Family Case Study Presentation

Presented to the Faculty of the School of Nursing

Adventist Medical Center College
Brgy. San Miguel, Iligan City

In Partial Fulfillment
of the Requirements for the Degree
BACHELOR OF SCIENCE IN NURSING

Amano, Amirah
Borres, Rucile
Bughaw,Alvin Miko
Chinchuntic, Joan
Costanilla, Cyrus
Etulle, Earl Juffeny
Limpangog, Kristyl
Medina, Robelyn
Osop, Fatyn
Sabdula, Norhaide
Velez, Kristine

April 3, 2017

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 TABLE OF CONTENTS

PAGES

I. TITLE PAGE 1

II. TABLE OF CONTENTS 2

III. LIST OF TABLES 3

IV. LIST OF FIGURES 4

V. OBJECTIVES 5

VI. DEFINITION OF TERMS 6

VII. INTRODUCTION 7-10

VIII. FAMILY CASE STUDY NARRATIVE 11-12

IX. FAMILY APGAR 13

X. GENOGRAM 14

XI. ECOMAP 15

XII. RANKING OF PRIORITIZED PROBLEM 16-18

XIII. FAMILY NURSING CARE PLAN 19-26

Poor Environmental Sanitation 19-20

Faulty Personal Habits / Practices 21

Fire Hazard 22-23

Improper Garbage Disposal 24-25

Accident Hazard: House near to the river 26

XIV. HEALTH EDUCATION PLAN 27-28

XV. REFERENCE 29

2
 LIST OF TABLES

Table Page

1. FAMILY APGAR 13

2. RANKING OF PRIORITIZED PROBLEM 16-18

3. FAMILY NURSING CARE PLAN 19-26

4. HEALTH EDUCATION PLAN 27-28

3
 LIST OF FIGURES

Table Page

1. GENOGRAM 14

2. ECOMAP 15

4
 Objectives

General objectives:

At the end of one and a half - hour case presentation, the participants will be able to understand

the Family health history; recognize the potential and actual problems, and its management.

Specific objectives:

At the end of one and a half-hour case presentation, the participants will be able to:

1. Presents the medical terms related to the case;

2. Describe the family and dengue;

3. Discuss the whole family case study;

4. Enumerate the general danger signs and treatment of dengue through IMCI assessment

guide;

5. Presents the family APGAR, Genogram, Ecomap and the scale ranking of the identified

family problem;

6. Create a family nursing care plan for identified family problem and

7. Design a health education plan for the family.

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 Definition of Terms

Dengue Hemorrhagic Fever. Is a severe, potentially deadly infection spread by some

mosquitoes. “Occurs when a person is bitten by a mosquito that is infected with the virus.”
(Haile-Miriam, 2013);
Intermittent Fever. A fever that is occurring at irregular intervals. “It is a malarial fever in
which feverish periods lasting a few hours alternate with periods in which the temperature is
normal.” (H.C. Allen, 1998).

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 INTRODUCTION

“Family is the basic unit of the society” (Pilliteri, 2010). “The family is the smallest unit

of the society and the natural fundamental core of the community and consequently, it is considered

as the primordial recipient of the nursing effort, which is contributory to the development and

progress of the community through active involvement and self-responsibilities of each

constituent. It is composed of persons, male and female, being molded to be as one, working hand

in hand to maintain a good atmosphere among the family members”( Maglaya, 2014).

Conducting a family case study is a means by which student nurse reaches and feels

the community through its basic structure the family. It is a tool in determining the health status

of a family through assessment and critical inspection. Through this health related problems are

identified, thus giving the student nurse a hint on where to act and how to intervene. It is also

means towards improving the health of the community, making them more productive. To come

up with the family case study gives a sense of fulfillment to a student nurse as she/he was given

the opportunity to share the skills, knowledge and time to alleviate and uplift the living condition

of a family.

Therefore, our group was assigned at Purok Riverside, Tubod, Iligan City for a family

case study. The family that was chosen by our group is a picture of the majority of the family in

this community, a family living in a poor environmental condition without enough resources and

lacks knowledge on vital health information and experiences on other socioeconomic related

problems. And also we identified a problem focusing on pediatric which is Dengue, though it was

a past health history problem that was experienced by our chosen family we decided to come up

with this problem because it is one of the most potentially fatal and mainly affects children.

Dengue is one of the most common mosquito-borne viral diseases that has spread

throughout tropical Asian countries and has expanded globally. Dengue virus belongs to the

flavivirus genus of the Flaviviridae family. They are transmitted among humans by infected Aedes

mosquitoes bite such as Aedes aegypti. “Aedes aegypti, also known as yellow fever mosquito or

7
tiger mosquito, is the principal vector predominant in urban areas seen in tropical and subtropical

countries” (Famorca, McEwen, & Nies, 2013). These mosquitoes are day-biting mosquitoes that

proliferate in clean, clear and stagnant unpolluted water found in flower vases, earthen jars,

concrete water tanks, old rubber tires, tin cans, and other containers that can accumulate water up

to 7 days. There are four serotypes, namely Dengue type 1, Dengue type 2, Dengue type 3, and

Dengue type 4. Infection with any of the four serotypes causes clinical symptoms that may vary in

virus virulence, and host response. And recovery from one infection provides life- long immunity

against that particular serotype.

“The dengue virus circulating in the blood of infected individuals is ingested by female

mosquitos during feeding. The virus then infects the mosquito’s mid-gut and subsequently spreads

systemically over a period of 8-12 days. After this, the virus can be transmitted to other humans

during subsequent probing or feeding”(Famorca, McEwen, & Nies, 2013). The incubation period

is 3- 14 days, commonly 5-7days. Dengue has its progression from Dengue fever, which is a simple

form of dengue that may lead to dengue hemorrhagic fever (DHF), “DHF is an acute infectious

disease manifested initially with fever and clinical manifestations in three stages: Febrile or

invasive stage, toxic or hemorrhagic stage, and convalescent or recovery stage”(Castro, 2012). If

dengue hemorrhagic fever (DHF) is untreated it may progress to dengue shock syndrome, a worst

form of dengue which can also result to death. All individuals are susceptible regardless of age,

gender, or geographic location, but children between 0-9 years are commonly affected based on

age distribution. Furthermore, the epidemic is frequent in populated areas with poor environmental

conditions conducive for vector breeding. Other manifestations are based on classification and

levels of severity; first is probable dengue with nausea and vomiting, rashes, aches and pains,

tourniquet test (+), leukopenia, and any warning sign; second, warning signs with abdominal pain

or tenderness, persistent vomiting, clinical fluid accumulation, mucosal bleeding, lethargy, liver

enlargement >2cm, and laboratory: increase in HCT concurrent with rapid decrease in platelet

count; and lastly, severe dengue with severe plasma leakage leading to: shock (dengue shock

syndrome or DSS) and fluid accumulation with respiratory distress, severe bleeding evaluated by

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clinician, and severe organ involvement: 1.Liver: AST or ALT ≥ 1,000 2.CNS: Impaired

consciousness 3.Heart and other organs.

According to World Health Organization (WHO) 2016, 50 to 100 million new

infections are estimated to occur annually in more than 100 endemic countries. Over 2.5 billion

people – over 40% of the world's population – are now at risk from dengue. Every year, hundreds

of thousands of severe cases arise resulting in 20 000 deaths. The Philippines is one of 4 countries

in the Western Pacific which reported the highest dengue incidence in recent years. Dengue fever

is potentially fatal and mainly affects children. The National Epidemiology Center of the

Philippines Department of Health (DOH) said last August 2016, that it has recorded a total of

192,253 suspected dengue cases in the country from January 1 to November 26, 2016. This is 2.2%

lower compared to the same time period last year (196,524). According to the health department,

most of the dengue cases in the country were from the following regions: Region VI (12.6%),

Region VII (12.2%), Region IVA (10.4%), Region III (9.4%), and Region XII (8.4%). Dengue

fever is potentially fatal and mainly affects children. Among the hundreds who died, for instance,

the ages of cases ranged from less than 1 month to 100 years old (median = 13 years). Majority

cases were male (52.3%) and most (39.5%) of the cases belonged to the 5 to 14 years age group.

There were 880 deaths (CFR = 0.46%) reported. The age group that has the highest CFR is 1 to 4

years old (0.92%).The global prevalence of dengue has grown dramatically around the world in

recent decades. The disease is now endemic in more than 100 countries in Africa, the Americas,

the Eastern Mediterranean, South-east Asia and the Western Pacific.

Last 2014, a study in line with the emerging model of translational science in health

care, which integrates translational research and translational effectiveness, they examine novel

and timely evidence-based revisions of clinical practice guidelines critical in optimizing the

management of DENV infection and Dengue pathologies. They examine the role of tele-medicine

and stakeholder engagement in the contemporary model of patient centered, effectiveness-focused

and evidence-based health care. According to the study, “translational research yields an

increasing understanding of the fundamental molecular immunobiology that results from infection

with DENV, and unveils the modes by which dengue virus escapes immune surveillance processes.

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Translational effectiveness seeks to understand and to uncover the best available evidence for

immune-based treatment interventions, and to integrate this evidence in evidence-based decisions

within specific clinical settings on site. Translational effectiveness for medical interventions to

contain and control the pathologies that result from DENV infection relies on the consensus of the

evidence produced by systematic reviews. Moreover, considering the several candidate Dengue

vaccines under development, it is timely and critical to assist stakeholders to better understand the

potential economic value and cost effectiveness of Dengue vaccines, one provisional goal is that

vaccination may replace environmental control as a strategy for cost and life- saving dengue

prevention modality. As we go forward in the next few years, the joint consideration of

translational research and translational effectiveness concerns in the context of the novel model of

translational science in health care in general, and patient-target Dengue intervention in particular

will benefit patients, caregivers and stakeholders along the complex syndemic dimensions of this

viral disease” ( Chiappelli, Santos, Brant, Bakhordarian, Thames, Maida, Du, Jan, Nahcivan,

Nguyen & Sama, 2014).

The purpose of this case presentation is for us to discover the process of the problem

identified, how it is being acquired, clinical manifestation which some was being experienced by

our patient and how the environment and the condition of the family relates to the problem. By

doing so, we will be able to know the appropriate nursing care for our patient as well as the family.

This study will help us student to comprehend not only the disease mentioned but also for the

commonalities and differences among other diseases.

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 Family Case Study Narrative

The Disney family is considered as a Nuclear type of family. A nuclear type of family is
composed of married couple living together with children. Disney family lived in Purok Riverside
Barangay Tubod, Iligan City.

Mr. Beast 42 years old, was born and raised in Balyangaw, Misamis Occidental. He is the
father and provider of the family, he worked as a security guard at Mamsar Construction Company
in Tubod Iligan city. He earned php253.00 per day or for 8 hours’ duty, for the total of php 3,000-
4,000 in every 15 days. He is college undergraduate because he was not able to finish his college
course due to financial problems. Mr. Beast is a Roman Catholic and attend church mass at St.
Michaels Cathedral when his rest day falls on Sunday. Mr. Beast do not have any hereditary
disease that he acquired. He spent his leisure time by walking as his way of exercise and visiting
his nearby friends. Mr. Beast smoked 2 packs of cigarette per day and drinks alcohol occasionally.
Mr. Beast is a member of Guardian Fraternity, Sorority and Brotherhood. He weighs 78 kilograms
and his BMI is 27.9, interpretation is obese.

Mrs. Belle 42 years old, was born and raised in Zamboanga City. She is the mother and the
nurturer of the family. She is a plain house wife, she used to have a mini “sari- sari” store inside
their house before, but it has a low income so she decided to stopped it. Her highest educational
attainment is college level but not able to finish it. Mrs. Belle is the one who will make a budget
plan and decide how the money will spend. She is also the one who will decide about health matters
and every time that her family had a problem Mrs. Belle is the one who will find a way to solve it.
The religion of Mrs. Belle is Islam but sometimes she joined her husband in going to Catholic
Church to attend mass. She is an active member of Women’s Organization in their barangay. Mrs.
Belle has UTI since she was at her young age and she usually do some self- medication by drinking
pure buko juice if symptoms will occur and she also avoid food that can worsen her UTI. No
hereditary disease that Mrs. Belle acquire from her family. Her weight is 46 kilograms and her
BMI is 18. 6 that falls on normal weight range.

Baby Cindy 5 years old, born on October 29, 2011 via normal delivery at home. Her mother
said that Baby Cindy completed all her immunization and got her boosters also.

Last November 9, 2016, Baby Cindy experienced intermittent fever of 39ºC and up for
three days. Then her mother did was to self- medicate her with paracetamol for three consecutive
days, but Baby Cindy was still having a fever which led the mother to bring her to Mercy
Community Hospital for check- up and advised them to admit Baby Cindy. That time Baby Cindy
was confined to ICU for two days to be monitored because she already vomits with blood,
experienced distended abdomen and a very low platelet count of 35. After two days in the ICU,
the rashes on her upper extremities occur. Baby Cindy admitted for nine days and discharged in
the hospital last November 21, 2016 with improved condition and free from Dengue infection.
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 Baby Cindy does not experienced chicken pox yet and no allergies to specific food or drugs.
According to Baby Cindy’s mother, every time she gets cold and cough she usually gave Baby
Cindy herbal medicine like oregano juice with calamansi extract and it is effective to Baby Cindy.
For fever, the mother usually gave her OTC drug like paracetamol.

Baby Cindy is in her Preschool- Age Level (3-5 y/o). According to Erik Erikson’s
(psychosocial theory), Baby Cindy’s developmental task is to form a sense od Initiative versus
Guilt, child learns to do things and that things is desirable.

Baby Cindy weighs 16 kilograms, height of 107cm, head circumference of 52 cm, chest
circumference of 56 cm, waist circumference of 58 cm, mid arm circumference is 19 cm and her
total BMI is 12 that falls to healthy weight.

Baby Cindy usual food she ate is fish and vegetables soup. Her mother do not let her eat
junk food and drinks softdrinks. She also likes bread and banana que for snacks, and drinks 6-8
glasses of water per day and milk in the evening before she sleeps. Normally Baby Cindy defecate
once a day without any problems. She sleeps at 7pm and wake up 6 am, and takes two hours
afternoon nap. She loves to play outside their house with her friends.

The MMDST result for Baby Cindy are all passed. We let her perform to do buttons,
dresses with supervision, separates with mother easily, copies + and O, picks longer lines,
comprehends cold, tired and hungry, broad jump and balance in one foot in 5 seconds.

Baby Cindy is the only child and source of joy and strength of Mr. and Mrs. Disney.

When it comes to family Disney’s home environment, their housing construction materials
are made up of wood with concrete flooring and iron roofing. With width of 122 x 202 inches and
height of 35 inches. The couple sleep with Baby Cindy in one bed. The location of their house in
near in the river and a quite good place for breeding and resting sites of insects like mosquitos
because of the open drainage with stagnant water. They have a refrigerator to use for food storage.
They get their water at the nearby deep well water source and buy purified water for drinking.
They have the flush type toilet facility. They burn or throw their garbage in the river because there
is no garbage truck that collect garbage in their area.

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 Family APGAR
Table 1

Almost Some of the Hardly Ever (0)

Always (2) time (1)

I am satisfied with the help that I receive from my


family when something is troubling me.

I am satisfied with the way my family discusses


items of common interest
and shares problems solving with me.

I find that my family accepts my wishes to take on 

new activities or make changes in my lifestyle

I am satisfied with the way my family expresses

affection and responds to my feelings such as anger, 
sorrow and love

I am satisfied with way my family and spend time 

together

TOTAL: 8 = highly functional

7-10 HIGHLY FUNCTIONAL

4-6 MODERATELY DYSFUNCTIONAL
0-3 DYSFUNCTIONAL

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 Genogram
Figure 1
Genogram showing the Family Health History of Baby Cindy

PATERNAL MATERNAL

73 y.o 83 y.o
( old age ) ( old age )

47 y.o 45 y.o 42 y.o 60 y.o 57 y.o 55 y.o 52 y.o 49 y.o 45 y.o 42 y.o

5 years old
PAST DENGUE

LEGENDS:

- MALE - CLIENT - ASTHMA - BREAST CANCER

- FEMALE - DIABETES MELLITUS - BONE FRACTURE - DECEASED

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 Security Guard
Ecomap SEMSA
Figure 2

Mother Belle Father Beast SEMSA

Women’s  Community and
Organization peers
 Guardians

Baby Cindy

Church Relatives

ECOMAP KEY

Barangay Health WEAK CONNECTION

Center
Community STRONG
Activities CONNECTION
15
STRESSFUL
CONNECTION
SCALE RANKING
Table 2
1. Health condition/ problem: Fire Hazard

Criteria Computation Actual score Justification

Nature of the 2/3 x 1 0.7 It is a health threat.
condition presented
Modifiability of the 1/2 x 2 1 Current knowledge,
condition interventions and
resources are available
to solve the problem.
Preventive potential 2/3 x 1 0.7 It can be preventive by

Salience of the 2/2 x 1 1 The problem does

problem need immediate
attention and it is
considered a problem
to the family.
Total score: 3.4

2. Health condition/problem: environmental sanitation

Criteria Computation Actual score Justification

Nature of the condition 2/3 x 1 0.7 It is a health threat.
presented
Modifiability of the 1/2 x 2 1 Current knowledge,
condition interventions and
resources are
available to solve the
problem.
Preventive potential 2/3 x 1 0.7 It can be preventive
by segregation of
waste and applying
3Rs (reduce, reuse,
recycle)
Salience of the problem 2/2 x 1 1 The problem does
need immediate
attention and it is
considered a problem
to the family.
Total score: 3.4

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 3. Health condition/ problem: Presence of Breeding Sites of Vectors
Criteria Computation Actual score Justification
Nature of the 2/3 x 1 0.7 It is a health threat.
condition presented
Modifiability of the 1/2 x 2 1 Current knowledge,
condition interventions and
resources are
available to solve the
problem.
Preventive potential 2/3 x 1 0.7 It can be preventive
Salience of the 2/2 x 1 1 The problem does
problem need immediate
attention and it is
considered a problem
to the family.
Total score: 3.4

4. .Health condition/ problem: Faulty Personal Habits

Criteria Computation Actual score Justification
Nature of the 2/3 x 1 0.7 It is a health threat.
condition presented
Modifiability of the 1/2 x 2 1 Current knowledge,
condition interventions and
resources are
available to solve the
problem.
Preventive potential 2/3 x 1 0.7 It can be preventive
by discussing the side
effects of faulty
habits
Salience of the 2/2 x 1 1 The problem does
problem need immediate
attention

Total score: 3.4

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5. Health Condition/ problem: accident hazard; fall

Criteria Computation Actual score Justification

Nature of the 2/3 x 1 0.7 It is a health threat.
condition presented
Modifiability of the 1/2 x 2 1 Current knowledge,
condition interventions and
resources are
available to solve the
problem.
Preventive potential 2/3 x 1 0.7 It can be preventive
Salience of the 2/2 x 1 1 The problem does
problem need immediate
attention and it is
considered a problem
to the family.
Total score: 3.4

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 FAMILY NURSING CARE PLAN
Table 3

HEALTH FAMILY GOAL OF OBJECTIVES OF NURSING METHODS RESOURCES EVALUATION

PROBLEM NURSING CARE CARE INTERVENTION OF CARE REQUIRED
PROBLEM
Poor Inability to After 1-2 hours After 1-2 hours of 1. Reinforce the Home Visit. Time and effort After 1-2 hours
Environmental provide a home of student nurse student client schedule for of student nurse student nurse-client
Sanitation as environment client interaction, the the cleaning and family. interaction, the
Health threat. conducive to interaction, the family will be able activity which family will be able
health family will be to: was made to:
Cues: maintenance and able to 1. Demonstrate during the last 1. Demonstrate
development due effectively effective home visit. effective
S: “Manglimpyo to: promote and cleaning, if 2. Emphasize the cleaning, if
man mi og kaduha 1. Lack of maintain an not importance of not
kada simana pero adequate environment sanitizing a clean and sanitizing
karon na knowledge conducive to the different healthy the different
papahawaon nami of the health parts of both environment. parts of both
sa among balay importance their house 3. Discuss with their house
kapoyan nako.” as of hygiene and their the techniques and their
verbalized by the and environment. and methods environment.
mother. sanitation. 2. Know he are used in 2. Know the
correct basis cleaning and basis for
O: presence of for sanitizing like cleanliness
pests, mosquito, cleanliness. setting routine 3. Give
and rodents. 3. Give the schedule of importance
importance time and day of a clean
of a clean when to clean environment.
environment. for the
surroundings.

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4. Monitor for
places that are
prone to
soiling and
dirt.

20
 FAMILY NURSING CARE PLAN

FAMILY METHOD
HEALTH OBJECTIVE OF NURSING RESOURCES
HEALTH GOAL OF CARE OF EVALUATION
PROBLEMS CARE INTERVENTION REQUIRED
PROBLEM NURSE
Faulty Personal - Inability to To raise the level After an hour of  Establish Home Time and effort After an hour of
Habits / make decision of awareness of health teaching of rapport. Visit on the part of health teaching of
Practices of the with respect in the father about the father should be  Make them the student the father shall able
father as a health taking the risk on his able to: realize the nurses and the to:
threat. appropriate health and of his possible family
health action daughter for the 1. discuss the reactions if they  Discussed the
due to: faulty habit he has disadvantage will always do it disadvantages
Cues: which is chain s of drinking to themselves of drinking and
a. Low salience smoking and and smoking  Offer them smoking
 Occasional of the alcohol drinking. frequently alternatives or frequently
drinking of problem 2. Identify the recreational  Identified the
alcohol diseases that sports that could diseases that he

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 - Inability to he can get of persuade them can get of
 Excessive recognize the having this from their vices having this
smoking presence of a kind of vices  Enumerate the kind of vices
(2packs/day) problem due to: diseases that the
father can get in
b. Ignorance of this kind of
the facts practices; lung
about what cancer, liver
could be the cirrhosis, etc.
effects it
could bring
to their
health

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 Health Nursing Goal of Care Objective of Nursing Rationale Method of Resources Evaluation
Problem Diagnosis Care Intervention Nurse- Required
Family
Contact

Fire Hazard Inability to To conduct an After an hour of -Provide -It can H -Visual Aids Goals partially
recognize the awareness to home visits, the information of increase O met.
Cues: presence of the the family in family should be safety need and awareness M -Time and
condition or the potential able to: motivation to about fire E effort of the After an hour of
-House made problem due to: hazards into prevent such hazard. nurse and home visits, the
of light their home -Know the hazard. V family family was able
materials -Lack of environment. importance of a -It can I to:
inadequate safe environment -Discuss about mobilize them S -Expenses for
knowledge free from fire supervision for to utilize I teaching aids -Know the
-Use of hazards and the young on, preventive T and importance of a
firewood for accident or keeping the measure transportation safe environment
cooking -Denial about its matches away of the nurse. free from fire
inside the existence or -Be aware and from the -There’s hazards and
house severity. knowledgeable children. danger in accident
of the hazards in cooking
their home -Tell the clients unattended -Be aware and
-Limited -Economic/cost including its that if cooking, while using knowledgeable
water supply implication prevention do not leave it fire wood. of the hazards in
measures. unattended. their home
-Some fire including its
-Note socio- preventive prevention
economic measures are measures.
status or quite
availability and expensive
use of
resources to

23
realize -In case of
suggestions excessive fire,
improving there is
home status. immediate
water to use.
-Tell the
family,
especially the
mother to stock
water near the
cooking area.

24
 Health Nursing Goal of Care Objective of Nursing Rationale Method of Resources Evaluation
Problem Diagnosis Care Intervention Nurse-Family Required
Contact
Disposing Inability to Within 5 hours After 5 hours of -Provide the -For the family H Human After the
garbage or decide about of nursing nursing family to learn the O resources: nursing visit
waste through taking interventions, intervention, information proper ways of M Time and effort conducted with
burning. appropriate the family will the family will about the waste E of both the nursing
actions due to be able to: be able to: proper ways on management student nurse interventions,
failure to waste disposal and for V and family. the family was
comprehend the -Determine the -Identify the such as visualization of I able to:
nature and the importance of different ways segregation of materialization S
scope of the practicing on proper biodegradable of methods. I -Understand the
problem proper methods disposal such from non- T importance of
on waste as applying or biodegradable -To provide practicing the
disposal. practicing the wastes and options with proper method
3Rs (Reduce, demonstrate the the family on of waste
-Verbalize the Reuse, methods. selecting proper disposal.
importance and Recycle) and methods of
advantages of segregation of -Explore with waste disposal. -Applying and
proper waste waste the family the practicing the
disposal. (biodegradable advantages and -So that the ways in proper
and non- usage of the family will method of
biodegradable). different grasp the waste disposal.
methods of significance
-Enumerate the waste disposal. and
proper demonstrate
techniques on -Emphasize the interest in
keeping the importance of initiating
surroundings practicing lifestyle
clean and proper garbage modification
through using disposal with
proper method the family.

25
of waste
disposal.

-Define the
meaning of
proper garbage
disposal and its
advantages.

-Recognize the
possible effects
of garbage
burning;
verbalize
understanding
about the
importance of
practicing
proper waste
disposal.

26
 Health Problem Family Nursing Goal of Care Objective of Care Nursing Intervention Method of Resources Evaluation
Problem Nurse and Required
Family
Contact
Presence of Health Inability to provide After Nursing After nursing H
Threats a home interventions, interventions, the O Goals partially met.
environment the family family should be able: a. Establish rapport M
• Accident conducive to will think of E Human resources: After Nursing
Hazard: personal necessary a. Know the b. Provide information -time and effort on interventions, the
House near development and action to importance of a of safety need and V the part of the family shall think
to the river safety of the family reduce safe motivation to I nurse and family of necessary actions
members due to: potential environment prevent such hazard S to avoid the child
Lack of knowledge hazards in to free from I from going near the
on dangerous home hazards and c. Emphasize to the T river and reduced
environment for the environment. accident. family the potential hazards in
child that can lead importance of to the home
to serious accident. b. The family will solving the problem environment.
be aware and and on maintaining
knowledgeable an environment
of the hazards which is safety at
in their home home.
including its
preventive d. Discuss about
measures. supervision for the
child and
improvement of the
faculty.

27
 HEALTH EDUCATION PLAN

Objectives:

After 1-2 student-client interaction, the parents will be able to:

1. Enumerate the different healthy food for a preschool child;

2. Identify the multiple methods in improving environmental sanitation and
3. Compare the advantage and disadvantage of proper hygiene.

General heath teaching Specific health teaching

Diet  Eat easily digestible foods
 Consume protein rich foods like
egg and meat
 Have more of fresh fruits
 Increase water intake at least 6-8
glasses of water per day
 Eat more green leafy vegetables
like malunggay, petchay and
cabbage

Environment  Cover water drums and water pails

always to prevent mosquitoes from
breeding.
 Replace water in flower vases once
a week.
 Clean all water containers once a
week. Scrub the sides well to
remove eggs of mosquitoes
sticking to the sides.
 Clean gutters of leaves and debris
so that rain water will not collect as
breeding places of mosquitoes.
 Old tires used as roof support
should be punctured or cut to avoid
accumulation of water.
 Collect and dispose all unusable tin
cans, jars, bottles and other items
that can collect and hold water.
 Insect repellents, screen the
window and bed mosquito net.
 Wear long-sleeved shirts and pants.
Wear socks and shoes, and apply
insect repellents on your skin and
your clothing whenever going out
in infected area.

Hygiene  Bathe daily to prevent invasion of

microorganisms. If unable to do so
make sure to clean your body with
wet cloth and change your clothes
every day with clean and neat one.

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 Maintain good oral hygiene; tooth
brushing 3x a day or after eating.
 Instruct parents to clean the
surroundings and spray insecticide.
 Instruct the parents to close the
container after they collect water.

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 References

Adele Pilliteri, (2014). Maternal & Child Health Nursing: Care of the Childbearing & Childrearing
Family. Philadelphia. Lippincott Williams & Wilkins.
Berman, Synder & Frandsen. (2016). Fundamentals of Nursing: Concepts, Process, and Practice.
Singapore. Pearson
Frances Prescilla Cuevas, (2007). Public Health Nursing in the Philippines. Philippines

Jean Panares Reyala. (2000). Community Health Nursing Services in the Philippines. Philippines.

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