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Assignment in COMMHEN

Submitted by: Jeanneth Flores Lynette Roldan Lea Mae Handayan Joseph Rocaverte Trixie Gamotin Submitted to: Mrs.Corazon Duran

Brgy. Rizal Community


I. Goals and objectives To be able to achieve integration within the family and to promote health education and active participation in terms of general and distinct health necessities, distribution of selected environmental, socio-economic and behavioral conditions that is important to disease control and wellness promotion and overall to be able to study the conditions of the community with focus on the health aspects. II. Types of data to be collected The data obtained from a total of five families respondents are summarized as follows: A. Demographic profile Table 1. Distribution of the family respondents according to their head of the household belief Father 5 Mother 0 Others 0 Table 2. Distribution of father/husband according to age. 35-39 years old 1 40-44 years old 0 45-49 years old 2 50-54 years old 2 Table 3. Distribution of wives/mother according to age. 30-34 years old 1 35-39 years old 1 40-44 years old 1 45-49 years old 2 50-54 years old 0 Table 4. Distribution of father/husband according educational attainment. Elementary level 1 Elementary 2 graduate High School 1 level High School 1 graduate College level 0 College Graduate 0 Vocational 0 2

Table 5. Distribution of mother/wives according educational attainment. Elementary level 0 Elementary 1 graduate High School 2 level High School 1 graduate College level 1 College Graduate 0 Vocational 0 Table 6. Distribution of the family respondents according to length of residency Less than 1 0 year 1-3 years 0 4-6 years 0 7-9 years 1 10-12 years 0 13-15 years 4 Table 7. Distribution of the family respondents according to ethnic Origin. Tagalog 1 Ilokano 3 Ilonggo 1 Table 8. Distribution of the family respondents according to type of family. Nuclear 5 Extended 0 Table 9. Distribution of the family respondents according to religion? Catholic 4 Born again 0 Protestant 0 Iglesia ni 1 Cristo Table 10. Distribution of the family respondents according to Number of children 1-2 2 3-4 3 5 and above 0 B.Socio Economic Condition Table 11. Distribution of the family respondents according to employment status of the father None 0 Self- employed 2 Government 0 employee Laborer 1 Employed 2 3

Table 12. Distribution of the family respondents according to Employment status of the mother None 3 Self- employed 1 Government 1 employee Laborer 0 Table 13. Distribution of the family respondents according to Monthly income More than 0 P5000.00 P 3000.00 2 P 2000.00 3 P 1000.00 or 0 less Table 14. Distribution of the family respondents according to daily food allowances. Up to P 20.00 0 P 30.00 50.00 0 More than 5 50.00 Table 15. Distribution of the family respondents according to purchase of clothes per year. Once 2 Twice 1 Thrice 2 Four times and 0 more Table 16. Distribution of the family respondents according to facilities present at home. Electricity 5 Water 5 Telephone/cellph 5 one Table 17. Distribution of the family respondents according to type of schooling. Public 5 Private 0 C.Housing and Environment condition Table 18. Distribution of the family respondents according to type of house. Concrete 0 Wood 5 Mixed 0 Makeshift 0 Table 19. Distribution of the family respondents according to house ownership. Owned 5 Rented 0 Table 20. Distribution of the family respondents according to ventilation. Poor 0 Good 5 4

Table 21. Distribution of the family respondents according to lightning. Adequate 5 Inadeaquate 0 Table 22. Distribution of the family respondents according to surroundings Dirty 3 Clean 2 Table 23. Distribution of the family respondents according to source of water Artesian well 0 NAWASA 4 Rasyon 0 Deep well 1 Table 24. Distribution of the family respondents according to water storage Uncovered 0 Covered 0 Refrigerated 5 Table 25. Distribution of the family respondents according to water Container Plastic 0 Jars 0 Bottle 5 Table 26. Distribution of the family respondents according to type of toilet Flush 1 Pit Privy 4 Balot 0 Table 27. Distribution of the family respondents according to toilet Ownership Owned 0 Shared 5 Table 28. Distribution of the family respondents according to Garbage disposal Collection 0 Garbage cans 0 Burnings 0 Open dumping 5 Others 0 Table 29. Distribution of the family respondents according to Food storage Uncovered 0 Covered 0 Refrigerated 5 Table 30. Distribution of the family respondents according to Presence of animals None 1 Dogs 2 Cats 1 Birds and 1 poultry

Table 31. Distribution of the family respondents according to Backyard Gardening None 4 Vegetable 1 Fruit bearing 0 Medicinal 0 Ornamental 0 Table 32. Distribution of the family respondents according to Indigenous health worker Trained hilot 1 Brgy. Health 4 worker Herbularyo 0 Untrained hilot 0 No answer 0 Table 33. Distribution of the family respondents according to Food Preference Fish 0 Fruits/vegetables 0 Meat 5 Mixed 0 Table 34. Distribution of the family respondents according to Nutritional disorder Goiter 0 Anemia 0 Vitamin A 0 Deficiency Table 35. Distribution of the family respondents according to Utilization of health center Yes 2 No 3 Table 36. Distribution of the family respondents according to Reason for going to the health center Illness 0 Pre-natal 0 Post-natal 0 Dental 0 Nutrition 0 Family Planning 0 Well baby 0 Table 37. Distribution of the family respondents according to Consultation when sick M.D 0 Nurse 0 Midwife 0 BHW 5 Hilot 0 Herbolaryo 0 Others Table 38. Distribution of the family respondents according to Common family illness URTI 0 GI Disturbance 0 HPN 0 Skin Disease 0 Fever/Flu 0 6

Chest pain 3 Allergy 1 diabetes 1 TB 0 Anemia 0 Pneumonia 0 Dental Problems 0 Intestinal 0 Parasitism UTI 0 Table 39. Distribution of the family respondents according to Action in times of illness Self treatment 3 Hospital 2 confinement Nursing care 0 given at home Consult at health 0 worker Table 40. Distribution of the family respondents according to Family Immunization Immunized 3 Not immunized 0 Table 41. Distribution of the family respondents according to Family planning method Pills 0 Condom 0 IUD 0 Injectibles 0 Calendar 0 Rhythm 0 Permanent 1 Withdrawal 0 calendar 3 None 1 Table 42. Distribution of the family respondents according to Reasons for not practicing family planning Lack of 0 knowledge Trying to have a 0 baby Unsatisfactory 0 Against belief 1 Hazardous to 0 health Old age 1 Spouse is away 1 Others 2 Table 43. Distribution of the family respondents according to Infant feeding Breast feeding 2 Mixed 2 Bottle feeding 1 7

III. Where and how to collect data needed. The interview took place dated Oct 13, 2010 in Brgy. Rizal Makati, Cityat exactly 10:10 a.m. It lasted for about 3 hours and 45 minutes and we was very glad that all the respondent was very accommodating. We did not hesitate to ask relevant questions because she showed a lot of interest in the conversation. Below is the scoring system utilized by the nurse in deciding which of the problems-need to be prioritized. IV. Prioritizing the problem. Problem: Inadequate Immunization Status of the Child Criteria Nature of the problem Computation 3/3*1 Actual Score 1 Jutification

V.

Where and how to collect data needed.

The interview took place dated Oct 13, 2010 in Brgy. Rizal Makati, Cityat exactly 10:10 a.m. It lasted for about 3 hours and 45 minutes and we was very glad that all the respondent was very accommodating. We did not hesitate to ask relevant questions because she showed a lot of interest in the conversation. Below is the scoring system utilized by the nurse in deciding which of the problems-need to be prioritized. VI. Who to contact for the needed data for the community In terms of the health of the community the people to be contact is the social health workers. They are the one who can really monitor the kind of health problem occur in the community, however the individual help to manage the proper prevention of health treat in the community. VII. Methods/tools that will be used for data collection Demographic Data Socio Economic Condition Housing and Environment condition The tools that we use are the ff: (proceed to next page pls.) 8

VIII.

Prioritizing the problem.

Problem: Inadequate Immunization Status of the Child Criteria Nature of the problem Magnitude of the problem Modifiability of the problem Preventive potential Social concern Total score Computation 3/3*1 Actual Score 1 Justification This is a health status problem because being not immunized can reduced the capability of wellness of a well being especially infant who are required to receive the vaccine. It is 25%-49% affected. Because illness can occur due to incomplete vaccination The modifiability is high by discussing with the family the significance of completing the immunization schedules of the children for them to realize the advantages of being well immunized. It can be prevented moderately because if the child already skips the vaccine it is not 100% effective as if its given on time. Yes it is recognized as a problem but for them it is not needing an urgent attention

2/4*3 3/3*4

1 1/2 4

2/3*1 1/2*1

2/3 1/2 7 2/3

Problem: Improper garbage disposal Criteria Nature of the problem Computation 1/3*1 Actual Score 1/3 Justification This is a health related problem because the existence of improper garbage disposal can affect the health 9

Magnitude of the problem Modifiability of the problem Preventive potential Social concern

3/4*3

2 1/4

3/3*4

3/3*1 0/2*1

1 0

status of the family. It is 50%-74% affected because by burning the garbage they attribute to the pollution and also the possibility of harming the health of the individual who can exhale the ash from burning garbage The modifiability is high by providing to the family the information about the proper ways on waste disposal such as segregation of biodegradable from nonbiodegradable wastes and demonstrates the method. It can highly prevent because if the family learn the proper way to dispose the garbage the problem is already solve. It is not a community concern because the ability to decide about taking appropriate actions to waste disposal is not observed.

Total score

7 7/12

Problem: Malnutrition Criteria Nature of the problem Magnitude of the problem Modifiability of the problem Computation 2/3*1 3/4*3 3/3*4 Actual Score 2/3 2 4 Justification It is a health resources problem that requires immediate management to eliminate untoward consequences. It is 50%-74% because inability to eat well can lead to unconscious mind. The problem is high modifiable since the nurses resources are available, she can help the family on effective budgeting of money and scheduling of time. She can develop skills of other members to achieve good nutrition proper food selection and preparation, and feeding practices. The nurse can also educate the family to utilize the backyard by planting nutritious vegetables. High. Because they are aware of susceptibility to other diseases and infections can be prevented if malnutrition is eliminated; normal growth and development can thus be achieved. It is recognized as a problem but not needing an urgent attention because money is insufficient.

Preventive potential Social concern Total score

3/3*1

1/2*1

1/2 8 1/6

10

The prioritized health problem The list of health condition or problems ranked according to priorities is presented: o Malnutrition o Inadequate Immunization Status of the Child o Improper garbage disposal 8 1/6 7 2/3 7 7/12

Community health nursing care plan for prioritize problem Malnutrition Assessment Ignorance of facts that some of the family members are malnourished Fear of Consequences of diagnosis of problem related to economic. Inability to make decisions with respect to taking appropriate health actions due to: Low salience of the family about the existing Diagnosis Imbalanced nutrition: Less than body requirements, related to lack of knowledge and inadequate food intake

Goals Gain at least 1 pound per week. Verbalize understanding of nutritional requirements and identify strategies to incorporate requirements into daily diet . Remain infection free, evidenced by normal vital signs.

Planning and implementing Weigh weekly at a consistent time of day. Evaluate Nutritional needs. Teach about nutritional requirements, and plan an eating program that includes highcalorie, high-protein foods and supplement. encourage small, frequent meals. Encourage to keep a food intake diary.

Evaluation Goals partially met: -They are able to perform the importance of nutrition through abstaining unnecessary food like junk foods. and able to identify cheaper nutritious and healthy foods but fail to demonstrate the importance of food preparation due to the location of their kitchen and the lack of necessary utensils. 11

Risk for infection, related to proteincalorie malnutrition

problem of malnutrition in the family. Inability to decide which action to take among the list alternatives in order to be healthy.

Teach strategies to reduce risks for infection.

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