SULTAN KUDARAT STATE UNIVERSITY

ACCESS CAMPUS, EJC MONTILLA TACURONG

CITY PROVINCE OF SULTAN KUDARAT

College of Health Sciences

Practicum – Primary Health Care December 2023

FAMILY CASE STUDY

AGUJETAS FAMILY

Members:

JOANAH MARIE Q.

AGBUYA JOHN NELVEN A.

ARCIAGA

AILEN B. BERBERIO

RHEA GULAC

JORHAIDA P.

DALATEN GISELLE B.

OBORDO

ALEAH AMOR P. MANGINYOG

PAMELA MARIE B.

VILLANUEVA

Submitted to:

Cristela Marie M. Pelarco, RN, RM,

MAN
 TABLE OF CONTENTS

TABLE OF CONTENT 2
INTRODUCTION 3
OBJECTIVES 4
INITIAL DATABASE 5-10
GENOGRAM 11-12
ECOMAP 13-14
FAMILY COPING INDEX 15-19
PROBLEM PRIORITIZATION 20-28
FAMILY NURSING CARE PLAN 29
HEALTH TEACHINGS 30-33
APPENDICES 34-36
DOCUMENTATION 37-38
REFERENCES 39

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 INTRODUCTION

The Philippines has a culture that puts utmost importance to the community, the family and each
of its members. Family is not just defined as two or more people who live in the same household, share a
common emotional bond, and perform certain interrelated social tasks ( Allender & Spardly, 2008) but it is
also a source of emotional support, comfort, warmth, nurturing, protection and as well as security. It is
composed of a male and female being molded to be as one, working hand in hand to have a good
atmosphere among the family members. Almost all families, regardless of type, share common activities.
(Cherlin, 2008).

A community is pictured as a group of people who share something in common such as interests,
strengths, and interpersonal connections. It is a social unit with commonality such as norms, religion,
values, customs or identity (Simon, 2020). In the field of primary health care, the family is considered as the
cornerstone of health promotion and disease prevention. Therefore, understanding the dynamics and needs
of families is crucial to deliver comprehensive and effective care.

In the province of Sultan Kudarat, Lambayong is one of the municipalities, with 26 barangays
including the one that was chosen by the group of student midwives, Barangay Kapingkong. On the 30th of
September 2023, the student midwives interviewed the Family Agujetas. The family is typical of most
families in the Philippines. A family with little resources, unfavorable living conditions, and insufficient
knowledge of critical health status. However, the members of the chosen family did their best to
participate in the student’s questionnaire for every visit.

In this case study, we will explore the role of the community resources and support networks in
meeting the health needs of Agujetas family. We will examine the availability of health facilities and
community-based organizations that contribute to the overall health infrastructure within their community.
By examining the ways in which the family actively engages with these resources, we can identify the
strengths and weaknesses of community-based approaches in addressing family needs.

3
 Furthermore, this case study will highlight the importance of community involvement in
primary health care as this study offers insights into the potential of community-based approaches to
primary health care and serves as a valuable resource for understanding the interplay between families and
their communities within the primary health care context.

OBJECTIVES

This chapter presents the general and specific objectives of this family case study settings
objectives that will provide direction for planning a family intervention. It helps to accurate data
and information and helps to achieve the goal.

General Objectives:

At the end of the student-family relationship, the chosen family will be able to comprehend to
maintain and of improve their health independently through proper interventions and health teaching in a
given time frame.

Specific Objectives:

● Establish trust and rapport with the student midwife

● Collect significant details to be utilized in the process of formulating nursing care plan
● Identify problems noted in the family
● Categorize the identified health problems as health threat health deficit or
foreseeable crisis
● Perform a health teaching appropriate to the identified health problem
● Educate the family about their present problems and plan possible solutions to
sort out this problem
● Determine health problems grounded from the concerns of the client, family
coping index, and concrete observations in the household.

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 INITIAL DATABASE

I. Family Structure, Characteristic, and Dynamics

Table Table 1: Table 1. Family Dynamics Table

Relationship to
Educational
Name Age Sex MS/CS the Head of Occupation Attainment
Family
Amelina 55 y.o F Married Mother Housewife High School
Agujetas

Jason Bren 26y.o M Single Son Labor High School

Agujetas

Jea alyssa 21y.o F Single Daughter None High School

Agujetas (Grade 12)
(Respondent)

The Family Structure

The Agujetas Family is currently residing at Purok Pakisama, Kapingkong, Lambayong, Sultan
Kudarat since 2006.

Table 1 shows demographic information about the Agujetas family. The family consists of a total of
3 members living together in Purok Pakisama with Amelina Agujetas and his son Jason Bren and her
daughter Jea Alyssa. Mrs. Amelina, 55 years old, head of the family. Her husband Mr. Jessie, 57 years old,
works as security guard in DOLE and only visits his family once a month. Mr. and Mrs. Agujetas are
already married for 26 years. Mr. and Mrs. Agujetas 5 children arranged to the parameter of age: Jason,
Krizah Mae, Jebriel, Jea Alyssa, Jazyl Marie. Jea Alyssa, the fourth child of Mrs. Amelina, is the one who is
taking care of her mother.

Mrs. Amelina is living with her two children, Jason who is working in a water refilling station and
Jea is the one who looks after her mother.

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Family Dynamics

Family is known to be strong families core values, beginning with respect for and appreciation of
others no matter how old, how young, where they come from, what they’ve experienced, where they are,
how capable they are, how healthy they are, who they love. Parents are the ones who are responsible for
molding their children to be responsible for their behavior and possess good skills and attitude towards their
loved ones. They should provide for their children's needs, including education, food, clothes, shelter, etc.
Parenting is the capital to build a good cone of foundation and relationship for a stronger family.

Agujetas Family is considered a nuclear family with (7) members, Amelina, who is the head of the
family, her husband Jessie, and 5 children, Jason Bren, Krizah Mae, Jebriel Arjay, Jea Alyssa, Jazyl Marie.
According to Ms. Jea she stopped her education to care and look after her mother since she had a stroke last
June 20, 2021. Ms. Jea is the one who is holding the money to control their expenses, as added by her it is
hard to handle their situation every day, there are times that she wanted to give up, but she has no option but
to live and care for her mother since her other siblings living with their own family. As stated by Ms. Jea,
Krizah and Jason her siblings are the one who pays for the medical finances of their mother which is 3,000
pesos, is from Jason and 1,000 pesos from Krizah she also stated that her brother Jebriel also give at least
300 pesos for their other expenses .Their other expenses like food and electric bill is from her husband total
of 5,000 pesos. Ms. Jea said that they have philhealth so that they can less the expenses once she get
hospitalized again. They have 4ps but it’s not updated she said that 9,000 pesos per month is not enough for
them to buy their needs and she sometimes borrowed in the grocery store like soap and canned goods.
According to Ms. Jea, her sibling Krizah did not come home for more than 4 years and her other siblings
often visit and call them every day to check the condition of their mother.

Sleeping Pattern
Sleeping patterns wildly depending on each person's age, activity, and a variety of other
characteristics.

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Table 2: Summary of Family’s Sleeping Pattern

Duration
Name Retires Wakes Sleeping Total No. Of
Of Naps A
At Up Difficulty Sleeping Hours
Day
Amelina 10:00 5:00 am 3time Yes 6 hrs
pm s a
day
Jea Alyssa 10:00 4:30 am None Yes
5 hrs and 30
pm minutes
Jason Bren 10:00 5:00am None Yes 6 hrs
pm

According to Ms. Jea, the usual retiring time of her mother was 10 pm, when her mother retires, that
is the time that she got her rest. as she added Mrs. Amelia usually sleep 3x a day in daylight and do some
therapy like walking and watching, according to Ms. Jea that is her only way to divert her attention from
overthinking. As her mother awakens Ms. Jea is also awake at 4:30 am to prepare for food and do their
household chores and care for her mother. Jason usually got up at 5:00 am to prepare and go to work in the
water refilling station.
According to Ms. Jea she cannot get enough rest as two of them are left in the house and also
because her mother often tantrums, that should immediately give attention to her, to stop her from crying.

Eating Pattern

This case study tries to assist the Agujetas family with their nutrition by assisting them in
determining whether or not their eating habits are healthy. To find out if their eating habits have an impact
on the family's general health, consider all of their eating habits, including when and what they eat for
breakfast, lunch, snacks, and dinner.
Their Meals is mainly consisting of vegetables, fish, canned goods. Since Mrs. Melina had her stroke Ms.
Jea are the one who task to cook for her mother and they usually consume more vegetables than fish and
canned goods. According to Ms. Jea she needs to feed her mother on time because, she has medication that
needs to be taken on time, she cooks around 5:00 am and eat breakfast 6;30 am, their lunch is 11:00 am,
and dinner at 5:00 pm. Since Mrs. Amelina has no

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allergy, Ms. Jea only serve and cook food that it is not oily and salty.

I. Socio-Economic Factors and Cultural

Community Table 4: Socio-Economic status
Family Educational Occupation Income Other sources
Members Attainment of Income
Jessie Agujetas High School Security 10,000 N/A
Guard
Graduate
Amelina Agujetas High School House wife 5,000 Additional
Graduate income from
family member

Jason Bren Agujetas High School Water 3,000 N/A

Graduate refilling
employee

The family’s economic status is in a middle-class family, based on their income that is between
₱18,000 according to the national statistics office. Low class: income of less than ₱10,000 a month, middle
class: income of between ₱20,00 a month, and high class: income is more than 20,000 up to ₱60,000 a
month. One of the cruel conditions is caused by poverty, Poverty is said to exist when people lack the means
to satisfy their basic needs. “Britannica 2023”. Poverty is a state of lack of basic needs such as, foods, clean
water, education and a decent household. This problem may cause further issues like low-cost living,
unemployment, lack of education, hunger or death. Due to lack of resources, families and individuals are
unable to improve their living status, besides that individual doesn’t have the chance to pursue education,
and ends up being unemployed. Which keeps their living much more difficult. Poverty may have an even
worse impact on people's health in a variety of ways. It restricts access to things that determine one's level of
living, such as clean water, shelter, utilities, and healthy food. And along with that, a large number of people
suffered from a variety of conditions, were unable to afford check-ups and lab work, and ultimately
developed serious conditions. Any situation can put a person's life in danger due to poverty. When it comes
to poverty, there are no exceptions. It can affect children, families, communities, or any of these in any
circumstance and have a wide range of effects on everyday life.

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In the case of our client, Ms. Jea Alyssa Agujetas the daughter of Mr. Jessie and Mrs. Amelina. Jea relies
their monthly income on his father Mr. Jessie as well as her three siblings, Mr. Jason (the first child) Ms.
Krizah (the second child), and Mr. Jebriel (the youngest). Mr.Jessie earns ₱10,000 a month, Ms. Krizah
earns ₱3,000, and Mr. Jason earns ₱3,000, and Mr. Jebriel earns ₱2,000. However, Ms. Krizah and Mr. Jebriel
has their own family, but they are still giving financial support through Mrs. Amelina. Jea, the fourth child
among her 5 siblings, she is currently caring for her 55 years old ailing mother. Jea, who is 21 years old, had
to drop out of college to properly tend to her mother, which included doing all household chores and
managing their monthly budget, which included groceries, electric bills, and medical expenses. Mr. Jason
and Ms. Krizah provides ₱3,000 for the maintenance of their mother, while Mr. Jessie provides ₱5,000 and
for the grocery, electricity bills, and allowances, while Mr. Jebriel give additional ₱300 pesos a month. The
money that they send to Jea is not enough to sustain their monthly expenses, which include bills, groceries,
and drug maintenance for her mother. Additionally, there were instances when their monthly budget was
behind schedule for unknown reasons, leaving Jea with no option but to borrow money from friends and
family in order to get by. Even though Jea is aware that their financial resources is often not enough, she
never fails to provide her mother with nutritious food and to buy her maintenance. Jea is doing here best to
save their budget, as long as she can in order to make her budget last for a month.
Figure 5. Pie Chart Division of Monthly Expenses

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 FLOOR PLAN

The table shows the floor plan of the Agujeta’s Family where they live. The type of their house is concrete. It
includes the Living room, Kitchen and Three Bed rooms. There are Six doors. One in the front, side, back
and one in each bed rooms. Also, they have Six window. Two in empty space room, one in Kitchen 1 and one
in each bed rooms.

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FAMILY GENOGRAM

Since the student midwife started to conduct this interview, the student assured the family that all
private information the student could get from them are secured and was only used for educational purposes,
Mrs. Amelina is unable to speak due to her condition, we are unable to gain enough information from her,
and Ms. Jea her daughter was unable to respond to some of our questions since she wanted to keep some
information privately and only share it with their family. Mrs. Amelina is currently 55 years old, 2 years
younger than her husband, from Purok Pakisama, Kapingkong Lambayong, Sultan Kudarat. She was
diagnosed with a stroke by Dr. Sanchez last June 20, 2021 also hypertension and paralyzed her left body and
unable to talk, and also having a hard time to sleep well at night for some unexplainable reasons. Ms. Jea
stated that her mother Mrs. Amelina is having trouble remembering numbers, names, and letters.
Mrs. Jea said that her grandfather Mr. Amado died when Mrs. Amelina was 2 years old due to head
trauma resulting from fall. Mrs. Amelina’s mother’s name is Maria Laolao and she died in 2022 at the age
of 75 due to asthma and heart failure. Mr. Jessie the husband works at Surallah as a Security Guard and is
experiencing symptoms of diabetes at the age of 57 and unable to do regular checkups due to the financial
crisis. According to Ms. Jea her brother Mr. Jebriel 23 years old, had an asthma since he was a child, Mr.
Jebriel is currently working as baker at Tacurong because he has a son to raise, and he also experiences
asthma attack s every night and needs to nebulize himself to stop it. Up until now he hasn’t gone to a doctor
to check up on his condition due to financial problems. According to Ms. Jea the rest of her siblings are
healthy and without any pain felt in their body.

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 GENOGRAM

Pedro Maria Luz Amado Maria

Jessie Amelina

Jason Krizah Jebriel Jea Jazyl

Khyzler Jace

Legends:

Male

Female

Diabetes

Hypertension
Asthma
Deceased

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 FAMILY ECOMAP

NEIGHBOUR CHURCH

HEALTH STORE
CENTER

LEGEND OF LINES:

Positive or strong
relationship

Weak

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FAMILY ECOMAP

An ecomap is a representation of every system influencing the lives of a person or family. People
frequently interact with a variety of different entities, such as friends, family members who live far away,
coworkers, teachers, recreational groups, medical experts, and so forth. When evaluating the family's assets,
requirements, strengths, and resource deficiencies, the ecomap is useful. The systems that transact with the
family are represented by the circles that make up the ecomap. These structures could be causes of conflict
or support.
The family ecomap aids in the definition and development of the worker-family or individual- client
connection as a shared, collaborative process. Through the ecomap, the worker can gain insight into
potential modifications that may be necessary with the environmental systems to better interactions for the
family or client. According to Jea Allyssa Agujetas, daughter of Mrs. Amelina Agujetas, she's no longer
attending weekly mass at church because of her condition. Jea is supposedly in college but because of their
life situation, she was not able to proceed. Jea chose to stay home and look after her mother instead of going
to school. With regard to the health status of Mrs. Amelina, she goes to the Baranggay Health Center once a
month for her check-up and once every three months at the hospital to meet her doctor. Furthermore, the
health center is the strongest foundation that they could go with to seek help and medical support. On the
other hand, the church is in moderate level of connection since Mrs. Amelina don't usually go to church
because of her condition.

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 FAMILY COPING INDEX

This chapter shows the setting of priorities of the family health problems that has been
identified. It includes a computation on how priorities were shown with their corresponding
justification.

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

CRITERIA RATING JUSTIFICATION

1. Physical 3 Each family member performs activities of daily living

Independence. without any abnormalities or any assistance except for
their mother, Mrs. Amelina who barely gets up her
wheelchair and is always in need of assistance to perform
her activities such as eating, taking a bath and
getting in and out of bed.
2. Therapeutic 3 Only Mrs. Amelina takes her maintenance due to her
Competence condition. Otherwise, the family members practice
therapeutic interventions by self-medicating with the use
of traditional herbal medicines as their primary remedy for
ailments and only use modern-western
drugs when needed or if symptoms persist.
3. Knowledge of 1 Mrs. Amelina has concerns regarding her health status and
Health is having her maintenance for hypertension, Losartan 100
Conditions mg each day. On the other hand, the family is prone to
many diseases due to deficiency in
nutrition. Dried fish, sardines, and instant noodles are

15
 included in their diet that are considered non-nutritious and
could cause nutritional deficiencies if not eaten in
moderation.

4. Application of 3 The family has inadequate sleep and rest because Mrs.
the principles
Amelina has trouble sleeping at night which affects her
of general
hygiene children as well because they have to wake up each time
their mother calls for help.
However, they still manage to perform their daily activities
such as going to work and doing household chores in the
morning. In terms of food, they are able to take meals three
times each day and even have snacks.

5. Health attitude 3 The family avails of the free services offered by the public
health facilities. They just go to the health center and ask
for some medicine available. However, since they are not
capable of bringing themselves to hospitals due to financial
incapability, the family then
considers traditional medicine like “hilots” and “luy-a”.
6. Emotional 1 S: “ang mga utod ko kag si papa laka lang man gapuli diri,
Competence. gatawag para mangamusta kag maghatag allowance lang
namon”

O: The family lacks security due to financial instability

and family problems that they are facing. It’s also hard for
the family members to maintain a reasonable

16
 sense of emotional composure since they live away from
each other.

7. Family Living 1 The family fails to unite since they live far away from each
other. Only Ms. Jea, Mr. Jason and their mother are in their
home. Some family members cannot visit regularly because
they already have a family of their own. Mr. Jason has too
early for work and only Ms. Jea is left to take care of her
mother in which she struggles
as her mother couldn’t communicate well.
8. Physical 1 Due to insufficient financial stability, their house is not well
Environment constructed and the facilities aren’t in a good condition.
They use plywood as their door, some curtains to cover up
the window and their house is prone to insects such as
mosquitos. They just burn their trash beside their house
causing the smoke to get into their home. Also, they have
very limited access to clear water.

9. Use of 5 The family knows when, whom and where to call for help
community in terms of emergencies. They have knowledge regarding
Facilities the free services offered by their local barangay health
station and is therefore utilize some of
the available community resources they inquire.

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 MET OR
TASK JUSTIFICATION
UNMET
Providing for UNMET According to Ms. Jea, she doesn’t have time left
children activity to socialize and meet some of her friends after
and parent’s what happened to her mother. She has a very
privacy limited time whenever she goes outside their
house because she has to look after her mother
in which she doesn’t have anyone to help her
with, she also does all
the chores alone.
Keep financially UNMET Ms. Jea stated that they barely get enough of
resolved their basic needs due to financial problems. The
money that comes from her father and siblings
is not consistent resulting in them struggling
with their everyday expenses.

Furthering UNMET The family barely sees each other even on

socialization of
family members
special occasions such as birthdays, Christmas,
and new year. Ms. Jea stated that it is hard for
her siblings and Father to make it up to them
because of some reasons such as work, they
have a family of their own, and live far away
from their home.

Family Upgrading MET According to Ms. Jea, even though her siblings
communication in and father fail to make it up to them personally,
the family they still manage to communicate with each
other online to ask for their
situation at home for at least thrice a week.

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Establishing ties MET According to Ms. Jea, sometimes she lets her
outside the mother go outside their house with her
family assistance to visit their neighborhood, listen to
their small talks and see the happenings in their
community as well, even for a short
while.

Developing morally UNMET Living without financial security is hard, given

and building family that you cannot get to buy anything you desire,
morale even the basic needs at a certain time. However,
it only gets harder when you know that you
have no one to rely on emotionally. Ms. Jea,
who is the only one to look after herself, her
mother and everything in their house, gets
emotionally and mentally
stressed out due to these various reasons.

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 PROBLEM PRIORITIZATION
This chapter shows the setting of priorities of the family health problems that
have been identified. It includes a computation on how priorities were shown with their
corresponding justification.

I. Illness and Disability of the Family Members (Hypertension) as

Health Deficit

Criteria Computation Actual Justification

Score
Nature of the 3/3x1 1 Hypertension is a health deficit
Problem in which the higher the blood
● Health pressure and the longer it goes
deficit (3) uncontrolled, the greater the
● Health damage.
threat (2) Uncontrolled high blood pressure
● Foreseeable can lead to complications
Crisis (1) including heart
attack or stroke.
Modifiability of 2/2x2 2 The problem is easily
the problem modifiable because Mrs.
● Easily Agujetas can’t speak because
Modifiabl of her condition, maintaining
e (2) her entertained can reduce the
● Partially impact of stress and reduce the
Modifiabl risk of hypertension by
e (1) managing stress and regularly
● Not checking blood pressure.
Modifiabl
e
(0)
Preventive 3/3x1 1 The preventive potential is high
potential because increase blood pressure
● High (3) can be prevented through
● Moderat emphasizing how engaging in
e (2) healthy behaviors like physical
● Low (1) activity and healthy eating can
improve not only
people’s blood pressure but also,
the overall health.

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 Salience 2/2x1 1 The family acknowledge this
● Needing as a problem but not needing
immediate immediate attention due to a
attention lack of resources and financial
(2) problem.
● Not needing
Immediate
attention
(1)
● Not
perceived
as a
problem (0)
TOTAL SCORE 5

II. Poor Home/Environment Condition/ Sanitation (presence

of Cockroaches, Mosquitoes, etc.)

Criteria Computation Actual Justification

Score

Nature of the 2/3x1 0.67 The residency of pests such as

problem flies, mosquitoes, cockroaches,
● Health and etc. became health threats
deficit (3) as they bring odor, dirt, and
● Health other unfavorable activities
threat (2) (such as biting human’s skin
● Foreseeable and/or fabrics) that can cause
Crisis (1) infection to people.
This is indeed needs an
appropriate and immediate
actions.

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 Modifiability of 2/2x2 2 This kind of complications can
the Problem easily modifiable as keeping
● Easily the house, idle and dirty water
Modifiabl near or around the community
e (2) clean.
● Partially Consider also being hygienic
Modifiabl physically and by not letting the
e (1) clothes damp as it can attract
● Not insects, especially, mosquitoes.
Modifiabl
e
(0)
Preventive 3/3x1 1 This problem is highly
potential preventive if we’re willing to
● High (3) coordinate and implement health
● Moderat teaching in the community, so
e (2) that we can

● Low (1) have an adequate knowledge

about preventing such. By
eradicating pollute water and
maintaining cleanliness in the
house, the possibilities of
preventing such problems will
surely happen.

Salience of the 1/2x1 0.5 The family perceived the

problem condition or a problem not
● Needing needing immediate change.
Immediate
attention
(2)
● Not needing
Immediate
attention
(1)
● Not
perceived
as a
problem (0)
TOTAL SCORE 4.17

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III. Improper Waste Disposal

Criteria Computation Actual Justification

Score

Nature of the 2/3x1 0.67 This condition is a health threat

problem since it can be the beginning point
● Health of bad effect in our health.
deficit (3) Improper waste disposal can be
● Health the resource of water and air
threat (2) pollution that can cause us to be
● Foreseeable physically and environmentally
Crisis (1) unhealthy. We should also have
the knowledge of how to
segregate waste disposal as it can
also cause respiratory malfunction
to human beings by not disposing
the waste properly such as
burning.

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Modifiability of 2/2x2 2 This problem can easily
the Problem modifiable as the family can learn
● Easily on how to managed their waste
Modifiabl properly by recycling and re-using
e (2) the waste depends on how they
● Partially wanted it to be. It can be a flower
Modifiabl pot by recycling the plastic cups or
e (1) bottles, making a flower by
● Not recycling used straws, and etc. The
Modifiabl non-biodegradable and
e (0) biodegradable should also be
segregated properly in a trash bin
or garbage bag, so that the garbage
collector can pick up along their
way.
Preventive 3/3x1 1 This problem’s preventive
potential potential is high since the family is
● High (3) trouble-free when it comes on
● Moderat leading them towards being able to
e (2) manage their waste properly by
● Low (1) giving them learnings about it and
its effects on our environment and
health to one another, and make it
their guidance to achieve the said
goals.

Salience of the 2/2x1 1 This problem recognized by the

problem family and they give immediate
● Needing actions.
immediate
attention
(2)
● Not needing
Immediate
attention
(1)
● Not
perceived
as a
problem (0)
TOTAL SCORE 4.67

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IV. Limited Financial Resources

25
 Criteria Computation Actual Justification
Score

Nature of 2/3x2 1.33 This problem is a

the problem death threat since
● Health the family isn’t
deficit financially stable
(3) and it is affecting
● Health the limitation of
threat (2) medical expenses,
● Foreseeable foods, and other
important needs.
Crisis (1)
Modifiability 1/2x2 1 This problem is
of the partially modified
Problem because the family
● Easily has no income and
Modifiabl work, but there’s
e (2) still a family
● Partially member who’s
Modifiabl willing to help by
e (1) giving a small
● Not amount of money
Modifiabl for the limited
e (0) expenses and for
the everyday needs
to survive such as
foods and water.
Preventive 1/3x2 O.67 The preventive
potential potential of the
● High (3) problem is low
● Moderat since aside from
e (2) there are no source
● Low (1) of income and
considering the
products nowadays
are pricey, they’re
also struggling to
budget the amount
of money they
received.

26
 Salience of the 2/2x2 2 This problem is recognized
problem by the family and knew that
● Needing they need an immediate
Immediate action.
attention
(2)
● Not needing
Immediate
attention
(1)
● Not
perceived
as a
problem (0)
TOTAL SCORE 5

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V. Improper food handling and preparation

Criteria Computation Actual Justification

Score
Nature of the 2/3x1 0.67 It is considered as health
problem Health threatening; The family
kitchen is not in proper place
● Health
inside their house, the dirtier
deficit
the environment, the more
(3)
● Health bacteria may inhibit that may
threat (2) cause disease.
● Foreseeable
crisis (1)
Modifiability of 2/2x2 2 The problem can be partially
the Problem modifiable by teaching them the
proper way of food handling
● Easily
before and after cooking for the
Modifiabl
e (2) better health.
● Partially
Modifiabl
e (1)
● Not
Modifiabl
e (0)
Preventive 3/2x1 1.5 It is highly preventive
potential because their cooking area
and the placement of their
● High (3)
kitchen utensils is exposed by
● Moderate (2) dirt. However, it can be
● Low (1) preventive if the daughter has
a knowledge on proper
nutrition and sanitation, she
can also organize their
kitchen utensils to prevent
different dirt.

28
 Salience of the 1/2x1 0.5 The problem is recognized
problem by the family but didn’t see it
as something to be acted on
● Needing
immediately.
Immediate
attention
(2)
● Not needing
Immediate
attention
(1)
● Not
perceived as
a problem
TOTAL SCORE 4.67

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 FAMILY NURSING CARE PLAN

This Chapter shows the identified and prioritized problem in order. This chapter also presents the family care
plan formulated by the student midwife together with the family at Purok Pakisama, Kapingkong,
Lambayong, Sultan Kudarat.

LIST OF PROBLEMS

Identified problem Score Rank

Health deficits

Illness of the Family Members 4.5 1

(hypertension)

Health Threats

Poor Home/Environmental 4.17 2

Condition/Sanitation
(cockroaches and
mosquitoes)
Improper waste disposal 5 1

Limited financial resources 5 1

Improper food handling and preparation 3.67 3

Foreseeable crisis

Hospitalization of a family member 2.27 4

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 HEALTH TEACHINGS

This chapter presents was implemented by the researcher to the respondent. To provide
awareness and educate the family about its effect on individuals this case conducted at Purok
Pakisama, Kapingkong, Lambayong, Sultan Kudarat.

HYPERTENSION

● Getting regular physical activity. ● Eat a heart-healthy diet, including

potassium and fiber.

● Limit how much alcohol you drink to 1 ● Get at least 40 minutes of moderate to
drink a day for women, and 2 a day for vigorous aerobic exercise at least 3 to 4
men or less and consider quitting days a week.
entirely.

● If you're smoking, quit. ● Maintaining a healthy weight or losing

weight.

● Manage stress ● Reduce stress. Try to avoid things that

cause you stress try to exercise to de-
stress.

● Stay at a healthy body weight. ● Limit the amount of sodium (salt)

you eat. Aim for less than 1,500
mg per day.

● Drink plenty of water.

● Take medicines as directed.

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 HYGIENE

PROPER HYGIENE

● Explain to the family of the benefits of proper hygiene.

● Instruct the family to always do proper hygiene practices such as hand washing, using
alcohol for hand rubbing if possible, and maintaining a proper place for toiletries.

SLEEP HYGIENE

● Encourage the family to get enough sleep to have energy the next day and to avoid
being sick.
● Instruct the family to avoid large meals, caffeine, and alcohol before bedtime to prevent a
disruptive effect on your sleep.

● Have a night time routine to encourage relaxation before retiring to bed; this can include
reading, taking a warm shower or bath, or some light stretching.

● Have regular sleep

ENVIRONMENTAL HYGIENE

● Explain to the family about the consequences of sleeping in an inadequate space with poor
ventilation.

● Instruct the daughter to always keep cleaning and sanitizing the kitchen area and
utensils. Store the kitchen utensils properly.

● Instruct the by having a clean water supply.

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 FOOD HYGIENE

● Separate raw, cooked, and ready- to-eat foods. Keep raw meat, poultry, fish, or
eggs away from other foods to prevent cross- contamination.

● Instruct the mother to wash hands and surfaces often using hot, soap and water. Wash your
hands before and after you handle food or utensils, especially raw meat, poultry, fish, or eggs

● Wash plates, utensils, and cutting boards in hot, soapy water or a dishwasher.

● Periodically sanitize your cutting boards, countertops, kitchen sink, drain, and garbage
disposal.

● Instruct the daughter to keep food at a safe temperature and place to prevent the risk
of gastro-intestinal.

● Do not eat the food if it has been 3-4 days or it can be thrown away.

● Wash all fruits and vegetables before eating.

DIET

● Explain to the family that

● Explain to the family the benefits of a
always prepare nutritious
healthy body.
foods like vegetables and
fruits.

● Instruct the family to drink at least 8-10 ● Eating more fruits and vegetables and
glasses of water per day.
less fat.

● Managing body weight

● Reducing salt intake.

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 EXERCISE

● Explain the benefits and importance of ● Advise the daughter of the client to assist
doing exercise. the client to have 30-minute brisk walk
three to four times a week.

● Encourage the family to have exercise ● Advise the daughter of the client to assist
twice or thrice weeks to maintain have the client to have 20-minute stretching of
good health example walking. hands at least two to three times a week.

34
APPENDICES

35
36
37
DOCUMENTATION PHOTOS

During the first visit, the researchers gathered thr initial of the chosen respondent
family.

38
During the second visit we ask the respondent about their diseases and about their family,
and we some small foods.

39
REFERENCES

 CHN 0 Family Case Study.Docx. (n.d). Scribd.

https://www.scribd.com/document/258016004/CHN-0-Family-Case-Study- docx?
fbclid=IwAR2DVaJkfPm6chla0LmnaJhBf3OgkpQFDczqErtOq8ymThDupaA nRv5SxN0

 Family case Study.pdf.(n.d).

https://www.scribd.com/doc/24761260/Family-Case-
Study?fbclid=IwAR0JRW4f1nZ4VDQPSg9PjQREzN5Zi4uWGIIFfbex6cOhFb9jAe o0Sxv0bgs

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