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INITIAL DATABASE

A. FAMILY STRACTURE CHARACTERISTICS & DYNAMICS

HEAD OF THE FAMILY : Ernesto Faustino


ADDRESS : Iba, Hagonoy Bulacan
CONTACT NO. : 09157002913
TYPE OF FAMILY : Extended
INTERVIEWEE : Florencia De Guzman and Ernesto Faustino
DATE OF INTERVIEW : July 08, 2009 at Brgy Iba, Hagonoy bulacan

FAMILY RELATION TO GENDER BIRTHDATE STATUS RELIGION


MEMBERS HEAD OF THE
FAMILY

Ernesto Head of the family Male March 04, 1930 Married Roman Catholic
Florencia Daughter Female June 17, 1964 Married Roman Catholic
Froilan Son In Law Male April 11, 1962 Married Roman Catholic
Jeffrey Grandson Male September 12, 1983 Single Roman Catholic
Jeric Grandson Male October 25, 1992 Single Roman Catholic
Janile Granddaughter Female March 09, 1994 Single Roman Catholic
As Tatay Ernesto said “ simula nung bata ako dito na ako nakatira, taga dito kasi ang ama ko” which made their family as
patrilocal in location. When we ask about who will make most of the decision in the family, especially in health care tatay Ernesto
verbalized “ ako at ang asawa ng anak ko na si froilan, siya kasi ang nagtatrabaho samin”. They do not belong in an ethnic group.
Tatay Ernesto, Florencia and his 3 grandchildren originally resides from Iba and Froilan from Calumpit. Froilan transfer in Iba for
almost 5 years. The primary dialect they used is Tagalog. As we ask if there is any problem in their family regardless of what cause,
he answered mostly simple misunderstanding and they handle it by means of having open forum. Their family is considered
patriarchal because Tatay Ernesto is considered the Head of the Family. There is no problem in communication with each member of
the family, in exception to Froilan which is in Saudi Arabia, But they call him thru the used of cell phone about 3-4 times a week. And
their family is considered a simple and happy family.

B. SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS

Tatay Ernesto is a high school graduate, he was a former farmer at his time, then Florencia is a BS Commerce graduate, she
spends her time mostly at home. Froilan highest educational attainment is a high school graduate and working as a family driver in
Riyadh, Kingdom of Saudi Arabia earning of approximately P 15 000 per month. The eldest son, Jeffrey is a college graduate and
working as a sales clerk in a mall at Pullilan and earning of approximately P 10 000per month. Then Jeric is a 2nd year BS Industrial
Technology student at Bulacan State University while Janile, the youngest is a 4rth year high school student at Iba National High
School. All of the members of their family are Roman Catholic, and they go to church every Sunday and they consider it as form of
recollection and a bonding moment. Florencia is a member of “ Samahan ng mga Kababaihan” which is a small local cooperative in
their community. There is no problem in their participation in the community work or task like the program “ Tapat mo Linis mo” and
they considered it as a form of helping their own community.
When we asked if their monthly income is enough to sustain their family needs, they verbalized “ Oo naman, pero paminsan
minsan pag may hindi inaasahang gastos na dumarating tulad ng sakit, nakakautang pa kami” If they encounter this specific condition
they borrow money to Ate Maricar, as they call her, which is the oldest cousin of Froilan and originally resides in Sapang Bayan,
Calumpit Bulacan.

MONTHLY BREAKDOWN OF EXPENSES

EXPENSES AMMOUNT
ELECTRIC BILL P 180 – P 250
WATER BILL P 350
FOOD P 10 000 (ESTIMATED)
EDUCATION P 500 – P 1 000 (JANILE)
P 1 000 – P 2 000 (JERIC)
TOTAL P 12 030 – P 13 600
NAME INCOME PER MONTH
Froilan P 10 000 was sent here in the
Philippines in his total income of
P 15 000 per month.
Jeric P 4 000 was given to his family
in his total income of P 10 000.
TOTAL P 14 000
C. HOME AND ENVIRONMENT

The family of Tatay Ernesto is living in their ancestral house composed of 3 bedrooms, 1 kitchen, 1 bathroom, a living
room and a storage area. On 1 room Florencia and Froilan sleep, the 2 nd room is for Tatay Ernesto and Jeffrey and the last room
is for Jeric and Janile. The house has 10 windows, the 2 windows are in the front of their house, the 4 windows are in the second
floor of their house the other 1 is in the kitchen, 1 in the CR, 1 window in the storage area and 1 in the roon which is in the main
fool of their house. According to them there is no problem in ventilation. They used manual or “ dibuhos” system in their
bathroom. They have 2 florescent lamps and 2 incandescent bulbs. They often walk barefoot inside their house. As they
verbalized “ pag mainit electric fan ang gamit namin, gumagamit din kami ng katol o di kaya baygon spray para bugawin ang
mga lamok”. Because some stagnant water outside their house can be a good reservoir of Dengue Carrying Mosquito.
They used LPG in cooking, their source of clean water is through their faucets and the water is come from a public water
station ( NAWASA ). The clean their house about once a week every Sunday. Their family garbage was often collected by a
truck and sometimes they just burn it. Those garbage are came from everyday life ( eg. Cooking, Biodegradable waste like dried
leaves etc, ) They have open free drainage at the back of their house. The stair is considered hazardous to Tatay Ernesto because
of his old age and sometimes this carelessness. As we ask if they are having check up in the Barangay Center , they verbalized
“ pag may free immunization lang, kasi pag nagkakasakit kami, kung di naman malala kadalasan self medication lang ang
ginagawa naming”. They used tricycle, jeeps and bicycle as their means of transportation and cell phone for communication.
FLOOR PLAN

FIRST FLOOR:

Washing Area
door

CR

Storage Area stairs

Door
window window
S
of
a

Sofa Sofa
SECOND FLOOR:

window window

Bed Bed
Downstairs

window window
D. HEALTH STATUS OF EACH FAMILY MEMBER
As Tatay Ernesto verbalized “ di ako naniniala sa mga doctor lalo lang akong magkakasakit pag dinala ako sa ospital”
“dati nung nasugat ang mata ko binigyan ko lang ng dinurog na asin, tapos hinugasan ko ng tubig, sa awa ng diyos gumaling
naman” In order to maintain good health they just eat nutritious foods like plenty of fruits ( banana, mango), vegetables and
take vitamin supplement every day. The only form of exercise of Jeric & Jeffrey is by playing basketball, tatay Ernesto,
Florencia and Janile are no fun of having exercise. If they have health problems they often go to “ manghihilot” or “
mananawas” as their primary source of care. Or just having self medication if there is no serious medical problem. They often
encounter fever, flu, cough and some benign skin allergies like not so serious dermatophytes infection. There is no mention case
of Tineas and Pediculus Humanus Capitis infection in any of their family member.
None of the family experience serious accidents in exception in some minor bicycle accidents. At present none of their
family member is sick. They also believed in effects and benefits of some herbal medication like the use of lagundi to treat
cough and guava leaves as an antibiotic agent. And if one of their family members is sick and not responding in herbal meds
and folk remedies, they just go directly to hospital and seek for some scientific explanation. Tatay Ernesto is a hard smoker as
well as Froilan each of them can consume about 2 cases of cigarette every day. They also drink alcohol beverages occasionally.
E. HABITS, PRACTICES ON HEALTH PROMOTION, MAINTENANCE AND DISEASE PREVENTION
According to Tatay Ernesto he do not received any immunization required for then at his time. Then as Florencia verbalized “
kumpleto sa vaccine ang mga anak ko” These vaccines are BCG, DPT, OPV, HEPATITIS B and AMV. But she does not have
any records of immunization. Their healthy lifestyle practices are eating nutritious foods, maintain proper hygiene and clean the
surroundings. They sleep about 7-8 hours at night and take household chores as a form of exercise. There are no deviations in
sleeping. As a form of relaxation they just watch television. They take vitamins as a promotive or preventive health care.

PHYSICAL ASSESSMENT
DONE ON July 09, 2009 AT BRGY IBA, HAGONOY BULACAN

NAME : ERNESTO FAUSTINO VITAL SIGN:


AGE : 79 YEARS OLD T = 36.4oC
WEIGHT : 72 Kg P = 69bpm
HEIGHT : 1.7 m R = 17cpm
BMI : 25.5 ( NORMAL ) BP = 70/100 mmHg

GENERAL SURVEY

As we observed the pt. body built, height & weight there is no deviation from normal it is all appropriate in his age and lifestyle. He has a relaxed, erect
posture with coordinated body movements. The pt. overall hygiene is clean and neat, there no presence of unpleasant body odor and no distress noted upon
the entire physical examination.

The pt. attitude is cooperative, have understandable and moderate tone of voice, there is relevance and organization of thoughts and pt. mood is appropriate
to situation.

ASSESSMENT TECHNIQUE NORMAL FINDINGS ACTUAL FINDINGS ANALYSIS


NOTE: ONLY TATAY ERNESTO WAS AVAILABLE WHEN WE CONDUCTED THE PHYSICAL EXAMINATION, 2 OF HIS GRANDCHILDREN
WERE IN SCHOOL, JERIC WHICH IS THE ELDESTS WERE IN THE HIS WORK, FROILAN IS IN SAUDI ARABIA AND FLORENCIA IS NOT
AVAILABLE IN THAT TIME BECAUSE OF SO MANY HOUSE HOLD CHORES NEEDED TO BE FINISHED.

FAMILY NURSING CARE PLAN

HEALTH FAMILIY OBJECTIVE OF NURSING METHOD OF RESOURCE S


PROBLEM NURSING CARE INTERVENTION NURSE-FAMILY REQUIRED
PROBLEM GOAL OF CARE CONTACT

Material resources:
a. Discuss the a. Home visit
@ Knowledge @ Lack of specific @ After nursing @After 1 hour of importance of
deficit related to information intervention the nursing receiving right b. Health a. Visual aid
unfamiliarity necessary for family will be able intervention the medical intervention teaching
with information patient and S.O to to understand the family: in a particular health b. Maglaya and
or resources make informed importance of problem. Cuevas books
choices regarding medical
of what condition, intervention rather b. Discuss the
therapies or than the used of a. Will consequences or
treatment. wrong folk participate in practicing wrong Human resources:
remedies. learning process. folk remedies.
b. Will a. Participation of
verbalized c. Discuss some every family member.
understanding of nursing intervention
condition, disease which is applicable b. Time & effort of
process or in their everyday health care provider.
treatment. life.

c. And will Financial resources:


initiate necessary
lifestyle changes.
a. Teaching aid

b. Transportation
fees

FIRST LEVEL ASSESSMENT

Cues/Data Family Nursing Problem


FIRST LEVEL ASSESSMENT

I. Presence of Health Treats

The hazardous place for the client is the stairs because they are A. Accident Hazard
at risk for fall.
• Stairs

B. Faulty and Unhealthy Nutrition


“Malakas kaming magkape lalo na si Tatay halos nakaka-anim
na beses sya isang araw” as verbalized by the client. • Excessive intake of coffee
The house of the client is near the highway wherein a lot of C. Poor environmental condition
vehicles are passing day by day and it cause air and noise
pollution that may cause psychological stress. •Air and noise pollution

“Si tatay malakas manigarilyo siguro nakaka dalawang pakete D. Unhealthful lifestyle and Personal Habits
sya sa isang araw.” as verbalized by the client.
• Excessive consumption of cigarettes

“Wala lagi lang si tatay nakaupo dyan sa me labas, minsan


nakikipagkuwentohan” as verbalized by the client.

•Lack of exercise

“Marunong akong mag-alis ng katarata, lalagyan ko lang ng


tubig na may asin tapos, lilinaw na yung paningin ko, kaya
lang mahapdi nga lang” as verbalized by the client.
• Self medication

“Eh, nung araw hindi pa naman uso ung mga bakuna na yan
eh. Pero kumpleto naman ng bakuna ung mga anak ko.” as
verbalized by the client.

“Eh, parang napansin ko lang habang tumatagal parang E. Inadequate immunization


lumalabo ung mata ko, pero nakakabasa pa din naman ako.” as
verbalized by the client.
II. Presence of Health Deficits

Sometimes feeling of loneliness.

•Aging

III. Presence of stress points/ foreseeable crisis situation

• Death of the member

“ Kasi si Tatay madalas nagse-self medicate lang.” as


verbalized by the client.
SECOND LEVEL ASSESSMENT

The family have different point of views regarding medical


care for I. Inability to make decisions with respect to taking appropriate
health actions due to:
Lolo he uses the traditional way of medication.

A. Conflicting opinions among family members or significant


others regarding action to take.

“Hindi naman kami kumukunsulta sa center pagdating sa mga


check-up check-up eh, umiinom na lang kami ng gamot.” as
verbalized by the client.

II. Failure to utilize community resources


“Bihira kaming kumunsulta sa doctor, kasi nga magastos pa. ”
as verbalized by the client.

A. Failure to perceived the benefits of health care


B. Unavailability of required care/ service

HOW COULD IT BE, THAT YOU WERE ABLE TO FORMULATE THE FNCP, WITHOUT DOING THE
PROBLEM IDENTIFICATION, THEN THE TYPOLOGY AND PRIORITIZAION?