Patient-centered Family Focused Community Oriented
Data 40y/o F Assessment Tools: As described in the
Right flank pain patient’s living Hematuria 1. Family Genogram environment, her Dysuria 2. Family map family lives in the UTZ: 3cm obstructing 3. Family APGAR slums and is in low urolith R renal pelvis 4. Family circle socioeconomic Diagnosed with Cervical 5 Family SCREEM status, thus, health- Cancer stage 1 6. Family Lifeline seeking behavior is of little to no concern, Smoker and options to health Low fiber diet care services are High salt diet limited. Heavy alcohol drinker Drinks soft drinks In addition, poor regularly choices and access Refused chemotherapy to healthy foods are and drinks kings herbal of concern due to tea and visits manghihilot their living status and for therapy due to the community behavior.
Analysis/ Cervical cancer stage 1 Family structure: Poor health
Diagnosis/ Obstructive Stepfamily prioritization of the Conclusion/ Urolithiasis/nephrolithiasis government tends to Assumption Problems encountered: highly affect the KK does not cook, people on low socio- they depend on economic status. carinderia meals Thus, poor which is salty and compliance and unhealthy more complications KK was recently arise. diagnosed to have stage 2 cervical cancer Both KK and KC are alcoholic KK was unfaithful to KC KC would sleep around to get back on KK for being unfaithful and he would take drugs Due to KK and KC’s vices, they fall short on paying their bills KK sometimes misses her ex-partner. KC is closer to JK than to his stepchild IK KK is not in touch with her family
Current stage in the family
life cycle that the patient family belongs to: Family with young adolescents/young children
What possible issues can
they encounter? The family can acquire various diseases with their high salt, high fat, high sugar diet. If KK’s condition might worsen and would burden their family financially and emotionally Due to the uncontrolled vices of KK and KC, their children in the future might do the same which KK and KC might split up the family if they continue being unfaithful to each other Unpaid dues and unpaid debt may pile up to the point that they cannot pay their rent which can cause them to be homeless Since there is a strong family history of cancer in KK’s family, her children can be at risk of acquiring cancer as well.
Management/ Pelvic Exam & CT scan to Health education on PhilHealth helps in
Intervention recheck current stage of eating a balanced covering for the cancer diet, and cancer expenses for If still stage 1-2 RHBSO + surveillance and chemoradiation for BLND (if <4cm) and prevention patients with cervical chemoradiation Health education on cancer. Urinalysis to check for the consequences of presence of concurrent high risk behaviors UTI such as smoking, Government Treat nephrolithiasis with alcoholic beverage hospitals are of ESWL since stone is drinking, illicit drug great help for large and very use and having accessible and symptomatic multiple sex partners affordable healthcare. Percutaneous Psychological nephrolithotomy may be counseling for their done if ESWL is children who might be Church support unsuccessful traumatized by the groups can be of current situation and help to the patient by Lifestyle modifications: the behavior of their providing access to Stop smoking parents charity. Reduce/stope alcohol intake Family wellness plan Low sodium diet Catharsis-education-action Drink lots of water (CEA): Reduce soft-drink intake To involve the family in the current situation Eat vegetables of KK To involve every member of the family in supporting KK’s fight against cancer.