FAMILY CASE STUDY

SUBMITTED TO:- SUBMITTED BY:-

MRS. MADHAVI VERMA DIL RAJ

READER M.SC (N) 1ST YEAR
COLLEGE OF NURSING COLLEGE OF NURSING
INSTITUTE OF LIVER AND BILIARY, SCIENCES. INSTITUTE Of liver and BILIARY
SCIENCES

SUBMITTED ON:- 30/04/2024

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 I. GENERAL INFORMATION
 Name of the village : Mehrauli
 Primary Health Centre : Old PHC Building, Mehrauli

II. DEMOGRAPHY:

 Name Of the head of the family: Mr. Suresh

 Address : Ward no-2, H.no 115, Balmiki Mandir
 Location of the house from health center: Near by
 Nature of the family: nuclear/joint/Extended: Joint
 Religion: Hindu

III. FAMILY COMPOSITION:

Sr Name of the Relationship Age Gend Education Occupa Income Marital Health
.n family with the head er status tion status status
o member of the family status
member

I. Mr. Suresh Self 67 Y M Uneducate Auto- Rs,8000 Married HTN

d driver
II. Mrs. Gayatri Wife 62 Y F Uneducate Multi- Rs,10000 Married DM
d purpose
worker,
NDMC
III. Mr. Amit Elder son 44 Y M 8th pass Driver Rs,10000 Widower HTN
th
IV. Mr. Arun Younger son 40 Y M 8 pass Auto- Rs,10000 Married Healthy
driver
V. Mrs. Daughter in 30 Y F 12th pass Home Nil Married Pregnant(
Sadhana law maker 20 weeks)
VI. Mr. Anish Son 39 Y M 12th pass Auto- Rs,10000 Married Healthy
driver
VII. Mrs. Komal Daughter in 28 Y F 12th pass Homem Nil Married Healthy
law aker
th
VIII. Mr. Noni Grandson 12 Y M 8 standard Student Nil Unmarrie Healthy
d
IX. Mr. Gothiya Grandson 10 Y M 6th standard Student Nil Unmarrie Healthy
d
X. Mr. Jassika Grand 4Y F Play school Student Nil Unmarrie Healthy
daughter d

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Family Genogram

Mr. Suresh 67 Y/M Mrs. Gayatri, 53 Y/F

Mr. Amit,53 Y/M

Mr. Arun, 40Y/M Mrs, Sadhna, Mr. Anish, Mrs. Komal,
30 Y/F 39Y/M 28Y/F

Ms. Jessika, 4Y/F

Mr. Gothiya,
Mr. Noni,12 Y/M 10Y/M

Male patient

Female Death

IV. VITAL STATISTICS : (any vital events that has taken place within 1 year of time period):

Sl.no Birth Marriage Death Divorce

1. Nil Nil Nil Nil

V. ENVIRONMENTAL EACTORS:

 Type of the house Pucca House

 Number of rooms: 11rooms
 Space adequacy: Adequate Space
 Kitchen: Separate
 Floor plan of the house: Tiles
 ventilation

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  No. of windows and doors: Inadequate
 Cross ventilation available: 4 windows
 Total area of ventilation available: Yes
 Lighting
 They of lighting: Sunlight
 Adequate /inadequate: inadequate
 Water supply
 Source of water: Submersible
 Water supply: Tap water and overhead water tanks
 Method of purification: Boiling and Filtration
 Frequency of purification: Daily
 Drainage facility: Close Drainage
 Waste disposal method: Push cart system
 Excreta disposal:
 Water sealed latrines: Separate latrines
VI. TRANSPORT AND COMMUNICATION:
 TRANSPORT
 road facility: Available
 types of transport: Two wheeler and car
 Communication
 Primary language used for communication: Hindi
 Types of communication: Mobile, internet and News paper
VII. NUTRITION:
 Community nutrient center: Not present
 Staple food: Rati, sabji and dal
 Type of diet: Non-Vegetarian
 Important vegetables used: Potato, Tomato, Pumpkin, Spinach,
Egg
 Number of meals per day: 3
 Number of days Non veg takes: 2
NUTRITIONAL STATUS OF FAMILY MEMBERS:

NAME OF THE MEMBERS NOURISHED/USED MALNUTRIENTION

NOURISHED
Mr. Suresh ------------------- Malnourished
Mrs. Gayatri Nourished ------------------
Mr. Amit Nourished ------------------
Mr. Arun Nourished ------------------
Mrs. Sadhna Nourished ------------------
Mr. Anish Nourished ------------------
Mr. Noni Nourished ------------------
Ms. Gothiya Under Nourished Malnourished
Ms. Jassika Nourished ------------------

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VIII. ADOPTION OF FAMILY PLANNING TECHNIQUE:

Sl.no Name of the Age No. of Eligibility Family Remarks

couple living status planning
children method in
use
1. Mr. Suresh 67Y 3 Not None Not planning for
2. Mrs. Gayatri 53Y Eligible Hysterectomy children.
3. Mr. Arun 40Y 1 Eligible None Family planning
4. Mrs. Sadhna 30Y Eligible None education given.
5. Mr. Anish 39 Y 2 Eligible None Family planning
6. Mrs. Komal 28Y Eligible Coper- T education given.

IX. IMMUNIZATION

Name of the child Age of the Fully Partially Not

child immunized immunized immunized
Mr. Noni 12 Y --------------- Yes ---------------
Mr. Gothiya 10Y --------------- Yes ---------------
Ms. Jassika 04Y --------------- Yes ---------------

X. RECORD OF ILLNESS

NAME AG ILLNESS DURATIO MAIN INVESTIGATIO TREATMEN

OF THE E N CHARACTERISTIC N DONE T
MEMBE S
R
Mr. 67Y Hypertensio 12 years Severe Headache Repeated BP Tab.
Suresh n Dizziness measurements Atenolol 25
Anxiety over months, mg twice a
Nose bleeds BMI, random, day.
Flushed face cholesterol,
urinalysis.
Mrs. 53Y Diabetes 8 years Fatigue RBS Tab.
Gayatri mellitus Blurred vision Hba1C Metformin
Increased thirst 500 mg
And urination twice a day
Mr. Amit 44Y Hypertensio 1 year Dizziness Repeated BP Tab. Telma
n Anxiety measurements 40 mg
over months, twice a day
BMI.

XI. PREGNANT WOMEN: Mrs. sadhana 4 months pregnant women in the family.

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XII. ELIGIBLE COUPLES :

Name Age Family planning Not interested in Willing to use family

method adopted family planning planning, method
Mr. Arun 40 Y None X 
Mrs. Sadhana 30 Y None x 
Mr. Anish 30 Y None  
Mrs. Komal 25 Y Coper- T  

 Recreation:

 Facilities available: Television , phone and Parks

 Type of recreation methods utilized specify: walking, meditation, playing with kids.

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7
 XIII. ASSESSMENT:
Family member Mr. Suresh Mrs. Mr. Amit Mr. Arun Mrs. Mr. Anish Mrs. Mr. Noni Mr. Gothiya Mrs.
Practice Gyatri Sadhan Komal jassika
a
 General health status Healthy Unhealthy Healthy Healthy Healthy Healthy Healthy Healthy Healthy Healthy
 Seeking health care Yes Yes No No Yes Yes No No Yes Yes
 Perception of health Unhealthy Healthy Healthy Healthy Healthy Healthy Healthy Healthy Healthy Healthy
status
 Previous illness/
Yes in early Yes Yes No Yes, Yes No Yes at birth Yes at birth Yes at
hospitalization /urgeries 30s during birth
delivery
 Clints/family medical Family Nil Family history Family Family Family Nil Family Family Family
History: history of of history of history history of history of history of history of
 Addiction(drugs/alcohol) Hypertension Hypertension Hypertension of DM Hyperten Hyperten Hypertensio Hyperten
and DM and DM sion sion and n and DM sion and
 Diabetes, arthritis, heart
DM DM
disease, cancer,
hypertension
 Allergies No No No No No No No Yes with No Yes, with
peanuts change of
 Home Medication No No No No No No No No No season.
No
 Able to perform activity
Yes Yes Yes Yes Yes Yes Yes Yes No Yes
of daily living.

 Elimination (usable Normal Normal Normal Normal Normal Normal Normal Normal Normal Normal
patterns): urinary Bowel
Skin assessment Wrinkled Slightly Soft and Soft and Soft and Soft and Dry skin Soft and Soft and Soft and
wrinkled texture texture texture texture texture texture texture
Head & face Hair are grey Hair are Normal Normal Normal Normal Normal Dandruff Normal Normal

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 grey present
Eyes Use Use Normal Normal Normal 20/25 Normal Normal Normal Normal
spectacles of spectacles eyesight
-0.66 Of -0.50
Ears Normal Normal Normal Normal Normal Normal Normal Normal Normal Normal
Mouth & throat Use dentures Dental Clean Clean Clean Clean Clean Clean Dental caries Clean
caries
Extremities Normal Normal Normal Normal Normal Normal Normal Normal Normal Normal

XIV. IDENTIFICATION OF THE PROBLEMS:

 List the problems identify by the family member: Diabetes Mellitus, HTN
 List of the problems identified b the students:
 Lighting inadequate
 Nutrition problem
 Ventilation inadequate
 Mrs. Gayati has trouble walking to 1st floor and using Indian restroom due to knee pain.
 Risk for infection due to poor environment and sanitation hygiene.

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XV. Health Promotion Model

The Health Promotion Model notes that each person has unique personal
characteristics and The set of variables for behavioral and experiences that affect
subsperant motivational signifievior is the desired be can be modified through
Toursing actions. Health-promoting behavioren the desired behavioral outcome and
is the endpoint in the Health Promotion Model. Health-promoting behaviral is the
endpointelth, enhanced functional ability, influenced by the life at a should result in
improved hinal behavioral demand is also influenced by the immediate competing
demand and preferences, which can derail intended health-promoting actions.

Major Concepts of the Health Promotion Model

Health promotion is defined as behavior motivated by the desire to increase well-

being and actualize human health potential. It is an approach to wellness.

On the other hand, health protection or illness prevention is described as behavior

motivated desire to actively avoid illness, detect it early, or maintain functioning
within illness constraints.

Individual characteristics and experiences (prior related behavior and personal

factors).

Behavior-specific cognitions and affect (perceived benefits of action, perceived

barriers to action, perceived self-efficacy, activity-related affect, interpersonal
influences, and situational influences).

Behavioral outcomes (commitment to a plan of action, immediate competing

demands and preferences, and health-promoting behavior).

Sub-concepts of the Health Promotion Model

Personal Factors

Personal factors are categorized as biological, psychological, and socio-cultural.

These factors are predictive of a given behavior and shaped by the target
behavior's nature being considered.

 Personal biological factors. Include variables such as age, gender, body mass
index, pubertal status, aerobic capacity, strength, agility, or balance.

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  Personal psychological factors. Include variables such as self-esteem, self-
motivation, personal competence, perceived health status, and definition of
health.

Personal socio-cultural factors. Include variables such as race, ethnicity,

acculturation, education, and socioeconomic status. Perceived Benefits of Action:
Anticipated positive outcomes that will occur from health behaviour.

Perceived Barriers to Action: Anticipated, imagined, or real blocks and personal costs
of understanding a given behavior.

Perceived Self-Efficacy: The judgment of personal capability to organize and execute

a health-promoting behavior. Perceived self-efficacy influences perceived barriers to
action, so higher efficacy results in lowered perceptions of barriers to the behavior's
performance.

Activity-Related Affect: Subjective positive or negative feeling occurs before, during,

and following behavior based on the stimulus properties of the behavior itself.

Activity-related affect influences perceived self-efficacy, which means the more

positive the subjective feeling, the greater its efficacy. In turn, increased feelings of
efficacy can generate a further positive affect.

Interpersonal Influences

Cognition concerning behaviors, beliefs, or attitudes of others. Interpersonal

influences include norms (expectations of significant others), social support
(instrumental and emotional encouragement), and modeling (vicarious learning
through observing others engaged in a particular behavior). Primary sources of
interpersonal influences are families, peers, and healthcare providers.

Situational Influences

Personal perceptions and cognitions of any given situation or context can facilitate or
impede behavior. Include perceptions of options available, demand characteristics,
and aesthetic features of the environment in which given health-promoting is
proposed to take place. Situational influences may have direct or indirect influences
on health behavior

Commitment to Plan of Action

The concept of intention and identification of a planned strategy leads to the

implementation of health behavior.

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Immediate Competing Demands and Preferences

Competing demands are those alternative behaviors over which individuals have low
control because of environmental contingencies such as work or family care
responsibilities. Competing preferences are alternative behaviors over which
individuals exert relatively high control, such as choice of ice cream or apple for a
snack.

Health-Promoting Behavior

A health-promoting behavior is an endpoint or action-outcome directed toward

attaining positive health outcomes such as optimal wellbeing, personal fulfillment,
and productive living.

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XVI. DISEASE CONDITION:

 DIABETES Mellitus: Diabetes Mellitus (DM) is a chronic metabolic disorder

characterised by hyperglycaemia as cardinal biochemical feature, caused by deficiency
as insulin or its action, manifested by abnormal metabolism of carbohydrate, protein
and fat.

 Incidence of Diabetes Mellitus: According to the international Diabetes federation

(IDF), approximately 415 million adults between the ages of 20 to 79 years had
diabetes Mellitus in 2015. The prevalence of diabetes in India has risen from 7.1% in
2009 to 8.9% in 2019. Currently, 25.2 million adults are estimated to have IGT, which
is estimated to increase to 35.7 million in the year 2045. India ranks second after
China in the global diabetes epidemic with 77 million people with diabetes. Of
these,12.1 million are aged >65 years, which is estimated to increase to 27.5 million in
the year 2045.it is also estimated that nearly 57% of adults with diabetes are
undiagnosed in India, which is approximately 43.9 million.

 Cause/etiology and risk factors

Sl no Book picture Client picture

1. Family history Present
2. Autoimmune disorder Absent
3. Obesity Present
4. Gestational diabetes Absent
5. Polycystic ovary syndrome Absent
6. High blood pressure Present
7. Abnormal cholesterol and triglyceride Absent
levels
8. Age >50 years Present

 Types (if it is present).

Sl.no Book picture Client picture

1. Type 1 diabetes Absent
2. Type 2 diabetes Present
3. Gestational diabetes Absent
4. Drug or chemical- induced diabetes Absent
5. Cystic fibrosis-related diabetes Absent
6. Monogenic diabetes syndromes Absent

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14
Pathophysiology of disease condition
Type 1 diabetes mellitus: it develops when the body’s immune system destroys pancreatic
beta cells, the only cells in the body that make the hormone insulin, which regulates blood
glucose.
Viralinfection
Viral infection

Alteration of self-cells

Auto immune response

Destruction of beta cell

Insulin deficiency

Types 1 diabetes mellitus

Diabetes mellitus type 2: In type 2 diabetes, either the body does not produce enough
insulin or the cells ignore the insulin. It usually begins as insulin resistance, a disorder in
which the cells do not use insulin properly. As the need for insulin rises, the pancreas
gradually loses its ability to produce it.

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  Signs and symptoms

SL.No Book picture Client picture

1. Increased thirst Present
2. Frequent urination Present
3. Extreme hunger Absent
4. Slow-healing sores Absent
5. Blurred vision Present
6. Frequent infection Absent
7. Irritability Absent
8. Fatigue Present
9. Ketonuria Absent
10. Unexplained weight loss Absent

 Assessment /diagnostic procedure

Sl.no Book picture Client picture

1. Serum Glucose 185 mg/dl
2. Serum insulin Not done
3. Lipid profile Not done
4. Complete blood count Not done
5. Blood urea nitrogen Not done
6. Urine routine Not done
7. Urine culture and sensitivity Not done
8. Arterial blood gas Not done
9. Glycosylated haemoglobin 7.6

 Management
 Medical and surgical management

Sl.no Book picture Client picture

1. Insulin therapy Not prescribed
2. Metformin Prescribed
3. Sulfonylureas Not prescribed
4. Glinides Not prescribed
5. Thiazolidinediones Not prescribed
6. GLP-1 receptor agonist Not prescribed
7. SGLT2 inhibitors Not prescribed

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  Dietary management

Sl.no Book picture Client picture

1. Low carbohydrate diets Absent
2. Avoid sweeteners Present
3. Avoid sugar free products Present
4. Quit alcohol ------------

 Nursing management including prevention and control.

Sl.no Book picture Client picture

1. Eat healthy foods Advised
2. Lose excess pounds Advised
3. Get more physical activity Advised
4. Taking medication and insulin Advised
5. Monitoring blood glucose Advised
6. Monitoring blood pressure Advised

XVII. Nursing care plan

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 Assessment Nursing diagnosis Objective Plan of action Implementation Evaluation
Subjective date : Short term goal:  Ascertain the patient's  Dietary pattern of
Impaired glucose patient will be dietary program and usual patient is assessed Patient
Patient said that metabolism related encouraged to pattern, then compare and it is not as per understood the
the doesn’t feels to insulin have small with recent intake. dietary management value of diet and
like eating at all. resistance by frequent diet. in diabetes. eating habit and
HbA1C= 7.6  Discuss eating habits and said she will avoid
Long term goal: encourage a diabetic diet  Patient is encouraged extra sweeteners
Patient will attain (balanced diet) as to take sugar free and and will often
normal body prescribed by the doctor low carbohydrate monitor her blood
mass index. Auscultate bowel sounds. food items. glucose level.
Objective date : Note reports of abdominal
pain, bloating, nausea,
Nurse observed vomiting of undigested  Bowel sounds are
that patient and food. . auscultated. Normal
family members bowel sounds are
has lack of  Review meal plan with the present.
knowledge client that focuses on the
recommended distribution  Meal plan is
of calories from discussed with
carbohydrates, fats, patients adequate for
proteins, sources. and carbohydrates, fats,
other proteins as per
patient's
requirement.

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 Assessment Nursing diagnosis Objective Plan of action Implementation Evaluation
Subjective date : Risk for unstable Patient will  Assess for signs of  Signs of Patient feels
Patients said that blood glucose level achieve and hyperglycaemia. hyperglycaemia are confident about
no one in her as evidenced by maintain glucose  To educated patient about assessed. checking blood
family knows to HbA1C- 7.6 in satisfactory monitoring of glucose.  Patient is education glucose level.
monitor blood range.  Assess blood glucose level about blood glucose
glucose level. before meals and at monitoring
bedtime.  He is advices to
 Monitor the patients monitor HbA1C-
Objective date: HbA1C-glycosylated glycosylated
Nurse observed haemoglobin. haemoglobin every
that patient and  Assess feet for three months.
family members temperature, pulses,  Feet of patients is
has lack of colour, and sensation. normal, was able to
knowledge related  Assess the pattern of assess pulse.
to blood glucose physical activity.  Signs of
monitoring.  Educate about oral hypoglycaemia are
hypoglycaemics. explained to patient.
 Educate about sign of  Educated about
hypoglycaemia. timings, dosage of
medication.

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 Assessment Nursing diagnosis Objective Plan of action Implementation Evaluation
Subjective date: Risk for ineffective Patient will  Investigate the patients  Patient is not taking Patient is able
Patient asked therapeutic demonstrate prior efforts to manage the medicine as it is to
about dropping of regimen knowledge of diabetes care regimen. prescribed. demonstrate
medication. management as diabetes self-care knowledge of
evidenced by lack measures.  Identify factors that may  Factors that is lack of diabetes self-
of knowledge negatively affect success knowledge is assessed care
Objective date: about diabetes and with following the that is negatively affect measures.
Nurse observed its management & regimen. regimen compliance.
that patient is not poor SGM self
strict to medicine glucoses  Evaluate the patients self-  Health education is given
regimen. monitoring. management skills, regarding medications,
including performing their dose and ideal
procedures for blood timing to take them.
glucose monitoring.
 Patients is educated
 Assess the patients about medicine
financial resources for distribution in dispensary
health care. that is free of cost.

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 Assessment Nursing diagnosis Objective Plan of action Implementation Evaluation
Subjective date: Fatigue related to Patient will  Assess muscle strength of  Muscle strength and Patient is able to
Patient said that decreased verbalize increase the patient and functional functional activity of verbalize increase
she feels too tried metabolic energy in energy level. level of activity. patients is adequate. in energy levels.
to walk and stand production as
in the kitchen evidenced by  Discuss with the patient  Need for activity is
while working. impaired ability to the need for patient the discussed.
concentrate. need for activity.
 Patient is educated to
Objective date:  Plan schedule with the make schedule that
Nurse observed patient and identify he will not tried that
that patient is activity that lead to much.
having difficulty in fatigue.
concentration.  Alternate activity
 Alternate activity with with periods of rest
periods of rest and and uninterrupted
uninterrupted sleep. sleep is advised.

 Perform activities slowly  Frequent rest period

with frequent rest periods. are scheduled in daily
living activity.

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 Assessment Nursing diagnosis Objective Plan of action Implementation Evaluation
Objective date: Risk for disturbed Patient will  Maintain blood glucose  Blood glucose is Patient is able to
Nurse observed sensory perception recognize and levels within the normal advised to monitor recognize and
that patient is related to compensate for range. regularly. compensate for
having risk to endogenous existing sensory existing sensory
develop disturbed chemical impairments.  Monitor laboratory values:  Patient is advised to impairments.
sensory alternation. blood glucose, serum monitor lab values,
perception. osmolality, Hb/Hct, blood glucose and
BUN/Cr. serum osmolarity to
check renal
 Evaluate visual acuity as complications.
indicated.
 Visual acuity of
 Carry out the prescribed patient is assessed.
regimen for correcting DKA
as indicated.  Patient is educated to
make schedule to
strict to drug
regimen.

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Nursing care plan related to pregnancy

Assessment Nursing diagnosis Objective Plan of action Implementation Evaluation

Subjective date: Deficient Client will be able  Determine the client’s  Develop a birth plan Client is able to
Clients said that knowledge to verbalize knowledge level. as each pregnancy is understand
she vomiting and associated with understanding of different, eases importance to
changes in sense pregnancy related expected body  Establish the client’s anxiety and supports maintain lifestyle
of taste. to inadequate changes during capacity, readiness and preparedness. modification.
knowledge of pregnancy. learning obstacles.
Objective date: normal body  Provide information
Nurse observed changes and self- Client will be able  Assess for misconceptions at their education
that patient is care needs as to identify and culture belief about level.
having doubts and evidenced by behaviour and pregnancy.
looks anxious. verbalization of lifestyle  Encourage to feel
concerns. modifications  Support verbal instructions confident to asking
suitable for with written broachers or questions.
pregnancy. pamphlets.
 Giving positive
 Provide positive feedback for follow
reinforcement. up appointments.

 Educate regarding what  Client demonstrates

changes to expect during understanding of
and after pregnancy preventive measures.

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 Assessment Nursing diagnosis Objective Plan of action Implementation Evaluation
Subjective date: Risk for imbalanced Client will be able  Determine the clients risk  Client is able to
Risk factors includes
Client said that she nutrition: less than to verbalize factors for imbalanced low socioeconomic understand
feels nausea and body requirements understanding of nutrition. status, low healthimportance to
vomiting and associated with proper nutrition. literacy. maintain a
changes in sense pregnancy can be  Assess the daily nutrition healthy diet rich
of taste. caused by poor Client will intake.  Signs and symptoms in nutrients.
diet and deficiency demonstrate of malnutrition in
in essential proper meal plan  Monitor weight pregnancy weight.
nutrients during based on the
Objective date: pregnancy. recommended  Assess for signs and  Fatigue, hair loss,
Nurse observed nutrition symptoms of dry skin, low
that patient is guidelines for malnutrition. immunity.
having lack of pregnancy
appetite.  Assess activity level.  Client is able to
perform minimal
 Establish nutritional household chores.
goals.
 Health education
 Collaborate with regarding healthy
dieticians. diet, include green
leafy rich in vitamin-
 Administer dietary c, nuts, milk
supplements as products etc.
prescribed.

 Instruct on ways to
overcome morning
sickness.

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Nursing care notes

Anganwadi Visit Date:-16/4/23 time:-11.30 am

Objectives:-
1. To locate the house
2. To develop rapport with family
3. To observe the housing and environmental condition.
4. To observe any health needs and problems.
5. To ensure the family's understanding and acceptance of the problems.
OBSERVATION AND ASSESSMENT; -
 With the help of ASHA workers teacher, I could be able to locate
the house. There I met with family members.
 I had given introduction of self to family members and my
motive of visit.
 The house is owned by family. Floor is clean but ventilation is
not adequate. Lightening is also not adequate.
 General condition of the family members was fair. Maintenance
of hygiene was appropriate.
 Socio economic status and details of family members is taken.
HEALTH EDUCATION: -
 Advised all the family members the importance of adequate
ventilation and lightening.
 Given a teach talk on management of DM to Mrs. Reena.
 IPR is well maintained with family members.
 All over health assessment is done for every family member.
 Health needs of family members are identified.
 Health education related to diabetic management and hand
hygiene is provided.
 Diet and activity schedule is well planned with periods of rest.
 Frequent monitoring of blood sugar levels is advised.
 Heath education provided to them about how to conceive,
which days are more efficient to conceive.

Health education

 Health education is given to family members related to:

 Nutritional management
 Importance of hygiene practices
 Steps of hand hygiene
 Family planning method
 Prevention of Vector borne diseases
 Diabetic management
 Management of hypertension

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Conclusion
1, Dil Raj, student of M.Sc.(N) 1st year College of nursing, Institute of Liver and Biliary
Sciences. I was posted on Delhi Government Old PHC Centre, from 15-04-2024 to 20- 04-
2024 as a part of my clinical experience.
There I have assessed Mrs. Gayatri family for my case study. I visited him house for frequent
three days for health assessment and management Health assessment is performed for all
family members and health environment of the house, Health education is given as per
needs of family members. Main points discussed with family members is management of
diabetes, HTN, steps of Hand hygiene and family planning methods.
I have learned how to make IPR with families in the community and to assess, teach and
manage disease at community, apply health promotion model in care planning.
Bibliography
Brumaers, E. F. (2022, May 23). Diabetes Mellitus (DM) MSD Manual Consumer Version.
Retrieved June 4, 2022, from
https://www.madmanuals.com/en-in/home/hormonal-and-
metabolic-disorders/diabetes-mellitus-dm-and-disorders-of-blood-sugar-
metabolism/diabetes mellitus-dm
Diabetes-Symptoms and causes. (2020, October 30). Mayo Clinic. Retrieved June 5, 2023,
from https://www.mayoclinic.org/diseases-conditions/diabetes/symptoms-causes/syc-
20371444
Diabetes. (2019, May 13). World Health Education. Retrieved June 6, 2023, from
https://www.who.int/health-topics/diabetes/#tab-tab_1
Forouhi, N. G., & Wareham, N. J. (2014). Epidemiology of diabetes. Medicine, 42(12), 698
702. https://doi.org/10.1016/j.mpmed.2014.09.007
Pathophysiology of Diabetes Mellitus. (2013, November 7). Kindred. Retrieved June 5,
2023,from https://www.kindredhealthcare.com/resources/blog-kindred-
continuum/2013/11/07/pathophysiology-of-diabetes-mellitus

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