CHAPTER 2

General Objectives:

The main objective of community health nursing/home visit is that at the end of the home visit
the student nurse is able to promote health, prevent illness and injury, and provide care to
individuals and families in community settings.

Specific Objectives:
At the end of the community health visit.

1. to gather information on the family's health risks, illnesses, and factors that could have
an impact on the members' health.
2. Should be possible for the student to address family health problems.

3. Student should conduct health teaching related to family health

problems

CHAPTER 3

MIYEMBRO EDAD KASARIAN ESTADO RELASY TRABAH EDUKA RELI

SIBIL ON SA O/ SYON HIYO
B-babae NAMUMU HANAP N
L-lalaki S-solo NO SA BUHAY
M-may PAMILYA
asawa
H-hiwalay
B1-biyudo
B2-biyuda
A-annuled

Jean Tejero 38 B M Asawa Housewife S CATH

OLIC

Allan 42 L M Asawa Line man ALS CATH

Meraflor GRAD OLIC
UATE

Jerwin 19 L S Anak N/A N/A CATH

Caceres OLIC

Jillian 10 B S Anak N/A E CATH

Meraflor OLIC

The data above shows the age, sex, position in the family, civil status, occupation, educational
attainment, date of birth, and birthplace of the family. It is shown above that the family is a
blended type of family. Extended type of family is a result from a union where one of both
spouses brings a child from a previous marriage into a new living arrangement.

In the case study Ms. Jean Tejero stated that she is separated to his first husband and has one
son named Jerwin Caceres, 19 years old who has special needs. But eventually she meets Mr.
Allan Meraflor, his current partner. They have one daughter named Jillian Meraflor 10 years old.

Socio-Economic and Cultural Characteristics

There are four members of the family residing in the home of the family two adults two and two
children one of the two children has special needs which is the child of Ms. Jean Tejero. The
husband of Ms. Jean Tejero is the only one who works to provide for their needs even though
Ms. Jean has a small sari-sari store. Mr. Meraflor earns around 50,000 monthly according to
Ms. Jean and according to her she can say that sometimes it's enough for everyday needs and
monthly bills. They can therefore be considered as a family that is average.
They are all Roman Catholic, they go to church sometimes but not too often. But they always
pray together, it helps them to be connected to god. It is also their way to ask for help and thank
god for the blessing they have received. When it comes to family problems her and his husband
talked about it to solve the problem.

Home and Environment

Ms. Jean and Allan started living in the same house when they talked about their plans together.
They own a house in barangay Del Rosario Gawad Kalinga.

It is a semi-concrete house. The house has three rooms, one master's bedroom, one for her son
and one for her daughter. They also have their own kitchen and bathroom.

The family has appliances including refrigerator, television, and rice cooker. In terms of waste
disposal they have proper trash cans. They are required by the barangay to put their garbage in
proper waste disposal.

Ms. Jean cooks for her family everyday. She cooks using her kitchen. They have the usual food
utensils like spoon and fork, ordinary glasses and plates that she needs for cooking their
everyday food.

Health assessment of each family member

Past and Present Illness

1 Health Assessment on each member

a) Ms. Jean Tejero- During my interview with Ms. Jean Tejero said that the only health
problem she encountered is UTI until now. Based on my observation during the home I can say
that she's healthy and has a normal blood pressure regarding her weight.

b) Mr. Allan Meraflor- I didn't have a chance to conduct an interview with Mr. Allan Meraflor,
but according to Ms. Jean, Mr. Allan doesn't have any past illness except UTI up until now.

c) Jerwin Caceres- Ms. Jean is also the one that explains about her son's condition being a
child with special needs. Jerwin bedridden but has a strong sense of hearing.

d) Jillian Meraflor- According to Ms. Jean the only problem that she encounter observe
towards her daugter Jillian is that Jillian don't do much and is always very picky regarding the
food she eats.

Family assessment based on functional health pattern

a. Health Perception-health management patterns

● Mr. Meraflor drink alcohol occasionally smokes. He only drink when there is a occassion
he just want to drink.
● If there someone in the family that has fever, they give paracetamol or tempra for the
younger ones.
● The family has been able to appreciate the value of good health.

b. Nutritional-metabolic pattern

● According to Ms. Jean her daughter has a poor appetite.

● Children are allowed to eat junk food, chocolates and drink soda, but after they should
drink plenty of water.
● The daily fluid intake is 8-10 glasses of water or more especially because the weather is
very hot.
● They it fish, meat, rice and sometimes vegetables.
c. Elimination pattern

● Ms. Jean and Mr. Allan both have UTI.

● Eliminates standard pee recurrence regularly: 4 times a day

d. Activity-exercise pattern

● Ms. Jean stated they don't have regular exercise but they always walk outside there
house sometimes.
● Her daughter spend their free time watching television, playing online games, and
browsing YouTube. They occasionally engage in physical exercise as well, such playing
street games. As for her who is bedriddent she said that she help his son to his legs
arms to avoid more complication.

e. Sleep-rest pattern

● No one in the home has any issues with sleeping or has trouble falling asleep, according
to Ms. Jean.
● They sleep around 10 pm or depending on what they are doing, and wakes up at around
6 or 7. To prepare her daughters school.
● Mostly they have 8 hours of sleep.
also when they have spare time they take a rest too.

f. Cognitive-perceptual pattern

● likewise the respondents. Ms. Jean is capable of providing pertinent and correct answers
to the inquiries.
● Ms. Stated can respond when called also his son responds because it have a strong
sense of hearing.

g. Self-perception/self concept

● Ms. Jean said that the things that can make her easily mad or angry are when her
children have not followed her.

h. Roles and relationship

● When it comes to family problem, Ms. Said that her and husband talked about the
problem to solve it.

I. Sexual reproductive

● Ms. Jean refuse to answer about there sexual reproductive. She said that when it comes
to that thing they are private.

j. Coping stress

● They're spending time with each other, sharing tasks, keeping communications channels
open, and going out for dinner a few times.

k. Values/ belief Pattern

● The religion of the family is Roman Catholic.

● The family sometime believes in albularyo and Hilot.
● They also believe in values and beliefs in there religion.

Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention

The only problem with the family is Urinary tract infection of the husband and wife. They don't
give attention about health because for them it is just normal. They usually at 10pm and wakes
up at 6 or 7 in the morning. The onlu exercise that they can do is walking outside there house.
She also stated that during covid 19 its tiring to maintain the health of her family they are also
taking advantage of various medical services, such as free consultation. They believe in both
herbal remedies, fake healers, and drugs prescribed over the counter as a means to cure their
illness.

CHAPTER 4

This chapter shows the Family History of the study including Database of the respondent, family
tree, general household data, activities of daily living which may be indicative of the current
health of the family because it continues to affect each family member.

Family History

The consist of 4 members, Ms. Jean Tejero 38 years old, his husband Mr. Allan Meraflor 42
years old, Jerwin Caceres 19 years old son of Ms. Jean In her first husband and lastly Jillian
Meraflor 10 years old daughter of Ms. Jean with Mr. Allan his current partner.

Ms. Jean stated that shes from Milaor and the reason why she is now in Gawad Kalinga Del
Rosario is because of her husband Mr. Allan. Ms. Jean said that, when the time Mr. Allan show
interest to her he promised to provide all of her needs and for his son.

Data Base of the Respondent

The respondent upon the interview is Ms. Jean Tejero for her and for her family.

NAME: Jean Tejero

AGE: 38 years old
GENDER: Female
ADDRESS: Gawad Kalinga, Del Rosario
BIRTH PLACE: Naga City
RELIGION: ROMAN CATHOLIC
OCCUPATION: Housewife/sari-sari store owner
CIVIL STATUS: Not Married
NATIONALITY: FILIPINO
NO. OF CHILDREN: 2
EDUCATIONAL ATTAINMENT: HIGH SCHOOL GRADUATE
ESTIMATED MONTHLY INCOME: around 5,000 mothly house and a small sari-sari store
owner
NAME OF HUSBAND: MR. ALLAN MERAFLOR

NAME: ALLAN MERAFLOR

AGE: 42 years old
GENDER: MALE
ADDRESS: GAWAD KALINGA, DEL ROSARIO
BIRTHPLACE: NAGA CITY
RELIGION: ROMAN CATHOLIC
OCCUPATION: LINE MAN
CIVIL STATUS: NOT MARRIED
NATIONALITY: FILIPINO
NO. OF CHILDREN: 2
EDUCATIONAL ATTAINMENT: ALS GRADUATE
ESTIMATED MONTHLY INCOME: 50,000
NAME OF WIFE: JEAN TEJERO
NAME: Jerwin Caceres
AGE: 19 yeas old
GENDER: MALE
ADDRESS: GAWAD KALINGA, DEL ROSARIO
BIRTHPLACE: NAGA CITY
RELIGION: ROMAN CATHOLIC
OCCUPATION: N/A
CIVIL STATUS: SINGLE
NATIONALITY: FILIPINO
NO. OF CHILDREN: N/A
EDUCATIONAL ATTAINMENT: N/A
ESTIMATED MONTHLY INCOME: N/A
NAME OF WIFE: N/A

NAME: Jillian Tejero

AGE: 10
GENDER: FEMALE
ADDRESS: GAWAD KALINGA, DEL ROSARIO
BIRTHPLACE: NAGA CITY
RELIGION: ROMAN CATHOLIC
OCCUPATION: N/A
CIVIL STATUS: SINGLE
NATIONALITY: FILIPINO
NO. OF CHILDREN: N/A
EDUCATIONAL ATTAINMENT: Elementary
ESTIMATED MONTHLY INCOME: N/A
NAME OF HUSBAND: N/A

Family Tree

CHAPTER 5
Family Coping Index

In this chapter, you’ll see the real-life observations of the family’s behaviors and attitudes in
comparison to what you’d like to see as the ideal family’s attitudes and behaviors. You’ll also
see how the family responds to different stressors. These observations are then analyzed to see
if there are any health issues or if there are any negative attitudes and behaviors.

General Household Data

1. Total No. Of Children
2. List of Household Members

Members Status Occupation Sex Educ. Position in Imm.

Attainment the family Status

Jean Tejero Not Married Housewife F High school Mother COM

sari/sari graduate
store owner
Allan Not Married Line man M ALS graduate Father COM
Meraflor

Jerwin Single N/A M N/A 1st child of COM

Caceres (mother)

Jillian Single N/A F Elementary 2nd child COM

Meraflor (1st child of
both
parents)

Family Coping Index

CRITERIA IDEAL ACTUAL RATING JUSTIFICATION

PHYSICAL Involve with the ability to Not all the 5 All of them have
INDEPENDENCE move around, to get out of family received care they
bed, to take care of daily members deserve, same
hygiene, walking etc. can move with hygiene they
physically, maintain
but they cleanliness. Have
help each the ability to do
other. their everyday
routine.

THERAPEUTIC Involves all procedures or They also 5 They have reasons

COMPETENCE medications prescribed for follow the why they don't
the treatment of illness, necessary exercise and follow
such as prescription medicine the things that
drugs, appliances, that they need to be
dressing, exercise, stress should followed.
relief, diet plans, etc take, bit
not in
terms of
exercise

KNOWLEDGE OF Associated with the The family 3 Because they don't

HEALTH specific health condition is aware of pay attention to
CONDITION that gives rise to what health problems.
treatment, such as the health
awareness of the disease problems
or the inability to they have,
comprehend the but they
communicability of just ignore
illnesses and the mode of it.
transmission. Recognizing
the general pattern of
development of newborn
infants and basic physical
care needs of infants

APPLICATION Concerned with family The family 5 The family has

OF PRINCIPLES action in relation to has a enough food.
OF GENERAL preserving family nutrition, sufficient They're eating
HYGIENE ensuring adequate rest supply of right. They're
and relaxation for family food and getting enough
members, implementing they follow sleep. They're
accepted precautionary a healthy immune. They've
measures (Immunization, diet. The got all the medical
medical assessment, safe whole equipment they
home making in relation to family is need.
food storage and also
preparation). immunized
.
HEALTH Primarily concerned with The family 5 They follow that
ATTITUDES the way the family feels follows the needs to follow
about health care in right
general, including treatment
preventive services, they need
health care and public
health measures.

EMOTIONAL It has to do with the When they 5 they try to

COMPETENCE maturity and integrity with are facing communicate with
which the members of the any each othef
family are able cope with problems
the usual stress and they
problems of life, and to always talk
plan for a happy and about it.
fruitful life. The extent to
which individuals
recognize the appropriate
disciplines enforced by
their own family and
culture. Developing the
responsibilities and
decisions of the individual.
An eagerness to meet
sensible responsibilities,
to accept fortitude
adversity, to consider the
needs of others as well as
one's own.

FAMILY LIVING Concerned about the Sometimes 5

interpersonal or group the family
aspects of family life. a small
Members of the family get understand
along with each other, the ing, but
ways in which they make eventually
decisions affect the family, they talked
the extent to which they about the
support each other and do problem
things as a family, the
degree of respect and
affection, and the way in
which they organize the
household finances

PHYSICAL Concerned with the Some 5 But the family

ENVIRONMENT community home, and parts of the always make sure
work environment as it community to clean their
affects family health. are clean surroundings.
House conditions such as but in
accident hazard pressure, some other
screening, plumbing, places has
system, cooking facilities, lots of
privacy, community level waste
(deteriorated
neighborhood, presence
of social hazards, pests),
school transport and
accessibility.
 USE OF Degree of use of the The 3 Some barangay
COMMUNITY family and awareness of community officials sometimes
FACILITIES the community facilities have visit the community
available for welfare and daycare for observation and
education. center but immunization.
a bit far
from the
barangay

CHAPTER 6
Typology of Nursing Problem

This chapter looks at the issues that were found during the assessment and interviews with the
family: cues/data, family nursing problem and nursing diagnosis. The issues found are
categorized as: Wellness state Health Deficiencies Health Threats Preventable Crisis Stress
Points.

Typology of Nursing Problem identified in the Famy

CUES OR DATA FAMILY NURSING PROBLEM

Objective: Accident hazard, especially fire hazard.

The house of the family is semi-concrete but,
the only problem they use wood and charcoal
in cooking and the kitchen is surrounded by
things that ca be easily fired up.

Subjective
The mother didn't say much about the house
or kitchen.

Objective:
I didn't have the chance meet her daughter Can be malnurish and can develop different
type of health problem
Subjective:
The mother said that his daughter always low
appetite

Subjective:
Ms. Jean verbalizes that she and his husband Can cause other health problem like gal stone
both have UTI..

CHAPTER 7
PRIORITIZING PROBLEM

In this chapter, you’ll see the family health issues that we’ve identified and how we’ve prioritized
them. You’ll also see the calculations we use to rank the issues based on their justification.

Urinary Tract Infection

CRITERIA COMPUTATION SCORE JUSTIFICATION

Nature of the problem 1/3 ×1= 0.3 0.3 This problem is

foreseeable.

Modifiability of the 1/ 2 x 2= 1 1 This problem would

problem be modifiable if the
member of the family
would pay attention
to UTI.

Preventive potential 3/3 x 1= 1 1 This problem can be

preventive when the
family will take action
in treating UTI

Salience of the 2 / 2 x 1=1 1 The problem need

problem immediate action to
Total: 3.3 prevent complication
like having gal stones