Head of the Family: Mr.

Gilbert Manalo

Address: Zone 6, Boalan Zamboanga City

Initial Data Base for Family
Nursing Practice
 Family Highest Occupation
Membe Name Relation to Sex Age Marital Status Educational Type of Place Health Remarks
r Head Attainment Work
Number
His wife verbalized that his
~ husband complains of muscle
1 Gilbert Manalo Head of the M 34 Married 3rd year Carpenter Dona aches and fatigue most often
Family yrs. high school Felisa every after work.
old
She’s in good condition.
Breast feds her child without
2 Jocelyn Manalo Wife F 29 Married 2nd year Housewife N/A any substitution. (Full
yrs. high school Breastfeeding.)
old
She’s in fair condition.

3 Reynagel Manalo Daughter F 10 Single Currently in N/A N/A

yrs. Grade 4
old
In fair condition.

4 Abigail Manalo Daughter F 6 Single N/A N/A N/A

yrs.
old
Has cough and colds for
almost one week.
5 Jolibert Manalo Son M 3 Single N/A N/A N/A
yrs.
old
7 Has cough and colds for three
mos. days.
6 Joy Ann Manalo Daughter F old Single N/A N/A N/A
A. Family Structure

The Manalo family is headed by Mr. Gilbert Manalo, 34 years old. His wife is Mrs. Jocelyn Manalo, 29 years old. The couple is blessed with 4
children (3 girls and 1 boy). Their eldest daughter is Reynagel, 10 years old and is in Grade 4, next to her is Abigail, 6 years of age and doesn’t go to school
yet. Their third child is Jolibert and he is the only son, he is 3 years of age. Their youngest child is 7 months old and named as Joy Ann. Both Mr. and Mrs.
Manalo decides as to what appropriate actions to take regarding the family’s health care matter.

B. Socio-Economic and Cultural Characteristics

For a living, Mr. Manalo solely depends on his daily salary of 125 pesos per day as a carpenter in Dona Felisa Subdivision. According to Mrs. Manalo
this is enough to meet the most basic needs of the family lie food, water, and electricity but not enough to sustain their other necessities considering that
her children will soon go to school.
The couple are Zamboanguenos and are Roaman Catholic by religious affiliation. Both Mr. And Mrs. Manalo decides as to how their money will be
spent.

C. Home and Environment

The family lives in Zone 6 of barangay Boalan. Their house is made up of light materials. Their house as well as their lot is owned by them. The
house has two bed rooms. For electricity consumption they just have it connected with their neighbour dividing equal shares of payment when the bill
arrives. For water connection, they just pay 125 pesos monthly in Jeers. Their water consumption is direct from the faucet.

D. Health Status

According to Mrs. Manalo her youngest daughter Joy Ann and his son Jolibert is having cough and colds for almost a week for Jolibert and three
days for Joy Ann. She still continue to breastfeed Joy Ann. She let her son take medicine prescribed by the doctor in the health center. Her husband
complains of muscle pains and fatigue most often every after week.
E. Value placed on Prevention of Diseases

All of her children are immunized except the youngest. Joy Ann is about to complete her immunization. She was scheduled to be immunized with
Hepa 2 last week but wasn’t able to go to the health center because she had a fever.

Cues First Level of Assessment Second Level of Assessment

Mother verbalized “ese si Jolibert un semana *COUGH AND COLDS

ya ta tose y chene sipon mentras este si Joy
Ann mga tres diya pa lang. Ya anda tamen
kame na health center para pidi reseta para
kumpra medisina, Ambroxol yo kanila ya dale
toma. Asta ahora hinde pa man sila ta keda
bueno.
Health Deficit Inability to provide adequate nursing
care to the sick due to inadequate knowledge
of the nature and extent of nursing care
needed.
 Family Nursing Care Plan

Family Method
Health Nursing Goal of Of Implemen Evaluati
Objectives of care Interventions Rationale Resources
Problem Problems care Family tation on
Contact
Subjective
Cues: Inability to After 8 After 8 hours of 1.discuss what Provides additional Home visit Community
Mother provide hours of Nursing are cough and knowledge/informa Discussion Health Nursing
Verbalized, adequate Nursing Intervention, my colds tion for the client in the
“este si Jolibert nursing Interventi client will be able to fully understand Philippines
un semana ya care to on, my to: what cough and
ta tose y chene the sick client will colds are.
sipon mentras due to be able to 1. Define Healing
este si Joy Ann inadequat provide cough in 2.discuss and Wonders of
mga tres diya e necessary her own demonstrate For easy Demonstration Herbs
pa lang. ya knowledg care level of the ways in expectoration of and discussion
anda ya iyo na e of the needed by understand expectorating phlegm and for the
health center nature her ing the phlegm cough and colds to
para pidi and children 2. Gain be treated.
reseta para extent of with insights
kumpra nursing cough and about the 3.demonstrate Healing
medisina, care colds nature and the herbal Demonstration Wonders of
Amboroxol iyo needed extent of preparations Water
kanila ya dale care for cough and For cheaper and
toma. Asta needed for cold easy ways of
ahora hinde pa cough and treating the cough
man sila ta colds 4.demonstrate and colds.
keda bueno. 3. Teach her the steam Demonstration Maternal and
Objective children inhalation Child Health
Cues: the Nursing
*watery breathing Steam inhalation
discharges and serves as
from the nose coughing decongestant for Textbook of
Yellowish techniques easy breathing. Medical and
Phlegm without Surgical
*coughs with hesitation Nursing
sounds
4. Gain
knowledge
Coughs and in the
Colds as a precaution
Health Deficit ary
measures
in
preventing
cough and
colds
5. Prepare
herbal
preparatio
ns for
cough and
colds
without
hesitation
 Criteria Computation Actual Score
1. Nature of the Problem 1/3x1 .33

2. Modifiability of the Problem 2/2x1 1

3. Preventive Potential 2/3x1 .67

4. Salience of the Problem 0/2x1 0

Total Score 2
Health Teaching Plan
 Assessment Teaching Objectives Content Teaching Time Allotment Resources Evaluation
Strategies
Learning Needs: At the end of 35 A cough reflex is Discussion 5 minutes Healing Wonders
Preparation of minutes of health initiated by of Water
Herbal teaching, my client will stimulation of the
Medication for be able to: nerves of the
Cough and Colds respiratory tract
a. Define cough mucosa by the
Teaching and colds in her presence of dust,
Diagnosis: own level of chemicals, mucus or
Inability to understanding inflammation.
provide adequate The sound of
nursing care to b. Demonstrate coughing is caused
the sick due to the breathing by rapid expiratory
ina-dequate techniques air movement pass
knowledge of the without the glottis. Coughing
nature and hesitation is useful procedure
extent of nursing to clear excess
are needed. Gain knowledge in the mucus. It becomes
precautionary measures harmful and needs
to prevent cough and suppression only
colds without hesitation when there is no
mucus or debris to
be expelled and the
amount of coughing
becomes
exhausting.
Encourage coughing
rather than
suppressing it in
children because it
is an effective
method of raining
mucus changing a
child’s position and
suggesting mild
exercise and deep
breathing are Demonstration 6 minutes Healing Wonders
helpful techniques of Herbs
to initiate
technique.
Head of the Family: Mr. Johnny Davidon

Address: Tumaga Zamboanga City

Initial Data Base for Family
Nursing Practice
A.
Family Highest Occupation
Membe Name Relation to Sex Age Marital Status Educational Type of Place Health Remarks
r Head Attainment Work
Number
He has High Blood Pressure
Tumaga last week and he is
1 Johnny Davidon Head of the M 48 Married College Teacher Elem. hypertensive
Family yrs. Graduate School
old
She’s in good condition.

2 Rowena Davidon Wife F 39 Married high school Housewife N/A

yrs.
old
She’s in fair condition.

3 Sherylene Davidon Daughter F 15 Single Currently in N/A N/A

yrs. 3rd year
old high school
In fair condition.

4 Shanny Davidon Daughter F 8yrs. Single Currently in N/A N/A

old Grade 2
A. Socio-Economic and Cultural Characteristics

For a living, Mr. Davidon solely depends on his salary of 15,000 every month. According to Mrs. Davidon this is enough to meet the most basic
needs of the family like food, water, and electricity but not enough to sustain their other necessities considering that her children will soon go to school.
The couple are Zamboanguenos and are Raman Catholic by religious affiliation. Both Mr. and Mrs. Davidon decides as to how their money will be
spent.

B. Home and Environment

The family lives in Tumaga. Their house is made up of concrete materials. Their house as well as their lot is owned by them. The house has three
bed rooms. They have their own electricity connection. For water connection, they just pay 125 pesos monthly. Their water consumption is direct from the
faucet.

C. Health Status

According to Mrs. Davidon their children are in healthy condition and she also mentioned that her husband is having hypertension.

D. Value placed on Prevention of Diseases

All of her children are immunized.

Cues First Level of Assessment Second Level of Assessment

Ms. Davidon verbalized, “ Highblood man jud Health Threat Knowledge Deficit related to luck of
ang akung asawa. Na sa lahi na kasi na niya.” information regarding Hypertension

Criteria Computation Actual Score

1. Nature of the Problem 3/3x1 1

2. Modifiability of the Problem 2/2x1 2

3. Preventive Potential 3/3x1 1

4. Salience of the Problem 0/2x1 0

Total Score 4
 Family Nursing Care Plan

HEALTH TEACHING

Subjective Matter: Hypertension

Time Allotment:

General Objectives: At the end of Health Teaching, client will be able to acquire knowledge and understanding on the general information regarding hypertension,
how it is acquired, its signs and symptoms as well as treatment.
 Specific Objectives Content Strategies Resources Evaluation
At the end of the HYPERTENSION Discussion  Hand
Health Teaching, client with client book of
will be able to:  An intermittent or sustained elevation in diastolic or systolic BP, it pertaining Diseases
occurs as two major types. Essential, the most common and the topic, pp. 441-444
1. Understand the secondary hypertension which results from renal disease or include S. O.
meaning and general another identifiable cause. It is a major cause of CUA, CO and RF.
concept of The prognosis is good if detected earlier and if treatment begins
hypertension. before complications developed.

RISK FACTORS

 Family history, race, stress, obesity, high intake of saturated fats,

use f tobacco, sedentary lifestyle, and aging. Secondary
hypertension may result from RVO: primary hyperaldosteronism;
Cushing syndrome; Thyroid; Pituitary or Parathyroid dysfunction;
2. Know its signs and Pregnancy; Neurologic disorders; and use of oral contraceptives or
symptoms. other drugs.

SIGNS AND SYMPTONS

HEALTH PROBLEM FAMILY NURSING OBJECTIVES NURSING RATIONALE IMPLEMENTATION EVALUATION
 Brain; CVA; Retina; Blindness; Heart; MI; Kidneys; Proteinuria;
PROBLEM INTERVENTION
Edema, and eventually RF. Hypertension increases the heart’s
3. Know its diagnosis1. Inability to At the end of 1 hour *Assess readiness and *provide basis for
and treatment.
Hypertension recognizeworkload,
the causingintervening
nursing ventricular hypertrophy
blocks and learning
to later ventricular
understanding
failure,
presence of the left and right
client will: sided heart failure, and pulmonary
Include S.O. edema.
elevation of BP and
problem due to; clarifies frequent use
IGNORANCE DIAGNOSIS
OF *Assist client in of medical
FACTS The patient’s condition
1. Verbalizeor history and the following
identifying additional
modifiable test
terminology.
2. Inability to
maymake
show predisposingunderstanding
factors andriskhelp
factors
identify an underlying
discussions with of disease
case such as renal disease. Urinalysis, Excretory, Serum, Potassium, *this risk factors have
respect toBlood
taking Urea Nitrogen(RUN)
process and and*Reinforce
Serum Creatinine the been shown to
Levels,
appropriate treatment importance
Electrocardiography, Xhest X-Ray, and Echocardiography. of adhering contribute to
course of action regiment. to treatment regiment hypertension
due to; LACK OF and keeping follow up cardiovascular and
Secondary Hypertension Treatment focuses on correcting the
COMMUNITY appointments. renal disease.
underlyingFOR
RESOURCES cause and controlling hypertension effect.
The national institute of health recommend the following
stepped-care approach for treating PHY.

STEP 1 Help patient initiate necessary lifestyle modification

STEP 2 If patient fails to achieve the desired BP or make significant

 CARE. *Instruct patient to *Lack of cooperation
3. Inability to consult health care is a common reason
provide adequate provider before taking for failure of
nursing care due other prescription or antihypertensive
to; IGNORANCE over the counter therapy.
OF FACTS ABOUT medicines.
THE DISEASE, *therefore, ongoing
LACK OF SKILLS *Encourage patient to evaluation for patient
4. Failure to utilize decrease or eliminate cooperation is typical
community caffeine: coffee, tea; to successful
resources for cola, chocolate. treatment.
health care due to
FAILURE TO *Instruct client to *precaution is
PERECEIVE THE increase intake of important in
BENEFITS OF food/fluids high in preventing potentially
HEALTH CARE. potassium dangerous drugs
interaction. Any drug
that contains a
sympathetic nervous
stimulant, may
increase BP or
counteract
antihypertensive
effects.

*Caffeine is a cardiac
and may adversely
affect cardiac function
or reserves.

*diuretics can deplete

potassium levels.
Dietary statement is
more palatable than
 drugs supplements
and maybe all that is
needed to correct
deficit.

Head of the Family: Jun Davidon

Address: Tumaga , Zamboanga City

A. Family Structures and Characteristics:

Family Name Relation to Sex Age Weight Marital Highest Occupation Health
Member the Head Status Educational Remarks
No. Attainment Type of work
and Place
1 Jun Tubio Head of the Male 30 years 63 kgs. Married 1st year college Government The client
Family old Employee has Diabetes
Mellitus
2 Rehina Wife of the Female 21 years 49 kgs. Married High School Housewife The client
Tubio Head old Graduate has been to
 hospital due
to high
blood.
3 Jung-Jung Eldest son Male 15 years 50 kgs. High school 3rd year Not Healthy
A. Tubio of the Head old Applicable

4 April May Second to Female 7 years old 29 kgs. Grade Grade 1 Not Healthy
A. Tubio the Eldest school Applicable
of the Head

B. Socio-economic and cultural Factors

The father is a trackman who delivers rice as well as a driver while the mother is a housewife. The monthly income of the family is from P 3,000 to P
5,000. Their family expenditure is more than P 50 everyday and buys clothing twice a year. They pay P 150 for electricity and don’t pay for water.
Her children study at public school.

C. Environmental Factors:
The type of home they have is wood and ventilation is poor, lighting is adequate and surrounding is near the vulcanizing shop. The source of water
supply is through the faucet and uses bottles for containers. They don’t have a proper kitchen place.
They share toilet facilities and its water sealed. They throw up their faeces on the river ban. Garbage Disposal is being practiced as burning. They
have pets like cats and dogs, yet they don’t have any garden. The mother is the one who usually decides on how to spend the money. The family
doesn’t usually interfere in the community’s activities. They only initiate participation when the situation calls for it. For example when a
population group of mothers in the community are assigned to cook food for fiesta’s “salo-salo” activity, Mrs. Davidon cooks.
D. Health Status of each Family Member

Currently, the family is not experiencing any discomforts. The family is susceptible to Diabetes Mellitus due to their bloodline. The body mass index
of Mr. Davidon’s kids, as assessed, is lower than the normal range, therefore, underweight. The family usually feed on dried fish and canned
sardines everyday. They do not eat on time and even each only twice a day. The family share on half a kilo of rice per meal because their budget is
only 1 kilo of rice per day. They seldom eat fruits and vegetables. Both children are fond of junk foods.

E. Values, Habits, Practices on health promotion, maintenance and disease prevention

According to Mrs. Davidon, her children are not fully immunized because of the location of the Health Center that too far away from their house.
She ans her husband are fully immunized, though. the family’s sleeping pattern is good, they do sleep around 9pm. They take naps in between, at
least an hour or two. They do not have time for exercise because of the strenuous works of Mr. And Mrs. Davidon which they consider as an
exercise and the children are usually playing outdoors. The family does not take any vitamin or supplements and only take in herbal medicine
whenever they are ill. They do not even avail the services of the health center or the hospital.

F. Health Assessment of Each Family 2. The client verbalized that “Yung

Member asawa ko sumasakit likod nya dahil sa
pagbubuhat ng bigas at sa pag da-
First and Second Level of Assessment drive”.

3. The client verbalized “May tigdas nga

Cues
to. Tapos
1. “Gutom na ako. Di ako kumakain ng kinakamot niya”. First Level of Assessment
almusal. ’’ as verbalized by the eldest Health Deficit
child of the client.
 Inability to provide adequate nursing care
Health Deficit to the sick member of the family due to
member’s preoccupation with concerns
or interests.

Inability to recognize the presence of the

Health Deficit condition or problem due to lack of
knowledge

Second Level of Assessment

Inability to provide enough food to the
whole family.
 Scale for computing the three family health problems:

Diabetes mellitus malnutrition Cough and colds

A. 3/3x1=1 A. 3/3x1=1 A. 1/3x1=.33
B. 2/2x2=2 B. 2/2x2=2 B. 2/2x1=1
C. 3/3x1=1 C. 3/3x1=1 C. 2/3x1=.67
D. 2/2x1=1 D. 0/2x1=0 D. 0/2x1=0

Total: 5.0 Total: 4.0 Total: 2.0

Rank 1 Rank 2 Rank 3

Source and guide books:

 Nursing practice in the community

 Community health nursing
 Maternal and child health nursing
 NANDA , Marilynn Doenges et.al 11th edition pages 55-60
 M-S nursing Brunner and Suddarth’s 10th edition pages 1171-1175
 Criteria Computation Actual Score
1. Nature of the Problem 3/3x1 1

2. Modifiability of the Problem 2/2x1 2

3. Preventive Potential 3/3x1 1

4. Salience of the Problem 0/2x1 0

Total Score 4
Health Family Nursing Goal of Objectives of Interventions Method Resources Required Imple Evalua
Problem Problem Care Care of menta tion
Family tion
Contact
1. Inability to After After nursing 1. Discuss : Home Material resources:
recognize the Nursing intervention, the Visit Visual aids, examples of
presence of interventio family will: a. The implications food stuffs for
malnutrition in a n, Rina’s of the signs and demonstrating
dependent member nutritional a. avail itself of symptoms of preparation of low-cost
due to lack of state will food malnutrition menus, supplies, and
knowledge. improve supplements observed in Rina equipment for cooking
from provided by and demonstrations.
2. Inability to decide second health and
about taking degree related agencies b. the Time and effort of the
appropriate action malnutritio for pre-school consequences of nurse and family
due to failure to n to at malnourished malnutrition. members.
Malnutritio comprehend the least first children;
n nature, magnitude degree in 2. Discuss with the
and scope of the six months b. be able to plan family the reasons Expenses for teaching
problem. in time. and prepare for Rina’s aids and transportation
balanced meals malnutrition; of the nurse.
3. Inability to which are within inquire about and
provide adequate the family’s observe the
nursing care to a budget. family’s food
member suffering selection and
from malnutrition c. feed Rina preparation and
due to: according to the eating habits or
agreed-upon practices of Rina.
a. lack of knowledge quantity and
about the health quality of food 3. Discuss with the
condition; and manner of family the courses
feeding; of action open to
b. lack of knowledge them, specifically;
on the nature and d. make Rina’s
extent of nursing weight increase a. explore the
care needed; by at least one possibility of
pound per arranging the
c. inadequate month. schedule of all
resources for care, members such that
i.e. responsible responsible ones
family member and take turns in seeing