Family Case Study

By: Kris Nielsen Amantillo

RLE GROUP 1
 Table of contents
• Acknowledgement
• Introduction
• Objectives
• History of barangay
• Organizational map
• Vicinity map
• Genogram
• Eco-map
• Family attachment
• Family Characteristics
• Identified health problems and scoring
• Scale For Ranking Health Conditions
And Problems According To Priorities
• Prioritize Health Problems
• Recommendations
 Acknowledgement

The study has provided our group opportunities to know the

different problems and needs of the family in order for them to
develop more in terms of their environment and especially with their
health status. But all of these could not be done without the help of
those significant people that help us throughout the study. I, Kris
Nielsen Amantillo, BSN II student would like to express my heartfelt
gratitude as a Second year nursing researcher to the following people
who extend much effort for their professional assistance and direction.
 The researcher would like to thank our Almighty God for His
guidance, wisdom, protection during our activities and difficulties in
going to the community with His never ending support. And, finally we
would also like to extend our gratitude to the family of Mr. & Mrs.
Nelson Amantillo for accommodating, welcoming, and for trusting me
to share their basic and personal information that made our case study
successful.
I am really fortunate that , I had this kind of institution as well as
supervision of Sr. Carmen Abad DC as Vice President .
I would like also to thank Ms. Rubilyn Sumaylo for her exemplary
guidance, constant encouragement and careful monitoring throughout
the days given to finish this output.

To my Clinical Instructor , Mrs. Nitz Aguilar Ammogao thank you for

all the patience , guidance and knowledge .We are grateful for your
influence to us to become better as Future Nurses.
To my classmates, BSN II- Blessed weicka Stem A, to my groupmates and to my
friends thankyou also for the positive support even when things seems impossible
to finish during the accomplishment of this case study. Now we make it. Onward
Future Nurses

And to my Family Respondents, who willingly gave time and participation to

answer our interview question cooperatively I am grateful for all their support
and accommodation.

Above all to the Great Almighty , the author of knowledge and wisdom for his
countless love.
 Introduction

 
A community refers to a group of people who interact with each
other. It is a social group determined by geographic boundaries,
common values and interest. The family is present in all communities.
They are considered as the basic unit of care in the community health
nursing. It is in the family where a member develops his health values,
beliefs and practices. Hence, the family is a major influence in the health
behaviors of an individual. It is important that families in a community
are aware of the things and practices pertaining to their health.
 Being exposed in the community did not only provide an avenue to
apply what we have acquired in the classroom but it also gave us an
opportunity to serve our fellowmen. A day spent in the community is
always a learning experience for us. Because we are able to socialize
and interact with different people in the community, we are able to see
the real world. Every exposure gives us realizations that make us
become better versions of ourselves. Though tiring as community
health nursing can get, reaching out to the families gives us the sense
of fulfillment as we share our knowledge, skill, and time to aid in
uplifting the conditions of each family.
 Through the family case study, we are able to have a better
understanding of the multidimensional nature of health which can
enable us to plan and implement health promoting interventions for
our clients. In this way we are able to give the utmost family-centered
care to our clients making us even more effective community health
nurses.
 Objectives

GENERAL OBJECTIVES
At the end of the student- 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
1. To establish rapport and trust with the family
2. To trace the family medical and health history
3. To illustrate the genogram of Mrs. Amantillo that will help visualize hereditary pattern
4. To explain the family Apgar score that shows the relationship of family function
5. To give health teachings about possible risk factors

6. . To plan possible solutions or nursing actions to the prioritizes health problems with active

participation of family members

7. To educate and guide the family members to develop healthy habits and lifestyle

8. To help the family develop all abilities to deal with their health problems and needs

independently
History Of Barangay
 Balasan is a first class municipality in the province of
Iloilo, Philippines. According to the 2020 census, it has a
population of 33,824 people. It is 129 kilometres from the
provincial capital, Iloilo City, and 58 kilometres from
Roxas City.
 Balasan is well placed in northeast Iloilo so getting here is easy
with a regular bus service from Iloilo City or Roxas City.`Buses arrive
at Balasan bus station, a kilometre to the Balasan's town centre, every
fifteen minutes. Taking a tricycle is the most convenient way for
newcomers to travel around Balasan. The business and shopping
centre of northern Iloilo, Balasan is a compact town and easy to get
around on foot, by bicycle, or by public transport.

In 1950, the barrio of Zarragoza was transferred from the town of

Batad.
 It was in 1857 when Don Juan Silverio granted Francisco
Arreola permission together with 50 families to go in a boat
southeastwards from Barrio Sumagbong Cogon, Nabas,
Capiz to the unfamiliar lands in the eastern portions of Panay
Island. They soon landed in what was then known to be
Punta Bulukawe, Capiz (Punta Badaiang, Carles). They were
granted a full tax exemption for three years if they cultivated
the new land.
 After making a settlement, Francisco Arreola quickly appointed an
exploration team to survey the new land further south. The team was
led by Vicente Navales-the existing perpetual index of the leaders of
Balasan started with the first teniente del barrio absolute, Vicente
Navales in 1852. They immediately set forth southeastward to a river
where they rested for the night. The morning was when the river got
its name when the first man to awaken called out: ‘Bangon!’ which
meant ‘Arise!’ The land after the river was a beautiful grassland full of
sparrows – probably the Paser montanus (maya bongol), Lochura
malacca (maya pula), or the Padda oryzivora (maya costa) which was
from which the place got its name, Maya.
 They went further off to such places which are now known
as Barangay Bulac, Batad, and Lanubo (Estancia). After being
gone for quite some time, the folks in the settlement began to
worry so a search party was formed to bring them back. They
met with the former party in a place which was from then on
known to be Tabuan (a place where people meet).
 The accounts of Vicente Navales made some of the
folks decide to make a sister-settlement in Maya. The
place did prove promising and it expanded
northeastward to a place with a river which was very
ideal as a channel for sea trade and source of
industrial sand (baras). The place was from then until
such a time was known as Barasan. It eventually
expanded and soon such area which was once the
extension of the maya settlement became known until
now as Mamhut.
 The records show that Barasan became large enough that it even
covered the areas which now are separate districts such as Carles,
Estancia, and Batad. The writings of Douglas Malunda tell about a
treasure that the settlers of Arreola stored in one wooden chest to
make it easier to protect from thieves from both land and sea. It was
said such chest of silver, gold and pearls was buried in a dried well
somewhere in Balasan with only a large tree to mark its location. The
most accurate knowledge of its location was known by Arreola’s only
son who unfortunately became one of the casualties of a cholera
epidemic. With his death, the knowledge of the location of the treasure
vanished. As yet, the treasure awaits its very fortunate hunter
Organizational structure
 (brgy.Kagawad)
(brgy.Kagawad) Mr. Ritchie A.
Mrs.Lenie Patino Balberona Mr. Pedro Bernales Sr.
(Punong
(brgy.Kagawad) Barangay) (brgy.Kagawad)
Mr. Rally boy Sr. Mr. Mariano Bogarso Jr.

(brgy.Kagawad)
Mr. Rey Balberona (brgy.Kagawad)
Mr. Ricardo Brillantes Jr.

(brgy.Kagawad) Mr. Neo

Mr. John Berico Ganzon
(Sk Chairman) Mrs. Julie Ann jaco
Mrs. Jennifer Vega (Brgy. Secretary)
(Brgy. treasurer))

1. Regina Solito
2. Daizy balberona
1.
1. Ms.Fatima
Ms.Fatima doabi
doabi 3. Annie Germentil
2.
2. Ms.Lorelyn
Ms.Lorelyn De
De (BSPO’S))
Asis
(BNS)

Nida bagafor
Ledelyn balberona Mary ann
Leonila olmedo mosqueda
mosqueda
(BHWS) (BRK)
(BRK)
Rose
Rose solo
solo
Prescila
Prescila franco
franco
Anelin jaco
(Bhws)
(Bhws)
Vicinity Map
My House
FAMILY HEALTH ASSESSMENT FORM
Genogram
 ALFONSO
CRESENCIA
POBLADOR CONSOLACION ROSARIO
FRANCELISO
OFIANGA AMANTILLO

67 yrs. Old 69 yrs. Old 82 yrs. Old high blood 54 yrs. Renal failure
Cardiac Arrest hypothyroidism

MANUEL MARION WILFREDO NELSON CARMELO

MARILOU MAYBELE
POBLADOR POBLADOR ANABELE AMANTILLO AMANTLLO AMANTILLO HECTOR
AMANTILO POBLADOR AMANTILLO AMANTILL
O
34 Yrs.Old
68 Yrs.Old
67 Yrs. Old 65 Yrs. Old 63 Yrs. Old 59 Yrs. Old 63 Yrs. Old 64 Yrs. Old 67 Yrs. Old Cardiac
Failure Heart
failure

KRIS NIELSEN P NELSON P.

AMANTILLO AMANTILLO JR.

19 yrs. old 36 Yrs. Old

Eco-map
Family Attachment
FAMILY CHARACTERISTICS
 Identified health
problems and scoring
 Health Problems:
1.Unhealthy Lifestyle
2..Poor Environmental Sanitation
3. Excessive consumption of drinking alcohol
4.Improper way of Disposal
SCALE FOR RANKING HEALTH
CONDITIONS AND PROBLEMS
ACCORDING TO PRIORITIES
 UNHEALTHY LIFEYSTLE
Criteria Computation Score Justification

1. NATURAL OF PROBLEM 3/3 x 1 1 IT IS FORESEEABLE

NTERVENTION IS GOOD AND POSSIBLE

2. MODIFIABILITY OF THE 2/2 x 1 1 ACTIVITIES IS
PROBLEM HIGHLY PREVENTABLE AND
CONSUMING UNHEALTHY FOODS
3. PREVENTVE POTENTIAL 3/3 x 1 1
ITS SEEMS THAT THE PROBLEM DOES
4. SALIENCE OF THE PROBLEM NOT NEED IMMEDIATE ATTENTION
1/ 2 x 1 0.5

TOTAL SCORE 3.6

 Poor environmental sanitation
Criteria Computation Actual score Justification
1. Nature of the condition
or problem presented
Scale: wellness state Health threat for it can cause a bigger
Health deficit problem to the family as well as cause
Health threat
2/3x1 0.6 them illness.
Forseeable crisis
It can be easily modified because the
2. Modifiability of the family can use it properly if they want
condition/problem
Scale: easy modifiable to achieve a good health and avoid
Partially modifiable
2/2x1 1 illness.
Not modifiable
It can be prevented because the family
3. Preventive Potential can always use it properly as long as
Scale: high
Moderate they have the will to.
Low
3/3x1 1
The family see it as a problem needed
4. Salience an immediate attention for if this will
Scale: not be answered immediately it can
condition/problem 2/2x1 1 really put them at risk
needed immediate
attention
Condition/problem not
needing immediate
attention
Not perceived as a
problem/condition
needing change

Total score 3.6

 SUBSTANCE ABUSE (ALCOHOL)
CRITERIA COMPUTATION SCORE JUSTIFICATION
1. NATURE OF PROBLEM 2/3 x 1 0.6 IT’S A HEALTHY THREAT

2. MODIFIABILITY OF THE INTERVENTION IS NOT POSSIBLE

PROBLEM 0/2 x 1 0 AND DIFFICULT

PREVENTION OF
3. PREVENTIVE POTENTIAL ALCOHOLCOMSUMPTION IS
MILD POSSIBLE
1/3 x 1 0.3
4. SALIENCE OF THE IT IS A PROBLEM THAT IS NOT
PROBLEM NEED INTERMEDIATE
ATTENTION
1/2 x 1 0.5

TOTAL SCORE 1.4

 IMPROPER WASTE/ GARBAGE DISPOSAL
CRITERIA COMPUTATION SCORE JUSTIFICATION

1. NATURE OF PROBLEM 3/3 x 1 1 IT’S A HEALTHY THREAT

THE PROBLEM IS EASY AND POSSIBLE

2. MODIFIABILITY OF THE
PROBLEM 2/2 x 1 1
PREVENTION OF
COLLECTING OF WASTE/ GARBAGE IS
3. PREVENTIVE POTENTIAL HIGHLY POSSIBLE

3/3 x 1 1
4. SALIENCE OF THE IT’S NOT SEEN TO BE A PROBLEM
PROBLEM

0/2 x 1 0

TOTAL SCORE 3
PRIORITIZE
HEALTH
PROBLEMS
 THE PRIORITIZED HEALTH PROBLEMS
THE LIST OF HEALTH CONDITIONS OR PROBLEMS RANKED ACCORDING TO PRIORITIES IS PRESENTED.

PRIORITY HEALTH PROBLEM SCORE CATEGORY

1 UNHEALTHY LIFEYSTLE 3.6 HEALTH DEFICIT

2 POOR ENVIRONMENTAL SANITATION HEALTH DEFICIT

3.6

3 IMPROPER WASTE/ GARBAGE 3 HEALTH THREAT

DISPOSAL)

SUBSTANCE ABUSE (ALCOHOL) HEALTH THREAT

4 1.4
Family Nursing
Care Plan
Health Family Goal of Care Objectives of Intervention Plan
Problem Nursing Care Evaluation
Problem Nursing Method of Nurse-
Intervention Family contact

Unhealthy Inability to provide After nursing After Nursing 1.Identify some Home Visit Goal met
Lifestyle a conducive to intervention, the intervention methods or
health family will take 1.Will select a activities that
maintenance and necessary appropriate provide healthy After nursing
Cues personal measure to methods to have Lifestyle. intervention, the
development due prevent diseases healthy lifestyle. 2. Explain the family provide
to lack of in lacking of 2.Will know how importance of
knowledge to healthy lifestyle. importance is healthy lifestyle necessary measure to
preventive Healthy lifestyle to and the effects of maintain a healthy
measures our daily lives. being unhealthy. lifestyle.
3.To determine the 3. Find ways that
effects of being can improve our
unhealthy to our Lifestyle.
lifestyle.
Health Family Goal of Care Objectives of Intervention Plan
Problem Nursing Care Nursing Method of Nurse- Evaluation
Problem Intervention Family contact

Poor Inability to After nursing After nursing 1. Emphasize the Home Visit Goal met
environmental provide home intervention, the intervention the Importance of a The family was able to maintain
sanitation environment due family will be family will able clean and health an environment conducive to
to Lack of able to effectively to: environment . heath.
inadequate promote and 1.Know the 2. Encourage the
knowledge of maintain an defects of poor family to follow
importance of environment sanitation to regular schedule
hygiene and conducive to their health and of cleaning the
sanitation health. well being. environment.
2. Demonstrate
proper measures
of cleaning the
environment.
Health Family Goal of Care Objectives of Intervention Plan
Problem Nursing Care Nursing Method of Nurse-Family Evaluation
Problem Intervention contact

After nursing Provide adequate Home Visit Goal was partially met
Excessive Alcohol Inability to After Nursing intervention the knowledge
consumption recognize the intervention, the family: through After nursing
presence of the Family will take 1. Would able discussing the intervention the family
condition or necessary to state the effects of can take a necessary
problem due to measures to effects of excessive alcohol measures to prevent
lack of prevent diseases excessive consumption. diseases related to
knowledge related to alcohol consumptio Broaden the acohol consption.
consumption and n of drinking knowledge of the
Inability to make to lessen or stop alcohol. family about the
decision with drinking alcohol 2. Would able risk and
respect to taking to complications of
appropriate enumerate excessive alcohol
health action. ways on consumption.
how to Explore the
reduce family how to
drinking lessen the
alcohol. alcohol
consumption.
Health Problem Family Nursing Goal of Care Objectives of Intervention Plan Evaluation
Problem Care Nursing Methods of
Intervention Nurse-Family
Contact

Improper way of Lack of knowledge After the nursing After the 1.Teach the Family Home Visit Goal met
Disposal about the proper intervention, the intervention, the the ways on how
garbage way of disposal Family will able to Family the proper way of After Nursing
know the importance a. Know the disposal of Intervention, the
of proper way of positive effect of garbage. family had enough
disposal of garbage proper way of 2. Discuss the knowledge about the
disposal of Family about importance of proper
garbage. recycling and way of disposal of
b. Identify different segregating the garbage.
ways on proper garbage.
disposal of 3.Discuss to the
garbage. Family effects of
c. Know the improper way of
negative effect disposal
of improper way
of disposal of
garbage
 Recommendations
It is easy to learn bad things, but it is tough to learn useful and good things.
Maintaining a healthy lifestyle is not easy, but it does pay back a lot. It takes a lot of
strength to stick to a healthy lifestyle. To begin with a healthy lifestyle, we have to
start with baby steps and try not to go overboard with it.
To achieve the specified goals in keeping the mind and body fit and healthy, we
have to follow specific rules. The first and the most important one is to stick to a
particular diet and be strict about following it regularly. The diet must include a
certain amount of carbohydrate, protein, fat, and water as per the body’s
requirement. In the family assessment, we found information about my family on
how the live inside the household especially on how the handle themselves. We
have protected and guided the Amantillo family on how to solve their family
health problems through nursing interventions in order to improve the health
and to have a healthy lifestyle.
 In the nursing skills that we applied using some techniques that can able to
educate My family on how to improve a healthy diet and lifestyle by avoiding
unhealthy foods and practices in order to prevent factors that makes the
condition of hypertensions worst. Health educations and teachings include low salt
and low fat diet, treatment regimen, proper exercise and all proper sleep. My
family also told that have a proper diet especially the proper intake of food every
day.
In the field of family background, we discussed the budgeting of our resources and
solve the problems related to insufficient incomes. Then the family will able to
learn on how to regain actions related to income. Then we educate the family to
familiarize and recognize the signs and symptoms to receive an early action in
order to prevent and consult the physician when it occurs.
 Next is to advise the family, we advised the family to have a proper sleep to
regain energy in the body, improve the Immune system and improve mental health.
Making themselves avoiding to much consumption of coffee as a factor that affects
the timeline of sleep pattern included in the health teachings in the family.
To conclude, as a health care provider, we are basically present ourselves that
we know that prevention is better than the cure because if they follow the
teachings, suggestions and also recommendations then the expectations or
outcomes of the family will be able to achieve a healthy companionship and also
achieve the goals that they expected for the good of the family.
The End.