INTRODUCTION TO FAMILY NURSING MANAGEMENT ON CASE STUDY OF MR. E RW.XII/RT.

III CIHANJUANG RAHAYU VILLAGE, PAROMPONG DISTRICT WEST BANDUNG REGENCY

Jedeth Mamora 1253015

PROGRAM STUDY OF NERS PROFESSION NURSING FACULTY ADVENTIST UNIVERSITY OF INDONESIA 2012

Day -1 (June 25, 2012)

Plan to have a coordination meeting with Ibu Siska (health coordinator, Parompong Community Health Center) Plan to read the Ners/Profession syllabus and browse internet to get more understanding about family nursing and knowledge on hypertension disease. Plan to note down todays activities and prepare plan for the following day.

Day -2 (June 26, 2012)

Plan to go to the field to see the family which will become my family case study for ten working days. Plan to collect basic family data: Plan to make appointment for the next day. Plan to search about Mr. Es disease: hypertension without complication through internet. Plan for the next day meeting.

Day -3 (June 27, 2012) Plan to assess the economic and social issues of the family; Plan to assess the familys internal and external environment; Plan to analyze the family present development which have been fulfilled or not yet fulfilled; Plan to assess the previous family development (Mr. Es parents and siblings) and assessed the nuclear

family of Mr. E as well; Plan to assess the strength, communication pattern, role structure and Plan to assess the affective function of the family; Plan to assess the health function of the family; Plan to assess the social function of the family; Plan to assess the reproductive function of the family; asses the economic function of the family; Plan to measure BP of the client and inquire client if he has taken the routine medication. Plan to Identify of familys growth and development problem; Plan to identify familys health problem Plan to set priorities of the problem: not healthy, health threatening issues and potential health problem Plan to start health teaching on hypertension, briefly to the family and client. Plan to make a new plan for the next day meeting Plan to browse internet to get more information on the assessed family datas.

Day -4 (June 28, 2012) Plan to continue assessing stressor indentify in the family such as: disability due to stroke, the wife become

the single breadwinner at home, ineffective family financial management; Plan to assess on how the family do the copping strategy; Plan to assess the dysfunction adaption strategy of the family. Plan to stimulate family awareness on the problem by continuing giving information to the client and family about hypertension and how to maintain the stable blood pressure (exercise, less salt usage.) Plan to identify of the client health needs and hope; Plan to encourage the client and family to have a healthy copping emotion toward the health problem Plan to identify on health consequences of not doing the action and discussed the issues with the family; Plan to identify of family resources to maintain clients health status Plan to teach one of the family members on BP taking Plan to measure BP of the client and asked if the client has taken medication.

Plan to browse internet to get more information on herbal medication on hypertension; foods and cooking style for client with hypertension and family financial management.

Day -5 (June 29, 2012) Plan to have a class meeting with the clinical instructor at campus Plan to revise assignment after being reviewed at class Plan to dig more information from internet to complete the assignment. Day -6 (July 01, 2012) Plan to meet the wife at early morning before work and accompanied her to the working place Plan to prepare and revising the assignments. Day -7 (July 2, 2012) Plan to assess the wife of Mr. Es perception on his husband disability Plan to assess her ways on managing the family income. Plan to re-teach the wife including the family on health education of hypertension and how to manage it. Plan to teach the wife on cooking style for hypertension and how to manage family income. Plan to continue to identify the consequences of not doing the actions: development failed, not being

optimal, complication occurrence, disability and death. Plan to identify source of family fund/income, family knowledge and motivation Plan to increase the familys self confidence about the consequences of the action, in terms of: steps of growth and development, an increase of health status, disability and death. Plan to increase the care for the sick family member by demonstrating the family care on: growth and development, family with health problem (chronic disease , such as: hypertension) Plan to optimize house utilities such as: thermometer and wriest watch. Plan to supervise the family in re-demonstrating family care: measuring vital sign and prepare balance nutrient foods with less salt (a half tea spoon salt/day) the daily use of natural diuretic medication to maintain stable BP such as Belimbing fruit twice a day since the client often skipped the use of Furosemid tablet; personal hygiene, exercise and medication adherence (two times a day morning and evening-of Captoril 25 mg.) Plan to create healthy environment by identifying sources such as: family funds, present utilities at home and community; Plan to conduct family environment changes as optimum as possible by family environment modification; environment comfort; environment safety. Plan to increase family and client usage of present health facilities such as: health village posts, health community center, private practice medical doctor, private/government midwives and hospitals. Plan to assist the family on using the community health facilities in terms of: referral health system, consultation and services. Plan to conduct daily evaluation/supervision on the current health problem.

Day -8 (July 3, 2012)

Plan to have a meeting at UNAI for Thursdays HE at the Balai Desa Karyawangi Plan to continue typing the clinical log into the laptop. Plan to supervise the way the mother prepare foods with less of salt and less of cooking oil; reevaluate if the father (client) taken medicines, retaking BP and exercise. Plan also to reemphasis about life style modification for hypertension disease to both the client and the mother. Plan for tomorrows activities

Day -9 (July 4, 2012)

Plan to have a meeting at the Community Health Center , Parompong with Mrs. Siska Plan to visit the client and recheck his vital signs, asked if he has consume the anti-hypertension medicines and also to inform him that on Thursday there will be a Health Education at the Balai Desa, Karyawangi and he is invited to attend the class. Plan to print out the typed Introduction report and asked the midwife Cihanjuang Rahayu to resign it again (since the handwritten Introduction report has been signed last week by the midwife.) Plan to study about hypertension disease related with the use of long term medication; the side effect given by these medication and what to do about it. This is to prepare myself for tomorrows Health education program during the consultation session.

Day -10 (July 5, 2012)

Plan to go to the Community Health Centre, Parompong to coordinate with Mrs. Siska Plan to revisit the client and remind him about the health education class at the Balai Desa, Karyawangi and encourage him to come together with his wife, if possible. Recheck his vital signs and asked if he has consume the medication and if he has exercise today. Plan to go to the health education class and give some feedback to the public if there are questions arises. Plan to review family nursing subject for tonights examination. Plan to record all the activities at the clinical log.