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In Partial Fulfillment

Of the Requirement in

The course of Bachelor of Science in Nursing

Presented by:

Aviles, Sunshine Hope Q.

BSN II-B

1st Semester S.Y. 2023-2024

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I. INTRODUCTION

Understanding the importance of spiritual care for patients' overall health, particularly for those who are

ill, is crucial for healthcare professionals. This case study explores the special opportunities and difficulties

associated with offering spiritual care to ill patients. We hope to learn more about how spiritual support affects

the patient's healing process by looking at the experiences of the patient and the care team. To better understand

the relationship between spirituality, faith, and health outcomes, this case study examines the function of

spiritual care in patient-centered healthcare. It attempts to educate medical professionals on how to provide

comprehensive, customized care that fits patients' needs holistically, enhancing coping mechanisms, mental

health, and comfort levels overall. Through this case study, we aim to emphasize the importance of integrating

spiritual care into healthcare practices and highlight its potential to enhance the healing process for patients

battling.

In the province of La Union, San Fernando is one of the cities with 59 barangays including the one that

had been chosen by me (Sunshine Hope Aviles) a student of Union Christian College in barangay Pagdalagan

Sur. I interviewed with Mr. A on April 5, 2023. There are five people people in their family Mr. A, Mrs. B, C, D,

and E.
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II. OBJECTIVES OF THE STUDY

a. General Objective

To investigate how Mr. A with hypertension can improve his quality of life and overall well-being by

receiving spiritual care. The purpose of this study is to investigate about how Mr. A’s coping strategies,

emotional health, and a general sense of acceptance and serenity during his journey are affected by her spiritual

support. To meet the spiritual needs of Mr. A, the study also looks for the best spiritual care interventions and

practices that medical professionals can use.

b. Specific Objective

1. To evaluate how integrating spiritual care interventions affects patients with hypertension's overall

health and ability to control their blood pressure.

2. To investigate how hypertension patients understand and relate to spirituality in relation to their coping

mechanisms and methods of management.

3. To assess the impact of various spiritual care approaches on hypertension patients' ability to better

control their blood pressure and experience less stress.

III. INITIAL DATABASE

a. Client’s/ patient’s profile

Mr. A, a husband and a father of three who is currently 63 years old, lives in the City of San Fernando

La Union.

b. Family structure/ history/ characteristics/ dynamics

MEMBER OF RELATIONSHIP AGE SEX CIVIL POSITION IN
THE TO THE HEAD STATUS THE FAMILY
HOUSEHOLD OF THE
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FAMILY
Mr. A Head of the 63 years old Male Married Father
Family
Mrs. B Spouse 57 years old Female Married Mother
C Firstborn child 29 years old Male Married Firstborn child
D Secondborn child 26 years old Female Single Secondborn
child
E Thirdborn child 20 years old Female Single Thirdborn child

MEMBER OF PLACE OF TYPE OF DOMINANT GENERAL

THE RESIDENCE OF FAMILY FAMILY FAMILY
HOUSEHOLD EACH STRUCTURE MEMBERS IN RELATIONSHIP
MEMBER OF TERMS OF
THE FAMILY DECISION-
MAKING
Mr. A Pagdalagan sur, Nuclear family ✓ Sturdy and
City of San compassionate
Fernando La
Union
Mrs. B Pagdalagan sur, Nuclear family ✓ Sweet, considerate,
City of San and loving
Fernando La
Union
C Manila city Nuclear family ✓ Sturdy and
compassionate
D Pagdalagan sur, Nuclear family ✓ Sweet, considerate,
City of San and loving
Fernando La
Union
E Pagdalagan sur, Nuclear family ✓ Sweet, considerate,
City of San and loving
Fernando La
Union
Mrs. A's family makes sure that everyone has an equal share of responsibilities with one another, just

like with the different household tasks. The family is a Nuclear family. Four of them are living together

consisting of Mr. A, Mrs. B, D, and E except for C/ First child who is currently living in Manila. Mr. A is 63

years old, the head of the family, and his wife Mrs. B is 57 years old. C is 29 years old and is married while

D is 26 years old and E is 20 years old.

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c.
SOCIO-ECONOMIC STATUS
INCOME OF
MEMBER OF PLACE OF WHO MAKE
OCCUPATION EACH
THE WORK DECISION
WORKING
HOUSEHOLD ABOUT MONEY
MEMBER
Mr. A Unemployed
Pagdalagan sur,
Mrs. B Housewife City of San
Fernando La Union
C Police Officer Manila City … ✓
City of San
D Nurse … ✓
Fernando La Union
E Student
Four of the family's five members currently reside at their house. Mrs. A claims to be a housewife

and property owner, while Mr. A is unemployed. Their first son works as a Police officer and makes

approximately … pesos per month; their second daughter has been a nurse for at least five years, though

Mrs. A does not know how much money she makes per month. Their third daughter is a second-year student

at Don Mariano Marcos Memorial State University (DMMSU). C and D are both responsible for financial

decisions.

d. HOME AND ENVIRONMENT

Although five family members are living in the house, it is very stable and comfortable. The house's

construction material is concrete, which gives it strength and stability.

The home includes three bedrooms, one bathroom/comfort room, a clean kitchen, a living room, and a

dining room. Mr. A and her husband sleep in the first bedroom; their first son sleeps in the second room; and

their second and third daughters share the third room. Both bedrooms have comfortable beds to sleep on. The

eldest child lives in Manila with his family due to work, while the second eldest is living abroad. They have all

of the appliances that each room requires, such as electric fans, ovens, refrigerators, etc. The family's comfort

rooms are also clean and comfortable, with all necessary supplies such as toilet paper and toothpaste. The
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family of Mr. A also has pet dogs, 3 aspins, and one cat. They have their own cages and places to play in. The

family is always packed with dog food and toys for their pets.

The main water source of the family is from a waterworks system or has their own individual house

connection. They use it for personal needs, hygiene, cleaning, doing dishes, or for food. They also store their

water in a covered container so that they are prepared when the water system is not working properly.

However, in terms of drinking water, the family of Mr. A is getting their drinking water from a water refilling

station.

They also have a great drainage system in the area. It does not flood because the water flows easily

through the canals and into the sewer system. The sink and bathrooms in the house are also connected to the

water drainage system.

Furthermore, when it comes to waste disposal, Mr. A's family separates all garbage and uses properly

covered and labeled garbage containers. They separate all recyclable, biodegradable, and non-biodegradable

materials. Then they use open burning as a method of disposal, which involves burning all of their garbage in a

specific location.

Also, their home is only a short distance from the Ilocos Training Regional Medical Center (ITRMC).

Because tricycles and jeepneys are readily available in their community, traveling there will be less difficult as a

result. It is also convenient because hospitals and health care centers are open 24 hours a day.

e. CLIENT’S / PATIENT’S HEALTH STATUS

 Medical and Nursing History

MEMBER OF THE HOUSEHOLD MEDICAL AND NURSING HISTORY

Mr. A Hypertension

Mrs. B None
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C None

D None

E None

Upon reviewing the family's medical history, we discover that Mr. A has hypertension. Mr. A stated in

the interview that their son and daughters have no health conditions or illnesses and are completely healthy and

active in life.

 Nutritional Status
Anthropometric Data
MEMBER OF THE WEIGHT HEIGHT BMI
HOUSEHOLD
Mr. A 165 cm
Mrs. B 168 cm
C 80 kg 173 cm
D 164 cm
E 49 kg 163 cm
The family eats three times a day: breakfast, lunch, and dinner, with occasional snacks. Some family

members eat vegetables, while others consume fish and instant foods. Sometimes they eat street food…

 Risk Factors Assessment on Lifestyle Diseases

MEMBER OF THE HOUSEHOLD RISK FACTOR ASSESSMENT

Mr. A None
Mrs. B None
C None
D None
E None

 Physical Assessment indicating diagnosed/undiagnosed presence of illness

Mr. A and Mrs. B have had vision problems for several years; Mr. A has hypertension despite his healthy

lifestyle. Their children have no health conditions, allergies, or illnesses; they are completely healthy. They are

not addicted to any harmful habits.

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 Spiritual and Religious Beliefs and Practices

Mr. A's family religion is Roman Catholic, but she stated that they do not attend church services every

Sunday, only when they have the time because the church that they attend is quite far from their home. Their

first child, however, attends church with his family in Manila.

f. VALUES, HABITS, PRACTICES ON HEALTH PROMOTION, MAINTENANCE, AND DISEASE

PREVENTION – HEALTHY LIFESTYLE PRACTICES, SLEEP AND REST, ACTIVITIES

The family is fully prepared and aware of the family's health conditions and problems. They are also

aware of the location of the nearest hospital or healthcare facility in case one of them becomes unwell. Mr. A

and Mrs. B always tell their family members where their medications are and show them how to drink/take

them. They usually do daily exercises. They also get adequate sleep or rest. They usually get 8 to 10 hours of

sleep, and they also see a doctor at the nearest healthcare facility to have laboratory tests done to check their

health and find out what medications the family needs. They will return if necessary or if one of the family

members is still feeling unwell. The family also uses herbal remedies.

IV. TYPOLOGY OF NURSING/SPIRITUAL PROBLEMS

a. First Level Assessment – Nursing/Spiritual Diagnosis

V. PRIORITIZATION OF HEALTH/SPIRITUAL PROBLEMS-LIFESTYLE HEALTH THREATS

- Nature of the Problem

- Modifiability of the Problem

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- Prevention / Potential

- Foreseeable Crisis – Hospitalization due to pre-existing condition

VI. NURSING/SPIRITUAL CARE PLAN

VII. CONCLUSION AND RECOMMENDATIONS

References: