HEALTH PROBLEM

POOR
ENVIRONMENTAL
SANITATION AS A
HEALTH THREAT
Inability to provide
a home
environment
conducive to
health
maintenance
related to:
a. Lack of /
inadequate
knowledge
of the
importance
of hygiene
and
sanitation
b. Low
salience of
the
problem

GOAL AND OBJECTIVES OF CARE

GOAL OF CARE
The family will be able to
effectively promote and maintain
an environment conducive to
health.
OBJECTIVES OF CARE Given the
first home visit, the responsible
family member(s) will:
1. Practice proper disposal of
garbage.
2. Learn about the importance of
proper sanitation in their home
and environment
3. Enumerate the diseases that
may occur if there is no proper
environmental sanitation
4. Enumerate all the possible
causes that results to poor
environmental sanitation
5. Enumerate the benefits of
proper environmental sanitation
5. Reinforce schedule for cleaning
activities
6. Enumerate all possible ways of
proper environmental sanitation
in the home
7. Discuss the rationale of each
intervention measure
8. Share all possible resources
present in the home that will help
resolve the problem
9. Fully agree to implement
interventions that the can do
themselves
Given a follow up home visit after
2 days, the family shows
evidences of having implemented
the agreed-upon measures

INTERVENTION PLAN
Method of contact, proposed
Resources required
actions & methods of teaching
Method of contact: HOME VISIT
ACTIVITIES:
1. Health Education
a. Evocative discussion reflective
thinking
- Beliefs as to causes
- What may possibly happen if no
action done
b. Motivate, educate, and support
proper and correct ideas, and
beliefs
c. Small group discussion with the
family, and use of appropriate,
and understandable visual aids
- Causes of poor environmental
sanitation (flash pictures of not
cleaning the environment)
- Effects of poor environmental
sanitation (possible diseases that
can be acquired)
- Intervention at the family and
indl level
1. Clean the house and the
surroundings and reinforce
schedule for cleaning activities
2. Make sure to have a cover
for the garbage can
3. Good personal hygiene of
the family
4. Proper disposal
d. Exploration of the familys
resources available in their home
e. Demonstration
- Cleaning the surroundings
giving emphasis to the toilet and
garbage can and also monitoring
the places that are prone to
soiling and dirt
2. Contracting

Resources of the
nurse:
1. Teaching skills
and characteristics
of a health
educator
2. Pictures of an
environment which
is not cleaned and
the diseases
resulting from it
3. Food and
transportation
expenses =
Php200
Resources
available to the
family:
1. Plenty of tap
water
2. Materials for
cleaning = 3
brushes and a
detergent powder
3. Wood that can
be a cover for the
garbage can

Resources required
but not available
to the family:
1. Antibacterial
cleaning soap

EVALUATION PLAN
Evaluation standard
Methods/tools
Changes/Correct:
Instant feedbacking
Knowledge and
a. What are the correct
importance about
causes of poor
environmental sanitation
environmental sanitation
based on what he have
discussed together?
b. What are the diseases
that can be resulted from
poor environmental
sanitation?
c. How many times should
you do cleaning activities
in order to maintain a
clean environment?
Observation and
anecdotal report
Developed skills in
cleaning the environment
especially in the toilet and
proper garbage disposal

Return demonstration

Implemented agreed upon

actions
No signs of flies and
breeding places in the
garbage and toilet
Proper cleaning practices

Instant feedbacking
Observation

3. Referral for follow up

PACYADO, Rene

ABAD, Angelica Joy

ALVAREZ, Ronilyn A.

BSN II-B