Family Case Study

General Objective After one (1) hour of family case presentation, the student nurses will be able to: Apply the already acquired knowledge and skills about assessing family health status and prioritizing family health problems in the community for the formulation of a family care plan which aims to prevent diseases and promote overall health of the family.

Objectives of the study

Objectives of the Specific Objectives study

After one (1) hour of family case presentation, the student nurses will be able to: Knowledge/ Cognitive Identify the family structure, socioeconomic and culture behavior, home and present environmental sanitation with the values, belief and practices of the family which contribute to their present health status. Recognize the present problems or health risk factors of the family which may affect their health.

Objectives of the Specific Objectives study

After one (1) hour of family case presentation, the student nurses will be able to: Skills/Psychomotor List the priority health problems through scaling from highest to lowest rank. Discuss interventions and preventions which was conducted together with the family for the identified health problems and risk factors with the use of available resources. Assess the activities and procedures such as health teaching in promoting health and prevention of communicable diseases.

Objectives of the study

Specific Objectives After one (1) hour of family case presentation, the student nurses will be able to: Attitude/ Affective Show importance on the discussion of family case study from bringing the identified and prioritized health needs to formulation of a family care plan in aiding the health problems.

Family Structure Characteristics and Dynamics

Name Age Sex Status Position in the Family Occupation Educational Attainment

Mr. R Mrs. R Child R

25 34 3

Male

Married

Head Wife Child

Laborer Housewife N/A

High School High School N/A

Female Married Male Child

a nuclear type of family lives in Purok Violeta II Barangay Don Jorge Central Ma-ao Bago City Mr. and Mrs. R have been married for about four years now and at the moment they dont have a plan on having more kids due to financial matters

Family Structure Characteristics and Dynamics

Mr. R works as a laborer at various barangays Mrs. R, on the other hand is a housewife and at the same time sells native goods to the residents in their purok during her spare time

Socio Economic Status

family Rs main source of income comes from the native goods sold by Mrs. R have an estimated monthly income of 8,500/ month good for the members to be fed with food and other needs they are currently experiencing some financial difficulties since Mr. R currently dont have a job to compensate his current unemployment, Mrs. R sells baye-baye, bitso-bitso, bitchocoy, kalamayhati and other native foods to the other members of the community in the morning and the afternoon

Socio Economic Status

Mrs. R receives these native goods from her aunt and when she sells these snacks she was able to get a small portion of money, porsyento, usually ranging from P200 P500 a day depends on the number of goods sold. Mrs. R usually starts selling at around 6 a.m. roaming and shouting on the streets on their purok baye-baye bitso-bitso kamo da in order to attract customers. Around 10 a.m. she does her lunch break to fill up her stomach and after which, she continues to sell until all her native goods have been sold which is usually at around 5 p.m.

Socio Economic Status

Mr. R, as claimed by Mrs. R, often feels disappointed that he cannot support well and uplift the status of their family and as a result causes him to feel stressed and sometimes even trigger arguments between the two. They are currently living with Mr. Rs parents who also help support them with whatever needs they can provide for the family. Most of the decisions related to money and the family itself are made by Mr. Rs mother.

Physical Environment
three members of the chosen adopted family and at the moment, they all live in one house with two rooms and were made of cement and wood the house has five (5) windows and can sustain the adequate ventilation needed by the family has a backyard in which rooted there were herbal plants use to treat certain illnesses such as lagundi, oregano, ampalaya, pito-pito and tsaang gubat Mrs. R together with her son child R both sleep in one room that has a full sized bed while mr. R often sleeps in the living room

Physical Environment
their house was furnished suitably with chairs, tables, beds as well as drawers and cabinets for their clothes and other items they also have electricity, which allows them to watch television and listen to the radio for any news and updates; also a source of lighting during the night able to obtain their source of water from a deep well located few meters outside their house in which they used it to wash their clothes, for bathing and for drinking

Physical Environment
regarding the open well as their source of water for drinking, first and foremost, they boil it until boiling point was reached such by presence of bubbles in order to make sure that it is potable to drink for sanitary and safety purposes they dont have a refrigerator to store their food so they usually placed it in a bowl or plate with a cover on it, same as true with their jug of water with cover placed above it.

Physical Environment
family R practiced this segregation practices by placing their garbage into their specified categories: Mapuslan (still usable), Madunot (easily rot) and Indi madunot (do not easily rot/ destroyed) placing it on a sack, which is then collected and thrown away by the garbage collector every week if the garbage seems to be too much, Family R sometimes burns it so that they can minimize the amount of garbage being thrown and usually most of the stuffs are papers and fallen leaves

Physical Environment
drainage system of the family is an open type where in the drainage flows anywhere and is continuous family raised pets in their place such as chicken and ducks family R take jeeps in moving to far areas such as going to bacolod city premises and other areas while in near distant places like the barangay health station, market place, etc. they usually take a ride to a motortricycle

Past and Present History Health Assessment/Status of each Household Member

Mr. R is currently twenty-five years old and is quite thin in appearance. weight is about 47 kilograms and his height is 54 BMI reveals that he is underweight with a value of 17.8 received all his immunizations when he was a child making him a fully immunized person. he does not have any genetic or hereditary illnesses there was one occasion where he had an allergic reaction to the Anti Tetanus Serum Vaccine about 2 years ago he visited Bago City Hospital to receive an injection for the Tetanus Toxoid vaccine

Past and Present History Health Assessment/Status of each Household Member

Skin test was performed prior to instilling it intramuscularly to note for any allergic reaction after 15 minutes and noticed that the nurse checks his arm less than the scheduled time and preceded the intramuscular injection of Anti Tetanus Serum thinking Mr. R dont have a any allergies to the vaccine that led to the development of a severe allergic reaction that almost killed him and according to him, this was the first time he ever experienced this type of allergic reaction had an experience of loose bowel movement due to intake of contaminated water does not smoke but likes to drink whiskey every once in awhile or in any special celebrations/ occasions

Past and Present History Health Assessment/Status of each Household Member

Mrs. R is currently thirty-five years old weighs 56 kilograms and her height is 411, her a BMI score of 24.8 which shows that she is within the normal weight range currently fully immunized and receives booster shots when necessary she has a family history of slight problems in the ears, such as hearing difficulties and ear infections when she was a child she had a problem with her ear wherein a callus had formed within her ear and she had no choice but to submit herself for surgical removal of the callus

Past and Present History Health Assessment/Status of each Household Member

experienced an injury on her left arm and fractured it when she fell down to the stairs which was the reason why her left arm is smaller in appearance than her right had an experience of urinary tract infection during the end of her pregnancy to Child R in addition, Mrs. R often has UTI due to her increase of soft drink consumption within the past few months experience of loose bowel movement after ingesting contaminated water currently is in good health and has not had any severe illnesses experienced

Past and Present History Health Assessment/Status of each Household Member

Child R is currently three years old weighs 19 kilograms and has a height of 311 a BMI score of 13.4 which shows that he is underweight also fully immunized and received booster vaccines whenever they are available or necessary has no chronic diseases but lately, he experienced having an ear infection where pus came out of his ears

Past and Present History Health Assessment/Status of each Household Member

he had a cough and cold when suddenly his snot came out of his ear rather that his nose experience loose bowel after ingesting contaminated water currently has no severe illnesses aside from the common cough and cold that he experiences every once in awhile

Family Assessment Based on Functional Health Patterns Health Perception - Heath Management Patterns
family has no chronic illnesses and they rarely get sick and usually if they do get sick it is usually minor fever or colds So in situations where one of the family members does get sick and it seems to be mild, they often prefer herbal remedies than medications but in cases when the herbal plants do not suffice, they seek consultation on their Barangay Health Station and seek medical advice from the doctor

Family Assessment Based on Functional Health Patterns Health Perception - Heath Management Patterns
she believes that the best cure for any minor illness, such as a cough or cold, is an increase in fluid intake especially water the family tries to maintain good health at all times by practicing good hygiene by doing one of the most important procedures that most people tend to take for granted these days, hand washing

Family Assessment Based on Functional Health Patterns Nutritional-Metabolic Pattern

Family R eats three times a day and on a daily basis they usually eat fish and vegetables with white rice once in awhile, seldom they are able to have meat such as chicken None of the members in the family are malnourished Mr. R have allergies to sea foods such as shellfish, crabs and shrimps while Mrs. R have none

Family Assessment Based on Functional Health Patterns Nutritional-Metabolic Pattern

Child R has mild allergies to chicken and eggs as claimed by Mrs. R. Child R takes vitamins such as Tiki-Tiki or Cherifer syrup if they have enough money to buy it Mr. R and Mrs. R also took vitamin supplements such as Fern-C when available Child R usually has a very good appetite and she has no problem feeding him During the day, Ms R allows Child R to eat a few junk foods such as biscuits, candy or chips whenever they have extra money

Family Assessment Based on Functional Health Patterns Nutritional-Metabolic Pattern

they were able to take protein, carbohydrate and vitamins in their meal. able to provide proper nutrition most especially to their child thus is very essential to prevent any kind of diseases

Family Assessment Based on Functional Health Patterns Elimination Pattern

Family R has no difficulties with urination or defecation Mr. R is able to defecate at least once a day and the same goes for Mrs. R Child R currently is also potty trained and has no problems with his elimination pattern When it comes to urinary tract infections, previously Mrs. R had an experience of urinary tract infection during the end of her pregnancy to Child R

Family Assessment Based on Functional Health Patterns Elimination Pattern

Mrs. R often has UTI due to her increase of soft drink consumption within the past few months She explained that she experiences pain during urination and aware that she must increase her fluid intake There also cases when the family members have experienced loose bowel movement or diarrhea due to their consumption of contaminated water which paved them to consult medical assistance and was advised to drink Oresol and increase their fluid intake

Family Assessment Based on Functional Health Patterns Activity-Exercise Pattern

family R all members are able to get their daily dose of exercise in their own way Mr. R likes to play basketball once a week with his friends at the communitys basketball court Mrs. R, on the other hand gets her exercise when she walks around the community selling her native goods Child R is an only child he likes to play with other children in their community, which is his form of exercise

Family Assessment Based on Functional Health Patterns Sleep-Rest Pattern

the family sleeps at night at around 10:00 pm 11:00pm after eating their dinner and watching television as their siesta time to bond together Mrs. R and Child R joins together in a one bed when sleeping while Mr. R sleeps on their living room family R claimed no sleeping problems and difficulties except for Child R who sometimes bed wets the bed

Family Assessment Based on Functional Health Patterns Sleep-Rest Pattern

usually wake up at around 5:00am most specially to Mrs. R who prepares early in the morning with her native goods while Child R at 8:00am to fully regain his energy family R takes afternoon naps for just a short while if time permits claimed they do have a balanced of work and rest activities such like if they felt that they are stressed or overworked out, they rest for awhile by taking naps or just sit on a sofa/ chair to relax their muscles

Family Assessment Based on Functional Health Patterns Cognitive-Perceptual Pattern

Mr. R and Mrs. R were very cooperative and oriented to the time and place they are both young, they have no problems identifying people and their names Both were able to answered questions accordingly and at the same time were able to fully express themselves openly to their problems with regards to health

Family Assessment Based on Functional Health Patterns Cognitive-Perceptual Pattern

no speech difficulties noted in Mr. and Mrs. R they had no problem recalling past events in their lives Child R is also able to respond to simple questions that are asked with a simple Hu oh or Indi. Child R was able to identify colors, animals, sounds, names, food and objects.

Family Assessment Based on Functional Health Patterns Self Perception/Self Concept

family as claimed by Mrs. R is adjusted to their living condition from the attainment of their needs to the relationship within. Mr. R being the head of the family sometimes feels disappointed or depressed because of inability to find a job, with that to find an outlet of his feelings he sometimes argue with his wife and seeks comfort in drinking alcohol with his friends Mrs. Rs self perception is positive and she was able to cope with the difficult situations that may come about

Family Assessment Based on Functional Health Patterns Self Perception/Self Concept

Her main motivation is her son, Child R is the main reason why Mr. R and Mrs. R must maintain harmony with one another, since if they do get into arguments their son is the one who will be affected to the point that he gets sick Currently, Mr. R does not have a stable job making Mrs. R the breadwinner of the family. .

Family Assessment Based on Functional Health Patterns Roles and Relationship

Mr. R and Mrs. R are currently going through difficulties in their relationship Mrs. R expressed that recently they have been having arguments and are having communication problem with Mrs. R Unfortunately, she also said that if given the chance she would want to move out on their house and go to Manila with Child R and live with her sister there

Family Assessment Based on Functional Health Patterns Roles and Relationship

As of right now, things between Mr. R and Mrs. R may not be at its best but they are as much as possible, trying to work things out for the good of their family As much as possible Mrs. R wants Child R to have a father figure in his life that will teach him discipline and how to become a good man

Family Assessment Based on Functional Health Patterns Roles and Relationship

When it comes to Mrs. R and her relationship with her son, the statement A mothers love for her child is unconditional is what comes into play She does not only care for him but also tries to educate him with simple things such as what certain objects are called to like how to wash his hands and brush his teeth Mrs. R also stated that if she were to have it her way, her dream is to have Child R go to college and become an architect

Family Assessment Based on Functional Health Patterns Sexual-Reproductive

Mrs. R is currently on birth control and receives her family planning from the Barangay Health Center Mrs. R prefers the Depo-Provera shots as family planning method She stated that she does not plan on having a child any time soon since she and Mr. R are not only experiencing financial problems but problems with their relationship as well

Family Assessment Based on Functional Health Patterns Coping Stress

in times of stress, Mr. R likes to play basketball or have a drink with friends in order to relieve his stress but the idea of drinking for Mrs. R only increases her level of stress so she likes to read pocket books and watch TV as a way of diverting herself away from her problem they mostly experience stressful situations when Mr. R goes home drunk causing them get into an argument late at night

Family Assessment Based on Functional Health Patterns Coping Stress

after that, it usually takes them a few days or even weeks to make peace with one another since in most situations, Mrs. R refuses to speak or even be around with Mr. R they also experience stressful situations when Child R gets sick and if they are experiencing financial problem

Family Assessment Based on Functional Health Patterns Values/Beliefs Pattern

all members of the family are Catholic although they are Catholic, they do not go to church as often as they used to Mrs. R explained that since their family is experiencing problems in their relationship she feels that going to church does not have any positive effect on their relationship since after that the arguing still exist

Family Assessment Based on Functional Health Patterns Values/Beliefs Pattern

but even though the family does not go to mass, they always pray daily right when they wake up and before they sleep at night Mr. R and Mrs. R believe in the power of prayer and that with God anything is possible believe that everything happens for a reason and that God will always provide on what things they need

Family Assessment Based on Functional Health Patterns Values Habits, Practices on Health Promotion,
Maintenance and Disease Prevention All the members of Family R were fully immunized and received boosters when available or necessary family has no problems in their health status, which shows that they are able to meet the adequate necessities of living When it comes to adequate rest, they usually sleep at around eight in the evening and wake up at around four in the morning allowing them to get the amount of rest that is necessary

Family Assessment Based on Functional Health Patterns Values Habits, Practices on Health Promotion,
Maintenance and Disease Prevention able to get their exercise from their daily activities of living such as washing clothes, cleaning, walking and engaging in sports all well clothed and Mrs. R expressed that they do no not buy clothes very often since most of the time their relatives also gave them clothes that have outgrown them able to eat their meals three times a day with good source of nutrients such as vegetables, white rice and meat

Family Assessment Based on Functional Health Patterns Values Habits, Practices on Health Promotion,
Maintenance and Disease Prevention
within the barangay, they make use of the health facilities such as the health station and first aid services offered to them they also took advantage of various services such as medical missions and what we student nurses have to offer to them believe in both herbal remedies and drugs prescribed and over the counter as means to cure their illness religiously take the prescribed medicines by the doctor as to the prescribed dose and time

Family Background
Family History Family R is composed of three members Mr. R is the head of the family and he is currently twenty-five years old. Mrs. R, his wife is thirty-four years old. Their one and only son, Child R is currently 3 years old Mr. R was born and grew up in Purok Violeta II, Don George Araneta, Central Ma-ao, Bago City, Negros Occidental His father is a farmer and his mother earns money for a living helping those who live in the community He is the youngest of four boys and one of his brothers passed away three years ago in a motorcycle accident Currently, his highest educational attainment is his high school diploma

Family Background
Family History

Mrs. R was also born and grew up in Don George Araneta, Central Ma-ao, Bago City, Negros Occidental Her father is a laborer and her mother is a housewife She is the youngest of four girls She was able to attain her high school diploma, but was not able to go to college due to financial problem Instead, she helped her parents at home and doing chores and taking care of her other siblings

Family Background
Family History Mrs. R was also born and grew up in Don George Araneta, Central Ma-ao, Bago City, Negros Occidental Her father is a laborer and her mother is a housewife She is the youngest of four girls She was able to attain her high school diploma, but was not able to go to college due to financial problem Instead, she helped her parents at home and doing chores and taking care of her other siblings Child R was also born at Bago City Hospital and lives with his parents. At the moment he is the only child and once he reaches four years of age, his mother plans on sending him to school.

Family Background
Database of the Respondent
Name: Mrs. R Age: 34 Gender: Female Address: Purok Violeta II Barangay Don Jorge Central Ma-ao Bago City Negros Occidental Religion: Catholic Occupation: Housewife Civil Status: Married Nationality: Filipino Ordinal Number of Children: 1 Educational Attainment: High School Diploma Estimated Monthly Income: P 8,500

Family Background
Family Tree

Family Background
General Household Data 1. Number of Children: 1 2. List of Household Members: 3
Name Age Sex Status Position in the Family Occupation Educational Attainment

Mr. R Mrs. R Child R

25 34 3

Male

Married

Head Wife Child

Laborer Housewife N/A

High School High School N/A

Female Married Male Child

Family Coping Index

Criteria 1. Physical Ideal Actual Rating Justification The members in the family Is concerned with All the members in the

Independence

ability to move
about, to get out of bed, to take care of daily grooming, walking, etc.

family are able to

perform their activities of daily living with the exception of Child R who needs assistance since he is only 3 years old.

have no problems carrying

out their ADLs and there are no noted disabilities in their movement.

Family Coping Index

Criteria 2. Therapeutic Ideal Includes all of the Actual The parents are aware on Rating Justification The members of the family put

Competence

procedures or
treatments prescribed for the care of illness such as giving medications, using appliances, dressing, exercise, relaxation, special diets, etc.

what to do if one of the

members gets sick. In the instance where one member gets sick they utilized the herbal medicines present in their backyard and seek consultation from the health center or hospital.

health as their main priority and

are willing to do whatever it takes to live and maintain a healthy lifestyle.

Family Coping Index

Criteria
3. Knowledge of

Ideal
Concerned with the particular

Actual
The parents of the

Rating

Justification
The mother is aware that she needs to

Health Condition

health condition that is the

occasion for care such as knowledge of the disease or inability to understand

family are aware of

their past and present illnesses. They are also aware

keep her son away from areas with

too much smoke since it may trigger his ear infection. The mother and father are also able to understand the

communicability of diseases
and mode of transmission. Understanding the general pattern of development of

of what needs to be
done in order to prevent further diseases.

process of simple illnesses.

newborn baby and basic needs

of infants for physical care.

Family Coping Index

Criteria
4. Application of

Ideal
Concerned with family

Actual
All the members of the

Rating

Justification
The parents in the family are old

Principles of
General Hygiene

action in relation to
maintaining family nutrition, securing adequate rest and

family practice general

hygiene. From washing their hands before and after eating and after

enough to be able to know how to

practice good hygiene but since their son is still too young to be able to care for himself fully, his parents

relaxation for family

members, carrying out accepted preventive measures (immunizations,

using the toilet every

day. Unfortunately, sometimes their son refuses to wear slippers

assist him in hand washing as well as

tell him to always wear his slippers especially when going outside of the house.

medical appraisal, safe

home-making in relation to storing and preparing of food).

when roaming around

and forgets to wash his hands.

Family Coping Index

Criteria
5. Health

Ideal
Concerned with the way

Actual
The parents are

Rating

Justification
Parents as much as possible want to

Activities

the family feels about

health care in general, including preventive services, care of illness,

concerned about the

health of the members of the family and they participate actively in

provide the best for their children and

protect them from harm. But if they are lack the money, all they can do is provide what they can.

and public health

measures.

maintaining their
optimum health, especially when it comes to their son. On

the other hand if they

have financial problems, they are unable to provide.

Family Coping Index

Criteria
6. Emotional

Ideal
Has to do with the maturity and integrity

Actual
The parents of the

Rating

Justification
Overall, they live in a home were the

Competence

with which the members of the family

are able to meet the usual stresses and problems of life, and to plan for happy and fruitful living. The degree to which

family often have

their misunderstandings that can affect their

parents can communicate with each

other. But when the parents get into an argument, they can go for days not speaking to each other.

individuals accept the necessary

disciplines imposed by ones family and culture. The development of the individuals responsibilities and

son. At the same time,

when they get along they are able to work as a family to

decision. Willingness to meet reasonable

obligations, to accept adversity with fortitude, to consider the needs of others as well as ones own.

overcome the
problems they face.

Family Coping Index

Criteria
7. Family

Ideal
Concerned with the interpersonal or

Actual
In terms of making

Rating

Justification
Since the father of the family has

Living

group aspect of family life. The family

members get along with one another, the ways in which they make decisions affecting the family, the degree to which

decisions, the parents

are responsible for making the decisions. There are times when

trouble finding a stable job, they

often get into arguments leaving the mother to make the decisions. Yet, no matter what happens, the

they support one another and do things

as family, the degree of respect and affection, and the ways in which they manage the family budget.

they are able to agree

on an idea but there are also times when they disagree.

decisions they make are always for

their son.

Family Coping Index

Criteria
8. Physical

Ideal
Concerned with home, the

Actual
Aside from the minor casualties of their home, their house environment is fitted for them. But on the other hand, the outside of their house has an open well that is covered by a

Rating

Justification
The familys house space is adequate

Environment

community and work

environment as its affect family health. The condition of the house such as pressure of

enough for the three of them. There is

a separate room for the kitchen where they cook their food using wood and charcoal. They have their own eating

thin net. This can be a threat since it

accident hazards, screening,

may be harboring mosquitoes and

utensils, plates and cups. Their rooms

also have mosquito nets, which they
insects. They also have a backyard, which their son can play in, and they also have a living room where the whole family can sit and watch television.

plumbing, system, facilities of cooking, privacy, level of community (deteriorated

use on a daily basis. Their home itself is made out of wood and concrete and

neighborhood, presence of
social hazards, pests), transportation of schools and availability.

seems sturdy, but not sturdy enough

to survive a storm if ever.

Family Coping Index

Criteria
9. Use of

Ideal
Degree of the family use and

Actual
The family is aware of the

Rating

Justification
When other schools go to the

Community
Resources

awareness of the available

community facilities for education and welfare.

available sources in the

community, both in health and education. They usually avail the programs and services that are

community for medical missions,

especially dental medical missions, the family always grabs the opportunity. The community also has

given at the health centers and

medical missions. The community resources are also easily accessible for them and

a basketball court where the father

plays at, at least once a week. It is also very easy to access transportation, if they travel, in the

they are able to get to these

sources by walking or riding a motor tricycle.

community since there are many

motor tricycles and jeeps within the area.

Typology of Nursing Problems

Cues or Data
Objective Data: Their son often plays in the soil and dirt, wearing no shoes or slippers. Subjective Data: The mother verbalized, Halin sang una, namian na siya

Family Nursing Problems

1. Poor personal hygiene as a Health Threat

mag hampang sa balhas. Feeling ko indi pa na siya kabalo

mag lakat if wala cya namun gin sugtan mag hmpang sa balhas. Asta subong indi siya namian mag suksuk slippers. Yawan na kami hmbal cya na ma suksuk cya.

Typology of Nursing Problems

Cues or Data Objective Data: At the moment Mr. R, doesnt have a stable job leaving Mrs. R as the breadwinner. Mrs. R only makes p8,000/month for the family. Subjective Data: The mother verbalized, Si Mr. R, wala na cya ga ubra subong ako na lang para may ma bantay kay Child R. Okay man lang na sakon, pero kis-a ga inaway kami tungod sa kwarta kay indi ya ma accept na ako ang ga earn para samun nga tatlo. Family Nursing Problems 2. Low income as a Health Threat

Typology of Nursing Problems

Cues or Data Objective Data Presence of an open well dug out in their backyard in the ground without any blocks on the sides with just a bunch of logs being put together to create a barrier. Mosquitoes breeding in the open well were also present Family Nursing Problems 3. Poor Environment Sanitation specifically presence of breeding or resting sites of vectors as a Health Deficit

Subjective Data: The mother verbalized, Gin tabunan lang namon da kag gin butangan kahoy kay waay na namon ginagamit kag para indi madagdag ang mga bata kung magdinalagan kag waay may ma aksidente. Gusto na namun e pa kayo pero wala pa kami budget.

Typology of Nursing Problems

Cues or Data
Objective Data: There have been many instances where Mr. R would come home drunk and would lead to arguments between Mr. R and Mrs. R. They would go for days without talking and even though things were at peace, they would argue again. Subjective Data: The mother verbalized, Tak-an na ko kisa kay c Mr. R, permi ya upod iya migo. Pero kun ara lang di sya sa balay, wala gid kaso. Kay kun ma inom na siya ka gahod na cya, grabe siya mag wakal. Kis-a si Child R ara gid sa tunga namun ga hibi. Tani lang ma untat cya para wala na problema sa mga away-away na..

Family Nursing Problems

4. Stress provoking factor specifically strained marital relationship as a Health Threat

Typology of Nursing Problems

Cues or Data
Objective Data: Child R is now 3 years old and will be attending school next year. He has trouble speaking since the children around his neighborhood do

Family Nursing Problems

5. Entrance at school as a Foreseeable Crisis

not know how to speak that well either. Mrs. R is worried that he will
have a hard time adapting to the school environment. In addition Mrs. R is unaware if she will have enough money to send him to school. Subjective Data:

The mother verbalized, Worried ko para kay Child R kay indi pa

siya mayo ka storya kay i yang mga upod ya mag hampng daw pitla sila tapos wala sila mayo ga hmbal. Tapos next year if ma school na siya tapos wala pa ubra si papa ya ambot kun diin ko ma kwa kwarta

para siya. Gusto ko gd cya ya ipa school, kag dream ko gid na nga ma
attend siya college tapos ma kwa architecture.

Poor personal hygiene as a Health Threat

Criteria 1. Nature of the Problem 2. Modifiability of the Problem Computation Score 2/3 x 1 1/2 x 2 0.7 1

Prioritizing Problems
Justification This problem is a health threat. The problem is partially modifiable since it their son who is at risk when it comes to poor personal hygiene.

3. Prevention Potential

3/3 x 1

By simply teaching their son about proper personal

hygiene, future illnesses can be prevented.

4. Salience

2/2 x 1

The parents needs to educate their soon immediately in order to prevent the occurrence of future illnesses.

TOTAL

3.7

Low income as a Health Threat

Criteria 1. Nature of the Problem 2. Modifiability of the Problem 3. Prevention Potential 2/3 x 1 0.7 Computation Score 2/3 x1 1/2 x 2 0.7 1

Prioritizing Problems
Justification The problem is a health threat. The problem is partially modifiable since it can be rather difficult to find a stable job. By increasing their monthly income, the parents will be

able to provide adequate food, vitamins and medications in

cases when a family member gets sick. 4. Salience 1/2 x 1 0.5 The parents dont perceive this as something that needs urgent attention since at the moment they are already able to buy enough food and medications if necessary. TOTAL 2.9

Poor Environment Sanitation specifically presence of breeding or resting sites of vectors as a Health Deficit
Criteria
1. Nature of the Problem 2. Modifiability of the Problem

Prioritizing Problems
Computation Score
3/3 x 1 1/2 x 2 1 1

Justification
The problem is a Health Deficit The problem is partially modifiable since fixing this problem entails financial resources that will fix the open well in their backyard.

3. Prevention Potential

3/3 x 1

By fixing the open well in their backyard, not only can they eliminate the resting sites of vectors but they can also prevent children accidentally falling into the open well.

4. Salience

1/2 x 1

0.5

The family doesnt see this problem as something that needs

immediate attention since it has been there for a few years now
and they dont have the money to fix it.

Stress provoking factor specifically strained marital relationship as a Health Threat

Criteria
1. Nature of the Problem 2. Modifiability of the Problem 3. Prevention Potential 2/3 x 1 0.7

Prioritizing Problems
Computation Score
2/3 x 1 1/2 x 2 0.7 1

Justification
The problem is a Health Threat. The problem is partially modifiable since, in order to fix their relationship, both parents need to cooperate with one another. By fixing their relationship, they can prevent further problems from arising and likewise be able to work together for the benefit of their family.

4. Salience

2/2 x 1

Both parents dont see this problem as something that needs immediate attention because both of them prefer to put their

problems aside than solve it.

TOTAL 3.4

Entrance at school as a Foreseeable Crisis

Prioritizing Problems
Computation Score 1/3 x 1 1/2 x 2 0.3 1 Justification The problem is a foreseeable crisis. The problem is partially modifiable since it is quite difficult for Mr. and Ms. R to find a job that will be able to sustain their familys needs.

Criteria 1. Nature of the Problem 2. Modifiability of the Problem

3. Prevention Potential

1/3 x 1

0.3

If they are able to successfully send their son to school he

will be able to learn and get a good education.

4. Salience

1/2 x 1

0.5

Currently, the parents do not see this as a problem needing immediate attention since they still have a few months to find a solution to the problem.

TOTAL

2.1

Family Care Plan

Problem List Problems Identified
1. 2. Poor personal hygiene as a Health Threat Poor Environment Sanitation specifically presence of

Score
3.7 3.5

breeding or resting sites of vectors as a Health Deficit

3. Stress provoking factor specifically strained marital relationship as a Health Threat 4. 5. Low income as a Health Threat Entrance at school as a Foreseeable Crisis 2.9 2.1 3.4

Family Care Plan

Summary, Evaluation, and Recommendation

Summary and Evaluation Family R. is considered a nuclear type of family, which is composed of a father, mother, and a child. Family R. resides in Purok Violeta II, Barangay Don Jorge, Central Ma-ao, Bago City. They currently live in a house made of cement and wood, and with 5 windows to provide them adequate ventilation. Their house only has one bedroom where Mrs. R and Child R sleep in while Mr. R sleeps in the living room. They also have a decent amount of furniture suited for their simple way of living. Their backyard contains herbal plants such as lagundi, oregano, ampalaya, and tsaang gubat. They have electricity and water which they get from a deep well, and they boil their water for drinking. They dont have a proper drainage yet they provide a water sealed toilet.

Summary, Evaluation, and Recommendation

Summary and Evaluation Mrs. R is the familys breadwinner because Mr. R currently has no job. Mrs. R earns money through selling native goods and snacks, she is able to earn a decent amount of money which ranges from 8,000-8,500php a month. Mr. Rs parents also provide them support and money, so Mr. Rs mother is in charge with money matters. Family R is identified to have poor environmental sanitation. With this situation and family condition, many problems were identified such as health threats and health deficits which include Poor personal hygiene, Poor Environmental Sanitation specifically presence of breeding or resting sites of vectors. Family also faces low income, marital status and entrance at school of child R. Nursing care plans are then formulated to address the different problems identified.

Summary, Evaluation, and Recommendation

Summary and Evaluation The family has the ability to improve their health conditions. They just have to maximize their available resources to be used for them to improve their health conditions and lessen the health threats identified. And with the help of other people especially the health care providers and the student nurses who would provide them with proper education and alternative interventions to their problem they will be able to solve their health problems through their participation and willingness to cooperate.

Summary, Evaluation, and Recommendation

Recommendations The student nurse have identified and prioritized problems and needs together with the family. The student nurse have also created a care plan on how to deliver the best nursing care for the family to address their needs. The following below are propositions recognized by both the student nurse and family: 1. Maintain an open communication with each other so that there will be an understanding with one another. 2. Children should be monitored for any health threats in order to take preventive measures if there are any present. 3. Continue to have good nutrition habits, such as eating fruits and vegetables on a regular basis and include calcium-rich foods in their diet.

Summary, Evaluation, and Recommendation

Recommendations 4. Take time to rest every now and then to reduce the amount of stress on the body, which may make them at risk in their health. 5. Have an open and honest relationship so that current problems can be fixed and future problems avoided. 6. 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. 7. The family should maintain a healthy and clean environment. They must clean their surroundings to avoid the presence of vectors of diseases.