St.

Mary's College
Tagum City

Bachelor of Science in Nursing

A Family Case Study of PianoFamily

In Partial Fullfilment of Requirements in

RELATED LEARNING EXPERIENCE

Presented to:

Ms. Virginia B. Bellena, R.N

Presented by:

Jessa Louraine D. Delfinado

BSN-2D RLE

February 14, 2008

 COTAB FAMILY

Alfredo Cotab Elizabeth Cotab

(Father) (Mother)

Apple Jean Cotab

(eldest)

Geraldine Cotab
(2nd child)

Christine Mae Cotab

(3rd child)

Laika Cotab
(4th child)

Alaiza Cotab
(youngest)

INITIAL DATA BASE

COTAB FAMILY
Purok 2-26 Sitio Garinan, Brgy. Madaum Tagum City
A. Family Structure and Characteristics of dynamics

FAMILY AGE SEX CIVIL POSITION PLACE

MEMBER STATUS In the of
FAMILY RESIDENCE
Alfredo Cotab 45 M Married Father Residing with
his family
Elizabeth Cotab 41 F Married Mother Residing with
her family
Apple Jean Cotab 17 F Single Eldest Residing with
her auntie in Davao
Geraldine Cotab 15 F Single 2nd child Residing with
her auntie in Davao
Christine Mae 12 F Single 3rd child Residing with
Cotab his family
Laika Cotab 5 F Single 4th child Residing with
his family
Alaiza Cotab 3 F Single Youngest Residing with
his family

Type of Family Structure:

Nuclear Family or Traditional Family since it is comprise of a father, mother and their
children. Parents are married. However, the family could also be considered as Extended
Family since the other family members live in different area, but they may be a source of
emotional and financial support of the family.

General Family Relationship:

They are happy family because the parents are in good terms and they have
noproblem in their relationship. Although the daughters residing with their auntie in Davao,
they constantly communicate to the rest of the family members through the help of text
messages and letters. Still, their communication in the family is effective. In terms of decision-
making in matters of family problems especially health care of the family, Mrs. Elizabeth
Cotab, the wife works and makes the immediate action when problem occurs. However, the
couple prioritize the children's health status for an immediate action to the diseases that
started to occur. They have common goals and have their own roles.

B. Socio- Economic and Social Characteristics

 Famliy Occupation Income Educational Tribe Religion
Member Attainment
Alfredo Cotab Company Estimated Elementary Cebuano Roman
employee 60,000 Graduate Catholic
annually
Elizabeth Cotab Housewife NONE Elementary Cebuano Roman
Undergraduate Catholic
(Grade 4)

Apple Jean student - High School Cebuano Roman

Cotab (4th year at Catholic
present)
Geraldine Cotab student - High School Cebuano Roman
(1st year at Catholic
present)
Christine Mae Out of school - Elementary Cebuano Roman
Cotab youth Undergraduate Catholic
Laika Cotab - - - Cebuano Roman
Catholic
Alaiza Cotab - - - Cebuano Roman
Catholic

C.Home and Environment

1. Housing

a. Adequacy of Living Space

➢ The house is consist of one bedroom adequate for the family. All of them
rest and sleep in the room together. The living room has no adequate
space. Their cooking area is located inside the house adjacent to their
living room. They use the table in the living room as dining table but it is
not enough for them to sit and eat together. Their comfort room is located
ouside the house and is shared by the other families.

b. Adequacy of furniture or appliances

➢ The family has one sala set made of bamboo and a dining table made
of wood. There is no appliances present.

c. Presence of breeding sites of insects and rodents

➢ Breeding sites of mosquitoes, flies and rodents in their house are

evidently seen in the surroundings of the house. Here are some
 indicators:

✔ lack of drainage system

✔ empty bottles
✔ gallons
✔ tin cans

2. Kind of neighborhood and Surrounding Area

➢ The house is near from their neighbors. With that, they have only a
narrow passageway beside their house. Their house is located near
the seashore.

3.Social and Health facilities available

➢ Their house is a walking distance to the chapel, basketball court,

health center, day care center, school but they were too distant
from the Barangay Hall.

4. Communication and Transportation facility available

➢ In terms of communication they only depend on the “kampana” in

their chapel at their meamns for their communication. They do not
have their own vehicle for transportation but there are a lot or
single motor available in their community which can be used as
their transportation.

D.Health Status of the Family Members

Presently, Laika, one of their daughters, suffers from colds and the rest of the
family members are in good health condition.

Values, habits, and practices and health promotion, maintenance and disease
prevention.

a. Immunization Status of Family Members:

➢ All of their children are Fully Immunized Child (FIC) and their mother also
completed all the pre-natal check-up and vaccine during her pregnancy.

b. Healthy Lifesyle Practices

➢ They eat three times a day and Mrs. Elizabeth Cotab always includes
vegetables and fish in serving their meals. She mentioned that they are fond
of eating raw fish (kinilaw).
 c. Use of Protective Measure

➢ The family uses mosquito net during nighttime to somehow get rid from
mosquitoes

d. Prescence of Accident hazards

➢ The wall of their kitchen is made up of woods.

➢ Uncovered deep well
➢ Some parts of the floor are lumpy since it is made up of soil.

e. Food storage

➢ Basket is used for their food storage wherein foods are left covered with other
plates.

f. Cooking facilities

➢ They will just only use fire woods so that they can be able to cook their foods.

g.Water supply

➢ The family uses the water from a deep well. They will use it for
cooking,washing clothes and any kitchen utensils and for bathing and the rain
water is their source of drinking water. The deep well which is family's source
of water supply is shared by some households.

h.Toilet facility

➢ They do not have their own toilet they were just only using a common toilet
from their neighbor it has poor sanitary condition.

i.Garbage disposal

➢ They segregate their garbage and some were placed in a compost pit.

j. Drainage system

➢ The used water goes directly to the ground.

k. Lighting facilities
 ➢ They are using petromax as their source of light during nighttime.

FIRST LEVEL ASSESSMENT

A. Health Threats

1.) Inadequate living space

a. Their house is not enough to accommodate the whole family. It has a

 limited space area for their living room and kitchen.

2.)Poor environmental sanitation

a. They dont have their own toilet and they will just only using a common
toilet .
b. Their kitchen is unclean.
c. Poor lighting and ventilation at night.
d. Unsafe water supply
> Rain water and commercialized water (Dumoy) as a source of
drinking water
> Stored in unclean and uncovered container
> Directly uses thewater for drinking without even boiling for few
minutes.

3.) Presence of Breeding sites and other vectors of diseases

a. The used water goes directly to the ground.

b. Scattered tin cans in the kitchen, bottles and containers

4.)Accident Hazards

a. Fall Hazard
> Uneven floors
>Uncovered deep well; approximatell 15 meters away from the
house.
b. Medicines improperly kept
> No medicine cabinet; it can easily be reached by children.They are
placed along wall divisions.

5.) Personal Practices and Habits

a. Eating raw fish (kinilaw)

b. Self-medication
c. Smoking and Alcohol Drinking
Mr. Alfredo Cotab smokes and drinks alcoholic drinks
occasionally which can harm his health as well as the health of the
other members of the family.