ACKNOWLEDGEMENT

In preparing our manuscript, countless people supported our effort on

this, team efforts are the best key in making this case study possible. And
through the help of the following persons, who inspired us in one way or another
despite the challenges we had encountered while making this study.
First and foremost, to our Almighty Father, who showered us His
guidance and enlightenment in all the struggles our group have experienced.
And for giving us the gift of life and privilege of being student nurses. And for
the strength He gave us in making this study possible.
Our heartfelt thanks to the Dumadag family, in providing us the
necessary information or baseline data we needed for this study.
To our clinical instructors: Mr. Joseph D. Maambong, R.N., Ma’am Lorelie
R. Dayondon, RN., and Ma’am Caridel S. Guillardo, RN., for the guidance,
knowledge and experiences. And also for inspiring and motivating us to learn
and for providing us the utmost support and invaluable feedback in making this
study to be presented well.
To all the members of the group, namely: Alexandra Flores, Willy
Batilaran, Princess Mae Gradas, Ma. Gem Luisa Belviatura, Arramy Caduada,
John Rey Damacio, Twinkle Katherine Delgado, Alyssa Daquis, Lovely Damali,
and Hamid Dimalanes, for the priceless efforts and sleepless nights you have
contributed to this study.
And lastly, to our parents who deserve and endless gratitude, for their
unconditional love, understanding, guidance and unending support both
emotionally and financially. And to those who in one way or another have
contributed to the completion of our manuscript. We heartily appreciate it and
also grateful for your support.

v.
 CHAPTER I

INTRODUCTION

Are we even capable of choosing our own needs and pleasures? If given
a chance, would you settle for what you have right now? Or would you wish to
select new people or what we called, a family? A family is a unit in which the
actions of any member can cause a chain reaction within a group, and an entity
whose inner strength can be its most powerful single supportive factor when
one of its members is afflicted with illness. The way each family views its own
status will influence how the community views its own status. And going back
to our question, would you settle for what you have right now? It is evident that
poverty is one of the main roots of inequitable and deficit health status, it occurs
when an individual or family lacks the resources to provide life necessities, such
as food, clean water, shelter, and clothing. It also includes a lack of access to
such resources as health care, education, and transportation.

Family has traditionally been defined as a group of individuals who live

together, constitute an economic unit, and have offspring. These individuals are
linked to one another through blood, marriage, or adoption. Many people think
that this definition should not be broadened and that other unions shouldn't be
given social acceptability just because its members choose to call themselves
a family. Others, however, disagree with this definition because it utterly fails to
capture the realities of everyday existence in modern society (Lamanna and
Riedrnann, 2009). Families today come in many different forms, including
single-parent households, unmarried couples, and lesbian and gay couples and
the cohabitation of several generations (such as a grandparent, parent, and
child).

For most Filipinos, family is the foundation of social life. Although the
nuclear family is the primary family unit, ties between extended family members
are frequently strong. Indeed, people may be encouraged to develop
relationships with their aunts and uncles that rival those with their parents.
Close familial relationships frequently extend beyond genetic ties or bloodlines

1
to include distant cousins, close neighbors, or acquaintances. People
frequently use familial terminology to refer to distant relatives or non-relatives,
such as 'tita' (aunt), 'tito' (uncle), 'lola' (grandmother), and 'lolo' (grandson)
(grandfather). One example is when a grandchild addresses a grandparent's
friend or cousin as lola or lolo.

Filipinos tend to believe that family bonds with marriage and it consists
of a mother, father and children living in the same roof. Family is stronger when
it is God-centered, and every member has a role. Father is the provider of the
family; mother is the one who decides and care for the children and the children
are the main source of joy and must take responsibilities when the parents
become old.

Family is an open and developing system of interacting personalities

with a structure and process enacted in relationships among the individual
members, regulated by resources and stressors, and existing within the larger
community. (Themes, U. (2016, July 24).

2
Objectives

The main objective of this case study is to identify the family health
threats, health deficit and foreseeable crisis of our respondents at Barangay
Ilomavis, Kidapawan City, North Cotabato and to identify problems that require
immediate and appropriate nursing interventions.
 Courtesy call to the Barangay Captain.
 To distinguish the general barangay profile
 To conduct surveys in regards with the socio-economic status, family
structure and dynamics, health status of each family member, and
cultural practices in reaction to health.
 To assess, monitor and gather information and data of the
community’s health status and address health hazards and root
causes.
 To be able to construct and prepare a family nursing care plan
according to the family’s needs.

Significance of the study

This case study is made with the aim to provide crucial information and
knowledge regarding the chosen family’s problems. This study will be a
noteworthy effort to raise awareness to the:

Student researcher
This study will provide information and additional references to future
researchers. They will learn more through the help of this study’s context. Their
knowledge will be broadened, and in return, help with the improvement of the
overall condition of the society.

Community
If the awareness of the government will be effective, it is not just the
participating family who will be the most beneficiary from this output, but it might
be the families in the community that will be given proper health care services

3
and will receive the immediate action and attention from their officials to help
them in their problems.

Family
This study will aid the Dumadag family by making them ware of their health
status and problems. If there is a family history of a certain condition, they will
be aware of as well and to give them further health-related information.

Barangay officials
This study will serve as their footnote to study and be aware of their family’s
situations, for them to formulate a concrete and effective solution that would
meet the needs of the family.

Scope and limitation

This study was conducted at Barangay llomavis, Kidapawan City, North

Cotabato and it was a 3-day case study. This covers the survey and information
of the area and the family that needed the most care plan. And this was
supported with the data gathered from the family and from the barangay where
they reside.

4
 CHAPTER II

METHODOLOGY

A. Several methods of data gathering were used to ensure valuable

assessment data. A combination of interview, observation, ocular survey,
and direct examination/ physical assessment were utilized to generate level
of assessment.

B. DATA NEEDS AND SOURCES

1. Barangay Health Center
2. Barangay Hall
3. Family Members
4. Neighbors
5. Textbooks

C. INSTRUMENTS USED
1. Notebook
2. Pen
3. Sphygmomanometer
4. Stethoscope
5. Steel Tape
6. Thermometer
7. Weighing Scale
8. Watch with Second Hand

D. CASE STUDY PROCEDURE

The researchers followed the sequence of activities.

5
 CHAPTER III

COMMUNITY PROFILE

Barangay History
Originates from the names of three tribes “ILO Ilocano, MA for Manobo,
and VIS for Visaya”. These three tribes are united. Precilo S. Padua, Sr., The
barangay’s father, was Ilocano, and tribal elders all agreed on the name
Ilomavis. Ilomavis was originally merely a sitio or section of the Barangay of
Ginatilan; but, thanks to the efforts of the former Barangay Captain Prescilo
Sonico Padua, Sr., his brother Mr. Eduardo Padua, and the tribal elders Datu
Montera Sia, Datu Akuas Bayawan, and others, Ilomavis was established.

6
Barangay Profile

Region : SOCSKSARGEN (Region XII)

Province : North Cotabato
City/Municipality : Kidapawan
Barangay : Ilomavis
Location : Urban
Number of Purok/
Sitio/Zone : 11
Total Land Area : 2,724.4 hectares
Boundaries : Meochao, Ginatilan, Bongolanon, and Balabag

Population :
Male : 2,580
Female : 2,305
Total Population : 4,885

Educational
Facility
a. Day Care Center 6
b. Elementary 3
c. High School 2

Type of Public Transportation present in the Barangay: Tricycle and Skylab

Credit Organizations:
Name of Organization Contact Person
Senior Citizen Emilda Dangil
Children Youth Association Maymay Alonzo
SK Youth Association Maymay Alonzo
Tribal Youth Association Brigido A. Baroro Jr.

7
Electricity Service:
What is the name of the electric company? Cotabato Electric Cooperative
(COTELCO)
How many households are being served by the company? 649

Other sources of electricity Total

a.Solar 655

8
Barangay Officials:
Brgy. Chairman : Hon. Jimmy A. Mantawil
Brgy. Secretary : Glenda B. Serrano
Brgy. Treasurer : Rolan M. Bayawan
Book Keeper : Estrella L. Sundo
Brgy. Council : Hon. Christopher P. Damo Sr.
Hon. Melvil P. Ompong
Hon. Richardo A. Bacag
Hon. Jerry I. Siao
Hon. Mario B. Ayag
Hon. Nelson A. Tula
Hon. Antonieto R. Bolado
Hon. Brigido A. Barobo Jr.
SK Chairman : Hon. Wenmar Mar T. Quijano
SK Kagawads : Hon. Mary Jean U. Alonzo
Hon. Reneviev B. Miyashiro
Hon. Marvin E. Serrano
Hon. Joey E. Genebio
Hon. Rajib S. Madidis
Hon. Karen T. Maangue
Hon. Lanie Mae C. Sicao
Barangay Leaders
Barangay Midwife : Mercedes P. Tangcawan, RM
Barangay Nurse/NDP : Aiza N. Saniel, RN
BNS : Perlita V. Diaz
: Andrelina L. Malveda
Barangay Health Workers
Purok 1A &1B : Juvie F. Encarnacion
Purok 2A & 2B : Marietta M. Pascua
Purok 3 & 4 : Amethyst L. Yahya
Purok 5 : Arlene D. Mantawil
Purok 6A : Jenlee A. Lambac
Purok 6B : Herminia M. Ahon

9
 Purok 7 : Nancy C. Velila
G.K.K : Heronimo B. Caobag
Day Care Worker : Merlyn Nunes
Hilda Orbado
Welma Tula
Hanny Mae Linog
Efrel Love Lim
Nicky Jean Serano

10
HEALTH PROFILE

ALL IP

TOTAL ACTUAL 4885 4034

POPULATION

TOTAL PROJECTED 4168

POPULATION

TOTAL NUMBER OF 1304 1054

HOUSEHOLDS

POPULATION BY AGE- MALE FEMALE MALE FEMALE

GROUP

UNDER 1 YR. 38 26 33 26
1-4 YRS. 159 172 134 160
5-9 YRS. 342 286 286 249
10-14 YRS. 326 315 288 268
15-19 YRS. 315 311 269 227
15-49 YRS. 978 780 776 661
50-59 YRS. 256 259 202 201
60 YRS. AND ABOVE 166 156 133 121

TOTAL NUMBER OF 20 19
PREGNANT WOMAN
WITH 4 OR MORE
PRENATAL VISITS

11
TOTAL NUMBER OF 39 38
LIVEBIRTHS

TOTAL NUMBER OF
DELIVERIES (including 37 36
facility and non-facility
deliveries)

TOTAL NUMBER OF
FACILITY-BASED 36 35
DELIVERIES

TOTAL NUMBER OF
DELIVERIES 37 36
ATTENDED BY
SKILLED BIRTH
ATTENDANT

TOTAL NUMBER OF
DELIVERIES (both
facility and non- 4 4
facility) WITH LOW
BIRTH WEIGHT

12
TOTAL NUMBER OF
<15 YEARS OLD WHO 1 1
HAD A LIVEBIRTH OF
PREGNANT WITH
FIRST CHILD

TOTAL NUMBER OF
15-19 YEARS OLD
WHO
HAD A LIVEBIRTH OR
PREGNANT WITH 6 6
FIRST CHILD

TOTAL NUMBER OF
FETAL DEATHS (death 0 0
in the womb after 22
weeks of pregnancy)

TOTAL NUMBER OF
NEONATAL DEATHS 0 0
(death during first 28
days of life)

13
TOTAL NUMBER OF
INFANT DEATHS 1 1
(death before first year
of age)

TOTAL NUMBER OF 0 0
UNDER 5 DEATHS

TOTAL NUMBER OF
MATERNAL DEATHS
(within 42 days after 0 0
delivery/termination of
pregnancy)

TOTAL NUMBER OF 9 8
DEATHS (based on
place of residence)

TOTAL NUMBER OF
FULLY IMMUNIZED 14 12
CHILDREN UNDER
AGE 1 (as defined in
FHSIS)

14
TOTAL NUMBER OF
FAMILY-PLANNING- 582 428
CURRENT USERS

TOTAL NUMBER OF
NHTS HOUSEHOLDS 727 620

TOTAL NUMBER OF
HOUSEHOLDS 240 234
REGISTERED IN
4PS/CCT/MCCT

TOTAL NUMBER OF
4PS/CCT/MCCT
HOUSEHOLDS
ENROLLED IN 240 234
PHILHEALTH
(with/without Philheath
card)

15
 ACTIVITY 2019 2020 2021

Total no. of 5099 4857 4627

Population

Total no. of
Household 1006 1159 1196
Surveyed

Total no. of 1102 1197 1225

Families

Total no. of 94 100 87

Infants (0-11
months)

16
NUTRITIONAL STATUS OF INFANTS

ACTIVITY 2019 2020 2021

No. of Normal 94 100 63

No. of Overweight 0 0 2

No. of 0 0 2
Underweight

No. of Severe 0 0 0
underweight

TOTAL NO. OF WOMAN WHO ARE:

ACTIVITY 2019 2020 2021

Pregnant 84 89 72

Lactating 157

157 78

17
Exclusively
Breastfeeding

Continued
Breastfeeding at 1
Year - 71 107

Bottled 3 - -

Total no. of
Preschoolers (0- 501 523 503
59 months)

Total no. of
Preschoolers 501 523 503
Weighed (0-59
months)

18
HEALTH SERVICES

Health Services of Barangay Ilomavis Health Center provides services

to the community. According to what they have stated, this will be
advantageous to the local population.

Medical (Monday to Sunday)

 Treatment of simple illnesses

 Referral Cases
 Animal Bite Cases

Maternal and Child Health (1st Thursday of the Month)

 Prenatal and Post-Natal Care

 Tetanus-Diphtheria Immunization

Family Planning (Monday to Sunday)

 IUD Insertion-Referral
 Provision of Pills and Condom
 DMPA Injection
 Natural Family Planning
 Counseling
 Pap smear-Referral

National Tuberculosis Program (NTP) (Monday to Sunday)

 Sputum Collection and Referral

 For Sputum Microscopy, and Gen Expert

19
Immunization Services (1st Wednesday of the Month)

 BCG, Penta, Oral Polio Vaccine, IPV, Measles, MMR and PCV
Vaccines

Nutrition (Monday to Sunday)

 Operation Timbang/OPT
 Under Five Clinic
 Deworming
 Vitamin A
 Provision of Micronutrients and;
 Food Supplement

Environmental Sanitation (Monday to Sunday)

 Inspection of Food Establishment

 Fogging for Identification Dengue Areas
 Excreta and Sewerage Disposal
 Solid Waste Management

20
BARANGAY FACILITIES

21
 SPOT MAP OF BARANGAY ILOMAVIS
Kidapawan City

Legends:

- Sari-sari Store

-Convention Hall

-Houses

Dumadag’s Family
Residence

Kidapawan-Ilomavis Tourist Road

22
 THE DUMADAG FAMILY

Composition: (Left Side) Mrs. Tresita Dumadag, (Right Side) Mr. Edgar
Dumadag, and (Middle) Ms. Rosemary Dumadag. Other members of the
family were not around.

23
 CHAPTER IV

INITIAL DATABASE

A. FAMILY STRUCTURE, CHARACTERISTICS, AND DYNAMICS

The Dumadag family is a typical nuclear type of family consist of the

father, Mr. Edgar Dumadag, 54 years old, who is a DOLE (Department of
Labor and Employment) worker in Kidapawan City. Mrs. Tresita Dumadag,
44 years old, a full-time housewife and their children, Dominic Dumadag,
the eldest child, Benedict Dumadag, 19 years old, a Grade-11 student,
Marvin Dumadag, 15 years old, a Grade-10 student, Ernie Dumadag, 12
years old, a Grade-7 student, and Rosemary Dumadag, 9 years old, a
Grade-4 pupil. Mr. and Mrs. Dumadag don’t have a hard time in terms of
decision making because each of them tends to consider each other’s
opinion first before coming up with the final decision especially regarding
financial matters.

NAME AGE SEX CIVIL EDUCATIONAL POSITION

STATUS ATTAINMENT
Edgar 54 Male Married Elementary Father
Dumadag Level
Tresita 44 Female Married High School Mother
Dumadag Level
Dominic 22 Male Single Elementary Eldest
Dumadag Level
Benedict 19 Male Single High School Second
Dumadag Level (Grade Child
11)
Marvin 15 Male Single High School Third Child
Dumadag Level (Grade
10)
Ernie 12 Male Single High School Fourth
Dumadag Level (Grade 7) Child
Rosemary 9 Female Single Elementary Youngest
Dumadag Level (Grade 4)

24
B. SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS

1. Income and Expenses

a. Occupation, place of work, and income of each working

member

Low educational background seems to be an obstacle for Mr.

Dumadag to get a permanent job and good source of income. He never
finished elementary education, and now that he is working, he receives
P300 per day. On the other hand, Mrs. Dumadag was able to get to high
school, as a second-year high school student, but decided to stay at home
to take good care of their children. Mr. Dumadag’s monthly income is
approximately P9,000 per month just enough to pay for their electricity and
water bill, food allowance, educational expenses for the children, and
transportation expense. Most of the time, the budget for health maintenance
is being sacrifice and not given enough priority due to lack of money. The
father is the head and breadwinner of the family while the mother takes care
of the household chores and their children.

25
SUMMARY OF THE DUMADAG FAMILY MONTHLY EXPENSES
ITEMS PARTICULARS TOTAL AMOUNT
Rice (Ordinary) 3 kilos/ day @40.00 3,720.00
Sardines (Family) 2 pieces/ day @25.00 775.00
per can
Vegetabales 1 pack/ 2 days 1,500.00
(Kalabasa, @100.00
Malunggay, Okra,
Talong, Munggo,
Tanglad, Alugbati,
Kamote tops,
Kangkong, Kalamansi,
Sibuyas dahon,
Patola)
Noodles (Quickchow) 3 pieces/ day @12.00 372.00
Condiments (Salt, P30 465.00
Vetsin, and Sugar)
Coffee (Nescafe) 4 pieces/ day @3.00 124.00
per stick
Fish and Meat 1 kilo/3 days @210.00 2,170.00
Soy Sauce and 1 pack/ 3 days @7.00 217.00
Vinegar (Silver Swan)
Milo 3 packs/ day @8.00 248.00
Laundry Soap 1 pack/ day @5.00 155.00
Matches 1 box/ 7 days @3.00 93.00
Toothpaste (close-up) 1 pack/ 2 days @8.00 248.00
Water Per month 100.00
Electricity Per month 600.00
TOTAL EXPENSES 10,787
TOTAL INCOME 9,000 monthly
DEFICIT -1,787

Deficit is being addressed through the help of their relatives and neighbors,
by borrowing money. The family experiences deficit because of the living
expenses nowadays, especially that inflation rate has risen. Mr. Edgar
Dumadag, as the provider and breadwinner of the family finds it difficult to
find high paying jobs because he wasn’t able to finish his elementary level.

26
 b. Adequacy to meet basic necessities (food, clothing,
shelter)

The income of Mr. Dumadag is just right enough to buy the basic
needs of the family. They can buy their clothes if they feel like they needed
to get new ones. The food they usually eat are processed food like canned
sardines and vegetables. “Ang bugas namo mga tunga ka sako budget unta
namo kay kada semana, pero di man japon maabtan isa ka semana. Unya,
kanang mga gulay, mao na kadalasan ginakaon namo. Usahay maka karne
og isda pud. Lipay na kaayo mga bata ana”, Mrs. Dumadag uttered. Their
house where they live in is a rent-free house for a reason that the City of
Kidapawan still provides it for them, but they do not know until when they
could assume it.

c. Who makes decisions about money and how it is being

spent?

The family’s income is provided by Mr. Edgar Dumadag, and the

budgeting comes from the couple’s decisions equally and fairly.

2. Educational attainment of each member

Mr. Dumadag was not able to finish his elementary level, while Mrs.
Dumadag was in her 2nd year high school when she stopped from studying.
Their son, Dominic Dumadag was not able to finish his Elementary level as
well, Mr. Benedict Dumadag is still on his 11th Grade, Mr. Marvin Dumadag
is still on his 10th Grade, Mr. Ernie Dumadag is still on his 7th Grade, and Ms.
Rosemary Dumadag is still on her 4th Grade.

3. Ethnic background and religion affiliation

Mr. and Mrs. Dumadag are both from Kidapawan City before they
even met. They both speak Cebuano. And both are Alliances. Mrs.
Dumadag goes to the church sometimes whenever she is not busy.

27
 4. Relationship of the family to a larger community

The family’s relationship to a larger community is doing great

because Mrs. Dumadag was positively giving comments about them. “Wala
jud mi away-away diri sa amoa kay nganong mag-away man? Mastress lang
jud ana. Og halos tanan diri nakapalibot sa amo mga paryente raman sad
namo”, Mrs. Dumadag said.

C. HOME AND ENVIRONMENT

C.1 Housing

C.1.1 Adequacy of living space

The Dumadag family’s house is a rent-free shelter made from vinyl

panel walls, a roof with a blue color, windows made of glasses, has one
bedroom, one covered bathroom, a kitchen, a living room that is just enough
for their living space. In front of their house, they made an extension using
bamboo and tarp for the roof that serves as their kitchen. The house is
simple yet livable and convenient for the family.

28
FLOOR PLAN

29
COMPUTATION OF THE FLOOR PLAN

TFA- Total Floor Area

TSR- Total Space Requirement

i. Living Room
TFA= 25m2

TSR= 4m x 5m
= 20m2 [Adequate Space]

ii. Comfort Room

TFA= 4m2

TSR= 1m x 2m
= 2m2

iii. Bedroom
TFA= 8.7m2

TSR= 3m x 4m
= 12m2 [Inadequate Space]

iv. Dirty Kitchen

TFA= 14m2

TSR= 2m x 4m
= 8m2

30
C.1.2 Sleeping arrangement

The family sleeps on a bed made up of bamboo strips. They use

handwoven mat for them to sleep comfortably. They also use floormat for
them to prevent from any dirt and dust, and to prevent their feet to touch the
cold concrete floor.

Their Room

C.1.3 Presence of breeding or resting sites of vectors of diseases

They have a mosquito breeding and red worms were moving around
nearby in the open canal.

Near their home, we observed red worms were moving in the canal.

31
C.1.4 Presence of accident hazards

They are prone to fire accidents, because the placement of their

cooking area. Their kitchen is made up of bamboo, woods, hollow blocks, a
piece of fabric, and tarp for the outer covering. These materials are
considered as light materials that can easily catch fire. Their kitchen is open
and is close to their house that when the fire gets stronger there is a
possibility that the tarp will get burnt and will cause the kitchen and their
house to burn, which can put them in danger.

Darkening of the tarp and some bamboo wood caused by the fire

C.1.5 Food storage and cooking facilities

The Dumadag family just prepare what they need for each meal
because they do not have a refrigerator or any other means of food storage.
They are cooking with a pan. They prepare their meals using firewood.

32
C 1.6 Water supply

The family has a water supply facility from NAWASA that they have
access for drinking. 2 meters away separates their home from the faucet.
Every day they go get tap water to drink. Rain water serves as their source
to wash their dishes and clothes.

C. 1.7 Toilet facility

They have a bathroom inside their home. Inside their comfort room,
they have access to their own water. When they take a bath or have a bowel
discharge, they are using a plastic type door with a lock as a covering.

33
C.1.8 Garbage Disposal

Garbage was not segregated properly and put in a small plastic bag
that will be collected weekly by the city garbage collector. Small plastic bag
was hanged in the kitchen and bathroom area.

C.1.9 Drainage System

They have an open canal which could be seen outside their house.
A distance of 7ft (25.3m) open canal from their house.

Open culvert drainage located in front of the house

34
C.2 Kind of neighborhood

They lived in the neighborhood in which houses were built

alongside.

C.3 Social and health facilities

Health Center

35
 Lake Agco
Integrated
School

Chapel

36
C.4 Communication and transportation facilities

They use mobile phones as their means of communication to their

relatives and friends in far distance. Transportation facility available is
tricycle and motorcycle.

D. HEALTH STATUS OF EACH FAMILY

D.1 Medical and nursing history indicating current or past significant

illnesses or belief and practices conducive to health and illness.

Mrs. Tresita Dumagdag is diagnosed with hypertension when she

was 42 years old. “taga bp sa akoa makulbaan ko kay taas gyud permi
akong bp kanang 200 gyud na”, as verbalized by Mrs. Dumadag. She’s not
taking any medication due to financial problems. Upon assessing her, she
was thin, had dry skin, pale lips, and visible eyebags. According to her,
“permi ko kapoy kay ako tanan dinhi sa balay unya mag sundo pa ko sa
akong anak sa ila iskwelahan”.

37
D.2 Nutritional assessment (especially for vulnerable or at-risk
members)

Members of the Medical and Nursing Nutritional Assessment

Family History
Dietary Eating Habits
History and Practices

Tresita Hypertension 3x a day Canned goods,

Dumadag vegetables, and
fish
Edgar Dumadag None 3x a day Canned goods,
vegetables, and
fish
Dominic None 3x a day Canned goods,
Dumadag vegetables, and
fish
Benedict None 3x a day Canned goods,
Dumadag vegetables, and
fish
Marvin None 3x a day Canned goods,
Dumadag vegetables, and
fish
Ernie Dumadag None 3x a day Canned goods,
vegetables, and
fish
Rosemary None 3x a day Canned goods,
Dumadag processed foods

38
D.2.1 Anthropometric data

BMI
NAME SEX AGE WEIGHT HEIGHT Results REMARKS
Tresita Female 44 43 kg 165 cm 15.8 Severe
Thinness
Edgar Male 54 64 kg 170 cm 22.1 Normal
Dominic Male 22 63 kg 167 cm 22.6 Normal
Benedict Male 19 55 kg 162 cm 21 Normal
Marvin Male 15 53 kg 157 cm 21.5 Normal
Ernie Male 12 49kg 152 cm 21.2 At risk of
Overweight
Rosemary Female 9 35 kg 139 cm 18.1 Healthy

39
40
41
 VITAL SIGNS TABLE

D.2.2 Dietary history specifying quality and quantity of food nutrients

intake per day

They used credit to purchase all their consumables and essentials

from their neighbor's sari-sari store. They merely pay it within Mr.
Dumadag’s pay period. Mrs. Dumadag verbalized "Naga palit lang mi ug
mga grocery, dira sa may tindahan, nya isda og karne usahay, tapos gulay
jud madali dali namo." Despite being in the poor class, Mrs. Dumadag
claimed that her family eats three meals daily. They often eat dried fish for
their viand at 6:30 in the morning, vegetables for lunch at 12:00pm, and
dinner at 7:00pm. For dinner, they might have dry fish or leftovers from lunch.
Regarding of the fluid intake of the Dumadag family, Mrs. Tresita take at
least 4 to 5 glasses of water per day, for Mr. Edgar 6 to 8 glasses of water
per day, Benedict 5 to 7 glasses per day, Marvin, and Ernie 4 to 5 glasses
of water per day and Rosemary takes at least 3 to 4 glasses per day.

42
D.2.3 Eating/Feeding habits practices

The Dumadag family tries to eat a full meal every day despite not
having enough money.

D.3 Development Assessment of Infant, Toddler’s and Pre-school

D.4. Risk Factor Assessment Indicating presence of major and

contributing modifiable risk factor for specific lifestyle disease.

A major and contributing modifiable risk factor for a certain lifestyle

illness is present, according to the risk factor assessment. Poor family
hygiene, financial matters, a dirty canal, and no proper waste disposal are
all considered to be a factor that can cause certain illness for the Dumadag
family. The stress of this factors is one of the things that has caused Mrs.
Tresita Dumadag’s high blood pressure.

D.5 Physical assessment indicating presence of illness state/s

(diagnosed or undiagnosed medical practitioners)

Mrs. Tresita Dumadag has hypertension. She is not taking any

medication due to lack of financial stability, Mrs. Tresita Dumadag
verbalized “wala mi kwarta pang palit sa ako maintenance, mas gustuhon
pa nako ipalit nalang namo na og pagkaon og pang skwela sa mga bata
kaysa sa ipalit nako pang maintenance.”

43
E. VALUES, PRACTICES ON HEALTH PROMOTION, MAINTENANCE &
DISEASE

E.1 Immunization of family members

Rosemary Dumadag was immunized with BCG on December 08,

2012, Hepatitis B on October 15, 2012, Pentavalent Vaccine on February
02, 2013, March 09, 2013, and April 6, 2013, Oral Polio Vaccine on
December 08, 2013, January 05, 2013, and February 02, 2013, Inactivated
Polio Vaccine on February 02, 2013, and September 07, 2013, and lastly,
Measles, Mumps, Rubella (MMR) on September 07, 2013.

E.2 Healthy lifestyle practices

Living a healthy lifestyle is important for everyone. Despite their

precarious financial situation, they are nevertheless able to maintain a quite
healthy lifestyle, including eating 3 times a day, exercising by walking their
children to and from school, by working as a laborer that requires strength,
and going to bed early at night.

E.3 Adequacy of:

E.3.1 Rest & sleep

When it comes to their rest & sleep the whole family sleeps together
at 9pm and they woke up at 5am.

E.3.2 Exercise/relaxation/activities

They engage in neighbor interaction and watch TV as relaxation and

stress-reduction techniques. Tresita verbalized "naga adto ko sa mga
silingan namo kay mga paryente ra man me diri dapit tanan, naga storya
storya mi ug bisan unsa lang gud".

44
 Mr. Dumadag uses alcohol consumption and social interaction with
friends and cousins to unwind and reduce stress. Mrs. Tresita also exercises
by washing their clothing, making their meals, and caring for their children,
dropping off and picking up her kids from school.

E.3.3 Use of protective measures

Despite their financial struggles, the Dumadag family's health was

still their primary priority. They used a mosquito coil to prevent bites, and
their children also wore slippers to school. Mr. Edgar likewise wears slippers
or shoes for protection before going to work. They have trays for organizing
their kitchen utensils and a cabinet for storing their clothing.

E.3.4 Relaxation & other stress management

While Mrs. Tresita plants various flowers or vegetables, Mr. Edgar

finds relief from stress by playing with his children and drinking with his
cousins and friends.

E.3.5 Use of promotive-preventive health services

Mrs. Tresita claims that they do not have a method of family planning.
Mrs. Tresita saeid, "Wala ko gagamit ug ing ana kay wala naman pud
hahaha." They would only make natural medications if their kids feel unwell.
"Ug madugay najud ang kalintura usahay gina dala namo sa mga
mananambal or ipahilot basi naa ray piang," Tresita said.

45
 IDENTIFIED HEALTH PROBLEMS

Health Deficit Health Threat Foreseeable Crisis

1. Presence of 2. Accident Hazard 5. Resettlement
Hypertension in a New
A. Fire Hazard Community.

3. Vectors of Diseases

A. Open and Dirty

Canal that
Mosquitoes can
Breed
B. Red worms in
Stagnant Water

4. Poor Environmental
Condition/ Sanitation

A. Inadequate Living
Space
B. Improper Waste
Disposal
C. Lack of Food
Storage Facilities

46
 RESULTS OF FIRST LEVEL ASSESSMENT

CUES AND DATA HEALTH PROBLEMS

A. HEALTH DEFICIT
 Presence of hypertension
- Tresita Dumadag, 44 years as a health deficit.
old, has hypertension with
a blood pressure of
200/120.
Tresita verbalized:
“Taga bp sa akoa makulbaan ko
kay taas gyud permi akong bp
kanang 200 gyud na”

B. HEALTH THREAT

- They are prone to fire  Improper materials used to

accidents, because the build for the cooking area. -
placement of their cooking Fire Hazard as a health
area. Their kitchen is made threat
up of bamboo, woods,
hollow blocks, a piece of
fabric, and tarp for the
outer covering.
Tresita verbalized:
“Wala jud mi ikapalit o kanang
ikapaayo sa among lutuan kay
okay lang man pud siya, gina
bantayan lang jud nako ang mga
ginaluto ba para iwas sunog.”

- Open and dirty  Vectors of diseases as a

canal that health threat
mosquitoes can
breed.
- Red worms
Tresita verbalized:
“Di pud gyud namo na malikayan
kanang mga ulod og kiti-kiti dinha,
pero okay raman sad kay wala
paman pud mi gasakit sakit, mga
dengue, wala man sad.”

- The family sleeps in  Inadequate Living Space as

one bedroom a health threat
measuring: width-
0.9m and length-
1.8m. Too small for

47
 the 7 members of
the family.
Tresita verbalized:
“Naanad naman pud mi
ginabutangan lang namo floormat
para dili abog, unya ang hapin sa
among katre kay banig,
komportable man sad among
tulog.”

- Plastic cellophane  Improper waste disposal as a

used as their health threat
garbage can, and
was not properly
segregated.
Tresita verbalized:
“Mao man na pinakadali na
malabayan gud namo, nakasang-
it lang diha sa kusina, dali lang
sya mabutangan og basura. Pero
ginacollect man na dinhi kay naa
mna truck gaadto gakuha
basura.”

- Excess food is  Lack of food storage facilities

stored in a as a health threat.
casserole where it
was cooked.
Tresita verbalized:
“Mas dali nalang man gud kung
sa kaldero nalang ibutang, kay
diretso man japon namo kaunon.
Wala nay hasol magbalhin balhin
pa sa bilin nga pagkaon.”

C. FORESEEABLE CRISIS

- Dumadag family is  Resettlement in a new

relocated from the community as a foreseeable
upper part of crisis.
Barangay Ilomavis
which was Sitio
Sayaban, due to the
earthquake
happened last 2019.
Tresita verbalized:
“Gikan mig Sayaban, gipababa mi
sa gobyerno diri kay delikado
naman kaayo didto labi nag ting
linog, high risk daw mi didtoa.”

48
 RESULTS OF SECOND LEVEL OF ASSESSMENT

CUES AND DATA HEALTH PROBLEMS

A. HEALTH DEFICIT

- Tresita Dumadag, 44 years  Presence of hypertension as a

old, has hypertension with health deficit.
a blood pressure of
200/120. 1. Inability to make decisions with
Tresita verbalized: respect to taking appropriate health
“Taga bp sa akoa makulbaan ko action due to:
kay taas gyud permi akong bp a. Inaccessibility of appropriate
kanang 200 gyud na” resources for care, specifically
physical inaccessibility
b. Inadequate knowledge about
hypertension

2. Inability of the family to improve

health status due to improper diet

3. Inability of the family member to

attain/achieve good health due to
unhealthy and poor lifestyle

B. HEALTH THREAT

- They are prone to fire  Improper materials used to

accidents, because the placement build for the cooking area. -
of their cooking area. Their Fire Hazard as a health threat.
kitchen is made up of bamboo,
woods, hollow blocks, a piece of 1. Inability to provide a home environment
fabric, and tarp for the outer conducive to heath maintenance and
covering. personal development due to:
Tresita verbalized: a. Inadequate family resources;
“Wala jud mi ikapalit o kanang specifically financial
ikapaayo sa among lutuan kay constrains/limited financial
okay lang man pud siya, gina resources.
bantayan lang jud nako ang mga b. Failure to see benefits of
ginaluto ba para iwas sunog.” investment in home environment
improvement

 Vectors of diseases as a health

threat

49
 - Open and dirty 1. Inability to make decisions with respect
canal that to taking appropriate health action due to
mosquitoes can failure to comprehend the
breed. nature/magnitude of the
- Red worms in problem/condition.
Stagnant Water
Tresita verbalized:
“Di pud gyud namo na malikayan
kanang mga ulod og kiti-kiti dinha,
pero okay raman sad kay wala
paman pud mi gasakit sakit, mga
dengue, wala man sad.”  Inadequate Living Space as a
health threat

- The family sleeps in 1. Inability to make decisions with respect

one bedroom to taking appropriate health action due to:
measuring: width- a. Failure to comprehend the
0.9m and length- nature/magnitude of the
1.8m. Too small for problem/condition.
the 7 members of b. Lack of inadequate
the family. knowledge/insights as to alternative
Tresita verbalized: courses of action open to them.
“Naanad naman pud mi
ginabutangan lang namo floormat 2. Inability to provide a home environment
para dili abog, unya ang hapin sa conducive to health maintenance and
among katre kay banig, personal development due to:
komportable man sad among a. Inadequate family resources,
tulog.” specifically, financial constraints/limited
financial resources.

 Improper waste disposal as a

health threat

- Plastic cellophane 1. Inability to recognize the presence of

used as their the problem due to inadequate
garbage can, and knowledge
was not properly 2. Inability to provide a home environment
segregated. conducive to health maintenance due to:
Tresita verbalized: a. Inadequate knowledge of
“Mao man na pinakadali na importance of sanitation.
malabayan gud namo, nakasang-
it lang diha sa kusina, dali lang
sya mabutangan og basura. Pero
ginacollect man na dinhi kay naa
mna truck gaadto gakuha
basura.”

50
  Lack of food storage facilities
as a health threat.
- Excess food is
stored in a 1. Lack of knowledge on preventive
casserole where it measures and the importance of proper
was cooked. hygiene and sanitation.
Tresita verbalized: 2. Inability to recognize the presence of
“Mas dali nalang man gud kung the problem due to inadequate
sa kaldero nalang ibutang, kay knowledge.
diretso man japon namo kaunon.
Wala nay hasol magbalhin balhin
pa sa bilin nga pagkaon.”
 Resettlement in a new
community as a foreseeable
C. FORESEEABLE CRISIS crisis.

- Dumadag family is 1. Failure to utilize community resources

relocated from the for health care due to:
upper part of a. Feeling of alienation to the
Barangay Ilomavis community.
which was Sitio
Sayaban, due to the
earthquake
happened last 2019.
Tresita verbalized:
“Gikan mig Sayaban, gipababa mi
sa gobyerno diri kay delikado
naman kaayo didto labi nag ting
linog, high risk daw mi didtoa.”

51
 SCALING FOR RANKING HEALTH AND PROBE

Table 4. Scale for Ranking Health Conditions and Problems According to

Priorities

CRITERIA WEIGHT
1. Nature of the condition or
problem presented
Scale**: Wellness state 3
Health deficit 3 1
Health threat 2
Foreseeable crisis 1

2. Modifiability of the condition or

problem
Scale**: Easily modifiable 2
Partially modifiable 1 2
Not modifiable 0

3.Preventive potential
Scale**: High 3
Moderate 2 1
Low 1

4.Salience
Scale**: a condition or problem
needing immediate 2
attention

a condition or problem
not needing immediate 1 1
attention

not perceived as a
problem or condition 0
needing change

SCORING:
1. Decide on a score for each of the criteria
2. Divide the score by the height possible score and multiply by weight:
(score / highest score) x weight
3. Sum up the scores for all the criteria. The highest score is 5, equivalent
to the total weight.

52
 SCALE FOR RANKING HEALTH CONDITIONS & PROBLEMS

1. Hypertension

Criteria Computation Actual score Justification

1. Nature of the 3/3 x 1 1 It is a health
condition or deficit that
problem requires
presented. immediate
attention in order
to lower the risk
of danger e.g.,
kidney disease,
heart failure,
heart attacks,
and strokes.
2. Modifiability of 1/2 x 2 1/2 It is partially
the condition or modifiable due
problem. to the lack of
medical
treatment and
medication
maintenance.
However, it
could be
modified if Mrs.
Tresita
Dumadag seeks
medical
assistance.
3. Preventive 2/3 x 1 2/3 It is moderate
potential due to Mrs.
Dumadag is
aware of her
condition but
chose to neglect
it because of
financial
problems.
4. Salience 2/2 x 1 1 This needs an
immediate
attention/action,
due to the fact
that hypertension
is risky, thus, her
blood pressure’s
result was
200/120 mmHg,
but it takes time

53
 and money to
address her
condition.
Total Score: 3.16

54
 2. Fire Hazard

Criteria Computation Actual score Justification

1. Nature of the 2/3 x 1 2/3 It is a health
condition or threat due to fire
problem can consume
presented. structures and
can severely
injure or kill
living beings
through burns or
smoke
inhalation.
2. Modifiability of 1/2 x 2 1 It is partially
the condition or modifiable due
problem to the only way
to solve this
problem is to
renovate the
house, but it
needs money.
3. Preventive 2/3 x 1 2/3 The problem
potential might be
somewhat
avoided if the
Dumadag family
is vigilant in
keeping an eye
on things, but
this needs time
and money to
have
precautionary
measures
against fire
hazards.
4. Salience 2/2 x 1 1 This needs an
immediate
attention
because the
distance of their
kitchen is open
and close to
their house, and
to their
neighbors, that
when the fire
gets stronger,

55
 there is a
possibility that
this would cause
fire.
Total score: 3.3

56
 3. Vectors of Disease (Red worms in stagnant water)

Criteria Computation Actual score Justification

1. Nature of the 2/3 x 1 2/3 It is a health
condition or threat due to its
problem possibility to
presented. cause an
allergic reaction.

2. Modifiability of 1/2 x 2 1 It is partially

the condition or modifiable
problem because proper
sanitation could
prevent the
family from
acquiring
diseases caused
by these red
worms.
3. Preventive 2/3 x 1 2/3 The problem
potential might be
somewhat
avoided if health
education will be
provided, as well
as, the family
would take an
immediate
action.
4. Salience 2/2 x 1 1 This needs an
immediate
action and
attention to
prevent these
red worms from
spreading and
growing.
Total score: 3.3

57
 4. Vectors of Disease (Open and dirty canal where mosquitoes can
breed)

Criteria Computation Actual score Justification

1. Nature of the 2/3 x 1 2/3 It is a health
condition or threat due to
problem mosquitoes can
presented. lay eggs in the
canal, and this
mosquito may
be a dengue
virus carrier.
2. Modifiability of 1/2 x 2 1 It is partially
the condition or modifiable due
problem to Dumadag
family are not
fully conscious
and aware about
the sanitation of
their respective
areas.
3. Preventive 2/3 x 1 2/3 The problem
potential might be
somewhat
avoided if Health
Education will
be provided.
4. Salience 2/2 x 1 1 Despite being
aware of the
problem, the
Dumadag family
chooses not to
take immediate
action.
Total score: 3.3

58
 5. Inadequate Living Space

Criteria Computation Actual Justification

score
1. Nature of the 2/3 x 1 2/3 It is a health threat due
condition or to microorganism could
problem grow, indoor air
presented. pollution, and emissions
from building materials
are as relevant issues
as the occurrence of
infestations, inefficiency
of heating systems and
insulation measures, or
lack of hygiene and
sanitation amenities.
2. Modifiability 2/2 x 2 1 Increasing the living
of the condition space will require quite
or problem a financial expenditure.
Thus, the family’s
resources are not
presently adequate
considering the other
problems.
3. Preventive 1/3 x 1 1/3 Increasing the living
potential space will;
 Reduce
possibility of
transferability
of
communicable
diseases.
 Provide
privacy to
each member
 Provide bigger
space to allow
adequate
movements
when
performing
household
chores and
joint
recreational
leisure or play
activities
4. Salience 1/2 x 1 1/2 Despite being aware of
the problem, the

59
 Dumadag family
chooses not to take
immediate action does it
needs time and money.
Total score: 2

60
 6. Improper Waste Disposal

Criteria Computation Actual score Justification

1. Nature of the 2/3 x 1 2/3 It is a health
condition or threat due to
problem flooding and
presented. other standing
waters in waste
items favour
cholera and
vector-borne
diseases such
as malaria and
dengue.
2. Modifiability of 1/2 x 2 1 Resources are
the condition or available and
problem interventions are
feasible.
3. Preventive 1/3 x 1 1/3 Communicable
potential diseases
transferred by
insects and
rodents can be
prevented.
4. Salience 0/3 x 1 0 The family does
not perceive it as
a problem.
Total score: 2 1/3

61
 7. Lack of Food Storage Facilities

Criteria Computation Actual score Justification

1. Nature of the 2/3 x 1 2/3 It is a health
condition or threat due to food
problem poisoning caused
presented. by bacteria from
foods that have
been incorrectly
stored. Lack of
food storage can
lead to several
problems,
including bacteria
and mold growth,
food spoilage
through natural
decay, and even
food waste,
2. Modifiability of 1/2 x 2 1 Inadequacy of
the condition or resources to
problem purchase
sealable
containers is not
a hindrance to
solving the
problem, but
proper budgeting
and planning of
food to be
cooked can
eliminate storage
problem.
3. Preventive 1/3 x 1 1/3 Exact food
potential preparation per
meal can be
practiced to
eliminate storage
problem.
4. Salience 0/2 x 1 0 The family
recognized it as a
problem and
would like to
change the
practice after
being informed
about it.
Total score: 2 1/3

62
 8. Resettlement in a new Community

Criteria Computation Actual score Justification

1. Nature of the 1/3 x 1 1/3 It is a
condition or foreseeable
problem crisis due to
presented. the loss of
traditional home
risk for
emotional and
physical health
problems.
2. Modifiability of 1/2 x 2 1 Change their
the condition or view concerning
problem the problem.
3. Preventive 2/3 x 1 2/3 The problem
potential might be
somewhat
avoided if
Dumadag family
will appreciate
the difference in
their new
environment and
understand that
that adjustment
takes time.
4. Salience 0/2 x 1 0 This problem
does not need
an immediate
action since it
takes time to
adjust in a new
environment.
Total score: 2

63
SCALING/COMPUTATION

1. Hypertension

3/3 x 1 = 1
1/2 x 2 = 1/2
2/3 x 1 = 2/3
2/2 x 1 = 1

Total Score = 3.16

2. Fire hazard

2/3 x 1 = 2/3
1/2 x 2 = 1
2/3 x 1 = 2/3
1/2 x 1 = 1

Total Score = 3.3

3. Vectors of Disease (Red worms in stagnant water)

2/3 x 1 = 2/3
1/2 x 2 = 1
2/3 x 1 = 2/3
2/2 x 1 = 1

Total Score = 3.3

4. Vector of Disease (Open and dirty canal where mosquitoes can breed)

2/3 x 1 = 2/3
1/2 x 2 = 1
2/3 x 1 = 2/3
2/2 x 1 = 1

Total Score = 3.3

5. Inadequate Living pace

2/3 x 1 = 2/3
2/2 x 2 = 1
1/3 x 1 = 1/3
1/2 x 1 = 1/2

Total Score = 2

64
6. Improper Waste Disposal

2/3 x 1 = 2/3
1/2 x 2 = 1
1/3 x 1 = 1/3
0/3 x 1 = 0

Total Score = 2 1/3

7. Lack of Food Storage Facilities

2/3 x 1 = 2/3
1/2 x 2 = 1
1/3 x 1 = 1/3
0/2 x 1 = 0

Total Score = 2 1/3

8. Resettlement in a new Community

1/3 x 1 = 1/3
1/2 x 2 = 1
2/3 x 1 = 2/3
0/2 x 1 = 0

Total Score = 2

65
 PRIORITIZATION OF PROBLEMS

List of health conditions or problems ranked according to priorities

presented

Problems Score Rank

Presence of 3.16 1
Hypertension
Fire Hazard 3.3 2
Open and Dirty Canal 3.3 2
that Mosquitoes can
Breed
Red Worms in 3.3 2
Stagnant Water
Inadequate Living 2 4
Space
Improper Waste 2 1/3 3
Disposal
Lack of Food Storage 2 1/3 3
Facilities
Resettlement in a 2 4
Community

66
FAMILY NURSING CARE PLAN

67
 Family Health Family Nursing Goal of Care Objectives of Nursing Methods of Resources
Problem Problem Care Interventions Nurse-Family Required
Contract
Hypertension  Inability to make After 2 weeks of After 2 weeks of  Assess the Home Visits Human
decisions with nursing nursing intervention, family level of Resources:
respect to taking intervention, the the family and the understanding Time and efforts
appropriate family will be client will be able to: regarding the of the student
health action due able to manage present health nurses and the
to: and lessen the A. Discuss problem. family.
a. Inaccessibility of risks of having the  Discuss with
appropriate hypertension. importanc the family risk Material
resources for e of factors of Resources:
care, specifically appropriat hypertension. One-on-One
physical e  Discuss with lecture
inaccessibility resources the family signs discussion
b. Inadequate to lessen and symptoms
knowledge about the risk of of Financial
hypertension hypertensi hypertension. Resources:
on  Discuss with Expenses for

68
 Inability of the the family the teaching aids
family to improve B. Identify at good diet and and
health status due least three healthy lifestyle transportation of
to improper diet (3) risk that reduce or the student-
factors prevent nurses.
Inability of the family that hypertension.
member to attain/achieve contribute
good health due to s to having
unhealthy and poor hypertensi
lifestyle on.

C. Discuss
three (3)
ways on
how to
improve
diet.

Enumerate at least
three (3) ways on
how to improve
lifestyle.
 Family Health Family Nursing Goal of Care Objectives of Nursing Methods of Resources
Problem Problem Care Interventions Nurse-Family Required
Contract
Accident Hazard (Fire  Inability to After 2 weeks of After 2 weeks of 1. Explain what is Home Visits Human
Hazard) provide a home nursing nursing intervention, fire hazard Resources:
environment intervention, the the family and the 2. Discuss with Time and efforts
conducive to family will be client will be able to: the family the of the student
heath able to decide on presence of fire nurses and the
maintenance proper and a. Define hazards inside family.
and personal appropriate what fire the house.
development action(s) to hazard is 3. Explain the Material
due to: prevent all about. importance and Resources:
a. Inadequate occurrence of b. Recognize benefits of One-on-One
family resources; fire. the eliminating fire lecture
specifically presence hazards: discussion
financial of the a. Prevent the
constrains/limite existing occurrence of Financial
d financial problem. unwanted fires. Resources:

69
resources. c. Know the b. Provide comfort Expenses for
Failure to see benefits of importanc and safety for teaching aids
investment in home e and the family. and
environment improvement benefits of c. Make the transportation of
eliminating community less the student-
fire vulnerable to nurses.
hazards fires.
present
inside the 4. List
house. methods/ways
d. Identify to eliminate fire
ways/meth hazards within
ods to the family’s
eliminate available
fire resources:
hazards. a. Being alert
Shows while cooking
understanding by Avoid lighting or cooking
putting into actions near the materials which
the interventions are vulnerable to fire.
given.
 Family Health Family Nursing Goal of Care Objectives of Nursing Methods of Resources
Problem Problem Care Interventions Nurse-Family Required
Contract
Presence of breeding Inability to make decisions After 2 weeks of After an hour of  Discuss the Presence of Inability to make
or resting sites of with respect to taking nursing nursing intervention, importance of breeding or decisions with
vectors of diseases appropriate health action intervention, the the family will be having a good resting sites of respect to taking
as Health Threat due to failure to family will be able to: environmental vectors of appropriate
comprehend the able to raise a. Verbalize condition. diseases as health action due
nature/magnitude of the awareness understan  Look for the Health Threat to failure to
problem/condition. regarding the ding of the causes and comprehend the
poor importanc effects of these nature/magnitud
environmental e of unwanted sites e of the
condition on having a around the problem/conditio
presence of good house. n.
breeding site of environme  Suggest
vectors. ntal methods that
condition. would eliminate
To promote a b. Eradicate the breeding
home any sites.

70
environment that presence  Explore with
is conducive to of the family the
health. breeding ways to
sites of improve home
To educate the vectors. sanitation:
family on what a. Emphasize the
are the possible proper storage
health problems that may attract
that can cause vectors.
by the presence Instruct the family to
of breeding site prevent any accumulation
of vectors. of stagnant water.

To provide
knowledge on
what are the
benefits of
eradicating the
unwanted
breeding sites.
APPENDICES

71
Appendix A

72
73
74
75
76
77
CULMINATION DAY

78
79
80
FIRST WEEK OF COMMUNITY
EXPOSURE

81
82
83
84
85
2ND WEEK OF COMMUNITY
EXPOSURE

86
87
References

Chara Scroope, 2. (2017). Filipino Culture. Retrieved from

https://culturalatlas.sbs.com.au/filipino-culture/filipino-culture-family:
https://culturalatlas.sbs.com.au/filipino-culture/filipino-culture-family

Constructor. (n.d.). Retrieved from https://constructor.org/:

https://constructor.org/

Lamanna, & Riedrnann. (2009). Families in Global Perspective

Assignment Help & Writing Service. Retrieved from Sociology
Assignments: https://www.sociologyassignments.com/families-in-
global-perspective-5167

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