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A Family Case Study (Malacabibi, Solana Cagayan) RLE 2C

Prepared by:
Jennifer Aggabao Rosalina Rosete Leslie Nonato Mark Louie Duran

Submitted to:
Mrs. Annabel Lee Daoala, RPT, MSN (Clinical Instructor)

.year old client. a 20. The mother is the breadwinner since her husband died 8 years ago.INTRODUCTION Monday morning. The mother and her three children are the ones responsible for this. They usually harvest corn. May 7. bamboo. We asked her if we could interview her and she easily agreed. They decided to separate it because Dassun was already a large barangay and they named it Malaccabibi because it was known to have large and several “kabibe” in that area. was the one who entertained us. we saw her cooking while carrying her 7-month-old child. Her clothes were dirty and ragged. They are able to earn 500-700 pesos in a week since they only act as tenants. Upon arriving to their house. Their primary source of income is farming. On our way to Zone 3. We started the interview by asking the history of Malaccabibi. Their type of family is extended and is composed of 10 members. Solana. the community student nurses were looking for families to assess here in Malaccabibi. The structure of the house is made up of combined nipa. H. and wood. a house caught our attention. She was not well groomed and walks barefooted. concrete. We also observed that their comfort room was just covered with sacks. Mrs. Their surrounding is dirty and is not suitable for living. The family is Roman Catholic and was able to attend mass twice in a month. She answered that Malaccabibi was then known to be the last zone in Dassun.

Type of soil ( ) loam Nuclear x Extended Religion Roman Catholic Roman Catholic Roman Catholic Roman Catholic Roman Catholic Roman Catholic Roman Catholic Roman Catholic Roman Catholic I. 20 Female Married High school J. What is the age of the house/s? 10 years b. doors. General state of repair/ disrepair ( broken stairs. Construction materials used? ( ) nipa/ bamboo ( ) wood ( ) concrete (x) mixed c. PHYSICAL ENVIRONMENT 1. Land use: Agricultural Pasteur land Residential Industrial Others.G 11 Female Single Grade 6 E.M. what animals do you see on the streets? Name them. Housing and zooming a.G 1 Male Single J. walls) e. Dogs. Common neighborhood hangouts (stores.G 9 Male Single Grade 6 H. schoolyard. Boundary maintenance ( ) river ( ) mountain ( ) field (x) highway ( ) hills ( ) others. Malacabibi. G 29 Male Single Grade 6 J. 2012 ASSESSED BY: RLE 2C Name of Household Highest Member Age Gender Civil Status Educational Attainment A.R. concrete) and length of roads/streets existing in the barangay). asphalted . specify 2. pig.G.) house f.G 22 Male Married Grade 6 M. x ( ) clay ( ) sandy (x) others 3. windows.COMMUNITY ASSESSMENT FORM NAME OF COMMUNITY ASSESSED: Zone 3. Solana Cagayan DATE ASSESSED: May 2. Along with people.G 48 Female Married Grade 6 R.G 7 months Female Single G. Carabao chicken . specify 4. etc. Are all most neighbor houses similar in size/ architecture? No d.G 1 Female single Type of family: COMMUNITY SUBSYSTEM A. Real network (state type (graveled . 5. churchyard.

specify . SAFETY AND TRANSFORMATION x 1. Sources of income Name of HH member A. 000 above peanuts mongo elevated tanks Earthen jar flush type x ___x___water-sealed individual pit “wrap and throw” x burning Open blind x none 2. specify P5.B. Health center Zone 3 Malacabibi Medical assistance Blood Pressure Monitoring C. HEALTH AND SOCIAL SERVICES Facility used Location Services offered Characteristics of users Brgy. Solana 2.G Main Income from Place of work occupation main job Other Income from sources of other income sources Farming 500-700 pesos Malacabibi.999 P4. 000-3.000 below P2. What type of transformation/s is available in the community? Please name these. 000-4. 000-5. Formal communication channels __Newspaper __x__ Radio __x___ TV postal service telephone service others.999 3. indicate frequency of trips coming in and getting out of barangay.G H. House hold income/annum (please check) P 1. 000-1.R.999 P6. Sanitation Water source: Water storage: bottles Toilet system: Garbage disposal: Communal pit Open dumping Drainage disposal: open well x pump well river drum/can plastic containers none tobacco root crops others. Agricultural products raised by the family Rice Corn Beans D. COMMUNICATION 1.999 x P1. ECONOMICS 1.G R.  Jeep E.G J.

Where do you usually buy/get your supply of medicine?  Barangay Health Center. specify rural health center CHN worker Self-medication free of charge ___x___effective/dependable services 5. Are there community meetings to discuss community concerns? How often? Yes. GENERAL HEALTH PARCTICES 1. Reasons for choosing the place for consultation. Accessible Charges responsible rate Others. Reason for choosing the place of consultation. specify 4.2. in Barangay Hall II. ___x___Accessible ___x___free of charge Others. once a month 4. Are there specific gathering places where information is shared? What is this? Yes. Where do you seek medical assistance for simple illness? Private hospital/ clinic ___x___rural health center District hospital CHN worker Self-medication 2. Stores . Informal communication channels Bulletin boards TV radio Newsletter ___x___word of mouth others specify 3. specify effective/dependable services 3. Where do you usually seek medical assistance for complicated illness? Private hospital/ clinic District hospital ___x___Provincial hospital Others.

b. The house is not enough to accommodate all the family members. Lack of skill in carrying out measures to improve home environment   The surroundings are dirty and not suitable for living. 1 The family recognizes it as a problem that needs immediate action. Inadequate knowledge of preventive measures. Second Level of Assessment CUES/DATA FAMILY NURSING PROBLEMS A. Inadequate knowledge of importance of hygiene and sanitation. Inability to make decisions with respect to taking appropriate health action due to inadequate knowledge as to alternative courses of action open to them. Preventive Potential 3/3 x 1 4. The family members are not washing their hands before and after eating They are also not well groomed. Modifiability of the Problem 2/2 x 2 2 The problem is easily modifiable since the nurses’ resources are available. Inability to make decisions with respect to taking appropriate actions due to conflicting opinions among family members B.  Knife Fall hazards Stairs without handle.        Broken stairs There were pointed/sharp objects inside and outside of the house that are improperly kept. Family lives in one-room house with a dimension of 3 meters by 3 meters A.III. Family size beyond what family resources can adequately provide 1. Inability to provide a home environment conducive to health maintenance and personal development due to: a. A.700 Php. Salience of the Problem 2/2 x 1 Total Score 4 2/3 . c. PRIORITY SETTING A. Nature of the Problem 2/3 x 1 2/3 It is a health threat. Possible Injury and Accident 1. Poor Sanitation specifically on unsanitary waste disposal Criteria Computation Actual Justification Score 1. Family has ten members with a weekly income of 500. 1 3. Possible Infection and they are prone to diseases related to poor sanitation 1. 2. Inadequate living space IV. they can educate the family regarding proper ways of sanitation. Susceptibility to possible diseases and infections can be prevented if poor sanitation is eliminated.

It is highly preventable since the required resources are available. Preventive Potential 4. Salience of the Problem Total Score Computation 2/3 x 1 Actual Justification Score 2/3 It is a health threat. It is not a felt problem. Proper parenting skills promote the well-being of each family member It is not a felt problem. 3/3 x 1 1 0/2 x 1 0 2 2/3 C. Preventive Potential 4. Modifiability of the Problem 3. Inadequate Living Space Criteria 1. It is not a felt problem. Nature of the Problem 2. Preventive Potential 4. 2/2 x 2 2 Current knowledge. 2/2 x 2 2 The resources and interventions needed to solve the problem are available to the family. Salience of the Problem Total Score 3/3 x 1 1 0/2 x 1 0 3 2/3 B. Modifiability of the Problem Computation 1/3 x 1 Actual Justification Score 1/3 It is a foreseeable crisis. Nature of the Problem 2. Nature of the Problem 2. interventions and resources are available to solve the problem. Presence of stress points in parenthood Criteria 1. Modifiability of the Problem Computation 2/3 x 1 Actual Justification Score 2/3 It is a health threat.A. 3. 1/2 x 2 1 Increasing the living space will require quite a financial expenditure. Accident Hazards specifically fire hazards and broken stairs Criteria 1. Salience of the Problem Total Score 3/3 x 1 1 0 0/2 x 1 3 1/3 . Increasing the living space will allow more facilities to be utilized. 3.

Family size beyond what family resources can adequately provide Criteria 1. Modifiability of the Problem 2 Interventions and resources are available to solve the problem. Salience of the Problem Total Score 3 2/3 . Computation 2/3 x 1 Actual Justification Score 2/3 It is a health threat. Nature of the Problem 2/2 x 2 2. 3/3 x 1 3. Preventive Potential 1 The available family resources can be utilized to encourage growth promoting experiences for members. It is not a felt problem. 0/2 x 1 0 4.

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 Unsanitary waste disposal. Poor home/environmental condition/ sanitation:  Inadequate living space. Financial resources money for the materials needed for the visual aids and for transportati on of the nurse. After nursing intervention. C.HEALTH PROBLEM FAMILY NURSING PROBLEM FAMILY NURSING CARE PLAN GOAL OF OBJECTIVE OF CARE CARE 1. After nursing interventions. the family will take the necessary measures to properly maintain/ manage to improve the family’s environment and good/ proper sanitation. the family will: a. b. . Encourage the member of the family to activity participate in every house hold chores. Guide the family in implementing the strategies. D. Change their behavior regarding their health. Discuss with the Home visit family the strategies to improve their living. c. Identify necessary actions to improve their living. RESOURCES REQUIRED    Materials resources visual aids for the health education. Human resources effort of the nurse in discussing health education with the family. Motivate the family to maintain healthy living. B. INTERVENTION PLAN NURSING INTERVENTIONS METHODS OF NURSE FAMILY CONTACT A. Inability to provide a home environment conclusive to health maintenance and personal development due to inadequate family resources specifically financial constraints/ limited financial resources and lack of/ inadequate knowledge of preventive measures. Practice proper segregation of waste disposal between biodegradabl e and nonbiodegradabl e.

c. Can enumerate various ways to prevent injury.  . Discuss the consequences of failure to the appropriate activity on the problem. Expenses for the teaching aids and transportation of the nurse. b. After interventions the family will: a. specifically: a. Denial about existence or severity as a result of fear of consequences of diagnosis of problem. After nursing intervention the family will gain knowledge on the presents of the considered problem. knowledge.HEALTH PROBLEM FAMILY NURSING PROBLEM FAMILY NURSING CARE PLAN GOAL OF CARE OBJECTIVE OF CARE NURSING INTERVENTIONS 1. b. Time and effort to the nurse and the family. Will seeks a method appropriate for them. Accident Inability to recognize the hazards presence of the condition specifically on or problem due to: fire hazard and a. Physical consequences. Can determine the presents of hazards. INTERVENTION PLAN METHODS OF NURSE FAMILY CONTACT Home visit RESOURCES REQUIRED   Materials needed: visual aids. 2. Discuss with the family the cases of action open to them 1. Lack or inadequate broken stairs. Broaden the knowledge of the family on the hazards a.

RESOURCES REQUIRED  Human resources time and effort of both the nurse and the family. 5. e. Will consult the student nurse after delivery for guidance on the method chosen. the family : taking appropriate action will decide an c. Family size beyond what family resources can adequately provide. Analyze with the Home visit following the critical issues related with inadequate resources to accommodate the whole family. Financial resources money for the nurse transport. ways of specially financial maintaining the inaccessibility. the family intervention.  . maintain family size. Can innumerate due to inaccessibility of appropriate action(s) to the appropriate appropriate resources.HEALTH PROBLEM FAMILY NURSING PROBLEM GOAL OF CARE FAMILY NURSING CARE PLAN OBJECTIVE OF CARE 2. size of the family. Will select a method most appropriate for them. Inability to make After nursing After the nursing decisions with respect to intervention. 4. d. INTERVENTION PLAN NURSING METHODS OF NURSE INTERVENTIONS FAMILY CONTACT 3. Analyze with the family possible consequences of each method to encourage better decision making on the best option given to the family. Discuss with family size the alternative courses of action.