CHAPTER IX

COMPREHENSIVE FILE OF THE FAMILY HEALTH INTERVENTIONS

After diagnoses are established by the nurse and client, the relationship moves into the

planning phase of the nursing process (Clemen-Stone et al., 2007). In this phase client centered

goals and objectives are formulated and interventions are identified. A goal is defined as a

"broad desired outcome toward which behavior is directed" and an objective "delineates client

behaviors which reflect that a goal has been reached". The interventions are activities to be

carried out by the client, community health nurse, or other professional to help reach the

identified goal. Clemen-Stone et ale (2007) set forth three main principles to be considered in

the planning process: "(1) individualization of client care plans; (2) active client participation;

and (3) the client's right to self-determination". Therefore, since each client has unique needs,

the client must be actively involved in mutual goal setting with the nurse. According to Twinn

(2011) this philosophy of practitioner forming a partnership with the client is quite different

from the traditional health care paradigm in which "practitioners generally work with clients in

a directive manner". However, it is sometimes appropriate for the community health nurse to

develop a nurse centered goal. This would be appropriate if the nurse identifies a problem that

the family is not aware of and determines by professional judgment that it is necessary to

increase the family's awareness of the problem.

Certain interventions must be implemented by the nurse throughout the relationship in

order to prepare the family for termination. These include:

32 | P a g e
1. Stating the termination date, if known, in the beginning of the relationship and

throughout consecutive meetings

2. Discussing thoughts and feelings about termination prior to the last meeting

3. Identifying signs of separation anxiety in the family and personally

4. Encouraging the family to compare past separations with the present one

5. Promoting the family's evaluating and summarizing the relationship in terms of its

goals, expectations, satisfactions, and dissatisfactions

33 | P a g e
 CHAPTER X

CONCLUSIONS AND RECOMMENDATIONS

The area is congested, there are around 20 families in a compound who is expose to

several health hazards like poor environmental sanitation, open drainage system and

inadequate living space. The house has no enough lighting and ventilation. They manage to stay

there for two years without inadequate water supply and no private toilet facility. Their house

is considered to be a make shift type of house and has insufficient living space. The wooden bed

found near the main door serves as the living room area leaving a small space for kitchen.

Family needs more orientation and information regarding health issues. They should

value or prioritize their health above all. The importance of prenatal check-up and malnutrition

should be given emphasis to ensure the development of the baby. Inadequate living space and

poor environmental sanitation seems to be a threat to the family s health. Promotion of health,

prevention of diseases together with simple treatment and rehabilitation would alleviate their

health status and conditions. It will correspondingly enable to achieve integration within the

family and to promote health education and active participation in terms of general and distinct

health necessities.

34 | P a g e
 CHAPTER XI

REFERENCES

American Thoracic Society and Infectious Diseases Society of America. Diagnosis, treatment,

and prevention of nontuberculous mycobacterial diseases. Am J Respir Crit Care Med

2007; 175: 367–416. www.thoracic.org/statements/resources/mtpi/nontuberculous-

mycobacterial-diseases.pdf

Baumbusch J., Phinney A. (2014)Invisible hands: the role of highly involved families in long-

term residential care. J. Fam. Nurs. 2014;20(1):73–97. doi: 10.1177/1074840713507777.

Bernal H, Froman R. (2011). The Confidence of Community Health Nurses in Caring for

Ethnically Diverse Populations. Image J Nurs Sch. 2011;19:201–3.

Clemen-Stone, S., Eigsti, D. G., & McGuire, S. L. (1991). Comprehensive family and community

health nursing (3rd ed.).st. Louis, MO: Mosby.

Deist M., Greeff A. (2015) Resilience in families caring for a family member, diagnosed with

dementia. Educ. Gerontol. 2015;41(2):93–105. doi: 10.1080/03601277.2014.942146.

Edwards R. The problem of tobacco smoking. BMJ 2004;328:217–219

Fullard E, Fowler G, Gray M. (2014) Promoting prevention in primary care: controlled trial of

low technology, low cost approach. Br Med J (Clin Res Ed) 2014;294:1080–2. [PMC free

article]

Goldsobel AB, Chipps BE (March 2010). "Cough in the pediatric population". J. Pediatr. 156 (3):

352–358.e1. doi:10.1016/j.jpeds.2009.12.004. PMID 20176183.

35 | P a g e
Hockertz S, Emmendorffer A, Scherer G, Ruppert T, Daube H, Tricker AR, Adlkofer F.(2003).

Acute effects of smoking and high experimental exposure to environmental tobacco

smoke (ETS) on the immune system. Cell Biology and Toxicology. 2003;10(3):177–90.

Housing health and rating system operating guidance: Housing Act 2004 guidance about

inspections and assessment of hazards given under Section 9. London: Office of the

Deputy Prime Minister; 2006.

Kulig JC, Edge D, Joyce B. (2011)Understanding Community Resiliency in Rural Communities

through Multimethod Research. Journal of Rural and Community Development.

2011;3:77–94.

Kulig JC. (2011) Community Resiliency: The Potential for Community Health Nursing Theory

Development. Public Health Nursing. 2011;17:374–85.

Nagaraja J, Menkedick J, Phelan KJ, Ashley P, Zhang X, Lanphear BP.(2005). Deaths from

residential injuries in US children and adolescents, 1985–1997. Pediatrics

2005;116(2):454–61

Nathanson, J. (2011, September 12). Solid-waste management. Retrieved from

https://www.britannica.com/technology/solid-waste-management

Robert Wood, J.F., (March 2013), Healthy Policy Snapshot Series. Retrieved: October 27, 2014

http://www.rwjf.org/en/research-publications/find- rwjf-research/2012/12/why-does-

education-matter-so-much-to-health-.html Health Impact Assessment (HIA) – World

36 | P a g e
 Health Organization Retrieved: October 27, 2014

http://www.who.int/hia/evidence/doh/en/ Mcmichael A.J., Campbell-Lendrum D.H.

Start D., HovlandI. (2004). Tools for Policy Impact: A Handbook for Researchers, 2004 London

Overseas development Institute: 21928gs7w2w6hxjz

Twinn, S. F. (2011). Conflicting paradigms of health visiting: A continuing debate for

professional practice.Journal of Advanced Nursing, 16(8), 966-973.

37 | P a g e
 CHAPTER XII

Appendix

A. Photo Documentation

Parts of the House Documentation

Kitchen

Bedroom

38 | P a g e
 Bathroom

Stockroom

Backyard

B. Equipment Used

39 | P a g e
Sample Legend (GenoPro, 2017)

40 | P a g e