First and foremost, the researchers would like to pay gratitude to God, who gave

the researchers the knowledge and brilliance, the will and strength, the talents
and skills which he bestowed upon the researchers. Next, the researchers would
like to show their appreciation to their ever kind and wonderful professor who had
given them the chance to experience what community health nursing is and guided
the researchers throughout the program. Those times which Mr. Lazarte spent to
them were priceless and indeed fun which will marked to the minds of the
researchers. The researchers would also like to be grateful to the personas in
the locale where the researchers carried out their programs. The researchers would
like to thank Kagawad Jerry P. Matabang and Chairman Dick Wilson which must be
recognize, for not for them this program will not be a success. They are the one
who assisted the researchers and provided them with all the pre-requisites they
need. During the researchers’ nutrition program, the researchers are in debt to
the wonderful and hospitable teacher Mrs. Grace F. Domalaon and her assistants for
allowing the researchers to interact with their students. Last but not the least,
this study would not reach its pinnacle if it has not been for their respondents,
the people of Chacon St. Tondo who willingly and invitingly accepted them. The
researchers are really thankful to these persons who backed them up for their
success.

COMMUNITY NURSING
Many challenges influence the overall health of communities. Infectious diseases,
such as tuberculosis, can spiral out of control in many urban settings. Children's
health and well-being are still threatened by preventable diseases, environmental
toxins, violence, accidents, and injuries. Unequal access to health care and
insurance coverage has notably increased morbidity and mortality among infants,
pregnant women, and other vulnerable populations. Amid these challenges, all
nurses can improve health outcomes and expand the infrastructure for monitoring
and managing diseases. In traditional public health settings, community health
nurses work to ensure that expectant and new mothers have the resources to
appropriately care for themselves and their children. Community health nurses are
valued for their adaptability and willingness to provide care in many settings,
including community health clinics, churches, homeless shelters, and schools.
These nurses provide comprehensive care to patients within their homes, at
organized events such as health fairs, and at agencies and institutions serving
people who have particular health needs. Advanced practice nurses in communities
improve access to care and lower costs at nurse-managed clinics on college
campuses and at primary and secondary schools. They develop and implement
corporate wellness programs, thereby supporting the health and productivity of
employees and their organizations.

COMMUNITY NURSING
Nurses in community health work with diverse partners and providers to address
complex challenges in the community. Nowhere is this more evident than in current
efforts to identify, reach, and treat people and in efforts to help the elderly
effectively manage their chronic health problems and remain at home. Community or
public health nurses may specialize in areas such as home care; case management;
clinical, school, or corporate nursing. Community health nurses with advanced
degrees can also find opportunities in higher education and clinical research. The
skills needed for these diverse areas can vary, but at a minimum, nurses should
have a bachelor's degree and sound clinical experience. Some public health
settings have relaxed their minimum requirements in response to the nursing
shortage. Nurses who choose traditional public health or home care should have a
broad understanding of health issues and be comfortable with autonomy, change, and
uncertainty. Nurses entering this specialty must highlight not only their clinical
skills, but also their critical thinking, advocacy, and analytical abilities.
Communities are dynamic, and nurses must adapt to be able to provide patients with
whatever care they need.

COMMUNITY NURSING
COMMUNITY NURSING
Our sole task is to promote one thing, and that is to sponsor the improvement of
health in our subjected area. Be it, change, recreation, development, as long as
we can withstand and solve the problems that might occur. And our goal must be
specific, measurable, attainable, realistic and time bounded.

COMMUNITY NURSING
Promotion of health in the community Teaching all the necessary aspects in health
promotion such as: proper home management, sanitation, asepsis etc. Conducting
seminar and programs that is conducive to the people in understanding the
necessary pre-requisites to obtain and maintain optimal health. To experience a
nurse-client interactions first hand.

COMMUNITY NURSING
All programs, seminars and study done are subjected under the locality of Chacon
St. Tondo Manila. Specifically: Barangay hall Day Care Center Squatters Area The
projected time of study was from July 7 to 14 2009. Our clients are the families
living in the squatters area, the students in the day care center and the persons
who adhere with our seminar

COMMUNITY NURSING
COMMUNITY NURSING
COMMUNITY NURSING
COMMUNITY NURSING
Hypertension Drug Addiction Safety and Hygiene Vital Signs
COMMUNITY NURSING
COMMUNITY NURSING
DATE July 5 July 6

LOCALITY Chacon St. Tondo Squatters Area Chacon St. Tondo Squatters Area

ACTIONS TAKEN and Interview Survey Seminar

July 7

Chacon St. Tondo Squatters Area Chacon St. Tondo Squatters Area Tondo Barangay
Hall Day Care Center City College of Manila

Preparation for the implementation Survey

July 12

July 13

Nutrition Program Presentation of the Outputs

July 14

COMMUNITY NURSING
COMMUNITY NURSING
COMMUNITY NURSING
EDUCATIONAL ATTAINMENT SUBJECT AGE GEND RELIG ER ION

EMPLOYMENT STATUS

NO. OF NO. OF RESIDENCE EMPLOYED MEMBERS IN THE IN THE STATUS FAMILY FAMILY

HIGH COLLEGE HIGH ELEMEN SELFO COLLEGE SCHOOL EMPLOYE UNEMPL RENT FEMA TOTA FEMA
UNDERG SCHOOL TARY EMPLO WNE MALE MALE GRAD. UNDERG D OYED ED LE L LE RAD. GRAD.
GRAD. YED D RAD. 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1 1 1 1 2 3 2 1 1 2 5 3 5 3 2 2 3 5 2 5
1 1 2 3 4 5 5 6 3 7 6 4 7 6 1 1 1 1 1 2 2 1 2 1 1 1 1 2 1 1 1 1 1 2

WATER SOURCE

1 2 3 4 5 6 7 8 9 10

25 27 37 45 18 35 33 37 16 34

F M M F F M M F M F

RC RC RC RC RC RC RC RC RC RC

Pipe System Pipe System Pipe System Pipe System Pipe System Pipe System Pipe
System Pipe System Pipe System Pipe System

COMMUNITY NURSING
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

32 20 27 42 25 21 47 18 28 34 43 50 40 46 23 34 28 19 34 25

F M F M M F F M F M M F F M M F M F M F

RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC

1 1 1 1 1 1 1 1

1 1 1 1

1 1 1 1 1 1 1

1 1 1 1 1 1 1 1 1 1 1

1 1 1 1 1 1 1 1 1

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

2 2 3 5 2 2 5 1 2 3 5 2 1 5 1 1 1 1 3 2

3 2 2 2 3 1 3 2 2 2 2 6 5 1 3 2 2 2 3 2

5 4 5 7 5 3 8 3 4 5 7 8 6 6 4 3 3 3 6 4

1 1 1 2 1 1 3 1 1 1 2 2 1 3 1 1 1 1 1 1

2 1 1 1 1 1 2 1 1 2 1 3 2 1 1 1 1 1 1 1

Pipe System Pipe System Pipe System Pipe System Pipe System Pipe System Pipe
System Pipe System Pipe System Pipe System Pipe System Pipe System Pipe System
Pipe System Pipe System Pipe System Pipe System Pipe System Pipe System Pipe
System

COMMUNITY NURSING
31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50

34 42 48 38 39 35 26 31 37 25 36 25 36 35 31 32 32 40 41 32

F M F M F M F M M F F M F M F M F M F M

RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC

1 1 1 1 1 1 1 1

1 1

1 1 1 1 1 1

1 1 1 1

1 1 1 1 1 1 1 1 1 1 1 1 1

1 1

1 1 1 1 1

1 1

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

2 2 2 5 2 2 5 5 2 3 2 2 5 1 3 3 5 3 3 2

6 3 5 5 6 2 5 3 3 2 2 2 1 3 1 1 2 3 3 5

8 5 7 10 8 4 10 8 5 5 4 4 6 4 4 4 7 6 6 7

1 1 2 2 2 2 1 2 1 1 2 1 1 1 1 1 1 3 1 1

1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Pipe System Pipe System Pipe System Pipe System Pipe System Pipe System Pipe
System Pipe System Pipe System Pipe System Pipe System Pipe System Pipe System
Pipe System Pipe System Pipe System Pipe System Pipe System Pipe System Pipe
System

COMMUNITY NURSING
51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 TOTA L

85 35 25 40 20 41 37 35 33 38 33 37 28 37 29 42 29 35 30 37

F M F M F M M F M F F M M F M F M F F M

RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC

1 1 1 1 1 1 1 29

1 1 1 1 1 12

1 1 1 1 1 1 1 21

1 2

1 1 1 1 1 1 1 38

1 1 1 1 1 1 9

1 1 1 1 1 1 1 23

1 6

1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 64

6 5 2 5 2 2 2 5 2 2 5 5 2 3 1 6 1 5 2 1 199

5 2 1 1 1 4 2 1 3 1 1 2 2 2 4 1 5 1 2 2 182

11 7 3 6 3 6 4 6 5 3 6 7 4 5 5 7 6 6 4 3 381

4 2 1 2 1 2 1 1 1 2 1 2 2 2 1 2 1 2 1 1 100

3 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 76

Pipe System Pipe System Pipe System Pipe System Pipe System Pipe System Pipe
System Pipe System Pipe System Pipe System Pipe System Pipe System Pipe System
Pipe System Pipe System Pipe System Pipe System Pipe System Pipe System Pipe
System

COMMUNITY NURSING
A. Educational Attainment Educational Attainment College Degree College
Undergraduate High School High School Undergraduate Elementary Graduate and
Undergraduate Total B. Employment Status Employment Status Employed Unemployed
Self-employed Total C. Residence Status Residence Status Owned Rent Total D.
Male/Female Ratio Number of Members in the Family Male Female Total E. Number of
Employed in the Community Number of Employed in the Community Male Female Total
Total 100 76 176 Percentage 57% 43% 100% Total 199 182 381 Percentage 52% 48% 100%
Total 6 64 70 Percentage 9% 91% 100% Total 38 9 23 70 Percentage 54% 13% 33.00%
100% Total 0 1 3 16 53 73 Percentage 0% 1% 4% 23% 72% 100%

COMMUNITY NURSING
COMMUNITY NURSING
COMMUNITY NURSING
COMMUNITY NURSING
COMMUNITY NURSING
COMMUNITY NURSING
COMMUNITY NURSING
Health Problems

Family Nursing Problems Inability to provide a home environment which is conducive

to health maintenance and personal development due to: a. inadequate family
resources specifically: 1. financial constraints 2. limited physical resources b.
failure to see benefits of investment in home environment improvement. c. lack of
skill in carrying out measures to improve home environment.

Goal Of Care

Objectives of Care

Intervention Plan Nursing Intervention Method of Nurse Family Contact 1. Discuss

with the family the different skills and measures in sustaining a home environment
conducive to health maintenance and personal development. 2. Converse with the
family the importance of having and keeping a favorable healthy setting. 3.
Analyze with the family the consequences of failure to maintain a clean and
auspicious health environment. 4. Provide materials if possible or seek for
alternative tools in home care management. Home visit

Resources Required

1. Unfavorable home environment for familial health and wellness

After the nursing intervention, the family will be able to provide and maintain a
home environment which is favorable to the family’s health and development

After the nursing intervention, the family will: •maintain and provide a clean and
favorable home environment •implement a system on proper sanitation and cleaning •
apply the skill in home environment maintenance •understand how important it is to
preserve a favorable and sanitary home environment

Material resources: Visual aids on Home Care Management Human resources: Time and
effort of both the nurse and the family. Financial resources: Money for the nurse
transportation and food.

COMMUNITY NURSING
Health Problems

Family Nursing Problems 1. Inability to recognize the presence of the susceptible

reservoirs of disease-causing agents due to lack of knowledge. 2. Inability to
provide a home environment which is conducive to health maintenance and personal
development due to: a. inadequate family resources specifically: 1) financial
constraints 2) limited physical resources b. Failure to see benefits of investment
in home environment improvement. c. lack of skill in carrying out measures to
improve home environment. d. inadequate knowledge of importance of hygiene and
sanitation.

Goal Of Care After the nursing intervention, the family will take necessary
measures to eradicate possible disease reservoirs in the home and environment and
prevent it from recurring.

Objectives of Care

Intervention Plan Nursing Intervention Method of Nurse Family Contact 1. Explore

with the family the Home visit places in which disease-causing agents can harbor.
2. Discuss means on exterminating disease reservoirs. a) discuss the proper
sanitation b) discuss the procedures for asepsis c) discuss proper hygiene 3. If
possible, provide the family with materials for sanitation and asepsis 4. Analyze
with the family the probable effects to the family of: a) clean environment b)
polluted environment 5. Elucidate the importance of keeping the home environment
free from these pathogens. 6. Discuss with the family the benefits of keeping a an
environment conducive to health promotion and personal development.

Resources Required Material resources: Visual aids on the topic Pathogens or the
Diseasecausing agents, Maintaining an environment and Asepsis, Hygiene and
Sanitation. Materials such as soap, water, towel and tooth pick or orange stick
and other cleaning materials are required for the nurse’s report. Human resources:
Time and effort of both the nurse and the family. Financial resources: Money for
the nurse transportation and food.

Potent disease reservoirs in the family household.

After the nursing intervention, the family will: c.can identify and locate all
probable reservoirs for disease-causing agents. d.can enumerate and perform
various ways of eradicating susceptible reservoirs of these agents. e.will be able
to perform proper hygiene, sanitation and asepsis. f.will implement guidelines in
keeping the household free of disease causing agents. g.will obtain optimal health
h.will be able to do it continuously

COMMUNITY NURSING
Health Problems Adaptation of the family to new problems brought about by
parenthood and the presence of the progeny.

Family Nursing Problems 1. Inability to provide adequate nursing care to the baby
due to: a. lack of knowledge of child development and care. b. lack of the
necessary facilities, equipments and supplies for care. c. lack of knowledge and
skill in carrying out the necessary treatment, procedure and care of the baby. d.
inadequate family resources for care specifically: 1) absence of responsible
members. 2) financial constraints 3) limitations of physical resources. 2. Failure
to utilize community resources for health care due to: a. inadequate knowledge of
community resources fore health care. b. lack of family resources specifically: 1)
manpower resources 2) financial resources

Goal Of Care After the nursing intervention, the family will be able to completely
adapt with the presence of a new family member. The family will also be able to
provide the needs and requirements of a growing baby and give solutions to the
problems brought about by parenthood.

Objectives of Care After the nursing intervention, the couple will: c.will be able
to adapt, cope up and solve the dilemma brought about by parenthood. d.will
provide the essential nutrition, needs and requirements of a growing baby. e.will
supply care to the baby enthusiastically f.can enumerate other alternative
equipment, facility and supply for care of the baby. g.ensure that the baby will
have regular checkups at the clinic or any medical institution. h.will make
certain that the baby gains the maximum level of health and well being as
possible.

Intervention Plan Nursing Intervention Method of Nurse Family Contact 1. Provide

information on Home visit and parenthood Clinic visit 2. Discuss with the couple
critical issues related to parenthood and the parent’s responsibility for taking
care of the baby. 3. Explore with the family the need of the baby. 4. Survey with
the family measures and means on providing care for the baby. a) discuss the
gestures or signs a baby does and its interpretations. b) discuss the causation of
the gestures projected by the baby. 5. Broaden the knowledge of the family on
handling a baby specifically: i)discuss the necessary of the needs and
requirements of a growing baby j) confer with the family the probable problems
occurring with regards to parenthood. k)discuss the crucial information on the
caring of the baby. 6. Discuss all the regimen, the do’s and don’ts and procedures
primarily oriented with the baby like bating, feeding etc.

Resources Required Material resources: Visual aids on the topic Parenthood and
growth of the baby. Materials such as pacifier, baby bottle, mash food, baby
clothes, diaper etc. are supplemental to the report of the nurse Human resources:
Time and effort of both the nurse and the family. Financial resources: Money for
the nurse transportation and food.

COMMUNITY NURSING
It was July 7, 2009, Tuesday, when we started our first duty on our community
health nursing together with our clinical instructor Mr. Francis Carlos Lazarde in
Lorenzo Chacon St. Tondo , Manila. We aknowledged firsr the Brg. Chairman, Mr.
Dick Wilson about the interview we are about to conduct. We was so kind that he
even let one of his kagawads to go with us. It was a small community with almost
60 families living. At first we were a bit scared because their community was
crowded. We conducted an interview to some of the families and assessed their
lifestyle. We discovered many things such as there is one spot in their community
in where most of the families shares with others in order for them to take a bath,
and wash their dishes as well as their clothes. We also had free blood pressure
check up for those who are interested. On the second day, July 8, 2009, Wednesday,
we conducted a little program for the families in the community about sanitation
and proper hygiene, drugs and it’s effects, and hypertension. We even taught them
how to use the blood pressure apparatus, how to check the temperature using a
thermometer, and how to check the respiratory and pulse rate. We were so happy
because many have

COMMUNITY NURSING
On the third day, July 13, 2009, a rainy Monday, we went back to the Barangay hall
to conduct a Nutrition Program for the children of their day care center but
unfortunately there were less students because of the rainy season that’s why we
decided to conduct the program on the next day. We went back to the community and
gathered some more information to those families we haven’t interviewd yet. Even
though it was a rainy day, it was fun because the families accepted us on a nice
way. Then the fourth day cam, July 14, 2009, it was our last day. We prepared for
our nutrition program in their day care center. We asked the teacher if we could
lend some time for us to be able to teach few things for the children. We had a
little play which all the kids enjoyed. We even tesch them about the Go, Grow,
Glow foods. We again went back to the community to give some donation such as
unused clothes and old shoes to the families as a sign of appreciation for their
kindness. Even though we only had a few time to spend with them, we were so
grateful to have an experience just like that because we get to discover and learn
new things that we thought would never happen. COMMUNITY NURSING
HEALTH PROBLEM

FAMILY NURSING PROBLEM

GOAL OF CARE

OBJECTIVES OF CARE

INTERVENTION PLAN Nursing Interventions 1. Analyze the lifestyle of the family. 2.

Consider their environment which can also be a factor of the said health problem
3. Discuss with the family the possible diseases and harms that they would get on
not maintaining the proper human waste disposal to encourage them to make better
decisions. Methods of Nurse-Family Contact 1. Home visit 2. Community visit 3.
Interviews 4. Discussions 5.Programs/ seminars Resources Required Material
resources: visual aids for more realistic information giving Human resources:
Effort and time of both the nurse and the family Financial resources: Money for
the nurse's transportation and donation for the family's expenses.

EVALUATION

1. Improper human waste disposal.

Inability to make right decisions due to lack of knowledge on proper disposal of

human excreta.

After the implementation of the intervention, the family will know proper waste
management based on a sense of discipline, care for the environment and love for
family and life.

After nursing intervention the family: a. Will find out different ways on inn to
manage human waste/excreta b. Can explain the importance of proper human waste
disposal. c. Will ensure that the proper human waste disposal they have chosen
will be effective.
HEALTH PROBLEM

FAMILY NURSING PROBLEM

GOAL OF CARE

OBJECTIVES OF CARE

INTERVENTION PLAN Nursing Interventions Methods of NurseFamily Contact 1. Home

visit 2. Community visit 3. Interviews 4. Discussions 5.Programs/ seminars
Resources Required Material resources: visual aids for more realistic information
giving Human resources: Effort and time of both the nurse and the family Financial
resources: Money for the nurse's transportation and donation for the family's
expenses

EVALUATION

2. Malnutrition among children in most of the families.

1. Inability to understand the possible diseases the children would get due to
financial problems and lack of knowledge about malnutrition. 2. Inability to give
proper health case to the children of the family.

After nursing intervention, the couple will make or find a better way in order for
their children to have a healthy mind and body for a better living.

After nursing intervention, the family will: a. Know the importance of a healthy
mind and body. b. Can explain and understand the possible effects and
complications they would get he malnutrition among their children continues. c.
Decide on what to do and implement it to ensure healthy lifestyle

1. Discuss with the family the effects of malnutrition among children. 2. Broaden
their knowledge by giving information about malnutrition and how to prevent it. 3.
Give different ways or alternatives on how to prevent malnutrition among their
children.

COMMUNITY NURSING
HEALTH PROBLEM

FAMILY NURSING PROBLEM

GOAL OF CARE

OBJECTIVES OF CARE

INTERVENTION PLAN Nursing Interventions 1. analyze the environment of the family

which could be a factor of the said health problem 2. discuss with the couple the
disadvantages and harms of not having a birth control method 3. look for other
factors that could be a barrier on having a birth control method Methods of
NurseFamily Contact 1. Home visit 2. Community visit 3. Interviews 4. Discussions
5.Programs/ seminars Resources Required Material resources: visual aids for more
realistic information giving Human resources: Effort and time of both the nurse
and the family Financial resources: Money for the nurse's transportation and
donation for the family's expenses

EVALUATION

3. Increase in number of family members

1. Inability to know the factors on why the family could not have proper planning
when it comes to birth control 2. inability to understand the possible
complications and disadvantages the family would experience if birth control
method would not be applied

After nursing intervention, the couple will apply the birth control method that
they both agreed upon in order to attain proper family planning to give their
children as well as their selves a healthy living

After the nursing intervention, the couple will: a. implement family planning to
control increase in number of their children b. ensure to have discipline and
control c. decide on what birth control method would be ore effective for their
family

COMMUNITY NURSING
Health Problems

Family Nursing Problems Inability to provide a home environment which is conducive

to health maintenance and personal development due to: a. inadequate family
resources specifically: 1. financial constraints 2. limited physical resources b.
failure to see benefits of investment in home environment improvement. c. lack of
skill in carrying out measures to improve home environment.

Goal Of Care

Objectives of Care

Intervention Plan Nursing Intervention Method of Nurse Family Contact 1. Discuss

with the family the different skills and measures in sustaining a home environment
conducive to health maintenance and personal development. 2. Converse with the
family the importance of having and keeping a favorable healthy setting. 3.
Analyze with the family the consequences of failure to maintain a clean and
auspicious health environment. 4. Provide materials if possible or seek for
alternative tools in home care management. Home visit

Resources Required

1. Unfavorable home environment for familial health and wellness

After the nursing intervention, the family will be able to provide and maintain a
home environment which is favorable to the family’s health and development

After the nursing intervention, the family will: •maintain and provide a clean and
favorable home environment •implement a system on proper sanitation and cleaning •
apply the skill in home environment maintenance •understand how important it is to
preserve a favorable and sanitary home environment

Material resources: Visual aids on Home Care Management Human resources: Time and
effort of both the nurse and the family. Financial resources: Money for the nurse
transportation and food.

COMMUNITY NURSING
Health Problems

Family Nursing Problems 1. Inability to recognize the presence of the susceptible

reservoirs of disease-causing agents due to lack of knowledge. 2. Inability to
provide a home environment which is conducive to health maintenance and personal
development due to: a. inadequate family resources specifically: 1) financial
constraints 2) limited physical resources b. Failure to see benefits of investment
in home environment improvement. c. lack of skill in carrying out measures to
improve home environment. d. inadequate knowledge of importance of hygiene and
sanitation.

Goal Of Care After the nursing intervention, the family will take necessary
measures to eradicate possible disease reservoirs in the home and environment and
prevent it from recurring.

Objectives of Care

Intervention Plan Nursing Intervention Method of Nurse Family Contact 1. Explore

with the family the Home visit places in which disease-causing agents can harbor.
2. Discuss means on exterminating disease reservoirs. a) discuss the proper
sanitation b) discuss the procedures for asepsis c) discuss proper hygiene 3. If
possible, provide the family with materials for sanitation and asepsis 4. Analyze
with the family the probable effects to the family of: a) clean environment b)
polluted environment 5. Elucidate the importance of keeping the home environment
free from these pathogens. 6. Discuss with the family the benefits of keeping a an
environment conducive to health promotion and personal development.

Resources Required Material resources: Visual aids on the topic Pathogens or the
Diseasecausing agents, Maintaining an environment and Asepsis, Hygiene and
Sanitation. Materials such as soap, water, towel and tooth pick or orange stick
and other cleaning materials are required for the nurse’s report. Human resources:
Time and effort of both the nurse and the family. Financial resources: Money for
the nurse transportation and food.

Potent disease reservoirs in the family household.

After the nursing intervention, the family will: c.can identify and locate all
probable reservoirs for disease-causing agents. d.can enumerate and perform
various ways of eradicating susceptible reservoirs of these agents. e.will be able
to perform proper hygiene, sanitation and asepsis. f.will implement guidelines in
keeping the household free of disease causing agents. g.will obtain optimal health
h.will be able to do it continuously

COMMUNITY NURSING
Health Problems Adaptation of the family to new problems brought about by
parenthood and the presence of the progeny.

Family Nursing Problems 1. Inability to provide adequate nursing care to the baby
due to: a. lack of knowledge of child development and care. b. lack of the
necessary facilities, equipments and supplies for care. c. lack of knowledge and
skill in carrying out the necessary treatment, procedure and care of the baby. d.
inadequate family resources for care specifically: 1) absence of responsible
members. 2) financial constraints 3) limitations of physical resources. 2. Failure
to utilize community resources for health care due to: a. inadequate knowledge of
community resources fore health care. b. lack of family resources specifically: 1)
manpower resources 2) financial resources

Goal Of Care After the nursing intervention, the family will be able to completely
adapt with the presence of a new family member. The family will also be able to
provide the needs and requirements of a growing baby and give solutions to the
problems brought about by parenthood.

Objectives of Care After the nursing intervention, the couple will: c.will be able
to adapt, cope up and solve the dilemma brought about by parenthood. d.will
provide the essential nutrition, needs and requirements of a growing baby. e.will
supply care to the baby enthusiastically f.can enumerate other alternative
equipment, facility and supply for care of the baby. g.ensure that the baby will
have regular checkups at the clinic or any medical institution. h.will make
certain that the baby gains the maximum level of health and well being as
possible.

Intervention Plan Nursing Intervention Method of Nurse Family Contact 1. Provide

information on Home visit and parenthood Clinic visit 2. Discuss with the couple
critical issues related to parenthood and the parent’s responsibility for taking
care of the baby. 3. Explore with the family the need of the baby. 4. Survey with
the family measures and means on providing care for the baby. a) discuss the
gestures or signs a baby does and its interpretations. b) discuss the causation of
the gestures projected by the baby. 5. Broaden the knowledge of the family on
handling a baby specifically: i)discuss the necessary of the needs and
requirements of a growing baby j) confer with the family the probable problems
occurring with regards to parenthood. k)discuss the crucial information on the
caring of the baby. 6. Discuss all the regimen, the do’s and don’ts and procedures
primarily oriented with the baby like bating, feeding etc.

Resources Required Material resources: Visual aids on the topic Parenthood and
growth of the baby. Materials such as pacifier, baby bottle, mash food, baby
clothes, diaper etc. are supplemental to the report of the nurse Human resources:
Time and effort of both the nurse and the family. Financial resources: Money for
the nurse transportation and food.

COMMUNITY NURSING
HEALTH PROBLEM

FAMILY NURSING PROBLEM

GOAL OF CARE

OBJECTIVES OF CARE

INTERVENTION PLAN Nursing Interventions

•Analyze with the family critical issues in relation with the overpopulation of
the members in the family •Discuss what will happen in the future if the family
will continue this kind of practice •Analyze the complications of having many
children in the family •Analyze with the family disadvantages and advantages of
each alternative/methods to encourage better decision –making on the option given

Methods of Nurse-Family Contact

•Home-Visit Method

Resources Required
Material Resources: -visual aid on how to prevent an oversized family Financial
Resources: -transportation of the nurse’s to the family’s house Human Resources:
-time and effort of both family and nurse

Oversize Family

Inability to make decisions that will have respect to other members of the family
due to: 2.A. The other members are not around when its time to make decisions. B.
Jealousy and envy is present C. Favoritism among the children are also present
Frequent quarreling

After a week of nursing intervention, the family will decide on appropriate

action/s in relation with family planning

After a week of intervention, the couple: Will have an adequate knowledge about
family planning Can make decisions when all of the members are around Can prevent
quarrels among the members of the family Can practice safe sex
HEALTH PROBLEM

FAMILY NURSING PROBLEM

GOAL OF CARE

OBJECTIVES OF CARE

INTERVENTION PLAN Nursing Interventions Methods of Nurse-Family Contact

Home-Visit Method

Resources Required

Inadequate nutrition on children

Inability to have foods that are nutritious due to: •Lack of knowledge •Lack of
financial resources

After nursing intervention, the family will decide on appropriate action/s to have
their children be nourished with right food and adequate nutrients.

After two weeks of intervention, the couple: •Can explain to their children what
the nutritious foods they must have. •Can enumerate the Go, Glow and Grow Foods.
•Can explain what is the Food Pyramid •Will consult the nurse for right food and
right amount to take.

•Analyze with the couple critical issues related with inadequate nutrition the
children will have and their responsibility to give their children adequate
nutrition everyday. •Discuss with the couple the alternative courses of action.
•Analyze with the couple alternative/ methods to encourage better decision –making
on the option given

Material Resources: -visual aid Go, Glow, and Grow Foods and Food Pyramid
Financial Resources: -transportation of the nurse’s to the family’s house
-transportation of the family to the clinic. Human Resources: -time and effort of
both family and nurse
HEALTH PROBLEM

FAMILY NURSING PROBLEM

GOAL OF CARE

OBJECTIVES OF CARE

INTERVENTION PLAN Nursing Interventions Methods of Nurse-Family Contact

•Home-Visit Method

Resources Required

Absence of toilet facilities

Inability provide an adequate toilet facilities that will lead used to excrete
toxins from the body due to: •Lack of space in the house •Lack of resources (e.g.
financial, material)

After a month of nursing intervention, the family will decide on appropriate

action/s to have a toilet facility build on inside their house.

After a month of nursing intervention, the couple: Can explain to all the members
of the family the proper place to excrete your waste coming from the body. Can
build a proper toilet facility that can be used by all members of the family As
well as all the members of the family can use the toilet facility well.

•Analyze with the couple critical issues related with having inadequate toilet
facility or without having a toilet facility at home •Discuss with the couple the
alternative courses of action. •Analyze with the couple alternative/ methods to
encourage better decision –making on the option given

Material Resources: -visual aid on how to make a toilet facility and how to
maintain them clean. Financial Resources: -transportation of the nurse’s to the
family’s house Human Resources: -time and effort of both family and nurse
Health Problems Unsafe environment

Family NursingProbl ems Inability to provide safety to the family members due
to: 1. Financial Problem

Goal of Care
After one week of nursing intervention the family will start creating a safe home
environment.

Objectives of Care
After one week of nursing intervention the family: a. Will have enough knowledge
on promoting to safety to the environment. b. Can be able to provide some
resources that will help them create a safe home environment. c. Will be skillful
enough in implementing all the knowledge that they have acquired on promoting
safety to the environment.

Nursing Intervention
1. Discuss what is promoting safety to the environment. 2. Teach skills that will
help them carry out all the knowlwdge they have acquired. 3. Analyze to the family
the consequences of an unsafe environment.

Method of Nurse Family Contact

Resouces Required
Material Resources: Visuals about promoting safety to the environment and
consequences of an unsafe environment. Human Resources:

Observation

interview

2. Lack of resources 3. Lack of knowledge and skills in promoting safe home

environment.

home visit

4. Aid the family in finding alternative resources in providing safety.

Time and effort of both the nurse and the family.

Financial Resources: Money for the nurse transportation and food and money for the
resouces needed by the family in promoting a safe environment.
 Health Problems

Family NursingPro blems Inability to provide andequate light and ventilation

to the family due to: 1. Financial Problem

Goal of Care
After five days of nursing intervention the family will be able to provide
andequate light and ventilation.

Objectives of Care

Intervention Plan Method of Nursing Nurse Resouces Interventio Family Required n

Contact
1. Discuss the importance of providing adequate light & ventilation. 2. Analyze to
the family the consequences of indequate light & ventilation. 3. Aid the family in
finding alternative resources for providing light and ventilation.

Inadequate light and ventilation

After five days of nursing intervention the family:

observation

Material Resources: Visuals regarding providing adequate light & ventilation &
consequences of inadequate light & ventilation. Human Resources:

a. Will be able to value the importance of adequate light and ventilation. b. Will
have enough resources in providing adequate light and ventilation. c. Can apply
the knowledge they have learned in providing adequate light v& ventilation.

interview

2. Lack of resources

home visit

3. Lack of knowledge

Time & effort of both the nurse and the family. Financial Resources: Money for the
nurse food and transportation and for the resources needed by the family in
providing adequate light & ventilation.
COMMUNITY NURSING
Health Problems

Family NursingProblems

Goal of Care

Objectives of Care

Nursing Intervention

Method of Nurse Family Contact

Resouces Required

Possibilities of acquiring diseases.

inability of the family to protect themselves from the possibilities of acquiring

diseases due to: 1. Financial problem 2. Lack of knowledge in recognizing possible
health threat. 3. In ability to provide conducive home environment for health
maintenance 4. Lack of skills in implementing measures to improve home environment
5. Lack of knowledge in general hygiene & sanitation.

After one week of nursing intervention the family will able to protect themselves
from the possibilities of acquiring diseases.

After one week of nursing intervention the family:

1. Educate the family aboout the different health threats.

observation

Material Resources:

a. Will be able to recognize different health threats.

2. Teach how to perform proper hygiene & sanitation. 3. Aid them in implementing
different guidelines in promoting a home free of disease causing agents. 4.
Discuss to the family the benefits of having an environment conducive to health
promotion.

interview

Visual about health threats, hygiene and sanitation.

b. Willbe able to perform proper hygiene & sanitation

survey

Materials needed in doing proper hygiene & sanitation.

c. Will be able to implement guidelines in promoting a home free of disease

causing agents.

home visit

Human Resources:

d. Can maintain optimal health

5. If possible provide materials needed in promoting proper hygiene & sanitation.

Time & effort of both the nurse & the family.

Financial Resources:

COMMUNITY NURSING

Money for the nurse transportation and food.

HEALTH PROBLEM

FAMILY NURSING PROBLEM

GOAL OF CARE

OBJECTIVES OF CARE

INTERVENTION PLAN Nursing Interventions Methods of NurseFamily Contact Resources

Required

EVALUATION

1. Presence of fever among 2 out of the 5 family members

Inability to provide safety to the family members due to: 1. Financial Problem 2.
Lack of resources 3. Lack of knowledge and skills in promoting safe home
environment.

After 1 hr of nursing intervention the family will be able to take necessary

nursing action to the sick members and prevent the spread of the diseases to
other.

After 1 hr of nursing intervention, the family: a) can perform appropriate caring

action to the sick members b) can enumerate various ways on maintaining health c)
members who are sick will decrease it temperature from 38.5C to 36.5C

1. assess the family’s perceptions with regards to the problem identified 2.

discuss within the family the task they need to perform when somebody is sick 3.
demonstrate the proper carting action to the sick member 4. emphasize to the
family the importance of solving problem and on maintaining an environment which
is safe

Home visit Discussions Demonstrations Interview

Material resources: -Materials in assessing vital signs such as thermometer and

wrist watch. Human resources: -time and effort of both the nurse and the family
Financial resources: -money for transportation -money for buying the prescribed
and appropriate medicine

After 1 hr of the nursing intervention, the family cooperated with the discussion
rendered by the student nurse and the family was able to render appropriate care
as evidence by the mother and the child’s actions to the sick members of the
family
HEALTH PROBLEM

FAMILY NURSING PROBLEM

GOAL OF CARE

OBJECTIVES OF CARE

INTERVENTION PLAN Nursing Interventions Methods of Nurse-Family Contact Home Visit

Resources Required

EVALUATION

2. Presence of Accident Hazards

Inability to provide a home environment which is conducive to health maintenance

and personal development related to negligence and inadequate family resources as
manifested by the earthen stove inside the house used for cooking and the kitchen
is made up of wood which prone to fire

After 1 hr rendering nursing interventions, the family will be able to recognize

the problem and know some measures to lessen the risk for accidents.

After 1hr of nursing intervention, the family will be able to: a) recognize the
presence of environmental hazards as a threat b) identify ways to modify their
environment and make it less vulnerable to cause accidents c) Enumerate some
safety measures to lessen, if not to avoid, the occurrence of accidents.

1. Assist the family members in identifying those accidental hazards present in

their environment to let them aware that these are treats in their health. 2.
Discuss with the family the changes that they may do in the environment to
decrease the cause of accidents such as to place the earthen stove in a non-fire
prone area 3. Encourage the family members to take precautionary measures such as
prohibiting the children to play fire

Human resources: -time and effort of both the nurse and the family

After the 1 hr nursing interventions, the family was able to minimize the risk
factors to accidents, enumerate those accidental hazards present in their
environment, name possible changes in their environment that are accident hazards,
list safety precautions to employ in order to minimize risk for accident.
HEALTH PROBLEM

FAMILY NURSING PROBLEM

GOAL OF CARE

OBJECTIVES OF CARE

INTERVENTION PLAN Nursing Interventions Methods of NurseFamily Contact Home Visit

Discussions Resources Required Human resources: -time and effort of both the nurse
and the family

EVALUATION

3. Poor home environmental condition or sanitation

Inability to recognize the presence of the problem related to insufficient funds

for the family as verbalized by Manang Emeliza, they usually eat instant noodles,
lots of rice, and drink softdrinks often

After 1 hr of nursing intervention, the family will be able to recognize the

problem as a threat and identify ways to modify their diet to avoid diseases

After 1 hr of nursing intervention, the family members (Manang Emeliza and Mang
Tirso) will be able to: 1. identify and understand the effects of eating salty and
too much carbohydrate in their diet and drinking coke that might cause them
disease condition. 2. modify their diet to become healthy

1. Discuss to the family members that eating salty and too much carbohydrate in
the diet and drinking coke will cause weight gain which can contribute in the
occurrence of hypertension. 2. Discuss appropriate diet indicated to them. 3.
Provide list of examples of foods indicated for them that are available in their
community

After 1 hr , the family cooperated with the discussion rendered by the student
nurse and the family was able to know how to modify their diet by enumerating the
ways on how to have a healthy meal, and what foods to avoid, lessening the intake
of softdrinks, and eating the necessary amount of food their bodies require.