FCA-ppt Defense

FAMILY CASE
ANALYSIS
Present by: Clarise M. Bayani
Introduction
The family is a group of individuals linked and living together by blood, marriage or
adaptation. It is the community's smallest unit and the fundamental core of the
community. Each family plays an important role in society, no matter how different they
are from each other.
The community health care system responds to the health needs of all individuals in
the community. All family members are empowered to maintain their state of health.
Health is every human being's right.
The Family Case Analysis (FCA) is an instrument in determining the health status of a
family though assessment and critical inspection. In this FCA, there will be a better
understanding of what a family in community needs. Through this experiences its not only
giving and teaching people but also we can able to learn and experience new thing from
their life and experiences.
Objectives: Short - Term
Student-Centered
Cognitive: Affective: Psychomotor:

1.Explained the purpose of conducting 1.Perform health teaching and 1.Used therapeutic communication when
visiting and interviewing. interventions based on the nursing interacting with the client and other family
diagnosis of the family. members and gain knowledge in the
process.
2.Interviewed and gathered all of the
family member about the past and current 2.Encouraged the client and the family to
health history and the medications their verbalize any questions or concerns they 2.Gained knowledge as they interact with
taking. may have with regards to their health or the family and with the community.
home visit itself.
3.Assessed all the family members health 3.Identify and prioritize the health problems
conditions. 3.Grateful for the home visits of the jointly with the family.
student nurse
4.Identify existing problem with the family 4.Implement nursing interventions and
condition and discussed the problem that provide health teachings.
were identified.
5.Familiarize themselves with the physical

surroundings of the community.
Objectives: Short-Term
Client-Centered
1.Agreed and welcomed the student visits to their

home.
2.Understood the purpose and willingly cooperate

with the procedures.
3.Expressed their concerns and questions regarding

their health issues.
4.Acquire knowledge from the health teaching

given and know the importance on having a good
health.
Objectives: Long-Term
Student-Centered Client-Centered
After five (6) days of home visits, the student nurse After five (6) days of home visits, the student nurse shall have:
shall have: 1.Developed awareness with regards to their way of living.
1.Identify the existing problem in the client’s health
condition as well as the family home surrounding
which may have impact on the clients health. 2.Realize the importance of having and maintaining good health
practices.
2.Impart knowledge to the family to make them self

reliant. 3.Identify the ways or the appropriate actions to meet their health
needs and health problems
3.Plan and implement appropriate action to resolve,

minimize and prevent these problems from happening 4.Showed improvement on how they value their health.
again.
5.Demonstrate continuous compliance with the health teachings
4.Understood the importance of family in a given even after student nurses’ community exposure.
community.
6.Become self reliant especially when it comes to health matters.
ENTRY AND CLIMATE ACCEPTANCE
The Fruit Family lives in a house surrounded by trees

which made the house cool during the hot weather. Fruit
Family has a clean and relaxing home. Although it is a busy
day for the family they still answer my questions and showed
interest on my question and for the coming 6 home visit that
the student nurse will be doing.
Family Constellation
Name Age Position Sex Civil Status Educational
Attainment
Mrs. Golden 51yrs old Mother Female Married High School
Apple Graduate
Mr. Mango 53yrs old Father Male Married Vocational
Course
Ms. Cherry 32yrs old Eldest Child Female Single High School
Graduate
Mr. Tomato 24 yrs old Second Male Married College
Child Graduate
Mr. 19 yrs old Forth Child Male Single College
Jackfruit (on going)
Mr. Banana 14 yrs old Youngest Male Single High School
Child
Fruit Family
General Description/appearance
Mrs Golden Apple is cooperative, coherent and oriented to

person, place and time. She has a steady gait but walk slow due to
her weight and shows no difficulty in speaking. She exhibits
thought association and has a sense of reality.
Mrs. Golden Apple

51yrs old
Fruit Family
Vital Signs (T, P, R, BP, Height, and Weight)
Day 2
Temp: 35.6ºC = 96.08ºF Blood Pressure: 130/90 mmHg
Pulse Rate: 72 bpm Height: 4 foot 11 inches (4’11)=150cm
Respiratory Rate: 15 cmp Weight: 82 kg
Day 3
Temp: 36ºC = 96.8ºF Blood Pressure: 120/90 mmHg
Day 4
Temp:36.3 ºC = 97.4ºF Blood Pressure: 120/90
Mrs. Golden Apple Pulse Rate: 71 bpm Height: 4 foot 11 inches (4’11)=150cm
Respiratory Rate: 13cmp Weight: 82 kg
51yrs old Day 5
Temp:36.5 ºC = 97.7ºF Blood Pressure: 120/90 mmHg
Respiratory Rate: 14cpm Weight: 82 kg
Day 6
Temp: 36ºC = 96.8ºF Blood Pressure: 120/90 mmHg
Review of Systems/Physical Assessment
Fruit Family
• Skin - She has light brown-colored skin which is generally uniform except
in areas of lighter pigmentation such as the palms, lips and nail beds.
There discolorations around her arms and neck. No abrasions and
edema have been noted. She has good skin turgor, which turned back to
previous state in less than 3 seconds when pinched.
• Head- Her hair is black in color. It is evenly distributed and presence of

dandruff was noted. No presence of infestations was noted.
Mrs. Golden Apple
51yrs old
• Eyes - Her eyebrows are symmetrically aligned with hair evenly
distributed. Eyelashes are also evenly distributed. Skin is intact, no
discharges and no discolorations are present at the surface of eyelids.
Lids close symmetrically. She has moist mucous membranes and her
palpebral conjunctiva is pink in color. Her pupils constrict when looking
at near objects while they dilate when looking at far objects.
Fruit Family
• Ears - Her auricles are same as facial color and it is aligned with the
outer canthus of the eye. They are mobile, firm and not tender upon
palpation. Pinna recoils after it is folded. There is no presence of
impacted cerumen. Her hearing in her right ear is slightly impaired but
she was able to respond when asked.
• Nose and sinuses- Her nose is straight and her septum is located in the
midline. No deviations have been observed in the shape, size and color
of the external nose. No discharges were noted and there is the absence
Mrs. Golden Apple
of nasal flaring. Also, no nodules and masses were noted upon
51yrs old palpation.
• Mouth and throat - Outer lips are symmetrical. She exhibits ability to
move her lips. Inner lips and buccal mucosa are uniform in color. She has
an incomplete set of teeth and using dental dentures and her tongue is
in central position and she can move it freely. She can distinguish
between sweet and salty. Throat is pinkish, without lesions.
Fruit Family
• Neck- Neck color is darker than normal skin color (Acanthosis

Nigricans). Neck muscles are equal in size. No masses and nodules were
noted upon palpation. Head movements are coordinated and she can
move her head freely.
• Chest/lungs- There is full and symmetrical chest expansion. There is

effortless and rhythmic respiration and no adventitious breath sounds
Mrs. Golden Apple were heard upon auscultation.
51yrs old
• Heart - Denies any chest pain or heaviness, claims no palpitation. Pulse

rate within normal limits, regular.Regular rhythm of apical pulse was
noted upon auscultation.
Fruit Family
• Breast and axilla -Unable to assess due to client refusing the assessment
because of discomfort.
• Gastrointestinal- According to client she has a normal bowel movement

and eleases stool at least once a day.
Mrs. Golden Apple

51yrs old
• Genitalia: Female - According to Mrs Golden Apple she had her
menarche when she was 14 years old .She has a regular menstruation
of 30 days before that lasted for 3 days. She uses sanitary napkin, she
also stated that its been 1 year since she had her period.
Fruit Family
HEALTH HISTORY (Past and Present Illness)
• She had measles and fever during her pregnancy on her first child.
• She had experience having high blood pressure during her labor on her 4th
and 5th child.
• Losartan as her maintenance medicine prescribe by her physician because
of hypertension
• She had not been hospitalized because of severe illness.
Mrs. Golden Apple
51yrs old
• Usually take paracetamol for fever.
• She sometimes experiences dizziness when she assumes a standing position
after a prolonged period of rest.
• She also complains her leg hurt sometimes because of her varicose veins
especially during cold season.
Fruit Family
OBSTETRICAL HISTORY
Gravida Para Term Pre-Term Abortion Living Multiple

5 5 5 0 1 4 0
• She was19 years old when she had her first baby.
• During her first pregnancy she suffered from fever and
measles which cause of Ms. Cherry's condition (Deaf and
Mute).
Mrs. Golden Apple
• Delivered all of her children via normal spontaneous
51yrs old
delivery (NSD)
• On her third child the baby had complications on his lungs
that cause of his death he only lives 24hours.
• On her 4th and 5th She also had pre eclampsia during the
delivery of her them.
FOOD A ND NUTRITION
Fruit Family Height is 4’11” : Weighs 180 pounds or 82 kg.
Computation: 1 ft is equal to 30.48 cm, and 1 inch is equal to 2.54 cm.
Multiply the number of ft to 30.48 cm, and Multiply the number of inches to 2.54 cm, after that add both
of them to get the equal number of centimeters.
1 Foot = 30.48 cm;1 Inch = 2.54 cm
4 foot × 30.48 cm = 121.92 cm

11 inches × 2.54 cm = 27.94 cm
121.92 cm + 27.94 cm = 149.86 cm
Convert Centimeter to Meter
Mrs. Golden Apple Divide the length of the value by 100 then multiply 1
149.86 /100 × 1 m = 1.4986 m or 1.5 m
51yrs old
Degree of Risk based on Body Mass Index
Classification BMI
Underweight <18.5
Normal Range 18.5-22.9

INTERPRETATION:
At Risk 23-24.9
Obese I 25.0-29.9
BMI is 36.44 based on the book Public Health Nursing in the
Obese II >30.0 Philippines, Mrs. Golden Apple is categorized as Obese II .
Fruit Family
She has a thick, long, black hair which is neatly tied up. She is cooperative,
coherent and oriented to person, place and time. She has a steady gait but
she can not hear and speak. Her nails are untrimmed but clean. She also
exhibits thought association and has a sense of reality. She has no difficulty
recalling past and present events. It was kinda challenging on
communicating with her because of the language barrier but with the
help of her mother everything went so smooth.
Ms. Cherry
32 yrs old
Fruit Family Vital Signs (T, P, R, BP, Height, and Weight)
Day 2
Temp: 36.2ºC = 97.16ºF Pulse Rate: 73 Blood Pressure: 120/80 mmHg
bpm Respiratory Rate: 15 cmp Height: 5 foot 1 inches (5’1)=154.4cm
Weight: 46.4 kg
Day 3
Pulse Rate: 71 bpm Height: 5 foot 1 inches (5’1)=154.4cm
Respiratory Rate: 14 cmp Weight: 46.4 kg
Day 4
Ms. Cherry Respiratory Rate: 13cmp Weight: 46.4 kg
32 yrs old Day 5
Respiratory Rate: 15cpm Weight: 46.4 kg
Day 6
Fruit Family c.Review of Systems/Physical Assessment
• Skin - She has light brown-colored skin which is generally uniform except
in areas of lighter pigmentation such as the palms, lips and nail beds. No
abrasions and edema have been noted. She has good skin turgor, which
turned back to previous state in less than 3 seconds when pinched. No
abnormal discoloration is found.
• Head- Her hair is black in color. It is evenly distributed and presence of

dandruff was noted. No presence of infestations was noted. Head is
Ms. Cherry slightly small and not appropriate to her age and body size.
32 yrs old
• Eyes - Her eyebrows are symmetrically aligned with hair evenly

distributed. Eyelashes are also evenly distributed. Skin is intact, no
discharges and no discolorations are present at the surface of eyelids.
Lids close symmetrically. She has moist mucous membranes and her
palpebral conjunctiva is pink in color. Her pupils constrict when looking
at near objects while they dilate when looking at far objects.
Fruit Family
• Ears - Her auricles are same as facial color and it is aligned with the
outer canthus of the eye. They are mobile, firm and not tender upon
palpation. Pinna recoils after it is folded. There is no presence of
impacted cerumen. Her hearing is impaired and she was not able to
respond when asked.
• Nose and sinuses- Her nose is straight and her septum is located in the
midline. No deviations have been observed in the shape, size and color
Ms. Cherry of the external nose. No discharges were noted and there is the absence
of nasal flaring. Also, no nodules and masses were noted upon
32 yrs old
palpation.
• Mouth and throat - Outer lips are symmetrical. She exhibits ability to
move her lips. Inner lips and buccal mucosa are uniform in color. She has
an incomplete set of teeth and her tongue is in central position and she
can move it freely. She can distinguish between sweet and salty. Throat
is pinkish, without lesions.
Fruit Family
• Neck- Neck muscles are equal in size. No masses and nodules were
noted upon palpation. Head movements are coordinated and she can
move her head freely.

were heard upon auscultation.
Ms. Cherry
32 yrs old
Fruit Family
• Breast and axilla -Unable to assess due to client refusing the assessment
because of discomfort.
• Gastrointestinal- According to client she has a normal bowel movement

and releases stool at least once or twice a day.
Ms. Cherry
• Genitalia: Female- According to Ms. Cherry had her menarche when she
32 yrs old was 16 years old . She has a regular menstruation of 30 days before that
lasted for 3 days. She uses sanitary napkin, she experienced
dysmenorrhea during her first day of period..
Fruit Family
HEALTH HISTORY (Past and Present Illness)
According to Ms Cherry’s mother she had chicken pox when she was a
child. No interventions was made to manage it cause it was heal after a
weeks. Ms. Cherry was born deaf and mute during her mother’s
pregnancy to her she had a fever and measles. For episode of fever ad
headache she take Paracetamol. There were instance before that Ms.
Cherry was being violent to her self because of feeling of being unloved,
Ms. Cherry unappreciated and alone because of her situation and also
32 yrs old miscommunication with the people around her. She was taking Feliz 10 mg
during night time since then her being too emotional was lessen.
FOOD A ND NUTRITION
Fruit FamilyHeight is 5’1” : Weighs 100 pounds or 46.4 kg
1 ft is equal to 30.48 cm, and 1 inch is equal to 2.54 cm.
Multiply the number of ft to 30.48 cm, and Multiply the number of inches to 2.54 cm, after that add both
of them to get the equal number of centimeters.
1 Foot = 30.48 cm;1 Inch = 2.54 cm
5 foot × 30.48 cm = 152.4 cm
1 inches × 2.54 cm = 2.54 cm
152.4 cm + 2.54 cm = 154.94 cm
Ms. Cherry Divide the length of the value by 100 then multiply 1
32 yrs old 154.94 /100 × 1 m = 1.5494 m or 1.55 m
Degree of Risk based on Body Mass Index

Classification BMI
Underweight <18.5
Normal Range 18.5-22.9
At Risk 23-24.9
INTERPRETATION:
Obese I 25.0-29.9 BMI is 19.31 based on the book Public Health Nursing in the
Obese II >30.0 Philippines, Ms. Cherry is categorized as Healthy .
Fruit Family
Mr. Jackfruit wore a white T-shirt, a Denim shorts and a pair of

slippers during the test. He is cooperative, coherent and
personally, locally and temporally driven. He's got a steady gait, so
he can talk or listen clearly. He also shows associations of thought
and has a sense of truth. He doesn't have any trouble
remembering past and current events. He has a brown skin and a
Mr. Jackfruit clean-cut black hairstyle. He's very clean and very healthy.
19 yrs old
Fruit Family
Vital Signs (T, P, R, BP, Height, and Weight)
Day 2
Temp: 36.4 ºC =97.52ºF Blood Pressure: 120/80 mmHg Height: 5 foot 7
Pulse Rate: 76 bpm inches(5’7) =170.18cm
Day 3
Temp: 36.3 ºC =97.34ºF Blood Pressure: 120/80 mmHg
Pulse Rate: 78 bpm Height: 5 foot 7 inches(5’7) =170.18cm
Day 4
Mr. Jackfruit Respiratory Rate: 14cmp Weight: 54.4 kg
Day 5
19 yrs old
Temp:36.4 ºC =97.52ºF Blood Pressure: 120/80 mmHg
Respiratory Rate: 13cpm Weight: 54.4 kg
Day 6
Temp: 36.3 ºC =97.34ºF Blood Pressure: 120/80 mmHg
Fruit Family
Review of Systems/Physical Assessment
• Skin - He has light brown-colored skin which is generally uniform except in areas
of lighter pigmentation such as the palms, lips and nail beds. No abrasions and
edema have been noted. He has good skin turgor, which turned back to previous
state in less than 3 seconds when pinched. No abnormal discoloration is found.
• Head- His hair is black in color. It is evenly distributed and no presence of

dandruff was noted. No presence of infestations was noted. Head is in normal
Mr. Jackfruit size proportion to the body size.
19 yrs old
• Eyes - His eyebrows are symmetrically aligned with hair evenly distributed.
Eyelashes are also evenly distributed. Skin is intact, no discharges and no
discolorations are present at the surface of eyelids. Lids close symmetrically. He
has moist mucous membranes and his palpebral conjunctiva is pink in color. His
pupils constrict when looking at near objects while they dilate when looking at
far objects.
Fruit Family
• Ears - His auricles are same as facial color and it is aligned with the outer
canthus of the eye. They are mobile, firm and not tender upon palpation. Pinna
recoils after it is folded. There is no presence of impacted cerumen. There’s no
abnormality found he can hear clearly.
• Nose and sinuses- His nose is straight and his septum is located in the midline.
No deviations have been observed in the shape, size and color of the external
nose. No discharges were noted and there is the absence of nasal flaring. Also,
Mr. Jackfruit no nodules and masses were noted upon palpation.
19 yrs old
• Mouth and throat - Outer lips are symmetrical. He exhibits ability to move his
lips. Inner lips and buccal mucosa are uniform in color. He has an incomplete set
of teeth his front tooth is chips due to swimming accident and his tongue is in
central position and he can move it freely. He can distinguish between sweet
and salty. Throat is pinkish, without lesions.
Fruit Family
• Neck- Neck muscles are equal in size. No masses and nodules were
noted upon palpation. Head movements are coordinated and he can
move his head freely. .

were heard upon auscultation.
Mr. Jackfruit
19 yrs old
Fruit Family
• Breast and axilla -His breast is in symmetrical size with no

discolorations. Nipples are brown in color. No tenderness or palpable
lymph nodes were noted upon palpation
• Gastrointestinal - According to client he has a normal bowel

movement and releases stool at least once or twice a day.
Mr. Jackfruit
• Genitalia: Male- According to Mr Jackfruit was circumcised when he
19 yrs old
was 8 years old. Denies any pain in urination, no hematuria. No
episodes of infection.
FOOD A ND NUTRITION
Fruit Family
Height is 5’7” : Weighs 120 pounds or 54.4 kg
1 ft is equal to 30.48 cm, and 1 inch is equal to 2.54 cm.
Multiply the number of ft to 30.48 cm, and Multiply the number of inches to 2.54 cm, after that
add both of them to get the equal number of centimeters.
1 Foot = 30.48 cm;1 Inch = 2.54 cm
5 foot × 30.48 cm = 152.4 cm
7 inches × 2.54 cm = 17.78 cm
152.4 cm + 217.78 cm = 170.18 cm

Mr. Jackfruit
Divide the length of the value by 100 then multiply 1
19 yrs old 170.18 /100 × 1 m = 1.7018 m or 1.7 m
Degree of Risk based on Body Mass
Index
Classification BMI
Underweight <18.5
Normal Range 18.5-22.9 INTERPRETATION:
At Risk 23-24.9 BMI is 18.82 based on the book Public Health Nursing in the Philippines,
Obese I 25.0-29.9 Mr. JackFruit is categorized as Healthy .
Obese II >30.0
l Mr.Mango
N/A due to the student nurse not being able to see
because he was working aboard
l Mr. Tomato
because he was working aboard
l Mr. Banana
because he lives at his mother’s older brother.
FOOD AND NUTRITION
Mrs. Golden Apple prefer food like chicken, fish and vegetable. She usually cook fresh home made
food for her family. The family is a fan of preservative foods like tocino, longganisa, canned goods etc.
Mrs. Golden Apple also love cooking desserts as she claimed that she has sweet tooth and share it to her
siblings. She is known to her family as a good cook. They usually cooked 2-3 cups and 8 glasses of
water in a day. The family drink juice like ready to drink juices and softdrink like coca cola or sprite
atleast 3-4 times a week. They eat 4 times in a day including snacks. Noone is the family have smoking
or alcohol problem.
SOCIO-ECONOMIC,
CULTURAL, &
ENVIRONMENTAL
ASSESSMENT
Family Structure, Characteristics and Dynamics
Name Demographic profile of each Occupation and income of each
member member
Mr. Mango  head of the family  He finishes vocational course
 54 years old born on December (Electrician)
23, 1966  Currently working abroad
The dominant in terms of decision (Qatar)
making  Estimated salary a month 60k
The one who provide the family pesos
needs  He sent 40k for his family every
month
Mrs. Golden Apple  light of the family  she is a highschool graduate.

 51 years old born on April 24,  she is a full time housewife
1969
 she takes care of the children
and the house while Mr. Mango
working Abroad.
Ms. Cherry  First born  she is a high school gradute

 32 years old born on August 11,  unemployed
1988
a. Family Structure, Characteristics and Dynamics
Name Demographic profile of each Occupation and income of

member each member
Mr. Tomato  second child  he is a college graduate (BS
 24 years old born on January 21, Avionics)
1996  he works abroad (Saudia
 he is the acting first born Airlines)
 he is married and already have 2  he helps his family financially
years old son he sent 5k every month
Mr. Jackfruit  Third child  He is currently on his 2nd year

 19 years old born on February college studying BS Mechanic
21, 2001
Mr. Banana  Fourth child  He is currently on High School
 14 years old born on Septeber year.grade 8)
27, 2006
Type of family structure
The Fruit Family is a nuclear type of family, composed of parents:

Mr. Mango and Mrs. Golden Apple, and children: Cherry, Jackfruit and
Banana. They are married for 33 years now. They were born and raised as
a Born Again Christmas and they attend Sunday services religiously which
held at their house. Although the family doesn't have much they still try
give the best and comfortable living to their children. They still manage to
surpass every challenging situation that they encounter by having a
positive outlook in life.
Mode of Expenditure
EXPENSES MONTHLY AMOUNT
Food:
RiceCanned GoodsFruits and Vegetables
Mineral Water, Juice and SodaFish, Chicken,Pork, Beef
and Eggs
Hotdogs, Tocino, Longganisa, Chicken NuggetsCoffee,
₱10,000
Creamer, SugarCooking oil, Soy Sauce, Patis, SaltMang Interpretation:
Tomas, Ketchup
The monthly earnings of the Fruit
Personal Hygiene: Family are sufficient to sustain
Soap ,Shampoo and ConditionerAlcohol,Sanitary pad,
Detergent powderFabric conditioner,Tissue their family monthly needs. There
Medicine and vitamins ₱4000 would be little money left for their
Electricity ₱3500 saving and emergency expenses.
Fuel for Motorcycle ₱1000
Foods for the animals ₱3000
Clothing ₱5000
Internet Bill and cable ₱1900
Others expenses: ₱5000

Total ₱33,400
Total Monthly Income ₱ 45,000.00
Less Total Monthly Expenses – ₱ 33,400.00
Balance Remaining ₱ 11,600.00 Sufficient
Home and Environment
 Housing
• House was build in strong material mostly concrete
• walls and roof are painted, living room, master bedroom and bathroom have
tiles
• they used stainless steel for the ceiling
• They have 5 bedrooms ( 3 on the first floor and 2 at the second floor)
• Family owns the house and the lot.
• Adequacy of living space

- They have adequate living space TFA = 297 sqm and
TSR = 5 X 3 = 15 sqm ;TFA < TSR (Not Crowded)
• Breeding or resting sites of vectors of diseases ( e.g. mosquitoes,

roaches, flies, rodents)
-presence of mosquitoes during nightime at their backyard and flies
during harvest month of poultries near them.
• Food storage and cooking facilities

- they store their food in the refrigirator, also used food cover plastic
and used gas stove
• Water supply
–the family uses jetmatic and water pump as their water supply
• Type of drinking water facility

-They drink mineral water that they bought every week for their drinking
water.
• Toilet facility – the house has 2 private bathroom both are flush system
• Garbage/refuse disposal
– the family uses 2 container for their barbage location at their kitchen
area and they segregate the nonbiogredable put it in a sack is being
collected by barangay barbage collector every once a week (Friday).
• Drainage system – open drainage water it goes directly to their backyard

LIVING SPACE FORMULA
Total Floor Area or TFA (in sqm) = (length of the house) x (width of
the house)
Total Space Required or TSR = (number of household members) x
(corresponding space required for that member) Family Classification Space
Computation: Members Requirements
TFA = 15.12 x 19.65 = 297 sqm Mrs. Golden Adult 3 sq.m
Apple
TSR = 5 X 3 = 15 sqm
Mr. Mango Adult 3 sq.m
TFA < TSR (Not Crowded)
Ms. Cherry Adult 3 sq.m
Mr. Jackfruit Adult 3 sq.m
Legend: Mr. Banana Adult 3 sq.m
l Crowded if TFA<TSR Total Space Requirement 15 sq.m
l Not crowded if TFA>TSR
INTERPRETATION: NOT CROWDED: TFA>TSR

The Total Floor Area is greater than Total Space Requirement therefore the Fruit Family’s
living space is not crowded.
Computation for Ventilation:
TWO = (Length of window x Opening)x number of
open window
TWO = (1.22 x 1.83) = 2.23 sqm
(1.22 x 1.22) = 1.48 sqm
(0.56 x 0.56) = 0.31 sqm
(1.14 x 0.51)= 0.72 sqm
(0.61 x 0.99) =0.60 sqm
(1.69 x 1.09) =1.84 sqm
(2.39 x 3.81) = 9.11 sqm
TWO = 16.29 sqm x 13 =211.77
LEGEND:
a. Adequate - 15% and above from computation
b. Inadequate - 14 % and below from computation
INTERPRETATION: Adequate Ventilation = 71%

The total computation of the house Ventilation is >15%,
therefore the Fruit Family’s ventilation is adequate.
PROBLEM
IDENTIFICATION
and
FAMILY NURSING
CARE PLAN
List of problems identified with cues (Prioritized)
No. Problems Identified Score Rank
1 Presence of Health deficit : Hypertension 5 1
Presence of Health deficit : Presence of Disability-

2 1.33 4
(Deafness)
Presence of Health Threats: Imbalanced

3 4.67 2
Nutrition:More than body requirement
Presence of vector of diseases e.g. rodents,

4 4.34 3
mosquitoes, flies, roaches
Problem 1:Presence of Health deficit : Hypertension
Problem # 1. Presence of Health Criteria Computa Score Justification
Deficit: Hypertension tion
Nature of the Problem 3/3 x 1 1 Hypertension is a Health
Scale: deficit in which will cause
First Level of Assessment = 3 – Health Deficit complications that requires
Unhealthy lifestyle and personal 2 – Health Threat immediate attention and
habits/practices as a health threat as 1 – Foreseeable Crisis adequate management of
one’s blood pressure.
evidenced by:
Modifiability of the 2/2 x 2 2 Current knowledge,
problem interventions and resources
Ø High Blood Pressure (Mrs. Scale: are available to solve the
2 – Easily Modifiable problem of high blood
Golden Apple) 1 – Partially Modifiable pressure or hypertension.
0 – Not Modifiable
Second Level of Assessment = Preventive potential 3/3x1 1 Increase blood pressure can
Scale: be prevented through proper
Inability to recognize the presence of the 3 – High health teaching and proper
condition or problem due to: 2 – Moderate health management of
1 – Low
hypertension.
Ø Denial about its existence or Salience 1/ 2 x 1 1 The family perceives
Scale: hypertension as a serious
severity as result of fear of consequences 2 – Needing immediate
problem but nit needing
attention
of diagnosis of problem. 1 – Not needing immediate immediate attention
attention
0 – Not perceived as a Problem
Total: 5
FAMILY NURSING CARE PLAN
Problem no. 1 - Hypertension
Family Nursing Problems: Objective(s) of care

1. Denial about its existence or severity as result of fear of After nursing intervention the family will be able to:
consequences of diagnosis of problem
A. Have adequate knowledge a good proper nutrition
2.Inability to recognize the presence of possible
that reduce hypertension and prevent the occurrence
complication in hypertension due to lack of
of relative complications in the future.
knowledge.
B. Be able to determine the risk factor that contribute
3.Inability to decide about taking appropriate
hypertension such as family history, age, salt and
action due to failure to comprehend the nature,
alcohol intake, and obesity.
magnitude and scope of the problem
C. Practice proper lifestyle with regards to nutrition
Goal of Care: and physical fitness.
After nursing intervention the family will
make necessary measures to properly
manage, control, and lessen the risk
factors of hypertension
Nursing Interventions:
1.Broaden the knowledge of the family on Hypertension in the patient’s level of understanding by providing
pamphlets and pictures:
a.Discuss the meaning of hypertension and importance of maintaining a normal blood pressure
b.Discuss the implications of the signs and symptoms of hypertension
c.Discuss the cause, effects and consequences of hypertension
d.Discuss the prevention and treatment of Hypertension
2.Discuss with the family the proper food selection and food preparation in preventing hypertension such as
preventing salty, high in fat and high in cholesterol food and more of vegetables and fruits.
3.Discuss the possible exercises such as walking and activities like sweeping, dishwashing and recommend
rest period in between activities.
4.Demonstrate to the family members the preparation of garlic (bawang) as a herbal medicine in the treatment
and prevention of hypertension.
Method of Nurse Family Contact :

 Home visits
Resources Required
> Visual aids and low cost materials needed for demonstration.
> Time and effort on the part of student nurse and family.
Evaluation
• Discussed Hypertension on patient’s level of understanding.
• Family was able to identify appropriate food selection and preparation in
lessening cholesterol level in blood.
• Discussed possible exercises and activities and recommended rest period in
between activities.
• Demonstrated preparation of garlic as a herbal medicine in he treatment and
prevention of hypertension.
Problem 3: Presence of Health Threat : Imbalanced Nutrition:More than body requirement
Problem #3 . Presence of Health Threat : Criteria Computatio
n
Score Justification
Imbalanced Nutrition:More than Nature of the Problem 2/3 x 1 0.67 It is a health threat problem
Scale: because it can contribute
body requirement 3 – Health Deficit complication/problrm to the health
2 – Health Threat status of the family;with imbalanced
1 – Foreseeable Crisis nutrition they take, always eating
high salt and high-fat may cause an
First Level of Assessment = increased blood pressure.
Faulty/unhealthful nutritional/eating habits or Modifiability of the 2/2 x 2 2 It is easy modifiable because the
problem student nurse informed the family
feeding techniques/practices. Scale: the importance of proper food
Ø Obesity 2 – Easily Modifiable
1 – Partially Modifiable
intake in daily living such as eating
fruits and vegetables. The family
Ø Excessive intake of certain nutrients 0 – Not Modifiable recognized what are the risk to their
health status of eating an imbalance
nutrition through health teaching.
Second Level of Assessment = Inability to Preventive potential 3/3x1 1 It is high preventive because as we
Scale: observed the family practiced on
recognize the presence of the 3 – High how to keep their living becomes
2 – Moderate healthy by lowering their salty and
condition or problem due to: 1 – Low fatty foods intake
ØLack of or inadequate knowledge Salience 1/ 2 x 1 1 The family is oriented on the
Scale: problem of eating unhealthy.
 Inability to monitor and manage BMI and 2 – Needing immediate
attention
daily intake of foods 1 – Not needing immediate
attention
 Inability to provide nursing care to the member 0 – Not perceived as a Problem
of the family due to lack of knowledge about Total: 4.67
the problem that my occur due to too much

nutrient intake
 Sedentary life style
Problem no. 3: Imbalanced Nutrition:More than body requirement
Health Problem:
Imbalanced Nutrition:More than body
Family Nursing Problems:

1.Lack of knowledge about normal nutrients requirement of the body
2.Inability to make decisions with respect to taking appropriate action due to:
a.Failure to comprehend the nature of the problem
b.Lack of knowledge about nutrition
3.Inability to monitor and manage BMI and daily intake of foods
4. Inability to provide nursing care to the member of the family due to lack of knowledge about the
problem that my occur due to too much nutrient intake
5.Sedentary life style

Goal of Care:
After nursing intervention the family:
a.)will be able to acquire adequate knowledge about nutrition

b.)will be able to recognize the problem
c.)will be able to take some action to monitor the daily nutrient intake of each member
Objective(s) of care:
After nursing intervention the family will be able to:
• Acquire sufficient knowledge about nutrition and be aware of their daily nutrient intake.
• Comprehend and recognize the nature of the problem
• Monitor and manage their BMI and daily nutrients intake.
• Do some activities to reduce their weight if there is a member who is obese or overweight.

 Home visits
1.Explain the essence of having a proper nutrient consumption and also the importance of it.
2.Assess the family’s potential factors for undesired weight gain such as the nutritional and metabolic pattern
including their BMI.
3.Guide or assist the client to develop preventive program to avoid weight gain.
4.Encourage and motivate them to make a decision to lead an active life and control food habits.
5.Encourage the family to consult to a dietician or nutritionist about specific nutrition and dietary issues
Resources Required:
Material:
• Visual aids and some materials needed for demonstration
• Time, energy and effort on the part of the nurse and the family
Evaluation:
Reduce intake of food to normal nutrients required by the body and acquire normal BMI
Correct identification and understanding of the Nutrients required by the body.
Manage and control eating pattern and do some exercise to reduce weight .
Problem 4: Presence of Health Threat : Presence of vector of diseases e.g. rodents,
Problem #4 . Presence of vector of diseases e.g. mosquitoes, flies, roaches
Criteria Comput Score Justification
rodents, mosquitoes, flies, ation
roaches Nature of the Problem 2/3 x 1 0.67 The problem is considered to be a
Scale: health threat since it predisposes the
3 – Health Deficit family to acquire vector borne
2 – Health Threat diseases such as Dengue,
First Level of Assessment =Poor home/ 1 – Foreseeable Crisis leptospirosis, and the like.
environmental condition/sanitation as Modifiability of the 2/2 x 2 2 The problem is highly modifiable
problem since the family's willingness to
evidenced by: Scale: cooperate and comply with the
2 – Easily Modifiable Student Nurses health teachings and
1 – Partially Modifiable as verbalized by Mrs. Golden Apple
Ø Presence of breeding or resting sites for vectors 0 – Not Modifiable they have insecticides such as
Baygon which they use to eradicate
of diseases. Especially mosquitoes. those insects.
Ø Improper drainage system Preventive potential 2/3x1 0.67 Prevention of these vectors has a
Scale: moderate potentiality the problem is
3 – High not yet severe since no one on the
Second Level of Assessment = Inability to provide 2 – Moderate family was affected by the problem,
1 – Low the rodents bit no one, no one has
a home environment acquired any of the vector borne
conducive to health maintenance and diseases.The family has a current
management on the problem by
personal development due to: spraying insectiside.
Ø Lack of skill in carrying out measures to Salience 2/ 2 x 1 1 Prior to the interventions and health
improve home environment. Scale:
2 – Needing immediate attention
teachings, the family has already
viewed this as a problem, which
1 – Not needing immediate
Ø Lack of knowledge of preventive measures attention needs an immediate action
0 – Not perceived as a Problem
Total: 4.34
Problem no. 4 -Presence of vector of diseases e.g. rodents, mosquitoes, flies, roaches
Health Problem: Presence of mosquitoes and flies.

 Lack of skill in carrying out measures to improve
home environment.
 Lack of knowledge of preventive measures

Goal of Care: After nursing intervention the family will:
After nursing intervention thefamily will beable to
eradicate the presence of these unwanted sites of a.be aware and bemore knowledgeableabout the importanceof
vectors causing diseases and therefore will maintain proper sanitationespecially at home;
a home environment conducive to health.
b.be able to eliminate the presence of these breeding sites
of vectors
c. recognize thecauses of breeding sites such as to prevent the

occurenceof diseases.
>Assess family’s environmental conditions.
>Discuss and explain importance of environmental sanitation
>Discuss use of pesticides/insecticides and other physical method to reduce number of
pests/insects in the house
>Encourage immediate plates and kitchenware before and after use.
>Encourage proper hand washing before and after eating
 Home visits
Resources Required:
>Cooperation of both family members and student nurses
>Knowledge of student nurses
>Use of cleaning agents such as house bleach or Lysol
>Pesticides/Insecticides
Evaluation:
ShortTerm:
The family was able to demonstrate understanding of the health teachings with regards to the
possible causes and effects of the presence of these vectors.
LongTerm:
The family was able to show behavior and compliance on measures on how tomaintain a clean
environment in order to eradicate breeding sites of mosquitoes, flies
and rodents.
Problem 2: Presence of Health Threat : Presence of Disability: Deafness
Criteria Computatio Score Justification
n
Problem #2 . Presence of Health Nature of the Problem 3/3 x 1 1 Prelingual deafness refers to
Deficit:Presence of Disability-- Deafness Scale:
3 – Health Deficit
the inability to hear properly or
at all before the patient learnt
2 – Health Threat how to utter or understand
1 – Foreseeable Crisis speech.In such cases the
First Level of Assessment = Presence of individual was born with a
Disability by : congenital condition or lost
their hearing very early in life,
Ø Prelingual Deafness during infancy. People with
prelingual deafness have never
Ø Absent of speech to verbal responses acquired speech with sound.
and inattention to noise. Modifiability of the 0/2 x 2 0 This problem is not
problem modifiable because if is a
Scale: disablity that happened since
Second Level of Assessment = Inability to 2 – Easily Modifiable infancy.
1 – Partially Modifiable
make decisions with respect to taking 0 – Not Modifiable
appropriate health action due to: Preventive potential 1/ 3 x 1 0.33 The problem has a low
Scale: preventive potential because
Ø Lack of or inadequate knowledge 3 – High the family does not have any
2 – Moderate management on this problem
1 – Low since Ms. Cherry case is
irreversable.
Salience 0/ 2 x 1 0 The family does not view this
Scale: as a problem.
2 – Needing immediate
attention
1 – Not needing
immediate attention
0 – Not perceived as a
Problem
Total: 1.33
Problem no. 2 - Presence of Disability-Deafness
Health Problem:
 Deafness as evidence by absent of speech to
verbal responses and inattention to noise.
 The patient’s Mothers explains her daughter is

completely deaf. She states she was born like this.
1.Vulnerable to serious emotional and social consequences.

2. Less tolerant and more irritable, often leads to social isolation, low self-
confidence.
3.Depression, anxiety, frustration and anger.

Goal of Care:
After nursing intervention the family will make necessary measures to help the
patient adapt and cope in her daily life activity and productive.
After nursing intervention the family will be able to:
a.Encourage Recreational activities ( Exercise, Gardening)
b.Encourage the family Member’s to Place important objects within reach.
c.Watching livelihood program

1.Help manage stress. It provides a chance to nurture oneself and provides a sense of balance and
self-esteem, which can directly reduce anxiety and depression. ..
2.This increases the patient’s sense of frustration and feelings of helplessness.
3.Profound impact on someone's life. Providing care and support to someone who needs it most
and helping them to become more independent and confident in their own abilities.
4.To communicate effectively with those around them will see better productivity and improved
relationships in every aspect of their lives

 Home visits
Resources Required
> Visual aids and low cost materials needed for demonstration.
> Time and effort on the part of student nurse and family.
Evaluation
• After the nursing diagnosis and intervention the client’s had improved by
expressing thoughts using non-verbal actions.
LEARNING DERIVED
As the fundamental unit of society, it is necessary to preserve the well
being of the family, and I personally learned the importance of the family in society. Compa
ring the family with the human body, as when one part of the body is contaminated, the enti
re body will be systemically affected later on, just as with the family and community, when
a family is deemed sick, the society will be systemically affected later on.
In doing FCA student nurse must have the initiative, time, effort,strong comminication
skill and patience, without those things you will not be able to gather all the information
you need, the client's cooperation and compliance is also a vital ingredients for the success
of making a family case analysis.
DOCUMENTATION
Fruit Family House
Fruit Family Front House Balcony Garage and their motorcycle

DOCUMENTATION
Fruit Family House
Living Room Garden Two bedrooms at second floor

DOCUMENTATION
Fruit Family House
Dining Area Dining area sink and counter Family hanging area
DOCUMENTATION
Fruit Family House
Water pump and jetmatic at the Cooking area Kitchen Area

kitchen area
DOCUMENTATION
Taking Vital Signd and Physical Assessment
Taking Mrs. Golden Taking Ms. Cherry’s

Apple’s blood pressure height and weight
Taking Ms. Cherry’s blood

pressure
DOCUMENTATION
Taking Vital Signd and Physical Assessment
Taking Mrs. Golden Apple’s

Measuring Fruit Family height and weight
house with the help of Ms.
Cherry
DOCUMENTATION
Damage Left by typhoon Ulysses
Fruit Family’s Backyard

DOCUMENTATION
Early walk with Mrs. Golden Apple

THANK YOU

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FAMILY CASE

Cognitive: Affective: Psychomotor:

5.Familiarize themselves with the physical

1.Agreed and welcomed the student visits to their

2.Understood the purpose and willingly cooperate

3.Expressed their concerns and questions regarding

4.Acquire knowledge from the health teaching

2.Impart knowledge to the family to make them self

3.Plan and implement appropriate action to resolve,

The Fruit Family lives in a house surrounded by trees

Mrs Golden Apple is cooperative, coherent and oriented to

Mrs. Golden Apple

• Head- Her hair is black in color. It is evenly distributed and presence of

• Neck- Neck color is darker than normal skin color (Acanthosis

• Chest/lungs- There is full and symmetrical chest expansion. There is

• Heart - Denies any chest pain or heaviness, claims no palpitation. Pulse

• Gastrointestinal- According to client she has a normal bowel movement

Mrs. Golden Apple

Gravida Para Term Pre-Term Abortion Living Multiple

4 foot × 30.48 cm = 121.92 cm

Normal Range 18.5-22.9

• Head- Her hair is black in color. It is evenly distributed and presence of

• Eyes - Her eyebrows are symmetrically aligned with hair evenly

• Chest/lungs- There is full and symmetrical chest expansion. There is

• Gastrointestinal- According to client she has a normal bowel movement

1 Foot = 30.48 cm;1 Inch = 2.54 cm

5 foot × 30.48 cm = 152.4 cm

1 inches × 2.54 cm = 2.54 cm

152.4 cm + 2.54 cm = 154.94 cm

Convert Centimeter to Meter

32 yrs old 154.94 /100 × 1 m = 1.5494 m or 1.55 m

Degree of Risk based on Body Mass Index

Mr. Jackfruit wore a white T-shirt, a Denim shorts and a pair of

• Head- His hair is black in color. It is evenly distributed and no presence of

• Chest/lungs- There is full and symmetrical chest expansion. There is

• Breast and axilla -His breast is in symmetrical size with no

• Gastrointestinal - According to client he has a normal bowel

1 ft is equal to 30.48 cm, and 1 inch is equal to 2.54 cm.

1 Foot = 30.48 cm;1 Inch = 2.54 cm

5 foot × 30.48 cm = 152.4 cm

7 inches × 2.54 cm = 17.78 cm

152.4 cm + 217.78 cm = 170.18 cm

Convert Centimeter to Meter

Mrs. Golden Apple  light of the family  she is a highschool graduate.

Ms. Cherry  First born  she is a high school gradute

Name Demographic profile of each Occupation and income of

Mr. Jackfruit  Third child  He is currently on his 2nd year

The Fruit Family is a nuclear type of family, composed of parents:

Others expenses: ₱5000

• Adequacy of living space

• Breeding or resting sites of vectors of diseases ( e.g. mosquitoes,

• Food storage and cooking facilities

• Type of drinking water facility

• Drainage system – open drainage water it goes directly to their backyard

INTERPRETATION: NOT CROWDED: TFA>TSR

TWO = 16.29 sqm x 13 =211.77

INTERPRETATION: Adequate Ventilation = 71%

No. Problems Identified Score Rank

1 Presence of Health deficit : Hypertension 5 1

Presence of Health deficit : Presence of Disability-

Presence of Health Threats: Imbalanced

Presence of vector of diseases e.g. rodents,