FAMILY CASE STUDY III_A

Republic of the PhilippinesUniversity of Northern Philippines

Tamag, Vigan City

College of Nursing

A FAMILY CASE STUDY

In partial fulfillment

of the Requirements in

Community Health Nursing

Submitted to:

Mrs. Maureen Angelica G. Florendo, RN

Submitted by:

Goldwyn Adversalo

BSN III-AMARYLLIS

July 19, 2010

1

INTRODUCTION

Community is a group of people sharing common geographic boundaries and a common shared

interest or purpose. It is also where we can find individual, family, children, elderly and a population

group.

In a community we can find a lot of families and a lot of problems also. Problems like diseases

which are categorized by communicable and non-communicable, so a nurse has to make an action to

prevent the problems they might be encountering. Knowing that not all people in a certain community

are financially capable and educated. Large number of people has a low level education. Problems are

often unidentified because they lack knowledge about the signs, symptoms, the nature and treatment of

a particular diseases.

So Community Health Nurse makes action to educate people by helping them identify their

needs, identify problems in their family and render their service. Nurses in the community often give

helth teachings, preventive measures and enhances the people’s knowledge about health promotion

and disease prevention.

This case study is focused on one of the family in Barangay 7, Pagburnayan Vigan City

Particularly in Block A. The Rapada family is the one involved in this case study. We will be encountering

health threats as well as health deficit and forseeable crisis present in their family.

OBJECTIVES

To help the family attain a wellness state

To establish a good rapport to the family to gain their trust for them to share with me the

information needed for this case study

To identify health threats, health deficit, and stress points present in their family

To enhance their knowledge about health promotion and disease prevention

To make a family nursing care plan appropriate for their problems

2

FAMILY MEMBERS AND CHARACTERISTICS

NAME RELATION AGE SEX CIVIL STATUS

EDUCATIONAL ATTAINMENT

OCCUPATION RELIGION

A.RUBEN RAPADA

HEAD 39 M M COLLEGE UNDERGRADUATE

JAR MAKER RC

ANALYN RAPADA

WIFE 40 F M ELEMENTARY GRADUATE

LAUNDRYWOMAN RC

RONALD PALECPEC

POSTERSON 20 M S ELEMENTARY UNDERGRADUATE

JAR MAKER RC

MARK ANTHONY RAPADA

SON 13 M S ELEMENTARY UNDERGRADUATE

RC

RUBILYN RAPADA

DAUGHTER 11 F CHILD - RC

MARY ANN RAPADA

DAUGHTER 6 F CHILD - - RC

SHIELA MAE RAPADA

DAUGHTER 3 F CHILD - - RC

CHARLENE RAPADA

DAUGHTER 1 9/12

F CHILD - - RC

B. REYNALYN PELECPEC

HEAD 22 F S - NONE RC

REXEL MARK PELECPEC

SON 1 3/13

M CHILD - - RC

C. ANNABEL CORTEL

HEAD 34 F S - LAUNDRYWOMAN RC

3

FAMILY STRUCTURE, CHARACTERISTICS AND DYNAMICS

In Barangay Parburnayan, Vigan City particularly, there live a family headed by Mr.

Ruben Rapada, 39 yrs old. He is married tto Mrs. Analyn, 40 yrs old. They are blessed with 5

children. Eldest is Mark anthony 13 yrs old, next is rubilyn 11 yrs old, then mary ann 6 yrs old,

then shiela mae 3 yrs old and the yougest is charlene 1 9/12 yr old. But Mrs. Annalyn had 3

children before she got married to Mr. Ruben. Her eldest is Reynalyn a 22 year old single

mother, gave birth to a healthy son named Rexel mark. Next is Ronald 20 years old and

currently working as a jar maker. And also together living with them is Ms. Annabel Cortel, 34

years old and a laundry woman.

They are an extended family, they live together in one house. They have a good family

rerationship, they do help each others in many matters like financial matters but sometimes

conflicts cannot be avoided but they make sure of it that they do fix their conflicts as soon as

they can.

Mang Ruben as the head of the family decides especially in matters of health care.They

are an extended family that’s why sometimes there are conflicts that cannot be avoided among

the family members like matters of everyday financial isssues.

4

SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS

Family’s monthly income

NAME INCOME

RUBEN RAPADA 3,000.00

ANALYN RAPADA 500.00

ANNABEL CORTEL 500.00

TOTAL 4,000.00

MONTHLY EXPENSES

Electicity 350.00

Water 350.00

Foods 2000.00

Allowance of children 800.00

Groceries and other expenses 500.00

TOTAL 4,000.00

5

Mang Ruben’s Income as a jar maker is not enough for their family though Manang Analyn and

Manang Annabel works as a laundry woman, they dont have a stable job. They are just waiting for

people to demand their service. Mang Ruben is the one deciding about money matters and how should

be spent. He wishes to give his housemates a better life but since he weren’t able to finish his studies, it

is imposible so they are just sharing what they have and what can he provide in their everyday life. Also

Manang Annalyn and Annabel finished Elementary Level only.

All of the members of the family are Roman Catholic.They dont often go to church for a mass,

they only go if there is a special ocassion like birthday, christmas and new year. They are not affiliated

into any other groups, they are Ilocano.

6

HOME ENVIRONMENT

4m

5 m

7

Room of Ate Reynalyn, Manang Annabel and Rexel Mark

Room of Manong Ruben, Manang Analyn and their

children

D

Dinning Area

D

Cabinet

D

Kitchen

Bathroom

CR

The family lives into a four by five meters house made up of light materials like woods,

hallowblocks and cemented flooring, they have a ground as the flooring in the kitchen. They

only have 1 bedroom but 2 beds.Manang Analyn and Manong Ruben together with their

childrens occupies the first bed. Manang Annabel and Reynalyn together with Reel Mark sleeps

in the second bed which is located in the living room. They have a small living room and they

also use it as dining area and sleeping place for Ronald and Mark Anthony . There is a presence

of breeding sites and resting sites of mosquitoes and flies. There are also accident hazards

present in their house as observed by loose stair going up the comfort room, fragile windows,

and scattered kitchen utensils like spoon, pork, copping board and knife. It is also fire hazardous

because of earthened stove is situated just beside their wall. They usually store their foods in a

covered plate placed on top of the table. They used kettle and casserole in cooking their food.

They also use woods and coal in cooking. Their clothes are just hanging around at the inside of

their house. They get their water supply in NAWASA. They used karamba, waterjag and bottled

container in storing their water. They drink water directly without boiling. They have a water

sealed toilet. They usually packed their garbage in an open receptacle and dispose in the

garbage dump in their block. Sometimes they burn their garbage infront of their house ofr even

at the side of their house. They have a blind drainage system with an unsanitary condition

because of the presence of molds and worms.

The family lives in a cogested neighborhood as evidenced by the number of the houses

around them. They have a lack of knowledge about social and health facilities. They also use

cellphone as a mean of communication and listen to radio for other news and informations.

They dont own any transport vehicle but uses trycicle as mean of transportation. They dont

have any health facility like first aid kit inside their house.

8

HEALTH STATUS OF EACH MEMBER

Rexel mark always suffer from fever, colds and cough as verbalized by her mother. They

often practice self treatment. They only go to doctor,s if they cannot tolerate what they feel

anymore.Also the immunization status are not complete. Manang Annable and Analyn are risk

for Hypertension because of their body built. BP were taken during home visits and recorded as

follows 130/80mmHg for Manang Annabel and 130/70mmhg for Manang Analyn.

Immunization status card were not present and according to the mother it is misplaced. All

other member of the family rarely experincing illnesses and if there is they do only suffer from

cough, fever and common colds.

VALUES, HABITS AND PRACTICES ON HEALTH PROMOTION, MAINTENANCE

AND DISEASE PREVENTION.

IMMUNIZATION STATUS

Name BCG DPT HEP B OPV MEASLES

REXEL MARK X X X (-) (-)

CHARLENE X X X X (-)

LEGEND:

X- completed

(-)-uncompleted

9

BP MONITORING

NAME JULY 6,2010 JULY 12,2010

Analyn 130/90 130/90

Annabel 130/80 130/80

The family has an inadequate knowledge with regards to their healthy lifestyle as

evidenced by they just eating whatever they have, they dont even limit their meats and also

they eat noddles and canned foods. During night time, they use mosquito net as a protective

measure from mosquitoes.They use sleepers wherever they as as a proctection for their feet.

They do use katol in driving away mosquitoes.They have a good sleep pattern eventhough they

dont have adequate living space they still have a enough rest and sleep. They usually treat

common illness such as cold, cough and fever with over the counter drugs like paracetamol and

pain relievers. Babies are not fully immunized.They have adequate clothing.

10

FIRST LEVEL ASSESSMENT

I. PRESENCE OF WELNESS STATE

Ate Reynalyn knows the importance of breast feeding and she is ready to

enhance the wellness state even if they lack resources particularly money, she still

have the desire for the improvement of her baby.

II. PRESENCE OF HEALTH THREATS

The family lives in a 4 by 5 meter house of light materials situated in a congested

area as observed by the number of houses around theirs. There is a threat in accident hazards

as evidenced by poor foundation and structure of the house, fragile windows, walls covered by

a galvanized roof or plywoods and galvanized roofs. The utensils like knife and metal tubings

are improperly kept. The light stucture of the house may add as a threat of fire hazards as well

as the earthened stove. There is an unhealthful eating and nutritional habits due to inufficient

food intake both in quality and quantity. They lack food storage and sometimes the basin used

for washing clothes are also used in covering their foods. A health threat due to unsanitary food

handling and preparation because of the scattered kitchen utensils and the sanitation of the

area. Unpleasant environment due to scattered personal belongings like clothes are not

properly kept.They also practices self medicationwhich is a form of unhealthy lifestyle practice.

A health threat may increase with the presence of breeding on resting sites of vectors of

diseases like cross infections from communicable diseases from dogs, mosquitoes and even

flies. The unsanitary garbage disposal is also a health threat to the family . Burning their

garbage in the backyard may contribute to air pollution. They have a poor lighting and

ventilation as evidenced by only 1 electrifan is used inside the house and 1 flourescent lamp

lights the entire house.

11

Intrapersonal conflicts is a stresss-provoking factor that may cause to health threat

because it my lead to family disunity due to self oriented behavior of members nd financial

matters. And aprehence of this may lead to failure in maintaining the wellnes state.

III. PRESENCE OF HEALTH DEFICIT

Rexel and all other children in the family are not fully immunized so they are at risk for

easily acquiring such diseases that is not prevented becase of incomplete immunization status.

And also Manang Annabel and Analyn are at high risk for Hypertension because of their lifestyle

like they dont limit their meats, taking food rich in sodium and because of their body built.

IV. PRESENCE OF STRESS POINTS AND FORSEEABLE CRISIS

Marriage is considered as a stress point of the family wherein Ate reynalyn is not

married but she has a child. Ate Reynalyn doesn’t have work to support the needs of her son,

lack of job is also considered as a stress provoking factor because her son might not be able to

finish his studies.

12

SECOND LEVEL ASSESSMENT

INABILITY TO RECOGNIZE THE PRESENCE OF THE PROBLEM DUE TO:

The family lack knowledge because they werent able to finish their studies, most of

them reached only the elementary level.

INABILITY TO MAKE DECISIONS WITH RESPECT TO TAKING APPROPRIATE

HEALTH ACTIONS DUE TO:

The family fail to comprehend the nature of conditions, lack of knowledge as to

alternative causes of action open to them and conflicting opinions among the family

members regarding actions to take with regards to money matters.

INABILITY TO PROVIDE ADEQUATE NURSING CARE TO THE SICK DUE TO:

The family has inadequate knowledge about disease condition, its nature, complications

and management because of inadequate kowledge as evidenced by praciticing self

medication. And also because of inadequate family resources for care as evidenced by no

first aid kit and even a thermometer present in their house.

INABILITY TO PROVIDE HOME ENVIRONMENT CONDUCIVE TO HEALTH

MAINTENANCE AND PERSONAL DEVELOPMENT DUE TO:

Inadequate family resources specifically limited fiancial resources as evidenced by loose

structure/foundation of the house. Inadequate knowledge of importance of hygiene and

sanitation as evidenced by unsanitary environment that may cause breeding or resting sites

of vectors of diseases.

FAILURE TO UTILIZE COMMUNITY RESOURCES FOR HEALTH CARE DUE TO:

Inadequate knowledge of community resources for health care and lack of family

resources specifically financial resources.

13

CUES

Clothes are hanging inside there

house

They dont often wash their hands

when eating

The water being used in takig a bath

has algae

The water containers are okey but e

are not sure if its safe inside

IMPROPER HYGIENE TECHNIQUES

>INABILITY TO PROVIDE HOME

ENVIRONMENT CONDUCIVE TO HEALTH

MAINTENANCE AND PERSONAL

DEVELOPMENT DUE TO:

Inadequate family resources

specially financial constraints and

physical resources

Lack of kowledge of importance of

hygiene and sanitation

Lack of skill on carrying out

measures to improve home

environment

They often burn their garbage

infront or sometimes at the side of

their house

They usually packed their garbage in

an open receptacle and dispose the

garbage dump in their blocks

IMPROPER GARBAGE DISPOSAL




DEVELOPMENT DUE TO:

Lack of kowledge of importance of

hygiene and sanitation

Lack of skill on carrying out

measures to improve home

environment

UNSANITARY FOOD HANDLING

14

Kitchen utensils are being scattered

in the kitchen like spoon, pork,

chopping board, and knife.

They store their water in a bottle

containers, waterjag, and even jars

which they use in washing and

cooking their foods

INABITY TO MAKE DECISIONS WITH

RESPECT TO TAKING APPROPRIATE HEALTH

ACTION DUE TO:

Failure to comprehend the nature/

magnitude of the condition

Low salience of the problem

The family verbalized that they dont

often go to the hospital when one

member of the family is sick

They just take medications without

doctors prescription as claimed by

the family

They treat common illnesses like

cough, fever, and common colds by

taking unprescribed drugs.

SELF MEDICATION AS HEALTH THREAT

INABILITY TO PROVIDE ADEQUATE NURSING

CARE TO THE SICK MEMBER OF THE FAMILY

DUE TO:

Lack of knowledge and skill in

carrying out necessary

interventions/ care

Inadequate knowledge about child

child development and care

The family lives in a cogected

neighborhood

The flooring of their kitchen is

uncemented

The comfort room is situated beside

the house, it is made up of light

POOR ENVIRONMENTAL SANITATION




DEVELOPMENT DUE TO:

Failure to see the benefits of

invesment in home environment

15

materials like galvanized roof,

woods and piece of cloth

The environment is dirty

improvement


specially financial constraints

They live in a 4 x 5 meter house

made of light materials like

galvanized roof, woods and

hallowblocks

The living room functions as a

sleeping area and dining room

The houses consist of 1 room and 2

beds

INADEQUATE LIVING SPACE




DEVELOPMENT DUE TO:


specifically financial constraints and

limited physical resources

16

TYPOLOGY OF THE NURSING HEALTH PROBLEMS IN THE FAMILY

NURSING PRACTICE

1. UNSANITARY FOOD HANDLING

PROBLEM COMPUTATION ACTUAL SCORE JUSTIFICATION

NATURE 2/3*1 0.67 Unsanitary food handling is a health threat because this will bring the family into harm when not solve

MODIFIABILITY 2/2*2 2 The resources and the interventions needed to solve the problem are available to the family

PREVENTIVE POTENTIAL

3/3*1 1 The possible effect of unsanitary food handling may be prevented if they will practice the right way of handling foods

SALIENCE ½ 0.5 The family identified it as a problem not needing immidiate attention because they dont even rocognize the presence of this problem

TOTAL SCORE 4.17

17

2. IMPROPER HYGIENE TECHNIQUE


NATURE 2/3*1 0.67 Improper hygiene technique is a theat to the family because of the possible effect that might happen if they continue to practice this

MODIFIABILITY 2/2*2 2 The nuse is present to share and educate the family the interventions needed to eradicate this problem


3/3*1 1 Practicing proper hygiene technique is a way of preventing this problem

SALIENCE 2/2 1 This problem needs immidiate attention to prevent occurence of diseases that can be acquired if they continue to practice this problem.

TOTAL SCORE 4.67

18

3. INADEQUATE IMMUNIZATION STATUS OF THE CHILD


NATURE 2/3*1 0.67 It is a health threat because it may bring possible illness for the child

MODIFIABILITY 1/2*2 1 The resources and the interventions needed to solve the problem are not available to the family


2/3*1 0.67 The family lack knowledge about the importance of having their child be immunized, this can be prevented if the family is knowledgable enough, the Rural Health Unit is just a half kilometer away from the house

SALIENCE 2/2 1 This problems needs immmidiate attention because its not too late to educate the mother

TOTAL SCORE 3.34

19

4. IMPROPER GARBAGE DISPOSAL


NATURE 2/3*1 0.67 Improper garbage disposal is a threat to the family and even their nieghbors

MODIFIABILITY 2/2*2 2 The nurse is available, he/she can share the konowledge that is neede for the family to understand the importance of preventing the bigger effect of the identified problem


3/3*1 1 The possible effect of improper garbage disposal may be prevented if they will practice the right way of disposing their garbage

SALIENCE 2/2 1 It is a problem needing immidiate attention because it can affect the coomunity not the family alone

TOTAL SCORE 4.67

20

5. INADEQUATE LIVING SPACE


NATURE 2/3*1 0.67 It is a health threat that does not demad immediate action because of lack of family resources, it is inadequate

MODIFIABILITY 1/2*2 2 Increasing the living space will require quite financial expenditure. The family’s resources are presently not adequate considering other problems; however, furnitures can be arranged to allow more space


3/3*1 1 Increasing the living space will: provide bigger space to allow adequate movements when perfoming housework and joint recreation, leisure or play

SALIENCE - - -

TOTAL SCORE 2.67

21

6. ENVIRONMENT SANITATION


NATURE 2/3*1 0.67 It is a health that demand immediate action because it is not conducive for the family and also the neighborhood

MODIFIABILITY 2/2*2 1 The problem is easily modifiable since the nurse’s resources are available ; he can help the family in mking or taking actions that are needed to improve the environmental sanitation


3/3*1 1 The problem is highly preventable if the family is willing to cooperate and listen to the nurse

SALIENCE 0/2 0 It is not a feltproblem

TOTAL SCORE 2.67

22

7. UNHEALTHY LIFESTYLE PRACTICE- SELF MEDICATION


NATURE 2/3*1 0.67 It is a health threat that needs immediate action because of the harmful effects of drugs specially if taken without prescription

MODIFIABILITY 2/2*2 2 Knowledge of the nurse and interventions are available to solve this problem


3/3*1 1 Self medication can be explained by the nurse, its harmful effectsso it is a problem that can be prevented

SALIENCE 0/2 0 They dont percieve it as a problem

TOTAL SCORE 4

23

PRIORITIZATION

PROBLEM SCORE

IMPROPER HYGIENE TECHNIQUE 4.67

IMPROPER GARBAGE DISPOSAL 4.67

UNSANITARY FOOD HANDLING 4.17

SELF MEDICATION 4

INADEQUATE IMMUNIZATION

STATUS

3.34

POOR ENVIRONMENTAL

SANITATION

2.67

INADEQUATE LIVING SPACE 2.67

24

HEALTH PROBLEM FAMILY NURSING PROBLEMS

GOAL OF CARE OBJECTIVES OF CARE

NURSING INTERVENTIONS


METHOD OF NURSE-FAMILY CONTACT

RESOURCES REQUIRED

IMPROPER HYGIENE

TECHNIQUE

Inability to provide home environment coducive to health and maintenance due to improper hygiene techniques

After nursing interventions, the family will be able to identify hygienic measures such as proper handwashong and its significants

After nursing interventions the family will:

a. Include proper handwashing techniques

b. Enumerate the health problems that will possibly cause spread of infection

c. Identify ways on how to maintain hygiene

d. Gain understanding about the importance of proper hygiene in activities of daily living

Assess the degree of awareness with regards to the existing problem by interviewing the family

Discuss the importance of hygiene in their health like preventin of such diseases that can be acquired if they will not practice proper hygiene techniques

Enourage them to wash their hands before eating because if they wont mouth is an entry of microorganisms that may harm their health

Discuss potential health problems that could arise like infection

Home visit Home visits

Discussion

Demonstration

Time and effort of the nurse nd family members.

25






RESOURCES REQUIRED

INADEQUATE IMMUNIZATION OF THE CHILD

Inability to recognize the presence of health threat due to lack of knowledge about the conditon

After nursing interventions, the family will be able determine the importance of having complete immunization

After nursing interventions the the family will:

a.determine the importance of complete immunization

b.enumerate posssible illness that can occur due to in complete vaccination

c.follow-up vaccine of the children

d.give the specific attention to the schedules of child immunization

Assess the family’s degree of perception with concerns to the immunization of children by means of interviewDiscuss with he family the significance of completing the immunization schedules for their children like it will prevent the child from fatal diseasesEncourage the family to actively visit RHU’s during scheduled immunizations for them to have an idea what immunization should their child will take

HOME VISIT HOME VISIT

ASSESSMENT

DISCUSSION

26






RESOURCES REQUIRED

UNSANITARY GARBAGE DISPOSAL

Inability to decide about taking appropriate actions due to failure to comprehend the natue and scope of the problems.

After nursing interventions, the family will be able to determine the importance of practicing proper methods on waste disposal

After nursing interventions, the family will be able to:

a.identify the different ways on proper disposal of garbage

b.enumerate the proper techniques on keeping the surrroundings clean and through using proper method of waste disposal

c.advantages of proper waste disposal

d.recognize the possible effects of garbage burning

Assess the family’s level of understanding with regard to the problem by asking some questions Assess the surrrounding and the house of the family like identifying what is the reason of the occurence o the problem Demonstrate methods of proper garbage disposal like correct way of burning, separating bio and non biodegradable waste Explore with the family the advantages and disadvantages of different methods of waste disposal like: Burning composting

HOME VISIT HOME VISITS

ASSESSMENT

DISCUSSION

TIME AND EFFORT OF THE NURSE AND THE AMILY

27






RESOURCES REQUIRED

IMPROPER FOOD HANDLING

Inability to decide about taking appropriate actions due to failure to comprehend the identified problem as a health threat

After nursing interventions, the family will be able to practice proper ways on handling food and recognize the importance of food handling


a.recognize the risk factors that will conribute to the identified problems

b.identify te different measures to prevent the arousal of the risk factors of the problem

c.determine the importance of preparing and handling the food properly

d.practice and apply the techniques of food handling and preparation

Assess the family the way they prepare food by observing them and interviewing them Discuss woth the family the health problems that may occur if this problem will perisist likea.Food poisoningb.Ingestion of

microorganisms Teach the family to do proper handwashng and encourage them to perform it before and after handling foods Instruct them to store food in a clean place like in the table but they must see to it that they will cover it well


DISCUSSION

TIME AND EFFORT OF THE NURSE AND THE FAMILY MEMBERS

28






RESOURCES REQUIRED

SELF MEDICATION

Inability to provide adequate nursing care to the sick member of the family because of lack of knowledge in carrying the skills needed

After nursing interventions, the family will be able to practice healthy lifestyle practice by not taking unprescribed drugs and know the dangers of it


a. Know the harmful effects of self medication

b. Know what drugs can do if taken unprescribed

c. Determine the importance of taking prescribed drugs rather than self medicatiom

Discuss with the family the importance of taking prescribed drugs.a.Prescribed drugs are

safe to useb.It will not harm the

patientc. You will be sure that

the drug you are taking is safe

Discuss the danger of taking unprescribed drugsa. It may harm the

patientb. May sometimes

cause deathc. May cause toxicity

Teach the family to consult the doctor frequently well or unwell, with or without symptoms

HOME VISITS HOME VISITS

DISCUSSION

TIME AND EFORT OF THE NURSE AND THE FAMILY MEMBERS

29






RESOURCES REQUIRED

INADEQUATE LIVING SPACE

Inability to provide home environment conducive to health maintenance due to indequate family resources specially limited financial resources

After nursing interventions, the family will be able to know the importance of having an adequate space and its benefits


a.recognize the importance of having an adequate living space

b.The benefits of having a adequate living space

c. How to make their house spacious without wasting money for construction

Discuss the worth of having a enough space for living Teach the family on how to make their house more spacious likea.Buy only thinhs that

are needed to maximize the space of their house

b. Buy space limiting furnitures

c. Fix or arrange furnitures that would maximize the house space


DISCUSSION

TIME aND EFORT OF THE NURSE AND THE FAMILY MEMBERS

30






RESOURCES REQUIRED

POOR ENVIRONMENTAL SANITATION

Inability to provide home and environment conducive to health maintenance due to failure to see of the investment in home environ improvement

After nursing interventions, the family will be able to learn the necessary measures to make their environment conducive to health


a.know the importance of good environment and it will prevent them in acquiring diseases easily

b. see the benefit of having a good environmental conditon and sanitation

c.Learn to make the environment a conducive for health

Broaden the knowledge of the family on the benefits of a sanitary environment like: If the environment is clean the lesser the possibility of acquiring disease is. Less vectors of diseases will be present in the house like mosquitoes, flies and rats

Discuss ways on how to provide a home that is coducive to health like:

a.Make a habit in cleaning the surroundingsb. Always make the surroundings cleanc. work hand in hand in clening the surooundings


DISCUSSION

TIME AND EFFORT OF THE NURSE AND THE FAMILY MEMBERS

31

32

The surroundings of the Rapada Family Taking the Blood Pressure of Manang Analyn

The room of Manong Ruben and Manang Annalyn

33

Front of the house of the Rapada Family The Room of Ate Reynalyn, Manang Annabel and Rexel

Mark Only 1 fan ventilates the house

The Kitchen of the Family The Dinning Area of the family

The Bathroom of the Family

34

The bottles as water containers and plates The unsanitary Environment of the family

Inside of the family’s bathroom

35

Documents

FAMILY CASE STUDY III_A