fcp sacred heart 102

7/25/2019 Fcp Sacred Heart 102

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I. INTRODUCTION

The family is basic social group (which is composed of the father, mother and

children! They are united through bonds of "inship or marriage, present in all societies!

The primary role of the couple is to support and pro#ide the needs of its members so that

they will be producti#e in their family and to the society!

$eing the core of the society is not an easy tas"! Not all the needs of its member

are met and sometimes are being compromised especially the health of its members!

%hen illness "noc"s on the door of a family many problems arises which sometimes alter

the normal function of the family within the community and within the family itself, In

correlation to this, the &amily Coping Inde' was used as a tool for criteria and basis for

estimating the nursing needs of this particular family! There are categories in the &amily

Coping Inde' namely) (* +hysical Independence, ( Therapeutic Competence, (-

.nowledge of /ealth Condition, (0 1pplication of +rinciples of 2eneral /ygiene, (3

/ealth 1ttitudes, (4 5motional competence, (6 &amily 7i#ing, (8 +hysical 5n#ironment

and ( Use of Community &acilities and each was weighed to determine the coping

capacity of the members of the family!

The group chose this certain family as the care study because among the families

in 9one 8 :acred /eart ;illage, Carmen CDOC, this has the most apparent and immediate

health needs and problems! Through this inde' the group was able to identify the priority

problems of the family to which the group ga#e much focus as bases for nursing care!

Recogni


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impact on human well?being! The responsibilities that are co#ered include care and

super#isions of indi#iduals and families in their homes, and that it does not only end in the

health center where people usually go! The community health nurses as members of the

health team are e'pected to integrate within the family health care the programs of the

Department of /ealth because he@she has the opportunity for e#aluating the health status

of the people, the family and the de#elopment of the community within a timeframe!

1s student nurses and as part of the health team that the school is responsible with,

2roup * was e'posed to 9one 8, :acred /eart ;illage, Carmen, Cagayan de Oro City to

impart "nowledge about the essence of health within the family and in the community as

well as to institute nursing care!

A.) OBJECTIVES OF THE STUDY

The main purpose of student nurses conducting care study and e'posure in the

community setting is for them to undergo problem? sol#ing and educational sessions on

the nursing care to the family! 1s this is one of their #arious concepts and tools of applying

sufficiently the concepts of Community /ealth Nursing!

1t the end of 0 days (:eptember *6?*8 A October *?, B* of Community /ealth

Nursing e'posure, we will be able to)

*! 5stablish trust and rapport to the family members in order to gain their

cooperation during an inter#iew!

! $e able to apply the different community health nursing concepts by determining

the problem and applying appropriate nursing inter#entions!

-! Identify and e#aluate the outcome of the inter#ened health problems of the

family!

0! +ro#ide appropriate community nursing ser#ices needed by the family!

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3! +romote health awareness in pre#ention and cure of certain diseases!

4! De#elop the capacity of the members to ta"e care of their family and to find

curati#e measure in solution of their health problem!

6! Do a proper follow up and monitoring of the family case!

8! Impart the health teachings in promoting health and pre#ention of illness!

! Do a referral to the community health pro#ider at the end of the rotation to

inter#ene on the identified problems!

B.) SCOPE AND LIMITATION

The study was conducted within the parameters of 9one 8 :acred /eart ;illage,

Carmen, Cagayan de Oro City to family 1barre! The study focuses on)

*! Obtaining the family profile, health history and present health condition,

! 1ssessing, recording, and gathering of pertinent data about the family,

estimating the nursing needs and coping capacity of the family

-! &inding the primary health problems of the family that we has chosen and

the inter#entions to sol#e the priority problems!

0! 5#aluation, recommendation and referrals for the family!

This study is conducted with a minimal time frame of 0 home #isitations from

:eptember *6?*8 A October *?, B*! %ith the time gi#en, we grasped the opportunity to

ta"e a closer loo" at the en#ironment, nutrition, acti#ities or routines of the family that

might threaten their health! /owe#er, not all the time all the family members are a#ailable

due to their occupational acti#ities so the physical assessment of each member was not

consistent as to the home #isitations correspondingly!

II. SPOT MAP

The point of reference in going to 9one 8 :acred /eart ;illage Carmen, Cagayan

de Oro City is 7iceo de Cagayan Uni#ersity! &rom the school the group rode a eep

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Husband:

Nam ) r! 1l#in 1barre

P!s"#"!n "n #$ Fam"%& ) /ead of the family

S' ) ale

B"(#$ Da# ) Eanuary *, *4

A )0 years old

C"*"% S#a#us ) arried

Na#"!na%"#& ) &ilipino

Add(ss ) 9one? 8 :acred /eart ;illage, Carmen , CDO

R%""!n ) Roman Catholic

Edu+. A##a"nmn# ) 5lementary 2raduate

O++u,a#"!n ) ason

In+!m ) +hp 0,8BB@month

A%%("s ) No "nown &ood and Drug 1llergies

-IFE

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Nam ) rs! erlyn 1barre

P!s"#"!n "n #$ Fam"%& ) other

S' ) &emale

B"(#$ Da# ) arch 3, *48

A ) 0- yrs! old

C"*"% S#a#us ) arried




Edu+. A##a"nmn# ) 5lementary 2raduate

O++u,a#"!n ) /ouse .eeper

In+!m ) none

A%%("s ) No .nown &ood and Drug 1llergies

NDCHILD

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Nam ) ;em 1barre

P!s"#"!n "n #$ Fam"%& ) ndchild

S' ) &emale

B"(#$ Da# ) :eptember *, *

A ) * yrs old

C"*"% S#a#us ) :ingle




Edu+. A##a"nmn# ) -rdFear /igh :chool


/THCHILD

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NO I125 1;1I71$75


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Nam ) Ressy 1barre

P!s"#"!n "n #$ Fam"%& ) 3th child

S' )ale

B"(#$ Da# ) 1ugust 4, *

A )*- years old

C"*"% S#a#us ) :ingle




Edu+. A##a"nmn# ) 5lementary? 2rade 3


0THCHILD

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Nam ) 7ady Eane 1barre


S' ) &emale

B"(#$ Da# ) 1pril 3, BB-

A ) years old

C"*"% S#a#us ) Child




Edu+. A##a"nmn# ) none


1

TH

CHILD

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Nam ) 1ndrea 1nn 1barre


S' ) &emale

B"(#$ Da# ) 1pril , BB

A ) - years and 0 months





Edu+. A##a"nmn# ) 5lementary? 2rade -


2RANDCHILD

Nam ) Eana 1pao

P!s"#"!n "n #$ Fam"%& ) 2rand daughter

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S' ) &emale

B"(#$ Da# ) Eune *, B*

A )* year





Edu+. A##a"nmn# ) none


IV. DEVELOPMENTAL DATA

2rowing up is a comple' phenomenon because of the many interrelated facets

in#ol#ed! +eople do not merely grow taller and hea#ier as they get older, maturing also

in#ol#es growth in their ability to perform s"ills, to thin", to relate to people, and to trust or

ha#e confidence in them!

2rowth is generally used to denote an increase in physical siuantitati#e

change while de#elopment is used to indicate an increase in s"ill or the ability to function

and to denote a >ualitati#e change! aturation is another word for de#elopment!

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De#elopmental theories pro#ide road maps for e'plaining human de#elopment!

$ecause human de#elopment is highly comple' and multifaceted, de#elopmental stage

theories describe only one aspect of de#elopment such as cogniti#e, psychose'ual,

psychosocial, moral, and faith de#elopment! :tage theories emphasiuence of de#elopment that is orderly and continuous! 5ach stage is

affected by those stages preceding it and affects those stages that follow!

F(ud3s Ps&+$!s'ua% T$!(&

1l#in and erlyn 1barre, who are adults belongs to the G25NIT17 :tageH. This

begins at puberty and in#ol#es the de#elopment of the genitals, and libido begins to beused in its se'ual role! /owe#er, those feelings for the opposite se' are a source of

an'iety, because they are reminders of the feelings for the parents and the trauma that

resulted from all that!

E("4s!n3s T$!(& !5 Ps&+$!s!+"a% D*%!,mn#

2n(a#"*"#& *s. S#ana#"!n

During adulthood, we continue to build our li#es, focusing on our career and family!

Those who are successful during this phase will feel that they are contributing to theworld by being acti#e in their home and community! Those who fail to attain this s"ill willfeel unproducti#e and unin#ol#ed in the world!

P"a#3s T$!(& !5 C!n"#"* D*%!,mn#

1dulthood is the time when people are most capable of forming new concepts and

shifting their thin"ing in order to sol#e problems! During this period, thin"ing is

characteri


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6!$%b(3s T$!(& !5 M!(a% D*%!,mn#

They are now in the post?con#entional le#el of moral de#elopment! 1t this time, the

person is able to separate self from the e'pectations and rules of others and to define

morality in terms of personal principles! %hen indi#iduals percei#e a conflict with society=s

rules or laws, they udge according to their own principles! %omen often define moral

problems in terms of obligation to care and to a#oid hurt!

Ha*"$u(s#3s T$!(& !5 D*%!,mn#

The 1barre couple, ha#e already selected each other, which is one of the important

de#elopments of this stage in life! They are learning to li#e with each other, start their own

family, and rear their children properly! They manage their home, as parents of their

children!

V. FAMILY HEALTH HISTORY

PAST 7PRESENT HISTORY OF ILLNESS

1! r! 1l#in 1barre ( /ead of the family J %e ne#er met r! 1barre since he was at

wor" during the inter#iew! rs! 1barre, howe#er, told us that she thin"s her husband

has ne#er undergone immuni


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as of the present time and has not ta"en any medications as of the moment! 1t

times of illness, she would ust drin" paracetamol for fe#er and mefenamic

acid for pain or treat wounds with crushed plants coming from their neighbors bac"yard! The

family is not using family planning anymore!

C! ;em 1barre (ndchild J is B years old is in her second pregnancy and has had

one li#e birth and no abortions! :he is not seen for prenatal care at -4 wee"s of

gestation! /er weight is 08, and her blood pressure is **B@6B mm/g! Uterine siuadrant! The patientKs has

past obstetric history includes the spontaneous #aginal deli#ery of a 4 lb, - o

female infant at 0B wee"s gestation and 3 months ago she was confine to city

hospital for urinary tract infection and she told us she is doing well now! /er family

history re#eals that her mother and father has history of hypertension!

D! Ressy 1barre (3thchild J /as no any degenerati#e, chronic, or infectious diseases

as of the present time! /e has not completed immuni


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VI. PRESENT FAMILY HEALTH STATUS

&irst le#el of assessment has been performed on the 0 members of the family during

the 0 home #isitations which co#er the period starting :eptember *6?*8 A October *?,

B*! %e only met the wife because the husband has wor" and the children are at school!

The only one left is the pregnant woman and 0 "ids!

During the first le#el of assessment, data has been gathered through inter#iews

conducted through the wife! It has been gathered that ;em has her UTI! /er husband

smo"es and drin"s alcoholic be#erages!

%ith regards to their family planning, they are not using any family planning! 1ll

members of the family ha#e no "nown drug and food allergies!

%ith regards to the "ind of food they eat, they seldom eat meat, their #iand, if there=s

any, was mostly canned goods, noodles and #egetables!

During our *stassessment, the following data were gathered)

Nam Tm,(a

#u(

Pu%s Rs,"(a#!(&

(a#

B%!!d

P(ssu(

-"$#

erlyn 1barre -4!0 LC 6bpm B cpm B@6B mm/g -6 "g

;em 1barre -4! LC 8*bpm * cpm *BB@6B 0*"g

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7ady Eane 1barre -4! LC 8Bbpm 0 cpm B@4B 4 "g

1ndrea 1nn 1barre -4!3LC *3bpm --cpm No pedia cuff ** "g

VII. DESCRIPTION !5 HOME 8 ENVIRONMENT 9ENVIRONMENT

PROFILE)

HOUSE

The house is >uiet small! It is mostly made up of wood! Their "itchen is on

the bac" side of the house! They don=t ha#e a faucet on their house! %hat you only

see are containers used for storage of water! They also don=t ha#e comfort room

and drainage system!

-ATER SUPPLY

They don=t ha#e faucet inside their house! They are ust getting their water

supply beside their neighbor=s faucet! It is where they get their water for drin"ing,

bathing and washing! They managed to ha#e their water for drin"ing stored in a big

gallon! 1s obser#ed, their "itchen is untidy due to the presence of garbage that wasnot properly thrown in the garbage! They also don=t ha#e proper storage of their

food!

6ITCHEN

Their "itchen is made up of wood! It is located at the bac" side of their

house! It is a dirty "itchen type and they use fire woods in coo"ing their foods! It has

containers on it which contains water for their needs!

-ASTE DISPOSAL

They let their garbage being collected by the garbage collector e#ery

:unday! They ha#e no proper waste segregation!

DOMESTIC ANIMALS

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They don=t ha#e any domestic animals!

PRESENT OF HEALTH HAARDS

They ha#e no drainage system! %indows were not screened which increased

the ris" for disease?carrying insects to readily inhabit their place! Drin"ing water isstored in dirty containers and some were not co#ered!

SOCIAL AND HEALTH FACILITIES AVAILABLE

The /ealth Center is a little bit far from the house! The barangay has #arious

facilities such as $rgy! /all, $rgy! /ealth Center, Day Care Center and 5lementary

and /igh :chool!

COMMUNITY

9one 8, :acred /eart ;illage $arangay Carmen is a rural area! It is 0

"ilometers away from the city! It is a place for new settlers in the city! There are big

and small houses situated in the area! Fou can see people who ha#e simple li#ing!!

FouKll e'perience good ambiance, but unluc"ily the roads are not fully cemented

and it is so muddy and slippery most especially during rainy seasons! The housesare close from each other! The people li#ing in the place are all approachable,

friendly and #ery hospitable! ostly of the community people are #ery warm hearted

and they always welcome us with a warm smile!

VII. FAMILY COPIN2 INDE;

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Scale Implication

< = N! C!m,#n+

> = M!d(a# C!m,#n+

/ = C!m,%# C!m,#n+

A(a Ra# Jus#"5"+a#"!n

. 6n!?%d !5 $a%#$

+!nd"#"!n @ concerned with

a particular health condition

that is the occasion of care.

*

The family has "nowledge about

the health condition of the

pregnant woman with UTI but

does not address it due to lac" of

financial abilities in the

management of the condition!

They fail to "now about the salient

facts related to the disease well

enough to ta"e necessary action

to resol#e it! The ill member do not

e#en ta"e precautionary measures

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for the pre#ention of the

progression of the disease!

. A,,%"+a#"!n !5 P("n+",%s!5 2n(a% $&"n ?family

nutrition, adequate rest and

relaxation, carrying out

accepted preventive

measures as immunization,

and, medical appraisal, safe

homemaking habits inrelation to storing and

preparing foods.

*The family has poor hygiene

e#ident by dirty and long nails,

uncombed hair and untidy

clothing! They wal" barefooted and

ust sit anywhere may it be on the

ground! They don=t ha#e

comfortable room to sleep into!

The storage of their eating and

other utensils has no co#er

wherein some other things may be

able to contaminate it!

/. Ha%#$ a##"#ud ? the way

the family feels about health

care in general.

- The familyKs priority is basically on

daily sustenance as well as

attaining basic needs! The

members did not mainly pro#ide

health care as long as all are in

good functioning, they are satisfied

with the condition that they ha#e!

0. Em!#"!na% C!m,#n+ ?

maturity and integrity with

which the members of the

family are able to meet

usual stresses and

problems of life and to plan

for a happy and fruitful

living.

- The family plans for their future

because they are so many in the

family! %hat is important to them is

that they ha#e something to eat for

a particular day! The problems that

they encountered are all sol#ed by

the parents especially that theyha#e a daughter who is pregnant!

1. Fam"%& %"*"n? how well the

family members get along

with another in interpersonal

3

The family gets along with each

other well! They seemed to ha#e a

great relationship with each other

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relationships. most especially that they only

ha#e each other most of the times!

The wife seemed to be

understanding to her husband and

his wo"! :he helps him do the

things that he cannot able to do

due to his fatigue from wor"! They

communicated with each other

well!

VIII. NURSIN2 ASSESSMENT

NURSIN2 SYSTEM REVIE- CHARTNam: M(%&n Aba(( Da#: S,#mb(


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1ssess eyes ears nose throat for abnormality ' P no problemRESP: P asymmetric P tachypnea P barrel chest P apnea P rales ' P cough P bradypnea P shallow P rhonchi

P sputum P diminished P dyspnea P orthopnea P labored P whee


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P asymmetric P tachypnea P barrel chest P apnea P rales ' P cough Pbradypnea P shallow P rhonchi P sputum P diminished P dyspnea P orthopnea P labored P whee


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P asymmetric P tachypnea P barrel chest P apnea P rales P cough P bradypnea P shallow P rhonchi P sputum P diminished P dyspnea P pain P cyanotic1ssess resp! rate, rhythm, depth, pattern,

breath sounds, comfort ' P no problem uncutCARDIOVASCULAR: na"%s P arrhythmia P tachycardia Pnumbness P diminished pulses P edema P fatigue P irregular P bradycardia P murmur P tingling P absent pulses P pain1ssess heart sounds, rate rhythm, pulse, blood+ressure, circ!, fluid retention, comfort ' P no problem2ASTROINTESTINAL TRACT: P obese P distention P mass P dyspagea P rigidity P pain1ssess abdomen, bowel habits, swallowing, bowel sounds,comfort P no problem

2ENITO @ URINARY AND 2YNE P pain P urine color P #aginal bleeding P hematuria P discharge P nocturia1ssess urine fre>uency, control, color, odor, comfort, poor s"in turgorgyne bleeding, discharge ' P no problemNEURO: P paralysis P stuporous P unsteady P sei


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P asymmetric P tachypnea P barrel chest P apnea P rales P cough P bradypnea P shallow P rhonchi P sputum P diminished P dyspnea P pain P cyanotic1ssess resp! rate, rhythm, depth, pattern,

breath sounds, comfort ' P no problem uncut nailsCARDIOVASCULAR: P arrhythmia P tachycardia Pnumbness P diminished pulses P edema P fatigue P irregular P bradycardia P murmur P tingling P absent pulses P pain1ssess heart sounds, rate rhythm, pulse, blood+ressure, circ!, fluid retention, comfort ' P no problem2ASTROINTESTINAL TRACT: P obese P distention P mass P dyspagea P rigidity P pain1ssess abdomen, bowel habits, swallowing, bowel sounds,comfort P no problem

2ENITO @ URINARY AND 2YNE P pain P urine color P #aginal bleeding P hematuria P discharge P nocturia poor s"in1ssess urine fre>uency, control, color, odor, comfort, turgorgyne bleeding, discharge ' P no problemNEURO: P paralysis P stuporous P unsteady P seiuent#oiding

+R5DI:+O:IN2&1CTO

R:

Q:e') female

Q1ge) *3?0 y@o

Q5lderly@ postmenopausal

women


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E#"!%!&:

Uropathic pathogens

$acteria from e'ternal

genitalia@perianal area enters

urethra

;oiding is abruptlyInterrupted #oiding %ashout phenomenon

(bacteria areremo#ed from

Urethro#entricularr

eflu'(reflu' of urine&unctional

destructionof urine

:ome bacteria remain in

$acteria is

ele#atedbac" intothe bladder

Urine stasis2rowth of microorganism in

the urine in the bladder

Destruction of the

protecti#emucin layer of


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Inflammatory Destruction of

bladder and

In#asion of bladder

7ocal

humoralimmune

Release

of

Cystitis

&re>uencya

nd

urgencyof

urination

(Dysuria$u

rning

painupon

urination

Release of secretory

Destruction of$ac" painfe#er

+:FC/O7O2IC17$IO7O2IC17:OCI175N;IRON5NT

PHYSICAL

1ll children

ha#e s"in

rashes andscars!

GENETIC

hypertension

fcp sacred heart 102

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