La Salle University

College of Nursing

Ozamiz city

FAMILY CASE STUDY

In Partial Fulfillment of

Requirements in

Related Learning Experience

Presented to:

Ms. Arlene D. Apao, MAN

Clinical Instructor

Presented by:

BSN-IV
 I. Introduction

“Having somewhere to go is home. Having someone to love is family. Having both is a blessing.”

By definition, family is the basic unit of the community. It is composed of persons, male and female,

being molded to be as one, working in hand to maintain a good atmosphere among the family members.

In a family, there are different functions. The head of the family is like the nucleus of a cell. He serves as

the “center of command” in the family.

The responsibility of community health nursing is to respond to the needs of the community. It doesn’t

particularly focus on the class or type of family yet it has a general approach. Its service requires

continuous and close monitoring and observation. Its goal is to promote health to different clients

including individuals, families, group or community.

Community is a group of people sharing geographic boundaries and/or values and interests (Maglaya,

2004). There is no community that is the same. In there, a nurse is assigned to interact and adapt to its

environment and different kinds of people. It is important that families in the community are aware of

the things and practices pertaining to health.

Being exposed in the community is very important for a nurse. The nurse or the student nurse learns to

be apart from the hospital setting, using all his/her skills that can be applied to give quality service

utilizing all the resources available only in the community.

A family case study should be conducted because it is a tool in determining the health status of the

family through assessment and critical observation. With this, health related problems are identified

wherein the nurse should properly intervene to it. To be able to do this, reaching out to families will be

done by the nurse and that sharing of knowledge, skills and time to uplift the condition of the family.
 II. Objectives:

At the end of the student nurse-family relationship, the adopted family will be able to improve

their health status and become self-reliant in maintaining their health through appropriate interventions

in a given time frame.

Specifically, the family would be able to:

 Establish rapport with the students

 Give important and factual information during interviews and surveys

 Participate during home visits and assessment interviews actively

 Identify actual and potential problems which may be a hindrance in attaining optimum health

 Categorize the identified problem accurately

 Prioritize the identified family health nursing problems with the assistance of the student nurse

 Plan possible solutions to the prioritized problems

 Evaluate changes in condition after giving interventions

 Retain all the information acquired during health teachings

 III. Initial Database

FAMILY RELATION SEX AGE CIVIL HIGHEST OCCUPATION PLACE MONTHLY

MEMBER TO HEAD STATUS EDUCATION INCOME

COMPLETED

Jonathan Head M 46 Married Grade 5 Fisherman Dimaluna Php 3,000

Mary Grace Wife F 42 Married 4th yr Housewife

Highschool

Mary joy Daughter F 12 Single Grade 7 -

Katherine Daughter F 8 Single Grade 4 -

Jerish Daughter F 4 Single Daycare -

Justine Son M 9 Single - -

mos

Our community health nursing duty is at Brgy. Dimaluna, Ozamiz City. It is particularly at Purok

2, Sitio Basirang. The students together with their clinical instructors have an ocular survey and assigned

one family to each of the students. I was particularly assigned to the “Familia” family. It is a nuclear type

of family originally settled specifically at the said barangay. Their religion is Independiente Filipina. They

are in the Cebuano ethnic group.

Their house is owned and used a light construction material. They have two rooms utilized for

sleeping and resting. They use the electricity as the lighting facility. They cook using the firewood and

stores their food at their tupperwares. The general sanitary condition of their home is clean. Their family

income usually goes up to 3,000 per month. They exploit 50% of it to their food expenditures, 30% for

the education of their children, 10% for the clothing and electricity.
 When it comes to their health conditions, the common ailment expressed were fever, cough,

colds, headache, diarrhea and back pain. When one of the family members is sick, they usually consult

to their barangay health center where BHWs are there to assist them. Moreover, they usually take

Paracetamol when sick and the person who administers it is the mother. On the other hand, they do not

have any herbal plants in their backyard.

The couple uses a family planning method which is withdrawal method. According to them, their

informant was the neighbors. All of their children underwent prenatal and immunization. Usually, the

mother had her prenatal check up at the health center and delivered all her babies alive, via NSVD at

MHARS-MC formerly known as Emergency hospital. To add, the children were all breastfed and the

duration of the breastfeeding history was all in 2 years. The vaccines given during immunization were

BCG, DPT, Hepa B and Measles.

The family pratices handwashing before and after meals. Specifically, there is none in the

household who is malnourished or underweight. They were all in good health condition.

The family eats rice, fish, sea foods and vegetables every day while they seldom eat fruits and

meat. They practice hand washing before and after eating and they eat together all the time.

The family gets water from the Artesian Well, located a distance from their house, where it is

shared by all people in the community. The water will be then stored into a gallon. They segregate their

garbage; put it in plastic bags and bury them. They have a water-sealed latrine type of toilet. They have

a dog and a chicken at their backyard. They destroy pests like mosquitoes and cockroaches by fogging.

The community in general has a clean sanitary condition and their houses are congested. They use the

sea for their natural resources.

The family has their exercise for 30 minutes just walking and doing household chores. They

sleep adequately for 6-8 hours. The parents are members of the BFAR organization and they usually call

the wife’s father in cases of financial and/or medical emergencies. The usually get information from the
BHWs. The public facilities available in the barangay that can be exploited are School, Health Center,

Church, Play Ground, barangay hall, market and basketball court. The family belongs to an income

generating project which is Rug Making and was raised by the student nurses of La Salle University. The

people don't have their own Botika in their Barangay. The family don't own a piece of land but their

backyard is planted with vegetables like Alugbati. They use cellphone primarily for communication and

utilized the tricycle for transportation. The student nurse interviewed the mother respectively and

recorded this information.

IV. Genogram

LETECIA CATARINA IGNACIO

RICARDO

MARY GRACE
JONATHAN

MARY JOY

KATHERINE

JERISH

JUSTINE
V. Prioritization of Problems

A. Inadequate family resources for family size

CRITERIA COMPUTATION ACTUAL JUSTIFICATION

SCORE
1. Nature of the 2/3 x 1 2/3  The problem is health
problem threat that does not
demand immediate action.

2. Modifiability of ½ x2 1  Increasing number of

the problem children in the family is a
threat most especially if
there is lack of financual
support.

 The family may use

different family planning
methods in order for them
3. Preventive 3/3 x 1 1 to prevent having another
potential child promoting them to
adequately manage their
finances.
 The family does not
recognize the existence of
the problem.
4. Salience of the 0/2 x 1 0
problem
TOTAL SCORE 2 2/3

B. Presence of insects and pests

CRITERIA COMPUTATION ACTUAL JUSTIFICATION

SCORE
1. Nature of the 2/3 x 1 2/3  The problem is health
problem deficit that does demand
more immediate action.

2. Modifiability of 2/2 x 2 1  The resources and

the problem interventions needed to
solve the problem are
available to the family.
  The possibility of
3. Preventive 3/3 x 1 1 complications of having
potential insects and pests in the
house is increased thereby
resultig to a health threat
to the family. The student
nurse may help in the
prevention of these
4. Salience of the 1/2 x 1 1/2 complications by teaching
problem the family the importance
of erradicating these
fomites in order to precent
acquiring various diseases.

 The family does recognize

the existence of the
problem.
TOTAL SCORE 2 3/5

C. Fall Hazards

CRITERIA COMPUTATION ACTUAL JUSTIFICATION

SCORE
1. Nature of the 2/3 x 1 2/3  The problem is health
problem threat that does demand
immediate action.

2. Modifiability of 2/2 x 2 1  The resources and

the problem interventions needed to
solve the problem are
available to the family. The
student nurses may
educate the family to
protect the safety of every
family member.

3. Preventive 3/3 x 1 1  The possibility of fall

potential hazards is highly
preventable through
implementation of
possible solutions and
interventions given by the
student nurses.
4. Salience of the 1/2 x 1 1/2  The family perceives it as a
problem non-threatening situation.
TOTAL SCORE 2 3/5
 La Salle University
College of Nursing

FAMILY NURSING CARE PLAN

HEALTH FAMILY NURSING GOAL OF CARE OBJECTIVES OF INTERVENTION PLAN

PROBLEM PROBLEMS CARE NURSING METHOD OF RESOURCES
INTERVENTION NURSE-FAMILY REQUIRED
CONTACT

Presence of Inability to provide a After Nursing After three hours of 1.) Provide information Home Visit Time and effort of
health home environment intervention, home visit the of safety need or injury both student
threats as conducive to heath the family will family will: prevention and public health
manifested maintenance and think of 1) Know the motivation to prevent. nurses and
by accident personal development necessary importance of a 2.) Discuss about family.
hazards due to: Lack of action to safe environment supervision for the
secondary to knowledge on reduce free from hazards young ones and
falling due to dangerous potential and accident. improvement of the
broken construction materials hazards in to 2.) Aware and faculty
stairs. that can cause the home knowledgeable of
damage. environment. the hazards in their
home including its
preventive
measures.

LSU-CON FNCP
 La Salle University
College of Nursing

FAMILY NURSING CARE PLAN

HEALTH FAMILY NURSING GOAL OF CARE OBJECTIVES OF INTERVENTION PLAN

PROBLEM PROBLEMS CARE
NURSING METHOD OF RESOURCES
INTERVENTION NURSE-FAMILY REQUIRED
CONTACT

Presence of Inability to provide a After 1 hour of After nursing 1.) Discuss with the Home Visit Time and effort of
insects and home environment nursing intervention, the family clean the kitchen both the nurse
pest conducive to heath intervention the family will be able before and after using it. and the clients
maintenance and family will to:
2.) Discuss with the
personal development decide on the
a.)Make action to family always cover the
due to: appropriate
improve home food to prevent from
action to
a. Lack of knowledge sanitation. flies and other insects.
prevent the
on the possible cause
diseases and b.) Come up with 3.) Discuss with the
of our health through
maintain a the methods of family the importance of
those parasites and
healthy family destroying pests having clean home
insects.
environment
b. Lack of awareness
in the environment.
LSU-CON FNCP
 La Salle University
College of Nursing

FAMILY NURSING CARE PLAN

HEALTH FAMILY NURSING GOAL OF CARE OBJECTIVES OF INTERVENTION PLAN

PROBLEM PROBLEMS CARE NURSING INTERVENTION METHOD RESOURCES
OF NURSE- REQUIRED
FAMILY
CONTACT

Family size Inability to make After nursing After nursing 1. Analyze with the couple critical Home Visit Time and
beyond what decisions with respect intervention, intervention, the issues related with marital effort of both
family to taking appropriate the family will couple: relationship and the parents the nurse and
resources health action due to decide on a) Can explain what responsibility for love and life as the family
can lack of knowledge as appropriate planning the family basis for maintaining family size.
adequately to alternative courses action(s) to is all about; 2. Discuss with the couple the
provide of action open to the maintain family b) Can enumerate alternative courses of action.
family size based on a the various ways 3. Analyze with the couple the
sense of of maintaining the advantages and disadvantages of
responsibility size of the family; each alternative/method to
for love and life c) Will select a encourage better decision-making
method most on the best option given the
appropriate to family’s situated possibilities.
them; 4. Explore with the family
especially with the couple ways of
encouraging growth-promoting
activities to enhance marital
relationship for family life
education.
VII. Conclusion

There were three problems identified in the family. The most priority of it is the presence of

insects and pests and fall hazards which require immediate action and intervention since it is a health

threat. Families in the community should see the existence of problems like this so that it will be given

proper interventions and prevent possible complications. The job of the student nurse is to give health

teaching to the family for them to properly manage it. Since all the possible materials and resources are

available only in their homes, they should implement the management taught. Community health

nurses help families in a way that they would put into practice the concept of family-oriented care.

Therefore, student nurses should implement the programs of the Department of Health (DOH) for the

promotion of health, prevention of illnesses and improvement of the conditions in the social and

physical environment.

VIII. Recommendation

As the saying goes “Prevention is better than cure”, I recommend to the family that they should

recognize health as their primary priority. With that, they could utilize all possible resources in their

homes including those in their barangay health centers. They are always welcome to approach the

BHWs for referrals to help them further analyze the nature and extent of the illnesses they are not

familiar with. As a student nurse, I look forward that the family assigned to me would have the proper

knowledge and skills to do appropriate management to each and every disease they can encounter

using all the things I have taught to them so that they will independently uplift the standard of their

living and achieve their optimum level of functioning.