By: BSN GROUP 2

COMMUNITY HEALTH
BADILLES NIQUE
BLANCO RENEJANE
NURSING – CASE
CORTEZ SASO
GAMALINDA TAN PRESENTATION
LIM TIPON
 INTRODUCTION

“
It is health that is real wealth and not pie
ces of gold and silver.
”
 A saying that strongly correlates to Community
health nursing in such a way that it focuses on
the welfare of everybody.
WHAT IS CHN?
 Community Health Nursing is a specialized field
of nursing, public health and some phase of
social assistance and function as well as part of
the total public health program for the
promotion of health, improvement of the
conditions in the social and physical
environment, rehabilitation of illness and
disability according to WHO.
 Its goal is to raise the level of health citizenry.
 The traditional function of the community health
nursing is to help other help themselves.
 The practice of the community health nursing
will need to remain fluid and flexible if it is to
be consistent with community needs, available
resources, scientific knowledge and capabilities
of people being served.
WHAT IS A COMMUNITY
 Community is a very important target of health
care
 Every community has problems to be identified
 Communities with poor financial and
environmental conditions in particularly, are
some concerns of the nation with regards to
health.
WHY WE CHOSE THIS FAMILY?
 We chose Panadero Family because we had
identified problems that would affect their
health and give solutions for them to cope up.
 By rendering health teachings and
interventions, the family will be able to
understand and learn about the existing and
potential health problems and the family will
be able to take appropriate actions to solve
their problems on their own.
OBJECTIVES
GENERAL OBJECTIVES:
At the end of our 4 week exposure on
Barangay Subasta, Calinan, Davao City; we,
student nurses of Ateneo de Davao University,
BSN 3-D group 2, will be able to apply our
learnings in our community health nursing
concept and will be able to provide adequate
and proper nursing care.
SPECIFIC OBJECTIVES:
 Psychomotor:

 Conduct an ocular survey to find a family suitable

for the case study;
 Gather demographic data and other pertinent
information about the client as well as the family
to support the case study;
 Illustrate the family eco map;
SPECIFIC OBJECTIVES:
 Extrapolate to the family the health teachings
applicable to their problems;
 Trace the client’s genogram, family diseases and
health conditions in a diagram format with a
corresponding legend;
 Formulate 5 Family Nursing Care Plans for the
family;
SPECIFIC OBJECTIVES:
 Cognitive:
 
 Identifyobservable and underlying problems within
the family;
 Lay down information about the background of our
family case study, its purpose , why the client was
chosen and how can they be an attractive and
proponent of the study;
 Present the initial data base of the client;
 Rate the family’s coping potential/capacity based
on the Family Coping Index;
SPECIFIC OBJECTIVES:
 List down problems noted in the family;;
 Prioritize problems based on the Scale for Ranking
Health Conditions and Problems According to
Priorities;
 Evaluate the results of our interventions if the
family improved their condition;
 Lay down the contributions of our Case Study to
Nursing Education, Research and Practice; and
 List down all references used for this particular
Case Study.
SPECIFIC OBJECTIVES:
 Affective:

 Establish
rapport with the family to develop a good
working relationship;
INITIAL DATA BASE
 FAMILY STRUCTURE,
CHARACTERISTICS AND DYNAMICS
RELATION
CIVIL EDUCATIONAL
NAME SEX AGE ATTAINMENT
OCCUPATION RELIGION TO THE
STATUS
FAMILY

HOMER 1ST YR MOTOR ROMAN

MALE 28 MARRIED HUSBAND
PANADERO COLLEGE DRIVER CATHOLIC

MARJ 1ST YR ROMAN

FEMALE 26 MARRIED VENDOR WIFE
PANADERO COLLEGE CATHOLIC

BART ROMAN
MALE 8 SINGLE GRADE2 SON
PANADERO CATHOLIC

MAGGIE ROMAN
FEMALE 6 SINGLE KINDER2 DAUGHTER
PANADERO CATHOLIC

STEWIE ROMAN
MALE 2 SINGLE SON
PANADERO CATHOLIC
FAMILY STRUCTURE,
CHARACTERISTICS AND DYNAMICS
 PLACE OF RESIDENCE OF EACH MEMBER
-The Panadero family is living together in one
house, located at purok 1 Subasta, Calinan
Davao city.
FAMILY STRUCTURE,
CHARACTERISTICS AND DYNAMICS
 TYPES OF FAMILY STRUCTURE
According to membership
 The Panadero family is a nuclear type of family

because they are living in one household and

consisting of a mother, father and their children.
According to Residence
 The Panadero family is matrilocal since they live
in one compound with Marj’s parents and siblings.
According to Authority
 Egalitarian is the authority in Panadero family in
which decision lies with both couple.
FAMILY STRUCTURE,
CHARACTERISTICS AND DYNAMICS
 DOMINANT FAMILY MEMBER IN TERMS OF
DECISION-MAKING, ESPECIALLY IN MATTERS OF
HEALTH CARE
Both Marj and Homer are responsible in
making decisions with regards to health care.
The two of them work hand in hand to provide
the family’s health needs. Financial matters are
discussed by both Marj and Homer. They help
and support each other in making decisions for
their family.
FAMILY STRUCTURE,
CHARACTERISTICS AND DYNAMICS
 GENERAL FAMILY RELATIONSHIP
 The panadero family is peaceful and loving
family though sometimes the family experience
quarrels but they easily resolve it by talking
through it.
FAMILY STRUCTURE,
CHARACTERISTICS AND DYNAMICS
 ACTIVITIES OF DAILY LIVING
Sleeping pattern
 The couple, Homer and Marj, together with
their sons and daughter, sleeps together in
one room. There have been regular hours
for getting up and retiring every night for
the family. They usually sleep at around 8
or 9 pm and wakes up 6am In the morning
because marj needs to cook and prepare her
children in going to school.
FAMILY STRUCTURE,
CHARACTERISTICS AND DYNAMICS
 Eating Pattern
SCHEDULE FOODS WHO The family shares four
PREPARES meals in a day
breakfast, lunch, snacks
and dinner. They cook
BREAKFAST Rice, Fish/vegetables MARJ
using charcoals/woods
because they have no
LUNCH Rice, meat/vegetables MARJ
stove. Ellen usually
MERIENDA Bananacue MARJ
cooks the food since
she also cook viands in
DINNER Rice, MARJ which she sells during
fish/meat/vegetables/soup lunch.
FAMILY STRUCTURE,
CHARACTERISTICS AND DYNAMICS
Leisure time activities
 During free time, the family would just watch
television on their neighbor’s house since
their television set is broken. And also, they
sleep and clean the house during free time. If
they have extra money or they need to buy
something, they go to town.
SOCIO-ECONOMIC AND CULTURAL
FACTORS
 INCOME AND EXPENSES

OCCUPATION
MEMBER PLACE INCOME
S OF WORK

HOMER MOTOR SUBASTA P300-

PANADER DRIVER P500/day
O

MARJ VENDOR SUBASTA P300/day

PANADER
O
SOCIO-ECONOMIC AND CULTURAL
FACTORS
The family’s income is above minimum wage
(referring to Davao’s minimum wage level
which is P248), having an income of 400-600 per
day. It has an adequacy in meeting family’s
basic need such as food and shelter. They can
afford to send their children to school and able
to eat at least 3-4 times a day.
SOCIO-ECONOMIC AND CULTURAL
FACTORS
 EDUCATIONAL ATTAINMENT OF EACH MEMBER
OF THE FAMILY
Name Educational Attainment

Homer Panadero Undergraduate First yr college

Marj Panadero Undergraduate First yr college

Bart Panadero Currently on Elementary Grade

2
Maggie Panadero Currently on Kinder 2

Stewie Panadero Doesn’t go to school yet

SOCIO-ECONOMIC AND CULTURAL
FACTORS
 ETHNIC BACKGROUND AND RELIGIOUS AFFLIATIONS
 Basically,
our clients are Christians. Both Homer and
Marj lived in Subasta. They don’t go to church since
Homer and Marj is busy but they find time going to
church during special occasions

 SIGNIFICANT OTHERS
 Each of the family members has its own significant
roles in the family. In times of financial crises, they
have their neighbors who can help them in some
matters matters because most of their neighbours are
their relatives,
SOCIO-ECONOMIC AND CULTURAL
FACTORS
 RELATIONSHIP OF THE FAMILY TO THE LARGER
COMMUNITY
 They are not active members in their
baranggay. Whenever there are activities in the
Barangay, they do not participate because they
are busy. they are friendly to their neighbours,
they watch tv in their neighbours house.
ENVIRONMENTAL FACTORS
 HOUSING
 Adequacy of living space
 There is inadequate living space for the entire

family. The house consists of a multifunctional

room because the room serves as their bedroom,
dining room, living room and kitchen. The room has
a floor area of 311cm x 250cm x 300cm. They
have a separate room for their comfort room which
has a floor area 80cm x 100cm x 300cm. The
cooking facility is separated from the house located
few feet away which has a floor area of 83cm x
110cm x 300cm.
ENVIRONMENTAL FACTORS
Sleeping arrangement
 The family altogether sleeps inside the main
room. The children sleep on the floor mat
while Mr. and Mrs. Panadero sleep on the
bed.
Adequacy of furniture
 They have furniture. There is a television set
and DVD player but it is broken. They have
few kitchen utensils. A dining table and
wooden chairs, they have a wooden cabinet
wherein they place or keep their clothes and
other things.
ENVIRONMENTAL FACTORS
 Presence of insects and rodents
 There were cobwebs noted at their ceilings. There
were mosquitoes in the kitchen and their bedroom.
There are also small rats and ants noted. It is
highly possible for insects to get in because their
windows are not screened.
 Presence of accident hazards
 There are large and sharp stones outside their
door. Marj verbalized “nadagma dra akong anak,
naigo sa bato unya nasamad ang ulo”. the house is
made of wood, the cooking area is just inches away
from the house.
ENVIRONMENTAL FACTORS
 Food storage and cooking facilities
 There is no proper food storage. They have no
refrigerator; they store their fresh meats on their
mother’s refrigerator. We also noticed the cooking
utensils such as plates & cooking pan left unwashed
in the washing area. They are using wood and
charcoals for cooking.
 Water supply
 They get their water supply in water district. This
is where they use for taking a bath, washing
clothes and use for cooking. In terms of paying they
pay their own water bill.
ENVIRONMENTAL FACTORS
 Toilet facility
 The toilet is privately owned and is located inside
their house. It is approximately 80x210x300 cm.
The toilet is not that clean. The walls of the toilet
room are covered with sacks. The type of toilet is
an open pit.
ENVIRONMENTAL FACTORS
 Garbage disposal
 There is exposed garbage in plastic cellophane
mixed with biodegradable and non-biodegradable.
Flies and rodents are seen around the garbage
plastic cellophane. There is garbage collector that
makes rounds every week. The family has no
proper container for their garbage wastes. They
just put it in plastic cellophane where flies and
rodents are present.
 Drainage System
 The type of drainage system they have is an open
pit.
ENVIRONMENTAL FACTORS
 KIND OF NEIGHBORHOOD
 The houses in the community are not congested.
They are spaced adequately. The Panadero family
lives in a peaceful community. Whenever they need
something like they need to put their fresh meats in
a refrigerator their neighbors would let them store
their food in their refrigerator. Since some of their
neighbors are their relatives, they sometimes watch
TV in their relative’s house.
ENVIRONMENTAL FACTORS
 SOCIAL AND HEALTH FACILITIES
 Health Center is present where immunizations and
check-ups are rendered. Subasta also houses the
Subasta Elementary School wherein almost all of
the children study. The community has a basketball
area and a chapel that is used by the people for
recreation and official activities. There are also
several sari-sari stores in the area wherein they
could buy the things they need.
ENVIRONMENTAL FACTORS
 COMMUNICATION AND TRANSPORTATION
FACILITIES AVAILABLE
 They own a motorcycle which serves as their
transportation and also to earn a living. They have
their television but it is broken. They have a source
of communication, they have cellphones.
HEALTH ASSESSENT OF EACH
MEMBER
FAMILY WEIGHT HEIGHT BMI INTERPRE Classification Scale
MEMBER TATION

Homer 70kg 174cm 23.10 NORMAL Underweight <19 kg/m2

Panadero kg/m2

Marj 59kg 156cm 25.8 NORMAL Normal 19-24.99

Panadero kg/m2
kg/m2
Bart 20kg 115cm 15.15 UNDER Overweight 25 – 29.99
Panadero kg/m2 WEIGHT kg/m2
Maggie 20kg 110cm 16.53 UNDER Obese Class 30 – 34.99
Panadero kg/m2 WEIGHT I kg/m2
Stewie 11kg 85cm 15.28 UNDER Obese Class 35-39.99
Panadero kg/m2 WEIGHT II kg/m2
HEALTH ASSESSENT OF EACH
MEMBER
FAMILY MEMBER Blood pressure
Homer Panadero 120/80
Marj Panadero 140/100
Bart Panadero
Maggie Panadero
Stewie Panadero
Mrs. Panadero has an undiagnosed hypertension. After
taking her blood pressure during our home visit, her
blood pressure was 140/100. She also verbalized “naa
sa among lahi ang high blood. Pirminte naga taas akong
dugo labi na kung kapuyon ko sa akong pagbaligya ug
saging ug sud-an. Makasamot pa jud ang init ug kakapoy
sa trabaho.”
HEALTH ASSESSENT OF EACH
MEMBER
 All of their children were fully immunized.
Bart, the eldest son completed his dose of
vaccine last June 2002, Maggie completed it
last May 2004, and Stewie finished it last
September of 2008.
HEALTH TEACHINGS
 They should find time to exercise.
 they should focus on their 3 children who are

underweight and try to check and monitor

their food intake.
 they should clean their toilet facility, remove

cobwebs and flush the toilet after using it.

 they should screen their windows to prevent

entry of insects and mosquitoes.

 Since they have inadequate space they should

arrange their things properly to have more

space and so they can move freely.
GENOGRAM
 TYPOLOGY
1st and 2nd level Assessment
FAMILY COPING INDE
X
PRIORITIZATION OF
PROBLEMS