Professional Documents
Culture Documents
FAMILY
CASE
ANALYSIS
In partial fulfillment
Of the requirements in
Submitted to:
Submitted by:
OCTOBER 2021-2022
CENTRAL LUZON DOCTORS’ HOSPITAL
Sir:
Warmest greetings,
I am also requesting for permission to have a copy of the organizational chart, history,
and spot map of barangay Sinigpit. This is also a requirement in the family case analysis.
Hoping for a positive response for my requests. Thank you and God Bless!
Respectfully yours,
Erika G. Bacarro
Approved by:
Clinical Instructor
ACKNOWLEDGEMENT
The study has provided our group opportunities to know the different problems
and needs of the family in order for them to develop more in terms of their environment and
especially with their health status. But all of these could not be done without the help of those
First of all, To the Lord almighty, we thank you for giving us a chance to live
and experience this opportunity. Thank you for making all things possible, for giving us all
we needed, and for making us earn insights in this way knowing the worth of our life. For His
guidance and safety which He gives every day, for all the blessings that He has showered
Next To our loving parents/family members thank you so much for helping us
with your prayers, for being approachable, cooperative and for spending their time in
answering all the questions being asked. We want to give our sincere gratitude for supporting
To our dear Clinical Instructors Maria Glenda Q. Cura, RN, MSN, member of
faculty, Department of Nursing, for facilitating and guiding us in this kind of paper works
and for all out support, concern and guidance you gave us.
I. TABLE OF CONTENTS
Title Page……………………………………………………………………………………..1
Table of Contents…………………………………………………………………………….2
Acknowledgement……………………………………………………………………………3
Introduction…………………………………………………………………………………..4
Objectives of the Study………………………………………………………………………5
Identification of the Case……………………………………………………………………..6
Family Background…………………………………………………………………………...7
Socio-economic Background………………………………………………………………....8
Family Medical & Health History…………………………………………………………….9
Genogram…………………………………………………………………………………….10
Family Coping Index………………………………………………………………………...11
Conclusion…………………………………...……………………………………………….12
Learning Derived….………………………………………………………………………….13
Documentation..…………………………………………………………………………..….14
II. INTRODUCTION
Children in their middle years treasure their families and feel they are special and
irreplaceable. Family is not just define as two or more people who live in the same
household, share a common emotional bond, and perform certain interrelated social tasks
(Allender & Spradley, 2008) but it is also a source of emotional support, comfort, warmth,
nurturing, protection and as well as security. It is composed of a male and a female being
molded to be as one, working hand in hand to have a good atmosphere among the family
members. Almost all families, regardless of type, share common activities (Cherlin, 2008).
The status of each family will always affect the status of the community as a whole.
Community health nursing is a response to the health needs of the people. It does not focus
health service is not an episodic as it requires continuous observation and monitoring of the
population groups and community) is the primary goal of community health nursing.
Every family is unique. Nurses that are exposed to the community learn how to
interact and adapt to the different kind of people living in a community. It is in the family
who develop health values, beliefs and practices. Family influences the health and activities
of their member (Chen, Shiao, & Gau, 2007). With this, it is important that families in the
community are aware of the things and practices pertaining to their health.
Conducting a case study is a way where student nurse improve and apply all the
concepts. It is a tool in determining the health status of family through assessment and critical
inspection because of this, health related problems are identified which gives an indication to
the student nurse on how to intervene just to give a holistic care and improve the deficiency.
The family that was chosen by the researcher is one of the important concerns of the
Philippines – Malnutrition. Malnutrition now a day is rampant and it is one of the problems
enough resources and lack of knowledge on vital health information and also experiences
socio – economic related problems. Tiring as it is, but reaching out to this family and
mingling with them makes the researcher feel the sense of fulfillment as they share
At the end of the student family relationship, we will be able to improve their health
status and become self- reliant in maintaining their health through appropriate interventions
Family based:
As the health consultation of the student nurse is executed and completed at 3 home
1. The family should be able to actively participate in home visits consultation and
evaluation process.
2. Comply on the health teachings and interventions contributed by the student nurse
4. With the help of the student-nurse, the family should categorize the identified
5. The family should follow basic health protocols provided by government agencies
the interventions.
7. The family should be able to share the health information or teaching with other
ORIGIN
During the later part of the 18th century a group of ilocano settlers migrated
the place. The place was still barren and was covered with thick cogon and talahib
and a home of wild animals near a creek, they found a small hut beautifully and
skillfully built with thatch roof and wall made of talahib and bamboo. The settlers
discovered this method of tying a bamboo split and talahib as “ S I N E G P I
T”. the barangay is dissected by two creeks but dried up during the dry season.
The western portion of the barangay is rolling hills and is bounded by barangay
Nagmisaan and San Carlos, to the north by barangay Balaoang to the south by
barangay San Juan De Milla and to the east by barangay Rang-ayan .
SETTLERS
The first group of people who settled in the place came from ilocos
provinces. Their leader was Don Martin Valdez, Ludivico Sabado, Felix Bacarro
and Sotero Laureta.
The late Roman Libunao was considered one of the great men in the
barangay because as a Katipunero during the revolution he fought bravely in the
battle of biak-na-bato under General Emilio Aguinaldo. He was promoted to the
rank of sarhento.
IV. BARANGAY OFFICERS/ HISTORY OF BARANGAY/SPOT MAP
BARANGAY OFFICERS
LEANN T. NICOLAS
Baranagay Treasurer
HISTORY OF BARANGAY
ORIGIN
During the later part of the 18th century a group of Ilocano settlers migrated
the place. The place was still barren and was covered with thick cogon and talahib
and a home of wild animals near a creek, they found a small hut beautifully and
skillfully built with thatch roof and wall made of talahib and bamboo. The settlers
discovered this method of tying a bamboo split and talahib as “ S I N E G P I
T”. the barangay is dissected by two creeks but dried up during the dry season.
The western portion of the barangay is rolling hills and is bounded by barangay
Nagmisaan and San Carlos, to the north by barangay Balaoang to the south by
barangay San Juan De Milla and to the east by barangay Rang-ayan .
SETTLERS
The first group of people who settled in the place came from ilocos
provinces. Their leader was Don Martin Valdez, Ludivico Sabado, Felix Bacarro
and Sotero Laureta.
The late Roman Libunao was considered one of the great men in the
barangay because as a Katipunero during the revolution he fought bravely in the
battle of biak-na-bato under General Emilio Aguinaldo. He was promoted to the
rank of sarhento.
SPOT MAP
V. FAMILY HEALTH ASSESSMENT
A. DEMOGRAPHIC DATA
Paternal Maternal
A B C D
1ST GEN
Legend:
Male
Female
Death
Pregnant
C. FAMILY CONSTELLATION
The table features the demographic information of the Bacarro family, a nuclear
family residing at Sinigpit Paniqui, Tarlac. The family is consists of four members living in
the same household. The home is owned by Henry and Marites Bacarro. The father and
husband, Henry Bacarro. Mr. Bacarro is a 46 year old who works as a farmer. Marites
Bacarro is the wife and mother of the family. The couple has two children on the span of their
marriage.
The couple first born is Jhamaica Bacarro is a 22 year old Graduated at Tarlac State
University. Working as a Jewelry Appraiser at BHF Paniqui. The youngest child of the
couple is Erika Bacarro a 20 year old, 2nd year College. As a student, Erika is currently
A. Extended _______
B. Matriarchal _______
D. Nuclear
E. Patriarchal ____
a married couple and their children. It is also called a simple type family. The
relationship between the members of the family, from the father and mother to their
children, shows balanced division of priorities and duties. There was no dominant
member/s on the family that dictates the flow inside the household. Henry and Marites
Bacarro both share the responsibilities and duties as head of the family.
Henry Bacarro:
1st Visit
Coffee 2 Banana
2nd visit
3rd visit
Fried fish
Longganisa
Jhamaica Bacarro:
1st visit
2nd visit
3rd visit
Fried fish
Longganisa
Erika Bacarro
1st visit
Coffee 2 Banana
2nd visit
BREAKFAST LUNCH DINNER
Bread White rice White Rice
3rd visit
Fried fish
Longganisa
Husband: Work
Wife: Work
Others: _________
Mother:
Children:
Jhamaica Bacarro
Erika Bacarro
budget
Food 5000 1
Vitamins/Maintenance 10000 2
Wi-Fi 800 5
Savings 20 000 4
Television
Electric fan
Refrigerator
Microwave
Oven
Speakers
F. Type of garbage disposal ______ collected ______ burning __ ____ waste segregation
______ burying ______ feeding to animals ______ throw in the river/sewer ______ open
G. Type of waste disposal ______ flush ______ water-sealed __ ____ wrap and throw
I. Source of water supply __ ____ owned ______ shared ______ bought ______ others,
specify _______________
K. Containers used ______ plastic pitchers __ ____ jars, clay pots ______ bottles ______
Cats
Dogs
Chickens
Ducks
Pigs
Rabbit
Goats
N. Are there breeding sites of insects, rodents, etc. present? ______ (Yes) ___ ___(None)
Dog
Cats
Interpretation:
The family Bacarro has owned lot and owned house. The house is made of concrete.
Mr. H father of Mr. Bacarro state the exact measurement of the lot it’s 300m2. in order for the
house considered as adequate, the total floor plan of the house is 200m2.
The house has 9 windows and can sustain the adequate ventilation needed by the
family. Mr.Bacarro told to student nurse that has usually “presko” since their lot of mango
trees in their backyard, but sometimes they experience hot weather especially during summer.
But Mr. Bacarro told to the nursing student they usually use electric fan.
The house has 3 rooms. They have sala, dining area, kitchen and dirty kitchen, the 3
room are the room of each family member. And they use foam in sleeping.
The family has 12 appliances powered by electrical supply. In terms of garbage
disposal, they bury or burn their garbage. The type of their waste disposal is water-sealed.
The type of their drainage system is close type where the drainage flows directly to
the farm.
The source of their water supply is they owned and they have faucet. According to Mr.
Bacarro their drinking water storage is covered and the container they used is jag and they
According to Ms. J daughter of Mr.Bacarro they used wood and gas stove in cooking.
She is the one who prepare their food. The foods they usually eat are fish, pork and
vegetables. The family uses plastic plates and stainless spoons in eating. When it comes to
The common household pets found in their backyard are cats, dogs, chickens, rabbit
and goats. There are no breeding sites of insects in their home. And the pets kept in their
home are cats and dog. There is no accident hazard present in their house
A. Common illness encountered for the last 6 months and the treatment
applied.
Hypertension
Interpretation:
When the family is faced with health-related issues, they turn to medical specialists
such as doctors and a nurse who is also a member of the family for help. The family likes to
attend the "manghihilot" if the sickness has no serious complications or effects, such as
backache or sprain. The family has demonstrated that the therapeutic practices are successful.
Other than health issues, the Bacarro family discusses with family members and relatives at
difficult times. The family had to deal with a variety of challenges, including financial and
social ones. The family also seeks advice and recommendations from their closest friends.
Henry Bacarro
1. Rest and sleep? (Yes) ___(No)
2. Exercise? (Yes) _____ (No)
3. Relaxation activities? (Yes) _____ (No)
4. Stress management activities? (Yes) _____ (No)
Marites Bacarro
1. Rest and sleep? (Yes) ___(No)
2. Exercise? (Yes) _____ (No)
3. Relaxation activities? (Yes) _____ (No)
4. Stress management activities? (Yes) _____ (No)
Jhamaica Bacarro
1. Rest and sleep? (Yes) ___(No)
2. Exercise? (Yes) _____ (No)
3. Relaxation activities? (Yes) _____ (No)
4. Stress management activities? (Yes) _____ (No)
Erika Bacarro
1. Rest and sleep? (Yes) ___(No)
2. Exercise? (Yes) _____ (No)
3. Relaxation activities? (Yes) _____ (No)
4. Stress management activities? (Yes) _____ (No)
Interpretation:
Mr. H said nobody in the family takes maintenance medication. Mr. and Mrs. Bacarro, as
well as their children, only take their medications as prescribed by their doctor. As a food
supplement, the family only takes vitamin C and vegetable oil; they also use market herbs
such as guyabano leaves. They eat a nutritious diet. They also have adequate amount of
biscuits, canned goods for stock as well as junk food which they consume during movie
nights, they restock their groceries every two weeks as stated by Mr. Bacarro. As the
assessment was done, no malnutrition noted within the family. Bacarro family is fully
vaccinated as shown in the table above as Mr. and Mrs. Bacarro want their children to stay
healthy and immune to different illnesses like how they are as they were also fully
vaccinated. They want their children to be free of illnesses that may be a threat in their health
2. Social and Health facilities available From Monday to Friday, travelers can
visit a health clinic in Barangay
Sinigpit. Immunizations, minor health
checkups, and other services are
available at this health center. The
"Sangguniang Kabataan," or adolescent
organization, exists in the barangay of
Sinigpit. This organization is primarily
concerned with executing projects that
assist youth. Aside from the barangay
officers' organization, each sitio has its
own set of officers who are responsible
for maintaining order.
Interpretation:
The Bacarro family is aware of the active organizations in the barangay Sinigpit. One
This organization implements programs that benefit the members of the community,
especially the youth. Also, this organization helps in disseminating information that the
primary organization of the barangay has done. The Eldest daughter of Mr. and Mrs. Bacarro
is a member of the organization; they are well informed about the activities and projects of
the organization. Like any member of the community, the family helps in implementing those
projects that could improve the livelihood of the people in the barangay.
XI. COPING INDEX - LOCATED ON THE 3rd DOCUMENT
XI. FAMILY HEALTH PROBLEMS
XV. CONCLUSION
XVI. LEARNING DERIVED (Individual learning)
XVII. DOCUMENTATION