NAME: Cuaresma, Patricia Anne Nicole A.

NCM104a

COURSE/BLOCK: BSN2B4

Task 1:

Case Scenario:

Nurse Mara makes a home visit at Barangay Portero. She meets Family XYZ, who lives nearby
the river bank. Family XYZ has 12 members, composed of the couple who were both finished
4th grade and have 10 children. Children ranges from 15 years old who is the eldest and
youngest is 18 mos baby.

During the nurse visit, she obtained the following data:

 Mother XYZ is 3 month pregnant, no prenatal care yet G11P10, 30 years old
 Father XYZ is a mangangalakal earning ₱100/day, with total of ₱3,000/month which is
allotted for the following: Food allowance – ₱100/day, Water bill – ₱200/month, children
school allowance - ₱300/month. They don’t have electricity and using kerosene lamp and
expend ₱100/month. Father verbalized," kulang na kulang po talaga at sobrang kapos
kami."
 18 month baby is bottled feed, water used taken directly from the faucet
 Children ages 3, 5, 7 years old playing hide and seek near the river bank, barefooted
 Child who is 3 years old weighs 9 kgs, looks pale
 Children who are 5 and 7 both have dry cough for one week now, no check-up was done
 They live in a 12 sqm. by 20 sqm, kitchen, dining, bedroom in this space
 Street dogs and cats roaming around the vicinity
 Flies around the garbages at the side of the house near the riverbank. After a week, Nurse
Mara makes a follow-up visit of the family and asks for immunization record of the
children.

She learned:

 Baby XYZ, 18 months has not received the first dose of MMR when she was 9 mos
 Mother XYZ has no TT shots
 Children ages 3,5,7 were fully immunized
 Mother XYZ verbalized she can't remembered if the other oldest children were fully
immunized, their immunization card were misplaced by her.
From the above case scenario your task is to do the following:

1. Choose one data related to the following categories and interpret it.

a. Socio-economic and Cultural Characteristics

b. Home and Environment
c. Health Status
d. Family Values and Health Practices

2. Analyze the interpreted data by comparing it with the norms or standards.

3. Include in your analysis all references using the APA format 7th edition. References must be
from reliable sources and in the Philippine setting only.

SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS

DATA INTERPRETATION ANALYSIS

Father XYZ is a
mangangalakal earning
₱100/day, with total of
₱3,000/month which is
allotted for the following:
Food allowance - ₱100/day
(for a family of 12), Water bill
- ₱200/month, children school
allowance - ₱300/month.
They don’t have electricity
thus they use kerosene lamp
and expend ₱100/month.
Father verbalized," kulang na
kulang po talaga at sobrang
kapos kami."
Father XYZ is a
mangangalakal which is their
primary source of daily
expenses. The money that he
earns daily is sorely lacking to
support a family of 12.
According to National
Economic and Development
Authority, a family of 5 needs
to have a monthly income of
42,000 pesos to live a
comfortable and decent life.
Reference:
NEDA: Family of 5 needs
P42,000 a month to survive.
(2018, June 8). Philstar.com.
https://www.philstar.com/hea
dlines/2018/06/08/1822735/ne
da-family-5-needs-p42000-
month-survive

HOME AND ENVIRONMENT

DATA INTERPRETATION ANALYSIS

The family XYZ, live nearby
the river bank.
The XYZ family housing
location is unsafe as it is prone
to flooding.
According to Think Hazard
Org. (Philippines) river flood
hazard is classified
as high based on modeled
flood information. This means
that potentially damaging and
life-threatening river floods
are expected to occur at least

DATA
Children who are 5 and 7 both
have dry cough for one week
now, no check-up was done.
FAMILY VALUES AND HEALTH PRACTICES
DATA
The mother XYZ is 3 months
pregnant and she have not
receive any pre-natal care, yet
G11P10.
HEALTH STATUS
INTERPRETATION
Due to the family’s financial
status, children ages 5 and 7
with cough for a week are
unable to have a health
consultation or is not aware of
free health services in health
centers.
INTERPRETATION
Mother XYZ is prone to
complications and infections.
It also has a big impact on her
baby after the delivery.
once in the next 10 years.
Reference:
Philippines. (n.d.). Think
Hazard. https://thinkhazard.or
g/en/report/196-
philippines/FL
ANALYSIS
According to Department of
Health, all sick children must
be routinely assessed for
nutritional, immunization and
deworming status and for
other problems. Children aged
2 months up to 5 years are
examined for general danger
signs and all sick young infant
birth up to 2 months are
examined for severe disease
and local bacterial
infection. These signs indicate
immediate referral or
admission to hospital.
Reference:
Integrated management of
childhood illness (IMCI).
(n.d.). Welcome to
Department of Health website
| Department of Health
website. https://doh.gov.ph/int
egrated-management-of-
childhood-illness
ANALYSIS
According to Philippine
Institute for Development
Studies, prenatal care protects
mothers from pre-eclampsia
 which is the most common
cause of maternal mortality,
and mothers without prenatal
care are more likely to have
pre-term delivery and have an
effect on birth weight. It also
has significant contribution on
infant survival and better
health outcomes.

Reference:
Lavado, R. F. (2010). Who
provides good quality prenatal
care in the
Philippines? Philippine
Institute for Development
Studies.
https://dirp3.pids.gov.ph/ris/d
ps/pidsdps1018.pdf

TASK 2:

Formulate nursing diagnosis from all the family health needs or problems you identified from
Task 1

DATA: The mother XYZ is 3 months pregnant and she have not receive any pre-natal care, yet
G11P10.

FAMILY HEALTH NEED OR PROBLEM: No prenatal check up

FAMILY NURSING DIAGNOSIS

FIRST LEVEL SECOND LEVEL

ASSESSMENT
Unhealthy Lifestyle and Personal
Habits/Practices as Health Threat as evidenced
by no prenatal check up
ASSESSMENT
1. Inability to recognize the presence of the
condition or problem due to:
a. Lack of or inadequate knowledge
b. Economic/cost implications
2. Inability to make decisions with respect to
taking appropriate health action
due to:
a. Lack of/inadequate knowledge of
community resources for care