KABARAK UNIVERSITY

SCHOOL OF MEDICINE AND HEALTH SCIENCES.

NURSING DEPARTMENT

NURS 316: COMMUNITY HEALTH NURSING III

FAMILY NURSING REPORT

FAITH JEROP

NUR/MG/2653/09/20

PERIOD 30TH OCTOBER-15TH NOVEMBER,2024.

ACKNOWLEGEMENT
First and foremost, I would like to express my deepest gratitude to God, the Almighty for his
countless blessings, guidance, and strength throughout this journey. I would also like to
appreciate Mbale Rural Regional Hospital for granting me the opportunity to participate in the
family health visits, their support and guidance has been valuable, and I am truly grateful for the
chance to contribute to the family’s health and wellbeing. I would also like to express my
gratitude to my client for allowing me to fulfill my family assessment objectives.

FAMILY VISIT REPORT

INTRODUCTION
Family health is a state of positive dynamic interaction between family members which enables
each member of the family to experience optimal physical mental social and spiritual wellbeing
whether disease or infirmity is present or not (WHO). Through family nursing, the household
serves as the primary level of care within the community. Family health nurses act as a bridge
between households and healthcare facilities. Additionally, family nurses provide education and
support to families, helping them manage health conditions and, make informed decisions about
their health care.
POINT OF ENTRY
I identified the client on 29TH October,2024, when she came to the hospital accompanied by her
mother, for treatment since she had severe headache, fever and common cold. My client goes by
the name M.M, a 40-year-old lady.
OBJECTIVES OF FAMILY NURSING
1. To conduct a comprehensive assessment of the family health status, including physical,
mental and social health.
2. To plan and provide health services with the active participation of the family members.
3. To promote healthy behaviors and practices within the family to improve quality of life.
4. To provide health education to the family according to their health needs and concerns.
5. To conduct home assessment and collaboratively, work with the family to make necessary
changes.
PRE-VISIT REPORT.
During my visit to the client’s homestead, on 30th October,2024, I identified my client, Mrs.
M.M.A, who resides in Lunyerere, Mbale. I chose her as my entry person to the family because
she has her mother as an elderly member of the household, representing a vulnerable population
in the community. This connection made it easier to establish rapport, as both were receptive and
open to discussion. Lunyerere is an area known for its community spirit and accessibility to
healthcare services, which makes it an ideal location for my study. To create rapport with Mrs.
M.M.A, I engaged her in friendly conversation about her experiences and actively listened to her
concerns, establishing a trusting relationship that encouraged open communication. During the
pre-visit, I obtained the patient’s contacts to make communication easier.
Family name: Omar Asumira Musoda
Residence: Lunyere, Mbale, Vihiga subcounty in Vihiga county.

REPORT ON FIRST HOME VISIT

DATE:3RD NOVEMBER,2024
REPORT ON INITIAL HOME VISIT.
OBJECTIVES OF THE FIRST VISIT;
1. To recognize, identify, and document all family members.
2. To perform a home assessment using the provided tool.
3. To determine the health needs of the family.
4. To create a nursing care plan in collaboration with the family based on the information
gathered.

b) FAMILY ROLE RELATIONSHIP.

The members of the family each play distinct roles that contributes to meeting the family’s
various needs. For instance, parents play roles in providing finances while the children take
the responsibility of managing the home, ensuring day-to-day needs are met such as cooking
and cleaning.
 SURNAME: OMAR ASUMIRA
PERSONS LIVING IN THE HOUSEHOLD:6
NUMBER FAMILY AGE SEX RELATIONSHIP EDUCATIONAL HEALTH IMMUNIZATION
MEMBERS STATUS STATUS STATUS OF UNDER 5
YEARS AND
ANCMOTHERS
1 O.M. A 48 M FATHER CLASS 3 WELL N. A
2 M.M. A 40 F MOTHER NONE ARTHRI N. A
TIS
3 H.C 23 M SON FORM 4 ASTHM N. A
A
4. J.M 21 F DAUGHTER CLASS8 WILL N. A
5. J.M 16 M SONG FORM 1 WELL N. A

6. A.M 2 F GRAND- NOT STARTED WELL FULLY

DAUGHTER SCHOOL YET OMMUINIZED
ASPER KEPI
SCHEDULE

FAMILY COMMUNICATION PATTERN

The family enjoys strong relationships, which foster effective communication. Each member
values and respects the opinions of others, even in moments of disagreement. They've cultivated
a supportive atmosphere where everyone feels safe to share their thoughts and emotions without
fear of being judged. When challenges arise, the family employs a collaborative approach to
resolve issues. Conflicts are addressed constructively by focusing on the problem rather than
assigning blame. This healthy communication style has deepened their understanding of each
other's emotions and has allowed them to live harmoniously.
FAMILY SOURCE OF INCOME
Financially, the family is supported by one of the son and daughter, who provides for their
education, food, and other essentials. They regularly send money, which the family carefully
budgets to manage their living expenses. The parents also earn daily wages which contributes to
the family’s income and they budget according to family needs and priorities.
FAMILY SOCIAL RELATIONS
The family enjoys strong and positive social relationships with both their neighbors and in-laws.
They engage in regular interactions, fostering a sense of community and support. With their
neighbors, they share mutual respect, often helping one another and participating in local
gatherings or events. This friendly rapport creates a welcoming atmosphere in their
neighborhood. Similarly, their relationship with in-laws is characterized by warmth and
cooperation, with open lines of communication and shared values. They make an effort to
maintain close ties, offering support during times of need and celebrating special occasions
together, further strengthening family bonds and creating a sense of unity and belonging.

FAMILY HOME ASSESSMENT

The family resides in a semi-permanent house with a chipped floor and poor ventilation, as there
is only one small window. Despite the ventilation challenges, the house has proper lighting,
which helps maintain some level of comfort. For cooking, the family relies on firewood as their
primary fuel source.
WASTE MANAGEMENT
The compound has one latrine and one bathroom. The latrine is clean and there is water in a
bucket. The bathroom is always clean. There is no handwashing after visiting the toilet. The
family has a compost pit behind the house some distance away near their maize farm, which is
filled with maize stalks that fell during the rains. However, they also throw away waste
everywhere in the compound.
FAMILY NUTRITIONAL METABOLIC PATTERN.
The family typically has two to three meals a day, helping them maintain a consistent eating
routine. Their meals primarily consist of ugali and traditional vegetables, which offer essential
nutrients and reflect their cultural dietary preferences. They also have cooked bananas and beans.
They get access to fruits such as mangoes and oranges once in a while.

FAMILY ACTIVITY AND EXERCISE PATTERN

The family engages in their day-to-day activities like cooking, going to fetch water from the
river. The children play their games.

FAMILY BELIEF SYSTEM

They normally go to the mosque. They believe that health is the absence of a disease and there
are minimal cultural beliefs regarding witchcrafts barely uses herbal medications for health care.
FAMILY STRESS COPING PATTERN
The family copes with stress through open communication and shared prayer, fostering
emotional support and spiritual resilience. By discussing their challenges together, they create a
sense of unity and understanding, allowing each member to feel heard and supported. Prayer
serves as a source of comfort and hope, reinforcing their faith and providing a sense of guidance
during difficult times.
FAMILY HEALTH PRACTICES PATTERN
The family demonstrates good health practices by seeking medical attention at the hospital
whenever they feel unwell, ensuring timely intervention for their health concerns. For mild
issues such as headaches, they rely on over-the-counter medication, reflecting a practical
approach to minor ailments. However, they do not treat their drinking water, which may pose a
risk to their health. Additionally, the family lacks health insurance, which could limit their access
to healthcare in the event of major medical expenses.

FAMILY NURSING CARE PLAN

FAMILY NAME: OMAR ASUMIRA
COMMUNITY NURSE: JEROP FAITH
DATE: 3/11/2024

ASSESSM NURSIN GOAL NURSING RATION IMPLEMENTA EVALUAT

ENT G S INTERVENT ALE TION ION
DIAGNO IONS
SIS
Subjective Risk for The Conduct a To obtain Student nurse The family
data: infection family thorough baseline Faith assessed the members
The family related to will assessment on information family health have not yet
does not boil poor remain the family health to come up practices and fully
water for lifestyle. free practices with educated them on embraced
drinking from appropriate several health drinking
Objective infection intervention practices on the boiled water,
data: s importance of they have a
Disposal of boiling water for compost pit
waste is done Educate the To promote drinking, proper in the farm.
everywhere family on the effective waste disposal,
in the importance of health hygiene both on
compound. boiling drinking practices. self and hands.
water, proper
waste disposal,
hand hygiene
and personal
hygiene.
To diagnose
Conduct early infections at
screening for an early
common stage and
infections. intervene
before
 disease
progression.

Objective Knowledge Patient Educate the To have an Student nurse The family
data: deficit will patient on understandi Faith educated demonstrated
Client asking related to participa general ng on the The family on to have
a lot of limited te in knowledge about risk factors, general health and grasped
questions education learning health and signs and the importance of information
related to as process management of symptoms pursuing health on general
health in evidenced and peptic ulcers and practices and also health
management by patient demonst disease. managemen educated the client measures and
of peptic asking a lot rate the t of peptic on management of management
ulcers of lessons ulcers peptic ulcers of peptic
disease. questions learnt. disease. disease. ulcers
related to disease.
health,
particularly
peptic
ulcers
disease.
Lack of a Inadequate Client Explain the Explaining I explained the Client
health family will benefits of health the benefits benefits of health successfully
insurance resources identify insurance in of health insurance in supplies for
at least managing insurance in managing health
of care
one healthcare costs. managing healthcare costs insurance and
related to potential healthcare and provided commits to
financial health costs helps information about maintaining
constraints insuranc the affordable coverage
as e Provide understand insurance plans
provider information importance such as the social
evidenced
within about affordable of health health fund
by the lack insurance plans
two insurance
of a health and how to
weeks.
insurance apply.

Encourage the
client to save
money regularly
to ensure timely
payment of
premiums.
REPORT ON SECOND HOME VISIT
I conducted the second visit on 25th October 2023. The purpose of this visit was to support the
family in implementing interventions from the nursing care plan based on the health needs
identified during the first visit. These interventions included:
1) Educating the family on the significance of regular hand washing to reduce cross-
contamination and eliminate microorganisms that can cause diarrhea and enteric fever.
2) Demonstrating the correct hand washing technique to family members, covering all the
necessary steps using soap and running water.
3) Informing the family about the dangers of consuming untreated water, which can lead to
waterborne diseases like typhoid and cholera, potentially resulting in severe consequences if not
addressed.
4) Discussing water treatment methods with the family and implementing the most appropriate
options; they chose boiling as their preferred method.
5) Providing education on conditions such as peptic ulcers and malaria, including their causes,
symptoms, risk factors, and management strategies. I advised the family on the importance of
sleeping under treated mosquito nets, clearing vegetation around their home, and using malaria
prophylaxis. Additionally, I offered guidance to the mother on stress management, dietary
choices, and avoiding aspirin and NSAIDs for managing peptic ulcers.
6) Collaborating with the family on establishing a safe waste disposal area and exploring
potential methods for effective waste management.

REPORT ON THIRD HOME VISIT

I conducted the third visit on 23rd June 2023 alongside the clinical instructor, Mr. Benson
Kimutai. The aim of this visit was to assess the family's progress and identify areas for
enhancement. Mr. Benson asked about the family's advancements, and the client reported that
they have begun treating their drinking water through boiling and chlorination. Additionally,
there were noticeable improvements in general sanitation practices among family members. The
family also showcased their understanding of proper hand washing techniques and knowledge of
waterborne illnesses. I concluded the visit by expressing my gratitude to the client and
connecting her with the facility in case of inquiries regarding her family's health.
CONCLUSION
The home visits offered an excellent chance to improve my skills in assessing families. The
primary obstacle I faced during this activity was the considerable distance to the client's location.
However, these visits helped me recognize that family assessment and treatment are vital parts of
community health. I realized the crucial role that households play as the foundational level of
care for the community, which ultimately contributes to a healthy county and a healthy nation.