Problem # 1: Accident hazards: Pointed / sharp objects improperly kept as a Health Threat

Cues

Analysis of the problem

Objective s

Nursing intervention s

Rationale

Method of the family Contact

Resources Required

Expected Outcome

S> 0

There inability provide

is Short to Term: a After 2-3 days of home visit, the

> Discuss with the family the

> to avoid any possible

Home Visit

Students: time, Short Term: effort, knowledge After 2-3 days of home visit, the family shall have demonstrate Family: Time, cooperation, compliance, participation and understanding d necessary ways of preventing possible accidents and perform measures in

O>

home environment conductive

importance injuries of accident brought hazard awareness. > Instruct and demonstrat e with the family the proper handling about by ignorance. > For the safety measures and to prevent the injuries such as

Interview

and skills of the student nurses

> things are to health family will seen maintenanc be able placed e due to to apply unorganize failure to necessary d around see benefits ways of the floor investment preventin and even in home g possible outside the improveme accident

Observatio n

house such nt and lack and as knives, of knowledge of preventive and measures. perform measures in preventin g accidents wounds related to > presence of and at reach the children. knives wires the of keeping pointed objects out of reach of childrens and removing accident hazard both outside cooking utensils, bottles, wires old things.

and keeping of the knives or any pointed object in safe place. > Remove

cuts.

of the family

preventing accidents wounds such

Health teachings

as keeping pointed objects out of reach

> to

Therapeutic n skills

childrens removing accident hazard both inside and outside the house.

the possible prevent occurrenc accident hazard such as the scattered things inside and outside the house. >Encourag e family members > To encourage Participatio e of injury and promote safety.

communicatio and

Long Term: After 2 weeks of

and inside the house.

to identify s to solve the problem.

n of the members.

home visits the family shall have maintained things in proper order as evidenced by knives and medicines are properly kept.

intervention family

Long term: After 2 weeks of home visits the family will maintain the things in proper order as evidence d by the knives and > Instruct the family > To help the > Provide health teachings on the possible effect of the problem. > To encourage the family to adhere the proposed solution for the identified problem.

medicine s properly kept.

to keep sharp objects not within the childrens reach.

children to prevent any accidents.

>Encourag e to keep sharp objects in drawer.

> For them not to get the sharp objects.

>Advise to fix those wires in their proper places.

> To avoid accidents like cuts on each family

members. >Encourag e keeping sharp objects out of reach of the children. > Advice the family not to place sharp objects near the edge. > To avoid sharp objects from falling leading to cuts. > To help them avoid looking for the sharp objects.

Problem #2: Poor personal hygiene: Health threat ANALYSIS OF THE PROBLEM > inability to recognize the presence of a problem due to: a. ignorance of facts or lack of knowledg NURSING INTERVENTION S >assess the hygienic practices of the family METHOD OF FAMILY CONTAC T > Home visit

CUES

OBJECTIVES

RATIONALE

RESOURCES REQUIRED

EXPECTED OUTCOME

s> o> children were seen with long and dirty finger nails and toe nails

> short term: After 3hours of nursing intervention, the family will be able to demonstrate knowledge and understandin g on the importance of healthy lifestyle and

> serves as a basis for planning and implementing nursing interventions

> cooperation of the family

> short term: After 3hours of nursing interventions the family shall have demonstrate d knowledge and understandin g related to the importance of healthy

> time, effort and perseveranc e of the student nurses

> encourage the family to wash hands frequently and teach

> to minimize or prevent the occurrence of possible illness

> knowledge

>wearin g dirty clothing

appreciate the importance

proper hand washing

about good personal hygiene

lifestyle and appreciated the importance of good personal hygiene as evidenced by ability to performed and demonstrate d the health teachings

b. lack of knowledg e of importanc e of hygiene and sanitation

of good personal hygiene as evidence by ability to perform and demonstrate the health teachings and interventions to be provided > explain the importance of wearing slippers >long term: After 3 home > to prevent transmission of pathogenic microorganis ms > ask the client to take a bath on a regular basis and demonstrate proper bathing > this is to keep their skin clean and to promote comfort

provided

>long term: After 3 home visits the family shall

visits the family will be able to demonstrate lifestyle changes in their personal hygiene as evidenced by having short clean nails, wearing of clean clothes, > teach and explain to the family the importance and how to maintain short clean nails

> to prevent inhabitation of microorganis m thereby preventing the occurrence of disease

have demonstrate d lifestyle changes in their personal hygiene as evidenced by having short clean nails, wearing of clean clothes, good smell, properly kept hair.

Problem #3 Inadequate ventilation as a health threat.

Assessment

Analysis of the Problem

Objectives

Nursing Interventions

Rationale

Method of Family Contact

Resources Required

Expected Outcome/s

S>

Inability to provide a home

Short Term: After 1 home visit, the family will verbalize understanding on the importance of having adequate ventilation and lighting inside their house.

> Assess the familys total window area

> To have baseline data and determine how much work is needed in order to solve or reduce the problem.

>Home visit

Family Resources:

Short Term: The family shall have verbalized understanding on the importance of having adequate ventilation and lighting inside their house.

O>

environment conducive to health

>Observation

>Familys full cooperation and active participation.

> >There is a window which is blocked by hanging clothes

maintenance and personal development due to lack of skill in carrying out measures to improve home environment

>Openness of family for change.

>Willingness

Long Term:

and inadequate family resources, specifically financial constraints or limited financial resources.

Long Term: After 4 home visits, the family will exhibit behaviors and practices that promote adequate ventilation inside their home.

> Educate the family regarding the importance of having adequate ventilation inside their home. > Encourage family to keep door open.

> The family will have an idea on the benefits of having adequate lighting and ventilation.

to comply.

The family shall have exhibited

StudentNurse Resources: >Knowledge regarding the importance of having proper lighting and ventilation.

behaviors and practices that promoted adequate ventilation inside their home such as provision of windows.

> Will help increase and improve the circulation of air inside the house. At the same time, this will also increase lighting during

>Knowledge regarding the risk factors involved in having

daylight so sunlight can pass through, therefore illuminating the house.

inadequate ventilation and lighting.

>Knowledge regarding the ideal size of windows

> Educate the family regarding the risks involving not having adequate lighting and ventilation in their home.

> The family will know the risk factors involving not having adequate lighting and ventilation inside the house.

to promote adequate ventilation.

Community Resources: >Health teachings from the health center regarding

the importance of maintaining a healthy home environment.

Problem # 4: Presence of breeding place of insects and rodents ANALYSIS OF THE PROBLEM > inability to provide a home o> the familys house shows: > presence of contaminat ed water in the area which serves as a breeding environmen t which is conducive to health maintenan ce and personal developme nt due to: a. lack of knowledge of NURSING INTERVENTIO NS > provide health teachings regarding diseases brought about by presence of insects and rodents METHOD OF FAMILY CONTA CT > home visit

CUES

OBJECTIVES

RATIONALE

RESOURCES REQUIRED

EXPECTED OUTCOME

s> -

> short term: After 1hour of nursing interventions, the family will be able to demonstrate understandin g of consequenc es of having rodents and insects in environment

> to prevent occurrence of diseases brought about the presence of insects and rodents

> cooperatio n of the family

> short term: After 1hour of nursing interventions, the family shall have demonstrate d understandin g of consequenc es of having rodents and insects in environment

>knowledg e, time, effort and motivation of the student

> demonstrate to the family

> to effectively minimize

nurses

site for insects which may pose threat to the family > presence of insects, rodents and mosquitoes in their house > open spaces for possible entry of rodents

importance of hygiene and sanitation b. lack of skills in carrying out measures to improve home environmen t

as evidence by covering storage of water

ways on how to maintain clean environment like always keeping the

the presence of rodents and insects

as evidenced by having covered water storage facility

>long term: After 4 home visits, the family will be able to demonstrate to minimize or eradicate the presence of rodents and insects by maintaining

kitchen clean > remove or mobilize stagnant water and possible breeding places of insects and rodents > breeding places must be evaluated so as to prevent multiplicati on

> long term: After 4 home visits, the family shall have demonstrate d ways on how minimize or eradicate the

ways on how places of

a clean surroundings

> plug open spaces for possible entry of rodents

> to prevent the entry of insects and rodents inside the house

presence of rodents and insects by maintaining a clean surroundings

> use sprays to reduce and eliminate presence of insects and rodents > always keep water storage covered

> to prevent growth and multiplicati on of rodents and insects > to eliminate breeding site for the

growth of insects and rodents

PROBLEM #5: PRESENCE OF PEDICULOSIS AS A HEALTH DEFICIT CUES ANALYSIS OF THE PROBLEM OBJECTIVES NURSING INTERVENTIO NS RATIONALE METHOD RESOURCES EXPECTED OF OUTCOME FAMILY CONTA CT >Home >The Short Term: Visit familys After 4 hours cooperatio of home n. visit, the >The family knowledge verbalized and skills of understandi the student ng nurses. regarding >The time the nature and effort of the of the problem student and nurses, the methods, caregivers different

S> alam ko my kuto sila kaso ayaw naman nilang paalis masakit daw O>presen ce of nits and lice on some members

>Inability to make decisions with respect to taking appropriate health action due to lack or inadequate knowledge/insi ght as to alternative courses of action open to them.

Short Term: After 4 hours of home visit, the family will be able to verbalize understandi ng regarding the nature of the problem and methods,

>Discuss to the family regarding the existence of the health deficit.

>To make the family aware of the nature of the problem, its existence and its probable cause. >To make the family aware of the

>Discuss about the possible effects of

of the family.

different ways to manage and resolve the problem or condition. Long Term: After 4 days of home visits, the family will be able to apply the proper measures to be free from pediculosis. Such as applying pyrethrine shampoos.

having pediculosis.

>Discuss about the different ways and alternatives on how to manage and resolve the presence of pediculosis.

probable consequenc es of having pediculosis and increase their interest to manage the problem. >To make the family aware of the different measures they can practice, apply and follow to manage the condition .

dedication to eradicate the parasites.

ways to manage and resolve the problem or condition. Long Term: After 4 days of home visits, the family applied the proper measures to be free from pediculosis.

Problem #6: Health Threat: Poor Home Condition: Poor Toilet facility

METOHDS CUES ANALYSIS OBJECTIVES NURSING INTERVENTION RATIONALE OF FAMILY CONTACT RESOURCE REQUIRED EVALUATION

S> O> -the toilet bowl is dirty inside and outside. -the place is seen

Inability to provide home environment, which is health and personal due to inadequate resources

Short term: After 1 day of home visit, the family will the

explain to the family the importance of having a good toilet facility Provide the family with health teachings on how to improve their

to facilitate compliance of the family

Home Visit

Health teachings from the student nurses regarding how to keep the toilet

Short term: The family shall have known the importance of having a good toilet facility especially in terms of sanitation Long Term:

conducive to understand maintenance importance of having a especially in terms of sanitation. development good toilet

For the family to identify ways on how to

clean acceptance and

dirty -it has slightly foul odor -the floor is wet

specifically financial problem and lack of knowledge about the importance of having a clean toilet facility. Long term: After 23days of home visits, the family will be able to keep the toilet facility clean.

sanitary condition.

improve their sanitary condition

compliance of the family regarding keeping the toilet facility clean Materials needed in cleaning the toilet like brush, soap,

The family shall have kept the toilet clean.

teach and show to the family the clean the toilet For the family to idea on how to keep their toilet clean

proper way to have an

Problem #7 : Improper garbage disposal as a health threat

Assessme nt

Analysis of the Problem

Objectives

Nursing Intervention s

Rationale

Method of Family Contact

Resources Required

Expected Outcome/s

S: Manugse kami basura keng kilwal ampong

Inability to provide a home which is conducive to health

Short Term: After a full day of the family will verbalize importance of having a clean surrounding and verbalize understandi ng on the

> Assess home condition of the family.

> To have a baseline data and to identify focus of interventions.

>Home visits with provision of health teachings

Family Resources: >Openness to new information familys trust and involvement in nursing interventions. >Time, effort, and cooperation

Short-Term: The family shall have verbalized importance of having a clean surrounding as well on the effect of poor environmen t sanitation to health.

environment home visit,

keng kilub maintenanc kasi ali da e and balu deng anak na n personal developme ku nt due to ating failure to see benefits tsaka of

> Assess familys knowledge on the existence of the problem.

> To determine appropriate managemen t and level of competence both for communicati

>Interview

>Observati on

basuraha

parati lang mamyalu ng as verbalize d Shrimp Mommy kilwala

investment in home king improveme nt and lack of/inadequ ate by knowledge of importance of hygiene and

effects of poor t sanitation to health. > Discuss the Long Term: After the 4 home visits, the family will demonstrat e changes in behavior such as cleaning their surrounding s regularly, importance of good environmen tal conditions as well as the effects of an untidy environmen t. > Encourage members of

on and intervening skills.

of the family. >Willingness to comply. >Manpower.

Long-Term: The family shall have demonstrat ed changes in behavior such as cleaning the surrounding

environment environmen

> To stimulate the initiative of the family to take action in order to modify unsatisfying environment al condition.

StudentNurse Resources:

>Good communicati on skills and patience. >Time and effort of the studentnurses. >Teachings

s regularly, maintaining a good environmen t conducive for living.

O: >There is trash inside and outside of the home > Presence of flice

sanitation.

> To minimize dirt from being

inside and outside the house.

maintaining a good environmen t conducive for living.

the family surrounding s and dispose garbage properly.

scattered possible source of infection and to keep an environment al condition conducive for health of family.

on the importance, effects of proper garbage disposal. Community Resources: >There is a community garbage truck that routinely collects garbage of the community households.

to clean the which are

>Encourag e members of the family to separate the bioform non bio-

> To promote proper waste disposal and to implement segregation that will help both in garbage

degradable the family

degradable disposal and trash lessening of clutter. > Instruct the family to use dumpsite properly. > To help in maintaining a cleaner and wider area for work and recreation. >Encourag e the family garbage pit. > To prevent formation of place for flice, mosquitoes, rats and other pests.

to cover the breeding