CASE PRESENTATION ON FAMILY CASE LOAD

PRIORITIZATION OF THE FAMILY HEALTH

PROBLEM
THE LIST OF HEALTH PROBLEM ACCORDING TO PRIORITIES MALNUTRITION---------------------4.67 FAMILY SIZE BEYOND WHAT FAMILY RESOURCES CAN ADEQUATELY PROVIDE--------4 PRESENCE OF MOSQUITOS AS VECTORS OF DISEASES----------3.17 PRESENCE OF RODENTS AS VECTORS OF DISEASES------------2.67

MALNUTRITION
CRITERIA Nature of the problem DESCRIPTION Wellness State- 3 Health Deficit- 3 Health Threat- 2 Foreseeable Crisis Easily Modifiable- 2 Partially Modifiable- 1 Not Modifiable- 0 COMPUTATION 3/3 X 1 ACTUAL SCORE

JUSTIFICATION It is a health deficit that requires immediate intervention

Modifiability of the problem

1/2 x 2

The problem is partially modifiable since the family income is low for the nutritional status of the children Problem can be solve in a span of time by giving quality nutritious foods that can also be bought in less expensive quantity and monitoring the dietary intake of the children according to the plan recommended dietary allowances of children The family perceives it as a problem that needs immediate attention since all the children are undernourished.

Preventive Potential

High- 3 Moderate- 2 Low- 1

2/3 x 1

.67

Salience

Problem that need immediate attention- 2 Problem not needing immediate attention- 1 Not perceived as a problem- 0

2x1

TOTAL SCORE

4.67

HEALTH PROBLEM

FAMILY NURSING PROBLEMS

GOAL OF CARE

OBJECTIVES OF CARE

NURSING INTERVENTION

EVALUATION

Below Normal Low (Malnourish) BMI: A.- 14.81 (severely underweight) B.- 12.15 (severely underweight) C.- 11.89 (severely underweight) D.- 13.29 (severely underweight) E.- 18.21 (underweight)

Inadequate financial resources to sustain health and development to the children who are suffering from malnourishment.

After nursing interventions, the childrens nutritional condition are expected to improve and they would manifest a good eating habits.

After nursing interventions, the family will be able: a. To plan and prepare balanced meal

1.Discussed with the family the nature of the problem: -complications -management 2. Discussed with the family food selection, and the food preparation. 3.Modified the meal in such a way that it looks appealing to children. 4.Encouraged the parents to feed their children nutritious foods like vegetables . 5. Discouraged the child to eat Unhealthy foods. (junk foods)

Endorsed it to the other group for further evaluation.

FAMILY SIZE BEYOND WHAT FAMILY RESOURCES CAN ADEQUATELY PROVIDE

CRITERIA

COMPUTATION

ACTUAL SCORE

JUSTIFICATION It is perceived as health threat because the resources especially the income is inadequate to sustain the family size as well as the needs of the member of the family Current knowledge is available as well as the interventions but there are inadequate available resources of the family

Nature of the problem

Wellness State- 3 Health Deficit- 3 Health Threat- 2 Foreseeable Crisis-1

2/3 x 1

0.67

Modifiability of the problem

Easily Modifiable- 2 Partially Modifiable- 1 Not Modifiable- 0

1/2x 2

Preventive Potential

High- 3 Moderate- 2 Low- 1

1/3 x 1

0.33

Resources are inadequate but through health teachings, various ways to earn additional income is possible for as long as the family will take the action
The problem is in need of immediate attention because of inadequate resources that can contribute to crisis within the family

Salience

Problem that need immediate attention- 2 Problem not needing immediate attention- 1 Not perceived as a problem0

1/2x 1

TOTAL SCORE

HEALTH PROBLE M Family size beyond what family resources can adequately provide

FAMILY NURSING PROBLEMS

Inadequate family resources due to limited resources.

GOAL OF CARE

OBJECTIVES OF CARE

NURSING INTERVENT ION

METHOD OF NURSEFAMILY CONTACT

RESOURCES REQUIRED

EVALUATION

After nursing intervention, the family will be able to have additional resources that can provide extra income to the family

After nursing intervention the will be able to: -enumerate possible resources to earn additional budget to the family -determine and apply the resources being enumerated to earn money for the expenses of the family

Home visit -Encouraged the family to work effectively and the helpful ways to sustain their needs well.

-Time and effort of both the student of nurse and the family

Goal met: The family had identify the resources that provide extra money to the family as

-Broadened the knowledge of the family regarding: -the effect of having a large number family -the method of family planning

evidenced by: -collecting bottles/plastics can be sold. -planting vegetables such as camote tops,eggplant, etc as suggested by their Brgy.Capt

PRESENCE OF BREEDING SITES OF MOSQUITOES AS VECTORS OF DISEASES

CRITERIA Nature of the problem Wellness State- 3 Health Deficit- 3 Health Threat- 2 Foreseeable Crisis Easily Modifiable- 2 Partially Modifiable- 1 Not Modifiable- 0 COMPUTATION 2/3 x 1 ACTUAL SCORE 0.67 JUSTIFICATION It is a health threat because mosquito can be a cause of dengue among the family members The problem is partially modifiable ,the resources is inadequate but nursing interventions are available The presence of breeding sites of mosquitoes as vectors of diseases can be eliminated by doing the necessary actions such thorough cleaning, proper water storage and providing adequate lighting. The family recognizes it as a problem but not needing immediate attention because malnutrition is the first priority of the family

Modifiability of the problem

1/2 x 2

Preventive Potential

High- 3 Moderate- 2 Low- 1

3/3 x 1

Salience

Problem that need immediate attention- 2 Problem not needing immediate attention- 1 Not perceived as a problem- 0

x1

.5

TOTAL SCORE

3.17

HEALTH PROBLEM

FAMILY NURSING PROBLEM

GOAL OF CARE

OBJECTIVES OF CARE

NURSING INTERVENTIONS

INTERVENTION PLAN METHOD RESOURCES OF NURSEREQUIRED FAMILY CONTACT

Home Visit -Cooperation on both student nurse and the family -Money -Visual Aids

EVALUATION

Poor home sanitation due to the presence of breeding sites of mosquitoes as vectors of diseases

Failure to provide a home environment conducive to health maintenance due to inadequate knowledge of importance of sanitation

After nursing intervention, the family will take the necessary actions to eradicate the breeding sites of mosquitoes and ensure a healthy home environment for the family

After nursing intervention, the family will be able to: 1. Increase the awareness of the family regarding the presence of the problem 2. Discuss the possible ways on how to manage the problem by thoroughly cleaning the house and proper water storage

1.

2.

3.

4.

5.

Broadened the knowledge of the family regarding the effects of breeding sites of mosquitoes through health education Advised the family to keep the tires and empty bottles from being filled with rainwater Instructed the family to keep stagnant containers closed and clean. Encouraged the family to regularly clean the house and provide adequate lighting because mosquitoes thrive in dark humid corners. Demonstrated the proper ways to clean the area where vector resides and completely eradicate the mosquitoes.

Goal met: The family had performed the necessary actions to eradicate the breeding sites of mosquitoes and had ensured a healthy home environment as evidenced by thorough cleaning, and proper water storage.

PRESENCE OF BREEDING SITES OF RODENTS AS VECTORS OF DISEAESES

Criteria

Computation

Actual Score

Justification

1. Nature of the Problem

2/3 X 1

.67

It is a health threat because it can cause possible occurrence of disease like leptospirosis and other diseases. The problem is partially modifiable because rodents thrive in different areas making it difficult to control. After nursing intervention, the family expressed eagerness to solve the problem by teaching them appropriate actions to reduce the possible occurrence of having the disease. Before nursing intervention, the family does not perceived it as a problem

2. Modifiability of the Problem 1/2 X 2 1

3. Preventive Potential

3/3 X 1

4. Salience of the Problem 0/2 X 1 0

Total Score

2.67

HEALTH PROBLEM Poor home sanitation due to presence of rodents as vectors of diseases

FAMILY NURSING PROBLEM Failure to provide a home environment conducive to health due to: ---Inadequate knowledge of the importance of sanitation in home environment

GOAL OF CARE After nursing intervention, the family will minimize the presence of rodents as vectors of diseases and to maintain a home environment sanitation

OBJECTIVES OF CARE After nursing intervention, the family will: -determine the breeding sites of rodents -determine the consequences of the presence of the rodents -take necessary actions to lessen the breeding sites of the rodents

NURSING INTERVENTIO NS -Provided health education about the importance of rodents control to both family and neighbors to increase awareness of the diseases that they can acquire. -Demonstrated to the family the regular house cleaning and proper garbage disposal. -Emphasized to the family to practice proper food storage through covering. -Encouraged the family to continue used mosquito net in keeping insects away from the family members especially at night.

INTERVENTION PLAN METHOD OF RESOURCES NURSEREQUIRED FAMILY CONTACT Home visit Human resources: -Time and effort of both the nurse of student and the family. -Participation and cooperation of the family

EVALUATION

Goal met: The family had performed appropriate actions to minimize the presence of rodents as evidenced by regular cleaning and proper food storage