CHAPTER I

This chapter provides an overview of the study's family background, including the

Respondent's Database, which may serve as a proxy for the family's current health

status because it continues to have an impact on all of the family members.

FAMILY HISTORY

As stated by the U.S. A family is a group of individuals who live

together and are related by blood, marriage, or adoption, according to

the Census Bureau (2005). It may also be described as "consisting of

two or more persons, who lived together in the same household

(typically), share a shared emotional link, and execute certain

interconnected social tasks" (Allender & Spradley, 2004).

The family A is composed of eight (4) members. Mr. Keven Jhon

Sallave is the head of the family and is fifty (25) years old, while Mrs.

Angela is the mother .They have seven (2) children: Kera is the first

daughter Child Arriene is the second daughter. Kera studies at Roxas

Elementary school. She is 6 years old. Grade 1 students. She is the sister of their

siblings, but she has not yet gone to school because she is too young to child. SHe is

3 years old

Mr. Macalma was born on December 9, 1972, in Barangay 1

Poblacion, Pambujan, Northern Samar. His father works being a

teacher in their hometown, and his mother is a housewife. He has two

(2) sisters and he is the youngest and the only boy in the family. As a

1
dedicated person he worked hard, make his own decision with the

guidance of his family. As a result, He completed his college at

University of Eastern Philippines and later on decided to work and

build his own family.

Mrs. Macalma was born on September 17, 1976 in one of the

Municipality of Northern Samar which is the Pambujan. Her father is

a farmer and her mother is a teacher in their hometown. She

completed college at the University of Eastern Philippines as a result

of their hard work and dedication to complete her education.

Mr. Macalma and Mrs. Macalma met on 1996 in Pambujan,

Nothern Samar. After a genuine courtship stage, they became couple

and married on January 20, 2009. At first, they lived in Mrs.

Macalma’s parents before deciding to settle permanently and build

their own family in Pambujan, Northern Samar.

Mr. Macalma, the family’s father, responds during the interview.

This family was chosen by the student nurse because they met

the criteria for identifying families with health problems. This gives the

student nurse the chance to minimize and, if possible, avoid these

problems with the family's full cooperation and the aid of community

health nursing services. By giving the family the medications, they

require to preserve their health, the student nurse may give care while

also supporting the family.

2
 CHAPTER II

PURPOSE OF THE STUDY

This chapter presents the general and specific objectives of this family

case study. Setting objectives provides direction for planning a family

nursing intervention. It facilitates motivation for the client and the nurse

by providing a sense of achievement. (Kozier, Erb et.al., 2004)

A. GENERAL OBJECTIVES

To conduct a thorough case study of Angela Family residing in

Roxas , Barangay 3, Northern Samar. This is to provide the family a

plan for intervention and nursing care to improve their lifestyle,

especially their health status and to become self-reliant in

maintaining their health.

B. SPECIFIC OBJECTIVES

1. Get to know the family and maintain rapport.

2. Gathered important information needed such as family medical

and health history.

3. Illustrate the genogram of the family that will help in racing

patients of heredity.

4. Explain the family Apgar score that shows the relationship of

family function.

5. Determine the different nursing theories that are related to

Macalma family health conditions.

3
6. Find out for possible disadvantages in attaining optimum

health.

7. Provide health teachings about possible chances of developing

disease.

8. Formulate medical solutions and nursing care to prioritize

health problems.

CHAPTER III

4
 FAMILY DATABASE

This chapter presents the family structure, characteristics, and

dynamics such as the demographic information of each family member

outlining their names, age, sex, civil status, occupation, educational

attainment, position in the family, and date and birth of place. Also,

Description of the family with regard to their socio-economic status,

physical environment, past and present history and family assessment

based on functional health patterns.

A. Family Structure, Characteristics, and Dynamics

Position Name Age Sex Civil Occupati Educatio Date Birth

in the Statu on nal of Place
family s attainme Birth
nt
Head of Mr. Keven 25 M Single fishers College Rixas
the John Sallave Graduate Northe
Family rn
Samar

First Kera Sallave 6 F Single Student N/A May Roxas

Child Northe
rn
Samar
Second Arriene 3 F Single N/A N/A June Roxas
Child Northe
rn
Samar

The data above shows the age, sex, position in the family, civil

status, occupation, educational attainment, date of birth, and the

place of birth of Family A. From the data shown above, Family A can

5
be considered as a Patriarchal type of family. This type of family is a

social organization where the father is the authority figure or the head

of the family.

This chapter illustrates the

family background of the
study which includes,
Database of the
Respondent, Family
Structure, General
Household Data, Activities
of Daily Living which could
be an indicator for the
present health status of the
family as it continues to
influence each of the
family members.
6
This chapter illustrates the
family background of the
study which includes,
Database of the
Respondent, Family
Structure, General
Household Data, Activities
of Daily Living which could
be an indicator for the
present health status of the
family as it continues to
influence each of the
family members.
In the present case study, Mr.Sallave stated that he is currently

living at Barangay Roxas , Northern Samar along with his two (2)

children. They were living in his parents’ house when his wife Mrs.

7
Sallave, but they have decided to move in to build their own house in

just the same compound.

When it comes to family matters and decision-making, they

always discuss it with their what wife Angela.Because his children are still

small and still unemployed. He is also especially struggling sometimes where he will

get expenses because he does not have a permanent job. However, there are

times wherein Mr. Kevin become dominant in the family decision-

making since he’s the head of the family. When it comes to healthcare

matters, Mrs. Angela looks the family’s health and ensure that it is well-

maintained by supporting them for their vitamins, maintenance and

medicines. In addition, the family also shares household

responsibilities with one another, they make sure that every member

has their fair share just like in performing the different household

chores. Family A is a dyadic interaction which the father possesses

innate or great potential to mediate factors relevant to health, illness,

growth, and development and the family’s ability to handle conflict.

B. Socio-Economic and Cultural Characteristics

His two children are still living in their house and he is still taking care of

them. Especially Kera who is studying. Meanwhile, Arriene was also left at home

when she didn't come in. Mr. Kevin is fishing. Once in a month he saves 2K. Kera

8
studies in elementary school. He doesn't have a job yet, so he can't help his parents.

And especially Arriene, she hasn't gone to school yet because she's still young.

The entire family practices Roman Catholicism, and each person has a firm belief in

God. On Sundays, Mr. Keven, his wife, Kera, Arriene, and the children all went to

church. The A family frequently takes part in community events as well, since they

have stated that this is a part of their culture and history. These events are organized

by their community and include fiestas, parties, and carnivals. The family also takes

advantage of and benefits from the barangay's resources.

C. Home and Environment

The house of the family A is very stable and great to live in, even

though there are 4 family members living here. The type of

construction material of the house is made out of concrete which

makes their house strong and stable.

The house has 2 bedrooms, 1 bathroom/comfort room, a clean

kitchen and dirty kitchen, a 1-living room. When they sleep, only one room

is used. They sleep side by side. Each of the rooms has all the equipment it need,

including cabinets, an electric fan, and air conditioning. Additionally, the family

9
comfort rooms are spotless, cozy, and fully stocked with items like toilet paper, soap,

toothbrush, and other necessities. Due to the costs associated with owning a pet and

the fact that no one will provide appropriate care, this family does not have a pet to

care for.

In terms of waste disposal, the family A also utilizes

appropriately covered and labeled garbage containers and separates

all of their trash. They segregate every biodegradable and non-

biodegradable item. They waited Monday for the collection of garbage

that is non-biodegradable and Tuesday of garbage that is

biodegradable.

D. Health Status of Each Member

D.1. Past and Present Illnesses

1. Health status on each member

a) Mr.Keven – During the student nurse interview, He stated

that he experienced symptoms such as dizziness, shortness

of breath because of hypertension. He also stated that he is

allergic .. He is currently taking maintenance medications

such as Katapris or Lozartan. Mr. Kevin weighs 70 kg with a

10
 height of 160 cm. His BMI classification is overweight with a

value of 27.34 kg/m2. Since he is 50 years of age, he

doesn’t prefer to drink alcohol that much anymore

compared to when he was in his younger years. He also

doesn’t smoke and has complete immunization of vaccines

including the vaccination for Covid-19.

b) Child Kera – Child EJM has no present illnesses. He

hospitalized before due to dengue. He occasionally drinks

alcohol but he doesn’t smoke. He weighs 65 kg with a

height of 165 cm. He belongs to the normal BMI

classification with a value of 23.89 kg/m2. He also has

completed immunization vaccines.

c) Child Arriene– Child JM has no present illnesses. He

hospitalized before due to UTI. He was advised by his doctor

to avoid eating junk foods and soft drinks. He weighs 60 kg

with a height of 167 cm. He belongs to the normal BMI

classification with a value of 21.58 kg/m2. He also has

completed immunization vaccines.

E. Values, Habits, Practices on Health Promotion, Maintenance,

and Disease Prevention

The family is fully equipped and knows all about the family’s health

conditions and problems. They also know about where the nearest hospital or
11
healthcare centers are if ever one of them is not feeling well. Mr. Kevin is always

informed their family members where the medicines are and teach them how to

drink/take their medications.

Moreover, they encourage each other to create a family meal plan and

perform daily exercises to strengthen the body and burn calories. They also have the

right amount of sleep or rest. They usually do 8-10 hours of sleep.

Family A also consults a physician at the nearest healthcare facility to let

them undergo laboratory tests to check their health conditions and ask what

medications the family needs to take. They will come back if necessary or in one of

the family members is still not feeling well.

Furthermore, Family A always reminds each other to follow to protocols in

avoiding COVID-19. The family members only go out when it necessary, such as

buying groceries, medicines, and other necessities in the house. After going out, the

family members always remember to disinfect themselves and take a bath

immediately.

Even though the family is fully vaccinated, they are still following the

protocols so that they can prevent the spread of the virus and also avoid catching

COVID-19.

12
Five out of seven members
of the family are currently
staying at the residence of
Family
M and fortunately, all of the
adults have their own
sources of living despite the
occurrence of the
global pandemic. Mrs. JDM
stated that her husband,
Mr. PPM is a contractor
who earns a
monthly income of 50,000
pesos while she is a

13
housewife who owns a
rental property and
receives a monthly income
of 25,000 pesos. Child
JADM, who is a college
graduate of BS
Computer Science, is a
Senior Associate Manager
in the IT department of the
new company
she’s working at. She has an
estimated monthly income
of 70, 000 pesos. Child
JPMC, who is a

14
college graduate of BS
Accountancy is working
as a Certified Public
Accountant abroad,
particularly in Papua New
Guinea. She is earning an
estimated monthly income
of 195,000
pesos. Child JMDM,
PMDM, and granddaughter
AJM are currently studying
at De La Salle
Lipa. Child JMDM is a 2nd
year college student who is

15
taking up the course BS
Nursing while
child PMDM is a grade 8
junior high school student.
Granddaughter ADM is
currently in her 9th
grade of junior high sc Five out of
seven members of the family are currently staying at the residence of
FamilyM and fortunately, all of the adults have their own sources of
living despite the occurrence of theglobal pandemic. Mrs. JDM stated
that her husband, Mr. PPM is a contractor who earns amonthly
income of 50,000 pesos while she is a housewife who owns a rental
property andreceives a monthly income of 25,000 pesos. Child JADM,
who is a college graduate of BSComputer Science, is a Senior

16
 CHAPTER IV
FAMILY COPING INDEX

This chapter depicts the actual

observation of the family
behavior and practices in
contrast to the ideal
family attitude and behavior. It
includes an assessment of how
the family handles various
stressors.
This chapter depicts the actual observation of the family behavior

and practices in contrast to the ideal family attitude and behavior. It

includes an assessment of how the family handles various stressors.

The observations are analyzed to see the occurrence of health problems

or negative attitudes and behavior.

Scaling:
1: No competence
3: Moderately competence

17
5: Completely competence
FAMILY DEFINITION RATING JUSTIFICATION
COPING AREA

Physical This category is 5 The family is able to

Independence concerned with the get out of their bed,
ability to move walk independently, in
about, to get out of terms of household
bed, to take care of chores the family is
daily grooming, cooperative and
walking, etc. supportive with each
other.
Therapeutic This includes all 3 S: “May maintenance
Independence the procedures or man ak nga gin
treatments tutumar, lalo na kun
prescribed for the mayda ak high blood.”
care of illness, As verbalized by Mr.
such as giving of Kevin.
medications, using O: They have
appliances, maintenance that they
dressings, take, especially for his
exercises and hypertension.
relaxation, special
diets, etc. But his children have
a lack of giving special
diet and exercise due
to behavioral boredom.
Knowledge of The system is 5 S: “Maaram man kami
health concerned with the saam condition kaya
condition particular health gin memaintain nala
condition that is anay kay para dire
the occasion for maglala urawa” as
care. verbalized by Mr. Kevin
O: They know their
condition and they
maintain it to avoid
possible more effects
of their disease.
Application of This is concerned 5 The family has
health with family action adequate rest and
principles on in relation to sleep. They able to
personal maintaining family take meals three time
hygiene nutrition, securing a day and sometimes,
adequate rest and they had snacks. And
relaxation for their family members
family members, were able to complete
18
 carrying out immunization and
accepted covid vaccines. As
preventive evidenced Mr. Kevin
measures such as showed an
immunizations, immunization of his
and medical children.
appraisal, safe
home making
habits in relation
to storing and
preparing foods.
Health care This is concerned 3 The family know about
attitude with the way the health status but first
family feels about they provide
their health care in unprescribed
general, including medication after they
preventive services, bring his children to
care of illnesses the hospital.
and public health
measures.
Emotional This has to do with 5 S: “Kun mayda kami
competence the maturity and problema gin
integrity with iristoryahan la iton
which the namo, tapos gin
members of the sasagdunan ko nala
family are able to ak mga anak sa tama”
meet the usual as verbalized by Mr.
stresses and Kevin
problems of life, O: The family was able
and to plan for to meet some of the
happy and fruitful stresses they
living. encounter, they are
united and able to
have harmonious
living. And there is an
open communication
of the family.
Family living This is concerned 5 S: “Na respetar man
pattern largely with the sira saak. Tas gin
interpersonal or papamatian ko lat an
group aspects of ira side kumbaga
family life-how well respituhay la sa kada
the family tagsa. Ngan Natuod
members get along man sira pag
with one another, ginsusugo” as
the ways in which verbalized by Mr. Kevin

19
 they make O: The family is united
decisions affecting and they respect each
the family as a other and will able to
whole, the degree understand when
to which they there is a conflict. And
support one they were discipline by
another and do their own parent by
things as a family, reprimanding and
the degree of talking to them when
respect, and the they commit mistakes.
ways in which they
manage the family
budget, the kind of
discipline that
prevails.
Physical This is concerned 3 Their house has a
environment with the home, the presence of breeding
community and or resting sites of
the work vector of diseases.
environment as its They are quite near
affect’s family and the sprout.
health.
Use of It has to do with 3 The family knows
community the degree of the when, to whom and
facilities family’s use and where to call or
awareness of the approach for help
available community facilities
community especially in terms of
facilities for health health. But they would
education and go only if it is critical.
welfare.

20
 CHAPTER V

TYPOLOGY OF NURSING PROBLEM

This chapter discusses the problems that were identified during

assessment and interview with the family. It includes the cues/data,

the family nursing problem and the nursing diagnosis. The problems

identified are categorized into presence of wellness state, health

deficits, health threats, foreseeable crisis and stress points.

Typology of Nursing Problems identified in Family A

Cues or Data Family Nursing Problems

21
Subjective Data:
Mr. Kevin stated:
“gin pa checkup ko dati ak bata
sa una nga tuig pero until now
waray pa kami balik for his follow
up checkup”. He undergoes with
laboratory procedure where in,
his urine need to be
examined(urinalysis) and we find
out that his urine has bacteria
which resulted to UTI”
Subjective Data:
Mr. Kevin ma stated:
“ako BP danay naabot 150/90
ngan parang mabug at ngan
malipong ak pamati ngan danay
nanluluya ak.”
Objective Data:
Kevin:
Pulse rate: 89
Respiratory rate: 16 bpm
Blood Pressure: 150/100
Temperature: 36.8
BMI: 27.4 (overweight)
Subjective Data:
Mr. Kevin lma stated:
“Our backyard has plants, trees,
open drums, pots, cans, tires
and also wooden feeding bowl
that sometimes full of water
around where a vector disease
can generate”
Objective: It is a little bit messy healthy lifestyle and lack of
and there
are some hanged clothes in the measures.
inside of house but mostly are
outside.
Subjective Data:
Mr.Kevunstated:
“We have furniture made by house as a Health Threat
woods and designs attached to the
I. UTI (Urinary Tract Infection) as
a health deficit.
1. Inability to make decision with
respect to taking appropriate
health action due to negatives
attitude towards the health
condition or problem by negative
attitude is meant one that
interferes with rational decision-
making.
II. Hypertensive as a health
threat.
1. Inability of the family to
recognize the extent of the
condition due to lack of salience
and myths in which hinders the
said recognition regarding the
risks of the problem.
III. Presence of breeding or resting
sites of vectors diseases as a
health threat.
1. Inability to provide a home
environment conducive to health
maintenance and personal
development due to lack of
knowledge of importance of
knowledge of preventive
IV. Presence of fire hazards such
as woods to the anterior of the
22
 walls” 1. Inadequate family resources
specifically limited physical
Objective Data: resources such as lack of space to
Their house is made of woods and construct facility and lack of skill
nippa. in carrying out measures to
improve home environment.

Objective: V. Poor Sanitation as a health

 Have dust at the corners.
 Hanged clothes both inside
and outside of the house.
 Open drums, pots, cans,
tires and also wooden
feeding bowl that sometimes
full of water around might
cause of pest breeding.
threat
1. Inability to provide a home
environment conducive to health
maintenance and personal
development due to lack of
inadequate knowledge of
importance of hygiene and
sanitation.

2. Inability to recognize the health

threat of the condition due to lack
of knowledge of how it develops.

CHAPTER VI
PROBLEM PRIORITIZATION
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.

Prioritization of Health Condition and Problems.

JUSTIFICATION/EXPLANATION, INTERPRETATION AND
PRIORITIZATION OF THE PROBLEM

Health Problem: Hypertension as a Health Deficit

CRITERIA JUSTIFICATION & COMPUTA ACTUAL

INTERPRETATION TION SCORE
Nature Health deficit. It is a serious medical 3÷3×1 1
condition that can lead to severe
23
 health complications and increase
the risk of heart disease, stroke, and
sometimes death.
Mr. Kevin has already hypertension
and he is maintaining it now, the
only threat here is when it has
fluctuations and when his BP goes
up it could alter his general health
status and lead to several discomfort
such as pain.
Modifiabilit Not Modifiable. 0÷2×2 0
y a. Current knowledge, technology,
and interventions (0)
Many people can reduce their high
blood pressure in as little as 3 days
to 2 weeks, it can be controlled with
medication, but it cannot be cured. It
does not require high technology for
diagnosis and treatment but need to
take medicines for maintenance.

b. Community resources (0)

The community where the family
lives has a limited number of fruit
trees that cost more than its price,
whilst the market where fish and
other vegetables may be purchased is
rather far away.

c. Family resources (0)

The family has enough water and
other liquids in the house, but due to
its high altitude, they are
inconsistent about whether it is clean
or not (Water tank).

d. Resources of the Health Worker

(0)
As of now, the Rural Health Unit
(RHU) has no assigned doctor; some
concerns will be addressed by nurses
and midwives, but they are not
permitted to administer vaccinations.
Those in the neighborhood who need
to be vaccinated must travel to

24
 another municipality.
Preventive High 3÷3×1 1
Potential Preve
ntive
Poten
tial
A.
Gravit
y or
severi
ty
(.75)
Two weeks’ duration of high blood
pressure is not severe and can still be
self-limiting if interventions are done
to resolve.

b. Short duration (.75)

It has been occurring for two weeks
only, no complications have set in
yet, because the patient maintains of
what he eats, therefore, it's quietly
preventive but not curable.

c. Current appropriateness
of management initiated by
family (.75) The management
instituted by the family which
is moderate balanced diet, one
serve of meat and vegetables
but sometimes the family used
to eat fried food , fast food ,
canned, frozen, salted snacks,
foods with saturated and trans fat.

d. Exposure of vulnerable/at high risk

of the magnitude of future problems
that can be prevented (.75)
The father (Elmer), her son and
daughter can be diagnosed with
having hypertension if healthy
lifestyle not be followed, this can be
result to hospitalization and might
cause of stress.
Salience A condition or problem, 2÷2×1 1
needing immediate

25
 attention. a. Family's
recognition of the problem (1)
Mr. Macalma verbalized that it is a
common problem in their family.

b. Perception of urgency (1)

The father (Elmer) immediately
instructed his child (Elmar) to
maintain of what he eat and do
regular checkup.
TOTAL SCORE 3

Health Problem: Urinary tract Infection (UTI) as a Health Deficit

CRITERIA JUSTIFICATION & COMPUTA ACTUAL
INTERPRETATION TION SCORE
Nature Health deficit. UTI is an infection of 3÷3×1 1
the urinary system. The infection may
spread from the bladder to one or
both kidneys if not treated, it will
require medical attention to prevent
complications.
Modifiabilit Easily Modifiable 2÷2×2 2
y a. Current knowledge, technology, and
interventions (.50)
A three weeks UTI and left untreated
for long, the worsening symptoms can
lead to permanent kidney damage and
septic shock where some of the organ
stop functioning. This infection need a
medicines, and require medical
attention because a kidney infection
can spread into the bloodstream and
cause a life-threatening health issue.

b. Community resources (.50)

The community where the family
resides offers a lot of fruits and
vegetables, such as eggplant, bitter
gourd, tomato, and other vegetables,
as well as a variety of sea foods that
are sold at affordable prices. The Local
Government Units (LGUs) ensure that
basic items in the market are
available at cheap costs.

26
 c. Family resources (.50)
The family has a sufficient supply of
food, as well as water and other
liquids. The parents understood how
to maintain a healthy diet and avoid
processed foods, which can cause UTI
and other complications.

d. Resources of the Health Worker

(.50)
The rural health nurse is very friendly,
willing, and concerned about the
family's well-being. Once a week, she
makes a home visit.

Preventive High Preventive Potential 3÷3×1 1

Potential a. Gravity or severity (.75)
Asymptomatic UTI of 3 weeks’
duration is not totally severe. It is
usually easiest to treat in the lower
urinary tract. An infection that
spreads to the upper urinary tract is
much more difficult to treat and is
more likely to spread into blood,
causing sepsis. This is a life-
threatening event.

b. Short duration (.75)

It has been occurring for 3 weeks but
it’s asymptomatic and no
complications have set in yet after the
last checkup.

c. Current appropriateness
of management initiated by
family
(.75)
The management instituted by the
family which is balanced diet, for at
least 8 glass of water a day and
avoiding artificial sweeteners, spicy
foods, alcohol, coffee, acidic fruits or
caffeinated drinks that can irritate
bladder and may worsen UTI
27
 symptoms.

d. Exposure of vulnerable/at
high risk of the magnitude of
future problems that can be
prevented (.75)
Mr. Macalma and his children can
also have UTI that may spread to the
kidney, causing more pain and illness
due to unhealthy food.
Salience A condition or problem, 2÷2×1 1
needing immediate
attention. a. Family's
recognition of the problem (1)
Mr. Macalma verbalized that even if
they feel pain need to go to RHU for
regular checkup. b. Perception of
urgency (1)
The fact that they decided to
discontinue and avoid unhealthy
lifestyle and do regular checkup.

TOTAL SCORE 5

Health Problem: Presence of Breeding or Resting Sites of

Vectors as a Health Threat
CRITERIA JUSTIFICATION & INTERPRETATION COMPUTA ACTUA
TION L
SCORE
Nature Health Threats. Vector-borne diseases 2÷3×1 0.66
are infections transmitted by the bite of
infected arthropod species, such as
mosquitoes, ticks, triatomine bugs, sand
flies, and black flies. Arthropod vectors
are cold-blooded (ectothermic) and thus,
especially sensitive to climatic factors.

28
Modifiabilit Easily Modifiability 2÷2×2 2
y a. Current knowledge, technology,
and interventions (.5)
Mosquitoes are the best known disease
vector. Includes ticks, flies, fleas, and
some freshwater aquatic snails. Diseases
transmitted by vectors include malaria,
dengue, zika virus, chagas disease,
human africantrypanosomiasis,
schistosomiasis, chikunguyan, and rift
valley fever. Since there is no existing
disease mentioned above to the family, it
does not require medicines and high
technology for diagnosis and treatments.

b. Community resources (.5)

To control the vectors, the community
where the family resides undertakes
daily community activities, or clean up,
such as eliminating or managing larval
habitats, larviciding with insecticides,
using biological agents and applying
adulticides, rodenticides, and repellents.

c. Family resources (.5)

The family has sufficient water and food,
when it comes to the presence of
breeding or resting sites of vectors they
prefer insecticide spray to kill
mosquitoes, cockroaches and racumin
paste for rats. They have a cleaning
routine in place. To avoid mosquito bites,
the family wears long sleeve shirts and
long pants tucked into socks or boots,
and uses insect repellent on exposed
skin and clothing.

d. Resources of the Health Worker (.5)

The rural health nurse is eager to assist
the family and has the time and
resources to do so. Once a week, she
makes a home visit.
Preventive High 3÷3×1 1
Potential Preventi
ve

29
 Potential
a.
Gravity
or
severity
(.75)
Having the presence of vectors for a
month is not that severe since the family
follow the preventive measures to get not
infected. It can still be self-limiting of
interventions are done to resolve it.

b. Short duration (.75)

It's been going on for a month and no
disease has been recorded to vectors, so
it's a lot easier to address.

c. Current appropriateness of
management initiated by family (.75) The
family's management strategy includes
daily cleaning, keeping clothes folded
rather than hanging them, and spraying
insecticides on a regular basis.
d. Exposure of vulnerable/at high risk of
the magnitude of future problems that
can be prevented (.75)
If the vector is not suppressed, the entire
family can get infected and sick. This
could result in the spread of malaria,
dengue fever, chagas disease, and other
viruses.
Salience A condition or problem, 2÷2×1 1
needing immediate attention.
a. Family's recognition of the
problem (1)
Mr, Macalma verbalized that it is a
common problem in the community thus
affecting everyone.

b. Perception of urgency (1)

Mr. Kevin speaks up to set a good example
to her children and to clean every mess
in at their house.
TOTAL SCORE 4.66

30
 Health Problem: Presence of fire hazards such as woods to the
anterior of the house as a Health Threat
CRITERIA JUSTIFICATION & INTERPRETATION COMPUTA ACTUAL
TION SCORE
Nature Health Threats. In case of emergency, 2÷3×1 0.66
presence of fire hazards and light
materials such as woods, during a home
fire there's an increased level of carbon
monoxide and carbon dioxide as well as
damaging levels of chemical and thermal
irritants. These irritants can permanently
damage a person's respiratory system and
may cause death.

Modifiabilit Partially Modifiable 1÷2×2 1

y a. Current knowledge, technology, and
interventions (.25)
With the presence of fire hazard for several
years like woods, can easily create fire.
When wood burns, flame spread on its
surface. Flame spread can be regarded as
sequence of ignitions. Therefore, flame
spread is governed by the same factors as
ignition. Since there's no accident
happened it does not require medicines,
high technology for diagnosis and
treatment.

b. Community resources (.25)

The community where the family lives
provides a variety of wood furniture, sold
at affordable costs. The roofs of the
dwellings were frequently built of nipa
leaves.

c. Family resources (.25)

The family has a variety of wood
furnishings, such as "naga," and a design
attached to the anterior of the house.

d. Resources of the Health Worker (.25)

The rural health midwife is very generous
and friendly, and she is willing to aid the
family with her time and care. Once a

31
 week, she makes a home visit.
Preventive High Preventive Potential 3÷3×1 1
Potential a. Gravity or severity (.75)
Having the presence of fire hazard for
several years such as woods is
not that much dangerous since the family
is very cautiously to that matter. It can be
prevented by replacing from lightweight
materials to composite materials.
b. Short duration (.75)
It has been there for several years,
fortunately no burnt cases had recorded
for long years. Therefore, it is easier to
result.

c. Current appropriateness of
management initiated by family
(.75)
The family’s management strategy is to
keep objects that can readily catch fire,
such as combustible materials, out of the
house.

d. Exposure of vulnerable/at
high risk of the magnitude of future
problems that can be prevented (.75)
Everyone in the family is at risk due to the
presence of fire hazards that may cause
death.
Salience A condition or problem, needing 2÷2×1 1
immediate attention. a.
Family's recognition of the
problem (1)
The mother explained that it is a regular
problem in the community because most of
the residents have wood furniture.

b. Perception of urgency (1)

The fact that Mr. Macalma instantly
checked their gas stove to see if it was
close and warned everyone in the family to
be cautious whenever they opened it.
TOTAL SCORE 3.67

32
 Health Problem: Poor Sanitation as a Health Threat
CRITERIA JUSTIFICATION & INTERPRETATION COMPUTA ACTUAL
TION SCORE
Nature Health Threats. Poor sanitation can 2÷3×1 0.66
lead to different illnesses that can
cause many years of sickness and can
lead to other health problems such as
dehydration, anemia and malnutrition.
Severe poor sanitation related illnesses
like cholera can spread rapidly, and it
might cause death to people.
Modifiabilit Easily Modifiability 2÷2×2 2
y

a. Current knowledge, technology, and

interventions (.5)
A month of having poor sanitation is a
self-limiting and does not require
medicines and high technology for
diagnosis and treatment since no
symptoms of illness has been recorded.

b. Community resources (.5)

The family's community has a sufficient
and functional recycle bin, and they
sort rubbish into 3 classifications. Every
week, the community participates in
activities such as coastal cleaning and
checking drainage systems for
obstructions. Local government units
(LGUs) occasionally offer and distribute
food packs or other necessities such as
toiletries or other cleaning supplies.

c. Family resources (.5)

The family is well-supplied with food
and water. They can afford to buy
cleaning supplies and have previously
done so, but they only clean the house
once a week due to a lack of time. The
rest of the house was immaculate and
well-kept, including the drainage system

33
 and toilet. The waste is properly
segregated, yet everything is
disorganized and messy inside the
house.

d. Resources of the Health Worker (.5)

They sense the genuineness and
willingness to help from the nurse in the
health center, who is well-mannered
and extremely down to earth. She visits
people at their homes on a regular
basis.
Preventive Moderate 2÷3×1 0.66
Potential Preventiv
e
Potential
High
Preventiv
e
Potential
a. Gravity
or severity
(.5)
Poor sanitation for a month is mildly
risky to all family members because of
the potential health effects, but it can
still be self-limiting if treatments and
cleaning are implemented to resolve it.

b. Short duration (.5)

It has just been happening for a month
and there have been no difficulties, so it
is easy to resolve.

c. Current appropriateness of
management initiated by family (.5) The
family's management strategy is to
implement proper hygiene and
sanitation, such as regular cleanup, to
avoid disease caused by poor sanitation.

d. Exposure of vulnerable/at high

risk of the magnitude of future problems
that can be prevented (.5)
Mr. Kevin and his children can all
develop diseases or illnesses that can

34
 lead to death, such as cholera,
starvation, and anemia.
Salience A condition or problem, needing 2÷2×1 1
immediate attention.
a. Family’s recognition of the
problem (1)
Mr. Kevin stated that it is a common
problem that relates to every family and
their community, thus affecting
everyone.
b. Perception of urgency (1)
The fact that he promptly advised her
children, to keep the house clean in
order to avoid infections caused by
inadequate sanitation.
TOTAL SCORE 4.32

35
 CHAPTER VII
FAMILY NURSING CARE PLAN
This chapter outlines the concerns that have been discovered and

addressed in a ranking order. This chapter also discuss the family care

plan that the student nurse developed in collaboration with the family.

PROBLEM LIST
Health Problem Total Score

1.) Urinary Tract Infection ( UTI) 5pts.

as a Health deficit.

2.) Presence of breeding or 4.66pts.

resting sites as a health
threat.

3.) Poor Sanitation as Health 4.32pts.

threat.

36
 4.) Presence of fire hazards such 3.66pts.
as wood to the anterior of the
house as a health threat.

5.) Hypertension as a health 3pts.

deficit.

CHAPTER VIII

SUMMARY AND CONCLUSION

Presented in this case study is the different characteristics and

health condition of family A. This case study presents the family

structure, socio – economic and cultural factors, home and

environmental factors, health assessment of each member. It also

contains data about identified problems on the living condition of the

family.

The family A is regarded as a Patriarchal type of family. This

type of family is a social organization where the father is the authority

figure or the head of the family.

In this kind of family unit, in addition to the parents and their

children, the father make all the decisions in both society and in their

family unit, hold all positions of power and authority, and care

considered superior. Family A share in the responsibilities for having

37
provided for the entire family, either by the providing financial support

or in some other ways.

The family A resides in Barangay 2 Brgy. Roxas Northern Samar.

Concrete and made up off woods and nippa were used to construct

their home. It contains One(1) rooms, 1 bathroom/comfort room, a

clean kitchen and dirty kitchen, a two-living room, a dining room, and

a two-stock room.

They are all connected to the Roman Catholic church. They also

mentioned how important it is for them to worship God together as a

family at church, as is custom in the Catholic family. However, they

are being limited to attend church during pandemic. As a result, even

if they are simply at home, they make care to always praise and thank

Him.

The family A frequently takes part in community events since,

as they have stated, it is a part of their culture and history. These

events are organized by their community and include fiestas,

celebrations, and carnivals.

The family's water supply is surface water. They bathe in it and

wash their clothes and dishes inside of it. Mineral water is the family's

main supply of drinking water, and it is frequently supplied to their

house.

38
 The family A also utilizes appropriately covered and labeled

garbage containers and separates all of their trash. They segregate

every biodegradable and non-biodegradable item. They waited Monday

for the collection of garbage that is non-biodegradable and Tuesday of

garbage that is biodegradable.

The family A is identified to have a healthy lifestyle pertaining to

their eating habits and beliefs in life. They still face issues like health

deficiencies and dangers from the children. The various issues

discovered are then addressed in a nursing care plan.

The family can, however, alter their current way of life. They still

have the chance to increase their wellbeing capacity and get the ideal

features for optimum wellbeing.

Understanding family nursing difficulties was one of the student

nurse's goals, however for safety reasons it was only possible to

partially achieved. Through inspiration and encouragement, the

student nurse and the family helped the family alter their way of living

and improve their overall health. The family is organized and ready

immediately, which may make them healthier.

39
 APPENDECIES

A. BARANGAY HEALTH PROFILE

PROVINCE OF NORTHERN
MUNICIPALITY OF PAMBUJAN
BARANGAY – 4
MONTH/YEAR 2022

BARANGAY HEALTH DATA BOARD

Name of Barangay Captain: Amalia T. Total Population: 1188

Balanquit Number of HH-NHTS: 42

Number of Non-NHTS: 156

Name of Midwife: Maxilinda L. Morales
No. of HH with access to safe water:
Name of DOH-RN: Christian L. Surio
205

Name of BHW President: Emma No. of HH without access to safe

Lagrimas water: 0

Number of BHW: 4

40
 Schedule of Visit: Every second week of

the month

No. of HH with toilet: 135

No. of HH without toilet: 70

JULY AUGUS SEPTEMBE OCTOBE NOVEMBER DECEMBE

T R R R

Name of

pregnant 5 5 7 0

Women

(LOW

RISK):

Number

of 5 6 6 1

Pregnant

Women

(HIGH

RIGKS):

Name of

Post- 1 0 0 2

Partum

41
 women:

Number

of 0 0 0 1

teenage

Pregnanc

Number

of Infsnt 13 9 8 29

Total Number of Children: Seven (7)

List of Household Members

Position Name Age Sex Civil Occu Educa Date Birth Reli Immu
in the Stat patio tional of Place gion nizati
family us n attain Birth on
ment Statu
s
Head of Mr. 50 M Wido Busi Colleg Decem Pamb
the Elmer wed ness e ber 8, ujan, Rom Compl
Family Macal man Gradu 1972 North an ete
ma ate ern Cath
Sama olic
r
First Elmar 24 M Singl Call Colleg June Pamb Rom Compl
Child John e Cente e 09, ujan, an ete
Macal r Gradu 1998 North Cath
ma Agent ate ern olic
Sama
r
Second James 23 M Singl Stud 4th June Pamb Rom Compl
Child Macal e ent Year 29, ujan, an ete
ma Colleg 1999 North Cath

42
 e ern olic
Sama
r
Third Shaira 22 F Singl Stud 4th May Pamb Rom Compl
Child Mae e ent Year 21, ujan, an ete
Macal Colleg 2000 North Cath
ma e ern olic
Sama
r
Fourth Elmer 21 M Singl Stud 3rd July Pamb Rom Compl
Child Macal e ent Year 17, ujan, an ete
ma Jr. Colleg 2001 North Cath
e ern olic
Sama
r
Fifth Emmal 19 F Singl Stud 2nd Februa Pamb Rom Compl
Child yn e ent Year ry 02, ujan, an ete
Macal Colleg 2003 North Cath
ma e ern olic
Sama
r

Sixth Dimple 13 F Singl Stud Grade Octobe Pamb Rom

Child s e ent 8 r 28, ujan, an
Macal High 2009 North Cath
ma Schoo ern olic
l Sama
Level r

Seventh Xylene 11 F Singl Stud Grade June Pamb Rom

Child Macal e ent 6 22, ujan, an
ma Eleme 2011 North Cath
ntary ern olic
Level Sama
r

43
 B. BIBLIOGRAPHY

Chris D. (2022), Types 11 Types of Family in Sociology (Family

Structure Examples) Retrieved December 5, 2022, from

https://helpfulprofessor.com/types-of-family-structure-and-

examples/

Dela Paz, C. (2016, June 28). What’s the ideal monthly income for
family? Rappler.
Retrieved December 5, 2022, from
http://www.rappler.com/business/economy/ideal-monthly-income-
neda-2040-vision

The Philippine Star. (2018). NEDA: Family of 5 needs P42,000 a

month to survive. Philstar Global Website. Retrieved from
http://www.philstar/headlines/2018/06/08/1822735/neda-family-
5-needs-p42000-month-survive

44