The list of health conditions or problems ranked according to

priorities:
Problem
1. Arthritis as a health

Score
deficit 4

(Rheumatoid Arthritis)
2. Hypertension as a health deficit 4
3. Altered thought process
health deficit

as a 4

4. Accident hazards
4a.Improperly kept pointed and 3 2/3
sharp objects and pesticides
4b. Marupok na galba: and 3 2/3
improperly
covered well as fall
hazards
5. Poor Environmental Sanitation

3 2/3

5a.Presence of breeding and

resting sites of vectors of disease

5b.Improper/Unsanitary garbage 3 2/3

disposal
5c.Improper drainage system
6. Unhealthy
lifestyle
and
personal habits and practices

3 2/3

3 2/3

6a.. Eating raw meat and fish

6b. Cigarette smoking

3 1/6

6c. Self-medication

2 2/3

HEALTH
PROBLEM

FAMILY
NURSING
PROBLEMS

1. Arthritis as Inability

to
a
health provide
deficit
adequate
nursing care to
(Rheumatoid the
family
arthritis)
member who
has
arthritis
due to:

GOAL OF
CARE

After nursing
intervention,
Mr. Bonifacio
will have a
lesser attacks
of
arthritis
w/in 5 months
but complete
healing
is
Lack
of quite hard to
adequate
attain because
knowledg somehow the
e
about disease
is
the
hereditary.
disease
arthritis,
its nature,
complicati
ons,
prognosis
and
managem
ent.
Inadequat

OBJECTIVES OF
CARE

After the nursing

intervention, Mr.
Bonifacio as well
as other family
members will :

Be
knowledgeable
about arthritis,
son they could
take
appropriate
action
regarding the
patients
condition

Understand the
benefits
of
proper medical
consultation
and the benefit
of
the
care
needed.

INTERVENTION
MEASURES

METHOD
OF
NURSEFAMILY
CONTACT

Educate patient as Home Visit

well as other family
members
about
arthritis, its nature,
complications
and
management.
Tell the patient that
he should seek for
medical consultation
for
proper
assessment,
management
and
prescription
of
medications.
Instruct the patient
to discontinue self
medicating
himself
and
explain
that
harm self medication
and
take
in
medications
as
prescribed.

RESOURCES
REQUIRED

Material
resources:
Photocopy
of
information
about
arthritis
and
its
management
including diet and
medications

Time and effort of

the student nurse
and
family
members.

Financial resource:
Small amount of
money spent in
photocopying and
money spent for
transportation of
the student nurse.

e
knowledg
e of the
nature
and
extent of
the health
care
needed.

2. Hypertensi
onas a
health
deficit

Inadequat
e
family
resources
for
care
specificall
y due to
financial
constraint
s

After nursing
intervention,
Mr. Bonifacio
and
Mrs.
Leticia
will
have minimize
or reduce rise
in
blood
Inability
to
pressure in 2
provide
months
and
adequate
they will be
nursing care to
knowledgeabl
the
family
e
enough

Perform

necessary
measures
in
the care and
management
of the disease.
He will seek
proper medical
consultation
and will stop
taking
OTC
drugs or stop
self medication
and will take
prescribed
drugs
as
prescribed.
Control or limit
taking in foods
and
other
habits
that
could
aggravate the
attacks
of
arthritis.

After
nursing
intervention
the
couple will:

Have
lesser
times of rising

Advise patients to
limit
or
restrict
taking
in
meat
organs, wine, salmon
and sardines and
gravy as well as
beans and legumes,
explain to him that
these things could
precipitate
the
attacks
of
his
arthritis.
Encourage
the
patient to take rest
during
or
after
attacks of arthritis
and tell him not to go
to work
anymore
during these times.
Educate the patient
about the benefits of
having
simple Home Visit
regular exercise and
encourage him to do
so.
Advise the patients
to visit their RHU at
least twice or thrice
a month although
they dint experience
signs and symptoms
of hypertension, for

Material
resources:
Pamphlets
about
the disease and its
management
and
money
spent
in
printing
and
researching it.

.Time and effort of

the student nurse

members who
are
hypertensive
due to:

about
the
disease
and
the
proper
management
or
care
Lack
of (independent)
adequate
to
the
knowledg patients.
e
about
the
disease
hypertensi
on,
its
nature,
complicati
ons,
prognosis
and

managem
ent.
Inadequat
e
family
resourcesfinancial
constraint
s
Lack
of
necessary
equipmen
ts for the
independe
nt
care
needed

blood pressure.
Visit the RHU
at least twice/
thrice a month
for
check-up,
assessment of
blood pressure
or
either
consult
a
doctor for a
check-up and
proper
prescription of
medication
appropriate to
their condition.
Take
medications as
prescribed by

medical
practitioners

Be able to have
dietary
modifications
by avoiding or
restricting
foods w/c could
precipitate the
rise in blood
pressure

Mr.
will

Bonifacio
stop

proper
assessment
and management
Tell the patients that
if in case they are at
home
and
they
experience sings and
symptoms
of
hypertension,
they
should
ask
the
nearest person who
knows to assess the
blood pressure and
knows independent
management before
going to the RHU or
hospital
because
their residence is
quite far from these
health facilities.
Instruct patient to
seek
for
medical
consultations
on
hospital for further
assessment,
management
and
prescription
of
medications.
Tell the patient about
the
consequences
and harm of taking
OTC drugs or self
medication
and
advise them to take

and
members.

family

Financial resource:
Expenses
in
researching
and
printing
the
pamphlets and for
the transportation
of
the
student
nurse.

such
as
BP
apparatus
and lack
of skill in
performin
g the care
needed.

smoking
gradually

Have a regular
exercise
or
simple
work
out activities

Be
knowledgeable
about
the
disease
process,
its
possible
complications
so they could
have the care
needed
accordingly

drugs
only
as
prescribed
Teach the client to
avoid or restrict too
much salt in the
diet(too much salty
foods)
Teach the client to
avoid high fat and
high
cholesterol
containing
foods
such as meat(fats),
sinanglaw, shrimps,
lobster, crabs and
dairy products w/c
are rich in fats and
explain to them that
these foods could
cause rise in blood
pressure in taken in
excess.
Encourage them to
have balanced diet
that they should not
totally stop taking in
meat products and
but they should limit
specially those w/
other foods high in
fats and cholesterol
because anything in
excess is not good as
well
as
anything
deficient is also not
good.

Encourage them also

to take in fruits and
vegetables such as
apple,
papaya,
oranges, and other
fruits and also green
leafy vegetables.
Advise patient to
increase intake of
potassium rich foods
such
as
banana,
broccoli
because
when
there
is
enough potassium in
the body sodium w/c
causes increase in BP
will
be
low
in
amount.
Educate to reduce
stress
or
avoid
stressful
situations
because it could also
trigger the rise in
blood pressure.
Advise patients to
have regular exercise
or simple daily work
outs such as walking,
jogging, cycling and
stretching
most
specially
in
the
morning.
Instruct patients that
whenever
they

3. Altered
thought
process

After
the
nursing
intervention,
the family will
take
necessary
measures and
health actions
regarding Ate
Imeldas
1.Inability
to condition
within
4
make
decisions with months.
respect
to
taking
appropriate
health action
about
the
condition
of
Ate Imelda due
to:

Failure
to
comprehen
d
the
nature and
scope
of

After the nursing

intervention, the
patient as well as
the family will:

Seek
for
medical
consultation or
either consult a
specialist

Understand the
scope
and

experience signs and

symptoms
of
hypertension,
they
should
take
their Home Visit
medications
as
prescribed and take
rest and not to go to
work anymore.
Explain
to
the
patients as well as to
other
family
members
about
hypertension,
its
nature,
complications,
and
independent
care
management,
for
them to know what
appropriate action to
take.
Let
them
have
pamphlets or written
materials
that
contain details about
hypertension and its
management
and
discuss it w/ the
patients and also w/
other
family
members.
Educate the family
about mental health
and the and help
them understand the

Time and effort of

the student nurse
and
family
members.
Financial resource:
transportation
of
the student nurse.

the problem

Conflicting
opinions
among
family
members
on
what
action
to
take.
Fear
of
consequenc
es specially
social
feedbacks
and
emotional
effects
of
health
action
to
the patient
and
also
with
the
whole
family

2. Inability to
provide
adequate
nursing care to
the
patient
due
to
inadequate
family
resources

nature of the
condition
so
they
could
decide
what
appropriate
action to take

Provide
the
needed care to
the
patient
accordingly

condition
patient.

of

the

Relate
patients
condition
with
someone who has
the same condition,
tell the family how it
was diagnosed until
it was managed and
treated so the family
could
comprehend
easier the benefits of
health consultation.
Convince the family
to seek for medical
consultation and tell
them the benefit of
doing this is to:
o Proper diagnosis
of the disease or
condition
so
appropriate
nursing care and
medical
management
and
treatment
will be done
o Prevent
development of
the
condition
into a severe

specifically
financial
matters.
3.Failure
to
utilize
community
resources for
health
care
due to feeling
of alienation or
lack of support
from
community.

mental disorder

Enumerate
consequences,
risk
or
harm
to
the
patient, other family
members
and
to
other people if the
patients condition is
not given immediate
action
like
the
following:
o The
patient
could harm or
hurt herself as
well as other
people
o The
patients
condition could
develop
to a
severe
mental
disorder.
o The
patient
could burn their
house specially
that she is left
alone at home
cooking
o She could drink
improperly kept
pesticides
and
be wounded by

improperly kept
sharp materials

Tell the family that

she shouldnt be left
alone
at
home,
somebody
should
accompany her.

Educate the family

about
the
proper
care for the patient:
o Understand her
as
often
as
possible and let
her feel a real
familial
love,
care
and Home Visit
affection.

4. Accident
Hazards
4a.Improperly
kept
pointed
and
sharp
objects
and
pesticides

After nursing
intervention,
within
a
month,
the
family
will
take
necessary
measures
in
keeping their

o Do not treat her

as a different
individual or as
an outcast but
rather guide her
in
her
daily
routine.
o Dont let her feel
that shes alone.

Instruct family not to

let
her
play
w/
children
specially
when no adult is

Human Resources:
Time and effort of
the student nurse
and
family
members.

Financial resource:
transportation
of
the student nurse.

environment
safe
from
accident and
hazards from

improperly
kept
pointed
objects
and
After
nursing
pesticides
intervention, the
1. Inability to
family will:
recognize the
presence
of
Properly
kept
the
problem
sharp
objects
due to lack of
and
pesticides
adequate
on
the
knowledge
appropriate and
about
the
intended places.
harm of having
Know
the
an organized
consequences
environment
and
possible
and on safety
harm
of
of
proper
improperly kept
storage
of
sharp
and
pointed
pointed objects
objects
and
as
well
as
pesticides.
pesticides.
2. Inability to
provide a safe
environment

w/c
is
conducive
to
4b. Marupok health
na galba: and maintenance
and personal
improperly
covered
well development

watching over them,

she could possibly
hurt them.
Tell the family that
they
will
instruct
children that they
should not tease her
or shout against her
cause that may be
the reason for her to
hurt them.
Tell the family that
when it is comes to
their
financial
incapability
that
hinders them to seek
for
medical
consultation,
tell
them that there are
agencies that offer
support just like this
case or they should
ask help to the local
government.
Home Visit
Educate the family
about the possible
harm,
hazard
and
consequences
of
improperly kept sharp
and pointed objects as
well
as
pesticides

Human Resources:
Time and effort of
the student nurse
and
family

as fall hazards

due to:
Failure to
see
the
benefits of
an
organized
environmen
t.
Lack
of
knowledge
about
preventive
measures
of
accidents
and harm

After nursing
intervention,
within 1
month,
the
family
will
take
necessary
measures
in
keeping their
environment
safe
from
accident and
fall hazards.

5. Poor
environme
ntal
sanitation
5a.Presence of
breeding and
resting sites of
to
vectors
of Inability
provide a safe
diseases
environment
w/c
is
conducive
to
health
maintenance
and personal
development
due to:

After
the
nursing
intervention,
the family will
decide
the
appropriate or
needed

such as they could

cause
accidents,
wounds when they
step on the improperly
kept knives, scythe
and nails that could
cause tetanus w/c is
so
dangerous
and
poison not only to the
family but also to
other people.

members.

Financial resource:
transportation
of
the student nurse.

Human Resources:
Time and effort of
the student nurse
and
family
members.

Financial resource:
transportation
of
the student nurse.

Tell
them
that
considering
Ate
Imeldas
condition,
she could possibly
drink the pesticides Home Visit
and poison her that
After
nursing
may possibly cause
intervention, the
her death.
family will:
Teach the family to
Be aware of
store pesticides on a
closed
area;
if
the
harm
of
possible it will be
their marupok
locked or unknown to
na galba and
Ate
Imelda
and
improperly
unreachable
by
covered well
children
because
Replace
their
sometimes
their
galba or sim
grandchildren
visit
and provide an
them.
appropriate
Teach the family that
cover
to
the
they should properly
well.
keep
sharp
and
pointed objects such

Failure to
see
the
benefits of
an
organized
environmen
t.
Lack
of
knowledge
about
preventive
measures
of
accidents
and harm

Inability
to
provide
a
home
environment
which
is
conducive
to
health
maintenance
and personal
development
due to:
Failure
to
see benefits
of
proper
sanitation
and a clean

actions
to
Utilize
or
as
knives,
scythe,
eliminate the
nails and others also
recycle existing
breeding and
in
cabinets
or
materials
w/c
resting sites of
containers.
are still safe to
vector
of
use in solving
diseases
this problem to Educate the family
within
2
save money
that
having
these
months.
prone to fall hazards
areas or materials win
their environment is
After the nursing
really a health threat
intervention, the
to them especially to
family will:
their safety.
Know
the
benefits
of Encourage them to
replace or fix the
cleaning
the
galda or sim as soon
environment
as
human
and
and eradicating
material
resources
are
the
breeding
available to prevent
and resting sites
accidents.
of
vector
Tell the family that
diseases.
although their well is
Can enumerate
covered, it is not well
the various ways
fixed, tell them that
on
how
to
they should cover it w/
eradicate
the
woods properly nailed
breeding
and
and secured w/in the
resting areas of
opening of the well.
vector
of
diseases such as
rodents,
mosquitoes and
flies.
a.
Select the
appropriate

environment.
Inadequate
knowledge of
the
importance
of sanitation
Inadequate
knowledge of
preventive
measures.

5b.Improper
garbage
disposal

After
the
nursing
intervention,
the family will
decide on the
appropriate or
needed
plan
and actions to
be
able
to
improve their
sanitation and
will be able to
dispose their

method to be
use in avoiding
the
harmful
effects
of Educate the family
rodents,
about the benefits of
mosquitoes and
having
a
clean
flies.
environment free from
numerous
breeding Home Visit
and resting sites of
vectors of diseases.
Tell the family that
resting and breeding
sites of mosquitoes,
flies and rodents are
present
w/in
their
environment that may
bring
different
diseases to the family
such
as
malaria,
dengue,
diarrheal
diseases,
thyphoid
fever and etc.
Tell or help the family
locate breeding or
resting
sites
of
mosquitoes,
rodents
and flies for them to
know or help them
target to clean these
areas.
Tell or help the family
to remove galloons,
open
containers,
drums and old basins

Human Resources:
Time and effort of
the student nurse
and
family
members.

Financial resource:
transportation
of
the student nurse.

garbage
properly
within
months.

5c.Improper
drainage
system

where
rain
water
(stagnant water) will
2
be
contained
and
could
be
possibly
After the nursing
breeding
sites
of
intervention, the
mosquitoes
and
if
family will :
there is no stagnant
water rodents could
Be
also breed w/in those
knowledgeable
1. Inability to
areas. Instruct also
about
the
recognize
the family to burn or Home Visit
different
presence
of
place old dayami in
methods
of
problem due to
the compost fit that
ways
disposal
lack
of
could be used as
w/c are safe and
knowledge
organic fertilizer
so
proper and able
about the risky
not
for
mosquitoes
to select what
effects
of
and rodents to stay
method they will
having
an
there.
use.
improper
Be
able
to Tell the family that the
garbage
manure
of
their
know
the
disposal
animals
should
be
harmful effects
2.Inability
to
dried under the heat
of
improper
provide
a
of the sun to be used
garbage
home
as an organic fertilizer
disposal.
environment
instead of being dup
which
is
in one area on the
conducive
to
front side of their
health
house, still moist and
maintenance
wet that causes flies
and personal
to be numerous w/in
development
their environment.
due to:
After nursing
Educate the family
Failure
to intervention,
that they should clean
see benefits the family will
their
surroundings
of
garbage take
always and do all of

Human Resources:
Time and effort of
the student nurse
and
family
members.

Financial resource:
transportation
of
the student nurse.

disposal
Inadequate
knowledge of
the
importance
proper waste
disposal

6. Unhealthy
lifestyle
and
personal
habits and
practices

1. Inability to
recognize
presence
of
problem due to
insufficient
knowledge
about
the
dangerous
6a. Eating raw effects
of
meat and fish
having
an
improper
drainage
system.
2. Inability to
provide
a

necessary
measures
to
have a proper
and
sanitary
drainage
system within
2 months.

the measures sited

above to eradicate
vectors of different
diseases
and
to
reduce
occurrence
different diseases.

After the nursing

intervention, the
family will:
Able to plan the
appropriate
drainage
for
them to be use;
Have
an
appropriate and
safe
drainage
system
Be
able
to
recognize
the
harmful effects
of
improper
drainage
system.

Teach the family not

to burn their garbage
especially plastics and
educate them that
doing this so may
cause air pollution and
may
possibly Home visit.
contribute
global
warning
w/c
is
dangerous
to
our
health.
Tell the family that
they should dig a pit
that will serve as their
dumping
site
of
garbage
Instruct the family to
situate their dumping
site on an area quite
far from their house.
If possible, educate
the
family
to
segregate their waste
according
to
biodegradable
and
Home visit.
nonbiodegradable
ones
and
instruct

Human Resources:
Time and effort of
the student nurse
and
family
members.

Financial resource:
transportation
of
the student nurse.

6b.Cigarette
smoking

home
environment
which
is
conducive
to
health
maintenance
and personal
development
due to:
Failure
to
see benefits
of
garbage
disposal
Inadequate
knowledge of
the
importance
proper waste
disposal

Inability
to
recognize the
presence
of
the
problem
due to lack of
adequate
knowledge
about
the

them that they should

place
the
biodegradable
garbages like leaves,
papers,
weeds
dayami and others
in the compost pit and
could
be
use
as
organic fertilizer while
on the other hand, tell
them that the nonbiodegradable
materials
such
as
plastic bottles, old
bottles and tin cans
should be set aside f
or it can be recycled
or sold.

After
the
nursing
intervention,
the family will
properly
decide as to
take
healthy
and nutritious
foods abd be
able
to
prepare
and
handle foods
properly
within 1
month.

After
the
nursing
intervention,
Mr. Bonifacio
will
take
alternative
ways to stop
smoking
within
3

After the nursing

intervention, the
family will:
Be
knowledgeable
that eating raw
meat and fish
is not healthy
Be
knowledgeable
of the possible
effect of their
practice
Stop or avoid

Tell the family that

having
an
open
drainage system is not
proper and unsanitary
and additionally it is
not safe to their
health
Instruct the family to
not to throw left over
foods
on
their
drainage
area
to
lessen flies and other
vectors of diseases to
accumulate on that
area.
Encourage the patient

Material
resources:
Pamphlets
about
the smoking and its
management
and
money
spent
in
printing
and
researching it.

.Time and effort of

the student nurse
and
family
members.

Financial resource:
Expenses
in
researching
and
printing
the
pamphlets and for
the transportation
of
the
student
nurse.

harm or bad months.

effects
of
eating
raw
meat and fish
to their health

1. Inability to
recognize the
presence
of
the
problem
due to lack of
adequate
knowledge
about
the
harmful effects
of smoking.
2. Inability to
make
decisions with
respect
to
taking
appropriate
health action
due
to
low
salience of the
problem.

taking in raw
meat and fish
and be able to
cook
them
properly

that they should dig a

hole in the ground
where the tube w/c is
connected
to
the
lavatory will be placed
so that the flow of
water, other materials
and fluids will be blind
or sanitary.

After the nursing

intervention, Mr.
Bonifacio will:
Start to stop
smoking until he
will get rid of it
totally
and
perform
alternative ways
to help him in
stopping
and
doing again his
practice
Know
the
harmful effects
of smoking to
him as well as to
his
family
Instruct the family to
member
avoid or if possible to
stop eating raw meat
and fish.
Educate the family
that by eating raw
meat and fish they
could
possibly
acquire
different

diseases
such
parasitism
and
diaarrheal diseases
Teach
them
to
prepare their foods
properly by washing
them
well
and
cooking them well to
kill
the
possible
microorganisms
within
that
food
material.

6c. Selfmedication

Educate the patient

and
other
family
members
about Home visit.
smoking by providing
a
pamphlet
about
smoking
w/emphasizes
the
harmful
effects
of
smoking to health.
Tell the patient that
his practice is not only
dangerous
to
his
health but also to his
family members and
other people who will
inhale the smoke.
Teach the patient of
the alternative ways
to help him stop
smoking such as:
o Slowly reduce of

Human Resources:
Time and effort of
the student nurse
and
family
members.

Financial resource:
transportation
of
the student nurse.

After
the
nursing
intervention,
Mr.Bonifacio
will stop self
medicating
himself
and
will
take
necessary
measures as
to
take
prescribed
medications
within
2
months.

1. Inability

to

After the nursing

intervention,
Mr.Bonifacio will:
Be aware that
self medication
is not safe to

cigarettes
per
day until he has
stopped
completely.
Drink plenty of
water and eat
fruits
and
vegetables. Take
plenty
of
vitamins
and
minerals.
Carrots, apples,
singkamas,
chewing
gum,
and candies are
good munching
foods to replace
the feel of a
cigarette in the
mouth. .
Take naps, warm
baths or showers
during intensive
cravings
to
smoke.
Tell friends and
family that you
have
stopped
smoking.
This
will make you
feel
embarrassed
when they catch
you smoking.
Change

recognize
the
presence of
the problem
due to lack
of adequate
knowledge
about
the
possible
harm or bad
effects
of
self
medication.
2. Inability to
make
decisions w/
respect to
taking
appropriate
health
action
to
take due to:
Low
salience
of
the
problem
Lack of
resource
s
in
terms of
financial
matters

his health.
Seek for medical
consultation for
proper
prescription of
medication
Stop
self
medicating
himself
and
taking
OTC
drugs
Take
medications for
his disease as
prescribed

activities
or
habits that are
associated with
smoking.
For
instance,
find
other ways to
finish a meal
without
smoking. Go out
for a walk, go to
a place where
smoking
is
prohibited.
o Go
away
or
avoid places and
people that will
cause
temptation
to
smoke again.
o Tell the patient
that if the above
ways are not yet
effective, there
is another way
called
the
Nicotine
Replacement
Therapy
(NRT)
wherein
a
smoker
who
stops smoking is
given
small
amounts
of
nicotine over a
period
of
six

weeks or more
to
reduce
withdrawal
signs.
The
nicotine is given
either
as
chewing
gum.
patch,
nasal
spray
or
cigarette-like
inhaler
but
emphasize that
before using this
method
the
patient
should
consult
a
physician about
NRT.
Educate the patient
that self medication
is not safe to health
especially
in
existence of 2 or
more
disease
conditions
and
emphasize to the
patient that it is still
be the safest to take
prescribed
medications.
Instruct the patient to
stop self medication
and to seek for
medical consultation

for
proper
prescription
of
medication.
Encourage them to
utilize
existing
resources
so
he
could afford to have
medical consultation
and
to
finance
medications that will
be prescribed.