CASE SCENARIO:
Paolo Cruz & Linda Cruz are married for 10 years & have five children. They lived in a slum
area in Tondo, Manila. Paolo Cruz is a tricycle driver, he works for 15 years with a daily income
of P500 a day – he was able to provide the basic needs of his family.
When the father was driving home after work, he got in an accident & suffered a leg injury which
caused the father to stop working. Linda & her husband came to a decision that Linda will be the
one to provide for the family. Linda worked multiple jobs such as laundry woman, manicurist,
and selling vegetables at the market of Tondo, Manila. After being too isolated at home and
seeing his wife working multiple jobs, Paolo Cruz developed a habit of drinking alcohol too much
as a way of coping with his injury which caused the father to become addicted to alcohol thus
deteriorating his mental health. Being an alcoholic, caused him to continuously abuse his wife
and children like hitting them & shouting abusive words which then caused disruptions and
separations of the family. Linda verbalized “Hindi ko na kaya tiisin ang pananakit ng asawa ko
sa akin at sa mga anak namin.”
HEALTH PROBLEM:
1. Marriage or separation as foreseeable crisis
2. Leg Injury as Health Deficit
3. Alcoholic as Health Threat
1. Divorce or separation as foreseeable crisis
Criteria Weight Computation Actual Score Justification
Nature of the 1 The nature of the
condition or problem problem is a
presented foreseeable crisis
because it affects
Scale: ( 1/ 3) x 1 = 1/3 the whole family’s
wellness state 3 grievances.
health deficit 3
health threat 2
foreseeable crisis 1
Modifiability of the 2 The problem is
problem easily modifiable
Scale: because the family
easily modifiable 2 (2 / 2) x 2 = 2 lacks information
partially modifiable 1 about the condition's
not modifiable 0 nature, severity,
complications,
prognosis, and
management.
Preventive potential 2 Further
Scale: complications will
High 3 (2 / 3) x 1 = 2/3 be avoided if this
Moderate 2
Low 1 problem is
recognized and
given careful
attention.
Salience 2 The family sees
Scale: this as a problem
a condition or 2 that needs
problem needing immediate
immediate attention
attention.
a condition or However, the
problem not needing 1 ( 2/ 2) x 1 = 1 family lacks
immediate attention knowledge and
resources on how
not perceived as a to address this
condition or problem 0 problem.
needing change
Total Score: 4
2. Leg Injury as Health Deficit
Criteria Weight Computation Actual Score Justification
Nature of the 3 The nature of the
condition or problem problem is a
presented foreseeable crisis
because it affects
Scale: ( 1/ 3) x 1 = 1/3 the whole family’s
wellness state 3 grievances.
health deficit 3
health threat 2
foreseeable crisis 1
Modifiability of the 1 The problem is not
problem modifiable because
Scale: the family lacks
easily modifiable 2 (1 / 2) x 2 = 1 information about
partially modifiable 1 the disease/health
not modifiable 0 condition's nature,
severity,
complications,
prognosis, and
management.
Preventive potential 3 Further
Scale: complications will
High 3 ( 3/ 3) x 1 = 1 be avoided if this
Moderate 2 problem is
Low 1
recognized and
given careful
attention.
Salience 1 The family sees
Scale: this as a problem
a condition or 2 that needs
problem needing immediate
immediate attention attention.
a condition or
However, the
problem not needing 1 ( 2/ 2) x 1 = 1 family lacks
immediate attention knowledge and
resources on how
not perceived as a to address this
condition or problem 0 problem.
needing change
Total Score: 3 1/3
3. Alcoholic as Health Threat
Criteria Weight Computation Actual Score Justification
Nature of the 2 The nature of the
condition or problem problem is a
presented foreseeable crisis
because it affects
Scale: ( 1/ 3) x 1 = 1/3 the whole family’s
wellness state 3 grievances.
health deficit 3
health threat 2
foreseeable crisis 1
Modifiability of the 2 The problem is not
problem modifiable because
Scale: the family lacks
easily modifiable 2 (2 / 2) x 2 = 2 information about
partially modifiable 1 the disease/health
not modifiable 0 condition's nature,
severity,
complications,
prognosis, and
management.
Preventive potential 2 Further
Scale: complications will
High 3 (2 / 3) x 1 = 2/3 be avoided if this
Moderate 2 problem is
Low 1
recognized and
given careful
attention.
Salience 0 The family sees
Scale: this as a problem
a condition or 2 that needs
problem needing immediate
immediate attention
attention.
a condition or However, the
problem not needing 1 (0 / 2) x 1 = 0 family lacks
immediate attention knowledge and
resources on how
not perceived as a to address this
condition or problem 0 problem.
needing change
Total Score: 3
Ranking of FCP
Problem Classification Score Rank
Marriage or separation Foreseeable Crisis 4 1ST
as foreseeable crisis
Leg Injury as Health Deficit Deficit 3 1/3 2ND
Alcoholic as Health Threat 3 3RD
Threat
Ok
Health Problem Goal of Care Health Strategies Evaluation
1st level Within 3 days of health a. Promote family After 3 days,
assessment care strategies, the therapy for dealing the goal is
Divorce or Cruz's family will with marital partially met.
separation as facilitate open challenges or Hence, the
foreseeable crisis communication, support separation to help Cruz’s family
related to domestic decision-making, and the family to was not able
abuse as explore emotional, communicate to have a
evidenced by: practical, and legal effectively, address mutual
implications of potential underlying issues, understanding
- Paolo separation, enhancing and work together to and
Cruz’s mutual understanding find solutions. communicatio
addiction to and connection. n with each
alcohol b. Educate the family other in spite
caused him to seek help from of providing
to abuse his healthcare providers health
family such since they can teaching to
as hitting provide education them.
them & on healthy
shouting relationship skills,
abusive such as
words that problem-solving and
caused empathy. This can
disruptions help individuals to
and build stronger
separations relationships in the
that resulted future and prevent
Linda to challenges from
verbalized arising.
“Hindi ko na
kaya tiisin c. Provide the family
ang with legal support
pananakit that can critically
ng asawa help during a
ko sa akin separation or
at sa mga divorce that can
anak help them to
namin.” navigate the local
process and their
rights.
Family Nursing Objectives: Healthcare Strategies
Problem Within 8 hours of
healthcare strategies,
Inability to make the Cruz’s family will be
decisions with able to:
respect to taking
appropriate health
action due to:
a. Seeking support
a. Feeling of from healthcare a.1. Consider consulting a
confusion, professionals, therapist or counselor who
helplessnes counselors, or specializes in healthcare
s &/or support groups related anxiety.
resignation to assist in
brought overcoming the
about by situation
severity of regarding mental
the situation health.
or problem.
b. Lack of b. Gathering b.1. Ask your healthcare
inadequate relevant and provider to use plain
knowledge/i accurate language and to repeat
nsight as to information about instructions to ensure
alternative the available understanding.
courses of health options &
action open their potential
to them. benefits & risks.
c. Addressing any
c. Negative fears, doubts, or
attitude biases that may c.1. Share your feelings
towards the be contributing to with friends, family, or a
health the inability to mental health professional
condition or make decisions who can provide emotional
problem. regarding health support and coping
action. strategies.
Health Problem Goal of Care Health Strategies Evaluation
First level of Within 1week of a. Over-the-coun After 1 week of
Assessment health care ter pain healthcare strategies,
leg injury as a health strategies, the relievers like the client was able to
deficit related to primary goal is to ibuprofen or take10 steps even in
accident as evidence ensure that the acetaminophe a slowed manner
by when the father father’s leg injury is n can help
was driving home assessed, treated, manage pain
after work, he got in and stabilized, with
an accident and the aim of promoting b.Visit a
suffered a leg injury physical healing and doctor or an
which cause the rehabilitation so that emergency
father to stop working he can regain his room to have
ability to work and the leg
resume his role in the assessed by a
family’s financial medical
well-being. professional.
c.Keep an eye
o out for any
signs of
infection,
worsening
pain, or
circulation
problems and
consult your
healthcare
provider
promptly.
family nursing Objectives
problem Within 8 hours of
healthy care
Inability to make strategies, the Cruz
decisions with family will be able to:
respect to taking
appropriate health
action due to: a. Assisted/have a.1. To decrease
client numbness and pain
a. Feeling of reposition self in the affected area.
confusion, on regular
helplessness schedule from
and/or side to side.
resignation
brought about b.1. To prevent the
by perceived b. Used side patient from possible
magnitude/se rails of bed. falls or accidents that
verity of the might happen.
situation or
problem, i.e.,
failure to c.1. To help ease To
break down Maintain/enhance
problems into c. Encouraged gains in numbness of
manageable patients to said part
units of attack move the
affected part
b. Negative from time to
attitude time.
towards the d.1. This will help the
health d. Encouraged patient to mobilize
condition or patients to and recover faster.
problem -By take a few
negative steps a day. e.1. To
attitude is maintain/enhance
meant one e. Encouraged gains in
that interferes Continuation Goal met.
with rational of exercises
decision
making.
