Professional Documents
Culture Documents
ANGELES CITY
SUBMITTED TO: MR. MARCO ANTONIO Y. TIQUI MRS. CARMELITA DJ. RAMOS
TABLE OF CONTENTS:
I. INTRODUCTION
V. PROBLEM IDENTIFICATION
VIII. SOCIOGRAM
INTRODUCTION: Nursing- includes a range of specialties and definitions that vary from country to country.
Community health nursing- a field of nursing that is a blend of primary health care and nursing practice with public health nursing.
Public health nursing- a field of nursing that is concerned with the health needs of the community as a whole. Public health
nurses may work with families in the home, in schools, at the workplace, in government agencies, and at major health facilities.
Family case analysis- is an instrument utilized by PHN nurses and student nurses a like in delineating all prevailing problems
Why should you do family care analysis- is a tedious and painstaking requirement but it is rewarding enough as it is. It served
as a wakeup call for all student nurses, making them witnesses of the poverty and decreasing self-reliance when it comes to
A. OBJECTIVES
1.
Student-centered
At the end of the whole day home visits to the family. The student will have:
Introduced to ones self the family and emphasized the purpose of the home visiting order to establish rapport.
Discussed the problems identified and pointed out solutions to prevent the problem.
Perform interventions associated with the diagnosis of the family to promote wellness.
2.
Client-centered
At the end of the whole day home visits to the family. The family will have:
They gained awareness regards to the family health status and health problems.
Broaden their knowledge tin terms of the importance of having healthy lifestyle.
Prioritize the identified family health nursing problems with the assistance of their student nurse.
Long-term objective:
1.
Student-centered
At the end of four weeks of home visits. The student will have:
Improve nursing skill in terms of therapeutic communication, physical assessment and in rendering care and service.
Gather and obtain pertinent data including demographic, socio-economic, cultural, and environmental data.
2.
Client-centered
At the end of four weeks of home visits the family will have:
Categorize the identified health problems as health threat, health deficit or foreseeable crisis through the assistance of their student- nurse.
A sunny Friday when the group first visited the Jao Ville. The group looked for family that is capable and
qualified in their family care plan. At first, they felt the fear and worry because the group doesnt know the people there.
The entire groups expected about those places are collective of people taking drugs and abusive. Then, they finally
found their chosen family and they saw the mother combing the hair of their daughter, the father is repairing the parts of
the bike, one of their children was playing on the sand and the group respectfully gave greetings magandang umaga po
The entire group arrived at 7am going to 9TH street Marisol. It was the first time that the group went to that place
Its unfamiliar environment welcomed them. Mam Carmelita Ramos and Mr. Antonio Tiqui grouped them into two.
The group went to Jao Ville and the group saw a big population and a huge number of children playing laro ng lahi on
the street. The groups were very shy because all of the people there are staring to them and a group of mothers were
murmuring while on them, the group felt that they were the topic but they continued walking and looked for a family.
In the groups 2nd visit. They documented some information such as vital signs of the present members.
That time the father and their three children are not at home. The father is a tricycle driver thats why the groups are
difficulties interviewing him. The three children wasnt around, the mother explained that they were not staying at home.
In our 3rd visit, the group asked the family if they are feeling well or is there something wrong about their body.
After several talks and playing with the two children, we ask permission to the parents if we can personally bath the
children and the mother said yes and we started bathing them. After that the group helped the mother in cleaning their
backyard and they also help getting water from water pump in their neighbour.
Its our final visit in the family. The group did what was intended to do that day. They had their final
documentation and they added some tips about health. At last, their children were complete. So, the groups perform
the assessment to them. That was the first time the group meet the three children. The group really spends time to
them because that day will be the last time that they will be seeing them. The group cherish the last moment because
NAME
AGE
BIRTHDAY
GENDER
CIVIL STATUS
EDUCATIONAL ATTAINMENT
Papa x
61 y/o
father
male
married
Mama x
44 y/o
mother
female
married
Ate x
26 y/o
Eldest
female
single
Kuya x
22 y/o
2nd eldest
male
single
Ate xx
17y/o
female
single
Baby 1 x
06 y/o
2ndyoungest
male
single
Baby 2 x
05 y/o
youngest
female
single
A. GENERAL CONDITION/APPEARANCE
Papa x is the head of the family. During our first visit he was wearing white shirt and pants. He was dirty because his
job is vulcanizing. He was repairing the parts of the bicycle. His vital signs were taken on Nov 25, 2011 and as follows;
B. VITAL SIGNS:
C. PHYSICAL ASSESSMENT
MOUTH AND THROAT: Teeth are yellowish. Presence of caries on the upper and lower molars positive for halitosis.
Papa x was never been hospitalized. He previously had coughs, colds, fever and diarrhea. When feeling sick,
he usually gets enough rest and his wife gave him adequate water. And if illness does not subside in three days, he usually
E. ACTIVITIES OF DAILY LIVING ( PAPA X ) 5am - 5:30am Wake up and drink coffee.
5:30am - 10am
Working hours.
10am - 11:30am
11:30am - 12pm
Eat lunch.
12pm - 5pm
Working hours.
5pm - 7pm
7pm - 8pm
Eat dinner.
8pm - 5am
Time to sleep.
A. GENERAL CONDITION/APPEARANCE
Mama x is the wife of the head of the family. She has brown skin. Her hair is shoulder level and not well combed.
Upon initial contact, the group observed that the mother is busy watching her child. She was so kind and hospitable.
She entertained the different questions that the group asked. She wears a white t-shirt, pajama and she wears footwear.
Her vital signs were taken on Nov 25, 2011 and as follows;
B. VITAL SIGNS:
Dec. 02 2011 BP: 130/90 mmhg T: 37.1C/ axilla PR: 90 bpm RR: 20 bpm
Dec. 07 2011 BP: 120/90 mmhg T: 37.1C/ axilla PR: 88 bpm RR: 17 bpm
Dec. 09 2011 BP: 140/90 mmhg T: 36.4C/ axilla PR: 96 bpm RR: 20 bpm
Mama x had never been hospitalized or acquired any serious illness in the past. She had experienced simple cough and
colds some years ago but was resolved through home remedies such as taking more fluids and citrus fruits and sometimes over
E. ACTIVITIES OF DAILY LIVING ( MAMA X ) 5am - 5:30am Wake up and prepare the things that the father needs. Sleep again.
5:30am - 7am
7am - 8am
Wake up and take her second youngest child to school. Cleaning the house and cook for lunch.
8am 11:30am
11:30am - 12pm
Eat lunch.
12pm - 7pm
7pm - 8pm
Eat dinner.
8pm - 5am
Time to sleep.
A. GENERAL CONDITION/APPEARANCE
Ate x is the eldest child in the family. She has fair skin, her hair is long. Upon initial contact, the group observed
that ate x is washing their clothes. She is kind and friendly person. She wears a white t-shirt and black shorts and she
wear footwear and has accessories. Her vital signs were taken on Dec 09, 2011 and as follows;
B. VITAL SIGNS:
C. PHYSICAL ASSESSMENT
CHEST AND LUNGS: Presence of cough and sputum noted. Presence of wheezing sound.
Ate x had not acquired any serious disease or illness in the past and had not been confined in a hospital.
At present, she is experiencing cough and colds which begun in the last week of October.
9am - 10:30am
10:30am - 11:30am
Watching television.
11:30am - 12pm
Eat lunch.
12pm - 3pm
Rest time.
3pm - 4pm
4pm - 7pm
7pm - 8pm
Eat dinner.
8pm - 9am
Sleeping hours.
A. GENERAL CONDITION/APPEARANCE
Kuya x is the second eldest child in the family. He has dark skin, his hair is shiny and in clean cut. He is kind.
He wears a blue t-shirt, black shorts and he wear footwear. His vital signs were taken on Dec. 09, 2011 and as follows;
B. VITAL SIGNS:
C. PHYSICAL ASSESSMENT
EARS: Presence of dirt and cerumen. He responses late when being called.
GASTROINTESTINAL: He is constipated.
Kuya x was never been hospitalized. He has no allergies to any kind of foods. Presently, he has cough and colds
5:30am - 10am
10am - 11:30am
11:30am - 12pm
Eat lunch.
12pm - 5pm
5pm - 7pm
7pm - 8pm
Eat dinner.
8pm - 5am
Time to sleep.
A. GENERAL CONDITION/APPEARANCE
Ate xx is the third eldest child in the family. She has flawless skin, her hair is long. She is friendly person.
When we saw her, shes holding her cell phone and texting. She wears a black t-shirt and black shorts. Her vital signs
B. VITAL SIGNS
C.
PHYSICAL ASSESSMENT
MOUTH AND THROAT: She has yellowish teeth, presence of tartar and presence of halitosis.
D.
Ate xx verbalized that she had never been hospitalized. Sometimes due to weather changes, ate xx had fever,
10am - 11:30am
11:30am - 12pm
Eat lunch.
12pm - 4pm
4pm - 7pm
7pm - 8pm
Eat dinner.
8pm - 10am
Time to sleep.
A.
GENERAL CONDITION/APPEARANCE
Baby 1x is the second youngest child in the family. He has dark color skin, his hair is short. Upon initial contact,
the group observed that baby 1x is playing his baby sister. He is quite naughty child. He wears a white printed t-shirt and
chequered shorts and he wear footwear. His vital signs were taken on Nov 25, 2011 and as follows;
B. VITAL SIGNS:
C. PHYSICAL ASSESSMENT
5am -7am
7am - 11:30pm
School hours.
11:30 - 12pm
Eat lunch.
12pm - 3pm
3pm - 8pm
8pm - 5am
Time to sleep.
A. GENERAL CONDITION/APPEARANCE Baby 2x is the youngest child in the family. She has dark color skin, her hair is short. Upon initial contact,
the group observed that baby 2x is playing his brother. She is shy-type child. She wears a pink t-shirt and pajama and
she wear footwear. Her vital signs were taken on Nov 25, 2011 and as follows;
B. VITAL SIGNS
C. PHYSICAL ASSESSMENT
D.
According to mama x like baby 1x, baby 2x had never been hospitalized. Sometimes due to weather changes,
baby 2x had fever, cold and coughs. At present, she has colds and cough.
5am -7am
Eat breakfast.
7am - 11:30pm
Watching television.
11:30 - 12pm
Eat lunch.
12pm - 3pm
3pm - 8pm
8pm - 5am
Time to sleep.
Noted: this is based on mama x. She was unable to present the immunization record because it was misplaced.
The family have two younger children aged five and six, they dont drink milk instead they like to drink
coffee (Nescafe). Their food source comes from their backyard. Their plants are eggplants, radish, okra, tomato and mustard.
The family X is nuclear family and they are currently living at lot #2 Jao Ville, Marisol. The head of the family is papa x,
61 years old and was born on June 15, 1950. Together with him his wife mama x, born on march 01, 1967 and she was 44
years old. They are married for 26 years. Their eldest child is 26 years old and was born on May 5, 1985. Now, she was
stopped schooling after she graduated high school but shes helping her mother cleaning their house. The second eldest child
is 22 years old and was born on March 15, 1988. He also stopped schooling because they dont enough money but he is
currently helping her father. Their third eldest child is 17 years old and was born on February 02, 1994. She also stopped
Their second youngest is 6 years old and was born on august 03, 2006. He is studying in blist school as grade 1 and their
youngest is 5 years old and was born on September 23, 2005. Shes not yet attending school because the required age for
grade 1 is 7 years old. Mama x is the one who made decisions because she is the one whose taking care of the children
and manage daily expenses. Papa x is simply stay at home during free time and take a rest because hes tired on his work.
The family X primary source of income comes from the salary earned by papa x as a tricycle driver and a worker of small
town lottery. He usually starts working from 4 in the morning until 5 in the afternoon. He usually earns hundred to two
hundred per day in his tricycle and in the small town lottery he earns ten pesos in every hundred peso in stake.
The family x participates in the communitys activity. They have good relationship with their neighbours
because they get the chance to spend time with them if there is free time.
All members of the family speak kapampangan and tagalog and they are Roman Catholic. Sometimes they
attend mass but the father doesnt attend or hear masses due to lack of time.
Values, Beliefs, Tradition, Cultural aspects and Relation to their health practices.
The family x believes in usog, tawas and albularyo. When one of the family member get sick they first bring them
to quack doctor instead of going straight to the medical doctor because they could not afford the doctors fee due to financial
constraints or problems, if it is only minor illness like cough and colds they will only just drink calamansi juice. They usually
pray at night and they will just make gatherings when its Christmas and New Years Eve.
Family x lives in a made shift house. Their house serves all purposes for the family usage such as dining, living, kitchen and
bedroom. They have one window and one electric fan and their sources of light come from their neighbour. Their house is
within an area approximately adequacy of light. It has no vacant area and we pass through a narrow path way leading to
their house but they have front and side yard for the children to play.
The house measured 4.36mx3.92m and the family is consisting of seven members five of them are adults and two are
children. Based on the computation for adequacy of living space the total floor area is 20.01sq.m and the TSR is 61sq.m making the
house crowded for the family of seven members since the total space requirement is greater than the total floor area.
The inadequacy of living space may result to easy transmission of communicable disease. All member of the family sleep together
one bedroom.
It has been noted of the X house that there are sites for breeding vectors during interventions it is noticeable that
there are cockroaches and other insects. Since the backyard and front yard is the garbage disposal, the flies and mosquitoes
D. ENVIRONMENTAL CONDITION
Their source of water comes from a water pump located near their house. They use this for bath, laundry and
other household chores. They buy water in that comes from faucet (NAWASA) for them to drink they fall in level two and
three. They stored their water in a one gallon mineral water container. They stored the water coming from water pump in
the pail.
The X family has their own toilet. They used the septic tank, pail system down through manual flushing as their
means of toilet of toilet facility. The toilet is beside their utility area and unclean. They made a cat hole in the sand as their
garbage container. The drainage system is beside house causing foul smell and favourable breeding site of insects. They
2. Malnutrition
3.33
2.84
2.84
2.84
4. Goiter
2.5
Problem No 1. Presence of cough and colds Criteria Nature of the problem Computation 3/3 x 3 Score 1 Justification It is a health deficit since this is an actual health condition being experienced by the two children baby (ex1 and baby ex 2).
Modifiability of the problem 2/2 x 2 Preventive Potential The problem has moderate preventive potential considering facts that cough and colds is usually self limiting and easily managed. 3/3 x 1 Salience The family dully recognizes the presence of cough and colds as a problem needing immediate attention as verbalized by the mother in one of the home visit, 2/2 x 1 1 1 2 It is easily modifiable with proper knowledge and usage of community resources such as herbal medicine and some health teaching by the nursing students.
Total
Problem No 2. Malnutrition
Computation 3/3 x 3
Score 1
Justification It is a health deficit because according to assessment made the weight of the children are below the ideal weight.
Modifiability of the problem 1/2 x 2 1 It is partially modifiable the families are inadequate to address the problem although the student nurses could rendered health teachings to the family about the nutrient rich food which are inexpensive and could assist them in preparing meals properly to address the problem.
Preventive Potential
This problem has a low preventive potential the mother tries her best to feed adequately their children but their financial problem is preventing her doing this. 1/3 x 1 0.33 The problem recognize needing an immediate attention. In one of the interviews the mother stated that she is just so helpless regarding the problem.
Salience
2/2 x 1
Total
3.33
Problem No 3. Criteria
2/3 x 1
0.67
It is a health threat because this type of condition predisposes the family to infection and spreading of the diseases. Contamination of the foods can cause disturbances to the growth of their children.
Modifiability
1/2 x 1
It is partially or moderate modifiable, because proper health teaching came from the nurses can help them. They can also motivate and assist the family in cleaning their house and their surroundings. These such kind of problems requires the whole take drastic measures of fully eliminating the problem.
Preventive Potential
2/3 x 1
0.67
Since the family X is used to this long time existing problem, health teaching may have an effect to their compliance of their problem. As well as the lack of necessary actions of the government decreases the potential of preventing this kind of problem.
Salience
1/2 x 1
0.5
The family recognizes the condition as a problem, but they do not see it as something needs immediate attention. This situation cannot be charged immediately according to them and there are more important needs attention.
Total
2.84