Submitted by:
Jinky G. Noquiao
NR-32
Submitted to:
Prof. Ben De Paz
I. Introduction
II. General Objective
Specific Objective
1.
2.
3.
4.
III. Family Nursing Assessment
1. Family structure, characteristics & dynamics
The family is consist of 13 members and considered as extended
family it is consist of different family members like aunties, uncles,
cousins and sister-in-law. Each member has an important role in
maintaining the family successful and united.
2. Socio-economic &cultural characteristics
Almost of the family member are students and some has their
own occupation such as welder, Jollibee attendant and other member is
house keeper.
Family member has 4 college students, have been supported by
their relative working in abroad. The family income including the help of
those who work in abroad is approximately 30,000php per month. Family
is eating 3 times a day; example of family menu in one day are: in the
morning rice egg, noddles etc.,in lunch vegetable, rice and in dinner fish
rice…
3. Home & environment
Family has one domestic animal which is a dog. The domestic
animal is living outside their house. Family house is near from town
uncover drainage. And have some vectors living outside the house.
4. Health status of each member
Family member has different health status one of them has a
(CVA) cerebral vascular accident. Some is seems to be underweight.
5. Values and practices on health promotion/ maintenance and disease
prevention
Family is a Roman Catholic who believed that Jesus is their
savior. In presence of disease the family believed that only medical
practitioner can treat their unhealthy body.
IV.
Cues & Data First Level of Assessment Second Level of
Assessment
1. Hypertension/ post Presence of Inability to
CVA health deficit recognize the
a. Illness presence of the
states, regardless condition or problem
of whether it is due to:
diagnosed or a. Lack of or
undiagnosed by inadequate
medical knowledge
practitioner.
b. Disability-
whether
congenital or
arising from
illness;
transient/temporar
y (e.g. aphasia or
temporary
paralysis after
a CVA) or
permanent
2. Presence of 3. Inability to provide
2. Presence of vectors Health Threats a home environment
a. Poor conducive to health
Home/Environmen maintenance and
tal personal development
Condition/Sanitati due to:
on a. Limited physical
b. Presence of resources-e.i. lack of
breeding or space to construct
resting sights of facility
vectors of b. Lack of skill in
diseases carrying out
measures to improve
home environment
3. House near from
uncover drainage 4. Presence of Inability to provide
Health Threats a home environment
a. Accident conducive to health
hazards specify. maintenance and
- Risk for flood personal development
due to:
a. Poor a. Lack of skill in
Home/Environmen carrying out
tal measures to improve
Condition/Sanitati home environment
on.
b. Improper drainage
system
4. Low income 5. Presence of Inability to
Health Threats recognize the
a. Family size presence of the
beyond what condition or problem
family resources due to:
can adequately b. Denial about
provide its existence or
severity as a result
of fear of
consequences of
diagnosis of
problem, specifically:
i. Economic/cost
implications
c. In accessibility
of appropriate
resources for care,
specifically:
d. Costs
constraints or
economic/financial
inaccessibility
6. Inability to provide
adequate nursing care
to the sick, disabled,
dependent or
vulnerable/at risk
member of the
family due to:
a. Lack of the
necessary facilities,
equipment and
supplies of care
Presence of Failure to utilize
5. No permanent stress community resources
address points/foreseeable for health care due to:
crisis situations a. Inaccessibility of
a. Resettlement required services
in a new due to:
community - Cost
constrains
Inability to provide
a home environment
conducive to health
maintenance and
personal development
due to:
a. Inadequate family
resources
specifically:
- Financial
constraints/limite
d financial
resources
V. Problem Identification
1. Hypertension/ post CVA
One member of the family has 10 years’ post CVA, his right arm
become mild paralyzed, lessens the ability to do some task. Its
affect his way of living, doing his task in the family and school but
now he is practicing a healthy lifestyle to reduce the risk for having
CVA again.
2. Presence of vectors
Vectors such as cockroach, rat, and mosquitoes are present in
family’s house. Vectors came from outside the house. It affects the
family health by cross contamination of microorganisms. So it
considered as health threat to each member.
3. House near from uncover drainage
Uncover drainage is a reservoir of some vectors which can affect
the family health. And uncover drainage can pollute the air, that
affect the family source of oxygen.
4. Low income
Even though family is being supported by their relative working
in abroad still the income is not exact for their daily needs. Only
two of the family member has a job.
5. No permanent address
Family fun of migrating from one place to another it can
decrease socialization and popularization in one place. it is an
additional family expenditure.
VI. Scoring
1. Hypertension/ post CVA
SCALE FOR RANKING HEALTH CONDITIONS AND PROBLEMS ACCDG. TO PRIORITIES
CRITERIA WEIGHT Score
.1, Nature of the condition or problem presented
Wellness state 3
Health deficit 3/3X1 1
Health threat 2
Foreseeable crisis 1
2. Modifiability of the condition or problem
2
Easily modifiable
1/2X2 1
Partially modifiable
0
Not modifiable
3. Preventive potential
3
High
0.7
2/3X1
Moderate
1
Low
4. Salience
2/2X1 1
A condition or problem needing
immediate attention
1
A condition or problem not needing
immediate attention
Not perceived as a problem or 0
condition needing change
TOTAL 3.7
2. Presence of vectors
SCALE FOR RANKING HEALTH CONDITIONS AND PROBLEMS ACCDG. TO PRIORITIES
CRITERIA WEIGHT
. 1. Nature of the condition or problem
presented
3
Wellness state
3
Health deficit
2/3X1 0.7
Health threat
1
Foreseeable crisis
2. Modifiability of the condition or problem 2/2X2 2
Easily modifiable 1
Partially modifiable 0
Not modifiable
3. Preventive potential
3/3X1 1
High
2
Moderate
1
Low
4. Salience
2/2X1 1
A condition or problem needing
immediate attention
1
A condition or problem not needing
immediate attention
0
Not perceived as a problem or
condition needing change
TOTAL 4.7
3. House near from uncover drainage
SCALE FOR RANKING HEALTH CONDITIONS AND PROBLEMS ACCDG. TO PRIORITIES
CRITERIA WEIGHT
. Nature of the condition or problem presented
Wellness state 3
Health deficit 3
Health threat 2/3X1 0.7
Foreseeable crisis 1
2. Modifiability of the condition or problem
2
Easily modifiable
1/2X2 1
Partially modifiable
0
Not modifiable
3. Preventive potential
3
High
2/3X1 0.7
Moderate
1
Low
4. Salience
2/2X1 1
A condition or problem needing
immediate attention
1
A condition or problem not needing
immediate attention
0
Not perceived as a problem or
condition needing change
TOTAL 3.4
4. Low income
SCALE FOR RANKING HEALTH CONDITIONS AND PROBLEMS ACCDG. TO PRIORITIES
CRITERIA WEIGHT Score
. Nature of the condition or problem presented
Wellness state 3
Health deficit 3
Health threat 2/3X1 0.7
Foreseeable crisis 1
2. Modifiability of the condition or problem
2/2X2 2
Easily modifiable
1
Partially modifiable
0
Not modifiable
3. Preventive potential 1
3/3X1
High
2
Moderate
1
Low
4. Salience 1
2/2X1
A condition or problem needing
immediate attention
1
A condition or problem not needing
immediate attention
0
Not perceived as a problem or
condition needing change
TOTAL 4.7
5. No permanent address
SCALE FOR RANKING HEALTH CONDITIONS AND PROBLEMS ACCDG. TO PRIORITIES
CRITERIA WEIGHT
. Nature of the condition or problem presented
Wellness state 3
Health deficit 3
Health threat 2
Foreseeable crisis 1/3X1 0.33
2. Modifiability of the condition or problem
2/2X2 1
Easily modifiable
1
Partially modifiable
0
Not modifiable
3. Preventive potential
3/3X1 1
High
2
Moderate
1
Low
4. Salience
2
A condition or problem needing
immediate attention
1/2X1 1
A condition or problem not needing
immediate attention
0
Not perceived as a problem or
condition needing change
TOTAL 3.33
VII. Problem Prioritization
1) Low
income……………………………………………………………………………………………
……..4.7
2) Presence of
vectors……………………………………………………………………………………….4.7
3) Hypertension/
CVA………………………………………………………………………………………..3.7
4) House near from
drainage…………………………………………………………………………….3.4
5) No permanent
address………………………………………………………………………………….3.33
VIII. Family Health Task
IX. Family Nursing Care Plan
X. Evaluation
