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VII.

FAMILY COPING INDEX

CATEGORY INITIAL FINAL JUSTIFICATION


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1. Physical Independence INITIAL:


The family has a moderate
This category is concerned physical independence as
√ evidence by the family is able to
with the ability of the family
to do ADL’s and normal provide basic needs of the
family. But still, the family lacks
activity like to get out of bed,
some more information to
to move about, walking, etc. proper render this care because
Note that it is the family the mother lacks some more
competence that is measured information to proper render
even though individual is care, because some of her
independent, if the family is children still appears to be
able to compensate for this. lacking proper nutrition,
Lack of independence in the personal hygiene and their home
family may due to actual is not suitable especially for
physical incapacity, the their children when it comes to
inability of “know-how” the cleanliness and orderliness.
willingness or fear of doing
necessary task. FINAL:
After the health teachings and
intervention given by the student
nurse’s, the mother’s physical
independence increase to an
efficient level as evidenced by
she was able to maintain her
children hygiene and carrying
out the teachings the SN told her
especially the cleanliness of the
house particularly the kitchen
and the foods needed by the
√ children.

2. Therapeutic INITIAL:
Competence Initially, the family has a
√ moderate therapeutic
This category includes all the competence as the mother
procedure or treatment manages the illness of the
prescribed for the care of members in the family,
illness, such as giving especially some of the basic
medications and using needs such as over the
appliances, dressings, counter drugs but not
exercises, and relaxation and necessarily know all the
special diets. proper information on “how
to manage a certain disease or
illness”

FINAL:
On the final visit, after
sharing them all the necessary
teachings to correct their
√ previous practice, the family
was able to increase their
therapeutic competence. This
was supported by the mother
as she readily responds to the
question given by the student
nurse regarding certain
situations. But still, it will not
prove for actions are needed
to really see that the family’s
therapeutic competence is
increased.

3. Knowledge on Health √ INITIAL:


Condition Upon assessing the family’s
knowledge about certain
This category is concerned disease or condition
with the particular health especially those of common
condition that is the occasion diseases, the mother was able
for care, knowledge of the to respond on some of the
disease or disability, question but still lack of
understanding of knowledge on how to
communicability of diseases, properly manage such
and modes of transmission, disease.
understanding of general
pattern of development of a FINAL:
newborn baby and the basic √ On the final visit with the
needs of infants for physical health teachings given and
care and tender loving care. reinforcement of the
knowledge, the family was
able to verbalize on how to
manage these diseases and
correctly answered and
remembered some important
facts about some conditions.

4. Application of √ INITIAL:
Principles of General The family has knowledge on
Hygiene how to do proper hygiene.
But in terms of application of
This category is concerned principles their general
with family action in relation hygiene especially the storing
to maintaining family and preparing of food as
nutrition, securing adequate evidenced by the unsanitary
rest, and relaxation for family and lack of space in their
members and carrying out kitchen.
accepted preventive measures
such as immunization, FINAL:
medical appraisal and safe After health teachings were
homemaking habits in √ given appropriate
relation to storing and intervention during the final
preparing food. visit, the family is now
knowledgeable on how to
properly clean their kitchen
space and properly prepare
and store food.

5. Health Attitudes √ INITIAL:


The family has knowledge
This category is concerned and practice health care, only
with the way the family feels they do not know how to
about health care in general, improve the practice.
including preventive services,
care of illness and public FINAL:
health measures. During the final visit, the
family became more
√ concerned with health care
than before since they
demonstrated a change of
behavior like improving the
sanitation of their
environment. But doing so is
just to show us that they
followed our health teachings
regarding their poor
environment sanitation.
Because they just cleaned that
day, but not on the
succeeding days already.

6. Emotional Competence During the Initial up until the


√ final visit the family showed
This category has to do with high emotional competence.
the maturity and integrity The family is very productive
with which the members of and always showing affection
the family are able to meet to one another. The children
the usual stresses and are well discipline and always
problems of life, and to plan following their parents. They
for happy and fruitful living. are very caring to one another
This involves the degree to specially if one member of
which individuals accept the the family is sick, they really
necessary disciplines imposed √ focus on giving the sick
by one’s family and culture member his or her at most
and willingness to meet needs.
reasonable obligations, to
accept adversity with
fortitude, and to consider the
needs of others as well as
one’s own.

7. Family Living
Initially the family was
This category is concerned observed that they have a
largely with the interpersonal good family living as
or group aspects of family evidenced by the family
life how well the members of regards a high respect to one
the family get along with one another especially the father.
another, the ways in which The father is very welcoming
they mae decisions affecting towards the SN. The only
the family as a whole, the √ √ thing that the student nurses
degree to which they support observed is that sometime the
one another and do things as parents let the children do
a family, the degree of whatever they wanted that
respect and affection the may result from hurting other
show for one another, the people and even other
ways in which the manage the members of the family.
family budget and the kind of
discipline that prevails.
8. Physical Environment √ INITIAL:
The family’s physical
This category is concerned environment is poor. This is
with the home and due to the presence of
community or work breeding sites of vectors of
environment as it affects diseases. The major concern
family health. This includes of the student nurses is the
the conditions for housing, kitchen, it is fire hazard and it
presence of accident hazards, is very unsanitary. Also, the
screening, plumbing, structure of the second level
facilities of cooking and for of their house is not well
privacy and availability and build/constructed AEB by the
conditions of schools and student nurses tried to go
transport. upstairs and some parts of the
floor are unstable and make
sounds when you step on it.
Also, electrical wirings are
√ expose.

FINAL:
An improvement was
observed after health
teachings. But there are still
areas in the kitchen that were
not totally cleaned up and
most of their things are still
not organize.

9. Use of Community INITIAL:


Facilities The family have enough
knowledge on what are the
This category has to do with available programs in the
the degree to which family community that they could
members now about and the avail. According to the
wisdom with which they use mother, they have attended
available community programs of the barangay
resources for health,
but goes to the health center
education and welfare. The
for prenatal checkups and
coping ability does not
indicate the level of need for √ √ vaccinations of her children.
services, but rather the degree FINAL:
to which they can cope when During the final visit, after
they must see such aid. the dissemination of the
barangay programs that they
could avail especially of that
health related, the family is
now knowledgeable of this
and has developed interest on
these programs.

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