BICOL UNIVERSITY TABACO CAMPUS

NURSING DEPARTMENT
Tabaco City

I. Family Structure and Dynamics

No. Name Position Gender Birthday Age Civil Status Religion Educational Attainment Employment
in the
family

1. Jo Ann I. Orbase Head Female 01/25/1976 45 Annulled Roman Catholic College Graduate Editor in chief

2. James Carl I. Son Male 08/01/1997 24 Single Roman Catholic College Graduate IT
Orbase

3. Jade Caroline I. Daughter Female 06/30/2001 20 Single Roman Catholic 2nd Year College Student
Orbase

They have been residing at Vibal St. Brgy. 8 Bagumbayan Washington Drive, Legazpi City since 2016. The family is Single parent type. Mrs. Jo Ann, being the
mother and head of the family, and Son being the eldest in the sibling, makes decisions for the family most of the time, while Daughter is responsible for housekeeping, health
status monitoring, and nursing care for a sick family member. 

II. Socio-Economic & Cultural Characteristics

Mrs. Mother works as an editor in chief in L&C SEO Content Marketing, while Mr. Son is an IT with a position of Senior Analyst at GDS global services. They have a
combined monthly income of 61,000, which is enough for Daughter, who is a second-year nursing student, and their monthly bills.
Mrs. Mother had been annulled for 8 years. The family doesn’t go to church weekly. Sometimes they attend mass only on the television due to workloads and exhaustion
throughout the week.
All of the family members work together and make decisions from budgeting to the wants and needs. Mrs. Anne and James are working together to support the family,
while Jade does the household chores at home. The bonding of the 3 usually sums up to binge-watching series, listening to music, and playing games. Opening up with each
other is not unusual in the family -- they do it often.

III. Home and Environment

The bungalow 2 bedroom fully furnished house they are residing at is made up of strong housing materials, a good place for a home in spite of the fact that the house
often experiences puddles to flood during rainy seasons due to lack of drainage and trees to sip the water, but it never enters their house. The place has a good light source and
is well ventilated even if the place lacks trees. There were no problems regarding electricity since the brgy is connected at Washington feeder 1, which has the lowest rates of
power interruption in Legazpi. The house also has its own comfort room with an excreta disposal system level 2 (with flush). Jade usually cleans the house everyday. Mrs Anne
and James only help with Jade during their dayoffs and free times. Cleanliness is a must in their home since James often has asthma attacks.
 They don’t have their own water tank, they only rely on the water supply by Legazpi City Water District. Few times they ran out of water due to maintenaces of the water
district. They buy mineral water stored in a big container as their source of water to drink.
The family raises 1 dog, which is inside their house. They segregate their garbage from biodegradable, non-biodegradable, and recyclable, which every day there is a
garbage collector collecting the trash, but due to piles of garbage collected by the collector, some days he skips getting their trash which results from fouling smell at the front due
to the biodegradable trash.
The barangay health station is just a few walks from their home, but they never had checkups there.
The family uses a private car and public vehicles like tricycles and jeepneys. Since their house is near the main city, Mrs Anne and Jade walk when going to the public
market also as a mean of exercise. They use cellphones connected to WiFi and landlines as means of communication.

IV. Health Assessment for Each Member:

Previous illnesses of the family include cough, fever, and flu. Mr. Son has asthma, and it triggers when the weather is hot and if the environment is not clean. The family
eats 4 times a day; they eat their meals with rice except for breakfast and snacks. Vegetables, poultry/ meat, is the usual meal.

Name Age Height Weight BMI Status BP Temp Pulse RR Significant Findings

Jo Ann I. Orbase 45 169 cm 75 kg 26.3 Overweight 120/80 36.4 88 19

Jams Carl I. Orbase 24 181 cm 98 kg 29.9 Overweight 120/85 36.7 90 20

Jade Caroline I. 20 158 cm 57 kg 22.8 Normal 110/80 36.4 85 18

Orbase

V. Values and Practices on Health Promotion/Maintenance and Disease Prevention

All family members obtained complete immunization including Covid vaccination. They are planning to get a booster shot few months from now since they are expecting
to travel outside the Philippine boarder. Although the health center is near their place, none of the members had sought medical help due to lack of time, and if asthma attacks
occur, they directly go to the nearest hospital, UST-L Hospital. However, the family is not sure if they are updated in getting their deworming every year. Daughter is sure that she
didn’t get any since JHS. Their hygiene is maintained.
Unlike any other Filipino family, they only follow a few superstitious beliefs. They don’t look at mirrors during wakes, and they respect the elementals.
Mrs. Mother sleeps 8-9 hours but is sleeping at 2 am. Daughter and Son Sleep 7-10 hours depending on their workloads.
 FAMILY NURSING CARE PLAN
Health Problem Family Nursing Goal of Care Objective of Care Intervention
Problem Nursing Intervention Method of Nurse –Family Resources Required
Contact
1. Poor  Lack or After 1 month of
family nursing care
After 1 week of nursing
interventions, the family
 State the purpose  Home visits  Materials such as
inadequate of the action  Phone call Pamphlets or visual aids
environmental knowledge about intervention, the and the barangay  Assess the family’s  Health teaching for health teaching
sanitation and the health risk of family and barangay officials will be able to: level of awareness  Help of BHW’s  Cellular phone to contact
having poor officials will be able  Be oriented with the in comprehending the family
Improper drainage system to come up with an problem and identify the condition  Coordination of the
drainage  Low salience of alternative solution the importance of  Discuss to th barangay for cleanup
the problem to the problem and having a drainage family about the drive
system  Risk for will be able to system disadvantages and  Cooperation of the
leptospirosis demonstrate masures  Will maka a plan in risk of having family and brgy officials
within the to prevent making a small canal improper drainage
neighborhood environmental in the neighborhood system
 Inconsistent problems  Enumerate the a. Risk for
garbage collection disadvantages of leptospirosis,
which causes foul having an improper skin diseases,
smell within the drainage system and other
frontyard  Cite atleast 3 vector- health
 Failure of related illness the problems
barangay and family may acquire b. Presence of
waste disposal if improper drainage vectors
committee to system will not be  Establish rapport
coordinate with corrected with the family
one another  Identify alternative  Report and seek
regarding garbage courses of action to help to the
collection. correct the improper government or
drainage system barangay officials
 Resolve/Consistently about the issue and
implement an make action to
everyday garbage prevent potential
collection diseaases
 Absence of foul  Coordinate with
smell within the the brgy officials
frontyard on ways to prevent
floods and improve
 drainage.
2. Malnutrition  Out of the 3 family  After 3 months After 2 months of  Assess and  Phone call  Weighing scale
members, 2 are of family nursing nursing intervention: monitor weight  Establish effective  BMI chart
overweight. care  The changes of the communication  BP apparatus
- Due to interventions, the malnourished overweight and develop  Visual materials for
workloads malnourished will regain their  Evaluate the rapport with the demonstration/health
and limited family members desired weight mother’s client through teachings
free time, the will regain their  The family will awareness of home visits, health
family relies normal status realize the the signs and teachings and
on through eating significance of symptoms of demonstrations.
convenient nutritious meals. proper malnutrition,  Monitoring
food sources  After 1 month of nourishment. as well as the  Health teachings
such as family nursing  The mother and consequences  Planning of
meat/poultry care daughter will be for the family activities/exercise
and interventions, the able to plan and  Provide health s for the family
sometimes family will be prepare teaching about
vegetables able to evaluate nutritious meals basic nutrition
for their their health that are easy to and on the
meals. status and prepare food
 Lack of knowledge determine  Determine the requirement
about potential practices on how idea body weight based on the
health risks to maintain a for each member food pyramid.
 Lack of knowledge healthy body of the family  Assist family
about preparing  Attain a body members in
easy nutrition-rich weight which is preparing
meals at a normal balanced meals
 Due to their loaded range for the family.
schedule with  Identify other  Encourage
work, the family food sources family
wasn’t able to which are good members to
perform exercises alternatives and engage in
at times with more activities that
nutritional involves
benefits movements or
 Allot a short moderate
period of time exercise even
for exercise as a for a short
form of bonding period of time
and physical yet in a
fitness for the consistent
 family. manner
 Be open in
consulting or
visiting the
community
health center for
monthly check-
ups and other
services
3. Asthma as a  Dog’s fur that is  After 1 month After 4-5 days of family-  Provide health  Home visits  Handouts, visual aids
kept inside the of family nurse contact, the family teaching in health  Health teaching  Time and effort of the
health deficit house that is nursing care will be able to: promotion  Interview the family family
contributing to the interventions  Increase the regarding the past  Quality time and effort
attacks the family will  Describe what family's health history. of the nurse and family
 Lack of or conduct a asthma is all about. understanding of members.
insufficient necessary action  Enumerate the asthma.  Expenses for teaching
knowledge to to prevent and accompanying  Discuss the effects aids and transportation
make an informed to properly asthma of asthma on the expense of the health
decision regarding manage asthma. manifestations that body, implement practitioner.
the best course of they observed on preventive
action for the the family member. measures, and
health issue.  Dogs are also a oversee proper
 Even a little dust contributor for management and
in surroundings asthma attacks treatment.
triggers it  Determine the  Discuss the factors
factors that that contribute to
contribute to asthma's signs and
asthma. symptoms.
 Keep an eye on  Discuss the effects
their condition and of asthma on the
take steps to body and daily life.
improve their  Determine the
health. degree of
 Determine deficiency.
preventive  Encourage family
measures and how members to visit
to manage asthma the community
attacks. health center for
 Formulate ways on proper monitoring
how their home can and consistent
be safe from check-ups
irritants that may  Assist family in
cause asthma formulating plans
on mitigation and
emergency
contacts if ever
case of asthma
attacks happen