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Aquino Lm. Case Study NCM 104 CHN
Aquino Lm. Case Study NCM 104 CHN
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Presented by:
NOVEMBER 2022
Chapter I
INTRODUCTION
The Filipino people embraces a culture that values the community, the
family, and each of its members above all else. Accordingly, a community is
and grow individually and as a group while working toward a common goal.
Family, on the other hand, has long been considered as the basic unit
people who share goals and values, have long-term commitments to one
another and usually reside in the same dwelling (McCarthy, 2019. Thus, it is
2018).
health nursing entails responding to clients' health needs and issues, as well
to evaluate the home and family conditions and to provide adequate nursing
requires constant assessment and monitoring. With this to say, the ultimate
Community Integrity”, it has been found that although family and community
has been concluded that communities are indeed the setting in which families
prosper and thrive or flounder and fail. Thus, a better understanding of the
family member's health status, develop a nursing care plan for each family
health concern, promote health via health education, and design interventions
to provide nursing care to the household or chosen family from the community
in order for them to improve their way of life, their health status, and become
Chapter II
member's health status, to develop a nursing care plan for each family health
in order for them to improve their way of life, their health status, and to
presents the purpose as well as the general and specific objectives of this
fact, this endeavor facilitates motivation for the client and the nurse by
General Objectives
Specific Objectives
After the initial assessment with the family through interview, the student
optimum health.
FAMILY DATABASE
This chapter presents the family’s data base which includes: The
Often there could be many generations living under the same roof, depending
on the circumstances. Regardless of whether or not they live in a single
children.
The respondent family lives in Brgy. San Isidro, General Santos City.
They have been living there since 1987. Accordingly, although the family has
been living in the same residential area for 33 years, they have experienced
Mrs. T is the one responsible for making major decisions for the family.
She is also responsible for budgeting and managing the family’s finances.
consults with the mother of her grandchildren, Ms. L, who works abroad. In
terms of health care, Mrs. T is more dominant since she is also the one
responsible for taking care of the children since they were little. She takes
care of the children, and everyone else in the family, when they get sick. She
often relies on herbal plants and “hilot” for the treatment of ailments.
The respondent family’s main source of income comes from Ms. L, who
works abroad. Pre-pandemic, she earns roughly Php 60,000 per month. Since
the pandemic started, their source of income was greatly affected. She now
earns roughly Php 20,000 per month from working part-time jobs. The Aunt C
works as a hairdresser and earns about Php 7,000 a month. She sometimes
helps provide the day to day needs of the family in terms of food and bills.
Mrs. T does not work so she is in charge of the house and taking care of the
children. Mrs. T budgets the money that Ms. L sends in terms of food, school
fees and other necessities. Among the five children in the household, three
are in college while the remaining two are still in grade school. Two out of
More often than not, nothing is left from the money that Ms. L sends for other
expenses.
The family strives to accommodate all their needs with the combined
2768.60 when the total monthly income of the family is divided among the
total family members. The total combine income of the family is Php 28,000
and when divided among 8 family members, each member receives Php
All of them are affiliated with the Church of Christ. In fact, Mrs. T
person’s life. They are the ones very close to a person or a group of persons.
For the respondent family, the significant others are their relatives which also
activities, but they often bring food to their neighbors when there are birthdays
or other occasions.
Since the respondent family lives in the city proper, community
resources are not hard to come by. They have easy access to schools,
does not know the exact measurement of the house. In order for the house to
be adequate, the total floor area must be divided among family members and
The house has 3 rooms. One sala/dining area and 2 bedrooms. 2-3
family members share the bedrooms while the rest sleeps on the dining area.
The family has several appliances including ceiling fans, a refrigerator, and an
Mrs. T often uses charcoal in cooking. She is the one who prepares the
food. She cooks outside the house where the dirty kitchen is located. They
usually eat meat, fish and vegetables. The family uses plastic and ceramic
plates, and stainless spoon and fork in eating. In terms of cooking facilities,
the family is well equipped with pots, pans, casseroles, knives and etc. The
family used three different kinds of water – tap water for bathing and washing
their clothes, water from deep well pumps for cooking, and mineral water for
drinking.
The family has one common comfort room with a separate bath room.
The family built a drainage system in a way that their waste water collects on
a shallow well that the family dug out. This well does not smell, and no
The family owns one “sikad” which the family uses for transportation to
go to Church. However, when they have to go into the city proper, they
usually commute.
Has hypertension.
Went for check-up in 2018 and was
Mrs. T diagnosed with early signs of
diabetes.
Has underlying heart condition.
Was hospitalized in 2013.
Child 1
Has history of UTI
No history of any illness or
Child 2
underlying health conditions.
No history of any illness or
Child 3
underlying health conditions.
No history of any illness or
Aunt C
underlying health conditions.
No history of any illness or
Child 4
underlying health conditions.
No history of any illness or
Child 5
underlying health conditions.
Uncle A Has hypertension.
In terms of nutrition, the family often eats meat like pork, chicken, beef
and fish. They do try to have vegetables from time to time. They also take
herbal medications more often than supplemental vitamins and the prescribed
medications. In this case, all of the members of Mc. Stuffins family were
Client: Mrs. T
A 57-year old housewife, able to recall recent and remote memories, appears
The client also appears well-groomed. Her voice is very audible without
Eyes: Eyes are round and normal. No redness and lesions observed.
wears prescription glasses because her vision is blurry due to old age.
Ears: Client is able to hear clearly on both ears. Ears were symmetrical
and in level with the outer canthus of eyes. Client does not use any
hearing devices.
Mouth: No lesions noted. Client does not wear dentures. Lips are light
pink in color.
Spine and back: Spine is in midline position of the body without any
misalignment.
Upper extremities: Right shoulder can only perform 60% ROM. Client
Client: Child 1
Child 1 is 24 years old; able to recall recent and remote memories, appears
However, she says she can only hear from her right ear.
Skin: The client’s skin is light and fair. It is warm to touch. No lesions
Eyes: Eyes are round and normal. No redness and lesions observed.
Ears: Client says she is not able to hear anything using her left ear
since she was young. Ears were symmetrical and in level with the outer
pink in color.
Spine and back: Spine is in midline position of the body without any
misalignment.
Client: Child 2
Child 2 is 22 years old; able to recall recent and remote memories, appears
Ears: Client is able to hear at both ears equally. Ears were symmetrical
and in level with the outer canthus of eyes. Client does not use any
hearing devices.
Mouth: No lesions noted. Client does not wear dentures. Lips are light
pink in color.
Spine and back: Spine is in midline position of the body without any
misalignment.
Client: Child 3
Student nurse was not able to assess child 2 because he was having his
Client: Aunt C
Student nurse was not able to assess Aunt A because she was at work during
the interview.
Client: Child 4
Student nurse was not able to assess child 4 because he was not at home
Client: Child 5
Student nurse was not able to assess child 5 because she was not at home
Client: Uncle A
The client was not at home during the interview so the student nurse was not
The student nurse was not able to gain access to any laboratory or
Disease Prevention
according to the head of the family (Mrs. T), they believe that receiving
The children underwent deworming in school while the adults have been
dewormed when they were kids in the nearest Barangay Health Center.
Healthy lifestyle practices
the household chores every day and Aunt C works out on her own every other
day. On the other hand, Mrs. T stated that all the college children in the family
either just sits all day for online classes or sleeps when there is a vacant time.
Moreover, the family eat their meals regularly, but according to them they
don’t usually eat breakfast. They eat lunch around 11 am, and their dinner
around 7:30 pm. Thus, most of the time, they basically eat twice a day, but
The family is very keen in the use of alternative treatments like herbal
and according to Mrs. T, almost all of her neighbors adhere to this practice
hospitals when sickness occurs. Aside from that, Mrs. T also stated that they
regularly have their blood pressures checked for monitoring. They also try to
eat less fatty food and make a conscious effort to add vegetables in their diet.
Chapter IV
FAMILY BACKGROUND
includes the family history, family tree and the list of household members,
which could be an indicative for the present health status of the family
members.
A. Family History
the family head and the one responsible for making important decisions for
the family. The family usually gets their finances from the combined income of
The family lives in a rental house located in Brgy San Isidro, General
Santos City. Although a little bit cramped, the family tries to live and adjust to
their living conditions. The family has been living in the same neighborhood
for 33 years.
In terms of nutrition, the family eats meat 3-4 times a week. They
occasionally have vegetables as the kids do not like it. Sometimes when the
budget is really tight and they cannot afford to buy meat, they will just pick
the family bloodline. Almost all of her cousins and relatives have
hypertension. She also stated that she has a history of heart condition and
interview.
B. Family Genogram
Grandfather Mrs. T
Child 4
Child Child Child
1 M 5
Child 2
Child 3
Legend:
Female
Deceased
Male
This chapter shows the family’s coping index, in contrast to the ideal
care or intervention to be given at any potential problems they may face. This
Remarks:
Ratin
Criteria Ideal Actual Justification
g
child 2 and 3,
do not wash
both child 2
and 3 as well
as child 1
which is a
female does
not do their
own laundry.
Mrs. T mostly
do all the
house chores
including
simple things
that can be
done
on the
availability of
their finances.
development of situations
care. discomfort in
order so that
they can
attend to other
needs of the
family.
immunization.
check-ups but
family doctor
instead.
needs of others
as well as one’s all come to pass.
own.
system,
With regards to
facilities of
their community,
cooking,
Mrs. T says she
privacy, level of
really likes where
community
they are living right
transportation
now because
and of schools
transport to
and availability.
community facilities
is not difficult.
Degree of the The family is aware The family is
doctor for
consultation when
it comes to matters
concerning their
health.
Chapter VI
nurse during the assessment and interview of the chosen family. It consists of
the subjective and objective cues, nursing problem and diagnosis. The family
spaces diria,” as
Objective cues:
too small.
Things are not organized
area.
Subjective cues:
“Pag init ang panahon,
dili ka makatulog
and ventilation as
Health threat
evidenced by statements
house.
No proper ventilation as
closed.
sa pharmacy. Nya
Aside from that, there are
budgeted baya amoang
also financial constraints
kwarta na ginapadala sa
related to supposed
akong anak gikan
health care practices
and Foreseeable
abroad. Unya, para pud Crisis based on the statement
sa akoa, maayo na kay
of the client.
walay side effects.Tested
Deficient knowledge
and proven na effective
related to proper handling
man sad,” as stated by
and preparation of herbal
Mrs. T.
medications and its side
effects.
Objective cues:
area.
Fresh sambong and
Chapter VII
among all the problems and these include the nature of the condition,
knowledge
regarding herb-
drug interaction
poses a threat to
quite dependent
Nature of the
2/3 x 1 0.67 on the use of
problem
herbal
medications. If not
given proper
attention, it might
lead to
complications in
their health
conditions.
health teaching on
drug interactions
the body.
positive attitude
the effects of
herbal medication.
quite dependent
on herbal
medication, health
be prioritized in
order to prevent
possible
complications.
appropriate health
care interventions
Nature of the
2/3 x 1 0.67 is important to
problem
prevent
recurrence to
health conditions.
easily be modified
through educating
health
professionals.
family sometimes
disregards
discomfort felt in
order to prioritize
other family
needs.
This problem
needs immediate
prevent possible
complications.
lighting is important to
an individual
unavailable to perform
owner’s permission.
Buying ventilation
priorities as of the
moment.
be prevented through
proper
Preventive positioning/arrangemen
3/3 x 1 1
Potential t of the things inside the
ventilation.
to worry about.
Total Score: 2.67
lack of privacy.
client anxiety.
only be partially
modified. The
family is living in
renovate the
owner’s
permission.
Potential measures
condition and
financial
constraints.
to attend to this
problem
immediately
Salience 0/2 x 1 0
because they are
comfortable
current living
conditions.
Total Score: 2
1 preparation of herbal
4.67
medications and its side
effects.
dependent or vulnerable/at
supplies of care.
3 ventilation as evidenced by
2.67
statements of feeling hot
of privacy.
Chapter IX
Summary/Conclusion
This family case study presents the health condition of the Mc. Stuffins
factors, home and environmental factor, and data obtained from health
problems with the family's living situation. In this chapter, the information and
data that the student nurse had collected from the Mc. Stuffins family are
family head, Aunt C and Uncle A, together with 5 children. All children are in
school with three going to college. Mrs. T budgets the family’s finances which
are provided by Ms. L, who live abroad, and Aunt C who works as a
hairdresser. The family has been doing well in the past couple of years but
due to the global pandemic, their budget was drastically reduced. Because of
this they have to prioritize their finances – more than they already do.
The family lives in a small rental house in Brgy. San Isidro, General
Santos City. The living space is a little too small for a household of 8
ventilation and noise. Despite all these, the family tries to make living as
comfortable as possible.
chores, however they try to cope up with this through recreational activities
when there are vacant times. Apart from that, the family also adheres to
taking herbal medications has lesser risk for side effects than medications
brought from pharmacies. They often make use of plants around the
Epektib man daw. Mao to, gi-testing sad nakog gamit, wala man sad nakalain
sa lawas kay herbal man. Walay ubang kemikal na halo, kumbaga natural
ba.”
nurse concludes that among all problems identified, the lack of proper
education and health teaching about herb-drug interactions and the possible
BIBLIOGRAPHY
Books:
Internet sources:
nity.
Sharma, R. (2013). The family and family structure classification redefined for the
current times. Journal of Family Medicine and Primary Care, 2(4), 306.
https://www.rnpedia.com/nursing-notes/community-health-nursing-notes/
typology-nursing-problems-family-nursing-practice/
https://www.scribd.com/doc/24761260/Family-Case-Study
APPENDICES
Pictorials/Documentation
Front view of the house of Mc. Stuffin’s family
Q1
Q2
Q3
Q4
I N P FP W T G S A
LEGEND:
I IMMUNIZATION
Spot Map DANGER,
N NUTRITIONAL STATUS STOP
P PRENATAL CHECK UP Yumang St.
FP FAMILY PLANNING CAUTION
W WATER Mabuhay Road
PERSONAL DATA
Age: 19
Birthday: January 10, 2003
Place of Birth: Polomolok, South Cotabato
Religion: Chirstian- Evangelical
Sex: Female
Civil Status: Single
Citizenship: Filipino
Mother’s Name: Emerita S. Aquino
Father’s Name: Faustino J. Aquino, Jr.
EDUCATIONAL BACKGROUND
Tertiary: Notre Dame of Dadiangas University, Inc. Marist Avenue, General
Santos City; Bachelor of Science in Nursing (2021-Present)
SHS: General Santos Doctors’ Medical School Foundation Incorporated
(2019-2021)
Secondary: Lagao National Highschool (2015-2019)
Elementary: Pagalungan Elementary School (2009-2014)
AFFILIATIONS:
First Aider’s Club – Creatives Committee Member