OUR LADY OF FATIMA UNIVERSITY

COLLEGE OF NURSING
REGALADO, QUEZON CITY

FAMILY NURSING
CARE PLAN
Submitted by

Group 19/NCMA217RLE
Maljacan, Christian A.
Mama, Sarah A.
Mina, Danielle Anne G.
Navera, Christel Ann L.
Obiedo, Federico III L.
Ogalesco, Jason A.
Paulin, Ybarra Baghani
Prudenciado, Marinel
Rentillo, Andrea Mae M.
Sales, Angel Chris C.
Samla, Aziz-Khan S.
Soriano, Aaron Joseph D.

Submitted to:

Mrs. Thelma Adzuara, RN, MAN

Clinical Instructor
INTRODUCTION
 ACKNOWLEDGMENT

The advocates of this Family Nursing Care Plan want to extend the profound
gratitude and sincere appreciation to the following:

To Caloocan Health Department, to the employees and staff of Camarin

Health Center-Lying-In of Barangay 174, Camarin, Caloocan City, especially to
the medical officer, Dr. Martin Liwanag as well as to the honorable Barangay
Captain, Mr. Gilbert Rivera, for giving us the opportunity to conduct our study to 3
families in the said boundary.
To Ms. Riva Berano, Public Health Nurse in this Health Center for
Immunization Program in DOH for her expertise in immunization to the newborn
babies in allowing us to be a part in this said activities.
To Mrs. Ma. Corazon Albano, the registered midwife responsible in Pre-
natal and Family Planning who is kindhearted in allowing us to be a part of the
activities and rest of staffs in Health Center.
To our dear clinical instructor, Mrs. Thelma C. Adzuara, RN, MAN, for
teaching and guiding us all throughout of our study. Her hard work and dedication
really inspired us to do our best and to bring out the best we can and to make all
this possible.
To our school, Our Lady of Fatima University, Quezon City Campus for
giving us this opportunity to have an experience as a community health nurse. This
experience has given us the knowledge and information that may help us in the
near future.
To our parents, for keeping on supporting us with this study and for
believing that we can perform this activity with aplomb and fully extrapolate the
concept.
To our respondents, for giving us some of their time and effort to answer our
interview questions honestly so we can provide accurate information in this study.
To the Health Center who helped us to make all of this case study possible
also for their effort to help us and guided us for safety in our home visits to fulfill
all the necessary information.
To our dear Lord for guiding and protecting us all throughout this study. We
thank him for giving us this opportunity to learn more and giving us strength and
wisdom to do and perform this study according to the guidelines.

The Advocates
 THE FAMILY NURSING CARE PLAN

In community health nursing, the family will be considered as a client aside

from individual clients in the family. The Family Nursing Care Plan is the set of
actions the nurse decides to implement to be able to resolve identified family
health and nursing problems. It is the blueprint of the care that the nurse designs to
systematically minimize or eliminate the identified health and family nursing
problems through explicity formulated outcomes of care (goals and objectives) and
deliberately chosen set of interventions, resources and evaluation criteria,
standards, methods and tools.

The Family Nursing Care Plan focuses on actions which are designed to
solve or alleviate an existing problem. The plan is a blueprint for action; the meats
of the plan are the approaches, strategies, activities, methods, and materials by
which the nurse hopes to change the problem situation. This is a product of
deliberate systematic. It is not based on impulsive or spur of the moment decisions.
The planning process is characterized by logical thinking whereby relationships are
put together to arrive at rational decisions. The actions the nurse decides to
implement are chosen from among alternatives after careful analysis and weighing
options open to her.

The Family Nursing Care Plan, as with all other plans, relates to the future.
It is utilized events in the past and what is happening in the present to determine
trends. It also envisions the future if the problem situation is not corrected. The
Family Nursing Care Plan revolves around identified health and nursing problems.
The problems are the starting points for the plan, and the bases for the objectives of
care and subsequent intervention measures.

References:
https://www.scribd.com/doc/22447659/Family-Nursing-Care-Plan
https://www.rnpedia.com/nursing-notes/community-health-nursing-notes/family-nursing-care-
plan-fncp/
 THE IMPORTANCE OF NURSING CARE PLAN

Nurses are the first line of defense here and usually see the things that doctors do not
prioritize. That is where the nursing diagnosis comes into play, and why a nursing care plan is
developed. Nursing care plans are an important part of providing quality patient care.

They help to define the nurses' role in the patient's treatment, provide consistency of care
and allow the nursing team to customize its interventions for each patient. It promotes holistic
treatment of the patient and helps define specific goals of the nurses. (Career trends)

A nursing care plan can help both nurses and patients identify and define realistic,
achievable goals for the patient and offer a measurable marker for success and encouragement
when one of these goals is met. It is effective in involving patients in their own treatment and
care and can actually serve as an intervention for patients with certain nursing diagnoses, like at
risk for depression or displaying symptoms of withdrawal or anxiety.

If a nursing care plan is in place, nurses from different shifts or different floors can utilize
this information to provide the same quality and type of interventions to care for patients, thus
allowing patients to receive the most benefit from treatment (Careplans.com)

In conclusion, the Nursing Care Plan is really an essential part of communication needed
by the nurse to communicate with the patient and other members of the health care team. It needs
to be realistic at all times since the health of our patient or client will be based on this.
 STEPS IN DEVELOPING A FAMILY NURSING CARE PLAN
To succeed an effective Family Nursing Care Plan we must follow a systematic
phase. First is the assessment phase in which subjective and objective data of the
family will be accumulate. The data that has been accumulated will lead to the next
phase, which is diagnosis, in this phase the data/information will be examined and
after the examination of data/information, data based judgment will be
implemented to indicate a current and possible health problem of the family. Also
in the phase of diagnosis preparation of the family for a better wellness are
measured.

After the phase of diagnosis or identifying the family health problem the next
phase is conducting a nursing interventions. Objective or a goal that must be
attained will be essential after implementing the nursing interventions, it must be a
short term and long term goal, then do an evaluation whether the nursing
intervention was effective and implemented according to your goal. Lastly regard
all the resources that has been part on conducting the Family Nursing Care Plan.

Source: (RNPedia2019)
 DESIRABLE QUALITIES OF A NURSING CARE PLAN
Nursing care plan is important in giving providing quality nursing care to a patient that’s
why it needs to have desirable qualities. First, it should be based on a clear definition of
problems. A vague or erroneous definition of a problem can be a waste of resources because it
may not produce intended result. Second, it should be realistic and can be implemented with a
reasonable chance of success. Third, it should be consistent with goals and philosophy of the
health agency. Whether the nurse is planning its approach and intervention, the nurse must bear
in mind the philosophies and goals of the health agencies.

Lastly, care plan is drawn with the family. This is consistent with the principle that the
nurse works with and not for the family. The nurse involves the family in determining health
needs and problems, in selecting appropriate course of action, implementing them and evaluating
outcomes. Through participatory planning, the nurse also gives the family the feeling that its
dignity and integrity are preserved because of the realization that is not totally helpless and can
still do something about the problem situation. (FNCP-Scribd.com)

Therefore we conclude that the nursing care plan that we will create needs to have a
desirable quality to provide our client or patient with good and effective care. One of the
desirable qualities that it must have is the involvement of the patient to his/her own treatment
that’s why an effective health teaching is necessary in encouraging the patient. Also if the patient
knows what are the interventions needed to treat his/her condition, he/she might help him/herself
in achieving fast wellness.
PRENATAL
(Alcantara Family)
 INITIAL DATA BASE (NARRATIVE)

PRENATAL

The data presented in this paper is supported by our 33 year-old client, Mrs Celia H. Alcantara,

interviewed for our pre-natal community outreach. Mrs. Alcantara’s residence is at 629 Ilang-

Ilang St., Area B, Camarin, Caloocan City. The property where they live are theirs. The family

structure that Mrs. Alcantara have is extended family. Her household members are (1) Lilia

Hermosa, her 70 year-old mother (2) her brothers Niko Hermosa, 28 years old and High School

graduate, Romeo Hermosa, 31 years old and also a High School graduate, Jomar Hermosa, 36

years old, a High School undergrad and Cano Hermosa, 42 years old and a High School

undergrad (3) her daughters Samantha Nicole Alcantara, 8 years old and Althea Jade, 7 years

old, both Grade 1 at present, and Cristal Joy Alcantara, 5 years old who’s in kindergarten at the

present.

The head of the family is Lilia Hermosa, her mother, and also the one who makes the

decision regarding health care. When it comes to the person who makes decision regarding

money is Celia Alcantara, our client. There is a conflict between family members in regards with

their relationship with each other. They have 7 hours of sleep a day but they do not sleep

together because they have a room divider. The family eats 4-times a day. They used gas stove

and fire wood to cook their meals. Their food is usually stored in containers or jars. The family

spends their leisure time watching television for 3 hours. Other activities that they spend together

are going to church and going to mall. All family members are Roman Catholic. The family’s

income came from AnacletoAlcantara, the client’s husband, who works as a mason and has an

income of 600 pesos and from her two brothers Romeo and Niko who both work as maintenance.

Our client’s family has their own house and the construction materials that have been

used to construct their house is strong. However, their living space in their house is not adequate

same with the adequacy of their furniture. The neighborhood where they lived is a slum. The

water that they are using is coming from a private source. They also used water-sealed latrine for

their toilet facilities. The type of drainage that they have is an open drainage. The sanitary

condition in their home is fair. Their garbage is collected by a garbage collector. As stated above,
the family is using fire wood and gas stove to cook their food and used jar or container to store

their food.

The source of their health care is the health center which where the family goes as their

preventive practices. Mrs. Alcantara’s three daughters have complete immunization. Mrs.

Alcantara’s LMP was March 5, 2019 and the EDC is on December 12, 2019. She told us that her

baby already has a heartbeat. Her weight is 45 kilogram and her blood pressure is 120/80.
 INITIAL DATA BASE (PRENATAL)
I. FAMILY INFORMATION
Head of the Family: Mrs.
Address: #169, Ilang-Ilang Street, Area B, Camarin Caloocan City

EDUCATIONAL
NAME AGE RELATIONSHIP GENDER
ATTAINMENT
AnacletoAlcantara 43 Husband Male High School
Lilia Hermosa 70 Mother Female High School
Undergraduate
Carlo Hermosa 42 Brother Male
(High School)
Jomar Hermosa 36 Brother Female High School
Undergraduate
Romeo Hermosa 31 Brother Male
(High School)
Undergraduate
Niko Hermosa 28 Husband Male
(High School)
Samantha Nicole
8 Daughter Female Grade 1 (present)
Alcantara

Althea Jade Alcantara 7 Daughter Female Grade 1 (present)

CristhalJhoyAlcantara 5 Daughter Female Kinder (present)

John Carlo Alcantara 2 Son Male N/A

II. FAMILY STRUCTURE AND CHARACTERS

A. What type of family structures?
( ) Nuclear (*) Extended ( ) Patriarchal ( ) Matriarchal

B. Who makes decision regarding heath care?

The Client, Celia Hermosa-Alcantara

C. What is the general family relationship?

(*) With conflicts between the family
( ) Without conflicts between the family

D. Activities of Daily Living

1. Sleeping Patter
> Retiring/Getting Up: 9pm – 4:30am
> Nap During the Day: Mrs. Alcantara couldn't take a nap because of some
environmental distraction (e.g. construction sound)

2. Eating Pattern
How many meals each day? 4-times a day
Who appears overweight? None
Who appears underweight?The client’s mother and the two of his brothers appears
underweight
III. SOCIAL-ECONOMIC AND CULTURAL FACTORS

A. Income
Name Occupation Place Monthly Income
Masonry(Contractual
AnacletoAlcantara Camarin Caloocan City 12, 000
Worker)

Lilia, Hermosa Pension Camarin, Caloocan City 3,500

San Bartolome High

Romeo Alcantara Maintenance Worker 5,000-6,000
School
Our Lady
Niko Alcantara Maintenance Worker 6,000
LourdesCatholic School
1. Does the working family member meet the basic necessities?
(*) Yes ( ) No
2. Who makes decisions regarding money matter?
>Mrs. Celia Alcantara makes the decision making regarding money matters

3. Religious Affiliation?
> Roman Catholic
4. What role does the family play in the community?
>None

B. Housing
1. Ownership
(*) Owned ( ) Rent ( ) Rent Free
2. Construction material used
(*) Adequate ( ) Inadequate
3. Living Space
( ) Adequate(*)Inadequate
4. Sleeping Arrangement:They have their own respective room or “Divider”
5. Adequacy in furniture:
() Adequate (*) Inadequate
6. Water source:
(*) Private () Public
7. Food Storage
() Refrigerator ( ) Box (*) Jars/Container ( ) None
8. Cooking facilities
(*) Firewood (*) Gas stove ( ) Kerosene
9. Drainage facilities
(*) Open drainage () Blind drainage ( ) None
10. Toilet facilities
( ) Flush type() Water scale latrine (*) Pail System ( ) None
11. Sanitary Condition
() Fair ( ) Good (*) Poor
12. Neighborhood:
( ) Congested ( ) Slum (*) Other: Compound
13. Availability of Health Care Facilities
Describe briefly: Adequate
 IV. HEALTH AND MEDICAL HISTORY
A. Presence of Illness
( ) Diagnose ( ) Undiagnosed (*) None

Health Action
Name Past Illness Illness State
Taken
V. V Intake Medication
A Lilia Hermosa Tuberculosis Good
from Health Center
L
U Romeo Hermosa Intake Medication
Hydrocephalus Good
E from Health Center
PLACE ON PREVENTION OF DISEASE
Name of Child Age Complete Incomplete
Samantha Nicole
Alcantara 8 years old
(Daughter)
Althea Jade Alcantara
7 years old
(Daughter)
CristhalJhoyAlcantara 5 years old
John Carlo Alcantara
2 years old
(Son)

A. Prevention practice employed by the family:

>Goes to the health center upon feeling any diseases/illnesses
>Immunization
B. Garbage Disposal
( ) Dumped at street corner
( ) Buried
(* ) Picked up by a garbage collector
( ) Burned

C. Source of Health Care

(*) Health center
( ) Government Hospital
( ) Private Hospital

D. Pre-Natal Data
Gravida: 2
Para: 1
LMP: March 5, 2019
AOG: 14.2 weeks/ 100 days
EDC: December 12, 2019
FH: Palpable (17 cm)
FHT: 148 bpm
Weight:45 kg
Height:152 cm
BMI: 18.1

BMI Categories: BMI FORMULA: Weight in kg ÷ Height in meters²

Underweight:< 18.5
Normal weight: 18.5 - 24.9
Overweight: 25 – 29.9
Obesity = BMI of 30 or greater
 Identified Family Health Problems

PRENATAL
(ALCANTARA FAMILY)

Imbalanced Nutrition: Less than Body Requirements

Poor Home, Environmental Condition & Sanitation
Lack of Family Planning
Inconsistent Prenatal Check-up
Presence of Stress Points
 GROUP NARRATIVE REPORT
Thursday August 1, 2019
1st Day

On August 1, 2019 and this is our first day of community duty. Most of our team doesn't
know where the health center is specifically located so we, as well as our clinical instructor, Mrs.
Thelma Adzuara, decided to set a location and meet there at 6:30 AM so we can reach the health
center at exactly 8AM. We ride a jeepney with the "Kiko Camarin" signage and the driver
dropped us off at La Forteza. We also have to walk for a few more minutes, stopping for some
time to take pictures before finally reaching our destination. Once inside the building, we greeted
the staffs inside the lying in area and put down our bags on an empty bed. We are also told to
remove our shoes before we enter the delivery room, as we walk, our C.I is explaining
everything to us again, more like reminding us about what we should be expecting in this room
as well as what materials are needed during delivery of the baby. Next is the recovery room
where both the mother and baby is moved so that they can have a little bonding and also for them
to rest. While inside the recovery room, we are asked some questions and we managed to answer
them, some of us also have questions and they were all answered by our clinical instructor.
After walking out of the room, we quickly wear our shoes and take our bags with us again
before finally going upstairs where the health center is located. Before we started, we placed
down our bags in a corner, putting them all close to each other so it won't look messy. We put
our tickler and ball pen inside our pockets for us to write down notes, we also put our cell phones
and wallets inside our pockets so they won't get lost as the health center will not be blamed once
it happens. We signed on a log book so we will know our assigned posts, we were all divided
into pairs and the one assigned on pre-natal/family planning is Andrea Rentillo and Danielle
Mina where they are both asked to update the dates of the post partum log book, on medical
consultation it is Marinel Prudenciado, Sarah Mama, and Aaron Soriano where they took blood
pressures of the adult patients as well as the weight and height of the babies. Christel Navera,
another member of our team is assigned in immunization but, as she waits for the nurse to arrive,
she is told to interview her client for post partum case. Once she is done with that, she went back
to immunization and as the number of babies to be vaccinated increases, Sarah is then told to
help Christel so that the line won't be long and all the patients will be vaccinated. They are able
to administer vaccines twice through intramuscular and three times through subcutaneous.
Federico Obiedo, Angel Sales, Jason Ogalesco and Ybarra Paulin are all late and excused
as they are all scheduled for Hepatitis B vaccination on the same day. They arrived at exactly
10AM and Federico is assigned in documents or folder looking, Angel as well as Paulin in
medical consultation, and Jason in risk assessment. At 11:30AM, we went to a near canteen to
take a break and eat our lunch until 12:30NN. As soon as we finish, we quickly walked back to
the health center to continue our works. There are no patients yet so all of our OB bags are
checked to make sure the materials needed are complete. It is then Sarah's turn to interview her
client for pre-natal case at 1:00PM, and as she does that, all the remaining members of the team
went back to their assigned posts to help the patients and as well as the staffs. The number of
patients continues to decrease as the clock continues to tick but, at around 2:30PM, a man who is
a senior citizen asks one of our team to check his blood pressure as he is feeling dizzy. The result
of his blood pressure is 140/100 mmHg which is higher than the normal range which is 120/80
mmHg. We asked him if he is taking any medicine as his maintenance, and he said yes. A few
more minutes of sitting and letting him rest after his blood pressure is taken, he decided to go
home already and thanked us.
 At 3:00PM, although there are a few patients coming in, we are not accepting anyone
anymore as it is almost closing time and told them to just come back the next day at an earlier
time. We are also doing our own narrative reports at the same time and at around 3:30PM, our
clinical instructor talked to us, specially our leaders about our cases which are the pre-natal, post
partum and morbid cases. For the morbid case, their leader, Federico, have to wait until they
found a client for this case because there were not much patients on this day. At 3:30PM, we
started fixing our things, putting our ticklers, ball pens and other things that are inside our
pockets back to our bags. We thanked all the staffs in the health center and lying in area before
leaving at exactly 4:00PM, Andrea Rentillo, Marinel Prudenciado and Danielle Mina all ride a
jeepney with the “BAYAN 7/11” signage while the other members of the team walked with our
C.I as they live farther than the other three.
 GROUP NARRATIVE REPORT
Friday August 2, 2019
2nd Day

It is the 2nd day of duty here at the health center of Barangay 174. The group was so busy
at that time because there were patients who urgently needed to attend to, especially babies who
need vaccines. The CI who is assigned to the group in the area divided us and gave each of the
members their own task so that group may able to work faster. The weather during that day was
not good because there was news saying that there was a typhoon but the task was continued
anyway because it was scheduled that the group will do home visits for the case study.
The division of the group was this: Mina, Obiedo, and Rentillo go to the immunization of that
area to administer vaccines like BCG, MMR, and etc. with the help of Nurse Riva which is the
nurse on that center. Immunization is important because it helps the spread of disease and
protects the babies against any dangerous complications; the next team was assigned on medical
consultation composed of Sales and Samla. The two of them were the one on the frontline and
the first to face patients who go to the health center and asked the patients of their needs, either
vaccination or dental or regular check-up; The next team was the one who’s in charge of getting
the weight and height of the patient. The people who were assigned on this tasked were Aaron
and Marinel. This is the area where the team records the height and weight of the patient and
assessed if the patient is underweight or not; the next team was assigned on prenatal and the
people who were assigned here were Navera and Mama. The team’s task here was to write; the
next one was the envelop helping and were assigned to Ogalesco and Maljacan to which the task
was to find the record of a patient; the next one was the front desk where Ybarra is the only
person who was assigned on that task. Ybarra’s task was to write the height, weight, temperature
and the age of the baby. He also did a risk assessment form.
The whole group was so busy in the morning but in the afternoon there was a suspension so the
group was half day as a result. There were almost no patients in the afternoon so the whole group
just focused on the case study. The others do the interview while the rest wrote.
 Identified Family Health Problems

PRENATAL
(ALCANTARA FAMILY)

Lack of Family Planning

Imbalanced Nutrition: Less than Body Requirements
Poor home, Environmental Condition& Sanitation
Inconsistent Prenatal Check-up
Presence of Stress Points

POSTPARTUM
(MERCADO-PANGILINAN FAMILY)
Poor Breastfeeding Techniques
Emotional Stress
Inadequate Nutrition of the Mother
Improper Sanitation of Environment
Presence of Breeding Sites of Mosquitoes

MORBID
(LOYOLA FAMILY)
Pulmonary Tuberculosis
Malnutrition
Poor Environmental Sanitation and Hygiene
Poor Healthy Lifestyle
Cross Infection

Prioritized Problems
Lack of Family Planning (PRENATAL)
Poor Breastfeeding Techniques (POSTPARTUM)
Pulmonary Tuberculosis (MORBID)
 LACK OF FAMILYPLANNING (PRENATAL)

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

The nature of the problem

is a health threat for the
NATURE OF THE mother because it may
2/3 x 1 0.66
PROBLEM cause her some health
issues in the future.

The modifiability of the

MODIFIABILITY problem is easily
OF THE 2/2 x 2 2 modifiable because of the
PROBLEM age gap of the children.

The preventive potential

PREVENTIVE of the problem is high if
3/3 x 1 1
POTENTIAL only the family can
practice family planning.

The salience of the

SALIENCE OF problem is serious because
2/2 x 1 1
THE PROBLEM it might compromise the
mother's health.

TOTAL 4.66
 IMBALANCED NUTRITION: LESS THAN BODY
REQUIREMENTS (PRENATAL)

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

The nature of the

problem is a health
NATURE OF THE threat because the
3/3 x 1 1
PROBLEM mother is underweight
based on her medical
records

The modifiability of the

MODIFIABILITY problem is easily
OF THE 2/2 x 2 2 modifiable because it is
PROBLEM obvious on the mother's
physical features

The preventive potential

of the problem is
PREVENTIVE
2/3 x 1 0.66 moderate if the mother
POTENTIAL
can gain weight and
some nutrients.

The salience of the

problem is serious
SALIENCE OF
2/2 x 1 1 because it may affect
THE PROBLEM
the baby as well as the
mother.

TOTAL 4.66
 POOR HOME, ENVIRONMENTAL CONDITION &
SANITATION (PRENATAL)

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

The nature of the

problem is a health
NATURE OF THE threat because of poor
2/3 x 1 0.66
PROBLEM environment condition
and improper
sanitation.

The modifiability of
the problem is easily
MODIFIABILITY modifiable because we
2/2 x 2 2
OF THE PROBLEM observed that their
home has potential
health threats.

The preventive
potential of the
PREVENTIVE problem is low because
1/3 x 1 0.33
POTENTIAL they are the caretaker
of the apartment
building.

The salience of the

SALIENCE OF THE problem is easily seen
2/2 x 1 1
PROBLEM towards the place.

TOTAL 3.99
 INCONSISTENT PRENATAL CHECK-UP(PRENATAL)

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

The nature of the

problem is a health threat
NATURE OF THE for the baby and for the
2/3 x 1 0.66 mother because they are
PROBLEM
not receiving appropriate
amount of nutrients

The modifiability of the

MODIFIABILITY problem is easily
OF THE 2/2 x 2 2 modifiable, based on
PROBLEM what the mother
verbalized and on the
medical record

The preventive potential

of the problem is
PREVENTIVE
2/3 x 1 0.66 moderate because the
POTENTIAL
mother does not go the
health center frequently

The salience of the

problem does not need
SALIENCE OF immediate attention
1/2 x 1 0.5
THE PROBLEM because the mother has
receive specific
immunization needed

TOTAL 3.82
 PRESENCE OF STRESS POINTS (PRENATAL)
ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE
The nature of the
problem is a
foreseeable crisis
NATURE OF for the mother
1/3 x 1 0.33
THE PROBLEM because she cannot
see the problem
itself.

The modifiability
of the problem is
partially
MODIFIABILITY
modifiable if the
OF THE 1/2 x 2 1
mother can know
PROBLEM
how to cope up
with her stress.

The preventive
potential of the
problem is
PREVENTIVE
2/3 x 1 0.66 moderate when the
POTENTIAL
mother can identify
her stressors.

The salience of the

problem is not
serious because it
is still not affecting
SALIENCE OF 1/2 x 1 0.5 the mother's
THE PROBLEM pregnancy.

TOTAL 2.49
POSTPARTUM
(Manalili-Guiyab Family)
 INITIAL DATA BASE (NARRATIVE)

POSTPARTUM

This presentation would not be possible without the cooperation and support of

“Manalili-Guiyab Family” for our community home visit and case study. Their residence is

located at #2697 Magnolia St., Camarin, Caloocan City. The household is an extended type that

consists of 5 members. First is the client, Ailyn Manalili, an 18-year-old Grade 10 Open High

school student at Camarin Highschool and her husband James Guiyab also 18 years old. Their

child is Abria Leign Guiyab, a 2 months old girl. They live along with her mother-in-law,

Conception Guiyab, who is 50 years old and unemployed, is considered as the head of the family

which makes important decisions and budgets income with Ailyn Manalili. She also lives with

her sister-in-law, Angel Guiyab, 22 years old, who works at SM Fairview.

According to Ailyn, the family wakes up 5 AM, takes naps of 2-3 hours long during the

day, and sleeps at 11 PM. The baby usually sleeps tight at night and only wakes up when she

wants to drink milk. The family spends their leisure hours tending and playing with the baby

which serves as a bonding time to them.

The family, according to Ailyn, does not meet the basic necessities for daily living. James

Guiyab, who is a part-time flower vendor, has an approximate income of 500 pesos. They own

their own house which is constructed by both light and strong materials. The house provides

them an adequate space for living, and they get their water in public water system in their

barangay. Their food is stored in cabinets, and uses a gas stove for cooking. They don’t do

proper disposal of their garbage, and only have one trash bag for all of their garbage. They have

a blind type of drainage facility, and their toilet facility is pail system. The neighborhood is

congested and their house is just walking distance from the health center. For the family health

and medical history, Ailyn mentioned that her mother, who is already deceased, suffered from

hypertension. She also mentioned that aside from her mother, there are no other

illnesses/disorders reported from other members of their family.

Ailyn mentioned that it is her first time to bring her baby to the community center, and

that her child already received her BCG vaccine, the OPV vaccine, and Hepa-B vaccine. The

baby’s birth weight is 2.5 kilograms and her birth height is 50 cm.
 INITIAL DATA BASE (POSTPARTUM)
I. FAMILY INFORMATION
Head of the Family: Conception Manalili
Address: #2697 Magnolia st., Camarin, Caloocan City
EDUCATIONAL
NAME AGE RELATIONSHIP GENDER
ATTAINMENT
James Guiyab 18 Husband Male Highschool

Ailyn Manalili 18 Mother Female Grade-10 student

Abria Leign
2 months Daughter Female N/A
Guiyab
Conception
50 Mother-in-law Female Highschool
Guiyab
Angel Guiyab 22 Sister-in-law Female Highschool

II. FAMILY STRUCTURE AND CHARACTERS

A. What is the type of family structures?
( ) Nuclear (✓ ) Extended ( ) Patriarchal ( ) Matriarchal
B. Who makes decision regarding health care? Ailyn Manalili
C. What is the general family relationship?
( ) With conflicts between the family
(✓) Without conflicts between the family
D. Activities of Daily Living:
1. Sleeping pattern:
Retiring/Getting up hours: 11pm / 5am
Nap during the day: 1pm / 2 – 3 hours
Do members sleep together? Yes
2. Eating pattern:
How many meals each day? 3 times a day
Abria Leign Guiyab
Weight: 3.9 kg
Height: 52.9 cm

BMI Categories: BMI FORMULA: Weight in kg ÷ Height in meters²

Underweight:< 18.5
Normal weight: 18.5 - 24.9
Overweight: 25 – 29.9
Obesity = BMI of 30 or greater

3. Leisure time activities:

How does each member spend leisure hours? Watching T.V. and caring for baby
Is it appropriate for the sex and age group? Appropriate
What is the effect to the family? Bonding
Any joint activities for leisure? None
III. SOCIO-ECONOMIC AND CULTURAL FACTORS
A. Income

NAME OCCUPATION INCOME

James Guiyab Part- time flower vendor 500 pesos a day (on call)
Angel Guiyab Customer service 12,000 pesos a month

1. Does the working family member meet the basic necessities?

() Yes (✓) No
2. Who makes decisions regarding money matters? Ailyn Manalili
3. Religious affiliation? Mixed (Roman Catholic and Christian)
4. What roles does the family play in the community? None

IV. ENVIRONMENTAL FACTORS

A. Housing
1. Ownership:
(✓) Owned ( ) Rented ( ) Rent-free
2. Construction material used
( ) Light (✓) Mixed ( ) Strong
3. Living Space
( ) Adequate (✓ ) Inadequate
4. Sleeping arrangement: Sleeping Together
5. Adequacy in furniture:
( ) Adequate ( ✓) Inadequate
6. Water Source:
( ✓ ) Private ( ) Public
7. Food Storage
( ) Refrigerator ( ) Boxes ( ) Jars/Containers (✓) Cabinet
8. Cooking Facility:
( ) Electric stove (✓) Gas stove ( ) Firewood ( ) Kerosene Stove
9. Drainage Facility:
( ) Open Drainage (✓) Blind Drainage ( ) None
10. Toilet Facilities/Type:
( ) Flush type ( ) Bored-hole latrine ( ) Water-sealed latrine
(✓) Pail system ( ) Overhung latrine ( ) None
11. Sanitary condition:
( ✓ ) Fair ( ) Good ( ) Poor
12. Neighborhood:
(✓ ) Congested ( ) Slum ( ) Other
13. Availability of Health Care Facility:
Describe briefly: Walking Distance
14. Garbage Disposal:
 ( ) Dumped at street corner ( ) Buried
( ✓ ) Picked up by garbage collector ( ) Burned then buried
V. HEALTH AND MEDICAL HISTORY
A. Presence of Illness:
( ) Diagnosed ( ) Undiagnosed (✓) None

HEALTH ACTION
NAME PAST ILLNESS ILLNESS STATE
TAKEN
Didn’t take proper
Amelia Manalili HPN Deceased
medication.

I. VALUE PLACE ON PREVENTION OF DISEASE

NAME OF CHILD AGE COMPLETE INCOMPLETE

Abria Leign Guiyab 2 months ✓

B. Preventive practices employed by the family: Immunization

C. Sources of health care:
(✓) Health Center ( ) Private Hospital ( ) Government Hospital ( ) Others
Identified Family Health Problems

POSTPARTUM
(MANALILI-GUIYAB FAMILY)

Poor Breastfeeding Techniques

Emotional Stress
Inadequate Nutrition of the Mother
Improper Sanitation of Environment
Presence of Breeding Sites of Mosquitoes
 POOR BREASTFEEDING TECHNIQUES
(POSTPARTUM)

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

The nature of the

problem is a health
threat because the baby
NATURE OF THE
2/3 x 1 0.66 might get poor nutrition
PROBLEM
due to improper
breastfeeding
techniques.

The modifiability of the

problem is partially
modifiable since the
MODIFIABILITY mother is aware that her
OF THE 1/2 x 2 1 baby might get poor
PROBLEM nutrition if she does not
use proper
breastfeeding
techniques.
The preventive potential
of the problem is
moderate and needs
some health teaching
PREVENTIVE about the importance of
2/3 x 1 0.66
POTENTIAL breastfeeding like
giving all nutrient
needed by the baby and
to develop mother-child
relationship.
The salience of the
problem needing an
immediate attention
because the health of
SALIENCE OF
2/2 x 1 1 the baby will be
THE PROBLEM
compromised if
immediate action is not
taken.

TOTAL 3.32
 EMOTIONAL STRESS (POSTPARTUM)

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

The nature of the problem

is health threat because
NATURE OF THE emotional stress to a
2/3 x 1 0.66 postpartum mother may
PROBLEM
lead to postpartum
depression.

The modifiability of the

MODIFIABILITY problem is partially
OF THE 1/2 x 2 1 modifiable because the
PROBLEM mother doesn’t open up
unless we ask.

The preventive potential

of the problem is moderate
PREVENTIVE
2/3 x 1 0.66 because the mother has
POTENTIAL
few coping skills

The salience of the

problem is not needing
immediate attention
SALIENCE OF
2/2 x 1 1 because the mother has a
THE PROBLEM
few coping skills, which
can affect her attitude on
caring for the baby

TOTAL 3.32
 INADEQUATE INTAKE OF NUTRITION OF
MOTHER(POSTPARTUM)

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

The nature of the

problem is a health
threat because of
NATURE OF THE
2/3 x 1 0.66 inability of the mother
PROBLEM
to have a proper
nutrition due to her food
preferences.

The modifiability of the

problem is partially
modifiable since the
MODIFIABILITY
mother does not want to
OF THE 1/2 x 2 1
eat vegetables but is
PROBLEM
concerned about the
wellbeing of the baby.

The preventive potential

of the problem is high
because if the mother is
PREVENTIVE properly educated about
3/3 x 1 1
POTENTIAL the benefits of eating
vegetables, she might
reconsider her diet.

The salience of the

problem is a problem
but not needing an
immediate action
SALIENCE OF because if we encourage
1/2 x 1 0.5
THE PROBLEM the mother to eat
vegetables, the baby
and her will receive
proper nutrition.

TOTAL 3.16
 IMPROPER SANITATION OF ENVIRONMENT
(POSTPARTUM)

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

The nature of the

problem is a foreseeable
crisis because poor
NATURE OF THE garbage storage can
1/3 x 1 0.33
PROBLEM promote growth of
pathogens that can
infect the family
members

The modifiability of the

MODIFIABILITY problem is partially
OF THE 1/2 x 2 1 modifiable because the
PROBLEM family can be educated
about proper waste
disposal

The preventive potential

of the problem is high
PREVENTIVE because the family is
3/3 x 1 1
POTENTIAL not following the
schedule of their
garbage disposal every
Saturday.

The salience of the

problem is a problem
needing an immediate
SALIENCE OF
1/2 x 1 0.5 action to the health of
THE PROBLEM
the mother and baby,
but if handled may not
need immediate action.

TOTAL 2.83
 PRESENCE OF BREEDING SITES FOR MOSQUITOES
(POSTPARTUM)

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

The nature of the

problem is a health
NATURE OF THE
2/3 x 1 0.66 threat because it may
PROBLEM
harbor mosquitoes that
causes disease(dengue)

The problem is partially

modifiable because
family is aware of their
MODIFIABILITY living environment for
OF THE 1/2 x 2 1 living in congested area
PROBLEM that is not suited for the
health of postpartum
mother and the baby.

The problem has

moderate preventive
potential because the
PREVENTIVE members of the family
2/3 x 1 0.66
POTENTIAL have little time for
cleaning their house
which causes breeding
site for mosquitoes.

The salience of the

problem is serious and
needing an immediate
action, since they use
SALIENCE OF
2/2 x 1 0.5 insecticides for
THE PROBLEM
prevention. The
chemical might be
breath by the infant
which is dangerous.

TOTAL 2.82
 GROUP NARRATIVE REPORT

Thursday August 8, 2019

3rd day
On August 08, 2019 It was suspended again due to a bad weather caused by the typhoon Hanna.
Due to this, our duty is also cancelled as announced by the institution of Our Lady of Fatima
University following the announcement of the local government of Quezon City. To not let this
day be wasted on doing nothing, we used this opportunity to do our case study papers and also
do our individual assignments and tasks on other subjects.

Friday August 9,2019

4th day
On August 09, 2019 It was suspended again due to a bad weather caused by the typhoon Hanna.
Due to this, our duty is also cancelled as announced by the institution of Our Lady of Fatima
University following the announcement of the local government of Quezon City. As almost
everything that is needed to be done is managed on yesterday’s suspension, we decided to finish
all the remaining work and used this day to take it easy and relax.
MORBIDITY
(Loyola Family)
 INITIAL DATA BASE(NARRATIVE)
MORBID

The case presentation is prepared and gathered by group 19 from BSN 2A1-5 of Our Lady of
Fatima University, Quezon City Campus and supported by Brgy.174 Health Center, Camarin,
Caloocan City and guided by our clinical instructor Mrs. Thelma C. Adzuara, RN, MAN. This
case presentation focuses on Lenilyn Benaflor Loyola, female, 40kgs. Who is currently
diagnsoed with Primary Tubercolosis last month thru her medical record. At the young age of 19,
she is currently medicating drugs to cure her tuberculosis. With lots of stressors including all
aspects that can affect the developing of the illness like age, gender and also the fact that she is
still studying at UCC Colleges 1st year BSIS. With her father, Mr. Pedro Loyola the breadwinner
of the family working as a welder, and his mother Mrs. Linda Loyola as housewife, not enough
to sustain expenses supporting her and other siblings namely; Loren May Loyola (College
graduate at Access Camarin) Liezel Loyola (SHS at Mystical Cruz) and Peter John(High School
at Camarin High School).

They are living in a nuclear family style meaning that they are living with parents and children.
With the conflicts arise in the family, her father is in-charge for the decision regarding health
care and financial expenses of the family. The family bond is still strong with the reason of they
are still sleeping together and they are commonly sleeping at 12:00 midnight. The family have
just enough for 3 meals in a day. During our home visit the children of Mr. Pedro Loyola
including Lenilyn Loyola looks underweight and personal grooming was inappropriate to the
age. With the design of the family structure, they gather to bond on their leisure time. The family
believes to a religion affiliation, Roman Catholic, They are living in a crowded environment with
the composition of their house as mixed, the living space and furniture seems to be inadequate
for them, and crowded that affects their poor sanitation, with their water connection from public
line. They stored their food at a refrigerator and cooking in a gas stove and with the open
drainage system back of the house that causes poor environmental public condition. Given that
the neighborhood is congested, the sanitary condition is being collected by a garbage truck once
a week. They are visiting health care provider once in a while.

Lenilyn Benaflor Loyola was diagnosed with Pulmonary Tuberculosis. Ms. Lenilyn stated that
she had a cough and cold that last for two weeks and she was taken to Brgy. 174 Camarin Health
Center, At her medical records there was a difficulty of breathing (dyspnea) and reticular
densities are seen in both upper lobes thru x-rays in her medical records. Lenilyn started the
medication on July 23, 2019 and is currently taking Rifampicin (Quadmax) and it was the 1st
phase of medication of Tuberculosis which last within 2 months and then after 2 months Lenilyn
is supposedly take the 2nd phase of medication which is the Intensive/Maintenance phase for 4
months with a total of 6 months medication.
 INITIAL DATA BASE (MORBID)
I. FAMILY INFORMATION
Head of the Family: Pedro Loyola
Address: #2457 Waling waling St.Camarin Caloocan City
EDUCATIONAL
NAME AGE RELATIONSHIP GENDER
ATTAINMENT

Loren May 20 Sister Female Graduate

Senior High
Liezel Ann 17 Sister Female
School
Junior High
Peter John 15 Brother Male
School

Linda 54 Mother Female Undergraduate

Pedro 52 Father Male Undergraduate

II. FAMILY STRUCTURE AND CHARACTER

A. What is the type of family structures?
(/) Nuclear () Extended ( ) Patriarchal ( ) Matriarchal
B. Who makes decision regarding health care?
Head of the family, Mr. Pedro Loyola
C. What is the general family relationship?
(/) With conflicts between the family
( ) Without conflicts between the family
D. Activities of Daily Living:
1. Sleeping pattern:
Retiring/Getting up hours: 12 noon
Nap during the day: 2 hours
Do members sleep together? Yes
2. Eating pattern:
How many meals each day? 3 times a day
Who appears underweight?Lenilyn Loyola
Weight & BMI:
Lenilyn Loyola:17.09 BMI FORMULA: Weight in kg ÷ Height in meters²
BMI Scaling
Underweight:< 18.5 Computation: 40kg ÷ 1.52meters² = 17.09
Normal weight: 18.5 - 24.9
Overweight: 25 – 29.9
Obese: ≥ 30
 3. Leisure time activities:
How does each member send leisure hours? Gathering/Bonding
Is it appropriate for the sex and age group? Yes
What is the effect to the family? Satisfaction of the family
Any joint activities for leisure? Lenilyn: Reading
III. SOCIO-ECONOMIC AND CULTURAL FACTORS
A. Income
NAME OCCUPATION INCOME
Pedro Loyola Welder 12,000/month

1. Does the working family member meet the basic necessities?

(/) Yes ( ) No
2. Who makes decisions regarding money matters? Father
3. Religious affiliation? Roman Catholic
4. What roles does the family play in the community? Citizen
IV. ENVIRONMENTAL FACTORS
A. Housing
1. Ownership:
( /) Owned () Rented ( ) Rent-free
2. Construction material used
( ) Light (/) Mixed() Strong
3. Living Space

( ) Adequate(/) Inadequate

4. Sleeping arrangement: The girls and the boys separate

5. Adequacy in furniture:
() Adequate (/ ) Inadequate

6. Water Source:
( ) Private (/) Public
7. Food Storage
( /) Refrigerator ( ) Boxes ( ) Jars/Containers( ) Cabinet
8. Cooking Facility:
( ) Electric stove (/) Gas stove ( ) Firewood ( ) Kerosene Stove
9. Drainage Facility:
( /) Open Drainage () Blind Drainage() None
10. Toilet Facilities/Type:
( ) Flush type( ) Bored-hole latrine ( ) Water-sealed latrine

( /) Pail system ( ) Overhung latrine ( ) None

11. Sanitary condition:
( ) Fair () Good( /) Poor
12. Neighborhood:
(/) Congested ( ) Slum ( ) Other
13. Availability of Health Care Facility:
Describe briefly: Regular Visitation
14. Garbage Disposal:
( ) Dumped at street corner ( ) Buried
(/) Picked up by garbage collector ( ) Burned then buried

V. HEALTH AND MEDICAL HISTORY

A. Presence of Illness:
(/) Diagnosed ( ) Undiagnosed ( ) None

NAME PAST ILLNESS ILLNESS STATE HEALTH ACTION

TAKEN
Medicine (Rifampicin
Lenilyn Cold and Cough PTB
500mg intake daily)

VI. VALUE PLACE ON PREVENTION OF DISEASE

NAME OF CHILD AGE COMPLETE INCOMPLETE
Lenilyn 19 /
Loren May 20 /
Lezlie Ann 17 /
Peter John 15 /

B. Preventive practices employed by the family: Regular check up complete with immunization
C. Sources of health care:
(/) Health Center ( ) Private Hospital ( ) Government Hospital ( ) Others
Identified Family Health Problems

MORBID
(LOYOLA FAMILY)

Pulmonary Tuberculosis
Malnutrition
Poor Environmental Sanitation and Hygiene
Poor Healthy Lifestyle
Cross Infection
 MALNUTRITION (MORBID)

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

This is classified as
health deficit because
their food intake are
NATURE OF THE 3/3 x 1 1 not sufficient in
PROBLEM
nutrients that leads to
poor health and
underweight children.

This is easily
MODIFIABILITY modifiable with the
OF THE 2/2 x 2 2 health teachings, such
PROBLEM as taking vitamins to
improve appetite

This is highly
preventive with the
PREVENTIVE 3/3 x 1 1 participation of health
POTENTIAL
center in promoting
proper nutrition

This is a serious
problem that needs
SALIENCE OF immediate attention to
2/2 x 1 1
THE PROBLEM prevent malnutrition
that leads underweight
of the children.

TOTAL 5
 POOR ENVIRONMENTAL SANITATION
AND HYGIENE (MORBID)

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

This is classified as
health deficit because
NATURE OF
3/3 x 1 1 it leads to health
THE PROBLEM
problems like airborne
diseases.

This is partially
modifiable by
MODIFIABILITY conducting general
OF THE 1/2 x 2 1 cleaning and arranging
PROBLEM their house materials in
proper places.

This is highly
preventive with daily
maintenance of
cleanliness/orderliness
PREVENTIVE of their surroundings
3/3 x 1 1
POTENTIAL and most effectively
maintaining hand
washing and family’s
cooperation.

This is a serious
problem needed an
SALIENCE OF immediate attention to
2/2 x 1 1
THE PROBLEM prevent hazardous and
risk of the
surroundings.

TOTAL 4
 POOR HEALTHY LIFESTYLE(MORBID)

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

This is classified as
health deficit because
having inadequate
NATURE OF nutrition will increased
3/3 x 1 1
THE PROBLEM the probability to
various diseases, most
importantly PTB.

This is partially
modifiable because
MODIFIABILITY adequate health
OF THE 1/2 x 2 1 teaching might help,
PROBLEM but it depends on the
family’s financial
status.

This is moderately
preventive because it is
dependent on the
PREVENTIVE
2/3 x 1 0.66 willingness of the
POTENTIAL
family to comply
regarding the proper
nutrition

This is a serious
problem that need
SALIENCE OF immediate attention
2/2 x 1 1 such as serious
THE PROBLEM
transmission of
infectious diseases.

TOTAL 3.66
 PULMONARY TUBERCULOSIS (MORBID)

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

This is perceived as
health deficit because
NATURE OF patient was currently
3/3 x 1 1
THE PROBLEM diagnosed for
acquiring pulmonary
tuberculosis.

This is easily
modifiable in the fact
that the family and the
patient is well
MODIFIABILITY
informed on her
OF THE 2/2 x 2 2
current disease which
PROBLEM
is pulmonary
tuberculosis and the
patient is currently
taking medication.
(Rifampicin)

This is highly
preventive through the
PREVENTIVE medications given by
3/3 x 1 1
POTENTIAL the health center and
proper health teaching
to the patient.

An immediate
attention is needed to
SALIENCE OF this serious problem
2/2 x 1 1
THE PROBLEM to avoid deterioration
of the current disease
of the patient.

TOTAL 5
 CROSS INFECTION (MORBID)

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

This is classified as
health for the family to
NATURE OF stop the possibility of
2/3 x 1 0.66
THE PROBLEM infection thru proper
hand washing and
using face mask

The problem is easily

modifiable by the fact
MODIFIABILITY
that one of the family
OF THE 1/2 x 2 1
member is currently
PROBLEM
infected by
tuberculosis and taking
a medication

It is highly preventive
with health teaching
and health education
about transmission of
PREVENTIVE
1/3 x 1 0.33 microorganism Myo-
POTENTIAL
bacterium tuberculosis
from droplet infection
upon sneezing and
coughing

A serious problem
needed immediate
attention to prevent the
spread of
SALIENCE OF microorganism to the
2/2 x 1 1
THE PROBLEM whole family and
neighborhood as well
and if not treated it
affect the whole
community

TOTAL 2.99
 GROUP NARRATIVE REPORT
Thursday August 15, 2019
5th day

On this day, we meet at 7/11 convinience store, near Fairview terraces at 7:15am together
with our clinical instructor Mrs. Thelma C. Adzuara, so that we can all go together at the same
time after than that we are talking about the planning for our home visit while we are on the road.
We arrived at 7:45am in the Community Health Center in Barangay 174, Camarin. We discussed
first or what is the nearest home visit from the health center followed by the other case study. We
go first in morbidity, 15mins walk from the health center. We are guided by the medical
consultant, Ma’am Lhen. We arrived at our first home visit for morbidity at 8:34am is in Waling
-Waling St. and Ybarra Paulin and Jason Ogalesco bought foods for give way for the family.
We interviewed our client by Angel Chris Sales together with our clinical instructor Mrs
Adzuara to get all the information needed to fill our case study. Marinelprudenciado is
the one to take the photos of the surroundings and environment of the family for the
documentation.
After our interview for the client of mobidity, we proceed to the post-partum case and
we have a hard time to find where is the exact location of the home, we called them but can’t
give the exact address sowe ask other people where is the possible location of the family and we
are so thankful because they have an open hand to help us. We found the house of pre-natal then
we observed the surroundings, it looks like it’s underconstruction, and then very complex where
they are take rest and since it is a pre natal, the mother is more likely feel uncomfortable. Aaron
Soriano is the one who took pictures of the surroundings for the documentation
Since it is our last duty, we are very thankful to the municipality, the community, the
health center, the staffs and also to our clinical instructor for the lesson and experience they gave
us.It is our honor to serve with our heart the citizens of Brgy. 174,Camarin,Caloocan City. We
are also gratefulto have a clinical instructor like her because ma’am Adzuary is the only one who
guided us with the love and passion for nursing and the community. We are hoping to return the
favor in the future to the Filipino people.
 GROUP NARRATIVE REPORT
Thursday August 16, 2019
6th day

On this last day that is supposed to be our case presentation at Caloocan City hall, our
loving and understanding clinical instructor Mrs. Thelma Adzuara, let us do our case
presentation to be polish and well prepared at Eye Rehab Center of Our Lady Of Fatima
University, Regalado, Quezon City.
All the group members are gathered early at the meeting place to finalize our outputs for
the case presentation. Everyone is too busy doing their tasks in order to submit and prepare it for
the due date given on us to defend our case study about our morbidity case, pre-natal case and
post-partum case which includes the information given and gathered while we are in the
community.
The helping hand of our clinical instructor Mrs.ThelmaAdzuara checked individually and
manually every details in our case presentation that we are making and also the kind heart to re-
schedule our case presentation.
At the end of the day, everyone can breath smoothly and chin up with a hope for the big
day ahead of us, the defense. On behalf of group 19, we are all hoping for a successful day.
God be the glory.
PRE-NATAL
 PRE-NATAL

HEALTH FAMILY GOALS OF OBJECTIVES OF NURSING RESOURCE METHODS OF

NURSING FAMILY NURSE EVALUATION
PROBLEM CARE CARE INTERVENTION REQUIRED
PROBLEM CONTACT

Clangorous Disturbed Short – Term Within a number of  Explain the Human Initial Interview: After 2 weeks of
Environment Sleeping Goal: days of Nursing importance resources: August 1, 2019 nursing
Resulting to Pattern as a Interventions, the of adequate (Thursday) intervention and
Inadequate Health After 1 day of health teaching:
pregnant mother sleep during Time and Effort
Sleep Deficit: nursing
will be able to: the of First Home
intervention, the  The
pregnancy of - Barangay Visit:August 8,
 Risk for mother will be mother
 Discuss the mother. Health 2019 (Thursday)
complicatio able to importance of Workers was able
Subjective ns during understand the  Discuss the topractice
having a - Our Last Home Visit:
Cues: pregnancy importance of essential the
sufficient rest Clinical August 15, 2019
 "Hindi related to having an pattern for
(Thursday) adequate
throughout her Instructor
ako inadequate adequate pregnancy.
sleeping.
Mrs. sleep
makatulog ng sleeping sleeping pattern. during her
 Identify possible  Educate Thelma
maayos dahil sa pattern. about Adzuara preg-
Long-Term prenatal problems nancy
ingay ng possible - BSN
Goal: that may arise term.
construction area when the child Students
at madali akong After 2 weeks of
environment of complication Group 19  The
magising kapag nursing s that can be (Batch
the mother is not mother
may ingay akong intervention, the detected 2019-
in a descent was able
naririnig." mother can during early 2020)
manner. to identify
Objective Cues: independently pregnancy
 Enumerate some the
perform having
The mother of the possible complicati
an adequate
seems to effect of a nice ons that
sleeping pattern.
experiencing a environment for may arise
lack of sleep the mother’s  Encourage - Responde when she
because of sleeping pattern. the mother to nts has
continuous stress  Educate others as have her inadequate
factors around well as to proper sleeping
the family. promote proper sleeping Other resources: pattern.
sleeping pattern pattern and OB bag, paper,
comfortable pen, laptops, cell  The
Prenatal Data: not only for the mother
pregnant mother sleeping phone, visual
environ- materials was able
Gravida:4 but for the whole
ment. to know
Para: 5 barangay. the the
LMP: March 5,
comfortab
2019
le area for
AOG: 14.2
her
weeks/ days
adequatesl
EDC: December
eep.
12, 2019
FH: Palpable (35
cm)
 POST PARTUM
FAMILY METHOD OF
GOALS OF OBJECTIVE OF NURSING RESOURCE EVALUATION
HEALTH NURSING FAMILY
CARE CARE INTERVENTION REQUIRED
PROBLEM PROBLEM NURSE
CONTACT

Emotional Emotional After 1 week of Within 30  Explain the Human resources: Initial interview: After 1 week of
Stress as Stress nursing minutes of possible effects August 1, 2019 nursing intervention
health threat: ```````as health intervention the Nursing of stress to her Time and Effort of (Thursday) and some series of
problem due to: family will be Interventions, the health - Barangay health teachings the
Subjective able to: mother will be Health 1st Home visit: mother will be able
 Encourage the
Data:  Possibility able to: Workers August 2, 2019 to:
mother to
“namimiss ko of the  Help the - Our Clinical (Friday)
 Know and verbalize fears
yung pamilya mother to mother to Instructor  State
and anxieties
ko” suffer from cope with determine the Mrs. Farewell visit: someways to
anxiety that stressors effects of  Discuss and August 15, 2019
Thelma cope up with
“nahihiya ako can lead to stress on her emphasize the (Thursday)
 Avoid Adzuara her own stress
sa mga depression health importance of
worsening - BSN
schoolm communication  Share and
 Lack of of stress  Talk about inside the Students
ates ko kasi Group 19 communicate
proper her feelings family
may anak na (Batch her thoughts
knowledge  Encourage the
ako 2019-2020) to her family.
about the husband to give
“ effects of - Respondent
attention to the
stress to a s
mother’s
postpartum emotional status
mother Other resources:
OB bag, paper,
pen, laptops, cell
phone, visual
materials
 FAMILY METHOD
GOALS OF OBJECTIVE OF NURSING RESOURCE EVALUATION
HEALTH NURSING OF FAMILY
CARE CARE INTERVENTION REQUIRED
PROBLEM PROBLEM NURSE
CONTACT

Poor Poor After 1 week of Within 30 Explain the Human resources: Initial After 1 week of
Breastfeeding Breastfeeding nursing minutes of importance of knowing interview: nursing intervention
Techniques as Techniques as intervention the Nursing proper breastfeeding Time and Effort of August 1, and some series of
health threat: health problem family will be Interventions, the techniques and - Barangay Health 2019 health teachings the
due to: able to: mother will be demonstrate if needed Workers (Thursday) mother will be able to:
Subjective able to: - Our Clinical
Data:  Lack of  Help the  Explain the Instructor Mrs. 1st Home  State proper
“hindi kasi ako knowledge mother to do  Discuss different Thelma Adzuara visit: ways on how to
sanay magpa- about the proper proper advantages of - BSN Students August 2, breastfeed her
dede medyo proper breastfeedin breastfeeding breastfeeding Group 19 (Batch 2019 baby
nahihirapan ako” breastfeedin g techniques techniques  Discuss to the 2019-2020) (Friday)  Discuss some
g techniques and the mother the early - Respondents advantages of
 Help the
“pinapa-dede ko  Lack of mother
advantages of signs of feeding Farewell breastfeeding
lang siya kapag proper know the
breastfeeding cues Other resources: visit:  Identify the
umiiyak na” knowledge OB bag, paper, pen, August 15, feeding cues of
advantages  Know the
about the of early feeding laptops, cell phone, visual 2019 her baby
advantages breastfeedin materials (Thursday)
cues of her
of g baby
breastfeedin
g  Help the
mother to
 Lack of distinguish
knowledge feeding cues
about of the baby
assessing
feeding cues
 MORBID
FAMILY METHOD
GOALS OF OBJECTIVE OF NURSING RESOURCE EVALUATION
HEALTH NURSING OF FAMILY
CARE CARE INTERVENTION REQUIRED
PROBLEM PROBLEM NURSE
CONTACT
Short term goal:
Pulmonary Pulmonary  After 1 hour Within 2-3 days of  Discuss the Human Resources: Home visits After 2 weeks of
Tuberculosis as Tuberculosis as a of nursing Nursing possible source and health nursing
Health Deficit Health Problem intervention Interventions, the of signs and Time and Effort of teachings: intervention and
due to: the family family will be able symptoms. - Barangay some series of
SUBJECTIVE: as well as to:  Identify others Health First Home health teachings
 Lack of the patient at risk of Workers Visit the family now:
“Dalawang lingo knowledge on will  Well tuberculosis like - Our Clinical (August
 The family
ngubo at sipon identifying perceive relatives, close Instructor 2,2019)
informed and identified the
factors that the friends, etc. Mrs. Thelma
“Lost of appetite” have adequate people that are
contributes risk importance Second
of tuberculosis.
knowledge on  Instruct patient Adzuara risk of
“Nagkakalagnatri of knowing the possible to cough or - BSN Home Visit
tuberculosis
nako” the signs complications sneeze into a Students (August15,20
and and risks of tissue to cover Group 19 19)  The family
 Inability to symptoms having the mouth and (Batch 2019- identified the
OBJECTIVE: decide about of the Pulmonary prevent 2020) importance of
the current tuberculosis Tuberculosis spreading. - Respondents the assigned
 Looks health disease check up given
underwei condition due Long term  Explain the
Other resources: by the health
ght to lack of goal: within 2-  Gain importance of
OB bag, paper, pen, center staff.
 Not knowledge knowledge the assigned
3 of nursing fliers, umbrella  The family
appropria about health and better check up given
intervention: practiced
te and illnesses.  The patient understanding by the health
healthy
physical will be able of the center staff.
lifestyle and
grooming to importance of proper
 Pale implement proper healthy nutrition.
 looking safety lifestyle in  Explain the
with Low precautions regards to pharmacodyna
self- to prevent nutrition. mics of the
esteem the cross- prescribed
 Unrespon infection medicine
sive among the (Rifampicin).
Vital Signs: family
Weight: 40kg members as
Height: 5’0 well on the
(1.5 meter) community.
Heart Rate: 112
beats/min.
 MORBID
FAMILY METHOD
GOALS OF OBJECTIVE OF NURSING RESOURCE EVALUATION
HEALTH NURSING OF FAMILY
CARE CARE INTERVENTION REQUIRED
PROBLEM PROBLEM NURSE
CONTACT
Short term goal:
Malnutrition as Malnutrition as a After 30 Within 2-3 days of  Discuss the Human Resources: Home visits After 2 weeks of
Health Deficit Health Problem minutes of Nursing importance of and health nursing
due to: nursing Interventions, the proper food Time and Effort of teachings: intervention and
SUBJECTIVE: intervention the family will be able intake and on - Barangay some series of
 Lack of family will how to attain Health First Home health teachings
to:
knowledge on understand the proper nutrition Workers Visit the family now:
“Lost of appetite” how to attain importance of and diet. - Our Clinical (August
“Nagkakalagnatri healthy proper food  Gain  Identify the Instructor 2,2019)  The family
nako” lifestyle and intake and on knowledge different illness Mrs. Thelma identified the
proper how to attain and better or diseases that Adzuara Second importance of
nutrition and proper nutrition understanding might be - BSN Home Visit proper
OBJECTIVE: diet. and diet of the acquired or Students (August15,20 nutrition and
 Improper food importance of associated due Group 19 19) practiced
 Looks intake and Recognize the proper healthy to malnutrition (Batch 2019- healthy
underwei eating pattern. different illnesses lifestyle in 2020) lifestyle
ght  Lack of or diseases that regards to - Respondents  The family will
 Not financial might be acquired nutrition obtained
appropria sources and or associated due proper
Other resources:
te assistance. to malnutrition OB bag, paper, pen, activities of
physical fliers, umbrella daily living
grooming Long term that will
 Pale goal: within 2- promote
looking 3 of nursing healthy living.
with Low intervention:
self-
 esteem  Practice
 Unrespon doing
sive regular
Vital Signs: activities of
Weight: 40kg daily living
Height: 5’0 and proper
(1.5 meter) diet and
Heart Rate: 112 nutrition
beats/min. that come
up with
optimum
health.