FAMILY HEALTH NURSING ASSESSMENT OF FAMILY D IN BRGY.

SALITRAN IV,
CITY OF DASMARIÑAS CAVITE

A Family Health Nursing Assessment

Presented to the Faculty of Nursing
St. Jude College Dasmarinas Inc., Cavite

Presented by:
Olavario, Irish Faye N.
Operiano, Kristine A.
Sabino, Allyna Lohan B.
Saldua, Marc Lawrence
Sambo, Clark A.
Saramines, Jazzlyn Mae C.
Shackleton, Angeline L.

Level 2, Section 4 – BS Nursing (2V RLE)

Presented to:
Ms. Kristelle Lynne Manlapas, RN
Ms. Allaine Ruth Rodil, RN
Ms. Brigene Tabago, RN
Ms. Amy Villarosa, RN
Faculty

2025
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 TABLE OF CONTENTS
I. INTRODUCTION
A. INTRODUCTION TO THE FAMILY ------------------------------------------------ 4
B. FAMILY DEMOGRAPHY ------------------------------------------------------------- 4
C. PHYSICAL ENVIRONMENT -------------------------------------------------------- 4
D. PHYSIOLOGICAL/ SPRITUAL ENVIRONMENT ------------------------------ 5
E. PURPOSE OF THE STUDY -------------------------------------------------------- 5
F. SPECIFIC OBJECTIVES OF THE STUDY ------------------------------------ 5-6
G. LOCATION MAP ----------------------------------------------------------------------- 6
H. SPOT MAP ------------------------------------------------------------------------------ 7
I. GENOGRAM --------------------------------------------------------------------------- 8

II. PRESENTATION OF DATA AND ANALYSIS

A. DEMOGRAPHIC PROFILE --------------------------------------------------------- 9
B. ECONOMIC ASPECTS -------------------------------------------------------------- 10
C. ENVIRONMENTAL ASPECTS ----------------------------------------------------- 10
D. HEALTH ASPECTS ------------------------------------------------------------------- 10
E. SOCIAL ASPECTS -------------------------------------------------------------------- 10

III. FAMILY CARE PLAN

A. COGNITION PERCEPTION PATTERN ------------------------------------------ 12
B. SELF PERCEPTION/ SELF-CONCEPT PATTERN -------------------------- 12
C. NUTRITIONAL METABOLLIC PATTERN ---------------------------------------- 12
D. ELIMINATION PATTERN -------------------------------------------------------- 12-13
E. ACTIVITY- EXERCISE PATTERN ------------------------------------------------- 13
F. ACTIVITY-SLEEP PATTERN ------------------------------------------------------- 13
G. SEXUAL REPRODUCTION PATTERN ------------------------------------------ 13
H. VALUES AND BELIEF PATTERN ------------------------------------------------- 13
I. COPING STRESS TOLERANCE PATTERN ----------------------------------- 13
J. HEALTH PERCEPTION/ HEALTH MANAGEMENT PATTERN ------- 13-14
K. ROLE RELATIONSHIP PATTERN ------------------------------------------------ 15

IV. PROBLEM PRIORITIZATION

A. PRESENCE OF BREEDING OR RESTING SIGHTS OF FEMAL AEDES
AEGYPTI -------- 19
B. UNSAFE WATER SUPPLY ------------------------------------------------------ 20
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 C. INADEQUATE REST/SLEEP RELATED TO INCREASED URINARY
FREQUENCY ----- 21
D. INADEQUATE LIVING SPACE ----------------------------------------------------- 22
E. PRESENCE OF LUMP IN THE NECK ------------------------------------------- 23

V. FAMILY NURSING CARE PLAN

A. PRESENCE OF BREEDING OR RESTING SIGHTS OF FEMAL AEDES
AEGYPTI ---- 24
B. UNSAFE WATER SUPPLY ------------------------------------------------------ 25
C. INADEQUATE REST/SLEEP RELATED TO INCREASED URINARY
FREQUENCY -- 26
D. INADEQUATE LIVING SPACE ----------------------------------------------------- 27
E. PRESENCE OF LUMP IN THE NECK ------------------------------------------- 28

VI. RECOMMENDATIONS AND CONCLUSIONS

A. RECOMMENDATIONS -------------------------------------------------------------- 29
B. CONCLUSIONS ----------------------------------------------------------------------- 29

VII. DOCUMENTATIONS
A. PICTURES ----------------------------------------------------------------------- 30-31
B. DATA GATHERING TOOL
- CONSENT FORM —--------------------------------------------------------- 32
- COMMUNITY HEALTH ASSESSMENT FORM ----------------- 33-37

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I. INTRODUCTION
A. INTRODUCTION TO THE FAMILY
The family is the cornerstone of society. People develop their customs, beliefs, and moral values
here, which have a significant impact on the state of the community as it influences every facet of
their lives. Family plays a crucial role in shaping views, norms, and practices relevant to health in
the community as it is the basic unit of social interaction and the main predictor of these factors.

This study focuses on the selected family residing in Barangay Salitran IV, Sitio Salipit, City of
Dasmarinas Cavite. On November 14, 2022, the student nurses handpicked the Family D as they
satisfied the criteria for a family with a health problem. This presents a good opportunity for student
nurses to work with the family to alleviate and feasibly prevent those issues by putting their
community health nursing skills into practice. On the grounds of this, the student nurses intend to
provide the family with health education and interventions that promote health wellness and
maintenance by explaining the current and potential health problems that may arise and
capacitating them with knowledge and awareness of how to solve the problem so that this does not
interfere with their daily activities and help them maintain their health in good condition.

B. FAMILY DEMOGRAPHY
The family that the student nurses assessed and interviewed is Family D, which is composed of a
married couple with five children: Father D is 54 years old, while Mother D is 53 years old. They
have two sons and three daughters. The Son 1D is 20 years old, Son 2D is 19 years old, the
daughter 1D is 16 years old, the daughter 2D is 14 years old, and the youngest daughter is 10
years old. All of them are studying except the eldest son. The youngest is still in elementary school,
and three of them are enrolled in high school. Both of their parents are unemployed and stay at
home. Family D's income is derived from the remittances of Mother D's other children from his first
family; they get 1500 on the 15th and 30th of each month. The Family D is considered a nuclear
family. A Nuclear type of family consists of the parents and the children alone. The Family D resides
in Barangay Salitran IV, Sitio Salipit, City of Dasmarinas Cavite. They have been residing there
since 2004, living harmoniously for 18 years.

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C. PHYSICAL ENVIRONMENT
Family D lives in Barangay Salitran IV, Sitio Salipit, City of Dasmarinas Cavite. The residence of
Family D is near to the court and close to the creek. The family resides in a modestly sized concrete
home. The roof is made of galvanized iron sheets, and the floors are tiled. Their window is a wooden
jalousie type covered with curtains. Their furniture was mostly made of wood and plastic.
According to them, they plant their crops on an empty lot behind their house, which serves as
their source of food.

There is a wooden door at the main entrance. Before you enter, you can see a chicken cage parallel
to the door. Also nearby are a flat tire, a broken beige plastic table, and other sundry items. The
house has a kitchen, a living room, a bedroom, and a bathroom that is only partially curtained off.
According to them, they have set up their bed in the living area, which is entirely composed of a
long meter of plywood. They have a bedroom near the kitchen. This is where they keep their
personal belongings, furniture, and appliances. Moving on to their kitchen, a pile of unwashed
plates, disorganized kitchen items, and a gallon of water can be seen. In addition, they all share a
single bathroom in the house. It has a single toilet, a large blue plastic barrel, and a bucket for water
storage.

In terms of waste disposal, the community has a garbage collector who visits the barangay once a
week, every Thursday. They have their own meter for electricity. The family's water supply is
surface water from a neighbor's faucet three houses away, which costs ₱3.00 per gallon. They
drink it, bathe in it, and use it to wash their dishes and clothes. Some of their water containers are
stored outside and lack lids.

D. PHYSIOLOGICAL/ SPIRITUAL ENVIRONMENT

The entire family affiliates with Iglesia ni Cristo. They explained that it has become a family custom
to attend church together and express gratitude to the Lord. They go to worship services every
Saturday.

E. PURPOSE OF THE STUDY

Following a sequence of nursing interventions, the family should be able to identify the root cause
of the problem and take the appropriate measures to resolve it on their own. They must be able to
recognize their own strengths and shortcomings to cope with the diverse problems that may occur

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 within their family. Finally, the family should be able to complete the tasks necessary for their
independent health maintenance, assisting them in developing a sense of holistic health and well-
being.

F. SPECIFIC OBJECTIVES OF THE STUDY

After rendering different nursing processes, the community health nurse should:
1. Foster a relationship of trust between the family and the nurse.
2. Gather data to identify the issues that must be addressed in the Family Nursing Care Plan
(FNCP).
3. Assist the family become aware of their issues and suggest solutions.
4. Provide health education that the family can use to address the problem.
5. Evaluate whether the goal of health education in dealing with the family's problem was met.

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G. LOCATION MAP

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H. SPOT MAP

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I. GENOGRAM

The first generation includes Father D and Mother D’s parents who passed away due to
old age. They said that their relationship with both of their parents was great, and they
never had an issue with any of them. Since their parents only met their children up to
daughter 1 only and the other grandchildren could not recall if they have spent their time
with their grandparents. The second generation then includes Father D and Mother D in
which both members have a comorbidity Father D has Gout whereas Mother D has Gout.

The third generation includes their children two male and three female five children in total
whereas their son 1 who is their eldest son stay home with them to help with their daily
activities as he fears that something might happen to his parents, on the other hand, their
other children go to school daily. Their children verbalized that they have a great
relationship with their parents and with their late grandparents. Some characteristics that
exist in their family are Gout and Goiter the said illnesses only started with Father D and
Mother D and for their children, there are no comorbidity present hence only common
cough and cold would be seen.
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II. PRESENTATION OF DATA AND ANALYSIS
A. DEMOGRAPHIC PROFILE

The Family D consist of seven members which includes Mother D, Father D, and their five
children. Statistically, 57.1% are female and 42.9% are male. The age of the family ranges
from 10 to 54 years old. Parents are legally married, and their children are all single. All
members of the family are Iglesia ni Cristo.

The highest educational attainment of Father D and Mother D is high school level. Their
children are all attending school except the eldest son, which decides to stop schooling to
take care of his parents. The second son is currently in senior high school and two of her
daughters is in junior high school, while the youngest daughter is in elementary level.

None of the family members have work. Son 1D stay at home with Mother D and Father
D, and the other children go to school.

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B. ECONOMIC ASPECTS
Aforementioned above, none of them are working. Their source of income comes from
remittance provided by Mother D's daughter from her first family. She does not live with
Mother D anymore as she already has her own family. She sends ₱1,500 pesos every
15th and 30th day of every month. Hence, every month they only have total of ₱3,000
budget to pay for their needs. Aside from this, Son 1D and Son 2D also occasionally
receive money from their significant other if its urgent.

C. ENVIRONMENTAL ASPECTS
The environment has an impact on a person's health and can also contribute to family
health issues. Outside the residence of Family D, multiple water storage containers
without lids can be seen. Mosquitoes and flies can also be encountered in the vicinity. Due
to this, mosquitoes are more likely to lay their eggs there, increasing the risk of dengue.
Aside from that, their neighborhood's wet and slippery street poses a risk of accident
hazards such as falls. Furthermore, the family's living space is quite inadequate for them,
as they are crowded when all members are present. This could lead to poor ventilation,
pest infestations, and an increased risk of spreading of communicable diseases.

D. HEALTH ASPECTS
All of Family D's children are healthy, but Mother D and Father D both have underlying
health issues. Mother D suffers from goiter and nocturia, while Father D suffers from Gout.
Mother D used to take herbal medicine known as Intra for her goiter. She does not have any
prescription for her medication since she refuses to seek medical attention due to her fear
and lack of money. Father D, on the other hand, had a previous medical check-up last March
01, 2022. He was able to seek for medical attention because his sister insisted on paying for
his medical check-up and even bought him the medication he requires . He is currently taking
Rosuvastatin, Febuxostat, Renalog and Losartan. Sooner or later, his medicines will run
out and according to them, they cannot repurchase it anymore because they are on a tight
budget.

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E. SOCIAL ASPECTS
Family D has a good relationship with their neighbors, who occasionally give them food.
One of her neighbors is the source of their water supply. She gets along well with her
neighbors, and they all talk whenever her children play with the neighbor's children. She
becomes irritated, however, when her neighbor becomes too loud because of the shouting
and noise. Furthermore, when the student nurses approached Mother D for an interview,
she made them feel welcome. Mother's D action demonstrates the Filipino trait of
hospitality.

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III. FAMILY CARE PLAN

GORDON’S 11 FUNCTIONAL HEALTH PATTERNS

Cognitive Perception There are no sensory disorders within the family or any neurological disorder.
Pattern The decision type of the family is egalitarian, or both the mother and
father decide. All family members are literate.

Family Self Despite the difficulties of life, Family D believes in maintaining a

Perception/Self positive outlook and being grateful. Mother D also accepted her body
Concept Pattern image and believes that grooming is important as it promotes
cleanliness.

Family Nutritional The family eats a variety of foods such as egg, canned goods, and
Metabolic Pattern vegetables planted behind their home. They eat three times a day. The
family doesn’t have any restrictions regarding disease and religious points of
view as well as a dislike of food and allergies.

Family Elimination The family’s garbage is collected through a garbage truck every week.
Pattern Family D has not experienced any issues with defecation and
urination, but Mother D has reported frequent nighttime urination
which affects her sleep.

Family Activity Walking is Family D's only form of exercise. Children's primary
Exercise Pattern exercise is walking to and from school. They do not participate in any
sports.

Family Activity Sleep The rest of the family has sufficient sleep and have no trouble
Pattern sleeping, except Mother D. Due to frequent urination at night, Mother
D's gets approximately four to five hours of rest. Mother D also
reported having a headache after waking up. She also does not take
any sleeping medication.

Family Sexuality- Mother D stated that she is aware of family planning as evidenced by
Reproductive Pattern age difference between her children. Mother D and Father D are also
not sexually active because of their old age. Mother D had seven
pregnancies and gave birth to seven children.

Family Values and According to the family, they value doing the right thing and being a nice
Belief Pattern person in general. They are all members of Iglesia ni Cristo (INC), and prayer
for them is vital. They always pray and praise the Lord before going to bed.

Family Coping Stress The family's coping mechanisms include listening to their favorite music and
Tolerance yelling when irritated.

Family Health Mother and Father D have a limited understanding of the Covid-19
Perception and Health vaccine due to their fear about potential side effects, but their children
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Management Pattern have all received Covid-19 vaccinations. Father D takes four
medications: Rosuvastatin, Febuxostat, Renalog, and Losartan, and
he does not have regular checkups. Lastly, Mother D believes in
herbal medication. They all believe that it is critical to take care of one's
health.

Role- Relationship Mother D and Father D are legally married. None of them are working
Pattern but Mother D’s daughter from the first family gives her money as a
source of income. They are a nuclear type of family with five children.

A. COGNITION PERCEPTION PATTERN

During the interview, the student nurses observed that all family members can read, write,
and analyze information or literate. According to Mother D, she and her husband was
unable to finish high school. They both stopped during their first year. Aside from them,
their eldest Son 1D also stopped attending school because he wants to focus on taking care of
his mother. Their son 2D is currently enrolled in the senior high school's 11th grade. On the
other hand, Daughter 1D and Daughter 2D are currently enrolled in junior high school. The
first daughter is in the ninth grade, while the second is in the seventh. Then, the youngest
daughter is in sixth grade. All except the eldest son are in face-to-face learning wherein the
course content and learning material are taught in person to a group of students. The decision
type of the family is egalitarian, or both the mother and father decide.

B. SELF-PERCEPTION / SELF-CONCEPT PATTERN

The house of Family D is in a excess lot/squatter’s area. Their house is composed of one bedroom,
kitchen, living area, and a bathroom that are only separated by curtains. The living space of the
house inside is inadequate for the seven members of the family. The family is prone to accident
hazard outside their home because of slippery street. They are accessible to facilities such as
school, church, and health care institutions like hospital and clinic. Their method of transportation
is by walking. Their outlook in life is to keep optimistic and appreciative even when things
are difficult. Additionally, the family places a high value on education. They ensure that
their four children receive a quality education even though their oldest son no longer
attends school.

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C. NUTRITIONAL METABOLIC PATTERN
The family consumes a wide range of foods, including eggs, sardines, and vegetables
grown outside their home, such as talbos ng kamote. They eat three times a day and
Mother D does the cooking. Their overall water supply including their drinking water comes
from the neighbor’s faucet. They don’t have refrigerator for food storage. The family has
no restrictions regarding disease or religious beliefs, as well as a dislike of food and
allergies. They are also not picky about their food.

D. ELIMINATION PATTERN
A garbage truck comes every Thursday to collect Family D's garbage. They are using a
single-family residence's pour flush toilet. There have been no recent problems with
defecation. The appearance of urine is yellow and clear without sediments. No pain from
urination or any of the family members. However, Mother D reported frequent urination
during the night at least four to five times, which affects her sleep cycle and rest.

E. ACTIVITY-EXCERCISE PATTERN
Family D only engages in walking because it is the most common form of exercise. They
do not engage in any strenuous activities or sports. They walk without experiencing any
paleness, coughing, heartbeat changes, or breathing difficulties.

F. ACTIVITY-SLEEPING PATTERN
All the family member sleeps together, and they usually sleep on the floor with plywood
placed in their living room. Family D can get enough sleep, with the exception of Mother
D, who, due to frequent urination, can only sleep for four to five hours a night and doesn't
take an afternoon nap. Mother D also mentioned that she usually gets a headache when
she wakes up. She does not exercise at night and does not take any medications that
affect her sleep.

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G. SEXUAL REPRODUCTION PATTERN
Mother D reported that she had seven pregnancies and gave birth to seven children. Two
children from her first family and five children from her current family which is Family D.
Based on the student nurse interview, Mother D and her eldest child are informed regarding family
planning practices. For her children's age gap, Mother D used to take pills in the past. Mother
D and Father D are not sexually active anymore because of their old age.

H. VALUES AND BELIEF PATTERN

According to the family, they value doing the right thing and being a nice person in general. They
are all members of Iglesia ni Cristo (INC), and prayer for them is vital. They always pray and praise
the Lord before going to bed, as they are grateful to him for allowing them to survive another day.
They are grateful to God for the many blessings they have received.

I. COPING STRESS TOLERANCE PATTERN

The family's coping mechanisms include listening to their favorite music and yelling when irritated.
The family recognizes that stress is a vital component of life. The mother noted that stress becomes
problematic when a person's stress tolerance is low, which might interfere with their everyday
activities.
J. HEALTH PERCEPTION / HEALTH MANAGEMENT
Family D believes that taking care of one's health is important. All children are immunized
except Mother D and Father D because they are afraid of side effects of the vaccine
because they lack knowledge about it. Father D is diagnosed with gout and have four
medicines which are Rosuvastatin, Febuxostat, Renalog and Lozartan. Despite having a
goiter diagnosis, Mother D is not taking medication. Mother D says she once drank an
herbal juice called Intra. Unless their condition has already gotten worse, they don't go to
hospitals or medical facilities.
K. ROLE-RELATIONSHIP PATTERN
Mother D and Father D are legally married. They are a nuclear type of family with five
children. None of them are working but Mother D’s daughter from the first family gives her
money as a source of income. Both Mother D and Father D consider their role in the family
as a provider for their children’s basic needs. They also have close relationship and bond
with their five children.
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IV. PROBLEM PRIORITIZATION
SCALE FOR RANKING
A. CRITERIA

CRITERIA SCORE WEIGHT

1. Nature of the Problem

Health Deficit 3 1
Health Threat 2
Foreseeable Crisis 1

2. Modifiability
Easily 2 2
Moderate 1
Not Modifiable 0

3. Preventive/Potential
High 3 1
Moderate 2
Low 1

4. Salience of the Problem

Problem needing urgent attention 2 1
Problem not needing urgent attention 1
Not perceive as a problem 0

B. SCORING

1. Decide a Score of each criteria.

2. Divide the score by the highest possible score and multiply by the weight:
Score
———————— X Weight
Highest Score

3. Sum up the scores for all the criteria. The highest score is 5 (equal to total weight).

4. The higher the score (near 5 and above) of a given problem, is more likely taken as a PRIORITY

5. With the available scores, the nurse then RANKS health problems accordingly.

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 LIST OF HEALTH PROBLEMS RANKED ACCORDING TO PRIORITIES

HEALTH PROBLEM SCORE

Presence of Breeding or Resting Sites of Female Aedes 3.32

Aegypti

Unsafe Water Supply 3.32

Inadequate Rest/Sleep Related to Impaired Urinary 2.82

Elimination

Inadequate Living Space 2.82

Presence of Lump in the Neck 1.83

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A. Presence of breeding or resting sights of female Aedes aegypti
CRITERIA SCORE JUSTIFICATION

1. Nature of the Problem 2/3 x 1 = 0.66 This is regarded as a threat to health

Health Threat because it puts the family at risk of getting
mosquito-borne viral disease such as
dengue.

2. Modifiability 1/2 x 2 = 1 This problem is considered as moderate

Moderate modifiable because it can be discussed to
the family through health teaching about
dengue prevention like using of alternative
insect repellent such as avoiding the
storage of stagnant water, keeping their
house clean, and planting citronella plant
nearby.

3. Preventive/Potential 2/3 x 1 = 0.66 It is considered as moderately preventive

Moderate with the cooperation of the family to keep
their house clean and protect themselves
by wearing long-sleeved shirts and long
pants to prevent mosquito bites. The family
can also plant a mosquito repellent called
citronella which can limit the mosquitoes.

4. Salience of the Problem 2/2 x 1 = 1 The family perceived the problem as

Problem needing urgent attention needing urgent attention because it is
important for them to provide solutions
about the risk of dengue.

TOTAL 3.32

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B. Unsafe Water Supply

CRITERIA SCORE JUSTIFICATION

1. Nature of the Problem 2/3 x 1 = 0.66 This is regarded as a threat to

Health Threat health because of poor sanitation as
evidenced by unsafe drinking water supply
that comes from tap water.

2. Modifiability 1/2 x 2 = 1 This problem is considered as moderate

Moderate modifiable because Family D lack a
significant knowledge about the importance
of boiling tap water before drinking it and
they are not aware of the risk of drinking tap
water as it is.

3. Preventive/Potential 2/3 x 1 = 0.66 It is considered a moderate preventive.

Moderate Through health education, it can be
discussed with the family about how
important it is to boil the water before
drinking it to kill the microorganisms in it
and educate them about risk factors.

4. Salience of the Problem 2/2 x 1 = 1 The family perceived the problem as

Problem needing urgent attention needing urgent attention because using tap
water without boiling can risk their health
due to possible parasite contamination.

TOTAL 3.32

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C. Inadequate Rest/Sleep related to impaired urinary elimination

CRITERIA SCORE JUSTIFICATION

1. Nature of the Problem 2/3 x 1 = 0.66 This is regarded as a threat to health

Health Threat because being sleep deprived could lead to
serious illnesses like insomnia, heart
disease and stroke to obesity and
dementia.

2. Modifiability 1/2 x 2 = 1 This problem is moderately modifiable

Moderate through health teaching with the
cooperation of a family member because
the mother has increased urinary
frequency, which leads to a lack of sleep,
but does not recognize the issue as urgent.

3. Preventive/Potential 2/3 x 1 = 0.66 It is considered a moderate preventive.

Moderate Through health education, it can be
discussed with the family the different ways
to reduce the frequency of urination at night
and improve sleeping patterns.

4. Salience of the Problem 1/2 x 1 = 0.5 The family perceived this problem as not
Problem not needing urgent needing urgent attention because
attention according to them, this is not their priority.

TOTAL 2.82

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D. Inadequate living space

CRITERIA SCORE JUSTIFICATION

1. Nature of the Problem
Health Threat
2/3 x 1 = 0.66 This is regarded as a health threat because
inadequate living space and ventilation may
jeopardize the family's health by influencing
mental health, sleep quality, and indoor air
quality.

2. Modifiability 1/2 x 2 = 1 This problem is considered as moderately

Moderate modifiable because maximizing the space
of the house can be discussed to promote
the importance of having adequate space
for each member of the family.

3. Preventive/Potential 2/3 x 1 = 0.66 It is considered as moderately preventive

Moderate through educating the family on how to
maximize space by proper arrangement of
their furniture and appliances.

4. Salience of the Problem 1/2 x 1 = 0.5 The family felt that this issue did not require
Problem not needing urgent immediate attention because having a
attention place to sleep is a more pressing concern
for them.

TOTAL 2.82

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E. Presence of Lump in the Neck
CRITERIA
1. Nature of the Problem
Health Deficit
2. Modifiability
Not Modifiable
3. Preventive/Potential
Low
4. Salience of the Problem
Problem not needing urgent
attention
TOTAL
SCORE JUSTIFICATION
3/3 x 1 = 1 It is a health deficit because there are times
where the mother feels normal despite the
presence of the lump. The mother herself
doesn’t have the ability to recognize the
presence of her conditions due to anxiety
and inadequacy of knowledge.
0/2 x 2 = 0 The problem is not modifiable since the
mother refuses to seek medical attention
and proceeds with herbal medication.
1/3 x 1 = 0.33 It is considered a low potential problem to
the family but still a candidate for further
complications and must be given careful
attention.
1/2 x 1 = 0.5 The family does not recognize this as a
problem needing immediate attention
because the problem has not yet worsened
nor affect her ADL.
1.83
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V. FAMILY NURSING CARE PLAN (FNCP)
A. PRESENCE OF BREEDING OR RESTING SIGHTS OF FEMALE AEDES AEGYPTI
HEALTH FAMILY GOAL OF OBJECTIVE INTERVENTION PLAN METHOD RESOURCES EVALUATION
PROBLEM NURSING CARE OF CARE OF NURSE REQUIRED
PROBLEM

Presence of Poor home After 1 day After the nursing The student nurse encouraged Through Time and effort After nursing
breeding or sanitation of intervention, the the family to clean their home of student interventions,
resting secondary to completing family will be surroundings every day. visitation nurses the GOAL WAS
sights of the presence the aware of MET, and the
female of breeding or intervention, The student nurse encouraged Through Knowledge family was able
Aedes resting sights the family 1. the potential the family to always cover their health about dengue to understand
aegypti of female will be able implication and stock water by informing them of teaching vectors. on what the risk
Aedes aegypti to clean adverse effects the potential consequences of the dengue
as evidenced their area of an uncovered (stagnant water could be a Pamphlets virus to the
by an and cover water bucket that breeding ground for bacteria and about dengue. health of every
uncovered their stock can be the potential pathogens) of having an family member
water bucket water and resting sights of uncovered bucket of water that Time and if they were
full of stagnant have female Aedes can be stagnant water that can attention of the able to provide
water and a enough aegypti. be a resting sight of female family. cover for their
presence of knowledge Aedes aegypti. water storage
larva. about 2. know the where they
mosquitoes. importance of The student nurse informed the think Aedes
preventing the family about the dengue virus aegypti can
dengue virus and how to assess its early reside.
early symptoms (fever, rash, muscle
pain, etc.)
3. Have
adequate The student nurse was able to
knowledge of explain the importance of seeking
how dengue healthcare assistance while the
happens. virus is at its early stage.

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B.) UNSAFE WATER SUPPLY

HEALTH FAMILY GOAL OF OBJECTIVE OF INTERVENTION PLAN METHOD RESOURCES EVALUATION

NURSING CARE CARE OF REQUIRED
PROBLEM PROBLEM NURSE

Unsafe Poor Within 5 days After the nursing The student nurse Informed Through Time and effort After nursing
water environmental of nursing intervention, the family the family about the risk home of student intervention, the
supply conditions intervention, should be able to: factors of drinking tap water visitation nurses GOAL WAS
secondary to the family will without boiling it. MET, the family
the unsafe reconsider the 1. Understand the risks Through Cooperation was able to
water supply different of using tap water for The student nurse informed health and attention of elaborate the
as evidenced methods of their drink without the family about the teaching the family procedures of
by the ensuring that boiling the water procedures for properly boiling the
absence of the water they drinking clean water like Adequate water for them
availability of drink is clean. 2. Understand the using clean water jugs or knowledge of to have safe
clean drinking One method to significance of hygiene pitchers, always putting a lid the student drinking water
water. be considered and the usage of on the container, and boiling nurse regarding and the family
is boiling the purified water, the water before drinking it to the topic was able to
water (only if especially for the avoid contamination. understand the
mineral water younger children in the risk of drinking
is not available family. The student nurse discussed water directly
and/or the possible diseases that can from the tap.
family refuses 3. Determine whether to be acquired from drinking tap
to buy mineral prioritize the issue water such as diarrheal
water) relative to other issues diseases
or to ignore it due to
their financial The student nurse discussed
difficulties. parasite contamination
caused by contaminated
water supplies.

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C.) INADEQUATE REST / SLEEP RELATED TO INCREASED URINARY FREQUENCY

HEALTH FAMILY GOAL OF OBJECTIVE INTERVENTION PLAN METHOD RESOURCES EVALUATION

NURSING CARE OF CARE OF REQUIRED
PROBLEM PROBLEM NURSE

The student nurse discussed the After nursing

Inadequate Inability to make Within 3 After the importance of having adequate Through Time and effort interventions,
Rest/Sleep decisions days of nursing sleep especially in improving brain home of student the GOAL WAS
related to concerning taking performing intervention, function, mood, and health. The visitation nurses PARTIALLY
increased appropriate the nursing the family benefits of having adequate sleep MET, the family
urinary health action due intervention, member will such as boosting their immune Through Cooperation was able to
frequency to: the family be able to system and increasing their health and attention of recognize the
member will recognize the productivity was mentioned as well. teaching the family problem and
1. being unaware be able to factors that understand why
of the effects of learn about interfere with The student nurse informed the Adequate restricting fluid
increased fluid bladder sleep and will family about the risk of not getting knowledge of intake 2-3 hrs
intake at night management be able to enough quality sleep regularly as it the student before sleep
and will have control them can increase the risk of many nurse can interrupt
2. poor improved using bladder diseases and disorders. These regarding the the sleeping
knowledge of rest and management range from heart disease and stroke topic cycle caused
urinary frequency sleep techniques. to obesity and dementia. the bladder to
management patterns. eliminate. Also,
measures The student nurse suggested the family was
restricting any fluid intake 2-3 hours able to
3. disturbed before sleeping and explaining that it comprehend
sleeping patter r/t can interrupt the sleep cycle as it the importance
urinary frequency can cause the bladder to eliminate of having
at night. the consumed liquid. Also, adequate
recommended to take afternoon sleep.
naps and elevate the legs during
sleep (this helps prevent fluid
accumulation).

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D.) INADEQUATE LIVING SPACE

HEALTH FAMILY GOAL OF OBJECTIVE OF INTERVENTION PLAN METHOD RESOURCES EVALUATION

NURSING CARE CARE OF REQUIRED
PROBLE PROBLEM NURSE
M

After nursing
Inadequat Inability to Within 5 After the nursing The student nurse explained to Through Time and effort interventions, the
e living provide a days of intervention the the family the importance of home of student GOAL WAS
space home nursing family should be having adequate space such as visitation nurses PARTIALLY
environment intervention able: fulfilling psychological needs for MET, the family
conducive to , the family privacy and personal space and Through Cooperation was able to
health will 1. Identify the risk protection against contagion. health and attention of recognize the
maintenance develop factors that lead to teaching the family problem and was
and ways how the area's The student nurse discussed able to
personal to minimize congestion, such ways how to maximize the Adequate understand the
development the as unused items. available living space by re- knowledge of different risk of
due to problem arrangement of furniture. the student inadequate living
inadequate as 2. Show nurse space to their
family evidenced techniques for The student nurse advised the regarding the health, but the
resources by furniture promoting good family to disregard topic family still can’t
specifically rearranging environmental furniture/unnecessary items they decide about the
financial to conditions, such don't use anymore. arrangement of
constraints/li maximize as proper furniture furniture in their
mited their living placement. The student nurse was able to house.
financial space. educate the family regarding the
resources. 3. Demonstrate an early transmission (such as
understanding of common cough and cold worst
the significance of case would be covid
adequate living transmission within the family) of
disease due to inadequate
space.

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E.) PRESENCE OF LUMP IN THE NECK REGARDLESS OF WHETHER IT IS UNDIAOGNOSED BY A MEDICAL
PRACTITIONER

HEALTH FAMILY GOAL OF OBJECTIVE OF CARE INTERVENTION PLAN METHOD RESOURCES EVALUATION
NURSING CARE OF REQUIRED
PROBLEM PROBLEM NURSE

The student nurse Visual aids After nursing

Presence of Presence of Within 4 After performing discussed the different Through and materials interventions,
the lump in health deficits- days of interventions, the family: parts of the food pyramid home are needed to the GOAL WAS
the neck instances of performing (carbohydrates, protein, fat, visitation improve PARTIALLY
regardless failure in the 1. will be able to vitamins, minerals, and understanding MET, and the
of whether it health nursing understand the water) and their nutrient Through of Proper family was able
is maintenance interventio importance of an iodine- content and provide health Nutrition. to understand
undiagnosed secondary to ns, the rich diet and nutritious potential health benefits teaching the importance
by a medical inadequate family will food in their daily diet. regarding proper diet. of having
practitioner knowledge be able to Time and iodine-rich and
regarding the recognize effort of nutritious food
benefits of and 2. will verbalize student nurses in their daily
eating healthy understan understanding of the The student nurse was able diet also the
foods, d the possible risk factors that to educate the family Cooperation family was able
particularly importanc can worsen the illness regarding the current and attention to enumerate
Iodine rich e and due to the ignorance of problem that can get worse of the family the possible
foods and purpose of the family. due to continuous risk factors that
ignorance of having ignorance of the problem. Adequate can worsen the
the current adequate knowledge of current illness
illness/es of a good and the student and elaborate
3. will be able to on a few
family member nutritious The student nurse nurse
understand and advantages of
as evidenced foods in discussed the importance of regarding the
enumerate the considering the
by the their daily seeking medical attention topic
advantages and positive doctor’s opinion
presence of a diet. once complications arise
effects of considering the about the
lump in the
doctor’s opinion about caused by the presence
removal of the
neck. lump in the neck.
the removal of the lump. lump.

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VI. RECOMMENDATIONS AND CONCLUSIONS
RECOMMENDATIONS:

The student nurse has determined and prioritized problems and needs with the family. The student nurse
also has created a care plan on how to deliver the best nursing care for the family to address the family's
needed solution to the health problem. Below are propositions and recommendations recognized both by
the student nurse and the family:

● Dispose of the contaminated water supply that can be a breeding sight for vectors such as
mosquitoes and provide a proper water container with a lid before storing.
● Rearrangement of furniture for a better living/bed space for them to not be congested.
● Maintain proper hygiene by suggestively hand washing
● Any ailment arises do not wait until it becomes severe do seek medical attention immediately.
● Instead of drinking water directly from the tap boil the water to make it safe to drink (if mineral water
is not available or the family refuse to buy mineral water.)
● Follow proper preparations of herbal medicines and/or consult the attending physician present at
the barangay health center for prescribed medication as much as possible.
● Proper food preparation and storage must be practiced.

CONCLUSIONS

After rendering various interventions, the student nurse was able to provide health teaching to Family D
regarding their situation. The problems were also identified by the student nurse who made a nursing care
plan for each problem of the family. Upon conducting the diagnosis and analysis, the identified problems
are prioritized accordingly. Although Family D was unable to fully accomplish the different interventions or
solutions for each family problem discussed because of some constraints, specifically medical constraints
the family was still able to absorb and understand the knowledge imparted to them throughout the health
teaching. Thus, the goal was partially met.

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VII. DOCUMENTATIONS
A. Pictures

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31
 CONSENT FORM

I volunteer to participate in an interview conducted by Marc Lawrence Saldua from St. Jude
College Dasmariñas Cavite Inc. I understand that the project is designed to gather information
about comprehensive nursing assessment. I recognize that my participation is voluntary and that
I am free to withdraw at any time without giving any reason and without there being any negative
consequences. I also understand that the researcher will not identify me by name in any reports
using information obtained from this interview, and that my confidentiality as a participant in this
study will remain secure.

Saraina Deluna November 14, 2022

Signature Over Printed Name Date

Marc Lawrence Saldua November 14, 2022

Signature Over Printed Name Date
(Researcher)

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COMMUNITY HEALTH ASESSMENT FORM

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