Situation: Josefina Rivera is a public Health Nurse at the Rural Health Unit. She met 26-year-old Susan Yap, married, 6 months pregnant with her first child, in a Garantisadong Pambata (outreach health services) visit at an ambulatory clinic in the barangay where the Yap family was residing. Josefina found out that Susan never had a prenatal consultation. She also noted that Susan was underweight, with a weight of only 48kg and a height of 155 cm. When Josefina asked her 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. Susan 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 Yaps’ home situation and teach Susan health practices related to her pregnancy, Josefina asked Susan if she could make a home visit. Seemingly pleased with Josefina’s attention, Susan agreed with Josefina on a home visit schedule, stating that she wanted to learn more from Josefina to prevent problems with her pregnancy and delivery. When Josefina made the home visit, she noted that Susan lived with her 32-year-old husband Mario, who was at work at the time of the visit. He was the sole breadwinner of his family – a construction weoker earning the daily minimum wage. Susan described her husband as hardworking. They lived in a rented shack of mixed materials with a bedroom, a bathroom and toilet, and a small multipurpose room (living and dining room and kitchen). Susan’s activities consisted mainly of household chores. Sometimes, Susan would spend time at the homes of some friends and relatives residing in the neighborhood. In the course of the interview, Josefina found out that Susan had inadequate knowledge about community health services, prenatal nutrition, preparation for childbirth, and infant care. Susan said that she and her friends and relatives sometimes talk about such matters, but the information given was confusing and conflicting. Aside from palmar pallor and underweight, other findings during physical examination were normal. When asked about her diet, Susan told Josefina that she limited her food intake because she did not want to have a caesarian section, which may be needed if baby grew too big.  Question :With this given scenario, create the 5 phases of Family Nursing Process. 1. ASSESSMENT 2. FAMILY NURSING DIAGNOSIS 3. PLANNING (FORMULATION OF GOALS AND OBJECTIVES 4. IMPLEMENTATION 5. EVALUATION

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
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Situation: Josefina Rivera is a public Health Nurse at the Rural Health Unit. She met 26-year-old Susan Yap, married, 6 months pregnant with her first child, in a Garantisadong Pambata (outreach health services) visit at an ambulatory clinic in the barangay where the Yap family was residing. Josefina found out that Susan never had a prenatal consultation. She also noted that Susan was underweight, with a weight of only 48kg and a height of 155 cm. When Josefina asked her 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. Susan 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 Yaps’ home situation and teach Susan health practices related to her pregnancy, Josefina asked Susan if she could make a home visit. Seemingly pleased with Josefina’s attention, Susan agreed with Josefina on a home visit schedule, stating that she wanted to learn more from Josefina to prevent problems with her pregnancy and delivery. When Josefina made the home visit, she noted that Susan lived with her 32-year-old husband Mario, who was at work at the time of the visit. He was the sole breadwinner of his family – a construction weoker earning the daily minimum wage. Susan described her husband as hardworking. They lived in a rented shack of mixed materials with a bedroom, a bathroom and toilet, and a small multipurpose room (living and dining room and kitchen). Susan’s activities consisted mainly of household chores. Sometimes, Susan would spend time at the homes of some friends and relatives residing in the neighborhood. In the course of the interview, Josefina found out that Susan had inadequate knowledge about community health services, prenatal nutrition, preparation for childbirth, and infant care. Susan said that she and her friends and relatives sometimes talk about such matters, but the information given was confusing and conflicting. Aside from palmar pallor and underweight, other findings during physical examination were normal. When asked about her diet, Susan told Josefina that she limited her food intake because she did not want to have a caesarian section, which may be needed if baby grew too big.  Question :With this given scenario, create the 5 phases of Family Nursing Process. 1. ASSESSMENT 2. FAMILY NURSING DIAGNOSIS 3. PLANNING (FORMULATION OF GOALS AND OBJECTIVES 4. IMPLEMENTATION 5. EVALUATION 
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