Introduction

Community health Nursing is that the synthesis of nursing and public

health observe applied to push and shield the health of population. It combines all the
essential components of skilled, clinical nursing with public health and community observe.
Community health nursing is crucial notably at this time in time as a result of it maximizes the
health standing of people, families, teams and therefore the community through direct approach
with them. Nowadays community participation and involvement is obtaining a due attention
before the incidence of diseases as life-style changes to still play a major role in morbidity and
mortality. Chronis diseases, tobacco smoking, road traffic accident and etc, and environmental
changes that have an effect on health are steady changing into the foremost issues influencing
human health in our country. As nurses of twenty first century we've got duties and
responsibilities to stay in an equilibrium with the ever dynamical desires of the health of our
society. to take care of  this social group desires, we tend to perceive ideas and models of the
community health nursing, the importance of health promotion and illness hindrance and health
care coming up with, implementation and analysis of health care efforts for the advantage of the
community. the aim for getting ready this lecture note is to upgrade preceding in time
,ready lecture note and to gift the topic during a comparatively simplified and arranged means.
Nurses are academics and patient advocates. Eliminating health disparities may be a combined
effort of health professionals all told settings, however community and public health nurses deal
directly with these problems, usually on a private basis.

As community health student nurses  we want to encourage creating the

proper selection concerningtheir issues. this is able to improve their overall
health starting at Associate in Nursing early age to assist minimize the complications of
their drawback later in life. Community Health Nursing was another category wherever i used to
be unsure what to expect. i actually didn't perceive what the conception of community nursing
was. I used to be unaware that community health nurses facilitate to set up and implement
interventions to boost the standard of health for voters. Nurses have crucial roles throughout the
community. On my 1st exposure as a Community Health Nursing nurse, I felt excited and
not rather well ready on what was to return, very little did i do know however wrong i might be,
I didn't understand specifically what I expected however I positively thought at some things
would be straight forward but in fact I learned and applied the competence of nursing that is 1st,
communication. rebuke the people or one-on-one interaction with the opposite.

It was my first time in Barangay Salvacion and i chose this family because of the insticnts
I have that I will able to help them and having rapport to the family. In accordance to the
principle of confidentiality and to maintain the families patient’s dignity, I therefore withhold the
real identity of the patient and address them as Family V. For me it was nervous,my heart was
pounding fast and it was hesistant to me to interact with them at first but since they started to talk
to me and there was the que for me to start interacting. When I ask the member of the family
about what they think about having many family member in one household. He said “ Miskan
hout kaayo mi sa among balay, miskan daghan kaayo mi pero as long as Isa rami nga dili mi mag
buwag buwag para nako contento nako ani wala nay lain makalupig pa aning na feel nako
karon”. I was stunned when i heard their response because even though how hard life is, they
still mange to smile at me with no hesitance and told me family is home when they are together.
Spot Map
 Initial Data Base
A. FAMILY STRUCTURE AND CHARACTERISTICS

1. Members of the Household and Relationship to the Head of the

Family

Family Members Age Sex Position

Mr.V 50 M Father
Mrs.V 59 F Mother
Son 27 M Eldest
Son 2 26 M 2nd/Father
2nd Sons Wife 28 F 2nd Sons Wife
Son 3 24 M 3rd
Son 4 21 M 4th
Daughter 20 F 5th
nd
Sons Children 4 M 2 Father Son
Son Children 2 1 M 2nd Father Son 2

2. Place and Residence of Each Member

Family resides at Purok 2, Barangay Salvacion, Butuan

City. Their house was built for more than many years and Mr.V
is Married to Mrs.V. Family V is consists of 10 members, 8
adults and 2 Toddlers.

3. Type of Family Structure

Family V is a Extended type of family. It consists of Mr.

V which is Mrs. V Married partner. Son 2 has 2 sons from
Sons 2nd Wife and have 2 children. The family is marked by
the supremacy of the mother where Mrs. V is the decision
maker thus Family V is matriarchal.

4. Dominant Family Members in terms of Decision Making

Pertaining to Health Matters

Since Mrs. V is the head of the family, she makes major

decisions. On health matters, Mrs. Vmakes the decision but
she also consults Mr.V’s opinion. Both Mr. X and Mrs. X make
the agreement based on different situations.

5. General Family Relationship.

“Kami wala man kaayo miy mga away away. Kung mag loud mi or nalain mi
kay dili man mi mag istoryahay. Kung mawala na ang kapuot sa sakit
disir dayon mi mag desisyon og amo istoryahon. Peaceful man kaayo mi
diria sa amoa miskan daghan mi.” As verbalized by Mrs.V. Their
relationship is true base on my observation as I inspect there
lifestyle within their watch I never seen them shout, disputes and
etc.

B. SOCIO-ECONOMIC AND CULTURAL FACTORS

1. Income and Expenses
a. Occupation, Place of Work, and Income of Each Working Members

Family Member Occupation Status Place of Work Income

 Mr.V Security Guard Married Pacific Wood P3000 monthly
Mrs.V Barangay Married Barangay Hall P4000 monthly
Treasurer

Factory Worker
Son 1 Single Pacific Wood P8320 monthly

Son 2 Factory Worker Married Copras P8320 monthly

Son 3 Barista Single Fulcrum Coffee P8300 monthly

2nd Sons wife Business Married House P4600 monthly

Baboy/Housewife
Total: P32,280

Breakdown of expenses per month

Commodity Price
Rice P7,200
6 kilo per day
Meals P6,000
Motor Gasoline P2,000
Kape P1,800
Sabon,Shampoo,lotion P1,800
Kuryente P1000
Chicken Feeds P140
Baboy Feeds P1,680
Tahop P1,200
Childrens Milk P1,725
Total: P21,200

The family V income is enough to suppy their daily needs since mostly of their children
have regular jobs and the family has a business of living stocks and pigs to compensate their
expenses to their homes.

C. Who makes decision about spending money?

In terms of handling money, the head of the family and her partner has regular jobs, their 3 sons
have jobs as well earns money for their labor. They give mostly their money to Mrs. V so that
she can budget and allocate their money on the expenses. “ Mostly sa akong anak ila ihatag ilang
mga kwarta sa akoa pero dili tanan nila sweldo kay ilaha biya nang hinaguan. Tas akong anak
nga si Son 4 og Daughter kay naka graduate na sa college sa puhon puhon maka tabang nani sila
sa akoa. Wala najud miy problemahon ani kani nalang pag katiguwang namo” As verbalized by
Mrs. V.
2. Education Attainment of Each Member

Family Member Educational Attainment Status

Mr.V Highschool 3rd year
Mrs.V Highschool 1st year
Son College Level 3rd year
Son 2 College Level 1st year
Sons Wife Technical Vocational Graduated
Graduate
Son 3 College Level 3rd year
Son 4 College Degree College graduate
Daughter College Degree College graduate
Sons Children Kindergarten 2nd level
 Sons Children 2 N/A

3.Ethnic Background and Religious Affiliation

Family V used bisaya as their first language. Family X is

Roman Catholic by Faith, Permi man mi ga samba taga dominggo, amo
naman ng routine.” As Verbalized by Mrs.V.

4.Relationship of the Family of the Community

“ Active man mi sa community sige man mi tambong tambong sa

mga actividadis ari tas mga christmas party ana, tas adtong pag
graduate sa akong mga anak nagpa lechon jud mi tas amo silang gi
pang imbitar samot na ako nga naa ko sa barangay ga trabaho” As
verbalized by Mrs.V As i’ve observed in my first family visit.

C. ENVIRONMENTAL FACTORS
1. Housing
A. Adequacy of Living Space

Family V lives in house made of wood and concrete with stainless steel roof. Mrs.V
welcomed me, the student nurse on their living room after being interviewed were there was 3
furnitures, tv with G-sat. Their dining are is also their kitchen they have dirty kitchen in the back
of their houses compose of cooking area and they have plate cabinets with glass plates and
utensils. Family V has a proper sink which they can just let the water flow on it below into the
drainage system whick is open. They have 4 bedrooms located at the back from the door
entrance of the living room.

Floor Plan and Sleeping Arrangement

Dirty kitchen

Kitchen and
Dining Place
RM#
RM RM
2
#3 #4

CR

Living Room

RM#1

Viranda
 As for the space standards, rm #1 has 1 master bed with 3 persons, rm#2 has 1 masterbed
with 2 adults and 2 children, rm#3 has a double deck bed with 2 persons, and rm#3 has 1 single
bed with 1 person. “ And sa amoang kwarto mag asawa ang ga higda diraa is kami mag asawa og
akong anak nga babae, sa ikaduha nga kwarto ang ga tulogan diraa is ang mag asawa og ilang 2
ka anak , ang double deck nga kwarto kay si Sons 3 og 4 tas ang single bed kay akong
pinakamaguwangan.” As verbalized by the mother with regards to the sleeping pattern and
arrangement. The living room is (17.7ft) the width and (12ft) the length. Their Kitchen is (14ft)
length and a width of (12ft).
B.Adequacy of Furniture

Family X has one dining table and 2 benches. In their kitchen,

they own a huge plastic container where they put their utensils. They
also have a Payag-payag.

C.Presence of Insects/ Rodents

“Wala man kaayo miy ok-ok, minus pod kaayo og mga ilaga pero
inig gabie grabe jud ka daghan og lamok mao nang ga katol mi para ma
minus minusan ang lamok.” As verbalized by Mrs.V.

D.Food Storage and Cooking Facilities

“Daghan mig mga plato utensils nga ginatagoan nako reserba para
sa fiesta or naay occasion nga mahitabo diria sa amoa.” As
verbalized by Mrs.V and i also observed they have utensils and plate
cabinets, and have refrigerator.

E. Water Supply

“Ang tubig namo diri nga bomba dili mainom pero magamit namo pang
ligo, washing sa motor,panghugas og plato og pang bo-bo sa among tae.
Kung mag kuha mig tubig didto dapita sa purok shed kay mainom man to
didtoa.” As verbalized by Mrs.V, I’ve observe that the near “bomba”
has visible sands.

F. Toilet Facilities

“Wala man okay raman amoa cr water sealed mani siya ma bo-bo tas
dili pa puno among septic tank. Naa man sab miy cr sa gawas kung
kintahay naay emergency kung mag dungan ara ra didtoa gamiton.” As
verbalized by Mrs.V their comfort room for the family is in the house
it is comfortable and accessable.

H. Garbage and refuse disposal

“Kay dili man jud mo sulod ang garbage collector diria so nag himo mig paagi para maka
labay mis among basura. Ga himo mig compost pit tas didto ra namo isunog amoang basura.”As
verbalized by Mrs.V

I. Drainage System

“Open raman among drainage diretso ra namos sa canal. Pero wala man mi ga problema
ana. Pero usahay lang kung ting ulan ulan kay mo apaw ang tubig mao siguro ang dahilan mao
daghan ang lamok sa amoa.” As verbalized by Mr.V
1. Nutritional Assessment
A. Anthropometric Data

Body Mass Index of each member

Family Height Weight BMI Interpretation

Member
Mrs. X 157cm 55kg 22.3 Normal
Mr. X 180cm 80kg 27.8 Normal
Son 1 165cm 65kg 23.9 Normal
Son 2 162cm 63kg 24.0 Normal
Son 3 157cm 54kg 21.9 Normal
Son 2 wife 149cm 43kg 19.4 Normal
Daughter 152cm 45kg 19.4 Normal

B.Dietary History

Family usually eats fish and other meats. There are no allergy with anything of foods
with the family. “Sige rami kaon og karne og isda kay naa man sige labay labay ang mamaligya
karne sa amoa, .” As verbalized by Mrs.V as observed they always eat and manage to eat 3 times
a day.

Food item Serving Size Calories

Breakfast:

Water 4 cups -

Egg 4 pieces 312kcal

Rice 2 cups 200kcal

Lunch:

Pork 4 piece/per person 200kcal/each

Rice 2 cups 200kcal

Water 4 cups -

Dinner:

Fish 4 pieces/each 116kcal/each

Water 4 cups -

Rice 1 cup 160kcal

TOTAL 1,188kcal