Family Case Study: Liceo de Cagayan University

Liceo de Cagayan University
RNPBlvd.Carmen,CagayandeOroCity

IN PARTIAL FULFILLMENT
OF THE REQUIREMENTS OF NCM5O1205
RELATED LEARNING EXPERIENCE (RLE)
Family Case Study

Submitted by:
AkimaGraceR.Matias
Submitted to:
Mrs. Sylvia S. Garcia, RN, MAN
December17,2010
TABLE OFCONTENTS
I – Introduction 3
a. Overview of the study 4
b. Scope and Limitation of the Study 4
II – Spot Map
a. Narrative
III – Family Profile 5
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IV – Family Health History 7
V – Present Health Status 8

a. Nursing Review Chart
VI – Integrated Management of Childhood Illness 15
VII – Home and Environment 18

a. Housing
b. Water Supply
c. Toilet Facility
d. Kitchen
e. Garbage disposal
f. Drainage System
g. Domestic Animals
h. Food Storage
i. Neighborhood
j. Community Facilities
VIII – Family Coping Index 21
IX – Schematic Diagram 23
X – Family Care Plan 25
XI – Actual Implementation 28
XII- Recommendation 30
XIII− Evaluation 31
XIV Bibliography 32
XV Appendices 33
I. INTRODUCTION
A. OVERVIEW OF THE STUDY
Community Health Nursing is a unique blend of nursing and public health practice
woven into a human service that properly developed and applied has tremendous impact on
human well being. Its responsibilities extend to the care and supervision of individuals and
families in their home, in places of work, in schools and clinics. It is one of the basic services of
health departments. The community health nurses, as members of the health team, are
expected to integrate within the context of family health care, the priority programs of the
Department of Health.
Everyone has his own definition of what is a family. The meaning of family is different to
every one of us. All definitions adapt to all families. A universal family is a nuclear family. The family
consists of adults of both sexes who are married the adults have biological children and socializes
them. By socializing their children they are transmitting the culture of their generation to their
children. The family helps bring about harmony and integration in society. Other institutions have
nowadays taken on these functions.
Children are usually the reflection of their parents. They carry on whatever they learn from
their parents onto their own. Children need the love and care from both parents, so they will not
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feel incomplete. It takes two to have children, and those two should raise the child together with all
the love they have to offer.
The family’s major roles are to protect and socialize its members. Among the many functions
it serves, of prime importance is the role of the family plays in providing emotional support and
security to its members through love, acceptance, concern, and nurturing. In addition to providing
an emotionally safe environment for members to thrive and grow, the family is also a basic unit of
physical protection and safety. This is accomplished by meeting the basic needs of its members:
food, clothing, and shelter. Provision of a physically safe environment requires knowledge, skills,
and economic resources. The adult members through employment secure the economic resources
needed by the family.
Family X is an extended family composed of their own two children and parents of the
wife’s side. They live at Zone 3 Baikingon, Cagayan de Oro City. They were renting a house that
cost a hundred per month. The head of the family is a government employee as a construction
worker while the wife is a plain housewife.
I chose this family because they fit the required criteria for the family case study such as
the family income is below eight thousand, family that has a maximum of six members with
children’s age from zero to five years, and with a geriatric member. This family has the income
of six thousand to six thousand five hundred a month; they are six in the family; the wife’s
parents, the couple and their two children.
The objective of the study is to smooth the progress of putting into practice of family-
oriented nursing care and make certain an organized approach in the delivery of the nursing
services to the families in the community, purposely in the application of nursing process. It
aims to identify health problem of a family within the community. As student nurses, we could
give and apply some nursing interventions that are applicable and attainable within the
community health services. Also to offer some health teaching strategies for our clients such as:
1.) Visit the health center in their Barangay as a way maintaining health status of the family.
2.) How the environment affects such problem that the family experiencing and,
3.) How can a member of the family team help the family to deal with such problems?
On the later part the actual implementation and health teachings is given means on
setting up and evaluating the care at the family level. And lastly, to show and document the
array of services that nurses provide at the family level.
B. SCOPE AND LIMITATION OF THE STUDY

This study focuses to the prevention of health problems, and promotion of health by the family
X.
The scopes of this study are as follows:
 The family must be a resident of Zone 3, Baikingon CDOC.
 The family must be assessed and cared for by the student in-charge for at least 6 visits.
 The students must have the consent coming from the family to make them the subject
of the study.
 The scope of the study includes the family member’s personal and health profile and
spot map of their residence, the chief complain of the family member with a health
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problem and the family members, the history of present illness of the member with a
health problem, the nursing assessment, the family coping index, the integrated
management of childhood illness, the family health plans and the actual implementation
of different interventions given to the family.
 The different references were also part of this study, which encompasses the use of the
different community health nursing books, nursing care plan books and other sources
which served as guide throughout the study.
II. SPOT MAP (Narrative)
From the point of reference which is Liceo De Cagayan University, we used a private vehicle
during our travel and paid 50.00 php each student back and forth but when riding a public
utility vehicle, the terminal is situated in the northwest of the cogon market. The fare for adults
is 40.00 php and for students senior citizen is 38.00 php. We did not follow the route of the
public utility vehicle going to Baikingon. We started out travel by passing through the National
Highway and passed by many landmarks such as Makro, RER, and other landmarks that is
famous within the busy streets of the National Highway. We passed through the Bulua gym,
and went straight ahead until we arrived at the bridge of the Iponan River and went straight
ahead again and followed the dusty and rocky roads going to Baikingon. Approximately we
travel about 14 kilometers from the point of reference to the area of destination which is
Baikingon and the travel time is approximately 30-45 minutes. The roads were dusty and some
were well cemented but the travel was worthwhile and enjoying.
III. FAMILY PROFILE
Head of the family

Name : R. B
Position in the family : Husband
Gender : Male
Age : 25 years old
Civil status : Married
Birth date : May 27, 1985
Birth place :Cagayan de Oro City
Citizenship : Filipino
Religion : Roman Catholic
Occupation : Construction Worker
Monthly income : Php 6000
Mother
Name : J. N
Position in the family : Wife
Gender : Female
Age : 24 years old
Birth date : May 8, 1950
4
Occupation : Housewife
Monthly income : None
Grand father
Name : A. N
Position in the family : Grandfather
Gender : Male
Age : 63 years old
Birth date : August 31, 1947
Occupation : None
Grand mother
Name : N. Y
Position in the family : Grandmother
Gender : Female
Age : 57 years old
Birth date : July 12, 1953
Occupation : None
Son
Name : M. B
Position in the family : Son
Gender : Male
Age : 4 years old
Civil status : Child
5
Occupation :None
Daughter
Name : M. B
Position in the family : Daughter
Gender : Female
Age : 3 years old
Civil status : Child
Occupation : None
IV. HEALTH HISTORY
Mr. R. B
Mr. R. B is 25 years old and currently resides in Zone 3, Baikingon, Cagayan de Oro City.
He works as a construction worker whose income is just enough for their family. He was
delivered through a Normal Spontaneous Vaginal Delivery. According to Mr. R. B he had
completed his immunization. He does not have any food and drug allergies. And he can’t
remember anyone from his parents and grandparents having serious illnesses that he might
inherit. He cannot recall of having any serious illnesses in the past six months. But he
remembered of having cough and colds due to climate change. He left it untreated without
taking any medications. He was never been confined nor brought to a hospital for treatment.
Mrs. J. B
Mrs. J. B is 24 years old and a plain housewife. Her menarche began when she was 13
years of age. Her 2 children were delivered at Health Center through Normal Spontaneous
Vaginal Delivery (NSVD) with no complications noted during the course of pregnancy, labor,
and delivery. She had prenatal checkups at the Barangay health center. She was able to
breastfeed her children. According to Mrs. J. B she was not been confined to a hospital before
and nor experienced any serious illness. Just like her husband she only experienced cough, and
colds, which were just treated by self-medication, such as over the counter drugs.
Mr. A. Y
Mr. A. N is 63 years old and resides in Zone 3, Baikingon. He has a hearing problem and
first noticed it when he was in high school it was from his mother side and due to due to the
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financial constraints his disease was not able to treat his illness. He had been hospitalized in JR
Borja Hospital for his hypertension and was given Captopril for his home medication but due to
the side effects like dizziness he stops taking the medication.
Mrs. N. Y
Mrs. N. Y is 57 years old and an old resident of Baikingon. She had 2 children and
delivered them through a Normal Spontaneous Vaginal Delivery. She was not able to recall any
past illnesses and was never been hospitalized or brought for treatment. She denied of having
any heredofamilial disease. But she recalled of having cough and colds few weeks prior to our
visit.
Child M. B
M. B is 4 years of age and the eldest child in the family. He was born in the health
center through a Normal Spontaneous Vaginal Delivery. He was normal and had no
complications noted. He was also completed his immunization. And was never been brought to
the hospital or experienced any serious illnesses. According to his mother he experienced fever,
cough, and colds days prior to our fist assessment. He was treated with paracetamol for 2 days.
Child M. B
M. B is 3 years old and resides in Zone 3, Baikingon. She is the youngest in the family
and was delivered through a Normal Spontaneous Vaginal Delivery in the Health Center. She
had completed her immunization and was never been brought to the hospital for treatment.
Like her brother she also experienced cough and cold but without fever. She was not able to
take any medications according to her mother.
V. PRESENT HEALTH STATUS
Part A.
Father
During the visit, Mr. R.B was warm to touch and the vital signs are within normal range.
He doesn’t show any signs of being sick. He is participative and cooperative. He is an
occasionally drinker.
Mother
During the visit, Mrs. J.B was warm to touch. Her upper teeth are lacking. She has no
vices. She was also participative and cooperative to us during our visit. She also doesn’t have
any chronic disease and medications maintain.
Grandfather
During the visit, Mr. A.Y’s BP was 130/80mmHg, and it is already in the pre-hypertensive
stage, and he stated that when he is at work or doing something strenuous, he feels a sudden
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neck pain, and when he goes to the health center, his BP rises to 140/100 mmHg. He is
maintaining medications before but had stop taking captopril lately because he feels
drowsiness. He said that it started when he was still 25 years old and because he was smoking
at least 1 pack of cigarette a day, and is not physically active, he was not surprised to have this
illness.
Grandmother
During the visit, Mrs. N.Y was not sick and doesn’t show any signs of being sick, she is
very cooperative and responsive. She is well and doesn’t have any vices; she is also not
maintaining any medications for a chronic disease.
Children
During the visit, their children were having colds, and the eldest was the first who got
it and passed it to the youngest. It started last November, and their mother said it’s because of
the climate change. They were not taking medicines for it, because their mother said its only
normal for their age, she will just give her children more water and soup in meals. They don’t
have any vices yet for their still child.
Part B. Nursing system review chart
LEGEND: Day1 Day2 Day3 Day4 Day5 Day6
PHYSICAL ASSESSMENT
Name: A.Y
Vital Signs:
PR:76bpm/78/72/76/78/78 RR:20cpm/22/20/24/22/20;
BP:130/80mmHg/130/90/140/90/130/90/130/90/140/90;
Temp:36.5°C/36°C/37.2/37/37.2/36.4 Height:5’6” ft ; Weight: 65 kg
EENT:
[ X ] blurred vision [ ] blind [ ] pain redden [ ] drainage
[ ] gums [ X ] hard of hearing [ ] deaf
[ ] burning [ ] edema [ ] lesion [ ] teeth
Assess eyes ears nose throat for abnormality [ ] no problem
Blurredvision(firstvisit upto
RESP: lastvisit)
Hardofhearing
[ ] asymmetric [ ] tachypnea [ ] barrel chest BP:
[ ] apnea [ ] rales [ ] cough 130/80mmHg,130/90,
[ ] bradypnea [ ] shallow [ ] rhonchi [ ] sputum mmHg,140/90mmHg,
[ ] diminished [ ] dyspnea [ ] orthopnea [ ] labored 130/90mmHg,130/90m
mHg
[ ] wheezing [ ] pain [ ] cyanotic ,140/90mmHg
Assess resp. rate, rhythm, depth, pattern, breath sounds, and comfort
[x] No problem
CARDIOVASCULAR:
[ ] arrhythmia [ ] tachycardia [ ] numbness [ ] diminished pulses
[ ] edema [ ] fatigue [ X ] irregular [ ] bradycardia [ ] murmur
[ ] tingling [ ] absent pulses [ ] pain, Assess heart sounds, rate rhythm,
Pulse, Blood Pressure, circ., fluid retention, comfort [ ] No problem
GASTROINTESTINAL TRACT:
[ ] obese [ ] distention [ ] mass [ ] dyspagea [ ] rigidity [ ] pain
Assess abdomen, bowel habits, swallowing, bowel sounds, and comfort
[x] No problem
GENITO – URINARY AND GYNE

[ ] pain [ ] urine colour [ ] vaginal bleeding [ ] hematuria
[ ] discharge [ ] nocturia, Assess urine frequency, control,
Colour, odor, comfort, gyne bleeding, discharge [x] no problem
8
NEURO:
[ ] paralysis [ ] stuporous [ ] unsteady [ ] seizures
[ ] lethargic [ ] comatose [ ] vertigo [ ] tremors
[ ] confused [ ] vision [ ] grip
Assess motor function, sensation, LOC, strength,
Grip, gait, coordination, orientation, speech
[x] No problem
Joint pain
MUSCULOSKELETAL and SKIN:
[ ] appliance [ ] stiffness [ ] itching [ ] petechiae
[ ] hot [ ] drainage [ ] prosthesis [ ] swelling
[ ] lesion [ ] poor turgor [ ] cool [ ] deformity
[ ] wound [ ] rash [ ] skin colour [ ] flushed
[ ] atrophy [ X ] pain [ ] ecchymosis
[ ] diaphoretic [ ] moist
Assess mobility, motion, gait, alignment, joint function Skin colour, texture, turgor, integrity [X] No problem
9
PHYSICAL ASSESSMENT
Name: N.Y
Vital Signs:
PR: 80bpm/76/72/74/72/78 ; RR20: 18cpm/20/22/20/18/ ; BP: 90/70mmHg/90/70/
100/70/90/70/90/70/9070 ; Temp: 36.2°C/ 36.5/36.8/37.2/37/37.2 ; Height: 5’2 ; Weight: 37kg
EENT:
[ ] impaired vision [ ] blind [ ] pain redden [ ] drainage
[ ] gums [ ] hard of hearing [ ] deaf
Assess eyes ears nose throat for abnormality[x]no problem
RESP:
[ ] asymmetric [ ] tachypnea [ ] barrel chest
[ ] apnea [ ] rales [ ] cough
[ ] bradypnea [ ] shallow [ ] rhonchi [ ] sputum
[ ] diminished [ ] dyspnea [ ] orthopnea [ ] labored
[ ] wheezing [ ] pain [ ] cyanotic
[x] No problem
CARDIOVASCULAR:
[ ] edema [ ] fatigue [ ] irregular [ ] bradycardia [ ] murmur
Pulse, Blood Pressure, circ., fluid retention, comfort [x] No problem
[x] No problem

Skinwarm
totouch,
NEURO: skinwarm
[ ] paralysis [ ] stuporous [ ] unsteady [ ] seizures totouch
[x] No problem

[ ] hot [ ] drainage [ ] prosthesis [ ] swelling
[ ] atrophy [ ] pain [ ] ecchymosis
Assess mobility, motion, gait, alignment, joint function Skin colour, texture, turgor, integrity [X] No problem
10
PHYSICAL ASSESSMENT
Name: J.B
Vital Signs:
PR: 86bpm/82/82/86/86/84; RR: 22cpm/20/18/20/20; BP:
100/90100/80/100/90/110/80/100/80/11080 Temp:
37.3°C/36.5°C/37.2°C/37/36.8/37;Weight: 40kg Height: 5’2
EENT:
[ ] impaired vision [ ] blind [ ] pain redden [ ] drainage
[ ] burning [ ] edema [ ] lesion [ X ] teeth
Assess eyes ears nose throat for abnormality [ ] no problem
Upper teeth
RESP: lacking
[x] No problem
CARDIOVASCULAR:
[x] No problem
Colour, odor, comfort, gyne bleeding, discharge [x] no problem Skim warm
NEURO: to touch,
[ ] paralysis [ ] stuporous [ ] unsteady [ ] seizures Skin warm
[ ] confused [ ] vision [ ] grip to touch
[x] No problem

[ X ] hot [ ] drainage [ ] prosthesis [ ] swelling
Assess mobility, motion, gait, alignment, joint function Skin colour, texture, turgor, integrity [ ] No problem
PHYSICAL ASSESSMENT
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Name: R.B
Vital Signs:
PR: 88bpm/90bpm/86bpm/92/88/86 ; RR: 24cpm/20cpm/22cpm/20/22/22 ; BP: 120/90
mmHg/ 110/90mmHg/ 120/90mmHg/110/80/120/80/110/80 ; Temp:
37.4°C/36.8°C/36.3°C/37.2/36.5/37.2 ; Height: 5’7 Weight: 64kls
EENT:
[ ] Impaired vision [ ] blind [ ] pain redden [ ] drainage
RESP:
[x] No problem
CARDIOVASCULAR:
[x] No problem

[ ] discharge [ ] nocturia, Assess urine frequency, control, Skin
Warm to
NEURO: touch,
[ ] paralysis [ ] stuporous [ ] unsteady [ ] seizures Skin
[ ] lethargic [ ] comatose [ ] vertigo [ ] tremors Warm to
Assess motor function, sensation, LOC, strength, touch,
Grip, gait, coordination, orientation, speech Skin
[x] No problem Warm to
touch
12
PHYSICAL ASSESSMENT
Name: M.Y (eldest)
Vital Signs:
PR: 94bpm/90bpm/90bpm/92/88/96 ; RR: 24cpm/20cpm/22cpm/20/22/22 ; BP: none
Temp: 37.2°C/36.9°C/36.5°C/36.3/37.4/37.2 ; Height: 3ft Weight:12kg
EENT:
[ ] gums [ ] hard of hearing [ ] deaf Colds
[ ] burning [ ] edema [ ] lesion [ ] teeth [ X ] Colds
RESP:
[x] No problem
CARDIOVASCULAR:
[x] No problem

Skin
NEURO: warm to
[ ] paralysis [ ] stuporous [ ] unsteady [ ] seizures touch
[ ] lethargic [ ] comatose [ ] vertigo [ ] tremors Skin
Assess motor function, sensation, LOC, strength, warm to
Grip, gait, coordination, orientation, speech touch,
[x] No problem
Skin
[ ] appliance [ ] stiffness [ ] itching [ ] petechiae warm to
[ X ] hot [ ] drainage [ ] prosthesis [ ] swelling touch
13
PHYSICAL ASSESSMENT
Name: M.Y (youngest)
Vital Signs:
PR: 9obpm/94bpm/96bpm/92/90/96 ; RR: 24cpm/22cpm/20cpm/20/22/22 ; BP: none
Temp: 37.2°C/37.3°C/36.5°C/37.4/36.5/36.6 ; Height: Weight:
EENT:
[ ] burning [ ] edema [ ] lesion [ ] teeth [ X ] Colds Colds
RESP:
[x] No problem
CARDIOVASCULAR:
[x] No problem

[ ] discharge [ ] nocturia, Assess urine frequency, control, Skin
Colour, odor, comfort, gyne bleeding, discharge [x] no problem warm to
touch,
NEURO:
[ ] paralysis [ ] stuporous [ ] unsteady [ ] seizures Skin
[ ] lethargic [ ] comatose [ ] vertigo [ ] tremors warm to
[ ] confused [ ] vision [ ] grip touch,
[x] No problem Skin
warm to
MUSCULOSKELETAL and SKIN: touch
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VI. INTEGRATED MANAGEMENT of CHILDHOOD ILNESSES
Child’s name: M. B Age: 51 months old

Sex: Male Weight:12 kilogram Temp: 36.5˚C, 36.7˚C,37.2˚C, 36.9˚C
ASK: What are the child’s problems? Cold
Initial visit? ___√__ Follow-up visit? _√√√√√_
ASSESS CLASSIFY
CHECK FOR GENERAL DANGER SIGNS
NOT ABLE TO DRINK OR BREASTFEED YES__NO√√√√√
VOMITS EVERYTHING
CONVULSIONS √
ABNORMALLY SLEEPY OR DIFFICULT TO AWAKEN
DOES THE CHILD HAVE COUGH OR DIFFICULT BREATHING? Yes_ No_√√√√√√
For how long? No Pneumonia:
 Count the breaths for one minute. _21_breaths per minute. Fast breathing? Colds
 Look for chest indrawing?
 Look and listen for stridor.
DOES THE CHILD HAVE DIARRHEA? Yes___ No√√√√√√
For how long? ___days
Is there blood in the stools? No Dehydration
 Look at the child’s general condition.
Abnormally sleepy or difficult to awaken?
Restless or irritable?
 Look for sunken eyes.
 Offer the child fluid. Is the child:
Not able to drink or drink poorly?
Drinking eagerly, thirsty?
 Pinch the skin of the abdomen. Does it go back:
Very slowly (longer than 2 seconds)?
Slowly?
DOES THE CHILD HAVE FEVER? (by history/feels hot/temperature 37.5C or above) Yes__ No√√√√√√_
Decide Malaria Risk
 Does the child live in malaria area? No
 Has the child visited a malaria area in the past 4 weeks? No
If malaria risk, obtain a blood smear. No Fever:
 Look or feel for stiff neck. No Malaria
 Look for runny nose.

+ Pf Pv - Not done
 For how long has the child had fever? __days
 If more than 7 days, has fever been present every day?
 Has the child had measles within the last 3 months?
Look for signs of MEASLES
 Generalized rash and
 One of these: cough, runny nose. Or red eyes.
……………………………………………………………………………………………………………
…
If the child has measles now or within the last 3 months:

 Look for mouth ulcers
If yes, are they deep and extensive?
 Look for pus draining from the eye
 Look for clouding of the cornea.
Decide Dengue Risk: Yes__ N o_√√√√√√_

If dengue risk, then ask:
 Has the child had any bleeding form the nose or gums or in the vomitus or stools?
 Has the child had black vomitus or black stool?
 Has the child had abdominal pain?
 Has the child been vomiting?
 Look for bleeding from nose or gums
 Look for skin petechiae.
 Feels for cold and clammy extremities.
 Check capillary refill ___seconds.
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 Perform tourniquet test if child is 6 months or older and has no other signs and has fever for
 More than 3 days.
DOES THE CHILD HAVE AN EAR PROBLEM? Yes___ No√√√√√√_
 Is there ear pain?
 Is there ear discharge? No Ear Infection
If yes, for how long? ___days
 Look for pus draining from the ear
 Feel for tender swelling behind the ear.
THEN CHECK FOR MALNUTRITION AND ANEMIA
 Look for visible severe wasting. No Anemia but
 Look for edema of both feet underweight
 Look for palmar pallor.

Severe palmar pallor? Some palmar pallor?
 Determine weight for age
Very Low? Yes, underweight.
CHECK THE CHILD’S IMMUNIZATION STATUS completely immunized
Record lost _________
(Date)
CHECK THE VITAMIN A SUPPLEMENTATION STATUS for children 6 months or older Vitamin A needed
Is the child six months of age or older? Yes_√_ NO___ March 2007 today
Has the child received Vitamin A in the past six months? Yes__ No_√ Yes_
No_√_
ASSESS CHILD’S FEEDING if child has ANEMIA OR VERY LOW WEIGHT or less than 2 Feeding Problems:
years old.
 Do you breastfeed your child? Yes___ No__√__
If Yes, how many times in 24 hours? ___ Times. Do you breastfeed during the night? Yes___
No_√_
 Does the child take any other food or fluids? Yes_√_ No___
If Yes, what food or fluids? Rice, vegetables, fish. And meat. Water, juice, coke
How many times per day? 3 times. What do you use to feed the child? Spoon ,fork, plate
If very low weight for age: How large are servings?10-15 spoons per meal
Does the child receive his/her own serving? Yes__ who feeds the child and how? child himself
 During the illness, has the child’s feeding changed? Yes _√_ No___
If yes, how? Decrease
ASSESS OTHER PROBLEMS: none
IMCI MANAGEMENT OF THE SICK CHILD AGE 2 MONTHS UP TO 5 YEARS
Child’s name: M. B Age: 39 months old

Sex: Female Weight:15 kilogram Temp: 37.2˚C_
ASK: What are the child’s problems? No

Initial visit? ___√__ Follow-up visit? _√√√√√
ASSESS CLASSIFY
CHECK FOR GENERAL DANGER SIGNS
NOT ABLE TO DRINK OR BREASTFEED YES__NO√√√√√
VOMITS EVERYTHING
CONVULSIONS √
ABNORMALLY SLEEPY OR DIFFICULT TO AWAKEN
DOES THE CHILD HAVE COUGH OR DIFFICULT BREATHING? Yes_ No√√√√√√_
For how long? No Pneumonia:
 Count the breaths for one minute. _27_breaths per minute. Fast breathing?
 Look for chest indrawing?
 Look and listen for stridor.
DOES THE CHILD HAVE DIARRHEA? Yes___ No_√√√√√√_
For how long? ___days
Is there blood in the stools? No Dehydration
 Look at the child’s general condition.
Abnormally sleepy or difficult to awaken?
Restless or irritable?
 Look for sunken eyes.
 Offer the child fluid. Is the child:
Not able to drink or drink poorly?
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Drinking eagerly, thirsty?
 Pinch the skin of the abdomen. Does it go back:
Very slowly (longer than 2 seconds)?
Slowly?
DOES THE CHILD HAVE FEVER? (by history/feels hot/temperature 37.5C or above) Yes__ No√√√√√√_
Decide Malaria Risk
 Does the child live in malaria area? No
 Has the child visited a malaria area in the past 4 weeks? No
If malaria risk, obtain a blood smear. No Fever:
 Look or feel for stiff neck. No Malaria
 Look for runny nose.
+ Pf Pv - Not done
 For how long has the child had fever? __days
 If more than 7 days, has fever been present every day?
 Has the child had measles within the last 3 months?
Look for signs of MEASLES
 Generalized rash and
 One of these: cough, runny nose. Or red eyes.
……………………………………………………………………………………………………………
…
If the child has measles now or within the last 3 months:

 Look for mouth ulcers
If yes, are they deep and extensive?
 Look for pus draining from the eye
 Look for clouding of the cornea.
Decide Dengue Risk: Yes__ N o√√√√√√_

If dengue risk, then ask:
 Has the child had any bleeding from the nose or gums or in the vomitus or stools?
 Has the child had black vomitus or black stool?
 Has the child had abdominal pain?
 Has the child been vomiting?
 Look for bleeding from nose or gums
 Look for skin petechiae.
 Feels for cold and clammy extremities.
 Check capillary refill ___seconds.
 Perform tourniquet test if child is 6 months or older and has no other signs and has fever for
 More than 3 days.
DOES THE CHILD HAVE AN EAR PROBLEM? Yes___ No√√√√√√_
 Is there ear pain?
 Is there ear discharge? No Ear Infection
If yes, for how long? ___days
 Look for pus draining from the ear
 Feel for tender swelling behind the ear.
THEN CHECK FOR MALNUTRITION AND ANEMIA

 Look for visible severe wasting. No Anemia normal
 Look for edema of both feet weight
 Look for palmar pallor.
Severe palmar pallor? Some palmar pallor?
 Determine weight for age
Very Low? Yes, underweight.
CHECK THE CHILD’S IMMUNIZATION STATUS completely immunized
Record lost _________
(Date)
CHECK THE VITAMIN A SUPPLEMENTATION STATUS for children 6 months or older Vitamin A needed
Is the child six months of age or older? Yes_√_ NO___ June 2008 today
Has the child received Vitamin A in the past six months? Yes__ No_√ Yes_
No_√_
ASSESS CHILD’S FEEDING if child has ANEMIA OR VERY LOW WEIGHT or less than 2 Feeding Problems:
years old.
 Do you breastfeed your child? Yes___ No__√__
If Yes, how many times in 24 hours? ___ Times. Do you breastfeed during the night? Yes___
No_√_
 Does the child take any other food or fluids? Yes_√_ No___
If Yes, what food or fluids? Rice, vegetables, fish. And meat. Water, juice, coke
How many times per day? 3 times. What do you use to feed the child? Spoon ,fork, plate
If very low weight for age: How large are servings?1.5 cups per meal
Does the child receive his/her own serving? Yes__ who feeds the child and how? child herself
 During the illness, has the child’s feeding changed? Yes _√_ No___
If yes, how? Decrease
ASSESS OTHER PROBLEMS: none
17
VII. HOME AND ENVIRONMENT
A. HOME AND ENVIRONMENT
HOUSING
They rent their house with a 100php a month, constructed with woods and their roof
made of nippa. The area of their house is not enough to occupy six persons because the
limited space that the house has. They only have one room that is used by the couple
for sleeping while the grandparents utilized the space outside the room which is also
used as the dining area during meal time together with their grandchildren. The house is
not thoroughly clean and things are not properly arranged due to limited space, they
don’t have drainage. But still, the house is not hazardous because it doesn’t have a
stairs and other unfinished construction. The distance to the neighbor is very near
because they are just renting and constructed their using the firewall of the neighbor as
their wall.
B. WATER
SUPPLY
The source of
their drinking
water is from their own faucet and sometimes there is no water, because they are just
tapping water from the neighbor. They store it in a 4 liter water container with cover.
Regarding the source of the drinking water it is considered as not safe since they were
not practicing proper boiling of the water before consuming
18
C. TOILET FACILITIES
The family doesn’t have their own toilet and they are using the neighbor’s CR and two
families are using it, and the type is water-sealed, and it is located at the back of their
house, approximately 10 meters. The toilet’s odor is not that offensive
D. KITCHEN
19
They have a dirty kitchen inside their house and is located at the side of their house.
They are using wood for cooking rice and vegetables in a small pot. They store their left
over foods in the plastic container and just on top the table.
E. GARBAGE DISPOSAL
The Yanez family was disposing their garbage by means of burning it all in their
backyard. The government facilities that were assigned on collecting the garbage were
not able to reach the barangay area that’s why the community decided to just burn all
their garbage. The family was not practicing garbage segregation before burning them.
F. DRAINAGE SYSTEM
The Yanez family does not have any drainage system in their house surroundings; the
draining water just goes directly to the soil ground outside their house.
G. DOMESTIC ANIMALS
The family has a dog and a derby chicken. The dog is tied under their sink, partly inside
the house, and defecates and urinates where he is tied, the family just bury the dogs
feces and cover the urine with soil. The derby chicken is the head of the family’s pet; it
is tied inside their house.
20
H. NEIGHBORHOOD
The family’s house is located across the barangay hall, the distance of each house is
very close, and some are built with only one wall apart. The families in that specific
place are already very familiar with each other. The house is very near from the health
center, approximately 100 meters away.
I. COMMUNITY FACILITIES
The house is very close to the barangay hall, approximately 30 meters away. It is also
very near to the school where their kids studied which is the beside Baikingon
Elementary school, the school also located the barangay covert court where in all
community program are being conducted. The health center also is very accessible
because of its distance; it is just a 100 meters away from their house.
VIII.
FAMILY COPING INDEX
The objective of this indicator is to present a benchmark for approximating the

nursing needs of a particular family, thus Family Coping Index. It is the coping capacity
and not the underlying problem that is being rated, and it is designed to record family
rather than individual coping capacity. In public health nursing, the family cannot be
seen only as a factor that affects health; rather, the family is the patient.
Legendary:
5 – Complete competence
3 – Moderate competence
1 – No competence
21
9 Areas of
Nursing Rating Justification Statement
Concerns
1. Physical The members are all able to move without assistance

Independence 5 and difficulty. They do their activities of daily living
without aid. They are independent in moving about
and using their musculoskeletal system but there is
one member of the family with abnormalities in the
physical independence (Mrs. A.Y).
2. Therapeutic 3 The parents are aware on what to do if a member

Competence fells ill. Although, the distance of the health center is
near but because of financial problems that's why
they cannot provide enough and/or appropriate
interventions. The parents are aware of their lapses
in therapeutic competence. They are aware of their
financial difficulties, which is the primary reason for
not having or following the appropriate procedure or
treatment, having appliances and even enough
clothes for the children.
3. Knowledge of 3 The mother is knowledgeable on salient health issues

Health Condition and responsibilities. Yet due to financial problems,
health issues are overlooked. But as a mother she
considers immunization as essential for her child’s
health. Immunization of the children was complete.
4. Application of 3 . The family sleeps well but sometimes they dont eat
Principles of nutritious foods. Their source of water is from faucet
General Hygiene which is only available at the barangay hall. They do
not practice sterilization or healthy habits in food
storage and preparation. Even though aware of
hygiene’s importance, the family does not practice
good hygienic skills. Yes they take a bath everyday
but their source of water for bathing and washing
clothes are from barangay hall water source and is
not available sometimes., eating habits and
maintenance of healthy lifestyle are not taken into
consideration that much.
5. Health 3 The parents are concerned about the health of the

Attitudes members of the family yet they do not participate
actively
in maintaining optimum health due to financial
constraints. Also, the family lacks information
regarding healthy lifestyle and healthful ways toward
improvement of life. Parents, as much as possible,
want to protect their children from any harm but
then, they lack money and information for them to
carry out the right health care for the family.
6. Emotional 5 The family are competent enough emotionally. They

Competence can manage their own problems and also handle
22
stress just like any other family does. The parents
take responsibility their only child and to their
extended family. They also discipline and teach
always their children the morals of life. The family
lives harmoniously at home. Even though conflicts
arise, they really see to it that they would discuss
each concern in a calm manner.
7. Family Living 3 There is high concern within the family, especially

with regards to their interrelationship with others.
The parents discuss decision- making. The child is not
yet open for suggestion to decision-making since they
are still young and difficult to comprehend their
current situations. Others respect individual
relationships of each member of the family Decision-
making is shared among its members except on
young member. Each has his or her own part or role
in the family, which is well respected.
8. Physical 3 The family’s house space is not good enough for the
Environment - family.They cook their food inside their house
wherein they just use earthly pot and used wood as
fuel. They live in a place wherein it’s not congested
but then the distances between their neighbours are
not that so far from each other. The house
environment is not fitted for them , because of the
presence of pests and accident hazards in their
community. Also their house is in poor condition, that
they can possibly acquire serious diseases. Their food
storage is unsanitary. Though it is covered with cloth,
sometimes insects and other small animals could
crawl inside the dish organizer.
Having a earthy pot used for cooking inside the
house is really a fire hazard because some of the coal
fire might come in contact with their wood wall.
9. Use of 3 The mother is aware of the available resources in the

Community community, both in health and education. But they
Facilities cannot utilize the health facilities due to busy doing
household chores. They go to the health center if
needed.
23
Schematic Presentation of Family Health Problems
Family Health
Socio-Cultural Factors Biological Factors Environmental Factors
Economic Political Cultural
Income: Php 6,000/month Mother seldom attends She does household chores
community meetings and andtakescareofthechildren.
gatherings in the zone. Mr. RB isan occasional alcoholic
Father: Construction Worker drinker.
Mother: Housewife. She does
household chores and takes care The family’s knowledge
ofthechildren. about some service
provided by the barangay Presently, the mother didn’t use
Financialy unstable family, the health center is limited only. any herbal plants to treat her
couple’s income is not enough to condition.
support the small family as a
Foreseeable Crisis.
Health threat: the couple is
prone to performing the wrong
practices in dealing with health.
Biological Factors
24
Genetic Physical Psychosocial
*Hypertension Paternal side *Poor Personal Hygiene *the family is strongly

bonded but sometimes
troubled about financial
issues to sustain the family’s
needs.
There is a possibility that Thefamilyisprone ofhaving There is a tendency of

their offspring wil acquire the diseases. having misleading
disease. arguments.
Genetic Hypertension as a Poor Personal Hygiene as a Troubled family member as

Health Threat Health Threat a Stresspoints.
EnvironmentalFactor
Waste
Housing H2O H2O Toilet Kitchen Disposal
25
There source
The house of water is There drinkinFamily
g CareThey
Plan have a The kitchen is They burned
was not well through a water is not communal not well built their garbage
Prioritynumber1: METHODSOF
constructed. faucet found sterilized toilet.
HEALTH inFAMILYNURSING
the GOALOF OBJECTIVESOF INTERVENTION FAMILY-NURSE RESOURCES
CUES PROBLEM barangay hall.
PROBLEMS CARE CARE MEASURES CONTACT REQUIRED EVALUATION
The family is They have the They have They are It could affect
prone to The family is possibility of less privilege prone to fire the respiratory
Subjective accidents Presence Inabilie
unabl ty to provi
to de At theacquiring At the end of to use
end the
Encouraged hazards.
the -Home visit system
Time and effort of andAt the end of
waterof borne toilet can trigger
“igo-igo ra pud ang of Low maintain good
home of 3 days nursing family to find both the diseases
student 2weeks, the family
hygiene diseases
kita sa ako bana, dili family environment visit, The intervention the additional ways to - Family nurse and the was able to find
jud siya ina.ana ka income as conducive to family wil family wil Identify earnmoney. Interaction family ways or resources
HealthThreat:
daku pang suporta a health find ways to utilize  Encouraged family that could sustain
*Accident hazard:
sa pamilya” as foreseeabl mainoftenance
 Presence sharpand poinenough
ted objects family income to prioritize needs. family health
verbalized by the *Faiecrirshome
es andandenvironmental sanitati
personal onandconditwi
resources ion:
sely and earn Food should needs.
 Inadequate living space
mother devel
 Polluted wateropment
supply that could money from always be available
dueto: sustain extrawork. especialy for their
Objective:  Inadequate family child.
Income P6,000 per family health  Encouraged the
month resources, needs. family to minimize
specifically: unnecessary
 Financial spending like
constraints/li buyingjunk foods.
mited 26
financial
resources
HEALTH FAMILY METHOD
CUES PROBLE HEALTH GOAL OF OBJECTIVES OF CARE INTERVENTIONS S OF RESOURCE EVALUATION
M PROBLE CARE MEASURE NURSE- S
M FAMILY REQUIRED
CONTACT
SUBJECTIIVE: Unsafe Inability At the end At the end of nursing 1.) Encourage the Home Lecture on After 2 weeks of nursing interventions,
‘’Sa reservoir rame drinking to of 3 days family to filter Visitations ways of
intervention the family the family was able to practice the safety
didto sa barangay ga water as recognize the family the water by proper
kuha ug tubig para health possible wil be able wil be able to: using, such as: measures of how to prevent acquiring
handling of
imnon’’ as verbalized threat health to obtain clean clothes,
a.) Filter first the drinking disease from water.
by the client threats necessary water filterer
water from water
on measures 2.) Educate the
the reservoir
OBJECTIVE unsafe to prevent family to boil
b.) recognize the
 Unboiled source of acquiring water for 10 to Time and
importance of
drinking drinking diseases 15 minutes effort of the
boiling
water water from the 3.) Inform the student
drinking water
 Un cleaned and unsafe family to use
first before nurse and
drinking practices source of clean and well
consuming the family
water drinking cover container
27
container water and 4.) Instruct them members’
practices. c.) Clean the to place the active
drinking water container in a participation
container place that
regularly and and
cannot easily
Prioritynumber3: cover it seen by the cooperation.
METHODSOF
HEALTHPRBLEM FAMILYNURSING GOALOF properl y
OBJECTIVES OF sunlight
INTERVENTION FAMILY-NURSE RESOURCES
d.) Avoid
CUES PROBLEMS CARE CARE MEASURES CONTACT REQUIRED EVALUATION
exposing the
container to
sun light rays
to prevent
Subjective:
Improper Inability to provide a After nursingformati
After
onnursi
of ng 1. Discuss with the Home Visits Human Resources: After the interventions
home environment intervention, the family the  Time and effort
 “Grabe jud garbage intervention,algae conducted, the goal was
conducive to health family wil be importance of of the nurse and
ang basura disposal as a maintenance and the family able to: proper garbage family not met since the family
dani, personal disposal
gasunogon Health Threat wil improve continued burning their
development due to: a.) recognize Financial
nako para their means that improper 2. Discuss Resources: garbage and the
ma kuhaan” a. frustration garbage alternative ways in  Money for
of disposing surroundings around
felt caused disposal is a disposing garbage.
Objective: Transportation
by the garbage. health hazard their home remained
recent and is unfriendly 3. Discuss the of nurse
 Garbage is unchanged
natural to the threat that vectors
scattered calamity environment such as flies could
around the b. Inadequat pose to their health.
house e b.) consider
 The backyard knowledge 4. Encourage the
is infested other means of
of the family to rise above
with flies importance garbage the calamity they
of hygiene encountered
disposal
and
sanitation.
28
29
IX. ACTUAL IMPLEMENTATION
First Visit
During my first day of visit, I introduced myself to the family, stated the purpose &
duration of visit, and established good rapport with them. I interviewed the family with regards
to the names, birthdays, educational attainment, occupation, monthly income, religion, and
heredo-familial diseases of the family. We took their vital signs and were able to do physical
assessment. Unfortunately I wasn’t able to interview and take the vitals of the head of their
family since he was with his job.
We gave partial health teachings regarding proper hygiene as well as sanitation. The family
was able also to understand the teachings. I also examined the weight of their children and
assess with the use of IMCI.
Second visit
I still could not see any changes in the family since the house was still untidy, their
children were wearing dirty clothes and haven’t taken a bath yet, so again we told the family
that they need to have their house clean if they want to have a clean environment, free from
any diseases. The mother was encouraged to provide a food that are nutritious like vegetable
and fruit and avoid junk foods.
I also imparted additional health teachings with regards to management of the grand
father’s disease condition we stressed out the importance of avoidance of caffeine beverages
and smoking cessation. Also I taught pt on boiling lemon grass as alternative regimen for his
HPN.
Third visit
I was able to see some changes with regards to the surroundings of the family. Grasses
were cut very short in frontage and the mother cleaned the house. As I continue to inspect
every detail of the house, it’s fulfilling to the part of the student nurse that they were listening
and willing to cooperate in fulfilling the objectives of this care study.
I was able to stay long with the family and unfortunately I wasn’t able to meet the head
of the family because of the same reason. And I instructed them again to go to the health
center to avail free medication, regular check- up and prenatal check up then I invited them to
attend our culminating activity.
Fourth Visit
I provided health teachings related to environmental sanitation and how to fix their
garbage by not throwing it anywhere or burning them up because it can affect the respiratory
system of the residents and specially the young children that are playing near their house. I
associated learning to them behind the importance of environmental sanitation and the benefits
that will gained towards the proper disposal of their garbage. I also evaluated them with the
activities that were given during the culminating activity and the essential knowledge and skills
that would help the family generate an income; we did not stayed for long and bid farewell to
the family leaving them with teachings that would uplift their lifestyle.
30
Fifth Visit
I instructed the family to conscious enough in food handling because they have a higher
risk for diseases because of improper food handling. Even they don’t have enough utensils to
provide enough food for the family as well as to keep their food safe from any foreign vectors
that could bring bacteria that may contaminate the food during the course of cooking. Also the
person cooking the food must also be aware of the cleanliness of his/her hands because he/she
is directly involve with the food, in other words he’s the one holds, prepares and cooks the food
for everybody. These factors can affect to the consistency of the food and its patency to be
safe enough and to be consumed.
Sixth Visit
I ended our last visit with a productive one, were we gathered all the necessary
teachings for the family. I provided them with knowledge pertaining the disease that may
occur in each of the family member. I explained the causes of diarrhea and how to prevent and
how to cure it when one of them has it. We taught the client about making a homemade
oresol. We taught the family the ways of making it, by using a tablespoon of salt, 8 teaspoon
of sugar and one liter of sugar. We explain the importance of the homemade oresol and the
means of using it, also we included the important thing about this regimen that it can be only
be effective with the span of 24 hours and if the diarrhea is still present, the family must make
a new mixture to replace the fluids and electrolytes that were lost during the excretion of the
feces. We also gave health teachings to the management of their domestic animals and the
disadvantages that the family could acquire if they don’t properly anticipated the risk for freeing
their pets and it could provide a big problem to each member of the family if they don’t tie
them up and secure them in an area away from their children and to the other residents.
X. RECOMMENDATION
The student nurse have identified and prioritized problems and needs with the family.
The student nurse have also created a care plan on how to deliver the best nursing care for the
family to address their needs. The following below are propositions and commendations
recognized by both the student nurse and family:
 The family should maintain a healthy and clean environment. They must clean their
surroundings to avoid the presence of vectors of diseases.
 The family should also maintain proper hygiene such as taking a bath regularly, trimming
their nails, frequent changing of clean clothes especially when come in contact with filthy
objects or experienced wetness of the back, refraining from walking barefooted, brushing of
teeth frequently, and proper and regular hand washing.
 They must also reorganize their cooking practices in terms of food preparation and handling
as well as keeping their kitchen utensils in a covered storage to avoid getting it
contaminated by insects or pests. In addition to that, they should also cover their food
storage.
31
 The family should also be advised to not wait for the ailment to become severe before
seeking medical help.
 The family must also be educated and follow the proper preparation of herbal medicines as
it was presented during the mother’s class.
 The family should persevere to perform proper waste segregation and disposal of their
garbage as it was presented during the mother’s class.
 The family should be aware that organizations in the community are open and present for
their problems to be addressed properly.
 They should be encouraged to verbalize their concerns with regard to the community so
that resolutions can be made.
XI. EVALUATION
Although some short comings were not thoroughly anticipated during the care of the
family as well as referral was not very successful due lacks of time, still were able to care to the
concerned family.
There were no difficulties encountered as to the family member’s attitude because they
were participative and accommodating throughout the care rendered to them. In the client care
process, several interventions were done as well as health teachings. This includes the
appropriate care for the disease conditioned, information drive or further research and
education which concerns of health care and health related conditions. As well as other health
tips were emphasized to the concerned family, these were discussed as to anticipate the care of
the individual and the family as a whole.
During the termination phase, the family said their thanks for the health teachings that
were imparted to them. The objectives of this study was met, related factors that affected the
family’s health was identified. Referral and appropriate interventions was provided to the family.
The objectives of the study were successfully met; health promotion and prevention of disease
was implemented as part of this study. As part of the implementation Proper referral and
interventions were done.
Poverty exists everywhere and although there are a lot of factors to consider, the
attitude of a person is really important. Poverty pushes these people to live into that type of
life status. The lack of income and financial constraints puts health as the lowest priority in
their day to day living exposing them to risk to different kinds of diseases.
It was total different experience on my part to be exposed in the Community and all its
actuality and candidness, learning the intricacies of community health nursing was more
worthwhile and full of appreciation. Previously we have one-sided view about nursing care, but
everything was changed soon after we grasped the idea of community nursing. This fact made
us realized that although the period covered for our exposure is inadequate if we truly want to
render effective health service, yet we could evaluate everything that transpired as within
satisfactory. We admit that the client who is subject of our study made all things possible for
32
us to learn what we need to know and what we supposed to gain in the field of community
nursing.
XII. BIBLIOGRAPHY
Maglaya, Araceli(2004). Nursing Practice in the Community. 4th edition. Argonauta

Corporation Marikina City
IMCI (Integrated Management of Childhood Illness) Chart Booklet. 2009 edition.
Sr. Jimenez, Carmen (2008). Community Organizing Participatory Action Research

(COPAR) for
Community Health Development. C& E Publishing, Inc. Quezon City
Cuevas, Frances Prescilla (2007). Public Heath Nursing in the Philippines. 10th
edition. C& E Publishing, Inc. Quezon City
33
XIII. APPENDICES
FAMILY HEALTH PLAN

 Inadequate living space
Criteria Computation Actual score Justification

Nature of the 2/3X1 0.67 It is health threat that does not
Problem demand immediate action
Modifiability of the 0/ 2 X 2 0 Increasing the living space will require
Problem quite a financial expenditure. The
family’s resources are presently not
adequate considering the other
problems.
Preventive 3/3X1 1 Increasing the living space will
Potential  reduce possibility of transferability
communicable disease, e.g
(scabies)
 provide privacy to members
 provide bigger space to allow
adequate movements when
performing housework
Salience of the 1/2X1 0.5 The family recognizes this as a health

Problem threat but not needing an immediate
action
Total score 2.17
 Improper Garbage Disposal

Nature of the 2/3X1 0.67 It is health threat that requires
Problem immediate action.
Modifiability of the 2/2X2 2 The problem is easily modifiable
Problem because the student nurse can help the
family understand and explore ways
how to properly dispose their garbage
wastes to keep environment clean.
Preventive 3/3X1 1 This problem can easily be prevented if
Potential the family will be encouraged and
made them realized the importance of
proper garbage disposal.
Salience of the 0 / 2X 1 0 The family does not recognize the
Problem existence of the problem
Total score 3.67
 Family size beyond what family resources can adequately
34
Nature of the 2/3X1 0.67 It is a health threat
Problem
Modifiability of the 2/2X2 2 Current knowledge, interventions and

Problem resources are available to solve the
problem.
Preventive 3/3X1 1 The possibility of increasing the family

Potential size is reduced; the available family
resources can be utilized to encourage
growth promoting experiences for
members.
Salience of the 1/2X1 0.5 The family perceives it as a serious
Problem problem needing attention to ensure
that the last pregnancy will be the last
one.
Total score 4.17
 Unsafe Drinking Water

Problem
Modifiability of the 2/2X2 2 Current knowledge, interventions and
Problem resources are available to solve the
problem.
Preventive 3/3X1 1 The problem can be easily prevented if
Potential the family will be reminded with the
sterilization method.
Salience of the 0/ 2 X 1 0 The family does not recognize the
Problem existence of the problem
Total score 3.67
 Inadequate water supply

Problem
Modifiability of the 2/ 2 X 2 2 The family does not have adequate
Problem resources to solve the problem.
Inadequacy of water supply is a barrier
to achievement of good personal
hygiene which is very important.
Preventive 3/3X1 1 The problem can be highly prevented if
Potential the family will exert more effort in
getting for water resources that is
readily available near their house.
Salience of the 0/ 2 X 1 0.5 The family perceives it as a problem
Problem but does not see the problem as
needing immediate action.
Total score 4.17 The family does not recognize the

existence of the problem
35
36

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Liceo de Cagayan University

Family Case Study

III – Family Profile 5

V – Present Health Status 8

VI – Integrated Management of Childhood Illness 15

VII – Home and Environment 18

VIII – Family Coping Index 21

X – Family Care Plan 25

A. OVERVIEW OF THE STUDY

B. SCOPE AND LIMITATION OF THE STUDY

III. FAMILY PROFILE

Head of the family

IV. HEALTH HISTORY

V. PRESENT HEALTH STATUS

Part B. Nursing system review chart

LEGEND: Day1 Day2 Day3 Day4 Day5 Day6

GENITO – URINARY AND GYNE

GENITO – URINARY AND GYNE

MUSCULOSKELETAL and SKIN:

MUSCULOSKELETAL and SKIN:

GENITO – URINARY AND GYNE

GENITO – URINARY AND GYNE

GENITO – URINARY AND GYNE

Child’s name: M. B Age: 51 months old

 Look or feel for stiff neck. No Malaria

 Look for runny nose.

If the child has measles now or within the last 3 months:

Decide Dengue Risk: Yes__ N o_√√√√√√_

 Look for palmar pallor.

IMCI MANAGEMENT OF THE SICK CHILD AGE 2 MONTHS UP TO 5 YEARS

Child’s name: M. B Age: 39 months old

ASK: What are the child’s problems? No

If the child has measles now or within the last 3 months:

Decide Dengue Risk: Yes__ N o√√√√√√_

THEN CHECK FOR MALNUTRITION AND ANEMIA

ASSESS OTHER PROBLEMS: none

FAMILY COPING INDEX

The objective of this indicator is to present a benchmark for approximating the

1. Physical The members are all able to move without assistance

2. Therapeutic 3 The parents are aware on what to do if a member

3. Knowledge of 3 The mother is knowledgeable on salient health issues

5. Health 3 The parents are concerned about the health of the

6. Emotional 5 The family are competent enough emotionally. They

7. Family Living 3 There is high concern within the family, especially

9. Use of 3 The mother is aware of the available resources in the

Socio-Cultural Factors Biological Factors Environmental Factors

Economic Political Cultural

*Hypertension Paternal side *Poor Personal Hygiene *the family is strongly

There is a possibility that Thefamilyisprone ofhaving There is a tendency of

Genetic Hypertension as a Poor Personal Hygiene as a Troubled family member as

Maglaya, Araceli(2004). Nursing Practice in the Community. 4th edition. Argonauta

IMCI (Integrated Management of Childhood Illness) Chart Booklet. 2009 edition.

Sr. Jimenez, Carmen (2008). Community Organizing Participatory Action Research

FAMILY HEALTH PLAN

Criteria Computation Actual score Justification

Salience of the 1/2X1 0.5 The family recognizes this as a health

 Improper Garbage Disposal

Criteria Computation Actual score Justification

 Family size beyond what family resources can adequately

Hypertension Paternal side Poor Personal Hygiene *the family is strongly