Group 31: Caberte, Iris D. Maricaban, Pasay City

Esguerra, Jean Carlo

Initial Data Base for family nursing practice

A. Family Structure, Characteristics, and Dynamics

The Ocampo family is composed of two family members namely R.M. Ocampo, as the head of the family and soon to be a father, and E.C. Ocampo, as the wife and soon to be a mother. Both of them are 22 years old, married in the west, and living independently. The head of the family does the decision making in the family so they are patriarchal and they are also nuclear. Mr. Ocampo, whom we found asleep during our two house visits, has been tiresome from work while Mrs. Ocampo has been attentive, cheerful and a good listener during the interview.

B. Socio-Economic and Cultural Characteristics

. Mrs. Ocampo was under graduate of Commerce in Samar while her husband was a high school graduate. Mr. Ocampo is working now in Cebu Pacific located at Pasay as a baggage loader wherein he earns 370 pesos per hour which is the minimum rate. He works at night from 6 pm to 2 am. While Mrs. Ocampo remains at home resting for she is already 6 months in pregnant. They have a total income of 11,000 pesos per month which is exact for their monthly expenses and basic necessities such as rent for their house (3,200 pesos), water supply (350 pesos), electric bill (450 pesos), and foods(150 pesos per day) plus the fare of Mr. Ocampo in going to his work (14 pesos per day.). Not much money left allotted for other expenses especially for their health maintenance. Mr. Ocampo is usually the one who makes decision about money. They both came from Samar with a dialect of Waray and both Roman Catholic.

C. Home and Environment

The Ocampo Family’s house is made of concrete and has one bedroom, one bathroom, and a kitchen which is just enough or adequate for their living space. Mr. and Mrs. Ocampo share bedrooms. The Laundry area outside the house, kitchen sink cabinet and the garbage can are the resting sites of vectors of disease such as flies, mosquitoes, roaches, and rodents present in Ocampo’s house. Their foods are stored in the refrigerator and utensils in the close cabinet. The Ocampo’s water supply comes from deep well. They use water septic tank as container of water supply for all the families rented in the apartment. The water coming from the septic tank is used for washing,

cleaning, and bathing and not for drinking purposes. The Ocampo family buys commercially prepared water from water refilling stations. The Ocampo family has their own bathroom and toilet. Their bathroom is near the kitchen and is kept clean everyday by Mrs. Ocampo. Their garbage is taken out everyday and collected by garbage trucks everyday. They have two garbage cans inside the house, one is in the kitchen, and the other one, is in the bathroom. In their community, they have open drainage with stagnant water that makes them complaint of frequent clogging. Their neighborhood is congested like a town house. Health center, school, library, chapel, barangay hall, market, basketball court, and play ground are available within the community. They don’t have their own telephone line but each of them has their own cell phones. They utilize tricycles and jeepneys as their main transportation.

D. Health Status of Family Member

Mrs. Ocampo is now pregnant having an age of gestation 27 weeks as of August 26 2009. She was diagnosed with Urinary Tract Infection. She voids for about 7x a day accompanied by slight pain and feeling of heaviness on the lower abdomen. The urine output of Mrs. Ocampo is often light yellow to cloudy with different amount depending on the fluid intake. She didn’t recognize the presence of the problem until she took the urinalysis test when she first visited the health center. She was advised by the physician in the health center to take amoxicillin 250 mg four times daily as her medications. The client verbalized “Hindi ko nga alam na may UTI na ako eh. Nalaman ko lng nung ng pacheck aq ng ihi sa health center.” On the other hand, Mr. Ocampo had flu during the second week of June that lasts for about two days. They never consulted to the doctor instead he just took Bioflu as his medication. Mrs. Ocampo verbalized “Hindi kami nag-papatingin agad sa doctor kung hindi pa malala yung sakit. Trangkaso lang naman yan e.” After that illness Mr. Ocampo never had any illness again. In terms of the dieatary aspect of Ocampo’s family, Mr. Ocampo eats only two times a day mostly canned goods, pork, and pansit canton while Mrs. Ocampo eats three times a day with pork and dried fish. Mrs. Ocampo verbalized “Lumakas ako kumain simula nung nabuntis ako” which make her gained 5 kg. The present weight of Mrs Ocampo is 52 kg with a height of 4 feet and 11 inches while Mr. Ocampo was asleep during our visits. The risk factors that were identified during the assessment were UTI for Mrs. Ocampo which is women are usually prone to have during pregnancy and stress for Mr. Ocampo. Mrs. Ocampo verbalized “Minsan mainit ulo pag uwi ni kuya randy mo kasi siguro nga sa trabaho niya yun na pannggabi tapos nakakpagod pa.”

E. Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention

All of the members of the family had a complete immunization. As basic activities, Mr. Ocampo gets plenty of sleep after a tiring day from work and plays basketball during day off while Mrs. Ocampo walks every morning to the public market. Mr. Ocampo has an adequate number of 10 hours of sleep while Mrs. Ocample sleeps for 9 hours. In their basic activities, Mr. Ocampo plays basketball for an hour with his friends while Mrs. Ocampo shops at the public market for 30 minutes. They both use slippers or shoes in and out of the house and jacket for rainy seasons. They both like resting, watching TV in the neighborhood, and listening to music as their relaxation.

Second Level Assessment

Cues/Data Family Nursing Plan

“Madalas nagbabara lababo at kubeta.” as stated by the client.

In their community, they have open drainage with stagnant water.

A. Frequently Clog Sewerage – Health Threat

1. Inability to provide a home environment conducive to health maintenance and personal development due to:a. Inadequate family resources,

specifically limited physical resources.

b. Lack of skill in carrying out measures to improve home

Mrs. Ocampo verbalized “Hindi kami nag-papatingin agad sa doctor kung hindi pa malala yung sakit. Trangkaso lang naman yan e.”

When, Mr. Ocampo had flu during the second week of June that lasts for about two days, they never consulted to the doctor instead he just took Bioflu as his medication.

The urine output of Mrs. Ocampo is often light yellow to cloudy with different amount depending on the fluid intake.

She didn’t recognize the presence of the problem until she took the urinalysis test when she first visited the health center.

She was advised by the physician in the health center to take amoxicillin 250 mg four times daily as her medications.

The client verbalized “Hindi ko nga alam na may UTI na ako eh. Nalaman ko lng nung ng pacheck aq ng ihi sa health center.”

environment.

B. Self Medication – Health Deficit1. Inability to recognize the

presence of the condition or problem due to attitude/philosophy in life which hinders recognition/acceptance of a problem.

2. Inability to make decisions with respect to taking appropriate action due to negative attitude towards the health condition or problem.

3. Failure to utilize community resources for health care due to negative attitude/philosophy in life which hinders effective/maximum utilization of community resources for health care.

C. Urinary Tract Infection – Health Deficit

1. Inability to recognize the presence of the condition or problem due to lack of inadequate knowledge.

2. Inability to make decisions with respect to taking appropriate health actions due to failure to comprehend the nature/magnitude of the problem/condition.

3. Inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable/at-risk family member due to lack of inadequate knowledge about the disease/health condition.

Scoring & Prioritization

A. Frequently Clog SewerageCriteria Computation Actual Score Justification

1. Nature of the problem

2/3 x 1 0.66 The problem is a health threat since it may affect the family’s health.

2. Modifiability of the Problem

2/2 x 2 2 The problem is easily modifiable and the resources are available.

3. Preventive Potential

2/3 x 1 0.66 The problem can be prevented temporarily but it affects the whole community.

4. Salience of the Problem

1/2 x 1 0.5 The family recognizes as a problem but does not need immediate action.

Total Score 3.82

B. Self MedicationCriteria Computation Actual Score Justification

1. Nature of the problem

3/3 x 1 1 The problem is a health deficit because they think influenza can be easily treated with over-the-counter medicines.

2. Modifiability of the problem

2/2 x 2 2 The problem is easily modifiable and the resources are available.

3. Preventive Potential

3/3 x 1 1 The problem is high prevention because the health center is available and accessible to them.

4. Salience of the Problem

0/2 x 1 0 It is not perceived as a problem or condition needing change since it makes them well without doctor’s diagnosis.

TOTAL SCORE: 3

C. Urinary Tract InfectionCriteria Computation Actual Score Justification

1. Nature of the problem

3/3 x 1 1 The problem is a health deficit since it might affect the baby’s health.

2. Modifiability of the Problem

2/2 x 2 2 The problem is easily modifiable and the resources are available in the health center.

3. Preventive Potential

3/3 X 1 1 The problem is high prevention because the health center is available and accessible to them.

4. Salience of the Problem

2/2 x 1 1 The family recognized as a problem. It consulted to the health personnel and needs immediate action.

Total Score 5

Documentation