Chapter I

Introduction

1. Acknowledgement

No words reflect the researcher's heartfelt gratitude and deepest gratitude

for the help. direction, cooperation, attention, and concern shown to them by
many people around them. Without their help, this study will not be possible.
Specifically, the researcher gratefully acknowledges the following

Our Almighty Heavenly Father, for the gift of wisdom the ending guidance,
and the blessing of physical strength, mental, and gratitude which is an immense
blessing that made this achievable.

We want to sincerely thank all of the families who kindly opened their doors
to us, sharing their personal stories and letting us follow them on their health
journey. Their cooperation with this study has been crucial to comprehending the
complexities of community health nursing.

Without the assistance of our Clinical Instructors, we will be unable to finish

this project. They provide our lives with guidance and coaching. Their
expertise, and unwavering support have helped shape our project and expand our
understanding of the subject.

2. Dedications

This collection of family case studies is intended for all families in their
communities who are struggling with health challenges. Their capacity to
overcome obstacles and achieve better health is a credit to their strength,
courage, and determination. May the information gleaned from this study
contribute to the continued improvement of community healthcare procedures,
resulting in future generations of healthier and happy families.

Chapter II
Objectives of the study

1. General Objectives:

At the end of the rotation schedule, the Bachelor of Science in Nursing

Section 2D students of the subject Community Health Nursing 1 Related Learning
Experience at Naga College Foundation, Inc will be capable of evaluating the
health requirements that serve as the foundation for the family health nursing
intervention for the Brgy families. Triangulo, the City of Naga
 2. Specific Objectives:
At the end of the Community Health Nursing rotation, the individual nursing
student will be able to:

1. To analyze the family status of his individual family assignment by

recognizing the health risk, the existence of illness, and the variables that
may affect the health of the family members.
2. To prioritize the family's health requirements.
3. Conduct health education relevant to the highlighted family health problems

Chapter III
Initial Data Base

1. Family Structure, Characteristics, and Dynamics

Member of the Family: 4

Head of the Family: Mrs. Cristina Binas
Position of the Family: Mother

NAME AGE GENDE STATE RELATI TRABAH EDUK RELIH

R ONSHI O/ ASYO IYON
P HANAP N
BUHAY
Cristina 43 Female Widow Nanay Canteen Vocatio Catholi
Binas Vendor nal c
Romer 15 Male Single Son Student Grade Catholi
Binas 10 c
Irish 10 Male Single Daughte Student Grade Catholi
Binas r 6 c
Apple 8 Female Single Daughte Student Grade Catholi
Binas r 3 c

Family Structure: Single Parent

Family Function: Matriarchal

Family Dynamics:
What kind of relationship is there within the family? Not talking
Who work inside the house? Only the mother
When there is a problem in the house? Only the mother
 2. Socio-Economic and Cultural Characteristics

Mrs. Cristina Binas, A canteen vendor in Naga Central School 1, is the breadwinner
of the family, as her children are still in their studies and her husband passed
away this January 2023. Despite the fact, that she’s a woman her effort, and
dedication, give her an earnings of 2800 per month which is insufficient to support
their daily needs. Mrs. Cristina also said that there are days she settles for only
one meal a day. Additionally, she's a member of the Pantawid Pamilyang Pilipino
Programme (4Ps) of the government, which enables her family to get the
necessities from their barangay through relief supplies. Their family, who are Bikol
residents, speak Bikol to one another most of the time, especially in their
community. It is clear that Mrs. Cristina's situation serves as an important
reminder of the difficulties encountered by many Filipinos who are struggling to
survive on a daily basis while dealing with personal loss and financial hardship.

3. Home and Environment

Mrs. Cristina Binas and her husband, Mr. Edward Binas, have been residing in
Barangay Gawad Kalinga, Balatas, Naga City since they got married. I observed
during our frequent home visits that the house was constructed using light
materials which made them vulnerable to hazards because of how less sturdy and
durable compared to other houses in the community. Even with this situation, the
couple and their three children have been residing there for a long time now.
However, because of its small size, which makes it uncomfortable for all of them to
live in, it is not the best place to stay. They have to rest in one room as a family
because there isn't another one available for them. This can be a difficult position,
particularly when one needs privacy. Their house is located near their Barangay
Hall which allows them to access their needs through that means. Though they
have been able to adjust over time, Mrs. Cristina Binas and her family are
currently dealing with a number of difficulties in their current home. It emphasizes
how crucial it is to have enough housing options that, regardless of social
standing, offer comfort, protection, and security to both individuals and families.

4. Health Assessment of each family member

a. Past and Present Illness

Mrs. Binas has hypertension and requires regular medications to keep it under
control. In addition, she suffers from ordinary colds and fevers from time to time.
Her children, on the other hand, are fortunate enough not to have any significant
ailments. While they, too, may suffer from common colds and fevers on occasion,
their general health stays steady and unaffected by any severe health concerns.

a. Family Health Assessment based on Functional Health Pattern

Mrs. Binas stated that, despite their financial difficulties, she considers her family
to be healthy because they are rarely sick. Further investigation into their
nutritional habits revealed that, due to financial constraints, they sometimes only
eat one meal every day. They eat noodles and canned products because these are
the most affordable choices for them. Mrs. Binas observed no concerns with
elimination patterns or skin problems among family members in terms of their
overall health. The children are also fully vaccinated, thanks to the services
provided by their Barangay Hall. Despite financial difficulties, Mrs. Binas family is
resilient and prioritizes their health requirements by utilizing all available resources

Chapter IV
Family Background
1. Family History

The Binas family is a normal in number and close-knit group, consisting of four
members in total. At the helm of the family is Mrs. Cristina Binas, who serves as
the head of the household. She has 1 son and 2 daughters, each with their unique
names and personalities: Romer Binas, Irish Binas, Apple Binas. Despite being
widowed after her husband died of a heart attack in January 2023 at the age of
40, Mrs. Binas remains strong for her family and works hard to provide for them
all on her own. In truth, she has been self-employed as a Canteen Vendor at Naga
Central School 1 for some time. It is noteworthy that the Binas family has lived in
Baragay Triangulo ever since they were married. Mrs. Binas claims that this
community has always held a special place in their hearts; it's a true home where
they feel protected and supported through everything life has to offer. There's no
doubt that their family will prosper and overcome any obstacles that arise in the
future because they are such a close-knit family and have a strong matriarch
leading them.

2. Date base of the Respondent

Name: Cristina Binas

Age: 43
Gender: Female
Address: Barangay Triangulo, Naga City
Birth Place: Balatas, Naga City
Religion: Roman Catholic
Occupation: Canteen Vendor
Civil Status: Widowed
Nationality: Filipino
No. Of Children: 3
Educationl Attainment: Vocational
Estimated Monthly Income: 2800
Name of Husband: Mr. Edward Binas

3. Family Tree

4. General Household Data

1. Total No. Of Children: 3
2. List of Household Members:

Member Status Occupatio Se Education Religio Position Imm.

s n x al n in the Statu
Attainmen Family s
t
Cristina Widowe Canteen F Vocational Catholi Mother COM
Binas d Vendor c
Romer Single Student M Grade 8 Catholi Son COM
Binas c
Irish Single Student F Grade 7 Catholi Daughte COM
Binas c r
Apple Single Student F Grade 5 Catholi Daughte COM
Binas c r

CHAPTER V
FAMILY COPING INDEX

Scaling: 1 - No Competence 3- Moderately Competence 5 - Complete

Competence

Criteria Ideal Actual Rating Justification

1. Physical Is involved with Family 5 The physical
Independence the ability to members are autonomy of each
move around, to self-sufficient individual within
get out of bed, and can the family is
to take care of perform consistent with
daily hygiene, physical tasks the norm, and
walking, etc. without there are no
external aid. notable
They can deviations from
walk, run, this standard.
and carry This means that
heavy objects all members of
on their own, the family
highlighting possess the
their ability to move
independence freely and
and perform daily
autonomy. activities without
It's any significant
 commendable limitations or
that each disabilities.
member
possesses this
ability.
2. Therapeuti Involves all The mother is 1 The family lacks
c Competence procedures or lack of financial
medications knowledge resources to
prescribed for and procure
the treatment preparedness necessary
of illness, such about dealing equipment and
as prescription with sickness basic necessities,
drugs, and don't such as
appliances, have a proper thermometers
dressing, first aid kit. and medicine, in
exercise, stress The barangay the event of a
relief, diet health center family member
plans, etc. is far from falling ill.
their home,
making it
difficult to
access. This
can be
dangerous for
their health,
so they need
to prioritize
getting
resources and
education to
handle
emergencies
better in the
future.
3. Knowledge Associated with The mother 1 Mrs. Binas
of Health the specific doesn’t have verbalized that
Condition health condition enough idea “kapag ang mga
that gives rise on how she aki ko
to treatment, will take nagkakakkalitura
such as the responsibility pirmi ko yan
awareness of if someone dinadara tuloy sa
the disease or had an illness hospital para
the inability to in their home ipahiing sinda”
comprehend the
 communicability
of illnesses and
the mode of
transmission.
Recognizing the
general pattern
of development
of newborn
infants and
basic physical
care needs of
infants.
4. Application Concerned with The Binas 1 Family lacks food
of Principles family action in family knowledge and
of General relation to consumes decision-making
Hygiene preserving meals twice a skills.
family nutrition, day on
ensuring occasion, as
adequate rest financial
and relaxation constraints
for family may dictate.
members, As per Mrs.
Implementing Binas says,
accepted they sleep at
precautionary night at 8 pm
measures. and she
commences
her workday
at 7 am.
5. Health Primarily They are not 1 The family is
Attitudes concerned with conscious unaware of the
the way the when it consequences
family feels comes to that may arise
about health their health from their lack of
care and public because they hygiene
health don’t have a practices.
measures. proper
hygiene.
6. Emotional It has to do The family's 5 The family's lack
Competence with the emotional of interaction
maturity and competence is results in their
integrity with insufficient to failure to address
which the effectively problems
members of the manage affecting their
 family are able stress and lives.
to cope with the overcome
usual stress and life's
problems of life, obstacles.
and to plan for
a happy and
fruitful life. The
extent to which
individuals
recognize the
appropriate
disciplines
enforced by
their own family
and culture.
Developing the
responsibilities
and decisions of
the individual.
An eagerness to
meet sensible
responsibilities,
to accept
fortitude
adversity, to
consider the
needs of others
as well as one’s
own.
7. Family Concerned They don't 1 Some of her
Living about the interact with children doesn’t
interpersonal or each other. have enough
group aspect of Eldest son respect to their
family life. watches TV, Mom.
Members of the kids play, and
family get along mom is busy
with each other, working.
the ways in
which they
make decisions
that affect the
family, the
extent to which
they support
 each other and
to do things as
a family, the
degree of
respect and
affection, and
the way in
which they
organize the
household
finances.
8. Physical Concerned with The house 1 Mosquito may
Environment the home, belonging to inhabit in the
community, and the family is stagnant water at
work in a state of the back of their
environment as disrepair and home which can
it affects family lacks proper cause dengue
health. House cleanliness. In and can risk the
conditions such addition, life of her
as accident there are children.
hazard numerous
pressure, piles of
screening, garbage
plumbing, situated
system, cooking beside their
facilities, abode, which
privacy, can lead to
community, various health
level, hazards and
neighborhood, environmental
presence of issues.
social hazards,
school transport
and
accessibility.
9. Use of Degree of use of The family is 3 The family knows
Community the Family and aware of the who or where to
Facilities Awareness of health center call or ask for
the community in the school help whenever
facilities in their they seek of it.
available for barangay but
welfare and it is far from
education their home.
Chapter VI
 Typology of Nursing Problem
Table 1. Typology of Nursing Problems identified in Family Binas
Cues or Data
Subjective Data:
Mrs. Binas stated that “Minsan lang
magkaturo igdi samo kaya dakol
akong imbakan ning tubig yang mga
planggana na nasa likod mi jan kami
nakuwa pag mayo na ning tubig sa
kusina tsaka sa banyo”
Objective Data:
There is a water storage at backyard
of their house which can breed by the
mosquitoes.
Subjective Data:
Mrs. Binas stated that “May mga
oras talaga na naliliyo ako tapos pag
arog kayan napa bp na tulos ako
tapos sinasabi ngani na high blood
daa ako”
Objective Data:
The patient is hypertension since
2016:
 Blood Pressure: 140/90
 Pulse Rate: 89bpm
 Respiratory Rate: 17bpm
 Temperature: 36.5
Family Nursing Problems
I. Poor Home Environment and
The scarcity of water that
could potentially result in the
breeding of mosquitoes, which
may pose a significant health
risk.GGl
1. Inability in taking appropriate
health action due to:
a. Not understanding the problem or
its severity.
b. Lack of inadequate knowledge
about preventative measures.
II. Hypertension
1. Inability to provide nursing care to
the vulnerble/at-risk family due to:
a. Lack of knowledge and skill in
carrying out the needed care.
b. Denial about the existence as a
result of fear about the diagnosis.
 Chapter VII
Prioritizing Problems

No. 1 Priority (Mrs. Binas Hypertension)

Criteria Computation Actual Score Justification

1. Nature of the 3/3 x1 1 The problem is

Problem health deficit
because the client
is hypertensive
and it needs
immediate action.
2. Modifiability of 2/2 x 2 2 There are available
the Problem interventions,
resources, and
expertise to
address the issue
of hypertension.
3. Preventive 3/3 x1 1 High blood
Potential pressure can be
avoided through
health teaching
and managing
one's health.
4. Salience of the 2/2 x 1 1 Mrs. Binas
Problem acknowledges high
blood pressure as
a serious issue
that requires
attention.
Total Score 5

No. 2 Priority (Poor Environment Sanitation)

Criteria Computation Actual Score Justification

5. Nature of the 2/3 x1 0.66 The problem is

Problem considered as
health-threatening
because bacteria
can multiply more
 readily in a dirty
environment and it
can increase the
risk of having a
disease.
6. Modifiability of 2/2 x 2 2 Since there are
the Problem family resources,
community
workers, and
student nurses
nearby who can
assist with
sanitation, it is
easily modifiable.
7. Preventive 3/3 x1 1 Since there are
Potential many preventive
steps they can do
for this kind of
situation, it is
extremely
preventive. And if
enough
information is
provided by the
healthcare
providers, this can
make the family
aware of the issue,
which will then
prompt fast action.
8. Salience of the 1/2 x 1 0.5 The family saw it
Problem as a problem, but
due to their
financial
difficulties, they
are unable to take
quick action.
Total Score 4.17
 FAMILY NURSING CARE PLAN

CUES Analysis of Ojectiv Interv Ration Metho Resou Expected

the es ention ale d rces outcome
problem Requir
ed
Subjective Inability to After 3 >Assess >To > HOME >Paraph After 3 days of
Data: make days of the obtain VISIT ernalia community
family’s how such as exposure, the
Mrs. Binas decisions commun knowled much Blood family has able
stated that with respect ity ge about the Pressure to:
“May mga to taking exposur their family apparatu
oras talaga appropriate e the current knows s, Employ
na naliliyo health action family health about stethosc maintenance of
status. current ope, blood pressure
ako tapos due to: will be health alcohol, taking in a proper
pag arog  Knowle able to: >Discuss status. cotton and adequate
kayan napa dge  Ha with the balls, way.
bp na tulos deficit ve family >To notebook
ako tapos related an the educate and Specifically:
importan the ballpen. - Properly
sinasabi to the id ce of family demonstra
ngani na proble ea monitori about >Manpo te blood
high blood m ab ng blood the wer pressure
daa ako”  Due to ou pressure proper resource taking.
financi t . blood s such as Discuss the
pressure time and importance of
Objective al th >Demon monitori effort. monitoring blood
Data: constra e strate ng. pressure in their
in to im how to >Patienc current health
The patient make a po take >To e, status.
is rta blood show consider
decisio
pressure how to ation
hypertensi n nc . properly and
on since regardi e take willingne
2016: ng an >Explore blood ss of the
health d the pressure patient
Blood family’s and for to be
 care. ris
reaction better educated
Pressure: k about understa .
140/90 fac the nding on
 Pulse tor health it.
Rate: th teaching
s given. >To
89bpm ey
measure
 Respirato mi the
ry Rate: gh understa
17bpm t nding of
 Temperat ex the
health
ure: 36.5 pe
rie teaching
nc presente
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e
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ig
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