Professional Documents
Culture Documents
SNAMS Paper Template Group 2B
SNAMS Paper Template Group 2B
presented to
In partial fulfillment
Llaneta, Allyssa G.
Acknowledgement
Our group would like to express our deepest gratitude and appreciation to the Berry
Family, especially Mrs. Strawberry, for welcoming us in their home, allocating time for our visits
and cooperating with our requests for the completion of this paper. This endeavor would not have
We are also extremely grateful to our instructor, Michelle Laxamana, RN for her patience
and understanding of the shortcomings and struggles we met during our exposure to the
community, as well as her guidance and feedback throughout the process of improving the
well-being of the Berry Family and in creating this family case analysis.
We would like to extend our sincere gratitude to our Associate Professor, Jose Henry
Lansangan, PhD, MAN, RN for motivating and directing us before every interaction with our
client, including his efforts in examining our paper for revisions. Additionally, to our Assistant
Professor, Lauro N. Linag, MAN, RN for teaching us how to do the different aspects of
A special thanks also to our family and fellow nursing students for the moral support that
allowed us to have the energy and strength needed to power through the challenges of this
project and for their thoughtfulness in attending to our needs and concerns, may it be physical or
financial.
2
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Lastly, our group would love to give honor and praise to our God for providing us with
protection to keep us and the people around us safe from harm during our exposure, knowledge
to give appropriate care to our clients, compassion to our fellow brother and sisters within the
community, endurance to face the problems we have encountered, motivation to perform our
individual and group responsibilities, and excellent support by surrounding us with outstanding
clinical instructors as well as caring family and friends to allow this journey to be successful.
3
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Table of Contents
i. List of Tables
4
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
LO1: Integrate relevant principles of social, physical, natural, and health sciences and
humanities in the provision of basic health care in terms of health promotion, disease prevention,
setting.
LO2: Discuss in a community health setting the appropriate basic individual and family health
LO3: Assess with the individuals and families in the community one’s status/competence in
terms of their current management and practices in health promotion, disease prevention,
LO4: Formulate with the individuals and their families in the community a plan of care that
addresses their current health conditions, needs, problems, and issues in health promotion,
LO5: Implement safe and quality health interventions that address the health needs, problems,
and issues regarding health promotion, disease prevention, rehabilitation, maintenance, and
LO6: Provide health education that is concerned with health promotion, disease prevention,
5
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
LO7: Evaluate with the individuals and families in the community their health
LO8: Institute appropriate corrective actions to prevent or minimize harm arising from the
probable adverse effects of the individual and family nursing activities regarding health
setting.
LO9: Formulate a safe, appropriate, and evidence-based nursing interventions particular in the
LO10: Adhere to ethico – legal considerations when providing safe, quality, and professional
nursing care in addressing the need for health promotion, disease prevention, restoration,
LO11: Adhere to established norms on the Philippine Nursing Law and other legal, regulatory,
and institutional requirements relevant to safe nursing practice in rendering care to an individual
LO12: Protect the individuals and families in the community their rights based on “Patient’s
Bill of Rights and Obligations” in providing basic care in terms of health promotion, disease
6
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
individual and family nursing practice in a community setting in the provision of basic care in
LO14: Ensure a working relationship in the provision of basic care in terms of health
promotion, disease prevention, restoration, maintenance and rehabilitation with individual and
family in the community that is based on trust, respect, and shared decision – making using
LO15: Document individuals' and families’ responses to the basic nursing care services
records and other information of the individuals and families in the community.
addressing the need for health promotion, disease prevention, restoration, and maintenance and
families, and care providers in the community to participate in decision making with the
inter-professional team.
7
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
LO20: Maintain a harmonious and collegial relationship among members of the health team for
effective, efficient, and safe individual and family nursing care in the community.
LO21: Coordinate the tasks/functions of other nursing personnel (midwife, BHW, and utility
workers) addressing the need for health promotion, disease prevention, restoration, and
LO22: Collaborate with other members of the health team in the implementation of health
LO23: Apply principles of partnership and collaboration to improve delivery of individual and
LO24: Collaborate with government organizations, non – government organizations, and other
socio-civic agencies to improve health care services, support environment protection policies and
strategies, and safety and security mechanisms in addressing the need for health promotion,
disease prevention, restoration and maintenance and rehabilitation of individuals and families in
the community.
LO25: Manage individual, family, and community resources efficiently and effectively.
LO27: Use appropriate strategies/approaches to plan individual and family health programs and
8
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
LO28: Evaluate specific components of the individual and family health programs and nursing
LO29: Maintain a positive practice environment in managing the basic health care needs of the
LO31: Assume responsibility for lifelong learning, own personal development, and
LO32: Engage in community advocacy activities that influence individual and family health
LO34: Exemplify love for the country in rendering individual and family health nursing
LO35: Customize nursing interventions based on Philippine culture and values in addressing
the need for health promotion, disease prevention, restoration, and maintenance and
LO36: Use appropriate technology to support the delivery of nursing care to individuals and
LO37: Demonstrate caring as the core of community health nursing, love of God, love of
and professionalism in the provision of basic community health nursing care to individuals and
families.
LO39: Project the positive professional image of a Filipino community health nurse in
10
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Introduction
oriented towards the promotion and preservation of health, the prevention of illness and injury,
and the provision of care within community settings. In the context of this paper, the focus shifts
care, family nursing practice prioritizes providing comprehensive care for the entire family
engage in self-care activities to maintain their health and well-being (Gonzalo, 2023). When
applied to the role of a community health nurse working with families, the nurse plays a crucial
role in assessing and supporting the family's self-care capabilities. The nurse collaborates with
the family to establish achievable health goals, monitor progress, and intervene when self-care
deficits arise, ensuring the family's overall health and well-being are optimized.
11
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Barangay Pampang was the chosen community within Angeles City due to certain areas
within this barangay that are in need of immediate attention concerning health, sanitation, and
environmental conditions. The Berry family consists of a pregnant mother, a father, and three
children - two daughters and one son. As the community duty progressed, the mother welcomed
a newborn baby girl into the family. Guided by Dorothea Orem's Self-Care Deficit Nursing
Theory, the student nurses aim to understand the family's health condition and its relationship to
the broader community. They will identify both actual and potential health issues within the
family, determine its level of importance, and develop nursing interventions as well as care
plans.
12
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Nursing Theory
“ Individuals have the ability to care for themselves and that nursing should focus on
assisting individuals in their self-care efforts when they are unable to perform these activities on
2023, we applied Dorothea Orem’s nursing theory. She was a prominent nursing theorist known
for her Self-Care Deficit Nursing Theory (see Appendix ___). This focuses on the idea that every
individual’s responsibility and right is to practice self-care in order to keep themselves well and
to maintain their health (Gonzalo, 2023). Orem's theory highlights primarily on the needs of the
individual, therefore it can be applied to those families that live in depressed or underprivileged
areas by recognizing the interconnectedness of the members and their environment, serving as a
guide for healthcare teams to better support families in improving their health and well-being.
13
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
The core categories of how the group applied these are as follows; (1) Care of the Family
Members: Orem's theory acknowledges that families may experience a variety of stressors and
difficulties in depressed locations, such as financial difficulty, poor access to healthcare, and
social isolation. In accordance with the limitations of their surroundings and resources, this
theory was modified to emphasize the significance of family members looking out for each
other's health and well-being. (2) Assessment of Family’s Self-Care Abilities: First step carried
out is by collecting data about the health status of the Berry Family, whether subjective or
objective, identified health goals within the context of life history, lifestyle and health status. The
group also gathered information about the family’s requirements and capacity to perform
self-care. Then on the second step, which is mainly about the nursing diagnosis and care plans,
the group designed a system that is wholly compensatory or supportive-educative. Two actions
they accomplished were by bringing out a good organization of the components of client’s
therapeutic self-care demands and by selecting a combination of helping methods which will be
14
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
On the last step which is implementation and evaluation, the student nurses executed this
on their termination phase. They have assisted the Berry Family in self-care matters to identify
and describe health and health-related results. This was done by collecting evidence in evaluation
of the results which were achieved against results specified in the nursing system design and
etiology of the prioritized problems directed the actions. This was used by student nurses to
evaluate the capacity for self-care of both the family as a whole and the individual family
members. They have created focused interventions and support plans by identifying areas where
the family may struggle to meet their self-care needs. (3) Education and Encouragement: This
approach emphasized the significance of education and encouragement in giving the family
members the ability to properly carry out self-care tasks. Such individuals might not be aware of
practices that promote health or have limited access to resources. Families can be helped in
learning about self-care techniques and connecting with neighborhood services. (4) Cultural
Sensitivity: It is critical to take cultural influences into account when dealing with families since
they may have different self-care routines and health views. Using Orem's approach,
interventions were modified as well so that they are respectful of the family's values and
traditions and be culturally sensitive. Lastly, (5) Community Collaboration: In depressed areas,
community organizations and support networks can be major sources of help for families. Orem's
theory encouraged the student nurses to collaborate with the community resources to ensure that
15
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
This theory is applicable to the Berry Family because it promotes the importance of the
therapeutic in sustaining good health (Orem, 2001, p.82). Nurse-client interactions are only
limited for a specific allotted time so it is a must to encourage the clients to be independent
through health education, disease preventions and interventions taught and made for them. Upon
coming across the community-based related learning experiences, these offer numerous
advantages to student nurses by bridging the gap between theoretical knowledge and practical
application. These placements enable students to apply their classroom learning to real-world
healthcare settings, fostering the development of essential clinical skills and enhancing their
confidence.
These experiences enabled this group to identify the different problems they encountered
which can be tied to the application of Orem’s theory. Since Mrs. Strawberry has difficulty not
only in maintaining the health and hygiene of all her family members, but also in the
non-compliance of her family, it is imperative for the student nurses to educate them, including
the children, on how to properly address and take action when it comes to potential or existing
health crises.
16
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Every subgroup in the Community Health Nursing I should choose their own index
client. Qualifications considered in choosing are the following: first, currently she must be
pregnant and in legal age which ranges from eighteen years old to forty-four years old. Second,
she can either be married or single but with at least two living children.
Fortunately, the student nurses in this subgroup were able to acquire and gather the
necessary data such as the names of the members of the family of the index client, current
address, pieces of information about home and socio-environment, physical assessments, health
history from the health center’s family record, and both subjective and objective cues on their
existing problem and its nature. While walking on the streets of the barangay, with the guidance
of the respective clinical instructor, Ms. Michelle Laxamana, RN, the student nurses got the
applicable index client for this study. Luckily, Mrs. Strawberry was cooperative from the first
17
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Raspberry, with the interventions related to poor hygiene. She was not following and not doing
the procedures for maintaining proper hygiene, as the index client verbalized (mother) “Ang
tamad niya kasi talaga sa katawan.”. Also, she was inconsistently present because she was
attending classes during our home visits so it was not possible for the student nurses to fully
evaluate her.
Secondly, the group was not able to interact with the father, Mr. Blackberry, because
every weekday, he is working from 8:00 AM until 5:30 PM, the reason why he is not included in
the cephalocaudal assessments and interviews. Time constraints contributed slight hindrance
with the interventions and evaluations.So as a result, with the faced limitations, the student
nurses were able to meet only the short-term and medium-term objectives, not the long-term
objectives.
Family Background
The Berry Family consists of a mother, father, two daughters, one son and a month old
baby. They are a family with young children. The two daughters are named Raspberry and
Mulberry, a son named Blueberry and a month-old baby girl named Cranberry. This family is
classified as nuclear because they are a group of people who are united by ties of partnership,
18
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
parenthood and consist of a pair of adults and their socially recognized children. Considered as a
patrilocal, they reside in a compound shared with her husband's family located in Brgy.
Pampang, Angeles City, a house owned by Mr. Blackberry. Each house in this compound
belongs to one of her husband's siblings, fostering close ties with his side of the family in which
they were categorized as patrilineal. In contrast, Mrs. Strawberry's family and relatives reside in
Sta. Rita, Guagua, creating a geographical separation between her own roots and her married life.
In their family dynamic, despite Mr. Blackberry being the primary breadwinner, both spouses
follow an egalitarian authority as parents. They are united in ensuring that their children obey
both of them and jointly make decisions regarding their upbringing. They recognize their fair
Mrs. Strawberry, a 39-year-old married mother, was born on September 27, 1984 in San
Fernando City. She finished elementary school and is currently doing a small time tailoring, a
part-time job. Her workplace is at home because she has her own sewing machine in which she is
able to earn ₱ 600 per month as an income. Her husband’s name is Mr. Blackberry, a 48-year-old
married father. He was born on June 8, 1975 in Angeles City. Mr. Blackberry finished high
school and is currently working as a labor worker in a construction firm. The site depends per
Raspberry, their first-born daughter, is an 11-year-old child who was born on September
22, 2012 in Angeles City. She is currently in sixth grade in Pampang Elementary School.
19
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Blueberry, their middle child son who is at the age of 8 years old who was born on November 7,
2014 in Angeles City. He is currently in third grade in Pampang Elementary School. Mulberry,
their daughter who is also in the middle of the siblings, is a 3-year-old child who was born on
January 17, 2020 in Angeles City. As per the client’s verbalization, she will join the preschool
program by next year when she turns four. Lastly, their youngest daughter is Cranberry, who was
recently born on September 14, 2023 in Angeles City (See Table 1 below).
NAME B-DATE AGE GENDER CIVIL POSITIO PLACE EDUCATIO OCCUPATI- PLACE AVERAGE
FAMILY NT
Mrs. September 39 Female Married Mother San Elementary Small time Home ₱ 600
City (small
stitches)
Mr. June 8, 1975 48 Male Married Father Angeles High School Labor On site ₱ 13, 200
) per
project
(currently
in
Angeles
City)
Raspberry September 11 Female Child Daughter Angeles Currently in n/a n/a n/a
Blueberry November 7, 8 Male Child Son Angeles Currently in n/a n/al n/a
Mulberry January 17, 3 Female Child Daughter Angeles n/a n/a n/a n/a
2020 City
20
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Cranberry September 1 Female Child Daughter Angeles n/a n/a n/a n/a
-h
Exploring their family history through a genogram, the first generation: Mrs. Strawberry's
parents and her husband. Tragically, on her husband's side, both of his parents have passed away.
His father's demise was attributed to a stroke, specifically a heat stroke caused by excessive heat
exposure, while his mother succumbed to diabetes mellitus, a condition that raised concerns
about potential diabetes carriers within the subsequent generations. On Mrs. Strawberry's side,
her father succumbed to pneumonia, but her mother continues to play a vital role in supporting
the family. Moving to the next generation, Mrs. Strawberry's husband, being the youngest, has
one sister and one brother, while Mrs. Strawberry herself came from a larger family, including
five sisters and two brothers, and she is the 5th child. Sadly, one of her sisters lost her life due to
disrupted normal kidney function. Despite varying family sizes, they all maintain a harmonious
relationship. Mr. Blackberry and Mrs. Strawberry, being married together, are parents to three
daughters and one son. The genogram illustrates that, despite the health challenges and losses
within their respective families, the bonds connecting these generations remain harmonious.
21
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
22
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Information was gathered from Mrs. Strawberry to gain insight into the Berry Family's
socioeconomic background. Their monthly income, totaling ₱ 13,800, comprises the combined
In terms of expenses, the Berry Family shares certain bills with their compound
members. They each contribute ₱ 700 for the electric bill and ₱ 500 for the water bill every
month. Additionally, they allocate approximately ₱ 300 for laundry and bath essentials. For food,
they spend ₱ 9,000 each month, as they allocate ₱ 300 per day. They also budget ₱ 450 monthly
for potable water and ₱ 1,000 for Baby's essentials, including diapers and Wilkins.
Furthermore, the Strawberry household has two members attending school who receive a
daily allowance of ₱ 55 each, totaling ₱ 110 per day and ₱ 2,200 for twenty school days in a
month. When all these expenses are combined, the household's average monthly expenditure
amounts to ₱ 14,150. Consequently, they face a monthly deficit of ₱ 350 to cover their essential
needs.
23
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
month
income
24
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Shared Bill
Shared Bill
Food ₱ 9,000
₱ 300 x 30 days
₱ 1,100 x 2 children = ₱
2,200
₱ 450
Potable Water
₱ 1000
Baby’s Essentials
Deficit = - ₱ 350
25
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
The Berry family’s home is not too far from the barangay health care center of Pampang.
The walk starts on the first street to the left of the health care center where the tricycles for
commuting are parked. With only a few steps, take the first turn to the left on a one-way narrow
road that can only accommodate small vehicles. One must be careful because there are unleashed
dogs roaming around the area. From here, it only takes a few seconds to reach an even narrow
path of dirt between two houses on the right side of the road which leads to a compound where
Upon arrival, the immediate ground surrounding the compound is also dirt which makes
it hard to maintain the cleanliness of shoes while walking. The abundant clothes surrounding the
Berry family’s house that were left hanging to dry were also impossible to miss. There are also
two bathrooms and a sink to the right of the entrance to the compound, separate from the house
as well as garbage containers to the left of the entrance for communal use which are sometimes
unkempt or unsanitized. With further inspection, a sewing machine can be seen next to the door,
along with a few other belongings, which the index client, Mrs. Strawberry, uses to pass time and
make some money. Pigeon coops can also be seen near the house and the roofs of the bathrooms
The house that they live in is approximately 11.83 square meters in size and has two
windows. However, one of them is usually blocked by a curtain and is rarely used. There is no
26
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
ceiling and the roof is only made up of metal panels supported by wood. The walls are made of
hollow blocks put together by cement and are unsmoothed, making its inhabitants prone to
scratches. On the other hand, the floor is smooth and made of only cement.
Upon entry, one would immediately notice that the bedroom and kitchen are merged into
one room. Additionally, all of their belongings are arranged next to the walls so there is room for
the Berry family to move about in the center. However, their belongings look unkempt and the
corners and roof have accumulated dust (see Appendix F.1.3.). The north side of the bedroom
consists of three large cabinets for their clothes and personal belongings as well as an additional
cabinet for utensils and ingredients for cooking. Next to them is a small table to place
tupperwares and sewing necessities. Above the table is a plastic bag for food waste, full and
infested with small red ants, hanging on the wall (see Appendix F.1.4.a and F.1.5.). On the south
side, there is an old TV, piles of laundry, a small statue of Mary, a small electric fan, pillows and
folded blankets, wires, and other belongings (see Appendix F.1.4.b.). On the west side there are
three stacks of damaged twin sized foam used for sleeping that is placed on the floor right below
an open window with a curtain (see Appendix F.1.4.a. And F.1.4.b.). The kitchen, on the other
hand, is on the east side of the room. It has a small stove, kitchen wares, large jugs and
containers for water and rice, a gas tank, toiletries, rack of footwear, trash bin, and more laundry
Kind of Neighborhood
To reach the compound where the Berry family resides, one must pass through a path of
dirt between the two houses seen from the street. Near the entrance on the right are the
bathrooms and the sink which they share with others who reside in the same compound. On the
27
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
left are smelly sacks or containers full of garbage and discarded food infested with flies and
maggots which are collected once a week every Tuesday morning (see Appendix F.1.6.). There
are also bird cages for pigeons near their home next to the garbage and above the bathroom that
are unsanitary but our client said that it is cleaned by the owner depending on what day it needs
The room has 11.83 square meters of floor space which is extremely inadequate for 2
adults and 3 children. Their area does not meet the recommended space requirement of 15 square
meters for one adult person, especially because the area occupied by their personal belongings is
also calculated within the total floor space of 11.83 square meters.
1x0m2
Adequacy of Ventilation
The family mainly uses the door and the big window on the west side of the house,
receiving a 25.83% of ventilation which is adequate for the floor area they occupy. It
significantly reduces the heat trapped inside the house and may help prevent accumulation of too
much dust.
In their household, the index client is responsible for buying food which they get from
stores near their home, but when the family has the ability to spare more money, the index client
goes to Pampang’s palengke. The family also grows a papaya tree behind the house and uses its
fruits for cooking. Although the family does not usually prepare their own food, they have the
basic cooking utensils stored in a cabinet and under the stove including metal pots and spatulas
which appear to be clean. However, the kids occasionally place objects inside the cabinet such as
super glue or trash that may contaminate the clean utensils. The family also has knives which
appear to have small spots of rusting, stored on a blocked window sill located above the stove
that is rusty and stained. On occasions in which they do have food to store, they place it among
the food seasonings they have on the top most section of the same cabinet as the cooking
utensils. In their case, since they usually do not have left over food, a refrigerator is unnecessary,
but the index client may ask her sister in-law a favor in case she is in need of it.
The family’s main water source comes from the communal sink and toilet facilities which
is safe so long as they acquire it directly from the faucet. Any water that is left in the pale should
irresponsible users, outsiders, animals, flies, and dirt. For potable water, they purchase those blue
5-gallon jugs of mineral water for the whole family as well as 1 liter bottles of Wilkins for the
index client and her baby which are always secured with covers.
Toilet Facilities
The Toilet facility is found outside the compound in one of the bathrooms. They use a
toilet bowl without flush in which they compensate with a pail of water and tabo. The walls and
the corners on the compound where water usually stays after a shower are covered in moss or
29
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
lumot and since the surrounding area is made of dirt instead of concrete, the floor is sometimes
muddy. It usually depends on the users whether the toilet facility remains sanitary because
everyone is responsible for cleaning after use. In some cases, a user is too lazy to clean the area,
leaving it dirty. Aside from the facility’s general appearance, the water that comes out of the
faucet is clean. But after it reaches the pail, it is exposed to multiple contaminants as the door is
usually left wide open, making it accessible to non-residents of the compound, animals, dirt, and
other environmental factors. The residents themselves may even leave used or contaminated
Based on the records, the family is identified and acknowledged as a permanent resident
short travel distances such as the health center, pharmacies, elementary and high schools,
hospital, barangay hall, public market, sari-sari stores, playground and basketball courts which
are well utilized by the family except for the church because of the inability to attend due the
they listen to the teachings through the loudspeaker which reaches their house. Outside, near the
borders of Pampang are the police and fire stations which are currently of no use to them but are
still accessible for their use if needed. Occasionally, the community holds events for the
enjoyment of its residents such as pageants, basketball tournaments, and pulosa. The family does
not usually participate in these events but their children sometimes watch them. In terms of
social support, the clients have not received help from anything beyond the barangay level which
30
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
included money and food during the pandemic, as well as free medicines, vitamins, feedings and
deworming.
Pampang is a well developed area with fairly smooth concrete roads that make travel
using vehicles easy. The available modes of transportation in the barangay are jeepneys and
tricycles. The father of the house usually uses a bicycle to go to work while the rest of the family
usually stays within the barangay. But when the index client needs to buy groceries, she usually
uses a tricycle. Telecommunication and internet access is also fast and available in the area. But
in the case of the client’s home and its vicinity, although the index client testifies that the signal
within their house is “okay”, the group always receives one to two signal bars within the area and
is sometimes unable to access online documents with data. Nonetheless, internet access, text, and
calls are possible but may be slow. Since the family does not have a landline or an internet router,
the family loads their SIM cards with credit to register to promos.
31
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
In the heart of Angeles City, within the thriving community of Barangay Pampang,
resides the Berry family. This barangay, one of 33 that make up the city, is situated in the Central
Luzon region of the Philippines. According to the PhilAtlas 2020 Census, there are 24,653
residents residing there, constituting approximately 5.33% of the total population of the city.
Positioned at an estimated elevation of 116.2 meters (381.2 feet) above sea level,
Pampang is surrounded by neighboring barangays: Pulung Cacutud to the north, San Agustin to
32
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
the east, Santo Rosario to the south, and San Jose to the west. The place provides a wide range of
facilities and services that are easily available to its residents, including the Berry family.
Considering the 12 elements that outline what constitutes a healthy community, the Berry
family finds themselves in a community that offers a comprehensive and easily reachable
environment. In terms of access to care, the ecomap illustrates the family's utilization of services
through green circles and connecting lines. The Pampang Barangay Health Center and Ospital
ning Angeles are shown to be fully utilized into their healthcare routine, indicating that these
On the other hand, various hospitals in the Angeles City area, including PRI Medical
Center, Angeles University Foundation Medical Center, Holy Family Medical Center, Dr.
Armando L. Garcia Medical Center, St. Catherine of Alexandria Foundation & Medical Center,
Angeles Medical Center, Inc., Sacred Heart Medical Center, and The Medical City Clark, are
represented by red circles and a line. This signifies that these hospitals are not part of the family's
healthcare choices. It's clear that the family selectively opts for the Pampang Barangay Health
Center and Ospital ning Angeles, reflecting a distinct preference for these specific healthcare
providers.
Given that the Berry family already owns a house, there are two affordable housing
options within Angeles, namely Carmenville and Deca Homes. However, they are depicted in
red on the ecomap, indicating that the family is not making use of these housing options.
33
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Regarding community safety, the family slightly utilized Pampang Barangay Tanod since
it is conveniently located in close proximity to them. The index client is aware of the nearby
police station and fire station, but, currently, they do not make use of these services.
In the context of economic opportunities, the ecomap reveals that Mr. Blackberry is
employed in construction in the Carmenville area, while Mrs. Strawberry engages in home-based
tailoring with a focus on small stitches. Both of these occupations are highlighted in green,
indicating that the parents actively utilize them as sources of income. Moreover, there are two
more economic opportunities, Rockwell Construction and SuperL, that are in alignment with
their respective occupations. However, these are represented in red, indicating that Mr. and Mrs.
Raspberry, a fifth-grade student, and Blueberry, who is in the third grade, both attend
Pampang Elementary School. Although there are numerous schools in the vicinity, including
high schools and colleges, they are not currently being utilized by the family.
In terms of environmental quality, the family makes full use of waste disposal available
When it comes to accessing quality and affordable food, the family primarily buys at the
Atchi Linda Store for their grocery needs, including freshly cooked "lutong-ulam," as per the
verbalization of the index client. They also make limited use of other food sources, such as the
34
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Pampang Wet Market, Anecia Mini Mart, and 7/11, with the latter being particularly favored by
Raspberry. The rest of the food options available are not being utilized by the family.
The family makes full use of the community design provided by Barangay Pampang to
meet their various needs and preferences within the neighborhood. This utilization encompasses
Blueberry and Mulberry engage with the parks and recreation facilities, which include a
barangay-covered court and a playground. The family also makes limited use of the Sto. Nino
Chapel and SM Telabastagan. However, they do not utilize other options, such as the Holy
Rosary Church, the various malls in Angeles City, and Astro Park.
When it comes to social and cultural cohesion, the family engages and integrates with the
The family utilizes the Barangay Pampang Hall as a resource, demonstrating their
involvement, primarily when it comes to local community matters. However, they do not make
The family has a range of transportation options around the Angeles City, which
encompass airplanes, taxis, buses, jeeps, and tricycles. While they only make limited use of
35
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Figure 2. Ecomap
36
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
37
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Note: Mr. Blackberry (husband the index client) is not available/ present during the
assessment process.
Height: 147 cm
Weight: 45kg
BMI classification
HR: 85 bpm
T: 36.7°C
RR: 18 cpm
HR: 71 bpm
38
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
T: 35.7°C
RR: 20 cpm
HR: 69 bpm
T: 35 °C
RR: 22 cpm
HR: 68 bpm
T: 35.7°C
RR: 16 cpm
- 10:00 am
redness
39
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
; (+) flatus
E: no signs of edema
P: no pain present
- 10:00 am
redness
anymore
(+) flatus
pad)
40
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
E: no signs of edema
P: no pain present
- 10:00 am
and redness
anymore
(+) flatus
site
E: no signs of edema
P: no pain present
41
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Deformities: none
dandruff visible
evenly distributed
or irritation
areas
and accomodation
Sclera: white
42
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
skin lesions
Symmetry: symmetrical
blood
blockage or congestion
swelling, or bleeding
43
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Upper:
2 front
Lower:
3 left molar
2 right molar
Upper:
2 front
Lower:
3 left molar
2 right molar
Dentures: none
Frenulum: center
44
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
enlarged
asymmetry
of the body
sternocleidomastoid muscle
Palpation
45
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Auscultation
jaundice
46
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Auscultation
Palpation
Discharge:
47
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
no presence of lochia
extremities
on the extremities
skin
Palpation
48
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
INTEGUMENTARY Inspection
present
discoloration present
Palpation
touch
49
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Height: 139 cm
Weight: 40 kg
BMI: 21 (Normal)
HR: 97 bpm
T: 36.4°C
RR: 17 cpm
T: not assessed
50
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
HR: 90 bpm
T: 36°C
RR: 19 cpm
Deformities: none
51
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Color: black
evenly distributed
or irritation
areas
and accomodation
Sclera: white
52
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Symmetry: symmetrical
or blood
blockage or congestion
tooth surfaces
53
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Dentures: none
Frenulum: center
enlarged
sternocleidomastoid muscle
Palpation
54
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Auscultation
or jaundice
55
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Auscultation
Palpation
genital area
56
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
cyanosis, or redness
extremities
Lesion: small, red, itchy bumps on the skin from ant bites
on the extremities
and rhythm
infection
equal bilaterally
skin
57
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Palpation
of the extremities
INTEGUMENTARY Inspection
are evident.
Nails appearance:
not recorded
58
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Palpation
light touch
the body
Weight: 22.1 kg
HR: 99 bpm
59
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Weight: 22.1 kg
T: 35.6°C
RR: 21 cpm
HR: 96 bpm
T: 35.7°C
RR: 18 cpm
HR: 98 bpm
T: 35.7°C
RR: 19 cpm
HR: 94 bpm
T: 36°C
RR: 17 cpm
60
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Weight: 22.1 kg
Deformities: none
Color: black
evenly distributed
61
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Weight: 22.1 kg
or irritation
areas
and accomodation
Sclera: white
directions of gaze
skin lesions
62
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Weight: 22.1 kg
discoloration
Symmetry: symmetrical
blood
blockage or congestion
swelling, or bleeding
Number of teeth:
63
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Weight: 22.1 kg
plaque
minimal plaque
Dentures: none
Frenulum: center
64
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Weight: 22.1 kg
enlarged
65
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Weight: 22.1 kg
of the body
sternocleidomastoid muscle
Palpation
abnormalities
66
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Weight: 22.1 kg
Auscultation
or jaundice
67
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Weight: 22.1 kg
Auscultation
Palpation
68
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Weight: 22.1 kg
genital area
cyanosis, or redness
extremities
Lesion: small, red, itchy bumps on the skin from ant bites
or debris
69
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Weight: 22.1 kg
the extremities
and rhythm
infection
equal bilaterally
skin
Palpation
of the extremities
70
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Weight: 22.1 kg
INTEGUMENTARY Inspection
discoloration present
discomfort
Nails appearance:
not recorded
71
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Weight: 22.1 kg
Palpation
light touch
of the body
72
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
ANTHROPOMETRICS Height: 95 cm
Weight: 14.4 kg
BMI: 16 (Healthy)
HR: 99 bpm
T: 36.0°C
RR: 18 cpm
73
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
HR: 95 bpm
T: 36.2°C
RR: 16 cpm
HR: 98 bpm
T: 36.1°C
RR: 17 cpm
HR: 97 bpm
T: 36.8°C
RR: 18 cpm
Deformities: none
HAIR Scalp: sparse dandruff visible, lice and nits are few
74
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
brittle.
Color: black
evenly distributed
or irritation
areas
and accomodation
75
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Sclera: white
directions of gaze
skin lesions
discoloration
Symmetry: symmetrical
blood
blockage or congestion
swelling, or bleeding
76
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Number of teeth:
canine.
Dentures: none
Frenulum: center
enlarged
77
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
normal shape,
of the body
sternocleidomastoid muscle
Palpation
abnormalities
Auscultation
78
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
or jaundice
Auscultation
79
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Palpation
genital area
cyanosis, or redness
extremities
Lesion: small, red, itchy bumps on the skin from ant bites
80
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
the extremities
and rhythm
infection
equal bilaterally
skin
Palpation
of the extremities
81
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
INTEGUMENTARY Inspection
discoloration present
discomfort
Nails appearance:
82
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Palpation
touch
of the body
83
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
ANTHROPOMETRICS Height: 48 cm
Weight: 3.31 kg
T: 36.6 ℃
RR: 58 cpm
T: 36.5 ℃
RR: 53 cpm
84
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
T: 36.3℃
RR: 60 cpm
Deformities: none
lesions
Color: black
evenly distributed
85
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
or irritation
areas
and accomodation
Sclera: white
directions of gaze
skin lesions
discoloration
Symmetry: symmetrical
86
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
blood
blockage or congestion
swelling, or bleeding
Decay: none
Dentures: none
Frenulum: center
enlarged
87
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
of the body
asymmetry
the body
sternocleidomastoid muscle
Palpation
abnormalities
88
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Auscultation
or jaundice
Color of stool:
89
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Auscultation
Palpation
90
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
genital area
cyanosis, or redness
extremities
Rashes:
and rhythm
91
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
equal bilaterally
skin
Palpation
of the extremities
INTEGUMENTARY Inspection
Rashes:
September 18,2023
non-oozing
92
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
concerning moles
discoloration present
or muscle-related issues
Palpation
touch
the body
93
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
The culture of the Berry Family encompasses the shared values, beliefs, and practices
that shape the dynamics within a family unit. These elements form the foundation for how a
family interacts and operates. The facet of this family culture is Mrs. Strawberry, she places great
importance on her family's health. She mentioned that they have a good immune system
(subjective) because all of them received “bakuna” when they were kids. She said that her
children received these vaccinations through the barangay health center, highlighting the role of
Next, for the family's nutrition and eating habits, they present a noteworthy concern. As
per the index client’s verbalization, “Ayaw nila ng mga gulay, hindi sila kumakain. Pero kapag
nagluto ako ng gulay, ako lang at panganay ko ang kumakain.” According to the cephalocaudal
assessment, every member has normal BMI except for the son, Blueberry. Their dietary pattern
predominantly consists of eating rice in every meal (Breakfast, Lunch, Dinner) and adding
whichever is available that they could get from the sari-sari store of Aling Linda including
94
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
As for their religious belief and practices, these hold a significant place in the Berry
family's life. Since Mrs. Strawberry's pregnancy, their ability to attend weekly masses has been
constrained. However during Sundays, they could hear the priest from the church to their house
which is only one block away from their compound. They pray the rosary before bedtime, attend
crusades or parades and listen to bible readings, bring a blessed “palaspas” and put on their
windows during Holy week. With regards to health, as per the index client, whenever their
family member is ill, they lift it up to the Lord and pray for recovery first before seeking
The identity of the family is also strongly influenced by cultural practices. They have
diligently preserved numerous Filipino cultural traditions, including the respectful use of "po"
and "opo" in their daily interactions, which demonstrates their dedication to Filipino etiquette
and values. Additionally, they actively engage in the festivities of their local community by
Social collaboration and communication also play roles in the Berry family’s life. Mrs.
Strawberry mentioned that whenever she gets bored, she goes to her husband’s cousin’s house to
have conversations with the cousin’s wife and cousin’s wife’s sister. The house was two blocks
away from their house. In addition to that, she communicates as well with her husband’s relatives
in the compound. That is how she maintains her social being aside from their religious practices.
For marriage, according to Mrs. CB, her preference is love marriage which succeeds in a
relationship. Mr. AB worked together with Ms. CB’s cousin and that is the reason how she knew
him. Sharing their lives and dreams since September 22, 2011, they took a significant step
95
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
forward by officially becoming husband and wife on January 16, 2022. Since they got engaged
through love marriage, they have a deep mutual understanding with each other.
Regarding the complexity of gender expression, the index client stated that her
acceptance of gender expression is dependent on their appearance and beliefs. According to the
client, a person's expression of their gender or sexuality should align with qualities such as being
"desente" and "makadiyos" despite expressing a different gender or sexuality form what is
Finally, when delving into the index client's view on supernatural beliefs and practices a
question asked about whether the index client believes in supernatural creatures, she stated,
”maniwala ku karen kasi ing tatang ku manakit ya. Tutu la reta”. She also mentioned
superstitious practices “istung measug ka king metung a tau nung emu bali nung ninu ing meg
asug keka. Itang malang pilukasan mu tugtugan me king danum a mapali”. This responses shows
96
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
up some household
originally hers.
Therapeutic Competence
Knowledge of Health 3
97
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Conditions
Applications of Principles of 1
General Hygiene
Health Attitudes 3
Emotional Competence 4
Family Living 3
98
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
99
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
fun.
Rating Description/Indicator
2 Moderate Level of Competency (Less than 50% of the family members are
100
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
incompetent/noncompliant)
incompetent/noncompliant)
Management
1. Medical management
101
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
· Breast engorgement
102
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Raspberry
and Mulberry
Mulberry
Mulberry
103
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Blueberry, Mulberry
gagastos rin”
104
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
₱ 350
kami nyan”
evidenced by:
facility
toilet facility
· Muddy floors
105
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
feedings in a bottle.
RE HT ON AL ION
SCOR
106
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Wellness State
due to the
limited
knowledge of
with regards to
proper
Health 3
breastfeeding.
Deficit
Ineffective
breastfeeding
can occur in
situations such
as where
family clients
are in
depressed
areas and in
107
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
education. This
Threat
is considered a
normal or
expected
transition in
life of Mrs.
Strawberry,
Foreseeable 1
since
Crisis
breastfeeding
is a natural and
biologically
normal way to
feed infants,
and it is
typically
expected to
provide the
necessary
nutrition and
bonding
between the
108
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
mother and
baby.
y of the easily
Modifiable
Condition or modifiable is
Problem 2 justified
2/2x2 2
because with
appropriate
support,
guidance, and
Partially 1 interventions it
client
overcome her
breastfeeding
difficulties.
These
interventions
would include
proper
monitoring and
109
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Not 0 teachings of
addressing
pain
management
during
breastfeeding
and continuous
engagement or
interest of the
client in the
problem.
Potential of preventive
1 3/3x1 1
potential for
ineffective
breastfeeding
is high because
it can vary
widely
110
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Moderate 2 depending on
various factors,
including the
baby being
considered, the
level of health
education and
support
Low 1 available.
These
breastfeeding
outcomes are
influenced by
numerous
complex and
interconnected
factors.
However,
efforts to
promote and
support
111
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
breastfeeding
can
significantly
reduce the
occurrence of
ineffective
breastfeeding.
immediate walang
attention lumalabas
kapag
dumedede
1/2x1 0.5
1 siya”
“Gagamit pa
pero dadahan
dahanin ko
112
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
A condition naman na
immediate hanggat sa
masanay ako
attention
ulit”
A score of 1
which means
Not the problem is
perceived not needing
0
as a immediate
problem or attention as per
condition the index
needing client’s
change verbalization.
Even though
showing
immediate
attention, it is
113
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
evident from
she wants to
take an effort
to introduce
breastmilk to
her newborn
child in a slow
pace.
Diagnosis:
Inability to recognize the presence of poor personal hygiene in children related to self-neglect
due to non-compliance with personal hygiene practices as evidenced by dirty fingernails, dental
RE HT ON AL ON
114
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
SCOR
Threat individual's
health and
well-being.
necessary
hygiene
measures are
not being
followed,
115
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
resulting in a
deficit in
maintaining
good health.
improvement
varies across
Partially 1
different aspects
Modifiable
of this nursing
diagnosis.
While some
fingernails, can
Modifiable
be addressed
with education
and
encouragement,
116
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
others, such as
dental decay
and lice
infestation, may
require more
complex and
ongoing
interventions.
potential
because
Moderate 2
preventing or
improving each
aspect of poor
personal
hygiene is
Low 1
possible, but it
may not be
direct due to
117
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
factors such as
the individual's
willingness to
change, the
severity of the
issues, and
external
influences.
or problem or problem
2
needing needing
immediate immediate
on the
statements
2/2x1 1
1 indicating the
children's
difficulty with
personal
hygiene and
their behavior of
118
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
(index client).
attention
Behavioral
issues,
especially when
they lead to
neglect of
personal
hygiene, can
impact their
physical and
mental health,
social
relationships,
and overall
quality of life.
Immediate
attention is
needed to
119
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
change crucial to
prevent further
deterioration
children
establish better
personal
hygiene
practices and
behaviors.
120
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Diagnosis:
Inability to make decisions with respect to taking appropriate health action due to inaccessibility
of appropriate resources for dental needs specifically cost constraints as evidenced by all the 18
remaining teeth are affected by decay, limited income, and client verbalized “kung papatingin ko,
gagastos rin”
RE HT ON AL ION
SCOR
Health 3 all 18
Deficit remaining
teeth are
affected by
121
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Health 2 decay
indicates a
Threat
significant
dental health
problem.
is unable to
access these
resources due
to financial
constraints.
refer to the
barangay
122
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
dental services
limited income
may remain
largely
unmodifiable
in the short
term.
potential
because to
address the
dental issues
and financial
constraints, it
123
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
rated as high
due to the
existing state
of severe
decay in all 18
remaining
Low 1
teeth.
Preventive
actions may
help improve
the situation to
some extent,
not fully
reverse the
damage that
has already
occurred.
124
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
A condition 2 It is a
or problem condition or
needing problem
immediate needing
attention immediate
attention
because the
2/2x1 1
1 client is facing
serious dental
health
problems, with
all 18
remaining
teeth affected
by decay. It
not only
affects their
could also
harm their
overall
well-being.
125
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
due to
attention
anticipated
expenses
highlight the
urgency of
addressing
their dental
and financial
issues
promptly.
Delaying
intervention
may lead to
further oral
health decline
and potential
systemic
126
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Not 0 health
perceived as problems.
a problem or
condition
needing
change
Client’s
verbalization
of “Oo yun
ang ano ko
maam
resolusyon ng
ngipin ko,
ayun talaga
pangarap ko
maam para
magka ipin
ako uulit
mababalik ang
beauty, kung
libre papustiso
127
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
bakit hindi”
when asked if
the condition
of the problem
is needing
immediate
attention.
Diagnosis:
development due to financial constraints / limited financial resources as evidenced by the Berry
128
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
RE HT ON AL ION
SCOR
healthcare,
Health 2
education, and
Threat
basic needs.
Stress, less
Foreseeable 1
opportunities,
Crisis
and strained
relationships
affecting your
mental and
129
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
physical
well-being.
control, there
are strategies
to influence
and minimize
Partially 1
these
Modifiable
limitations.
Personal
financial
habits, and
education, on
may be
adjusted to
130
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
financial
Modifiable
condition.
Budgeting,
saving, or
investing
help to
improve
financial
stability. As a
result,
financial
restrictions are
somewhat
modified via
both individual
and
collaborative
initiatives.
131
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Potential financial
1 2/3x1 0.67
troubles is
moderately
preventive
because it
usually
operates
Moderate 2
indirectly. It is
determined by
aspects such as
whether
people are
willing to
make
Low 1
adjustments,
the severity of
the financial
problems, and
outside
influences.
Solving
132
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
financial
problems is
possible, but it
is typically
complicated
and requires a
thorough
approach to
achieve
long-term
financial
health
improvements.
133
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
immediate habits, to
Strawberry
responded,
2/2x1 1
“Hindi man
1 ako nagluluto
ma’am. Kapag
may pangluto
ako, magluluto
madami kami
utang dun
(Carinderia)”
“sa ngayun
naguutang
lang kami
nyan”
134
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
A condition The
or problem Strawberry
1
not needing family's
immediate adoption of
deficit finance
attention
is a pressing
matter
requiring
prompt action
due to the
potential
challenges in
meeting
crucial
expenses,
which could
lead to
financial
instability and
increased
stress. Taking
immediate
135
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
needing of essential
protect the
family's
well-being and
future
opportunities.
136
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Diagnosis:
development due to lack of skill in carrying out measures to improve home environment as
manifested by existence of moss on the walls and corners, occasional cloudy water with white
specks in the pail, muddy floors, consistently open doors to the toilet facility, uncovered and
overfilled garbage containers, presence of ants, rodents, flies, and maggots, accumulation of dust
in the corners and roof of the house, dust on the floor and mattress, and disorganized clothes and
other belongings.
RE HT ON AL N
SCOR
137
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
bacteria to thrive
Deficit especially
because their
toilet facility is
use.
Threat
Accumulation of
aggravate
Foreseeable 1
respiratory
Crisis
problems such as
asthma, especially
for newborns.
Improper disposal
of garbage
138
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
attracts disease
vectors such as
level of comfort a
person feels.
y of the partially
Modifiable 1
Condition or modifiable
have the
knowledge and
community
support with
regards to
cleaning the
communal toilet
facilities and
139
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
do not have
enough
manpower and
time to throughly
dusts. But
Modifiable
essentially, they
state of their
environment
through
education,
guidance, and
encouragement
tools may be
easily acquired
management may
140
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
be done through
discipline.
the case of
unsanitary toilet
facility and
accumulated dust
that it requires
expensive effort
to fix. The
long-continued
existence of these
problems is also
family’s current
management is
ineffective. Many
141
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
and affected by
the issue of
unsanitary
bathrooms and
improper waste
disposal, making
it hard to manage
its cleanliness or
its maintenance.
immediate immediate
although the
1
family values
1/2x1 0.5
cleanliness, they
do not always
142
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
or problem solutions or
1
not needing control over it.
cleaned, Mrs.
Strawberry states,
“tuwing may
maliligo. Minsan
naman
nakakatamad na.
Kung minsan
ng bayaw ko”,
management of
143
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
problem or di ko na
condition naasikaso.
Nalilinis ko yung
bahay”.
Regarding the
management of
waste, Mrs.
Strawberry also
kumukuha diyan,
ma’am. Kada
Martes” and “
Yung bayaw ko
kasi ang
144
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
nagko-kontrol
diyan”.
FNCP
X. FDAR
XI. SBAR
145
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
XII. References
XIII. Appendices
2. Referral Letters
• Insert group photo of every group meetings with the client (for actual) and with the
clinical instructor (for virtual). If the meeting was held without the CI, the team leader is in
charge to carry out all objectives and activities for the day.
• Each photo should have a narrative explanation that contains the objectives for the
148
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Email: agllaneta@student.hau.edu.ph
Objective: A compassionate and committed nursing student who is seeking to gain more
hands-on-experience at HAU to broaden the skills, knowledge and learnings. With an expected
graduation date of 2026. In this, it is a must to be more flexible, competent and confident.
Academic Experience:
149
School of Nursing and Allied Medical Sciences
HOLY ANGEL UNIVERSITY
Key Skills: Microsoft Efficient, People Skills, Adaptability, Empathetic, Communication Skills,
Awards, Honors and Certificates: Dean’s lister, SNAMS Genius of the Year (A.Y. 2018-2019),
With High Honors, NCII (TESDA) Certifications, Best Thesis in Programming (A.Y.
2015-2016)
150
School of Nursing and Allied Medical Sciences