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I.

INTRODUCTION

Family is a set of relations, especially parents and children.

As we all

expect the most important aspect which we could consider foremost is Health of each member of a family. Thus, we cannot achieve this health without concrete knowledge or education on how one or each one of the members would take care of himself in so far as to avoid unpleasant health condition.

Family perceptions about health and related behaviors are central to the work of FHNs including issues relating to family health promotion, self-care and family adaptation to illness or disability. In order to

support families effectively an ecological perspective was adopted which allows FHN's to take account of the inter-relatedness of individual, family and community. Families have very different resources at their disposal and use these in different ways, whether in social, economic or health terms.

It is for this reason that the researcher decided to conduct an intensive interview intended for a particular family in a barangay or in an urban community. In this way, the researcher believes that through proper and

actual/hands- on- teachings for this unknowledgeable people may somehow be

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of great help in order for them to realize the essence of taking care of Gods creatures or our bodies.

II. RATIONALE
The study aimed to educate a particular family in Brgy 591 in taking preventive measures against unpleasant condition. Also, the study aimed to provide information on appropriate interventions on present health deficits of the family.

III. STATEMENT OF OBJECTIVES General Objective:


To determine the nursing students' level of cognition in the determination and prioritization of problems that exists in the community assessed.

Specific Objective:
To establish a nursing care plan which would be beneficial to the family, as well as to the community Discuss and explain the etiology of prioritized problem, its causes and effects and ways on how to avoid or remove it. Gain knowledge and skills Related to the prioritized problems

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Formulate a clear and specified plan of action to give solutions to the existing health problems identified within the community Formulate a clear and specified plan of action to give solutions to the existing health problems identified within the community Evaluate the effectiveness of he action and the whole program done in the community given

IV. METHODOLOGY AND TOOLS USED Methodology


The researcher used random sampling method in choosing the family to be interviewed from the chosen urban community, Brgy 591 Sta. Mesa Family. We also used actual data gathering, data collation, data presentation and data analysis

Tools Used in Data Gathering


An initial database guide from Community Health Nursing book by: Maglaya was used.

V. SCOPE AND LIMITATION OF THE STUDY


This study was conducted in a Urban community, Barangay 591 Sta. Mesa Manila. Random Sampling procedure was used where in a particular family was interviewed. 3|Page

Furthermore, this study is limited to only one family. The study strivesto find the most prioritized family health problems, and do the most appropriate intervention. The family was interviewed using an initial database guide from the Community Health Nursing book By: Maglaya.

VI. INITIAL DATA BASE OF FAMILY


A. Family Structure, Characteristics and Dynamics Family Type: Extended Family No . 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Members of the Family Edna Soriano Gilberto Soriano Maria Rachel Soriano Gilbert Soriano Jayson Soriano Ivy Soriano Irene Soriano Ligaya Francisco Jacinto Ruiz Alberto Lawas Orie Marquez Michelle Ruiz Lychtlle Mae Soriano Wally Boy Soriano AGE 55 59 34 33 28 28 28 65 35 51 44 40 15 10 SEX Femal e Male Femal e Male Male Femal e Femal e Femal e Male Male Femal e Femal e Femal e Male Civil Status Married Married N/A Single Married Single Single Married Married Single Married Married N/A N/A Relationship to the head of the Family Head of the Family Husband Daughter Son Son Daughter Daughter Sister Nephew Nephew-In-Law Niece-In-Law Niece-In-Law Granddaughter Grandson

Dynamics: Family has a good relationship with one another. Don fight with one another, Always hang out together to talk and trade stories

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B. Socio-economic and Cultural Characteristics Members of the Family Maria Rachel Soriano Gilbert Soriano Jayson Soriano Ivy Soriano Irene Soriano Religio n Catholic Catholic Catholic Catholic Catholic Educational Attainment 2nd Year College 1st yr College HS 4th Year College 3rd Year College Occupation None Bartender Waiter Pastor Cant remembe r Cant remembe r Cant remembe r Income

She cant remember the Salary of her children she only remember how much she get every month: 36, 000

C. Home and Environment

I. HOUSING
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A. Adequacy of living space

REMARKS Since most of her offspring is on other countries. The space is enough for 10 people Each of the mini House have a bedroom that can accommodate each of them Some jars have stagnant water on them. none Has safe cooking facilities and tidy food storage. Nawasa with adequate and clean supply and filtered/potable water supply Each of the mini House has 1 toilet in them Garbage collection every week. Has safe drainage system

B. Sleeping Arrangement

C. Presence of breeding or resting sites of vectors of diseases D. Presence of accident Hazards E. Food storage and Cooking Facilities F. Water Supply

G. Toilet Facility H. Garbage Disposal I. Drainage System

II. Kind of Neighborhood

Congested. With a very minimal space in between houses. Crowded; noisy place.

III.

SOCIAL AND HEALTH FACILITIES

Location includes nearby health center (Esperanza Health Center and Lying-in Clinic) for health facilities, regular medical 6|Page

check-up once a month. Also includes nearby park, with basketball court, billiard table and videoke activities. With chapel for spiritual concerns. for recreational

IV.

COMMUNICATION AND TRANSPORTATION FACILITIES

Located in urban area. Uses cellular phone and telephone as the only communication gadget. Public Utility Vehicles are readily available for transportation purposes.

D.Health Status of each family member


According to Ms. Soriano she have a hypertension that she inherit on her family since they have a history for having Hypertension.

Sometimes the kids would have cough and cold

E. Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention.


*Health Lifestyle Practices:

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--Foods are served more than 3 times a day. Children hate to eat vegetables. Maintain good sanitation. Always have time for recreational activities like trading stories

*ADEQUACY OF: a.) Rest and Sleep Makes sure that the 2 children sleeps at least 8hours at night time. Adult members of the family sleep at least 6 hours a day and b.) Exercise/Activities rest in between work time. Everyday chores became their everyday activities in which everybody participates . Plays outdoor during weekends. Walks to c.) d.) Use of Protective Measures Relaxation and other Stress school every weekdays. Every member of the family takes vitamins for protective measures. Chat with one another everytime. Watch television together with other members of the family. Seldom go to malls.

Management Activities

VII. A TYPOLOGY OF NURSING PRACTICE IN THE FAMILY NURSING PRACTICE FIRST LEVEL ASSESSMENT I. Presence of Wellness Condition -Readiness for Enhanced Capability for Healthy Lifestyle

II. Presence of Health Deficit 8|Page

-Illness states (Hypertension)

III.Presence of Health Threats -Threat of cross infection from a lice infestation case -Faulty Eating Habits (refusal of eating vegetables) -Presence of breeding sites of vectors of disease

IV.Presence of Foreseeable Crisis -incoming new school year

SECOND LEVEL ASSESSMENT

Cues/Data -Illness states (Hypertension) as a HEALTH DEFICIT -Verbalizations of questions about Hypertension.

Family Nursing Problems Inability to provide nursing care to the sick member of the family due to lack of/inadequate knowledge about the disease/health condition (nature, severity, complications, prognosis and management)

-Faulty Eating Habits as a HEALTH THREAT -Normal naman ata sa bata ang di mahilig sa mga gulay e diba?, as verbalized. -Most of the time, instant foods, especially instant noodles and likes a lot of junk foods.

Inability to make decisions with respect to taking appropriate health action due to low salience of the problem/condition.

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-Threat of cross infection from a lice infestation case as a HEALTH THREAT -One of the family member has a lice infestation -since they live together other family members sleep together on one room, and thus, may cause cross infection.

Inability to recognize the presence of the condition or problem due to denial about its existence or severity as a result of fear of consequences of diagnosis of the problem, specifically social stigma.

-Presence of breeding sites of vectors of disease as a HEALTH THREAT -many jars are left open and filled with stagnant water that can serve as breeding ground for mosquitoes

Inability to provide a home environment conducive to health maintenance and personal development due to lack of skill in carrying out measures to improve home environment.

VIII. LIST OF IDENTIFIED HEALTH PROBLEMS

1. Illness states (Asthma) 2. Threat of cross infection from a communicable disease case (cough and colds) 1. Faulty Eating Habits 2. Presence of breeding or resting sites of vectors of disease 3. Incoming new school year

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IX. PRIORITIZATION OF IDENTIFIED PROBLEMS PROBLEM #01:


CRITERIA 1.) Nature of the problem 2.) Modifiability of the condition of the problem 3.) Preventive Potential 4.) Salience of the Problem

Hypertension
COMPUTATION 2/3 x 1 x4 2/3 x 1 1/2 x 1 ACTUAL SCORE 0.66 2 0.66 0.5

TOTAL SCORE: PROBLEM #02: infestation


CRITERIA 1.) Nature of the problem 2.) Modifiability of the condition of the problem 3.) Preventive Potential 4.) Salience of the Problem

3.82 Threat of cross infection from a lice


COMPUTATION 3/3 x 1 2/2 x 1 2/3 x 1 2/2 x 1 ACTUAL SCORE 1 1 0.66 1

TOTAL SCORE: PROBLEM #03:


CRITERIA 1.) Nature of the problem 2.) Modifiability of the condition of the problem 3.) Preventive Potential

3.66 Faulty Eating Habits


COMPUTATION 3/3 x 1 1/2 x 1 3/3 x 1 ACTUAL SCORE 1 0.5 1

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4.) Salience of the Problem

1/2 x 1

0.5

TOTAL SCORE:

PROBLEM #04: Presence of breeding sites of vectors of disease


CRITERIA 1.) Nature of the problem 2.) Modifiability of the condition of the problem 3.) Preventive Potential 4.) Salience of the Problem COMPUTATION 3/3 x 1 1/2 x 1 2/3 x 1 2/2 x 1 ACTUAL SCORE 1 0.5 0.66 1

TOTAL SCORE: PROBLEM #05:


CRITERIA 1.) Nature of the problem 2.) Modifiability of the condition of the problem 3.) Preventive Potential 4.) Salience of the Problem

3.16 Incoming new school year


COMPUTATION 1/3 x 1 1/2 x 1 1/3 x 1 2/2 x 1 ACTUAL SCORE 0.33 0.5 0.33 1

TOTAL SCORE:

2.16

X. LIST OF FAMILY PROBLEMS ACCORDING TO PRIORITY


No. 1 2 3 4 Family Problems Hypertension Threat of cross infection from a lice infestation Presence of breeding sites of vectors of disease Faulty eating habits Score 3.82 3.66 3.16 3 12 | P a g e

Incoming New school year

2.16

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