HEALTH PROBLEM GOAL and OBJECTIVES of CARE
Method of contact, proposed actions and methods
POOR ENVIRONMENTAL
SANITATION AS A
HEALTH THREAT:
Presence of breeding sites
for vectors
Inability to provide a home
environment conducive to
health maintenance and
personal development
related to: the first home visit, the responsible
A. Attitude or
philosophy in life
(belief that living in
the same
condition for a
long time leads to
coping thus
having no effect
on their familys
health)
B. Low salience of
the problem
Resources required
LTO (GOAL OF CARE):
The family will be able to incorporate
the application of proper environmental
sanitation practices in their daily
activities. The family will be able to
provide a home environment
conducive to health maintenance and
personal development
STO (OBJECTIVES OF CARE): Given
family member(s) will:
1. explain the context ? of poor
environmental sanitation
based on their knowledge and
experience (Briefly explain to
us what you mean by context
of poor environmental
sanitation that you have
analyzed and understood
well.)
2. explain the possible effects of
poor environmental sanitation
based on knowledge and
experience This cannot be
based on their own
knowledge. What if their
knowledge is not correct?
3. enumerate signs of poor
environmental sanitation that
are present in their home and
environment
4. enumerate all possible causes
INTERVENTION PLAN
Evaluation Methods and tools
of teaching
Method of contact: HOME VISIT (Teacher to give
inputs for additional methods of contact.)
ACTIVITIES:
1. Health education
a. Evocative discussion-reflective
thinking on the following topics
and use of visual aids:
i. Definition ?(not found in
your STO. You are giving
a topic that is not
reflected in your STO. If
you think this is important
so that the family will
understand the other
topics, then it has to be
reflected in your STO)
and context of poor
environmental sanitation
ii. effects of poor
environmental sanitation
iii. signs of poor
environmental sanitation
iv. causes of poor
environmental sanitation
v. ? importance of creating
and maintaining a clean
environment This is a
correct and important
content that you have added
but be sure you have an
objective for this, otherwise
you will again be discussing
a topic that you cannot
EVALUATION PLAN
standard
Changes or Instant feedback from
correct the family on:
knowledge on
Resources of the nurse: proper > definition ? and context
1. Facilitating skills and effective environmental of poor environmental
communication skills to sanitation sanitation- what do we
initiate an active discussion please specify mean by environmental
aspect of sanitation?
2. Teaching skills and
environmental
characteristics of a health sanitation
> What are the effects of
educator. poor environmental
3. Food and transportation Modification of sanitation?
expenses their belief that
living in the same
4. Visual aids garbage bins, > what are the signs that
condition for a will tell you that the your
proper cleaning of sanitary pit long time leads to
environment is
privy coping thus contaminated and
5. Video on cleaning an open having no effect unsanitary? how would
pit privy on their familys you check for these
health signs?
Resources available to the family
(Have you assessed these as present
in the family? In your computation > what are the causes of
poor environmental
under resources of the family, these sanitation?
were not reflected. These might be
resources needed but not available to > what actions will you
the family): do to prevent an
6. Materials for toilet- cleaning: unsanitary environment
from emerging? This is
toilet brush?, soap, water,
acceptable if you have
pail the content added
7. Materials for proper garbage already in relation to this.
disposal: two empty bins,
> what is the importance
marker or paint? and spare
of having a sanitary
wood or firm plastic for
environment?
labeling
8. Shovel?
Observations and
 of poor environmental
sanitation in their environment
and community.
5. enumerate all possible ways of
creating a clean environment
6. share all possible resources
present in the home and
environment that will help in
resolving the problem
7. fully agree to implement the
interventions that they can do
by themselves
8. effectively clean the toilet
using soap and water
9. establish designate a proper
garbage disposal area
10. practice ways of recycling
11. properly segregate their
garbage
Nos. 8-11 are not anymore STOs but
are already interventions. These will
be some of the content of your
discussions during the health
education which you will expect the
family to do after they have learned
these from you.
Acid test to determine if it is an
objective or an intervention?
Both use actions words that are
measurable.
Objective action is not visible.
Intervention you can see the action
being done by the client.
evaluate because it does not anecdotal report What is
have an objective. Resources needed but not available your understanding of an
You missed 2 topics here) to the family: anecdotal report.
b. Positive reinforcement Motivate and
support right ideas and correct the wrong ideas 1. Insecticide Is this for the
and beliefs flies?
You dont have any content for
objectives 5 and 6 so how will you be able to
help the family attain these?
c. Small group discussion with lecture and use of Resources of the nurse: Proper application
appropriate and low visual aids on the following 9. Teaching skills and of the skills and
topics characteristics of a health concepts learned
please specify
1. on proper waste disposal: educator. skills that you
These are showing pictures of 2 bins 10. Printed pictures of garbage expect them to do
supposed labelled nabubulok and di- bins for segregation and properly
to be
nabubulok and various wastes waste products (transferred
some of
then instruct the family to place above)
the
the picture of waste objects in
content of
respectable bins and then give
objective
#5 immediate feedback
2. showing a video or image on how
to properly clean an open pit privy
toilet followed by giving
appropriate instructions
d. Video viewing on proper cleaning of open pit 11. Printed picture or video
privy presentation on proper
e. d. Demonstration cleaning of an open pit privy
Return demonstration
1. ways of recycling paper, carton toilet through the use of any showing a proper
and plastic wrappers, containers appropriate gadget
construction of a
or bottles (transferred above) compost pit and
2. ways on how to createing a thorough cleaning of the
compost pit by drawing an toilet
 illustration while giving a
discussion
Resources of the family:
2. Contracting (Briefly explain what you mean by 1. Wastes for recycling: plastics,
this read it from Maglayas book if you have not cartons or papers (Put this up
yet done it.) together with the other
3. Follow-up resources of the family if
available. If not, write it under
Resources needed but not
available)
Resources of the nurse:
1. Paper and pen or a chalk and
chalkboard (Put this also
under resources of the nurse)

Draft contract (put it under resources

of the nurse. She is supposed to be
the one to draft this, therefore, she
should be the one to bring it.)

Given a follow up home visit after 2 > Implemented Observation

days, the family shows evidences of agreed-upon
having implemented the agreed upon actions and is Instant feedback from
intervention measures incorporated in the family
their daily
activities during
the time the nurse
was working with
them

> Absence of flies

and of foul-smell
in the toilet

> Properly
segregated
garbage and
properly managed
compost pit
Rubric for grading this FNCP

Criteria Scores
4 3 2 1
Goal statement Geared towards Not geared towards
resolving the main resolving the main
problem problem
Objective SMART, geared towards resolving 5-6 4 characteristics Less than 4
statements the related causes, adequate to characteristics were met characteristics were
meet the goal were met met
Intervention Largely promotive and 4 characteristics 3 descriptions were Only 1-2 descriptions
plans maintenance, disease preventive, or descriptions met were met
lesser curative and rehabilitative, were met
COMPLETE, feasible or
appropriate
Evaluation plan Criteria and standards are clear, 3 descriptions Only 2 descriptions Only 1 description is
specific and appropriate, geared were et were met met.
towards meeting the goal and
objectives or clearly shows
resolution of problem
Communication Clear, good grammar and English 1 description 2 descriptions 3 or more descriptions
missing missing missing
16 2
Total expected Total group score earned = 14 /18 + 3 = 17/18
score (18/18) VERY GOOD START PADAYON (KEEP UP!!)