24761260 Family Case Study

7/27/2019 24761260 Family Case Study

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Chapter I

INTRODUCTION

The family is the nucleus of civilization.

-Ariel and Will Durant: Wisdomquotes.com

The family is the smallest unit of the society and the natural fundamental

core of the community and consequently, it is considered as the primordial

recipient of the nursing effort, which is contributory to the development, and

progress of the community through active involvement and self responsibilities

of each constituent. It is composed of persons, male and female, being molded to

be as one, working hand in hand to maintain a good atmosphere among the

family members.

A nucleus controls the functions of the entire cell and can be thought as

the command center of the cell. The nucleus as well has different components

which are all needed in order for it and the cell to function well, same as with the

commander or the head of the family and the members who has different

functions within the family.

The impression or status of each family will always affect the status of the

community as a whole. Community health nursing is a response to the health

needs of the people. It does not focus on a particular class or family. It is

comprehensive and general in approach. Community health service is not

episodic as it requires continuous observation and monitoring of the community

as a whole. Promotion and preservation of the health of its different clients


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(individual, family, group or community) is the primary goal of community health

nursing.

The community is a group of people sharing geographic boundaries

and/or values and interests. (Maglaya, 2004) No two communities are alike. A

nurse exposed in the community learns how to interact and adapt to different

kinds of people. The family is considered as the basic unit of care in the

community health nursing. It is in the family where a member develops his

health values, beliefs and practices. The family is a major influence in the

health behaviors of an individual. With this, it is important that families in a

community are aware of the things and practices pertaining to their health.

It is apt to say that community health nursing has a big role in the

nursing education. It is in the community where the student nurse learns

nursing apart from the hospital setting as she was exposed to different level of

orientation. It is in the community where the saying nursing is an art can be

applied as a student nurse tries to give quality service using the available

resources in the health center.

` Conducting a family case study is a means by which student nurse

reaches and feels the community through its basic structure the family. It is a

tool in determining the health status of a family through assessment and critical

inspection. Through this, health related problems are identified, thus giving the

student nurse a hint on where to act and how to intervene. It is also a means

towards improving the health of the community people, making them more

productive. To come up with a family case study gives a sense of fulfillment to a


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student nurse as she was given the opportunity to share their skills, knowledge

and time to alleviate and uplift the living condition of a family.

The family that was chosen by the student nurse is a picture of the

majority of the family here in our country: a family living in a poor environmental

condition without enough resources and lacks knowledge on vital health

information and experiences other socio-economic related problems. Though

tiring as it is, reaching out to this family and mingling with them makes the

student nurse feel the sense of fulfillment as she share her knowledge, skill and

time to aid in uplifting the condition of the family.


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Chapter II

OBJECTIVES OF THE STUDY

This chapter presents the general and specific objectives of this

family case study. Setting objectives provides direction for planning a family

nursing intervention. It facilitates motivation for the client and the nurse by

providing a sense of achievement. (Kozier, Erb et. al., 2004).

General Objectives:

At the end of the student nurse-family relationship, the adopted

family will be able to improve their health status and become self-reliant in

maintaining their health through appropriate interventions in a given time frame.

Specific Objectives

After 1 month of home visits and student nurse-family interaction, the

family should be able to:

Established rapport and trust with the student nurse.

Give pertinent and factual information during surveys and

interviews

Participate actively during home visits and assessment interviews

Identify actual and potential problems which may be a hindrance in

attaining optimum health.


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Categorize the identified health problems as health threat, health

deficit or foreseeable crisis through the assistance of their student-

nurse.

Prioritize the identified family health nursing problems with the

assistance of their student nurse.

Plan possible solutions or nursing actions to the prioritized health

problems.

Generate interventions considering the student nurses capabilities,

community and the familys resources.

Carry out the planned interventions together with the student nurse

Perform the health teachings taught by the student nurse

Evaluate the effectiveness of the intervention using the set

objectives as a basis, and

Evaluate changes in condition after giving interventions.


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Chapter III

INITIAL DATABASE

A. Family Structure, Characteristics, and Dynamics

Name Age Sex CivilPosition inthe Family

OccupationEducationalAttainment

Mr.V

30 Male Married Father Farmer Elem. Level(Grade 3)

Mrs.V

29 Female Married Mother(Respondent)

Housewife Elem Grad(Grade 6)

ChildAV

11 Male Child Eldest Child Student Elem. Level(Grade 5)

ChildBV

10 Female Child Second Child Student Elem. Level(Grade 4)

ChildCV

7 Male Child Third Child Student Elem. Level(Grade 3)

ChildDV

5 Female Child Fourth Child Student Elem. Level(Grade 1)

The Family V is considered as a nuclear type of family. A nuclear type is a

typical type of family composed of a father, a mother and child/children. This type

of family structure is found in almost all societies, although the length of time in

which the family remains in this form varies even within the same society.

The nuclear family can be a nurturing environment in which to raise

children as long as there is love, time spent with children, emotional support, low

stress, and a stable economic environment. In nuclear families, both adults are

the biological or adoptive parents of their children (Jay C, 2004,).

The V family resides in Purok Daanbanwang, Upper Labay, General

Santos City. They have started living their since June of 2009. They were a


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family whose resident is always changing. They have been in Nurallah, South

Cotabato for 5 years and in Malungon for 3 years.

Mr. V and Mrs. V go hand in hand in terms of decision-making. They

consult each other in terms of planning and budgeting for their family. They

discuss matters concerning their childrens schooling financially and also with

regards to the emotional problems or aspects within the family. When problem

arises, they make sure that both of them will handle and solve the problem. But

then, in terms of matter concerning health Mrs. V is more dominant. She makes

sure that she will comply with the appropriate regimen when certain health issues

arise. She has greater awareness concerning health matters compared to Mr. V

since of course believing it is her duty as the mother. These health matters

include immunization, feeding the right food and caring for the sick member.

B. Socio-Economic and Cultural Characteristics

The V familys main source of income is coming from Mr. Vs farming. Mr.

V earns about Php 6,000.00 a month. Since Mrs. V does not work, she is in

charge of the house and in taking care of the children. Mrs. V budgets the money

in terms of food, education and miscellaneous where clothes, shoes and slippers

comes in. Out of Mr. Vs earnings, most of it goes to the familys budget for food.

The education of the children is free and they can walk from their house to the

school so only some school supplies are being bought. Usually, there is nothing

to be left for the miscellaneous expense.


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With Mr. Vs monthly income, the family strives hard to accommodate

everything they need for them to live. According to NEDA, each individual should

at least have Php 2768.60 when the total monthly income of the family is divided

among the total family members. The total monthly income of Mr. V is about Php

6, 000.00 and when divided among the 6 members, it is only Php 1, 000.00, thus,

they can be considered poor. Mrs. V also informed the student nurse that they do

not have any financial assets at hand in case of emergency. They typically

borrow money from their relatives.

Mr. V works as a farmer, he works from 3 am until 8 pm everyday. He

seldom goes home but rather stays in the farm, which is situated far away from

the familys house. Mrs. V doesnt work and stays in their house. She is the

typical housewife where in you can see her wash clothes, prepare food, sweep

the yard and make the house clean.

All of them are affiliates of Protestantism. Mrs. V mentioned that they do

not go to church anymore since they have lived in Purok Daanbanwang for the

reason that of the distance they have to travel from their place to the church.

Significant others are called such due to theirown role in ones life. They

are the ones very close to a person or group of persons. For family V, the

significant others in their lives are their relatives and some neighbors. They

usually run to their relatives if they face hardships and problems. Mrs. V also

confirmed how helpful and welcoming her neighbors are with them.


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The family has yet to participate in community activities since they are

new in the place. But way back in Nurallah, they usually partake in community

activities. These activities include fiesta, parties and carnivals.

The V Family barely enjoys the community resources since the community

itself lacks resources. The children, though, go to Purok Daanbanwang

Elementary School. The father is usually in their farm while the mother is in the

house doing household chores. The family uses the river as their means of water

source in washing their clothes. There is also a shallow well built within the river

where the family gets their water source for drinking if they get lazy in getting

water from the faucet, meters away from their house.

C. Home and Environment

The house is made of wood, mostly bamboo. Mrs. V did not know the

exact measurement of their house. Her husband knows it yet he was not there

during the interview. In order for the house to be considered as adequate, the

total floor area should be divided among the total members of the family and

each should at least have 3.5 m2.

The house only has 2 windows and can sustain the adequate ventilation

needed by the family. Mrs. V told the student nurse that their house is usually

presko since it is beside the river and the air goes to and fro freely inside the

house.


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The house has 2 rooms. The one is the sala/dining room and the other is

the bedroom, with no bed at all. Mr. and Mrs V, together with the children, sleep

in one room. They use banig in sleeping.

The V Family has only one appliance which is the radio powered by

batteries since the place has no electrical supply yet. In terms of garbage

disposal, they either bury or burn their garbage.

Mrs. V uses wood and charcoal in cooking. She is the one who prepares

the food. She cooks inside the house at the back portion. The foods that they

usually eat are fish and vegetables. The family uses plastic plates and stainless

spoons in eating. When it comes to storing their food, they just cover it with a

plate. In terms of cooking facilities the family is equip with pots, sandok, and

knives.

The river is the familys main source of water. They wash their clothes and

gets their drinking water supply there. They put their water in a big container with

cover. They usually dont go and get water from the faucet in the purok since,

according to Mrs. V, it is far from their house. They usually dont sterilize their

drinking water supply.

V Family has no comfort room. They usually urinate and remove bowels

anywhere near their house. They have not yet built their own comfort room since,

according to Mrs. V, they are still new in the community and has no enough

budget for it yet.

The drainage system of the family is an open type where in the drainage

flows anywhere and is continuous. It is dirty and has a stinky smell. There is


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some rice grains noted. There is no obstruction present at the drainage system

since it is open and flows anywhere.

The family does not own any transportation facilities. They ride on a

jeepney or truck in going to the city proper. When they go to their farm or any

purok within Upper Labay, they usually walk kilometers.

The family has one chicken and a dog. There are vegetables planted near

the house.

D. Health Assessment of Each Family Member

D1. PAST AND PRESENT ILLNESS

1. Health Assessment on Each Member

A. Mr. V The student nurse has never met Mr. A since he was in their farm

during the interview. Mrs. V, however, told us that she thinks her husband has

never undergone immunizations at all since it was not that important before.

Mrs. V said that her husband is about 54 tall and weighs about 55 kilograms.

His BMI reveals normal weight with a value of 20.8. Mrs. V told the student

nurse that her husband has no genetic or hereditary illness known. He is not a

smoker. He drinks alcohol rarely since they have no budget for that.

B. Mrs. V She has no degenerative, chronic, or infectious diseases as of

the present time. She has also not completed immunizations. When she was

still 4 years old, she experienced chicken pox. She is 5 feet and 3 inches and

weighs 60 kilograms. Her BMI reveals normal weight with a value of 23.4. She

has no complaints as of the present time and has not taken any medications


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as of the moment. At times of illness, she would just drink paracetamol for

fever and mefenamic acid for pain or treat wounds with crushed plants coming

from their backyard. The family is not using family planning anymore.

C. Child AV has no any degenerative, chronic, or infectious diseases as of

the present time. He has not completed immunizations. He is 4 feet and 10

inches and weighs 38 kilograms. He likes to eat vegetables and fish.

D. Child BVhas no any degenerative, chronic, or infectious diseases as of

the present time. She has not completed immunizations. She is 4 feet and 7

inch tall and weighs 36.5 kilograms.

E. Child BVhas no any degenerative, chronic, or infectious diseases as of

the present time. He has not completed immunizations. He is 4 feet and

weighs 33 kilograms.

F. Child DV has no any degenerative, chronic, or infectious diseases as of

the present time. She has complete immunizations. She is 3 feet and 11

inches tall and weighs 17 kilograms. She appears thin. This child has many

allergies and there are rashes still seen on her legs.

FAMILY ASSESSMENT BASED ON FUNCTIONAL HEALTH PATTERN

1. Health Perception-health management patterns

With no known vices like smoking and drinking except for Mr. V who

drinks alcohol rarely.

Was able to recognize the importance of having a healthy well-being.

Uses herbal plants, though not approved by the DOH, from their backyard


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2. Nutritional-metabolic pattern

Do not take any food supplements or vitamins

Daily food intake is mainly rice, fish and vegetables

Children eat junk foods whenever they were given money

Children have poor appetite according to Mrs. V

3. Elimination pattern

Eliminates everyday with an average frequency of urine: 5 times

According to Mrs. V, all of the family members have no difficulty in voiding.

The family members defecate everyday and some, every other day with

no difficulty in defecating noted.

4. Activity-exercise pattern

Dili nami makaexercise kay daghan mi trabaho labi na pagbuntag

verbalized by the mother.

Family preferred to stay at home and take a nap if they have free time

while their children play with other children in the community after class.

5. Sleep-rest pattern

Family usually has 7-8 hours of uninterrupted sleep according to the

mother.

They usually sleep at around 9 in the evening and wake up at around 4 to

5 in the morning.

They also take a nap at free time.

6. Cognitive-perceptual pattern


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Was oriented to time, place and is able to identify people and significant

others by their first names.

Was able to respond accordingly and correctly to questions. Retaliates as

soon as he can and was able to rationalize. Verbal pattern and

spontaneity normal

Memory intact

No sensory defects

7. Self-perception/self-concept

Showed apprehension and worry towards unspecific consequences.

Perceived situations (health deficits) to be very stressful but remain

passive about things and condition.

8. Roles and relationship

Family members have an open communication and able to discuss their

problems according to the mother.

9. Sexual reproductive

Both parents are still in the reproductive age

The parents are separated as of the moment since the father is in their

farm and the mother is in the house

10. Coping Stress

Gains strength in the assurance and guarantee provided by family

members.


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11. Values/ Beliefs Pattern

The family is Protestant in faith. Expressed great belief and faith in God. Is

certain that the Divine providence would protect them from any

unidentified and possibilities of harm.

Does not go anymore to church since they are situated far away from the

place of worship they attend

E. Values, Habits, Practices on Health Promotion, Maintenance and Disease

Prevention.

The children in the family has not all completed their immunization. All the

children in the family were dewormed last March 2008.

The family has adequate rest and sleep. They sleep early and wake up

early, the usual time of sleeping is 9pm and they wake up at around 4 to 5am.

Mrs. V stated that farming, doing the household chores, and walking are their

ways of exercise. The father is in the farm. The mother usually does the

household works and talks with the neighbors during free time. The children are

either in school or are playing with other children in the community.

The mother recognizes the importance of health in the family, however,

because of financial constraints made them ignores any major health problems

that may arise. Furthermore, they were not able to sustain sufficient supplies of

medication or articles which they would need related to their health care needs.

They often use alternative medicines or herbal medicines for treating their illness

and habitually self-medicate if OTC medications are available. The family


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believes in the power of herbal plants. They occasionally use herbal plants

lodged near the house in treating diseases or symptoms in the family since their

transfer from Nurallah. Mrs. V said that she had no choice but to use these plants

for the reason that the barangay health center is far away from their home. But if

the symptoms manifested by the family member become severe, they

immediately go to the health center or to the hospital.


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Chapter IV

FAMILY BACKGROUND

This chapter illustrates the family background of the study which includes,

Database of the Respondent, Family Tree, General Household Data, Activities of

Daily Living which could be an indicative for the present health status of the

family as it continues to influence the each of the family member.

Family History

Family V is composed of 6 members Mr. V is the father, Mrs. V as the

mother, children AV, BV, CV and DV are the kids. Mr. V is the head of the family.

He is 30 years old. Mrs. V, his wife is 29 years old. Child AV, as the eldest son is

11 years old, child BV is 10 years old, child CV is 7 years old and child DV is 5

years old.

Mr. V was born and grew up in Purok Daanbanwang, Upper Labay,

General Santos City. His father was a farmer and his mother was a housewife.

He has 9 siblings and he is the eldest. He is a Blaan. He was able to go to

school up to grade 3 year level. After that he did not continue schooling in order

to help his parents look for money for their household expenses.

Mrs. V was born and grew up in Malungon, Sarangani Province. Her

father is a farmer and her mother is a housewife. 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 in looking money for their household


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Mr. V and Mrs. V met in Malungon, Sarangani Province through friends of

friends. They become a couple and after 3 months, they got married. They

resided in Malungon for 3 years, then transferred to Upper Labay for 6 months.

They again transferred to Nurallah, South Cotabato and stayed there for another

5 years and came back Upper Labay just this June of 2009

Data Base of the Respondent

The respondent upon interview is the mother in the family.

NAME : Mrs. V

AGE : 29 years old

GENDER : Female

ADDRESS : Purok Daanbanwang, Upper Labay, General

Santos City

BIRTH PLACE : Malungon, Sarangani Province

RELIGION : Protestant

OCCUPATION : Housewife

CIVIL STATUS : Married

NATIONALITY : Filipino

NO. OF CHILDREN : 4

EDUCATIONAL ATTAINMENT: Elementary Graduate

ESTIMATED MONTHLY INCOME: none

NAME OF HUSBAND: Mr. V


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B. Family Tree

C. General Household Data

1. Total No. of Children: 2

2. List of Household Members

Members Status OccupationSex

Educ.Attainment

ReligionPosition in theFamily

Imm.Status

NS

Mr. V Married Farmer M Elem. level Protestant Father INC NA

Mrs. V Married Housewife F Elem Grad Protestant Mother INC NAChild AV Child Student M Elem. level Protestant 1

st

ChildINC NA

Child BV Child Student F Elem. level Protestant 2n

Child

INC N

Child CV Child Student F Elem. level Protestant 3r

Child

INC N

Child DV Child Student F Elem. level Protestant 4t

ChildCOM N

Mrs.V

Mr.V

ChildAV

ChildCV

ChildBV


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Chapter V

FAMILY COPING INDEX

This chapter depicts the actual observation of the family behavior and

practices in contrast to the ideal family attitude and behavior. It includes an

assessment on how the family handles various stressors. The observations are

analyzed to see occurrence of health problems or negative attitudes and

behavior.

CRITERIA IDEAL ACTUAL

Rating

JUSTIFICATION

1. PhysicalIndependence

Is concerned withability to moveabout, to get out ofbed, to take care of

daily grooming,walking, etc.

The members areall able to movewithoutassistance anddifficulty. They do

their activities ofdaily living withoutaid. They areindependent inmoving about andusing theirmusculoskeletalsystem.

5 There are noabnormalities in thephysicalindependence of the

family members.Every member has nonoted disabilities ordisparities in movingand/or doing their

ADL.

2.

TherapeuticCompetence

Includes all of the

procedures ortreatmentsprescribed for thecare of illness suchas givingmedications, usingappliances,dressing, exercise,

The parents are

aware on what todo if a memberfells ill. However,due to financialproblems anddistance of thehealth center,they cannot

3 The parents are aware

of their lapses intherapeuticcompetence. They aresentient of theirfinancial difficulties,which is the primaryreason for not havingor following the


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relaxation, specialdiets, etc.

provide enoughand/orappropriateinterventions.

Although, they

use herbal plants,those plants arenot approved bythe DOH.

appropriate procedureor treatment, havingappliances and evenenough clothes for thechildren.

3.Knowledgeof HealthCondition

Concerned with theparticular healthcondition that is theoccasion for caresuch as knowledge

of the disease orinability tounderstandcommunicability ofdiseases and modeof transmission.Understanding thegeneral pattern ofdevelopment ofnewborn baby andbasic needs of

infants for physicalcare.

The mother isknowledgeable onsalient healthissues andresponsibilities.

Yet due tofinancialproblems, healthissues areoverlooked.

2 Though the motherrecognizes pertinenthealth issues, shedoes not regard it asimportant at all. This

could be detrimental tothe lives of themembers especiallythe children.

4.Applicationof Principlesof GeneralHygiene

Concerned withfamily action inrelation tomaintaining familynutrition, securingadequate rest andrelaxation for family

members, carryingout acceptedpreventivemeasures(immunizations,medical appraisal,safe home-makingin relation to storing

The family sleepswell and eatsnutritious foodeveryday. Buttheir source ofwater is nothealthy at all.

They do notpracticesterilization norhealthy habits infood storage andpreparation.

2 Even though aware ofhygienes importance,the family does notpractice good hygienicskills. Yes they take abath everyday buttheir source of water,

eating habits andmaintenance ofhealthy lifestyle arenot taken intoconsideration thatmuch.


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and preparing offood).

5. HealthAttitudes

Concerned with theway the family feels

about health care ingeneral, includingpreventive services,care of illness, andpublic healthmeasures.

The parents areconcerned about

the health of themembers of thefamily yet they donot participateactively inmaintainingoptimum healthdue to financialconstraints. Also,the family lacksinformation

regarding healthylifestyle andhealthful waystowardimprovement oflife.

1 Parents, as much aspossible, want to

protect their childrenfrom any harm butthen, they lack moneyand information forthem to carry out theright health care forthe family

6. EmotionalCompetence

Has to do with thematurity andintegrity with which

the members of thefamily are able tomeet the usualstresses andproblems of life, andto plan for happyand fruitful living.The degree to whichindividuals acceptthe necessarydisciplines imposed

by ones family andculture. Thedevelopment of theindividualsresponsibilities anddecision.Willingness to meetreasonable

The family arecompetentenough

emotionally. Theysee stress justlike any otherfamily does. Theparents takeresponsibility forthe children. Theydiscipline themand teach themthe morals of life.

5 The family livesharmoniously at home.Even though conflicts

arise, they really seeto it that they woulddiscuss each concernin a calm manner.


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obligations, toaccept adversitywith fortitude, toconsider the needsof others as well as

ones own.

7. FamilyLiving

Concerned with theinterpersonal orgroup aspect offamily life. Thefamily members getalong with oneanother, the ways inwhich they make

decisions affectingthe family, thedegree to whichthey support oneanother and dothings as family, thedegree of respectand affection, andthe ways in whichthey manage thefamily budget.

There is highconcern within thefamily, especiallywith regards totheirinterrelationshipwith others. Theparents discuss

decision- making.

The children arenot yet open forsuggestion todecision-makingsince they are stillyoung and difficultto comprehendtheir currentsituations.

3 Others respectindividual relationshipsof each member of thefamily. Decision-making is sharedamong its membersexcept on youngmember. Each has his

or her own part or rolein the family, which iswell respected.

8. PhysicalEnvironment

Concerned withhome, thecommunity andwork environmentas its affect familyhealth. Thecondition of thehouse such aspressure of accident

hazards, screening,plumbing, system,facilities of cooking,privacy, level ofcommunity(deterioratedneighborhood,presence of social

The familyshouse space isnot good enoughfor the family.There arepresence ofinsects, rodentsand other vectors.Their house is

also located neara creek. Theycook their foodoutside theirhouse whereinthey just useearthly pot andused wood as

2 The houseenvironment is notfitted for themespecially for thechildren, because ofthe presence of pestsand accident hazardsin their community.

Also their house is in

poor condition, thatthey can possiblyacquire seriousdiseases. Their foodstorage is unsanitary.Though it is coveredwith cloth, sometimesinsects and other


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hazards, pests),transportation ofschools andavailability.

fuel. Also a nailattached on thewood on invertedposition wasnoted. Bottles of

liquor anddecomposingwoods werenoted as well.They live in aplace wherein itsnot congested butthen thedistancesbetween theirneighbors are not

that so far fromeach other

small animals couldcrawl inside the dishorganizer. Also, thecloth that they usedwas dirty. The storage

of water has a cover,but it is still unsanitarydue to the presence ofdirt on the outside ofthe container.Having a eartly potnear the house isreally a fire hazardbecause some of thecoal fire might come incontact with their

bamboo wall and thenails attached to woodgives the possibilitythat some of theirfamily members mightstepped into it,.

9. Use ofCommunityFacilities

Degree of the familyuse and awarenessof the availablecommunity facilities

for education andwelfare.

The mother isaware of theavailableresources in the

community, bothin health andeducation. Butthey cannot utilizethe healthfacilities since it isfar from theirhouse

3 The school is the onlycommunity facility thefamily uses. Theycannot go to the

health center sincethey have to walkkilometers just to getthere.


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Chapter VI

TYPOLOGY OF NURSING PROBLEM

This chapter discusses about the problem that were identified during

assessment and interview with the family. It includes the cues/data, the family

nursing problem and the nursing diagnosis. The problems identified are

categorized into presence of wellness state, health deficits, health threats,

foreseeable crisis and stress points.

Table 4. Typology of Nursing Problems identified in Family X

Cues or Data Family Nursing Problems

Objective data:

The house of Family V is abungalow style of house. It is mainlymade up of bamboo and nipa as itsroof. The mother usually cooks at theback of the house using wood and

charcoal.

Subjective data:The mother verbalized Kaning

among balay dugay na ni siya. Gibuhatni siya sa pamilya sa akoang bana.Puro kahoy na siya ug nipa ug mgapatay na dahon sa saging. Dira kogaluto sa may likod. Mao ra jud niamong makaya kay siyempre kulangsa budget. Ang among ipahimo ug

balay, ikaon na lang namo diba

I. Accident hazards specifically firehazard, as a health threat.

A. Inability to provide a homeenvironment conducive to healthmaintenance and personal

development due to:a. Inadequate family

resources; specificallyfinancial constrains/limitedfinancial resources.

b. Failure to see benefits ofinvestment in homeenvironment improvement.

B. Inability to make decisions withrespect to taking appropriate action

due to:a. Failure to comprehend thenature, scope, andmagnitude of the problem.

b. Negative attitude towardsthe health problem.

c. Low salience of theproblem


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Objective data:The income of the family is

about Php 3000 per month. There arefive members in the family

Subjective data:Mother verbalized, Gamay rajud ang income intawon. Di na gain mikapalit sa mga sanina sa bata. Mgakinahanglan nila. Luoy kayo. Angamong pagkaon ginatama tama langpara sa amua. Isda ug mga gulay dirasa kilid among sud-an pirmi.

Objective data:The hands of the children areunclean when they ate they meal.

Subjective data:

Mother verbalized Ay mgatamad na sila manghugas ug kamot.Wala tay mahimo kay gahi man jud ugulo.

Objective data:

The family usually stores theirfood by covering it with plate andleaves it in the table

Subjective data:

Mother verbalized Dira ra mannamo na ginabutang. Wala man mibutanganan na lain. Daghan lagi kayoug langaw

Objective data:

The familys drainage is anopen type. They just throw it

II. Family size beyond what familyresources can adequately provideas a health threat.

A. Inability to make decisions withrespect to taking appropriate

health action due to:a. Inaccesability ofappropriate resources forcare such as financialconstraints.

III. Unsanitary food handling as apresence of health threat.

A. Inability to make decisions withrespect to taking appropriatehealth action due to:

a. Low salience of the problem.b. Negative attitude towards

health problem

IV. Poor home condition specificallylack of food storage facilities as ahealth threat


a. Low salience of the problem.b. Negative attitude towards

health problemc. Inaccesability if appropriate

resources for carespecifically financialconstraints

V. Poor environmental sanitationspecifically improper drainagedisposal as a health threat


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anywhere. Rice grains are notedbeside the house.

Subjective data:

Mother verbalized Dira ra man

namo pud namo na ginalabay

Objective data:

The family has no comfortroom. They just defecate and voidanywhere.

Subjective data:

Mother verbalized Mao jud na

karon kay wala pa mi kahimo. Walapay kwarta. Dra ra mi gaihi, galibangkanang walay tao

Objective data:

The family gets their water

source in the man-made shallow wellin the river. Near the river is a carabaotaking a bath and women washingclothes.

Subjective data:

Mother verbalized Dira mi sabalon gakuha ug tubig. Wala na namoginasterilize. Ok naman na siya. Layoman gud kaayo ang gripo diri saamua


a. Low salience of the problem.

b. Negative attitude towardshealth problem

VI. Poor environmental sanitationspecifically unsanitary wastedisposal as a health threat


a. Low salience of the problem.b. Negative attitude towardshealth problemc. Inaccesability if appropriate


VII. Poor environmental sanitationspecifically polluted water supply asa health threat

A. Inability to recognize presence ofcondition or problem due to:

a. Lack of knowledge

B. Inability to make decisions withrespect to taking appropriatehealth action due to:

a. Low salience of the problem.b. Negative attitude towardshealth problemd. Inaccesability if appropriate


C. Failure to utilize communityresources for health care due to:


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Objective data:

Not all children have completedtheir immunizations.

Subjective data:

Mother verbalized Isa ra lagi angnakakumpleto sa bakuna ba. Layo pa

jud ang center.

a. Inaccessibility of requiredservice due to physicalinaccessibility (location offacility)

VII. Lack of immunization statusspecially of children as a healththreat


a. Inaccesability ifappropriate resources forcare specifically financial

constraints

B. Failure to utilize communityresources for health care due to:

a. Inaccessibility of requiredservice due to physicalinaccessibility (location offacility)


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Chapter VII

PRIORITIZING PROBLEMS

This chapter shows the setting of priorities of family health problems that

has been identified. It includes a computation on how priorities were shown with

their corresponding justification.

I. Accident hazards specifically fire hazard, as a health threat.Criteria Computation Score Justification

1. Nature of theproblem

2/3 x 1 0.67 This problem is a health threat

2. Modifiability ofthe problem

1/2 x 2 1 The problem is partiallymodifiable. The only way tosolve this problem is torenovate the house, thus itneeds money.

3. Preventivepotential

2/3 x 1 0.67 The problem could bemoderately prevented. Thiscould be done if the family willbe very alert in watching outespecially if they are cookingsince the house could catchfire anytime.

4. Salience 1/2 x 1 0.5 The problem, compared withthe other problems does notneed immediate attentionsince it requires time andmoney.

Total Score: 2.84

II. Family size beyond what family resources can adequately provide as ahealth threat.

Criteria Computation Score Justification1. Nature of theproblem



0/2 x 2 0 The problem could not bemodified at all. The family sizecannot be trimmed down tosmaller size


1/3 x 1 0.33 The problem may beprevented but the family size


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cannot be trimmed down.4. Salience 0/2 x 1 0 The problem is not perceived

as a problem at all by thefamily.

Total Score: 1

III. Unsanitary food handling as a presence of health threat.

Criteria Computation Score Justification




2/2 x 2 2 The condition can be highlymodifiable. If the familyreceives the right healthteaching, attitude can bechanged for the better

3. Preventive

potential

3/3 x 1 1 The problem can be prevented

if the family is educated on theimportance of hand washing

4. Salience 1/2 x 1 0.5 The problem is not perceivedas a problem requiringimmediate attention accordingto the family since there areother health problems moreimportant

Total Score: 4.17

IV. Poor home condition specifically lack of food storage facilities as ahealth threat




1/2 x 2 1 This problem is partiallymodifiable since the familylacks resources specifically inthe financial aspect. However,appropriate health teachingsmay correct this problem


1/3 x 1 0.33 The problem is low inpreventive potential sincethere is lack of appropriate

resources that could solve this.4. Salience 1/2 x 1 0.5 The problem is not needing

immediate attention accordingto the family

Total Score: 2.5


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V. Poor environmental sanitation specifically improper drainage disposalas a health threatCriteria Computation Score Justification




2/2 x 2 2 The problem is easilymodifiable by teaching thefamily the importance ofhaving a proper drainage.


2/3 x 1 0.67 This is highly preventable if thefamily has learned theimportance of having a cleandrainage.

4. Salience 1/2 x 1 0.5 With regards to the familysperception, the problem doesnot need immediate attention

Total Score: 3.84

VI. Poor environmental sanitation specifically unsanitary waste disposal asa health threatCriteria Computation Score Justification




1/2 x 2 1 The problem is moderatelymodifiable since this problemcan only be solved withmoney.


2/3 x 1 0.67 This can be highly preventableif the family had prioritized inbuilding a toilet

4. Salience 1/2 x 1 0.5 According to the family, itplays not much importance intheir life

Total Score: 2.84

VII. Poor environmental sanitation specifically polluted water supply as ahealth threat




2/2 x 2 2 The problem is highlymodifiable since it could besolved if the family knows theimportance of sterilization.


3/3 x 1 1 The problem is preventivebecause there are ways and


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resources present in thecommunity where in the familycan have a clean water supply

4. Salience 1/2 x 1 0.5 The problem, with accordanceto the familys perception, isnot much important.

Total Score: 4.17

VIII. Lack of immunization status specially of children as a health threatCriteria Computation Score Justification




1/2 x 2 1 The problem is moderatelymodifiable since there areavailable resources such as inthe health center yet the family

cannot easil go to the healthcenter because of its longdistance from Daan Banwang


2/3 x 1 0.67 The problem is moderatelypreventive since the familycould have had immunizationway back in Malungon but alsodue to negative attitude andfinancial constraint, the familydid not seem to mind at all.

4. Salience 2/2 x 1 1 The family knows howimportant immunization is

specially for the childrenTotal Score: 3.34


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Chapter VIII

NURSING CARE PLAN

This chapter shows the identified and prioritized problems in a ranking

order. This chapter also presents the family care plan formulated by the student

nurse together with the family.

Problem List

Problems Score

Unsanitary food handling as apresence of health threat. 4.17

Poor environmental sanitationspecifically polluted water supply as ahealth threat

4.17

Poor environmental sanitationspecifically improper drainagedisposal as a health threat

3.84

Lack of immunization status speciallyof children as a health threat

3.34

Poor environmental sanitation

specifically unsanitary waste disposalas a health threat

2.84

Accident hazards specifically firehazard, as a health threat.

2.84

Poor home condition specifically lackof food storage facilities as a healththreat

2.50

Family size beyond what familyresources can adequately provide asa health threat.

1


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FAMILY NURSING CARE PLAN

Problem# 1 Unsanitary food handling as a presence of health threat.

CUESANALYSIS OF THE

PROBLEMOBJECTIVES

INTERVENTION PLAN

NSG. INTERVENTIONS RATIONALE METHODRESOURCES

REQUIREDEXPECTED OUTCOME

Subjectivedata:MotherverbalizedAy mgatamad nasilamanghugasug kamot.Wala taymahimo kaygahi manjud ug ulo.

Objectivedata:The handsof thechildren areuncleanwhen theyate theymeal.

Inability tomakedecisionswith respectto takingappropriatehealth actiondue to:

Lowsalienceof theproblem.

Negativeattitudetowardshealthproblem

After 1 day ofcommunityexposure, thefamily will beable to:

Employ cleanhands andfinger nailsbefore andduring eatingmeals

Specifically:

Discuss theimportanceand need forhandwashing

Demonstrateproper hand

>Assess thefamilys ideason foodhandling andhand washing

>Discuss withthe family theimportance andneed for handwashing

>Demonstrateproper hand

washingtechnique

>Inform thefamily aboutcommunicable

> To obtainhow much thefamily knowson theseissues

>To educatethe familyabout properhand washing

> To show theproper hand

washingtechnique andfor betterunderstandingon it

> To make thefamily aware ofthe diseases

HOME

VISIT

>Manpowerresourcessuch astime andeffort.

>Physicalandchemicalresourcessuch assoap, water,pail andclean towel

After 1 day ofcommunityexposure, thefamily has ableto:

Employ cleanhands andfinger nailsbefore andduring eatingmeals

Specifically:

Discuss theimportanceand need forhandwashing

Demonstrateproper hand


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- Dirty andlong fingernails noted

washingtechniques

diseasesespecially theonestransmitted ifhand washingis notreinforced

>Explore thefamilysreaction aboutthe healthteachingsgiven.

they are proneof.

> To measuretheunderstandingof the healthteachingspresented.

washingtechniques


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Chapter IX

SUMMARY, EVALUATION AND RECOMMENDATION

Presented in this case study is the different characteristics and health

condition of family V. This case study presents the family structure, socio

economic and cultural factors, home and environmental factors, health

assessment of each member. It also contains data about identified problems on

the living condition of the family.

Summary and Evaluation

The Family V is considered as a nuclear type of family. A nuclear type is a

typical type of family composed of a father, a mother and child/children. The V

family resides in Purok Daanbanwang, Upper Labay, General Santos City. They

have started living their since June of 2009.

Their house is made of wood, mostly bamboo. Mrs. V did not know the

exact measurement of their house. Her husband knows it yet he was not there

during the interview. In order for the house to be considered as adequate, the

total floor area should be divided among the total members of the family and

each should at least have 3.5 m2. The house only has 2 windows and can

sustain the adequate ventilation needed by the family.

The V familys main source of income is coming from Mr. Vs farming. Mr.

V earns about Php 6,000.00 a month. Since Mrs. V does not work, she is in

charge of the house and in taking care of the children. With Mr. Vs monthly

income, the family strives hard to accommodate everything they need for them to


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live. According to NEDA, each individual should at least have Php 2768.60 when

the total monthly income of the family is divided among the total family members.

The total monthly income of Mr. V is about Php 6, 000.00 and when divided

among the 6 members, it is only Php 1, 000.00, thus, they can be considered

poor. Mrs. V also informed the student nurse that they do not have any financial

assets at hand in case of emergency. They typically borrow money from their

relatives.

All of them are affiliates of Protestantism. Mrs. V mentioned that they do

not go to church anymore since they have lived in Purok Daanbanwang for the

reason that of the distance they have to travel from their place to the church. The

family has yet to participate in community activities since they are new in the

place.

The V Family barely enjoys the community resources since the community

itself lacks resources. The children, though, go to Purok Daanbanwang

Elementary School. The father is usually in their farm while the mother is in the

house doing household chores.

The river is the familys main source of water. They wash their clothes and

gets their drinking water supply there. They put their water in a big container with

cover. They usually dont sterilize their drinking water supply.

V Family has no comfort room. They usually urinate and remove bowels

anywhere near their house. The drainage system of the family is an open type

where in the drainage flows anywhere and is continuous.


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The V family is identified to have plenty of environmental problems in

which it is evident that they practice poor environmental sanitation. With this

situation and family condition, many problems were identified such as health

threats which include fire hazards, poor home and environmental sanitation, and

improper drainage system as well as health threats which are improper personal

practice as improper hygiene. A nursing care plan then is formulated to address

the different problems identified.

Nevertheless, the family has chances to improve their health condition.

There still have that ability to meet the desired characteristics in their structure

and maximize their health potential of optimum wellness. They are cooperative

and participative to the different issues and interventions they are confronted.

Hence, they are willing to submit themselves for the impartation of information

and basic knowledge regarding family health.

The objectives of identifying family nursing problems were only partially

achieved due to security reasons for the part of the student nurse. Together with

the family, the student nurse as an agent has helped the family through

motivation and support to change their lifestyle and improve their health status.

Although the allotted time for the student nurse was not enough to attend to all

those problems, the family is now equipped with fair knowledge which they could

use anytime as the need arises.

Recommendations

The student nurse have identified and prioritized problems and needs with

the family. The student nurse have also created a care plan on how to deliver the


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best nursing care for the family to address their needs. The following below are

propositions and commendations recognized by both the student nurse and

family:

The V family should maintain a healthy and clean environment. They must

clean their surroundings to avoid the presence of vectors of diseases.

The family should also maintain proper hygiene such as taking a bath

regularly, trimming their nails, frequent changing of clean clothes especially

when come in contact with filthy objects or experienced wetness of the back,

refraining from walking barefooted, brushing of teeth frequently, and proper

and regular hand washing.

They must also reorganize their cooking practices in terms of food

preparation and handling as well as keeping their kitchen utensils in a

covered storage to avoid getting it contaminated by insects or pests. In

addition to that, they should also cover their food storage.

The family should also be advised to not wait for the ailment to become

severe before seeking medical help.

The family must also be educated and follow the proper preparation of herbal

medicines as it was presented during the mothers class.

The V family should persevere to perform proper waste segregation and

disposal of their garbage as it was presented during the mothers class.

The family should be aware that organizations in the community are open and

present for their problems to be addressed properly.


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They should be encouraged to verbalize their concerns with regard to the

community so that resolutions can be made.


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BIBLIOGRAPHY

Books

Cuevas, F. et. al. Public Health Nursing in the Philippines. 10

th

ed.Philippines:2007

Maglaya, A. Nursing Practice in the Community. Marikina City: ArgonautaCorp., 2004.

Untalan, A. Concepts and Guidelines in COPAR. 1st

ed. Manila:Educational Publishing House, 2005.

Internet Sources

Jay C. Published: 6/23/2004. http://www.buzzle.com/editorials/6-23-2004-55793.asp

http://wisdomquotes.com

http://psychology.about.com/od/theoriesofpersonality/ss/psychosexualdev.htm

http://psychology.about.com/od/theoriesofpersonality/a/psychosocial.htm
http://www.buzzle.com/authors.asp?author=770http://www.buzzle.com/editorials/6-23-2004-55793.asphttp://www.buzzle.com/editorials/6-23-2004-55793.asphttp://wisdomquotes.com/http://psychology.about.com/od/theoriesofpersonality/ss/psychosexualdev.htmhttp://psychology.about.com/od/theoriesofpersonality/ss/psychosexualdev.htmhttp://psychology.about.com/od/theoriesofpersonality/a/psychosocial.htmhttp://psychology.about.com/od/theoriesofpersonality/a/psychosocial.htmhttp://psychology.about.com/od/theoriesofpersonality/ss/psychosexualdev.htmhttp://psychology.about.com/od/theoriesofpersonality/ss/psychosexualdev.htmhttp://wisdomquotes.com/http://www.buzzle.com/editorials/6-23-2004-55793.asphttp://www.buzzle.com/editorials/6-23-2004-55793.asphttp://www.buzzle.com/authors.asp?author=770


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APPENDICES

APPENDIX A

BARANGAY HEALTH PROFILE

Department of HealthNotre Dame of Dadiangas University- College of Nursing

Barangay/ Purok: Daanbanwang, Upper Labay, General Santos City Household No.

PERSONAL DATAName of respondent: Mrs V B-Day: 12/17/1973 Status: M Educational Attainment: Grade 6

I. GENERAL HOUSEHOLD DATA

A. Total number of children: 4B. List of household members:

Members B-Day(mm/dd/yyyy)

Occupation Sex EductlAttainment

Religion Rel. toResp.

Imm.Status

DewormingDate

Weight NS

Mr V 11-14-79 Farmer, M Grade 3 Protestant Husband - - 56 kgs NMrs V 10-09-80 Housewife F Elem Grad Protestant INC - 50 kgs N

AV 07-11-98 Student M Grade 5 Protestant son INC 2008 38 kgs N

BV 10-19-99 Student F Grade 4 Protestant son INC 2008 36.5kgs

N

CV 04-16-02 Student M Grade 3 Protestant son INC 2009 33 kgs N

DV 05-23-05 Student F Grade 1 Protestant daughter COM 2009 17 kgs N

II. ECONOMIC DATAA. Sources of Income: Occupation: Farming

Estimated Monthly Income: P6, 000B. Land 1. Owned ( ) Rented ( ) Tenanted ( X ) 2. No. of Hectares: ____. Type: Plain ( X ) Rolling ( )


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C. Products, if land is farmed: cornD. Type of Housing: Concrete ( ) Ordinary ( X ) Rented ( ) Scrap ( )E. Household Appliances: radioF. Animal Raising: chickenG. Transportation Facilities: Owned ( X ) Rented or Others( )H. Water: Bought ( ) Free (x )

III. ENVIRONMENTAL DATA

A. Toilet facilities: Owned ( ) Shared ( ) None ( X )Anywhere

B. Source of Drinking Water Supply: Shallow wellC. Drainage: noneD. Garbage Disposal: Burying and/or BurningE. Home: Herbal ( ) Vegetable ( x) None ( )

IV. MEDICAL HEALTH DATAA. Common diseases/ Commen Treatment: cough, colds and fever; Herbal e.g Mayana and Kataka- takaB. Immediate Sources of Medical Care: BHWC. Family Planning: Continuous; PillsD. Pregnancy: NoE. Lactating: NoF. Death in the Family: NoneG. Other pertinent observations/informations like presence of personality disturbances: NoneH. Disable member of the family: None


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APPENDIX B

FAMILY HEALTH DATA CARD

INDICATORQUARTER

THIRD QUARTER FOURTH QUARTER

FAMILY PLANNING OOOOOO OOOOOO

PRENATAL OOOOOO OOOOOO

IMMUNIZATION OOOOOO OOOOOO

NUTRITION OOOOOO OOOOOO

WATER OOOOOO OOOOOO

GARBAGE DISPOSAL OOOOOO OOOOOO

TOILET OOOOOO OOOOOO

ALCOHOLISM OOOOOO OOOOOOSMOKING OOOOOO OOOOOO


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APPENDIX C

Process Recording

This appendix represents the course of interaction between the student

and the family during each phase of interview. It also includes the reactions of

the family or how they respond on the questions that were lift during the entire

interview.

Purpose:

1. To be able to have a specific data on how the interview was conducted

2. To be able to interpret or analyze the answers given by the respondent

3. To document pertinent data and how they responded to questions that

were raised

Orientation Phase

Student Nurse Client Remarks Rationale

Maayong buntagdiay Maam(Waves andsmiles)

Salamat Maam.Ako diay si MyleneMaam. Nursingstudent sa NDDU.

Pwede mabal-anunsa inyongpangalan?

Ay hello diayMaam Emie. Maoning inyongbalay?

Maayong buntagsad. Dali sulod mooi. (Smiles)

Ahh. Ako diay siEmie.

O. Amua ni siya.Bag-o ra jud mi diri.Tong June lang mingbalhin diri

The studentnurse greetedtherespondentand therespondentwelcomed thestudent nursein their house.

The studentnurse verifiedif therespondent

The opening can bethe most importantpart of the interviewbecause what issaid and done atthat time sets thetone for theremainder of theinterview. The

purposes of theopening are toestablish rapportand orient theinterviewee.Establishing rapportis a process ofcreating goodwill


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Ahh. Mao ba. Ahaman pud inyongpamilya?

Ay maam. Pwedeko mag-interview

sa inyuha?Kanang kamo mangud ang akongnapili na iadopt nafamily. Okey ramaam?

Salamat kaayomaam ha. Kananghantod October mimaginterview

interview. Mubalikmi mga Novemberna. Mga Decemberdaw mimagculmination

Lagi daw maam.Lisod daw angsuga. Perochallenge na siyasa amua eh.Lingaw man pudna siya (Client andSN laughs).Kanangmanghangyo ko sainyong cooperationmaam ha.

Ang akong bananaa man sa bukidgud nag-uma. Didtona siya gapuyo jud.

Ginaadtuan langnamo sa mga bata.Ang mga bata naaman sa eskwelahankay nay klase.Unya pato taod2inig udto kay diri tosila mukaon

Okey ra kaayo uy.Walay problema.

Maayo gani ni.Hehe

Hala. Dalia ra manpud diay noh.Matulog pud mo dirieh? Wala baya

suga diri.

Ay wala nayproblema gang.Pasalamat gani minaa mo diri karonpara mutabangnamo. Siyempreimportante gud nanaa mi mabal-an sasakit sakit. Dapatlang judmucooperate mieh (Smiles)

was a memberof thecommunity.

The studentnurse

informed therespondent onher purposefor comingand theinterview.

The studentnurse told therespondentthe time

duration oftheir stay inthecommunity.

Therespondentapproves ofthe studentnursespurpose andacknowledgedher presence.

and trust. It canbegin with agreeting (Goodmorning Sir!) orself-introduction

(Good morning!Im a nursingstudent)accompanied bynonverbal gesturessuch as smile, ahandshake, and afriendly manner.Giving recognition,in a nonjudgmentalway, of a change in

behaviour, anefftort the client hasmade, or acontribution tocommunication.

Acknowledgmentmay be with orwithoutunderstanding,verbal or nonverbal.(Barbara Kozier)


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Working Phase


Ay kanang maamunsa inyong

apelyido?

Sige lang maam.Ikaw lang akonginterbyuhon. Unsanapud inyong edadug sa inyongbana? Kanus-apud inyong mgabday?

Okey ra maam uy.Hehe. Kanang.Unsa pud mgaPangalan sainyong anak ugilang mga bday?

Ahh. Layo layopud ilahang mga

agwat noh.

Lagi maam uy.Maayo gani maamnainform mo uging-ana

Kanang maammangutana kokung unsa inyongnahuman saeskwela?

Yata. Wala bayaakong bana diri ay.

Ay sige. 29 nako.Akong bana kay 30.October 9 ko nyaNovember 14 nasiya. 4 tananamong mga anak.Wala baya sila dirikay nageskwela.

Si Child AV 11, siBV 10, si CV 7unya si DV 5. Si AVJuly 1998 na siya.Si BV kay October1999. Si CV April2002 unya si DVMay 2005.

Gafamily planningman jud gud mi

tong una pa saMalungon pa mi.Nagsunod sunodlang ang 2 ka unapero after ananagpills nako. Lisodna baya kinabuhiron.

Lagi. Naa man pudgud health centerdidto sa Malungonug Nurallah.

Elementarygraduate ko, akongbana kay hantodgrade 3 lang.Unsaon ta man

Demographicdata wasgivencompletely.

Respondentwas proud to

be a familyplanningfollower.

Respondentblamespoverty fortheir lack ofeducation.

Education is animportant aspect inevery human lifeespecially now that

job hiring could be


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Ang mga batamaam?

Kamo ra jud diri samga bata maam?Bale balay jud nininyo?

Nag-ingon kamaam na naga-uma imong bana.Unsa pa mga lainninyongginakwaan paraincome?

Kanang pila pudinyong maincomesa usa ka bulan?

lisod kaayo angkinabuhi.

Mga bata maayoman kay nay

eskwelahan diri. SiAV grade 5, si BVgrade 4, si CVgrade 3, si DVmaggrade 1.

O. akong bana tu-asa bukid. Kami ra

jud diri. Kaningamong balay dugayna ni siya. Gibuhat

ni siya sa pamilyasa akoang bana.Puro kahoy na siyaug nipa ug mgapatay na dahon sasaging. Dira kogaluto sa may likod.Mao ra jud niamong makaya kaysiyempre kulang sabudget. Ang among

ipahimo ug balay,ikaon na lang namodiba

Ay mao ra jud na.Wala nay lain.

Mga Php6,000 pud.Gamay ra jud angincome intawon. Dina gain mi kapalitsa mga sanina sabata. Mgakinahanglan nila.

Respondentwas glad the

children havea chance ineducation.

She was ableto express herconcernsabout thehousehold,

including theenvironment.

Respondentput on muchemphasis onfinancialissues.

very difficult if youlack education.

Due to financialconstraints, thefamily has not ableto provide anadequate and a

safe house for thefamily.

Poverty is an issuein every Filipinofamily since it is themajor factor thataffects their way ofliving.


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Kanang inyuhangbanyo? Ug kungasa mo gakuha ugtubig?

Ang inyong mgalamaw maam omga hugaw gikan

sa kusina, ahaninyo ginalabay?

Kanang butangansa inyong pagkaonna wala nahurot?

Daghan kaayomga langaw? Mgalamok?

Luoy kayo. Angamong pagkaonginatama tama langpara sa amua. Isdaug mga gulay dira

sa kilid among sud-an pirmi.

Mao jud na karonkay wala pa mikahimo. Wala paykwarta. Dra ra migaihi, galibangkanang walay tao

Dira mi sa balon

gakuha ug tubig.Wala na namoginasterilize. Oknaman na siya.Layo man gudkaayo ang gripo dirisa amua.

Dira ra man namopud namo naginalabay. (Points

at the groundbeside the house).

Dira ra man namona ginabutang.Wala man mibutanganan na lain.Daghan lagi kayoug langaw

Ay daghan pud.Pero naa man mimosquitero.

Therespondentexplained howthey managewith theireliminationeven without atoilet facility.

She alsoexplained theirways ofgetting waterfor drinking.

Respondentexplains howthey manage

their drainagedisposal

Respondentshows howthey put theirleft overs.

Respondentexplains thatalthough thereare manymosquitoes inthe place, theyhaveprotectionfrom it.

The family has notyet build a toiletfacility since theywere new to theplace and have nobudget for it.

Drainiage disposalis an importantfactor since vectors

or insects mayhover and affecttheir health.


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Kanang sa bakunasa mga batamaam?

Kanang diri sapanimalay maamunsa pud ng ugalisa mga bata namakaapekto sailang lawas.Parehas ng ilangpaghugas o

paggamit ugtsinelas?

Kanang bisyomaam?

Naa pud ba moymga gulay o herbal

na ginatanom?

Isa ra lagi angnakakumpleto sabakuna ba. Layo pa

jud ang center. Sapanahon namo dili

man pud na usogud.

Ay mga tamad nasila manghugas ugkamot. Wala taymahimo kay gahiman jud ug ulo.

Ay maayo jud.Wala jud bisyoakong bana.

Naa. Didto o. Mgakangkong. Ang

herbal naa sailalom. Mgaasunting.

Respondentpoints out thatthe healthcenter is quitefar from their

place.

Respondentshows thatshedisapproves ofthe childrensbehavior butfeels she cantdo anything

about it.

Respondentfeels proud ofher husbandnot havingvices.

Respondentshows the

student nursetheir minivegetablegarden andthat they haveherbal plantsaround.

Immunization is animportant protectionand prevention ofsome diseases.

Knowing the waysof health helps thestudent nurse whatto educate thefamily and whatkind ofimprovement onhealth they need.

No disturbanceswere found.

Having a vegetableand herbal garden

helps the family interms of healthyfood and alsodiseasemanagement

Termination Phase


Ay maam salamatkaayo maam ha.Balik ra ko.Salamat jus kaayo.

Walay problema.Adto lang gud diri.Balik balik mo ha.Suroy suroy pudmo ba.

Therespondentappreciatedour presenceand was open

Expressinggratitude makes therespondent feel thatthey did somethinggood. Giving


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in answeringall thequestions.

recognition, in anonjudgmentalway, of a change inbehaviour, anefftort the client has

made, or acontribution tocommunication.

Acknowledgmentmay be with orwithoutunderstanding,verbal or nonverbal.

24761260 Family Case Study

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Transcript of 24761260 Family Case Study