FAMILY COPING INDEX Areas Rate Justification Statement Each family member of the Garcia family is capable of doing

their activities of daily living without the assistance of others. They dont always seek for consultation every time a family member gets sick. They do not carry all the procedures or treatments given because of lack of time for their selves. All members of the family have a little knowledge on the health condition that runs in their family. Like Adelina she knows that she is a candidate for cataract operation but she refused to have the operation. The family is failing to apply some general principles of hygiene such as walking barefooted. Even though they are aware that a family member has illness they do not bring him/her immediately to the RHU for consultation. Their family has a good interpersonal relationship with their neighbors and they dont have a hard time dealing with other people. Family members also know how to express their emotions at the right situation. Their family has a good relationship within them though they also experience problems which cause misunderstanding in the family. However they still find ways to solve it. Their house needs some repair, not wellarranged facilities, untidy environment and presence of hazardous things inside the house like the scattered bottle containers and their stairs without rails. The family doesnt always seek consultation in the RHU whenever family member experience problems with their health.

Physical Independence

Therapeutic Competence

Knowledge of Health Condition

Application of Principles of General Hygiene.

Health Attitudes

Emotional Competence

Family Living

Physical Environment

Use of Community Facilities

FIRST LEVEL ASSESSMENT 1. PRESENCE OF WELLNESS CONDITIONS A. Potential for enhanced capability for health maintenance/health management Supporting Cues: If a member of the family gets sick or is not feeling well, they make use of the available resources that are in their home or community like herbal medications such as oregano. They also have with them over the counter drugs such as Paracetamol that could treat common illnesses. But when it worsens, they consult a physician at the RHU. They also use mosquito nets and protective clothing. B. Potential for enhanced capability for breastfeeding Supporting Cues: Deona breasfeed her baby per demand and burp him after feeding. C. Potential for enhanced capability for spiritual well-being Supporting Cues: The family goes to the church every Sunday. 2. PRESENCE OF HEALTH THREATS A. Accident hazards Supporting cues: Their house is made of concrete and wood. Also, their stairs is made of wood but without side rails. Their dirty kitchen is made from tiles and they utilize cooking in earthen stove. Also they have a nipa hut beside their house. Lastly, there are scattered pointed objects on the floor . B. Faulty eating habits Supporting cues: The family eats three times a day but they eat whenever they want to. They dont eat together as a whole. C. Poor home/environmental condition Supporting Cues: In terms of food storage, they are placing their left-over by just covering on the table. As stated by Adelina, They only use their refrigerator on occasions. Stagnant water in the canal which is found in front of their house can be good breeding sites of mosquitoes. They dispose their garbage through the garbage collectors but they burn they also practice burning their trashes at their backyard. D. Unhealthful lifestyle and personal habits/practices Supporting cues: Roderick is the only one who smokes cigarette among the family members. Also some members of the family walk barefooted. 3. PRESENCE OF HEALTH DEFICITS A. Illness states, regardless whether it is diagnosed or undiagnosed by the medical practitioner Supporting cues: Adelina is diagnosed with several diseases such as liver cirrhosis, enlargement of the heart, and goiter last 1999. According to her, she was diagnosed also with cataract last year and she is a candidate for operation but she refused to because of not enough financial.

SECOND LEVEL ASSESSMENT PRESENCE OF HEALTH THREATS A. Accident Hazards 1. Fall Hazards Inability to recognize the presence of the condition or problem due to inadequate knowledge about the possible risk of the problem as manifested by the stairs without rails. 2. Fire Hazards Inability to provide a home environment conducive to health maintenance and personal development due to inadequate knowledge of preventive measures as manifested by use of earthen stove in the dirty kitchen which is made up of wood and the nipa hut near their house that if fire exist it may easily spread. B. Poor home/ Environmental condition/ Sanitation 1. Presence of breeding sites or resting sites of vectors of diseases Inability to provide a home environment conducive to health maintenance and personal development due to inadequate knowledge of preventive measures as manifested by the presence of breeding sites or resting sites of vectors of diseases. 2. Improper garbage disposal Inability to provide a home environment conducive to health maintenance and personal development due to lack or inadequate knowledge of preventive measures as manifested by garbage that is not segregated and burning them. 3. Inadequate or Lack food storage Inability to provide a home environment conducive to health maintenance and personal development as manifested by absence of permanent food storage. 4. Unhealthful lifestyle Inability to recognize the presence of the condition related to inadequate knowledge about the effects of unhealthy lifestyle as manifested by cigarette smoking and walking barefooted. PRESENCE OF HEALTH DEFICITS A. Presence of Cataract Inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable member of the family due to lack inadequate family resources for care specifically financial constraints.

SCALE FOR RANKING HEALTH CONDITIONS AND PROBLEMS ACCORDING TO PROIRITIES PRESENCE OF HEALTH THREATS A. Accident Hazards 1. Fall Hazards Criteria Nature of the problem Modifiability of the problem Preventive potential Computation 2/3x1 2/2x2 3/3x1 Actual Score 0.67 1 1 Justification The problem is health threat, because these causes fall. The problem is easy modifiable by making a side rail on the stairs. The possibility in preventing fall is high if the family prioritize putting side rails. The problem needs immediate attention because these may lead to fracture.

Salience of the problem TOTAL 2. Fire Hazards Criteria Nature of the problem Modifiability of the problem Preventive potential

2/2x1

3.67

Computation 2/3x1 2/2x2

Actual Score 0.67 1

3/3x1

Salience of the problem TOTAL

2/2x1

Justification The problem is a health threat, because fire may spread all over the house. The problem is easy modifiable by being attentive in cooking and also by avoiding making fire near the nipa. The possibility in preventing fire is high if different ways of preventing fire is discuss and implemented. The problem needs immediate attention because these may lead to loss of property specially the house.

3.67

B. Poor home/ Environmental condition/ Sanitation 1. Presence of breeding sites Criteria Nature of the problem Modifiability of the problem Preventive potential Computation 2/3x1 2/2x2 Actual Score 0.67 1 Justification The problem is a health threat because these cause spread of certain diseases. The problem is easy modifiable by removing the stagnant water from the canal. The possibility in preventing presence of breeding sites is high if they dispose their garbage properly.

3/3x1

Salience of the problem TOTAL

2/2x1

The problem needs immediate attention because these may lead to severe or chronic diseases.

3.67

2. Improper Garbage Disposal Criteria Nature of the problem Computation 2/3x1 Actual Score 0.67 Justification The problem is a health threat because these serve as breeding sites of mosquitoes. The problem is easy modifiable by practicing segregation and avoid burning. The possibility in preventing presence of breeding sites is high if proper garbage disposal is strictly implemented. The problem needs immediate attention to stop the breeding sites.

Modifiability of the problem Preventive potential

2/2x2

3/3x1

Salience of the problem TOTAL

2/2x1

1 3.67

3. Inadequate or Lack food storage Criteria Nature of the problem Computation 2/3x1 Actual Score 0.67 Justification The problem is a health threat because food can be easily spoiled if it is not properly store. The problem is easy modifiable by proper way of storing. The possibility of having adequate food storage high if they use their refrigerator regularly. The problem needs immediate attention so that food will not be easily spoiled.

Modifiability of the problem Preventive potential

2/2x2 3/3x1

1 1

Salience of the problem TOTAL 4. Unhealthful lifestyle Criteria Nature of the problem Modifiability of the problem

2/2x1

3.67

Computation 2/3x1 2/2x2

Actual Score 0.67 1

Preventive potential

3/3x1

Justification The problem is health threat, because these cause certain diseases. The problem is easy modifiable if one of the member of the family quits smoking and using slippers when walking. The possibility in preventing unhealthy

Salience of the problem TOTAL

2/2x1

lifestyle is high if the family avoids the donts and practice proper hygiene. The problem needs immediate attention to prevent them into getting certain diseases and complication.

3.67

PRESENCE OF HEALTH DEFICIT A. Presence of Cataract Criteria Nature of the problem Modifiability of the problem Preventive potential Computation 3/3x1 2/2x2 3/3x1 Actual Score 1 1 1 Justification The problem is health deficit, and requires more immediate interventions. The problem is easy modifiable by having the operation done. The problem is highly preventable since their diseases can be cured only if they will adhere to their therapeutic regimens and as long as there is enough financial resources to buy for the medications. The problem needs immediate attention because these may lead to more severe complication.

Salience of the problem TOTAL

2/2x1

4.0

LIST OF PROBLEMS OF GARCIA FAMILY (Ranked according to prioritization) 1. 2. 3. 4. 5. 6. 7. Problem Presence of Cataract Fall Hazards Fire Hazards Presence of breeding sites or resting sites of vectors of diseases Improper garbage disposal Inadequate or Lack food storage Unhealthful lifestyle Score 4.0 3.67 3.67 3.67 3.67 3.67 3.67