No presence of

presence of tenderness and

tenderness and lumps. No pain.

lumps. The client

shouldn‘t feel pain.

GUMS INSPECTION The Gums are The gums are NORMAL

pinkish-red consistent pinkish and no

with the color on the swelling or bleeding.

cheeks without

swelling and

bleeding.

TEETH INSPECTION The teeth are There are no signs NORMAL

complete no signs of of any decayed teeth

decayed or missing

teeth.

TONGUE INSPECTION The tongue should be The tongue is color NORMAL

pink, moist a pink, moist and the

moderate size with size is moderate. The

papillae present. tongue is able move

in all direction.

PALPATION No pain and lumps NORMAL

were felt.

70
OROPHARYNX INSPECTION Pink and smooth Posterior wall is NORMAL

AND TONSILS posterior wall. pink and smooth.

For the tonsils, it Tonsils are pink

should be pink and and smooth w/o

smooth with no discharge.

discharge present.

NECK INSPECTION Jugular is not Pulsation is not NORMAL

distended and visible. There are no

pulsation is not lesions, swelling and

visible. nodules.

NAILS INSPECTION Nails are clean and Nails are clean and NORMAL

neatly cut or well groomed. The

manicured. Pink tones color of nail is

should be seen. pinkish.

Normally a 160-

degree angle is

observed between the

nail base and the skin.

Pink tone returns Positive capillary NORMAL

immediately to refill pink tone
PALPATION
blanched nail beds returns 2 seconds

71
 when pressure is after pressure is

released. released.

THORAX INSPECTION The thorax evenly The color is the same NORMAL

colored skin tone, in skin tone and

without unusual or there is no

prominent prominent

discoloration. discoloration

POSTERIOR INSPECTION Scapulae are The shoulders and NORMAL

THORAX symmetric and scapulae are equal

protruding is not horizontal position.

observed. Shoulders Scapulae are

and scapulae are at symmetric and there

equal horizontal is no protruding.

positions.

No tenderness, pain, There is no

PALPATION NORMAL
or unusual sensations tenderness, pain and

is felt by the client. unusual sensation

No presence of when palpated.

lesions and masses. There is no presence

of lesions and

masses.

Resonance is the Percussion tone is

72
 PERCUSSION percussion tone heard head. Flat tone is NORMAL

over normal lung heard. There is no

tissue. Percussion whistle sound that

produces flat tone heard.

when percussed over

the scapula.

Normal breath sounds

should be auscultated Bronchial sounds,

– bronchial, were heard over.

AUSCULTATIO
bronchovesicular, and There is no
N NORMAL
vesicular. No wheezing sound and
presence of no presence of
adventitious sounds, adventitious.

such as crackles or

wheezes are

auscultated.

ANTERIOR INSPECTION The sternum is Sternum is position NORMAL

THORAX positioned at midline at midline, there is

and straight. no retraction, and

Retractions not the respiration is

observed. effortless

Respirations are

relaxed, effortless,

73
 and quiet.

No tenderness or pain
No tenderness and
PALPATION is palpated over the NORMAL
pain that felt by the
lung area with
patient when
respirations. No
palpation was done
unusual surface

masses or lesions are

palpated.

Resonance is heard
NORMAL
Resonance is the over the lungs.
PERCUSSION
percussion tone heard There is no

over normal lung tenderness

tissue. No tenderness

was felt.

Bronchial sounds NORMAL

AUSCULTATION are heard. No

Normal breath sound
whistle was heard.
should be auscultated

– bronchial,

bronchovesicular, and

vesicular.

74
HEART AND INSPECTION No pulsation, lifts No pulsation, lifts NORMAL

CENTRAL AND and heaves and heaves

VESSELS PALPATION

JUGULAR VEIN INSPECTION Veins should not be Not visible NORMAL

visible

PALPATION Symmetric pulse Full pulsation, NORMAL

volume and full symmetric.
pulsations
CAROTID

ARTERIES AUSCULTATION
S1 heard at all sites;
S1 AND S2 were
usually louder at NORMAL
heard clearly.
base of heart. S2

usually heard at all

sites; usually louder

at the base of heart.

ABDOMEN

INSPECTION Abdomen should Abdominal NORMAL

have unblemished contour is flat.

75
 skin and uniform Skin unblemished

color. Silver-white with no striae

striae or surgical present.

marks may be

present. The

abdominal contour

can be flat, round or

scaphoid and it

should be

symmetric.

AUSCULTATION NORMAL
Audible bowel
Audible bowel
sounds, absence of
sounds.
arterial bruits,

absence of friction

rub.

PERCUSSION

Tympany over the

NORMAL
stomach and gas- Tympany over the

filled bowels. stomach.

Dullness over the

liver and spleen.

76
PALPATION No tenderness, NORMAL

relaxed abdomen, Abdomen is

with smooth, relaxed with
consistent tension. smooth and
No pain while consistent tension.
palpating.

77
 GORDON’S 11 FUNCTIONAL PATTERN

Mr. P.A.

Gordon’s 11 Functional

Health Pattern Pattern Analyze

Health Perception - Health He perceives himself as His continues drinking every

Management Pattern unhealthy because of his weekend aggravate his

hypertension that was hypertension even though he

diagnosed last 2019 and he is taking prescribed

verbalized that he smokes 7 medication.

sticks of cigarette per day. He

drinks every weekend.

Nutrition/ Metabolism He usually eats 3 times a day, He was advised by the

Pattern in the morning he eats doctor to refrain from eating

porridge, at lunch and dinner fatty foods and decrease

he eats a cup of rice and intake of carbohydrates.

partners it with meat and

vegetables. He drinks 13 to

15 cups of water a day

(approximately 3 to 4L).

78
Elimination Pattern He verbalized that his usual His bowel movement is

bowel movement is three normal and his voiding

times a day every after meal pattern increase because of his

to a solid, brownish color of water intake, normal.

stool. His usual urine is every

hour, yellowish in color

(approximately 3.5L)

Activity/Exercise Pattern Walking is his form of Walking 1-2 hours in the

exercise, usually in the morning and doing household

morning. He also likes chores is enough to him to

doing household chores. become physically fit.

Sleep/Rest Pattern He usually sleeps at (11) in He sleeps 6 to 7 hrs daily and

the evening up to (5) in the he doesn‘t experience

morning, he uses 3 soft difficulty in sleeping.

pillows, 2 for his head and 1

in between his legs. And

sometimes he takes afternoon

naps (approximately 30 mins

- 1 hr)

Sensory - In terms of sensory pattern, All of his senses functions

Cognitive/Perceptual Pattern his senses are all normal. well. He has no problem in

terms of decision making.

79
Self-Perception/Self Concept He perceived that he is a He is a responsible family

Pattern hardworking person. He can man.

provide some of the basic

needs of his family.

Roles/Relationship Pattern He is a disciplinarian to his He is strict when it comes to

children. He helps his wife in disciplining his children. He

providing family need. approaches his wife when he

has a problem.

Sexual/Reproductive He is sexually active, and he He has no problem with his

Pattern does not have any reproductive system

reproductive problem

according to him.

Coping/Stress Pattern His way of coping up with his He has a good

problems is to discuss it with communication with his wife.

his wife.

Values/Belief Pattern He‘s a roman catholic and He usually prays on his own.

goes to church every Friday

for his vow.

80
Mrs. R.A.

Gordon’s 11 Functional

Health Pattern Pattern Analyze

Health Perception-Health She perceived that her health She doesn‘t go to the doctor to

Management Pattern status is not that good since get a check up because she

she is an obese and experience prefers O-T-C drugs.

headache, vomiting and

nausea often. She drinks

alcohol occasionally

(approximately 500mL). She

takes OTC drugs whenever

she is sick.

Nutrition/Metabolism She eats 4 times a day. In the She refrain herself eating

Pattern morning, she eats bread with carbohydrates at night since it

coffee, at lunch she eats two aggravates her hypertension

cups of rice, for her snack she

cooks pancakes and also eats

sweets. And for dinner she

eats vegetables and meat. She

consumes about 8 glass of

water a day (approx. 1,600mL)

Elimination Pattern She verbalized that her usual Her bowel movement is normal

81
 bowel movement often and the strong odor of her urine

brownish, solid form with no is due to intake of caffeine

signs of bleeding, twice a day.

Her void is every after meal

comes with the strong odor

(approx. 700mL)

Activity/Exercise Pattern Mrs. R.A.‘s hobby is to sing, She is not physically fit because

to watch TV series/ movies. of the absence of exercising.

She usually faces a laptop

because of her work.

Sleep/Rest Pattern She usually sleeps at (11) in She goes to bed late at night and

the evening and wakes up at wakes up in the morning because

(5) in the morning. She uses of her work.

two pillows 1 for her head and

1 between her legs

Sensory - She had a problem reading She is farsighted, she is also in

Cognitive/Perceptual Pattern texts close to her. She helps charge in decision making in

her husband finalize their their family.

decisions.

Self-Perception/Self Concept Mrs. R.A. verbalized that she She provides for her family

Pattern is a hardworking person and needs whilst enjoying herself.

she‘s satisfied with herself.

82
Roles/Relationship Pattern She sees herself as a good She is an open person to her

wife and mother to her family. family. She is comfortable

She communicates with her solving and analyzing problems

children and husband with her family.

especially if there are

problems.

Sexual/Reproductive Pattern Mrs. R.A. is sexually active. Mrs. R.A. and her husband

She experiences menstruation always agreed when to have sex.

more often than usual. She is on her menopausal stage

Coping/Stress Pattern Mrs. R.A.‘s primary coping of She is open for suggestions and

stress is having fun with her advices regarding with her

family but sometimes hanging problems to solve it effectively.

out with friends and

discussing it with them also to

seek some advice.

Values/Belief Pattern She‘s a roman catholic and She is religious and openly

goes to church every other communicates with God .

Sunday. She‘s always doing

rosary every day at 6pm.

83
Ms. C.J.A.

Gordon’s 11 Functional
Pattern Analyze
Health Pattern

Health Perception – Health She thinks her health status is Ms. C.J.A. is healthy since

Management Pattern good since she doesn‘t have she doesn‘t have vices and

any illnesses. She doesn‘t also takes vitamins. Her

have any vices. She takes immune system is also good.

vitamins as recommended by

the doctor. She also stated

that she‘s not that easily gets

sick.

Nutrition/Metabolism She eats 3 times a day, in the Ms. C.J.A. does not have food

Pattern morning she eats porridge, at restrictions. And her eating

lunch she consumes 1 cup of pattern is normal.

rice with meat, in the evening

she eats soup with vegetables.

Elimination Pattern Ms. C.J.A. verbalized that her Her urine has a strong odor

usual bowel movement is because of her caffeine

once a day, a brownish in intake.

color, solid stool. Her usual

void is about 8 times a day

and has a strong odor.

84
Activity/Exercise Pattern Her hobby is to play mobile She maintains her physique

legends and watch Netflix because of her sport.

series/ movies. She is also a

taekwondo player.

Sleep/Rest Pattern She usually sleeps at 11 in the She doesn‘t have difficulty in

evening and wakes up at 6 sleeping.

am. She uses 3 pillows, 2 for

her head and 1 in between her

thighs.

Sensory - All of her senses are all She doesn‘t have any problem

Cognitive/Perceptual normal regarding to her senses.

Pattern

Self-Perception/Self- She doesn‘t like making She is indecisive and not an

Concept Pattern decisions and is shy in open person.

sharing her thoughts.

Roles/Relationship Pattern Ms. C.J.A. thinks she is a She has a good relationship

good daughter to her parents. with her family especially

She likes bonding with them with her siblings.

since they rarely do it. She

likes having fun with her

siblings.

Sexual/Reproductive She is not sexually active, She doesn‘t have any

Pattern according to her. She doesn‘t problems in reproductive

85
 experience unusual anything pattern.

regarding with her

reproductive system.

Coping/Stress Pattern Ms. C.J.A. likes to keep her She is not an open person to

problems to herself. She her family or sometimes with

might tell it to her friends her friends.

sometimes but it‘s rare for her

to share something.

Values/Belief Pattern Ms. C.J.A. goes to church She doesn‘t usually go to

every other Sundays. They do church because of her study.

rosary 6pm every day.

86
Ms. C.T.A.

Gordon’s 11 Functional

Health Pattern Pattern Analyze

Health Perception - Health Ms. C.T.A. perceived that her She doesn‘t go to the doctor for

Management Pattern health status is good but she check up and aid her stomach

often experiences stomach ache with herbal medications.

ache. She doesn‘t have any

vices. She applies efficascent

oil on her stomach when it is

aching.

Nutrition/Metabolism Eats 3 times a day. In the Ms. C.T.A. does not have any

Pattern morning she eats porridge, at food restrictions. She doesn‘t

lunch and dinner she like vegetables. She likes junk

consumes 1 cup of rice with foods.

some meat or soup. She

doesn‘t usually eat snacks but

when she does, she eats junk

foods. She consumes 5

glasses of water a day

(approximately 1L)

87
Elimination Pattern Ms. C.T.A. verbalized her She only urinates 3 times a day

usual bowel movements because she only drinks a few

twice a day to a liters of water. Her urine has a

brownish/yellowish, solid strong color because of lack of

stool. Her usual void is every intake of water.

after meal, and her urine is

color yellow.

Activity/Exercise Pattern Her hobby is surfing the She doesn‘t do any exercises.

internet, watching TV and

doing DIY things.

Sleep/Rest Pattern She usually sleeps at (9) in She sleeps for 11 hours, that's

the evening up to (8) in the why she doesn‘t take naps in

morning. She sleeps with (3) the afternoon.

pillows, (2) for her head and

(1) for she hugs.

Sensory - Her senses functions well. All of her senses are all

Cognitive/Perceptual normal.

Pattern

Self-Perception/Self- Ms. C.T.A. is concerned She only focuses on her study

Concept Pattern about her achievements in and wants to do well in her

school. How she will school.

improve herself.

88
Roles/Relationship Ms. C.T.A. sees herself as a She has a very close

Pattern good daughter. She always relationship to her family.

hangs out with her siblings

and parents.

Sexual/Reproductive Pattern Ms. C.T.A. is not sexually Her reproductive pattern is

active, given her age. normal.

Doesn‘t experience

abnormalities in reproductive

system.

Coping/Stress Pattern Ms. C.T.A. deals with her She is an open person and likes

problems by telling it to her to solve her

friends or siblings. problems with advice

She tries to take advice. But From others for a good.

sometimes she just listens to
Uses music for coping
a good music
mechanisms.

Values/Belief Pattern She‘s a roman catholic and She doesn‘t go to the church

does rosary every day at but she communicates to God

6pm. by doing rosary every day.

E. Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention

The immunization status of "A" family, according to Mrs. R.A. all of her children including

her husband and herself is complete though she cannot remember what those immunizations are,

she made sure that her children took it when they were young.

89
 Mrs. R.A. barely has exercise habits but she considers cleaning the house and doing chores as

her daily exercise. Mr. P.A. However, has a habit of walking every morning and that is what he

considers as his exercise.

The "A" family has this electronic mosquito killer because their house has mosquitos

lingering around. In this pandemic, they limit themselves from going out to avoid catching the

virus. Only Mr. P.A. goes outside to buy their needs.

Furthermore, based on Mrs. R.A. Whenever her children get sick, she aids them with over-

the-counter medications but if it doesn't work, she takes them to the hospital for a checkup.

The whole "A" family is Roman Catholics. They usually do rosary every day at 6 pm.

Mr. P.A. also has a vow to attend church every Friday at Quiapo. They believe in a saying

that, "A family who prays together, stays strong forever."

They believe in superstitions such as never trim your nails at night. The children were taught

to use ‗po‘ and ‗opo‘ and never to talk balk to their parents since they were small. When it comes

to cultural characteristics family C embodied the values of a citizen of Marikina such as having a

good attitude and good heart. Everyone in the family is baptized in a roman catholic church.

90
 CHAPTER IV

FAMILY BACKGROUND

A. FAMILY HISTORY

The Family of A comprises 4 members which is Mr. P.A. the father as head of the

family he is 48 years of age, Mrs. R.A. The mother is 42 years of age and has 2 children,

Ms. C.J.A. the eldest daughter is 19 years old, and Ms. C.T.A. The youngest is 12 years old.

Mrs. R.A. was born at Tondo, Manila and raised by her grandparents who are living at

Fortune, Marikina. Mrs. R.A. has 4 other siblings and is a second child. She is a college

graduate at Polytechnic University of the Philippines (PUP) at the course of Mass

Communication, and dreamt of becoming a journalist.

Mr. P.A. was born in Tondo, Manila but raised in Silang, Cavite. Mr. P.A. has 5 other

siblings and is a second child. He is a college graduate at Technological Institute of the

Philippines (TIP) at the course of Marine Engineering.

B. Data Base of the Respondent

FATHER

NAME : Mr. P.A.

AGE : 48

GENDER : Male

ADDRESS : 867 Bagong Silang St., Parang, Marikina City

BIRTHPLACE : Tondo, Manila City

91
 RELIGION : Roman Catholic

OCCUPATION : Self-Employed

CIVIL STATUS : Married

NATIONALITY : Filipino

EDUCATIONAL ATTAINMENT : College Graduate

ESTIMATED MONTHLY INCOME : 5,000-10,000

NO. OF CHILDREN :2

NAME OF WIFE : Mrs. R.A.

TOTAL NUMBER OF FAMILY :4

MEMBERS

MOTHER

NAME : Mrs. R.A.

AGE : 45

GENDER : Female

ADDRESS : 867 Bagong Silang St., Parang, Marikina City

BIRTHPLACE : Tondo, Manila City

RELIGION : Roman Catholic

OCCUPATION : Teacher

CIVIL STATUS : Married

NATIONALITY : Filipino

EDUCATIONAL ATTAINMENT : College Graduate

92
 ESTIMATED MONTHLY INCOME : 25,000

NO. OF CHILDREN :2

NAME OF HUSBAND : Mr. P.A.

TOTAL NUMBER OF FAMILY :4

MEMBERS

DAUGHTER 1

NAME : Ms. C.J.A.

AGE : 20

GENDER : Female

ADDRESS : 867 Bagong Silang St., Parang, Marikina City

BIRTHPLACE : Parang, Marikina City

RELIGION : Roman Catholic

OCCUPATION : N/A

CIVIL STATUS : Single

NATIONALITY : Filipino

EDUCATIONAL ATTAINMENT : Still in college

ESTIMATED MONTHLY INCOME : N/A

NO. OF CHILDREN : N/A

NAME OF HUSBAND : N/A

TOTAL NUMBER OF FAMILY :4

93
 MEMBERS

DAUGHTER 2

NAME : Ms. C.T.A.

AGE : 12

GENDER : Female

ADDRESS : 867 Bagong Silang St., Parang, Marikina City

BIRTHPLACE : Parang, Marikina City

RELIGION : Roman Catholic

OCCUPATION : N/A

CIVIL STATUS : Single

NATIONALITY : Filipino

EDUCATIONAL ATTAINMENT : Still in high school

ESTIMATED MONTHLY INCOME : N/A

NO. OF CHILDREN : N/A

NAME OF HUSBAND : N/A

TOTAL NUMBER OF FAMILY :4

MEMBERS

94
 C. FAMILY TREE

Daughter 1 Daughter 2

D. GENERAL HOUSEHOLD DATA

Members Status Occupation Sex Educational Religion Position in Immunization

Attainment the Family Status

Mr. P.A. Married Self- M College Catholic Head C

employed Graduate

Mrs. R.A. Married Teacher F College Catholic Wife C

Graduate

Ms. C.J.A. Single Student F Still in college Catholic Eldest C

daughter

Ms. C.T.A. Single Student F Still in High Catholic Youngest C

School Daughter

95
 CHAPTER V

FAMILY COPING INDEX

FAMILY COPING POINT SCALES ASSESSED JUSTIFICATIONS

AREAS PROBLEMS

Some of them in the

family have a barrier in

1. PHYSICAL Time
3 Performing their
INDEPENDENCE management
everyday tasks, because

of online class.

2. THERAPEUTIC Taking of They prefer OTC drugs

3
COMPETENCE medicines and herbal medications.

Insufficient
3. KNOWLEDGE OF Doesn‘t recognize
3 knowledge
HEALTH CONDITION diseases as problems.
about diseases

Maintained
4. APPLICATIONS OF personal
Presence of stacks of
PRINCIPLES OF 3 hygiene but not
books and boxes
the overall
GENERAL HYGIENE
surroundings

96
 Failure to They only seek medical
5. HEALTH ATTITUDE 3
identify disease health if severe present

The family has a good

6. EMOTIONAL outlook on life and feels

5 None
COMPETENCE that their problems can be

solved by God.

Most of the time the

father is around every

time because of his work

(Self-employed) while
No time of each
the mother is busy
other because of
7. FAMILY LIVING 3 because of teaching, but
works and
makes sure to support his
classes.
family financially. Before

they come up with a

choice, the family

consults each other.

There are some wet

8. PHYSICAL Risk of having
3 doormats inside their
ENVIRONMENT mosquitoes
house.

97
 For follow-up check-ups

of every member, the

family often visits their

9. FOR USES OF
5 None health center. They make
COMMUNITY
sure to make use of

services that the

community is given.

Scaling: 1-no competence, 3-moderate competence, 5-complete competence

98
 Chapter VI

TYPOLOGY OF NURSING PROBLEM

FIRST LEVEL OF ASSESSMENT SECOND LEVEL OF ASSESSMENT

Cigarette/ tobacco smoking Inability to make decisions with respect

to taking appropriate health action due
to:

 Lack of inadequate knowledge of

preventive measures

Inability to recognize the presence of

the condition or problem due to:

Excessive intake of certain nutrients
 Attitude in life, which hinders

recognition of a problem

Inability to recognize the presence of

the condition or problem due to:

 Denial about the existence or

Inadequate exercise/physical activity
severity as a result of fear of

consequences of diagnosis of

problem

Improper waste management Inability to provide a home

environment conducive to health

maintenance and personal development

due to:

99
 • Lack of knowledge of the

importance of proper waste

segregation and disposal.

Inability to make decisions with respect

to taking appropriate health action due

to:

Presence of breeding or resting sights of vectors  Conflicting opinions among

of disease family members/significant others

regarding action to take.

 Fear of consequence of action,

specifically o Social consequences

100
 Chapter VII

PRIORITIZING PROBLEM

A. Criteria

CRITERIA SCORE WEIGHT

1. Name of the problem

Health deficit 3

Health threat 2 1

Foreseeable crisis 1

2. Modifiability

Easily 2

Moderate 1 2

Not modifiable 0

3. Preventive potential

High 3

Moderate 2 1

Low 1

4. Salience of the problem

Problem needing urgent attention 2

Problem not needing urgent attention 1 1

Not perceive as a problem 0

101
B. Scoring

1. Decide on a score for each of the criteria

2. Divide the score by the highest possible score and multiply by the weight

Score

X Weight

Highest Score

3. Sum up all the scores for all of the criteria. The highest score is 5, equivalent to the total

weight

4. The highest score (near 5 and above) of a given problem, the more likely it is taken as a

PRIORITY.

5. With the available scores, the NURSE then ranks health problems accordingly.

102
 SCALE FOR RANKING HEALTH CONDITION AND PROBLEM ACCORDING TO

THE PRIORITIES OF THE ―A‖ FAMILY

CIGARETTE/TOBACCO SMOKING

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

1. Nature of the Problem The problem is a health

a. Health Deficit threat because smoking

2
.67
b. Health Threat — x1 can lead to lung

3 diseases.
c. Foreseeable Crisis

It is easily modifiable
2. Modifiability
because Mr. P.A.
a. Easily 2
2 Verbalized that he is
b. Moderate — x2
willing to stop
c. Not Modifiable 2
smoking.

The preventive

3. Preventive Potential potential is moderate

a. High 2 because the father is

.67
b. Moderate — x1 willing to stop smoking

c. Low 3 and have been trying to

lessen it.

103
 4. Salience of the Problem The problem needs

a. Problem needing urgent 2 urgent attention

attention — x1 because smoking may

1
b. Problem not needing urgent 2 lead to diseases.

attention

c. Not perceived as a problem

TOTAL 4.34

EXCESSIVE INTAKE OF CERTAIN NUTRIENTS

Criteria Computation Actual Justification

Score

Mother has an

1. Name of the problem .67 excessive food intake

a. Health deficit 2 that can

. result to a

b. Health threat — x1 disease

6

c. Foreseeable crisis 3 cause7by homeostatic

imbalance

2. Modifiability Easily modifiable with

a. Easily 2 adequate knowledge

2
b. Moderate — x2 about possible risk of

c. Not modifiable 2 excessive intake.

104
3. Preventive potential The mother ignores the

a. High 2 onset problem and can

b. Moderate — x1 .67 result to a worst health

c. Low 3 problem

4. Salience of the problem

a. Problem needing urgent

Excessive eating
attention 2 1
becomes a habit or
b. Problem not needing urgent — x1
practice of the family
attention 2

c. Not perceive as a problem

TOTAL 4.34

INADEQUATE EXERCISE/PHYSICAL ACTIVITY

Criteria Computation Actual Justification

Score

The mother and

1. Name of the problem
2 youngest daughter‘s
a. Health deficit 0.67
— x1 physical activity is poor
b. Health threat
3 due to busy schedule in
c. Foreseeable crisis
work and school.

2. Modifiability The modifiability is

a. Easily 1 moderate because they

b. Moderate — x2 1 have a poor physical

105
 c. Not modifiable 2 activity and exercise.

Preventive potential is
3. Preventive potential
2 moderate because with
a. High
— x1 proper knowledge about
b. Moderate 0.67
3 the benefits of exercise.
c. Low

4. Salience of the problem The mother and

a. Problem needing urgent 1 youngest daughter has

attention — x1 0.5 no health awareness of

b. Problem not needing urgent 2 having a physically fit

attention body.

c. Not perceive as a problem

TOTAL 2.84

IMPROPER WASTE MANAGEMENT

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

1. Nature of the Problem The problem is a health

2
a. Health Deficit threat because there is a
— x1
b. Health Threat 0.67 possibility that they
3
c. Foreseeable Crisis will acquire a disease if

they practice improper

106
 waste segregation

2. Modifiability The problem is

a. Easily 1 moderate modifiable

1
b. Moderate — x2 with enough

c. Not Modifiable 2 knowledge.

3. Preventive Potential The preventive

a. High 2 potential is moderate

b. Moderate — x1 0.67 because waste

c. Low 3 segregation is an easy

task.

4. Salience of the Problem The problem does not

a. Problem needing urgent 1 need urgent attention

attention — x1 because they dispose

1
b. Problem not needing urgent 2 their garbage on time.

attention

c. Not perceived as a problem

Total Score 3.34

107
 PRESENCE OF BREEDING OR RESTING SIGHTS OF VECTORS OF DISEASE

Criteria Computation Actual Score Justification

1. Name of the problem The problem is a health

a. Health deficit 2 threat because the

0.67
b. Health threat X1 problem can result to

c. Foreseeable crisis 3 dengue disease.

2. Modifiability It is easily modifiable

a. Easily 2 because the family does

b. Moderate X2 2 not do anything to

c. Not modifiable 2 resolve it, instead they

apply prevention like

anti mosquito lotion.

3. Preventive potential The preventive potential

a. High 3 is high because the

b. Moderate X1 1 family is recognizing

c. Low 3 the health problem

i. 4. Salience of the problem The problem needs an

a. Problem needing urgent 2 urgent attention because

attention X1 1 the place where the

b. Problem not needing 2 mosquito lives and

urgent attention breed are too wide and

c. Not perceive as a problem spread inside and

108
 outside the house that

may cause disease.

TOTAL 4.67

RANKING AND SCORING OF EACH HEALTH PROBLEM

List of Health Problem According to Priorities of ―A‖ family

HEALTH PROBLEMS SCORE

Cigarette/tobacco smoking 4.34

Excessive intake of certain nutrients 4.34

Inadequate exercise/physical activity 2.84

Improper Waste Management 3.34

Presence of breeding or resting sights of

vectors of disease 4.67

109
 Chapter VIII

FAMILY NURSING CARE PLAN

INTERVENTION PLAN

HEALTH FAMILY NURSING GOAL OF OBJECTIVES Nursing Method of Resources EVALUATION

PROBLEM INTERVENTION CARE OF CARE Intervention Nurse- Required
Family
Contact
Cigarette/ tobacco Inability to make After the After the nursing 1. Assess Online Human After the
smoking decisions with nursing intervention the smoking history video resources: nursing
respect to taking intervention the family will be: (kind and conference time and intervention the
appropriate health father will be a) Aware of the frequency) through effort of the family was able
action due to: able to diseases that Google student nurse to understand
eliminate their they may 2. Discuss with Meet with and the family the effects and
 Lack of
smoking habit acquire if the family the the father members consequences of
inadequate
they continue effects and cigarette
knowledge of
smoking consequences of smoking
preventive
b) Able to cigarette smoking
measures
change their (e.g. respiratory The father has
unhealthy diseases) started to
lifestyle reduce the
3. Emphasize the number of
importance of sticks that they

110
having a healthy consume daily.
lifestyle

4. Discuss ways
on how to stop
cigarette smoking
such as gradually
decreasing the
number of sticks
consumed per day
or chewing a gum
as an alternative.

111
 HEALTH FAMILY NURSING GOAL OF OBJECTIVE OF INTERVENTION EVALUATION
PROBLEM INTERVENTION CARE CARE Nursing Method of Resources
Intervention Nurse Required
Family
Contact

Presence of Inability to make After nursing After nursing 1. Discuss Home visit Human After nursing
breeding or decisions with respect to intervention intervention, the with family resources: intervention,
resting sights of taking appropriate family ―A‖ family will: the importance the family ―A‖
vectors of disease health action due to: will be aware of organize Time and effort partially
• Conflicting opinions of the actual 1. awareness in and clean of both family eliminated

among and potential preventing breeding environment and the student breeding sites
Family health site and habitat of 2. Teach health nurse of mosquito

members/significant problem that mosquito; awareness in and become

others regarding may occur terms of health Financial aware actual

action to take. and decide an 2. Plan a preventive problems resources: and potential

• Fear of consequence appropriate measure to avoid cause health problem

of action, action/s to mosquito bites and by mosquito cause by

Expenses of the
specifically. eliminate eliminate mosquito bites mosquito.
student nurse for
breeding site breeding sites. transportation
o Social consequences and habitats and food
of mosquito

112
 HEALTH FAMILY NURSING GOAL OF OBJECTIVE OF INTERVENTION EVALUATION
PROBLEM INTERVENTION CARE CARE Nursing Method of Resources
Intervention Nurse Required
Family
Contact

Excessive intake of Inability to recognize After nursing After nursing 1.Discuss Home visit Human After nursing
certain nutrients the presence of the intervention intervention, the with the resources: intervention, the
condition or problem the mother mother should be able family the mother became
due to: will be to: importance of Time and effort knowledgeable
• Attitude in life, knowledgeabl having a of both family and aware in
which hinders e about the a. learn in the healthy and the student having a healthy
recognition of a problem importance of importance of a good balance diet nurse diet habit. They
having a diet meal habit and also know how
healthy having a diet Financial to create a diet
dietary habits b. have a good balance plan resources: meal plan to
and diet every day manage their
techniques 2. Discuss Expenses of the previous eating
c. learn the benefits of with the student nurse habit
having a good diet family the for
habit benefits of transportation
having a and food
healthy

113
balance diet

3. Teach the
family how to
create a meal
plan

114
 CHAPTER IX

SUMMARY, EVALUATION AND RECOMMENDATION

Summary

The A- family is a nuclear type of a family which a normal type of a family. Their family

comprises of a mother, father, and two daughters. Mr. P.A. stands as the head of the family. Both

childrens are still studying. Their family has close relationships with each other.

The family is living with two-floor house but the space is not accurate for them because

of their things. They have their own supply of water however; they chose to buy mineral

drinking water.

The ―A‖ Family income is from the mother and father since both of them has a respective

work; Mr. P.A. has an estimated income of 5,000-10,000. He provides the needs of the family

with the help of his monthly income. Using this amount of money he was able to pay their bills

such as the electric bill, water bill, school fees of their daughters. While the mother who earns

25,000 a month is responsible for budgeting groceries and house rent.

Whenever a member of the family gets sick, they only take over-the-counter drugs. They

do not seek medical help unless the illness is severe.

There were problems identified within the family such as cigarette/tobacco smoking,

Excessive intake of certain nutrients, inadequate exercise/physical activity, and Improper Waste

Management These problems may cause harm to the health of the family but it can be prevented

through proper health teachings and interventions.

115
Evaluation

Through the assessments, the researcher was able to identify some problems within the

family and their home. The problems chosen were: cigarette/tobacco smoking, Excessive intake

of certain nutrients, inadequate exercise/physical activity, and Improper Waste Management.

One member of the family has an unhealthy personal habit of smoking. In addition to that

one of them has faulty eating habits which led to him being overweight because he eats 4 cups

of rice in every meal.

They have problems in home sanitation because of an old unused car parked in their

garage. Whenever it rains, water accumulates and it may become a breeding or resting site for

vectors such as mosquitos which may bring diseases to the family. They also do not segregate

their garbage.

Recommendation

The researcher has identified the existing problems of the family and has created a nursing care

plan for the prioritized problems. The following are recommendations given by the researcher

to help the family to improve their current health status and way of living

 The members of the family who smoke should lessen the number of cigarette sticks they

consume daily but it would be better if they would stop smoking completely.

 The family should clean the old car parked in their garage regularly to prevent vectors

from breeding or resting there. The family may use mosquito nets as well for protection.

 The family must cover the spaces where rats enter their kitchen to prevent the possible

diseases that it might bring.

 Mr. R.A. should have a meal plan that would help him have a balanced diet and also lose

weight.

 The family must practice proper waste segregation and disposal.

116
 The family should have at least a yearly check-up to make sure that they are healthy and

to maintain or improve their health.

 The family should start participating on the health services provided by the community

center like seminars which will help them improve their health status and way of living

117
REFERENCES

• What is Community Health Nursing?

Retrieved from: https://degree.lamar.edu/articles/nursing/what-is-community-nursing/

• A typology in Nursing Problem in Family Practice

Retrieved from: https://www.rnpedia.com/nursing-notes/community-health-

nursingnotes/typology-nursing-problems-family-nursing-practice/

APPENDICES

118
119