DOMINGO FAMILY

A Case Study
Presented to
Central Philippine Adventist College
School of Nursing
Alegria, Murcia, Negros Occidental

In Partial Fulfillment
Of the
Requirement in
Community Health Nursing I

Presented by:
Omega G. Albao
Mary Janet Pinili

Presented This:
October 9, 2019
 TABLE OF CONTENTS

Table of Contents xi
Chapter I
Introduction 1
Objectives 3
Definition of Terms 4
Chapter II
Family Structure, Characteristics and Dynamics 5
Genogram 8
Family Ecomap 9
Socioeconomic and Cultural Characteristics 10
Home amd Environment 13
Floor Plan 17
Spot Map 18
Health Status of each Family Members 19
Physical Assessment 22
Chapter III
First Level Assessment 25
Second Level Assessment 30
Case Priority Setting 35
Chapter IV
Nursing Care Plans 47
Chapter V
Significance of the Study 60
General Evaluation 60
Recommentdation 61
Appendices 63
 CHAPTER 1
INTRODUCTION

The family is the smallest unit of the society and the natural fundamental core of

community. The community-

According to Maglaya (2014) 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

the basic unit of care in the community health nursing. It is in the family where a

member develops his/her health values, beliefs and practices. With this, it is important

that families in a community are aware of the things and practices pertaining to their

health.

Conducting a family case study is a means by which student nurses reach and feel

the community through basic structure, the family. The family that was chosen by the

student nurses is a picture of the majority of the family here in our country; a family

living in a poor environmental condition without enough resources and lacks knowledge

on vital health information and experiences other socio-economic problem. Though

tiring as it is, reaching out to this family and mingling with them makes the student
nurses feel the sense of fulfillment as they share knowledge skills, and time to aid in

uplifting the condition of the family.

Considering the struggle of an average family goes through just to support it, there

are many implications, both within and out of their control, that shape the way they live

their lives. The family that requires this attention is the Mondragon family. As an

obligation, the student nurses are assigned to determine these implications, distinguish

which are detrimental and hindrances to their daily living and apply a practical solution

that they can reach with our assistance. The goal of this study is to improve their way of

living using current available resources in order to decrease, if not completely remove,

their difficulties and problems in everyday living.

 OBJECTIVES OF THE STUDY

General Objectives

At the end of the student nurse-family relationship, the adopted family will be able

to improve their health status and become self-reliant in maintaining their health through

appropriate interventions in a given time frame.

Specific Objectives

During the period of the case study, the student nurses will be able to:

1. Develop and build good relationship for easy access to the family.

2. Respect the rights of the family and honor their permissions in every

interventions.

3. Identify problems of the family which may be a hindrance in attaining

optimum health that needed interventions that are within the student nurses’

scope of ability.

4. Provide factual informations that can increase their knowledge about the

maintenance of their optimal health.

5. Categorize the identified problem as health threat, health deficits and

foreseeable crisis.

6. Demonstrate health teachings with family.

7. Evaluate the changes in condition after giving interventions.

 Definition of Terms

The following terms were defined as:

Dapog - is an Ilonggo term for a cooking area.

NAWASA- National Waterworks and Sewage Authority is a public utility ( operates

Sari-sari store- or neighborhood sundry store, is a convenience store found in the

Philippines.

RHU- Rural Health Unit, a facility that provides health care in town or/and in other rural

areas.

Bombay- people referred by Filipinos, especially Indians, who do informal lending of

money.

Carenderia- a food stall with a small seating area, typically in a market or at a roadside.