FAMILY HEALTH PROBLEMS CUES

Poor Sanitation  Improper waste disposal, there are accumulated wastes

at base of the banana tree. Presence of plastics, used
napkins and biodegradable wastes behind the toilet.
 Poor wastewater disposal, the drainage canal along the
soil is small.
 Scattered plastics around the house.
 The kids walk around the house barefooted.
First level of assessment

Second Level of assessment

FAMILY HEALTH PROBLEMS NURSING PROBLEMS
Presence of breeding sites of vectors of Inability to provide home environment conducive to health
diseases maintenance and personal development due to:
1. Lack of knowledge of the importance of hygiene and
sanitation.
2. Lack of knowledge of preventive measures.

Computation
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
Nature (HD-3, HT- 2/3x1 0.67 It is a health threat because poor
2, FC-1) sanitation practices predispose the
family to developing unwanted
health conditions such as dengue
which may be attributed to
accumulated wastes where disease-
carrying mosquitoes may breed from.
Modifiability (Easy- 2/2x2 2 The problem is easily modifiable
2, Intermediate-1, because, through working together
Not Modifiable-0) with the family, rendering them
effective health teaching and
interventions, the problem can be
eliminated or at least be reduced.
Preventive Potential 2/3x1 0.67 It's considered moderate, because,
(highly-3, even with the finest interventions and
moderate-2, low-1) teaching, the problem is whether the
family can maintain it, and we are
not always there to make sure they
would.
Salience 0/2x1 0 The family does not perceive their
(Problem needing situation as a problem, they are not
urgent attention-2, aware it’s a problem. For instance,
Problem not the fact that it’s okay for them that
needing urgent they just throw their wastes behind
attention-1, the toilet.
Not a felt problem-
0)

TOTAL SCORE: 3.34

NCP
Health Family Goal of Care Objectives Intervention Plan
 Method of
Nursing Resources
Nursing Nursing
Problem of Care Interventions Required
Problems Family
Contact
Poor Inability to After two After two 1. Establish  Home  Time and
Sanitatio provide a sessions of sessions of rapport and Visit effort
n home nursing nursing conduct family  Health  Transportation
environment intervention intervention health teaching Teaching  Phones for
conducive to the family s, the family sessions on the  Phone communicatio
health will be able will be able significance of Calls n.
maintenance to to sanitation and
and personal demonstrate demonstrate hygiene,
development an the explaining the
due to: understandin following: impact on health
1. Lack g of proper a.) Family and well-being.
of/inadequate sanitation and members
knowledge of hygiene will 2. Collaborate
importance of practices and verbalize with the family
sanitation and will the in identify
hygiene. implement importance factors
2. Inadequate these of sanitation contributing to
knowledge of practices and poor sanitation,
preventive effectively hygiene. and developing
measures within their b.) Family solutions to
3. Inadequate home members such.
family environment. will
resources demonstrate
specifically proper 3. Facilitate
limited sanitation hands-on
physical techniques. sessions
resources. c.) The demonstrating
family will proper
identify and techniques for
utilize waste disposal,
available cleaning, and
resources personal
for hygiene
improving practices such as
sanitation. handwashing.

Uberto

First level of assessment

FAMILY HEALTH PROBLEMS CUES

Poor Home Sanitation due to improper garbage  Improper waste disposal is observed, there is accumulated waste at the base of the
disposal, unsanitary waste disposal and improper banana tree. Further, there is presence of plastics, used napkins and biodegradable
drainage system wastes behind the toilet area.
 Poor wastewater disposal, the drainage canal along the soil is small, not allowing the
water along with small food particles to clear out readily.
 As observed, there are scattered plastics around the house.
Second Level of assessment

FAMILY HEALTH PROBLEMS Family Nursing Diagnosis

Poor Home Sanitation Inability to provide home environment conducive to health maintenance and personal development due to:
1. Lack of knowledge of the importance of hygiene and sanitation.

2. Lack of knowledge of preventive measures.

Computation

CRITERIA COMPUTATION ACTUAL JUSTIFICATION

SCORE

Nature (HD-3, HT- 2/3x1 0.67 It is a health threat because poor home sanitation practices predispose the family to
2, FC-1) developing unwanted health conditions such as dengue which may be attributed to
accumulated wastes (improper waste disposal) where disease-carrying mosquitoes may
breed from.

Modifiability 2/2x2 2 Increasing the family’s knowledge and awareness on the importance of sanitation to
(Easy-2, health and proper sanitation techniques/preventive measures will significantly affect
Intermediate-1, Not their situation. In a way that, by achieving this awareness and by employing techniques
Modifiable-0) to improve home sanitation, they can develop an environment favorable to health.

Preventive 2/3x1 0.67 As healthcare providers, we can implement interventions as appropriate to their
Potential (highly-3, situation, we can teach them on the significance of having good home sanitation and at
moderate-2, low-1) the same time, collaborate with them and together, perform the measures or techniques,
so that even in our absence, they can be independent and know what they’re doing. For
instance, we could show them how to organize their wastes, using garbage bags to
effectively contain them, or for biodegradables, to make a pit away from the house, for
the decomposable wastes.
However, this is considered moderate in preventive potential, because of the presence of
environmental factors, whereas in this case, the weather condition interferes with
achieving our goal of eliminating presence of mosquitoes attributed to unsanitary waste
disposal, in a way that, since it’s always raining nowadays at their area, there is
increased number of mosquitoes. Meaning, the harm from the problem cannot be
completely eliminated.

Salience 0/2x1 0 The family does not perceive their situation as a problem, they are not aware it’s a
(Problem needing problem. For instance, the fact that it’s okay for them to just throw their wastes behind
urgent attention-2, the toilet and letting plastics scatter around the house.
Problem not
needing urgent
attention-1,
Not a felt problem-
0)

TOTAL SCORE: 3.34

NCP

Health Family Nursing Goal of Care Objectives of Care Intervention Plan

Problem Problems
Nursing Interventions Method Resources Required
of
Nursing
Family
Contact
Poor Inability to provide After five hours of nursing After five hours of Independent: - Home Human:
Home a home intervention the family will nursing Visit
Sanitation environment be able to demonstrate an interventions, the - Phone - the family’s trust and
1. Establish rapport and cooperation.
conducive to health understanding of proper family will be able Calls
conduct family health
maintenance and sanitation and hygiene to demonstrate the Materials:
teaching sessions on the
personal practices and will following:
significance of sanitation
development due implement these practices - Family members - Garbage bags or
and hygiene, explaining the
to: effectively within their will verbalize the recycled sacks for
impact on health and well-
home environment. importance of containing wastes
1. Lack being.
sanitation and and demonstrating
of/inadequate hygiene. proper
knowledge of the 2. Collaborate with the
seggregration.
importance of family in identifying factors
sanitation and - Family members contributing to poor - Shovel for
hygiene. will demonstrate sanitation, and as together, implementing our
proper sanitation carry out solutions or intervention of
2. Inadequate techniques or measures for improvement, creating a garbage
knowledge of preventive such as creating a pit, pit and improving
preventive measures. gathering the wastes around their drainage canal.
measures the house.
- Soap for
3. Inadequate - The family will demonstrating
family resources, identify and utilize proper hygiene or
3. Facilitate hands-on
specifically limited available resources sanitary practice of
sessions demonstrating
physical resources. for improving effective
proper techniques for waste
sanitation. handwashing.
disposal(proper segregation),
cleaning, and personal
hygiene practices (proper
handwashing)