In: Nursing
1.) Case: You were assigned to render service to a community in Zambales. One of the families you are visiting is Untal family. Aeta family from Botolan. Your first home visit yielded the following data: *Mrs. Untal, 18 years old and a plain housewife, is 7 months old pregnant for her 2nd child. *Mr. Untal, 19 years old, works as a helper to a fruit and vegetable dealer and earns Php 1000/week. *Husband and wife were observed to be distant as Mrs. Untal recently discovered that Mr. Untal had been involved in gambling with fellow workers. Their 1st child named Undoy who is 2 years old, weights about 1.5 kg. below the average weight for a child of his age. *The following were observed in the family’s home and environment: a small plastic bag hanging on the wall serves as the family’s garbage container. This plastic bag was observed to be emitting foul odor and with flies all over it. Question: Based on the case about Mrs. Untal, which of the following health problem would be most appropriate for the nurse to utilize a criterion reference objective?
CHOICES:
A. Health threat: Care-giving burden
B. Readiness for enhanced capability of parenting
C. Poor home Environment: unsanitary waste disposal
D. Unhealthful lifestyle: alcohol drinking
Answer. Option A. Poor home Environment: unsanitary waste disposal
Option A. is correct as the income of the earning member Mr. Untal
of the family is very low almost 20 dollars per week from he given
information. His earning cannot satisfy the healthcare and medical
needs. Also the gambling habit compounds the problem to feed the
family let alone the healthcare needs. This creates a burden on Mr.
Untal who cannot provide the required care and this poses a serious
threat to the health of the 7 months old fetus. Also, the elder
child has lower weight when compared to his age and this might be
due to underfeeding and starvation due to low income. The
unsanitary garbage bag place and flies around too pose a srius
threat to the health of the pregnant mother and infant. These data
and information provided would be most appropriate for the nurse to
utilize a criterion reference objective
Option B is incorrect as Readiness for enhanced capability of parenting is not displayed by any data and does not apply in this scenario
Option C is incorrect as Poor home Environment: unsanitary waste disposal is a concern but if the income is higher then better sanitation can be met and safety can be assured
Option D is incorrect as Unhealthful lifestyle: alcohol drinking is not applicable as the alcohol problem is not in direct correlation to the dismal conditions of sanitation at home.