CHN Nursing

MINDANAO MEDICAL FOUNDATION COLLEGE
P. Villanueva St. Agdao, Davao city

Tel. no. (082) 221-6225
ACKNOWLEDGEMENT
The study has provided our group opportunities to learn and deal with the different
problems and needs of the family in order for them to further improve their health and the
state of their surroundings. The student nurses want to give their appreciation and genuine
gratitude to the people who constantly guide us and give their complete support. This section
is for all of them.
The group would like to thank the following:
First of all, we would like to give our gratitude to our parents, and significant other for
helping us by motivating, for allowing us to be exposed in the community, and for their
complete support and encouragement.
The group would also like to expand our deepest gratitude to our dear clinical
instructors, Mr. Jovon Rey L. Toriales, Mrs. Joann Alcantara, and Mrs. Alma Alterado and to
our Dean of Nursing Mrs. Ana Lee Pendon for guiding us in this family case study and for the
opportunity to improve our knowledge in Community Health Nursing.
To the Brgy. San Antonio Officials headed by (Selma) for allowing us to conduct the
community service in Barangay. San Antonio, Agdao, Davao City. We would also like to
extend our deepest thanks to Family F for the cooperation and willingness to be part of our
study.
We would also like to thank and congratulate each other for the cooperation and
determination for the completion of our case study to acquire knowledge and skill.
And especially to our almighty God for giving us guidance, strength upon doing this
case study and love that inspires us to help people.

Tel. no. (082) 221-6225
Table of Contents
Acknowledgement 1
Table of Contents 2
Introduction 2
Objectives 3
1. General Objectives 4
2. Specific Objectives 5
A. Initial Data Base 6-8
1. Family Structure & Characteristics 6
2. Types of Family Structure 7
3. Dominant Family Members 7
4. General Family Relationship 7
5. Eating Pattern 8
6. Leisure Time Practices 8
B. Socio-Economic & Cultural Practices 9
1. Family Socio-economic & Cultural Practices 9
2. Family Expenses 11
3. Decision Maker About Financial Matters 11
4. Significant Others 11
5. Relationship of the family to the larger community 12
C. Environmental factors 13
1. Housing 14
2. Kind of Neighborhood 14
3. Social & Health Facilities Available 14
4. Communication & Transport Facilities 14-15
D. Health Assessment of each member 15
E. Values, Habits, Practices on health promotion maintenance and diseases
prevention 16-17
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INTRODUCTION
Family is not just define

as two or more people
who live in the same
household, share a common
emotional bond, and perform
certain interrelated social tasks
(Allender & Spradley, 2008)
but it is also a source of
emotional support, comfort,
warmth,
nurturing, protection and as
well as security
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Family is not just define

as two or more people
who live in the same
household, share a common
emotional bond, and perform
certain interrelated social tasks
(Allender & Spradley, 2008)
but it is also a source of
emotional support, comfort,
warmth,
nurturing, protection and as
well as security
Family is considered as the basic unit of care in the community health nursing.
Family is not just defined as two or more people who live in the same household, share a
common emotional bond, and perform certain interrelated social tasks (Allender & Spradley,
2008) but it is also a source of emotional support, warmth, nurturing, protection and as well
as security. The family is a major influence in the health behaviors of an individual. With this,
it is important that families in a community are aware of the things and practices pertaining to
their health.
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Community health nursing is

the utilization of the nursing
process in the different levels
of clientele-individuals,
families, population groups
and communities, concerned
with the
promotion of health,
prevention of disease and
disability and rehabilitation.
( Maglaya, et al).
Community health nursing is
the utilization of the nursing
process in the different levels
of clientele-individuals,
families, population groups
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and communities, concerned

with the
promotion of health,
prevention of disease and
disability and rehabilitation.
( Maglaya, et al).
Community health nursing is the utilization of the nursing process in the different
levels of clientele-individuals, families, population groups and communities, concerned with
the promotion of health, prevention of disease and disability and rehabilitation (Maglaya, et
al). it is in the Community health nursing where the student nurse learns nursing apart from
the hospital setting as they were exposed to a different level of orientation.
The family that was chosen by the student nurse is a majority of the family in our
country; an extended family that has inadequate knowledge regarding the importance of
health information. One of the main focuses of our case study is to encourage each member
of the family to be able to utilize the health care services. In line with this, proper intervention
and evaluation is the duty of the student nurses in which a nursing care plan and
interventions regarding the health concern of the family are provided, this is to improve the
lifestyle of the family from their usual habit.
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OBJECTIVES:
GENERAL OBJECTIVES:
At the end of the student nurse-family relationship, the family will be able to improve into a
healthy lifestyle and maximize the use of health services through the help of appropriate and
effective nursing intervention given by the student nurse and also the cooperative of the
chosen family.
SPECIFIC OBJECTIVES:
After the home visits and student nurse interaction, the family should be able to:
 Establish rapport and trust with the student nurse;
 Participate actively during home visits and assessment interviews.
 Give pertinent and factual information during surveys and interviews
 Identify actual and potential health which may be a hindrance in attaining optimum
health.
 Prioritize the identified family health nursing problems with the assistance of their
student nurse.
 Generate interventions considering the student nurses’ capabilities, community and
the family’s resources.
 Carry out planned interventions together with the student nurse.
 Evaluate changes in conditions after giving interventions.
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A.1 GENOGRAM
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A.2 FAMILY STRUCTURE & CHARACTERISTICS
1. FAMILY STRUCTURE
B1 B2 B3 B4 B5 B6 B7 B8
NAME AGE SEX CIVIL POSITIO PLACE OF ETHNIC HEALTH
STATU N IN RESIDENC BACKGROUN INSURA
S THE E D NCE
FAMILY
Mrs. F 60 F 2 2 Brgy. San Filipino 1
Antonio
Mr. F 55 M 2 1 Brgy. San Filipino 2
Antonio
Son A 33 M 1 3 Brgy. San Filipino 1
Antonio
Daughter A 31 F 3 4 Brgy. San Filipino 5
Antonio
Son B 30 M 3 3 Brgy. San Filipino 5
Antonio
Daughter B 26 F 3 4 Brgy. San Filipino 5
Antonio
Son C 24 M 3 3 Brgy. San Filipino 4
Antonio
Daughter C 23 F 1 4 Brgy. San Filipino 2
Antonio
Daughter D 21 F 3 4 Brgy. San Filipino 3
Antonio
Mr. P 26 M 3 3 Brgy. San Filipino 5
Antonio
Mr. M 3 Brgy. San Filipino
Antonio
Mr. M 3 Brgy. San Filipino
Antonio
Child Sh F Brgy. San Filipino
Antonio
Child Ol M Brgy. San Filipino
Antonio
Child F Brgy. San Filipino
Antonio
Table 1.0 shows the household management.
CODE B5
CODE B4
1 – Head of the household
1 – Single
2 – Spouse
2 – Married with Spouse present
3 – Son
in the Household
4 - Daughter
3 – Not Married with Partner
5 – Grandchildren
4 – Widow or Widower
6 – Grandparents
5 – Divorce or separated
7 - Husband of the daughter
8 – Wife of the son
CODE B8
1 – None
2 – Phil-health & SSS only 9
3 – Phil-health only
4 – SSS only
5 – Complete Health Insurance
Tel. no. (082) 221-6225
The Family P is considered as an Extended family, a type of family that extends
beyond nuclear family of parents and their children. Young mother in such a community has
the support of their extended family.
2. DOMINANT FAMILY MEMBERS
In terms of major decision Mr. F and Mrs. F are in charge of decision making
depending on the situation but in Ms. J’s family she is in charge of decision making.
In regard with family health decision everyone can decide on their own except for the
children. The family would use an over-the-counter medicine if one gets sick, they
said that they won’t get a doctor’s check-up If the illness is not worst.
3. GENERAL FAMILY RELATIONSHIP
Each member has its own responsibilities and work. Sometimes they would
attend holy mass on Sunday and sing on their karaoke. Mrs. F would do the grocery
for them and Ms. J is wake up every day around 8 o’clock in the morning to prepare
things for her daughter and husband. Each family member has a good relationship
with each other despite the challenges they faced
A.2.1 ACTIVITIES OF DAILY LIVING
4. SLEEPING PATTERN
According to Ms. J they have 6 rooms in their house, 5 rooms upstairs while 1
room in on first floor which is for their parents. They have a personal room for her live
in partner and her daughter. Her two siblings are sleeping at their living room since
there are no rooms available for them.
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5. EATING PATTERN
The family was able to eat three times a day they usually eat vegetables fish
and meat. The family shares common kitchen area. Most often they cooked
separately. Each family coupled will cooked their own food and clean up after
themselves after they are finished. They used stove in cooking.
6. LEISURE TIME ACTIVITIES
The family F have some appliances at home like refrigerators, televisions and
karaoke from time to time, they do karaoke also watched television every afternoon
at night time they watch news. Mrs. F is the one who’s looking for her sari-sari store
while Daughter D is the one who’s looking for her child mostly washing clothes and
preparing food for his partner. After everything, she just stays at their house watching
over her daughter.
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1. SOCIO-ECONOMIC AND CULTURAL PRACTICES
B1 B2 B3 B4 B5 B6 B7
FAMILY OCCUPAT PLACE INCOME EDUCATI Religion ETHNIC
MEMBER ION OF ONAL BACKGR
S WORK ATTAINM OUND
ET
Mrs. F Housewife House 5,000 3 Roman Filipino
Catholic
Mr. F Welder Agdao 10,000 1 Roman Filipino
Catholic
Son A Welder Agdao 10,000 2 Roman Filipino
Catholic
Daughter A Teller Illustre 10,000 8 Roman Filipino
Pawnshop Catholic
Son B Tissue Malagamo 10,000 3 Roman Filipino
Operator t Catholic
Son C Welder Buhangin 10,000 3 Roman Filipino
Catholic
Daughter Virtual San 10,000 8 Roman Filipino
C Assistant Antonio Catholic
Mr. P Welder 10,000 3 Roman Filipino
Catholic
Table 2.0 shows the socio-economic and cultural practices.
CODE B5
1 – elementary graduate
2 – did not finish elementary
3 – high school graduate
4 – did not finish high school
5 – senior high school
graduate
6 – did not finish senior high
7 – college graduate
8 – did not finish college
15 members of the family are currently staying at the residence of Family F. And
fortunately, 8 out of the adults’ members have their own sources of living. Daughter D
stated that her partner is a welder who earns a monthly income of 10,000 pesos while
she is a housewife. Mr. F, Son A, and Son C are welder to estimated total monthly of
10,000 pesos. Mrs. F who owns a sari-sari store her estimated monthly income of 5,000
pesos. Daughter A who is a college graduate is working as a teller she is earning an
estimated monthly income of 10,000 pesos. Son B who is working as a tissue operator
estimated monthly income is 10,000 pesos and Daughter C she’s working as a Virtual
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assistant she is earning estimated monthly income 10,000 pesos. Daughter B is currently
staying their house.
When totaled, the estimated monthly income of the family is around 75,000 pesos.
According to secretary Pernia of NEDA, stated in an article published by the Philippine
star (2018), “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”. Since family F consists of 15 members, their monthly income should at least reach
an estimated value of 126,000 pesos for them to live above the poverty line so they can
consider as poor.
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2. FAMILY EXPENSES
ITEMS CALCULATION WEEKLY MONTHLY TOTAL
Rice
1 kl/day x 55.00 55.00 385.00 1,650.00
Food
150.00/day 150.00 1,050.00 4,500.00
Fare
00.00 00.00 00.00 00.00
Laundry Soap
1kg Surf (300.00) 300.00 300.00
Cooking Oil
20.00/week 20.00 20.00 80.00
Salt
20.00/week 20.00 20.00 80.00
Milk
4kg (2,400.00) 2,400.00 2,400.00
Coffee
1 stick/day x 2.00 4.00 28.00 120.00
Shampoo
1sachet/day x 7.00 7.00 49.00 210.00
Bath Soap
1/week x 18.00 18.00 126.00 540.00
Toothpaste
1sachet/day x 7.00 7.00 49.00 210.00
Diaper
3/day x 10.00 30.00 210.00 900.00
TOTAL: 1,937.00 10,990.00

Table 3.0 shows monthly expenses.
3. DECISION MAKER ABOUT FINANCIAL MATTERS
In this household Mrs. F is responsible for making financial decisions on
normal day to day matters. This would include paying household bills buying foods
for the immediate family. The children under the nuclear family groups within the
household are each responsible for their own personal expenses such as clothing,
insurance (Phil health) and expenses for the minor children.
4. SIGNIFICANT OTHERS
For Daughter D and Mr. P, their partnership mirrors of a typical young married
couple without benefits of being legally married to one another as a result of them
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relationship they have one child age one, female in good health. It appears
they have a strong loving and mutually supportive relationship. Their roles and
responsibilities mirror each a traditional relationship with traditional gender rules.
Daughter D is primarily responsible for taking caring the child and Mr. P it works
outside the household providing for their family.
5. RELATIONSHIP OF THE FAMILY TO THE LARGER COMMUNITY
Seven out of 12 adults of the family work outside the home and the primary
interaction with the community is a result of their jobs. Mrs. F and her daughters
(remaining adults) who are the primary care givers for the minor children work in the
family sari-sari-store interact with the community. The family participates in the
activities of their communities. These activities include fiestas, holidays, parties, and
social activity. Mrs. F including Daughter D, they interact with their neighbors on
friendly basis as they pass thru the community.
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C. ENVIRONMENTAL FACTORS
1. ECOMAP
a. VICINITY MAP
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2. HOUSING
The P family resides in Special block Barangay San Antonio, Davao City.
They have started living here since Mr. and Mrs. F had their first child. The house of
the F family is made of cement and their ventilation is good because they have
enough air inside the house, their roof is galvanized iron as well. It has five bedrooms
and they cook their food through a gas and there is a half open drainage. They have
a shared toilet. Mrs. F has a sari-sari store which has a fence made of iron. The
neighborhood is very friendly the houses here are not far from each other. There is
presence of environment distractions such as noise pollution and environmental
pollution.
The health facility of the barangay is composed of clinic only, has basketball
court small market, and Church. They do not segregate their waste and they place it
in front of their house. They usually dump their waste once a week.
3. KIND OF NEIGHBORHOOD
The group observed that their house is located in a small alley, there is a
shortcut to their house which is the narrow path and there is also a long way but it is
still a small alley. If emergency cases arise it will be difficult to give emergency
response and the houses are narrowly enclosed that is difficult if there is a fire.
Children would roam around their house and also the elders are always in the alley.
4. Social & Health Facilities Available
The family is accessible to barangay health center just a few walks away from
their house.
5. Communication & Transport Facilities Available
The family’s way of communication is through talking with each other
personally since they are all in their house and sometimes, they would communicate
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through mobile phone as the way of communicating with one another. Regarding to
the transportation facilities available the highway where the transportation is located,
it is just a just few walks away from their house.
D. HEALTH ASSESSMENT OF EACH MEMBER
FAMILY MEMBERS PAST ILLNESS HEALTH ACTIVITY TAKEN

Mr. F
Mrs. F
Son A
Daughter A
Son B
Daughter B
Son C
Daughter C
Daughter D
Mr. P
Child S Pneumonia
Table 4.0 shows health assessment of the family.
A. Mr. F – On the day of the intervention, the student nurse has finally met Mr. F. Mr. F has a blood
pressure systolic of 130 and diastolic of 100. According to Ms. J that her father is not a smoker but, he
drinks alcohol on occasions.
B. Mrs. V – According to Mrs. V She has no chronic, or infectious diseases as of the present time, but she
did not visit a doctor for a check-up for the past years. Her Blood Pressure is 110/90 and she has an o2
saturation of 98. She does not know her weight and height since they have not gotten a health check-
up yet.
C. Daughter A - She does not know her height and weight as well, her blood pressure in systolic is 120
and has a diastolic of 80 and has a o2 Saturation of 98. Daughter A did not get a health check-up as
well.
D. Daughter B – Daughter D has not gotten a health check-up for the past years. Daughter B has a blood
pressure of 110/80 and has a o2 saturation of 98.
E. Daughter D – According to Ms. J or Daughter D that she has not gotten a check up since last year
when she got inserted of IUD. Her weight is 45 kg and her height is 4’11. Her last check on her weight
was when she got immunized on November 8, 2023. Her blood pressure in systolic is 110 and the
diastolic of 70. Her o2 saturation is 99.
The rest of the family was not available that day November 30, 2023 when we got their vital signs since
most of them have an important agenda that day.
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E. VALUES, HABITS, PRACTICES ON HEALTH PROMOTION MAINTENANCE AND

DISEASE PREVENTION
According to Ms. J, all her brothers and sisters were immunized completely,
as well as her nieces, nephew, and her child. The vaccinations needed were tetanus
toxoid and Covid, both of which were given at the Barangay health center.
The F family always wash their hands before meals. Mrs. S always makes
sure they eat healthy food, but there are times that they buy food in a “karenderya”.
They eat 3 meals a day. They clean their surroundings every morning, but still end
up with garbage around their home primarily from their sari-sari store and neighbors.
The houses of their neighborhood are quite crowded. Due to this environment the
area around their home is usually quite dirty with garbage, which causes an
infestation of some vectors. The family are afraid to get regular checkups. This fear
seems to be from their fear of the results of getting sick or knowing they are sick, loss
of work, inability to perform their duties in the family, and the cost associated with
treatment.
The family typically goes to sleep at 9 or 10 pm and wake up 8 am in the
morning. Sometimes Mrs. F and the children take a nap in the afternoon.
The family is very busy with work outside or inside the home every day and
do not seem to have time for exercise. This is a concern as it suggests that the family
is prone of some diseases such as diabetes, obesity, and stress related illness.
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During nighttime they use a ceiling fan to protect from mosquito bites, during
the day they spray mosquito repellent. They cannot use mosquito coil since Mr. J’s
daughter is recovering from pneumonia and has a cough at the moment.
By using these protective measures, the families should receive a degree of
protection from diseases resulting from airborne vectors.
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A.2.3 FAMILY APGAR
Almost Some of the Hardly ever (0)

always time (1)
(2)
A I am satisfied that I can turn ✓
to my family for help when
something is troubling me.
P I am satisfied with the way ✓
my family talks with me and
shares problems with me.
G I am satisfied that my family ✓
accepts and supports my
wishes to take on new
activities or directions.
A I am satisfied with the way ✓
my family expresses
affection and responds to
my emotions such as anger,
sorrow, and love.
R I am satisfied with the way ✓
my family and I share time
together.
TOTAL: 8
Table 5.0 shows the Function of the Family.
FAMILY APGAR
SCORING:
 8-10 POINTS = highly
functional family.
 4-7 points = moderately
dysfunctional family.
 0-3 points = severely
dysfunctional family.
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A.2.4 FAMILY COPING INDEX
CRITERIA IDEAL ACTUAL RATE JUSTIFICATION

Physical This category is The whole 3 The whole family can do
Independence concerned with family has no the daily activities such as
the ability to do problems at this daily grooming, walking,
the things category. and etc.
which involves
the daily
activities.
Therapeutic This category The family are 2 The family would just carry
Competence includes all the able to carry out out medication if the
procedures or treatments illness needs attention.
treatments accordingly, if
prescribed for not serious they
the care of would not seek
illness. medical
attention.
Knowledge of This is The family is 2 The family is well informed
Health concerned with sometimes but has inadequate
Condition the particular concerned with knowledge about the
health condition the particular sickness (pneumonia).
that is the health
occasion for condition.
care.
Application of This is The family is 3 The family has a sufficient
principles of concerned with attentive supply of food. They are
general the family regarding to fully immunized as well.
hygiene action in family hygiene, The family has knowledge
relation to and they are about family hygiene
maintaining fully immunized. however their garbage is
family nutrition. sometimes not
segregated.
Health This category is The family is 2 The family has inadequate
Attitudes concerned with concerned with knowledge for the need of
the way the health care in health care. They would
family feels general but is just visit clinic If the illness
about health afraid to get a keeps coming back.
care in general. check-up.
Emotional This category The family can 5 The family is able to
Competence has to do with attend to each maintain calmness
the maturity family towards the problems.
and integrity. members’ They would help each
emotional other in need.
concerns. They
are attentive
each other’s
emotional
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problems.
Family living This category is The family lives 5 The family has a good and
concerned together. They healthy relationship with
largely with the show, love and one another. They get
interpersonal or respect to all of along well. They do things
group aspects the member of together and each family
of family life. the family. member acts for the good
of the family. The family
task is shared.
Physical This is The house is 3 The house is in good
Environment concerned with made up of condition and it provides
the home, the concrete the family’s privacy
community, and however they have a
the work slightly open drainage
environment as which is prone to vectors
it affects family and pests.
health.
Use of This has to do The family is 3 The family is aware of the
Community with the degree aware of the community health facilities
Facilities of family’s use availability of but they do avail the near
and awareness community health center for
of the available facilities for vaccinations and such but
community their health if it is about their health
facilities for welfare but not problem, they won’t get a
health of this obtain. check-up.
education and
welfare.
Table 6.0 shows the coping index of the Family.
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SCALING METHOD
FAILURE TO UTILIZE HEALTH COMMUNITY RESOURCES
HIGHEST Actual
CRITERIA SCORE POSSIBLE Weight Score
SCORE
3 1 0.6
Nature of the Problem
Health Deficit 3
Health Threat 2
Foreseeable
Crisis 1
2 2 2
Modifiability of the Problem
Easily Modifiable 2
Partially
Modifiable 1
Not Modifiable 0
3 1 1
Preventive Potential
High 3
Moderate 2
Low 1
2 1 1
Salience
A serious problem,
immediate
attention needed
2
A problem, but not
needing
immediate
attention
1
Not a felt
need/problem
0
TOTAL 4.6
SCORE
Criteria Score:
Score
X Weight = Score
Highest Possible Score
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IMPROPER GARBAGE DISPOSAL
HIGHEST Actual
SCORE
3 1 0.6
Health Deficit 3
Health Threat 2
Foreseeable
Crisis 1
2 2 2
Easily Modifiable 2
Partially
Modifiable 1
Not Modifiable 0
3 1 0.6
High 3
Moderate 2
Low 1
2 1 0.5
Salience
A serious problem,
immediate
attention needed
2
A problem, but not
needing
immediate
attention
1
Not a felt
need/problem
0
TOTAL 3.7
SCORE
Criteria Score:
Score
X Weight = Score
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POOR ENVIRONMENTAL SANITATION
HIGHEST Actual
SCORE
3 1 0.6
Health Deficit 3
Health Threat 2
Foreseeable
Crisis 1
2 2 2
Easily Modifiable 2
Partially
Modifiable 1
Not Modifiable 0
3 1 0.6
High 3
Moderate 2
Low 1
2 1 0.5
Salience
A serious problem,
immediate
attention needed
2
A problem, but not
needing
immediate
attention
1
Not a felt
need/problem
0
TOTAL 3.7
SCORE
Criteria Score:
Score
X Weight = Score
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POOR ENVIRONMENTAL CONDITION
HIGHEST Actual
SCORE
3 1 0.6
Health Deficit 3
Health Threat 2
Foreseeable
Crisis 1
2 2 1
Easily Modifiable 2
Partially
Modifiable 1
Not Modifiable 0
3 1 0.6
High 3
Moderate 2
Low 1
2 1 1
Salience
A serious problem,
immediate
attention needed
2
A problem, but not
needing
immediate
attention
1
Not a felt
need/problem
0
TOTAL 3.3
SCORE
Criteria Score:
Score
X Weight = Score
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EXCESSIVE USE OF TOBACCO
HIGHEST Actual
SCORE
3 1 0.6
Health Deficit 3
Health Threat 2
Foreseeable
Crisis 1
2 2 1
Easily Modifiable 2
Partially
Modifiable 1
Not Modifiable 0
3 1 0.6
High 3
Moderate 2
Low 1
2 1 0.5
Salience
A serious problem,
immediate
attention needed
2
A problem, but not
needing
immediate
attention
1
Not a felt
need/problem
0
TOTAL 2.7
SCORE
Criteria Score:
Score
X Weight = Score
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THE PRIORITIZED HEALTH PROBLEMS
FAILURE TO UTILIZE HEALTH COMMUNITY RESOURCES
Criteria Score Weight Computation Actual Justification

Score
1.Nature of the 1 2/3 x 1 0.6 It is a health
problem threat
because the
Health Deficit 3 family was
Health Threat 2 not able to
Foreseeable 1 monitor their
Crisis health status
2. Modifiability 2 2/2 x 2 2 It is easily
of the problem modifiable if
the family
Easily 2 was not
Modifiable afraid to
Partially 1 check their
Modifiable health status
Not Modifiable 0
3. Preventive 1 3/3 x 1 1 It is highly
Potential preventive if
the family
High 3 are eager to
Moderate 2 check their
Low 1 health status
4. Salience 1 2/2 x 1 1 The issue is
a serious
A Serious 2 problem to
problem, the family
immediate since it is for
attention the health of
needed individuals.
A problem, but 1
not needing
immediate
attention
Not a felt 0
needed/problem
TOTAL SCORE 4.6
29
Tel. no. (082) 221-6225
IMPROPER GARBAGE DISPOSAL

Score
1.Nature of the 1 2/3 x 1 0.6 The family
problem may acquire
diseases
Health deficit 3 due to
Health threat 2 improper
Foreseeable 1 garbage
Crisis disposal.
2.Modifiabilty of 2 2/2 x 1 2 The problem

the problem is easily
modifiable
Easily 2 because the
modifiable family can
Partially 1 correctly
modifiable apply simple
Not modifiable 0 measures to
solve the
problem.
3.Preventive 1 2/3 x 1 0.6 The family
Potential can prevent
the problem
High 3 if proper
Moderate 2 garbage
Low 1 disposal will
be imposed.
4.Salience 1 1/2 x 1 0.5 The problem
is
A serious 2
problem,
immediate
attention
needed
A problem, but 1
not needing
immediate
attention
Not a felt 0
needed/problem
TOTAL SCORE 3.7
30
Tel. no. (082) 221-6225
POOR ENVIRONMENTAL SANITATION

Scoring
1.Nature of the 1 2/3 x 1 0.6 The problem
problem is seen as
health threat
Health deficit 3 for the family
Health threat 2 since they
Foreseeable 1 have a dog
Crisis and child in
their house.
2.Modifiability of 2 2/2 x 2 2 The problem
the problem is easily
modifiable
Easily 2 since the
modifiable resources
Partially 1 are
modifiable available.
Not modifiable 0
3. Preventive 1 2/3 x 1 0.6 The family

Potential could
prevent the
High 3 problem
Moderate 2 moderately.
Low 1
4.Salience 1 1/2 x 1 0.5 The family is

aware of the
A serious, 2 problem but,
problem due to busy
immediate schedule
attention they were
needed not able to
clean daily.
A problem, but 1
not needing
immediate
attention
Not a felt 0
needed/problem
TOTAL SCORE 3.7
31
Tel. no. (082) 221-6225
POOR ENVIRONMENTAL CONDITION

Score
1.Nature of the 1 2/3 x 1 0.6 Health threat
problem that requires
immediate
Health deficit 3 attention and
Health threat 2 adequate
Foreseeable 1 management.
Crisis
2.Modifiabilty of 2 1/2 x 2 1 The family has

the problem the resources
to clean and
Easily 2 organize
modifiable home.
Partially 1
modifiable
Not modifiable 0
3.Preventive 1 2/3 x 1 0.6 Transmitted

Potential diseases like
dengue can
High 3 be minimized
Moderate 2 with imposed
Low 1 environmental
condition.
4.Salience 1 2/2 x 1 1 The problem
needs
A serious 2 immediate
problem, attention since
immediate one of the
attention family
needed members
almost
A problem, but 1 acquired
not needing dengue.
immediate
attention
Not a felt 0
needed/problem
TOTAL 3.3
32
Tel. no. (082) 221-6225
SCORE
33
Tel. no. (082) 221-6225
EXCESSIVE USE OF TOBACCO

Score
1.Nature of the 1 2/3 x 1 0.6 The problem
problem is seen as
health threat
Health deficit 3 to the
Health threat 2 family’s
Foreseeable 1 health.
Crisis
2.Modifiability of 2 1/2 x 2 1 The problem

the problem is partially
modifiable
Easily 2 since it
modifiable became a
Partially 1 habit for Ms.
modifiable J’s husband
Not modifiable 0 and
brothers.
3.Preventive 1 2/3 x 1 0.6 The problem
Potential is
moderately
High 3 preventive
Moderate 2 potential
Low 1 because it
cannot be
easily
prevented.
4. Salience 1 1/2 x 1 0.5 The problem
A serious 2
problem,
immediate
attention
needed
A problem, but 1
not needing
immediate
attention
Not a felt 0
needed/problem
TOTAL 2.7
SCORE
34
Tel. no. (082) 221-6225
FAMILY NURSING CARE PLANS
ASSESSMENT DIAGNOSIS GOAL & INTERVENTION RATIONALE EVALUATION

OBJECTIVE S
Presence of Failure to Goal: At the 1. Establish 1. To be able to At the end of
Foreseeable utilize end of nursing rapport to the have a trust from the nursing
Crisis related to community intervention, family. the family. intervention
avoid monitoring resources for the family will the family was
the health health care be able to: Barksdale, A. able to:
conditions on due to: Maximize the (2021, March 15).
health care availability of A method for
facilities Fear of health establishing
consequence resources in patient rapport.
“Dili mi naga pa s of action the community. AAFP.
check-up tungod (diagnostic) https://www.aafp.o
kay mahadlok specifically: Objective: rg/pubs/fpm/issues
mi sa resulta” as After 4 hours /2021/0300/p42.ht
verbalized by 1.Physical/ of the nursing ml
Ms. J/Patient. Psychological intervention,
consequence the family will 2. Encourage to 2. To protect and
s be able to: attend health improve the health
monitoring in the of their family.
1. Verbalize community.
the importance Durch, J. S.,
of monitoring Bailey, L. A., &
our health Stoto, M. A.
conditions (1997). Improving
health in the
community. In
National
Academies Press
eBooks.
https://doi.org/10.1
7226/5298
3. Discuss the
importance to 3. To keep track of
the family of health.
having a regular
medical check- Dev-Site. (2021,
up. June 25). 6
Benefits of having
a regular medical
checkup. Makati
Medical Center.
https://www.makati
med.net.ph/blogs/
6-benefits-of-
having-a-regular-
medical-checkup/
4. Encourage
35
Tel. no. (082) 221-6225
the family to
make use of
public health
care resources.
36
Tel. no. (082) 221-6225

OBJECTIVE
Poor Inability to Goal: After the 1. Discuss with the ‌.
1 improve At the end of
environmental provide a nursing family the health the nursing
sanitation ashome intervention the importance and conditions and intervention
Health Threat. environment family will be purpose of proper low health the family was
conducive to able to have a health sanitation to expenses. able to:
health clean and their health.
Subjective: maintenance conducive Public Health.
“kalat raba and personal environment to (2021,
among balay.” development live in. December 9).
as verbalize by due to: The 4 main
Ms. J. Objectives: importance of
Inadequate After 4 hours of sanitation -
Objective: knowledge of home visit the public health.
1. importance of family will be https://www.pu
hygiene and able to: blichealth.com.
sanitation ng/the-4-main-
1. Be aware and importance-of-
knowledgeable sanitation/
about the penses.
importance of
proper 2. Enumerate to 2. Improving
sanitation the family the access to
especially atnegative effects of sanitation is a
home. having bad critical step
environmental towards
2. knows the sanitation. reducing the
harmful effects impact of
of having bad these
environmental diseases.
condition
specifically at Dajufo.
home. (2022b,
December 12).
3. reduce the POOR
breeding or sanitation: a
resting sites of threat to public
vector of health and the
diseases. environment.
Staywellworld.
https://www.st
aywellworld.or
g/post/poor-
sanitation
37
Tel. no. (082) 221-6225
3. Provide
adequate
knowledge on the
various ways of
maintaining
cleanliness in their
household and
their surroundings.
38
Tel. no. (082) 221-6225

OBJECTIVE
Improper waste Inability to Goal: After 1. Assess the ‌ …
or garbage provide a home nursing awareness of the
disposal as a environment intervention, the family with
health threat: which is family will be regards to the
conducive to able to: identify existing health
Subjective: health proper waste problem.
“Ginaipon lang maintenance disposal such as
namo among and personal garbage 2. Discuss the 2. To prevent
basura sa development segregation and potential health any diseases
cellophane due to: recycling problems that that affect the
tapos ug method. could arise if health of
mapuno naay Lack of proper waste family.
magkuha ug knowledge in Objectives: disposal is not
maglabay or proper waste After 4 hours of implemented and Sirisha.
ilabay sa kanto.” disposal. home visit the practiced. (2023,
family will be August 11).
Objective: able to: Dangers of
1. Disposing improper
garbage 1. practice garbage
especially proper garbage disposal:
diaper in one segregation health effects
sack and Infront concerning and
their house. biodegradable environmenta
and non- l
2. Waste are not biodegradable contaminatio
properly n. Scale
segregated. 2.Enumerate Climate
possible health Action.
problems that https://scalecl
may acquire if imateaction.o
not implement rg/environme
and maintain. nt/dangers-
of-improper-
3. Gain garbage-
understanding disposal-
about the health-
importance of effects-and-
proper waste environmenta
disposal to l-
one’s health. contaminatio
n/
3. cite some 3. saves and

recycling protects the
technique. economy of a
household.
Rinkesh.
(2022, July
27).
39
Tel. no. (082) 221-6225
Importance
of recycling
and why
should we
recycle -
Conserve
energy
future.
Conserve
Energy
Future.
https://www.c
onserve-
energy-
future.com/im
portance_of_
recycling.php
4. let the
members of the
family to verbalize 4. //
their perceptions
about their
practice.
5. perform a
health teaching
about proper 5. to be
waste disposal aware of
and recycling recycling and
method. waste
processes
that they can
share with
others.
Admin, A.
(2021, July
16). The
Importance
of Teaching
about Waste
Management
– Singapore
Green
Guardians
Blog.
https://gg.kno
wledgeplatfor
m.com/2021/
07/16/the-
importance-
of-teaching-
about-waste-
management
40
Tel. no. (082) 221-6225
/

OBJECTIVE
Poor Inability to Goal: After 1. Provide a 1. To reduce the …
environmental provide a nursing health teaching risk of diseases.
condition home intervention, the about diseases
specifically environment family will be cause by the (n.d.).Www.bett
presence ofwhich is able to: have a vectors erup.com.https:/
breeding orconducive to home (mosquitos) and /
resting sites of health environment preventive www.betterup.c
vectors ofmaintenance that is measures. om/blog/
diseases and personal conducive to environmental-
(mosquitos) as development health. health
health threat. due to: 2. Cite the causes
inadequate Objectives: and effects of the
Subjective: knowledge of After 4 hours of prevalence of 2. Because they
“hapit magka preventive home visit the these unwanted can transmit
dengue akong measures. family will be vectors dangerours
pag umangkon”, able to: (mosquitos) diseases such
as verbalized by around the as malaria, zika,
Ms. J. 1. become house. west, and nile
aware and be virus.
Objective: more
1. there are knowledgeable James. (2023,
stagnants of on October
water in front of condition/diseas 2).https://bugpur
their house. e and suits.com/why-
prevention. is-it-important-
to-know-about-
2. recognize the mosquitoes/
causes of
breeding sites 3. Plan with the 3. to have a
such as to family clean-up of better
prevent the possible breeding environment
occurrence of grounds and how especially at
diseases. often must be home.
cleaned.
Burgess, L.
(2022, August
10).
https://hgic.clem
son.edu/factshe
et/importance-
of-reducing-
mosquito-
breeding-sites/
41
Tel. no. (082) 221-6225

OBJECTIVE
The major Family’s/ Goal: At the 1. Explain the 1. Smoking causes …
health threat Patient’s end of negative effects diminished overall
observed was inability to nursing of tobacco and health, increased
an excessive recognize the intervention, more specifically absenteeism from
use of tobacco existence or the patient’s cigarettes and work, and
(cigarettes). presence of a family will its impact on the increased health
This apparent problem due to gain sufficient health of our care utilization and
from the their lack of knowledge to bodies. cost.
comment made knowledge understand Centers for
by Ms. J regarding the the negative Disease Control
(Patient) when effect of effect of and Prevention.
she stated, excessive use smoking (2021, October
“Makahurot ang of tobacco cigarettes 29). CDC - fact
akong bana ug (cigarettes) on and its sheet - health
mga kuya ug the human potential effects of cigarette
half sa kaha sa body. impact on smoking - smoking
sigarilyo” their health. & tobacco use.
Smoking and
Objective: Objective: Tobacco Use; U.S.
1. scattered After 4 hours Department of
cigarettes in of the nursing Health & Human
front of their intervention, Services.
house. the family will https://www.cdc.go
be able to: v/tobacco/data_sta
tistics/fact_sheets/
1. understand health_effects/
the bad effects
effects of
smoking on 2. Discuss the 2. To moderate the
their health possibility of health and
and reduce moderating their financial effects of
their use of use tobacco smoking and ease
tobacco (cigarettes). towards complete
(cigarettes). cessation.
Begh, R., Lindson

Hawley, N.,&
Aveyard, P.
(2015).
Does reduced
smoking if you
can’t stop make
anydifference? B
C Medicine, 13(1).
42
Tel. no. (082) 221-6225
https://doi.org/10.
186/s12916-015
0505-2
Mayo Clinic.(2020,
May 5). 10 ways
3. Encourage to
the use resist tobacco
alternatives to cravings. Mayo
cigarettes, such Clinic
as the use https://www.mayo
candies or linic.org/healthy
gums. lifestyle/quit
smoking/in
depth/nicotine
craving/art
20045454
43
Tel. no. (082) 221-6225
Nursing implications:
Community nursing involves providing care in non-hospital settings. Implications

include promoting preventive care, community education, and addressing social
determinants of health for a holistic approach.
As students’ nurses, we conduct effective health teaching in a family's environment,

assess their surroundings first. Tailor our teaching to their daily life, using relatable examples
and giving them a pamphlet. Encourage hands-on learning, involve family members, and
consider cultural nuances for better engagement and understanding.
Nursing Education
Community health nursing education focuses on preparing nurses for roles outside
traditional healthcare settings. It includes topics like population health, preventive care,
health promotion, and addressing social determinants. Students often engage in community
placements to apply theory in real-world contexts.
Nursing Practice
Nursing practice refers to the actual application of nursing knowledge, skills, and
competencies in the care of patients. It encompasses the various activities and
responsibilities that nurses undertake to promote, maintain, and restore the health and well-
being of individuals, families, and communities. Here are some key aspects of nursing
practice:
1. Assessment: Nurses conduct comprehensive assessments of patients to gather

information about their health status, medical history, and current needs. This includes
physical assessments, collecting patient data, and utilizing assessment tools and
techniques.
2. Planning: Based on the assessment findings, nurses develop individualized care plans in
collaboration with the patient, their family, and other healthcare professionals. Care plans
outline specific goals, interventions, and expected outcomes to guide the nursing care
provided.
3. Implementation: Nurses implement the planned interventions and treatments to promote

the health and well-being of patients. This includes administering medications, providing
wound care, assisting with activities of daily living, educating patients and families, and
coordinating care with other healthcare team members.
4. Evaluation: Nurses continuously evaluate the effectiveness of the interventions and

treatments provided. They assess the patient's response to care, monitor outcomes, and
make adjustments to the care plan as needed.
44
Tel. no. (082) 221-6225
5. Advocacy: Nurses serve as advocates for their patients, ensuring their rights, preferences,
and needs are respected and addressed. They communicate and collaborate with the
healthcare team to ensure the best possible care is provided.
6. Patient education: Nurses play a crucial role in educating patients and their families about
their health conditions, treatment plans, and self-care strategies. They provide information
on medications, diet, exercise, and other lifestyle modifications to promote health and
prevent complications.
7. Collaboration: Nursing practice involves working collaboratively with other healthcare

professionals, such as doctors, pharmacists, therapists, and social workers. Nurses
communicate and share information to ensure coordinated and holistic care for patients.
8. Documentation: Nurses maintain accurate and detailed documentation of patient

assessments, interventions, and outcomes. Documentation is essential for continuity of care,
legal purposes, and effective communication among the healthcare team.
9. Ethical considerations: Nurses adhere to ethical principles and professional standards in

their practice. They respect patient autonomy, maintain confidentiality, and make decisions in
the best interest of the patient.
Nursing practice is dynamic and encompasses a wide range of roles and responsibilities. It
requires critical thinking, clinical judgment, effective communication, and compassion.
Nurses provide care across various healthcare settings, including hospitals, clinics, long-
term care facilities, and community settings, and they care for patients of all ages and
backgrounds.
45
Tel. no. (082) 221-6225
Summary, Recommendation, and Evaluation
Summary:
The family F is considered an extended family. Extended families consist of the
parents/partners and their children when they are of an age to still live with their parents. The
immediate family often includes these same people, but it also focuses on people who are
closest to you on a family tree. The F family resides in Special block Barangay San Antonio,
Davao City. They have been residing there since their oldest son born, living harmoniously
for years. The house is owed by a family F and is solely built of cement and runs with
electricity. The house is equipped with 6 bedrooms- first bedrooms in first floor is shared with
Mr. & Mrs. F on the second floor the 5 bedrooms shared with their children and
grandchildren. The house also, is equipped with one bathroom in which they take turns in
using, a kitchen to prepare a variety of meals, a living room for entertainment like watching
Television and singing karaoke, and a dining room wherein they ate their meals. Ms. J stated
that they are living with one dog (shih Tzu). She also added that their family enjoys staying
and living together.
The F family’s expenses are shouldered by Mr. & Mrs. F like electricity, water and
internet bills. Meanwhile Daughter D and Mr. P covers their own meal expenses, diapers,
milk and other necessities that they’re needed. A survey conducted by NEDA showed that a
Filipino household of 3 should have a gross monthly income of 30,000 to 70,000 per month
to live a “simple and comfortable life” The total monthly income of Daughter D and Mr. P is
estimated 10,000 pesos With Mr. P as a welder and Daughter D as a housewife. As per
46
Tel. no. (082) 221-6225
problems with health according to Daughter D, it is solely a case-to-case basis. She
elaborated that if medical need arises with minimal financial expenditure, they are
complacent that they will be able to
handle it financially. But in case of a severe or serious medical demand she’s worried
that they will not be able to sustain certain medication or needs.
Daughter D stated that their mode of transportation Mr. P bicycle and added that
jeepneys and tricycles are also accessible in their location.
The barangay health center is about 400 meters from their house which is a 5-8
minutes’ walk. Daughter D stated that their barangay health center is accessible and is open
to the community. She added that their barangay health center is equipped with basic health
care necessities and is clean for the safety for everyone.
Recommendations:
With the family, the student nurse identified and assessed problems. In order to meet the
family needs, the student nurse device a nursing care plan on how to provide the optimum
nursing care possible. The following are recommendations and encouragement provided by
both student nurses and family members.
 The family should put their well-being above all by do regular check-ups.
 The family must also be advised on what to do if a member of the household develop
illness.
 The family also be knowledgeable on different risk of using tobacco
 The family should be educated about the vector disease.
 The family should also consider getting medical attention
 The family should also consider the health repercussions of their pet urine,
excrement and fur.
47
Tel. no. (082) 221-6225
 The family should also knowledgeable on different risk of having high blood.
Evaluation:
That said, Family F has possibilities in improving their well-being. With the
cooperation of each member, as well as the aid of health care practitioners around them,
their needs regarding about failure to utilize community resources are being partially met.
They are apprehensive and recognize the various interventions and complications that may
come their way. With this, they are willing to consolidate is several ways and participate in
gaining additional knowledge that may have an impact on their health as a family.
The nursing students were fairly categorized the recognized medical concerns as a health
threat, or a foreseeable crisis as they were able to determine present and possible issues
that could be a factor in limiting best possible. Furthermore, considering the current situation,
the students nurse was unable to address all of the problems presented. Nonetheless, the
family now has adequate knowledge that they may apply when needed.
48
Tel. no. (082) 221-6225
BIBLIOGRAPHY
Web:
Admin, A. (2021, July 16). The Importance of Teaching about Waste Management –
Singapore Green Guardians Blog. https://gg.knowledgeplatform.com/2021/07/16/the-
importance-of-teaching-about-waste-management/
Begh, R., Lindson-Hawley, N., & Aveyard, P. (2015). Does reduced smoking if you can’t stop
make any difference? BMC Medicine, 13(1). https://doi.org/10.1186/s12916-015-
0505-2
Dajufo. (2022c, December 12). POOR SANITATION: a THREAT TO PUBLIC HEALTH AND
THE ENVIRONMENT. Staywellworld. https://www.staywellworld.org/post/poor-
sanitation?fbclid=IwAR3ETXhURF5MaEX-iW9ie25lRoGwXGrvT-
TRCZlK8FJcwzzMWAbICSS8wfU
Eduadmin, & Eduadmin. (2023, March 18). Importance of Cleanliness Essay – Where and
why cleanliness in important in points. Open Education Portal.
https://www.openeducationportal.com/importance-of-cleanliness/
Massimilian, T. (2023, September 8). The ultimate checklist for cleaning your entire house.
The Spruce. https://www.thespruce.com/house-cleaning-checklist-5443113
NEDA: Family of 5 needs P42,000 a month to survive. (n.d.). Philstar.com. Retrieved
December 2, 2023, from
https://www.philstar.com/headlines/2018/06/08/1822735/neda-family-5-needs-
49
Tel. no. (082) 221-6225
p42000monthsurvive?
fbclid=IwAR1A9qpC2AeppEZ6FCZjLPHxPoJIh9L074kUGwCbYO1bFZsoRH6ZmD6-
L4U
Public Health. (2021b, December 9). The 4 main importance of sanitation - public health.
https://www.publichealth.com.ng/the-4-main-importance-of-sanitation/?
fbclid=IwAR2ejo48KZ0Hsiz_74uFvFrZOoy1BratWC8WEEUOvN28THvx9AfzF1tempI
Rinkesh. (2022, July 27). Importance of recycling and why should we recycle - Conserve
energy future. Conserve Energy Future.
https://www.conserve-energy-future.com/importance_of_recycling.php
Rnpedia. (2017a, July 4). Community Health Nursing: An Overview. RNpedia.
https://www.rnpedia.com/nursing-notes/community-health-nursing-notes/community-
health-nursing-overview/
Rnpedia. (2017, July 4). Family Health Nursing. RNpedia. https://www.rnpedia.com/nursing-
notes/community-health-nursing-notes/family-health-nursing/
‌ Sirisha. (2023b, August 11). Dangers of improper garbage disposal: health effects and
environmental contamination. Scale Climate Action.
https://scaleclimateaction.org/environment/dangers-of-improper-garbage-disposal-
health-effects-and-environmental-contamination/?
fbclid=IwAR1nXZVyXULw9E3zWFkoEZGtctrDR_Lv0a_1CFGabzWWUQ35MLyYIzU
Dy5c
Tobacco use | CDC. (n.d.).
https://www.cdc.gov/chronicdisease/resources/publications/factsheets/tobacco.html
6 Benefits of Having a Regular Medical Checkup - Blogs. (2021, June 17). Makati Medical
Center. https://www.makatimed.net.ph/blogs/6-benefits-of-having-a-regular-medical-
checkup/
10 ways to resist tobacco cravings. (n.d.). Mayo Clinic. Retrieved December 2, 2023, from
https://www.mayoclinic.org/healthy-lifestyle/quit-smoking/in-depth/nicotine-craving/
50
Tel. no. (082) 221-6225
art20045454?
fbclid=IwAR1T8uniJVqcnr5LRgciPJFCvbQ6d4BQCwq9q470Zv9_mlUDMv4CjhATTxI
APPENDIX:
BEFORE:
51
Tel. no. (082) 221-6225
AFTER:
52
Tel. no. (082) 221-6225
53
Tel. no. (082) 221-6225
54

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MINDANAO MEDICAL FOUNDATION COLLEGE

P. Villanueva St. Agdao, Davao city

is for all of them.

The group would like to thank the following:

complete support and encouragement.

opportunity to improve our knowledge in Community Health Nursing.

case study and love that inspires us to help people.

Family is not just define

Family is not just define

Community health nursing is

and communities, concerned

levels of clientele-individuals, families, population groups and communities, concerned with

the hospital setting as they were exposed to a different level of orientation.

lifestyle of the family from their usual habit.

 Establish rapport and trust with the student nurse;

 Participate actively during home visits and assessment interviews.

 Give pertinent and factual information during surveys and interviews

 Generate interventions considering the student nurses’ capabilities, community and

the family’s resources.

 Carry out planned interventions together with the student nurse.

 Evaluate changes in conditions after giving interventions.

The Family P is considered as an Extended family, a type of family that extends

the support of their extended family.

2. DOMINANT FAMILY MEMBERS

3. GENERAL FAMILY RELATIONSHIP

with each other despite the challenges they faced

A.2.1 ACTIVITIES OF DAILY LIVING

there are no rooms available for them.

themselves after they are finished. They used stove in cooking.

6. LEISURE TIME ACTIVITIES

over her daughter.

pesos. Daughter A who is a college graduate is working as a teller she is earning an

staying their house.

According to secretary Pernia of NEDA, stated in an article published by the Philippine

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.

ITEMS CALCULATION WEEKLY MONTHLY TOTAL

TOTAL: 1,937.00 10,990.00

3. DECISION MAKER ABOUT FINANCIAL MATTERS

In this household Mrs. F is responsible for making financial decisions on

insurance (Phil health) and expenses for the minor children.

responsibilities mirror each a traditional relationship with traditional gender rules.

outside the household providing for their family.

5. RELATIONSHIP OF THE FAMILY TO THE LARGER COMMUNITY

friendly basis as they pass thru the community.

presence of environment distractions such as noise pollution and environmental

4. Social & Health Facilities Available

5. Communication & Transport Facilities Available

The family’s way of communication is through talking with each other

it is just a just few walks away from their house.

D. HEALTH ASSESSMENT OF EACH MEMBER

FAMILY MEMBERS PAST ILLNESS HEALTH ACTIVITY TAKEN

drinks alcohol on occasions.

pressure of 110/80 and has a o2 saturation of 98.

diastolic of 70. Her o2 saturation is 99.

most of them have an important agenda that day.

E. VALUES, HABITS, PRACTICES ON HEALTH PROMOTION MAINTENANCE AND

The family typically goes to sleep at 9 or 10 pm and wake up 8 am in the

daughter is recovering from pneumonia and has a cough at the moment.