Question

In: Nursing

Family V Family Background: Family V is composed of 8 members. Victor, the father, Venus, the...

Family V
Family Background:
Family V is composed of 8 members. Victor, the father, Venus, the mother who is currently 9 months pregnant to their 7th child, their children are AV, BV, CV, DV, EV, & FV. Victor is the head of the family and is 35 years old. Venus, his wife is 29 years old. Child AV, the eldest son is 11 years old, BV is a10 year old girl , CV is a 9 year old girl , DV is 7 years old while EV is 5 years old, both are boys, the youngest child is a 3 year old girl, FV. Victor was born in Purok Daan and grew up in the same place. His father was a farmer and while his mother was a plain housewife. He is the eldest among 12 siblings. He was only able to finish Grade 4 level. He did not continue going to school in order to help his parents to earn money for their daily needs.
Venus was born and grew up in Malung. Her father is a farmer and her mother is a housewife too. She has 2 siblings. She was able to go to school and graduated elementary school. She did not continue schooling due to financial constraints. Instead she helped her parents in doing household chores and finding means to earn money for their household. No familial history of diseases were noted in both sides.
The family has frequently changed places of residences. They have been in Mindoro, for 5 years and then they stayed in Batangas for 3 years. Victor and Venus always discuss matters between them when they are to make decisions for their family. They consult each other in terms of planning the budget for their family. They make sure that they discuss all matters together which includes children’s school expenses,
problems that bother each one of them, either emotionally or psychologically. Each time a situation or problem arises, they make sure that they both try to solve the problem. However, all matters concerning health of the members of the family, it is Venus who dominantly makes the decision. She makes sure that compliance to the appropriate management about certain health issues arise. She has greater awareness concerning health matters than Victor. Though at present she has not been to any OB check-up even if she is aware that she needs it due to the distance of the clinic or hospital even the health center from their home. She also believes that it is part of her duty as the mother. These health matters include immunization, feeding the right food and caring for the sick member. Since she is pregnant, she however, ask assistance from their eldest (when he is available) in taking care of their youngest whenever she is doing the household chores.
Socio-Economic Background
The Viktor family’s main source of income is coming from Victor’s farming. He earns about Php 10,000.00 a month. Venus, being a plain housewife, had been in charge of the house and in taking care of the children. Venus budgets the money for food, education and miscellaneous expenses like clothes, shoes/slippers. Most of Victor’s earnings goes to the family’s budget for food. The children go to school for free and they walk from their house to school and only occasionally spends for some school supplies. Usually, there is nothing to be left to be spent for other miscellaneous needs. With Victor’s monthly income, the family strives hard to make both ends meet. Venus also admitted to the student nurse that they do not have savings at hand, which can be used for her giving birth, which is due within this month, much more during an emergency. They typically borrow money from their relatives when a certain situation comes. However, Mrs Venus verbalized in a worried voice that she is not sure if any of their relatives are going to lend them money for her giving birth specially now that all is experiencing the pandemic.
As a farmer, Victor works from 3 am until 8 pm every day. He seldom goes home but rather stays in the farm, which is situated far away from the family’s house. Venus typically performs house chores, which includes washing clothes, preparing meals, keeping the house and the yard clean and helping their children with their schooling. Sometimes, she has to go out for some errands as well because she said that she is the only adult who can do that and is allowed by the rules in their community. “ I had to do things even if I
find it difficult and dangerous with my present condition because I had to and because my children are still too young to do what I do. So I had to do all the chores.”
All of the members of the family observe Protestant practices. Venus mentioned that they do not go to church anymore due to its distance from their house. Mrs. Viktor further added, “besides, it is hard for me to move around much more take a long walk or travel more often cause of my condition, I get tired so easily lately.” The Viktor family barely enjoys the community resources since the community does not have enough resources as well. Though, the children go to Purok Daan Elementary School attending blended learning on facial masks and basic school uniform.
The family’s water source is from the river which they mainly use for washing clothes. There is also a shallow well built within the river where the family gets their drinking water, most of the time. However, when they get lazy in fetching water from the well, there is a public tap water available from a faucet a few meters away from their house but payment is needed everytime they get water from here. It costs them 20 pesos per container; the reason why they opted to go for the water from the well.
Home and Environment
The house that they are staying in is made of wood and bamboo. The house only has 2 windows that are good enough to provide adequate ventilation needed by the family. Venus mentioned to the student nurse that their house is usually “presko” since it is beside the river and the air freely passes through inside the house.
The house is divided into 2 rooms. One is the sala/dining room rolled into one while the other room is considered their sleeping area, with no bed at all, which apparently is taking toll on Mrs. Viktor lately as she is experiencing lower back pains and more leg pains upon waking up in the morning due to the uncomfortable sleeping area they have for a pregnant woman like her. She further noted, “the bamboo flooring which are uneven in its nature is the one causing all these pains I am having.” In addition, all the members of the family sleep in together having not enough room to really feel comfortable to sleep in any position. “We are usually cramped up together to make us occupy the small space for all of us sleeping together.” They use “banig” laid on the floor to just ward off some insects from under their house that gets in from inbetween opening of the bamboo flooring they have but Mrs. Viktor said, “but this is not really successful in warding off the pests. In fact at times roaches or rodents crawl in on us while we are sleeping, aside from the mosquitoes that are present both inside and outside our house, biting us anytime of the day.” The Viktor Family owns only one appliance which is the radio powered by batteries since the place has no supply of electric current yet. There is no other means of information and communication outside their world but that radio and the news that Mr. Viktor would bring the family or the updates the children learn from school or from their classmates.
For the garbage disposal, they either bury or burn their garbage. Venus uses wood and charcoal in cooking. She is the one who prepares the food. She cooks inside the house at the back portion. They often eat fish and vegetables. The family uses plastic plates and stainless spoons in eating. In storing their left over food, they just cover it with another plate. The family is equipped with pots, “sandok”, and knives. The river is the family’s main source of water both for drinking and washing their clothes. The drinking water is stored/ kept in a big container with cover. They usually don’t go and get water from the faucet located in the barangay hall in the purok since it is far from their house and will cost them money as well. They prefer getting their water supply from the river, however they drink it without “sterilizing” or putting it into a boil. Viktor Family has no comfort room. They usually urinate and defecate in an empty/ vacant lot within the vicinity near their house. They have not yet built their own comfort room since, Venus stated that they do not have enough budget to spend for it yet. The family has an open type of drainage system, where in the “sink water” flows anywhere and is continuous. It is dirty and has a stinky smell and serves as the home for mosquitoes. The student nurse found food debris that has been washed off from the plates outside the house where the drainage flows. Such attracts roaches, flies and other pests like ants and rats.
Questions:
Make a Family Nursing Care Plan
1. Supporting cues (Subjective and Objective cues)
2. Health condition or problem (State the most prioritized problem / Rank 1)
3. Family nursing problems
4. Goal of care
5. Objectives of nursing care
6. Nursing interventions
7. Method of family contact
8. Evaluation (outcomes/tools)

Thank you!

Solutions

Expert Solution

1-SUBJECTIVE OR OBJECTIVE CLUES

SUBJECTIVE CLUES

- It is defined as the problems felt by the clients or individual

-the main subjective clues are follows;

-leg pain and back pain

-family members may feel weak

-sleep disturbances

-irritability and tensed

-feeling of worry

-increased mental stress

-feeling anxiety and depression

-deceased health perception

-the main objective data are;

-means features can be observed

-main objective cues are;

-decreased concentration and thinking

-enviornmental pollutions

-low socio-economic status

-low health status

-low healthy life style

-childrens seeing like malnourished

-improper personal hygeine

-water pollution

   -emotionally or psychologically weak

QUE-3

HEALTH CONDITIONS OR PROBLEMS

Acoording to the priority as follws;

-improper housing

-no enough ventilation

-less rooms

-no proper water facilities

-no proper sleeping may cause leg and back pain

-water unavailability

-no clean drinking water

-less access of primary health centres or health care facilities

-less avilability of community resources

-pregnant mother has not gone for frequent health check up

-no proper immunization to the childrens

-no proper disposal of wastes

-inadequate sanitation

  -open drainage system

-no electric supply

-enviornmental pollution

-more mosquitoes and flies

-no proper communication methods or no medias

-school also far from homes

-low economic and social status

-church also far from home

QUE-3

FAMILY NURSING PROBLEMS

-decreased health status

-unavailabity of community resources

-financial instability

-chances to get communicable diseases

-chances for nutritional deficiency disorders

-chances for water borne diseases

-chances for respiratory diseases like allergy and asthma

-low health status

-food poisoning may get

-chances for dehydration and wekaness

QUE-4

GOAL OF CARE

-mainatin nutritional status

-maintain hydration status

-maintain personal hygeine

-provide health status

-easily availabity of health care facilities

-maintain proper disposal of wastes

-establish communication methods

-availability of clean drinking water

   -- proper housing patternmaintain proper cooking methods and storage

-mainatin ventilation and sleeping pattern

-mainatin sanitation facilities

-availability of community resources

QUE-5

OBJECTIVES OF NURSING CARE

-to identify the health problems

-to assess the current health satus of the family members

-to assess the food and dietry pattern

-to find out the immunization status of the mother and childrens

-to describe the socio-economic status of the family

-to observe the health risk of the family members

-to provide health teaching about health related behaviours

-to assess the chances for enviornmental pollutions and reduce the risk of getting diseases

QUE-6

NURSING INTERVENTIONS

-check the current health status

-check the vital signs

-assess the nutritional and health status

-do family nutritional assessment including weight checking

-assess for the mental status of the family members

-provide health education about;

-personal hygeine

-healthy life styles

-physical activities

-importance of health check up and immunuzation

   -food hygeine and healthy dietry habits

- normal growth and development of the childrens

-supplementary diets for pregnant mother and childrens

-importance of proper sleep

-informations about the health care facilities

-maitain interpersonal relationship

-identify the health outcome priorities

-assess the level of anxiety and knowledge levels

-explain the importance of proper housing and ventilation

-establish rapport through home visiting

  

FAMILY NURSING DIAGNOSIS

-IMPAIRED PERSONAL HYGEINE

-IMPAIRED THERAPEUTIC REGIMEN

-IMPAIRED HYDRATION STATUS

-HIGH RISK FOR INFECTION

-HIGH RISK FOR COMPLICATIONS

-IMBALANCED NUTRITIONAL STATUS

-IMPAIRED FAMILY COPING MCHANISM

  

-


Related Solutions

Health problems of family members The father has a chronic cough. Smoking (10 per day) The...
Health problems of family members The father has a chronic cough. Smoking (10 per day) The mother's menstrual bleeding is irregular. She's afraid of getting pregnant again. He does not use a family planning method. 10-year-old child (girl) has very low school success, has no appetite and is poor (weight and height percentile 5%). 8-year-old boy has asthma. The family takes the child for control every 6 months (weight and height percentile 25%). 7-year-old boy healthy (weight and height percentile...
When Victor is 10 years old, his father deposits a certain amount of money in a...
When Victor is 10 years old, his father deposits a certain amount of money in a university fund that pays 12.4% capitalized semiannually. When Víctor turns 15, his father will deposit an amount equal to the one initially deposited and, when he turns 18, he will start receiving $ 65,000 from the fund each semester, starting at that moment, for 5 years, in order to pay for his career. the value of the 2 deposits.
FAMILY NURSING CARE PLAN Family Background Client N and her family is a cohabiting family. Client...
FAMILY NURSING CARE PLAN Family Background Client N and her family is a cohabiting family. Client N is a 25-year old female, and her partner, client JR is a 31-year old male. They have been living together for three years. She has two children, her first-born is a 6-year old boy from her previous relationship and is currently being taken care of by her parents in Manila. She gave birth to her 6-week old baby boy last August 31, 2020...
FAMILY QUEEN (FNCP) Family Background Client Q and her family is a cohabiting family. Client Q....
FAMILY QUEEN (FNCP) Family Background Client Q and her family is a cohabiting family. Client Q. is a 25-year old female, and her partner, client R.S.J., is a 31-year old male. They have been living together for three years. She has two children, her first-born is a 6-year old boy from her previous relationship and is currently being taken care of by her parents in Las Piñas. She gave birth to her 6-week old baby boy last August 31, 2020...
let x be the number of smokers in a family composed of a husband and a...
let x be the number of smokers in a family composed of a husband and a wife. X is a random variable which takes values 0,1,2, with respective probabilities po, p1, p2. The average number of smokers per family is 0.63. 40% of families contain at least one smoker. find the probabilities po, p1, p2. Note: this question is related to binomial distribution lesson  
The family is the most important consumer buying organization in society, and family members constitute the...
The family is the most important consumer buying organization in society, and family members constitute the most influential primary reference group. Name two family categorizations and discuss the impact of each of the categories on buying behavior. Answer this question in 300 words (marketing management).
Choose a friend or family member that you know well. You should know their family background,...
Choose a friend or family member that you know well. You should know their family background, how they tend to think and make decisions, and how they shop. You must have been on a number of shopping trips with this person. With this knowledge in mind, describe behaviors that demonstrate two out of the 3 major factors influencing consumer behavior (pages 113-123 in your textbook). Each behavior described must represent the influence of a different factor. For example, my dad...
There are 4 members of the Smith family. They are as follows: Mom; college professor of...
There are 4 members of the Smith family. They are as follows: Mom; college professor of Mathematics, 45 years old, described by her co-workers as introverted, driven and serious, considered Head of the Household and breadwinner of the family. Dad: works in the oil field, home every two weeks for two weeks and then gone again for the following two weeks, high school drop-out, 40 years old, considerably overweight therefore is contemplating retirement and starting a new business with less...
A family with a mother, father, two daughters and three sons lines up in a random...
A family with a mother, father, two daughters and three sons lines up in a random order for a photo. (a) Let D be the random variable denoting the number of daughters who are standing next to the mother and for i = 1,2 let Di be the indicator variable that is 1 if daughter i is next to the mother and 0 otherwise. What is the relationship between D, D1, and D2? (b) What are the expectations E[D1] and...
Consider a family with a mother, father, and two children. Consider the following set of events:...
Consider a family with a mother, father, and two children. Consider the following set of events: A1 = {mother has influenza} A2 = {father has influenza} A3 = {first child has influenza} A4 = {second child has influenza} B = {at least one child has influenza} C = {at least one parent has influenza} D = {at least one family member has influenza} 1. What does A1 ∪ A2 mean? Which answer is correct? Please provide explanation a. Both the...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT