Family

07 January, 2022 Community Health Nursing Laboratory
Family Health
Assessment
Presented by: Group 3 of BSN 2-6
Family Health
Assessment Content
Assessment Database
Genogram
Typology of Nursing Problems
Prioritizing Health Conditions
and Problems
Formulation of Goals and
Objectives of Care
Developing the Intervention Plan
Developing the Evaluation Plan
Recommendations
Health Education Plan
Nursing Care Plans
Service and Progress Notes
Assessment
Database
The initial information collected on the family
during the first and succeeding home visits.
Family Health Assessment
Opilac
Family
Address: 1129 Algeciras Street Barangay
474, Sampaloc Manila
Extended Family
Length of Residency: 67 years
Assessment Database
Famliy Structure, Characteristics, and Dynamics
RELATIONSHIP TO CIVIL PLACE OF

NAME AGE GENDER
HEAD STATUS RESIDENCE
Tatay G Head of the family 67 Male Married Living with the family
Nanay D Wife 64 Female Married Living with the family
Kuya A Son 28 Male Single Living with the family
Living with her

Ate E Partner of Son 29 Female Single
partner’s family
Living with the

Aling R Housekeeper 50 Female Married
employer
Assessment Database
Socio-Economic and Cultural Factors

SIGNIFICANT
ETHNIC RELIGIOUS EDUCATIONAL PLACE OF OTHER + ROLE
NAME OCCUPATION INCOME EXPENSES
BACKGROUND AFFILIATION ATTAINMENT WORK THEY PLAY IN
FAMILY’S LIFE
Good leader
and organizer,
Roman Barangay Php Php
Tatay G Tagalog Undergraduate Kagawad and is goal-
Catholic 474 9,250 7,300 oriented and
self-disciplined
Provides the
objective,
Graduate
Roman reasoning focus
Nanay D Tagalog (2 years None N/A N/A N/A
Catholic and keep peace
course) in the family
system
SIGNIFICANT
ETHNIC RELIGIOUS EDUCATIONAL PLACE OF OTHER + ROLE
NAME OCCUPATION INCOME EXPENSES
BACKGROUND AFFILIATION ATTAINMENT WORK THEY PLAY IN
FAMILY’S LIFE
College
Php
Graduate Uses humor to
Roman 33,000 - Php
Kuya A Tagalog (BS Hotel and Vlogger Home offset the
Catholic Php 13,500
Restaurant family conflict
55,000
Management)
College
Php Provides
Graduate
Roman Call Center 21,000 - Php support and
Ate E Tagalog (BS Information Convergys
Catholic Agent Php 13,500 encouragemen
and
26,500 t to others
Technology)
Home Maintain the

Roman Highschool Php
Aling R Tagalog Housekeeper Address of Php 8,000 cleanliness of
Catholic Graduate 10,000
Head the house
EXPENDITURE ALLOTMENT RANKING
Food Php 7,000.00 1
Emergency funds Php 2,000.00 2
Savings Php 28,950.00 3
Education Php 0.00 4
Electricity Bill Php 3,000.00 5
Medical and Dental Care Php 2,000.00 6
Water Bill Php 300.00 7
TOTAL Php 43,250.00
Assessment Database
Home Living & Environmental Conditions

HOUSING WATER SUPPLY KITCHEN
House Ownership:
Ventilation: Source: Level I - Point
Owned Cooking Facility:
Adequate source
Rent Gas Stove
Rent Free Inadequate Level II - Communal Charcoal
Others: __________ Lighting: faucet
Electric Stove
Type of Housing Materials: With Electricity Level III - Water
Others:
Strong Without works system
______________
Mixed Electricity (Manila water)
Light Food Storage:
General Sanitary Shared
Makeshift Others:______________ Refrigerated
Condition:
Number of Rooms: 3 Drinking Storage: Not refrigerated
Good
Privacy: Covered Covered
Fair
With Uncovered Exposed
Without
Poor
Home Living & Environmental Condition
GARBAGE DOMESTIC
TOILET FACILITY THE COMMUNITY IN GENERAL
DISPOSAL ANIMALS
General Sanitary Condition: The

Kind: Birds & Cats
community surrounding Opilac Communication and
Excreta disposal: Cage:
Family is ambient. Transportation Facilities
Level I - Pit With Kind of Neighborhood Available:
latrines Without Congested Loading Stations
DPS
Level II - Poor Slum Payphones
(collected)
flush toilets Others: ________________________ Computer Shops
Open INSECT AND Recreational Facilities: Tricycle TODA
Level III - Flush
dumping Basketball Court Bus Terminal
toilets VERMIN CONTROL
Burning Barangay Hall (where Jeepney Terminal
Others:
Waste events/programs can be Others: There are no certain
______________ executed) Tricycle TODA or Jeepney
segregation
Ownership: Sports Complex Terminal in their community,
Throw in the
Owned Mechanical Zumba Area but Others: There are no
river and
Shared Chemical Others: _______________________ certain Tricycle TODA or
estero
Sanitary Condition: Environmental Availability/Accessibility of Jeepney Terminal in their
Sanitary Others: Health Care Facility: The Opilac community, but some jeep
______________ Family is a few minutes away from and tricycles are present
Unsanitary
the health center and a few rides around the area.
away from hospitals.
Assessment Database
Vital Signs
RESPIRATORY BLOOD
NAME TEMPERATURE PULSE RATE REMARKS
RATE PRESSURE
Temperature and blood

75 beats per 17 breaths per 130/100
Tatay G 35.7 °C pressure needs
minute minute mmHg
intervention
79 beats per 19 breaths per 120/70 Temperature needs

Nanay D 35.7 °C
minute minute mmHg intervention
Kuya A N/A N/A N/A N/A N/A
Ate E N/A N/A N/A N/A N/A
Aling R N/A N/A N/A N/A N/A

Health Status of Each Family Member:
Medical Nursing History
PRESENT
Present ILLNESS
Illness
NAME DISEASE SUFFERED MEDICAL ATTENDANCE REMARKS
Diagnosed high blood

Tatay G Hypertension, Gout Under maintenance
pressure 15 years ago
Diagnosed High blood

Nanay D Hypertension Under maintenance
pressure 25 years ago
Kuya A N/A N/A N/A
Ate E N/A N/A N/A
Aling R N/A N/A N/A

Health Status of Each Family Member:
Medical Nursing History
PRESENT ILLNESS
Past Illness
MEDICAL
NAME DISEASE SUFFERED REMARKS
ATTENDANCE
Diagnosed by a consumed the generic version of maintenance

Tatay G Hypertension
physician medications like mestar and amlodipine
Diagnosed by a consumed the generic version of maintenance

Nanay D Hypertension
physician medications like mestar and amlodipine
Kuya A N/A N/A N/A
Ate E N/A N/A N/A
Aling R N/A N/A N/A

Nutritional Assessment
PRESENT ILLNESS
Anthropometric Data
MID-UPPER WAIST
HEIGHT ARM BMI CIRCUM WAIST HIP
NAME WEIGHT (KG) CENTRAL OBESITY
(CM) CIRCUMFER (KG/M2) FERENCE RATIO
ENCE (CM) (CM)
Tatay G 75 kg 175.2 cm 20 cm 24.5 kg/m2 91 cm 1.12 Normal
Nanay D 85 kg 160 cm 25 cm 33.2 kg/m2 101 cm 1.05 Obese
Kuya A N/A N/A N/A N/A N/A N/A N/A
Ate E N/A N/A N/A N/A N/A N/A N/A
Aling R N/A N/A N/A N/A N/A N/A N/A

Nutritional Assessment
Dietary History
PRESENT ILLNESS

MONDAY TUESDAY WEDNESDAY
7:00 am 7:30 am 8:00 am

3 pieces of pandesal 2 slices of white bread 2 pc hotdog
BREAKFAST 1 cup (8 oz) of coffee 1 slice ham 1 scrambled egg
1 slice of cheddar cheese 2 pc pandesal
(Nescafe)
1 cup (8 oz) orange juice 1 cup (8 oz) of coffee (Nescafe)
None 10:40 am 10:00 am

2 slices white bread
1 burger
SNACKS 1 slice ham
2 cups (8 oz) of water 1 slice cheddar cheese
2 cups (8 oz) of water
12:00 pm 12:30 pm 12:00 pm

1 serving of Adobong pusit 1 serving of Sinigang na Baboy 1 serving of Kare Kare
LUNCH 1 cup of rice 1 cup of rice 1 cup of rice
3 cups (8 oz) of water 4 cups (8 oz) of water 12 oz mango shake
Dietary History
PRESENT ILLNESS

MONDAY TUESDAY WEDNESDAY
3:00 pm 4:30 pm
4:00 pm
2 packs Pancit Canton 1 turon
1 serving of Carbonara
SNACKS 2 slices of white bread 1 maruya
1 slice of garlic bread
2 cups (8 oz) of water 3 cups (8 oz) of water
12 oz of fresh lemon juice
8:00 pm 10:00 pm 9:30 pm

1 serving of Adobong Baboy 1 serving of Cheesy 1 serving of Nilagang Baka
1 cup of white rice Kaldereta 1 ½ cup of white rice
DINNER
3 cups (8 oz) of water 1 cup of white rice 1 cup (8 oz) of lemon iced tea
1.5L of Coke
Health Status of Each Family Member
Risk Factor Assessment
HYPERTENSION
CIGARETTE SMOKING
INADEQUATE REST OR SLEEP
AIR POLLUTION
LACK OF PHYSICAL ACTIVITY
NOISE POLLUTION
INADEQUATE LIVING SPACE
Health Status of Each Family Member
1. Physical
PRESENT Assessment
ILLNESS
PHYSICAL ASSESSMENT

METHODS FINDINGS
When skin is pinched it goes to its previous state immediately (2 seconds).

With fair complexion except for Tatay G and Nanay D for they also have tattoos.
With dry skin
Evenly distributed hair.
Skin, Hair, and Inspection
With short, black and shiny hair.
Nails Palpation
With presence of pediculosis Capitis
Smooth and has intact epidermis
With short and clean fingernails and toenails.
Convex and with a good capillary refill time of 2 seconds.
Physical Assessment
PRESENT ILLNESS
PHYSICAL ASSESSMENT

METHODS FINDINGS
The heads of the family are rounded; normocephalic and symmetrical.

There are no nodules or masses and depressions on the skull when palpated.
The faces of the household appeared smooth and had uniform consistency and with no presence
Head and Inspection
of nodules or masses.
Neck Palpation Their heads have a coordinated, smooth movement with no discomfort, head laterally flexes, head
laterally rotates and hyperextends.
Their necks, positioned at the midline without tenderness and flexes easily. No masses palpated.
Conjunctiva Inspection The Bulbar conjunctiva appeared transparent with few capillaries evident.
Sclera Inspection The sclera appeared white.

Physical Assessment
PRESENT ILLNESS
PHYSICAL ASSESSMENT

METHODS FINDINGS
The lips of the family are uniformly pink except for Tatay G and Nanay D who has almost brown lips
due to smoking.; moist, symmetric and have a smooth texture.
Mouth Inspection The teeth of the members are complete and strong except for Tatay G and Nanay D who are
wearing dentures.
Non-palpable, non tender

Lymph Node Inspection Their thyroid glands are not visible on inspection, glands ascend but not visible in females during
swallowing and visible in males.
Breast Inspection Both breasts are symmetrical. No lesions noted.

Physical Assessment
PRESENT ILLNESS
PHYSICAL ASSESSMENT

METHODS FINDINGS
The chest is symmetrical. There is no scar, no precordial bulging, no visible apex beat and no
Inspection
Cardiovascular prominent dilated veins.
Palpation The peripheral pulses were present with regular rate and rhythm.
System
Auscultation Has clear breath sounds. No murmurs.
Inspection The chests moved symmetrically, with respiration, with no deformity seen.
Respiratory Palpation There is no sign of respiratory distress.
System Percussion No scars or lesions.
Breath sounds are heard clearly in all auscultation areas.
Auscultation
Inspection
Their abdomen have unblemished skin, uniform in color, symmetric contour, not distended.
Abdominal Light
Abdominal movements are also symmetrical caused by respirations.
Examination Palpation Has audible sounds of 21-23 bowel sounds/minute
Auscultation
Physical Assessment
PHYSICAL ASSESSMENT
PRESENT ILLNESS
FINDINGS
The family household was alert and conscious, orientated to time, place and person. Their memory function was
Central Nervous System
intact. They were not in a state of confusion.
Motor System All the 12 cranial nerves were intact.
Muscle Tone No abnormalities noted.
With equal strength amongst the family except for nanay D who’s having a pretty hard time carrying heavy things
Muscle Power
around due to age and BMI.
Cerebellar Sign There was no cerebellar sign present, and the members gait are normal.
No abnormalities noted. The household’s sensation toward pain, light touch, vibration, and temperature were intact
Sensory System
and equal bilaterally.
Reflexes All normal.

Values, Habits, Practices On Health Promotion, Maintenance
And Disease Prevention
1. Immunization StatusILLNESS
PRESENT of Family Members
IMMUNIZATION
WEIGHT First Dose Second First Booster Second Second

NAME Flu First Dose of
(KG) of COVID- Dose of Shot of Booster Shot Dose of
Vaccine Hepatitis B
19 COVID-19 COVID-19 of COVID-19 Hepatitis B
Shot Vaccine
Vaccine Vaccine Vaccine Vaccine Vaccine
Date: June Date:

Date: February Date: May
2021 September
Tatay G 67 2022 2022 N/A N/A N/A
Brand: 2021
Brand: Pfizer Brand: Pfizer
Pfizer Brand: Pfizer
Date: June Date:

Date: February Date: May
2021 September
Nanay D 64 2022Brand: 2022Brand: N/A N/A N/A
Brand: 2021
Pfizer Pfizer
Pfizer Brand: Pfizer
Immunization Status of Family Members
IMMUNIZATION
NAME
WEIGHT PRESENT ILLNESS
First Booster Second Second
(KG) First Dose of Second Dose Flu First Dose
Shot of Booster Shot Dose of
COVID-19 of COVID-19 Vaccine of Hepatitis
COVID-19 of COVID-19 Hepatitis B
Vaccine Vaccine Shot B Vaccine
Vaccine Vaccine Vaccine
Date:
Date: June
September Date: February Date: May
2021
Kuya A 28 2021 2022 2022 N/A N/A N/A
Brand:
Brand: Brand: Pfizer Brand: Pfizer
Astrazeneca
Astrazeneca
Date:
Date: June
September Date: February Date: May
2021
Ate E 29 2021 2022 2022 N/A N/A N/A
Brand:
Brand: Brand: Brand: Pfizer
Astrazeneca
Astrazeneca
Date: October Date: January

Date: May Date: August
2021 2022
Aling R 50 2022 2022 N/A N/A N/A
Brand: Brand:
Brand: Pfizer Brand: Pfizer
Astrazeneca Astrazeneca
Genogram
Opilac Family
Typology of
Nursing Problems
in Family Health
Care
First Level Assessment
Second Level Assessment
Typology of Nursing Problems in Family Health Care
Family
First Level Assessment Specific Cues
Condition
PRESENCE OF WELLNESS CONDITION
Potential or Enhanced Capability The family maintains a healthy lifestyle by eating three times a day and controlling their
for: diet. This consists of more than 8 glasses of water a day, rice, fruits such as bananas and

Healthy lifestyle, e.g. mangoes. They also eat vegetables during lunch and dinner. On the other hand, their form
nutrition/diet, exercise/activity of exercise includes daily stretching, occupational work, and house chores.
The family does general check-ups and laboratory work-ups twice a year. Maintenance
Potential or Enhanced Capability medicines such as mestar (35 mg) and amlodipine (5 mg) are regularly taken as
for: prescribed as they also maintain their blood pressure by avoiding sodas, pork, and oily

food. To resolve optic issues, reading glasses are used by Nanay D and she is also
Healthy maintenance/health
management maintaining her intake of rice and sweets, following the doctor’s advice regarding her
previous increase in sugar level.
FIRST LEVEL FAMILY

SPECIFIC CUES
ASSESSMENT CONDITION
Potential or Enhanced The family maintains a healthy lifestyle by eating three times a day and
Capability for: controlling their diet. This consists of more than 8 glasses of water a day, rice,
Healthy lifestyle,
fruits such as bananas and mangoes. They also eat vegetables during lunch and
e.g. nutrition/diet, dinner. On the other hand, their form of exercise includes daily stretching,
exercise/activity occupational work, and house chores.
The family does general check-ups and laboratory work-ups twice a year.
Potential or Enhanced
Maintenance medicines such as mestar (35 mg) and amlodipine (5 mg) are
Capability for:
regularly taken as prescribed as they also maintain their blood pressure by
Healthy
avoiding sodas, pork, and oily food. To resolve optic issues, reading glasses are
maintenance/heal
used by Nanay D and she is also maintaining her intake of rice and sweets,
th management
following the doctor’s advice regarding her previous increase in sugar level.
FIRST LEVEL FAMILY

SPECIFIC CUES
The family attends Sunday mass regularly together if they are free.
Potential or Enhanced
The family also thrives to consistently pray with rosary thrice a week.
Capability for:
Regarding the family’s self-concept, they regard it as “okay”. They

Spiritual well-being
also think of themselves as contented, healthy, and competent.
Readiness for Enhanced

Capability for:
The family is still inclined to improve their health and wellness by
Healthy Lifestyle

maintaining their healthy diet and regular check-ups while they intend
Healthy
to withdraw from what is considered bad for their health.
maintenance/health
management
FIRST LEVEL FAMILY

SPECIFIC CUES
Kuya A’s success is usually regarded by his parents. It is noted that

Readiness for Enhanced there is no one higher or lower than another in the family; anyone has
Capability for:
a say. There are equal responsibilities in the family whether for house
Parenting chores and utility bills. Also, in terms of discipline, there are mature
conversations rather than physical rebuttals.
Readiness for Enhanced Their ideals mainly consist of respect and the family’s success,
Capability for:
especially Kuya A as the parents have already achieved their goals in
Spiritual well-being life.
FIRST LEVEL FAMILY

SPECIFIC CUES
PRESENCE OF HEALTH THREATS
The family has a 2-storey house filled with house items that barricade
the pathways. Moreover, the entire family all sleeps in one room with a
Poor Home/Environmental

double-deck bed. As observed by the interviewers, most of their house
Condition/Sanitation. Specify

items are stacked randomly in their room, congesting most of the
Inadequate living space
space inside the room. Although, there is ample space in the living
room.
Given that the household is resided by a public street, there is evident

Poor Home/Environmental noise pollution from the crowded neighborhood such as children
playing and chattering neighbors. Meanwhile, noise is also coming from
Noise pollution public transportation like the honking and acceleration of cars, tricycles
and trains.
FIRST LEVEL FAMILY

SPECIFIC CUES
Since public transportation governs the front of the family’s house on

Poor Home/Environmental
a daily basis, air pollution springs from the engines’ smoke. Also,
smoke is adhered from Nanay D and Tatay G’s frequent cigarette

Air Pollution
smoking.
Unhealthy Lifestyle And

Nanay D and Tatay G noted that they have been smokers since they
Personal Habits/Practices.
were in high school by the age of 19 years old. Nanay D was able to
Specify.
stop smoking for 5 years when Kuya A was 10 years old. Now, their
Cigarette/tobacco
routine consists of 7 cigarettes per day.
smoking
FIRST LEVEL FAMILY

SPECIFIC CUES
The family regards their sleep cycle as enough, however, they

Unhealthy Lifestyle And
usually sleep late in the early morning. The parent’s usual sleep
Personal Habits/Practices.

routine is from 3:00 am to 10:00 am from using social media. For Kuya
Specify.
A, he usually sleeps at 5:00 am from doing live streams. With that,
Inadequate rest or sleep
Tatay G considered themselves having a lack of sleep.
Tatay G and Nanay D are both hypertensive and daily smokers. The
Illness states, regardless of
mother was diagnosed with hypertension last 1997 while the father
whether it is diagnosed or

was diagnosed with hypertension 15 years ago as his gout was firstly
undiagnosed by a medical
experienced last 2020. Meanwhile, Tatay G is treating his sore foot
practitioner.
because of his gout.
Prioritizing Health Conditions and Problems

Second Level Family
Specific Cues
Assessment Condition
INABILITY TO RECOGNIZE THE PRESENCE OF THE CONDITION OR PROBLEM DUE TO:
Lack of or
As the parents were narrating their history in smoking, it is evident that they express
inadequate nostalgia and the attitude of being carefree. No sense of disappointment, guilt, and fear
knowledge were seen which correlates to their inability to assess the magnitude of their current
state of health.
INABILITY TO MAKE DECISIONS WITH RESPECT TO TAKING APPROPRIATE HEALTH ACTION DUE TO:
Failure to
Given that the parents sleep at 3:00 am and consider themselves having a lack of
comprehend the sleep, they did not take any measures to normalize their sleep-wake cycle which may
nature/magnitude of also positively affect their blood pressure. Also, their smoking routine did not change
the for the past years as lessening the amount of cigarettes may reduce their risk of serious
problem/condition illnesses.
SECOND LEVEL FAMILY

SPECIFIC CUES
Fear of
consequences of The student nurses dread social repercussions since they may face
action, specifically: discrimination among their classmates and worry of family expectations after
Social providing a certain health treatment.
consequences
Fear of
The student nurses are concerned that the care they provide would
consequences of exacerbate the patient's condition rather than improve it.Compassionate
action, specifically: nursing care is essential to delivering high-quality health services to patients,
Physical and it may be the greatest and most priceless gift a nurse can make in health
consequences systems. Consequently, nurses have always demonstrated altruism and a
desire to address the needs of their patients, despite limitations and hurdles
(Dalvandi et al., 2019).
SECOND LEVEL FAMILY

SPECIFIC CUES
Fear of
The student nurses worried about the emotional and psychological fallout of
consequences of
providing subpar care because they were afraid of making a mistake. Anxiety
action, specifically: while providing nursing care is just one example of how their actions could
Emotional/psych affect the family's mental health. According to Heyhoe et al. (2015), healthcare
ological professionals engage in emotional labor; they deal daily with pain, joy, anxiety,
consequences unhappiness, hope, loss, and anger. The successful delivery of healthcare
depends on a complex mix of many factors, including organizational and
contextual ones. However, healthcare workers are also human, and as such,
they bring with them their own emotional states and traits that influence their
response to these factors and how they interact with patients, coworkers, and
the environment.
SECOND LEVEL FAMILY

SPECIFIC CUES
INABILITY TO PROVIDE ADEQUATE NURSING CARE TO THE SICK, DISABLED, DEPENDENT OR

VULNERABLE/AT RISK MEMBER OF THE FAMILY DUE TO:
Lack of/inadequate
knowledge about
Given that the family may be able to provide for themselves financially, lack of
the disease/health knowledge about the disease/health condition is present as the family is
condition (nature, unable to provide a home environment conducive to health maintenance and
severity, personal development. Additionally, both parents of the family have specific
complications, beliefs towards their health and presence of inadequate knowledge regarding
prognosis and it as both parents are smokers disregarding their age and condition.
management)
SECOND LEVEL FAMILY

SPECIFIC CUES
INABILITY TO PROVIDE ADEQUATE NURSING CARE TO THE SICK, DISABLED, DEPENDENT OR

VULNERABLE/AT RISK MEMBER OF THE FAMILY DUE TO:
Lack of/inadequate
Both parents of the family seek to believe that independent action may
knowledge of the lead to appropriate care as long as they may be able to do it. Hence,
nature or extent of resulting in intervening that nursing or medical care is not needed despite
nursing care needed their action and condition aligned to their age.
Lack of/inadequate
Both parents of the family may have the knowledge regarding appropriate
knowledge or skill in
medical care as they seek medical assistance every emergency treatment
carrying out the
needed, the parents still consider home activities are enough and are
necessary intervention
healthy lifestyle and having the certain maintenance drugs are adequate
or treatment/procedure
for them which leads to disregarding appropriate treatment or procedure
of care
of care aligned to their current condition or health.
SECOND LEVEL FAMILY

SPECIFIC CUES
INABILITY TO PROVIDE A HOME ENVIRONMENT CONDUCIVE TO HEALTH MAINTENANCE AND PERSONAL

DEVELOPMENT DUE TO:
Lack of/inadequate
Since the area is congested as the house of the family stores many
knowledge of importance of items, this increases the risk of improper waste disposal
hygiene and sanitation management and also may lead to presence of vectors as there is
observed unsanitary garage due to inadequate disposal of unused
items and family taking care of animals (cats) but unable to
properly clean the wastage of it.
Lack of/inadequate
Since the house of the family stores too many items which crowd
knowledge of preventive the place, it causes the increase of environmental temperature.
measures This, in return, is a health threat to the parents’ maintenance of
Lack of skill in carrying their blood pressure. Also, the household is mainly built on wood
out measures to improve that may cause serious hazards. The family has not made any
home environment effort to relieve the aforementioned threats.
SECOND LEVEL FAMILY

SPECIFIC CUES
FAILURE TO UTILIZE COMMUNITY RESOURCES FOR HEALTH CARE DUE TO:
Fear of consequences of
Considering the age of the both parents, their physical and

action (preventive,
psychological abilities may deteriorate and this leads to the inability of
diagnostic, therapeutic,
both parents to utilize the community resources for health care. Both
rehabilitative) specifically:
parents of the family are considered vulnerable aligned to their ages
Physical/psychological
as may due to presence of weakened bones and loss of strength of
consequences
muscles, and mild to moderate emotional struggles due to it.
Fear of consequences of
Although the family narrated that they have enough financial support
action (preventive, for their everyday needs, there are conflicts that are observed as they
diagnostic, therapeutic, are more strict to hold on to their finances and unable or obliterate the
rehabilitative) specifically: importance of utilizing community resources for their health care due
Financial consequences to it.
FAMILY
SECOND LEVEL
CONDITI SPECIFIC CUES
ASSESSMENT
ON
FAILURE TO UTILIZE COMMUNITY RESOURCES FOR HEALTH CARE DUE TO:
Fear of consequences
of action (preventive,
As both parents of the families are aging, their socializing ability may also
diagnostic, therapeutic,
decline due to the decreasing proportion of the older people and their ability
rehabilitative)
to socialize are restricted due prevalence of diseases or disability considering
specifically:
their age. As this may happen, both parents consider staying at home rather
Social
than seeking or utilizing community resources for their health care.
consequences
Prioritizing
Health
Conditions and
Problems
Establishing a hierarchy of identified problems
in order to determine priorities for intervention
Health Conditions and Problems Sheet
HEALTH
CONDITIONS NURSING PROBLEMS SUPPORTING CUES IDENTIFIED RESOLVED
AND PROBLEMS
Poor Home/ Poor Home/Environmental Due to the crowded area and

Environmental Condition/Sanitation as Health Threat the family's large amount of
Condition/Sanitatio Lack of or inadequate knowledge storage space, there is a higher
n. Specifically: Failure to comprehend the risk of improper waste
1. Inadequate nature/magnitude of the management, which may also
living space problem/condition result in the presence of
2. Noise pollution Lack of/inadequate knowledge of November 10,
vectors. For example, the
3. Air pollution importance of hygiene and sanitation 2022

family's garage is unsanitary
Fear of consequences of action because of improperly
(preventive, diagnostic, therapeutic, disposed of unused items, and
rehabilitative) specifically : Financial the family cares for animals
consequences (cats) but is unable to properly

clean the waste.

HEALTH
AND PROBLEMS
Unhealthy Lifestyle Unhealthy Lifestyle and Personal By the time they were 19 years
and Personal Habits/Practices as Health Threat old, Nanay D and Tatay G
Habits/Practices. Failure to comprehend the recalled that they had been
Specifically: nature/magnitude of the smokers since they were in
1. Cigarette problem/condition high school. Now, they smoke
smoking Lack of/inadequate 7 cigarettes every day as part
2. Inadequate rest knowledge/insight as to alternative November 10,
of their habit. The parent often
or sleep courses of action open to them 2022

uses social media from 3 am to
3. Lack of Fear of consequences of action, 10 am. Kuya A typically goes to
/inadequate specifically: Social consequences. bed around 5:00 a.m. after
exercise/physic Lack of/inadequate knowledge of conducting live feeds.
al activity the nature or extent of nursing care
needed.
HEALTH
AND PROBLEMS
Presence of health Hypertension as Health Deficit Due to the crowded area and
deficits-instances Lack of or inadequate knowledge the family's large amount of
of failure in health Fear of consequences of action, storage space, there is a higher
maintenance specifically: Social and physical risk of improper waste
specifically: consequences management, which may also
Hypertension Lack of/inadequate knowledge result in the presence of
about the disease/health condition vectors. For example, the November 10,

(nature, severity, complications, family's garage is unsanitary 2022

prognosis and management) because of improperly
Failure to comprehend the disposed of unused items, and
nature/magnitude of the the family cares for animals
problem/condition (cats) but is unable to properly

clean the waste.

Ranking Health Conditions and Problems
Prioritization of Health Problems
Presence of health deficits-instances of failure in health maintenance specifically, Hypertension 5.00
Cigarette Smoking as a health threat 4.66
Inadequate rest or sleep as health threat and Air Pollution as a health threat 3.66
Lack of/inadequate exercise/physical activity as health threat 2.66
Noise Pollution as a health threat 2.32
Inadequate living space as a health threat 1.16

NATURE OF THE
MODIFIABILITY
CONDITION OR PREVENTIVE
OF THE SALIENCE
PROBLEM PROBLEM POTENTIAL SCORE
CONDITION (/2X1)
PRESENTED (/3X1)
(/2X2)
(/3X1)
(2/3) x 1= 0.66 (2/2) x 2 = 2 (3/3) x 1= 1 (0/1) x 1 = 0

Justification: Justification: Justification: Justification:

This problem falls The problem is easily If necessary action This is a
under the category of modifiable if would intervene on problem not
health threat because adequate knowledge this problem air requiring
it belongs to from the health pollution can be immediate
Air pollution conditions that are personnel is given. attention for
prevented such as
as a health conducive to sickness This can lead the educating the the family says 3.66
threat and accidents or that family to be aware of family about ways that they are
may result in the the existing problem to improve the already use to
inability to sustain which in turn will quality of air in their this kind of
wellness or reach make home (e.g ban situation.
one's health potential. immediate action. smoking and using

air filter if possible)

NATURE OF THE
MODIFIABILITY
OF THE SALIENCE
CONDITION (/2X1)
PRESENTED (/3X1)
(/2X2)
(/3X1)
(2/3) x 1= 0.66 (2/2) x 2 = 2 (3/3) x 1= 1 (0/1) x 1 = 0


Insufficient rest or If the student nurses It can be prevented The condition

sleep is considered a can educate the by educating the is not viewed
Inadequate family on measures
threat to health since it family about the as requiring
rest or to help them sleep
can impair judgment, implications of sleep immediate
sleep as mood, the capacity to deprivation and urge
better at night, such
treatment by 3.66
as relaxation
health absorb and retain them to adjust their techniques, limiting
the family due
threat information, and may sleeping pattern, it social media use to to the
raise the risk of severe will be simple to a specified amount existence of
accidents and injuries. modify the family's of time, and avoiding more pressing

sleeping habits. daytime naps. health

concerns.

NATURE OF THE
MODIFIABILITY
OF THE SALIENCE
CONDITION (/2X1)
PRESENTED (/3X1)
(/2X2)
(/3X1)
(2/3) x 1= 0.66 (2/2) x 2 = 2 (3/3) x 1= 1 (1/1) x 1 = 1


Cigarette smoking There are numerous By showing or Cigarette
offers a threat to resources and educating families smoking is a
health since it can severe issue
Cigarette therapies for about the health
damage the body's that
Smoking as cigarette smoking dangers,
organs, resulting in a necessitates a 4.66
a health cessation, making it consequences,
variety of ailments natural
a modifiable and diseases
threat such as lung cancer, response
asthma, stroke, and behavior. linked with because it
heart disease.
cigarettes, causes
smoking can be addiction and

prevented. death.

NATURE OF THE
MODIFIABILITY
OF THE SALIENCE
CONDITION (/2X1)
PRESENTED (/3X1)
(/2X2)
(/3X1)
(3/3) x 1 = 1 (2/2) x 2= 2 (3/3) x 1 = 1 (1/1) x 1 = 1


Hypertension is a The issue is Increased blood The family
health deficiency that adjustable to a pressure can perceives
will result in be prevented Hypertension
Hypertensio moderate degree
consequences through as a serious
n as health requiring prompt care due to lifestyle proper health problem and 5.00
deficit and effective blood modifications, teaching and consults the
pressure management. such as food and proper health healthcare

exercise. management professional
of hypertension. for

maintenance.

Formulation of
Goals and
Objectives of
Care
Referring on the problems, goals and objectives must
be measurable, attainable, realistic and time-oriented.
Formulation of Goals and Objectives
Presence of health deficits of failure in health maintenance

for Hypertension

GOAL OF CARE OBJECTIVE OF CARE
Short Term
After 3 hours of nursing intervention and education, each
member of the family would be able to accurately define
Following the nursing intervention and
hypertension.
education, the family will take the required
After 5 hours of health teaching, the family will be
steps to manage effectively, and control,
adequately informed about healthy eating habits that lower
and minimize the risk factors for
blood pressure and prevent potential complications later on.
hypertension so that hypertension will no
After 5 hours of nursing intervention and education, the
longer be a health deficit.
family will be able to identify the risk factors for
hypertension, such as genetics, family history, age,
excessive salt and alcohol intake, smoking, and obesity.
for Hypertension
Long Term
Following the nursing intervention and After 1 week of nursing intervention and education, the
education, the family will take the family will be able to practice a healthy lifestyle that
required steps to manage effectively, prioritizes fitness and nutrition.
and control, and minimize the risk After 2 weeks of nursing intervention and education,
factors for hypertension so that the family member with hypertension would take their
hypertension will no longer be a health maintenance regularly even without any symptoms of
deficit. hypertension.

Presence of Health Threats:

Unhealthy Lifestyle and Personal Habits/Practices
Cigarette/tobacco smoking
Short Term
Following the nursing intervention and After 3 hours of nursing intervention and education, the
education, the family will be able to family will be able to verbally express comprehension
increase the knowledge of their of the effects of smoking on their health.
unhealthy smoking consumption
lifestyle and be educated of any Long Term

potential health issues that excessive After 2 weeks of home visits, the family members will
smoking may bring about as well as be able to demonstrate changes and how to control
how to focus their attention on other smoking.
tasks and avoid smoking.
Inadequate Rest or Sleep

Short Term
education, the family will be educated
about the importance of sleep and its
family will be able to verbalize the importance of sleep
possible disorders. The family will also
and its possible disorder.
be able to take action to support

members who are at risk of

Long Term
experiencing health deficits as a result
After 2 weeks of nursing interventions, the family will
of getting insufficient sleep or rest.
be able to report improved sleep and rest patterns.
When making decisions, the family's
desired way of treatment is also
considered.
Short Term
Lack of/inadequate exercise/physical
Within 5 hours of providing appropriate nursing care,
activity
the family would be able to verbalize the importance
of physical activity for their health and verbalize
feelings of increased strength.
education, the family will be educated

about the importance of exercise on

Long Term
their health. They will be guided to
After 1 week of providing appropriate nursing care, the
manage and limit the excessive use of
family could agree on goals for greater physical
gadgets, and include them in more
activity and exercise that take into account personal
physical activities.
preference, choice, and enjoyment of the activity.

Poor Home/Environmental Condition/Sanitation
Short Term
Air Pollution family members verbalized an understanding of the
importance of fresh air and a well-ventilated house.

Following the nursing intervention
and education, the family will be Long Term

educated about proper ventilation After 1 week of nursing intervention, the family will be
in their house. able to practice doing household activities that allow
them to have fresh air. For example, opening windows
for at least 15 minutes.
Short Term
Noise Pollution
family members verbalized the importance of a quiet
and peaceful environment and how it can affect the

Following the nursing intervention quality of their life.
and education, the family will
develop ways to minimize unwanted Long Term

noise and understand the After 3 days of nursing intervention, the family will be
importance of a peaceful and able to find ways for promoting a peaceful
environment and preventing unnecessary noise. For
solemn environment in the quality of
example, by turning off electrical appliances if not in
life.
use and wearing earplugs or noise-canceling
headphones, and closing the doors or windows.
Lack of/inadequate Short Term

exercise/physical activity After 3 hours of nursing intervention, the family
members verbalized understanding of the importance
of adequate living space.

and education, the family will develop

Long Term
ways to minimize the problem as
After 4 days of nursing intervention, the family will be
evidenced by rearrangement of able to showcase methods for promoting a healthy
furniture to maximize their living environment, such as how to organize appliances
space. properly.
Developing the
Intervention
Plan
Actions a nurse takes to implement their patient care
plan, including any treatments, procedures, or
teaching moments.

for Hypertension
GOAL OF CARE NURSING INTERVENTIONS

Independent
education, the family will take the
1. Define and state the limits of desired BP. Explain hypertension and
required steps to manage effectively,
its effects on the heart, blood vessels, kidneys, and brain.
and control, and minimize the risk
2. Assist the family in identifying modifiable risk factors (obesity; a diet
factors for hypertension so that
high in sodium, saturated fats, and cholesterol; sedentary lifestyle;
hypertension will no longer be a health
smoking; alcohol intake of more than 2 oz per day regularly;
deficit.
stressful lifestyle).
3. Discuss the importance of eliminating smoking, and assist the
patient in formulating a plan to quit smoking.
4. Assist the family in creating an easy-to-follow medication schedule.
for Hypertension
Dependent
1. Administer medications that reduce the hypertension as
prescribed by a medical doctor.
and education, the family will take the
2. Assure the patient that things will get better.
required steps to manage effectively,
and control, and minimize the risk
Collaborative
factors for hypertension so that
1. Talk to other members of the medical staff about the patient's
hypertension will no longer be a
condition.
health deficit.
2. Give patients advice on local resources and assist them in
changing their lifestyles
Cigarette Smoking as a health threat
Independent
1. Assess smoking history: kind and duration.
education, the family will be able to
2. Determine reasons for smoking.
increase the knowledge of their
3. Educate the family members about the consequences of their
unhealthy smoking consumption lifestyle.
lifestyle and be educated on any
4. Educate the family members about the health dangers and
potential health issues that excessive
diseases linked with excessive cigarette smoking.
smoking may bring about as well as
5. Inform the family members of the harmful effects of smoking,
how to focus their attention on other
particularly on their respiratory systems.
6. Encourage the family members to do household chores or any
other tasks to divert their attention from smoking.
Cigarette Smoking as a health threat

Collaborative
and education, the family will be able
1. Introduce new hobbies that can consume their time such as
to increase the knowledge of their
baking, painting, playing, etc., and instruct them to focus on that
instead of smoking.
lifestyle and be educated on any
2. Give them alternative smoking cessation methods such as
potential health issues that excessive
chewing gum, drinking a glass of water, or eating candy.
smoking may bring about as well as
3. Advice to seek medical practitioner to know if there is a present
how to focus their attention on other
illness caused by excessive smoking.
Inadequate rest or sleep as health threat
Independent
Following the nursing intervention and 1. Inform the family on the necessary dietary and hydration practices,
education, the family will be educated such as avoiding large meals, caffeine, alcohol, or smoking right before
about the importance of sleep and its bedtime.
possible disorders. The family will also
2. Instruct the family to maintain a regular daily schedule for sleep and
be able to take action to support
members who are at risk of rest.
experiencing health deficits as a result 3. Remind the family to refrain from drinking a lot of liquids right before
of getting insufficient sleep or rest. sleep.
When making decisions, the family's 4. Introduce calming activities like a warm bath, calming music, reading a
desired way of treatment is also book, and relaxation techniques before bed.
considered.
5. Inhibit the family members from taking naps throughout the day unless
absolutely necessary.

and education, the family will be
educated about the importance of
Dependent
sleep and its possible disorders. The
family will also be able to take action 1. Obtain prescriptions to help the client sleep when necessary.
to support members who are at risk
of experiencing health deficits as a Collaborative
result of getting insufficient sleep or 1. Suggest to the client to consult with a doctor or therapist to
rest. When making decisions, the
further understand the situation and cause of it.
family's desired way of treatment is
also considered.
Air Pollution as a health threat

Independent
education, the family will be educated 1. Inform the family about the significance of clean air and a well-ventilated home.
about proper ventilation in their house. 2. Instruct the family to open their windows for adequate ventilation.
3. Prohibit smoking within the residence.
4. Introduce the family to appliances like exhaust fans and air purifiers to lower the
amount of pollen in the air on days when it's not possible to open the windows.
5. Encourage the family to place a doormat to lessen the amount of pollutants
brought inside.
6. Educate the family members that odor-masking fragrances like air fresheners,
scented candles, incense, and other items might cause asthma attacks.
Following the nursing intervention Collaborative

and education, the family will be 1. Encourage the client to consult a doctor for screening
educated about proper ventilation in and check the well-being of the family exposed to air
their house. pollution.
Lack of/inadequate exercise/ physical activity as health threat
Following the nursing intervention and Independent

education, the family will be educated 1. Review the necessity for and benefits of regular exercise.
about the importance of exercise on 2. Determine current activity level and plan a progressive exercise
their health. They will be guided to program tailored to the individual’s physical condition, goals, and
manage and limit the excessive use of choice.
gadgets, and include them in more 3. Discuss appropriate warm-up exercises, cool-down activities, and
physical activities. specific techniques to avoid injury.
4. Suggest the family to have exercise bonding.
5. Encourage involvement in social activities like Zumba, jogging and
etc.
Lack of/inadequate exercise/physical activity as health threat

education, the family will be Dependent
educated about the importance of 1. Assist with ADLs (activities of daily living) regularly as indicated
exercise on their health. They will be by the physician or supervisor.
guided to manage and limit the
excessive use of gadgets, and Collaborative
include them in more physical 1. Recommend a physical trainer to join a program of exercise.
activities.
Noise Pollution as a health threat

Independent
Following nursing intervention
1. Educate the family about the importance of having a quiet and peaceful environment
and education, the family will
and how it can affect the quality of their life.
develop ways to minimize
2. Educate the family about the possible harmful effects of noise pollution such as
unwanted noise and understand
impacts on sleep habits, hindering child development, can cause psychological
the importance of a peaceful
problems, etc.
and solemn environment in the
quality of life.
Collaborative
1. Introduce ways of promoting a peaceful environment and preventing unnecessary
noise.
2. Encourage the family members to turn off electrical appliances if not in use, wear
earplugs or noise-canceling headphones, and close the doors or windows.
Inadequate living space as a health threat

Independent
education, the family will develop ways
1. Offer ideas for how to make the most of the available living space by
to minimize the problem as evidenced
moving appliances around or getting rid of unnecessary items.
by the rearrangement of furniture to
2. Encourage the family to separate items they no longer use.
maximize their living space.
3. Inform the family that a lack of space makes it easy for diseases to
spread.
4. Inform the family of any potential impacts of living in an inadequate
space.
5. Describe the benefits of having enough living space to the family.

and education, the family will develop Collaborative
ways to minimize the problem as Recommend an expert in rearranging furniture to help with
evidenced by the rearrangement of better arrangement and maximize their space.
furniture to maximize their living
space.
Developing
the Evaluation
Plan
To reassess or evaluate in order to ensure
that the desired outcome has been met.

for Hypertension

OBJECTIVE OF CARE EVALUATION OF CARE
Short Term Short Term - Goal Met

After 3 hours of nursing intervention and education, After 3 hours of nursing intervention and education,
each member of the family would be able to accurately each member of the family was able to define
and define hypertension. hypertension accurately and completely.
After 5 hours of health teaching, the family will be After 5 hours of health teaching, the family was well-
adequately informed about healthy eating habits that informed about healthy eating habits that lower blood
lower blood pressure and prevent potential pressure and prevent future complications.
complications later on. After 5 hours of nursing intervention and education, the
After 5 hours of nursing intervention and education, the family was able to identify the risk factors for
family will be able to identify the risk factors for hypertension, such as genetics, family history, age,
hypertension, such as genetics, family history, age, excessive salt and alcohol intake, smoking, and
excessive salt and alcohol intake, smoking, and obesity. obesity.
for Hypertension
Long Term Long Term - Goal Met

After 1 week of nursing intervention and After 1 week of nursing intervention and
education, the family will be able to education, the family was able to practice a
practice a healthy lifestyle that prioritizes healthy lifestyle that prioritizes fitness and
fitness and nutrition. nutrition.
After 2 weeks of nursing intervention and After 2 weeks of nursing intervention and
education, the family member with education, the family member with
hypertension would take their maintenance hypertension was able to take their
regularly even without any symptoms of maintenance regularly even without any
hypertension. symptoms of hypertension.



After 3 hours of nursing intervention and education, The family could verbally express their
the family will be able to verbally express understanding of the impacts of smoking on their
comprehension of the effects of smoking on their health after 3 hours of nursing intervention and
health. education.
Long Term Long Term - Goal Met

After 2 weeks of home visits, the family members The family members were able to show changes
will be able to demonstrate changes and how to and how to control smoking after two weeks of
control smoking. home visits.
Short Term
After 3 hours of nursing intervention and Short Term - Goal Met
The family is able to express the value of sleep
education, the family will be able to verbalize
and its potential disorders after an hour of
the importance of sleep and its possible
nursing intervention and education.
disorder.

Long Term - Goal Met

Long Term
The family is able to report that each family
After 2 weeks of nursing interventions, the
member's sleep and rest patterns have
family will be able to report improved sleep improved after two weeks of nurse interventions.
and rest patterns.
Short Term
Short Term - Goal Met
Within 5 hours of providing appropriate nursing
The family was able to express the value of
care, the family would be able to verbalize the
physical activity for their health and feelings of
importance of physical activity for their health
increased strength within two hours of receiving
and verbalize feelings of increased strength.
proper nursing care.
Long Term
After 1 week of providing appropriate nursing
The family can decide on goals for more major
care, the family could agree on goals for greater
physical activity and exercise that take into
physical activity and exercise that take into
account personal preference, choice, and
account personal preference, choice, and
enjoyment of the activity after one week of
enjoyment of the activity.
providing proper nursing care.

Short Term
After 3 hours of nursing intervention and education,
the family members verbalized an understanding of
family members were able to verbalize their
the importance of fresh air and a well-ventilated
understanding of the importance of fresh air and a well-
house.
ventilated home.
Long Term
After 1 week of nursing intervention, the family will be
After 1 week of nursing intervention, the family was able
able to practice doing household activities that allow
to practice doing household activities that allow them to
them to have fresh air. For example, opening windows
have fresh air. For example, opening windows for at
for at least 15 minutes. least 15 minutes.

Short Term
After 3 hours of nursing intervention and
After 3 hours of nursing intervention and education,
education, the family members verbalized the
the family members were able to verbalize the
importance of a quiet and peaceful environment
importance of a quiet and peaceful environment
Long Term
After 1 week of nursing intervention, the family
After 1 week of nursing intervention, the family was
will be able to find ways for promoting a peaceful
able to find ways to promote a peaceful
environment and preventing unnecessary noise.
environment and prevent unnecessary noise. For
For example, by turning off electrical appliances
example, by turning off electrical appliances if not
if not in use and wearing earplugs or noise-
in use and wearing earplugs or noise-canceling
canceling headphones, and closing the doors or headphones, and closing the doors or windows.
windows.

After 3 hours of nursing intervention, the family After 3 hours of nursing intervention, the family
members verbalized understanding of the members were able to verbalize their
importance of adequate living space. understanding of the importance of adequate living
space.
Long Term
After 1 week of nursing intervention, the family Long Term - Goal Met
will be able to showcase methods for promoting After 1 week of nursing intervention, the family was
a healthy environment, such as how to organize able to demonstrate methods for promoting a
appliances properly. healthy environment, such as how to properly
organize appliances.
Recommendations
A suggestion or proposal as to the best

course of action
The primary technique for assessing the community’s health risks is through an initial assessment
and some recommendations in relation to the family and their community or environment. Upon
assessing the Opilac family, it is important to consider the variations inside their family structure
since this is also essential for healthcare delivery due to the tremendous impact that the family has
on their individual health choices and behaviors. Through home visiting the family, the nurses
observed the following that the family needs in relation to their health- they are isolated as they do
not receive regular health care, both aged parents are chain-smokers and there are observed
inadequate sanitation in the home environment. In connection to these arising problems observed,
the community health nurses have potential to address these common family issues.
1
Assessment of the
Home Environment
Health Needs
of the Family Recos
3
Family Health Care

Assistance
Health
Education
Plan
Health education is an essential tool for a nurse to
effectively channel the patient's role for his health
management.
Poor Home/Environmental Sanitation As Health Threat

Due To The Presence Of Risk Factors For Disease

LEARNING TIME,
LEARNING LEARNING STRATEGY/ RESOURCES EVALUATION
STRATEGIES/ VENUE, AND
OBJECTIVES CONTENT RATIONALE NEEDED METHOD
ACTIVITIES DATE
At the end of the

Inadequate Living The family
discussion, the
Space: The entire members will be
clients are Manpower:
expected to: To alleviate the time allotted able to:
How does a Client, family,
Identify the risks as they for the health Determine
poor and the nursing
health reorganized the education the risk
environment/ Discussion, students
risks/threats of furniture to session is only factors that
Environmental Powerpoint
a given achieve maximal 30 minutes. lead to the

environmental
Sanitation Presentation Materials:
living space.
area's
condition (that affect human Powerpoint,
To verbalize the The venue is congestion,
may lead to a health? notebook, and
importance of at the client’s such as
possible adequate pen
residence. unwanted
related
space. items.
disease).
Poor Home/Environmental Sanitation As Health Threat
Due To The Presence Of Risk Factors For Disease
LEARNING
LEARNING LEARNING STRATEGY/ TIME, VENUE, RESOURCES EVALUATION
STRATEGIES/
OBJECTIVES CONTENT RATIONALE AND DATE NEEDED METHOD
ACTIVITIES
Methods:
Demonstrate
Reinforce techniques for
technique - encouraging a
Noise Pollution:
Determine is a type of good state of
To reduce
the
the method background
The date of the environment,
significance where the noises and such as proper
teaching session
of the majority of recognize the appliance
is set for 45
solemn presenters
significance
placement,
minutes on
environmen advance to of a calm and etc.
November 12, Demonstrate
t on the the next solemn
2022. an
quality of slide and environment
understanding
on one's life
one’s life. then speak of the
quality.
about significance of
what's on adequate living
space.
the slide.
Cigarette Smoking As A Health Threat
LEARNING
STRATEGIES/
ACTIVITIES
After conducting
What is smoking ?
30 minutes to 3 the health
At the end of the Smoking is the Discussion, Some clients Manpower:
hours is allotted education
discussion, the process of inhaling Powerpoint are visual for the health
Client, family,
and exhaling the discussion about
clients are Presentation, learners that education session, and the nursing
fumes of burning cigarette
expected to: plant material. Lungs Models, need visual the duration students. smoking, the
Marijuana and Interactive depends on how
Define what presentation
client’s will be
Hashish are common discussion many queries the
is smoking. variety of plant that is and curious Materials: able to:

clients will ask.
Enumerate being smoked, but clients want to Powerpoint, Define
The client’s
the different the least expensive smoking in

preferred method see the actual The health Lungs Models,
types of and popular is the their own
tobacco smoking it is of care is taken condition of the education will take notebook, and words.
smoking. placed in a cigarette, into account when topic being place at the pen Discuss the

cigar or pipe making decisions. client’s residence.
discussed.

types of

smoking
LEARNING TIME,
STRATEGIES/ VENUE,
ACTIVITIES AND DATE
What are the To be aware

Identify the health types of Lungs Models help of possible
risks/threats of Smoking? the client to know diseases that
cigarette smoking Second- what the lungs will
may affect
that may lead to hand look like during the
their health.
consumption of
health problems Smoking The date of To give the
cigarettes. Client
in relation with (Mainstrea the teaching
participation and chemicals
uncontrollable m smoke suggestion will be session is inside a
consumption of and
acknowledged to set for 50
cigarette.
cigarettes.
Sidestrea establish a rapport minutes on To define
To know what is
m Smoke) during the health smoking
the chemical November
Third-hand education discussion. cessation
composition of a
Interactive discussion 12, 2022
Smoking and what
cigarette. will help the client’s
To define what
action they
to understand the
smoking
topic that will be will take to
cessation is.
discussed stop

smoking.
LEARNING
STRATEGIES/
ACTIVITIES
What are the common

diseases caused by
smoking?
Cancer
Emphysema
Pneumonia
Coronary artery
disease
Diabetes

What are the

chemicals in
cigarettes?
Nicotine
Tar
Carbon monoxide
Toxic chemicals
LEARNING
STRATEGIES/
ACTIVITIES
What is smoking
cessation?
It is the process where
the smoker decides
when to stop
consuming cigarettes.

Methods:

Reinforce technique
- is a type of method
where the majority
of presenters
advance to the next
slide and then speak
about what's on the
slide.
LEARNING
STRATEGIES/
ACTIVITIES
Lung balloon model

- a model that
represents what
lungs look like
during inhalation
and exhalation.
Cotton and
cigarette - cotton
will represent

lungs, emitted
cigarette smoke
will be sip by the
cotton balls.
Cotton will
represent the lungs
condition during
the consumption of
cigarettes.
Inadequate Rest/Sleep As Health Threat

Due To The Presence Of Risk Factors For Sleep Deficit

LEARNING TIME,
STRATEGIES/ VENUE, AND
ACTIVITIES DATE
Discussion, Powerpoint The entire

What is Manpower:
Powerpoint presentation is time allotted
At the end of Sleep? Client, family,
Presentation advisable for the for the health The family
the discussion, What are the and the nursing

client since they’re education members will
the clients are benefits of students.
already old. The
Good Sleep? The client’s session is be able to:
expected to: client’s will be able
Effects of Lack preferred only 50 1. Understand

Determine to sustain the Materials:
of Good Sleep method of care knowledge that
minutes sleep and
the common Physical Signs
Powerpoint and
is taken into they must attain by
its possible
effects of of Fatigue due sleep
account when a visual The venue is disorders.
lack of to Inadequate diaries/log
making presentation of the at the client’s
good sleep. Rest/Sleep books

decisions. topic to be residence.

discussed.

LEARNING
STRATEGIES/
ACTIVITIES
Determine Respecting the

and explain client’s
the preferred
Presence of
presence method of Take steps to
Psychologic The date of the
discussion will
of physical al and help members
help the nurses teaching
or Physical who are at risk
to provide the session is set
psychologi Stressors at developing

best strategy for 60 minutes
cal Environment health deficits

on making sure on November
stressors al Factors from
that the client 12, 2022.
Determine Affecting inadequate
will listen and
environmen Good Sleep rest/sleep

learn to the way
tal factors
of discussion
affecting that the client’s
sleep preferred.
LEARNING
STRATEGIES/
ACTIVITIES
Methods:
Reinforce
technique -
is a type of
method
where the
majority of
presenters
advance to
the next
slide and
then speak
about what's
on the slide.
Family
Nursing
Care Plan
A formal process that correctly identifies existing
needs and recognizes a client's potential needs or
risks.
Family Nursing Care Plan
Presence of Health Deficit-instances of Failure

in Health Maintenance for Hypertension

FAMILY HEALTH
SUBJECTIVE CUES OBJECTIVE CUES FAMILY NURSING PROBLEM/S
PROBLEMS
“Ngayon bawal kami Tatay G

Lack of or inadequate knowledge
pareho sa BP: 130/100 mmhg
Fear of consequences of action,
Temp: 35.7
mamantikang pagkain specifically: Social and physical
PR: 75 bpm
tapos Vestar 35 Presence of Health consequences
RR:17 breaths/min.
milligrams. Ambas 5 Deficit-instances of Lack of/inadequate knowledge
BMI: 24.5 kg/m2
milligrams Failure in Health about the disease/health condition
Nanay D
maintenance namin Maintenance for (nature, severity, complications,
BP: 120/70 mmhg
pareho yun, isang Hypertension prognosis and management)
Temp: 35.7
beses sa isang araw” Failure to comprehend the
PR: 79 bpm
as verbalized by nature/magnitude of the
RR:19 breaths/min.
Nanay D. problem/condition
BMI: 33.2 kg/m2
Short Term
After 3 hours of nursing intervention and education, each member of the family
Following the nursing would be able to accurately define hypertension.
intervention and After 5 hours of health teaching, the family will be adequately informed about
education, the family healthy eating habits that lower blood pressure and prevent potential complications
will take the required later on.
steps to manage After 5 hours of nursing intervention and education, the family will be able to identify
effectively, and control, the risk factors for hypertension, such as genetics, family history, age, excessive
and minimize the risk salt and alcohol intake, smoking, and obesity.
factors for
hypertension so that Long Term
hypertension will no After 1 week of nursing intervention and education, the family will be able to
longer be a health practice a healthy lifestyle that prioritizes fitness and nutrition.
deficit. After 2 weeks of nursing intervention and education, the family member with
hypertension would take their maintenance regularly even without any symptoms of
hypertension.
INTERVENTION PLAN
METHOD OF
NURSING INTERVENTIONS NURSE-FAMILY RESOURCES REQUIRED
CONTACT
Independent
1. Define and state the limits of desired BP. Explain Material Resources: Visual Aids
hypertension and its effects on the heart, blood about the nature, complications, and
vessels, kidneys, and brain. preventive measures of hypertension.
2. Assist the family in identifying modifiable risk factors Human Resources: Time and effort
(obesity; a diet high in sodium, saturated fats, and for the both part of the student-
cholesterol; sedentary lifestyle; smoking; alcohol nurses and the family.
Home Visit
intake of more than 2 oz per day regularly; stressful Financial Resource: Expenses for
lifestyle) teaching aids and transportation of
3. Discuss the importance of eliminating smoking, and the student-nurses during home
assist the patient in formulating a plan to quit visits.
smoking.
4. Assist the family in creating an easy-to-follow
medication schedule.
INTERVENTION PLAN
METHOD OF
CONTACT
Dependent Material Resources: Visual Aids

1. Administer medications that reduce hypertension as about the nature, complications, and
prescribed by a medical doctor. preventive measures of hypertension.
2. Assure the patient that things will get better. Human Resources: Time and effort
for the both part of the student-
Home Visit
Collaborative nurses and the family.
1. Talk to other members of the medical staff about the Financial Resource: Expenses for
patient's condition. teaching aids and transportation of
2. Give patients advice on local resources and assist the student-nurses during home
them in changing their lifestyles visits.
EVALUATION
Short Term - Goal Met:

After 3 hours of nursing intervention and education, each member of the family was able to define
hypertension accurately and completely.
After 5 hours of health teaching, the family was well-informed about healthy eating habits that lower
blood pressure and prevent future complications.
After 5 hours of nursing intervention and education, the family was able to identify the risk factors for
hypertension, such as genetics, family history, age, excessive salt and alcohol intake, smoking, and
obesity.
Long Term - Goal Met:

After 1 week of nursing intervention and education, the family was able to practice a healthy lifestyle
that prioritizes fitness and nutrition.
After 2 weeks of nursing intervention and education, the family member with hypertension was able to
take their maintenance regularly even without any symptoms of hypertension.
Cigarette Smoking as a Health Deficit

FAMILY HEALTH FAMILY NURSING

SUBJECTIVE CUES OBJECTIVE CUES
PROBLEMS PROBLEM/S
Nanay D and Tatay G Presence of leftover smoked Cigarette Smoking as Insufficient

noted that they have been cigarette in the house a Health Deficit knowledge of the
smokers since they were Presence of cigarette smell effects of
in high school by the age Members of the family was seen unhealthy smoking
of 19 years old. Nanay D smoking by the student nurses habits
was able to stop smoking Lack of
for 5 years when Kuya A Given that the family’s routine consists understanding of
was 10 years old. of 7 cigarettes per day, first and second- the nature of the
hand smokers may increase the health problem
risk for family members and most likely
second-hand smokers, spouses and
children of individuals who smoke in the
family have an increased risk of heart
and lung disease or even cancer.
Following the nursing Short Term:

intervention and After 3 hours of nursing intervention and education, the family will be
education, the family
able to verbally express comprehension of the effects of smoking on
will be able to increase
the knowledge of their their health.
unhealthy smoking
consumption lifestyle Long Term:
and be educated of any After 2 weeks of home visits, the family members will be able to
potential health issues
demonstrate changes and how to control smoking.
that excessive smoking
may bring about as well
as how to focus their
attention on other tasks
and avoid smoking.
INTERVENTION PLAN
METHOD OF
CONTACT
Home Visit Material Resources:

Independent Visual aids on the impact of cigarette
1. Assess smoking history: kind and duration. smoking on one’s health.
2. Determine reasons for smoking.
3. Educate the family members about the consequences Human Resources:
of their unhealthy smoking consumption lifestyle.
Time, effort, and skills for both part of
4. Educate the family members about the health dangers
the student-nurses and the family.
and diseases linked with excessive cigarette smoking.
5. Inform the family members of the harmful effects of
smoking, particularly on their respiratory systems. Financial Resources:
6. Encourage the family members to do household chores Expenses for teaching aids and
or any other tasks to divert their attention from smoking. transportation of the student nurses
during home visits.
INTERVENTION PLAN
METHOD OF
CONTACT
Home Visit Material Resources:

Collaborative Visual aids on the impact of cigarette
Introduce new hobbies that can consume their smoking on one’s health.
time such as baking, painting, playing, etc., and
instruct them to focus on that instead of Human Resources:
smoking. Time, effort, and skills for both part of
Give them alternative smoking cessation the student-nurses and the family.
methods such as chewing gum, drinking a
glass of water, or eating candy. Financial Resources:
Advice to seek medical practitioner to know if Expenses for teaching aids and
there is a present illness caused by excessive transportation of the student nurses
smoking. during home visits.
EVALUATION
Short Term
The family could verbally express their understanding of the impacts of
smoking on their health after 3 hours of nursing intervention and
education.
Long Term
The family members were able to show changes and how to control
smoking after two weeks of home visits.
Inadequate Rest or Sleep and Air Pollution as Health Threat

FAMILY HEALTH
SUBJECTIVE CUES OBJECTIVE CUES FAMILY NURSING PROBLEM/S
PROBLEMS
The family regards their sleep Lack of knowledge regarding on

cycle as not enough. They Given that the
how to maintain a regular daily
usually sleep late in the early home is located
schedule for rest and sleep
morning. The parent’s usual close to a
Unable to inhibit the routine of
Public roadway
sleep routine is from 3:00 am Unhealthy Lifestyle frequent stayingand scrolling
Noise pollution
to 10:00 am from using social and Personal through social media that leads to
from the busy
media. According to Tatay G, Habits/Practices: inadequate sleep.
area, including
he is experiencing insomnia Inadequate rest or Insufficient knowledge on the
children playing
because of his disrupted sleep negative effects of improper or
and chatty
sleep schedule in Saudi inadequate sleeping pattern
neighbors, is
before. For Kuya A, he usually Failure to manage proper sleeping
obvious
sleeps at 5:00 am from doing habits that causes daily insufficient
sleeping patterns.
live streams.

FAMILY HEALTH FAMILY NURSING
SUBJECTIVE CUES OBJECTIVE CUES
PROBLEMS PROBLEM/S
Public transportation is also

making noise such as the:
honking and accelerating of Inadequate knowledge
automobiles about how to have proper
tricycles and trains. ventilation at home
Since public transit Unable to comprehend
Poor Home /
frequently passes in front of the nature or impact of
Environmental
the family's home, the smoke smoking at home or
Condition / Sanitation:
from the engines causes air family
Air Pollution
pollution. Lack of knowledge
regarding the negative
Additionally, smoke from impact of polluted air to
Nanay D and Tatay G's every individuals at home
constant cigarette smoking
is adherent.

and education, the family will be After the nursing intervention, the family will be able
educated about the importance of to eradicate the factors that may cause the given
sleep and its possible disorders. health threats.
The family will also be able to take
action to support members who are
Inadequate Rest/Sleep
at risk of experiencing health
deficits as a result of getting The client/s will report a proper balance of sleep
insufficient sleep or rest. When and rest, a week after the nursing intervention.
making decisions, the family's
desired way of treatment is also
considered.
INTERVENTION PLAN
METHOD OF
CONTACT
Independent
1. Inform the family on the necessary dietary and Material Resources: Visual aids
hydration practices, such as avoiding large meals, about the effect of inadequate rest
caffeine, alcohol, or smoking right before bedtime. or sleep
2. Instruct the family to maintain a regular daily
Human Resources: Time and effort
schedule for sleep and rest.
for both part of the student-nurses
3. Remind the family to refrain from drinking a lot of Home Visit
and the family.
liquids right before sleep.
Financial Resources: Expenses for
4. Introduce calming activities like a warm bath,
calming music, reading a book, and relaxation teaching aids and transportation of
techniques before bed. the student-nurses during home
5. Inhibit the family members from taking naps visits.
throughout the day unless absolutely necessary.
INTERVENTION PLAN
METHOD OF
CONTACT
Material Resources: Visual aids

Dependent
about the effect of inadequate rest
1. Obtain prescriptions to help the client or sleep
sleep when necessary. Human Resources: Time and effort
for both part of the student-nurses
Home Visit
Collaborative and the family.
Suggest to the client to consult with a
teaching aids and transportation of
doctor or therapist to further understand the student-nurses during home
the situation and cause of it. visits.
INTERVENTION PLAN
METHOD OF
CONTACT
Independent
1. Inform the family about the significance of clean air
and a well-ventilated home. Material Resources: Visual aids
2. Instruct the family to open their windows for adequate about the effect of inadequate rest
ventilation. or sleep
3. Prohibit smoking within the residence. Human Resources: Time and effort
4. Introduce the family to appliances like exhaust fans for both part of the student-nurses
Home Visit
and air purifiers to lower the amount of pollen in the air and the family.
on days when it's not possible to open the windows. Financial Resources: Expenses for
5. Encourage the family to place a doormat to lessen the teaching aids and transportation of
amount of pollutants brought inside. the student-nurses during home
6. Educate the family members that odor-masking visits.
fragrances like air fresheners, scented candles,
incense, and other items might cause asthma attacks.
INTERVENTION PLAN
METHOD OF
CONTACT
Material Resources: Material

Resources: Visual aids about proper
sanitation at home
Collaborative Human Resources: Time and effort
1. Encourage the client to consult a doctor for both part of the student-nurses
Home Visit
for screening and check the well-being and the family.
of the family exposed to air pollution.
teaching aids and transportation of
the student-nurses during home
visits.
EVALUATION

After 3 hours of nursing intervention and education, the family members were able to
verbalize their understanding of the importance of fresh air and a well-ventilated
home.

After 1 week of nursing intervention and education, the family was able to practice
doing household activities that allow them to have fresh air. For example, opening
windows for at least 15 minutes.
Service and
Progress
Notes
Progress notes are an essential part of the
documentation of a client's status and achievements.
EVALUATION OF
NURSING OBSERVATIONS AND
DATE NURSING INTERVENTIONS PROGRESS AND
CLIENTS’ RESPONSES
OUTCOMES
After taking vital signs, Tatay G had

Independent Each member of the Opilac
mentioned that he was taking family was able to define
1. Define and state the limits of desired BP. Explain
medication for hypertension but was not hypertension accurately and
hypertension and its effects on the heart, blood
timely on it as it was instructed to be completely. They were well-
vessels, kidneys, and brain.
taken in after meals as to why his blood informed about healthy
2. Assist the family in identifying modifiable risk factors
pressure was higher than normal on the eating habits that lower
(obesity; a diet high in sodium, saturated fats, and
November initial vital signs. It can be observed that blood pressure and prevent
cholesterol; sedentary lifestyle; smoking; alcohol
12, 2022 Tatay G and Nanay D have a problem future complications. The
intake of more than 2 oz per day regularly; stressful
with identifying the depth of the family was also able to
lifestyle). identify the risk factors for
condition since for them it is significant
3. Discuss the importance of eliminating smoking, and hypertension, such as
enough that they have maintenance
assist the patient in formulating a plan to quit smoking. genetics, family history, age,
medicines to prevent hypertension
4. Assist the family in creating an easy-to-follow excessive salt and alcohol
without considering environmental and
medication schedule. intake, smoking, and obesity.
lifestyle factors.
NURSING OBSERVATIONS AND EVALUATION OF PROGRESS
DATE NURSING INTERVENTIONS
CLIENTS’ RESPONSES AND OUTCOMES

Upon the second visit it is
Dependent
observed that they have taken
1. Administer medications that
medication within the proper
reduce hypertension as
prescribed by a medical doctor.
time schedule and
2. Assure the patient that things circumstances since it was Each member of the Opilac
will get better. noticeable on their expression
family was able to practice
November
and non-irritable state. They also
a healthy lifestyle that
19, 2022 Collaborative mentioned having discipline over
1. Talk to other members of the meals that could trigger their
prioritizes fitness and
medical staff about the patient's hypertension and only indulges nutrition.
condition.
on such on a situational basis
2. Give patients advice on local
where they weren’t at risk for
resources and assist them in
changing their lifestyles. having an increase in blood

pressure.
Presence of Health Deficit-instances of Failure in Health Maintenance
for Hypertension

On the last visit it was visible how

lifestyle was improved. They have
schedules that include Zumba as
their form of exercise and on top of
Collaborative
that a healthy diet meal after such
1. Talk to other members of Each member of the Opilac
activities. They have also taken in
the medical staff about the medication after meals as family with hypertension
November patient's condition. prescribed by the doctor under a was able to take their
26, 2022 2. Give patients advice on strict schedule. The couple had also maintenance regularly
local resources and assist been cautious on factors within the
without any symptoms of
environment that could trigger
them in changing their hypertension.
hypertension such as high
lifestyles. temperatures and constant
strenuous activities since they had a
shift in schedule for their
prioritization of health.
NURSING EVALUATION OF
DATE NURSING INTERVENTIONS OBSERVATIONS AND PROGRESS AND
CLIENTS’ RESPONSES OUTCOMES
As Nanay D stated, they

Independent
found it difficult to stop
Each family
1. Assess smoking history: kind and duration. member was
2. Determine reasons for smoking. smoking immediately, but
3. Educate the family members about the consequences of on our last home visit, able to verbally
their unhealthy smoking consumption lifestyle. they were able to express their
November
4. Educate the family members about the health dangers demonstrate changes and understanding of
12, 2022 and diseases linked with excessive cigarette smoking. how they could control the effects of
5. Inform the family members of the harmful effects of their smoking by doing
smoking, particularly on their respiratory systems.
smoking on their
some pastime hobbies to
6. Encourage the family members to do household chores health.
refrain them from thinking
or any other tasks to divert their attention from smoking.
about smoking.

Collaborative
1. Introduce new hobbies that can On the 2nd home visit, there are key
consume their time such as changes recorded in regards to the
Each member of the family
baking, painting, playing, etc., and behavior of the clients on the
instruct them to focus on that consumption of cigarettes. Nanay D
was able to understand how
instead of smoking. verbalized that the stick of cigarettes important it is to promote
November 2. Give them alternative smoking that they consume is lesser than their wellness by means of
19, 2022 cessation methods such as usual consumption. The health lowering the amount of
chewing gum, drinking a glass of teaching that was conducted met its cigarette consumption and to
water, or eating candy. goal to somehow lessen or stop the
think about smoking
3. Advice to seek medical consumption of cigarettes to protect
practitioner to know if there is a them against diseases caused by cessation.
present illness caused by smoking.
excessive smoking.
EVALUATION OF
NURSING OBSERVATIONS
AND CLIENTS’ RESPONSES
OUTCOMES
Independent
Upon visiting Tatay D and
1. Inform the family on the necessary dietary and
hydration practices, such as avoiding large meals, Nanay N, they verbalize that
caffeine, alcohol, or smoking right before bedtime. their sleeping pattern is
Each of the family members
2. Instruct the family to maintain a regular daily sufficient enough already for
is already able to express
schedule for sleep and rest. their daily routines. However,
November the value of sleep and its
3. Remind the family to refrain from drinking a lot of there are still times that they
12, 2022 liquids right before sleep.
potential disorders after an
tend to sleep still until early
4. Introduce calming activities like a warm bath, hour of nursing intervention
hours of the morning or
calming music, reading a book, and relaxation and education.
midnight since they tend to use
techniques before bed.
their cellphones or social
5. 5. nhibit the family members from taking naps
media until they fall asleep.
throughout the day unless absolutely necessary.
EVALUATION OF
OUTCOMES
On the last visit, Tatay D and Nanay N still find it

Dependent difficult to have an adequate and consistent
1. Obtain prescriptions to help the sleeping pattern, however as they find
client sleep when necessary. significance in the provided nursing interventions The Opilac family was

about how good enough sleep and rest could able to report that each
lead to a better or healthy body, they slowly family member's sleep
November Collaborative
progressing for sleeping more early and avoiding and rest patterns have
26, 2022 1. Suggest to the client to consult habits that may interfere with their sleeping improved after one
with a doctor or therapist to schedule such as eating foods or snacks at night, week of nurse
further understand the situation taking naps, and drinking a lot of liquids. They interventions.
also had narrated that Kuya A already sleeps on
and cause of it.
time as well unlike his usual irregular sleeping

pattern.

NURSING EVALUATION OF
DATE NURSING INTERVENTIONS OBSERVATIONS AND PROGRESS AND
CLIENTS’ RESPONSES OUTCOMES
Independent
Tatay G shared that living
1. Inform the family about the significance of clean air and a
beside a railroad and
well-ventilated home.
maintaining good air
2. Instruct the family to open their windows for adequate Each of the family
ventilation at home is hard
ventilation. members were able
as opening the window can
3. Prohibit smoking within the residence. to verbalize their
invite air pollution inside
November 12, 4. Introduce the family to appliances like exhaust fans and understanding of the
their house.
air purifiers to lower the amount of pollen in the air on importance of fresh
2022 The nurses observed that
days when it's not possible to open the windows. air and a well-
they have put a doormat
5. Encourage the family to place a doormat to lessen the ventilated home.
already at the entrance of
amount of pollutants brought inside.
their house which is helpful

6. Educate the family members that odor-masking
to reduce the pollutants
fragrances like air fresheners, scented candles, incense,
brought inside.
and other items might cause asthma attacks.

Inadequate space and

smoking are two
considerations to correlate Each of the family
Collaborative
with air pollution, the smaller members was able to
1. Encourage the client to
the space means a smaller practice doing household
November consult a doctor for
space for the air to circulate activities that allow them
19, 2022 screening and check the
and change its quality. The to have fresh air. For
well-being of the family
higher consumption of example, opening windows
exposed to air pollution.
cigarettes will lock up more for at least 15 minutes.
carbon dioxide inside the
clients home.
Lack of/inadequate exercise/physical activity as health threat
EVALUATION OF
OUTCOMES
Independent After the Opilac Family stated that they do

Review the necessity for and benefits of regular not conduct usual exercises, as the nurses The family was able
exercise. mentioned the benefits of it especially on to express the value
Determine current activity level and plan a their ages, the Opilac Family specifically of physical activity
progressive exercise program tailored to the Tatay D and Nanay N found importance to it
for their health and
and gradually did exercises such as walking
November 12, individual’s physical condition, goals, and choice. feelings of
and stretching (warm-up) in the early
2022 Discuss appropriate warm-up exercises, cool- increased strength
morning. They stated that initially, it was
down activities, and specific techniques to avoid within two hours of
difficult for them to do so as it is not their
injury. usual routine but in order to prevent receiving proper
Suggest the family to have exercise bonding. diseases and disorders they gave nursing care.
Encourage involvement in social activities like importance to simple physical activities
Zumba, jogging and etc. although it is in slow progression.

Lack of /inadequate exercise/physical activity as health threat

Upon observation made by the

Dependent nurses, the family is now
The family can decide on
1. Assist with ADLs (activities focused on maintaining their
goals for more major physical
of daily living) regularly as physical activities such as
activity and exercise that take
indicated by the physician or exercising.
into account personal
November supervisor.
preference, choice, and

19, 2022
The family takes into account the
enjoyment of the activity after
Collaborative importance of what they are
1 week of providing proper
1. Recommend a physical doing and how adequate
nursing care.
trainer to join a program of exercise/physical activity help in

exercise. maintaining one’s health.


Independent On the second home visit, the Opilac

family stated that upon a week of
1. Educate the family about the
observing and contemplating, they have
importance of having a quiet and
thought that their surroundings are Each of the family members
peaceful environment and how it
actually noisy and that having a quiet and were able to verbalize the
can affect the quality of their life.
November peaceful environment is not only a importance of a quiet and
2. Educate the family about the
12, 2022 possible harmful effects of noise
necessity but a privilege for a better peaceful environment and how it
health and good quality of life. The can affect the quality of their life.
pollution such as impacts on
nurses have observed that the Opilac
sleep habits, hindering child

family is already planning on the next
development, can cause steps to lessen the noise pollution
psychological problems, etc. around them.

It has come to the attention of the

Opilac family that even in the smallest
Collaborative: ways, noise pollution can be
Each of the family members
Introduce ways of promoting prevented and resolved such as but
was able to find ways to
not limited to unplugging unnecessary
a peaceful environment and promote a peaceful
appliances that may contribute to
preventing unnecessary noise pollution, and so on. Moreover, environment and prevent
noise. the Opilac family mentioned that they unnecessary noise. For
November
Encourage the family have been lessening the noise example, by turning off
19, 2022 pollution around them to prevent
members to turn off electrical appliances if not in
health threats. use and wearing earplugs or
electrical appliances if not in

use, wear earplugs or noise- noise-canceling headphones,

The nurses have observed that with
canceling headphones, and and closing the doors or
the ample time given to the family,
close the doors or windows. they are able to put into action what windows.
they have contemplated for their own
good.
EVALUATION OF
NURSING OBSERVATIONS
AND CLIENTS’ RESPONSES
OUTCOMES
Independent
Upon arrival at the client's home, the Each member of the Opilac
1. Offer ideas for how to make the most of the available living
student nurses noticed the small Family was able to verbalize their
space by moving appliances around or getting rid of space in the client’s house loaded with understanding of the importance
unnecessary items. lots of stuff. The student nurses of adequate living space. Also,
2. Encourage the family to separate items they no longer use. advised the client’s to move or the family was able to
3. Inform the family that a lack of space makes it easy for dispose of stuff with less to no use. demonstrate methods for
diseases to spread. The student nurses informed the promoting a healthy environment,
November
4. Inform the family of any potential impacts of living in an Opilac Family about the risk of having such as how to properly organize
12, 2022 inadequate space. an inadequate space to their health appliances. Finally, after
5. Describe the benefits of having enough living space to the and benefits of having a movable following the nursing
family space. Days after the advice given, the interventions and education, the
. Opillac Family adjusted stuff in their family was able to develop ways
house that made it more movable. to maximize their living space by
Collaborative:
Furniture was properly rearranged in rearranging their furniture
1. Recommend an expert in rearranging furniture to help with
accordance with the advice given. properly.
better arrangement and maximize their space.

From the discussion between the family and It is not new to the student nurses for
Independent student nurses from last week’s visit, it has the Opilac family to respond
come to the attention of the student nurses immediately with the information
1. Observe the family on what
that drastic changes have been made. provided to them. The Opilac family
they have done with their space

indeed care so much about what they
and if the information given The household has made the most with their would feel, think, and be able to do with
previously by the student space by moving their appliances and furniture everything that surrounds them.
nurses were followed. accordingly with the help of an expert. The

November
family also decluttered things that were not of
It is of huge help to the household with
19, 2022 Collaborative use and made sure that everything inside the
regards to having an adequate space
1. Discuss the changes done by house is already in accordance with having
good health.
and cleanliness in which they stated
the expert in rearranging the

that they will make sure to maintain
furniture and what new feeling what they have newly done in order to
With this, the family stated that they have
the family felt with the changes have a healthy environment and be free
never felt better with the changes made
made. from all forms of viruses, bacterias, and
around them. They mentioned that it felt like

living in a new and fully furnished house all diseases.
over again.
07 January, 2022 Community Health Nursing Laboratory
Family Health
Assessment
Presented by: Group 3 of BSN 2-6

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07 January, 2022 Community Health Nursing Laboratory

Famliy Structure, Characteristics, and Dynamics

RELATIONSHIP TO CIVIL PLACE OF

Nanay D Wife 64 Female Married Living with the family

Kuya A Son 28 Male Single Living with the family

Living with her

Living with the

Socio-Economic and Cultural Factors

Home Maintain the

EXPENDITURE ALLOTMENT RANKING

Food Php 7,000.00 1

Emergency funds Php 2,000.00 2

Savings Php 28,950.00 3

Education Php 0.00 4

Electricity Bill Php 3,000.00 5

Medical and Dental Care Php 2,000.00 6

Water Bill Php 300.00 7

TOTAL Php 43,250.00

Home Living & Environmental Conditions

General Sanitary Condition: The

Temperature and blood

79 beats per 19 breaths per 120/70 Temperature needs

Kuya A N/A N/A N/A N/A N/A

Ate E N/A N/A N/A N/A N/A

Aling R N/A N/A N/A N/A N/A

NAME DISEASE SUFFERED MEDICAL ATTENDANCE REMARKS

Diagnosed high blood

Diagnosed High blood

Kuya A N/A N/A N/A

Ate E N/A N/A N/A

Aling R N/A N/A N/A

Diagnosed by a consumed the generic version of maintenance

Diagnosed by a consumed the generic version of maintenance

Kuya A N/A N/A N/A

Ate E N/A N/A N/A

Aling R N/A N/A N/A

Tatay G 75 kg 175.2 cm 20 cm 24.5 kg/m2 91 cm 1.12 Normal

Nanay D 85 kg 160 cm 25 cm 33.2 kg/m2 101 cm 1.05 Obese

Kuya A N/A N/A N/A N/A N/A N/A N/A

Ate E N/A N/A N/A N/A N/A N/A N/A

Aling R N/A N/A N/A N/A N/A N/A N/A

7:00 am 7:30 am 8:00 am

None 10:40 am 10:00 am

12:00 pm 12:30 pm 12:00 pm

8:00 pm 10:00 pm 9:30 pm

Risk Factor Assessment

When skin is pinched it goes to its previous state immediately (2 seconds).

The heads of the family are rounded; normocephalic and symmetrical.

Sclera Inspection The sclera appeared white.

Non-palpable, non tender

Breast Inspection Both breasts are symmetrical. No lesions noted.

Motor System All the 12 cranial nerves were intact.

Muscle Tone No abnormalities noted.

Reflexes All normal.

WEIGHT First Dose Second First Booster Second Second

Date: June Date:

Date: June Date:

Date: October Date: January

First Level Assessment

PRESENCE OF WELLNESS CONDITION

FIRST LEVEL FAMILY

PRESENCE OF WELLNESS CONDITION

FIRST LEVEL FAMILY