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FAMILY NURSING CARE PLAN FOR ORJE FAMILY

POOR ENVIRONMENTAL SANITATION

POOR PERSONAL HYGIENE

UNSANITARY TOILET

PRESENCE OF HEALTH THREATS DUE TO FIRE HAZARD 1/3 X 1 = .33 Foreseeable Crisis

Nature of problem

2/3 X 1 = .67 Health Threat

2/3 X 1 = .67 Health Threat

3/3 X 1 = 1 Health Deficit

Modifiability of the problem

2/2 X 2 = 2 Easily Modifiable

2/2 X 2 = 2 Easily Modifiable

1/2 X 2 = 1 Partially Modifiable

1/2 X 2 = 1 Partially Modifiable

Preventive Potential

2/3 X 1 = .67 Moderate 2/2 X 1 = 1 A serious problem, immediate attention needed

3/3 X 1 = 1 High 1/2 X 1 = .5 A problem but not needing immediate attention

2/3 X 1 = .67 Moderate 2/2 X 1 = 1 A serious problem, immediate attention needed

2/3 X 1 = .67 Moderate 1/2 X 1 = .5 A problem but not needing immediate attention

Salience

Score

4.34

4.17

3.67

2.5

Problem #1: POOR ENVIRONMENTAL SANITATION: IMPROPER GARBAGE DIPOSAL


Cues S: O: Presence of dirty surroundings Stagnant drainage system Presence of flies Animals not in proper place i.e. goats are not tied up Trash is stored in a pit and then set on fire Analysis A. Poor environment sanitation due to: 1. Presence of breeding or resting sites of insects, rodents, or other vectors 2. improper garbage disposal 3. improper drainage system a. Inability to recognize the presence of a problem due to lack of knowledge b. Inability to provide a home environment which is conducive to health maintenance due to: a. Financial constraints b. Lack of knowledge of importance of sanitation and preventive measures Goal of Care After nursing intervention, the family will decide on appropriate action(s) to prevent the occurrence of insects, rodents, or cockroaches Objectives Short-term: After 2 hours of nursing intervention, the family will verbalize understanding of the actual condition that exist within the family and knowhow of the proper disposal techniques with the consequences of disregarding it. Long-term: After 4 months of home visits, the family will demonstrate the use and maintenance of a clean environment and proper garbage disposal system in compliance with the health teachings provided.

Problem #1: POOR ENVIRONMENTAL SANITATION: IMPROPER GARBAGE DIPOSAL


Interventions >discuss importance of waste segregation Rationale >Determined products which can be recycled and utilize by the family members like empty bottles and newspapers which can be sold or organic waste material as fertilizer >facilitates the importance of proper garbage disposal system >maximizing the community/familys resources while minimizing the cost of purchasing garbage containers Method of contact Home visits Observation >initiative, time and full participation of family members in applying the segregation system >garbage cans and sacks Studentnurse resources: >knowledge, skills and proper attitude in discussing the nature of the problem. Resources Required Family resources: Evaluation Short-term: The family was able to verbalize understanding of the actual condition that exist within the family and knowhow of the proper disposal techniques with the consequences of disregarding it. Long-term: The family was able to demonstrate the use and maintenance of a clean environment and proper garbage disposal system in compliance with the health teachings provided.

>explain the effects of untidy environment to a healthy living >encourage the family to utilize resources like empty rice sacks or cans as garbage containers, making sure that they are left covered. >point out the result of piles of garbage settled along the river to the health of the people by using water on the river, adding up to air, land and water pollution.

>to make the family members realized the consequences of irresponsible throwing of garbage to the riverside which serves s breeding sites of rodents, thereby increasing the possibility of water-borne infection or other diseases. > Upang maging kapakipakinabang ang mga nabubulok na basura at magsisilbing pataba sa lupa

> Teach and encourage use of a compost pit

PROBLEM # 2: POOR PERSONAL HYGIENE


Cues S: O: > Upon the assessment made, it was observed that the family members have dirty and untrimmed fingernails and toenails. >The child has a dirty clothes. > The mother and father are both seen walking barefooted outside the house >The father have a yellowish teeth while the mother have a yellowish teeth with dental carries Analysis Poor hygienic care is contributed by the familys Inability to provide a home environment conducive to health maintenance and personal development due to lack of adequate knowledge and skills in carrying out action for proper hygiene regimen. Goal of Care After nursing intervention, the family will decide on appropriate action(s) to maintain good hygiene Objectives Short Term: After 3 hours of nursing interventions the family will demonstrate understanding on the health teachings given regarding the importance of maintaining proper personal hygiene. Long Term: After 3 weeks of Home visits the family will be able to show compliance on the health teachings given.

PROBLEM # 2: POOR PERSONAL HYGIENE


Interventions Rationale Method of contact Resources Required Evaluation Short Term: The family was able to demonstrate understanding on the health teachings given regarding the importance of maintaining proper personal hygiene. Long Term: The family was able to show compliance on the health teachings given.

Stressed the importance of

maintaining proper personal hygiene.

In order to motivate them to


improve their hygiene.

Home
Visits

Time and effort of

Encouraged the mother to bath


his son everyday in the morning and before going to sleep

To provide comfort and soothing

Interview
Method

feeling which promotes proper blood circulation; cleansing the body helps removes dirt from skin thus protecting them from invading microorganism

Observation

Advised the family to change

To keep free from microorganisms

their clothing regularly, every after bath or when the need excessive sweating in playing or doing household chores)

causing body odor due to excessive perspiration and unchanged clothes. It is also to prevent complications like pneumonia.

Instructed the family to trim


their finger and toe nails regularly.

Having untrimmed finger and toe

nails carries a higher risk of developing complications. Having dirty nails may lead to parasitism.

the student nurses to render proper hygienic care and practices to the family. Cooperation of the family members especially the mother. Use of water, soap, cotton buds, slippers, powder, nail cutter, clean clothes, towel basin, and toothbrush. PHN bag

Instructed the family to brush

When food sticks longer on the

their teeth regularly, three times a day is recommended after eating their meals.

teeth, dental problems may occur such as the build up of tartar, dental caries, and halitosis, etc.

Emphasized the importance of

proper hand washing regularly especially: before eating after eating after handling unclean objects after bowel and bladder elimination wearing footwear in and out of the house.

To prevent cross- contamination of


microorganisms

Stressed the importance of

Wearing foot wears reduces the risk


of being contaminated with certain microorganisms. It reduces the risk of possible accident like stepping on sharp objects.

PROBLEM #3: UNSANITARY TOILET


CUES S: O:
The toilet facility is poor with regards to hygienic status Presence of flies Is foul smelling They defecate in soils and let it stand

ANALYSIS OF THE PROBLEM Presence of health threats due to poor status of health facility 1. Inability to recognize the presence of the problem 2. Inability to provide home environment conducive for health maintenance due to a. Inadequate family resources due to financial constraints b. Lack of adequate knowledge in the importance of having good status of toilet facility and the disease can be acquired through improper cleaning of toilet

GOAL OF CARE After nursing intervention, the family will decide on appropriate action(s) to maintain good cleanliness of the toilet facility

OBJECTIVES SHORT TERM: After 2-3 hours of home visit the family will be able to verbalize understanding of the importance of having a toilet facility and recognize the diseases that may be brought by the presence of this problem and health teachings given

LONG TERM: After 3 weeks of home visit the family will be able to construct a water sealed toilet with firm and safe walls and will be able to provide a roof of the toilet for comfort and safety After 4 months of home visit the family will be able to demonstrate compliance to health teachings given.

PROBLEM #3: UNSANITARY TOILET


METHOD OF NURSING INTERVENTION >explain to the family the effect of this problem to their health. RATIONALE >to develop awareness and initiate action in controlling this problem. >to provide proper knowledge among the members of the family. >Interview >discuss to the family the possible diseases they can acquire like UTI, diarrhea, etc. >encourage them to practice proper hand washing >to prevent crosscontamination within the members of the family. >to prevent the occurrence of certain disease >Giving a hand in the construction of the toilet > sako Nails, hammer Wood >A bawl and cement >Health teachings. >Observations FAMILY CONTACT >Home visits RESOURCES REQUIRED >Cooperation of the family members. >Time and effort of the student nurse. EVALUATION SHORT TERM: After 2 hours of nursing interventions the family verbalized > discuss to family the importance of having their own toilet facility. >Health teachings understanding of the importance of having a toilet facility and recognized the diseases that may be brought by the presence of this problem and health teachings given.

>identify resources available to the family

>to reduce/correct existing risk factors

LONG TERM; After 3 weeks of home visit the family was able to construct a water sealed toilet with firm and safe walls and was able to provide a roof of the toilet for comfort and safety

> note socioeconomic status/availability and use of resources

> indicator for need for information, assistance with making positive changes, promoting safety and a sense of security

> Help the client to construct their toilet and their walls and roof

>We still practice Independence and not total dependence

After 4 months of home visits the family have demonstrate compliance to health teachings given.

Problem #4: PRESENCE OF HEALTH THREATS DUE TO FIRE HAZARD


ANALYSIS OF THE PROBLEM Inability to make decisions with respect to taking appropriate action due to: The galvanized iron in the kitchen area is burnt >failure to comprehend the nature, scope/magnitude of the problem >limited financial resources

CUES S: O:

GOAL OF CARE After nursing intervention, the family will decide on appropriate action(s) to prevent the occurrence of accidental fires

OBJECTIVES Short Term: After 2-3 hours of home visits the family will be able to recognize the presence of the existing problem identify ways in eliminating fire hazards present inside the house. Long Term: After five days of home visits, the family will show adherence in the teachings given as evidenced by reconstruction of their cooking area.

The kitchen is near the bamboo walls of the kitchen

The stove is within the childs reach Facility for heating is placed in the kitchen where fire is not controlled because of the use of woods.

METHOD OF NURSING INTERVENTION RATIONALE FAMILY CONTACT >Home visits

RESOURCES REQUIRED >Cooperation of the family members.

EXPECTED OUTCOME Short Term: After 2-3 hours of home visits the family was able to recognize the presence of the existing problem identify ways in eliminating fire hazards present inside the house. Long Term: After five days of home visits, the family have shown adherence in the teachings given as evidenced by reconstruction of their cooking area.

Discussed to the family the

presence of the fire hazards inside their home.

To increase awareness

among the members of the family.

>Observations >Health teachings >Interview

Discussed and elaborate to the

family all the possible consequences that may come about from having these fire hazards in their home environment.

Members realize the bad

outcome of these accident hazards thus prevent possible occurrences.

>Time and effort of the student nurse. >Health

Taught the family to become

resourceful and use only what physical resources they have and try to recycle them such that they may be able to utilize them in eliminating fire hazards like unused pieces of woods in correctly sealing the open and unsafe area.

This prevents the

unnecessary use of their limited finances and also enhances their capability in handling possible hazards and corrects them.

>Giving a hand in the reconstruction of their cooking area

teachings.

>Equipments used: Hammer, nails, woods and galvanized iron

Helped the family in reconstructing


their cooking are

This is to prevent fire and


to prevent smoke inhalation.

Encourage the family to put out the Little source of fire cam
fire after cooking with water

still ignite to a bigger fire

Encourage the family to move the


stove away from any flammable objects such as bamboo

Light materials like woods


are flammable

Encourage the family to have a

bucket of water close to the stove

Water is an element
against fire

Instruct the family to rub the fire

wood on the ground Instruct the family to keep matches away from children

Limiting the source of

oxygen for the fire means limiting the fire