CASE-STUDY-FINAL-CHN
CASE-STUDY-FINAL-CHN
Submitted by:
Lallen, Kaila Nicole Y.
Liboon, Keana Kerstie
Makasulay, Normal L.
Lumuntod, Acrema A.
Haguire, Muday G.
Nuguit, Norelyn P.
Octavio, Chisca P.
Oledan, Danica F.
Mama Norhamen
Submitted to:
Joseph D. Maambong R.N
Clinical Instructor
November 2022
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TABLE OF CONTENTS
Title Page ii
Table of Content ii
Acknowledgement v
Chapter I – Introduction
A. Introduction 2
Specific Objectives 3
General Profile 5
B. Barangay Leaders 10
C. Barangay History 11
D. Health Services 12
E. Spot Map 14
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B.2 Educational Attainment of each member 18
C.1 Housing 19
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D.2.3 Nutritional Status 33
E.3.2 Exercise/Relaxation/Activities 35
Chapter IV Assessment
Chapter V
Scaling / Computation 49
Chapter VI
Prioritization of Problems 50
Chapter VII
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PATIENT PROFILE 57
APPENDICES 63
REFERENCES 66
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ACKNOWLEDGMENT
Teamwork played a crucial part in the creation of our article and enabled us
to conduct our case study. And with the assistance of the people listed below, who,
despite the difficulties we faced while conducting this study, inspired us in some manner.
First of all, we are grateful to our heavenly Father who has provided us with His wisdom
and understanding during all of the difficulties our group has faced and the strength He
granted us to complete this case study.
Our sincere gratitude to the Ompong family for providing us with the essential details
and for accepting us in your humble home.
To our clinical instructors; Mr. Joseph D. Maambong R.N, Mrs. Lorelie R. Dayondon
R.N, and Mrs. Caridel Guillardo. Thank you for inspiring us, for the advice, guidance,
and experiences.
And most importantly to our parents for their unwavering support and never-ending
understanding.
To all the group members, specifically Norelyn Nuguit, Chisca Octavio,Kaila Lallen,
Danica Oledan, Keana Liboon, Mama Norhamen, Acrema Lumuntod, Bebe Makasulay,
and Haguiar Muday, for the time and efforts in conducting this case study.
Our sincere thanks and appreciation go out to everyone who contributed to the success
of this study; we appreciate your help.
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CHAPTER 1
INTRODUCTION
Community is a group of people living in the same place or having a particular
characteristic in common, the basic unit of community is the family, composed of a mother,
father and children can be a nuclear, extended, blended, and single parent. The family name is
Ompong family which is a single parent, Tatay stays at home because of his illness, and his
eldest son is doing a part-time job. The family depends only on the eldest son's income.
Family is important because they can offer support and security coupled with unconditional love,
they will always look to see and bring out the best in even if you cannot see it for yourself.
According to Burgess and Locke, “Family is a group of persons united by the ties of marriage,
blood, or adoption; consisting a single household, interacting and intercommunicating with each
other in their social roles of husband and wife, mother and father, son and daughter, brother and
sister creating a common culture,”
We chose Tatay Edgar since we believe the family requires nursing care. It is our
pleasure to be the family’s advocate for nursing care. Health education and as a change agent
is in line to assist the family in assessing each of their needs and planning, utilizing, and
improving care for health illness.
The “local extended” family, consisting of two or three separate households that live
close by, meet almost daily and offer each other mutual support;
the “dispersed extended” family is also made up of two or three households, but they do not live
close by. They meet less often, but contacts remain frequent, and they help each other out; the
“attenuated extended” family, whose members are much less in touch, independently of the
households’
location. (Lelièvre et al., 1998).
The global family begins at conception. Every person born into this world enters into a
global society in which beliefs and ideas about the meaning of life and its purpose are shared,
regardless of one’s country of origin or the demographic characteristics of one’s birth parents.
(Petrovic, Kimberly 2014)
National family -family is a group of two or more persons related by birth, marriage, or
adoption who live together; all such related persons are considered as members of one family.
(Hill Burton, 1978)
GENERAL OBJECTIVES:
The main target of this case study is to determine the health status condition and
lifestyles of family Ompong. Identifying the essential data needed for recognizing the Family’s
problem also helps the researchers to formulate the nursing care plan for health assessment of
the health problems and conditions of the family.
Specific objectives:
Step 1. Conduct courtesy call to the barangay officials.
Step 2. To make a good relationship to the barangay officials of Ilomavis.
Step 3. Collaborate with the barangay officials of Sitio 2 Sayaban Barangay Ilomavis, Step 4.
Kidapawan city for permission, security and guidance.
Step 5. Conduct surveys on socioeconomic status, family structure and dynamics, each family
members health status and cultural practices in response to health in general.
Step 6. Find a worth it family for the case study based on the assessment tool.
Step 7. Establish rapport to the chosen family and collect information using the health
assessment tool.
Step 8. Prioritize the specific respondent health issues an and create nursing care plan.
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SIGNIFICANCE OF THE STUDY
This case study focuses the health problems and environment. Regarding to the
chosen respondent’s family at barangay Ilomavis Purok 3 Block 8 Lot 23 Kidapawan city. This
study has a benefit to the selected patient to solve the problem it brings to address the problem
of how to pick up and encourage the patient to know the pain it carries for ten months.
Knowledge to our students and back to the knowledge problem we need to emphasize and
address is a good example of a strong and loving nurse.
Focus to the case study we conducted we are based on a possible solution to sir
Edgar’s illness and an immediate solution to help because he doesn’t have money or job to
sustain the needs of the patient especially to his medicine and daily food.
This case study is limited only to the family of Mr. Edgar Ompong furthermore, the study
is focused on the health status and the factors that may affect the health of the family Mr. Edgar
Ompong.
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BARANGAY PROFILE FORM
GENERAL PROFILE:
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BARANGAY HEALTH STATISTICS/ HEALTH DATA:
ALL IP
under 1 yr old 38 26 33 26
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All Ip
Barangay Health Facility, Acces To Refferal Hospitals, Human Resources For Health, Available
Medicines:
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Name Of Nearest Rhu/Main Health Center Ma-An Urban Health
Center
Presence Of Barangay Haelth Station Yes
Nurse Available In The Barangay (With Or Without Bhs) With Dedicated Doh Rn
At Least 5 Days/Week
Midwife Available In The Barangay (With Or Without Bhs) With Decicated Lgu Rm
At Least 5 Days/Week
Total Number Of Barangay Health Workers In The Barangay 7
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If There Are Military Operations/Insurgent Activities In The None
Barangay, How Often Did It Occur?
Health Status:
Top Ten Leading Causes of Mortality Top Ten Leading Causes of Morbidity
Hydrocephalus 1 Wound 8
Ptb 4
Diabetes Mellitus 3
BARANGAY LEADERS:
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Committee on Education: HON. CHRISTOPHER P. DAMO SR.
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History of Barangay Ilomavis
Ilomavis is a barangay located in the city of Kidapawan, North Cotabato province. Before
being separated from barangay Ginitilan in 1972, led by the former Capitan Priscilo Padua Sr.
Ilomavis was just a sitio. The Datu Umag Serano and Baltar families were among the first
settlers in Barangay Ilomavis. Priscilo Padua Sr., the first barangay captain, informed the public
that the region will soon become a typical barrio. Mr. Priscilo Padua was successful in
establishing and transforming Ilomavis into a full barrio despite the political interference of the
first administration. Fortunately, it was recognized as a full-pledged barrio by 1970's Resolution
Number 33 Series. Mr. Priscillo Padua Sr. Dedicated his life serving the brgy Ilomavis for almost
30 years, followed by brgy captin Honorable Pablo Iyong he served fpr 3 years, later on the
responsibility was passed on to brgy Captain Honorable Damaso A. Bayawan who served for
more than a decade. The word Ilomavis was coined by three tribes; Ilo for Ilocano, Ma for
Manobo and Vis for Visaya.
Barangay Ilomavis
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BARANGAY HEALTH STATION
SERVICES OFFERED
MEDICAL
TETANUS-DIPTHERIA IMMUNIZATION
FAMILY PLANNING
IUD INSERTION-REFERRAL
DMPA INJECTION
COUNSELING
PAPSMEAR-REFERRAL
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IMMUNIZATION SERVICES
PCV VACCINES
NUTRITION
OPERATION TIMBANG/OPT
UNDER FIVECLINIC
DEWORMING, VITAMIN A
ENVIRONMENTAL SANITATION
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SPOT MAP
The Ompong
3 residence
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A. FAMILY STRUCTURES, CHARACTERISTICS AND DYNAMICS
A.1 Members of the household and relationship to the head of the family
The ompong family is classified as a single parent type family. Their family composed of
husband, Mr. Edgar Ompong Sr. 50 years old and eldest son Joey Ompong 19 years old and
the youngest son Edgar Ompong Jr. 16 years old.
A. 2 Demographic Data
Mr. Edgar Ompong is the head of the family but due to his illness he can’t work. It is
the eldest child Joey Ompong is the only one who is working in the family. He is a
construction worker and he only earns P250.00 a day.
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SUMMARY OF THE OMPONG FAMILY MONTHLY EXPENSES
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B.1.2 Adequacy to meet basic necessities
The income of Joey Ompong, Mr. Edgar Ompong’s son is not enough to meet the needs of his
family. If they had an extra budget, they would buy delicious food like fish. The foods they
usually eat are vegetables and fish. Sometimes their clothes are given to them by their relatives
and neighbors.The house where they live is given to them by the government.
Mr. Edgar Ompong Sr. who is the father has no job because of his condition, but he had 2 sons
who helped and provide the food and things they needed. His eldest son, Joey, is the one who
is working for the family. The neighborhood of Mr. Edgar also gives them some food and the
kinds of stuff they need for their daily living. The food they usually eat is vegetables and fish if
they have extra money to buy but they can’t eat meat because of Mr. Edgar’s condition who is
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not allowed to eat meat and oily foods. The house given by the government is already owned by
Mr. Edgar.
B.1.3 Who makes decisions about the money and how it spend?
The family income comes from his eldest son who has a work and he is the one who is
responsible for budgeting their daily expenses.
B.2. Educational Attainment of each member
Mr. Edgar Ompong Sr. finished Elementary at Sayaban Elementary School, his eldest son Joey
finished Elementary on Mua-an Integrated School and his youngest son Edgar Jr. is currently in
Grade 7 at Mu-an Integrated School.
Mr. Edgar Ompong Sr. and his family migrated from Sayaban, Kidapawan city. They belong to
the ethnic group Manobo tribe. They speak Cebuano and Manobo. Their religion is the Church
of Christ.
Mr. Joey is the one who shops for their necessities and provides his brother with any extra cash
he has. Before leaving for school, the youngest prepares and looks after his father's meals.
Mr. Edgar was unable to work due to his illness; instead, Mr. Joey the eldest son who works as
a construction worker temporarily provides for the family's needs.
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c. Home and Environment
The back view of the Ompong’s house The side view of the Ompong’s house
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c.1 HOUSING
Heavy materials were used to build the house. Hardiflex was used to construct the walls and
ceiling. The roof was built of hi-rib. A floor mat is used to cover the floor.
Their room
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c.12 Floor Plan
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Computation
ii. Bedroom
TFA = 2.3m x 2.75m
TFA = 6.325sq. m.
TSR = 9sq. m.
TFA < TSR [ crowded ]
Ventilation
1
V = x 100
6.325
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c.13 Sleeping Arrangement
The family sleeps separately with two beds inside a room. The family sleeps on a wooden bed
inch above the ground.
c.1.4.Perfect breeding ground or resting places for disease-carrying organisms. In the corner of
their bedroom, a little table with a floor mat on top serving as their clothes organizer and in their
kitchen an uncleaned fabric can be contaminated.
Sharp objects and firewood were not placed in a secure area. The corners of the cooking area
are stacked with wood, which makes it unsafe because if the fire ignites, it will spread and
become unmanageable. Bolo and other pointed objects may be seen from outside the house.
As sir Ompong verbalized “gina butang lang namo duol sa lutoanan para inig mag bugha mig
kahoy pang luto ma abot ra namo.” (We just put the bolo near the cooking place where we can
reach it to cut the woods immediately for cooking).
Fire Hazard
Sharp/pointed
objects
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C1.5 Food Storage and Cooking Facilities
The Ompong family use “kaldero” (cauldron) when cooking rice and they have pan when
cooking their viand and kettle for making coffee. They use firewood when cooking their
meals.
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c1.8 Toilet facility
Their toilet facility is water sealed. It is located inside their house it has a good facility it is
clean and presentable comfort room. Water needed for flushing is already inside the
toilet because they have faucet in there.
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c.1.10 Drainage System
They have an open drainage which can be seen outside their house.
C.1.11
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c.2 Kind of neighborhood
They lived a simple life, in the community where some of their neighbors are their
relatives.
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Lake Agco Integration School
Basketball Court
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c.4 Communication and transportation facilities
They solely use cellphone to communicate with their friends and family at a distance. A means
of transportation is a motorcycle.
Medical and nursing history indicating current or past significant illness or belief and practices
conducive to health and illness.Mr. Edgar Sr. was diagnosed with Hepatorenal Syndrome last
January 2022 at Cotabato Provincial Hospital at Amas by Dr. Hartzyll Vergabera. He
experienced the signs and symptoms of complications in the liver such as abdominal pain and
changes in urination last 2021 but he ignored it until his abdomen became bigger. He was an
alcoholic who was constantly inebriated after work because his wife had left him for the second
time. Due to his despair, drinking alcohol after work has become a pastime. Not until January he
decided to have a check-up because of the symptoms and later on was diagnosed. Mr. Edgar
had been diagnosed 11 months ago and was supposed to go to the hospital every month to
have the fluids in his abdomen removed, but due to his financial situation, he only went three
times.
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D.2. Nutritional assessment
The Ompong family lived in Sitio Sayaban barangay Sudapin Kidapawan city. The head of the
family Mr. Edgar and together with his two children namely Joey Ompong and Edgar Ompong
Jr.
A. ANTHROPOMETRIC DATA
Mr. Edgar Ompong’s sons Joey and Edgar Jr. are fully immunized.
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BMI (Body Mass Index) Formula and Computation
Weight in kgs
ADULT:
Below 18.5 - Underweight
18.5 – 24.9 - Normal
25.0 – 29.9 - Overweight
30.0 & above - Obese
(Edgar Ompong)
65 kgs
=
1.63 (2)
= 65
2.66
= 24.44
(Joey Ompong)
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55 kgs
=
1.60 (2)
= 65
2.56
= 21.48
56 kgs
=
1.57 (2)
= 56
2.46
= 22.76
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D2.2. Dietary history specifying quality and quantity of food nutrients intake per day
They purchased foods and necessities needed on credit from their neighbor's sari-sari shop. They
merely include it as verbalized by Mr. Edgar. "Tapos, sagulan lang namo daghan na gulay." (If we have
enough money, we will buy 1/4 of meat and fish and serve it with vegetables.) Despite being a poor
family, they eat three times every day and occasionally have a snack. Sardines are usually their first
course at 6:45 in the morning, followed by vegetables for lunch at 12:00, then fish soup or whatever is
left over from lunch for supper at 7: 00 pm. Regarding the Ompong family's daily fluid intake, Mr. Edgar
drinks at least 4 glasses of water, Mr. Joey consumes 7 to 8 glasses, and Edgar Jr., the youngest member,
consumes 6 to 7 glasses.
Since Mr. Edgar Sr. is unable to work, he has a child who supports them. However, even
his wage is insufficient to meet their daily needs, their neighbor helps them out by giving foods
and other necessities. That is why, even at their most vulnerable, they are able to fight off
diseases that arise from starvation. Mr. Joey, Mr. Edgar Jr., and Mr. Edgar Sr. all have stage
vital signs.
VITAL SIGN
Edgar
Ompong
50 M 110/60 36.7°C 60bpm 83 17bpm Normal
Sr.
Joey
ompong
19 M 110/70 35.2°c 84bpm 68 19bpm Normal
Edgar
Ompong
16 M 110/75 36.5°c 78bpm 84 18bpm Normal
Jr.
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D.3 Risk Factor assessment indicating presence of major and contributing modifiable risk factor
for specific lifestyle disease.
Filthy canals, improper rubbish disposal, and exposed plastic gallon containers used to
store water for everyday purposes are all thought to be contributing factors to the Ompong
family's health problems.
Edgar Sr. has Hepatorenal syndrome due to excessive intake of alcohol at 50 he was
diagnosed last January 2022 at Cotabato Provincial Hospital at AMAS by Dr. Hartzyll
Vergabera. Edgar Sr. verbalized that “Pagbiya sa akoang asawa nag cge kog inom gikan ko sa
trabaho wala pako kaon, buntag pa sayo ga sugod nako og inom og ilimnon”. (After my wife
abandoned me. I was drinking from work, I didn't eat anything, and I started drinking all
morning.) His nose is symmetrical with two nostrils and has a clear airway. His color is
jaundiced due to his disease. His arm and feet are dry and too slightly cracked and scaly and
his abdominous. His height is 5’4, weight is 65. He has a respiration of 17 beats per minute and
cardiac rate is 83. His blood pressure is 110/60. Due to lack of money, they can’t have their
monthly checkup and removal of fluids in the abdomen of Mr. Edgar Sr.
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E. Values, Habits, Practices on Health Promotion, Maintenance
Joey Ompong, the first child of Mr. Ompong, is 19 years old and is fully immunized, and
also Edgar Jr. Ompong, who is 16 years old, has had all fully vaccinated.
Living a healthy lifestyle is really important for everyone. Despite their precarious financial
situation, they manage to maintain a healthy lifestyle, which includes drinking herbal medicines,
eating nutritious meals like vegetables, and going to bed early so they can get a full eight hours
of sleep.
When it comes to their rest & sleep, the whole family sleeps together at exactly 7:00pm or 8:00
pm & they woke up at 5:00 or 6:00AM
E.3.2 Exercise/Relaxation/Activity
They engage in things like socializing with neighbors and watching television as ways of
relaxing and managing their stress, Mr. Edgar verbalize” Naga lakaw ko padulong sa pikas
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balay sa akong igsoon para mu tan-aw ug salida.” (I walk to my sister’s house to watch tv to
unwind.) Mr. Edgar Ompong appreciates getting some fresh air when he relaxes by strolling to
the roadside where their little terminal is located. He was unable to perform in any family choirs
because of his illness. However, Edgar Jr. is in charge of cleaning the house, including cooking
their meal, and washing their clothes. While his elder child is working part-time.
Despite their financial difficulties, the family's health remained their top priority. To prevent
mosquito bites that could cause dengue, they have mosquito nets. Sir Ompong wears slippers
when leaving their home. Their home is clean and well-kept.
Mr. Ompong enjoys venturing outside and enjoys going to his sibling’s house to watch tv and
spend time with them.
Chapter IV
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1.Hepatorenal syndrome 2. Accident hazard
A. Pointed sharp
objects such as
bolo inside the
house
B. Fire hazard
3. Poor environmental
condition/sanitation.
A. Improper garbage
disposal
B. lack of food storage
facilties
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A. Health Deficit
Edgar Sr. 50 years old, with Hepatorenal 1. Malfunction of liver to filter water as a
syndrome due to excessive intake of health deficit
alcohol
Edgar Sr. Verbalized:
“Pag-biya sa akoang asawa nag cge kog
inom gikan ko sa trabaho wala pako kaon,
buntag pa sayo ga sugod nako og inom og
ilimnon” (“When my wife left, I began
abusing alcohol to drown myself. I will
consume alcohol after work and in the
morning without eating”)
B. Health threat
Pointed sharp objects such as bolo
place on the ground.
Edgar Sr. Verbalized: 2. Presence of sharp objects such as “bolo”
“Akong anak ang gagamit man gd ana,tapos everywhere the house- accident hazard
diha lang niya ginabutang aron dali niya
makita” (“The bolo is regularly used by my
kid, who just places it on the ground after
using so that he can see it right away”)
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Edgar Sr verbalized: 3. Improper placement of lighter and
“Dihaa lang namo ginabutang kay naa man firewood- Fire hazard
uban kahoy na basa, para ma uga og ma
gamit namo, og kanang lighter kay na anad
judt mi na dha ibutang para pag maghaling
dli na maglisod og pangita” (“We just placed
it there since some firewood is wet; if it dries
out,we may use it, we used to place to lighter
there for easy access”)
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ma kuha diha kay wala man mi tarong pud
na mabutangan usahay kay gina butang
namo sa yahong ”(we will just put our left
overs inside the pot because we don’t have
a proper storage of our left overs or
sometimes we will put it in a plate).
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A. Health Deficit A. Malfunction of liver to filter water as a
Edgar Sr. 50 years old, with health deficit
Hepatorenal syndrome due to 1. Inability to remove urine and waste
excessive intake of alcohol products in the body due to:
Edgar Sr. Verbalized: a) Kidney failure related to excessive
“Pag-biya sa akoang asawa nag cge kog alcohol intake.
inom gikan ko sa trabaho wala pako kaon,
buntag pa sayo ga sugod nako og inom og
ilimnon” (“When my wife left, I began
abusing alcohol to drown myself. I will
consume alcohol after work and in the
morning without eating”)
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fireplace. firewood-fire hazard
Edgar Sr verbalized: 1. Inability to provide a home
“Dihaa lang namo ginabutang kay naa environment conducive to health
man gudt uban kahoy na basa, para ma maintenance and personal
uga og ma gamit namo, og kanang development due to:
lighter kay na anad judt mi na dha a Lack of skills in carrying out measures
ibutang para arong maghaling dli na to improve home environment.
maglisod og pangita” (“We just placed it b failure to see benefits (specifically long
there since some firewood is wet; if it term ones) of investments in home
dries out,we may use it, we used to place improvements
to lighter there for easy access”)
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Inadequate food storage F Lack of proper food storage as a
Edgar Sr. Verbalized: health threat
“kana amoang bahaw na kan on dha 1. Lack of knowledge on preventive
lang namo na gina butang sa kaldero dili measures and the importance of
namo ma kuha diha kay wala man mi proper hygiene and sanitation.
tarong pud na mabutangan usahay kay 2. Inability to recognize the presence of
gina butang namo sa yahong ”(we will the problem due to inadequate
just put our left overs inside the pot knowledge.
because we don’t have a proper storage
of our left overs or sometimes we will put
it in a plate)
Chapter V
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Scaling for Ranking Health Condition Problem
Table 4. Scale for ranking health conditions and problems according to priorities
Criteria Weight
1. Nature of 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, 2
needing immediate action
A condition or problem not 1
needing immediate action 1
Not perceived as a problem or 0
condition needing change
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CRITERIA COMPUTATION SCORE JUSTIFICATION
It is a health deficit that
NATURE OF THE 3/3x1 1 requires prompt attention.
PROBLEM Because it is a life
threatening complication
of advanced liver disease
that affects kidney
function that may lead to
death and other
complications such as
sepsis.
It is partially modifiable
MODIFIABILITY OF 1/2x2 1 since Edgar Sr. Had
THE PROBLEM medication but he can’t
attend to his monthly
check up because of
financial problem.
It is low preventable
PREVENTIVE 1/3x1 0.33 because the only solution
POTENTIAL is liver transplant but the
family resources is the
problem.
The family recognizes it
SALIENCE OF THE 2/2x1 1 as a problem that need
PROBLEM immediate action but they
are lack of financial.
TOTAL 3.33
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Pointed Sharp Objects
It is easily modifiable
MODIFIABILITY OF 2/2X2 2 because The family keeps
THE PROBLEM sharp objects in their
designated safe locations.
It is highly preventable
PREVENTIVE 3/3X1 1 because the family takes
POTENTIAL action on keeping away the
sharp objects from people.
TOTAL 4.66
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Criteria Computation Score Justification
It is a Health Threat
because If not
NATURE OF THE 2/3X1 0.66
immediately address
PROBLEM
that might potentially
cause fire because the
cooking materials like
firewood was found at
the cooking area.
Partially modifiable
because resources
MODIFIABILITY OF 1/2X2 1
needed to solve the
THE PROBLEM
problem are already
available to the family
but they don’t take
actions.
It is moderately
preventable because the
PREVENTIVE 2/3X1 0.66
family take actions but
POTENTIAL
they only use the ash to
pull out the fire.
TOTAL 2.82
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CRETIRIA COMPUTATION SCORE JUSTIFICATION
It is a health threat because this
NATURE OF 2/3X1 0.66 can cause vector-borne diseases
THE PROBLEM cause by pathogen such as
diarrhea.
TOTAL 2.49
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CRITERIA COMPUTATION SCORE JUSTIFICATION
It is partially modifiable
MODIFIABILITY 1/2X2 1 since the family uses
OF THE different and improvised
PROBLEM storage to store the food
because they are lack of
financial.
It is moderately preventable
PREVENTIVE 2/3X1 0.66 because they know how to
POTENTIAL practice proper sanitation of
the dishes to eliminate the
pathogens but they don’t
have proper storage to store
their left overs.
TOTAL 2.82
Chapter V
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SCALING COMPUTATION
2/2 X 2 = 2 1/2 X 2 = 1
1/2 X 2 = 1 1/2 X 2 = 1
2/3 X 1 = 0.66
1/2 X 2 = 1
2/3 X 1 = 0.66
1/2 X 1 = 0.5
PRIORITIZATION OF PROBLEMS
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Problems Score Rank
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Family Nursing Care Plan
INTERVENTION PLAN
HEALTH FAMILY GOAL OF CARE OBJECTIVES OF NURSING METHOD OF RESOURCES
PROBLEM NURSING CARE INTERVENTIONS FAMILY-
PROBLEM CONTRACT
1. Pointed sharp Incapacity to After the During the Give health teaching on -Home visit Material Resou
object make decisions interventions the interventions the how to prevent or minimize -Health Teaching -give idea som
with regard to family can able to: family will: injury. -assessments container for sh
taking the proper make plan on 1. Recognize objects.
health actions how make the the Inform them of any issues
due to a low- interventions significance in their home that can
salience issue. effective of safety. cause accidents.
Failure to identify taking the proper 2. Identify the Provide advice on how to
the factors in precautions to presence of safely store sharp and Human Resou
improving home avoid accidents or the existing dangerous objects:
environment to any harm. problem Keep out of reach of Time and effor
prevent children students and n
accidents. Understand the b. Locate a safe place to teaching.
essence of hide of pointed objects.
removing and c. putting them somewhere
preventing where the child can't see
hazards both
within and outside
the home
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HEALTH Family Nursing GOAL OFCARE OBJECTIVE OF INTERVENTION PLAN
PROBLEM
Problems CARE
NURSING INTERVENTION METHODS RESOURCES REQUIRED
2.Hepatorenal Malfunction of liver After the nursing During nursing 1. Close observation, -Home visit Material Resources:
to filter water as a interventions the provide care and nutrition
Syndrome intervention, the
health deficit. family will: counselling. -Assessment -Calendar method for the
family is aware to
A. Inability to a. Understand A. Encourage patient to treatment.
remove urine and what will be the that intake increase activity gradually -Health
waste products in possible outcome if of fluid and plan rest with activity teaching - graphic aids on the liver
the body due to: should be and mild exercise that show how to stop the
they will tolerate minimize. condition from getting
Kidney failure B. Encourage patient to eat:
the excessive provide small, frequent worse.
related to excessive b. Know the
intake of fluid of importance meals,and consider patient
alcohol intake of preferences, provide protein
the client.
assessment supplements. Human Resources
of the Monitoring nad managing
Doctor. -Time and effort of both
c. Can complications (monitor
enumerate intake and output daily the nurse and the famil
the foods
and other weight changes, changes in
things to abdominal girth and edema
understand
to prevent formation)
the disease
get worse.
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HEALTH FAMILY NURSING INTERVENTION PLAN
PROBLEM PROBLEM GOAL OF CARE OBJECTIVES OF
NURSING METHOD OF RESOURCES REQUIRED
CARE
INTERVENTIONS FAMILY-
CONTRACT
3.Presence of fire Inability to provide a After the nursing During nursing 1. Describe and debate -Home visit Material Resources
home environment interventions the what causes fire hazards. -Health -Visual aids
hazards intervention the
conductive to health family will: tackle the topic of Teaching -Pictures
maintenance and family can 1. define preventing threats like -Demonstration of first aid
personal what is all fire.
understand the
development due to: about fire Human Resources
Inadequate family benefits of safe and hazard 2. Provide advice on how - Investing time and energy
resources; 2. Recognize to safely store sharp and in teaching individuals
appropriate
specifically financial the dangerous objects: about avoiding dangers.
resource. environment and presence
of
able to decide on
Failure to see the accidents
factors in improving proper actions to Knowing the
home environment
prevent occurrence importance and
of fire benefits of
eliminating and
preventing the
hazard inside and
outside the home.
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INTERVENTION PLAN
FAMILY NURSING GOAL OF CARE
HEALTH OBJECTIVES OF CARE
PROBLEM NURSING METHOD OF RESOURCES
PROBLEM
INTERVENTIONS FAMILY- REQUIRED
CONTRACT
3.Presence of fire Inability to provide After the nursing During nursing 3. Describe and - Home visit Material Resources
a home interventions the family debate what -Health -Visual aids
hazards intervention the
environment will: causes fire Teaching -Pictures
conductive to family can 3. define what is all hazards. -Demonstration of first aid
health maintenance about fire hazard tackle the topic of
understand the
and personal 4. Recognize the preventing threats Human Resources
development due benefits of safe and presence of like fire. - Investing time and
to: accidents energy in teaching
appropriate
Inadequate family Knowing the importance 4. Provide advice individuals about avoiding
resources; environment and on how to safely dangers.
and benefits of eliminating
specifically financial store sharp and
able to decide on
resource. and preventing the hazard dangerous
proper actions to objects:
inside and outside the
Failure to see the
prevent occurrence
factors in improving home.
home environment of fire.
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INTERVENTION PLAN
HEALTH FAMILY NURSING GOAL OF CARE OBJECTIVES OF
PROBLEM PROBLEM CARE NURSING METHOD OF RESOURCES
INTERVENTIONS FAMILY- REQUIRED
CONTRACT
4.Lack of food Lack of proper food The family will be After the nursing 1. Assist the condition -Home Visit -Time and effort
storage as a health intervention the family of the house and the of the student
storage facilities able to recognize
threat will: client’s level of -Health Teaching nurses and
the problem as a knowledge. family working
1. Lack of 1. Demonstrate an -Interview together.
health threat and understanding on the Method
knowledge on 2. Discuss general
preventive will make health teachings with safety concerns with
measures and the regards to the possible client.
necessary action effects of not having
importance of proper
hygiene and to lessen the risk proper storage facilities 3. Assist the client in
sanitation for their food. storing their foods in
and properly
container separating
2. Inability to manage the 2. Show compliance condiments and raw
recognize the on measures on how to vegetables and lastly
problem. srore their food
presence of the in cleaning the area
problem due to properly. near their storage.
inadequate
knowledge
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INTERVENTION PLAN
HEALTH FAMILY NURSING GOAL OF OBJECTIVES OF
NURSING METHOD OF RESOURCES
PROBLEM PROBLEM CARE CARE
INTERVENTIONS FAMILY- REQUIRED
CONTRACT
5..Improper Poor environmental After the nursing After the nursing a.Discuss with the -Home visit Materials
condition/sanitation intervention the intervention the family family the -Health teaching resources
garbage.
family will be will: differents -visual aids
disposal 2. Inability to provide able to know the 1. Identify the different methods of -pictures
a home importance of ways on proper disposal garbage disposal
environment proper waste of garbage. Human
conducive to health b.Teach the resources
disposal and
maintenance and family how to
proper sanitation
personal 2. Know the positive make a compost -Investing the
development: to have a time and effort in
affects of proper pit.
healthy teaching
garbage disposal.
b. Lack of time environment c.Discuss with the individuals on
in carrying family the affects how to
out of proper and segregate trash.
measures to 3.realize the affects of
improper garbage
improve garbage to the whole. disposal.
home
environment
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HEALTH PROFILE
A. DEMOGRAPHIC VARIABLE
3. Patterns of Migration
1.a Means
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Cebuano Manobo Bagobo Ilocano
Muslim B’laan Ilonggo Others:
3. Housing Facility
Owned Rented Rent-Free Others(specify):
3.a Ownership
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3.f.2 Storage
Direct from Clay Plastic Can Others, specify:
Source Jar Container
--------------------------------
Covered Uncovered
3.iBathing Facility
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4.c Terrain Characteristics
Mountainous Valleys Swampy Roads
Steep Stopes Zigzag Roads Plain
5. ECONOMIC INDICATOR
5.a. Employment Status
6. CULTURAL VARIABLES
6.a. Tribe/Ethnic Origin
6.b. Religion
Christian Islam Others: Church of Christ
Denomination:
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6.d. Family Planning Method Used
Condom Pills Depo Rhythm Ligation
2. Immunization Status
Name of Child Age/ Gender Immunization
Joey Ompong 19/M FULL
IMMUNIZATION
Edgar Ompong Jr. 16/M FULL
IMMUNIZATION
3. Nutritional Status
3.a Meal Pattern
2x a day 3x a day 4x a day
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No Yes Type of Food
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Appendices
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Figure 1: Going to Barangay Ilomavis on day one for the first community health
exposure.
Fgure 2: Shows the arrival of group members and Clinical Instructor’s in the
barangay Hall of Barangay Ilomavis.
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Figure 3.1: Ompong Family Residence Figure 3.2: Mr. Edgar
Respondent of the group is the family of Mr. Ompong(Figure 3.2) currently living
Ompong
in Purok 3, Block 8, lot 23 Barangay Ilomavis, Kidapawan(Figure 3.1)
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Figure 5: Interview and gathering of information for Mr. Edgar Ompong. Asking
questions, and taking pictures for the documentation are done.
.
Figure 7: Members of the group carrying the tokens that were given to the Ompong
Family as a form of gift for their generosity and patience in spending time with us
during our last exposure.
References:
CAIRN International
https://www.cairn-int.info › article-…The Local Family Circle
vc.bridgew.edu
https://vc.bridgew.edu › vol15 › iss1 “The Global Family Begins at
Conception” by Kimberly Petrovic
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Health Resources and Services Administration (.gov)
https://www.hrsa.gov › hill-burton Definition of Family
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