THE 'DANGLAY’S ': A FAMILY CASE STUDY

Wakat, Narjolyn P.

BENGUET STATE UNIVERSITY

COLLEGE OF NURSING

LA TRINIDAD, BENGUET

BACHELOR OF SCIENCE IN NURSING

MAY 2017
 2017
TABLE OF CONTENTS

Title Page i
Table of Contents ii
Acknowledgements iii

Chapter I- INTRODUCTION 1

Chapter II- OBJECTIVES OF THE STUDY

A. General Objectives
B. Specific Objectives

Chapter III- INITIAL DATABASE

A. Family Structure, Characteristics and Dynamics

B. Socio-Economic and Cultural Characteristics
C. Home and Environment
D. Health Assessment of the Family

Chapter IV- FAMILY BACKGROUND

A. Family History
B. Family Tree

Chapter V- TYPOLOGY OF NURSING PROBLEMS

Chapter VI- PRIORITIZATION OF PROBLEMS

Chapter VII- FAMILY NURSING CARE PLAN

Chapter VIII- COMPREHENSIVE FILES OF THE FAMILY HEALTH INTERVENTIONS

Chapter IX- CONCLUSION AND RECOMMENDATIONS

Chapter X- REFERENCES
 ACKNOWLEDGEMENTS

The nurse-learner would like to thank and extend appreciation to the following, who in
one way or the other, made this study possible.

To Mr. Jude L. Tayaben and Ms. Aprila Calasan, our clinical facilitators, for their
continuous assistance and selfless efforts during our activity.

To the Danglay family who warmly welcomed us during our home visit and had gladly
shared to us their thoughts and knowledge.

Also, the nurse-learner would like to extend her deepest gratitude to her parents and
guardians for their unending guidance and support.

Foremost, to God Almighty, who made all things possible. The nurse-learner uplifts all
her praises and honor to Him alone.

Wakat, Narjolyn P.
 CHAPTER I

INTRODUCTION

The synthesis of nursing and public health practice as applied to promote and protect

the health of population known as Community health Nursing combines all the basic elements
of professional and clinical nursing with public health and community practice,
cartercenter.org.

Therefore a Community Health Nurse should act as a partner in a health team who
provides nursing care, treatment to the sick, health counseling and does work in different
places such as home, school, and health center. (Cmai,2005)

This revolves on individuals, families, population group or aggregates, and the

community, according to Nurseslab.com, there is twelve (12) principles that govern CHN. These
are as follows: (1) The recognized need of individuals, families and communities provides the
basis for CHN practice; (2) Knowledge and understanding of the objectives and policies of the
agency facilities goal achievement; (3) CHN considers the family as the unit of service; (4)
Respect for the values, customs and beliefs of the clients contribute to the effectiveness of care
to the client; (5) CHN integrated health education and counseling as vital parts of functions; (6)
Collaborative work relationships with the co-workers and members of the health team facilities
accomplishments of goals; (7) Periodic and continuing evaluation provides the means for
assessing the degree to which CHN goals and objectives are being attained; (8) Continuing staff
education program quality services to client and are essential to upgrade and maintain sound
nursing practices in their setting; (9) Utilization of indigenous and existing community resources
maximizing the success of the efforts of the Community Health Nurses; (10) Active participation
of the individual, family and community in planning and making decisions for their health care
needs, determine, to a large extent, the success of the CHN programs; (11) Supervision of
nursing services by qualified by CHN personnel provides guidance and direction to the work to
be done; and (12) Accurate recording and reporting serve as the basis for evaluation of the
progress of planned programs and activities and as a guide for the future actions. With all of
these, nurses would certainly be guided and be led for the ultimate goal of Community Health
Nursing which is to promote community health. (Hitchcock, Schubert, Thomas, 2003)
 CHAPTER II

OBJECTIVES OF THE STUDY

This chapter presents the general and specific objectives of the family case study.

General Objectives:

At the end of the nurse learner-family relationship, the family should be able to display
well-founded means to improve and sustain the health status of each family member.

Specific Objectives:

After a week of home visits and with nurse learner-family interaction, every family
member would be able to:

a) Identify ways to improve interpersonal relationship within their family.

b) Enumerate the importance of diseases and illnesses prevention.
c) Utilize available resources in solving their problems.
d) Develop and maintain good habits of personal hygiene and sanitation.
e) Understand health teachings to be rendered.

CHAPTER III

INITIAL DATABASE

The initial database includes the information about the family in various dimensions. It
includes the Family Structure, Characteristics and Dynamics, the Socio-economic and Cultural
Characteristics, the Home and Environment, the Health Assessment of each family member,
and the Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention.

A. Family Structure, Characteristics, and Dynamics

NAME AGE SEX CIVIL POSITION OCCUPATION EDUCATIONAL

(code (years) STATUS IN THE ATTAINMENT
names) FAMILY
LD 25 Male Married Father Farming Elementary
Grad
JM 24 Female Married Mother Farming High School
level
 LUD 5 Female Single First Child --- Kindergarten
LGD 3 Female Single Second --- ---
Child
LFD 1 Female Single Third --- ---
Child

The Danglay family is a nuclear type of family. As a nuclear family, the household is
composed of five (5) members: father LD, 25 years old, mother JM, 24 years old with their
children LUD, LGD, and LFD.

A nuclear family, also called a conjugal, elementary, or traditional family, typically

consists of two married or legally-bound parents and their biological or adopted children all
living in the same residence and sharing the values, duties, and responsibilities of the family
unit. There can be any number of children in the family, and one or both parents may work
outside the home. (family.lovetoknow.com)

The Danglay Family resides in Gasal Sayangan, Lubo, Kibungan, Benguet. They have
been living there since 2015. JM states that her husband, LD, is more dominant in terms of
planning and budgeting for their family while JM claims to dominate in terms of the health of
the family. The couple also reported that the discipline and training of their children are being
shared by both of them.

B. Socio-Economic and Cultural Characteristics

The family's main source of income is from farming. Their products are chayote, cabbage,
corn, and sweet pea. With an estimated monthly income of Php 5,500.00, JM reports that they
are trying their best to suffice their needs, fortunately, they are not renting their land and
house, and that only their food, schooling of the children and their personal stuffs are being
expensed with.

C. Home and Environment

The house is located just beside a private road. The house is a bungalow type house made
up of concrete and GI sheets. There are two separate structures that can be seen. The first one
was their main house and the other is their comfort room. Just below the house is their
cabbage plantation and beside it is their sweet pea plantation. They use LPG in cooking, as well
as wood. There is one bedroom in the unit and is claimed to have four persons sleeping in it.
 The environment is generally in good condition. There is no problem with breeding site
since JM is fun of planting so the house is surrounded with plants that use plastic containers as
pots. However, the house is near a very steep area which could be hazardous especially for her
children.

D. Health Assessment of the Family

History of Present Illnesses

JM claims that she and her husband have no present illnesses that are experiencing or
even medicines that are being taken. However, JM states that her last child LFD is having cough
and is only being breastfed and given water as management for the cough.

CHAPTER IV

FAMILY BACKGROUND

A. Family History

Danlay family is a nuclear type of family. Which compose of five (5) members. The
father LD, mother JM and their three (3) kids, LUD, LGD, LFD. The father is the one who
primarily leads and handles the family. The family's source of income is farming with an
estimated income of Php 5,500.00 per month, depending on the prize of their crops.

B. Family Tree

LD JM

LEGEND:
LUD LGD LFD
Chapter V EE – male
EE – female
TYPOLOGY OF NURSING PROBLEM
 The Danglay family seeks consultation at Lubo Clinic in Lubo Proper, Lubo, Kibunagn,
Benguet whenever they have concerns about their health. Mrs. JM, as the informant,
mentioned of no diseases or illnesses that the family had acquired for the past 6 months,
except of LGD the last child who had cough and colds.

Cues/Data Family Nursing Problem

Subjective Data:
“ kanayun nga ag riri dytoy ubing ko
nganagatel ti ima kn saka na”
Objective Data:
Children are not properly groomed
The front yard where the children plays is
messy
A. Inability to maintain personal hygiene
which is conducive to health
maintenance and personal
development due to lack of adequate
knowledge of the importance of
hygiene and sanitation secondary to
ignorance of facts about the possible
effects of poor hygiene that may cause
probable disease condition.

Subjective Data: A. Improper (open) drainage system as a

"Ay ag-ayus ladtan a dita jay danum nu ag- Health threat
ugas kami"
B. Inability to provide home environment
Objective Data: which is conducive to health
There is visible greenish and slimy water maintenance and development.
flowing on the open drainage
Unclean front yard

Subjective Data: A. Inability to recognize the possible

“adu garud ti rumrumwar nga lamok dita diseases that could be acquired
igigid” through the presence of mosquitoes

Objective Data:
Presence of grassy and dark area at the
back of the house
Presence of open drainage

Chapter VI

PRIORITIZATION OF THE NURSING PROBLEMS

 This section contains the basis of the prioritization of the nursing problems.

I. Personal Hygiene due to un neat environment

Criteria Computation Score Justification

1. Nature of the 2/3 x 1 0.67 It is a Health threat that demand
Problem immediate action.
2. Magnitude of 2/2 x 2 2 The resources and interventions
the Problem needed to solve the problem are
available.
3. Preventive 2/3 x 1 0.67 Possible accidents can be avoided.
Potential
4. Salience 2/2 x 1 1 The family acknowledged the said
problem.
Total Score: 4.34

II. Presence of breeding sites of vectors of diseases (mosquitoes, flies, etc.) as a Health
Threat

Criteria Computation Score Justification

1. Nature of the 2/3 x 1 0.67 It is a Health Threat that needed
Problem immediate action.
2. Magnitude of 2/2 x 2 2 The resources and interventions
the Problem needed to solve the problem are
available.
3. Preventive 3/3 x 1 1 Occurrence of Dengue, Malaria, and
Potential other communicable diseases can be
minimized.
4. Salience 2/2 x 1 1 It is not a felt problem.
Total Score: 4.67

III. Improper (open) Drainage System as a Health Threat

Criteria Computation Score Justification

1. Nature of the 2/3 x 1 0.67 It is a Health Threat.
Problem
2. Magnitude of 1/2 x 2 1 The resources and interventions
the Problem needed to solve the problem are
available.
3. Preventive 1/3 x 1 0.33 Achievement of environment that is
 Potential conducive for health of the family.
4. Salience 1/2 x 1 0.5 The family understands the
consequences of the problem.
Total Score: 2.50

PRIORITIZATION OF PROBLEMS

PROBLEMS SCORES
1. Personal Hygiene due to un neat environment 4.67
2. Presence of breeding sites of vectors of diseases (mosquitoes, flies, 4.34
etc.) as a Health Threat
3. Accident Hazards from under constructed house as a Health Threat 3.17
4. Improper (open) Drainage System as a Health Threat 2.50

Chapter VII

FAMILY NURSING CARE PLAN

 According to Liego, 2012, a Family Nursing Care Plan is the set of actions the nurse
decides to implement to be able to resolve identified family health and nursing problems.

Chapter IX

COMPREHENSIVE FILE OF THE FAMILY HEALTH INTERVENTIONS

I.

NURSING INTERVENTIONS
GOAL OF CARE: After an hour of nursing intervention, the family will be able to demonstrate
understanding of the health teaching regards to importance of maintaining proper hygiene.

OBJECTIVES OF CARE: After an hour of nursing intervention, the family will be able to
demonstrate understanding of the health teachings, and the cleanliness of the surroundings.

PROBLEM INTERVENTIONS RESOURCES

Inability to maintain personal
hygiene which is conducive to
health maintenance and
personal development due to
lack of adequate knowledge
of the importance of hygiene
and sanitation.
1. Assess the hygiene practice of Human resources: time
each of the family member. and effort of the nurse
learner and the family
2. Provide health teaching about
the importance of good
hygiene

3. Provide health teaching about

the importance of good
hygiene

4. Encourage on maintaining
cleanliness by regularly
cleaning the surroundings.
EVALUATION OF INTERVENTIONS:
After the nursing interventions, the family made actions to avoid possible diseases that may be
due to the said problem.

II. Presence of breeding sites

NURSING INTERVENTIONS
GOAL OF CARE: After an hour of nursing intervention, the family will be able to demonstrate
understanding of the health teaching regards to the possible causes and effects of the presence
of these vectors.
OBJECTIVES OF CARE: After an hour of nursing intervention, the family will be able to
demonstrate understanding of the health teachings, and breeding sites of mosquitoes will be
cleaned.
PROBLEM INTERVENTIONS RESOURCES
Inability to recognize the 5. Assess condition of the house Human resources: time
possible diseases that could and level of knowledge. and effort of the nurse
be acquired through the learner and the family
presence of mosquitoes. 6. Discuss the possible sources of
mosquitoes' presence.

7. Explain to the family all

possible harmful effects that
mosquitoes can cause to health
of the family.

8. Encourage on maintaining
cleanliness by regularly
cleaning the surroundings.
EVALUATION OF INTERVENTIONS:
After the nursing interventions, the family made actions to avoid possible diseases that may be
due to the said problem.

III. Accident Hazards

NURSING INTERVENTIONS
GOAL OF CARE: After an hour of nursing intervention, the family will be able to demonstrate
understanding of the health teaching regards to the possible effects of debris and materials left
from under construction of house.
OBJECTIVES OF CARE: After an hour of nursing intervention, the family will be able to
demonstrate understanding of the health teachings, and the construction site will be cleaned
and in order.
PROBLEM INTERVENTIONS RESOURCES
Inability to recognize the 1. Assess condition of the house Human resources: time
possible hazards or threats and level of knowledge. and effort of the nurse
from debris and materials left learner and the family
from under construction of 2. Explain to the family all
their nearby house. possible effects that can cause
harm to the health of the
family from the construction
 site.

3. Encourage on maintaining
cleanliness and orderliness on
the construction site.
EVALUATION OF INTERVENTIONS:
After the nursing interventions, the family made actions to avoid possible hazards that may be
due to the said problem.

IV. Improper drainage system

NURSING INTERVENTIONS
GOAL OF CARE: After an hour of nursing intervention, the family will be able to understand the
importance of proper drainage system in relation to health and sanitation.
OBJECTIVES OF CARE: After an hour of nursing intervention, the family will be able to
demonstrate understanding of the health teachings, and the drainage system will be fixed.
PROBLEM INTERVENTIONS RESOURCES
Inability to provide home 1. Discuss the importance of proper Human resources: time
environment which is drainage system in relation to and effort of the nurse
conducive to health the family's health. learner and the family
maintenance and
development. 2. Encourage the family to maintain
good sanitation.
EVALUATION OF INTERVENTIONS:
After the nursing interventions, the family made actions to keep their environment clean and
conducive for health of their family.

Chapter X
 CONCLUSIONS AND RECOMMENDATIONS

The community health nurse according to Clark, 2008is charged with promoting the
health of populations, not only the individuals within populations.  This requires advocacy on
the part of the nurse, for entire communities as well as for the individuals within. 

With this, the nurse learners should remain to be community health nurses, not only for
today but should also extend for a lifetime, for them to continue upholding the true essence of
being a nurse, which is to promote health especially in our communities.

The nurse learners should also encourage the Danglay family and other families in the
community to continue taking good care of their health, for we all know that "It is our Health
that is our Wealth". Continuous information dissemination should also be empowered in the
community to reiterate having a good lifestyle for health.

Chapter XI
 REFERENCES

www.family.lovetoknow.com

Janice E. Hitchcock, Phyllis E. Schubert, Sue A. Thomas. Community Health Nursing: Caring in
Action, Volume I. 2003. page 346

www.nurseslab.com

www.cartercenter.org

Cmai. Community Health Nursing. BI Publications Pvt Ltd, 1 January 2005. Page 314

Dorothy Baldwin. All about Children: An introduction to Health development. 1983. page 10-11

Mary Jo Clark, Ph.D., RN. Community Health Nursing: Advocacy for Population Health, 5 th
edition. ©2008