FAMILY NURSING

CARE PLAN
 I. INTRODUCTION
AS HEALTH ADVOCATES IN THE SOCIETY, WE ARE OBLIGED TO MAINTAIN OR RESTORE
THE OPTIMUM HEALTH OF THE PEOPLE WITHIN THE COMMUNITY AND THAT AIM WE HAVE AS
ACTIVELY PARTICIPATING STUDENT NURSES OF THIS GENERATION, WE ADHERE TO THE
PROBLEMS OF OUR FAMILY, WHICH IS THE BASIC UNIT OF THE SOCIETY AND THE MOST
IMPORTANT COMPONENT OF OUR COUNTRY.
WE MET THE FAMILY FOR THE FIRST TIME LAST JANUARY 15, 2010 AT SAN ROQUE SEASIDE,
LAPASAN, CAGAYAN DE ORO CITY. THEIR GEOGRAPHICAL LOCATION IS READILY ACCESSIBLE
BECAUSE YOU DON’T TO RIDE A “TRISIKAD” IN ORDER FOR YOU TO LOCATE THE PLACE;
INSTEAD, WE TOOK A WALK IN ORDER FOR TO REACH THE PLACE.
THE HEAD OF THE FAMILY IS MR. EUSEBIO AGBONG, A 48 YEAR OLD ORIGINAL RESIDENT
OF BARANGAY LAPASAN. HE IS LIVING TOGETHER WITH HIS WIFE, MRS. FLORDELIZA AGBONG,
39 YEAR OLD NATIVE FROM TALAKAG, BUKIDNON AND HIS FIVE CHILDREN. THE HEAD OF THE
FAMILY IS A SECURITY GUARD FROM THE SAGITTARIUS AGENCY AND CURRENTLY WORKING AT
GUSA, MINDANAO TRACKING CORPORATION AND EARNS AT APPROXIMATELY PHP 7,000 PER
MONTH REGARDLESS WITH THE EXPENSES AT HOME AND DAILY NEEDS. THE HUSBAND
SELDOM DRINKS AND SMOKE BECAUSE OF HIS NIGHT DUTY SHIFT WHILE FLORDELIZA IS A
PLAIN HOUSEWIFE WHO’S FOCUS IS TO TAKE CARE OF THE CHILDREN ESPECIALLY THEIR
YOUNGEST SON WHO ALWAYS ACQUIRES SUCH ILLNESSES.
AS THE REAL AIM OF THE NURSING PROFESSION WHICH IS TO GIVE CARE TO THE PEOPLE,
WE TOOK IT AS A STEPPING STONE IN HELPING THE FAMILY IN MAKING THEM REALIZE THE
ESSENCE OF A SIMPLE YET HEALTHY LIFE THROUGH MANY WAYS OF LIVING. WE ARE ALSO
RESPONSIBLE FOR GIVING OUR FAMILY THE IMPORTANCE OF PRIORITIZING SUCH HEALTH
PROBLEMS WHETHER A HEALTH DEFICIT OR THREAT IN ORDER TO GIVE SPECIFIC ACTIONS
FOR US, TOGETHER WITH THE COOPERATION OF THE FAMILY, TO ACHIEVE, SOLVE, REDUCE
AND/OR COMPLETELY ELIMINATE THE DIFFERENT KINDS OF PROBLEMS THROUGH
ESTABLISHING A GOOD FOUNDATION OF PRIORITIZING ACTIONS AND CARE TO PROMOTE,
PREVENT OR KEEP THE FAMILY AWAY FROM THE OCCURRENCE OF VARIOUS DISEASES.
 II. ACKNOWLEDGEMENT
AS HEALTH PROVIDERS OF THIS SOCIETY, WE OUGHT TO GIVE OUR ALL IN ORDER TO HELP THE
PEOPLE IN THIS COMMUNITY ACHIEVE THEIR MAIN GOAL--- THE HEALTH YET JOYFUL LIFE.
A BIG AND UNENDING THANKS TO OUR CLINICAL INSTRUCTOR, MS. DOREEN GRACE CONTRERAS,
RN, WHO BROUGHT OUR IDEAS AND OUR CLINICAL EXPERIENCES INTO MORE PRODUCTIVE YET HELPFUL
TO ALL THE PEOPLE IN THE COMMUNITY BECAUSE THROUGH HR FUN-FILLED WAY OF TEACHING, WE ARE
ABLE TO INCULCATE IN OUR MINDS AND MOST ESPECIALLY TO OUR HEARTS THE IMPORTANCE OF
HELPING FAMILY IN A CERTAIN COMMUNITY TO ACHIEVE THEIR OPTIMUM HEALTH WHICH IS
PREDOMINANTLY THE AIM OF THIS PROJECT. SHE ENHANCED OUR CAPABILITIES IN GIVING CARE TO THE
PEOPLE WHO NEEDED THE MOST OUT OF IT.
IN ADDITION, WE CAN’T ALSO FORGET THE ENDLESS EFFORT OF THE HEALTH CARE PROVIDER
RESIDING AT SAN JUAN LAPASAN HEALTH CENTER AS WELL AS TO THE BARANGAY HEALTH WORKERS AND
MOST ESPECIALLY TO THE PUBLIC HEALTH NURSE OF THE BARANGAY, MR. REX RANILE, RN, WHO TAUGHT
US HOW TO GIVE IMPORTANCE TO THE FAMILIES ESPECIALLY TO THOSE INDIGENT PEOPLE.
THE SAID ACTION WILL NEVER BE ATTAINED WITHOUT THE COURAGE AND SELFLESS EFFORT OF MY
GROUP MATES: LYRA, RIEZEL, CRYSTAL, IRISH, HANNAH AND JAIRUS, WHO TOOK THIS CHALLENGE
SERIOUSLY AND DID IT WITHOUT ANY HESITATIONS TO HELP A FAMILY WHO NEEDED MUCH CARE FROM
US TROUGH THE SLEEPLESS NIGHTS THAT WE HAD, AND THE MONEY, TIME, AND EFFORT THAT WE
EXERTED, SHARED AND SACRIFICED, THE PROJECT BECAME POSSIBLE THAT I CAN SAY, IT ALL WORTH IT.
WE WOULD NEVER FORGET THE BIG HELP OF OUR ALMIGHTY GOD, THE CREATOR OF ALL LIVING
AND NON-LIVING THINGS AND WHO PROVIDED ALL THE RESOURCES THAT WE NEED IN ORDER TO GIVE
THE NECESSARY CARE TO OUR CHOSEN FAMILY. HE MIRACULOUSLY MADE THINGS POSSIBLE THROUGH
GIVING US KNOWLEDGE, THE ABILITIES AND THE RESOURCES THAT WE NEED. HE HELPED US IN MANY
WAYS AND WE UNDOUBTLY APPRECIATE IT AND WE GIVE HIM ALL OUR PRAISES.
IN ACCORDANCE TO THE VISION OF THE DEPARTMENT OF HEALTH IN THE PHILIPPINES: “THE
LEADER OF HEALTH IN ALL FILIPINOS IN THE PHILIPPINES”, WE, IN THE LEAST THAT WE DID,
CONTRIBUTED TO ITS VISION THROUGH GIVING OUR WILLINGNESS AND DETERMINATION TO DEVOUT
OURSELVES IN GIVING CARE TO OUR FILIPINO COUNTRYMEN AND SOMEDAY, AS WE GO ON WITH OUR
CHOSEN PROFESSION, WE WILL BE ABLE TO GIVE CARE ALSO TO ALL THE PEOPLE IN THE WORLD NOT JUST
FILIPINOS REGARDLESS WITH THEIR GENDER, CREED, COLOR AND RACE. BECAUSE THROUGH THIS VISION
THAT IS WITHIN US, WE WOULD BE ABLE TO HELP IN THE PROGRESS OF THE OVER-ALL HEALTH OF OUR
COUNTRY AND TO THE WORLD.
 
BIOGRAPHICAL
DATA
A. FAMILY STRUCTURE AND HARACTERISTICS

HEAD OF THE FAMILY

 
AGBONG EUSEBIO 48
LAST NAME FIRST NAME AGE

ADDRESS:
 
SEASIDE SAN ROQUE, LAPASAN, CAGAYAN
DE ORO CITY
 MEMBERS OF THE FAMILY
NAME AGE SEX CIVIL POSITION RELATIONSHIP PLACE OF
STATUS IN THE TO THE FAMILY RESIDENCE
FAMILY
Flordeliza 39 F Married Wife Wife Seaside, San
Agbong Roque, Lapazan

Marlon 18 M Single Eldest Son Son Seaside, San

Agbong Roque, Lapazan

Candy 17 F Single 2nd child Daughter Seaside, San

Agbong Roque, Lapazan

Cindy 16 F Single 3rd child Daughter Seaside, San

Agbong Roque, Lapazan

Mary Jane 8 F Single 4th child Daughter Seaside, San

Agbong Roque, Lapazan

Aldren 2 Single 5th child Son Seaside, San

Agbong Roque, Lapazan
 B. BIOLOGICAL AND SOCIO-
CULTURAL FACTORS
1. What is the family’s source of income?
The family’s source of income is from the husband only. The
husband works as a security guard at Gusa, Mindanao Tracking
Corporation from the Sagittarius Agency. He works about an
average of 8 hours/day. His monthly income averages Php 7,000
per month.
 
2. What is their ethnic background? Their religious affiliation?
When it comes to their ethnic background, the husband is
purely Kagay-anon while the wife is from Talakag, Bukidnon.
They are currently residing at San Roque Seaside, Lapasan
Cagayan de Oro City. The rest of the members of the family
speak Visayan. They are “Philippinista” but their first born son
separately goes to church at United Christian Church of the
Philippines (UCCP).
3. Who are the family’s significant others? What roles do
they play in the family’s life?
The family’s significant others are their in-laws,
siblings of the husband and their children who lived
next to their home. The role of their significant others
is to help them in times of need just like emotional
and most especially during financial problems.

4. Does the family participate in the activities of the

community? If yes what are these activities. If no,
what are the reasons why they do not participate?
Yes, family participates in the activities of the
community like feeding programs; outreach programs
and community clean up of the environment.
C. ENVIRONMENTAL FACTORS
1. Housing
a. Is the family’s living space adequate for their number?
The family’s living space is inadequate for their number. It has one room in
near their kitchen for the couple and small portion upstairs for their five
children. All the children sleep together in one room including the 2 year
old boy.

b. Is their furniture adequate for them? Is it enough for their needs?

The family’s furniture is enough for their needs. They have one table, small
cabinet for their TV and DVD and small sofa for their visitors but their
kitchen utensils do not sustain their needs.
 
c. Are their insects and rodents in their house?
Their house has a plenty of insects such as flies, rats, ants, especially
mosquitoes. Mosquitoes are present day and night. Rats is as big as small
cats but they don’t do any precautionary measures in order to eliminate or
even reduce these rodents.
d. Are their accident hazards in and around the house? If yes, please
enumerate.
The house is made of light materials. They cooked their foods inside the
house using liquefied petroleum gas (LPG) but sometimes if they ran out
of LPG, they used to cook their food inside the house using the “kahoy”
located in the ground beside the wall. This can cause fire and considered
as hazardous to well being of all the members of the family. The wirings
are too close to each other that might result to a short circuit that will
eventually lead to fir The house is always affected by flood due to its
location and structure since their house is not elevated, thus, causes the
water to go inside and flood their things inside.

e. What are their cooking utensils? What is their storage?

Their cooking utensils include only of one small frying pan and pots. They
use plastic ware for their food. They don’t have enough storage for their
utensils because some utensils are just place in the anywhere. In addition,
they have poor food storage because they don’t have the refrigerator, thus,
their food must be all consumed in order for the food not to become
spoiled.
 f. What is their water supply? Where is the source? Is it potable?
They do not have their own water supply. The source of their
drinking water is from the Cagayan de Oro Water District
(COWD), government own free for the residents in their place.
They wake up early and gather some water and store it in the
plastic container, which is slightly dirty.
 
g. What is their toilet facility? What is its condition? Is it
sanitary?
The family does have a toilet of their own but it somewhat
unsanitary. It is open and located at the corner of their kitchen
beside the unprotected stairs. It is water –sealed type of toilet
with black dirt surrounded on it. The only barrier to their toilet
from the other parts of the house is the bathroom curtains
only, thus, when someone defecates, all the family members
will know because they can smell the not-so-fragrant smell.
h. What is the type of their garbage and refuse disposal
system? Is it sanitary?
They use sack for their garbage, which is collected
by the garbage truck every Tuesday. It has no cover and
the flies are all around but as we go on with our
assessment we found out that there are scattered
trashes at the back of their house situated beside the
toilet.

i. Describe their drainage system. Is it sanitary?

The drainage system is closely sealed but still it is
smelly and unsanitary since they do not have the
willingness to clean their drainage.
2. What type of neighborhood does the family belong to? Describe.
The type of their neighborhood is like squatter’s area. They belong
in a low-income level family. It is noisy, crowded and cannot
accessed by vehicles especially fire trucks.
 
3. Are their social and health facilities in the neighborhood? If yes,
please enumerate and describe each?
In terms of their social facilities, they have basketball court 30
meters away from their house. They also have a Catholic Church in
the area. As to health facilities, there is a health center which is
approximately 45 meters away from their house
 
4. What is the family’s mean of communication and transportation?
The family has a television and a radio as a means of
communication. His oldest son has a cell phone for emergency
cases. Their means of transportation are jeepneys and trisikads.
 
D. HEALTH AND MEDICAL HISTORY
1. Medical and health history of each family member.
The children of the Agbong Family already completed their
immunization as evidenced by immunization record situated at the
San Roque Health Center that was provided by the Barangay Health
Worker (BHW). Vaccines given were one dose of BCG, 3 doses of OPV,
3 doses of Hepa B, 1 dose of measles. The youngest son of the family,
Aldren experienced hospitalization during the year 2008 because of
diarrhea. There is no further passed hospitalization experienced by the
children of the said family. Currently, Aldren is suffering from diarrhea
but they did not consult yet any doctors because according to the
mother it is not yet severe and the child is still responding effectively.
 
2. Value placed on disease prevention.
a. Are the children immunized? What is their immunization status?
All of the five children were fully immunized because they availed the
immunization program implemented by the government through their
Barangay Health Center.
 HERE IS THE SUMMARY OF THE IMMUNIZATIONS
RECEIVED BY THE CHILDREN OF THE SAID FAMILY:
Child’s DPT BCG OPV Hepatitis B Measles
Name

Marlon     
Agbong

Candy     
Agbong

Cindy     
Agbong

Mary Jane     
Agbong

Aldren
    
Agbong
b. Does the family utilize other preventive actions? If
yes, what are they?
The family does not have other preventive
actions.
 
3. What is the family’s source of medication?
The family’s source of medication is from their
health center. These medications include
paracetamol (biogesic) and amoxicillin. If and
when that one of their family members will get
severe illness they often borrow money with the
siblings of the husband.
4. What are their perception of the role of the health
professional and their services? What are their
expectations of the services of the community health?
Nurse?
They have high respect for the health professionals. They
were contented with the free services given by the health
workers since they were treated very well regardless of
their economic status.
 
5. Do they have previous experience with the health
professionals? If yes, were they satisfied with the results?
Yes, They have previous experience with the health
professionals. It was when they consulted at the health
center and their youngest son was hospitalized in NMMC.
So far all health professionals they have encountered
treated them well. They were satisfied of the services.
E. TYPE OF FAMILY STRUCTURE
 Patriarchal  Extended  Matriarchal
 Single Parent  Nuclear  Alternate Family

1. Dominant family members in terms of decision making,

especially in health care.
The husband and wife often share the obligation of making
decisions relative to health care. The father predominantly
makes the decision regarding with the activities of the family.
But when it comes to caring the sick family member it is the
mother who take good care of them.
 
2. Describe the general family relationship.
As what we have observed, the family has a good, harmonious
relationship. The husband does not have any vices but drinks
occasionally like during fiestas and birthdays. The husband is
responsible enough to provide the family’s needs while the
wife is taking good care of their children.
IV. ACTIVITIES FOR DAILY LIVING
A. SLEEPING PATTERN
 
1. Are there hours for retiring and getting up?
All of the family members wake up at 5 am because they have
their own chores to do and they prepare themselves for school.

2. Do the family nap during the day?

Only the mother and her youngest son can nap during the day
because the husband is working while the rest are at school. They
usually nap at around 2 pm of the day after house hold chores and
after watching noon time show.
 
3. Do the members of the family sleep together?
The couple sleep together in their bed beside the kitchen while
the children sleeps together also in the other room upstairs
B. EATING PATTERN

1. How many meals do the family have each day?

The family can eat three meals a day. Their
meals usually consist of vegetables, sardines and
dried fish. They eat snacks sometimes during
afternoon. But sometimes when they are out of
budget, they take their meals twice only.

2. Does anyone of the family appear over weight or

under weight? Who they are?
Members Age Weight Height BMI Classifi
cation

Eusebio (father) 48 61 kg 160 cm 23.82 Normal

Flordeliza (wife) 39 52kg 158 cm 20.82 Normal

Marlon 18 48kg 157cm 19.47 Normal

Candy 17 39kg 155cm 16.23 Underw

eight

Cindy 12 26 kg 138cm 13.65 Underw

eight

Mary Jane 8 24 kg 133cm 13.56 Underw

eight

Aldren 2 10kg 82.82c 14.87 underw

m eight
C. LEISURE TIME ACTIVITIES
1. How does each member spend his/ her leisure hours? Is the leisure
time appropriate for the sex and age group of the individual?
The father does not have leisure time because he is at work and
when if it’s his off day he spent it by resting in the house. He leaves
early for work and went home late. The mother does not also have
leisure time because she’s so busy doing laundry and giving care to the
children.
 
2. Does any member have an all- consuming hobby? If yes, What
affects does this on the family.
Any of the family does not have any all- consuming hobbies
because they prioritized their work rather than their hobbies.

3. Does the family have any joint activity for leisure? What is it?
How often do they do this limited activity?
The family’s joint activity includes attending church during
Sundays and sometimes they go to the bench for fun.
 WHAT ARE THE
PROBLEMS THAT WERE
IDENTIFIED?
 2. PRESENCE OF
1. UNSANITARY BREEDING PLACES OF
TOILET INSECTS AND
RODENTS
 4. IMPROPER
GARBAGE
3. MALNUTRITION DISPOSAL
5. FAMILY HISTORY OF 6. INADEQUATE
SPECIFIC CONDITION
(HYPERTENSION) LIVING SPACE
 8. FAMILY BEYOND
WHAT FAMILY
7. ACCIDENTAL RESOURCES CAN
HAZARDS ADEQUATELY PROVIDE
 10.INADEQUATE
9. LACK OF FOOD PERSONAL
STORAGE BELONGINGS
FACILITIES UTENSILS
 VIII. RANKING OF THE 10 FAMILY
HEALTH PROBLEMS
RANK SCORE FAMILY HEALTH PROBLEMS

1 4.17 UNSANITARY TOILET

4.17 PRESENCE OF BREEDING PLACES OF INSECTS AND RODENTS

2 4 MALNUTRITION

3 3.84 IMPROPER GARBAGE DISPOSAL

4 3.83 FAMILY HISTORY OF SPECIFIC CONDITION (HYPERTENSION)

5 3.17 INADEQUATE LIVING SPACE

6 2.84 ACCIDENTAL HAZARDS

2.84 FAMLY BEYONG WHAT FAMILY RESOURCES CAN ADEQUATELY

PROVIDE

7 2.67 LACK OF FOOD STORAGE FACILITIES

2.67 INADEQUATE PERSONAL BELONGINGS UTENSILS

NURSING CARE
PLAN
 Health Family Nursing Goal of Care (General) Objective of care Intervention Method of Resources Evaluation
Problems Problem (specific) Measures Nurse-Family Required
Contact

Malnutrition - Inability to recognize - After the nursing -After a month of Home Visit -Time  
Underweight the problem of intervention, the family nursing intervention, the -Emphasize the -Effort Goals partially
BMI of the malnutrition due to: will be able to: family will be able to: importance of -Money met:
following  Ignorance of ·        Perform ·         Improve the proper nutrition -Camera  
family facts that some the weight of the -Teach the family -Weighing Scale -They are able to
members: of the family importance of malnourished child on proper food -Tape Measure perform the
= Candy (17 members are nutrition with the help of the preparation (for BMI) importance of
years old) - malnourished among the health teachings being - Enumerate the -Notebook nutrition through
16.23  Fear of family taught to eat various advantages and -Pen abstaining
=Cindy (12 Consequences of members kinds of food. disadvantages of -BMI chart unnecessary
years old) - diagnosis of malnutrition food like “junk”
through their ·         Demonstrate the
13.65 problem related - Identify cheaper foods. and able
=Mary Jane (8
actions of proper way of
to economic. abstaining nutritious and to identify
years old) - preparing nutritious
- Inability to make unhealthy healthy foods cheaper
13.56 food.
=Aldren (2 decisions with respect food. nutritious and
years old) - to taking appropriate ·         Identify healthy foods
14.87 health actions due to: cheaper yet but  fail to
 Low salience of nutritious and demonstrate the
the family about healthy foods importance of
the existing food preparation
 
problem of due to the
malnutrition in location of their
the family. kitchen and the
 Inability to lack of
decide which necessary
action action to utensils.
take among the
list alternatives I
order to be
healthy.
 Fear of
consequences of
action related to
economic.
 Health Family Nursing Goal of Care (General) Objective of care Intervention Method of Resources Evaluation
Problems Problem (specific) Measures Nurse- Required
Family
Contact
Unsanitary - Inability to - After the nursing -After an hour of -Provide proper Home Visit -Time  
Toilet make decisions intervention, the family nursing intervention, Health -Effort Goals partially
with respect to will be able to: the family will be able teachings in -Money met:
taking ·        To to: maintaining -Camera  
appropriate demonstrate ·         To perform good hygiene -Weighing -They are able
health action due the effects of proper waste within their Scale to verbalize the
to: unsanitary disposal (feces and scope of -Tape Measure importance of
 Fear of toilet to the urine) environment. (for BMI) nutrition and
consequenc health of the ·         To identify and -provide -Notebook able to identify
es of action family. differentiate the effective -Pen cheaper
secondary ·         To advantages of information -BMI chart nutritious and
to perform the proper waste about the healthy foods
economic proper use of disposal in various but  fail to
-Inability to toilet facility preventing the diseases that demonstrate
recognize the and keeping spread of the family can the importance
presence of a it clean and communicable acquire with of food
problem due to: therapeutic to diseases. unsanitary preparation
 Ignorance all the family toilet due to the
of facts that members. -d location of
unsanitary   there kitchen.
toilet might
cause the
spread of
any kinds
of
infection.
 Health Family Nursing Goal of Care (General) Objective of care Intervention Method of Resources Evaluation
Problems Problem (specific) Measures Nurse-Family Required
Contact

Presence of - Inability to - After the nursing -After an hour of -Perform to the Home Visit -Time  
Breeding recognize the intervention, the family nursing intervention, the family the -Effort Goals met:
Places of problem of having will be able to: family will be able to: various yet very -Money  
Rodents and breeding places of ·        To ·         Earn a sufficient effective -Camera (for -Each of the
Insects rodents and insects demonstrate knowledge on what strategies in Documentation) family members
due to: on how to things to be done in eliminating these -Good sound were able to
 Ignorance of prevent the order for these rodents and Conversation demonstrate
facts that these numbers of rodents to be insects through correctly the
rodents could rodents and eliminated. promoting a ways in
cause different insects in their ·         identify the clean preventing the
kinds of house. advantages of having environment. increase of these
disease. ·         To know a clean environment -Provide proper rodents as well
 Fear of what diseases in relation to the health teaching as able to know
consequences will be elimination of these. about the the
of diagnosis of acquired in advantages and disadvantages of
problem having these disadvantages of having these
secondary to insects and having breeding rodents around.
economic. rodents. places of insects
-Inability to make   and rodents.
decisions with respect
to taking appropriate
health actions due to:
 Inability to
decide which
action to take
among the list
of alternatives.
 Fear of
consequence
of action
secondary to
economic.