amela is a PHN at the Rural Health Unit. She met 26-year-old Isa Fable, married, 6 months pregnant with her first child, in an Outreach Health Program visit at an ambulatory clinic in the Barangay where the Fable Family was residing. Assessment: Jamela found out that Isa never had a prenatal consultation. She also noted that Isa was underweight, with a weight of 48 kg. and a height of 155cm. When Jamela asked Isa where she plans to deliver her baby, she replied that she would probably have a home delivery under the care of the local “hilot” because professional attendance would be too expensive for them. Isa explained that she came to the ambulatory clinic upon the prodding of her husband who heard about the health workers’ visit to the barangay. To assess the Fable's home situation and to teach Isa health practices related to her pregnancy, Jamela asked Isa if she could make a home visit. Isabel agreed with Jamela on a home visit schedule, stating that she wanted to learn more from Jamela to prevent problems with her pregnancy and delivery. When Jamela made the home visit, she noticed that Isa lived with her 32-year old husband Juanito, who was at work at the time of the visit. He was the sole breadwinner of his family- a construction worker earning the daily minimum wage. Isa described her husband as hardworking. They lived in a rented shack of mixed materials with a bedroom, a bathroom and a toilet, and a multipurpose room (living room, dining room and kitchen). Isa’s activities consisted mainly of household chores. Sometimes, she would spend time at the homes of some friends and relatives residing in the neighborhood. In the course of the interview, Jamela found out, that Isa had inadequate knowledge about community health services, prenatal nutrition, preparation for childbirth, and infant care. Isabel said that she and her friends and relatives sometimes talked about such matters, but the information given was confusing and conflicting. Aside from palmar pallor and underweight, other findings during the physical examination were normal. When asked about her diet, Isa told Jamela that she limits her food intake because she do not want to have a caesarean section, which may be needed if the baby grew big. Formulate a family nursing care plan based on the situation
Jamela is a PHN at the Rural Health Unit. She met 26-year-old Isa Fable, married, 6 months pregnant with her first child, in an Outreach Health Program visit at an ambulatory clinic in the Barangay where the Fable Family was residing.
Assessment:
Jamela found out that Isa never had a prenatal consultation. She also noted that Isa was underweight, with a weight of 48 kg. and a height of 155cm. When Jamela asked Isa where she plans to deliver her baby, she replied that she would probably have a home delivery under the care of the local “hilot” because professional attendance would be too expensive for them. Isa explained that she came to the ambulatory clinic upon the prodding of her husband who heard about the health workers’ visit to the barangay. To assess the Fable's home situation and to teach Isa health practices related to her pregnancy, Jamela asked Isa if she could make a home visit. Isabel agreed with Jamela on a home visit schedule, stating that she wanted to learn more from Jamela to prevent problems with her pregnancy and delivery. When Jamela made the home visit, she noticed that Isa lived with her 32-year old husband Juanito, who was at work at the time of the visit. He was the sole breadwinner of his family- a construction worker earning the daily minimum wage. Isa described her husband as hardworking.
They lived in a rented shack of mixed materials with a bedroom, a bathroom and a toilet, and a multipurpose room (living room, dining room and kitchen). Isa’s activities consisted mainly of household chores. Sometimes, she would spend time at the homes of some friends and relatives residing in the neighborhood. In the course of the interview, Jamela found out, that Isa had inadequate knowledge about community health services, prenatal nutrition, preparation for childbirth, and infant care. Isabel said that she and her friends and relatives sometimes talked about such matters, but the information given was confusing and conflicting. Aside from palmar pallor and underweight, other findings during the physical examination were normal. When asked about her diet, Isa told Jamela that she limits her food intake because she do not want to have a caesarean section, which may be needed if the baby grew big.
Formulate a family nursing care plan based on the situation.
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