Group 31: Caberte, Iris D.

Maricaban, Pasay
City
Esguerra, Jean Carlo

Initial Data Base for family nursing practice

A. Family Structure, Characteristics, and Dynamics

The Ocampo family is composed of two family members namely R.M.

Ocampo, as the head of the family and soon to be a father, and E.C.
Ocampo, as the wife and soon to be a mother. Both of them are 22 years
old, married in the west, and living independently. The head of the family
does the decision making in the family so they are patriarchal and they are
also nuclear. Mr. Ocampo, whom we found asleep during our two house
visits, has been tiresome from work while Mrs. Ocampo has been attentive,
cheerful and a good listener during the interview.

B. Socio-Economic and Cultural Characteristics

. Mrs. Ocampo was under graduate of Commerce in Samar while her

husband was a high school graduate. Mr. Ocampo is working now in Cebu
Pacific located at Pasay as a baggage loader wherein he earns 370 pesos per
hour which is the minimum rate. He works at night from 6 pm to 2 am. While
Mrs. Ocampo remains at home resting for she is already 6 months in
pregnant. They have a total income of 11,000 pesos per month which is
exact for their monthly expenses and basic necessities such as rent for their
house (3,200 pesos), water supply (350 pesos), electric bill (450 pesos), and
foods(150 pesos per day) plus the fare of Mr. Ocampo in going to his work
(14 pesos per day.). Not much money left allotted for other expenses
especially for their health maintenance. Mr. Ocampo is usually the one who
makes decision about money. They both came from Samar with a dialect of
Waray and both Roman Catholic.

C. Home and Environment

The Ocampo Family’s house is made of concrete and has one bedroom,
one bathroom, and a kitchen which is just enough or adequate for their living
space. Mr. and Mrs. Ocampo share bedrooms. The Laundry area outside the
house, kitchen sink cabinet and the garbage can are the resting sites of
vectors of disease such as flies, mosquitoes, roaches, and rodents present in
Ocampo’s house. Their foods are stored in the refrigerator and utensils in the
close cabinet. The Ocampo’s water supply comes from deep well. They use
water septic tank as container of water supply for all the families rented in
the apartment. The water coming from the septic tank is used for washing,
cleaning, and bathing and not for drinking purposes. The Ocampo family
buys commercially prepared water from water refilling stations. The Ocampo
family has their own bathroom and toilet. Their bathroom is near the kitchen
and is kept clean everyday by Mrs. Ocampo. Their garbage is taken out
everyday and collected by garbage trucks everyday. They have two garbage
cans inside the house, one is in the kitchen, and the other one, is in the
bathroom. In their community, they have open drainage with stagnant water
that makes them complaint of frequent clogging. Their neighborhood is
congested like a town house. Health center, school, library, chapel, barangay
hall, market, basketball court, and play ground are available within the
community. They don’t have their own telephone line but each of them has
their own cell phones. They utilize tricycles and jeepneys as their main
transportation.

D. Health Status of Family Member

Mrs. Ocampo is now pregnant having an age of gestation 27 weeks as of

August 26 2009. She was diagnosed with Urinary Tract Infection. She voids
for about 7x a day accompanied by slight pain and feeling of heaviness on
the lower abdomen. The urine output of Mrs. Ocampo is often light yellow to
cloudy with different amount depending on the fluid intake. She didn’t
recognize the presence of the problem until she took the urinalysis test when
she first visited the health center. She was advised by the physician in the
health center to take amoxicillin 250 mg four times daily as her medications.
The client verbalized “Hindi ko nga alam na may UTI na ako eh. Nalaman ko
lng nung ng pacheck aq ng ihi sa health center.” On the other hand, Mr.
Ocampo had flu during the second week of June that lasts for about two
days. They never consulted to the doctor instead he just took Bioflu as his
medication. Mrs. Ocampo verbalized “Hindi kami nag-papatingin agad sa
doctor kung hindi pa malala yung sakit. Trangkaso lang naman yan e.” After
that illness Mr. Ocampo never had any illness again. In terms of the dieatary
aspect of Ocampo’s family, Mr. Ocampo eats only two times a day mostly
canned goods, pork, and pansit canton while Mrs. Ocampo eats three times a
day with pork and dried fish. Mrs. Ocampo verbalized “Lumakas ako kumain
simula nung nabuntis ako” which make her gained 5 kg. The present weight
of Mrs Ocampo is 52 kg with a height of 4 feet and 11 inches while Mr.
Ocampo was asleep during our visits. The risk factors that were identified
during the assessment were UTI for Mrs. Ocampo which is women are usually
prone to have during pregnancy and stress for Mr. Ocampo. Mrs. Ocampo
verbalized “Minsan mainit ulo pag uwi ni kuya randy mo kasi siguro nga sa
trabaho niya yun na pannggabi tapos nakakpagod pa.”
E. Values, Habits, Practices on Health Promotion, Maintenance and Disease
Prevention

All of the members of the family had a complete immunization. As

basic activities, Mr. Ocampo gets plenty of sleep after a tiring day from work
and plays basketball during day off while Mrs. Ocampo walks every morning
to the public market. Mr. Ocampo has an adequate number of 10 hours of
sleep while Mrs. Ocample sleeps for 9 hours. In their basic activities, Mr.
Ocampo plays basketball for an hour with his friends while Mrs. Ocampo
shops at the public market for 30 minutes. They both use slippers or shoes in
and out of the house and jacket for rainy seasons. They both like resting,
watching TV in the neighborhood, and listening to music as their relaxation.

Second Level Assessment

Cues/Data Family Nursing Plan

A. Frequently Clog Sewerage –

 “Madalas nagbabara lababo at Health Threat
kubeta.” as stated by the client. 1. Inability to provide a home
 In their community, they have environment conducive to
open drainage with stagnant health maintenance and
water. personal development due to:
a. Inadequate family resources,
specifically limited physical
resources.
b. Lack of skill in carrying out
measures to improve home
 environment.
 Mrs. Ocampo verbalized “Hindi
kami nag-papatingin agad sa B. Self Medication – Health Deficit
doctor kung hindi pa malala yung 1. Inability to recognize the
sakit. Trangkaso lang naman yan presence of the condition or
e.” problem due to
attitude/philosophy in life which
 When, Mr. Ocampo had flu during hinders recognition/acceptance
the second week of June that lasts of a problem.
for about two days, they never 2. Inability to make decisions with
consulted to the doctor instead he respect to taking appropriate
just took Bioflu as his medication. action due to negative attitude
towards the health condition or
problem.
3. Failure to utilize community
resources for health care due to
negative attitude/philosophy in
 The urine output of Mrs. Ocampo life which hinders
is often light yellow to cloudy with effective/maximum utilization of
different amount depending on community resources for health
the fluid intake. care.

 She didn’t recognize the presence C. Urinary Tract Infection – Health

of the problem until she took the Deficit
urinalysis test when she first 1. Inability to recognize the
visited the health center. presence of the condition or
problem due to lack of
 She was advised by the physician inadequate knowledge.
in the health center to take
amoxicillin 250 mg four times 2. Inability to make decisions with
daily as her medications. respect to taking appropriate
health actions due to failure to
 The client verbalized “Hindi ko nga comprehend the
alam na may UTI na ako eh. nature/magnitude of the
Nalaman ko lng nung ng pacheck
problem/condition.
aq ng ihi sa health center.”
3. Inability to provide adequate
nursing care to the sick,
disabled, dependent or
vulnerable/at-risk family
member due to lack of
inadequate knowledge about
the disease/health condition.
 Scoring & Prioritization

A. Frequently Clog Sewerage

Criteria Computation Actual Score Justification
1. Nature of the 2/3 x 1 0.66 The problem is a
problem health threat
since it may
affect the family’s
health.
2. Modifiability of 2/2 x 2 2 The problem is
the Problem easily modifiable
and the resources
are available.
3. Preventive 2/3 x 1 0.66 The problem can
Potential be prevented
temporarily but it
affects the whole
community.
4. Salience of the 1/2 x 1 0.5 The family
Problem recognizes as a
problem but does
not need
immediate action.
Total Score 3.82

B. Self Medication
Criteria Computation Actual Score Justification
1. Nature of the 3/3 x 1 1 The problem is a
problem health deficit
because they think
influenza can be
easily treated with
over-the-counter
medicines.
2. Modifiability 2/2 x 2 2 The problem is easily
of the modifiable and the
problem resources are
available.
3. Preventive 3/3 x 1 1 The problem is high
Potential prevention because
the health center is
available and
 accessible to them.
4. Salience of 0/2 x 1 0 It is not perceived as
the Problem a problem or
condition needing
change since it
makes them well
without doctor’s
diagnosis.
TOTAL SCORE: 3

C. Urinary Tract Infection

Criteria Computation Actual Score Justification
1. Nature of the 3/3 x 1 1 The problem is a
problem health deficit
since it might
affect the baby’s
health.
2. Modifiability of 2/2 x 2 2 The problem is
the Problem easily modifiable
and the resources
are available in
the health center.
3. Preventive 3/3 X 1 1 The problem is
Potential high prevention
because the
health center is
available and
accessible to
them.
4. Salience of the 2/2 x 1 1 The family
Problem recognized as a
problem. It
consulted to the
health personnel
and needs
immediate action.
Total Score 5
Documentation