Ateneo de Zamboanga University

2021 – 2022

“Malnutrition, Poor Environmental Factors, Lack of Immunization and Inadequate

Family Income Prevention Education among residents of Enrique Drive, Boalan,
Zamboanga city”
Is presented by the following:
Arabani, Reem J.
Arakani, Mussah-Harija J.
Bayle, Sheryhan T.
Esperat, Babe Sheena T.
Fabian, Gracelle Erica L.
Fernandez, Zefanie F.
Flores, Kathleen Mei T.S
Francisco, Mariah Erika Faye M.
Franchesca, Pia
Gonzales, Francesca Rae M.
Viloria, Freha A.
Yanga, Anton Victor F.

Is presented to:
College of Nursing
December 2021

Mr. Julius Lapasaran, USRN, MAN

Adviser
 Table of Contents

ACKNOWLEDGEMENT…………………………………………………………….…………1

Chapter I INTRODUCTION ……….………………………………………………………..2-3

1.1.1 Purpose / Rationale …………………………………………………………….3
1.1.2 Review of Related Literature ……………….……………………….………3-4
1.1.3 Statement of the Problem …………………………………………….…..…5-6
1.1.4 Methodology ………………………………………………..…………………...6
1.1.5 Limitation …………………………………...…………...……………………….6

Chapter II Target Community Profile

2.1 Geographical Identifiers …………………………………………………...…..……....6
2.1.1 Historical Background ……………………………………..………………….6-7
2.1.2 Organizational Chart of Barangay Boalan……………………………....……..8
2.1.3 Organizational Chart of Boalan Health Center ……………………....……9-10
2.1.4 Community Organizing Officers …………………………………………...….11
2.1.5 Group Officer ……………………………………………………………………12
2.1.6 Spot Map of Boalan……..………………………………..…………………….13

Chapter III Demographic Data

3.1 Total Population ….………………………………….……………………………14
3.2 Total Population of Boalan ……………………………...……….………………14
3.3 Population Density …………………………………………………..……………14
3.4 Total Families Surveyed ……………………………..………………….……….14
3.5 Total Number of Household …….………………….……………………………14

Chapter IV Socio- Demographic Data

4.1 Gender Distribution ………………………………………………...……………..15
4.2 Age Distribution …………………………………………….…………….……….15
4.3 Family Structure ………………………………………..……………………..16-17

Chapter V Socio – Economic and Cultural Data

5.1 Highest Educational Attainment ……………………………………...…………18
5.2 Occupation …………………………………………………………….……..……18
5.3 Religious Affiliation …………………………………………………..……………19
5.4 Ethnic Background …………………………………………………………..……19
5.5 Monthly Income …………………………………….…………………….……….20
Chapter VI Environmental Factor
6.1 Home Ownership ………………………………….………………………………21
6.2 Structure of the House ……………………………………………………...……21
6.3 Lighting Facilities …………………….……………………………………………22
6.4 Water Supply ………………………………………………………………………22
6.5 Storage Water ………………………………….………………………………….23
6.6 Cooking Facilities .………………………..……………………………………….23
6.7 Drainage Facilities …………………………………………………….………….24
6.8 Methods of Disposal …………………………………………………………..….24
6.9 Type of Toilet ……………….……………….…………………………………….25
6.10 Domestic Animals ……….………………………………………………………25
6.11 General Housing Condition …..……………………………………..………….26

Chapter VII Health Profile

7. 1 Nutritional Status ……….…………………………………..…………………….27
7.2 Immunization Status of Children ……….………………………….……......27-29
7.3 Family Planning ……….…………………………………………………………..29

Chapter VIII
8.1 Problem Tree ……………………………………….………..……………………30
8.2 Ranking ……….………………………………..………………………………31-32

Chapter IX
9.1 Community Nursing Care Plan ……….…………………….……………….33-38

Chapter X Discussion and Implication .…………………………………..……………..39

Chapter XI Conclusion and Recommendation …………………………………….40-41

Appendices
I. Sample Assessment Data Base ……….………………………………..42-51
II. Attendance Sheet……….……………………………………………..….52-54
III. Letters ……….……………………………………………………………..55-57
IV. Programme ……….………………………………………………….……58-60
V. Certificate ……….……………………………………………………………..61
VI. Documentation ……….………………………………………………..….62-64
Bibliography …..….………………………………………………………………...………..65
 ACKNOWLEDGEMENT

We, the Ateneo University of Zamboanga Level III Nursing Students, would like
to extend our sincerest gratitude for the encouragement, support, and patience to all for
making this research study possible. Before anything else, we offer our praises and
thanks to our Almighty God, our most gracious and heavenly Father. This study would
not be possible without His blessing and His power to drive us all towards the end of
this study.

To Mrs. Lorna B. Paber, RN, MAN, the Dean of the College of Nursing, for
allowing the nursing students to conduct this case study.

To Mr. Julius Lapasaran, RN, MAN, our Clinical Instructor and COPAR Research
Advisor, who provided guidance and expertise from the beginning to the success of this
case study. In addition, we extend our sincerest appreciation to our adviser and Mrs.
Elena Tierra for their unconditional and tireless guidance and support during the time
that the nursing students are collecting case study samples, data, and other information
needed for the case study. 

To the Faculty of the College of Nursing, as well as the respectable and

professional group of panelists in the case presentation, who assist us in becoming
holistically competent registered nurses in the future through their passionate teachings.
Furthermore, we would like to express our sincerest gratitude to our clients for their
significant contribution and involvement.

Lastly, this research is dedicated to the students' parents and families, who
provided them with guidance, love, inspiration, and moral support throughout their
academic journey. This study is also dedicated to the students’ classmates and friends
for their uplifting support and encouragement throughout the case study.
 CHAPTER I

INTRODUCTION

Within a community where people share common characteristics, interests, values, and
the same geographical boundary, these people who live in a specific area tend to have
usual conditions found like health and environmental problems that are still relevant
today (World Health Organization). And through community health nursing, which is a
practice that takes place outside the rural and isolated areas, where people, especially
those who are most oppressed and deprived that are open to change, must take action
and prioritize to build an organized and stable community. To provide the action that will
enable to bring out the change in the community, they also need to immerse
themselves, participate, and be involved in promoting, preventing, and maintaining
health in the community.

COPAR (Community Organizing Participatory Action Research) is a vital part of

public health nursing that aims to transform the apathetic, individualistic, and voiceless
poor into a dynamic, participatory, and politically responsive community (Vera, 2013). It
strives to help the community to recognize problems and come up with the solution
through community participation in development activities, such as building people's
organizations to mobilize and enhance their capabilities for the resolution of their issues
and concerns towards effecting the change in their oppressive and exploitative
conditions (National Rural Conference, 1994). Within the existence of the pandemic that
is still rampant up until today, problems such as malnutrition, poor environmental
sanitation, and the lack of knowledge regarding COVID vaccination is still very alarming
to those people in the community that is affected by the lack of awareness and
promotion of health in the community.

The Level III Nursing Students of Ateneo de Zamboanga University conducted

COPAR to immerse themselves in organizing and identifying problems in a specific
community. And within the special investigation of all lists potential communities that the
researchers discussed, the researchers decided to choose Enriquez Drive, Bolan.
Because of the lack of income of the barangay, most of the problems here like,
malnutrition, poor environmental sanitation, and lack of knowledge regarding COVID
vaccination, didn't immediately taken in action.

Beyond the existence of the pandemic, most of the people in Enriquez Drive have
been affected by the virus causes more people to be unemployed and have low income,
which is not enough to support and sustain their needs, especially for their children's
nutritional needs. These underlying cues to lead most children as well in Enriquez Drive
to be malnourished and underweight. Though the barangay is aware of the health
threats of this health problem, they ignored its possible risks and action, which cause
the growing consequences of malnutrition and other underlying health problems related
to it, such as poor environmental sanitation and COVID vaccination.

The researchers' goal is to make the community promote a healthy lifestyle against
these underlying health problems by providing accurate and concise health education to
the community, which allows them to improve and achieve the desired lifestyle that will
help alleviate and prevent diseases.

1.1.1 Purpose/Rationale
The purpose of this study is to help the Enrique Drive community, Boalan zone II,
take appropriate action to resolve problems such as the common illness which is
Malnutrition and possible infections due to lack of immunization and to encourage the
affected family to develop proper budgeting and waste management skills. To achieve
this goal, researchers will provide actions such as nursing management and health
education wherein we will be able to provide information and knowledge to help the
community be aware of the present disease and prevention of illness.

1.1.2 Review of Related Literature

Food security means that everyone has enough safe and nutritious food all year
round which will lead to an active and healthy life. It also means food is produced and
distributed in ways that promote a healthy environment, community self-reliance, and
enough good food for every individual in the community.
 Since younger children are known to be the most vulnerable individuals and at
risk as they are both still growing and learning, parasitic infections potentially threaten a
child’s overall physical and psychological development and may cause or aggravate
malnutrition (Stephenson et al., 2000). Malnutrition in many developing countries affects
the physical, mental, social wellbeing and child development and it is associated with
lower enrollment and poor cognitive functioning among children attending school
(Francis et al., 2012). These authors also described that the nutritional status of people
infected with helminths is altered through a decline in food intake and an increase in
nutrient wastage through blood loss, vomiting or diarrhea. In some underdeveloped
regions, they are a major cause of childhood diarrhea and stunting of growth and cause
significant economic losses related to human health and to agriculture (Roberts et al.,
1994; Guerrant et al., 2002).

Childhood undernutrition remained stubbornly prevalent. The root causes of

undernutrition lay in the lack of household economic resources, particularly women’s
lack of access to income.

Nutritionists define undernutrition as the inadequate daily intake of diet,

measured in calorie intake while malnutrition as imbalance or inadequately in the quality
of the diet (Boyd, 1950). If such inadequate calorie intake is allowed to take place over a
continuous span of time, the result will be lack of sufficient physical development and
less activity on the part of children. For adults, undernutrition could result in reduction of
the body weight or physical activity or both.

Malnutrition causes diarrhea – diarrhea causes malnutrition. For all children, not
having enough to eat (malnutrition) and being ill each makes the other worse. When
children are ill, they cannot make use of all the nutrition from the food they eat, and they
often eat less, making them even weaker and more likely to stay ill or become ill again
soon and eventually may lead to death.

Malnutrition lowers resistance to infection, including infection by parasites. As a

result, the malnourished people are heavily burdened by a herd of parasites.
Malnourished children grow slowly and learn poorly in school or are too weak to go to
school. Moreover, poor nutrition can lead to poor health, which can lead to poor
performance at school, and poor schools can lead to unemployment.

Poverty threshold or poverty line is the minimum income required for a family or
individual to meet the basic household needs. According to the 2015 Philippine
Statistics Authority (PSA) data, a minimum of 9,064 PHP is needed monthly to meet
both basic food and non-food requirements of a Filipino family with 5 members having a
budget of 1,813 php for each member. The national goal is to lower the percentage of
families below poverty threshold to 17.2%.

After infecting and causing the death of thousands of persons in China, the virus
has spread, reaching Italy and other European countries and the USA, with the number
of confirmed new cases currently increasing every day. The WHO declared it a
pandemic due to the widespread infectivity and high contagion rate. Many efforts have
been directed toward the development of vaccines against COVID-19 to avert the
pandemic and most of the developing vaccine candidates have been using the S-
protein of SARS-CoV-2.5 Currently, three vaccines are authorized and recommended to
prevent COVID-19. Large-scale (phase 3) clinical trials are also in progress or being
planned for other COVID-19 vaccines in the United States.

The presence of available vaccines is the key element to minimize new

infections, so it is crucial to vaccinate people, and especially healthcare workers.
However, the willingness for vaccination is deeply influenced especially by the mistrust
of health authorities.

The World Health Organization (WHO) defined the vaccine hesitancy as a

behavior, influenced by several factors including issues of confidence (do not trust
vaccine or provider), complacency (do not perceive a need for a vaccine, do not value
the vaccine), and convenience (access). Vaccine-hesitant individuals are a
heterogeneous group who hold varying degrees of indecision about specific vaccines or
vaccination in general. Vaccine-hesitant individuals may accept all vaccines but remain
concerned about vaccines, some may refuse or delay some vaccines but accept others;
some individuals may refuse all vaccines.
1.1.3 Statement of the Problem

This research study aims to find ways on how residents of Enrique Drive, Boalan
Zone II obtain knowledge and application of learnings on the prevention of Malnutrition,
Improper waste management, lack of immunization and inadequate family income.
Specifically, it will answer the following questions:

1. What is the common cause of Malnutrition, Improper waste management, lack of

immunization and inadequate family income in the community?
2. How does Malnutrition, Improper waste management, lack of immunization and
inadequate family income affect the daily life of an individual in the community?
3. What are the interventions made and how will it improve the lifestyle of the
community?
4. What is the level of awareness of the residents of Enrique Drive, Boalan Zone II
with regards to the prevention of Malnutrition, Improper waste management, lack
of immunization and inadequate family income?

1.1.4 Methodology

This part of the study discusses the methods and processes of data gathering.
The techniques utilized in conducting the research, the population, and instruments will
be also included in the study.

The researchers are the students from Ateneo de Zamboanga University, Level
III Nursing students. This research was conducted at Enrique Drive, Barangay Boalan
Zone II, Zamboanga City. The researchers were paired to collect data through
Assessment Database which is an instrument tool in gathering data. There were a total
of 12 families that the researchers were able to randomly interview during the first week
of their visit. Once the data are all complete, it will be analyzed and interpreted by the
researchers through a pie chart and percentage which will be presented in the
succeeding chapters.

1.1.5 Limitation of the Study

The study is only intended for the residents of Enrique Drive, Boalan Zone II
wherein the researchers only selected 12 families to gather the data needed for the
study. The timeframe for this study will be only for 3 weeks to achieve the goal of the
researcher which is to make the residents to be more independent, empowered and to
improve their way of living.
 CHAPTER II

TARGET COMMUNITY PROFILE

2.1.1 Historical Background

Boalan is located near the East Coast of Zamboanga City and is along the main
highway. It is approximately 8 kilometers from City Hall.

The story goes that during the Spanish era, a group of Spanish soldiers came upon
this place, and they saw a small nipa hut which happened to be inhabited by a Chinese.
When they approached the Chinese, the soldiers inquired about the name of the place,
the Chinese who hardly understand Spanish replied by uttering the word “bolang” which
means in Chinese language as “no people”, thinking that he was being asked about the
other people living in the neighborhood. That time rare are the individuals living in the
place. Hence, the Spaniards took it as the answer to their question and even went to the
extent of understanding it as “Boalan” instead of Bolang. Then and there, the word
Boalan sprung as the name of this Barangay.

Most of the people from Boalan can trace back their lineage to the original
Zamboangueños, Filipino by ancestry, professing Roman Catholic religion and their
medium of communication is Chavacano. Most of the people are engaged in farming as
their means of livelihood. The people are educated in English schools. Sports is their
main recreation. The Barangay itself is a tourist spot because it is the only Barangay
where the rice fields are planted all year round.
2.1.2 Organizational Chart of Barangay Boalan

Teresita C. Francisco Angelica G. Inot Jan Tristan A. Santiago

Barangay Secretary BARANGAY CAPTAIN SK Chairman

Benjamin E. Limen Alicia F. Cabayacruz Jesus F. Inot

Cherryl S. Tubo Barangay Kagawad Barangay Kagawad Barangay Kagawad
Barangay Treasurer

Javier C. Atilano Jr. Rommel T. Enriquez Jocelyn G. Enriquez Wilfredo F. Inot

Barangay Kagawad Barangay Kagawad Barangay Kagawad Barangay Kagawad
2.1.3 Organizational Chart of Boalan Health Center

Rosanna L. Arquiza, MD, MHA

Medical Officer IV

Jocelyn G. Alavar, RN
District Nurse

Ralf N. Garcia
Sanitary Inspector

Eleonor E. Toribio Edlyn G. Cabayacruz Cristy S. Mariano, RM

Barangay Health Barangay Health Midwife II
Volunteer Volunteer

Terany Mae H. Maristela, RN John Vincent F. Alvarez, RM

DOH – Human Resource for Health NDP/RHMPP

Tracy Anne S. Delos Reyes Milabel Lacastesantos Marilen F. Atilano Marites A. Galvez Mercidita F. Divino
Barangay Nutrition Scholar Barangay Health Worker Barangay Health Worker Barangay Health Worker Barangay Health Worker

Ella G. Barillo Benildes F. Fernandez Dominiciana R. Gaspar

Barangay Health Worker Barangay Health Barangay Health Worker
Worker
2.1.4 Community Organizing Officers

Angie Fabian
PRESIDENT

Lucile Fernandez Teresita Francisco

VICE - PRESIDENT SECRETARY

Casper Arabani Cheryl Tubo

P.I.O TREASURER
2.1.5 Group Officers

Sheryhan Tahir Bayle Gracelle Erica Fabian Reem Arabani

PRESIDENT VICE - PRESIDENT SECRETARY

Francesca Gonzales Sheena Babe Esperat Zefanie Fernandez

TREASURER Auditor P.I.O

Mariah Erika Faye Francisco Franchesca Pia Yumol Anton Yanga

PROJECT MANAGER PROJECT MANAGER DOCUMENTOR

Freha Viloria Muse Arakani Kathleen Mae Flores

DOCUMENTOR DOCUMENTOR DOCUMENTOR
2.1.6 Spot Map of Boalan
 CHAPTER III

DEMOGRAPHIC DATA

3.1 Total Population of Barangay 

The total population of Barangay Boalan, Zamboanga city as of 2021 is 11, 570.

3.2 Total Population of Enriquez Drive Surveyed 

The total population of Enriquez Drive, Zone II, Boalan, Zamboanga City is 59
residents in 12 families.

3.3 Population Density

Population Density is the number of people per unit of area. It is calculated by

dividing the total number of populations in an area over the total land area in square
meters multiplied by 1,000.

Total no. of population x 1,000

Population density = __________________
Total no. of sq meters
Therefore,

315
Population density = __________ x 1,000= 15.57
20, 100
As of 2021, the total population of Enriquez Drive is 315 people in a total land area
of square meters. 315 is then divided by 20, 100 which gives the quotient of 0.01567.
The quotient is further multiplied by 1,000 which gives us the population density of
15.67 in Enriquez Drive.

3.4 Total Families surveyed

The group surveyed a total number of 12 families in Zone II, Boalan, Zamboanga

City. The families that were surveyed represented a feasible number to supply the

respondents for the whole population in Zone II.

3.5 Total Number of households

The households surveyed with a total number of 12 respondents in Zone II, Boalan,

Zamboanga City.
 CHAPTER IV
SOCIO-DEMOGRAPHIC DATA
FIGURE 4.1 GENDER DISTRIBUTION

GENDER

Male
Female
46%; 46%
54%; 54%

In the data shown above, 32 are females and 27 are males in a sample size of 59.
This indicates that there are more females in the community as compared to males. 

FIGURE 4.2 AGE DISTRIBUTION

AGE

5%; 5%
Adult (25-29)
24%; 24% Children (0-14)
44%; 44% Youth (15-24)
Senior (60-above)

27%; 27%

In a sample size of 59, 26 are adults with ages ranging from 25 to 29 taking up most
of the population. 16 are children with ages ranging from 0 to 14, making it the second
leading group. There are 14 youths with ages ranging from 15 to 24, and lastly, there
are only 3 seniors with ages 60 and above, making it the lowest age group in the
population.

FIGURE 4.3 FAMILY STRUCTURE

BASED OF COMPOSITION

Nuclear
33%; 33% Extended

67%; 67%

As shown in the data above, the majority are nuclear families. Based on the data
gathered, 8 out of the 12 families are nuclear families and 4 out of 12 families are living
as extended families. There were no families living with a single parent, as well as
beanpole.
 CHAPTER V
SOCIO-ECONOMIC AND CULTURE DATA

FIGURE 5.1 HIGHEST EDUCATIONAL ATTAINMENT

HIGHEST EDUCATIONAL ATTAINMENT

2% 2% 2%

Elementary Graduate
Elementary Undergraduate
35% High School Graduate
High School Undergraduate
College Graduate
43%
College Undergraduate

16%

In the data shown above for the highest educational attainment, limiting the
responses to those who have worked and supported the household, the pie chart shows
that 13 respondents said are High School graduates, 11 respondents are College
graduates, and 5 are High School undergraduates. While one of each respondent said
are elementary graduate, elementary undergraduate, and college undergraduate.
 FIGURE
OCCUPATION Unemployed 5.2
Saleslady
2% 2%
2% 2% Helper
2%
Driver
2%
Construction Worker
2%
2% Online Seller
2%
6% 38% Laborer
Teacher
Store Manager
6%
Vendor
Launderer
10% Electrician
Fisherman
Security Guard
12% 12%
Farmer

OCCUPATION

Based on the pie chart shown above for the occupation, limiting the respondents
of adults supporting the household, not including ages ranging from 17 below and 60
above, 12 of them said are unemployed, four respondents said working as a saleslady
and four also said to be working as a helper. Three of the respondents are working as a
driver. 2 respondents said working as a construction worker, and 2 also are online
sellers. The rest represents one respondent of the data works as a laborer, teacher,
store manager, vendor, launderer, electrician, fisherman, security guard, and farmer.
FIGURE 5.3 RELIGION AFFILIATION

RELIGION AFFILIATION
5%

Roman Catholic
31% Islam
Protestant

64%

The data shown above represent the religious affiliation of the 12 household
families, and 39 out of 59 of the residents are Roman Catholic, 19 out of 59 are Islam,
and 3 out of 59 are Protestant.

FIGURE 5.4 ETHNIC BACKGROUND

ETHNIC BACKGROUND
10%

10%
Zamboangueño
Tausug
Bisaya
Sinama
Tagalog
58%
22%
 In the data shown above for the ethnic background of the 12 household families, 34
out of 59 are Zamboangeños, leading most of the residents in Enriquez Drive. 13 out of
59 are Tausug, 6 out of 59 are Bisaya and Sinama, and 3 out of 59 are Tagalog.

FIGURE 5.5 MONTHLY BACKGROUND

MONTHLY BACKGROUND

13% Below 2,500

8% 33% 2,500 to 5,000
above 5,000 to 7,500
above 7,500 to 10,000
above 10,000 to 12,500
20%

28%

The chart shown above represents the monthly background check of the 12
household families, limiting the respondents to those who have worked for their family.
Eight respondents answered below 2,500, 7 respondents have around 2,500 to 5,000, 5
respondents have above 5,000 to 7,500, 3 respondents said to have above 10,000 to
12,500, and 2 have above 7,500 to 10,000.
 CHAPTER VI
ENVIRONMENTAL FACTORS
FIGURE 6.1 HOME OWNERSHIP

HOME OWNERSHIP

Owned
Rented
42%
Free

58%

The chart above represents 12 families concerning their homeownership. The said
question has three choices: owned, rented, free. 7 families own their homes, while 5
families answered that they are renting their own homes.

FIGURE 6.2 STRUCTURE OF THE HOUSE

STRUCTURE OF THE HOUSE

Light
33%
Mixed
Strong

67%
 The 12 families were given 3 choices regarding the structure of their house: light,
mixed, strong. 4 family answered that their house's structure is light, and 8 families
responded that they used mixed materials for the structure of their house.

FIGURE 6.3 LIGHTING FACILITIES

LIGHTHING FACILITIES

8%

Electricity
Kerosene

92%

The chart above indicates the lightning facility of the 12 families. They were given 2
choices: kerosene, electricity. The chart shows that majority of the families use
electricity for their source of light, while only 1 family uses kerosene for their lightning
source.

FIGURE 6.4 WATER SUPPLY

DRINKING SOURCE

25%
Private
Public

75%
PORTABILITY

36% Safe
Unsafe

64%
 Based on the chart, there were choices given concerning their water supply: private
and public, and safe or unsafe. 9 families answered that they have a public water
supply, while 3 families responded that they have a private water supply. 8 families
responded that they have an unsafe water portability, and 4 families responded that
they have a safe water portability.

FIGURE 6.5 STORAGE WATER

STORAGE WATER

Direct from faucet or pipe

33%
Covered container with faucet
Large uncovered without faucet

67%

In the chart above, 12 households were asked how they store their water. Three
options were given: direct pipe, covered container, or a large uncovered without faucet.
4 households answered that their water storage is direct from a faucet or pipe, and 8
households answered that their water storage is in a covered container with a faucet.
FIGURE 6.6 COOKING FACILITIES

COOKING FACILITY

Electric
36% Gas stove
Firewood/Charcoal

64%

The chart shows the responses of the 12 families concerning their cooking facilities.
Three choices were given: electric, stove, firewood/charcoal. 4 families responded that
they utilize gas stoves for cooking, and the majority responded that they utilize
firewood/charcoal.

FIGURE 6.7 DRAINAGE FACILITIES

DRAINAGE FACILITIES

8%
Open drainage
Blind drainage
None
50%
42%
 The chart reflects the drainage facilities of the 12 families. There were 3 options in
this question: open drainage, blind drainage, or if none. 6 families answered open
drainage, 5 answered blind drainage, and 1 family responded with no drainage facility.

FIGURE 6.8 METHODS OF DISPOSAL

METHODS OF DISPOSAL

17%
Open dumping
Open burning

83%

The 12 households were asked about the method of their waste disposal. There
were 6 options listed: hog-feeding, open dumping, burial in pit, composting, open
burning, garbage collection. The chart shows that 10 families answered open dumping,
and 2 families answered that their waste disposal is through open burning.

FIGURE 6.9 TYPE OF TOILET

 TYPE OF TOILET

17% 17%
Antipolo system
Pail system
Flush type
Other (Dry toilet)
25%

42%

In the data above, 12 families were given 9 options regarding the type of their toilet:
an overhung latrine, open-pit privy, closed pit privy, bored hole latrine, pail system,
Antipolo system, water sealed latrine, and if none. The chart shows that 2 families utilize
the Antipolo system, 5 utilize the pail system, 3 families use flush type, and 2 families
answered others, specifying the utilization of dry toilets.

FIGURE 6.10 DOMESTIC ANIMAL

DOMESTIC ANIMAL
14

12

10

8
Type of Toilet
6 12
11
10 10
4 8

2
2
0
With Pets Without Pets Dogs Kept Dogs Kept Cats Kept Cats Kept
Inside Outside Inside Outside

The graph depicts the answer of the 12 households to the presence of pets or
domestic animals at their homes. Out of 12, only 10 households’ own pets at their
homes. 6 families have dogs as their pets, and 6 families have cats. 2 families have
both dogs and cats. 6 families keep their pets inside, while the rest keeps their pets
outside

FIGURE 6.11 GENERAL HOUSING CONDITIONS

GENERAL SANITARY CONDITION

33% Poor
Good
Excellent

67%

HOUSE CONGESTION

25%
Uncongested
Congested

75%

PRESENCE OF BREEDING FACTORS

25%
Vector
None

75%
 The general housing condition is divided into three essential subcategories: general
sanitary condition, house congestion, and breeding factors. In the General Sanitary
Condition category, among the 12 families, 8 families answered that they have a poor
general sanitary condition, and 4 families responded good. Under the House
Congestion category, 3 families answered that the spaces between their houses are
uncongested, while 9 families answered congested. In terms of the presence of
Breeding Factors, 9 families answered that there are visible breeding factors in their
area, and 3 families answered that there is no presence of breeding factors around
them.
 CHAPTER VII

HEALTH PROFILE

FIGURE 7.1. NUTRITIONAL STATUS

NUTRITIONAL STATUS

Good
42% Not Good

58%

The chart shows the Nutritional Status of 12 households with a total of 59 members
surveyed in Enriquez Drive, Barangay Boalan. A total of 35 are in good condition while
25 are with existing comorbidities such as Malnutrition, ranking as the major problem,
others with hypertension, asthma, diabetes, and Gout.

FIGURE 7.2. IMMUNIZATION STATUS OF CHILDREN

 IMMUNIZATION STATUS

6%

Complete
Incomplete

94%

The chart shows the immunization status of 12 households with a total of 59

members surveyed in Enriquez Drive, Barangay Boalan. Majority of the households
were fully immunized except for one.

VACCINATION STATUS

31% Fully vaccinated

1st dose
Not yet vaccinated

2%
67%

The chart shows the Vaccination status of 12 households with a total of 59

members, where 10 children below 12 years old are not included in the survey of
Enriquez Drive, Barangay Boalan. A total of 33 are not yet vaccinated, 15 are fully
vaccinated, and 1 done with their 1st dose. Most of the households failed to be
vaccinated due to certain factors (e.g., fear, perception, beliefs, and hoax news).
 VACCINATION BRANDS

6%
Sinovac
13%
AstraZeneca
Pfizer
44% Moderna
Johnsons & Johnsons
25%

13%

The chart shows the Vaccine brands taken by the 12 households with a total of 59
members where 10 children below 12 years old are not included in the survey of
Enriquez Drive, Barangay Boalan. A total of 7 were vaccinated of Sinovac, 2 of
AstraZeneca, 4 of Pfizer, 2 of Moderna, and 1 of Johnsons & Johnsons. Thus, Sinovac
is the most preferable vaccine brand of the majority.

VACCINATION IN AGE GROUPS

6% 6%
Children
Youth
25%
Adult
Senior

63%

The chart shows the Vaccination in age groups of the 12 households with a total of
59 members where 10 children below 12 years old are not included in the survey in
Enriquez Drive, Barangay Boalan. The group of adults (25-59) is the highest vaccinated
group of 15 responses, followed by the youth (15-24) of 5, Senior (60 above) of 3, and
Children (0-14) of 1. The results vary depending on the individual’s perception, beliefs,
and feelings.

FIGURE 7.3. FAMILY

FAMILY PLANNING PLANNING

Natural
Artificial

100%

The chart shows the Family planning of the 12 households with a total of 59
members surveyed in Enriquez Drive, Barangay Boalan. All the family members in the
12 households used the natural method.
 ASSESSMENT DATA BASE IN FAMILY NURSING PRACTICE
ADDRESS: Enriquez Drive Boalan II FAMILY NUMBER:
_____ N/A______
Street / Road Barangay Zone
A. FAMILY STRUCTURE, CHARACTERISTICS, & DYNAMICS / RELATIONAL PATTERNS
1. Members of the Household
Name of Family Age Birthdate Sex Civil Status Position in the Relationship to the
Member Family Head of the Family
Month Year
ZLF 75 March 1946 F Widow Grandmother Mother
JMF 45 Februar 1976 M Married Father Head
y
NLG 40 January 1981 F Married Aunt Sister
AFF 10 March 2011 F Single Daughter Eldest Daughter
DFF 5 April 2016 M Single 1st Son Nephew
SFF 3 January 2018 M Single 2nd Son Youngest Son

2. Socio-demographic data of members not currently living in the household but with a major role in resource generation
and use.
Name of Family Age Birthdate Sex Marital Highest Occupation Relationship
Member Status Educational to the Head of
Month Year Type of Work Place
Attainment the Family
JAFL 49 May 1971 F Married 4th year Cashier Davao Wife
College
LDG 39 August 1982 M Married 4th year High Factory Pagadia Brother-in-law
school Worker n
NNF 29 June 1992 M Single 3rd year High Fisherman Cebu Brother
School

3. Length of Residency: __ 15 years_____

4. Type of Family Structure and Form

Based on Composition Based on Locus of Power Based
on Place of Residency

⬜ Nuclear Family ⬜ Step-family / Blended ⬜ Patrifocal / Patriarchal ⬜ Patrilocal

⬛ Extended ⬜ Single ⬜ Matrifocal / Matriarchal ⬜

Matrilocal

⬜ Beanpole ⬜ Same-sex / Homosexual ⬛ Egalitarian ⬛

Bilocal

⬜ Single-Parent ⬜ Cohabiting / Communal ⬜ Matricentric

 5. Family Dynamics, Communication Pattern/s, Interaction Processes and Interpersonal Relationships
Criteria Status Additional Information
Observable Conflicts between family Minimal Minor conflicts are observed between children fighting over a
members toy, which causes minor misunderstandings between the
mother and sister-in-law.
Characteristics of communication Very Good The adults in the household are very open to each other's
opinions and listen to each other's ideas and suggestions.
Interaction patterns among members Very Good Interaction among members has been observed wherein they
are very expressive of their feelings openly and interact very
well during mealtime.
Others
B. SOCIO-ECONOMIC & CULTURAL CHARACTERISTICS
Name of Family Ethnic Religion Highest Educational Occupation Income
Member Background Attainment
Nature of Work Place of Work
JMF Bisaya Roman 4th year High School Construction Zamboanga 1
Catholic Worker
NLG Bisaya Roman 4th year College Saleslady Zamboanga 2
Catholic
ZLF Bisaya Roman 4th year High School
Catholic
AFF Bisaya Roman
Catholic
 DFF Bisaya Roman
Catholic
SFF Bisaya Roman
Catholic
Legend for Monthly Family Income
1 – Below 2,500 3 – above 5,000 to 7,500 5 – above 10,000 to 12,500 7 – above 15,000 to 17,500
9 – above 20,000 to 25,000
2 – 2,500 to 5,000 4 – above 7,500 to 10,000 6 – above 12,500 to 15,000 8 – above 17,500 to 20,000
10 – above 25,000
1. Income and Expenses
a. Adequacy to Meet Basic Necessities
The monthly income of the family members allows them to eat two times a day, and because they are not financially
stable, sometimes once a day. They also prioritize providing education for their children in a public school and a small
house to live in with enough space to sleep.
2. Family Traditions, events or practices affecting members’ health or family functioning
The head believes that vaccines for the virus are not effective, and the grandmother also only believes in albularyo.
Mr. JMF verbalized, “And use herbal medicines for her asthmatic child. Mr. JMF verbalized, “ah gihimo himo ang sa
gobyerno ang covid, gi himo lang nila na para magkapondo sila.” He also added, “pati di na gyud ko mutoo naa kay
daghan gyud ga sabi sabi na daghan daw namatay sa covid vaccine ug mga side effects na mu sakit daw imuhang
sakit”.
Significant Others – role (s) they play in family’s life.
Name Role and Relation to Family
JFP The brother of the head helps them with financial support
and transactions in children's education.
NFM The sister of the wife helps in for medical support and
transactions, especially for the mother-in-law.
3. Relationship of the Family to Larger Community – Nature and extent of participation of the family in community
activities
a. Awareness of existing organization ⬜ Yes Name_______________________ ⬛ No
b. Membership in an organization ⬜ Yes Name_______________________ ⬛ No Why? Lack of
knowledge regarding the different existing organizations.
c. Involvement in an organization ⬜ Yes Name_______________________ ⬛ No Why? Lack of
knowledge regarding the different existing organizations.
d. Potential or Existing leaders_ N/A__________________________________________________________________

C. HOME AND ENVIRONMENT

1. Home
Ownership: ⬜ Owned ⬛ Rented ⬜ Free Constructional material used: ⬜ Light ⬛ Mixed
⬜ Strong
Lighting Facilities: ⬛ Electricity ⬜ Kerosene Others (Specify):
________________________________________
Number of rooms used for sleeping & sleeping arrangement: They have two small rooms for the father and
grandmother, and the sister and children sleep in the living room.
2. Water supply
Drinking: Source ⬜ Private ⬛ Public Potability: specify if safe for drinking ⬜ Safe
⬛ Unsafe
Storage ⬜ Direct from faucet or pipe ⬛ Covered container with faucet ⬜ Large uncovered
without faucet
Other/s (specify):
___________________________________________________________________________

3. Food storage and cooking facilities

Cooking facility: ⬜ Electric ⬜ Gas stove ⬛ Firewood / Charcoal
 Sanitary condition: The sanitary condition is poor, and they are not bothered about the cleanliness in the area
because of the small living space they live in.
Drainage Facility: ⬛ open drainage ⬜ blind drainage
4. Waste Disposal
a. Refuse and Garbage
● Container ⬜ covered ⬛ open ⬜ none
● Method of Disposal: ⬜ hog feeding ⬛ open dumping ⬜ burial in pit ⬜ composting ⬜ open burning
⬜ garbage collection Other/s (specify):
_________________________________________________________________________
b. Toilet
● Type: ⬜ none ⬜ overhung latrine ⬜ open pit privy ⬜ closed pit privy ⬜ bored-hole
latrine ⬜ pail system
⬜ Antipolo type ⬜ water-sealed latrine ⬜ flush type others (specify)
Dry toilet
● Distance from the house: The toilet is located inside the
house.__________________________________________
● Sanitary condition: The toilet is located outside of the house close to the dirty kitchen.______________
Domestic Animals:
Kind Number Where kept
Dog 1 Outside
Cat 3 Outside

5. The Community in General

 a. General sanitary condition: The general sanitary condition of the community is poor, garbage is an open
dumping, and there are lots of breeding sites especially for mosquitos.
b. Housing congestion: The houses are congested and some areas also are separated in small distances.
c. Presence of breeding or resting sites of vectors of disease: The presence of vectors of diseases such as rats
located in canals and insects such as bees in plants and mosquitos in dirty water that could be at risk in
dengue.
d. Recreational facility: There is a basketball court located in the area where people play and hang out.
e. Availability of health care services: Boalan Health Care Center
f. Distance of house from nearest health care facility: The distance of the house from the nearest health care
facility is 8-10 minutes walking distance and 2-3 minutes within the use of a vehicle.
g. Communication and Transportation Facilities available: The family owns one sikad, and public transportation is
available in the area such as habal, jeepney, and tricycle.

D. HEALTH STATUS OF EACH FAMILY MEMBER

1. Medical & Nursing History
Family Health Status/Health History Family Health Status/Health History
Member Member
ZLF Present History: Has been coughing AFF Present History: Having on and off
for the past few days and has colds. asthma attacks at night.
Past History: Hospitalized due to Past History: UTI, chicken pox
appendicitis.
Family History: Hypertension (Father
Family History: Hypertension, side)
Diabetes
V/S:
 V/S: T: 36.7 C
T: 37.0 C RR: 14 bpm
HR: 17 bpm HR: 80 bpm
PR: 88 bpm BP: 120/70
BP: 130/80
JMF Present History: Feeling nape pain DFF Present History: Looks pale and
and headaches for the past few days. lethargic and underweight with a weight
of 12 kgs.
Past History: N/A
Past History: N/A
Family History: Hypertension
Family History: Hypertension (Father
V/S:
side)
T: 36.6 C
V/S:
RR: 18 bpm
T: 36.5 C
PR: 90 bpm
RR: 20 bpm
BP: 140/90 mmHg
HR: 75 bpm
BP: 110/55 mmHg
NLG Present History: Feeling okay SFF Present History: Looks pale, lethargic,
nowadays. markedly underweight with weight of 10
kgs, and malnourished.
Past History: N/A
Past History: Scabies
Family History: Hypertension
Family History: Hypertension (Mother
V/S:
side), Diabetes (Father side)
 T: 36.4 C V/S:
RR: 17 bpm T: 36.4 C
HR: 90 bpm RR: 25 bpm
BP: 120/90 mmHg HR: 85 bpm
BP: 90/70 mmHg

2. Nutritional Assessment

a. Anthropometric Data: Measure of Nutritional Status of Children

● Anthropometric Data (Children)
Name of Family Weight Height Mid-Arm Circumference
Member
AFF 10 kg 80 cm 11.5 cm (severe malnutrition)
● Anthropometric Data (Adults)
Name of Family Member Weight Height Body Mass Index Waist Circumference
ZLF 55 kg 150 cm 24.4 (normal) 36 cm
JMF 60 kg 19 cm 24.6 (normal) 28 cm
NLG 40 kg 150 cm 17.7 (underweight) 23 cm
b. Dietary History specifying quality & quantity of food / nutrient intake per day
The members of the household family eat two times a day. If they have enough money, they buy food from the
carinderia and if not, they usually eat rice with toyo.
c. Eating / Feeding habits / practices
 d. In the morning, they usually go for pandesal from the bakery or none if they don't have money, and at lunch and
dinner, they eat a proper meal depending on what the money can afford.
e. Risk factor assessment indicating presence of major & contributing modifiable risk factors for specific lifestyle
diseases:
f. According to our assessment, most family members suffer from malnourishment, especially the children in the
household, and hypertension in adults. Poor sanitation is also present in the house with no proper water
storage, which could be at risk of dengue.
g. Result of laboratory / diagnostic & other screening procedures supportive of assessment findings: N/A

E. VALUES, HABITS, PRACTICES ON HEALTH PROMOTION, MAINTENANCE & DISEASE PREVENTION

1. Immunization status of family members
Name of Child Immunization Status Remarks
DFF Complete Immunization (BCG, N/A
Hepa B, DPT-Hepb-Hib, Oral Polio,
Rotavirus, anti-measles, MMR)
SFF Complete Immunization (BCG, N/A
Hepa B, DPT-Hepb-Hib, Oral Polio,
Rotavirus, anti-measles, MMR)
2. Vaccination status of family members
Names of Adult Vaccination Status Remarks
ZLF Not vaccinated N/A
JMF Not vaccinated N/A
NLG Not vaccinated N/A
 3. Healthy lifestyle practices
The family members sometimes do exercising, stretching, and meditating.
4. Adequacy of:
a. Rest & Sleep ⬛ Yes specify: The family rest and sleeps around 8-10 hours a day. ⬜ No
Why___________________
b. Exercise / Activities ⬛ Yes specify: The family does play basketball sometimes. ⬜ No Why
_____________________
c. Use of Protective Measures ⬛ Yes specify: Face mask, face shield, and alcohol ⬜ No Why
_____________________
d. Relaxation & other stress management activities ⬛ specify: Listening to radio ⬜ No
Why_______________________
e. Opportunities which enhance feelings of self-worth, self-efficacy and sense of connectedness to self, others and
a higher power, essence of meaningfulness ⬜ Yes specify: ____________________________ ⬛ No
5. Use of promotive-preventive health services ⬜ Yes specify: ______________⬛ No Why No budget
5. Used of Family Planning Methods
A. Type
⬛Natural
Abstinence Lactational Amenorrhea method Basal Body Temperature Cervical Mucus
Symptothermal Method Standard Days Method
Artificial
Hormonal
Oral contraceptive Specify: progesterone-only oral contractive Low-Dose
Combined Oral Contraceptive
Injectable {depot medroxyprogesterone acetate/ Depo-proven (DMPA)}
Norplant Implant
Barrier
Intrauterine Devices Condom Diaphragm Cervical cap others: specify:
_________________
 Permanent
Tubal Ligation Vasectomy None
Are you willing to practice the Family Planning Method? Yes No
What hinders you from practicing Family Planning Method? Biological Psychological Social
Cultural
Religion Others: specify:
_________________________
B. Who taught you about Family Planning Methods?
PHN/PHM BHW Friend Neighbor Print/ Visual Ads
Student Nurse others; specify:
C. Is your husband aware of your usage of the Family Planning Method? Yes No
D. Do you know the side effects of the Family Planning Method as a result of its use? Yes No
Change in menstrual bleeding Headache Nausea Weight
Gain Moodiness
Delayed return of fertility Dizziness Acne in women Nervousness
Change in Appetite
Enlargement of ovaries/ovarian cyst Hair Loss Breast Tenderness Others;
specify:_____________________
E. Do you have Misconceptions about Family Planning Methods? Yes No
Some FP method cause abortion Using Contraceptives will render couples sterile
Using Contractive method will results to loss of sexual desire
Others; specify:
 CHAPTER VIII

8.1. PROBLEM TREE

 8.2. SCALE RANKING
Malnutrition

Criteria Computation Actual score Justification

Nature of the problem 3/3 x 1 1 It is a health deficit that requires immediate management to eliminate untoward
presented consequences.

Malnutrition as health deficit

Modifiability of the 2/2 x 2 2 The problem is easily modifiable since the community nurses' sources are
problem presented available, we can help the family on effective budgeting of money and
scheduling of time, we can develop the skills of other members to achieve good
nutrition, proper food selection and preparation, and feeding practices.
Easily modifiable

Preventive potential 3/3 x 1 1 Susceptibility to other diseases and infections can be prevented if malnutrition is
eliminated, normal growth and development can thus be achieved.

High

Salience of the problem
A condition or problem
needing immediate attention
1/2 x 1 1 It is felt as a problem that needs immediate management since we would want
to avoid the complications of malnutrition, it should be treated as early as
possible.

Total score: 5
 Inadequate family income to obtain resources

Criteria Computation Actual score Justification

Nature of the problem 3/3 x 1 1 It is a health threat because we are unable to decide about taking appropriate
presented actions to prevent the possible occurrence of health problems in the future due
to inadequate family income. Low income can affect the health of the family in
the future due to poor budgeting skills and possible ineffective rationing of food.
Inadequate Family Income
to Obtain Resources as
Health Threat

Modifiability of the 1/2 x 2 1 It is partially modifiable since it is not yet sure if the family can maintain proper
problem presented budgeting skills in the long-run or in the future and if they are able to identify
the cause of inadequate income that failed them to obtain resources.

Partially modifiable

Preventive potential 3/3 x 1 1 Occurrence of diseases and infections in the future can be prevented if proper
budgeting skills and/or daily tracking of expenses are practiced.

High

Salience of the problem 1/2 x 1 1 It is felt as a problem but it does not need immediate management

A condition or problem not

needing immediate
attention

Total score: 4
Poor Environmental Factors
 Lack of Immunization
Criteria
Nature of the problem
presented
Lack of immunizations as
health threat
Modifiability of the problem
presented
Easily modifiable
Preventive potential
High
Salience of the problem
A condition or problem not
needing immediate attention
Total score
Computation Actual score Justification
3/3 x 1 1 It is a health threat since the cases of COVID-19 are increasing. Due to lack of
knowledge about the vaccine, some of the family members are not yet or do
not want to get vaccinated because of fear and rumors. If parental refusal
continues, this might lead to serious illnesses.
2/2 x 2 2 It is easily modifiable since the family attends our virtual meeting for
educational purposes for COVID-19 vaccination, and they are willing to learn
about the side effects and what the purpose of this vaccination is.
3/3 x 1 1 It is highly preventive since the problem can easily be solved if the family have
adequate knowledge about what COVID-19 is and the importance of
vaccination.
1/2x1 0.5 It is a condition or problem since not getting vaccination will make the family
vulnerable to COVID-19 and acquire the health condition easily but not needing
immediate attention.
4.5
 CHAPTER IX

COMMUNITY NURSING CARE PLAN

Evaluation Plan
Health Conditions/s or
Objectives of Outcome
Problems and Family Plan of Interventions Methods /
Nursing care Criteria/Indicators,
Nursing Problems
Standards Tools

Malnutrition as Health After nursing 1. Assess the capability of the Evaluation Methods:
Deficit intervention, the family to comprehend and/or Standard
community will be understand regarding
able to: malnutrition.  Virtual
Inability to recognize the meeting via
presence of malnutrition in a Rationale: To be able to know if the Zoom
Sufficient amount of  Visual aids
dependent member due to  Verbalize what family members has adequate nutritional value and (Powerpoint
lack of knowledge malnutrition is knowledge when it comes to
and its causes maintained a normal Presentation)
managing a family member who is and healthy weight.  Education
malnourished and how the affected
Program
Inability to decide about  Identify the member will cope with the present
 Interview
taking appropriate health signs and health condition.
Proper food
action due to failure to symptoms of selection
comprehend the nature, malnutrition Materials:
magnitude and scope of the 2. Educate the family about:
problem  Recognize the
Performance
manifestations  Laptop
of malnutrition a. What is Malnutrition and its Criterion/Indicator
 Record
on a affected effects on the body? s
Inability to provide adequate Review
nursing care to a member family member b. What are the clinical  Assessment
suffering from malnutrition manifestations of malnutrition? Database
c. How to prevent malnutrition? The community is
due to:  Improve the Form
nutrition and able to have
health status of adequate
Rationale: Educating the family and knowledge about Resources:
 Lack of knowledge the affected
family member the affected member about malnutrition.
about the health malnutrition will help increase their
condition knowledge and prevent this health
 Enhance the  Time and
 Lack of knowledge on problem from occurring in the future.
capability of a The community is Effort of the
the nature and extent
responsible able to identify the nursing
of nursing care
family member manifestations of student and
needed
to look after the 3. Educate the family about the malnutrition and is the
 Inadequate resources
health status proper meal plan that a community
for care (responsible able to prepare
family member and and nutritional malnourished person should proper meal plan for
financial constraints) needs of the take (e.g. protein such as
the affected patient.
affected family meat, fish, chicken, eggs,
member beans, fruits and vegetables)
through proper
nutrition and The community is
health Rationale: Educating the family on a able to attend a
education proper meal plan will help them regular check-up in
develop skills on proper meal the nearest health
selection and preparation and to center.
prevent the occurrence of malnutrition
in the future.
The community is
able to grasp the
4. Advice the patient who is importance of
malnourished to not have having an active and
drinks before meals responsible member
and having an
Rationale: To prevent the patient initiative to take care
from feeling full. of one’s health and
have a healthy
lifestyle.
5. Encourage the patient who is
malnourished to attend a
regular check-up in the nearest
health center.

Rationale: To be able to monitor the

health status of the patient.

6. Encourage the family to be an

active and responsible
member of the family wherein
each will have the initiative to
take care of one’s health and
have a healthy lifestyle.

Rationale: For the family members to

have that sense of responsibility and
initiative to look after their health as it
is one of the most important aspects
of a well-being.
 Evaluation Plan
Health Conditions/s or
Objectives of Outcome
Problems and Family Plan of Interventions Methods /
Nursing care Criteria/Indicators,
Nursing Problems
Standards Tools

Inadequate Family Income After nursing 1. Assess the family’s daily Evaluation Methods:
to Obtain Resources as intervention, the income and daily expenses Standard
Health Threat community will be
able to: Rationale: To help the family know  Virtual
what expenses they spend on the Proper budgeting meeting via
Inability to recognize the skills Zoom
most whether it is a necessity or not.
presence of inadequate  Identify the  Visual aids
family income to obtain cause of (Powerpoint
resource due to lack of inadequate Presentation)
2. Identify the cause of the  Education
knowledge family income
family’s inadequate income Performance Program
that failed them to obtain Criterion/Indicator  Interview
 Determine resources
s
Inability to decide about what resources
taking appropriate actions to should be Materials:
Rationale: To help the family
prevent the possible prioritized first
prioritize necessities that are more The community is
occurrence of health problem
important. able to identify the
due to inadequate family  Record
 Budget cause of inadequate
income Review
effectively income that failed
based on  Laptop
3. Encourage the family to create them to obtain
family income a list of monthly expenses resources
Inability to provide adequate
Resources:
nursing care to the family  Encourage the
with inadequate income to Rationale: To know what expenses
obtain resources due to: responsible should they spend on and to avoid The community can
family member buying daily as it can consume the determine what
in managing  Time and
budget rapidly. resources should be
the budget Effort of the
 Lack of knowledge prioritized first
nursing
about the presence of student and
inadequate family 4. Encourage the family to set the
income to obtain goals when it comes to community
resource budgeting.
 Lack of knowledge on The community is
the nature and extent able to set goals
of nursing care Rationale: To know how much when it comes to
needed money the family should set aside budgeting
 Inadequate resources and how much to spend
for care (financial
constraints)
 Evaluation Plan
Health Conditions/s or
Objectives of Outcome
Problems and Family Plan of Interventions Methods /
Nursing care Criteria/Indicators,
Nursing Problems
Standards Tools

Poor Environmental After nursing 1. Assess condition of the house Evaluation Methods:
Factors as a Health Threat intervention, the and level of knowledge Standard
community will be
able to: Rationale: To have baseline data to  Virtual
Inability to recognize the plan the appropriate interventions to The areas in the meeting via
problem due to lack of community has no Zoom
be done.
knowledge  Demonstrate presence of  Visual aids
understanding breeding sites. (Powerpoint
of the health Presentation)
2. Discuss the possible sources  Education
Inability to decide about teachings with
of the presence of rodents, Program
taking appropriate actions to regards to the Demonstration of
insects and mosquitoes.
possible  Interview
prevent the possible proper general
causes and  General
occurrence of health problem cleaning.
effects of the Rationale: Knowing the causes of the Cleaning
presence of problem serves as one way to
poor manage it.
Inability to provide adequate environmental Performance Materials:
nursing care to the factors Criterion/Indicator
community due to: (presence of s
breeding sites 3. Explained to the family all the  Cleaning
and improper possible harmful effects that equipment
waste disposal) these vectors can cause to the
 Lack of knowledge The community  Laptop
health of the entire family
 about the problem understand the  Record
 Lack of knowledge on  Determine the health teachings Review
the nature and extent Rationale: To increase their
diseases that with regards to the
of nursing care may occur due awareness regarding the presence of
possible causes and
needed to poor the breeding sites so as to persuade Resources:
effects of the
 Inadequate resources environmental them in doing actions that would
presence of poor
for care (financial factors avoid the occurrence of breeding
environmental
constraints) sites.  Time and
factors (presence of
 Show Effort of the
breeding sites and
behaviour and nursing
improper waste student and
compliance on 4. Assist the family in cleaning disposal) the
measures on the house, removing the
how to spoiled foods and providing a community
maintain a cover on each trash can.
clean The community can
environment in determine the
order to Rationale: To avoid breeding places diseases that may
eradicate for these vectors occur due to poor
breeding sites environmental
of mosquitoes, factors
flies and 5. Educate the family simple
rodents methods on how to prevent the
occurrence of breeding site
(e.g. general cleaning around
the house 2 times a week)

Rationale: Learning about the

methods on how to prevent the
presence of breeding sites can help
enhance knowledge and prevent the
future occurrence of breeding sites
that may lead to diseases.
 6. Educate the members of the
family the advantages of
having a clean environment in
relation to eliminating the
breeding sites.

Rationale: Being aware about the

benefits of having clean environment
can promote a healthy lifestyle.
 Evaluation Plan
Health Conditions/s or
Objectives of Outcome
Problems and Family Plan of Interventions Methods /
Nursing care Criteria/Indicators,
Nursing Problems
Standards Tools

Lack of Immunization as a After nursing 1. Establish therapeutic Evaluation Methods:

Health Threat and intervention, the communication skills of active Standard
Foreseeable Crisis community will be able listening.
to:  Virtual
Rationale: To develop trust nurse- Register for the meeting via
Inability to recognize the client relationship and to encourage COVID-19 Zoom
presence of the problem due  Verbalize client to talk freely without fear of vaccination.  Visual aids
to lack of knowledge knowledge, (Powerpoint
judgement.
misconceptions Presentation)
, and feelings The community is  Interview
regarding
vaccination. 2. Identify the conditions that may fully vaccinated.
preclude client receiving Materials:
Immunization. Assess client’s
 Explain the readiness to learn. Performance
importance of Criterion/Indicator  Laptop
Immunization, s
Rationale: Response may vary
needs, safety
concerns, and widely depending on client’s age,
disease cultural differences, travel history,
family beliefs about vaccination and Resources:
prevention.
medical conditions. The community is
able to verbalize
 Register for the  Time and
knowledge,
COVID-19 Effort of the
3. Discuss misconceptions, and
vaccination. nursing
a. Client’s perceptions and feelings regarding
 fearful feelings. Active vaccination. student and
listen client’s concerns. the
b. The cause, signs and community
symptoms and mode of The community is
transmission of COVID- able to explain the
19.
importance of
c. Protective benefits of
vaccination, needs,
the vaccine, route of
administration, safety concerns,
expected side effects and disease
and potential adverse prevention.
reactions.
d. Common myths about
the COVID-19 vaccine.
e. Importance of herd
immunity.
Rationale: Promotes atmosphere of
caring and permits explanation or
correction of misperceptions.

4. Educate and provide written

information of the different
types of the vaccine by sharing
video campaigns and
pamphlets; guidelines on how
the client can get vaccinated
such as accessing the website
of the city government or go to
the nearest health center to
have their names listed.
Rationale: Reinforces learning
process and allows the client to
proceed on their own phase.
 Chapter X
Discussion and Implication
A study was conducted in Enrique Drive community, Boalan zone II with a total
population of 11, 570 as of 2021 wherein 12 families (59 residents) were to identify
underlying conditions of the citizens currently living there and raise public awareness.
Results shows that,
…
To put an end to malnutrition, researchers provided nursing management and health
education to further nourish their understanding about Malnutrition so as it’s prevention. 

Nursing education 
Different family cases were shown in the study as it apprised us of the actual problem
existing in the community. On the other hand, community organizing, and participatory
action research (COPAR) allow us to evaluate ourselves to provide better health care
services since it is significant for every student nurse to relate and adjust in actual
situations. An adequate health service is requisite in the community, with regards to
this, it entails that every community must have sufficient public health nurses that must
accommodate each family. The capacity of health agencies should provide accessible
health care. This project utilized the Family Case Study to identify the health needs of
the community and to implement strategies and services that meet those needs. 

Nursing Profession
Nursing proficient competence, commitment and validity of information are required
within the call. Commitment of a nurse to serve within the community is “exceptional
and extraordinary”. In any case medical attendants must persistently upgrade their
information, knowledge, and skills to investigate the capacity to be utilized within the
community. The nurse and the community must collaborate to attain effective
management on the identified problem, malnutrition. This will allow the public to raise
awareness and implement community nursing interventions appropriately.

Nursing research 
This research figures out that most children in the community weigh below the normal
health indications, malnourished. Due to lack of financial resources, they do not seek
medical assistance. The researchers therefore recommend that future studies in those
existing cases, especially in the community, should focus on determining tactile ways to
educate people about malnutrition and the significance of good health in general.
 CHAPTER XI
Conclusion and Recommendations

Conclusion
The findings of the study showed that there are concerns in terms of Malnutrition
and Inadequate Family Income to obtain resources. For malnutrition, it is due to lack of
knowledge, lack of food, poor maternal health and nutrition, difficulty obtaining food, and
low income, the community has manifested certain problems under it such as chronic
health conditions, infection and illnesses, heart disease, weight loss, weak immune
system. While on the other hand, the problem of inadequate family income to obtain
resources has been concerning due to lack of government support, lack of education,
unemployment, and physical disabilities, which resulted in debt, inadequate nutrition,
food security, and child care, and food and fuel poverty.  

As a result, the researchers conducted health education and nursing

management for malnutrition, and the importance of adequate income to seek medical
assistance in order to ease and help those families. 

The planning of interventions for malnutrition and inadequate family income

achieved the purpose which was to attain effective management on the identified
problem, know the different methods on how to alleviate the lack of income in meeting
their daily needs as well as to combat malnutrition in the community. The residents have
gained a better understanding of the issues that have been recognized and have
willingly participated in the different management strategies. 

Recommendation:
The community identified several problems during the community assembly, and the
following are the recommendations:

For Community:
 Wash hands before and after eating and store food properly.
 To conduct an initial feeding “feeding program” for the community.
 Choose nutritious foods that can help strengthen one's health.
 Prepare, consume, and store food hygienically.
 Exclusive breastfeeding of infants for at least six months and introduce healthy
complementary food to support breastfeeding for at least one year. 
 Participate in a pangkabuhayan program to enhance new skills to make people in
the community to help them realize there is hope in generating income. 
 Encouragement of the community is highly needed, as well as education for
every individual member per household. They must act as role models for the
effective change and progress of the community towards their individual
improvement of a quality of life.
For Student:
 Be guided in making an informed decision as to whether they would want to take
part in the research.
 Establish the existing health conditions in the area.
 Educate the resident on the different concepts that are unfamiliar to them with
regards to their community