Family Case Study.pdf

for clinical duty

1. FAMILY
CASE
STUDY

BY MIXCY MABATID

2. Introduction
Community health nursing serves the communities by providing health services, preventative
care, intervention, and health education. The majority of community health nurses operate in a
particular geographic region. The service will be provided directly to the individual family, and
the student nurse will visit the situation to observe how it impacts the family.
Since COVID-19 is on the rise, a community nurse is ready and willing to provide the care that
every family requires, to educate them about home safety and sanitation, to promote physical
and mental health, and to keep the environment clean. A community nurse will look beyond
the medical care of every individual in the family to see how the overall safety community can
lead to decreasing or preventing illnesses, to give a long life, fewer complications, and to give a
living.
As a student nurse assigned to assist some of the community's families, following the learning
phase will ensure a positive outcome for the health care provided to the individual family. The
community health worker plays a vital role in society by providing direct treatment and
preventing diseases.

3. SPOT MAP
The spot map shows the geologic location of people with a specific attribute. The spot map
shown below is the location of the respondent family, they live at Purok 1, Nazareno St.,
Barangay Lacasa, Hinatuan, Surigao del Sur.

4. GENOGRAM

5. FAMILY DEVELOPMENTAL TASK BY DEVELOPMENTAL STAGE AND AGE
Definition: it is a basic unit of society traditionally consisting of two parents rearing their children.
FAMILY STAGES AGE OF CHILDREN FAMILY TASK
The family during pregnancy Fetal development Monitoring the health of the baby
by taking check up to the center.
Maintaining the health of fetus by
eating nutritious food
The family with neonate Newborn Establishing a satisfying house for
infant and both parents. Adjusting
in daily activities and planning the
expenses. Maintaining a good
relationship for both parents.
The family with infant 6 weeks to 6 years Adapting to the needs of the child.
Having adjusting to and
encouraging development of the
child
The family with toddler 2 to 5 years Maintaining the healthy growth of
the child.

Giving the needs of the child
The family with school age
child
6 to 12 years Encourage the child to school
achievements.
Give support financially and
emotionally.
The family with an adolescent 13 to 19 years Give a balance freedom and
responsibility.
Monitoring to the adolescent
activity.
The family with transition of
child into adult
20 to 44 years Give a freedom to work, and to
decide his own life.

The family in the senescence

45 to 75 years Maintaining family relationship
Children planning for care they
could give to their parents
Coping with bereavement and
living alone.

6. LIST OF FAMILY HEALTH PROBLEM
CONDITION HEALTH THREATH HEALTH DEFICIT FORESEEABLE CRISIS
1. Healthy food
serving
2. Maintain clean
environment
3. Developing a safety
measure
1. Presence of many
mosquitos in the site
area.
2. Near at
drainage system
3. Lack of exercise
5. Inability of waste
disposal and
inappropriate garbage
disposal.
1. Prone to
disease due to
the house has a
near canal.
2. Dengue
1. Lack of
information for
proper waste
disposal.

7. FATHER SATURNINO URIOS UNIVERSITY
San Francisco St. Butuan City 8600, Region XIII
Caraga, Philippines
Nursing Program

INITIAL DATABASE

A. FAMILY STRUCTURE AND CHARACTERISTICS
1. Members of the Household and Relationship to the Head of the Family
Family Member Birth Date Age Sex Position Remarks
Jerome C. Mabatid March 28, 1982 39 M Father Living own house
Kirstine Kay M. Mabatid March 14, 1984 37 F Mother Living own house
Mixcy A. Mabatid August 26, 2002 19 F Daughter Living with parents
Alyanna A. Mabatid November 2, 2015 6 F Daughter Living with parents
Xian Vince A. Mabatid April 21, 2017 4 M Son Living with parents
Miguel Cedrick A. Mabatid May 28, 2020 1 M Son Living with parents
2. Place of Residence in Each Member
All are from Purok 1, Nazareno St., Brgy. Lacasa, Hinatuan Surigao del Sur

3. Type of Family Structure
The family structure of this family is Nuclear Family.

4. Dominant Family Members in Terms of Decision Making Pertaining in Health Matters
In terms of decision making pertaining in health matters is the mother of the family which is Mrs.
Kirstine Kay M. Mabatid

5. General Family Relationship
The family has a good connection and peaceful relationship together despite that the parents
will fight sometimes but they will figure it out immediately.

B. SOCIO-ECONOMIC AND CULTURAL FACTORS
1. Income and Expenses
a. Occupation, Place of Work, and Income of each Family Member
Family Member Occupation Place of Work Income
Jerome C. Mabatid Licensed Embalmer Hinatuan 20k-30k per month
Kirstine Kay M. Mabatid Bussiness Owner Hinatuan 30k-40k per month
Mixcy A. Mabatid none
Alyanna A. Mabatid None
Xian Vince A. Mabatid None
Miguel Cedrick A. Mabatid None


b. Adequacy to Meet Basic Needs (per month)
Quantity Item Unit Price Total
1 sack Rice 2k 2k
12 galoons Water 25 300

8. 2 ½ kg Different kinds of Fish 4k 4k
2kg Different kinds of vegetables 3.5k 3.5k
1kg Different kinds of fruits 1k 1k
Note: If you have a lot of items to list down, you may use a separate sheet.
c. Who makes decision about money spending
The one who makes decision about spending money are the both parents.

2. Educational Attainment of Each Member
Family Member Educational Attainment School Year
Jerome C. Mabatid High School Graduate Andres Soriano Colleges of Bislig 1999
Kirstine Kay M. Mabatid College Graduate Holy Child Colleges of Butuan
(Hinatuan Branch)
2006
Mixcy A. Mabatid 2
nd
Year College Father Saturnino Urios
University
2021
Alyanna A. Mabatid Kinder Irizari Elementary School 2021

3. Ethnic Background and Religious Affiliation
All of them are Roman Catholic. They have no any ethnic background but they live in hinatuan so
they can speak both kamayo and bisaya.

4. Relationship of Family to the Community
Mrs. Kirstine Kay M. Mabatid is a member of Women’s Organization on Barangay Lacasa.

C. ENVIRONMENTAL FACTORS
1. Housing
a. Adequacy of Living Space
(Please make a diagram of the house with measurements or use a separate sheet)













b. Sleeping Arrangement
(Please make a diagram of the house with measurements or use a separate sheet)

9. c. Adequacy of Furniture
The family has adequacy of furniture, they have old wood sofa, and enough chairs for the
family, refrigerator, washing machine, television, and they have stove for cooking.

d. Presence of Insects and Rodents
Insects and rodents are present because there is a dirty canal on the left side of their house.
e. Food Storage and Cooking Facilities
In storing food they have a refrigerator and they have complete and clean cooking
facilities.

f. Water Supply
The water supply is good, but when there are some interruptions that will cause disruption, such
as blackouts, the water supply will be affected, and there is no other source of water supply
when this interruption occurs.

g. Toilet Facility
The toilet facility was good and well cleaned toilet facility.

h. Garbage and Refuse Disposal
The trash cans are present, but as what I see they were not segregated well. Inability of waste
disposal and inappropriate of proper garbage disposal.

i. Drainage System
The drainage system is just near their house since they are located on the highway. And the
drainage system might cause them harm due to its unpleasable smell and dirty water.

2. Kind of Neighborhood
Their neighborhood are also their family and they are easy to approach too in terms of helping
each other.
3. Social and Health Facilities Available
The hospital is just 1 meter away from us.

4. Communication and Transportation Available
In terms of communication, the family has cellphones and Wi-Fi, and in terms of
transportation they have a pick up and a motorcycle.


D. Health Assessment of Each Member
1. Medical and Nursing History of Past Significant Illness and Whom to Approach in Times of
Illness?
The youngest of their family has a fever and runny nose, so they scheduled for the check-up to
the hospital last week.
2. Nutritional Assessment
a. Anthropometric Data
Family Member Weight Height BMI Interpretation
Jerome C. Mabatid 73kg 5’3” 28.5 Overweight
Kirstine Kay M. Mabatid 48kg 5’0” 20.7 Normal weight
Mixcy A. Mabatid 66kg 5’0” 28.5 Overweight
Alyanna A. Mabatid 20kg 3’9” 15.3 Underweight
Xian Vince A. Mabatid 14kg 3’1” 15.4 Underweight

10. Miguel Cedrick A. Mabatid 9.8kg 2’4” 19.7 Normal weight


b. Dietary History
There is no dietary history in the family; they simply eat what is available and within their budget.

c. Eating Feeding Habits
The family eats healthful foods such as vegetables, fish, meat, eggs, fruits, and so on.

3. Current Health Status in Indicating the Presence of Illness
Their youngest child has a cough and runny nose as of now.

E. VALUE PLACED ON PREVENTION OF DISEASE
1. Immunization Status of Children
The children are fully immunized.

2. Use of Proper Preventive Services
They do check-ups, immunizations, run some tests but the eldest daughter is the only one who
is vaccinated of COVID-19.

11. PRIORITIZATION OF THE PROBLEM

Problem: Presence of many mosquitos in the site area.
Criteria Computation Justification
Nature of the Problem

2/3 X 1
= 0.6
It is a threat because there
will be a possibility that this
will cause dengue to the
children.
Modifiability of the Problem 2/2 X 2
= 2




This will be partially
modifiable because we can
prevent it by cleaning the
surroundings in the house
and they can also use anti
mosquito lotions.
Preventive Potential



2/3 X 1
= 0.67
It can be prevented but
somehow we can’t stop the
mosquitos by coming back
but from always cleaning
they can prevent it.
Salience of the Problem





2/2 X 1
= 1
This will need an immediate
attention because this
family has a children and
they are the one who are
most prone with getting
dengue.
Total 4.34

Problem: Knowledge deficit about proper waste disposal and inappropriate garbage disposal.
Criteria Computation Justification
Nature of the Problem


2/3 X 1
= 0.67
It is a threat to the family
because it can cause so
many disease.
Modifiability of the Problem 2/2 X 2
= 2
This can easily modify by
making a proper disposal.
Preventive Potential

3/3 X 1
= 1
It has high preventive
potential if this can work
immediately.
Salience of the Problem



2/2 X 1
= 1
This problem should need
an immediate attention.
This has many threats to the
family especially to the
children.
Total 4.67

12. FAMILY COPING INDEX

1-No Competence 3-Moderate Competence 5-Competence

Area Score Justification
Physical Independence

1 3 5

5
All family member are well and no
disabilities.
Therapeutic Independence



1 3 5

4
The family will be able to keep
track of their beloved person's
health and consult with the
hospital.
Knowledge of Health
Condition

1 3 5

4
The existence of illnesses and
diseases on a person's body can be
determined by their family.
Application of the
Principles of General
Hygiene

1 3 5

3
The inside of the house is clean but
in the outside there is a canal. They
take a bath every day and they
toothbrush 2-3 times a day.
Health Attitude


1 3 5

5
The family accept any medication
from hospital, clinic, and in any
public health organizations
Emotional Competence

1 3 5

5
The family maintains a happy living
with a positive perspectives.
Family Living 1 3 5

4
The family are able to afford some
things and needs in the house
Physical Environment

1 3 5

4
The environment inside the house
are bright since there are kids in the
family.
Use of Community
Resources


1 3 5

5
The family always visit the hospital
or clinic for follow-up check-up for
their health.

13. FAMILY NURSING CARE PLAN

Problem Identified: Deficient knowledge about proper waste disposal and inappropriate garbage
disposal.
Date Identified: November 22, 2021

Cues Family
nursing
problem
Goal of care Objectives Intervention
measures
Resources
required
Evaluation
Subjective:
“Di man
gud ko
kabalo
unsaon
pag
segregate
sa mga
basura” as
the family
member
verbalized.

Objective:
-No
proper
garbage
disposal.

-only one
trash bin
that full of
mixed
garbage.
Deficient
knowledge
about proper
waste
disposal and
inappropriate
garbage
disposal.
After 2
hours of
nursing
intervention,
a member of
a family will
be able to
know how
important to
segregate
the trashes
properly.
Within 2 hours of
nursing
interventions,
the family will:

a. To know
how
important
it is to
have a
proper
and
segregated
garbage;
b. Practice
the proper
waste
disposal.
- Teach the
family for
the proper
garbage
disposal.
- Discuss
how to
segregate
garbage and
how to
dispose of it
properly.
-Discuss to
the family
about how it
is important
to do a
proper
waste
disposal.
A video
presentation
that shows
all of the
essential
details of
appropriate
waste
disposal.

The time
and effort of
the student
nurse.
The
student
nurse will
collaborate
with the
family to
improve
and
educate
them on
the need of
appropriate
waste
disposal.

14. Learning Outcome

Since we give direct treatment to every individual, community health
workers play the most significant role in society. Each stage of this procedure needs
documentation in order to identify the problem. What type of care should be
provided to the respondent's family? In my opinion, providing care to the
community is difficult since you must go through a lengthy procedure before you
can give a solution to a family's problem.

The first step is a family evaluation, during which the student nurse will ask
about the family's food habits, neighborhood ties, educational attainment, and
work status, among other things. The student nurse analyzes and interprets the
information obtained from the responder family in the second phase, diagnosis.

In the third step, planning, the student nurse will decide what intervention
to execute and set a goal or desired outcome. The fourth phase is implementation,
in which I go over some important information with the family about how to do
proper waste disposal, and the fifth step is assessment, in which the student nurse
should analyze the success of the nursing intervention. As a result of this activity, I
have a broader knowledge of the importance of community health nursing in
society. They offer community care, reduce injuries, prevent disease, and educate
people about health safety.