Date & Time Health Family Nursing Goal of Objective of Nursing Method of Resources Evaluation

Cues problem Problem Care Care Intervention Nurse- Required

Family
Contact
November 9, Additional Inability to give After Short-term 1. Educate the Telephone/ Human November9,
2021 / Aug 8, member in adequate nursing After an hour of family about the Video Resources: 2021 @ 9:00 AM
2021 @ 8:00 the family nursing care to intervention, nursing necessary health Conference a. GOAL MET
AM as stress the sick member the family, intervention, the needs and the Knowledge After an hour of
point or of the family due especially family will be importance of its and skills of nursing
foreseeabl to: the mother, able to: fulfilment such as: student intervention, the
Subjective: e crisis. a) member’s will gain the a. Identify the a. Physiologic nurse family stated:
- Tired and preoccupation necessary priority needs needs (food, b. Time,
irritable with knowledge, for the proper water, shelter, effort, Prayoridad nako
- Mentioned pregnancy comprehen- growth and hygiene, patience, samtang sayo pa
that she could b) inadequate sion, and development nutrition, and akong
not look out for family capability especially of immunity) cooperation pagmabdos kay
her son always resources of on using the the b. Cognitive & of the ang mga
because of care appropriate vulnerable emotional student pagkaon nga
pregnancy and specifically course of family wellbeing nurse and masustansya ug
adjustment absent action in members. c. Values and skills involved limpyo ang
without her responsible managing b. Recount the shaping family. paligid para
husband member anticipated health himsog pod sila
additional hazards of 3. Explain the Material
member in excessive possible health Resources “Daghan jud
Objective: Inability to the family stress during hazards associated a. Laptop diayg hinungdan
- 25 years old provide a home effectively pregnancy. with chronic stress b. PPT sa stress
- Hypertension environment and c. Recognize during pregnancy c. Videos parehas aning
at 15 weeks conducive to collectedly. shortcomings such as: d. wala na akong
gestation health regarding a. Hypertension Electronic bana, na-ospital
- History of maintenance provision of b. Preterm birth documents/ akong anak, taas
preeclampsia and personal necessary c. Low-birth weight books pa jud kog BP,
during first development family needs. d. Risk for ug akong inahan
pregnancy with due to: miscarriage Financial ra pud ang
BP 145/100 a) inadequate Resources gasuporta sa
- had a latest competencies a. Payment ako.”
prenatal in relating to 4. Discuss ways to for internet
checkup last each other for overcome and connection
Thursday mutual growth improve b.
- Hgb and and Long-term incompetencies
urinalysis tests maturation After 1 week of towards personal November 15,
taken last July specifically consultation and and family 2021 @ 8:00 AM
- Takes reduced ability nursing maturation such as: GOAL
Vitamin C to meet the intervention, the a. Evaluate and PARTIALLY
supplements physical family will be accept weakness MET
and Hemarate needs of other able to: and project it into After a week of
FA members as a a. Employ strengths nursing
- Husband result of effectual time b. Establish support intervention, the
died at age 27 preoccupation management system family stated:
due to Covid- with exclusive for c. Commitment to
19 pregnancy. meeting practice and
- Currently in a aforemention adjustment (Para di
pregnancy ed needs. masyado ako
leave from b. Prioritize and Demonstrate ways mastress pwede
regular work maximize how to prepare for ko mag relax
available birth then controlled
human breathing, and
resources. Educate how to find a hobby.)
c. Effectively take care of
cope with the multiple children in Para dili kaayo
loss of a the future ko makapoy,
family pwede ko
member. Educate how to magpahuway,
d. Show divide needs moginhawa ug
compliance evenly within lalom ug mangita
with the family (especially if ug kalihukan
management there’s a new para malingaw
given. member) ko.

Naa gyud koy

mga kakulangon
sukad sa akong
5. Demonstrate pagmabdos
stress-reducing pahitungod sa
measures like: pagsuporta sa
a. Relaxation akoang pamilya.
techniques Dili nako
b. Verbalization of mabantayan
sentiments akoang
c. Engagement in kaugalingon
favorite nakong anak na
distraction lalaki ug dili pod
activity nako
(included already matabangan
here are identifying akoang mama
stress-inducing sa pang
triggers) pinansyal na
panginahanglan
8. Offer effective kay nag
coping measures maternity leave
with loss of family na ako.
member such as:
a. Acknowledge all Hinay2x na nako
of one’s feelings nadawat ang
b. Seek support and sitwasyon
guidance sakong bana
c. Celebrate apan unsahay
positive lisod man jud
memories kalimtan
d. Focus on
supporting self- As of now
care mahirap parin
e. Direct grief into iadjust aking
productivity time / mag time
management
kay minsan
9. Provide strategies busy,
in implementing magproblema
agreed-upon health din ako saking
actions like: anak
a. Do advanced
planning for Lahat nung
timely execution sinabi mo ginatry
of tasks ko talaga gawin
b. Focus on a few most of the time,
goals at a time minsan
c. Follow your own makalimutan ko
pacing pero mas
d. Observe and consistent ako
evaluate for ngayon
progress on a compared noon
daily and weekly na wala pay nag
basis guide sakin

Meron talaga
akong
pagkukulang
sukad sakong
pagbuntis when
it came to
supporting this
family, I cant
look out for my
own son, I cant
really help my
mother
especially
financially kay
nag (pregnancy)
leave naman din
ako

(Signed)
 Cheyenne Mari
B. Rodriguez, St.
N.

Reference:

Reference:

Alden, K.R. (2016). Nursing care of the family during pregnancy. Nurse Key. Retrieved online from https://nursekey.com/nursing-care-of-the-
family-during-pregnancy/
FOCUS HERE!!!

https://www.verywellfamily.com/manage-a-toddler-while-caring-for-an-infant-290518

NATURE OF CONDITION- 1/3*1 = 0.33 (STRESS POINT/FORESEEABLE CRISIS)

→ foreseeable crisis because pregnancy is inevitable/anticipated even—you can achieve a family through pregnancy. It is only a stress point
because given the situation of the family, being pregnant Is highly demanding and majority of the family resources are being exhausted for the
sake of sustaining the pregnancy. It’s not a health threat because pregnancy itself doesn’t ALWAYS directly lead to having a disease so pregnancy
itself is not a threat nor a health deficit. Currently she has HYPERTENSION but there’s sufficient evidences of it making the pregnancy
complicated/fatal for mother,

MODIFIABILITY : 2/2*2 = 2 (EASILY MODIFIABLE)

→ since it’s only a stress point, it can be certainly resolved/manageable. Given the appropriate interventions, ideally pregnancy can run smooth
and easy to manage to. Hypertension is also a common medical problem encountered during this period of time BUT EASILY preventable and
treatable.

PREVENTIVE POTENTIAL: 2/3 *1 = 0.67 (MODERATE)

→ given their family situation and health history/genetics, it’s not quite guaranteed that it can be totally prevented. It can still happen in the
future when mother becomes pregnant again, but since we have applied nursing interventions the chances/intensity ng

SALIENCE: 1 / 2*1 = 0.5 (MODERATE)

→ family DOESN’T REALLY perceive pregnancy itself as a problem; only the disadvantages associated to pregnancy

TOTAL = 3.5

Subj
- tired & irritable

DO NOT DELETE!!!!
(1ST FAM NSG PROBLEM)

After an hour/week (?) of nursing intervention, the family will be able to:
a. Prioritize and maximize available human resources

c. effectively cope with death of husband ( b. Look for ways to sustain oneself as if husband is there)

(2ND FAM NSG PROBLEM)

After an hour of nursing intervention, the family will be able to:

a. identify priority needs for proper growth and development of the members especially those at-risk/vulnerable.

b. Employ effectual time management exclusive for meeting aforementioned needs.

c. show compliance on the management given

RELAXATION TECHNIQUES
https://www.allinahealth.org/health-conditions-and-treatments/health-library/patient-education/beginnings/second-trimester/whats-
happening/relaxation-techniques

Obj
- LMP April 25, 2021
- currently wife has hypertension at 15 wks gestation
- first pregnancy in 2019 wife had history of preeclampsia at 28 wks gestation 145/100
- current supplements are Vit C & Hemarate FA
- husband and wife both finished degree (graduated) at same school
- Anton (eldest) is turning 3 y/o CURRENTLY HOSPITALIZED d/t asthma attack
- 1 empty room, 2 bedrooms, closed pit privy toilet, wood & concrete-made house w/carinderia
- Maria COULD NOT LOOK OUT FOR ANTON ALWAYS bc of pregnancy/loss of husband
- Anton is very active, plays & strolls EVERYDAY in afternoon on narrow streets w/friends (can be infected with measles/can spread measles to
friends)
- Anton is vaccinated incompletely (failure to do so when he’s 9 mos old) & now fears vaccination
- 3 adults (if including Maria’s sister Angelita), 1 child, 1 unborn child
- total floor area is 4 meters width and 6 meters height. Window opening is 1.5m x 1.5 m
→ (is this too small for them??”
- diet: Monday = fried egg, ampalaya w/egg, chopsuey
Tuesday = boiled eggs, law-uy, sinabawang isda
 Wednesday = ginataang langka, pinakbet, bulad
Thursday = adobong kangkong, isdang paksiw, tortang bolinao
Friday = kare-kare, bistek
Saturday = tortang talong, escabeche, fish monggos
- income: 5-10k/month (Jollibee); 200-300 pesos/day OR 6k-9k/month (carinderia) OR 5200k – 7800k/month (excluding all Sundays in a month)
→ but Maria is currently taking PREGNANCY LEAVE (so decreased income)

- Pregnancy as stress point/foreseeable crisis.

→ Inability to give adequate nursing care to the at risk member of the family due to lack of necessary child care/attention (“wife can’t look out
for Anton always d/t pregnancy/husband death”)

→ Inability to provide adequate nursing care to the vulnerable member of the family due to member’s preoccupation with pregnancy.

potential nsg problem:

- risk of measles (incomplete vaccination of Anton) risk of cross-contamination of contagious/communicable disease

- diet (most are high in sodium, most are fish-based) (they almost always EAT LEFTOVERS???? or not)

- storage of food/leftovers (stored in plastic container) (they don’t have REFRIGERATOR!!!) → can spoil if left unattended

- hypertension??

🛑 HEALTH PROBLEMS FAMILY NSG PROBLEM

- Hypertension/Pregnancy-induced hypertension as a health deficit.

→ Inability to give adequate nursing care to sick member of the family due to inadequate family resources of care specifically absent responsible
member.

- Health History which may induce the occurrence of health deficit specifically previous history/family history of preeclampsia/hypertension as a
health threat.

- Health History which may induce the occurrence of health deficit specifically family history of asthma as a health threat.
- Lack of Immunization/Inadequate Immunization Status for Children specifically Measles Vaccination/Immunization as a health threat.

→ Inability to make decisions with respect to taking appropriate health action due to psychological consequence, specifically fear of vaccination.

→ Inability to provide a home environment conducive to health maintenance and personal development due to lack of preventive measures
specifically measles immunization.

- Threat of cross infection from communicable disease case specifically measles as a health threat (???)
→
- poor home condition specifically lack of food storage facilities as a health threat.

→ Inability to provide a home environment conducive to health maintenance and personal development due to inadequate family resources
specifically limited financial resources & limited physical resources

- Hospitalization of a family member due to asthma attack as stress point/foreseeable crisis.

- Death of a member as a stress point/foreseeable crisis.

→ Inability to give adequate nursing care to at-risk member of the family due to lack of necessary child care/attention (“wife can’t look out for
Anton always d/t pregnancy/husband death”)

→ Inability to provide a home environment conducive to health maintenance and personal development due to inadequate competencies in
relating to each other for mutual growth and maturation specifically reduced ability to meet the physical needs of other members as a result of
preoccupation with pregnancy, hospitalization of child, and loss of husband.

→ Inability to provide adequate nursing care to the vulnerable members of the family due to member’s preoccupation with death of a family
member.
- Asthma / Asthma Attack as health deficit.

- Family size beyond what family resources can adequately provide (temporary only, pls solve monthly income)

→ Inability to provide adequate nursing care to the sick member of the family due to inadequate family resources, specifically financial
constraints

→ Inability to provide a home environment conducive to health maintenance and personal development due to inadequate family resources
specifically limited financial resources & limited physical resources

- Potential for enhanced capability for healthy lifestyle specifically on nutrition and diet.

- Potential for enhanced capability for health management and parenting.

→
ABOUT FAMILY INCOME:

READ!!!!!
https://www.philstar.com/headlines/2018/06/08/1822735/neda-family-5-needs-p42000-month-survive

Amid the ruckus sparked by a government economist’s pronouncement that a P10,000 budget is enough for a family of five to survive,
Socioeconomic Planning Secretary Ernesto Pernia clarified the figure should actually be P42,000. Pernia was quoted as saying in an interview
with GMA-7 that an average Filipino family would actually need an aggregate income of P42,000 to live above the poverty line

Militant group Partido ng Manggagawa (PM) also scoffed at the P10,000 figure, saying the figure should at be least P39,000 or P1,300 a day.

- Death of a member as a stress point/foreseeable crisis.

- Pregnancy as stress point/foreseeable crisis.

- Lack of Immunization/Inadequate Immunization Status for Children specifically Measles Vaccination/Immunization as a health threat.

- Hypertension/Pregnancy-induced hypertension as a health deficit.

- Threat of cross infection from communicable disease case specifically measles as a health threat