INTRODUCTION

I am Mrs. P.Kannaki , studying I year M. Sc (Nursing) , as a part of our curriculum we

have to do counseling for special group in the community setup. I choose Mrs. Sangeetha,
physically challenged who were residing at kadachanenthal. I selected this family for counseling.

NEED FOR COUSELLING:

Mrs. S.priya, was having less knowledge about taking care of herself and she do not
know what are the health benefits ;and schemes available related to her problem.

OBJECTIVES OF COUNSELLING:

 To establish good rapport

 To collect actual fact about the family
 To analyze and classify the problem on most urgent and least urgent
 To provide good care
 To create awareness of health benefits and schemes available
 To encourage them maintain good health

HISTORY COLLECTION

Name of the client : Mrs. priya,

Age : 32 years

Sex : Female

Education : 9th std

Address : 38/2south street,

kadachanenthal.

Problem identified : low self esteem.

SOCIO ECONOMIC STATUS:

Type of house : kutcha house

No. Of rooms : two

Floor : cement

Lighting : adequate

Water supply : panchayat water

Bathroom : water sealed drainage system

Disposal of waste : through panchayat dust bin

Surrounding : clean

Trees and garden : not present

HOME AND FAMILY:

Family Composition

S.No Name Relationship Age sex education occupation Income

of Head of the per
family month
1. Mr. kannan Head of the 36 M 10 coolie 6000
family
2. Mrs. priya wife 32 F 9 House wife -
3. Mas. Kandhan Son 10 M 5 - -
4. Mas. kisoure son 6 M 1 - -

Family and Social Relationship:

Attitude among the family members and neibours : she hesitate to mingle with others

FAMILY TREE:
 58 yrs 51 yrs 52 yrs 47 yrs

28 yrs 31 yrs 36 yrs 32 yrs 29 yrs

10 yrs 6 yrs

KEY NOTES:

- MALE

- FEMALE

- CLIENT

PAST MEDICAL HISTORY:

 Nil significant

PRESNT MEDICAL HISTORY:

Nil significant

PERSONAL HISTORY:

Mrs. priya, 32 years old female is not having any special hobbies, bowel and bladder
patteren is normal. She is little hesitate to mingle with others because of altered body image.

PHYSICAL EXAMINATION:

ANTHROPOMETRIC MEASUREMENT:

HEIGHT : 142 CM

WEIGHT : 56 KG

GENERAL APPEARANCE : Moderate body built, changes in gait

Posture : not erect

Gait : not coordinated

Mental status : normal

Speech : slurred speech

Eye coordination : squint eye on left side

Head and face : normal

Ears : normal

Nose : no septal deviation

Mouthe : no dental carries

Neck : no palpable lymph nodes

Chest : normal bronchovasicular sounds heard

Abdomen :

Inspection : scar of LSCS present

Palpation : no organomegally

Percussion : no ascites

Auscultation : normal bowel sound heard

Extremities : normal range of motion in upper extremities,

deformity in left leg, mild gait change

VITAL SIGNS:

Temperature : 98.6 F

Pulse : 74/ mt

Respiration : 16/mt

NEEDS AND PROBLEM:

PROBLEMS:

 Low self esteem

 Knowledge deficit
 Selfcare deficit

NEEDS:

 Health education regarding health benefits schemes

 Family support
 Counseling to cope with the situation
 Support from voluntary agency

COUNSELING
PROBLEM CONTENTS OF EVALUATION AND
IDENTIFIED COUNSELING REMARKS

 Low self esteem  Complete history was

 Knowledge collected  After counseling
deficit  Counseling was given in women accept the
 Selfcare deficit the following aspects current situation and
 Taught about the importance of family
importance of and social support
socialization and support  She promised to take
from the neighbours measures to improve
 Encouraged her to her self esteem by
ventilate her feelings way of good
 Ensured about the socialization
confidentiality about the
information gather from
her
 Educated regarding the
self care modalities
 Taught about various
government health
benefits like monthly
benefits of Rs. 1000 from
the state government and
other health schemes
available for her
 Said about the voluntary
agencies with the helping
hands