ASIA PACIFIC COLLEGE OF ADVANCED STUDIES

A.H. Banzon st. , Ibayo, Balanga City, Bataan

COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

In partial Fulfillment of the Requirements for the NCM-104

Family initial database and health assessment

SUBMITTED BY:
Batungbacal, Jin Andrei T.
Cudal, Jhalenrose N.
Dilig, Krizelle D.
Esmabe, Mhicaella Jorgia D.
Fucal, Daisy Anne L.
Gloria, Jhenyl Reignewel I.
Hernandez, Niki marnielle Z.
Magtanong, Katrina N.
Ocampo, Guiruzlyn P.
Ongkingco, Kim Audrey F.
Pacaña, Daniela Paula Z.
Puyat, Angelica Joy A.
Yalong, Famelah Kyle

DECEMBER 2022

0
 Table of contents
INTRODUCTION 5

SPOT MAP 6

CHAPTER I 7

INITIAL DATA BASE 7

A. Family Structure and characteristics 7
B. HEAD OF THE FAMILY 8
C. DEMOGRAPHIC DATA 8
D. WHO MAKES THE DECISION IN THE FAMILY? 8
E. WHO WORKS FOR THE FAMILY? 8

CHAPTER II. 9

Socio-Economic and Cultural Factors 9

A. NUMBER OF FAMILY MEMBER/S WHO ARE WORKING: 9
B. FAMILY MONTHLY NET INCOME 10
C. HOW DO YOU PRIORITIZE THE FOLLOWING? 10
D. SOCIO ECONOMIC STATUS 10

CHAPTER III. 12

HOME AND ENVIRONMENT 12

A. HOME 12
B. HOUSE FLOOR PLAN 13
C. WATER SUPPLY 15
D. WASTE DISPOSAL 15
D. TOILET 15
E. Environmental Factors 16
CHAPTER IV 17
1
 HEALTH PRACTICE AND MEDICAL HISTORY 17
A. PAST ILLNESS OF THE FAMILY DURING CHILDHOOD 17
B. PRESENT ILLNESS OF THE FAMILY 17
C. IMMUNIZATION 17
D. HOME REMEDIES BEFORE CONSULTING HEALTH PRACTITIONER 18
E. HEALTH PRACTICES OBSERVED 18
F. FAMILY RECREATIONAL ACTIVITIES 18
G. RECREATIONAL MATERIALS AVAILABLE IN THE HOME 18

CHAPTER V 19

VALUE – BELIEF SYSTEM 19

A.SOURCE OF STRENGTH 19
B. RELIGIOUS PRACTICES USUALLY OBSERVED 19

CHAPTER VI 20

PHYSICAL ASSESSMENT 20
Mouth and Oropharynx 20
Neck Muscles 20
Abdomen 21
Strength/Movement 21
Right lower extremity 22
Left lower extremity 22

CHAPTER VII 24

FUNCTIONAL HEALTH ASSESSMENT 24

a. Health Perception 24
b. Nutrition-Metabolic 24
c. Elimination 26
d. Activity - Exercise 27
e. Cognitive- Perceptual 27

2
 f. Sleep-Rest Pattern 27
g. Role-Relationship 27
h. Sexuality- Reproduction 28
i. Coping- Stress Tolerance 28
j. Sensory- Perceptual pattern 28

CHAPTER VIII 30

SCORING 30
FAMILY HEALTH CONDITIONS AND PROBLEMS 31
1. HIGH CHOLESTEROL 31
2. RIGHT EAR INFECTION 31
3. DIABETES 32
4. LACK OF PERSON TO RELY ON 32
5. IMPROPER PLACEMENT OF DRINKING WATER 33
6. UNORGANIZED HOME LIVING ENVIRONMENT 33
7. LUMBAR SPONDYLOSIS 34
8. OSTEOARTHRITIS 34
9. NOISE POLLUTION 35
10. INEVITABLE OCCURRENCE OF RISING WATER DUE TO HIGH TIDE 35

CHAPTER IX 37

FAMILY NURSING CARE PLAN 37

Hyperlipidemia 37
Right ear infection 40
Type 2 Diabetes 42
Lumbar Spondylosis 44
Osteoarthritis 46

3
CHAPTER X 48

HEALTH TEACHING PLAN 48

Hyperlipidemia 48
Right ear infection 52
Type 2 diabetes 55
Spondylosis 58
OSTEOARTHRITIS 62

CHAPTER XI 66

GALLERY 66

4
 INTRODUCTION

A community is defined as a group of people that lives together who share a common way of life which is expressed in shared beliefs, goals,
values, purpose, responsibilities and also communication. An occupational, social, religious, and other group that shares similar interests or
characteristics that may further live in that setting and can also share usual tradition.

Barangay East Daan Bago has a wide and clean surroundings, affectionate people, and also a community that has an alliance for each other. This
barangay has a Rural Health Unit which is a big help, they also have Secondary school and a free flow of water. The population of East Daan Bago grew
from 1, 017 in 1990 to 1,314 in 2020, an increase of 297 people over the course of 30 years.

Family X is a nuclear family which is composed of a mother, father, and 1 daughter. The Family is living at East Daan Bago, Samal, Bataan.
They have been living here for about 6 yrs. Throughout our interview, we have figured out that their house is a very accessible setting. Their house is
located 150 meters away from the Barangay, 100 meters away from the National Road, and 1 kilometer away from the City Hall and RHU. The married
couple, Mr. and Mrs. X has 1 daughter who is currently working and has her own house. Father X has hypertension and is currently working as a
security guard. Mother X has hypertension, high cholesterol, spondylosis, arthritis, diabetes, and ear problems. Mother X has her own sewing machine,
she sews when there are customers.

5
 SPOT MAP

6
 CHAPTER I

INITIAL DATA BASE

A. Family Structure and characteristics

The time that we spent in terms of interviewing and studying the family was 2 hrs for 6 days, which gives us enough data. The resident X is located
at East Daan, Samal, Bataan.

They are a nuclear family because they consist of mother, father, and daughter. The married couple frequently live happily and close to each other
and also they help each other in terms of tasks and work. The constituents of this nuclear family, specifically the married couple, can help and share
knowledge about the tradition that they have.

Family Name: Mena

Type of Family: Nuclear

7
B. HEAD OF THE FAMILY
Name: Mother X
Age: 61
Sex: Female
Birthday: April 19, 1961
Civil status: Married
Address: #149 East Daan Bago, Samal, Bataan
Religion: Roman Catholic
Position in the family: Mother/Wife
Educational attainment: Graduate of Secondary Level
Occupation: Part time tailor

C. DEMOGRAPHIC DATA

NAME OF FAMILY POSITION IN THE CIVIL EDUCATIONAL

AGE BIRTHDAY RELIGION OCCUPATION
MEMBER FAMILY STATUS ATTAINMENT
Father X Father/Husband 65 June 02, 1957 Married Vocational Roman Catholic Security Guard

D. WHO MAKES THE DECISION IN THE FAMILY?

[ ] Father [/ ] Mother [ ] Both [ ] Other, specify: ____________

E. WHO WORKS FOR THE FAMILY?

[ / ] Father [ ] Mother [ ] Both [ ] Other, specify:_____________

8
 CHAPTER II.

Socio-Economic and Cultural Factors

The socioeconomic status affects the economic as well the social standing of the family member. A family that has high income can competently
accommodate the needs of family members. On the other hand, A family that has low income can lead to risk for multiple stresses including mental
health, impoverishment of the basic psychological needs and the likes.

An adequate amount of work is a huge help and honor for Family X because Mother X did not finish school while Father X has a vocational
degree. Father X is employed at Imelda Samal Bataan as a security guard. In contrast, Mother X is a housewife and also a part time tailor in their house,
she is also the one who is in charge in terms of maintaining the cleanliness of their house and also the one who’s doing the chores inside of it.

Family Member Educational Occupation Place of Work Religion Income

Attainment
Mother X Graduate of Secondary Part time tailor House/ East Daan Bago, Roman Catholic 400 monthly
Level Samal, Bataan
Father X Vocational Security Guard Jeff Trading/ Emelda, Roman Catholic 12,400 monthly
Samal, Bataan

A. NUMBER OF FAMILY MEMBER/S WHO ARE WORKING:

9
B. FAMILY MONTHLY NET INCOME
[ ] 1, 000 – 2, 000 [ ] 3, 000 – 4, 000 [ ] 5, 000 – 6, 000
[ ] 2, 000 – 3, 000 [ ] 4, 000 – 5, 000 [ ] 6, 000 – 7, 000
[ ] 7, 000 – 8, 000 [ ] 9, 000 – 10, 000 [/] 11, 000 – above
[ ] 8, 000 – 9,000 [ ] 10, 000 – 11, 000

C. HOW DO YOU PRIORITIZE THE FOLLOWING?

(Rate from 1 – 3)
[1] Food
[3] Education
[2] Health care (check – up, consultation, hospitalization)

D. SOCIO ECONOMIC STATUS

Expenses Every Month Expenses
Food 4,650 php
Groceries 500 php
Rice 1,000 php
Electricity Bill 1,000 php
Water Bill 1,000 php
Jardiance Duo (Maintenance) 2,728 php
Atorvastatin (Maintenance) 465 php
Zeltine-MR (Maintenance) 628 php
Calciumade Supplement 302.25 php
Total Expenses 12,273.25php

10
 Income 12,800.00php
expenses 12,273.25php
savings 527.75php

In the case of Family X, their income classification is low income (but not poor) due to the fact that their monthly net is 12,800. The married couple,
Mrs. X is a graduate of secondary education while Mr. X is a graduate of a vocational course (agriculture) who is working as a security guard at Imelda
Samal. On the other hand, Mrs. X is working from home as a part time tailor.

11
 CHAPTER III.

HOME AND ENVIRONMENT

A. HOME
1. Ownership: [✓] Owned [ ] Rented

2. House structure: [ ] Concrete [✓] Semi – concrete [ ] Nipa/ Wood/ Others

3. Type: [ ] Bungalow [✓] 2 storey [ ] Others, specify: ____

4. Number of rooms: 4

5. Light facility: [✓] Electricity [ ] Methane gas lamp [ ] Candle [ ] Kerosene: ( ) Hasag ( ) Lamp

6. Floor area (square meters): 130 sq m

12
 B. HOUSE FLOOR PLAN

13
C. WATER SUPPLY
1. Source [ ] Open dig well [✓] Pump well [ ] NAWASA [ ] River [ ] Rain
[ ] Others,specify:___________
2. Ownership: [✓] Owned [ ] Shared/Communal [ ] Monthly fee
3. Distance from the house (meters): 12 ft.
4. Storage of drinking water: [✓] Jar with faucet [ ] Jar without faucet [ ] Plastic bottle [ ] None
5. Source of drinking water: [✓] Faucet [ ] Commercialized

D. WASTE DISPOSAL
1. Garbage
Ownership: [✓] Owned [ ] Communal [ ] None

Container: [ ] Covered [✓] Open

Method of disposal: [ ] Open dumping [ ] Compost pit [✓ ] Collected [ ] Burning

2. Drainage [✓] With [ ] Without

D. TOILET
Ownership [✓] Owned [ ] Communal [ ] None
Type [ ] Pit – privy [✓] Pour flush [ ] Flush type
Distance of toilet from source of drinking water (meters): 10 ft.

14
E. Environmental Factors
These are the following environmental factors that found to:

Positive Environmental Factors Negative Environmental Factors

Owned water source Unorganized home living environment

Have their own toilet Improper placement of drinking water

Well ventilated Dirty kitchen sink

Proper waste segregation Noise pollution

Well lighted

15
 CHAPTER IV
HEALTH PRACTICE AND MEDICAL HISTORY

A. PAST ILLNESS OF THE FAMILY DURING CHILDHOOD

Father X Fever, Cough, and Colds

Mother X Fever, Cough and Colds, Cholecystitis, and Diabetes

B. PRESENT ILLNESS OF THE FAMILY

Father X Hypertension (Primary)

Mother X Hypertension (Secondary), Diabetes (Type II), Osteoarthritis,

Spondylosis, High Cholesterol, Ear infection

C. IMMUNIZATION

NAME OF BCG OPV DPT MEASLE TETANUS HEPA B COVID FLU

FAMILY S TOXOID VACCIN VACCINE
MEMBER E
✓ ✓ ✓ ✓ ✓✓ ✓
Father X
✓ ✓ ✓ ✓ ✓ ✓✓ ✓
Mother X

16
D. HOME REMEDIES BEFORE CONSULTING HEALTH PRACTITIONER

[✓] Use of herbal medicines

[✓] Use of over the counter drugs

[ ] Neglects the disease

[ ] Other, specify

E. HEALTH PRACTICES OBSERVED

[ ] Offering (Atang) [✓]Consulting a doctor [ ] Consulting a quack doctor

F. FAMILY RECREATIONAL ACTIVITIES

[ ] Listening to radio [✓] Watching TV [ ] Reading books, magazines, comics [ ] Sports [ ] Other, specify

G. RECREATIONAL MATERIALS AVAILABLE IN THE HOME

[ ] Radio [ ] Reading materials (books, magazines, comics) [✓] Cellphone [✓] TV [ ] Other, specify

17
 CHAPTER V

VALUE – BELIEF SYSTEM

A.SOURCE OF STRENGTH
[rate from 1-4]

[1] God

[2] Husband/Wife

[3] Children

[4] Parents

B. RELIGIOUS PRACTICES USUALLY OBSERVED

[✓] Going to mass

[ ] Attending prayer meetings

[ ] Other, specify

18
 CHAPTER VI

PHYSICAL ASSESSMENT

19
 Mouth and Oropharynx
Breath Inspection
● No bad breath
Lips Inspection and Palpation Taking sugary foods and
● Moist w/ no lesion drinks
↓
Inspection and Palpation ● Pink to brown in color
Gums Improper cleaning of teeth
● Symmetrical lips ↓
Teeth Inspection Yellowish color of teeth
● Pinkish gums, moist and firm ↓
● No gum bleeding and receding gum Tooth decay
↓
Tongue Inspection and Palpation ● Yellowish in color Loss of teeth
↓
● The upper portion was dentures
Palate Inspection and Palpation Dentures
● Six remaining teeth in lower portion (front) (Upper portion)
Pharynx
(Oropharynx) ● One tooth has a cavity.

● Pink in color

● Gag reflex is present

● Able to move the tongue freely and with

strength
● Hard palate and color pink

20
 ● No presence of lesions

● The uvula is in the center

● Pink color of uvula

● No redness, swelling, or pain

21
 Neck Muscles
Symmetry and musculature Inspection ● Symmetrical
● Moved smoothly side to side
Normal
Lymph nodes Palpation ● No discomfort
Trachea Inspection and Palpation
● Normal

● Firm and small

● Placed in the midline of the neck

22
 Abdomen History of surgery: Cholecystectomy (Right upper
abdomen) Open Cholecystectomy
General appearance of Inspection and Palpation ● Convex (Cholelithiasis)
abdomen ↓
● Bilaterally Symmetrical Damage the second layers of
skin
● Brown in color
(Dermis)
● No pain ↓
Body forms collagen fibers
Bowel sounds Auscultation ● Waist: 41inches
↓
● Keloid: Cholecystectomy Repairing the damaged skin
↓
Abdominal Quadrants : 5 inches long and diagonal / Right upper abdomen
Keloid
● Umbilicus is depressed and beneath the
abdominal surface

RIGHT UPPER LEFT UPPER

-Normal -Normal
RIGHT LOWER LEFT LOWER
-Normal -Normal
Normal: Bowel sound consist of clicks and gurgles,
observe for 3-5 minutes per quadrants, clockwise.
● No presence of pain, bruises, deformity, and
edema
Strength/Movement Palpation
● Patient arm strongly pulls against resistance

23
 (5/5)
● Full range motion is noted

● Able to perform abduction and adduction

24
Right lower extremity

Patellar Inspection
● Good extension of leg below the knee
Osteoarthritis
Achilles Inspection ● There is no fluid in or around the knee joint ↓
Presence of pain
Flexion Inspection ● Good plantar flexion of foot
↓
Strength/Movement Palpation : Able to perform eversion and inversion
Unable to perform crossed
● Toe nails capillary refill time is less than 3 legs
seconds
● No bruises, deformity, and edema

● Presence of pain

● Each knee has its natural strength (4/5)

● Not tender to touched, look and move the same

way
● Hammer reflex test:
Normal (2+ = a brisk response)
● Able to kick (3/5)

● Unable to perform crossed legs

Left lower extremity

25
Patellar Inspection
● Good extension of leg below the knee

Achilles Inspection ● There is no fluid in or around the knee joint Osteoarthritis

↓
Flexion Inspection ● Good plantar flexion of foot
Presence of pain
Strength/Movement Palpation : Able to perform eversion and inversion ↓
● Toe nails capillary refill time is less than 3 Unable to perform crossed
seconds legs

● No bruises, deformity, and edema

● Presence of pain

● Each knee has its natural strength (4/5)

● Not tender to touched, look and move the same

way
● Hammer reflex test:
Normal (2+ = a brisk response)
● Able to kick (3/5)

● Unable to perform crossed leg

26
 CHAPTER VII

FUNCTIONAL HEALTH ASSESSMENT

Name: Mother X Date:
Age: 61 BIRTHDAY: April 19, 1961 Gender: Female
Address: 149 East Daan Bago, Samal, Bataan

Functional Health Pattern Assessment/ Subjective Data

Analysis

27
 “ Mahalaga yung kalusugan namin mag asawa kasi The health belief model (Godfrey H.Hochbaum)
a. Health Perception matanda na kami, kailangan namin ingatan at alagaan yung Theoretical model that can be used to guide health
sarili namin lalo ako dahil nag gagamot ako kailangan kong promotion and disease prevention programs.
maging responsable sa sarili ko. ”

It relates to the patient's condition, the appropriate

use of medication for maintaining good health, and
preventing the illness from getting worse.

28
 “Sa isang araw nakaka apat na beses akong kumain Need Theory (Virginia Henderson)
b. Nutrition-Metabolic almusal, pananghalian, meryenda at hapunan. Lahat naman Henderson states that individuals have basic health
kinakain ko katulad ng gulay, seafoods kaya nga ang laki needs and assistance to achieve good health,
laki ko, minsan kahit bawal napapakain kaparin talaga independence and a peaceful death.
malakas din ako uminom ng tubig nakaka 8 or more akong
baso sa isang araw. " It relates to the patient situations where individuals
have basic needs and to achieve good health you
December 5, 2022 need to know the foods that will improve your
Breakfast: health and be responsible for yourself to keep your
1 cup of rice body in good health.
1 ½ slice of tortang hipon
1 glass of water

Lunch:
½ Sinigang na baboy
1 ½ cup of rice
½ slice of tortang hipon
2 glass of water

Dinner:
½ sinigang na baboy
1 ½ cup of rice
½ slice of tortang hipon
2 glass of water

December 6, 2022
Breakfast:
2 slice of white bread
Pancit palabok
1 glass of water

Lunch:
½ Adobong manok

29
 2 cup of rice
2 pcs slice of pineapple
2 glass of water

Dinner:
2 pcs of fried egg
2 pcs of dried fish
1 cup of rice
1 cup of iced tea

December 7, 2022
Breakfast
¼ tocino
½ cup of rice
1 glass of water

Lunch:
Munggo
Fried bangus
2 cup of rice
1 glass of orange juice
1 glass of water

Dinner:
Fried bangus
2 salted egg
2 pcs of tomato
1 cup of rice
2 glass of water

BMI- 27.4 Overweight

30
 “Okay naman yung pag ihi at pagdumi ko. Kung umihi ako
c. Elimination marami siguro sa isang araw nakaka 5-6 na ihi ako tas
medyo madilaw baka nasa 7,000 to 7,500 ml ako sa isang
araw, tapos sa pagdumi naman 2-3 kulay brown siya baka
nasa 5 inches yon tas derederetso lang hindi putol putol.”
Adaptation model of Nursing Theory (Sister
Callista Roy)
This theory promotes physiological integrity that
include the elimination and protections.

-The patient's stool is type 4 sausage or snake-like shaped It relates to the patient's situation which patient
which is normal. The patient's urine is level 3, light yellow, needs to eliminate body waste everyday in order to
indicating she is hydrated. release all the excess and to disease free and by
keeping the body clean.

"Pagkagising ko sa umaga nag iinat ako ng ulo saka braso
d. Activity - Exercise iniistretch ko lang tapos magluluto nako at magdidilig ng
halaman, tapos maglalakad lakad lang ako sa labas
hanggang kanto o kali man tatawid ako sa kabilang kanto
para makipagkwentuhan tapos kapag malapit na
magtanghalian uuwi nako, maghuhugas ng kasangkapan
saka magliligpit ng mga kalat sa taas saka doon sa
pananahi ko minsan kamay at paa ang gumagalaw saakin”
Self care Theory (Dorothea Orem)
Is the performance of activities that individuals
initiate and perform on their own behalf to
maintain life , health and wellbeing.
It relates to the patient's situation by doing some
activities in the house and some exercise to
maintain the body healthy and maintain life.

“Madali akong nakakaisip ng sagot sa mga katanungan. Cognitive Development (Jean Piaget)
e. Cognitive- Perceptual Hindi rin ako mabilis makalimot kahit ako’y may edad na Cognitive development was defined as the
at nakakapagdesisyon ako ng walang pagaalinlangan” progressive reorganization of mental processes
caused by biological maturation and environmental
experience.

It relates to the patient’s situation where the

patients still have a good memory.

31
 “6hrs ang haba ng tulog ko. Natutulog ako ng 8pm at
f. Sleep-Rest Pattern nagigising ng 4am. Tuloy tuloy ang aking tulog”
- Bilang ina: Maayos ang aking pakikitungo sa aking The Intrapersonal Relations Theory (Hildegard
g. Role-Relationship anak at pinagbabawalan ko siya pagnagkakamali.
- Bilang asawa: Minsan nagaaway kami dahil sa
pagalit niyang pagsagot. Mabait din ako sakanya at maayos To analyze the relationship established with
ang aking pakikitungo.
"Niregla ako nung ako'y 12yrs old. Namenopause naman
h. Sexuality- ako nung ako'y 49yrs old. Hindi kami active sa sex ng
aking asawa simula nung siya’y nagkatrabaho. 2 weeks
Reproduction
siya kung bumalik saaming bahay”
32
The Need Theory (Virginia Henderson)
People have basic needs that are components of
their health.
It relates to the patient's situation by not having
enough sleep. She should have well and enough
rest so that she can prevent the risk of having
serious health problems. It can also help the patient
reduce stress and improve her mood.
Peplau)
patients and to solve communication-based
problems.
It relates to the patient's treatments and care to her
family and also her role.
Hierarchy of needs – Abraham Maslow
Is a theoretical model that describes the various
motivators of human beings based on our innate
needs and desires. Knowing more about Maslow's
motivation theory can help you fulfil your own
needs and boost your motivation
It relates to the patient's innate needs and desires
like sex and also our bodily needs
 “Nacocope ang stress ko sa pamamagitan ng The Theory of Stress and Coping (Lazarus and
i. Coping- Stress pagcecellphone, nakikipagusap at naglilinis ng bahay.” Folkman)
Tolerance This theory constantly changing cognitive and
behavioral efforts to manage specific external and
internal demands that are appraised as taxing or
exceeding the resources of the person.

It relates to the patient’s coping her stress from

● Ang aking pandinig sa kanang parte ay hindi
j. Sensory- Perceptual masyadong nakakarinig at ang kaliwang tenga ko
pattern naman ay maayos
● Ang aking paningin naman ay malabo kapag
walang salamin at ang aking vision ay 400/400,
kapag wala akong salamin ay lagi akong
napapapikit at nasisilaw
● ayos naman ang aking pangamoy
entertainments, communication and chores.
Sensory Perception Theory
This theory involves the detection of phenomena
within an organism’s internal and external
environment, and the resulting sensory data is then
processed neurologically.
It relates to the patient's sense organs. Each sense
organs are good except on her eyes and her right
ear.

● ayos naman ang aking pakiramdam

k. Values - Belief Wala naman akong paniniwala bukod sa tawas,naglalaga The Theory of Cultural Values (Schwartz)
ng sambong at tanglad This theory represents ideals that shape the beliefs
and actions of individual and groups in the culture.

The patient believe in herbal medication gives

hope that those can cure her/his health
complication.

33
 l. Substance Use Umiinom ako ng Jardiance Duo ng dalawang beses sa
isang araw at Zeltine at Atorvastatin ng isang beses sa
isang araw at ang vitamins ko naman ay Calciumade,
umiinom ako ng isang beses sa isang araw at wala naman
akong anumang bisyo.
34
Biological Theory
This theory helps us understand how substances
impact our brain and the changes that happen.
The patient is aware to the use and effects of the
drugs in her body like in the theory that allows
people to understand their own situation and the
health risk of not taking medications on time
 CHAPTER VIII
SCORING
CRITERIA WEIGHT
1. Nature of the condition or problem presented 1
Scale:
wellness state 3
health deficit 3
health threat 2
foreseeable crisis 1

2. Modifiability of the condition or problem 2

Scale:
easily modifiable 2
partially modifiable 1
not modifiable 0
3. Preventive potential Scale:
1

high
moderate 3
low 2
1
4. Salience Scale: 1

2
a condition or problem, needing immediate attention
a condition or problem not needing immediate attention 1

not perceived as a problem or condition needing change 0

35
 FAMILY HEALTH CONDITIONS AND PROBLEMS
TABLE SCALE RANKING HEALTH CONDITIONS AND PROBLEMS ACCORDING TO PRIORITIES
1. HIGH CHOLESTEROL
Criteria Computation SCORE
Nature of the condition or problem presented 3/3x1 1

Modifiability of the condition or problem 2/2x2 2

Preventive potential 3/3x1 1

Salience 2/2x1 1

TOTAL 5

2. RIGHT EAR INFECTION

Criteria Computation SCORE
Nature of the condition or problem presented 3/3x1 1

Modifiability of the condition or problem 2/2x2 2

Preventive potential 3/3x1 1

Salience 2/2x1 1

TOTAL 5
3. DIABETES
Criteria Computation SCORE
36
 Nature of the condition or problem presented 3/3x1 1

Modifiability of the condition or problem 2/2x2 2

Preventive potential 2/3x1 0.66

Salience 2/2x1 1

TOTAL 4.66

4. LACK OF PERSON TO RELY ON

Criteria Computation SCORE
Nature of the condition or problem presented 2/3x1 0.66

Modifiability of the condition or problem 2/2x2 2

Preventive potential 2/3x1 0.66

Salience 2/2x1 1

TOTAL 4.32

37
 5. IMPROPER PLACEMENT OF DRINKING WATER
Criteria Computation SCORE
Nature of the condition or problem presented 2/3x1 .66

Modifiability of the condition or problem 2/2x2 2

Preventive potential 1/3x1 .33

Salience 2/2x1 1

TOTAL 3.99

6. UNORGANIZED HOME LIVING ENVIRONMENT

Criteria Computation SCORE
Nature of the condition or problem presented 2/3x1 .66

Modifiability of the condition or problem 2/2x2 2

Preventive potential 1/3x1 0.33

Salience 2/2x1 1

TOTAL 3.99

38
 7. LUMBAR SPONDYLOSIS
Criteria Computation SCORE
Nature of the condition or problem presented 3/3x1 1

Modifiability of the condition or problem 1/2x2 1

Preventive potential 1/3x1 0.33

Salience 1/2x1 0.5

TOTAL 2.83

8. OSTEOARTHRITIS
Criteria Computation SCORE
Nature of the condition or problem presented 3/3x1 1

Modifiability of the condition or problem 0/2x2 0

Preventive potential 1/3x1 0.33

Salience 1/2x1 0.5

TOTAL 1.83

39
 9. NOISE POLLUTION
Criteria Computation SCORE
Nature of the condition or problem presented 2/3x1 .66

Modifiability of the condition or problem 0/2x2 0

Preventive potential 1/3x1 .33

Salience 0/2x1 0

TOTAL 0.99

10.INEVITABLE OCCURRENCE OF RISING WATER DUE TO HIGH TIDE

Criteria Computation SCORE
Nature of the condition or problem presented 2/3x1 .66

Modifiability of the condition or problem 0/2x2 0

Preventive potential 1/3x1 .33

Salience 0/2x1 0

TOTAL 0.99

40
 1 Hyperlipidemia 5
2 Right ear infection 5
3 Diabetes 4.66
4 Lumbar Spondylosis 2.83
5 Osteoarthritis 1.83

41
 CHAPTER IX

FAMILY NURSING CARE PLAN

INTERVENTION PLAN
HEALTH FAMILY GOAL OF CARE OBJECTIVES OF CARE NURSING METHOD RESOURCES
PROBLEM NURSING INTERVENTION OF NURSE
PROBLEM FAMILY
CONTACT

42
 Imbalanced Following the Following the nursing - Established rapport Home visit Student nurse
nutrition: More nursing intervention, the client to client time, skills, and
Hyperlipidemi intervention, the and family will be able
than body effort to the
a family will take the to: - Discuss the causes family
requirements as
as health deficit: necessary actions to of High Cholesterol
evidenced by monitor, control, A. Have proper and the importance
increase high and minimize high knowledge and of preventing and Materials
Subjective cues:
blood pressure cholesterol risk awareness on controlling it resources:
“Madalas factors such as the condition Visual aids
sumakit ang increase high blood process and the - Encourage them to
batok at ulo ko” pressure potential have a proper
as verbalized by complications healthy lifestyle
the patient B. To have including: weight
appropriate management, dietary
lifestyle changes improvements and
Objective cues:
such as proper physical activities
Vital signs taken diet and such as stretching,
as follows: exercises walking, and some
BP: 130/90 exercise that are
T: 35.5 convenient to her
RR: 21
PR: 77 - Teach the client on
relaxation technique
like proper breathing
Height: 5’4 exercises
Weight: 72kg
- Teach them how to
get their vital signs
especially the heart
rate and blood
pressure

- Discuss the effects

of prescribed high
cholesterol
medications

43
 - Encourage the
client and the
family to
maintain good
nutrition to
prevent high
blood pressure
by avoiding
salty and fatty
foods.

- Discuss preventive
measures such as:
monitoring of blood
pressure, performing
proper diet (DASH),
getting 7 to 9 hours
of sleep daily, and
doing moderate
exercise starting at
30 minutes daily.

- Encourage the
patient to have
follow-up checkups

44
 INTERVENTION PLAN
HEALTH FAMILY GOAL OF CARE OBJECTIVES OF CARE NURSING METHOD RESOURCES
PROBLEM NURSING INTERVENTION OF NURSE
PROBLEM FAMILY
CONTACT

45
 Acute ear After nursing Following the nursing - Established rapport Home visit Student nurse
infection of the interventions and intervention, the family to client time, skills, and
Right ear health education, will be able to:
middle part on effort to the
infection the condition will - Assess the level of family
right ear as
as health deficit not lead to any - Have adequate intensity of the client
evidence by significant factors knowledge and client's coping Material
swelling and such as; permanent about the mechanisms. Resources:
Subjective
pain hearing loss possible Pamphlet
cues: complications of - Provide them
"Masakit ang ear infection the right tools
kanang tenga ko to use on
at - Perform proper cleaning the
nakakaramdam comfort measure ears and
when swelling demonstrate.
ako ng paghina
persists
ng pandinig”as
- Educate them
verbalized by - Perform proper that cleaning
the patient ear cleaning in a the inner ear
right way does not
Objective cues: necessarily
• Pain scale of need every day.
6/10
• Swelling of - Discuss the
possible
the ear comfort
• Unable to hear measures when
properly swelling
persists such as;
cold compress
and sleeping
position

- Encourage the
client to follow
the medication
schedule as
prescribed by
46
 the physician.

- Encourage the
patient to have
follow-up checkups

47
 INTERVENTION PLAN
HEALTH FAMILY GOAL OF CARE OBJECTIVES OF CARE NURSING METHOD RESOURCES
PROBLEM NURSING INTERVENTION OF NURSE
PROBLEM FAMILY
CONTACT

48
 Risk for injury After nursing Following the nursing - Established rapport Home visit Student nurse
due to interventions and intervention, the to client time, skills, and
Type 2 health education, family will be able to:
hypoglycemia effort to the
Diabetes the client will be - Monitor the family
as evidenced by
as a health able to: A. Verbalized the blood glucose
diet modification - Control risk of Material
deficit:
food intake uncontrolled - Assess the level Resources:
as food intake of Pamphlet
evidenced B. Perform proper understanding
by proper diet and healthy about Type 2
diet lifestyle Diabetes
- To C. Identify the
understand level of - Discuss the
risk factors understanding causes of
as related to Type uncontrolled
evidenced 2 Diabetes food intake and
by early the importance
signs and of controlling
symptoms it.
of Type 2
Diabetes - Educate the
patient/client that a
diabetic patient can
still eat fruits in
moderation for
example: guava (100
grams) in a day

- Encourage the
client to do
basic and light
exercises such
as walking and
gardening

- Discuss to the
client the
49
 importance of
glucose
monitoring at
home using
“glucometer”

- Encourage the
patient to have
follow-up check ups
regularly

50
 INTERVENTION PLAN
HEALTH FAMILY GOAL OF CARE OBJECTIVES OF CARE NURSING METHOD RESOURCES
PROBLEM NURSING INTERVENTION OF NURSE
PROBLEM FAMILY
CONTACT

51
 Chronic pain due After the nursing Following the nursing - Established rapport Home visit Student nurse
to lower back intervention, the intervention, the client to client time, skills, and
Lumbar and family will be able
pain secondary client will be able to effort to the
Spondylosis recognize how to: - Discuss LS. family
to Spondylosis
✔
as health deficit harmful it is for the
as evidenced by A. Have adequate Nature and
client if immediate
pain scale 10/10, attention may not be knowledge causes of Materials
Subjective Lumbar
facial grimace given. about Lumbar resources:
cues: Spondylosis Spondylosi Pamphlet
“Madalas . B. The family will s
✔
sumakit ang be able to
Signs and
aking likod lalo identify the risk
factors of symptoms
kapag naglalaba
ako, kung
Lumbar ✔ Possible
spondylosis if
minsan naman not may be risk factors
ako ay given immediate of
nahihirapan attention individual
C. The family will with
yumuko at
have adequate Lumbar
tumayo ng Spondylosi
knowledge
biglaan, at, s
about the
kapag sumakit importance of
naman ang the operation the
likod ko client will
nakakaramdam undergo - Encourage the
client to:
talaga ako ng
matinding ✔ Reduce heavy
pananakit, at activities/house
sinabi narin chores
saakin ng aking ✔ Do a moderate
doktor na exercise
kailangan na ito regularly
✔
maoperahan’ as
Take
verbalized by
medication
52
 the patient regularly
✔ See the doctor
Objective cues:
regularly
- Facial
grimace ✔ Undergo
- Pain scale operation
of 10/10
- Irritability

53
 INTERVENTION PLAN
HEALTH FAMILY GOAL OF CARE OBJECTIVES OF NURSING METHOD RESOURCES
PROBLEM NURSING CARE INTERVENTION OF NURSE
PROBLEM FAMILY
CONTACT

54
 Acute pain due to After nursing Following the nursing - Established rapport Home visit Student
Osteoarthritis as intervention, the client intervention, the to client nurse time,
Osteoarthritis client and family will
evidenced by pain will be able to: skills, and
as health deficit - Report pain is be able to: - Assess the family effort to
scale 7/10 and joint
controlled - Have adequate levels of the family
pain in the knee. - Demonstrate use knowledge understanding to
Subjective cues:
of relaxation about osteoarthritis
“Masakit ang osteoarthritis
skills Materials
tuhod ko, at - Demonstrate - Assess the area resources:
nahihirapan narin behaviors, life - Understand over the affected Visual
akong umakyat ng style changes to the risk factors joint that may Aids
hagdan” as regain and that may cause revealed tender and
verbalized by the maintain proper or increase enlarged joints
nutrition pain due to
patient excessive - Provide
activities or comfort
Objective cues: house chores. measures
- Aching in such as:
movemen
✔ Heat and
ts
- Emphasize cold pack,
- Joint pain
importance of after 30 to
in the well balanced, 60 minutes,
knee nutritious replace the
effectiveness heat with a
of food intake cold pack
or ice bag,
to reduce
the pain
✔ Do proper
exercised
for the said
diseases

- Avoid foods
that may

55
 trigger
osteoarthritis

56
 CHAPTER X

HEALTH TEACHING PLAN

Hyperlipidemia
GOAL: to educate the family about high cholesterol and be able to comply with the necessary proper health management to a healthy cardiovascular system
VENUE:#149 East Daan Bago, Samal, Bataan
PARTICIPANTS: Mena Family
LEARNING CONTENT OUTLINE METHOD OF TIME INSTRUCTIONAL EVALUATION
OBJECTIVES INSTRUCTION MATERIALS
COGNITIVE: HIGH CHOLESTEROL: Lecturing and 10mins VISUAL AIDS AND After 10 minutes of health teaching
High cholesterol is the presence of discussion PAMPHLETS the family the family should be able
⮚ Describe
too much fatty substance or fat in to answer the following:
what is high the blood. This is usually due to
cholesterol ● What does high cholesterol
eating fatty foods, lack of exercise,
being overweight, and can also be mean?
inherited. Answer: mataas na lebel ng taba sa
ugat at dugo

SYMPTOMS: Lecturing and 10mins VISUAL AIDS AND ● What are the symptoms of
⮚ Identify the It is classified differently discussion PAMPHLETS
depending on how severe the high cholesterol
symptoms, Answer: pananakit ng dibdib at
condition is:
causes, risk pagtaas ng BP
factors, ● Chest pain
complication,
and treatment ● Increase in BP(130/90)
for high
cholesterol CAUSES: ● What are the causes of high
cholesterol
● Eating fatty foods Answer: pagkain ng matatabang
● Lack of exercise pagkain, kulang sa ehersisyo, sobrang

57
 timbang, paninigarilyo at paginom ng
● Overweight
alak
● Smoking and drinking ● What are the risk factors of
alcohol high cholesterol
Answer: edad, lifestyle, sobrang
RISK FACTORS timbang
● Age(61)

● Diet

● Lifestyle
● What are the complications
● Overweight(27.1 BMI) of high cholesterol
Answer: Pagkaputol ng supply ng
● Too much fatty foods dugo, pagtaas ng BP, pananakit ng
● Poor diet dibdib, pagbaba ng supply ng
oxygen, pagbabara ng ugat sa utak,
sakit sa bato.
COMPLICATIONS:
● Coronary artery disease -
caused by plaque buildup in
the wall of the arteries that
supply blood to the heart
● Hypertension

● Angina - a type of chest

pain caused by reduced
blood flow to the heart.
● Myocardial infarction -
happens when one or more
areas of the heart muscle
don't get enough oxygen.
● Cerebrovascular accident -

58
 caused by blood clots and
broken blood vessels in the
brain.
● What can be the remedy for
● Chronic kidney disease - a high cholesterol
condition in which the Answer: pagkain ng pagkain na onti
kidneys are damaged and ang taba, pagmaintain ng timbang,
cannot filter blood as well tamang pahinga, tamang ehersisyo.
as they should.

TREATMENT
● Eating less fatty foods
fruits (berries, pear, kiwi,
apple, plum)
-meat(chicken, crab,
lobster, tuna, cod, trout, Lecture and 10 mins
turkey)
AFFECTIVE: discussion
-vegetables(carrot, broccoli,
⮚ to encourage tomato, cucumber, lettuce, After 10 minutes of sharing
and motivate cabbage). journey of people suffering from
people ● Maintaining a healthy high cholesterol. The family needs
suffering to answer the question:
weight.
from high
cholesterol ● Based on the person
● Eating a healthy diet.
experiencing high cholesterol
● Getting 7-8 hours of sleep. what is your motivation?
● Getting regular physical
activity.

59
 Problem based 5mins
PSYCHOMOTOR: learning teaching
psychomotor skills After 5 minutes of demonstrating
Looking back and sharing stories the family should be able to answer
⮚ To
from childhood on how to the following:
demonstrate overcome high cholesterol
how to take ● What is the process for taking
experiences.
blood blood pressure
pressure Answer:
● The cuff is inflated with a
small hand pump.
● As the cuff inflates, it
squeezes the arm.
● Blood flow through the artery
Problem based 5 mins stops for a moment.
learning teaching ● Open the valve on the hand
psychomotor skills pump to slowly release the
air in the cuff and restore
blood flow.
⮚ Correct and
revise the
former ● Combine all the
Demonstration of proper blood
practice demonstrations in daily
pressure taking.
activities to take care of the
body.

Showing an actual demonstration on

how to take care of the body and
60
 prevent the increase of cholesterol.

61
 Right ear infection
GOAL: To educate the client on how to manage the ear infection
VENUE: 149 East Daan Bago, Samal Bataan
PARTICIPANTS: FAMILY X
LEARNING CONTENT OUTLINE METHOD OF TIME INSTRUCTIONAL EVALUATION
OBJECTIVES INSTRUCTION MATERIALS
COGNITIVE: EAR INFECTION: Lecture and 10 mins VISUAL AID AND After 10 minutes of Health
An ear infection is an infection of the discussion PAMPHLET teaching the family needs to
⮚ Describe the
middle ear. answer the following question
ear infection
● What is ear infection
Answer:ito ang impeksyon sa loob
ng tenga

SYMPTOMS: Lecture and 10 mins Lecture and discussion

⮚ Identify the discussion ● What are the symptoms of
● Pain inside the ear
symptoms, ear infection
causes, risk ● Difficulty hearing
factors, Answer:Pananakit ng tenga,
● Fever
complications paghina ng pandinig, at pangangati.
, and ● Discharge running out of the
treatment for
ear
ear infection
● Itching and irritation around
the ear
● Feeling of ear pressure
● What are the causes of ear
infection
CAUSE:Bacteria or viruses can Answer: bacteria o kaya naman ay
cause a middle ear infection virus

62
 ● What are the risk factors of
ear infection
RISK FACTORS: Answer: edad, panahon, at
maduming hangin.
● Age(61)

● Seasonal Factors

● Poor air quality ● What are the complications

of ear infections
Answer: pagka-paralisa ng mukha,
matagal na pananakit ng tenga.
COMPLICATIONS:
● Mastoiditis – bacterial
infection that affects the
mastoid bone
● Facial paralysis

● Meningitis – swelling of
● What is the treatment for
protective membrane
covering the brain and spine ear infection?
Answer: antibiotic,pampatak sa
● Chronic ear pain – long term tenga, pahinga at warm compress.
LECTURE AND 10mins
ear pain
AFFECTIVE: DISCUSSION
⮚ To encourage Treatment
After 10 minutes of sharing the
and motivate ● Antibiotic treatment journey of people suffering. The
people that
● Otic antibiotic family needs to answer this
are suffering
question
from ear
infection ● Warm compress 10-15mins ● In your narration of
● Rest experiences as a person
Problem based
63
 learning 5mins experiencing ear infection
● Pain relievers(NSAIDS)
Teaching what gives you motivation?
PSYCHOMOTOR: Psychomotor skills Answer: bigla na lang nanakit ang
Looking back and sharing stories aking tenga.
⮚ Demonstrate from childhood on how to overcome After 5 mins of actual
the proper the experiences of having Ear demonstration, the family needs
way of infection. to answer the following
cleaning the questions:
ear for
patients with ● What are the steps to
ear infection properly clean the ear of a
person with ear infection.

Actual demonstration of proper way answer:Just use a washcloth. You

to clean the ear. also can try putting a few drops of
Problem based baby oil, hydrogen peroxide,
learning 5mins mineral oil, or glycerin in your ear
Teaching to soften the wax.
Psychomotor skills
⮚ Demonstrate
how to ● What are the steps to
properly use properly use hot compress
hot compress answer:
● prepare hot water

● put it inside the hot

compress
Actual demonstration of the proper ● place it on the ear for 10-
way to use hot compress. 15 minutes

64
 Type 2 diabetes
GOAL: To educate the client on how to manage diabetes and lower the blood sugar level
VENUE: 149 East Daan Bago, Samal Bataan
PARTICIPANTS: Mena Family
LEARNING CONTENT OUTLINE METHOD OF TIME INSTRUCTIONAL EVALUATION
OBJECTIVES INSTRUCTION MATERIALS
COGNITIVE: DIABETES: After 10 minutes of Health
Diabetes is a condition in which Lecture and 10 mins VISUAL AID AND Teaching the family needs to
⮚ Describe
glucose or sugar in your blood is too discussion PAMPHLET answer the following question
diabetes and high. The body does not produce
the types of insulin. This results in abnormal
diabetes ● What is diabetes and its
metabolism of carbohydrates and
high levels of glucose in the blood types
and urine Answer: mataas na lebel ng glucose
TYPES OF DIABETES sa dugo. At ang type 1 ay
TYPE 1 : A type of diabetes that is namamana ang type 2 ay depende sa
a genetic condition lifestyle
TYPE 2 : A type of diabetes that is
mainly lifestyle related and develops
overtime

SYMPTOMS:
It has different symptoms Lecture and 10 mins VISUAL AID AND
⮚ Identify the depending on how bad the discussion PAMPHLET ● What are the symptoms of
condition is:
symptoms, Diabetes
causes, risk ● Excessive thirst Answer: pagkauhaw, pamamanhid,
factors, paglabo ng mata, pagkapayat,
complications ● Numbness of the muscles sobrang pagkapagod, panunuyo ng
, and dugo
● Blurring of the eyes
treatment for
diabetes ● Frequent urination

65
 ● Weight loss

● Over fatigue ● What are the causes of

● Excessive hunger
● Dry skin
CAUSES:
● Physical inactivity
● Genes and family history
● Insulin resistance
● Hormonal disease
Diabetes
Answer: hindi aktibo, at namamana
● What are the risk factors or
of diabetes
Answer: edad, mataas na BP,
history ng pamilya.

RISK FACTORS
● Age(61)
● High blood pressure(130/90)
● Physical inactivity
● Family history
● What are the complications
that can be obtained from
diabetes
Answer: sakit sa kidney,mabagal
na paggaling ng sugat, sakit sa puso.

● Have abnormal blood

cholesterol
● What are the treatment for
COMPLICATIONS diabetes
Answer: mga prutas, meat na wala
● Hearing impairment
gaanong taba, exercise katulad ng
● Kidney disease paglalakad at pagdidilig

● Nerve damage

● Slow healing

66
 LECTURE AND 10mins
● Heart disease
AFFECTIVE: DISCUSSION
⮚ To encourage ● Eye problem
and motivate ● Gum disease After 10 minutes of sharing the
people that journey of people suffering. The
TREATMENT
are suffering family needs to answer this
from diabetes ● Healthy diet question
-fruits (berries, pear, kiwi,
apple, plum) ● In your narration of
-meat(chicken, crab, lobster,
tuna, cod, trout, turkey) experiences as a person
-vegetables(carrot, broccoli, experiencing diabetes, what
tomato, cucumber, lettuce, gives you motivation?
cabbage) Answer: ang naging motibasyon ko
ay ang aking pamilya upang mas
● Regular exercise(walking& maging mabuti ang aking kalusugan
gardening) Problem based 5 mins
● Blood sugar monitoring learning
PSYCHOMOTOR: Teaching
⮚ Demonstrate ● Diabetes medication Psychomotor skills
After 5 mins of actual
proper wound ● Insulin therapy demonstration, the family needs
cleaning for to answer the following questions:
diabetic Looking back and sharing stories
patient from childhood on how to overcome
the experiences of having Diabetes ● What are the steps to
properly clean the wound of
a person with diabetes
Answer: gamit ang tubig punasan
muna ang sugat, lagyan ito ng
gamot/ointment, at lagyan ng
Problem based 5 mins
bandage, ulitin ito pagkatapos ng isa
learning
hanggang dalawang araw.
Teaching
⮚ Demonstrate psychomotor skills
exercises that ● What are the exercises that

67
 could easily a person with diabetes can
be done do
Answer: paglalakad at pag didilig
ng mga halaman.
Actual demonstration of proper
wound cleaning of a person with
diabetes

Actual demonstration of exercises

that can help a person with diabetes

Spondylosis
GOAL:To reduce inflammation and tissue damage that result from inflammation
VENUE: 149 East Daan Bago, Samal Bataan
PARTICIPANTS: Mother X
LEARNING CONTENT OUTLINE METHOD OF TIME INSTRUCTIONA EVALUATION
OBJECTIVES INSTRUCTION L MATERIALS
COGNITIVE: SPINE CONDITION: Lecturing and 5-10 VISUAL AIDS After 10 mins of health
➢ Develops a basic A spine condition that can be discussion mins AND PAMPHLETS teaching plan the family
understanding of painful. This is a connection should answer the ff:
how the problem between the vertebrae ● Describe how
spondylosis in and bones that make up the spine. spondylosis

68
 Spine condition Having spondylolysis can lead to develops.
works. minor stress. Answer:A tiny crack and
otherwise fracture across
two vertebrae is called upon
by the spine.

SPONDYLOSIS: 5-10
➢ Describe Is an almost universal condition mins ● What is spondylosis?
spondylosis in those who reach old age, but it Answer:A painful spinal
can also affect younger people. ailment caused by the lower
While some people experience no spine devolving.
symptoms, others may feel
stiffness and/or pain in the neck,
shoulders or between the
shoulder blades,

Lecturing and ● What are the

➢ Identify the SYMPTOMS: discussion symptoms of
symptoms, causes, What are its symptoms? spondylosis?
risk factors, ● Back and neck pain Answer:Back and neck pain,
complication, ● When pain travels from weakness, and loss of
treatment of the arm or shoulder balance.
spondylosis ● Weakness, numbness, or
tingling in the arms or
legs
● Muscle stiffness
● Loss of balance ● What are the causes
of spondylosis?
Answer:Family history,
CAUSES: obesity and a job that puts

69
 You usually have weakness in a strain upon your spine
section of the vertebrae called the
pars interarticularis. Thin strips
of bone connect at the facet
joints, which connect the
vertebrae directly above and
below to form a functional unit
that allows the spine to move.
The cracks are often called pars
fractures. ● What are the risk
factors for
spondylosis?
RISK FACTOR: Answer:Obesity, substance
Genetics use, and genetics
Obesity and being overweight
Substance use
Depression or other illness
● What are the
complications of
spondylosis?
Answer:Fatigue, pain

COMPLICATION: ● Give the drugs for

Fatigue spondylosis
Pain Answer:Tylenol, Ibuprofen,
Mental and Emotional Health

TREATMENT:
Bracing to immobilize the spine After 10 minutes of sharing
for a short period journey of people suffering
Drink Ibuprofen for pain from spondylosis the family
medication Lecturing and should answer the ff:
AFFECTIVE: Stretching discussion 10 ● By sharing a person

70
 ➢ To encourage and Exercise mins with spondylosis
motivate people speaking to you and
who have Looking back at the story from giving you
spondylosis m his youth on how to overcome motivation
spondylosis.
After 5 minutes of
Demonstrating the family
should answer the ff:
PSYCHOMOTOR: Problem based ● What should be done
➢ Demonstrate Learning 10 in massage?
massage technique Teaching mins Answer:massage the back
for back and neck Psychomotor and nape to reduce the pain
pain Actual demonstration of how to Skills
massage the back and neck

● Summarize the
demonstration on
➢ Correct the former Problem based daily activities to
practice Learning 5-10 take care of the body
Teaching mins and prevent neck and
Actual demonstration to take care Psychomotor back pain
of the body and health properly. Skills

71
 OSTEOARTHRITIS
GOAL: To educate the client on how to manage the pain felt due to osteoarthritis and to lower the risk of complications
VENUE: #149 East Daan Bago, Samal, Bataan
PARTICIPANTS: Mena Family
LEARNING OBJECTIVES CONTENT OUTLINE METHOD OF TIME INSTRUCTIONAL EVALUATION
INSTRUCTION MATERIALS
COGNITIVE: OSTEOARTHRITIS LECTURE AND 10 mins VISUAL AIDS AND After 10 minutes of health
And Osteoarthritis is the most DISCUSSION PAMPHLETS teaching the family should
⮚ Describe common arthritis. Osteoarthritis be able to answer the
osteoarthritis often occurs in the hands, hips, and following questions:
knees. The cartilage of a person
● Describe what
with Osteoarthritis begins to break
down and the shape of the bone Osteoarthritis is
gradually changes Answer: pagnipis ng cartilage
at pag-iba ng hulma ng buto

SYMPTOMS: LECTURE AND 10 mins VISUAL AIDS AND

There are different types depending DISCUSSION PAMPHLETS ● What are the
⮚ IDENTIFY THE
on how bad the condition is:
SYMPTOMS, symptoms of
CAUSES, RISK Osteoarthritis
FACTORS, ● Stiffness of the joints Answer: pamamaga ng
COMPLICATION, kasukasuan, paninigas ng
● Swelling of the joints kasukasuan, sobrang paglaki
AND TREATMENT
FOR ng buto lagpas sa kasukasuan
● Difficulty bending the joint
OSTEOARTHRITI at cartilage
S ● Tenderness of the joints
10 mins
● Overgrowth of bones
around cartilage and joint ● What are the causes
of Osteoarthritis
CAUSES Answer: pagkarupok ng
● Exact cause is unknown cartilage, sobrang paggamit

72
 ng kasukasuan
● Erosion of cartilage

● Joint damage could be due

to repetitive movement or ● What are the risk
result of an injury factors of
● Overloading of joints osteoarthritis
Answer: edad, sobrang
RISK FACTORS: timbang, sobrang paggamit,
● Age(61) namamana, paghina ng
muscles.
● Overweight(27.1 BMI)

● Overuse
● What are the
● Genetics complications that can
● Muscle weakness be obtained from
Osteoarthritis
● Other diseases and types of Answer: pagkasira ng
cartilage, pagkamatay ng buto,
arthritis
pagdurugo sa loob ng
kasukasuan.
COMPLICATIONS:
● Rapid breakdown of
cartilage
● What are the
● Bone death(osteonecrosis) treatment for
Osteoarthritis
● Stress fractures
Answer: paginom ng gamot,
● Bleeding inside the joint pagpapaopera, paggamit ng
tungkod, pagbabago ng
● Deterioration or rupture of lifestyle
tendons leading to loss of
stability

TREATMENT LECTURE AND

73
 AFFECTIVE: DISCUSSION 10mins
● Medication
⮚ To encourage and
● Surgical therapy
motivate people After 10 minutes of sharing
suffering from ● Devices(canes, walkers) journey of people suffering
Osteoarthritis from osteoarthritis. the
● Oral medications family needs to answer this
question
● Lifestyle interventions
● In your recounting of
experiences as a
person experiencing
osteoporosis what
motivates you?
Answer: iniisip ko na lang na
kahit may arthritis ako ay
Problem based kailangan ko pa rin
learning 5 mins magpursigi para saaking
PSYCHOMOTOR: Looking back and sharing stories Teaching pamilya.
⮚ Demonstrate from childhood on how to psychomotor skills
overcome the experiences of
exercises (walking having Osteoarthritis. After 5 minutes of actual
and gardening) that demonstration, the family
can relieve needs to answer the
osteoarthritis pain following questions:
● What are the exercises
that can be done to
relieve the pain
Problem based
caused by
learning 5 mins
osteoarthritis
Teaching
Answer: paglalakad at
⮚ Demonstrate massage psychomotor skills
pagdidilig ng mga halaman
techniques for
osteoarthritis pain
● Steps on how to
Actual demonstration of exercises Problem based massage a patient that
that can help relieve pain caused by learning 5 mins
74
 osteoarthritis
psychomotor skills
⮚ Demonstrate the use
of hot and cold packs
Actual demonstration of giving a
massage for joint pain
Actual demonstration of giving a
hot and cold packs for joint pain
75
Teaching has a joint pain
Answer: una ay simulan
muna sa paligid ng tuhod at
onti onti itong diinan pero
hindi sobrang diin para hindi
masaktan ang pasyente
● Steps on how to use a
hot and cold pack for
patient that has a joint
pain
Answer: lagyan ng cold packs
na tumatagal ng 30minutes
hanggang isang oras. At
agaran itong palitan ng hot
packs para maibsan ang sakit.
 CHAPTER XI

GALLERY

76
77
78