CHAPTER VI COMMUNITY HEALTH CARE INTERVENTIONS Family Health Care Interventions CUES/NURSING PROBLEM Malnutrition OBJECTIVES After nursing

intervention, the family will: 1.Avail itself of food supplements provided by health and related agencies for malnourished children 2.Be able to plan and prepare balanced meals which are within the familys budget PLANNING Discuss with the family the implication of malnutrition to the health of family members. Discuss with the family the signs and symptoms of malnutrition. Discuss or provide the family with knowledge about proper nutrition. IMPLEMENTATION S Provide knowledge about: a. the implications of the signs and symptoms of malnutrition to the family b. the consequences of malnutrition Discuss with the family the reasons of malnutrition; inquire about and observe the familys food selection and preparation and their eating habit. Explore with the family better ways of budgeting family income. Develop the skills of family members on proper food selection EVALUATION After efficient nursing interventions, the family was able to: 1.Avail itself of food supplements provided by health and related agencies for malnourished children 2.Plan and prepare balanced meals which are within the familys budget

and preparation, and feeding practices utilizing low cost menus that can provide the familys nutritional seed. Low level of health awareness in health practices and lifestyle After nursing intervention, the family will: 1.apprehend the need of health awareness for health promotion and disease prevention 2.apprehend the health practices and lifestyles that should be modified 3.be able to raise the level of health awareness regarding health practices and lifestyles that affect their health 4.be able to modify their wrong health practices and lifestyle 5.be able to give emphasis the importance of preventive measures to avoid diseases and Discuss with the family the importance of health awareness for disease prevention and health promotion. Discuss with the family the result or consequence of unhealthy lifestyle and practices to the health of family members. Discuss with the family ways on how to achieve healthy lifestyle. Discuss with the family the result or consequence of healthy lifestyle and practices to the health of family members. During home visit, After efficient nursing discuss the importance interventions, the of healthy lifestyle and family was able to: practices to ones 1. apprehend the need health. Conduct health of health awareness teachings about health for health promotion practices and healthy and disease prevention lifestyles. 2. apprehend the Emphasize the health practices and importance of disease lifestyles that should prevention and health be modified promotion to ones 3.raise the level of health. health awareness Discuss the regarding health undesirable and practices and lifestyles harmful effects of that affect their health vices like smoking and 4. modify their wrong drinking to ones health practices and health. lifestyle Teach them how to 5. give emphasis to the balance and schedule importance of their time to be able to preventive measures to allot their extra time to avoid diseases and health-friendly death activities like exercise, 6.be self-reliant in physical activity, finding and

death 6. be able to be selfreliant in finding and implementing solution to their health needs and problems 7. be able to improve the health of the people in the community by influencing them Improper waste disposal After home visits, the Within four hours of family will be able to: nursing interventions, 1.Identify the the family will be able different ways on to determine the proper disposal of importance of garbage such as: practicing proper a. use of compost pit method in waste with cover disposal. b. segregate the nonbiodegradable and biodegradable materials c. recycling of canbe-used garbage d. reusing or selling of some garbage like cans, bottles and plastics 2. Enumerate the proper techniques on

sleeping etc. Discuss with them the uses of herbal medicines found in their surroundings or community and teach them how to prepare it so that in some circumstances where one is sick, they know what alternative medications can cure them. 1. Assess the familys level of understanding regarding the identified problem. 2. Assess the surrounding and the house of the family. 3. Provide the family information the proper ways on waste disposal such as segregation of biodegradable from non-

implementing solution to their health needs and problems 7. improve the health of the people in the community by influencing them

After the home visits conducted with nursing interventions, the family was able to understand the importance of practicing the proper method of waste disposal.

keeping the surroundings clean through proper method of waste disposal. 3. Recognize the possible effects of garbage burning. 4. Verbalize understanding about the importance of practicing proper waste disposal.

Lack of potable water supply Subjective data: Doon lang kami gakua nin tubig ns inumon sa burabod as verbalized by the patient. Objective data: They have no water connection to the VIWAD. The water coming

After two hours of nursing intervention, the family should be able to gain understanding regarding safe potable water source.

After two hours of nursing intervention, the family should be able to: 1. Determine the importance of safe potable water source 2. Enumerate the possible illness that can occur due to unsafe water source 3. Identify the different ways

biodegradable wastes and demonstrate the methods. 4. Explore with the family the advantages and disadvantages of the different methods of waste disposal. 5. Emphasize the importance of practicing proper garbage disposal with the family. 1. Assess the familys understanding regarding a safe potable water source. 2. Discuss with the family the importance of safe potable water source 3. Inform the family possible illness that can occur due to unsafe water

The goals are met. After two hours of nursing interventions, the family was able to gain understanding regarding safe potable water source.

from their faucet is somewhat/slightly cloudy. Some cases of diarrhea were reported.

of maintaining a safe potable water source

Lack of immunization Subjective data: Yung bunso mi dai nakumpleto ang pagpabakuna ta dai ning pwedeng makaiba sa canter ta gabos kami busy as verbalized by the mother.

Within two hours of nursing intervention, the family should be able to show and verbalize the importance of complete immunization of their children.

After two hours of nursing interventions, the family will be able to: 1. Determine the importance of complete immunization of children. 2. Follow-up the vaccine for children 3. Give specific attention to the schedules of children for

source. 4. Encourage the family to perform procedures to keep and maintain safe potable water source. 5. If they have no other choice, instead of using the deep well water, encourage them to boil water before drinking. 1. Assess the Goals are met. familys degree of perception After two hours of with concerns nursing intervention, for the the family was able to immunizations show and verbalize the of the children. importance of 2. Discuss with complete the family the immunization as significance of evidenced by completing verbalization of Oo immunization nga, importante man schedules of the talaga yan. children 3. Encourage the family to visit

immunization. 4. Understand the advantages of having completion of the immunization.

Low level of awareness of the family on how to perform body hygiene

To increase level of awareness in performing body hygiene to prevent them from any minor and major disease caused by exposure to bacteria and germs

Increase level of awareness in performing body hygiene Identify the clients health needs

the health center during scheduled immunizations for their child. 4. Include to the health teaching ways how to strengthen the immune system such as: eating fruits and vegetables rich in essential nutrients intake of Vitamin C rich foods such as oranges, guavas and lemons always practice proper hygiene 1.Assess health condition. 2.Health teachings imparted with regards on:
Taking a bath daily, especiallybefore going to bed.

Perform hand hygiene before eating and after from work using water and soap or with brush if possible

After three days, the family shows up comprehension with regards to health teachings given for poor body hygiene and low level of awareness about proper body hygiene slightly overcome.

 Discussed the different diseases that may acquire if poor body hygiene exist. Introduce the importance of the universal precautions (especially hand washing techniques). Teached the proper procedures in handwashing as well as how to practice and observe cleanliness in food preparation.

Inability to provide a home conducive to health maintenance and personal development

After efficient nursing interventions, the client will be able to comprehend or analyze the importance of healthy home environment.

Poor sanitation

After nursing interventions, the family will: a. Apprehend

Assess the health Teach the client condition. proper ways on how to Discuss with the make a home client the ways on environment conducive how to provide a to health maintenance healthy home and personal environment. development. Discuss with the Inform the client the client the possible possible outcomes they consequences of dirty might encounter if they environment to every will not be given a member of the family. healthy environment. Discuss to the family During home visit, the detrimental effects provide the family with of poor sanitation to knowledge regarding their health. the implications of

The family understood the importance of healthy home environment for every member and take appropriate actions regarding the health problems.

-After efficient nursing interventions ,the family was able to:

the importance of proper sanitation to ones health b. Modify their malpractices and wrong acts regarding proper sanitation c. Apprehend the significance or implication of proper sanitation not just for the family but also for the community d. Be encouraged and empowered to be responsible and selfreliant regarding proper waste disposal and maintaining the cleanliness

Discuss to the family the positive effects of proper sanitation that are important to their health. Discuss to the family the importance and implications of proper sanitation for disease prevention and health promotion\.

poor sanitation to their health. Teach them ways how to achieve proper sanitation. Discuss to them the importance of proper sanitation to their health. Discuss to them the importance of proper sanitation for disease prevention and health promotion, not just to their family, but for their community as well.

a. Apprehend the importance of proper sanitation to ones health b. Modify their malpractices and wrong acts regarding proper sanitation c. Apprehend the significance or implication of proper sanitation not just for the family but also for the community d. Encouraged and empowered to be responsible and self-reliant regarding proper waste disposal and maintaining the cleanliness of the environment and their house

of the environment and their house for disease prevention and health promotion e. Be influenced to recycle old materials that can still be used for other purposes to avoid dissipating of wastes that can be used as habitat of other vermin sans insects

for disease prevention and health promotion e. Influenced to recycle old materials that can still be used for other purposes to avoid dissipating of wastes that can be used as habitat of other vermins and insects

Family size beyond family resources can adequately provide

After efficient nursing interventions the family especially the grandparents and their children will be able to understand the purpose and methods of and resources for family planning a. Can explain what family planning is all about b. Can enumerate the various ways of maintaining the size of family c. Will select a method most appropriate for them d. Will decide to practice ways of maintaining family size

-Discuss with the family the various family methods and its importance. -Discuss with the family the effect of a big number of children to the family and community. -Discuss with the family the effect of continous pregnancy to the health of the

-Discuss with the couple and married family members the basic needs of each member including those of the marital partners. -Provide adequate knowledge on the various ways of maintaining the size of the family -Discuss with the couple the advantages and disadvantages of each method to encourage better decision making on the one most appropriate for them. -Explore with the family ,especially with those married children,ways of encouraging growthpromoting leisure and relaxation activities.

After efficient nursing interventions ,especially the grandparents and their children was able to understand the porpuse and methods of and resources for family planning: a. Explain what family planning is all about b. Enumerate the various ways of maintaining the size of the family c. Select a method most appropriate for them d. Decide to practice ways of maintaining family size

Knowledge deficit regarding complications and interventions for hypertension Subjective data: Iyo ngani medyo mataas talaga yung BP ko ,mana ko pa ini samga lolo ko.as verbalized Objective data : BP=150/100mmH g Guarding behaviour on the chest area

After 2 hours of nursing interventions the family should be able to identify the presence of health related problem and the needs for it to be answered as a family

After 2 hours of nursing intervention family should be able to: 1. Have adequate knowledge about proper nutrition for hypertension 2. Determine level of awareness of the family regarding heath risk 3. To enumerate ways on how to deal with the health condition in relation to hypertension 4. Encourage family to help together in order to deal with hypertension effectively

-Assess the level of understanding of the family members regarding hypertension -Discuss with the family the ways on how to deal with hypertension effectively -Encourage the family to avoid eating salty foods,fatty foods and sweet foods -Encourage the family members to eat food with essential nutrients like fruits and vegetable which are also rich in fiber. -Encourage each family members to perform exercises on a daily basis. -Encourage them to avoid cigarette smoking and large amount of alcoholic beverages -Evaluate the response of the family regarding the health teachings imparted

Goals are met. The family were able to identify the presence of health related problems and the need for it to be answered as a family

Inability to see foreseeable crisis situation

-To uplift client the level of self esteem in facing problems -To help client recognize the cause of crisis and assist /guide to a possible solutions

-The mother could face courageously any crisis situation by standing on her own the possible solutions to problems.

-Explain to the client that it is normal to have a problems in life,what we need is just to be strong enough in facing this triumphs. -Advice client to develop high selfesteem.

After the teachings and assistance,the client developed high self esteem toward facing crisis situations . She is now able to cope up problems in life.