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36 years old mother of 3 children with a: Weight: 42 kg Height: 49 ft Bp : 90/50 mmHg Nahihilo ako minsan, hindi ko alam kung dahil ba sa mata ko at ang lakas nang regal ko stated by the mother. Mother verbalized.. nainom ako nang ferrous sulfate, 2 tablets a day.. She has pallor on the hands and has a pale conjunctiva; her finger nails are also pale in color.
Cues/ Data
Nizel 3 years old with a: Weight: 12 kg Height: 31 ft BMI: 13.58 Nicho 8 years old with a: Weight: 20 kg Height: 43 ft BMI: 11.91 Nicole 9 years old with a: Weight : 21 kg Height : 4 ft BMI: 14.12
Cues/ Data
Water supply is taken from a poso, 10m away from home Mahirap ang tubig samin dahil nagiigib lang kami. As verbalized by the mother.
Cues/ Data
The children often forgot to wear slippers when playing outside the house, and has a habit of biting their finger nails
The family is not fun of changing clothes everyday, they seldom take a bath
Cues/ Data
Nizel has a macules on her lips and under it, with pus and redness, I looks like infected Butlig lang yan nung una, kinakamot niya kata dumami at ngayon may nana na.. stated by the mother.
Cues/ Data
Mother verbalize Sensitive talaga ang batang yan, kahit alikabok lang nagkakaganyan na, siya lang ang ganyan sa magkakapatid.
Shingles as a Health Deficit Inability to provide adequate nursing care to the sick dependent member of the family due to: a) Lack of knowledge about the health condition b) Lack of knowledge of the nature and extend of nursing care needed c) Lack of knowledge and skill in carrying out the necessary intervention/ treatment/ procedure/ care
Allergy as a Health deficit Inability to provide adequate nursing care to the dependent member of the family due to: a) Lack of knowledge of the nature and extend of nursing care needed
Cues/ Data
Nilalagyan ko lang nang erythromycin ointment yung mga sugat niya sa muka stated by the mother.
Cues/ Data
The family lives in a one room house with 3 windows. All the things inside the house are unorganized, its too many to fit inside. The surroundings of the house is unorganized to.
SHINGLES
Criteria
Nature of the Problem 3/3*1 1 Computation Actual Score
ANEMIA
Justification
The problem is a health deficit that needs immediate action to prevent crosscontamination to other members of the family It is a easily modifiable since the nurse can teach the proper handling of a patient with condition, and she can monitor the medication that must be applied. It is highly preventive if the family will pay attention on taking care of the sick member, and know the dos and donts The family sees it as a problem that need immediate action
Criteria
Nature of the Problem
Computation
Actual Score
Justification
1 3/3*1
The problem is a health threat that needs immediate action to prevent further complications
The problem is easily modified since the nurse can encourage the mother to drink her medication and eat foods that are rich in iron, vitamins and minerals.
It is highly preventive if the mother will understand how important the eating of rich in iron food is.
Salience 2/2*1 1
Salience 1/2*1
0.5
Total:
Total:
4.5
ALLERGY
Criteria
Nature of the Problem Computation Actual Score
MALNUTRITION
Justification
It is a health deficit that needs immediate action when occur, because it might be fatal if neglected The problem is easily modifiable since the nurse can educate the family about the signs and symptoms of an allergy, the allergens that might trigger the allergy attack
Criteria
Nature of the Problem
Computation
Actual Score
Justification
3/3*1
3/3*1
2/2*2
2/2*2
The problem is easily modifiable since the nurse can have a health teaching about right nutrition and she can help the family on meal planning
Preventive Potential
2/3*1
0.66
It is moderately prevent since the sickness can never be cure, allergy attacks can only be prevented through careful eating and exposure to allergens and medication
Preventive Potential
3/3*1
Other complications related to malnutrition can be prevented if malnutrition is eliminated, normal growth and development can be achieve
Salience * 1 0.5
Salience 0/2*1 0
Total:
4.16
Total:
Goals/ Objectives
Intervention
Evaluation
After 1 week of nursing intervention the mother will be able to: Gain knowledge on what shingles is, what causes the viral infection and the right treatment for it Properly treat the wounds that the shingles cause and do proper hand washing Encourage her children to do frequent hand washing to avoid crosscontamination
1. Assess the patients condition, the severity of the wounds 2. Discuss how viral infection can crosscontaminate the other members of the family
3. Teach proper hand washing 4. Discuss the proper handling and cleaning of the wound
Goals/ Objectives
Intervention
Evaluation
2. ANEMIA AS A HEALTH After one week of DEFICIT nursing intervention the mother will be able to: Inability to recognize the presence of the Gain knowledge condition or problem about the signs due to: and symptoms of anemia and the a) Lack of inadequate proper food to knowledge eat and how to treat it Plan and prepare meals that are rich in iron and other minerals that will help in hemoglobin formation. Frequently visit the health center for check- ups
1. Assess the severity of anemia on the mother 2. Discuss the things, medication and foods that can help in treating anemia 3. Discuss the importance of check- ups in her condition
Goals/ Objectives
Intervention
Evaluation
After one week of nursing intervention the family will be able to: Know the signs and symptoms of allergy, what causes it and the right treatment for it. Treat the allergy properly, with the right medication Avoid the foods or other things that can trigger allergy. .
1. Discuss the
following:
a) The implications of the signs and symptoms of an allergy b) The consequences of having it c) Treatment for it 2. Discuss with the family why allergy occurs to them, observe the food they it and the things in their surroundings
Goals/ Objectives
Intervention
Evaluation
After one week of nursing intervention the family will be able to: Gain knowledge on how malnutrition occur, what are the implications of malnutrition and the treatment for it Plan and prepare meals that will help the children gain weight and at the same time foods that will give them a lot of vitamins and minerals. Encourage each members to eat right and healthy foods and fight malnutrition
1. Discuss the following: a) signs and symptoms of malnutrition b) how the family will prevent members of the family to have malnutrition 2. Develop the skills of family members on proper food selection and preparation
Goals/ Objectives
Intervention
Evaluation
After one week of nursing intervention the family will be able to: Know how important proper medication and consultation is, and how selfmedication can be dangerous to the health of the family Give proper medication to the sick member prescribed by a doctor or by an authorized health care provider Avoid self medication because she already knows the consequences.
1. Discuss the following: a) The consequences of self- medication b) Importance of consultation and proper medication to the sick.
2/3* 1
0.66
It is a health threat that can lead to other health problems, like severity of a disease.
Modifiability of a Problem
2/2*2
The problem is easily modifiable because the resources needed to solve the problem are available to the family. The nurse just need a proper health teaching
1. Shingles ----------------------------- 5 2. Anemia ------------------------------ 4.5 3. Allergy ------------------------------- 4 4. Malnutrition ----------------------- 4.16 5. Self- Medication ------------------ 3.66
Preventive Potentials
3/3*1
It is highly preventive if the family will know the importance of proper medication and consultation
Salience 0/2*1 0
Total:
3.66
Submitted to: Mr. Reymund Samonte Submitted by: Ariane Rose Cedron BSN2-1 Group 4