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APPENDIX E1

FAMILY SERVICE AND PROGRESS RECORD


HEAD OF THE FAMILY: Genita M.Ramos FAMILY NUMBER: 09292668335
ADDRESS: Blk 77 Lot 7 Commando St. Barangay. Rizal Makati City
1. Assessment of the Family, Home and Environmental Conditions:
A. Members of the Household

FAMILY MEMBER RELATION TO SEX BIRTHDAY MARITAL HIGHEST EDUC. OCCUPATION REMARKS/DATE
HEAD STATUS COMPLETED ENTERED
No. Name Month Year Type of Place
Work
1 Genita Ramos Mother F March 1964 Separated College Degree House Makati 10/07/2020
wife city
2 JennyLou Ramos-Marbones Daughter F April 1994 Married College Degree Call Makati 10/07/2020
center city
3 Rodel Marbones Son in Law M Octob 1988 Married College Degree Call Makati 10/07/2020
er center city
4 Franco Marbones Grandson M Dece 2015 Single none none Makati 10/07/2020
mebr city
5 Sophia Ysabel Ramos Daughter F June 2007 Single Highschool Student Makati 10/07/2020
city
6 Louwella Ramos Daughter F Octob 2000 Single College Degree Student Makati 10/07/2020
er city
Assessment Process

Cues/Data Family Nursing Problems


Date of Birth: March 22, 1964
Name: Genita Ramos
Age: 56 years old
Inadequate knowledge about the problem
“Laging sumasakit at namamanhid ang aking tuhod” as verbalized by
the Mother.
-Experiencing stiffness in the morning, aching in movement and joint
pain the knee.

A. Arthritis
Criteria Computation Score Justification

Nature of the
Problems:
(3÷ 3) x 1 1 It is considered as a health
Health Deficit deficit since that there is a
presence of problem.
Modifiability:
(1 ÷ 2) x 2 1
Partially It is intermediate modifiable
Modifiable because Mrs. Genita Ramos
is cooperative. We educate
her on how to
relieve/minimize pain such
as apply warm, moist
compresses to affected
joints.

Preventive/
Potential:
(3÷ 3) x 1 1
High It is considered as a high
preventive since Mrs. Genita
Ramos has medication on
this problem.

-Voltaren(emulgel) 75ml
-Diclofenal NA (voren)50mg BID

The family recognized this as


Salience:
(1 ÷ 2) x 1 0.5 a problem not needing an
A serious problem, urgent attention since Mrs.
needing an Genita Ramos has
Urgent attention. medication on this problem.

Total Score 3.5


CUES/DAT HEALTH HEALTH GOAL OF OBJECTIVE INTERVENTIO METHOD RESOURCES
A PROBLE PROBLE CARE S OF CARE N MEASURES OF REQUIRED
M M NURSE-
FAMILY
CONTAC
T
Subjective: Health Deficit Inadequate 1.) After the The patient will Establish rapport. Home Visit Material
“Laging knowledge nursing be able to identify Resources:
sumasakit at Arthritis about the intervention, and demonstrate Suggest patient Health Visual aids for
namamanhid problem the patient will interventions to assume position of teaching discussion.
ang aking be able to relieve pain. comfort while in bed regarding
tuhod” as understand or sitting in chair. Arthritis. Human
verbalized by the curative Promote bed rest as Resources:
the Mother measures of indicated. Time and effort
the problem. on both the
Objective: Encourage frequent nurse and the
- Stiffness in 2.) changes of position. family.
the morning Understandin Advise the family
g about the member to assist Financial
- aching in disease patient to move in Resources:
movement problem bed, supporting the Money for the
demonstrate joints above and transportation
- joint pain the behaviors, below, avoiding jerky and token
knee. lifestyle movements.
changes to
regain and Advise the patient to
maintain provide gentle
proper massage.
nutrition.
Recommend that
3.) Verbalized patient take warm
recognition of bath or shower on
interpersonal arising and/or at
and family bedtime. Apply
dynamics and warm, moist
reaction that compresses to
affect the pain affected joints
problem several times a day.

Encourage use of
stress management
techniques, e.g.,
progressive
relaxation,
biofeedback,
visualization, guided
imagery, self-
hypnosis, and
controlled breathing.
Provide therapeutic
touch.
Inform the family
member to assist the
patient with
active/passive ROM
and resistive
exercise and
isometric when able

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