St. Scholastica's College Tacloban Maharlika Highway Brgy. Campetic, Palo, Leyte COLLEGE OF NURSING COMMUNITY HEALTH NURSING RLE OUTPUT I. FAMILY PROFILE Birth Date Name Relationship to the Family Age/Sex Superada, Herminia Mother Superada, Sherilyn Marital Status If not in school, highest educational attainment If still in school, present educational level Occupation Type Place of of Work Work Physical Health Month Year 60/F March 1963 Married (Widow) 1st year High School N/A SariSari Store Home Good Daughter 26/F March 1997 Single High School Graduate N/A None N/A Good Superada, Cesario Son 23/M March 1999 Single College 1st year N/A N/A Not available for assessment Superada, Eya Laureen Granddaughter 1/F November 2022 Single N/A N/A N/A N/A Good II. HOME VISIT PLAN Name of Family: Family X Reason for visit: To assess first hand the family's circumstances, identify health related and other problems if any, and ultimately present a family health plan that would hopefully address these issues or problems. Date & Time Pre-visit Phase Pre-visit Phase: June 7, 2023 @ 10:30 am ➢ Choose/Identify a family to conduct a home visit. In-home Phase June 8, 2023 @ 10:30 am ➢ Look for the family’s preliminary record at the RHU beforehand for baseline data. Termination: June 9, 2023 ➢ Find the family and identify their location. ➢ Upon arrival, greet the family with a warm smile and a positive attitude. ➢ Explain the purpose of visit and obtain consent. ➢ Initially identify the family’s needs and concerns and In-home Phase ➢ Initiation - First, ensure safety of the area/surroundings. - Knock at the family’s house door and greet them warmly. - Introduce self and discuss home visit’s agenda. - Once consent is obtained and purpose of home visit is explained, proceed with the implementation. ➢ Implementation - First, settle in. Build rapport. - Ask the family or client where in the house they feel most at ease conducting the interview and carrying out the Termination ➢ Summarize all activities performed. ➢ Assure the family or client that you are making an attempt to address their problems and worries. Whether it may be through referral, health teachings provided, etc. ➢ Set up next schedule for home visit. Ask availability of the family or client. ➢ At the conclusion of your visit, thank them for their time, cooperation, and hospitality. Post-visit Phase ➢ Documentation - Record everything that transpired during the home visit. - Make a referral to proper authorities or institutions regarding family/client’s concern if necessary. - Plan for next home visit if necessary. Evaluation ➢ The family was well receptive during home visit. - Mother and daughter was cooperative during the entire interview process. - Mother and daughter including grandchild willingly consent for vital signs taking and minor physical assessment. - The family consented for quick home inspection. - The family willingly acknowledged ascertain the family's cooperation and desire to help with the visit's goals. ➢ Ask the family’s availability for next home visit and set schedule. - - - - - - plan. Always ensure the comfort of the client. Ask whether a table and water source are available. Once available, perform hand hygiene and bag technique. Always observe infection control. Ensure family or client’s privacy and dignity at all times. Perform family and individual assessment. Follow the nursing process. Obtain vital signs, perform basic health interventions such as wound dressing, urine sample collection, referral, etc. Provide health education. Encourage family or client in health maintenance and promotion. and listened for health teachings that would improve living condition. ➢ At the end of the home visit, the family expressed their gratitude for the time and attention that their family was given. ➢ Plan of action during in-home phase was met. - - III. Educate family or client the importance of selfreliance and taking charge of one’s own well-being. Once done, observe proper disposal of used materials, and hand hygiene. FAMILY NURSING CARE PLAN Health Problem Unhealthy lifestyle and Personal habits due to lack of knowledge of the different modes of germ transmission as evidenced by o letting the child walk barefooted outside the house. o eating without washing hands, and o scratches on the child’s arms and legs (itchiness) Nursing Problem Inability to recognize problem and make decision with respect to taking appropriate and simple health actions due to lack of knowledge regarding: o Modes of transmission of germs. o Proper hand washing technique. Objectives of Nursing Problem After nursing intervention, the family will be able to: o Acknowledge previous bad health habits. o Express willingness to improve health habits. o Verbalize understanding about the different modes of germ transmission. Plan of Intervention o Assess the family’s understanding about the health problem. o Discuss with the family the nature of germs, its ways of transmission, and the possible health threats that could arise with germs. o Discuss with the family the importance of proper hand washing technique. Evaluation Outcome Criteria or Methods or Tools Indicator o The family acknowledged ➢ Home Visit previous bad health habits. ➢ Interview o The family expressed willingness to improve health habits. o The family understood the nature of germs, its nature, ways of transmission, and its possible health threats. ➢ Discussion o Demonstrate proper hand washing technique. o Demonstrate to the family the proper hand washing technique. o The family understood the importance of proper hand washing technique. o The family demonstrated proper hand washing technique. IV. PROBLEM SHEET Health Problem Unhealthy lifestyle and Personal habits due to lack of knowledge of the different modes of germ transmission as evidenced by o letting the child walk barefooted outside the house. o eating without washing hands, and Nursing Problem Supporting Data Cues Inability to recognize problem Subjective: and make decision with respect to taking appropriate and simple “Ini na akun apo kay baga gin health actions due to lack of kakatol ambot kun naanu inin knowledge regarding: hiya. Madali katlan,” the grandmother verbalized. o Modes of transmission of germs. Objective: o Proper hand washing technique. o Scratches o Itchiness o scratches on the child’s arms and legs (itchiness) Date Identified Resolved June 9, 2023 Not yet resolved V. ECOMAP • • • Brgy. Hall Accessible Potential source of assistance Promotes safety and security School Hardly accessible • Far from home (Tacloban) Neighbors Friendly neighborhood • Potential source of assistance • Can aid in emergencies • • Superada Family • • • Church Place of worship Accessible Source of spiritual help Transportation • Motorcycle / Tricycle • Public Bus • Pedicab • RHU Access to basic health services VI. SPOT MAP Submitted to: LUZVIMINDA MAGPATOC RN, MAN - CI Submitted by: JOSHUA P. PESCOS BSN – 3A
