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Arciaga, John Stephen R.

BSN 2-4
Family Nursing Care Plan
Family number: 656
Head of the family: Sammy N. Arciaga
Address: 13 National Road Putatan Muntinlupa City

FAMILY STRUCTURE, CHARACTERISTICS, SOCIO ECONOMIC, AND CULTURAL FACTORS

Name of family members Family structure and Socio-economic and cultural


characteristics factors
Ramona S. Reyes Grandmother Filipino, Ilonggo
68 years old High School Graduate
Female Retired OFW (House helper)
Widowed
Sammy N. Arciaga Father Filipino
50 years old High School Graduate
Male OFW (Factory operator)
Married
Merry Joy R. Arciaga Mother Filipino, Ilonggo
48 years old College Graduate
Female Housewife, self-employed (sari-
Married sari store owner)
Family decision maker in
healthcare matters
Alexandria Rose R. Arciaga Daughter Filipino
24 years old College Graduate
Female Civil Engineer SMCC Makati
Single
Jerecho Ramon R. Arciaga Son Filipino
17 years old High School Graduate
Male Senior High School Student
Single
HOME LIVING AND ENVIRONMENTAL CONDITION
House is owned with 3 bedrooms, electric supply, and satisfactory ventilation. Each family member has enough privacy. And the sanitary
condition is clean. They also have supply of water. With regards to drinking water they also have different supply. They don’t drink straight from
the faucet. They cook using gas stove and stores left over food in the refrigerator. Their garbage is collected every night. They own a well
sanitized toilet facility that is water sealed with septic tank. They have two cats. They are situated in a bit congested community with different
houses that are close with each other. Even though slightly congested the sanitation is not compromised. Health centers are near their place which
are easily accessible. They have sari-sari store as another source of income aside form their father working abroad and sister working locally. The
mother and grandmother are the one who is working hand in hand in different household chores

HEALTH AND MEDICAL HISTORY


Present Illness

Name Health condition


Ramona S. Reyes Hypertensive, has type 2 diabetes mellitus but
controlled, has mild cough. Medication is not
complied because she stops when symptoms are
gone
Sammy N. Arciaga Unable to determine since working abroad.
Merry Joy R. Arciaga None
Alexandria Rose R. Arciaga Has swelling eyelids due to allergies
Jerecho Ramon R. Arciaga Mild cough

Past Illness

Name Health condition


Ramona S. Reyes Recurrent Upper respiratory tract infection due to
allergies
Sammy N. Arciaga None
Merry Joy R. Arciaga Recurrent tonsillitis
Alexandria Rose R. Arciaga Confined in 2015 due to egg allergies. Medical
expenses were shouldered by the family without
health assistance
Jerecho Ramon R. Arciaga Confined when he was 10 years old because of
accident (falling from stairs). Medical expenses
were shouldered by the family without health
assistance

Immunization Status of Children


Children were given all vaccines when they were newborn and infants. The family wasn’t able to remember when did they vaccinated
their child for new shots of vaccines when they were school aged because the lost their vaccination cards.

FAMILY LIFESTYLE
They have enough knowledge with regards to having healthy lifestyle. They regularly have balance amount of meats and vegetables
cooked every week. They immerse in different lifestyles, the mother is dealing with household chores as form of exercise, the grandmother
sometimes having yoga sessions and always eats and drinks vegetables and herbals. She sometimes drinks moderate amount of alcohol. The son is
a student and given packed lunch which sometimes consists of fried foods, and he is immersed in sports. The father and daughter are immersed in
work but still have health kind of lifestyle. No family member is smoking and in influence of drugs.
Health Problems Family Nursing Goal of Care Objectives of Care Intervention Plan
Problems Nursing Method of Nurse- Resources Evaluation
Intervention Family Contact Required

Health Defecit: Inability to recognize After nursing After nursing assess the family Home visit and Material resources: Partially met, after
Hypertension of the presence of intervention intervention, level of health teaching the nursing
grandmother as health problem due which is health understanding regarding Visual aids and intervention the
diagnosed by to: teaching, The patient and the regarding the hypertension lowcost materials client will
physician family health problem needed for verbalize
Lack of or the family demonstration. understanding of
Subjective: inadequate especially the Have adequate discuss with the disease process
“Nahihilo ako kaya knowledge. grandmother knowledge, a good family the nature, Time and effort on and treatment
di makatulong sa would be proper nutrition signs and the part of student regimen as
gawaing bahay” Inability to make knowledgeable that reduce symptoms and nurse and family. evidence by Mrs.
decision with respect to hypertension and complication that MelisaNapal Cruz
with respect to taking their health status prevent the might arise due to Flyers to be given verbalization
Objective: appropriate health occurrence of hypertension to the client/family “Iiwasan ko na ang
Expressive behavior actions due to The patient would relative for their own copy. mga bawal na
such as sighing. take her complications in discuss with pagkain gayang
Lethargic Failure to maintenance the future thefamily/client the matatabaat
Narrowed focus. comprehend the regularly even risk factors of maaalat.
Can’t clearly respond nature/magnitude of without any hypertension such Lilimitahan ko na
to questions. the problem. symptoms of Be able to as family history, din ana paginom
hypertension determine the risk age, salt and ng kape,upang
Lack of adequate factor that alcohol intake and maagapan ang mga
V/S knowledge as to the family will contribute to obesity. posibleng
Temperature:36.9 alternative courses of make necessary hypertension such komplikasyon na
action open to them. measures to as family history, Promote healthy dulot ng aking
Pulse rate:86 bpm properly manage, age, salt and lifestyle such as: sakit na
control, and lessen alcohol intake, and Encourage proper hypertension.”
Respiration rate:13 the risk factors of obesity. food intake like
breaths per minute hypertension reduce salty and
Practice proper fatty foods and
Blood pressure: lifestyle with include dietplan.
150/105 mmAg regards to nutrition
and physical Prevent obesity
fitness through proper
nutrition and
exercise.
Encourage px
decrease or
eliminate caffeine
like tea, cola,
coffee, and
chocolate.

Provide
information
regarding
community
resources; support
the patient in
making lifestyle
changes and
initiate referrals to
the medical
practitioner like
doctors.