BIOPSYCHOSOCIAL ACTIVITY 2 August 01, 2020

Bangloy, Marianne Joy

Baniqued, Christa
Barateta, Fatima Mae

Patient-centered Family Focused Community Oriented

Data BIO Assessment Tools:  Family belongs to the

 20/F   low SES
 Sudden onset of 1. Family Genogram - Food nutrition is hard
cough and colds after 2. Family map to prioritize leading to
attending a party and 3. Family APGAR many comorbid such as
being sneezed on 4.  Family circle hypertension and DM
 After 3 days, she 5 Family SCREEM - No time for exercise
developed high fever 6. Family Lifeline due to busy schedule
 She sought consult - Difficulty finding a job
wherein she was & need to work as OFW
subjected to  Family lives far away
COVID19 swab test and are distant from
 She was advised to relatives because of
home quarantine and emigration to Manila
observe social  Community is crowded
distancing. and living area is small
 Her results came and unconducive for
back positive quarantining
PSYCHO  Culture of drinking
 She feels guilty about sessions in the
the possibility of community
infecting her parents  Quarantine restrictions
 CC is an only child, in the community allow
with very loving small gatherings
parents
 She is closer to her
mother than her
father
 Her relationship with
her father recently got
tensed despite his
attempts of
reestablishing their
father daughter
relationship since he
was away most of the
time for work
 Her mother has 2
sibling who lives in
the province, and are
not close to CC
  She has a favorite
aunt on her father
side who has no
children
SOCIAL
 Her parents who were
living at the same
house as CC also
developed symptoms
of cough and cold,
which progressed to
severe dry cough,
high fever, and
difficulty of breathing
 They live in a rented
apartment
 Her mother provides
for the family who
works as an
accountant. Her
mother also balances
her job and
household chores
 Her father is in
between jobs, he also
develops drinking
habits which caused
friction in their family
Analysis/  Confirmed case of Family structure:  Ease of restrictions by
Diagnosis/ SARS-COV2 infection  Nuclear Structure the government allows
Conclusion/ gathering of people in
Assumption Problems encountered: homes
 CC’s parents both  Poor health
developed severe dry prioritization and low
cough and high fever income of the
with DOB and were community lead to
admitted. comorbidities such as
 CC’s swab result HPN and DM
came back positive for  Overcrowding in the
COVID-19 community leads to
 The mother is the sole easier transmission,
provider of the family difficulty practicing
 CC’s relationship with social distancing &
his father had grown quarantining
tense due to his father
working overseas and
just returned from
work last November
2019.
 CC feels guilty about
having her parents
infected.
 Due to difficulties in
getting promoted and
getting a job, his
father started drinking
alcohol at night with
his fellow shipmates,
which caused
considerable friction
within the family.
 His father is a non-
smoker, but his
friends are and the
house reeks of
smoke.
 Both her parents are
hypertensive, diabetic
and on maintenance
medication and do not
exercise

Current stage in the family

life cycle that the patient
family belongs to:
 Launching of Adult
Children

What possible issues can

Management/  Patient is mild  Through the virtue of  Barangay programs are
Intervention symptomatic. being a family, available on education
 According to CDC relatives may be a on healthy lifestyle
guidelines, patients source of financial choices in the low SES
with mild symptoms, help. category to
in the absence of  Mental health and avoid/control HPN and
pneumonia and psychosocial support DM
hypoxia does not must be provided to  Testing and treatment
require the family. are covered by
hospitalization. They  Give assurance to the PhilHealth for COVID
are to finish the 14- family (CC) that her patients
day period strict home parents will be well  LGUs are putting up
quarantine from the taken care of during their own quarantine
day of the symptoms. confinement. facilities for mildly
 Paracetamol 500mg,  Family therapy to symptomatic patients
TID for fever >37.8C improve interpersonal such as CC if self-
 Patient may be relationships between quarantine is not
subjected to a repeat family members and possible in their home
swab test after 14 resolve current  Online consultations
days, if needed. dilemmas regarding are available for
 Practice cough father’s vices. therapy regarding
etiquette and social COVID-related stress &
distancing. trauma (i.e. feelings of
 Contact trace the guilt for infecting her
people who she went parents)
the party with  LGUs can also be
 Peer group or contacted for
counselling might be government
needed since both of aid/financial assistance
her parents are in since both her parents
critical condition and can no longer work
due to  the guilt she
was feeling.