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Family Structure, Characteristics, and Dynamics Head of the Family: MG Residential Address: 29 V. Cruz St. San Juan, Manila Length of stay in the community: They are staying in the community for 2 years. Place of Origin: Romblon Ethnic Background: None Primary Dialect Spoken: Tagalog
Name 1. MG Age 36 Sex M B-date Civil Ordinal Position Father Educational Attainment 2nd yr High School 4, Married Mother Daughter Daughter 2nd yr High School NA NA Occupation Family Driver Housewife NA NA Income Php 500/day (12,000) None NA N/A
Status May 12, Married 1975
2. AG 3. LJG 4. NAG
23 3 1
F F F
1988 April 15, Child 2008 October 27, 2009 Child
General Family Relation: The family resides at 29 v. Cruz St., San Juan Manila. The family consists of 4 members namely MG, the head of the family and the decision-maker; AG, the mother and the housewife; LJG, the older daughter and NAG, the younger daughter. Each member of the family is a Roman Catholic. The family is nuclear and patriarchal. The mother claimed that there are no misunderstandings between her and her husband as of the moment because they need to be strong for their child since both of them were diagnosed to have a primary complex.
They avoid having misunderstanding with one another. “ang kukulit nga ng mga bata. The mother described her relationship with her husband. kami lang ang magkasama ng mga anak ko. “Buong maghapon sa isang araw. each spouse is able to express thought and feelings. Inaalagaan ko sila at pinapakain kasi maliliit pa sila ngayon. the mother claimed that they totally talk and plan on what to do. the parents make an effort to resolve it. Kaya inaayos namin kaagad yung hindi namin pinagkakaintindihan. Even though the family has several problems regarding financial matter. “Talagang ang kalusugan ng bata ay importante”.” The mother explained her role in the family. pinagtatapon niya yung mga bote” she added. “Masaya naman kami pero minsan syempre may hindi pagkakaunawaan. having a strong faith in God gives them a courage to fight back every unpleasant conditions may take place to their lives. Hindi rin namin pinapakita sa mga anak namin na hindi kami magkasundo. palaging laro ng laro”. Even though she is being hurt by her little sister. She reasoned. “Nung nalaman ng asawa ko na yung gamot na iniinom ng mga anak namin ay para sa TB. Especially if the problem is about the health of their child. Whenever conflicts arise. itong isa lang ang sobrang maingay at nanakit sa kanyang kapatid” the mother verbalized. According to the mother whenever they encounter some problems they can easily work out those things. B.4 The relationship within the family is fine. kasi itong anak ko talaga medyo tahimik pero malikot. The mother stated. “hindi niya pa rin ginagantihan yung kapatid niya. For them.” The client is the older of the two siblings. SOCIO-ECONOMIC AND CULTURAL FACTORS .
Income and Expenses Name MG AG LJG NAG Highest Educational Attainment 2nd yr Highschool 2nd yr Highschool NA NA Occupation Family Driver Housewife NA NA Place of Occupation Outside Inside NA NA Monthly Income 500/day None NA NA Ranking 1 2 3 5 4 Expenditures Food House rental Electric bill Water bill Health Education Clothing Others: Total Allotment 200/day (6000) 4000/month 700 400 500 ------11. “syempre kelangan talaga ng may makakain kahit papano ang mga bata para malusog sila at para gumaling na din kasi itong si LJG hanggang ngayon may ubo pa rin” she stated. The mother claimed that they have resources allotted for health care which is from the SSS (Social Security System). Ethnic and Religious background . The mother said.” As shown in the table. Pero hindi pa rin sapat kasi may mga utang pa kami. “kahit papano pinagkakasya namin yung kita niyang 500 sa isang araw. the priority of the family is for the food.5 I. bale nagtatrabaho siya ng 6 na araw. “Sa tingin ko sapat naman sa aming apat yun” she said. 600 The family is composed of 4 members. The father is the only person in the family who works and who has income for their expenses. II. The family doesn’t have any other sources of income.
cockroaches. kasi medyo gabi talaga ang dating ng asawa ko galing trabaho” she said. The four members stay in a oneclosed room house and a small comfort room. Lucia Health Center. The family lives in a congested neighborhood. Their house is rented which has a payment of 4000 a month. The available health facility near their house is the Sta. HEALTH STATUS OF FAMILY MEMBERS MG 36 y/o AG 23 y/o .” D. But according to the mother. According to the interviewee the area where they live has an inadequate space for the members of the family. Manila. and lizards. is the location of the family. apat lang naman kasi kami eh at sanay na din”. After going to the church they seldom go to the mall and eat together and have some recreations. San Juan. Naninigarilyo pa sila at yung usok pumapasok pa rin sa bahay namin kahit nakasarado na yung bintana at pinto namin. Cruz. Family’s perception about the housing ventilation is fair while the nurse’s perception is poorly ventilated. “Okay naman kami. “Yun lang kasi ang time ng Papa nila na makakasama sila ng maghapon. When it comes to transportation.6 The family usually goes to church together every Sunday and all of them are Roman Catholic. Maliliit pa naman din kasi ang mga bata” she added. The family uses the pail system when excreting their disposal. They also believe in the teachings of God. The mother said that “Madalas may mga nag-iinom talaga dyan sa labas ng bahay. there are many public utility vehicles can be found on the said location. The mother identified the presence of flies. Their electricity is distributed by Meralco. C. rats. HOME AND ENVIRONMENT 29 V. They have a private ownership of the toilet facility.
The drugs administered to her were 1.5 kg. But it was termed as Primary Complex for children. 2. On the client’s .4 mL Isoniazid 5mg/kg (200mg/5mL).8 mL Rifampicin 10mg/kg (200mg/5mL) and 5. She said that whenever her child seems to be sick. the mother together with her child approached the health center because of fever and productive cough for two days. She is taking Ceelin and Nutrilen once a day. Dati naman kapag may lagnat o ubo si LJG. she gives Paracetamol once a day and sometimes rush her child to “manghihilot”. Super malikot siya and kadalasan napipilay siya lalo kapag nag-aaway silang dalawang magkapatid”. Before. The child was newly diagnosed to have Pulmonary Tuberculosis. the treatment of the child started. She explained “Kadalasan kasi puro laro lang siya dito sa loob ng bahay.Female .7 Legend: . while the other child has an allergy on milk of Nestogen.5 mL Pyrazinamide 25mg/kg (250mg/5mL). The eldest child has no known allergy. 2011. the client underwent a tuberculin skin test (TST) which had a result of 10 mm.” The mother rated her child’s health as 5 (1 being the least healthy and 10 being the healthiest). On that same date. After that. The barangay health worker weighed the client and got 11. gumagaling agad kapag nadadala ko siya sa manghihilot”. “Siguro nakakaapekto din yun kung bakit medyo sakitin tong si LJG. On September 8.Male LJG 3 y/o NAG 1 y/o The mother said that the younger daughter had its complete vaccination while the older didn’t receive the BCG. the client took Tiki-Tiki and Ceelin. She had a tuberculosis disease category III (2HRZ/4HR).
The client experienced vomiting on Sunday (September 25). syempre hindi pa maiiwasan ang merienda kapag gutom. Her vomiting lasts up to Monday and the other day. “Luto na yung pagkain pagkagising pa lang ng mga anak ko at ni mister. Madalas kami mag-fish. “Ang sabi ng doctor sa akin ay magpa-positive talaga ang test kasi yung anak ko daw ay may ubo at sipon” she said.” The client’s mother said that her child is vomiting every time she will intake food. the client was not vomiting anymore. Umiinom naman kami ng tubig. talagang kelangan dapat kumain sila lalo pat okay na si LJG kahit papano. “Ipa-test ko daw ulit kapag wala na silang mga ubo at lagnat” she added. the child had a fever so the mother brought her child to the manghihilot but it didn’t relieved. She doesn’t have any history of anti-tuberculosis drug intake. And she also denied that both of them as parents don’t have a history of TB. the mother consulted a second option from a hospital.” The mother denied that on her family side. The vomitus was described as watery. Physical Assessment . Sa kalagayan nina LJG at NAG. Ganoon ang lagi naming kinakain araw-araw sa buong linggo. gulay at karne. the client was able to go the health center and received her drugs from September 8-23. 2011. By Monday. On the same date. When the mother asked if she herself was tested for tuberculosis. the parents decided to stop giving the medicines to their child. Nutrition The mother of the family handles the aspects regarding the nutrition of the family. Tatlong beses naman kami kumakain arawaraw. She verbalized.8 chart. On Saturday. She also claimed that her child has asthma. “magpapatest pa lang ako. Nasisigurado kong malakas din mag-tubig ang pamilya ko. there’s no history of Tuberculosis as well as on the side of the father.
She preferred fried and boiled as the food preparation.8 Has a thin upper and lower extremities Has unproductive cough Wt: 9.3-11. 3 DAY DIET RECALL of LJG . AG 2.5 kg Has a Below Normal BMI: 10.” Eating Pattern The mother is the one who prepares the food for the family. The mother is the one who budgets for food that they are going to eat in a day. She also has a napping time which is usually from 1:00pm-3:00pm. “Gabi na talaga sila natutulog kasi hinihintay nila yung pagdating ng papa nila galling trabaho. NAG • • • E. The food usually eaten by them is fish. Her mother didn’t notice any problem in terms of her child’s sleeping patterns. MAINTENANCE AND DISEASE PREVENTION Sleeping Pattern The client is sleeping from 10:00pm and will wake up at 7:00 am or 8:00 am.7 Temp: 36. and vegetables. HABITS AND Deviations upon Assessment Presence of Eye bags Crackles noted on both lungs Wt: 11.6 PRACTICES ON HEALTH PROMOTION.2 kg Has a Normal BMI: 7.9 Name 1. VALUES.4-11. LJG • • • • • • 3. meat.
the mother said that she gave only glass of water. And on Wednesday morning. they go to malls to spend quality time with each other or they go straight home and spend each other’s company during lunch time when they eat together. the client took only milk.10 September 26 (Mon) AM breakfast Lunch Soup 2 glasses of water Rice Fried Chicken Dinner 2 glasses of water Rice Nilaga 2 glasses of water 2 glasses of water --September 27 (Tues) 2 glasses of water 2 glasses of water September 28 (Wed) Milk --- Last Monday September 26. But still the mother bonds with her child when they are left at home. since the father is busy working during weekdays. . Sometimes if they do have money. The bonding of the children is that they are always around playing inside the house. They are just playing with toys and watching television. On the following day. 2011. Leisure/Recreation/Stress Management The Gadon family usually spends leisure time together during weekends especially Sunday. They attend mass every Sunday morning. her mother gave foods to eat but still the child vomited.