Professional Documents
Culture Documents
INTRODUCTION
The family is the most important social unit of society. This is a fact
that everyone must learn. The family is not only the basic societal unit.
It is also the basic sexual unit, the basic child-raising unit, the basic
communication unit, and the basic all-around fun and friendship unit
(Wilson, 2013). It also forms the basic unit for family medicine. Census
definitions of family have varied from country to country and also from
census to census within country. The word household has often been used
as a replacement for family. The UNESCO report stated that a family is a
kinship unit and that even when its members do not share a common
household, the unit may exist as a social reality. This definition may be
too broad to serve the purpose of identification of a family unit for the
purpose of assessment as a factor in variables such as health.
In the course of the family care assessment, it has been found that
Adarna family incurred problems regarding environmental sanitation.
Environmental Health is concerned with preventing illness through
managing the environment and by changing people's behavior to reduce
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exposure to biological and non-biological agents of disease and injury. It
is concerned primarily with effects of the environment to the health of the
people. Per assessment it was found that the Adarna family gives low
attention to environmental sanitation. According to the WHO Director-
General Dr. Margaret Chan "Sanitation is a cornerstone of public health".
"Improved sanitation contributes enormously to human health and well-
being, especially for girls and women. We know that simple, achievable
interventions can reduce the risk of contracting diarrheal disease by a
third". Ann M. Veneman, UNICEF Executive Director said that “Nearly 40%
of the world’s population lacks access to toilets, and the dignity and safety
that they provide". “The absence of adequate sanitation has a serious
impact on health and social development, especially for children.
Investments in improving sanitation will accelerate progress towards the
Millennium Development Goals and save lives” (WHO & UNICEF, 2008).
For the clinical case, Mrs. E of the Adarna family was found to be
suffering from Hypertension and Diabetes Mellitus Type II. Hypertension
and Diabetes Mellitus are chronic medical conditions that frequently
coexist. Having diabetes can increase risk of developing hypertension and
other cardiovascular problems, because diabetes adversely affects the
arteries. The combination of hypertension and diabetes can be lethal, and
together they can increase the risk of a heart attack or stroke.
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A. BACKGROUND OF THE STUDY
The proponents’ case study focuses on patients who are at risk with
problems in perception, coordination, immunologic and inflammatory
processes.
The proponents were assigned to look out for a patient at risk at Brgy.
Panadtalan, Maramag Bukidnon. They targeted a patient at Purok-6A and
6B with the advice given to us by the Barangay Health Workers (BHWs)
who are known in their barangay as patient who is at risk with problems
in perception, coordination, immunologic and inflammatory processes. As
per observed and examined, hypertension and diabetes mellitus were
taken into account. The proponents’ assessment focuses on the problem
they have diagnosed, a diagnosis in line with their field of expertise.
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B. OBJECTIVES
General Objectives
At the end of the four (4) weeks of family nursing care management
through the use of the nursing process, the students will be able to utilize
critical thinking to integrate knowledge and skills from the sciences,
humanities and arts related to nursing practice with individuals, families,
and the community in general, within the context of life long lived
experiences. Moreover, they will be able to make clinical judgments and
decisions to their patient, her family and community as a whole according
to their lived experiences. Lastly, they will be able to develop the attitudes
of competence, comprehensiveness and confidentiality by creating a
community case that could be a source of nursing research, management
and education.
Specific Objectives
Knowledge:
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Identify the implications of this case study to nursing research,
education and practice
Skills:
Attitude:
Develop awareness of the needs and emotions of the patient and his
family
Establish a nurse-client relationship to the client, as well as to the
family by rendering therapeutic nurse-client relationship
Exhibit culturally sensitive approach to the patient when dealing
with their own opinions and ideas
Appreciate the manifestations of the patient’s signs and symptoms
to the underlying pathophysiologic process
Observe confidentiality on patient’s data
Develop sensitive attitude and open-mindedness to listen any
criticism
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C. SCOPE AND LIMITATIONS
Different methods and instruments were used in the data gathering of the
said study as follows: