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Dyci+Sample+Family Case Analysis
Dyci+Sample+Family Case Analysis
BS Nursing Program
In partial fulfillment
of the requirements in NCM 104 -1
Related Learning Experience
Submitted by
Pechay, Peanutella K.
BS Nursing II – A
Group 1
Submitted to
October 2019
I. Introduction
The family is smallest unit of the society and the natural fundamental core
of the community and consequently, it is considered as the primordial recipient of
the nursing effort, which is contributory to the development, and progress of the
community through active involvement and self – responsibilities of each
constituent. It is composed of Father, Mother and children and it is being molded
to be as one, working hand in hand to maintain a good atmosphere among the
family members. On the other hand, a nucleus controls the functions of the entire
cell and can be thought as the “command center” of the cell. The nucleus as well
has different components which are all needed in order for it and the cell to
function well. The impression or status of each family will always affect the status
of the community as a whole.
It is just to say that community health nursing has a big role in nursing
education. It is in the community where the student nurse learns nursing apart
from the hospital setting as she was exposed to different level of orientation. It
is in the community where the saying “nursing is an art” can be applied as
student nurse tries to give quality service using the available resources in the
health center.
The community is a group of people sharing geographic boundaries
and/or values and interests. (Maglaya, 2004) No two communities are alike. A
nurse exposed in the community learns how to interact and adapt to different
kinds of people. The family is considered as the basic unit of care in the
community health nursing. It is in the family where a member develops his
health values, beliefs and practices. The family is a major influence in the
health behaviors of an individual. With this, it is important that families in a
community are aware of the things and practices pertaining to their health.
`
The family that was assigned to the nurses is a picture of the majority of
the family here in our country. Imagine you living in a poor environmental
condition without enough resources and experiencing lack of knowledge
including health information and other socio-economic related problems. In
behalf of the students accomplishing this, though it is tiring, this makes them feel
the sense of fulfillment as they share their knowledge, skill and time to take
action to uplift the condition of the family.
A. Objective
a. Short Term
Client Centered
After 2 days of home visits, the adopted family shall be able to:
Have trust and confidence to the student nurse.
Cooperate with the student nurse.
Tell the student nurse whether he or she understands the
instruction given.
Acquire knowledge from the health teaching given and know the
importance on having a good health.
b. Long Term
Student Centered
After 4 days home visits, the Student nurses shall be able to:
Impart knowledge to the family to make them self reliant.
Educated the family regarding the importance of proper hygiene.
Guide the family in identifying actual and potential problems which
may be a hindrance in attaining optimum health.
Generate interventions considering the nurses, community and the
family’s resources.
Enhance their ability to interact and communicate with people as
learning from the exposure to the community.
Evaluate changes in condition after giving interventions.
Client Centered
After 4 days of home visits, the family shall be able to:
Apply some of the health teaching that the student nurse had
imparted.
Become self reliant especially when it comes to health matters.
Attain a level of proper hygiene.
Maximize the use of resources as needed.
Identify health problems that can be a threat in attaining optimum
health.
The student nurses were assigned at San Jose, Angeles City. On the first day
of the community exposure, July 14, 2008 Monday, the student nurses had a tour
and familiarize their selves around the community and went to the Barangay
Health Center later on under the supervision of their clinical instructor.
July 15, 2008, a rainy Tuesday morning, the student nurses were tasked
to look for the appropriate family that will qualify under their study. They must be
near poverty level, with existing health problems or threats, and families who are
in need of assistance and health teachings.
Fortunately, they were able to find a family that is accommodating,
responsive, and of course accepted to be the subject of their study, the
Chocolate Family.
On their first home visit, it was a rainy afternoon then; Mrs. Kisses was
sleeping with ChocoBaby while Snickers and Kitkat were found playing outside
their house in front of their Lola Tootsie Roll’s store. Mrs. Kisses was awakened
by Kitkat because of the arrival of the student nurses. They warmly welcomed the
student nurses inside their house. After settling down at Chocolate’s Residence,
the student nurses briefly introduced their selves and explained to the family their
purpose and said, “Ate pwede dakayu po bang ainterview? Para ya keng Family
Case Analysis mi kailangan ya keng skwela ita.” Mrs. Kisses then replied, “Wa
sige ok muh, para nokarin ya wari yan?”
Anyway, the student nurses were able to establish rapport with the
present family members and were able to interview the mother regarding their
socio-economic status, environmental sanitation and the like. They were able to
acquire some information and even exchanged light-hearted conversations with
Mrs. Kisses. The vital signs of the present members were also assessed and
recorded. After an hour or two, the student nurses bid the Chocolate Family
goodbye and told them that they will be back the next day.
The following visit was a sunny morning. The group decided to go to their
assigned family during morning for them to assess ChocoBaby, the youngest
child of Mr. and Mrs. Chocolate, because she usually sleeps every afternoon said
Mrs. Kisses. That day, the only members that the student nurses met were Mrs.
Kisses and ChocoBaby. Kitkat and Snickers at that time were at school. The
group finished assessing ChocoBaby and further interviewed Mrs. Kisses
regarding their health, like the children’s immunization and nutrition status, her
obstetrical history and their history of past and present illness. It is on this day too
that they discussed about the potential and actual problems of the family. Some
of these problems are the presence of accident hazards in their house,
malnutrition, faulty eating habits, etc. After the assessment, the group bid
goodbye to Mrs. Kisses and ChocoBaby.
The group visited the Chocolate Family about 11:00 am. It was a hot
morning then. When they arrived at the Chocolate’s Residence, it was brownout
so Mrs. Kisses requested the group to be back after lunch.
.
Fifth Home Visit (July 29, 2008, Tuesday)
This time, the student nurses arrived at the house of the Chocolate Family
around 1:45 pm. The weather that time is unpredictable because there are
episodes of rainy and hot weather that day. Upon the arrival of the group, all of
the family members present are sleeping. They were just awakened by their
neighboring relatives.
That day, the student nurses continued the final assessment. They also
continued their nursing interventions and implementations. The implementations
done were focused on the sanitation of the house and regarding the hygiene of
the kids. Health teachings were given also for the family to understand the
group’s interventions. The group told the family again about how essential
hygiene is in attaining an optimum level of health, the advantages of having a
good environmental sanitation and how rodents and insects can affect their
health.
This home visit is the last and final one that was conducted. The student
nurses are just finalizing every data that they have obtained starting from their
initial home visit until the very last. They are making sure that they have the
complete data and information needed. The group also reminded the family
about the health teachings that they told them during the recent home visits. The
group also told the family about the potential and actual problems that had been
identified by the student nurses and how to control and avoid them. The family’s
response upon the student nurses is very good and they show much appreciation
towards the student nurses which made the group feel good.
Until the last day of home visit, the group did not have the chance to meet
and assess Mr. Ferrero, Lola Tootsie Roll, Uncle Butterfinger and Brother
Crunch.
The group thanked the Chocolate Family for allowing them to conduct
their study.
II. Family Constellation
T- 36.6 °C
PR- 76 bpm
RR- 24 cpm
BP- 90/70
BMI = 20.97
(Normal)
Kitkat 9 Eldest F Going to Kitkat was wearing
Chocolate y/o daughter school: green shirt and
Grade 4 shorts with slippers
on. She was
conscious, coherent
and awake. Her shirt
is dirty as well as her
hands and feet.
She was sweaty also
because she was
playing outside. She
has a short, thick and
frizzy hair with
pediculosis noted.
She has untrimmed
and dirty fingernails
and with presence of
scars on both her
upper extremities.
Her palpebral
conjunctiva on her
right eye is reddish in
color. She complains
that she is
experiencing pricking
pain on her right eye
and it was red. It was
noted during the third
home visit of the
student nurses and it
started during
weekends.
With yellowish color
of teeth and with
presence of plaque,
tartar and cavities.
With untrimmed and
dirty toenails and
noted scars on lower
extremities and dry
skin.
T- 36.9 °C
PR- 80 bpm
RR- 23 cpm
BMI=17.59
(Underweight)
T- 36.9 °C
PR- 72 bpm
RR- 21 cpm
ChocoBaby 27 Youngest F Never been During the initial visit,
Chocolate mos daughter to school icy was in the room,
sleeping. She was
wearing white sando
and yellow shorts.
She has dirty and
untrimmed
fingernails, with
lesion noted above
her left eyebrow. She
has dry skin and
allergies on the left
fore arm and above
the left knee which
appears to be fresh,
palpable and reddish
in color. It was noted
during the initial
assessment and
started during
weekends, Saturday
prior to the home
visits of the student
nurses according to
Mrs. Kisses and
managed it with
Calamine lotion. Her
toenails are
untrimmed and dirty
and with dirty soles
of feet. She also has
scars on both lower
extremities.
T- 36.7°C
PR- 72 bpm
RR- 23 cpm
FNRI= 12 kg normal
(9.9-15.6 kg)
A. Type of Family
Mr. Ferrero and Mrs. Kisses Chocolate goes hand in hand in terms of
decision-making, they consult each other in terms of planning and budgeting for
their family, they also discuss matters concerning their children’s schooling
financially and emotionally. When problem arises, they make sure that both of
them will handle and solve the problem. But then, in terms of matter concerning
health Mrs. Kisses is more dominant. She makes sure that she will comply with
the appropriate regimen regarding the condition that arises and she has greater
awareness regarding health matters compared to Mr. Ferrero. An example of
health matters wherein Mrs. Kisses is more responsible for is immunization. This
is so because Mr. Ferrero is also busy at his work giving Mrs. Kisses to decide
on matters that needs an urgent decision.
The Chocolate family’s main source of income is coming from Mr. Ferrero.
Lola Tootsie Roll does have contributions as well in the house expenses.
Sometimes, Uncle Butterfinger shares some in the budget only when he has
work.
On a daily basis, Mr. Ferrero gives Mrs. Kisses Php 200.00. This amount
is for the utilization of their daily needs like foods and allowances of the children.
It is used in buying over the counter medications when necessary. Lola Tootsie
Roll’s contribution was not specified but as stated by Mrs. Kisses, she told the
student nurses that Lola Tootsie Roll is the one who pays the Electric bills and
sometimes buys for the food they eat. Their monthly electric bill is about Php 600
to Php 700, and water bill costing about Php 300. Mrs Kisses also told the group
that Mr. Ferrero is still paying for his tricycle every month but she does not know
how much is the exact amount.
But with Mr. Ferrero’s daily income, the group can say that this is not
enough to shoulder every expense they have in the household. According to
NEDA, each individual should at least have Php 2768.60 when the total monthly
income of the family is divided among the total family members. The total
monthly income of Mr. Ferrero is about Php 5,200 and when divided among the 8
members, it is only Php 650. With these, they were considered poor. Mrs. Kisses
also told the student nurses that they do not have any financial assets at hand in
case of emergency; they just usually borrow money from their relatives,
neighbors or sometimes “five, six”.
D. Working Hours
The most significant persons involved in their lives are the aunt of Mrs.
Kisses living just beside their house, some close family friends which resides
within the vicinity area, and in some cases where in there is no one they can turn
to, they borrow money from the “five, six”.
G. Health Habits/Beliefs
The family still believes in the power of tawas or hilot. They first consult
in a mananawas or manghihilot whenever a family member gets sick. If the
situation gets worse, they go to their barangay health center and in severe cases,
they go to Ospital Ning Angeles and seek for help.
The Chocolate Family enjoys the facilities available in the community like
the basketball court; the barangay health center, where in the children had their
immunization and where Mrs. Kisses avails her contraceptive pills. Kitkat and
Snickers also studied in the Day Care Center in their Barangay. They also
consult the Barangay Captain or any official in the Barangay Hall in times of
problems.
J. Housing Condition
The house only has 2 windows which basically does not sustain the
adequate ventilation needed by the family. The reason why the group considered
the ventilation of the family as inadequate is because the windows are obstructed
and air is not free flowing inside the house. Some clothes are also hanged in
front of the windows blocking the passage of air.
The house has 2 rooms with bed. Mr. Ferrero and Mrs. Kisses together with
Choco Baby sleeps on the room at the left side while Uncle Butterfinger sleeps
on the right room. Lola Tootsie Roll, Brother Crunch, Kisses and Snickers sleeps
at the sala. They use mattress and “banig.”
The Chocolate Family have different appliances such as television, radio, and 2
electric fans which they use in their daily living. There are present accident
hazards too. Some faulty wiring was noted as well as the presence of rodents
and insects. In terms of garbage disposal, they just use plastic bags or sack
which is hanged at the back of their house near the comfort room. The sack or
plastic used is usually left untied.
FORMULA:
CONSIDER:
COMPARE THE TFA (TOTAL FLOOR AREA) WITH THE TSA (TOTAL SPACE
REQUIREMENT)
TFA = 21 SQM
Lola Tootsie Roll goes to the market for their food every day. Though they
have a stove, they prefer to use charcoal because they cannot avail the Liquid
Petroleum Gas. Mrs. Kisses and Lola Tootsie Roll were the ones who usually
prepares the food. They cook at the back of their house beside the comfort room.
It is where their “dirty kitchen” is located. The food that they usually eat is
sardines and other canned goods. They also eat the leftovers from the merienda
that they cooked. When it comes to storing their food, they just cover their left
over with plate. But in some cases, they ask their relatives to let their leftovers
store in their refrigerator. In terms of cooking facilities the family is equip with
casserole, “sandok”, frying pan and knives.
L. Water Supply
NAWASA is the family’s source of water. They use a jar, which is covered
to store their drinking water. According to them the water is very much potable.
M. Toilet Facility
N. Drainage System
The drainage system of the family is open type. It is dirty and has a stinky
smell. There are some rice grains noted on the drainage. Molds are also noted.
There is no obstruction present at the drainage system, which makes the flow
continuous.
The family does not own any cell phones or telephone. They usually
borrow their neighbor’s or relatives’ cell phone if they need to text someone. Mr.
Ferrero has a tricycle which until now is not fully paid. He pays for it at installment
basis. Mrs. Kisses did not specify the amount regarding how much Mr. Ferrero
pays for the tricycle because she too does not know. It is their main mode of
transportation other than the public utility jeepneys.
V. PROBLEM IDENTIFICATION
Total Score 2
Current
> The family does not have any
knowledge
Family
current management of the
problem as evidenced by the trash
Resources
SN Resources observed on their dirty kitchen.
Community
Resources > The family has physical
resources such as brooms and
broomstick, Mrs. Kisses has also
the capability to clean their house
and environment.
INTERVENTION PLAN
ANALYSIS OF THE METHOD
CUES OBJECTIVES OF RESOURCES EXPECTED
PROBLEM NSG. INTERVENTIONS RATIONALE
FAMILY REQUIRED OUTCOME
CONTACT
S> "wa ating Inability to Short Term: >Explore the > To obtain a The family
dagis keni provide a family’s ideas baseline data H Family shall have
daramadama home After 2° of on rodents and for the health O Resources: recalled the
n mila kening environment, NI the family insect control teachings to be M other
bubungan, which is will be able through given to the E >Manpower methods of
egana gana conducive to to recall the interview. family. resources controlling the
atang insekto health other V such as time proliferation
atin keni" as maintenance methods of >Discuss with >To increase I and effort. of rodents
verbalized by due to controlling the family the the family’s S and insects
Mrs. Kisses inadequate the causes and awareness I >Physical presented to
knowledge of proliferation consequences about vector- T and chemical them via
O> The the other of rodents of different borne S resources health
student means of and insects vector- borne diseases. such as teaching, as
nurses have controlling presented to diseases. insecticides, evidenced by
observed the the them via cleaning the family will
following: proliferation health >Reinforce the > To increase/ articles such enumerate
of rodents teaching, as family’s suffice the as broom the methods
>Presence of and insects. evidenced knowledge on inadequacy of and presented.
breeding by the family rodent’s and the family’s broomsticks
ground of will insect control knowledge and dustpan. The family
cockroach. enumerate through health about rodents shall have
the methods teachings such and insect demonstrated
>Presence of presented. as maintaining control. Student the methods
mosquitoes a good Nurses of rodents
and flies. Long Term: sanitation Resources: and insect
condition of the control
After 4 days environment. >Knowledge, presented to
of NI the skills, time them.
family will be >Inform the > To avoid and effort of
able to family about accidents due the student
demonstrate proper handling to improper nurses.
the methods of insecticides. handling of
of rodents insecticides
and insect such as
control poisoning.
presented to
them. >Explore the > To measure
family’s the
reaction about understanding
the health of the health
teachings teachings
given. presented.
Problem# 2 Presence of Pediculosis
INTERVENTION PLAN
S> Mrs. Inability to Short Term >Explore the > To obtain a H The family
Kisses provide family’s idea baseline data for O Family shall have
have adequate After 2° of NI of how the health M Resources: demonstrated
verbalized nursing care the family will pediculosis teachings to be E understanding
the to the be able to occurs and given to the >Manpower of the health
following: infected demonstrate their family. V resources teachings
member of understanding management I such as time given about
“ay makutu the family of the health to control it. S and effort. Pediculosis
ya i due to teachings I such as
Hershey inadequacy given about > Provide the > to increase/ T >Physical methods to
[Kitkat]” of time r/t Pediculosis family with the suffice the S resources control
Mrs. Kisses such as information inadequacy of such as pediculosis as
“anyang ADL. methods to regarding knowledge of the cleaning and evidenced by
control Pediculosis family regarding grooming Mrs. Kisses
anak ya pa Inability to pediculosis as including the pediculosis. article e.g. will be able to
provide a evidenced by management shampoo, restate the
i Hershey home Mrs. Kisses that could be comb, soap health
environment will be able to done to and the like. teachings
[Kitkat] atin conducive to restate the control the given
personal health disease. according to
neng kutu, I development teachings Student her
due to given >Provide the > To promote Nurses understanding.
Ivan inadequate according to family with personal hygiene Resources:
[Snickers] knowledge her health to the family. The family
about understanding teachings >Knowledge, shall have
mehawa hygiene and . regarding skills, time practiced the
sanitation. personal and effort of methods of
yamu Long Term: hygiene the student controlling
especially hair nurses. pediculosis.
kaya.” After 2 days of care.
NI the family Community
will be able to > Instruct the > To have a resources:
practice the family to visit proper
O> The
methods of the health pharmacological Availability of
student
controlling center for management of the Barangay
nurse have
pediculosis. consultation. the problem. health center
observed
for
the
>Explore the > To measure consultation.
following:
family’s the
reaction about understanding of
> Presence
the health the health
of
teachings teachings
pediculosis
given. presented.
upon
inspection
of Kitkat
and
Snickers
hair.
S> “ay sira Inability to Short Term >Explore the > To obtain a H The family
sira la reng provide a family’s idea baseline data O Family shall have
ipan ku” as home After 2° of NI of how dental for the health M Resources: demonstrated
verbalized by environment the family will caries occurs, teachings to E understanding
Mrs. Kisses conducive to be able to their be given to >Manpower of the health
“sira la rin pu personal demonstrate knowledge of the family. V resources teachings
deng ipan ng development understanding the I such as time given about
Ivan[Snickers] due to of the health consequences S and effort. Dental Caries
” as verbalized inadequate teachings of having a I such as its
by Kitkat knowledge given about dental caries T >Physical cause;
about Dental Caries and their S resources methods to
O> The personal such as its management such as control and
student nurse hygiene. cause, to control it. tooth prevent dental
have observed methods to brushes and caries as
the following: control and > Provide the > To increase/ toothpaste. evidenced by
prevent dental family with the suffice the Mrs. Kisses
> Presence of caries as information inadequacy of will be able to
dental caries evidenced by regarding knowledge of Student restate the
upon the Mrs. Kisses Dental Caries the family Nurses health
inspection of will be able to including the regarding Resources: teachings
Mrs. Kisses restate the management Dental Caries. given
and her three health that could be >Knowledge, according to
children’s teachings done to skills, time her
mouth. given control the and effort of understanding.
according to disease, and the student
her the nurses. The family
understanding consequences shall have
. that may arise performed
such as tooth Community methods of
Long Term: loss and Resources: controlling and
infection. preventing
After 2 days of Availability of dental caries
NI the family >Provide the > To promote the such as proper
will be able to family with personal Barangay cleaning of
perform health hygiene to the Health teeth.
methods of teachings family. Center for
controlling and regarding consultation.
preventing personal
dental caries hygiene
such as proper especially
cleaning of mouth care,
teeth. the frequency
of cleaning the
teeth.
INTERVENTION PLAN
ANALYSIS OF METHOD
CUES OBJECTIVES OF RESOURCES EXPECTED
THE PROBLEM NSG. INTERVENTIONS RATIONALE
FAMILY REQUIRED OUTCOME
CONTACT
S> Mrs. Inability to Short Term: >Explore the > To obtain a Mrs. Kisses
Kisses have make family’s ideas baseline data Family shall have
verbalized decisions After 2° of NI about a good for the health Resources: restated
the following: with respect Mrs. Kisses lighting teachings to be H actions that
to taking will be able to condition given to the O >Manpower could be done
“dati neng appropriate restate actions family. M resources to improve
madalumdum action due that could be E such as time their lighting
ing bale, to negative done to >Discuss with >To increase and effort. condition as
anyang anak attitude improve their the family the the family’s evidenced by
ku pa towards the lighting importance of awareness >Physical Mrs. Kisses
makanini ne” problem. condition as having a good about good resources will be able to
evidenced by lighting lighting V such as repeat the
“sindyan ke Mrs. Kisses condition its condition and I fluorescent teachings
mu ing sulu will be able to benefits such promote a S lamps. given
madalumdum repeat the as it prevents good attitude I according to
eh” teachings straining of the towards the T Student her own
given eye, and also problem. S Nurses understanding.
O> The according to the Resources:
student her own consequences The family
nurses have understanding of having a >Knowledge, shall have
observed the . poor lighted skills, time showed an
following: house. and effort of improvement
Long Term: the student on their
> Dark lit >Reinforce the > To increase/ nurses. lighting
rooms (living After 6 days of family’s suffice the condition as
room, and NI the family knowledge on inadequacy of evidenced by
bedrooms) will be able to ways on how to the family’s removal of the
show an provide a well knowledge clothes that
> Obstructed improvement lighted house about other obstruct the
window on their ways of windows and
lighting improving their changing their
condition as lighting light bulbs with
evidenced by condition. fluorescent
removal of the lamps.
clothes that >Explore the > To measure
obstruct the family’s the
windows and reaction about understanding
changing their the health of the health
light bulbs with teachings teachings
fluorescent given. presented.
lamps.
Problem# 5 Poor Ventilation Condition
INTERVENTION PLAN
ANALYSIS OF METHOD
CUES OBJECTIVES OF RESOURCES EXPECTED
THE PROBLEM NSG. INTERVENTIONS RATIONALE
FAMILY REQUIRED OUTCOME
CONTACT
S> Mrs. Inability to Short Term: >Explore the > To obtain a Mrs. Kisses
Kisses have make family’s ideas baseline data Family shall have
verbalized decisions After 2° of NI about a good for the health Resources: restated
the with respect Mrs. Kisses ventilation teachings to be H actions that
following: to taking will be able to condition. given to the O >Manpower could be done
appropriate restate actions family. M resources to improve
“ay action due that could be E such as time their
malisangan to negative done to >Discuss with >To increase and effort. ventilation
keni alang attitude improve their the family the the family’s condition as
hangin towards the ventilation importance of awareness evidenced by
lulub” problem. condition as having a good about good Student Mrs. Kisses
evidenced by ventilation ventilation V Nurses will be able to
“malwat ne Mrs. Kisses condition its condition and I Resources: repeat the
yan, anyang will be able to benefits such promote a good S teachings
anak ku pa repeat the as it prevents attitude I >Knowledge, given
makanyan teachings easy transfer of towards the T skills, time according to
ne yan given diseases, and problem. S and effort of her own
matatakpan according to also the the student understanding.
ne keng her own consequences nurses.
harap mi” understanding of having a The family
. poor ventilation shall have
O> The condition. showed an
student Long Term: improvement
nurses have on their
observed After 6 days of >Reinforce the > To increase/ ventilation
the NI the family family’s suffice the condition as
following: will be able to knowledge on inadequacy of evidenced by
show an ways on how to the family’s removal of the
> improvement provide a well knowledge clothes that
Obstructed on their ventilated about other obstruct the
window ventilation house ways of windows.
condition as improving their
evidenced by ventilation
removal of the condition.
clothes that
obstruct the >Explore the > To measure
windows. family’s the
reaction about understanding
the health of the health
teachings teachings
given. presented.
VII. FAMILY COPING INDEX
Initial Final
Category Justification
1 3 5 1 3 5
1. PHYSICAL
INDEPENDENCE Initial Visit:
This category is concerned During the initial visit, the group had
with the ability to move observed that Mrs. Kisses has failed
about, to get out of bed, to to provide required personal care for
take care of daily grooming, herself and her children as
walking, etc. Note that it is evidenced by the presence of lice
the family competence that infestation, poor hair care and long
is measured- even though fingernails of the children. The
an individual is clothes of her children too are soiled
independent, if the family is with sweat and dirt.
able to compensate for this.
The family is important-
hence, if the focus of care Final Visit:
is poor, for instance, if the
mother is giving care to a The Student nurse had given them
handicapped child that she health teachings about the
shared with other members importance of proper hygiene; the
of the family, the family was cooperative to fully
independence might be comply with it. The mother has
considered incomplete. The allotted time and effort to manage
causes of independence the hygiene of herself and her
may vary however. Lack of children. The fingernails of her
independence in the family children were trimmed and they
may be due to actual were also seen wearing their
physical incapacity, the slippers most of the time especially
inability of “know-how”, the when they are outside the house.
willingness or fear of doing
necessary tasks.
2. THERAPEUTIC Initial Visit:
COMPETENCE
The group gave the family a score of
three because Mrs. Kisses gives
This category includes all some over the counter medications
to her children or other family
the procedures or
members when needed. She
treatment prescribed for the sometimes asks for the opinions of
care of illness, such as health workers at the health center.
giving medications and They are not able to provide other
using appliances, therapeutic measures to some
dressings, exercises, and illness like cough and colds because
relaxation and special of their financial limitation and lack
of knowledge as well.
diets.
Final Visit:
3. KNOWLEDGE ON
HEALTH CONDITION Initial Visit:
4. APPLICATION OF
PRINCIPLES OF
GENERAL HYGIENE Initial Visit:
Final Visit:
5. HEALTH ATTITUDES
Initial Visit:
This category is concerned
with the way the family Mrs. Kisses benefits from the
feels about health care in
services offered by the Barangay
general, including
preventive services, care of Health Center. She never fails to
illness and public health seek medical advice whenever her
measures. children need it.
Final Visit:
7. FAMILY LIVING
Initial Visit:
This category is concerned
largely with the All of the members of the family get
interpersonal or group along. However, sibling rivalry
aspects of family life- how cannot be eliminated in the family.
Mrs. Kisses told the group also that
well the members of the
she and Mr. Ferrero also
family get along with one experiences petty fights but
another, the ways in which managed to solve them
they make decisions immediately.
affecting the family as a
whole, the degree to which
they support one another
and do things as a family, Final Visit:
the degree of respect and
affection the show for one The group taught the children that
another, the ways in which petite fights may be normal but they
the manage the family should know that they should be
budget, the kind of patient with each other especially
discipline that prevails. the older ones. Kitkat as the eldest
agreed to what the student nurses
said.
8. PHYSICAL
ENVIRONMENT Initial Visit:
9. USE OF COMMUNITY
FACILITIES Initial Visit:
Assessment is the very crucial part of doing the family case analysis, with
all the data that you will gather throughout the assessment process, there you
will derived the problems you will intervene to correct this problems.
The most important thing that a student nurse must have is the initiative,
time, effort, and patience, without those things you will not be able to gather all
the information you need, the client’s cooperation and compliance is also a vital
ingredients for the success of making a family case analysis.
Peanutella K. Pechay
X. SPOT MAP AND DOCUMENTATION
F. Lazatin
San Fabian
St. Jude
Chocolate’s Residence
Famorca, Z., Nies, M., & McEwen, M. (2013). Nursing Care of the Community: A
Comprehensive Text on Community and Public Health Nursing in the
Philippines: Elsevier
Cuevas, F.L., et al, (2007). Public Health Nursing in the Philippines 10th Edition.
Publications Committee, National League of Philippine Government
Nurses, Incorporated