BELLO, NICOLE EVAN M.

BSN 4A CLINICAL GROUP E

INITIAL DATA BASE (FAMILY WITH CO MORBIDITY)

A. FAMILY STRUCTURE, CHARACTERISTICS AND DYNAMICS

MEMBER OF THE RELATION SEX AGE CIVIL RESIDENCE
HOUSEHOLD TO HEAD STATUS
Romeo Berecio Villegas Head M 56 Married Brgy. 98
Sr.
Irene Villegas Wife F 49 Married Brgy. 98
Romnick Villegas Son M 19 Single Brgy. 98
Rickson Villegas Son M 16 Single Brgy. 98
Romeo Villegas Jr. Son M 14 Single Brgy. 98

The family is a nuclear type. They have been living in that house for 8 consecutive years.
DECISION MAKING
Mr. Romeo Villegas Sr. is the head of the family and does most of the decision making in
the family. He sometimes collaborates with his wife when decision making becomes tough. In
terms of the family’s health, Mrs. Irene Villegas does the decision making.
FAMILY RELATIONSHIP
The family has a good relationship with each other. They are close and enjoys spending
time with each other during their free time. Upon visitation, Mrs. Irene Villegas and her daughter
who lives in a separate household, were chatting and bonding by doing her mother’s hair.
SOCIOECONOMIC AND CULTURAL CHARACTERISTICS
The head of the family, Mr. Romeo Villegas Sr. stopped his education when he was in
elementary school, grade 2. He is currently working as a farmer with a monthly income of 1600
pesos. Irene Villegas stopped her education at grade 4 and is currently a housewife. Romnick
Villegas stopped his education at 5th grade and is currently a laborer with a monthly income of
2000 pesos. Rickson Villegas is currently attending school and is a grade 10 student. Romeo
Villegas Jr. stopped his education when he was pre- elementary.
RELIGION
All members of the household are Roman Catholic. Ever since the start of the pandemic,
they seldom go to church but claims to pray every day.
SIGNIFICANT OTHERS
No other relatives or significant others live with the family.
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E

RELATIONSHIP OF THE FAMILY TO THE COMMUNITY

The family has been staying in the community for 8 consecutive years. They actively
participate in the community such as “barangayan” and other activities in Barangay 98,
Camansihay,
HOME AND ENVIRONMENT
1. HOUSING
a. Adequacy of Living Space
The structure of the house is spacious enough to accommodate the family. Their
house is made up of wood and roof made up of seam. Their house is located near the
creak, it has a living room that is wide and one room. They also have a toilet along
with the house.
b. Sleeping Arrangement
The entire family sleeps together in one room. They sleep on the floor with a mat,
blankets and pillows.
c. Presence of Breeding Sites of Vectors of Diseases
There was presence of breeding sites of vectors such as garbage present outside
their home and backyard.
d. Presence of Accident Hazards
Accident hazards are present. The house is made up of ply wood and needs to be
repaired.
e. Food Storage and Cooking Facilities
Firewood is used for cooking. They cook their food outside their house. Their
leftovers are either given to the dogs or thrown out. They do not store any food
because they do not have refrigerator.
f. Water Supply
They get water for bathing and drinking from the barangay by fetching water
from public source. They use water can with cover when fetching water and storing
drinking water. They make use of a water pitcher when drinking.
g. Toilet Facility
They have their own toilet with septic tank. The bathroom door needs to be
repaired.
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E

h. Garbage Disposal
The family make use of a sack to store garbage and is left untied. They dispose it
by waiting for the weekly garbage truck to collect it.
i. Drainage System
The drainage system is an open type.

KIND OF NEIGHBORHOOD
The area is slightly congested due to houses built near each other. The alleys are not
made up of concrete which makes it difficult to pass through especially during rainy weather.
Neighbors have the same living condition with that of the Villegas family.
SOCIAL AND HEALTH FACILITIES
The barangay health station is located at the gymnasium of the barangay where the
activities take place. The district health center is near the pabahay and kawayan which is their
neighboring baranagay. Their BHW is present every Tuesday. There is also immunization
program for infants during Wednesday.
COMMUNICATION AND TRANSPORTATION FACILITIES
The means of communicating is through their cellular phones if they have signal. If they
are just trying to communicate with someone in the community, they do a home visit. They also
make use of a megaphone and speaker in the barangay hall to page those who are needed in the
barangay hall or gymnasium. Their means of transportation is through a tricycle. They have no
regular or stable means of transportation within the barangay.

HEALTH STATUS OF EACH FAMILY MEMBER

1. MEDICAL AND NURSING HISTORY
Mrs. Irene Villegas
Mrs. Irene Villegas is a 49-year-old female who is married and has 3 sons and 2
daughters. G5P5. Most of her children are NSVD except her youngest which was delivered
through a Caesarean Section in EVRMC. All her children were attended by a doctor or midwife.
She has been diagnosed with Diabetes Mellitus with Kidney Involvement. Prior to medical
consultation for client’s diagnosis, she experienced excessive vomiting, blurring of vision,
syncope, lower abdominal pain and back pain. She has also been diagnosed with UTI when she
was diagnosed with DM. She was prescribed with the following medications: Metformin
hydrochloride, Rovustatin, Ciprofloxacin, Sitagliptin phosphate, Ascorbic Acid and Calciumade.
She took these medications for just a few weeks then stopped due to the complaint that she had
difficulty in hearing and also some dizziness along with these medications. Currently, she is still
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E

experiencing lower abdominal pain and back pain. She noticed thinner skin on the soles of her
feet which makes her prone to wounds. Prior to her diagnosis, she experienced tingling on her
feet for 8 consecutive years but didn’t seek for any medical help. She was told to take her
prescribed medications and to control her rice intake for her Diabetic Control. She was also
advised to avoid working excessively and to take care of her feet for doing chores for the risk of
amputation. When sleeping, she makes use of socks to take care of her feet.

2. NUTRITIONAL ASSESSMENT
Currently, Mrs. Irene Villegas has a weight of 55kg and a height of 1.59 meters. Her BMI
result is normal. Mr. Romeo Villegas Jr. has a weight of 35kg and a height of 1.49 meters.
His BMI result is underweight.
Family’s usual diet consists of fish, rice, chicken and vegetables. They eat 3 times a day
with no snacks in between meals. Mrs. Irene is the one who prepares their food for every
meal. They have enough water for consuming and drinks water at least 8 glasses per day.
Mrs. Irene Villegas doesn’t smoke but used to drink alcohol but she stopped when she
was diagnosed with Diabetes Mellitus. Mr. Romeo Villegas Sr. doesn’t smoke yet drinks
alcohol occasionally.

B. VALUES, HABITS, PRACTICES ON HEALTH PROMOTION, MAINTENANCE

AND DISEASE PREVENTION
The family believes that walking is a form of exercise which is why they prefer walking
to certain destinations unless their destination is far. They eat their meals 3 times a day and uses
spoon and fork while eating. They also consume enough water every day. They take a bath at
least once a day and brushes their teeth at least once a day. They sleep together in one room and
uses mosquito nets. Their usual sleeping time is 10 pm and wakes up at either 4 or 5 am. Mrs.
Irene Villegas uses socks when sleeping to protect her feet.
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E

TYPOLOGY OF NURSING PROBLEMS IN FAMILY NURSING PRACTICE

FIRST LEVEL OF ASSESSMENT

I. Presence of Wellness Condition
A. Potential for Enhanced Capability for:
1. Health Maintenance/ Health Management

II. Presence of Health Threats

A. Presence of Risk Factors of Specific Diseases
1. Accident Hazards
a. Fire Hazard
CUE: House is made up of ply wood and light materials.
2. Faulty/ Unhealthful nutritional/eating Habits or Feeding Technique Practices
a. Faulty eating habits
CUE: Mrs. Irene Villegas consumes a lot of rice despite doctor’s
advise to minimize rice intake. Mr. Romeo Villegas Jr. is underweight
despite eating three times a day.
3. Poor Home/ Environmental Condition/ Sanitation
a. Presence of breeding sites of vectors of diseases
CUE: Family doesn’t have a cover for their garbage which is placed
inside a sack and is left untied. Flies were noted.
b. Improper garbage disposal
CUE: Family places their garbage sack without tying them until
collected by the garbage truck
III. Presence of Health Deficits
A. Illness States regardless of whether it is diagnosed/ undiagnosed by medical
practitioner
- Mrs. Irene Villegas is diagnosed with Diabetes Mellitus with Kidney
Involvement last 2021.
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E

SECOND LEVEL OF ASSESSMENT

I. Presence of Wellness Condition
A. Potential for Enhanced Capability for:
1. Health Maintenance/ Health Management
- Inability to make decisions with respect to taking appropriate health action due to
failure to comprehend the nature/ magnitude of the problem/ condition
- Inability to make decisions with respect to taking appropriate health action due to
inaccessibility of appropriate resources for care specifically: cost constraints
II. Presence of Health Threats
A. Accident Hazards: Fire hazard
- Inability to recognize the presence of the condition or problem due to lack or
inadequate knowledge
- Inability to make decisions with respect to taking appropriate health action due to
failure to comprehend the nature/ magnitude of the problem/ condition
- Inability to make decisions with respect to taking appropriate health action due to low
salience of the problem/ condition
- Inability to provide home environment conducive to health maintenance and personal
development due to inadequate family resources, specifically: limited financial
resources.
B. Faulty/ Unhealthful nutritional/eating Habits or Feeding Technique Practices
a. Faulty eating habits
- Inability to make decisions with respect to taking appropriate health action due to
failure to comprehend the nature/ magnitude of the problem/ condition
- Inability to make decisions with respect to taking appropriate health action due to low
salience of the problem/ condition
C. Poor Home/ Environmental Condition/ Sanitation
a. Presence of breeding sites of vectors of diseases
- Inability to recognize the presence of the condition or problem due to inadequate
knowledge of the problem
- Inability to provide home environment conducive to health maintenance and personal
development due to inadequate family resources, specifically financial constraints
- Inability to provide home environment conducive to health maintenance and personal
development due to inadequate knowledge of preventive measures
- Inability to provide home environment conducive to health maintenance and personal
development due to lack of skill in carrying out measures to improve home
environment
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E

b. Improper garbage disposal

- Inability to recognize the presence of the problem due to inadequate knowledge
- Inability to provide a home environment conducive to health maintenance and
personal development due to lack of skills in carrying out measures to improve home
environment

III. Presence of Health Deficits

A. Illness States regardless of whether it is diagnosed/ undiagnosed by medical practitioner
Mrs. Irene Villegas is diagnosed with Diabetes Mellitus with Kidney Involvement last 2021.
- Inability to provide adequate nursing care to the sick due to lack of knowledge about
the disease process
- Inability to provide adequate nursing care to the sick due to lack of knowledge of the
nature and extent of nursing care needed
- Inability to provide adequate nursing care to the sick due to l ack of knowledge and
skill in carrying out the necessary interventions
 BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E

SCORING OF HEALTH PROBLEMS AND

PRIORITIZATION

Faulty Eating Habits

CRITERIA COMPUTATION ACTUAL JUSTIFICATION
SCORE
Nature of the 2/3 x 1 0.67 It is considered as a health threat
Problem because it may worsen the
condition of patient with Diabetes
Mellitus.
Modifiability of the 2/2 x 2 2 The problem is easily modifiable
Problem with the student nurse’s teaching
on proper nutrition and food
selection.
Preventive 3/3 x 1 1 The possibility of getting diseases
Potential and infection can be prevented if
this problem is eliminated.
Salience of the 1/2 x 1 0.5 The family recognizes this as a
Problem problem but does not see it as
problem needing immediate
concern.
TOTAL SCORE: 4.17
 BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E

Presence of breeding sites/resting sites of vectors of diseases

CRITERIA COMPUTATION ACTUAL JUSTIFICATION

SCORE
Nature of the 2/3 x 1 0.67 It is considered as a health threat
Problem because if this continues to occur,
this will probably cause diseases
such as gastrointestinal problems
and vector-causing diseases
which may contribute to life
threatening diseases especially
for children.
Modifiability of the 2/2 x 2 2 The problem is easily modifiable
Problem since they can provide ties for
their sack or by utilizing trash
cans made of containers with
cover.
Preventive 3/3 x 1 1 The possibility of getting diseases
Potential from uncovered garbage
containers can be highly
prevented if necessary measures
are to be taken.
Salience of the 1/2 x 1 0.5 The family recognizes this as a
Problem problem but does not see it as
problem needing immediate
concern.
TOTAL SCORE: 4.17
 BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E

Fire Hazard

CRITERIA COMPUTATION ACTUAL JUSTIFICATION

SCORE
Nature of the 2/3 x 1 0.67 It is considered a health threat
Problem because the house is made up of
wood and light materials that can
cause accidents such as fire. The
family’s wall is also made of
materials for roofing in which it
can be pointed or sharp which can
accidentally wound the family.
Modifiability of ½x2 1 The problem is partially
the Problem modifiable because the family has
limited financial resources and
repairing the house would be
burdensome for their family.
Preventive 3/3 x 1 1 Susceptibility to diseases and
Potential infections which compromises
health can be prevented if
preventive measures are taken.
Salience of the 0/2 x 1 0 The family does not perceive it as
Problem a problem.
TOTAL SCORE: 2.67
 BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E

Diabetes Mellitus

CRITERIA COMPUTATIO ACTUAL JUSTIFICATION

N SCORE
Nature of the 3/3 x 1 0.67 The problem is considered a
Problem health deficit that requires more
immediate intervention.
Modifiability of the 0/2 x 2 0 The problem is not modifiable
Problem because of patient’s
noncompliance in taking
prescribed medications.
Preventive Potential 3/3 x 1 1 The possibility of getting
complications in relation to
Diabetes Mellitus are prevented if
lifestyle management, proper
nutrition and adherence to
prescribed medications is
implemented.
Salience of the 2/2 x 1 1 The family perceive it as a
Problem problem or condition needing
immediate attention.
TOTAL SCORE: 2.67
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E

PRIORITIZED HEALTH PROBLEMS (HIGHEST-LOWEST)

HEALTH PROBLEM SCORE RANK

Faulty Eating Habits 4.17 1

Presence of breeding 4.17 2

sites/resting sites of
vectors of diseases
Fire Hazard 2.67 4

Diabetes Mellitus 2.67 5

BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E
INTERVENTION PLAN EVALUATION PLAN
CUES HEALTH FAMILY GOAL OF CARE OBJECTIVE NURSING METHOD RESOURCES
PROBLEM NURSING S OF CARE INTERVENTIONS OF REQUIRED CRITERIA STANDARD METHOD
PROBLEM NURSE-
FAMILY
CONTACT
After 2-3 days After nursing
Subjective: FAULTY Inability to make nursing interventions, a) Establish rapport Home Visit Material
“nakaon EATING decisions with intervention, the the family will with the family Resources:
lagehap HABITS as respect to taking family will be able be able to: Visual aids and
ako hin a health appropriate health to: b) State the purpose materials needed
kan-on threat action due to: a. Discuss the of visit in teaching Verbal Gave Interview
bisan gin a. Recite healthy healthy snacks feedback examples of
yaknan na - Failure to snacks that that may be c) Assess the family’s Human snacks that
ako han comprehen may be eaten taken instead current knowledge Resources: may be taken
doctor nga d the instead of of junk foods about the present Time and effort instead of
bawal kay nature/ junk foods/ such as: condition both by the junk foods
marasa magnitude sweet foods - fruits nurse and the such as fruits.
pero danay of the d) Assess the family’s family
tag gurudti problem/ b. Enumerate b. Name the willingness to Verbal Stated the
la, pero condition. healthy drinks healthy drinks cooperate Financial feedback healthy
danay gud that may be that may be resources: drinks that Interview
man - Low taken instead taken instead e) explore with the Money for may be taken
nasosobrah salience of of soft drinks of soft drinks family about the transportation instead of
an la the such as: possible risk factors and materials soft drinks
gehapon” problem - fresh juices associated with used such as:
as - milk occurrence of the - water
verbalized problem such as: -
by the - proneness to unsweetened
client c. To identify c. Verbalizes malnourishment milk
the nutritional the benefits of
benefits of a balanced f) Explore with the Verbal Verbalized
Objective: eating a diet to the family the benefits of Feedback the benefits
- Clinically balanced diet. family. proper nutrition such of a balanced
diagnosed as: diet to the
with DM d. Recognize d. State - eating a balanced family. Interview
- Eats Junk food sources food diet
foods of sources - intake of food Verbal Recognized
micronutrients of supplements such as Feedback the
and micronut vitamins importance
macronutrient rients - avoidance of food of food
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E
s and restricted by supplementat Interview
macronu physician because of ion for the
trients DM betterment of
health
e. To name e. Discuss
foods to avoid foods to
in relation to avoid in
Diabetes relation
Mellitus to Verbal Stated food
Diabetes Feedback sources of
Mellitus micronutrient
s and
macronutrien Interview
ts

Verbal Discussed
Feedback foods to
avoid in
relation to
DM Interview

CUES HEALTH FAMILY GOAL OF CARE OBJECTIVES INTERVENTION PLAN EVALUATION PLAN
PROBLEM NURSING OF CARE NURSING METHOD RESOURCES CRITERIA STANDARD TOOLS
PROBLEM INTERVENTION OF NURSE- REQUIRED
FAMILY
CONTACT
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E

Subjective Poor home / After 3-7 days of nursing After 3-7 days 1. Establish rapport Home Visit
“Ginbubutan environment intervention, the family of intervention, with the family. Material
g nam am al condition / will be able to: the family will Resources:
basura ha sanitation: be able to: 2. State the purpose of -Visual aids for
sako. Pero PRESENCE - eliminate the visit. health teaching
waray higot,” OF presence of 1. Identify the -Cleaning
1. Inability to Identify the
as verbalized BREEDING breeding sites presence of the 3. Assess family`s materials such as
recognize the Verbal presence of
SITES OF of vector of problem. willingness to dustpan, broom,
presence of the Feedback the problem. Interview
“Mayda VECTOR diseases by a. Verbalize the participate in activities. etc.
condition or
lagihap mga OF taking the possible effects
problem due to:
lamok tas DISEASES appropriate of the presence 4. Assess the condition
a. Inadequate of
langaw didi as a health steps and of breeding of the environment. Human
knowledge of the
haam,” as threat interventions. sites of vector Resources:
problem
verbalized of diseases. 5. Assess family`s Time and effort
2. Inability to knowledge regarding of both nurse and
provide a house the present problem. the family
Objective: environment 2. Provide a
-Garbage and conducive to health house 6. Explore with the
manures were maintenance and environment family what breeding Financial Provide a
observed in personal conducive to sites are present in the Resources: Compliance house
their development due health home. Money for to the agreed environment Direct
surroundings. to: maintenance transportation upon conducive to Observation
-Open a. Inadequate and personal 7. Emphasize the and visual interventions health
drainage family resources, development importance of materials maintenance
system specifically by: eliminating breeding and personal
-Flies, financial a. Utilizing all sites of vectors such as: development
mosquitoes, constraints. the available a. It kills the vectors of
and insects resources that diseases.
seen in/out b. Inadequate aid in b. It prevents the spread
the house knowledge of eliminating the of vector-borne
preventive breeding sites diseases.
measures. of vectors c. It ensures health
security of the family
c. Lack of skill in b. Enumerate at against disease vectors.
carrying out least 5 d. It promotes safe
measures to preventive home environment.
improve home measures
environment 8. Emphasize the
c. Perform the possible risks or
interventions to diseases that can be
eradicate acquired when the
presence of breeding sites for
breeding sites, vectors are still present
and the
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E
prevention of such as:
transmission of a. Chikungunya
disease. b. Dengue fever
c. Yellow fever
e. Malaria

9. Discuss with them

the interventions to
eradicate the breeding
sites of vectors and the
prevention of the
transmission of vector-
borne diseases such as:
a. Always use a cover
when storing water
b. Reduce the number
of plants
that collects water like
bromeliad plants
c. Maintain the drainage
system clean
d. Clean gutters
regularly
e. Throw out plastic
containers that are not
being used
f. Always check tire for
water; when water is
present, throw it out
g. Remove spoiled food
h. Have the garbage
properly disposed

10. Encourage them to

implement the agreed
upon interventions.

11. Randomly have a

follow-up visit to
ensure and evaluate the
compliance to the
agreed upon
interventions.
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E

CUES HEALT FAMILY GOAL OF CARE OBJECTIVES INTERVENTION PLAN EVALUATION PLAN
H NURSING OF CARE NURSING METHOD OF RESOURC CRITERIA STANDAR METHOD
PROBL PROBLEM INTERVENTIONS NURSE- ES D
EM FAMILY
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E
CONTACT

Presence  Introduced self and Material

Subjective: of explain the purpose Resources:
Accident of visit. Visual Aids
“naghahari Hazard:  Establish rapport for the
ng kami FIRE After 3 days of nursing After nursing  Assessed level of Home Visit health
kay amot HAZAR interventions, the family intervention, the awareness regarding teaching
pamaagi hit D as a will be able to: family will be the problem.
amon Health able to:
pagluluto” Threat  Discuss with the
1. Inability to - Recognize the
as presence of the  Identify the family’s ability to
recognize  Verbal  Perceiv Interview
verbalized problem by problem and recognize their
the presence Feedback ed as a
by client identifying the possible needs and problem’s
of the health
condition or possible threats threats that by increasing the
“Nagamit family’s knowledge threat
problem due that can cause can cause Financial
kami hin on the nature and and
to lack or fire. fire. Such Resources:
kandila kun cause of the problem explaine
inadequate as: Expenses d the
waray suga knowledge a.faulty and explain the needed for
di ngan possible threats that possible
wirings the materials threats
brownout” b. cooking can cause fire. Such and for
as as: that can
equipments transportatio cause
verbalized (gas, gas a.faulty wirings n
by client b. cooking fire.
stove)
c. careless equipments (gas, gas
smoking stove)
Objective: d. candles c. careless smoking
d. candles Human
 Semi- e. flammable Resources:
concre liquids e. flammable liquids
Time and
te effort of the
house, nurse and
the the family in
upper the
portion  Emphasized to the implementati
 Enumerate
of the family about the on of the
2. Inability to at least 2
house possible interventions
make - Make decisions consequence
is consequences of .
decisions with respect to s that might
made having risk for fire.
with respect taking arise if the  Enumer
of Such as:
to taking appropriate problem is ate at
wood. a. serious injury or
appropriate health action not acted least 2
 firewo health action upon. Such death if fire occurs.
od is  Verbal consequ Interview
due to: as: b. property damage
used Feedback ences
a. Failure a. Avoid that
for to serious might
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E
cookin compre injury or arise if
g hend the death if the
nature/ fire problem
magnitu occurs. is not
de of b. Prevent acted
problem property upon
/conditi damage
on
b. Low
Salience
of the
problem
and
conditio
n

 Make  Instructed family on

3. Inability to preventing fire
provide appropriat
- Maintain an e hazards within the
home environment family’s available
environment decisions
which lessen the regarding resources and
conducive to risk for fire capabilities. Such
health the
problem as:
maintenance a. Never leave
and personal to lessen
the risk open stove
development unattended.
due to: for fire.
Such as: b. Smoking or
a. Inadequ throwing
ate ashes of
family a. Never  Made
tobacco or
resource leave appropri
cigarette
s, open ate
outside the
specific stove decision
house.  Compliance
ally: unatten s
c. let an
limited ded. to agree regardin
electrician upon
financia b. Smokin g the Interview
check there
l g or intervention preventi
wirings .
resource throwin on of
d. unplug
s. g ashes fire.
appliances if
of
not used.
tobacco
e. Keep burning
or
candles within sight.
cigarett
Proper use of candles
e
and lamps.
outside
f. Properly keep
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E
the flammable objects and
house. liquids such as kerosene.
g. Importance of
c. let an smoking outside the
electrician check house
their wirings
d. unplug
appliances if not
used.
e. Keep
burning candles
within sight.
Proper use of
candles and
lamps.
f. Properly keep
flammable
objects and
liquids such as
kerosene.
g. Importance
of smoking
outside the house

INTERVENTION PLAN EVALUATION

METHOD
FAMILY OF
HEALTH GOAL OF OBJECTIVES
CUES NURSING NURSE- RESOURCE METHO
PROBLEM CARE OF CARE NURSING INTERVENTIONS CRITERIA STANDARD
PROBLEM FAMILY S D
CONTAC
T
SUBJECTIVE Within 6 Within 6 weeks Home Material
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E
: DIABETES weeks of of nursing 1. Introduce self and explain Visit resources:
Gin dara ako MELLITU nursing interventions, the purpose of the visit.  Visual
ha hospital S as a interventions the family will aids and
tungod nga Health , the family be able to: 2. Establish rapport. teaching
nahimatay ako Deficit will be able kits to
nga dire ako to: 3. Assess the family’s current facilitate
maaram an knowledge on Diabetes health
rason tapos I. Inablity to I. Provide Mellitus. teaching
ngadto ko provide adequate
nasabtan nga adequate nursing care 4. Assess client’s current  PHN Bag
diabetic nursing care to to the sick condition: with
ngayan ako” as the sick due member of a) Take the client’s vital complete
verbalized by to: the family, signs: Temperature, Pulse contents
the client. have Rate, Respiratory Rate, for taking
knowledge Blood Pressure of vital
“Hitaas man about the b) Perform bag technique signs and
kuno an akon disease specifically, sugar testing. testing
sugar ngan nag process and for sugar
ka UTI skills in 5. Identify the signs and in the
gehapon ako carrying out symptoms felt by the patient. urine.
tapos nag necessary
sisinakit nak interventions Financial a) Verbal a. Briefly a) Interv
likod, tungod a. Lack of a. Briefly 6. Discuss with the family the Resources: feedback explain iew
ngayan nga knowledg explain following:  Expenses Diabetes
naapektuhan na e about Diabetes needed Mellitus
an akon the disease Mellitus a. Disease process of for
kidney” as process Diabetes Mellitus. materials
verbalized by on health b) Verbal b. Enumerat b) Interv
the client. b. Enumerate 3 b. Risk factors of Diabetes education feedback e3 iew
Nonmodifia Mellitus such as: and Nonmodi
“Gin yaknan ble and 3  Nonmodifiable: transport fiable
ako han doctor Modifiable  Family History ation and 3
nga hinayon risk factors  Age (>40 years old) Modifiab
kuno it akon of Diabetes  Race/Ethnicity Human le risk
mga tiil, Mellitus Resources: factors of
nagmemedjas such as : Diabetes
laak pag  Nonmodifi  Modifiable:  Time and Mellitus
katurog ngan able:  Stress effort of such as :
napadayun  Family  Diet (High CHO, High the nurse  Nonmo
lagehap ako History Fat, Low-Fiber) and difiable
pag trinabaho  Age (>40  Smoking family in :
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E
ha gawas o years old)  Alcoholism the  Family
 Race/  Obesity impleme History
OBJECTIVE: Ethnicity ntation of  Age
 Diagnosis the (>40
of DM in  Modifiable: nursing years
EVRMC  Stress interventi old)
 Diet (High ons  Race/
CHO, High Ethnici
Fat, Low- ty
Fiber)
 Smoking  Modifia
 Alcoholism ble:
 Obesity  Stress
 Diet
(High
CHO,
High
Fat,
Low-
Fiber)
 Smokin
g
 Alcoholi
sm
 Obesity
b. Lack of c. Identify at c. Discuss the major c) Verbal c) Interv
c. Identify
knowledg least 3 modalities used to feedback iew
at least 3
e of the major control diabetes mellitus major
nature and modalities such as: modalitie
extent of used to  Diet s used to
nursing control  Exercise control
care Diabetes  Monitoring Diabetes
needed Mellitus  Medication Mellitus
such as: such as:
 Diet d. Diet
 Exercise e. Exercise
 Monitoring f. Monitori
 Medication ng
g. Medicati
on
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E

d. Acute complications of d) Verbal d. Differenti d) Interv

d. Differentiat Diabetes Mellitus such feedback ate the iew
e the two as: two acute
acute  Hypoglycemia complicat
complicatio  Hyperglycemia ions of
ns of Diabetes
Diabetes Mellitus.
Mellitus.
e. Macrovascular e) Verbal e. Identify e) Direct
e. Identify at complications of feedback at least Obser
least two Diabetes Mellitus such two vation
macrovascul as: macrovas
ar  Coronary Artery cular
complicatio Disease complicat
ns of  Cerebrovascular ions of
Diabetes Disease Diabetes
Mellitus  Peripheral Vascular Mellitus
such as: Disease such as:
 Coronary  Coronar
Artery y Artery
Disease Disease
 Cerebrovasc  Cerebro
ular Disease vascular
 Peripheral Disease
Vascular  Peripher
Disease al
Vascula
r
Disease

f. Microvascular f) Verbal f. Name the f) Interv

f. Name the 3 complications of feedback 3 iew
microvascul Diabetes Mellitus such microvas
ar as: cular
complicatio  Retinopathy complicat
ns of  Nephropathy ions of
Diabetes  Neuropathy Diabetes
Mellitus Mellitus
such as: such as:
 Retinopathy  Retinop
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E
 Nephropath athy
y  Nephro
 Neuropathy pathy
 Neuropa
thy
7. State the importance of
following the proper diet for g) Verbal g. Identify g) Interv
g. Identify the diabetic patients such as: feedback the iew
importance  Able to maintain a importan
of following reasonable body weight ce of
the proper  Able to control blood following
diet for glucose levels the
diabetic proper
patients diet for
such as: diabetic
• Able to patients
maintain a such as:
reasonable •Able to
body weight maintain a
• Able to reasonable
control body
blood weight
glucose •Able to
levels control
blood
glucose
levels

h.) Verbal h. Identify h) Interv

c. Lack of 8. Discuss about foot care: feedback ways on iew
knowledg h. Identify  Inspect your feet every how to
e and skill ways on day: Look at your bare care for
in carrying how to care feet every day for cuts, feet such
out the for feet such blisters, red spots, and as:
necessary as: swelling.
interventio  Wash your feet every Inspect your
ns • Inspect day: Wash your feet in feet
your feet warm, not hot, water. Dry every
every day: your feet well. Be sure to day:
Look at your dry between the toes. Look at
bare feet every  Trim your toenails each your bare
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E
day for cuts, week or when needed: feet
blisters, red Trim your toenails every day
spots, and straight across and file for cuts,
swelling. the edges with a nail file. blisters,
• Wash  Never walk barefoot. red spots,
your feet and
every day: swelling.
Wash your Wash your
feet in warm, feet
not hot, water. every
Dry your feet day:
well. Be sure Wash
to dry between your feet
the toes. in warm,
• Trim not hot,
your toenails water.
each week or Dry your
when needed: feet well.
Trim your Be sure
toenails to dry
straight across between
and file the the toes.
edges with a Trim your
nail file. toenails
• Never each
walk barefoot. week or
when
needed:
Trim
your
toenails
straight
across
and file
the edges
with a
nail file.
Never walk
barefoot.
BELLO, NICOLE EVAN M. BSN 4A CLINICAL GROUP E