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1. Hypertensio nas a health deficit

Inability to provide adequate nursing care to the family members who are hypertensive due to: Lack of adequate knowledg e about the disease hypertensi on, its nature, complicati ons, prognosis and

After nursing intervention, Mr. Bonifacio and Mrs. Leticia will have minimize or reduce rise in blood pressure in 2 months and they will be knowledgeabl e enough about the disease and the proper management or care (independent) to the patients.

After nursing intervention the couple will: Have lesser times of rising blood pressure. Visit the RHU at least twice/ thrice a month for check-up, assessment of blood pressure or either consult a doctor for a check-up and proper prescription of medication appropriate to their condition. Take medications as

Advise the patients to visit their RHU at least twice or thrice a Home Visit month although they dint experience signs and symptoms of hypertension, for proper assessment and management Tell the patients that if in case they are at home and they experience signs and symptoms of hypertension, they should ask the nearest person who knows to assess the blood pressure and knows independent management before going to the RHU or

managem ent. Inadequat e family resourcesfinancial constraints Lack of necessary equipment s for the independ ent care needed such as BP apparatus and lack of skill in performing the care needed.

prescribed by medical practitioners Be able to have dietary modifications by avoiding or restricting foods w/c could precipitate the rise in blood pressure Mr. Bonifacio will stop smoking gradually Have a regular exercise or simple work out activities Be knowledgeable about the disease process, its possible complications so they could have the care needed accordingly

hospital because their residence is quite far from these health facilities. Instruct patient to seek for medical consultations on hospital for further assessment, management and prescription of medications. Tell the patient about the consequences and harm of taking OTC drugs or self medication and advise them to take drugs only as prescribed Teach the client to avoid or restrict too much salt in the diet(too much salty foods) Teach the client to avoid high fat and high cholesterol containing foods such as meat(fats), sinanglaw, shrimps,

lobster, crabs and dairy products w/c are rich in fats and explain to them that these foods could cause rise in blood pressure in taken in excess. Encourage them to have balanced diet that they should not totally stop taking in meat products and but they should limit specially those w/ other foods high in fats and cholesterol because anything in excess is not good as well as anything deficient is also not good. Encourage them also to take in fruits and vegetables such as apple, papaya, oranges, and other fruits and also green leafy vegetables. Advise patient to increase intake of

potassium rich foods such as banana, broccoli because when there is enough potassium in the body sodium w/c causes increase in BP will be low in amount. Educate to reduce stress or avoid stressful situations because it could also trigger the rise in blood pressure. Advise patients to have regular exercise or simple daily work outs such as walking, jogging, cycling and stretching most specially in the morning. Instruct patients that whenever they experience signs and symptoms of hypertension, they should take their medications as prescribed and take rest and not to go to work anymore.

Explain to the patients as well as to other family members about hypertension, its nature, complications, and independent care management, for them to know what appropriate action to take. Let them have pamphlets or written materials that contain details about hypertension and its management and discuss it w/ the patients and also w/ other family members.

2. Accident Hazards 4b. Marupok na galba: as fall hazards

Inability to provide a safe environment w/c is conducive to health maintenance and personal development due to: Failure to see the benefits of an organized environmen t. Lack of knowledge about preventive measures of accidents and harm

Home Visit After nursing intervention, within 1 month, the family will take necessary measures in keeping their environment safe from accident and fall hazards. After nursing intervention, the family will: Be aware of the harm of their marupok na galba Replace their galba or sim Utilize or recycle existing materials w/c are still safe to use in solving this problem to save money Educate the family that having these prone to fall hazards areas or materials win their environment is really a health threat to them especially to their safety. Encourage them to replace or fix the galda or sim as soon as human and material resources are available to prevent accidents.

3. Poor environment al sanitation 5a.Presence of breeding and resting sites of vectors of diseases

Inability to provide a home environment which is conducive to health maintenance and personal development due to: Failure to see benefits of proper sanitation and a clean environment. Inadequate knowledge of the importance of sanitation Inadequate knowledge of preventive measures.

After the nursing intervention, the family will decide the appropriate or needed actions to eliminate the breeding and resting sites of vector of diseases within 2 months.

After the nursing intervention, the family will: Know the benefits of cleaning the environment and eradicating the breeding and resting sites of vector diseases. Can enumerate the various ways on how to eradicate the breeding and resting areas of vector of diseases such as rodents, mosquitoes and flies. a. Select the appropriate method to be use in avoiding the harmful effects of rodents, mosquitoes and

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


old basins where rain water (stagnant water) will be contained and could be possibly breeding sites of mosquitoes and if there is no stagnant water rodents could also breed w/in those areas. Instruct also the family to burn or place old dayami in the compost fit that could be used as organic fertilizer so not for mosquitoes and rodents to stay there. Tell the family that the manure of their animals should be dried under the heat of the sun to be used as an organic fertilizer instead of being dup in one area on the front side of their house, still moist and wet that causes flies to be numerous w/in their environment. Educate the family that they should clean their

surroundings always and do all of the measures sited above to eradicate vectors of different diseases and to reduce occurrence different diseases.

5c.Improper drainage system

1. Inability to recognize presence of problem due to insufficient knowledge about the dangerous effects of having an improper drainage system. 2. Inability to provide a home environment which is conducive to health maintenance and personal development due to: Failure to see benefits of garbage disposal Inadequate knowledge of the importance proper waste disposal

After nursing intervention, the family will take necessary measures to have a proper and sanitary drainage system within 2 months.

After the nursing intervention, the family will: Tell the family that Able to plan the having an open Home Visit appropriate drainage system is not drainage for proper and unsanitary them to be use; and additionally it is Have an not safe to their health appropriate and Instruct the family to safe drainage not to throw left over system foods on their drainage Be able to area to lessen flies and recognize the other vectors of harmful effects of diseases to improper accumulate on that drainage system. area. Encourage the patient that they should dig a hole in the ground where the tube w/c is connected to the lavatory will be placed so that the flow of water, other materials and fluids will be blind or sanitary.