Escolar Documentos
Profissional Documentos
Cultura Documentos
College of Nursing
Angeles City
A
FAMILY
CASE
ANALYSIS
In partial fulfillment
Of the requirements in
Nursing Care Management 102 – Related Learning Experience
1. Objectives (student-centered)
After 3 weeks of accomplishing the family case analysis, the student nurses shall
have:
Cognitive:
• Collected facts regarding the demographic data of the family
• Performed physical assessment for each member of the family
• Determined existing problems with the family
• Formulated nursing diagnosis related to family problems
• Explained existing problems identified to family
• Implemented some activities that will make the home conducive for health
development and improvement
Psychomotor
• Practiced therapeutic communication
• Gained knowledge as they interact with family
Affective
• Introduced to one’s self the family and emphasized the purpose of the home visit
in order to establish rapport
• Built a harmonious working relationship with the family members
• 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. Entry
“What you leave behind is not what is engraved in stone monuments, but what is
woven into the lives of others”
-Anonymous
Simple deeds that are done by student nurses may be left behind or remembered
but it won’t mean anything if it didn’t affect the people. It’s hard to change how the
world is but trying to improve how one lives and giving hope in little ways can affect the
way people choose to live and their perspective in life. For this Family Case Analysis, the
mission is not how student nurses are going to help them but it should be how the student
nurses are going to help the family help themselves.
For this rotation, the Family Case Analysis was conducted in the area of Cuayan,
Angeles City. The researchers had the freedom to choose who the respondent would be as
long as it follows the criteria given. Group 3 were clueless of who they were going to
interview and render services to since it was their first time being at that community. This
may be a way to train the student nurses to give services to people they don’t know and
how to earn trust and cooperation by the residents.
The criteria that were given for choosing a family for the subjected Family Case
Analysis are as follows: The family must consist of at least five members (three
children), there must be a member who belongs to the vulnerable groups (pregnant
women, children, and old-age adults) and the youngest child must be at least 1 year old.
At first, the Group 3 of section N-306 had a prospective family per student. They
each interviewed a family and assessed the family members and noted down present
problems. Trying to figure out who would best fit the criterions, they discussed their
adopted family to the other group mates and mentioned why their family adopted would
be fascinating to study. After talking and analyzing who they should interview,
consultation with their instructor occurred. Given the advice of choosing a family with
evident health problems and interventions that can be carried out, Group 3 found the
family that would be excellent to study and entailed all the criteria, Mr. and Mrs. Cuayan.
Mr. Cuayan
a. General Description
Mr. Cuayan is the head of the family. He has brown skin; his hair is above
shoulder, poorly shaved mustache. Upon initial contact, the student nurses
observed that the father was hungry because of his work. He is kind and
approachable. He wears a blue t-shirt and denim shorts; he does not wear any
footwear, or any other accessories.
b. Vital Signs
c. Physical Assessment
Skin
• Dark Brown skin complexion
• Dry
• Presence of tattoo on the right lower leg and back
• Presence of scar on left arm and right leg
• Dirty and long nails
• Good capillary refill test (2 seconds)
Head
• Hair is shoulder length, black and equally distributed
• With unshaved mustache
Eyes
• With dark brown iris
• White sclera
• Pupils equally round and reactive to light accommodation (PERRLA)
• With pink palpebral conjunctiva
Neck
• No masses
• No presence of swelling
Breast
• Symmetrical in size
• Brown nipple
• Slightly protruded
Abdomen
• Flat in contour
d. Health History
Mr. Cuayan 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 goes to the health
center to avail of medicines. Mr. Cuayan is at high risk of having heart disease since
hypertension runs in their family. He has allergies on grass and other type of grassy
plants. Presently, he has no illness.
Mrs. Cuayan
a. General Description
Mrs. Cuayan is the wife of the head of the family. She has brown skin,
her hair is shoulder level, and well combed. Upon initial contact, the student
nurses observed that the mother is busy watching her child, because she’s alone at
that time. She’ so kind and hospitable, she entertained the different questions that
the student-nurses asked. He wears a white t-shirt and denim shorts; she does not
wear any footwear, or any other accessories.
b. Vital Signs
Final home visit – January 10, 2009
T: 35.3 °C P: 80 bpm R: 21 bpm BP: 90/60 mmHg
c. Physical Assessment
Skin
• Dark Brown skin complexion
• Dry and warm to touch
• Clean and short nails
• Good capillary refill test (2 seconds)
Head
• Hair is shoulder length, black and equally distributed
• No abnormal palpable lumps
• Well combed hair
Eyes
• With dark brown iris
• White sclera
• Pupils equally round and reactive to light accommodation (PERRLA)
• With pink palpebral conjunctiva
Neck
• No masses
• No presence of swelling
• No stiffness present
• No swollen lymph nodes
Breast
• Symmetrical in size
• Brown nipple
• No palpable Lumps
• Lactating
e. Obstetrical History
Mrs. Cuayan is 29 years old, within the reproductive age and is still
capable of childbearing as evidence by she is pregnant at the moment.
According to her, she did not use any family planning method because during
those times, it is still not widely known. Her Obstetric score is G4P3 and
T3P0A0L3. All of her children were born via home delivery assisted by a
midwife.
She got pregnant with her first child in the year 2000. By then, she was only
21 years old. She had an initial check up in the public hospital or sometimes in
the health center. She gave birth on her first child on the twenty seventh of
September. According to her, she really had difficulty on her labor. On her
following pregnancies, she no longer experienced difficulty because her labor
takes only about 2 to 4 hours. Succeeding deliveries were dated, 2006, and
2007 respectively.
All her pregnancies did not have any complications or abnormalities. She
strictly adheres to the instructions of the health care providers regarding the
proper foods to eat, taking of vitamins and managing stress. She also follows
some superstitious beliefs such as eating two bananas that are adjacent will
result to twins.
Mrs. Cuayan has a regular 28-day cycle menstruation ever since. She had her
menarche at the age of 12 or 13 (as far as she can remember).
Mrs. Cuayan starts her day at around Six o’clock in the morning. Upon rising, she
will go to buy for their breakfast at the sari-sari store near their house. She will then
prepare for their food and also prepare the uniform of her eldest daughter in going to
school. After the daughter and her husband had left, she will do her usual routines—
washing the dishes, sweeping the floor and washing the clothes (usually every three days)
and watching her two children. At around eleven o’clock, she will start to prepare for
their lunch. She will serve the lunch at twelve noon. After eating, she will rest for a while
together with two children. Upon waking up she will look for merienda for her two
youngest children. When the clock strikes at six o’clock, she will then prepare for their
dinner. At seven or eight, the family will eat their dinner and watch their favorite
primetime show. Mrs. Cuayan, together with her husband sleeps at around ten o’clock
after watching TV.
Dipsie
a. General Description
Dipsie is the eldest child in the family. She has fair skin, her hair is long.
Upon initial contact, the student nurses observed that Dipsie was eating. She is
kind and shy-type person. She wears a black t-shirt and shorts; she does not wear
any footwear, or any other accessories.
b. Vital Signs
c. Physical Assessment
Skin
• Dark Brown skin complexion
• Dry and warm to touch
• Dirty and long nails
• Good capillary refill test (2 seconds)
•
Head
• Hair is long, black and equally distributed
• Well combed hair
Eyes
• With dark brown iris
• White sclera
• Pupils equally round and reactive to light accommodation (PERRLA)
• With pink palpebral conjunctiva
Ears and Hearing
• Ears recoils after folding
• No discharge
• Without any obstructions
• With ear piercing
Neck
• No masses
• No presence of swelling
Breast
• Symmetrical in size
• Brown nipple
Abdomen
• Flat in contour
d. Health History
Dipsie 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 December.
Teletubbies
a. General Description
Teletubbies is the second child of the family. He has fair skin, his hair is
blonde and at the shoulder level. Upon initial contact, the student-nurses
observed that the child was dirty and that there is presence of nasal discharge. He
is kind and approachable. He was wearing a red t-shirt, that alone. He was not
wearing any footwear. He was shy and timid.
b. Vital Signs
c. Physical Assessment
Skin
• Brown skin complexion
• Dry and warm
• Presence of rashes on the hip and buttocks
• Presence of abrasion on right knee
• Dirty and long nails
• Good capillary refill: 2 sec
Head
• Hair is shoulder length, blonde and equally distributed
Eyes
• With dark brown iris
• White sclera
• Pupils equally round and reactive to light accommodation (PERRLA)
• With pale palpebral conjunctiva
• Blurred lenses
Neck
• Chin can touch the anterior chest
• No masses
• No presence of swelling
• No difficulty in swallowing
• Lymph nodes not palpable
Breast
• Symmetrical in size
• Brown nipples and areola
• Slightly inverted nipples
Abdomen
• Round and protuberant
• Umbilicus in midline
d. Health History
Teletubbies has allergies to grass and weeds like his father. Presently, he has
cough and colds and it has been present since the first week of December. Nasal
discharge is already green in color and has a thick consistency.
Teletubbies usually wakes up by seven or eight in the morning and eats breakfast.
For the rest of the day he would only be seen playing inside or outside of the house with
other children in the neighborhood. He takes a bath with the assistance of his mother by
midday, and then sleeps in the afternoon. He wakes up again by three or four and plays
again. He takes his meals with his family and eats without his parents’ assistance. After
watching television with the whole family in the evening, he sleeps by 8 or 9 p.m.
g. Immunization Status
- administered
- not administered
Po
a. General Description
Po is the third child of the family. He has fair skin, his hair is blonde and
above the shoulders. Upon initial contact, the student-nurses observed that he was
not wearing undergarments and that there is presence of rashes on his hips and
buttocks. He was wearing a white sando and had a pacifier put into his mouth.
b. Vital Signs
c. Physical Assessment
Skin
• Fair skin complexion
• Dry and smooth
• Presence of rashes on the hips and buttocks
• Dirty and long nails
• Good capillary refill: 2 sec
Head
• Hair-length is above the shoulders, blonde and equally distributed
Eyes
• With dark brown iris
• White sclera
• Pupils equally round and reactive to light accommodation (PERRLA)
• With pink palpebral conjunctiva
Neck
• No masses
• No presence of swelling
Breast
• Symmetrical in size
• Brown nipples and areola
• Slightly inverted
Thorax and Lungs
• Symmetrical in size
Abdomen
• Slightly protuberant
d. Health History
Po was rushed to the hospital when he was months old because of a chief
complaint of convulsion. Besides that, he has not yet experienced any severe forms of
childhood illnesses.
Po is one year and two months old. Under Sigmund Freud’s Theory of
Psychosexual Development, he is at the Oral Stage, wherein the mouth is the center of
gratification. It has been evident enough that with his pacifier on his mouth, he gains
satisfaction since he does not have cries and tantrums while it is put on.
According to Erik Erikson’s Theory of Psychosocial Development, he is in the
stage of Trust vs. Mistrust. Since Po is being taken cared of, he renders trust even to
strangers, but with ample visual stimulation for a more active child involvement. When
he is being cuddled, his discomforts are easily and/or quickly removed.
f. Activities of Daily Living
Po wakes up anytime in the morning, usually at seven or eight. When his mother
does not have to wash their clothes, he stays at home and was cared by his mother. When
his mother has a lot of chores to finish, he was left on his grandmother’s home.
What he does all day is to suck his pacifier, be bottle-fed, sleep, and be carried by
his mother or his father, and at times, by his grandmother.
g. Immunization Status
- administered
- not administered
IV. SOCIO-ECONOMIC, CULTURAL, and ENVIRONMENT ASSESSMENT
Mr. Cuayan is the man of the house, breadwinner and head of the family. He is
married to Mrs. Cuayan and blessed with three children. A girl is the eldest then
followed by two boys. Mrs. Cuayan is now 5 months pregnant.
ii. Demographic profile of each member-age, birth date, and birth place
iii. Place of residence of each member –whether living with family or elsewhere
All of the family members live together at Gawad Kalinga Center, Purok 5, Brgy.
Cuayan, Angeles City.
iv. Type of family structure
The type of family they have is a nuclear type. Consisting of the mother, father,
and their 3 children. They are practicing traditional Filipino family.
The dominant family members that are responsible for decision-making are both
of the parents. The father makes decision regarding economic aspects of family life
while the mother manages the home and care for the children and also budgets their
daily expenses. Whenever there are emergency cases, they usually go to the health
center.
Mr. and Mrs. Cuayan try to keep a good relationship with the members of their
family. Like other families they also encounter problems but they try their best to
manage and don’t let it affect the relationship with each other. Whenever the family is
complete, they bond together in simple ways such as watching television, playing
with their children and going to mass regularly. When Mr. Cuayan saves extra cash
he treats his family out by taking them to the malls.
The significant other who plays a major role in the family’s life is Mr. Cuayan.
Mrs. Cuayan cannot turn to her brothers and sisters for the reason of being so far
away from them, except for her one sister. But when a problem occurs, the family
takes action first and when all fails, they ask for help from the mother’s sister.
The house of Nallatan family is lies a little far for the Barangay Hall and
Barangay Health Center. However, they still utilizes the program of the Barangay such
as the Elementary School and immuzation program of Barangay Health Center.
The father starts his day by waking up around 6am, and works at the construction
site from 8:00-5:00pm. As stated by the mother, she watches their children and does the
household chores whole day.
v. Source of income
Mr. Cuayan is a construction worker who earns 9,000 pesos a month while the
mother is a housewife.
Mrs. Cuayan is from Lubao Pampanga, while Mr. Cuayan grew up in Rizal,
Manila. After their marriage, they decided to reside at Quezon City and then moved to
Pampanga in 2007. Within the members of the family, they use Tagalog more often as
their medium of communication.
The family goes to a Catholic church regularly, and they usually spend the whole
Sunday together.
The family believes in modern medicine with regards to its effect. However, due
to financial constraints, they often leave diseases untreated and remain quite prolonged
and if the sickness doesn’t disappear they result to self-medication.
LIVING SPACE
FORMULA:
CONSIDER:
COMPARE THE TFA (TOTAL FLOOR AREA) WITH THE TSA (TOTAL SPACE
REQUIREMENT)
TFA = 21 SQM
2. Sleeping pattern
The family usually wakes up at 6am to get ready for work and school for Dipsie.
When Mr. Cuayan and Dipsie aren’t at the house, Mrs. Cuayan is busy doing her
household chores. They usually take a nap in the afternoon and just wait for the two to
come home. At night, they bond while watching their favorite television shows and after
that they go to bed by 10:00 p.m.
3. Breeding or resting sites of vectors of diseases
They also found that there are a lot of mosquitoes present at the house which can
be a source of dengue fever. The mother doesn’t use any precautions to prevent diseases
caused by mosquitoes and other insects. Protective clothing for the children was not
observed by the researchers. The two boys weren’t wearing footwear also shorts.
4. Accident hazards
Even though the children are young and love to play, safety precautions aren’t
given attention by the parents. The researchers observed that the children are prone to
accidents because of evident risk hazards such as sharp objects within the reach of the
children, cooking facilities placed on the ground.
6. Water Supply
Their water is supplied by a water faucet (gripo). This serves as their source for
water needs such as in taking a bath and cooking as well as their source of drinking
water.
7. Water storage
For drinking water it is placed in a plastic jar and water for taking baths or others
purposes are stored in a big plastic container with no cover.
8. Toilet facility
The family uses a private toilet facility. They make use of pail system when it
comes to the use of their toilet.
9. Garbage/refusal disposal
Family Cuayan disposes their garbage in a sack that is not covered. When the
sack is filled, every week they dispose it at the public garbage trucks.
2. Malnutrition 3.67
b. Priority Setting
Presence of Accidental Hazards
CRITERIA COMPUTATION
SCORE JUSTIFICATION
Nature of Problem 2/3 x 1 0.67 This is a health threat
because there is an
improper placement of
sharps and cooking
equipment within the
reach of the children. It
may cause harm and
burn to the members of
the family especially to
children.
Modifiability 1x2 2 The problem is partially
modifiable. The family
does not have adequate
knowledge on the
remedy of the problem.
They are somehow
aware to the problem,
but do not recognize it
as a felt need. And
through the health
teachings, knowledge
about the interventions,
of the student nurses the
family had come to
realize such
interventions in
minimizing the
problem. No financial
resources are needed for
them to resolve the
problem. Willingness
and cooperation by the
family is very vital.
Also, no community
resources are needed to
solve the problem
Preventive Potential 3/3 x 1 1 The problem is highly
preventable. Sharp
objects can lead to
accidents and injury of
the members of family
mostly to the children.
The problem is not that
severe and it exists in a
short duration.
Management to the
problem is currently
available.
Salience 1/2 x 1 0.5 The family recognizes
the problem but they do
not feel it needs
immediate action.
Total 4.17
Malnutrition
CRITERIA COMPUTATION SCORE JUSTIFICATION
Family's Resources:
Mr. and Mrs. Cuayan make
certain that their children, as
much as possible, will be able to
have a complete meal for
everyday to prevent from being
sick.
Nurse's Resources:
The student nurses provided
health teachings and recommend
alternative foods which are
nutritious and affordable.
Community Resources:
The community provides
program concerning about
proper nutrition in order to
alleviate the occurrence of some
health problems within the
community.
Exposure:
There is the exposure of some
members since there’s no
sufficient food to accommodate
all their needs.
CRITERIA COMPUTATION
SCORE JUSTIFICATION
Nature of Problem 3/ 3 x 1 1 This is a health deficit
because Dipsy, and
Telatubbies were
experiencing runny and
clogged noses with the
presence of nasal
discharges.
Modifiability 1/ 2 x 2 1 This problem is
partially modifiable
because the nurse’s
skill is limited and is
not sufficient to solve
it. Also, many
problems cause this and
this condition is self-
limiting. The sudden
changes of weather
may also be a cause.
Preventive Potential 2/ 3 x 1 0.67 The preventive
potential is moderate
since the problem
exists for about 2
weeks. Resources of
the health center as
well as the health
teachings provided by
the student nurses are
available.
Complications such as
pneumonia can be
prevented if proper
interventions are given.
Salience 2/2x1 1 The mother sees this as
a problem but does not
continue medications
due to the lack of
financial resources.
Total 3.22
Inadequate Living Space
CRITERIA COMPUTATION
SCORE JUSTIFICATION
Nature of Problem 2/ 3 x 1 0.67 The problem is a
health threat because
it makes
communicable
diseases easily
transmitted.
Modifiability 1/ 2 x 2 1 It is not possible to
widen their area. The
family can be taught
of how to arrange
and organize their
things in the house to
widen the space.
Preventive Potential 1/ 3 x 1 0.33 The problem has a
low preventive
potential since the
family had adapted to
the place and they
have no plans in
transferring to
another place that is
more spacious.
Salience 1/ 2 x 1 .5 According to the
mother, they are
already used of that
kind of living space.
She said they don’t
have other choice but
to leave there.
Total 2.5
Poor Ventilation
INADEQUATE VENTILATION
Family Resources:
The family may open the windows
during the day thus allowing a free flow
of air in the house. They may also open
the door to add fresh air exchange.
Student Resources:
The students may provide health
teachings on ways to prevent the
possible occurrence of the effects of the
problem.
Community Resources:
The BHC can provide a seminar on the
effects of inadequate ventilation to
health.
Management:
The family may open the windows and
the door to facilitate entry of air and
may use thin curtains.
Exposure:
All the family members are exposed
since they all reside in that area.
CRITERIA COMPUTATION
SCORE JUSTIFICATION
Nature of Problem 2/3 x 1 0.67 The problem is a health
threat as it could cause
certain disease
condition such as
parasitism to the family
especially to the
children.
Modifiability 0/2 x 2 0 The problem is not
modifiable since the
family does not have
the knowledge of how
communicable diseases
are transmitted and
resources of the family
and community with the
limited knowledge of
the nurse is not
sufficient to solve the
problem.
Malnutrition
Cues Analysis of the Objectives Nursing Intervention Rationale Expected
Problem Outcomes
S> 1. Inability to provide Short Term: > Assess each members > To have a Short Term:
“nangangaya adequate nursing care After 2 hours of present nutritional status baseline data The family shall
yat nga sila to dependent and nursing interventions, have verbalized
di kasi vulnerable at risk the family will be able understanding of
kumakaen members of the family to verbalize > Discuss with the family >To make the health teachings
minsan” resources for care, understanding of health presence of malnutrition family aware of and able to give
O>Dipsy specifically financial teachings and is able to the presence of causes and effects
Wt: 22kg constraints. give causes and effects such problem and prevention of
BMI: 15.28 and prevention of > Discuss with the family malnutrition.
>Telatabies 2. Inability to malnutrition. a list of suggested
Wt: 12 kg recognize presence of nutritious food
BMI:17.41 the problem due to lack > To correct
>Po of knowledge of faulty food habits
> Discuss and identify
Wt: 7.7kg present condition. causes and effects of > To increase
BMI:15.26 malnutrition like having knowledge;
3. Inability to decide low body wt., decrease
about taking resistance to diseases and stimulate family
appropriate action due easy fatigue to attend the
to failure to situation as soon
comprehend the nature, > Emphasize the as possible
magnitude & scope of importance of having
the problem. ideal body weight to
become healthy > To serve as a
gauge for the
family in
identifying their
> Encourage mother to current nutritional
make use of community heath status and
resources like ampalaya, be able to monitor
talbos-kamote etc. it effectively
> For low-cost
> Explain to them what food alternatives
specific vitamins and having the same
minerals they need for nutritional value
their respective ailments
and health. > To be able to
inform the family
> Discourage eating junk what deficiency
food in between meals they could
acquire, if there is
a lack on these
vitamins and
minerals
> To encourage
> Considered criteria in proper food
planning meals by intake, prevent
involving mother in loss of appetite
planning meals in prior to meals and
accordance to available promote healthy
resources in the eating habits
community
Subjective : The mother is After 2 home visits >Suggest to the mother to >Rest will decrease Family would be
nga aware that this is of student nurse- provide enough rest for the chances of able to perform
“sinipon
a problem but family interaction, the children and increase lowering body the health
halos sila e”
lacks knowledge the family will be their fluid intake. resistance and the teachings given
on how to cure able to verbalize fluid promotes and eliminate the
Objective:
children and prevent it understanding that expulsion of mucus presence of the
>The
experience runny from occurring the present condition secretions on the disease and
has spreading the given. like oranges, guava and increase the body’s
>Dipsy
upon infection easily fruit juices. resistance against
wheezes
and the possible infection.
auscultation.
complications it >Demonstrate to the
may cause such children in covering their >This will prevent
as pneumonia. mouth when coughing the spread of the
and wiping the nasal area infection.
when secretions are
flowing out.
>Encourage the children >For better
to drink plenty of water. expectoration of the
mucus secretion.
Poor Ventilation
Cues Analysis of the Objectives Nursing Intervention Rationale Expected Outcomes
Problem
S> “sinara nga 1. Inability to Short term: > Assess the > To obtain base line Short term:
namen yung provide a home environmental condition data
bintanang yan. Di environment After 2 hours of the family The family was able
na nga nabuksan” which is of nursing > Provide health > To inform the family verbalize
O> There are adequately interventions information regarding the how ventilation helps understanding about
presence of: ventilated for the family will necessity of adequate improve our health effect of having poor
health be able to ventilation at home ventilation.
>the inside of the maintenance, verbalize > Improve ventilation
house is hot and growth and understanding > Explain to the family inside the house by
with thick curtains development due about the the need for more supply providing open
to financial effect of of air for proper windows
> one of their problems. having poor circulation on the house
window is covered ventilation > To make the family
with plywood. 2. Inability to such as poor > Inform family about aware and for the
recognize the circulation of possible complications or family to act on it
>Window are presence of air and prone risk for a congested place,
always close. congestion and its in cross such as easy transmission
probable/possible infection of of disease >For better circulation
effects to each communicable >Instruct the family to of air
member of the diseases. remove the cover in their
family window.
Poor Personal Hygiene
Cues Analysis of the Objective(s) Nursing Rationale Evaluation
Problem Interventions
S> O Inability to Short term: > Explain to the > To encourage the The family shall
After 2 hours of family the family to comply
O> Children have recognize the have understood the
nursing importance of with the instructions
soiled skin because presence of the interventions, the maintaining proper given. importance of
family will be able hygiene.
they don’t take a problem due to lack having a good
to verbalize > To motivate the
bath everyday of knowledge on the understanding on family in personal hygiene.
the importance of > Discuss to the maintaining proper
>Long and dirty causes and effects
having a good family the relevance hygiene
nails presence in of such. Personal personal hygiene of having good
AEB bathing the hygiene in
father and children hygiene is important
children everyday maintaining a > Nails are good
> Children wearing as a it is a and cutting of finger healthy life. source of
and toenails. contamination and
rugged clothes. contributing factor
> Instruct them to can be a reservoir
>Telatabies and Po to being healthy and cut nails regularly for microbes
and prevent nails
don’t wear shorts or keeping our
from becoming
any underwear resistance against dirty > To avoid injury as
well as to prevent
the seen walking infection stronger
parasitism
bare-footed during > Instruct the
children to wear > To prevent dental
the home visit
slippers inside and carries and promote
outside of the house healthy gums and
teeth
> Encourage family
to brush teeth at > To prevent food
least 2 times a day. borne diseases and
contamination of
> Encourage family food.
to wash hands
before and after > To have a clearer
meal. picture and
knowledge as to
> Demonstrate hand washing
proper hand technique.
washing technique
to the members of
the family.
VII. Family Coping Index
Initial Final
Category Visit Justification Visit Justification
1 3 5 1 3 5
1. Physical x All family member are x Same on what student-
Independence well and no disabilities. nurse observed on the
Sometimes the mother initial interview.
cannot do all household
chores because she’s
taking care of her 2
children that are
dependent to her.
2. Therapeutic x The 2nd son is x Health teachings were
Competence experiencing cold and done and the student-
flu since December and nurses saw the changes
there is no medication on the condition of the 2nd
given by the parents. son.
3. Knowledge of x The mother knows the x Health teachings were
Health Condition complication and done, the family is now
consequences of colds more knowledgeable
and flu. But there is about colds and flu.
know medication that
given or any preventive
measures that was
observed
4. Application of x The house is partially x The family gained more
Principles of clean, but there are knowledge about the
Personal Hygiene some area in the house importance of clean
that needs to be environment and proper
improve. The children hygiene.
takes a bath once a day,
but because of playing
outside they turn out
dirty.
5. Health Care x The student- nurses x The family gained more
Attitudes observed that the knowledge about seeking
family have knowledge health providers in
about the importance of dealing with different
health care but its quite illnesses. The family
not enough. knows now different
interventions in dealing
health problems.
6. Emotional x Sometimes family with x The family failed to
Competence different communities comply with the health
is lacking of security teachings done of
and maturity maybe student- nurses because
because of their of lack of resources and
unstable life due to at the same time because
financial and family of the condition of the
problem that they are mother. But we saw a
facing. The mother is willingness of the family
not enough watching to comply with the
her two small children teaching.
because she is pregnant
and she have a lot of
household chores that
should be done.
7. Family Living x The father is making all x As what we saw in the
Patterns the majority decision in initial visit. The family
the family, he is the doesn’t have any problem
bread winner of the with each other.
family. And the mother
is the light of the house
who’s making all the
household works. This
family is an example of
a traditional Filipino
family. Each of the
children is dependent to
the parents.
8. Physical x The house of the family x The family complied
Environment is partially clean that with the health teaching,
needs improvement. but because of financial
There is a part of the factor, some of the
house that is hazardous problem that observed
to the family and can are still present.
cause illness.
9. Use of Community x The family is aware of x After the health teaching
Resources the different services the mother knows the
offered by the barangay importance of visiting the
health center. But health center once a week
because of limited time because of her condition.
and the location of their
house, they cannot
avail those services.
VIII. Learning Derived
We all know that the Family is the Basic need of Society, meaning if there is no
Family, there is no society. We never expected to learn this much from a family whom
were just strangers at one point as well as from on another.
This FCA proved to show that this isn’t just a report that is required to pass. But
a report where you get so caught up and so involved, you tend to find yourself
understanding the real reason. This project has given us the meaning why
communication and interacting is so important. Communicating takes place so much in
everyday life but this time it felt different. Those words became actions and actions made
a difference.
The Family Case Analysis has taught us so many things. It taught us how to
really get involved in work, and take it seriously and of course emotionally. You cannot
just work without any feelings, what would that make you, numb? We all wanted to be a
reason for hope for a better life of this family and that being too serious isn’t enough,
loving and enjoying what you are doing will make the work more meaningful. We all
struggled to make this report possible but if you look deeper, this just proves to show that
cooperation, dedication and unity were combined.
The community is just not a place where they live in, but a place where many
people are affected as one and being there with the family made us feel that we too
gained something.
We learned that there are a lot of people who are less fortunate and health
education can teach them important information to help prevent certain infections,
diseases or unwanted outcomes. We can make a difference in people’s actions and it is
possible to change the way they perceive life.
With this report, it enhanced our social skills, and getting all the information
we’ve acquired showed that we can get along with people. How many people can go up
and ask all theses questions, not to mention when some of them are very personal. We
were able to gain the family’s trust, and that gave us a plus factor feeling knowing that
we’re doing a good job with them, and that they enjoy our company.