Family Case Study-Chapter 5

7/31/2019 Family Case Study-Chapter 5

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Chapter V

FAMILY COPING INDEX

In this chapter, the ability of the family to cope up with stresses, whether

physical, emotional, and social, is measured. It is also presented in this chapter

on how they cope to these stressors or changes. This also provides the basis of

estimating the nursing need of the family. Their nursing need is present when

there are health problems which they are unable to cope and that there is a

reasonable likelihood that nursing will make a difference in the familys ability to

cope.

Criteria Ideal Actual Rating Justification

1. PhysicalIndependence

All family

members

whether or notthere is infirmity

or disability in

one of its

members are

receiving the

necessary care

to maintain

cleanliness,

including skin

care, are about

to get as far as

All family

members are

able to moveand perform

daily activities

with the

capability in

accordance to

their age.

Mr. and

Mrs. P are

independent in

performing

personal

4 All family

members are

able toperform

activities of

daily living in

accordance to

their capability

as what is

expected from

them at their

age. However,

the skin of the

family is dry


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possible within

their physical

abilities; are

receiving

assistance when

needed without

interruption or

undue delay.

hygiene and

daily

grooming.

However, their

skin is not

properly taken

care of. They

have lesions

on their dry

skin as well as

scars which

are mostly

present on the

lower

extremities

and some on

the upper

extremities.

Thechildren are

able to

perform daily

activities with

less

supervision.

and has some

scars which

indicate

improper skin

care.

Therefore, the

family is

partially able

to provide the

needs of its

members.

2. TherapeuticCompetence

Family members

are able to

demonstrate that

the members can

carry out the

The family is

able to carry

out needed

treatments for

some of the

3 The family is

partially able

to support the

health needs

of some family

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prescribed

procedures

safety and

efficiently, with

the

understanding of

the principle

involved and

willing attitude.

illnesses that

occur in the

family.

Though they

have financial

constraints,

they attend to

their health

needs

because they

believe in their

principle that

health is

wealth.

The family is

willing to work

hard in order

to provide

these needs. The couple

took care or

assist

whoever is

sick in the

family by

providing

over-the-

counter drugs

and utilize

herbal

medicines

members

because of

inadequate

financial

resources and

lack of

information

about proper

health

management.

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present in

their backyard

depending on

the illness or

manifestations

being

experienced

and presented

by a family

member.

The family

also tries

medicine

without any

particular

prescription.

They

sometimes go

to traditionalhilots before

they will bring

a sick member

of the family to

the barangay

health center.3. Knowledge

of HealthCondition

Knows the

salient facts

about the

disease well

enough to take

necessary action

The family

understands

that health is

important for

every family

member.

2 The family

doesnt have

enough

knowledge in

identifying

some

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at the proper

time,

understands the

rationale of care,

able to report

significant

symptoms.

However,

there are

times when

they do not

follow proper

action at a

specific

situation since

they admit

that they

somehow lack

the ability to

identify illness.

They

practice self-

medication

and they do

not treat the

illness at anearly stage

since they

only let it to

cure by itself.

Mrs. P

claimed that

there are

times when

they take their

illness for

granted and

do not have

illnesses and

how to

manage it with

prompt and

proper action.

They take

their illness for

granted and

are not aware

of what could

be the cause

of that certain

disease and

its

consequences

if not treated

immediately.

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prompt action.4. Applicationof Principles ofGeneralHygiene

Household runs

smoothly, family

meals well

selected, habits

of rest and sleep

adequate to

needs, securing

adequate rest

and relaxation for

family members,

carrying outaccepted

preventive

measures.

The family

eats three

times a day,

with meals

usually consist

of rice and

vegetables.

However, Mrs.

P had claimed

that

sometimes,they lack rice

due to

financial

constraints.

Sometimes,

they have fish

for all meals

as according

to the couple

is cheaper.

Their

utensils are

placed in a

plastic

container with

no cover

which are all

exposed to

air.

2 The family,

though they

do hygienic

practices, it is

observed to

fail in the

correct

principles of

proper

hygiene. They

take a bathand practices

handwashing

before and

after eating.

However, the

soap they

have is not

being used

properly and

its container is

not clean.

They also fail

the principles

of preparing

their meals

such as the

storage of the

utensils and

water. The

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They

practice

handwashing

before and

after eating.

Mrs. P

claimed that

they do not

boil their water

before

drinking which

they store in

gallons with

covers and

are not

cleaned

properly.

Mrs. P

believes thatall of them,

the household

members, are

able to receive

adequate rest

and sleep.

Since they

doesnt have

the electricity

and

appliances to

play, they go

water they

use to drink

which comes

from the pipe

system is not

boiled and its

containers,

though have

covers, are

not cleaned

properly. They

do not

experience

any problems

in their sleep

and rest

patterns. They

also practice

burninggarbages

which is a

threat to their

health.

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to sleep as

early as 7:30

in the evening

and wakes up

at around 5:00

to 6:00 in the

morning since

the children

have their

classes, Mr. P

has his work,

and Mrs. P

needs to take

care of them

too. They

consider

walking as a

form of

exercisewhich they

believe is

healthy for

them which is

added by the

fresh air they

are able to

breathe in.

They take a

bath and wash

their clothes in

a water facility

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approximately

ten (10)

meters away

from their

house.

The type of

toilet facility

they have is

pit privy which

use in order

for them to

urinate and

defecate

which is

located

approximately

five (5) meters

away from

their house. Itonly has walls

because they

were not able

to construct it

with roof.

The family

do not have a

drainage

system. The

water which

they use from

washing their

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while doing all

possible to effect

recovery and

rehabilitation.

that she

believes in the

importance of

having

complete

immunization

to become a

defense

mechanism on

ceratin

diseases for

she was able

to attend to

some lectures

conducted by

random health

officers in the

barangay.

Mr. P drinksalcoholic

beverages in

moderation

which Mr. P

claimed to be

more than 2

glasses of

alcoholic

beverage

including

tuba in a

month. Mr. P

believe in

superstitions.

They have a

good

indication of

having the

children with

complete

immunization.

Mr. P only

drinks

alcoholic

beverages in

moderation

and admitted

that he does

not do this

with abuse. It

is also goodthat no

household

member

practice

cigarette

smoking.

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admitted that

he do this only

as a form of

relaxation from

work or stress

and it is also a

way for him to

get along or

socialize with

other people

as well. No

one in the

household

smokes

cigarette.

They

practice self-

medication

and uses over-the-counter

medicines in

treating

common

illnesses.

They seek

help from

traditional

hilots in their

community.

They also use

herbal plants

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present in their

garden. Most

of the time, if

they would

assess that

the sickness

they

experience is

tolerable, they

dont mind it

and would

rather take a

rest.

They also

have some

superstitious

beliefs such as

the presence

of spirits in thesurroundings

that cannot be

seen by the

naked eye but

have the

capability to

inflict harm to

people if they

wanted or if

they will

destroy their

homes.

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6. EmotionalCompetence

All members of

the family are

able to maintain

a reasonable

degree of

emotional calm,

face up to illness

realistically and

hopefully; able to

discuss problems

and differenceswith objectivity

and reasonable

emotional

control;

considers the

needs and

wishes of other

family members,

of neighbors and

those with whom

they work and

live making

decisions or

deciding upon

action.

There are

no current

conflicts

among the

members of

the family.

However, they

claimed to

have conflicts

between Mr.

and Mrs. P.They viewed

and perceived

it as normal

among family

members and

since their

family is

closely tied,

they practice

not to keep

conflicts for so

long. Before

the day ends,

they try to

resolve

everything and

reconcile to

people

involved. They

5 The family is

able to face

problems or

stressors in

their lives

calmly with

the aid of one

another.

Together, they

discuss and

find solutionsto it and never

let a day

passes by

without fixing

things out.

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make it easy

by

communicatin

g properly and

discuss

matters

needed to be

discussed.

7. Family Living Family does

things together,

each member

acts for the goodof the family as a

whole; children

respect parents

and vice versa;

family tasks

shared, evidence

of planning.

The family

lives

harmoniously

in general. thechildren

respects their

parents and

the couples

love their

children as

well. They do

not encounter

any acts of

violence in

their house.

Mr. and

Mrs. P help

one another

when they

have small

problems and

try to solve it

first before

5 The family

has great love

and respect to

one anotheras evidenced

by their

treatment to

one another.

Acts of

violence are

not present in

their house.

They

maximize their

income by

budgeting it

properly in

order to

provide the

familys basic

needs.

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arguing.

Mr. and

Mrs. P both

share the

power of

decision-

making in

terms of

money or

budget, as

well as in the

matters of

health care.

Their

estimated

monthly

income is

P3,000. This is

allocated forfood, clothing,

gas, tuition,

and

allowances.

The ones

responsible in

budgeting or

how the

money will be

spent is the

couple. Mr.

and Mrs. P

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children; free

from undesirable

social elements;

opportunities for

community

activity.

made of

bamboo tied

together and

covered with a

thatched roof

using nipa

leaves.

There are

parts of the

house without

walls which

Mrs. P

admitted that

when it rains

heavily, water

enters. They

have a small

terrace infront

of the housemade also with

bamboo and

other types of

wood.

Their house is

divided into

terrace, dirty

kitchen, dining

area, and

bedroom. In

order to get

into the terrace

sites for flies

and

mosquitoes.

They live near

a cliff which

they knew

could be

dangerous

especially for

the children

when playing.

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and the

bedroom, one

must climb an

improvised

three-step

stairs made of

wood by which

Mrs. P

admitted that it

could be

dangerous for

their children.

Mrs. P

claimed that

they have

enough space

in their house

for the six (6)

householdmembers.

When they

sleep, Mr. and

Mrs. P

together with

their youngest

child, P6, are

on one side of

the bedroom

while P3, P4,

and P5 are on

the other side.

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They do not

have the bed

so they sleep

directly on the

floor made of

stable bamboo

with mats on it.

Aside from

being a

sleeping area,

their bedroom

also contains

their clothes

placed in

cartons.

The family

does not have

any

appliancessince they do

not have the

electricity. The

only gadget

they have is a

cellphone.

They make

use of their

dirty kitchen

for cooking.

They utilize

wood and gas

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to produce

fire. The

source of their

water comes

from a pipe

system which

they consider

their own. Mrs.

P claimed that

they do not

boil their water

before drinking

which they

store in

gallons with

covers and are

not cleaned

properly.

They take abath and wash

their clothes in

a water facility

approximately

ten (10)

meters away

from their

house.

The type of

toilet facility

they have is

pit privy which

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use in order

for them to

urinate and

defecate

which is

located

approximately

five (5) meters

away from

their house. It

only has walls

because they

were not able

to construct it

with roof.

The family

do not have a

drainage

system. Thewater which

they use from

washing their

dishes is

thrown directly

on the ground

outside the

house. They

are used to

burn their

garbage. Their

garbage

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container has

no cover and

they do not

practice

recycling.

There are

other water

containers

outside their

house with no

covers and

could be a

possible

breeding sites

of vectors of

diseases. Mrs.

P said that

there are

mosquitoesand flies

present in their

place.

They do not

have nearby

neighborhoods

. They need to

walk

approximately

fifty (50)

meters in

order to get

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social workers,

teachers,

doctors, etc.

however, she

claimed that

they

participate in

every activity

their

community

organizes.

They join

and participate

during

community

meetings and

assemblies.

They had

their

immunization

at the

BarangayHealth Center

in Olympog.

She was

able to attend

to some

lectures

conducted by

random health

officers in the

barangay.

They go to

the Barangay

Sentro and to

Barangay

Health Center.

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Health Center

in Olympog.

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Family Case Study-Chapter 5

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