Portfolio FNCP and Criteria Final

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THE COLLEGE OF MAASIN

“Nisi Dominus Frustra”


Tunga-tunga, Maasin City, Southern Leyte, Philippines

DATA / HEALTH FAMILY GOALS AND INTERVENTIONS EVALUATION


CUES PROBLEM NURSING OBJECTIVES
PROBLEM NURSING METHOD RESOURCES/
INTERVENTIONS OF FAMILY REQUIRED
CARE
SUBJECTIV Poor Inability to Goals: 1) Introduce self - Home Human
E Environmen provide a -To raise the and establish visits resources:
DATA: tal home family’s rapport. - Interview - Time, effort
“Naa lage Conditions environment awareness R - To facilitate trust - Health and skill of the
mga lamok due to the conducive to regarding the and cooperation Education student nurse
ari sir, samot presence of health poor 2) Assess client’s regarding and family
na inig breeding maintenance environmental level of awareness the
gabie” as sites of and personal condition due to regarding the importance Material
verbalized vectors of development presence of presence of and resources:
by the diseases due to: breeding site of breeding sites. advantages - Broom and
patient. such as vectors of R - To determine of clean dustpan
mosquitoes  Lack of diseases perception about environment - Garbage bag
OBJECTIVE as Health skills in -To promote a the poor - Visual aids
DATA: Threat. carrying home environment and such as
- Presence out environment that know what are the manila paper
of measures is conducive to appropriate - Pamphlets
mosquitoes to health. interventions to be
and flies improve -To eradicate made Financial
during home the home presence of 3) Assess client’s Resources:
visit noted environm breeding sites willingness to - Money used
- Stagnant ent and clean participate in for buying
water on  Lack of surroundings cleaning. materials and
unused tires preventive R - To determine for
were seen measures their salience on the transportation
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

beside the Objectives: problem


house - After 1-2 hours 4) Explain to the
of nursing family the causes
intervention, the and effects of
family will be breeding sites
able to: around home.
A. Perform and R - To help the
demonstrate family understand
ways such as the disadvantages
cleaning the of presence of
surrounding area breeding sites of
to eliminate the vectors
presence of 5) Discuss the
vectors in the advantages of
area having proper home
B. Verbalize the sanitation.
importance of R - To help the
having a good family in promoting
environmental proper sanitation
condition 6) Instruct the
C. Determine the client to prevent/or
causes of eradicate
breeding sites to accumulation of
prevent the stagnant water
occurrence of R - To eradicate
disease breeding sites of
mosquitoes
7) Encourage the
family to clean the
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

breeding sites by
teaching them
proper ways to do
so such as proper
disposal of
materials that can
be used as breeding
sites
R - This is to gain
the family’s
cooperation and
motivation
8) Explain all the
possible harmful
effects that these
vectors can cause
to the health of the
entire family
R - To increase their
awareness about it
such as dengue
infection.

9) Encourage the
family about using
mosquito net or
screen
R - To lessen
getting in contact
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

with vectors such as


mosquitoes that
may affect health.
10) Coordinate
with the barangay
health officials in
order to clean or
destroy breeding
sites or possible
areas of breeding.
R - This is to
possibly eradicate
all the breeding
sites within the
community.

.
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

DATA / HEALTH FAMILY GOALS AND INTERVENTIONS EVALUATION


CUES PROBLEM NURSING OBJECTIVES
PROBLEM NURSING METHOD OF RESOURCES/
INTERVENTIONS FAMILY REQUIRED
CARE
SUBJECTIV Poor Home Inability to Goal: 1) Introduce self - Home visit Human
E DATA: Sanitation provide a After 1-2 hours of and establish - Health resources:
“Sa atabay due to home nursing rapport to the education - Time, effort
rami polluted environment intervention, the family. regarding the and skill of the
magkuha og water conducive to family will be R - To maintain importance of student nurse
tubig para supply as health able to: trust and good and family
amu Health maintenance  Identify the cooperation sanitation
gamiton, Threat and personal presence of 2) Assess and hygiene. Material
usahay development health client’s knowledge resources:
magkaws due to problem of with regards to - Visual aids
lang mi sa financial their family. their current such as
balay sa ahu constraints  Discuss the condition. manila paper
ig-agawf” as importance R - To know where - Pamphlets
verbalized of having a to start and better
by the clean supply understand how Financial
patient. of water to the family can be Resources:
promote a
expected to - Money used
OBJECTIVE healthy behave for buying
DATA: environment. 3) Assess the materials and
 Presenc client’s level of for
e of Objectives: awareness by transportation
pails in After 1-2 hours of asking questions
the nursing regarding good
kitchen intervention, the sanitation and
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

area family will be hygiene


 Unsanit able to: R - To have
ary  Identify baseline date in
environ techniques planning the
ment to solve the appropriate
noted. problem and interventions of
 No to reach the care
source desired 4) Discuss
of water health goal. general safety
in the  Verbalize the concerns with
house importance client.
such as of having R - To ensure that
faucets good people living in the
were sanitation house are aware
observe and hygiene about the possible
d. especially for risk of
the children contamination
from their supply
of water
5) Discuss to
the family for
possible water-
borne diseases
such as diarrhea,
cholera, etc., that
can be acquired
from deep-well
water supply.
R - To be aware of
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

the possible
causes of
diseases acquired
after using unsafe
water supply.
6) Inform the
family about risk of
using water
supplied from
deep-wells.
R - To have
knowledge
regarding the
possible negative
implications of
using water from
deep-wells.
7) Discuss the
consequences and
effects such as
water-borne
diseases of
consuming/using
water from unsafe
source of supply.
R - To have a
general idea about
the importance of
using water from a
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

clean and and


safe source of
supply.
8) Suggest
alternatives of
procuring clean
and safe supply of
water such as
purchasing water
from accredited
water-refilling
stations that only
amounts to P20
for the minimum
price.
R - To give the
family a reliable
option in having a
clean supply of
water.
9) Discuss with
the family the
importance and
advantages of
having proper
sanitation and
hygiene
R - To prevent any
acquisition of
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

diseases such as
diarrhea due to
unsafe and
possible
contaminate
supply of water.
10) Educate the
family about the
health risk of
unsanitary
environment.
R - To prevent any
complications or
problems that may
arise.
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

DATA / CUES HEALTH FAMILY GOALS AND INTERVENTIONS EVALUATION


PROBLE NURSING OBJECTIVES
M PROBLEM NURSING METHOD OF RESOURCES/
INTERVENTIONS FAMILY REQUIRED
CARE
SUBJECTIVE Poor Inability to Goal: 1) Introduce self - Home visit Human
DATA: home provide a After 1-2 hours and establish - Interview resources:
”Sir wala sanitation home of nursing rapport. - Health - Time, effort and
gayud mi due to environmen interventions, R - To facilitate Education skill of the
tarong nga lack of t which is the family will trust and - Observation student nurse
sudlanan sa food conducive be able to take cooperation and family
pagkaon kay storage to health necessary 2) Assess the
wala mi facilities maintenanc actions in client’s level of Material
ikapalit” as as health e and proper storage awareness by resources:
verbalized by threat personal of food. asking questions - Visual aids
the client. developme regarding food such as manila
nt due to Objectives: storage paper
OBJECTIVE inadequate After 2-3 days R - To have - Pamphlets
DATA: family of nursing baseline date in
-Most left-over resources intervention, planning the Financial
foods are specifically the family will appropriate Resources:
placed in the financial be able to interventions of - Money used for
table without constraints show care buying materials
cover leaving it compliance on 3) Discuss and for
slightly measures on general safety transportation
exposed. how to store concerns with
- Dining area their foods and client.
is open and vegetables R - To ensure that
presence of properly. people living in
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

insects such the house are


as flies and aware about the
cockroach possible risk of
were noted. contamination
-The plates they may acquire
that were from their food.
already 4) Assess
washed are client’s knowledge
seen left on a with regards to
dirty container their current
of plates. condition.
R - To know
where to start and
better understand
how the family
can be expected
to behave.
5) Assist client
in storing their
foods in container,
separating
condiments and
raw vegetables.
R - to provide
initial action in
prevention of
diseases and
increase family’s
awareness.
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

6) Assist in
cleaning the area
and establish a
suitable and clean
area for food
storage.
R - To follow
sanitary methods
in order to prevent
possible
contamination of
foods.
7) Discuss
food-borne
diseases to the
family
R - To be aware
of the possible
diseases that may
be acquired
through it.
8) Teach the
family different
ways on how to
cleanly store the
food without
spending such as
using washed and
clean plates to
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

cover the foods.


R - To prevent
contamination of
foods
9) Discuss with
family the
importance and
advantages of
having proper
food storage such
as preventing the
likelihood of
having diarrhea.
R - To prevent
any acquisition of
diseases due to
food
contamination.
10) Encourage
the family to use
newly washed
and clean
utensils.
R - To deter the
spread of
microorganisms
and possible
acquisition of
diseases.
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

DATA / CUES HEALTH FAMILY GOALS AND INTERVENTIONS EVALUATION


PROBLEM NURSING OBJECTIVES
PROBLEM NURSING METHOD OF RESOURCES
INTERVENTIONS FAMILY / REQUIRED
CARE
Subjective Hypertensi Inability to Goal: 1) Introduce self - Home visit Human
Data: on as provide After 1-2 hours and establish - Interview resources:
“Bug-at lagi health adequate of nursing rapport to the - Health - Time, effort
ahong ulo deficit nursing care intervention, family. Teaching and skill of the
labina diris to the sick at the client will R - To maintain student nurse
ahong risk of the perform trust and and family
tangkugo dapit family due to: appropriate cooperation
kay high blood action such as 2) Assess Material
man lagi ko  Lack of taking the client’s knowledge resources:
daan sir” as skill in maintenance with regards to - Visual aids
verbalized by carrying regularly to their current such as
the patient. out the reduce the risk condition. manila paper
necessar of R - To know where - Pamphlets
Objective y hypertension to start and better - BP
Data: interventi . understand how Apparatus
 Headache on or Objectives: the family can be
 Lethargic treatment After 1-2 hours expected to Financial
or of nursing behave Resources:
Maintenance procedure intervention 3) Assess and - Money used
taken: the client will monitor client’s for buying
 Metopolol be able to: vital signs materials and
50 mg especially the for
A) Identify the blood pressure transportation
V/S: importance of from the start of
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

T - 37.1 C maintaining home visit until the


P - 87 bpm blood pressure end of visit.
R - 19 cpm within normal R - to have
BP - 140/100 range (110- baseline data and
mmHg 130/70-90 identify if the blood
mmHg) pressure were
stabilized.
B) Recognize 4) Assess the
the signs and family’s level of
symptoms of understanding
hypertension regarding the
and take his health problem
maintenance R - to determine
regularly the cognitive level
of the family and
C) Make acknowledge their
necessary perceptions about
actions and the problem.
measures such 5) Provide health
as taking the teaching such as:
maintenance a) Explain the
regularly to importance of
reduce the risk proper diet and
factors of encourage to
hypertension avoid or reduce
the intake of fats
and sodium.
b) Explain the
importance of
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

having adequate
rest, sleep as well
as mild exercises.
R - To encourage
positive changes
in life and provide
knowledge client
what to avoid or
intake
6) Discuss with
the client about the
nature, signs and
symptoms and
complication that
might arise due to
hypertension
R - to help the
family understand
and be fully aware
of this condition
7) Advice the
client to take his
prescribed
medicine or
maintenance
regularly.
R - to continuously
incorporate good
health practice
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

and improve
client’s condition
8) Educate the
client about the
prevention of
obesity through
proper nutrition
and exercise.
R - the
accumulation of
excess adipose
tissue initiates a
cascade of events
that give rise to an
elevated blood
pressure.
9) Explain the
importance of
maintaining activity
restrictions
R - to help lessen
physical stress
and tension that
affect blood
pressure and the
course of
hypertension
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

10) Encourage the


family to have
check-up for at
least once or twice
a year for
monitoring.
R - to fully monitor
the current
condition of the
client.

Presence of Breeding Sites of Vectors of Diseases

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

It is a health threat as these insects may cause


Nature of the Problem 2/3x1 0.66 diseases such as dengue. There is presence of
Presented stagnant water found in the environment and
this water may serve as breeding sites for the
mosquitoes.

It is easily modifiable because simple ways can


Modifiability of the Problem 2/2x2 2 be done to get rid of the insects by just cleaning
and getting rid of stagnant water in the
surrounding environment and frequently
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

checking for presence of stagnant water.

Future problems such as malaria, dengue and


Preventative Potential 3/3x1 1 other vector-borne diseases caused by
mosquitoes can be total prevented by
eradicating actual and potential breeding sites

The family views the problem as a need but not


Salience 1/2x1 Total Score:
0.54.16 requiring immediate attention.
Standing: 1st
COMPUTATION
Lack of Clean Water Supply
CRITERIA ACTUAL SCORE JUSTIFICATION

It is a health threat because water is an


Nature of the Problem 2/3x1 0.66 essential element needed to maintain normal
Presented functioning of the body

It is partially modifiable because of lack of


Modifiability of the Problem 1/2x2 1 financial resources to maintain purchasing from
water-refilling stations for clean water but have
the manpower to establish a clean water supply
such as faucet.

The problem has moderate preventive potential


THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

Preventative Potential 2/3x1 0.66 because future problems such as diarrhea,


typhoid fever, cholera and other water-borne
disease caused by polluted water cannot be
totally prevented but minimized.

The family is concerned with their situation and


Salience 2x1 1 considers the problem as needing for
immediate attention
Total score: 3.32
Standing: 3rd
Lack of Food Storage Facilities
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

It is a health threat as food supplies the needed


Nature of the Problem 2/3x1 0.66 energy we need everyday and spoilage of food
Presented can cause digestive complications.

Buying refrigerator can be expensive especially


Modifiability of the Problem 1/2x2 1 maintaining it as it consumes a lot of electricity
but using icebox as an alternative and teaching
proper food storage makes it partially
modifiable.

It has only low preventive potential because it


Preventative Potential 1/3x1 0.33 does not necessarily prevent food-borne
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

diseases such as diarrhea and food poisoning


because it can be acquired as well through poor
hand hygiene.

The family sees the problem as a need but not


Salience 1/2x1 0.5 necessarily requires immediate attention
Total score: 2.49
Standing: 4th
Hypertension
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

Nature of the Problem Hypertension is a Health deficit in which will


Presented 3/3x1 1 cause complications that require immediate
attention and adequate management of one’s
blood pressure. It can significantly increases the
risks of heart, brain, kidney, and other diseases
in the body

Current knowledge, interventions such as


Modifiability of the Problem 1/2x2 1 monitoring of blood pressure and taking
medications are available to solve the problem
of high blood pressure but only have limited
resources in order to maintain.

Future Problems brought about by increased


Preventative Potential 3/3x1 1 blood pressure can be prevented through
THE COLLEGE OF MAASIN
“Nisi Dominus Frustra”
Tunga-tunga, Maasin City, Southern Leyte, Philippines

proper health teaching and proper health


management of hypertension such as proper
nutrition, exercises, and medications.

The family perceives Hypertension as a serious


Total score: 4
Salience 2/2x1 1 problem needing attention.
Standing: 2nd

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