Case Presentation Group 14

MEDICAL COLLEGES OF NORTHERN PHILIPPINES
Alimannao Hills, Peñablanca Cagayan

Tel: (078) 304-1010; Telefax (078) 846-7549
Telefax No. (078) 304-1010 Website: www.mcnpisap.com
E-mail Address: adminoffice@isap.edu.ph
COLLEGE OF NURSING
A Family Case Load of
Parong’s Family
From Rizal Alicia, Isabela
In Partial Fulfillments
Of the requirements for
NCM 104_RLE: Community Health Nursing 1
(Individual and Family as Client)
Presented by:
BSN 2F GROUP 14
Pangilinan, Joshua Purisima, Crystal-kate
Pazzibugan, Alea Quines, Angelica
Pasion, Ria Nica Ramos, Myrna
Pajela, Ronalyn Ramirez, Kelsy Laye
Persia, Angelee Rempillo, Michelle
Pena, Wilver Rimando, Evangelyn
Presented to:
Ms. Mia Grace Masiddo
S.Y 2021-2022
FIRST SEMESTER
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TABLE OF CONTENTS
Front Page ………………….………………………………………………………………………………………. 1
Table of Contents ……….………………………………………………………………………………………. 2
Chapter I- Introduction ………………………………………………………………………………………. 3
Chapter II- Objectives of the Study ……………………………………………………………………………. 4
Chapter III- Narrative Data Base ……………………………………………………………………………… 5 - 6
Chapter IV- Initial Data Base …………………………………………………………………………………... 6 - 11
Chapter V- Risk Factor Assessment …………………………………………………………………………… 11 - 13
Chapter VI- Prioritization; Scoring ………………………………………………………………………………. 13 - 15
Chapter VII- Ranking: Prioritized Need or Problem ……………………………………………………… 15
Chapter VIII- Family Nursing Care Plan ………………………………………………………………………… 16 - 20
Chapter IX – Photo Documentation ………………………………………………………………………………… 20 - 22
CHAPTER I
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INTRODUCTION
A community is a group of individuals who share traits or interests and live together within a region or
geographical border where people live in normal circumstances. A family is the smallest unit of society and the
primary beneficiary of nursing care in a community, and each constituent contributes to the community's
growth and advancement via active involvement and self-responsibility. They also have a significant impact on
an individual's health practices within a home. It is critical, therefore, that families in a community are aware
of the issues and practices that affect their own health.
A student nurse who has been exposed to the community will be able to understand how to interact with and
adapt to all types of individuals. Community health nursing is a synthesis of nursing practice used to promote
and maintain community health. The major purpose is to promote and preserve health among its diverse
clientele, whether they be individuals, families, groups, or communities. In nursing education, community
health plays a significant role. Aside from being in a hospital or attending school to learn from subject lectures,
student nurses study in the community. This is the area where trainee nurses are exposed to various degrees
of orientation. It is in the community that student nurses may put the phrase "nursing is an art" into practice
by providing high-quality care with limited resources.
Through a family case study, a student nurse will be able to connect with and feel the community. It is
believed to be a method for determining a family's health state by examining them and using critical thinking
skills to the student nurse. Health-related problems will be discovered as a result of this, and student nurses
will be able to learn and understand what interventions should be done and applied, as well as when and how
to intervene.
Mr. and Mrs. Parong's family was chosen by our group. The mother of the family diagnosed diabetes mellitus
(type 2) and hypertension. The father of the family diagnosed rheumatic heart disorder. As a result,
conducting a family caseload during this pandemic is difficult, especially because we are unable to go outside
due to the protocol, but this is not a barrier to reaching out and finding a solution. The rationale for this
situation is that we may be able to share our knowledge, use our abilities, and predict risk factors for the
family, which is an exciting and gratifying aspect of being a student nurse.
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CHAPTER II
OBJECTIVES OF THE STUDY
The general and specific objectives of this family case study are presented in this chapter. When it comes to
putting together a family nursing intervention strategy, setting targets can help.
General Objectives:
The patient's case was chosen by the group to be a case study, to be able to provide nursing intervention that
would alleviate the condition of the patient. In the same way the group will be able to learn and enhance
knowledge and skills in caring for patients in such cases.
Specific Objectives:
The student nurse would be able to:
● Identify present and future difficulties that may be preventing you from reaching your full health
potential
● Plan nursing intervention for the health conditions are the most important
● Prioritize the difficulties with family health nursing that have been discovered
● Examine how treatments affect the patient's condition
● After the last intervention, evaluate the task.
● Discuss the medications taken by the client, it's action, side effects and nursing responsibilities
● Enhance skills & knowledge as a health care provider in the clinical setting.
● Establish rapport
● Conduct therapeutic communication
CHAPTER III
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NARRATIVE DATA BASE
A. Family structure, Characteristics, and Dynamics
• The family Parong is composed of four (4) members. It is stated that they are a nuclear family. Both of them
always include their eldest when deciding on family matters such as health-related issues. They haven’t joined
any organization in their barangay. Mr. Ferdinand Parong works as a farmer and Mrs. Parong is a housewife.
Their eldest son Jayson Parong helps his father in handling their farm while Quinee Parong is a junior high
school student in Northeast Luzon Adventist College.
B. Socio-economic and Cultural Characteristics
• Mr. and Mrs. Parong and their eldest child are high school graduates. Quinee, the youngest child, is a junior
high school student at Northeast Luzon Adventist College in Mabini Alicia, Isabela. Mr. Parong and Jayson work
as farmers while Mrs. Parong is a housewife. Mr. Parong, with the help of their eldest child, acts as the
provider of their family. They have “Itikan” for the production of red egg as one of their source of income. He
makes a monthly salary of at least 47,000 in PHP which allows them to meet their basic needs, like food,
education (tuition) bills, (Wi-Fi, electricity), and health care which includes check-up, maintenance,
consultation and hospitalization. They have applied loan in the bank when their salary is not enough.
C. Home and Environment
• The Parong family owns a bungalow house with 1.5 square meter floor area (cemented), made with a
concrete wall-form structure with (2) two bedrooms, which is kind of small for a family of (4) four. They have
electricity as their source of light and Pump well and their water source. The distance of their house from the
other houses is 11 meters, and they use a jar with a faucet as their storage for their drinking water. Their
source of drinking water is commercialized (distilled water). They own garbage disposal and it is covered, they
use a compost pit as their method of disposal. They also have drainage and a comfort room which is water
sealed type and with a distance of 10 meters from their source of drinking water. They experienced having
chicken pox, and only Queenie didn’t experience having measles.
D. Health Practice and Medical History
• Like Mrs. Parong and their children, Mr. Ferdinand Parong did not experience any illness when he was a
child, but he was diagnosed with Diabetes mellitus (type 2). Mrs. Parong, on the other hand, experiences High
blood pressure and rheumatic heart disease disorder. Thankfully, their children, Jayson Parong and Quinee
Parong, do not have any illnesses. Mrs. Parong got immunized for tetanus toxoid, while Quiniee Parong
received vaccines for BCG, OPV, DPT, and Measles. They used home remedies like herbal medicines
pinakuluang luyang dilaw 3 times a week, and apple cider daily. And over-the-counter drugs before consulting
a health practitioner. Such as biogesic paracetamol for fever, planax for fatigue medicol for headache, they
communicate to the doctor the home remedies that they have used beforehand. Their recreational activities
include listening to the radio, watching TV, and using cellphone. Mr. Parong, the head of the family, is diabetic
and he also experience chills, dizziness and blurry vision. He always drinks water so he often urinates. The last
time he visited the clinic the result of his blood glucose is above 240mg/dL and his blood pressure is 120/90.
He also experiences dry skin. While Mrs. Parong having a weight of 75 kilograms and height of 5’4”
experienced generalize weakness, chest pain, edema, heart palpitation and dyspnea is known to be
hypertensive and diagnosed with rheumatic heart disease, Mrs. Parong experience dizziness and nape pain.
The last time she visited the clinic the result of her blood pressure is 140/90 mmHg, temperature is 37.4 ⁰C.
Both of them are under maintenance.
E. Value- Belief System

• The Parong family is a roman catholic and they believe that God is their number (1) one source of strength,
(2) two is their children, (3) three are their parents, and lastly (4) four is their marriage (husband and wife).
They usually practice going to mass and they also believe that this helps them go through any
problems/difficulties.
F. Livestock/Pets
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• The Parong family owns a dog and a pig, and both have their own house.
CHAPTER IV
INITIAL DATA BASE
A. Family Structure, Characteristics, and Dynamics
Barangay: RIZAL, ALICIA, ISABELA
Zone: 7
Household number: 133
FAMILY GENDE CIVIL AG BIRTHDA BIRTHPLAC EDUCATIONAL OCCUPATIO

MEMBER R STATUS E Y E ATTAINMENT N
FATHER
FERDINAN MALE MARRIE 48 AUGUST RIZAL, HIGHSCHOOL FARMER
D PARONG D 22, 1973 ALICIA, GRADUATE
ISABELA
MOTHER
DELIA FEMALE MARRIE 50 JUNE 20, RIZAL, HIGHSCHOOL HOUSEWIFE
PARONG D 1971 ALICIA, GRADUATE
ISABELA
CHILDREN
JAYSON MALE MARRIE 28 JANUARY RIZAL, HIGHSCHOOL FARMER
PARONG D 06, 1993 ALICIA, GRADUATE
ISABELA
QUEENIE FRMALE SINGLE 14 AUGUST RIZAL, HIGHSCHOOL GRADE 9
FE T. 22, 2007 ALICIA, UNDERGRADUAT STUDENT
PARONG ISABELA E
I. FAMILY STRUCTURE AND CHARACTERISTICS
A. HEAD OF THE FAMILY
Name: FERDINAND S. PARONG
Age: 48 Y/OLD
Sex: MALE
Birthday: AUGUST 22, 1973
Civil status: MARRIED
Address: RIZAL, ALICIA, ISABELA
Religion: ROMAN CATHOLIC
Position in the family: FATHER
Educational attainment: HIGHSCHOOL GRADUATE
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Occupation: FARMING
B. DEMOGRAPHIC DATA
NAME OF POSITIO
AG BIRTHDA CIVIL EDUCATIONAL RELIGIO OCCUPATIO
FAMILY N IN THE
E Y STATUS ATTAINMENT N N
MEMBER FAMILY
FERDINA FATHER 48 AUGUST MARRIE HIGHSCOOL ROMAN FARMING
D S. 22, 1973 D GRADUATE CATHOLI
PARONG C
DELIA T. MOTHER 50 JUNE 06, MARRIE HIGHSCHOOL ROMAN
PARONG 1971 D GRADUATE CATHOLI
C
JAYSON FIRST 28 JANUARY MARRIE HIGHSCHOOL ROMAN FARMING
T. BORN 09, 1993 D GRADUATE CATHOLI
PARONG CHILD C
QUEENIE YOUNGES 14 AUGUST SINGLE HIGHSCHOOL ROMAN GRADE 9
FE T. T 22, 2007 UNDERGRADUA CATHOLI STUDENT
PARONG TE C
C. COMMUNITY ORGANIZATION
NONE
NONE
NONE
D. TYPE OF FAMILY
[ ] Nuclear [ ] Blended
[ ] Extended [ ] Gay/Lesbian
[ ] Cohabitation [ ] Foster
E. WHO MAKES THE DECISION IN THE FAMILY?
[ ] Father [ ] Mother [ ] Both
F. WHO WORKS FOR THE FAMILY?
[ ] Father [ ] Mother [ ] Both [ ] Other, specify: ____________
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II. SOCIO – ECONOMIC
A. NUMBER OF FAMILY MEMBER/S WHO ARE WORKING: 2
B. FAMILY MONTHLY NET INCOME
[ ] 1, 000 – 2, 000 [ ] 7, 000 – 8, 000
[ ] 2, 000 – 3, 000 [ ] 8, 000 – 9,000
[ ] 3, 000 – 4, 000 [ ] 9, 000 – 10, 000
[ ] 4, 000 – 5, 000 [ ] 10, 000 – 11, 000
[ ] 5, 000 – 6, 000 [ ] 11, 000 – above
[ ] 6, 000 – 7, 000
C. HOW DO YOU PRIORITIZE THE FOLLOWING? (Rate from 1 – 3)
[1] Food
[3] Education
[2] Health care (check – up, consultation, hospitalization)
III. HOME AND ENVIRONMENT
A. HOME
1. Ownership: [ /] Owned [ ] Rented
2. House structure: [ /] Concrete [ ] Semi – concrete [ ] Nipa
3. Type: [/ ] Bungalow [ ] 2 storey [ ] Others, specify: ____
4. Number of rooms: 2
5. Light facility: [/ ] Electricity [ ] Methane gas lamp [ ] Candle
[ ] Kerosene: ( ) Hasag ( ) Lamp
6. Floor area (square meters): 1.5 SQUAREMETR
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B. WATER SUPPLY
1. Source [ ] Open dig well [/ ] Pump well [ ] NAWASA
[ ] River [ ] Rain [ ] Others, specify:____
2. Ownership: [ /] Owned [ ] Shared/Communal
3. Distance from the house (meters): 11 METERS
4. Storage of drinking water: [ /] Jar with faucet [ ] Jar without faucet [ ] Plastic bottle [ ] None
5. Source of drinking water: [ ] Faucet [ /] Commercialized
C. WASTE DISPOSAL
1. Garbage
Ownership: [/ ] Owned [ ] Communal [ ] None
Container: [ /] Covered [ ] Open
Method of disposal: [ ] Open dumping [ /] Compost pit [ ] Burning
2. Drainage [ /] With [ ] Without
D. TOILET
Ownership [ /] Owned [ ] Communal [ ] None
Type [ ] Pit – privy [ /] Water sealed [ ] Flush type
Distance of toilet from source of drinking water (meters): 10 METERS
IV. HEALTH PRACTICE AND MEDICAL HISTORY
A. PAST ILLNESS OF THE FAMILY DURING CHILDHOOD [specify]
Father Chicken Pox, Measles

Mother Chicken Pox, Measles
Children (Jayson) Chicken Pox, Measles
Children (Quinee) Chicken Pox
B. PRESENT ILLNESS OF THE FAMILY [specify]
Father DIABETE MELLITUS (TYPE 2)
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Mother HIGHBLOOD PRESSURE, RHUEMATIC

HEART DISORDER
Children (specify) NONE
C. IMMUNIZATION
NAME OF
TETANUS
FAMILY BCG OPV DPT MEASLES HEPA B
TOXOID
MEMBER
DELIA T.
PARONG
QUEENIE FE
T. PARONG
FERDINAND
S. PARONG
D. HOME REMEDIES BEFORE CONSULTING HEALTH PRACTITIONER
[ /] Use of herbal medicines
[/ ] Use of over the counter drugs
[ ] Neglects the disease
[ ] Others, specify____________________
E. HEALTH PRACTICES OBSERVED
[ ] Offering (atang) [/ ] Consulting a doctor [ ] Consulting a quack doctor
F. FAMILY RECREATIONAL ACTIVITIES [check all applicable]
[/ ] Listening to radio [ /] Watching TV [ ] Others, specify_______
[ /] Reading books, magazines, comics [ ] Sports
G. RECREATIONAL MATERIALS AVAILABLE IN THE HOME [check all applicable]
[/ ] Radio [/ ] Reading materials (books, magazines, comics)
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[ /] TV [/] Cellphones [ ] Others, specify_______
V. VALUE – BELIEF SYSTEM
A. SOURCE OF STRENGTH [rate from 1 – 4]
[1] God
[4] Husband/Wife
[2] Children
[3] Parents
/B. RELIGIOUS PRACTICES USUALLY OBSERVED
[/ ] Going to mass
[ ] Attending prayer meetings
[ ] Others, specify ______________
C. DOES IT HELP YOU IN YOUR DIFFICULTIES? [ /] Yes [ ] No
VI. LIVESTOCK/PET
WITHOUT
LIVESTOCK/PET WITH LEASH WITH OWN HOUSE
LEASH/ASTRAY
DOGS
PIG
CHAPTER V
RISK FACTOR ASSESSMENT
DIABETES MELLITUS
1. How old are your when you were diagnosed with diabetes mellitus?
ANS: “Noong 34 years old ako”
2. What are the factors that triggered/alleviated your health condition that lead to diabetes mellitus (Type
2)?
ANS: “Nasa lahi namin, kasi may diabetes and mama ko. Hindi ako masyado nakakapag
ehersisyo at kumakain at umiinom ng mga matatamis gaya ng softdrinks, banana cue, taho,
at halo-halo.”
3. What do you do to maintain your health?

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ANS: “Umiinom ako lagi ng tubig, kasi madalas akong mauhaw, nag dadialysis ako tatlong
beses sa isang lingo.”
4. What food do you usually eat?
ANS: “Mga gulay at prutas tulad ng, ampalaya, kalabasa, kang kong, okra, avocado, mandarin
kung minsan nagtitimpla ako ng calamansi juice.”
5. Is there a maintenance/medication that the physician prescribed to you for you diabetes? What is it?
What is the dosage? When do you take?
ANS: “Meron, metformin 500mg dalawang beses sa isang araw at gliclazide
6. Is there a time that you miss taking your medications?
ANS: “Oo, kung masyado akong busy sa itikan namin.”
HIGH BLOOD PRESSURE

1. How old are you when you were diagnosed with hypertension?
ANS: “Nagsimula noong ako ay 47 years old.”
2. What are the factors that triggered/alleviated your health condition that lead to hypertension?
ANS: “Nasa lahi din naming ang high blood at kumakain ako ng pagkain na mataas ang
cholesterol.”
ANS: “Iniinom ko sa tamang oras ang mga maintenance ko. Kumakain ako ng prutas gaya ng
mandarin at umiinom din ng calamansi juice. Mga gulay gaya ng malunggay, ampalaya,
kangkong”
4. What do you do when your disease attack?
ANS: “Umiinom ako ng tubig, nagpapahinga ako. Nagpapa bp ako pagkatapos ko

magpahinga.”
5. Is there a maintenance/medication that the physician prescribed to you for your hypertension? What is
it? What is the dosage? When do you take?
ANS: “Meron, Losartan 50mg dalawang beses sa isang araw.”
ANS: “Oo, nakakalimutan ko kung masyado akong maraming ginagawa.”
RHEUMATIC HEART DISORDER

1. How old are you when you were diagnosed with Rheumatic heart disorder?
ANS: “Noong ako ay 13 years old.”
2. What are the factors that triggered/alleviated your health condition that lead to Rheumatic Heart
Disorder?
ANS: “Nasa lahi din namin ang may rheumatic heart disorder.”
ANS: “Iniinom ko ang gamot ko at hindi ako masyado nagpapagod. Kumakain ako ng prutas
gaya ng mandarin at umiinom din ng calamansi juice. Mga gulay gaya ng malunggay,
ampalaya, kangkong”
4. What do you do when your disease attack?
ANS: “Umiinom ako ng tubig, nagpapahinga ako.”
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5. Is there a maintenance/medication that the physician prescribed to you for your hypertension? What is
it? What is the dosage?
ANS:
ANS: “Oo, kung busy ako sa itikan at tumutulong gumawa ng red egg.”
CHAPTER VI
PRIORITIZATION: SCORING
This chapter shows the setting of priorities of family health problems that has been identified. It
includes a computation on how priorities were shown with their corresponding justification.
Diabetes Mellitus (type 2) of Mr. FERDINAD S. PARONG, as a Health Deficit.

Computatio Actual
Criteria Justification
n Score
The family’s problem is health deficit and is an
Nature of the
3/3X1 1 actual problem cause by the high blood glucose
problem
level that can damage the body organs.
The family’s problem is a health deficit and is
partially modifiable as evidenced by:
 The family has current knowledge about

problem.
 The family has resources available to
Modifiability 1/2X2 1 minimize complications of disease.
(maintenance)
 The student nurse has knowledge and
initiative will enable student nurse to
provide health education for family.
 Their barangay health center is open for
consultation.
Preventive Potential 2/3X1 0.66 The family’s problem is moderately preventive
potential:
 The problem is considered severe.

 The problem is approximately existing
almost 11 years since family member is
diagnosed.
 The family has current management.
(maintenance)
 The family members (specifically the
children) is high-risk because present
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illness can possibly be inherited.

The family perceives it is a serious problem that
Salience 2/2X1 1
requires a needing prevention.
TOTAL SCORE: 3.66
Rheumatic Heart Disorder of Mrs. Delia Parong as a health deficit

Computatio Actual
n Score
The family’s problem is health deficit and is an
Nature of the
3/3X1 1 actual problem cause by chest pain that can
problem
damage heart val
The family’s problem is a health deficit and is not
modifiable since there are already damage in the
heart valve although resources (current
Modifiability 0/2X2 0
knowledge, family resources-maintenance,
Student resources, community resources) is
available.
The family’s problem is not preventive
 The problem is considered severe.

 The problem is approximately existing
almost 32 years since family member is
Preventive Potential 0/3X1 0 diagnosed.
(maintenance)
Salience 2/2X1 1
TOTAL SCORE: 2
Hypertension of Mrs. Delia Parong as a health deficit

Computatio Actual
n Score
Nature of the 3/3X1 1 The family’s problem is health deficit and is an
problem actual problem in high blood pressure can
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damage the larger blood vessels leading to the

kidneys and the smaller vessels inside your
kidneys.
The family’s problem is a health deficit and is not
modifiable since there are already damage in
larger blood vessels leading to the kidneys and
Modifiability 0/2X2 0 the smaller vessels inside the kidneys, even if
resources (current knowledge, family resources-
maintenance, Student resources, community
resources) is available.
The family’s problem is moderate preventive
potential as evidenced by the
 The problem is approximately existing 3

years since family member is diagnosed.
Preventive Potential 2/3X1 0.66
(maintenance)
Salience 2/2X1 1
TOTAL SCORE: 2.66
RANKING: PRIORITIZED NEED OR PROBLEM
Problems Score Rank
Diabetes Mellitus (type 2) of 3.66

Mr. FERDINAD S. PARONG, as
1
a Health Deficit.
HIGHBLOOD PRESSURE OF
DELIA T. PARONG, as a Health
2.66 2
Deficit.
RHUEMATIC HEART
DISORDER OF DELIA T.
2 3
PARONG, as a Health Deficit.
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CHAPTER VIII
FAMILY NURSING CARE PLAN
INTERVENTION PLAN
HEALTH/
FAMILY METHOD
POTENTIA GOAL OF OBJECTIVE NURSING
NURSING OF NURSE RESOURCES
L HEALTH CARE OF CARE INTERVENTION
PROBLEM – FAMILY REQUIRED
PROBLEM S
CONTACT
Diabetes Inability to After SHORT INDEPENDENT Online Manpower:
Mellitus as make nursing TERM: Health
-Discuss the -Student
health decisions intervention Teaching
After 8 hours causes, signs and nurse
deficit with respect , the family via
of nursing symptoms and -Family
to taking will make
Objective intervention, complication that -phone call
appropriate necessary -Time and
cues: the family might arise due to
health actions -video call effort of both
will: Diabetes Mellitus
-Blood actions due properly (messenger student nurse
glucose to: manage or a. Possess -Instruct the ) and the
above control, and sufficient patient to have family.
lessen the -zoom
140mg/dL -Lack of knowledge proper care, to
Materials:
-Dry skin. information risk factors regarding avoid cuts, -google Visual aids for
about the of Diabetes healthy bruises and meet demonstration
disease Mellitus. nutrition, wounds. .
complication which will aid
-instruct the
. in the
patient to weight
reduction of
daily to determine
Diabetes
adequacy of
mellitus and
nutritional intake.
the
avoidance of -instruct patient
future to have regular
relevant exercise and
difficulties. avoid sweets
b. be able to DEPENDENT
identify the
risk factors of -Encourage
Diabetes patient to have
Mellitus. regular checkup.
c. maintains
a healthy
lifestyle in
terms of
nutrition and
physical
fitness.
d.
demonstrates
understandin
g of the
health
teachings
with regards
to the
disease
process of
diabetes
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Mellitus.
e.
demonstrates
understandin
g of the
health
teachings
with regards
with the
proper diet
for diabetic
person.
LONG
TERM:
After 7 days
of nursing
interventions,
the patient
will be able
to:
a. Remain
free of
infection, as
evidenced by
normal vital
signs, blood
sugar level
and absence
of signs and
symptoms of
infection.
b. Maintain
or restore
line of
defenses.
HEALTH/ FAMILY GOAL OF OBJECTIV INTERVENTION PLAN
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METHOD
POTENTIA NURSING
NURSING OF NURSE RESOURCES
L HEALTH CARE E OF CARE INTERVENTION
PROBLEM – FAMILY REQUIRED
PROBLEM S
CONTACT
Hypertensio Inability to After nursing After INDEPENDENT Online Manpower:
n as health provide intervention, nursing Assess the family Health -Student
deficit. adequate the family intervention, understanding Teaching nurse
nursing will make the family regarding the via -Family
Subjective care to necessary will health problem. -phone call -Time and
cues: a actions be able to: -video call effort of both
"Madalas hypertensiv properly -Have -Discuss with the (messenger student nurse
akong e manage or adequate family the nature ) and the
nahihilo at member of control, and knowledge signs and -zoom family.
sumasakit the family lessen the on good symptoms and -google
ang batok due to: risk factors proper complication that meet Materials:
ko kapag of nutrition may arise due to Visual aids for
sobrang -Lack of hypertension that reduce hypertension. demonstration
init." As . hypertensio .
verbalized knowledge n and -Promote healthy
by Mrs. about prevent lifestyle such as:
Delia health occurrence a. encourages
Parong. conditions of proper food intake
severity. complication like reducing salty
Objective . and fatty foods.
cues: Include the DASH
VS are -Determine diet plan.
taken as the risk b. encourage
follow: factor that patient to do
BP: 140/90 contribute proper nutrition
mmHg hypertensio and exercise to
H:5’4’’ n such as prevent obesity.
W:75 kg family c. encourage
history, age, patient to
salt and decrease or
alcohol eliminate caffeine,
intake, and coffee, and
obesity. chocolate.
d. encourages the
-Practice patient to increase
proper fluid intake.
lifestyle with -Provide
regards to information
nutrition regarding
and physical community
fitness. resources:
a. initiate the
patient to go
clinic/health care
provide for blood
pressure
monitoring.
b. encourages the
patient to take
maintenance at
time as prescribed
by the physician.
DEPENDENT
-encourage
patient to have
regular check-up.
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INTERVENTION PLAN
HEALTH
/ METHO
POTENT FAMILY D OF
GOAL OF OBJECTIVE OF NURSING NURSE RESOURCE
IAL NURSING
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health risk ations and manifestation disease. call nurse and
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and rheumatic stressful -google Visual aids
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insight and participant disorder. demonstratio
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and a stable disease.
pulse rate.
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patient to take
the prescribed
medication given
by the physician.
-Heart valve
surgery to repair
or replace
damaged heart
valves.
-The antibiotic
treatment, blood
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thinning medicine
prescribed by the
attending
physician.
-Valvuloplasty
CHAPTER IX
PHOTO DOCUMENTATION
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22 | P a g e

Case Presentation Group 14

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Case Presentation Group 14

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MEDICAL COLLEGES OF NORTHERN PHILIPPINES

Alimannao Hills, Peñablanca Cagayan

A Family Case Load of

From Rizal Alicia, Isabela

Of the requirements for

NCM 104_RLE: Community Health Nursing 1

(Individual and Family as Client)

Pangilinan, Joshua Purisima, Crystal-kate

Pazzibugan, Alea Quines, Angelica

Pasion, Ria Nica Ramos, Myrna

Pajela, Ronalyn Ramirez, Kelsy Laye

Persia, Angelee Rempillo, Michelle

Pena, Wilver Rimando, Evangelyn

Ms. Mia Grace Masiddo

Front Page ………………….………………………………………………………………………………………. 1

Table of Contents ……….………………………………………………………………………………………. 2

Chapter I- Introduction ………………………………………………………………………………………. 3

Chapter II- Objectives of the Study ……………………………………………………………………………. 4

Chapter III- Narrative Data Base ……………………………………………………………………………… 5 - 6

Chapter IV- Initial Data Base …………………………………………………………………………………... 6 - 11

Chapter V- Risk Factor Assessment …………………………………………………………………………… 11 - 13

Chapter VI- Prioritization; Scoring ………………………………………………………………………………. 13 - 15

Chapter VII- Ranking: Prioritized Need or Problem ……………………………………………………… 15

Chapter VIII- Family Nursing Care Plan ………………………………………………………………………… 16 - 20

Chapter IX – Photo Documentation ………………………………………………………………………………… 20 - 22

OBJECTIVES OF THE STUDY

The student nurse would be able to:

NARRATIVE DATA BASE

A. Family structure, Characteristics, and Dynamics

B. Socio-economic and Cultural Characteristics

C. Home and Environment

D. Health Practice and Medical History

E. Value- Belief System

INITIAL DATA BASE

A. Family Structure, Characteristics, and Dynamics

Barangay: RIZAL, ALICIA, ISABELA

Household number: 133

FAMILY GENDE CIVIL AG BIRTHDA BIRTHPLAC EDUCATIONAL OCCUPATIO

I. FAMILY STRUCTURE AND CHARACTERISTICS

A. HEAD OF THE FAMILY

Name: FERDINAND S. PARONG

Birthday: AUGUST 22, 1973

Civil status: MARRIED

Address: RIZAL, ALICIA, ISABELA

Religion: ROMAN CATHOLIC

Position in the family: FATHER

Educational attainment: HIGHSCHOOL GRADUATE

E. WHO MAKES THE DECISION IN THE FAMILY?

[ ] Father [ ] Mother [ ] Both

F. WHO WORKS FOR THE FAMILY?

[ ] Father [ ] Mother [ ] Both [ ] Other, specify: ____________

II. SOCIO – ECONOMIC

A. NUMBER OF FAMILY MEMBER/S WHO ARE WORKING: 2

B. FAMILY MONTHLY NET INCOME

[ ] 1, 000 – 2, 000 [ ] 7, 000 – 8, 000

[ ] 2, 000 – 3, 000 [ ] 8, 000 – 9,000

[ ] 3, 000 – 4, 000 [ ] 9, 000 – 10, 000

[ ] 4, 000 – 5, 000 [ ] 10, 000 – 11, 000

[ ] 5, 000 – 6, 000 [ ] 11, 000 – above

C. HOW DO YOU PRIORITIZE THE FOLLOWING? (Rate from 1 – 3)

[2] Health care (check – up, consultation, hospitalization)

III. HOME AND ENVIRONMENT

1. Ownership: [ /] Owned [ ] Rented

2. House structure: [ /] Concrete [ ] Semi – concrete [ ] Nipa