FAMILY NURSING CASE STUDY

BSN 4-A
ALAMBRA, Nica
APARICIO, Marven
DULAY, Violie
GARCIA, Maureen Joy
NUCUS, Zaira Mae
INITIAL DATABASE FOR FAMILY NURSING PRACTICE
A. FAMILY STRUCTURE, CHARACTERISTICS AND DYNAMICS
They are only 2 living in the house. The head of the family is Mr. Servillano Rediang. He is 56 years old. Living with him is his only child, Servillano
Rediang Jr., 8 years old. They are currently residing at Macalva Central, Agoo, La Union. The type of family is patriarchal in which the father is the head and ruler
of the family. It is a single parent family because the child’s parents are already separated.
B. SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS
For the income and expenses in the house, it is being provided y the father who works as an Eco Head in their barangay. He was also the one who is
responsible for managing the money. Mr. Rediang is a high school graduate while his child is currently in Grade 3. Their religious affiliation is Jehovah’s
Witnesses. The family is known as law abiding and participates in Barangay activities, knowing that the father is an Eco Head.
C. HOME AND ENVIRONMENT
Their house is made up of cement and some light materials. It was built beside the farm. The house is simple and not well-organized. It has no room; they
only have one single bed on one corner of their house where they sleep. It is adequate for the size of the family since they are only 2 living together. There are
presence of breeding or resting sites of vectors for diseases such as mosquitoes and flies due to many trees that surrounds their house and open water drainage.
They do not have a refrigerator or any sanitary food storage. When cooking, they make use of firewood in the form of logs and branches from trees. Their source
of water supply is manual pump well. For drinking and cooking, sometimes Mr. Rediang will buy mineral water but due to inadequate income, most of the time he
will just boil water that came from the well. They have their own toilet just beside their house but there is no proper cover and roofing. There is no proper garbage
disposal. They have an open drainage system. They have good neighborhood, they are friendly and harmonious. Houses are not that congested. Communication
means are mobile phones and for transportation, few minutes of walk then they can ride on a tricycle going to the main road.
D. HEALTH STATUS OF EACH FAMILY MEMBER
The whole family do not have any past significant illnesses. Their vital signs are in normal range and does not have any present illnesses. Family eats three
times a day. Sometimes, they don’t practice proper hygiene, they eat without properly washing their hands and they don’t wear any foot wears when going outside
or walking in the vicinity of their house. There is modifiable risk with regards to the father which is drinking 5 or more cups of coffee in a day. Also, Mr. Rediang
states that he suffers from arthritis, mostly in his knees when strained and when it’s old.
E. VALUES, HABITS, PRACTICES ON HEALTH PROMOTION, MAINTENANCE AND DISEASE PREVENTION
With regards to their immunization, as far the father remembers, his child completed his immunization except him, he only finished BCG. The father
exercises in the form of doing household chores such as cooking, laundry, and cleaning inside and outside their house. His child sometimes plays with the other
children. Mr. Rediang usually uses his mobile phone while resting. He sometimes has hard time sleeping because of too much caffeine and hours of using his
phone. His child, on the other hand, has adequate sleep and rest. They use bed net when sleeping to protect themselves from mosquitoes. Mr. Rediang also said
that he used to drink and smoke but gradually, he avoided it until he was able to stop it.

I. IDENTIFICATION OF HEALTH PROBLEMS

Health Conditions and Problems Family Nursing Problem Cues/Data
Poor personal hygiene Inability to provide a home environment Objective Data:
conducive to health maintenance and personal 1. Sometimes, they are not wearing any foot
development due to lack of/inadequate knowledge wears when going outside or walking around the
of importance of hygiene and sanitation vicinity of their house.
2. They are not practicing proper handwashing.
Poor home/environmental condition/sanitation Inability to provide a home environment Objective Data:
namely: Presence of breeding or resting sites of conducive to health maintenance and personal There is presence of breeding or resting sites of
vectors of diseases: mosquitoes development due to lack of/inadequate knowledge mosquitoes in the vicinity of their house.
of preventive measures Subjective Data:
Mr. Rediang verbalized, “Oo maraming lamok
dito sa amin.”
Poor sanitation namely: Possible polluted drinking Inability to provide a home environment Objective Data:
water supply conducive to health maintenance and personal Most of the time, Mr. Rediang gets their drinking
development due to lack of/inadequate knowledge water from the well.
of preventive measure and limited financial and Subjective Data:
physical resources Mr. Rediang verbalized, “Kapag wala na akong
pambili ng mineral water, nagpapakulo nalang
ako ng tubig galing sa poso.”

Low family income 1. Inability to provide a home environment Objective Data:

conducive to health maintenance and personal 1. Presence of financial instability: monthly
development due to inadequate family resources income (Php 950.00) is not sufficient for the
specifically financial constraints/limited financial needs of the family.
resources 2. Inability of the head of the family to look for
2. Inaccessibility to higher sources of income due job with stable pay due to low educational
to low educational attainment attainment.
Arthritis Inability to recognize the presence of the condition Subjective Data:
or problem due to lack of/inadequate knowledge 1. Mr. Rediang verbalized, “Minsan lang itong
tuhod ko sumasakit”
II. PRIORITIZATION

A. POOR PERSONAL HYGIENE

Criteria Computation Actual Justification
Nature of the problem This problem is identified as a health threat because it can cause illness to the family. It can
2/3x1 0.67
potentially cause any damage to their health and wellness state.
Modifiability This problem can be easily modified because we can educate the family regarding proper
2/2x2 2
hygiene.
Prevention/Potential This problem is highly preventive as long as Mr. Rediang is clearly taught about the importance
3/3x1 1
of hygiene.
Salience It needs immediate attention because it can affect the health of the family if not given attention
2/2x1 1
as soon as possible.
Total: 4.67

B. POOR HOME/ENVIRONMENTAL CONDITION/SANITATION NAMELY: PRESENCE OF BREEDING OR RESTING SITES OF VECTORS OF

DISEASES: MOSQUITOES
Criteria Computation Actual Justification
Nature of the problem This problem is identified as health threat because it can cause harm to the family. It can affect
2/3x1 0.67
their health and can potentially cause diseases.
Modifiability This problem can be easily modified considering that Mr. Rediang is an eco-head and we can
2/2x2 2
educate them with proper sanitation.
Prevention/Potential This is highly preventive as long as Mr. Rediang is clearly taught about proper sanitation and
3/3x1 1
other effective measures.
Salience The problem needs immediate attention since it can affect the family’s health. If not given
2/2x1 1
immediate attention, it can potentially cause diseases.
Total: 4.67

C. POOR SANITATION NAMELY: POSSIBLE POLLUTED DRINKING WATER SUPPLY

Criteria Computation Actual Justification
Nature of the problem This problem is identified as health threat because it can damage the family’s health. It can cause
2/3x1 0.67
complication to the health status of the family.
Modifiability It can be partially modified because we can educate them that it is unsafe to drink water from the
1/2x2 1
well. However, they must have money ready for mineral water.
Prevention/Potential 2/3x1 0.67 This problem may be prevented by knowing the risks of drinking unsafe water.
Salience The problem needs immediate attention before it can cause illness to the family, specially to the
2/2x1 1
child.
Total: 3.34
 D. LOW FAMILY INCOME
Criteria Computation Actua Justification
l
Nature of the problem This problem is identified as foreseeable crisis because financial problems may arise which can
1/3x1 0.33
affect the family. It can cause insufficiency of their daily needs.
Modifiability It can be partially modified because we can only educate them on how to make use of other
1/2x2 1
resources.
Prevention/Potential 2/3x1 0.67 This problem may be prevented by being knowledgeable about other financial resources.
Salience The problem doesn’t need immediate attention since Mr. Rediang can still budget his income for
1/2x1 0.5
his family as of now.
Total: 2.5

E. ARTHRITIS
Criteria Computation Actua Justification
l
Nature of the problem Arthritis is identified as health deficit because there is a failure in health maintenance. It can
3/3x1 1
affect Mr. Rediang’s physical wellness for it can potentially cause disability.
Modifiability This can be partially modified because we can only educate Mr. Rediang about the health
1/2x2 1
problem.
Prevention/Potential This problem cannot be prevented but we can only educate Mr. Rediang on ways to reduce the
0/3x1 0
risk of stiff and painful joints, particularly in his knees.
Salience This health problem needs immediate attention before it can worsen and cause disability to Mr.
2/2x1 1
Rediang.
Total: 3

III. LIST OF PRIORITIZATED FAMILY PROBLEM

PROBLEMS SCORE
1. Poor personal hygiene 4.67
2. Poor home/environmental condition/sanitation namely: 4.67
presence of breeding or resting sites of vectors of diseases: mosquitoes
3. Poor sanitation namely: possible polluted drinking water supply 3.34
4. Arthritis 3
5. Low family income 2.5
 HEALTH FAMILY GOAL OF CARE OBJECTIVE OF INTERVENTION PLAN
PROBLEM NURSING CASE NURSING METHOD RESOURCES
PROBLEM INTERVENTIONS OF NURSE REQUIRED
FAMILY
CONTACT
Inability to provide a To educate the Short Term: Dx: Human Resources:
Poor personal home environment family about the After 1 hour of Assess the hygiene Home Visits Time and effort of
hygiene conducive to health necessary measures effective nursing practice of each family Interview the student nurses
maintenance and to properly and interventions, the member. and the family
personal adequately manage family will be able to: members.
development due to poor hygiene a. Verbalize the ways Assess the degree of
lack of/inadequate on how to observe and awareness of the Material
knowledge of To provide maintain proper family regarding the Resources:
importance of knowledge about hygiene. existing health Visual aids
hygiene and the hygienic problem
sanitation measures such as b. Enumerate hygienic
proper hand measures Assess for the health
washing and condition of each
wearing footwear c. Enumerate possible family member that is
when walking disease or illnesses that risk for infection.
outside of around can be acquired due to
the vicinity of their poor personal hygiene Tx:
house Provide health
Long Term: teaching about the
To provide After 2 days of importance of good
knowledge of what effective nursing hygiene
are the benefits of interventions, the
good personal family will be able to: Teach the family on
hygiene a. Perform proper way how to perform proper
of handwashing hand washing.
To lower the
family’s risk for b. Practice wearing any Reinforce the schedule
acquiring any foot wears every time for the cleaning
diseases or illnesses they walk outside or activity which was
around the vicinity of made during the visit.
their house
Edx:
 c. Gain knowledge and Discuss the
understanding about the importance of proper
importance of proper hygiene in their health.
hygiene in the activities Encourage them to
of daily living properly wash their
hands.

HEALTH FAMILY GOAL OF CARE OBJECTIVE OF INTERVENTION PLAN

PROBLEM NURSING CASE NURSING METHOD RESOURCES
PROBLEM INTERVENTIONS OF NURSE REQUIRED
FAMILY
CONTACT
Inability to provide a To promote an Short Term: Asses the condition of Human Resources:
Poor home environment environment that is After 1 hour of the house and the level Home Visits Time and effort of
home/environmental conducive to health conducive to health effective nursing of knowledge of the Interview the student nurses
condition/sanitation maintenance and maintenance interventions, the family and the family
namely: personal family will be able to: members.
Presence of development due to To increase their a. Verbalize Discuss the
breeding or resting lack of/inadequate knowledge and understanding of the importance of having a Material
sites of vectors of knowledge of awareness importance of good good environmental Resources:
diseases: mosquitoes preventive measures regarding the environmental condition Visual aids
presence of the condition
breeding sites Discuss possible
b. Enumerate the sources of the presence
To educate the possible health of the vectors
family on what are problems that may be
the possible health acquired due to the Educate the family on
problems that may presence of breeding the possible
be acquired sites disadvantages and
harmful effects that
To provide Long Term: these vectors can bring
knowledge of what After 2 days of about to their health
are the benefits of effective nursing
eliminating the interventions, the Enumerate methods
breeding or resting family will be able to that would eradicate
sites show compliance on the breeding or resting
measures on how to sites
To persuade the maintain a clean
family in doing environment in order to Assist the family in
actions that would eradicate breeding or cleaning the house and
prevent resting sites of vectors, examining the ways to
perpetuation of particularly mosquitoes improve home and
 these vectors environmental
sanitation:
To lower the a. Instruct the family
family’s risk for to properly cover left
acquiring any overs and emphasize
diseases or illnesses proper storage of food

b. Instruct the family

to remove and dispose
spoiled food
immediately and
properly

c. Instruct the family

to thoroughly clean
inside and outside their
house and eliminate
possible areas that can
potentially become a
breeding site

HEALTH FAMILY GOAL OF CARE OBJECTIVE OF INTERVENTION PLAN

PROBLEM NURSING CASE NURSING METHOD RESOURCES
PROBLEM INTERVENTIONS OF NURSE REQUIRED
FAMILY
CONTACT
Inability to provide a To increase the Short Term: Educate the family Home Visits Human Resources:
Poor sanitation home environment family’s knowledge After 1 hour of about the possible Interview Time and effort of
namely: conducive to health and awareness effective nursing risks of using and the student nurses
Possible polluted maintenance and regarding the interventions, the drinking water from and the family
drinking water personal possible risks of family will be able to: dug well members.
supply development due to using water from a. Verbalize
lack of/inadequate the dug well understanding of the Discuss possible Material
knowledge of possible risks of using diseases or illnesses Resources:
hygiene, sanitation, To enlighten the and drinking water from that can be acquired Visual aids
preventive measures family that boiling the dug well
and limited financial water from dug Discuss parasite
and physical well doesn’t b. Verbalize infection coming from
resources completely understanding of the unsanitary drinking
eliminates bacteria importance of good water supply
hygiene and sanitation
To educate the especially for the child Instruct the family
family on what are alternative ways to
the possible health have mineral water as
problems that may Long Term: their drinking water
be acquired After 2 days of
effective nursing
To lower the interventions, the
family’s risk for family will be able to:
acquiring any a. Lessen the use of
diseases or illnesses water from dug well for
drinking

b. Find alternative ways

for them to have
mineral water at least
for drinking and
cooking