case study

St. Mary’s CollegeTagum City

Bachelor of Science in Nursing

A Family Case Study of Canada Family

In Partial Fulfillment of Requirements inRELATED LEARNING EXPERIENCE

Presented to:

Mrs. Rochelle T. Say, R.N.

Presented by:

Sedico, Quenny LouSN – SMC

BSN-2A RLE

February 4, 2008

FAMILY GENOGRAM

INITIAL DATA BASE

CANADA FAMILY

CANADA FAMILY

Dennis Canada

(Father)

Maricel Canada(Mother)

Princess Cherish Canada

(Only Child)

Prk. 27, Garinan, Brgy. Madaum, Tagum City

A. Family Structure and Characteristics of Dynamics

FAMILY

MEMBER

S

AGE SEXCIVIL

STATUS

POSITIO

N IN THE

FAMILY

PLACE OF

RESIDENC

E

Dennis

Canada23 Male Married Father

Residing

with his

wife’s

family

Maricel

Canada22 Female Married Mother

Residing

with her

family

Princess

Cherish

Canada

1yr. and

2mos.Female Single Only Child

Residing

with her

parents

Type of Family Structure:

They have a combination of Nuclear and Extended Family since

they presently lived together with Ate Maricel Canada’s family along

with her parents and siblings.

General Family Relationship:

The family has an intimate relationship. The couple is doing their

best to give the love and care needed by their child as well as the

material support. They are both making ways to attend for the basic

needs of their child and they prioritize her health status. The couple

both does their responsibilities and they do not take for granted the

problems needing immediate attention.

B. Socio-economic and Social Characteristics

Family

Member

Occupatio

nIncome

Education

al

Attainme

nt

TribeReligion

Dennis

CanadaContractor

Approximat

ely P1,

610.00

monthly

2nd year

CollegeBisaya Catholic

C. Home and Environment

1. Housing

a. Adequacy of Living Space

The house consists of only two bedrooms

inadequate for the 2 families (their family and

the family of Ate Maricel). The living room has no

enough space for them as well as the dining

room. Their dirty kitchen is located outside the

house without walls. They share one comfort

room without water supply.

b. Adequacy of the Furniture

They own a television and a radio and ha sonly

one sala set inadequate for them to watch TV

together and discuss some important matters.

Their dining table is also not enough for them to

sit and eat together.

c. Presence of breeding sites of insects and rodents

The house is untidy that breeding places of

insects and rodents are present in the house.

These are as follows:

mosquitoes

flies

cockroaches

rodents

d. Kind of Neighborhood

The house is very close to their neighbors

approximately 2-3 meters away.

e. Social and Health Facilities Available

Their house is a walking distance to the chapel,

basketball court, health center, day care center,

school and Ate Maricel’s family has a small store

outside their house but they were very far from

the Barangay Hall.

f. Communication and Transportation Facility Available

Ate Maricel’s brothers have cellphones and they

have television and radio as their means of

communication. They don’t have their own for

transportation but there are a lot of single

motorcycles available in their community which

can be used for transportation.

D. Health Status of the Family Members

Ate Maricel’s mother has a history of diabetes which can

be inherited by her and their daughter is suffering from viral

infections.

E. Values, Habits, Practices and Health Promotion, Maintenance and

Health Prevention

a. Immunization Status of the Family:

Their daughter had received complete immunization

and according to Ate Maricel, she had her complete

immunization and check-up during her pregnancy.

b. Health, Lifestyle, Practices

They eat three times a day and fish is usually present

in their meals. They are also fond of eating raw fish

(kinilaw).

c. Use of Protective Measures

The family uses mosquito nets during night time to

somehow free them from mosquitoes.

d. Presence of Accident Hazards

They have a slippery pathway and there is presence

of knives and pointed objects scattered inside their house

which can cause them harm.

e. Food Storage

Their foods were stored in the refrigerator.

f. Cooking Facilities

They use woods and charcoals as means of cooking

their foods.

g. Water Supply

They fetch water in the nearest well of their neighbor

and use it for washing their dishes, clothes and bathing.

They use rain water for drinking.

h. Toilet Facility

They share one Antipolo Type o comfort room

without water supply. The toilet has poor sanitary

condition.

i. Garbage Disposal

They segregate their garbage and some were placed

in a compost pit.

j. Drainage System

They have an open canal and the water is directly

absorbed by the ground.

k. Lighting Facilities

The house is powered by electricity.

FIRST LEVEL ASSESSMENT

A. HEALTH THREATS

1. Health History of Specific Condition/Disease

Ate Maricel’s mother has a history of diabetes which might

be inherited by her since the disease is hereditary.

2. Accident Hazards

a. Pointed/Sharp Objects Improperly Kept

The knives are scattered inside their house and there

are pointed objects easily reached by their child.

3. Poor Environmental Sanitation

a. Inadequate Living Space

Their house is too small to cater a large number of

family.

b. Presence of Breeding Places of Insects and Rodents

Their untidy environment inside the house is an

evidence of breeding places of disease-causing pests.

c. Unsafe Water Supply

They rely on the deep well as their source of water

for washing dishes, clothes and bathing and uses rain

water for drinking without proper sterilization.

4. Personal Habits/Practices

a. Eating Raw Meat/Fish

The family is fond of eating uncooked fish (kinilaw)

which is a common source of life-threatening diseases.

b. Smoking and Alcohol Drinking

Kuya Dennis smokes and drinks alcoholic drinks

occasionally which can harm his health as well as the

health of the other members of the family.

SECOND LEVEL ASSESSMENT

A. HEALTH THREAT

1. Health History of Specific Condition/Disease

Inability to recognize the presence of a problem due to:

1. Ignorance of Facts

Inability to make decisions with respect to taking

appropriate health action due to:

1. Failure to comprehend the nature,

magnitude/scope of the problem

2. Low salience of the problem

2. Accident Hazards

a. Pointed/Sharp Objects Improperly Kept




3. Poor Environmental Sanitation

a. Inadequate Living Space

Inability to provide a home environment which is

conducive to health maintenance and personal

development due to:

1. Inadequate living resources

2. Lack of skill in carrying out measures to

improve home environment

b. Presence of Breeding Places of Insects and Rodents

Inability to recognize the presence of the condition of

the problem due to:

1. Inadequate knowledge regarding the

importance of proper sanitation and preventive

measures in getting rid of insects

c. Unsafe Water Supply



1. lack of knowledge/insights as to alternative

causes of action open to them

2. Lack of sources of potable water

4. Personal Habits/Practices

a. Eating raw meat/fish

Inability to recognize the presence of problem due

to:


Inability to make decisions with

respect to taking appropriate health action due to:




b. Smoking and Alcohol Drinking

Inability to recognize the presence of problem

due to:


Inability to make decisions with

respect to taking appropriate health action due to:




SCALE FOR READING FAMILY HEALTH PROBLEMS ACCORDING

TO PRIORITIES

HEALTH THREAT

A. History of Specific Condition/Disease (Diabetes)

CRITERIACOMPUTATIO

N

ACTUAL

SCORE

JUSTIFICATIO

N

1. Nature of the

Problem2/3 x 1 0.67

It is health

threat because

it might be

inherited by the

members of the

family.

2. Modifiability

of the problem

0/2 x 2 0 Family

members don’t

have any idea

when the

disease will

take its toll on

them since it is

genetic.

3. Preventive

potential1/3 x 1 0.33

It has low of

potentiality to

be prevented

because it is

hereditary.

4. Salience of

the problem2/2 x 1 1

It is a serious

problem for it

can be a cause

of death for the

family

members.

TOTAL = 2

B. Accident Hazards

1. pointed/sharp objects improperly kept

CRITERIACOMPUTATIO

N

ACTUAL

SCORE

JUSTIFICATIO

N

1. Nature of the

Problem2/3 x 1 0.67

It is considered

a health threat

because it

might cause

injury to their

child or of other

members of the

family.

2. Modifiability

of the problem

2/2 x 2 1 It can be easily

kept after using

provided that it

is out of reach

of their child or

it is in the safe

place.

3. Preventive

potential3/3 x 1 1

They can

immediately

place the sharp

objects such as

knives in the

proper place

after using it.

4. Salience of


It is not a

problem

because its

accidents can

be prevented

when it is

properly kept

and stored.

TOTAL = 2.67

C. Poor Environmental Sanitation

1. Inadequate living space

CRITERIACOMPUTATIO

N

ACTUAL

SCORE

JUSTIFICATIO

N

1. Nature of the

Problem2/3 x 1 0.67

It is a health

threat because

the child might

be at risk to

acquire the

diseases of the

other members.

2. Modifiability

of the problem

1/2 x 2 1 Family has

difficulty of

providing

themselves a

bigger and

separate place

to live.

3. Preventive


They can

monitor the

people that will

enter and pass

along their

house.

4. Salience of


The family does

not perceive this

as a problem as

long as they

have shelter.

TOTAL = 1.34

2. Presence of breeding places of insects and rodents

CRITERIACOMPUTATIO

N

ACTUAL

SCORE

JUSTIFICATIO

N

1. Nature of the

Problem2/3 x 1 0.67

It is a health

threat because

these insects

may carry

microorganisms

that cause

diseases.

2. Modifiability

of the problem

1/2 x 2 1 There are

interventions

and resources

that are

available to

help solve the

problem.

3. Preventive


These insects

cannot be easily

eliminated and

prevented and

diseases caused

by these are

not easily

cured.

4. Salience of


It is a problem

since

complications of

the diseases

caused by these

insects may led

to death of the

member who

acquired the

disease.

TOTAL = 3.34

3. Unsafe water supply

CRITERIACOMPUTATIO

N

ACTUAL

SCORE

JUSTIFICATIO

N

1. Nature of the

Problem2/3 x 1 0.67

It is a threat for

unsafe water to

be drunk

because this

can cause

water-borne

diseases.

2. Modifiability

of the problem1/2 x 2 1

They can

sterilize their

rain water by

boiling it before

drinking.

3. Preventive


They cannot

easily change

their habit of

drinking rain

water because

it is the most

common source

of drinking

water in their

community.

4. Salience of

the problem

2/2 x 1 1 They cannot

assure that they

are safe of

drinking rain

water even

though they will

strain it

because they

are not sure

that the source

of that water is

safe and clean.

TOTAL = 3

D. Personal Habits/Practices

1. Eating raw meat/fish

CRITERIACOMPUTATIO

N

ACTUAL

SCORE

JUSTIFICATIO

N

1. Nature of the

Problem

2/3 x 1 0.67 It is a health

threat because

these are

diseases

causing

microorganism

in the uncooked

meat/fish.

2. Modifiability

of the problem 1/2 x 2 1

They can

properly cook

their foods

before eating.

3. Preventive


Diseases

caused by

eating raw

foods are hard

to cure and has

the possibility

to cause death.

4. Salience of

the problem1/2 x 1 0.5

Health

teachings can

provide family

members

TOTAL = 2.84

2. Smoking and Alcohol Drinking

CRITERIACOMPUTATIO

N

ACTUAL

SCORE

JUSTIFICATIO

N

1. Nature of the 2/3 x1 0.67It is health

threat because

Problem

second hand

smokers have

high risk of

acquiring the

disease

especially those

persons who

have weak

immune

system.

2. Modifiability

of the problem

0/2 x 2 0 The person can

smoke provided

that he is away

from the other

members to

prevent them

from the

diseases caused

by smoking or

much better if

he will totally

separate

himself from

this vice.

3. Preventive

potential0/3 x 1 0

It cannot be

easily stopped

once it had

already become

a habit.

4. Salience of


It is a serious

problem since it

can also affect

not only the

person doing

the act of

smoking but

also the people

surrounding

him.

TOTAL= 1.67

PRIORITIZING PROBLEMS

RANKING PROBLEM

SCORE

1 Presence of breeding places of insects 3.34

and rodents

2 Unsafe Water Supply 3

3 Eating raw meat/fish

2.84

4 Pointed/sharp objects improperly kept

2.67

5 Health History of Specific Condition/Disease 2

(Diabetes)

6 Smoking and Alcohol Drinking

1.67

7 Inadequate Living Space 1.34

FAMILY COPING INDEX

CRITERIA SCALING JUSTIFICATION

1. Physical

Independence5

The child has viral

infections during my

visit but her parents

do not take this for

granted and gave her

the totality of their

care.

2. Therapeutic

Competence

3 The parents of the

child are capable of

giving medications to

her but they just give

her medicines

without any

consultations and

prescriptions from

the doctor. And they

administer medicines

in an inappropriate

time and dosage.

3. Knowledge of

Health Condition3

The family can

identify minor

illnesses but they

tend to apply self

medications before

seeking any medical

assistance from

health care

personnel.

4. Applications of

Principles of General

Hygiene

1

The surroundings

outside and inside

the house were very

dirty and they are not

so neat in terms of

their physical

appearances.

5. Health Attitudes 3 The family accepts

medical services but

they prefer not to

avail such and

chooses to have self

medications before

doing any referrals to

the Barangay Health

Center.

6. Emotional

Competence5

The family lives in

unity and harmony

and faces every

problems and

stresses that may

arise together.

7. Family Living 5

The family is well-

bonded with each

other and they have

high degree of love

and support with one

another.

8. Physical

Environment1

Their house has an

inadequate living

space and they have

a filthy surrounding

inside and outside

and their other

facilities were not

properly arranged.

9. Use of Community

Facility

3 The family is not that

knowledgeable of the

other existing

medical services

available in their

community that’s

why they cannot

completely avail its

offered services.

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case study