Professional Documents
Culture Documents
Family Case Analysis
Family Case Analysis
not only the chosen family will benefit but also, us students. Its an
eye opener for us so we know that these things really happen in
our society. So we will not be nave about these scenarios. It will
be a great training for us students on how to socialize with this
kind of community.
OBJECTIVES:
1. To establish rapport and gain the trust of the family.
2. To be able to assess the family, and know their problems.
FAMILY CONSTELLATION:
Name
Birthday Ag
e
Sex
Relationship
to head
Head
Marri
ed
High
Tricycl F
school e
tanedo,
gradua driver tarlac
te
Eleme
ntary
gradua
te
Erwin
Octobe
Santos r 21
1971
40 Male
Anita
april
Santos 27,
1973
39 Femal Wife
e
Marri
ed
Bernar january
d
7, 1996
Santos
15 Male
Single 4th
n/a
year
high
school
Eldest
Place
Laundr
y
woma
n
Maliwalo
national
highscoo
l
NAME BIRTH AG
DAY
E
Sex
EType
d of
u work
c
a
t
i
o
n
a
l
B
a
c
k
g
r
o
u
n
d
place
Family
General
Member
Appearance
FATHER : A 40 year old
man, with a
ERWIN
blonde hair. With
HEALTH STATUS:
SANTOS
an average height
of 167.5cm a
weight of 67 kg
with a BMI of __
which indicates
that he is a fit
man, evidenced
by his muscle
cuts. He is has a
dark complexion
and untidy
appearance.
Mental Status
Mr. Santos is a
very jolly man.
He answers us
enthusiasticall
y. He seems to
be very good
at interacting
with people.
He can fluently
speak
Kapampangan
and Tagalog.
He finished
until High
School.
Mr. Santos is a
tricycle driver. His
usual place is at F.
Tanedo, beside
Dalisay Grocery. He
comes home every
lunch time to give
food to his family
and after eating he
comes back to his
work. Mr. Santos,
does not own his
motorcycle, he says
he earns 120 pesos
a day.
Mental Status
Social Well
being
MOTHER:
Anita Santos
Mrs. Santos is a
shy woman.
She does not
really open up
unless we ask
her questions. It
took us atleast 2
weeks before
she said some
things. But then,
she was
cooperative and
very hospitable.
Mrs.
Mrs. Santos is a
39 year old
woman who is a
mother of 4.
She has a
weight of 45 kg
she stands 154
cm. her BMI is
__. Mrs. Santos
is untidy, she
doesnt know
how to proper
hygiene.
Santos is
a part time
clothes washer.
But most of the
days she is left
at home to look
after her
children.
Family
Member
Eldest
son:
Bernard
Santos
General Appearance
Bernard is a 15 yearold boy with a weight
of 50 kg and stands
162.5cm with a BMI of
__. He looks untidy.
His clothes are loose
due to over use. He is
very welcoming, and
answers the questions
properly. He is a bit
shy of course, but then
he laughs with us
sometimes. He is a
very obedient child. He
takes care of his
siblings when he their
parents is out for work.
Mental Status
Social Well
being
He answers the He is now in 4th
question with
year high
respect. He is a school in
shy boy. And
_____. When
rarely talks. He he gets home
doesnt give his he take care of
mom a
his siblings
headache, for he while is mom is
is a responsible busy on her
and obedient
work. He is very
child.
polite so we
take it that Mrs.
Santos raised
him very well.
Mental Status
Social Well
being
Beaver is very He is now in
grade 5 at____
shy boy yet so
when he gets
kind. He
home, he
answers with po automatically
and opo and he plays with his
is very adorable. playing mates,
and goes home
He is
when its time to
cooperative
eat. He is also
with all the
courteous and
procedures. He polite.
likes to play
outside with his
friends.
Mental Status
She is adorable
like her siblings.
She responds
politely and
cooperates with
us. A little bit
shy but she has
manners.
Social Well
being
Nicaela is now
on grade __ at
_____, like her
brother beaver
she likes
playing with her
friends too. And
like all of them
she is
courteous and
polite.
Mental Status
Social Well
being
Bea is only two Bea is behave,
years old so she she smiles a lot
doesnt talk that when ever
much. But then were around.
she is so jolly,
She loves
she moves
eating junk
around
foods even for
frequently and
breakfast.
loves it when we
take pictures of
her.
36.5 C
Respiratory rate
Blood Pressure
120/20 mmHg
Height
167.5cm
Weight
67 kg
BMI
Pulse rate
FINDINGS:
Body Parts
Methods used
Normal
Actual
A. HAIR
Inspection and
palpation
>Dry hair
> Hair is dyed
(blonde)
B. HEAD
Inspection and
palpation
>Normal
C. FACE
Inspection and
Palpation
D. EYES
inspection
>Normal
Body Parts
Methods
used
Normal
Actual
E. NOSE
Inspection
and
Palpation
>Normal
F. EARS
Inspection
and
Palpation
G. NECK
Inspection
and
palpation
>proportional to head
>coordinate and controlled
movement of neck
>normal
H.
LIPS/MOU
TH
Inspection
Body Parts
Methods
used
Normal
Actual
I. GUMS,
TEETH, and
TONGUE
Inspection
J. ARMS,
HAND, and
FINGERS
Inspection
and
Palpation
>symmetrical position
movement
>complete fingers
>arms-dirty with a
dry old wound
>fingers-nails are
long and dirty
K. THORAX
and ABDOMEN
Inspection
>posture; able to sit and
and palpation stand comfortably
without pain in any
position
>abdomen is soft,
smooth
>normal
Body Parts
Methods
used
Normal
Actual
L. LEGS, FEET
and TOES
Inspection
>able to walk even
and palpation strides
>muscles are
symmetrical in size and
shape, and contour
>complete toes
>lesions are
present.
M. SKIN
Inspection
>smooth skin, slightly
and palpation moist, color in even,
absences of lesion
>brown
complexion
>dirty skin
MOTHER:
VITAL SIGNS:
Temperature
36 C
Respiratory rate
Blood Pressure
110/70 mmHg
Height
154 cm
Weight
45 kg
BMI
Pulse rate:
FINDINGS:
Body Parts Methods used Normal
Actual
A. HAIR
Inspection
and palpation
>Dry hair
> black hair.
> presence of
dandruff.
B. HEAD
Inspection
and palpation
>Lesions due
to too much
scratching
C. FACE
Inspection
>symmetric facial features; facial
and Palpation movement is freely movable,
symmetric
>Normal
D. EYES
inspection
>Normal
Body Parts
Methods
used
Normal
Actual
E. NOSE
Inspection
and
Palpation
>Normal
F. EARS
Inspection
and
Palpation
G. NECK
Inspection
and
palpation
>proportional to head
>coordinate and controlled
movement of neck
>Lesions on the
posterior part.
H.
LIPS/MOU
TH
Inspection
Body Parts
Methods
used
Normal
Actual
I. GUMS,
TEETH, and
TONGUE
J. ARMS,
HAND, and
FINGERS
>arms-dirty with a
dry old wound
>fingers-nails are
long and dirty
K. THORAX
and ABDOMEN
>poor posture
> Lesions present
on the abdominal
part
Body Parts
Methods
used
Normal
Actual
L. LEGS, FEET
and TOES
Inspection
>able to walk even
and palpation strides
>muscles are
symmetrical in size and
shape, and contour
>complete toes
M. SKIN
Inspection
>smooth skin, slightly
and palpation moist, color in even,
absences of lesion
>brown
complexion
>dirty skin
ELDEST SON:
BERNARD
VITAL
SIGNS: SANTOS
Temperature
37 C
Respiratory rate
Blood Pressure
110/70 mmHg
Height
162.5cm
Weight
50 kg
BMI
Pulse rate
FINDINGS:
Body Parts Methods used Normal
Actual
A. HAIR
Inspection
and palpation
>Dry hair
> black hair
> presence of
lice.
B. HEAD
Inspection
and palpation
>Normal
C. FACE
Inspection
>symmetric facial features; facial
and Palpation movement is freely movable,
symmetric
>presence of
pimples.
D. EYES
inspection
>Normal
Body Parts
Methods
used
Normal
Actual
E. NOSE
Inspection
and
Palpation
>Normal
F. EARS
Inspection
and
Palpation
G. NECK
Inspection
and
palpation
>proportional to head
>coordinate and controlled
movement of neck
>Normal
H.
LIPS/MOU
TH
Inspection
Body Parts
Methods
used
Normal
Actual
I. GUMS,
TEETH, and
TONGUE
J. ARMS,
HAND, and
FINGERS
>arms-dirty with a
dry old wound
>fingers-nails are
long and dirty
K. THORAX
and ABDOMEN
>Normal
Body Parts
Methods
used
Normal
Actual
L. LEGS, FEET
and TOES
Inspection
>able to walk even
and palpation strides
>muscles are
symmetrical in size and
shape, and contour
>complete toes
>presence of scars
and lesions
M. SKIN
Inspection
>smooth skin, slightly
and palpation moist, color in even,
absences of lesion
>brown
complexion
>dirty skin
36.7 C
Respiratory rate
Blood Pressure
90/70 mmHg
Height
132.5 cm
Weight
39 kg
BMI
Pulse rate
FINDINGS:
Body Parts Methods used Normal
Actual
A. HAIR
Inspection
and palpation
>Dry hair
> black hair
> presence of
lice.
B. HEAD
Inspection
and palpation
>Normal
C. FACE
Inspection
>symmetric facial features; facial
and Palpation movement is freely movable,
symmetric
>Normal
D. EYES
inspection
>Normal
Body Parts
Methods
used
Normal
Actual
E. NOSE
Inspection
and
Palpation
>Normal
F. EARS
Inspection
and
Palpation
G. NECK
Inspection
and
palpation
>proportional to head
>coordinate and controlled
movement of neck
>dirty
H.
LIPS/MOU
TH
Inspection
>normal
Body Parts
Methods
used
Normal
Actual
I. GUMS,
TEETH, and
TONGUE
J. ARMS,
HAND, and
FINGERS
>arms-dirty with a
dry old wound
>fingers-nails are
long and dirty
K. THORAX
and ABDOMEN
>Normal
Body Parts
Methods
used
Normal
Actual
L. LEGS, FEET
and TOES
Inspection
>able to walk even
and palpation strides
>muscles are
symmetrical in size and
shape, and contour
>complete toes
>presence of scars
and lesions
M. SKIN
Inspection
>smooth skin, slightly
and palpation moist, color in even,
absences of lesion
>brown
complexion
>dirty skin
36.7 C
Respiratory rate
Blood Pressure
100/70 mmHg
Height
120cm
Weight
29 kg
BMI
Pulse rate
FINDINGS:
Body Parts Methods used Normal
Actual
A. HAIR
Inspection
and palpation
>Dry hair
> black hair
> presence of
lice.
B. HEAD
Inspection
and palpation
>Normal
C. FACE
Inspection
>symmetric facial features; facial
and Palpation movement is freely movable,
symmetric
>Normal
D. EYES
inspection
>Normal
Body Parts
Methods
used
Normal
Actual
E. NOSE
Inspection
and
Palpation
>Normal
F. EARS
Inspection
and
Palpation
G. NECK
Inspection
and
palpation
>proportional to head
>coordinate and controlled
movement of neck
>Normal
H.
LIPS/MOU
TH
Inspection
>normal
Body Parts
Methods
used
Normal
Actual
I. GUMS,
TEETH, and
TONGUE
J. ARMS,
HAND, and
FINGERS
>arms-dirty with a
dry old wound
>fingers-nails are
long and dirty
K. THORAX
and ABDOMEN
>Normal
Body Parts
Methods
used
Normal
Actual
L. LEGS, FEET
and TOES
Inspection
>able to walk even
and palpation strides
>muscles are
symmetrical in size and
shape, and contour
>complete toes
>presence of scars
and lesions
M. SKIN
Inspection
>smooth skin, slightly
and palpation moist, color in even,
absences of lesion
>brown
complexion
>dirty skin
36 C
Respiratory Pulse
Blood Pressure
90/70 mmHg
Height
88 cm
Weight
10 kg
BMI
FINDINGS:
Body Parts Methods used Normal
Actual
A. HAIR
Inspection
and palpation
B. HEAD
Inspection
and palpation
>Normal
C. FACE
Inspection
>symmetric facial features; facial
and Palpation movement is freely movable,
symmetric
>Normal
D. EYES
inspection
>Normal
Body Parts
Methods
used
Normal
Actual
E. NOSE
Inspection
and
Palpation
F. EARS
Inspection
and
Palpation
G. NECK
Inspection
and
palpation
>proportional to head
>coordinate and controlled
movement of neck
>Normal
H.
LIPS/MOU
TH
Inspection
Body Parts
Methods
used
Normal
Actual
I. GUMS,
TEETH, and
TONGUE
>whitish color of
tongue
>a lot of decayed
teeth.
>dirty gums
J. ARMS,
HAND, and
FINGERS
>arms-dirty with a
dry old wound
>fingers-nails are
long and dirty
K. THORAX
and ABDOMEN
>crackels are
heard in the
thorax
>presence of
bowel sounds in
the abdomen
Body Parts
Methods
used
Normal
Actual
L. LEGS, FEET
and TOES
Inspection
>able to walk even
and palpation strides
>muscles are
symmetrical in size and
shape, and contour
>complete toes
>dirty toes,feet
and toes
>presence of
lesions
M. SKIN
Inspection
>smooth skin, slightly
and palpation moist, color in even,
absences of lesion
>brown
complexion
>dirty skin
>dry skin
PHYSICAL ENVIRONMENT:
The Santos family lives in a family owned compound. That fact is
convenient for them because they live around with their relatives. They
own the house but according to Mrs. Santos the lot is owned by her
2nd visit
5
3rd visit
5
JUSTIFICATION
1st visit
CATEGORIES
Therapeutic
Competence
2nd visit
5
3rd visit
5
JUSTIFICATION
1st visit
CATEGORIES
2nd visit
5
3rd visit
5
JUSTIFICATION
1st visit
CATEGORIES
Knowledge of
Health Condition
2nd visit
5
3rd visit
5
JUSTIFICATION
1st and 2nd visit: they
are aware of the
presence of medical
professionals but they
tend to self medicate
and dont consult the
health care people.
3rd visit: after several
visits they are
convinced to go to the
doctors and ask about
their health concerns.
1st visit
CATEGORIES
Application of
Principle of
hygiene
2nd visit
5
3rd visit
5
JUSTIFICATION
1st visit: the family is
clueless about the
proper hygiene, they
are not aware about
the effects of poor
hygiene.
2nd visit:-3rd visit: after
we several visits, and
after teaching the
negative and positive
effects of proper
hygiene, they changed
their habits but they
changed a bit only.
Like brushing their
teeth and taking a bath
everyday.
1st visit
CATEGORIES
2nd visit
5
3rd visit
5
JUSTIFICATION
1st visit
CATEGORIES
Health attitude
2nd visit
5
3rd visit
5
JUSTIFICATION
1st visit
CATEGORIES
Family living
Relationship
2nd visit
5
3rd visit
5
JUSTIFICATION
1st visit
CATEGORIES
Physical
Environment
2nd visit
5
3rd visit
5
JUSTIFICATION
1st visit
CATEGORIES
2nd visit
5
3rd visit
5
JUSTIFICATION
3rd : weve
performed our
intervention, we
cleaned their house
thoroughly.
5th visit: theyve
maintained the
things we repaired,
they realized that it
should stay that way.
clean.
1st visit
CATEGORIES
Emotional
competence
2nd visit
5
3rd visit
5
JUSTIFICATION
1st visit
CATEGORIES
Use of
community
Facilities
2nd visit
5
3rd visit
5
JUSTIFICATION
PRIORITY SETTINGS :
SANTOS FAMILY
Cough and colds
Criteria
Standard
1. Name of
the problem
Health Deficit
Health threat
Foreseeable crisis
2.
Modifiability
of the
problem
Easily Modifiable
Partially
modifiability
Not Modifiable
justification
It is a health deficit
because it is a present
illness and it needs
immediate action.
it is easily modifiable
because there are
available meds to cure
cough and colds.
2/2x2= 2
2/3x1= 2/3
Possibility of transferring
infection.
0/2x1=0
1
0
3. Preventive High
potential
Moderate
Low
4. Salience of Needs immediate
the problem attention
Does not need
immediate attention
Not a problem
Total score:
3
2
1
2
1
0
3 2/3
SANTOS FAMILY
Poor environmental sanitation
Criteria
Standard
1. Name of
the problem
Health Deficit
Health threat
Foreseeable crisis
2.
Modifiability
of the
problem
Easily Modifiable
2
Partially modifiability
Not Modifiable
1
Justification
It is a health threat
because poor sanitation
can lead to certain
diseases.
2/2x2=
2
It is easily modified
because we can move
and clean the
surroundings.
It can be prevented by
cleaning the environment
thoroughly.
0
3.
Preventive
potential
High
Moderate
Low
3
2
1
2/3x1=
2/3
4. Salience
of the
problem
Needs immediate
attention
Does not need
immediate attention
Not a problem
2
1
0
Total score:
2 4/3
PRIORITY
SETTINGS:
SANTOS
FAMILY
Secondhand smoking
Criteria
Standard
Score Weight
1. Name of
the problem
Health Deficit
Health threat
Foreseeable crisis
3
2
1
2.
Modifiability
of the
problem
Easily Modifiable
Partially
modifiability
Not Modifiable
3
2
1
2/3x1=
2/3
1
0
3. Preventive High
potential
Moderate
Low
Total score:
Actual
justification
score
2/3 x1 = It is a health threat
2/3
because it can be a
potential problem.
1 4/3
PRIORITY SETTINGS:
SANTOS FAMILY
Poor hygiene
Criteria
Standard
Score Wei
ght
3
1
2
1
Actual
score
2/3 x1 =
2/3
2/2x2= 2
1/3x1=
1/3
0/2x1=0
justification
It is a health deficit
because it is a present
illness and it needs
immediate action.
It is easily modifiable
because there are
available meds to cure
cough and colds.
0
3. Preventive
potential
4. Salience of
the problem
Total score:
High
Moderate
Low
needs immediate
attention
Does not need
immediate attention
Not a problem
3
2
1
2
1
0
LIST OF PROBLEMS:
HEALTH PROBLEM
TOTAL PROBLEMS
3 2/3
2. Poor hygiene
2 4/3
4. Secondhand smoking
1 4/3
Health
Problems
Family Nursing
Goals
1. cough and
colds (one child
only: bea)
Inability to
provide
adequate
nursing care
due to:
a. lack of
knowledge
about their
health
condition.
b. lack of
knowledge
about child
development
and care.
c. lack
necessary
facilities,
equipment and
supplies for
care.
d. prolonged
disease or
disability
progression
which exhausts
supportive
capacity of
family
members.
e. inadequate
family
resources for
care, specially
financial and
physical
sources.
In ablilty to
provide a home
environment
after nursing
interventions,
the chances of
spreading
communicable
disease such as
cough and
colds will be
minimized.
Objectives
fter several
visits the
family will
manifest the
following
sufficient
knowledge
about
infection
control.
knowledge on
possible
complication
that may
arise of
cough and
colds will
continue to
spread within
the family and
may occur a
Nursing
Interventions
Methods of
nurse family
Resources
required
Evaluation
Health teaching
about proper
hygiene and
proper
sanitation plus
infection
control.
Home visit.
Cooperation
and acceptance
of the family.
After several
visits our
objectives were
fully met as
evidenced by:
Educate about
proper nutrition
on how to
prevent such
diseases.
Covering their
mouth
whenever
sneezing
Increasing fluid
intake
And practice a
proper both
environmental
and personal
hygiene.
Health
Family Nursing
Problems
Goals
Objecti Nursing
ves
Interventi
ons
3.Second Inability to
hand
recognize the
Smoking presence of the
condition or
problem due to :
a.lack of
knowledge
b.denial about
its existence as
a result of fear
of consequence
of diagnosis of
the problem
specifically
economic
concern.
After
nursin
g
interve
ntion
there
will be
a
chang
e on
their
habits
and
aspect
in life.
to
make
them
realize
that
second
hand
smokin
g can
harm
their
children
.
Health
teaching
about the
negative
effects of
second
hand
smoking
Metho
ds of
nurse
family
Home
visit.
Resource Evaluation
s required
Acceptan
ce, time
and effort
and most
especially
cooperati
on.
At the end
of our
exposure
we did not
actually
eliminate
their
smoking
Visual
habits, but
aids
then, they
about
lessen
negative their
effects of smoking
secondha habits.
nd
They will
smoking. not smoke
in front of
their
children.
Healt
h
Probl
ems
2.
poor
and
envir
onm
ental
sanit
ation
Family
Nursing
Goals
Objectives
Inabilty to
recognize the
presence of
the problem
due to :
After
nursing
interventi
on the
family will
able to
have a
healthy
home
environm
ent and
be able to
take
action on
how to
maximize
d space
the small
living
space
they have
while
after nursing
Lack of
knowledge.
Inability to
provide a
home
environment
conducive to
health
maintenance
and personal
development
due to :
a.inadequate
family
resources,
intervention
the family
Santos should
be achieved:
a. the family
have iy.
mproved home
environment
that is clean
healthy and
orderly.
the family will
have their own
trash cans for
the garbage
Evaluation
After
several
visits our
goals were
fully met
as
evidenced
by:
Improvem
ent of the
appearnce
of tehri
house.
Conclusion:
LEARNING DERIVED:
Most of the time we always complain about our situation in life. We dont realize
DOCUMENTATION:
Acknowledgement:
For the accomplishment of this project the entire group III class BSN 2B S.Y.
2012-2013 would like to Thank the following:
To all my classmates, friends, manong drivers thank you for the enjoyment, for
the laugh trip that makes this experience more lightier, easier and joyfulness.
To Tibag jeeps thank you for the 4 days trip although we are not
happy for waiting to you still you bus our 4 days home visit would not become
successful thank you
We would to thank our beloved parents, thank you very much for you
unfailing love for us. You support us 120% in this course that we are currently
taking you guys are our inspiration. We thank you for providing us in everything
that we need for without you we can never do all these thing