Family Case Analysis 2011

I. I.
INTRODUCTION INTRODUCTION
The average size of a Filipino family is five, and a poor family tends to have more (Japan
Bank for International Cooperation, 2008! For e"ample, in 2000, poverty in#iden#e $as
%&!&' for a family of five, ()t *8!+' for that of seven, ,+!%' for that of nine or more! If there
are more mem(ers in ho)sehold, they are likely to #ontri()te for ho)sehold in#ome, ()t this is
not al$ays tr)e for the poor, $ho have diffi#)lties in o(taining -o(, and tend to re#eive lo$er
in#ome! .##ording to the st)dy, in#ome per #apita is &,,22+ pesos for a family of five, ()t is
red)#ed to &&,&*+ for a family of seven and 8,/%, for a family of nine or over! Therefore, it
seems that poor families do not have eno)gh in#ome to meet their mem(ers0 (asi# needs!
In the field of health and medi#al #are, the poor people in the 1hilippines are in diffi#)lt
#onditions! There are only fe$ people $ho )se medi#al instit)tions among the poor!
2oreover, the poor tend to )se r)ral health )nits or (arangay health stations more than
hospitals (Japan Bank for International Cooperation, 2008!
The main goal of the Family Case .nalysis is to integrate the st)dent n)rses0 reso)r#es
in assessing and helping one of the poor Filipino families, residing in Barangay C)ayan,
.ngeles City, thro)gh 3ealth Tea#hings!
To (e a(le to #omplete the family #ase finding, designed #riteria m)st (e #onsidered!
The family m)st #onsist of, at least, , mem(ers4 prefera(ly, the yo)ngest mem(er sho)ld (e
less than a year old4 and ideally, the mother sho)ld (e pregnant! The st)dents m)st also
#onsider the family0s environmental and finan#ial pro(lems and visi(le health infirmities!
.! .! 5BJ6CTI768 5BJ6CTI768
.fter intera#tive visits to the family, the resear#hers sho)ld have9
i! i! Cognitive Cognitive
6n)merated the importan#e of the st)dy!
Identified and #ited the e"isting pro(lems en#o)ntered (y the family!
.nalyzed and interpreted the #olle#ted data!
2onitored the progress of ea#h family mem(er (ased on reassessment!
ii! ii! .ffe#tive .ffe#tive
6sta(lished rapport $ith ea#h family mem(er!
5(tained the tr)st and #ooperation of the family!
.ppre#iated the importan#e of health promotion!
iii! iii! 1sy#homotor 1sy#homotor
Introd)#ed themselves and e"plained to the family the p)rpose of the resear#hers0
st)dy!
&
Colle#ted all pertinent data needed!
2ake proper do#)mentations of the assessments, intera#tions and interventions
made!
1erformed appropriate demonstrations to aid in health tea#hing!
1rovided health ed)#ation to promote #ontin)ity of #are!
2onitored and eval)ated the #hanges of the family0s #ondition and health
kno$ledge!
B! B! 6:T;< 6:T;<
The first intera#tion of the resear#hers $ith the family (egan last Jan)ary &&, 20&&, at
aro)nd 89%0am! =ith the aid of f)rther introd)#tory e"planation given (y the resear#hers, the
family a##ommodated and openly #ooperated $ith the resear#hers!
The person $hom the resear#hers made the first intera#tion $ith $as a skinny, tan>
#omple"ioned, ? long, (la#k>haired $oman! 8he $as $earing a long>sleeved top and $orn
o)t pa-amas! 8he $as doing the la)ndry in front of their ho)se $hen $e approa#hed her!
II. II. FAMILY CONSTELLATION FAMILY CONSTELLATION
:.26 .@6 158ITI5
:
86A CI7IB
8T.TC8
6DCC.TI5:.B
.TT.I:26:T
;)f)s 3)mphrey *, years
old
Father 2ale Common
Ba$
6lementary
Cndergrad)ate (@rade *
Bily =aldorf %% years
old
2other Femal
e
Common
Ba$
6lementary
Cndergrad)ate (@rade &
E@eorgina =aldorf &F years
old
&
st
#hild Femal
e
8ingle 3igh s#hool, %
rd
year
Blair =aldorf &* years
old
2
nd
#hild Femal
e
8ingle @rade s#hool
)ndergrad)ate (@rade ,
8erena =aldorf &2 years
old
%
rd
#hild Femal
e
8ingle @rade s#hool, @rade *
Jenny =aldorf && years
old
*
th
#hild Femal
e
8ingle @rade s#hool @rade 2
7anessa =aldorf + years
old
,
th
#hild Femal
e
8ingle 1res#hool )ndergrad)ate
(1reparatory
J)liet =aldorf * years
old
F
th
#hild Femal
e
8ingle :G.
Ch)#k =aldorf & year old +
th
#hild 2ale 8ingle :G.
E>Does not live $ith the family (6"#l)ded from the assessment
2
III. III. HEALTH ASSESSMENT HEALTH ASSESSMENT
F.T36; F.T36;
.! @6:6;.B D68C;I1TI5:
;)f)s 3)mphrey is the head of the family! 3e is *, years old! 3e has a dark>(ro$n
#omple"ion and (la#k hair! 3e is , feet and F in#hes tall and is of lean m)s#)lat)re! Cpon
initial meeting, he $as $earing (la#k maong shorts and a (l)e #otton long>sleeved shirt!
3e $as #ooperative and very $el#oming!
B! 7IT.B 8I@:8
Temperat)re> %+
0
C
1)lse ;ate> +* (eatsGmin
;espiratory ;ate> &F (reathsGmin
Blood 1ress)re> &&0G+0 mm3g
=eight9 &*0 l(s!
3eight9 ,0%H
B2I9 22!,/> :ormal
C! 13<8IC.B .8868826:T
Integ)mentary
a! 8kin
Dark (ro$n in #olor
Bighter #olored palm ? soles
1)rplish lips
8mooth, soft to to)#h
=arm, dry
8kin re#oils less than 2 se#onds after pin#hing
:o s$elling and edema
(! 3air
Bla#k in #olor $ith minimal amo)nt of grayish>$hite hair on the midline
6venly distri()ted and fine
:o infestation of parasites
#! :ails
%
1ink nail (eds
;o)nd nails $ith &F0
0
angle
3ard and immo(ile
8mooth and firm
Three fle"ion #reases present on palms
3ead and Fa#e
a! 3ead
8ymmetri#
;o)nd
8till and )pright
3ard
8mooth
:o lesions
(! Fa#e
8ymmetri#
5val
Temporal arteries are elasti# and non tender
Temporomandi()lar -oints are non tender
2o)th opens at a(o)t % #m and #loses f)lly
6yes
Bid margins are moist and pink
Bong, evenly spa#ed lashes
Blinking symmetri#al
B)l(ar #on-)n#tiva is #lear $ith tiny vessels visi(le
1alpe(ral #on-)n#tiva is pink $ith no dis#harge
8#lera is slightly yello$ish
Cornea is transparent, smooth and moist
Iris and p)pil are ro)nd, eI)al and )niformed in #olor
Both eyes move in a smooth #oordinated manner in all dire#tions
Ill)minated p)pils #onstri#t symmetri#ally
:o lesions and dis#harges
6ars
*
6I)al in size and similar in appearan#e
.lignment of pinna $ith the o)ter #anth)s of the eyes is $ithin &0
0
angle
of verti#al position
8mooth and $itho)t lesions
1resen#e of moist, odorless, yello$ ear$a"
Canal $alls are pink in #olor
.)ri#les and trag)s are non tender
2astoid pro#ess non tender, $arm and easily palpated
Client maintains standing position for 20 se#onds $itho)t s$aying
2o)th
Bips are p)rplish in #olor, symmetri#al in position and free of lesions
&F sets of teeth are yello$ish in #olor
De#aying right premolar tooth
@)ms are dark pink
B)##al m)#osa is moist, inta#t, pink in #olor and free of lesions
Tong)e is pale pink and resists press)re e"erted on the #heeks
Cv)la hangs freely on the midline
1haryngeal tonsils are free of lesions and s$ellings
3ard plate is pale pink
8oft palate is pink
:ose
Color is the same as the rest of the fa#e
8ymmetri#
:o #hange in size of nares $ith respiration
Client is a(le to (reathe on ea#h nostril $hile the other one is o##l)ded
:o masses and tenderness )pon palpation
Thora" and B)ngs
a! 1osterior Thora"
8#ap)lae are symmetri# , non>protr)ding and at eI)al horizontal positions
Breathes $itho)t the )se of a##essory m)s#les
8its rela"ed
:o tenderness )pon palpation
,
:o palpa(le #repit)s
:o lesions and masses
8 #m #hest e"pansion
;esonan#e eli#ited )pon per#)ssion
:o adventitio)s (reath so)nds )pon a)s#)ltation
(! .nterior Thora"
.nteroposterior diameter greater than transverse diameter
8tern)m is straight and lo#ated at the midline
6ffortless, rela"ed respiration at reg)lar rhythm
:o tenderness )pon palpation of l)ng area
:o #repit)s and )n)s)al ()lges palpa(le
Breasts and Bymphati# 8ystem
8ymmetri#al
:o lesions
.reola are dark (ro$n
:o tenderness )pon palpation on (reasts
:o palpa(le lymph nodes
3eart and :e#k 7essels
J)g)lar vein not distended
Carotid arteries have J2 amplit)de
:o s$ishing so)nds )pon a)s#)ltation
.pi#al p)lse not visi(le
:o a(normal p)lsations and vi(rations palpated
3eart rate in reg)lar rhythm
:o m)rm)rs and e"tra heart so)nds
1eripheral 7as#)lar 8ystem
a! .rms
8ame #olor (ilaterally
:o edema
=arm to to)#h
F
Capillary refill time of less than 2 se#onds
;adial and (ra#hial p)lses eI)al in strength (ilaterally
Clnar p)lse slightly dete#ta(le
(! Begs
6venly distri()ted #)rly hair
:o edema
Toes, feet and legs are $arm to to)#h (ilaterally
1resen#e of #orns and #all)ses on toes
Ing)inal lymph nodes non>tender
8trong femoral p)lses
Dorsalis pedis and posterior ti(ial p)lses have eI)al strength
:o vari#osities
.(dominal
8kin is more pale than )s)al #omple"ion
3air s#attered thro)gho)t #hest and a(domen
:o s#ars present
Cm(ili#)s lo#ated at the midline
;o)nded a(domen
:o visi(le peristalti# $aves
3ypera#tive (o$el so)nds ranging from ,>%, times per min)te
:o veno)s h)m, fri#tion r)( and (r)its heard )pon a)s#)ltation
Tympany eli#ited on the stoma#h and intestines )pon per#)ssion
D)llness eli#ited on liver and spleen )pon per#)ssion
8oft and non>tender )pon palpation
2)s#)loskeletal
a! @ait
6venly distri()ted $eight
.(le to stand on heels and toes
6re#t post)re
Coordinated and rhythmi# movements
(! T2J
1rotr)des and retra#ts easily
+
Ja$ moves laterally (y &!,>2 #m
2o)th opens &!,>2 in#hes
3as f)ll ;52 against resistan#e
:o s$elling
#! Cervi#al, Thora#i#, B)m(ar 8pine
Cervi#al spine #)rved anteriorly
Thora#i# spine #)rved posteriorly
B)m(ar spine #)rved anteriorly
8pino)s pro#esses are non tender, firm and smooth
;529 fle"es and e"tends (y *,
0
d! 8ho)lders, .rms, 6l(o$s
8ho)lders
8ymmetri#ally ro)nd
.ligned and eI)al (ilaterally
;529 for$ard fle"es (y &80
0
, hypere"tends (y ,0
0
, add)#ts (y ,0
0
,
a(d)#ts (y &80
0
6l(o$s
8ymmetri# and non>tender
=rists
:o s$elling
8ymmetri#
:on>tender
3ands and fingers
8ymmetri#
:on> tender
e! 3ips
B)tto#ks eI)ally sized
8ta(le
:on>tender
;529 fle"es (y /0
0
f! Knees
8ymmetri#
8
:o deformities
:on>tender
:o s$elling
;529 fle"es (y &20
0
,hypere"tends (y &,
0
g! .nkles and Feet
8mooth and ro)nded
=ith #orns and #all)ses
:e)rologi#
a! 2ental 8tat)s
Cons#io)sness
.$ake
.lert
;esponds appropriately
1ost)re
;ela"ed
8lo)#hed
@roomingGhygiene
8kin is free of dirt
Dirty nails
.ppropriate #lothing
:o )npleasant odor
Fa#ial e"pressions
@ood eye #onta#t
8miles and fro$ns appropriately
8pee#hG 2ood
Clear, moderate tone
Cooperative
Tho)ght pro#esses
Follo$s dire#tions a##)rately
Cognitive a(ilities
.$are of self and environment
(! Cranial :erves
/
C: I> #orre#tly identifies s#ents presented to ea#h nostril
C: III,I7,7I> eyes move smoothly on F #ardinal fields, p)pils #onstri#t
$hen light $as shone o(liI)ely to the eye
C: 7> temporal and masseter m)s#les #ontra#t (ilaterally, #orre#tly
identifies sharp from d)ll stim)li on the fa#e
C: 7II> smiles, fro$ns, p)ffs o)t #heeks, p)rses lips, raises eye(ro$s,
movements are symmetri#al
C: 7III> hears $hispered $ords from &>2feet, stands $ith minimal
s$aying
C: IA> inta#t gag refle", raises )v)la and soft palate d)ring phonation
C: A> a(le to s$allo$ food eaten
C: AI> symmetri# #ontra#tion of trapezi)s m)s#les )pon sho)lder and
head rotation
C: AII> a(le to talk and move tong)e symmetri#ally
#! 2otor and Cere(ellar 8ystems
F)lly developed m)s#les
:o tremors
8teady gait
5pposite arm s$ings
To)#hes finger to nose $ith smooth and a##)rate movement
d! 8ensory system
Corre#tly identifies light to)#h
Corre#tly differentiates d)ll and sharp sensations
Corre#tly identifies hot and #old temperat)res thro)gho)t the (ody
Corre#tly identifies dire#tions, movements and sensations
D! 36.BT3 3I8T5;<
;)f)s had a minor sprain on his left foot 2 years ago, ()t he $as not hospitalized!
.##ording to Bily, he is also s)ffering from over fatig)e sin#e last year! 3e is taking her(al
medi#ations s)#h as ampalaya and sambong leaves! 3e does not readily go to the hospital
for #he#k>)ps $hen feeling si#k! 3e first #ons)lts the hilot (efore going to any health #are
fa#ility and )ses a mi"t)re of ginger, pepper and kerosene as an emollient for m)s#le
a#hes! D)e to his vi#es (smoking ? al#ohol drinking, he gets #o)gh and #olds more often!
&0
3e -)st takes this for granted and said that he -)st $aits )ntil the symptoms s)(side
$itho)t drinking any medi#ation!
6! @;5=T3 ? D676B5126:T
i! 6rik 6ri#kson0s 1sy#hoso#ial Theory
Based on 6rikson0s 1sy#hoso#ial Development, ;)f)s is in the @enerativity vers)s
8tagnation stage as eviden#ed (y his #on#ern as a father to his #hildren! 3e g)ides his
#hildren and reprimands them $hen they mis(ehave!
ii! 8igm)nd Fre)d0s 1sy#hose")al Theory
;)f)s is on the @enital 8tage as eviden#ed (y his strong (ond $ith his partner, Bily!
Both of them $ork hand in hand in order for the family to s)rvive!
F! .CTI7ITI68 5F D.IB< BI7I:@
;)f)s $orks as a la(orer in 2ani(a)g! Despite having a -o( that reI)ires physi#al
la(or, his only prote#tive gears are his #lothes! To avoid in-)ries, he is (eing e"tra #a)tio)s
$henever he $orks! 3e is fond of eating foods $ith preservatives s)#h as tocino and
longganisa. 3is only form of e"er#ise is $alking sin#e he $alks everyday to get to their
meeting spot $here the tr)#k pi#ks them )p for $ork! 3e has (een smoking sin#e he $as
&F years old and he #ons)mes a $hole #igarette pa#k a day! 3e drinks al#ohol
o##asionally!
&&
TI26
.CTI7IT<
F;52 T5
,900am F9%0
=akes>)p
1repares for $ork
F9%0 Beaves for $ork
+900 &2900 =orks
&2900 &29%0 B)n#h
&29%0 F9%0 ;es)mes $ork
F9%0 +900 @oes home
+900 8900
Takes a (ath
6ats dinner
8900 /900
1lays $ith #hildren
=at#hes T7
/900 ,900am 8leeps
25T36;
.! @6:6;.B D68C;I1TI5:
Bily is %% years of age and $as (orn on J)ne ,, &/++! 8he has a (ro$n #omple"ion
and a long (la#k hair! 8he is $earing a $orn o)t long sleeves and pa-ama! 8he $as in
front of their ho)se doing the la)ndry! Cpon initial meeting, she $as approa#ha(le, kind
and $el#oming!
B! 7IT.B 8I@:8
Temperat)re> %F!,
0
C
1)lse ;ate> +* (eatsGmin
;espiratory ;ate> 2* (reathsGmin
Blood 1ress)re> &&0G80 mm3g
=eight9 &20 l(s!
3eight9 ,0*H
C! 13<8IC.B .8868826:T
Integ)mentary
a! 8kin
Bro$n in #olor
Bighter #olored palms ? soles
=arm, dry
8kin re#oils less than 2 se#onds after pin#hing
(! 3air
Bla#k in #olor
#! :ails
1ink nail (eds
&2
0
angle
3ard and immo(ile
8mooth and firm
3ead and Fa#e
a! 3ead
8ymmetri#
;o)nd
8till and )pright
3ard
8mooth
:o lesions
(! Fa#e
8ymmetri#
5val
2o)th opens at a(o)t % #m and #loses f)lly
6yes
8#lera is $hite in #olor
Iris and p)pil are ro)nd, eI)al and )niform in #olor
6ars
&%
0
angle
.)ri#les are non tender
2astoid pro#ess are non tender, $arm and easily palpated
2o)th
Bips are pinkish in #olor, symmetri#al in position and free of lesions
&* sets of teeth are yello$ish in #olor
@)ms are pink
8oft palate is pink
:ose
8ymmetri#
:o #hange in size of nares $ith respiration
Thora" and B)ngs
a! 1osterior Thora"
8its rela"ed
6I)al temperat)re (ilaterally
&*
(! .nterior Thora"
8ymmetri#al
:o lesions
:o tenderness and masses )pon palpation on (reasts
.rms
:o edema
=arm to to)#h
&,
Begs
:o edema
Toes, feet and legs are $arm (ilaterally
1resen#e of #all)ses on heel
:o vari#osities
.(dominal
:o s#ars present
flat a(domen
2)s#)loskeletal
a! @ait
6re#t post)re
(! T2J
:o s$elling
&F
0
8ho)lders
8ymmetri#ally ro)nd
0
0
, add)#ts (y ,0
0
,
a(d)#ts (y &80
0
6l(o$s
=rists
:o s$elling
8ymmetri#
:on>tender
3ands and fingers
8ymmetri#
:on> tender
;529 a(d)#ts (y 20
0
, add)#ts f)lly, fle"es (y /0
0
, hypere"tends (y
%0
0
e! 3ips
8ta(le
:on>tender
;529 fle"es (y /0
0
f! Knees
8ymmetri#
:o deformities
:on>tender
&+
:o s$elling
;529 fle"es (y &20
0
,hypere"tends (y &,
0
g! .nkles and Feet
8mooth and ro)nded
ankles are free of #orns and #all)ses
#all)ses are seen on the feet
:e)rologi#
a! 2ental 8tat)s
Cons#io)sness
.$ake
.lert
1ost)re
;ela"ed
6re#t
@roomingGhygiene
Clean skin
8lightly dirty nails
:o )npleasant odor
Fa#ial e"pressions
@ood eye #onta#t
8pee#hG 2ood
Cooperative
Tho)ght pro#esses
Cognitive a(ilities
(! Cranial :erves
&8
s$aying
head rotation
:o tremors
8teady gait
5pposite arm s$ings
d! 8ensory system
Corre#tly identifies hot and #old temperat)res tho)gho)t the (ody
e! ;efle"es
.(dominal refle"> a(dominal m)s#les #ontra#t )pon stroking
D! 36.BT3 3I8T5;<
.##ording to Bily $hen she $as &* years old she has )l#er and had a kidney pro(lem
and has )l#er! 8he had an operation on her )l#er and it $as done (y an LesperetistaH and
she also goes to Lal(olariosHG I)a#k do#tors to relive other illness! =hen she had a
vehi#)lar a##ident she $as (ro)ght to the hospital and had a CT s#an on the head, she
said that the do#tor said that she $as fine and -)st gave her some medi#ations and $ent
home! =hen feeling si#k she )ses a mi"t)re of ginger, pepper and kerosene as an
&/
emollient! 8he had (een )sing oral #ontra#eptive pills for a long time! 8he ref)ses to
)ndergo ligation (e#a)se she heard from other mothers that it is painf)l that0s $hy she is
afraid to do ligation!
6! 1;686:T IBB:688
Bily said that she is hypotensive and is e"perien#ing (l)rring of vision and dizziness
on#e in a $hile! 8he is #)rrently taking ferro)s s)lfate and her(al medi#ations like (itter
go)rd!
F! 5B8T6T;IC.B 3I8T5;<
Bily had her first menstr)ation at the age of &* and her menstr)ation )s)ally lasts for %
days! .t the age of &8 she delivered her first #hild at their ho)se and all of her s)##eeding
#hildren! 8he had not (een given tetan)s to"oid on her pregnan#ies and only takes ferro)s
s)lfate after delivery! 8he is #)rrently @+1+T+10.0B+20!
T6T.:C8
T5A5ID &
T6T.:C8
T5A5ID 2
T6T.:C8
T5A5ID %
T6T.:C8
T5A5ID *
T6T.:C8
T5A5ID ,

@! @;5=T3 ? D676B5126:T
The initial stage of (eing an ad)lt, $e seek one or more #ompanions and love! .s they
try to find m)t)ally satisfying relationships, primarily thro)gh marriage and friends, they
generally also (egin to start a family, tho)gh this age has (een p)shed (a#k for many
#o)ples $ho today donMt start their families )ntil their late thirties! If negotiating this stage
is s)##essf)l, $e #an e"perien#e intima#y on a deep level!
If they0re not s)##essf)l, isolation and distan#e from others may o##)r! .nd $hen they
donMt find it easy to #reate satisfying relationships, their $orld #an (egin to shrink as, in
defense, they #an feel s)perior to others! Their signifi#ant relationships are $ith marital
partners and friends!
Bily is on the stage $here mat)rity, #reation and enhan#ement of life are the
psy#hologi#al theme! This is not -)st a(o)t #reating ne$ life or reprod)#tion ()t also
20
a(o)t intelle#t)al and artisti# #reativity! The task is to learn ho$ to add something
#onstr)#tive to life and so#iety!
3! .CTI7ITI68 5F D.IB< BI7I:@
2rs! =aldorf is not that spe#ifi# in $hat type of foods that she $ill eat ()t she mostly eats
vegeta(les, -a#k fr)it in #o#on)t milk, grilled skip-a#k t)na (T)lingan! 8he )s)ally has eight
ho)rs of sleep! 3er form of e"er#ise is $alking and $hen she #leans their ho)se! 8he )s)ally
finds #omfort $hen she sleeps and she is fo)nd in #hatting $ith her neigh(ors! 8he doesn0t
have any vi#es like smoking, gam(ling or drinking al#ohol!
86C5:D C3IBD
.! @6:6;.B D68C;I1TI5:
Blair =aldorf is &* year old! 8he $as (orn on J)ne 8, &//F! 8he has a dark (ro$n
#omple"ion and a long (la#k hair! 8he is , feet in height and is &0* l(s in $eight! 8he $as
$earing a (ro$n long sleeved shirt and dark (l)e -ogging pants! 8he $as kind,
approa#ha(le, and #ooperative!
2&
TI26
.CTI7IT<
F;52 T5
,900am F900 =akes )p
3elps in preparing (reakfast
1a#ks h)s(and0s l)n#h
F900 8900 6ats (reakfast
Cleans the ho)se
8900 &0900 Does the la)ndry
&0900 &&900 @oes o)t to #hat $ith neigh(ors
&&900 &2900 Cooks l)n#h
&2900 &900 6ats l)n#h
&900 *900 Takes a nap
*900 F900 @oes o)t to #hat $ith neigh(ors
=at#hes the #hildren play
o)tside
F900 Cooks dinner
+900 8900 6ats dinner
8900 /900 =at#hes T7 $ith the family
/900 8leeps
B! 7IT.B 8I@:8
Temperat)re> %F!8
0
C
1)lse ;ate> 82 (eatsGmin
;espiratory ;ate> &+ (reathsGmin
Blood 1ress)re> &&0G+0 mm3g
=eight9 &0* l(s!
3eight9 , ft!
C! 13<8IC.B .8868826:T
Integ)mentary
a! 8kin
Dark (ro$n in #olor
Bighter #olored palms, soles, nails and lips
=arm, moist
8kin ret)rns less than 2 se#onds after pin#hing
(! 3air
Bla#k in #olor
#! :ails
1ink nail (eds
8lightly long and $ith a##)m)lated dirt
0
angle
3ard and immo(ile
8mooth and firm
3ead and Fa#e
a! 3ead
8ymmetri#
22
;o)nd
8till and )pright
3ard
8mooth
:o lesions
(! Fa#e
8ymmetri#
;o)nd
2o)th opens at a(o)t 2!, #m and #loses f)lly
6yes
8#lera is $hite
6ars
0
angle
2%
2o)th
Bips are light pink in #olor, symmetri#al in position and free of lesions
@)ms are pink
3as #avities
8oft palate is pink
:ose
8ymmetri#
:o #hange in nares $ith respiration
Thora" and B)ngs
a! 1osterior Thora"
8its rela"ed
(! .nterior Thora"
2*
8ymmetri#al
:o lesions
.rms
:o edema
=arm to to)#h
6pitro#hlear lymph nodes non>palpa(le
Begs
:o edema
2,
:o vari#osities
8#ars near the left knee
.(dominal
:o s#ars present
flat a(domen
2)s#)loskeletal
a! @ait
6re#t post)re
(! T2J
:o s$elling
0
2F
8ho)lders
8ymmetri#ally ro)nd
0
0
, add)#ts (y ,0
0
,
a(d)#ts (y &80
0
6l(o$s
=rists
:o s$elling
8ymmetri#
:on>tender
3ands and fingers
8ymmetri#
:on> tender
;529 a(d)#ts (y 20
0
0
, hypere"tends (y
%0
0
e! 3ips
8ta(le
:on>tender
;529 fle"es (y /0
0
f! Knees
8ymmetri#
:o deformities
:on>tender
:o s$elling
;529 fle"es (y &20
0
,hypere"tends (y &,
0
g! .nkles and Feet
8mooth and ro)nded
=itho)t #orns and #all)ses
:e)rologi#
a! 2ental 8tat)s
2+
Cons#io)sness
.$ake
.lert
1ost)re
;ela"ed
6re#t
@roomingGhygiene
Clean skin
Bong and dirty fingernails
:o )npleasant odor
Fa#ial e"pressions
@ood eye #onta#t
8pee#hG 2ood
Cooperative
Tho)ght pro#esses
Cognitive a(ilities
(! Cranial :erves
s$aying
28
head rotation
:o tremors
8teady gait
5pposite arm s$ings
d! 8ensory system
e! ;efle"es
D! 36.BT3 3I8T5;<
Blair had (een (reast feed )ntil she $as one year old and $as (ottle feed $ith the
mi"t)re of $ater and s)gar $hen she $as one year old to t$o years of age! 8he had some
#old a month ago! 8he did not go to the health #enter or #lini#s for a #he#k)p! 8he didn0t
drink any medi#ation!
6! @;5=T3 ? D676B5126:T
Blair is on the adoles#ent stage of development! Cnder this stage the (asi# #onfli#t
is identity vers)s role #onf)sion and the important event is peer relationship! Those
$ho re#eive proper en#o)ragement and reinfor#ement thro)gh personal e"ploration
$ill emerge from this stage $ith a strong sense of self and a feeling of independen#e
and #ontrol! Those $ho remain )ns)re of their (eliefs and desires $ill inse#)re and
#onf)sed a(o)t themselves and the f)t)re!
8he is on the laten#y stage! This is a period d)ring $hi#h se")al feelings are
s)ppressed to allo$ #hildren to fo#)s their energy on other aspe#ts of life! This is a
2/
time of learning, ad-)sting to the so#ial environment o)tside of home, a(sor(ing the
#)lt)re, forming (eliefs and val)es, developing same se" friendship! 6ngaging in sports
et#!! Child (e#omes #apa(le of reprod)#tion and their se")ality is re>a$akened!
Blair is fond of eating fried foods like fish and #hi#ken! 8he )s)ally has eight ho)rs of
sleep and her form of e"er#ise is $alking $hile she is gathering re#y#la(le materials at the
d)mping site! 8he finds rela"ation $hen she listens to m)si#! 8he )ses long sleeved
shirts, pants, and slippers $hen going to her $ork and s#hool!
T3I;D C3IBD
.! @6:6;.B D68C;I1TI5:
8erena =aldorf $as (orn on 8eptem(er 2+, &//8! 8he is &2 years old! 8he is inside
their ho)se, $earing a pink shirt and sky (l)e shorts, not $earing slippers and smiles $hen
$e approa#hed her! 8he has a dark>(ro$n #omple"ion and (la#k hair, height>&%/#m,
$eight> 2F kilogram! 3e has a long and dirty fingernails and toe nails! 3e has #lammy skin!
B! 7IT.B 8I@:8
Temperat)re> %F!&
0
C
;espiratory ;ate> 2* (reathsGmin
%0
TI26
.CTI7IT<
F;52 T5
,900 F9%0
=ake>)p
6at (reakfast
1repare for $ork
F9%0 +900 @o to $ork
+900 &2900 =ork
&2900 &900 6at B)n#h
&900 F9%0 =ork
F9%0 +900 @o home
+900 +9%0 6at dinner
+9%0 /900 =at#h T7
/900 ,900am 8leep
=eight9 2F kg!
3eight9 &%/ #m!
C! 13<8IC.B .8868826:T
Integ)mentary
a! 8kin
Bro$n in #olor
=ith #ra#ks in soles
=arm, moist
1resen#e of dry $o)nd at the right lo$er e"tremity
(! 3air and 8#alp
Bla#k in #olor
Thin strands
:o dandr)ff and li#e
8mooth and firm s#alp
#! :ails
:ails are )n#)t and dirty
1ale nail (eds
0
angle
3ard and immo(ile
8mooth and firm
1ink tone ret)rns immediately to (lan#hed nail (eds $hen press)re is
released ( less than 2se#onds
3ead and Fa#e
a! 3ead
8ymmetri#
;o)nd
%&
8till and )pright
3ard
8mooth
:o lesions
(! Fa#e
8ymmetri#al
5val
6yes
2o)th
Bips pale pink, $itho)t lesion and s$elling
Tong)e is pink in #olor, in midline and moist and $ith thin $hitish #oating
2 pairs have #avities
<ello$ish dis#oloration of teeth
=ith&% teeth left
@)ms noted to (e pale pink in #olor, $itho)t inflammation and (leeding
Cv)la positioned in midline of the soft palate
@)ms are dark pink
8oft palate is pink
6ars
%2
.)ri#les are mo(ile, firm and re#oil after (eing folded
.)ri#les is non tender
:ose
8ymmetri#
.(sen#e of dis#harge on (oth nostril
Thora" and B)ngs
a! 1osterior Thora"
8#ap)lae are symmetri#, non>protr)ding and at eI)al horizontal positions
8its rela"ed
8ymmetri#al
:o lesions
.reola are light (ro$n
.rms
:o edema
=arm to to)#h
Begs
%%
:o edema
.(dominal
.(domen free of hair and (r)ising
:o s#ars present
;o)nded a(domen
2)s#)loskeletal
6re#t post)re
:o s$elling, stiffness and m)s#le pain
:o (one deformities
:e)rologi#
a! 2ental 8tat)s
Cons#io)sness
.$ake
.lert
1ost)re
;ela"ed
6re#t
@roomingGhygiene
Bong dirty nails
:o )npleasant odor
Fa#ial e"pressions
@ood eye #onta#t
8pee#hG 2ood
Cooperative
Tho)ght pro#esses
%*
Cognitive a(ilities
(! Cranial :erves
s$aying
head rotation
D! 36.BT3 3I8T5;<
8erena has #o)gh and #olds for % days ()t doesn0t take any medi#ations! 8he has no
re#ords of hospitalizations or serio)s in-)ry!
6! @;5=T3 ? D676B5126:T
Based on 6ri#kson, 1sy#hoso#ial development, 8erena is on the identity vers)s role
#onf)sion stage $here in she is #on#erned $ith ho$ she appear to others! 8he loves to
play $ith her sisters, yo)nger (rother and friends!
8erena is on the laten#y stage $here in her energy is dire#ted to physi#al and
intelle#t)al a#tivities of the same se" $hen she plays!
%,
8erena $akes )p and eats (reakfast at ,900 am! .fter their (reakfast, she )s)ally
takes a (ath and prepares things to (ring to her s#hool! 8he goes to s#hool aro)nd F900
and #ome (a#k home at &&900 am to eat l)n#h! Then at &2900 she goes to $ork and
ret)rns to their home at ,900! .fter s#hool, she )s)ally plays o)tside (t)m(ang preso, piko
$ith her friends and sisters then does her home $orks! 8he $ill have their dinner aro)nd
+900 pm! 8he goes to sleep at /900 pm! 8he is not very parti#)lar to the food she eats!
They do not )s)ally eat #hi#ken and meats, most of the time they )s)ally eat vegeta(les
and foods like, ginataang langka, iniha$ na t)lingan, alag(ate, hotdog and noodles!
F5C;T3 C3IBD
.! @6:6;.B D68C;I1TI5:
Jenny =aldorf is && years old! 8he $as (orn on 5#to(er &F, &///! 8he has short,
(ro$nish hair! 8he has light (ro$n #omple"ion! Cpon first #onta#t, she $as $earing a
yello$ pa-ama and (ro$n shirt! 8he has no foot$ear! 8he $as $el#oming and smiles all
the time!
B! 7IT.B 8I@:8
Temperat)re> %,!+
0
C
;espiratory ;ate> 2F (reathsGmin
%F
TI26
.CTI7IT<
F;52 T5
,900 F900
=ake )p
1repare for s#hool
F900 &&900 8#hool
&&900 &2900 B)n#h at home
&2900 ,900 =ork
,900 F900 1lay $ith peers
F900 +900
Take a (ath
3elp in looking o)t for yo)nger
si(lings
+900 8900 6at dinner
8900 /900
=at#h T7
Bond $ith the family
/900 ,900 8leep
=eight9 2, kg!
3eight9 &%0 #m!
C! 13<8IC.B .8868826:T
Integ)mentary
a! 8kin
Bight (ro$n in #olor
Clammy
(! 3air
Bro$nish #olor
Dry
#! 8#alp
8ymmetri#al and ro)nd
8mooth and firm
:o lesions
d! :ails
1ink nail (eds
0
angle
3ard and immo(ile
8mooth and firm
Dirty and long
3ead and Fa#e
a! 3ead
8ymmetri#
;o)nd
8till and )pright
3ard
%+
8mooth
:o lesions
(! Fa#e
8ymmetri#
;o)nd
2o)th opens at a(o)t 2 #m and #loses f)lly
6yes
8hort, evenly spa#ed lashes
8#lera is $hite
Ba#rimal apparat)s free of s$elling and tenderness
6ars
0
angle
Client maintains standing position for 20 se#onds $ith minimal s$aying
2o)th
%8
Bips are pink in #olor, symmetri#al in position and free of lesions
* pairs of teeth left
=ith presen#e of #avities
@)ms are reddish pink
8oft palate is pink
:ose
8ymmetri#
Thora" and B)ngs
a! @eneral
:asal flaring not o(served
Client has evenly #olored skin tone $itho)t )n)s)al redness or (l)ish
dis#olorations
1ink tones on nail(eds
(! 1osterior Thora"
8its rela"ed
, #m #hest e"pansion
%/
#! .nterior Thora"
8ymmetri#al
:o lesions
.reola are (ro$n
:ipples are eI)al (ilaterally
:o tenderness and masses )pon palpation
.rms
:o edema
Clammy
*0
Begs
8#ars from mosI)ito (ites on (oth legs
:o edema
:o vari#osities
.(dominal
8lightly ro)nded
:o s#ars present
3ypera#tive (o$el so)nds ranging from%>%, times per min)te
2)s#)loskeletal
a! @ait
6re#t post)re
(! T2J
Ja$ moves laterally (y &>2 #m
2o)th opens &>&!, in#hes
:o s$elling
*&
0
8ho)lders
8ymmetri#ally ro)nd
:o redness
:o tenderness
0
0
, add)#ts (y ,0
0
,
a(d)#ts (y &80
0
6l(o$s
=rists
:o s$elling
8ymmetri#
:on>tender
3ands and fingers
8ymmetri#
:on> tender
;529 a(d)#ts (y 20
0
, add)#ts f)lly,fle"es (y /0
0
, hypere"tends (y
%0
0
e! 3ips
8ta(le
:on>tender
;529 fle"es (y /0
0
f! Knees
8ymmetri#
:o deformities
:on>tender
*2
:o s$elling
;529 fle"es (y &20
0
,hypere"tends (y &,
0
g! .nkles and Feet
8mooth and ro)nded
:o #orns, #all)ses and nod)les
:e)rologi#
a! 2ental 8tat)s
Cons#io)sness
.$ake
.lert
1ost)re
;ela"ed
6re#t
@roomingGhygiene
Clean skin and dirty nails
=ith slightly )npleasant odor
Fa#ial e"pressions
@ood eye #onta#t
8pee#hG 2ood
Cooperative
Tho)ght pro#esses
Cognitive a(ilities
(! Cranial :erves
*%
s$aying
head rotation
:o tremors
8teady gait
5pposite arm s$ings
d! ;efle"es
D! 36.BT3 3I8T5;<
Jenny $as never hospitalized (efore! 8he had asthma sin#e she $as a #hild and as
she gre$ older it event)ally stopped! 8he did not take any medi#ations for this! .##ording
to her mother, she also e"perien#ed fever, #olds and #o)gh, m)mps and sore throat
(efore! 3er #)rrent health stat)s sho$s that she is $ell!
6! @;5=T3 ? D676B5126:T
Jenny is on the Ind)stry vs! Inferiority stage or often referred to as the laten#y stage!
8he is already #apa(le of helping the family thro)gh #olle#ting gar(age aro)nd the
neigh(orhood and selling them on the -)nk shop! 5ftentimes, she goes to the d)mp site
together $ith her other si(lings to look for things that #an still (e sold! 8he has a lot of
friends on their neigh(orhood and does not feel inferior to them!
**
Jenny is on the laten#y stage $hi#h is also kno$n as the period of relative #alm! 3er
se")al and aggressive drives are less a#tive and there is little in the $ay of psy#hose")al
#onfli#t!
Jenny is #)rrently on her fo)rth grade in 6lementary! 8he has #lasses from morning
)ntil noon! 8he then goes to $ork together $ith her other sisters d)ring the afternoon!
They go to a d)mpsite in .n)nas and #olle#t empty #ans and (ottles $hi#h they sell at the
-)nk shop! 8he )s)ally $akes )p at ,900 am and sleeps at /900pm! 8he only gets to play
after she $ent (a#k from the d)mpsite! 8he and her friends are fond of playing Lto)#h (allH!
8he likes eating ri#e and is not #hoosy $hen it #omes to dishes!
FIFT3 C3IBD
.! @6:6;.B D68C;I1TI5:
7anessa is + years of age, (orn on 5#to(er %&, 200%! 8he has a dark (ro$n
#omple"ion and slightly (ro$nish in hair #olor! 8he $as $earing a red -a#ket $ith a $hite
sleeveless )nder garment inside, a ne#kla#e, a pink pa-ama and no slippers on!
B! 7IT.B 8I@:8
Temperat)re> %F!%
0
C
*,
TI26
.CTI7IT<
F;52 T5
,900 F900
=ake )p
1repare for s#hool
F900 &&900 8#hool
&&900 &2900 B)n#h at home
&2900 ,900 =ork
,900 F900 1lay $ith peers
F900 +900
Take a (ath
3elp in looking o)t for yo)nger
si(lings
8900 /900
=at#h T7
Bond $ith the family
/900 ,900 8leep
1)lse ;ate> /, (eatsGmin
;espiratory ;ate> %0 (reathsGmin
=eight9 &F kg!
3eight9 &0+ #m!
C! 13<8IC.B .8868826:T
Integ)mentary
a! 8kin
Dark (ro$n in #olor
=arm, moist
(! 3air
Bro$nish in #olor
3as no pedi#)losis #apitis
#! :ails
1ink nail (eds
0
angle
3ard and immo(ile
8mooth and firm
3ead and Fa#e
a! 3ead
8ymmetri#
;o)nd
8till and )pright
3ard
8mooth
:o lesions
(! Fa#e
*F
8ymmetri#
5val
2o)th opens at a(o)t 2 #m and #loses f)lly
6yes
8#lera is yello$ish
6ars
0
angle
2o)th
Bips are p)rplish in #olor, symmetri#al in position and free of lesions
* pairs of teeth are yello$ish in #olor
3as #avities
@)ms are pink
*+
8oft palate is pink
:ose
8ymmetri#
Thora" and B)ngs
a! 1osterior Thora"
8its rela"ed
F #m #hest e"pansion
(! .nterior Thora"
*8
8ymmetri#al
:o lesions
.reola are (ro$n
.rms
:o edema
=arm to to)#h
6pitro#hlear lymph nodes non>palpa(le
Begs
8mall $o)nds on lo$er part of right leg
:o edema
:o vari#osities
.(dominal
*/
:o s#ars present
;o)nded a(domen
2)s#)loskeletal
a! @ait
6re#t post)re
(! T2J
:o s$elling
0
8ho)lders
8ymmetri#ally ro)nd
,0
0
0
, add)#ts (y ,0
0
,
a(d)#ts (y &80
0
6l(o$s
=rists
:o s$elling
8ymmetri#
:on>tender
3ands and fingers
8ymmetri#
:on> tender
;529 a(d)#ts (y 20
0
0
, hypere"tends (y
%0
0
e! 3ips
8ta(le
:on>tender
;529 fle"es (y /0
0
f! Knees
8ymmetri#
:o deformities
:on>tender
:o s$elling
;529 fle"es (y &20
0
,hypere"tends (y &,
0
g! .nkles and Feet
8mooth and ro)nded
3as a s#a( formation & in#h a(ove the ankle
:e)rologi#
a! 2ental 8tat)s
Cons#io)sness
.$ake
,&
.lert
1ost)re
;ela"ed
6re#t
@roomingGhygiene
Clean skin and nails
=ith slightly )npleasant odor
Fa#ial e"pressions
@ood eye #onta#t
8pee#hG 2ood
Cooperative
Tho)ght pro#esses
Cognitive a(ilities
(! Cranial :erves
s$aying
head rotation
,2
:o tremors
8teady gait
5pposite arm s$ings
d! 8ensory system
e! ;efle"es
D! 36.BT3 3I8T5;<
7anessa had (een (reast feed $hen she $as a (a(y )ntil one year old and had a
mi"t)re of $ater and s)gar $hen she $as one to t$o years of age! 8he has (een given
va##ines ()t they are not #omplete! 8he had #o)gh and #old for three days! 8he is
#)rrently drinking sal()tamol!
6! @;5=T3 ? D676B5126:T
8he is )nder the lo#omotor stage and the (asi# #onfli#t is initiative vers)s g)ilt!
The important event )nder this stage is for the #hild to have independen#e! D)ring this
period the #hild e"perien#e a desire to #opy the ad)lts aro)nd them and take initiative
in #reating play sit)ations! This stage #an (e asso#iated $ith the #lassi# L5edipal
str)ggleH and resolve this str)ggle thro)gh L so#ial role identifi#ationH!
8he is phalli# stage of development this is pro(a(ly the most #hallenging stage in
a person0s psy#hose")al development the key event at this stage a##ording to Fre)d is
#hild0s feeling of attra#tion to$ard the parent of the opposite se", together $ith envy
,%
and fear of the same>se" parent! It is implied that $omen never progress pass this
stage f)lly and $ill al$ays maintain a sense of envy and inferiority altho)gh Fre)d
asserted no #ertainty regarding $omen0s possi(le fi"ation res)lting from this stage!
7anessa is fond of eating hotdogs and fried #hi#ken ()t )s)ally eats noodles,
mal)ngagy, Ltal(osH, Lalag(atoH! 8he gets ten ho)rs of sleep! Cs)ally she gets her
e"er#ise $hile she is playing $ith her si(lings like $alking and r)nning! 8he )s)ally
rela"es $hen she $at#hes television! 7anessa $as seen o)tside of their ho)se not
$earing her slippers! 8he had not #ompleted her imm)nization!
BC@
D1T 517 361.TITI8 B
26.8B68
I22C:IN.TI5
: 8T.TC8
& 2 % & 2 % & 2 %

:ot f)lly
imm)nized
8IAT3 C3IBD
.! @6:6;.B D68C;I1TI5:
J)liet =aldorf $as (orn on :ovem(er 2, 200F! 8he is * years old! 8he is naked,
(arefooted and #)rrently taking a (ath o)tside their ho)se! 8he has a (ro$n #omple"ion
and (la#k hair, height>&0+#m, $eight> &F kilogram! 8he has a pale, long and dirty
fingernails and toe nails! =atery dis#harges are present on (oth nostrils!
,*
TI26
.CTI7IT<
F;52 T5
F9%0 +900 =akes )p and eats (reakfast
+900 8900 @oes o)t to play
8900 &&900
Takes her (ath and after$ards
goes (a#k p)t side to play
&&900 &2900
;et)rns (a#k home and eats
her l)n#h
&2900 &900
1lays $ith si(lings inside the
ho)se
*900 ,9%0 @oes o)tside to play
,9%0 +9%0 @oes (a#k inside the ho)se
+9%0 89%0 6ats dinner
89%0 8leeps
B! 7IT.B 8I@:
Temperat)re> %F
0
C
1)lse ;ate> &02 (eatsGmin
;espiratory ;ate> %& (reathsGmin
=eight9 &F kg!
3eight9 &0+ #m!
C! 13<8IC.B .8868826:T
Integ)mentary
a! 8kin
Bro$n in #olor
=arm, moist)re9 #lammy
(! 3air and 8#alp
Bla#k in #olor
Thin strands
#! :ails
1ale nail (eds
0
angle
3ard and immo(ile
8mooth and firm
1ink tone ret)rns immediately to (lan#hed nail(eds $hen press)re is
,,
3ead and Fa#e
3ead
8ymmetri#
;o)nd
8till and )pright
3ard
8mooth
:o lesions
Fa#e
8ymmetri#
5val
6yes
6ars
2o)th
F pairs have #avities
,F
=ith&2 teeth left
@)ms are dark pink
8oft palate is pink
:ose
8ymmetri#
1resen#e of $atery dis#harges on (oth nostril
Thora" and B)ngs
a! 1osterior Thora"
8its rela"ed
.rms
:o edema
=arm to to)#h
Begs
:o edema
.(dominal
,+
:o s#ars present
;o)nded a(domen
2)s#)loskeletal
6re#t post)re
:o (one deformities
:e)rologi#
a! 2ental 8tat)s
Cons#io)sness
.$ake
.lert
1ost)re
;ela"ed
6re#t
@roomingGhygiene
Bong dirty nails
:o )npleasant odor
Fa#ial e"pressions
@ood eye #onta#t
8pee#hG 2ood
Cooperative
Tho)ght pro#esses
Cognitive a(ilities
,8
D! 36.BT3 3I8T5;<
J)liet has #o)gh and #olds for a $eek! 3er mother does not give her any medi#ations!
=hen she $as a month old, she had pert)ssis! 8he has diffi#)lties (reathing and had
#o)ghs! 3er mother treats her illness (y giving her sal()tamol and it take for at least 2
$eeks to treat!
6! @;5=T3 ? D676B5126:T
Based on 6ri#kson, 1sy#hoso#ial development, J)liet is on the Initiative vers)s g)ilt
stage! .t this stage, the #hild is learning to master the $orld aro)nd them, learning (asi#
skills, #o)nting and speaking $ith ease! This is eviden#ed (y J)liet a#tion! 8he is very
o(servant on the persons aro)nd her and she imitates $hat she sees!
J)liet is in phalli# stage a##ording to Fre)d! .t this stage #hildren may sho$
e"hi(itionism, s)ggesting they hope this $ill lead to in#rease kno$ledge of the t$o
se"es! This #an (e seen tro)gh a#tion (y taking #are of her yo)nger (rother like $hat her
mother does!
J)liet )s)ally $akes )p and eats (reakfast at F900 am! .t +900 am she takes a
(ath! From 8900> &2900, )s)ally she goes o)tside their ho)se! 8ometimes she
plays $ith her yo)nger (rother! .t &2900pm, they $ill have their l)n#h, and then
she $ill play toys insideG o)tside their ho)se $ith her friends or take a nap! 8he $ill
have their dinner aro)nd +900 pm, plays again at +9%0 pm and goes to sleep at /900
pm! They do not )s)ally eat #hi#ken and meats, most of the time they )s)ally eat
vegeta(les and foods like, ginataang langka, iniha$ na t)lingan, alag(ate, hotdog,
raisins and noodles!
,/
8676:T3 C3IBD
.! @6:6;.B D68C;I1TI5:
Ch)#k =aldorf $as (orn on J)ne 22, 200/! 3e is & year old! 3e is naked and
(arefooted! 3e has a dark>(ro$n #omple"ion and (la#k hair, height>+*#m, $eight> +
kilogram! 3e has a long and dirty fingernails and toe nails! 3e has #lammy skin! 7in#ent is
$earing a dark (l)e sando, not $earing )nder$earG diaper #)ddled (y his mother and
#)rrently (reastfeeding! Cpon o)r assessment he $as #rying!
B! 7IT.B 8I@:8
Temperat)re> %F!&
0
C
1)lse ;ate> /0 (eatsGmin
;espiratory ;ate> %* (reathsGmin
=eight9 + kg!
3eight9 +* #m!
F0
TI26
.CTI7IT<
F;52 T5
F900 8900
=ake>)p
Take a (ath
6at (reakfast
8900 &2900
1lay
Take a nap
&2900 &900 6at l)n#h
&900 +900
1lay again
Take a nap
+900 +9%0 6at dinner
+9%0 /900
1lay
=at#h T7
/900 F900 am 8leep
BC@
D1T 517 361.TITI8 B
26.8B68
I22C:IN.TI5
: 8T.TC8
& 2 % & 2 % & 2 %

:ot f)lly
imm)nized
C! 13<8IC.B .8868826:T
Integ)mentary
a! 8kin
Bro$n in #olor
#lammy
(! 3air and 8#alp
Bla#k in #olor
Thin strands
#! :ails
1ale nail (eds
0
angle
3ard and immo(ile
8mooth and firm
1ink tone ret)rns immediately to (lan#hed nail(eds $hen press)re is
3ead and Fa#e
3ead
8ymmetri#
;o)nd
8till and )pright
3ard
8mooth
:o lesions
F&
Fa#e
8ymmetri#
5val
6yes
6ars
2o)th
2 pairs of de#aying teeth
8oft palate is pink
:ose
F2
8ymmetri#
1resen#e of greenish dis#harges on (oth nostril
Thora" and B)ngs
a! 1osterior Thora"
8its rela"ed
8ymmetri#al
:o lesions
.reola are light (ro$n
.rms
:o edema
Clammy
Begs
:o edema
Toes, feet and legs are #lammy
.(dominal
:o s#ars present
;o)nded a(domen
F%
2)s#)loskeletal
6re#t post)re
:o (one deformities
:e)rologi#
a! 2ental 8tat)s
Cons#io)sness
.$ake
.lert
1ost)re
;ela"ed
6re#t
@roomingGhygiene
Bong dirty nails
:o )npleasant odor
D! 36.BT3 3I8T5;<
Ch)#k has #o)gh and #olds for 2 $eeks! 3is mother does not give him any
medi#ations! Bast month he had #o)ghed and his mother gives him #ephale"in! 3e0s never
(een hospitalized! 3e has in#omplete imm)nization! 3e $as e"#l)sively (reastfed )ntil he
$as a & year old and had #omplementary foods like s)gar $ater!
6! @;5=T3 ? D676B5126:T
Based on 6ri#kson, 1sy#hoso#ial Development, Ch)#k is on the tr)st vers)s mistr)st
stage! 7in#ent depends to his parent, espe#ially to the mother, for food and #omfort!
Ch)#k is on oral stage $here in s)#king is the primary so)r#e of his pleas)re and is
very dependent and #an do little for his self!
7in#ent )s)ally $akes )p at F900 am! .fter $aking his mother $ill (reastfeed him or
give him a #)p of #offee $ith (read! .ro)nd +900 am, he plays $ith his sister and at 8900
F*
am his mother $ill take him a (ath! Cs)ally, after taking a (ath, he $ill take a nap and
$akes again at &0900 am, (reastfeed and #ontin)e his play $ith her sisters inside their
ho)se! .t &2900pm, they $ill have their l)n#h, and then he $ill play toys(g)n inside their
ho)se or take another nap or (reastfeed! 3e )s)ally eats noodles, raisins, hotdog and
milk! 3e $ill have their dinner aro)nd +900 pm, plays again at +9%00 pm and goes to sleep
at /900 pm!
IV. IV. SOCIOECONOMIC, CULTURAL & ENVIRONMENTAL ASSESSMENT SOCIOECONOMIC, CULTURAL & ENVIRONMENTAL ASSESSMENT
.! .! F.2IB< 8T;CCTC;6, C3.;.CT6;I8TIC8, ? D<:.2IC8 F.2IB< 8T;CCTC;6, C3.;.CT6;I8TIC8, ? D<:.2IC8
3)mphrey>=aldorf family, (eing n)#lear in str)#t)re, is #omposed of nine mem(ers!
The #o)ple, tho)gh )nmarried, de#ided to live together $hen they had their first (orn #hild!
Both of them indigeno)sly #ame from Ta#lo(an, Beyte! 6mployment opport)nities
provoked them to transfer and settle in .ngeles City!
F,
TI26 .CTI7IT<
F;52 T5
F900 +900 6at
+900 8900 1lay
8900 &2900
Take a (ath
1lay
Take a nap
&2900 &900
6at l)n#h
5r (reastfeed
&900 +900
1lay
Take a nap
8900 /900
1lay
=at#h T7
/900 F900 am 8leep
BC@
D1T 517 361.TITI8 B
26.8B68
I22C:IN.TI5
: 8T.TC8
& 2 % & 2 % & 2 %

:ot f)lly
imm)nized
.s the head of the family, ;)f)s 3)mphrey dominantly takes #harge $ith ma-or
de#ision>makings, $hi#h in#l)des finan#ial matters! Bily =aldorf, on the other hand, takes
over everything that #on#erns their ho)sehold, in#l)ding the family0s health needs and
#hores!
1arenting does not appear to (e a pro(lem a##ording to Bily! .s long as they #o)ld
manage to let their #hildren eat three times a day, she (elieves it0s a responsi(ility $ell
taken! .s for the relationship $ith ;)f)s, their )s)al #onfli#ts arise from his vi#es!
Their t$o eldest da)ghters are already in their teenage years $hile the rest of their
si(lings0 ages fall (elo$ &%! The yo)ngest one is the only male among the seven! 5nly
@eorgina =aldorf, 8erena =aldorf and Jenny =aldorf are attending s#hool! @eorgina
de#ided to $ork as a maid in e"#hange for the s)stainment of her ed)#ation! Blair =aldorf
stopped s#hooling (e#a)se of her (ald head4 she #o)ldn0t stand her #lassmates0 mo#kery!
This made her rel)#tant to attend her #lasses!
In a typi#al day, $hile some of them leave the ho)se for $ork and s#hool, Bily and her
% yo)ngest #hildren are left to stay at home! 7anessa =aldorf, J)liet =aldorf and Ch)#k
=aldorf plays $hile their mother does ho)sehold #hores! Toys, ()llying, and teasing are
the most #ommon #a)ses of petty #onfli#t among the three kids!
B! B! 85CI56C5:52IC ? CCBTC;.B C3.;.CT6;I8TIC8 85CI56C5:52IC ? CCBTC;.B C3.;.CT6;I8TIC8
The family has a monthly in#ome of &0, ,001hp! ;)f)s, $ho $orks as a Lla(orerH or
LhelperH (as termed (y Bily, earns a ma"im)m amo)nt of 2,01hp per day! Blair =aldorf,
together $ith 8erena =aldorf and Jenny =aldorf ((oth goes to $ork after attending
#lasses, $ork as LbasurerasH or LmangangalakalsH in .n)nas! Their daily total earnings
amo)nt to &001hp! ;e#ently, Blair =aldorf sold her hair for %,,001hp! This had someho$
relieved the family0s ()dget! 8elling of hair is one of the means of in#ome for some
residen#es in Barangay C)ayan! These #olle#ted hair strands are made into $igs!
In a typi#al day, the family spends an estimated amo)nt of &+01hp for food! Their
monthly e"penses in#l)de ele#tri# and $ater (ills $hi#h amo)nt to 2,01hp and &+01hp
respe#tively! 8ome daily ne#essities like soap and toothpaste are (eing met, altho)gh
FF
most of their material ne#essities are (o)ght on #redit $hen their ()dget #omes tight, and
()dget #omes really tight most of the time! .lmost half of their mis#ellaneo)s e"pense is
(eing paid for de(ts! .##ording to Bily =aldorf, food e"penses al$ays #ome first! They do
not allot m)#h on the family0s health #are needs and f)t)re needs! They #o)ld hardly afford
professional medi#al assistan#e so more often than not, Bily resorts to simple home
remedies! They even #ons)lt her(olarios first (efore heading to the nearest health #enter4
and they $o)ld rather self>medi#ate in #)ring minor si#knesses like #o)gh and #olds! Bily
said, LK)ng ipapa>#he#k )p ko sila, gan)n din ang irereseta ng do#tor (sal()tamol, kaya
y)n nalang din lagi ang ipinapainom ko!H
Food
2is#ellaneo)s
6le#t ri#it y
=at er
;)f)s 3)mphrey, d)e to his e"ha)sting -o( (as des#ri(ed (y Bily, s)(-e#ts himself to
freI)ent (ody a#he and fatig)e! 5ne )n)s)al pra#ti#e that he does is )sing #r)shed
sambong leaves $ith kerosene! This is (eing )sed as an emollient to relieve (ody a#hes!
This might (e -)st one of the )n)s)al health pra#ti#es that the family e"er#ises!
.ll of them are (orn Catholi#! The family seems to (e spirit)ally n)rt)red! This is
evidently s)pported (y their persistent 8)nday mass parti#ipation! There $as an altar
displayed in their living room! Bily even said that they (o)ght the 8anto :iOo on #redit!
C! C! 3526 ? 6:7I;5:26:T 3526 ? 6:7I;5:26:T
i. House Structure
F+

The ho)se $as ()ilt 8 years ago! It is made )p of $ood and hollo$ (lo#ks! It is
str)#t)red #losely atta#hing to other ho)ses on (oth sides4 $hi#h more appears like a
sl)m! This may pose #ertain danger like fire a##ident dispersion! 7entilation appears to
(e a pro(lem as $ell, sin#e only one $indo$ is designed to aerate the indoor
s)rro)ndings (see appendi" ,!
8ome #orners of the ho)se are per#eived to (e posing a##ident hazards! 5ne of
$hi#h is the lo#ation of a disorderly hanging ele#tri# $ires -)st a(ove the living room
(en#h! The #hildren $ere o(served playing right (elo$ these $ires! .nother a##ident
hazard is the lo#ation of the stoves! These are so lo$ly pla#ed that #hildren #o)ld not
find it hard to rea#h them! .nother is the d)mping of a r)sty, sharply edged al)min)m
spare in their (a#kyard!
ii. Adequc! o" Li#i$% S&ce
F8

3aving a si">meter (y %!*,>meter floor area, the ho)se apparently #annot
a##ommodate the entire family! .s determined from the #omp)tation of living spa#e
adeI)a#y, it s)(stantiated that the spa#e reI)ires the floor area to (e e"tended from
20!F+m
2
to %+!82mP to (e a(le to la(el their a##ommodation as L:ot Cro$ded!H(8ee
appendi" *! 8in#e the sleeping area #annot have room for all of them, the half sleeps
inside the living room!
iii. 'ter Su&&(! $d Stor%e
The ho)se0s one and only fa)#et is lo#ated right in front of their ho)se, and every
#hore $hi#h reI)ires the help of $ater is done o)tdoors! The st)dent n)rses even
fo)nd Ch)#k =aldorf taking a (ath (eside the fa)#et $hile his mother is doing the
la)ndry! :o sink $as seen inside the ho)se! The same fa)#et s)stains $hat they drink!
Drinking $ater is stored in a plasti# pit#her (eing pla#ed (eside the plate (o"!
i#. Food Stor%e $d Coo)i$% Fci(ities
F/
Bily =aldorf either )ses an ele#tri#al #ooking stove or a #har#oal>heated stove! 2ost
of the time, she )ses the #har#oal>heated one to save ele#tri#ity and to help lessen
their ele#tri# (ill! Beftover food, (eing stored in plasti# #ontainers, is al$ays kept
#overed on the ta(le!
#. T!&e o" Dri$%e S!ste* $d S$itr! Co$ditio$
The st)dent n)rses have not fo)nd any open drainage on the streets, ()t reports
have stated that flood #ollides from every #orner $henever rain falls hard!
#i. 'ste M$%e*e$t
+0
:ot even a single trash #an is fo)nd inside, only this (ig (la#k gar(age (ag that sets
#overed in front of their ho)se! Bags and sa#ks of $astes are (eing #olle#ted free of
#harge (y a (arangay tr)#k every other day! Behind the front, the st)dent n)rses some
disarranged st)ff $hi#h seemed to have (e#ome a (reeding site for inse#ts and
rodents!
#ii. T!&e o" Toi(et Fci(ities $d S$itr! Co$ditio$
The ho)se $as not #onstr)#ted $ith a (athroom ()t the st)dent n)rses fo)nd a
strange>looking toilet (o$l in their (a#kyard! 5(vio)sly, it is dysf)n#tional! Defe#ation
is done (y digging holes $hile )rination is aided $ith an )n#overed #ham(er potty
made of plasti# lo#ated (eside their (a#kdoor!
#iii. Co**u$ictio$ $d Tr$s&orttio$
The family o$ns a #ell)lar phone! :one of them is #apa(le of )sing the internet!
8in#e ;)f)s and Bily are natives of Ta#lo(an, they #o)ld not -)st let distan#e hinder
their #omm)ni#ation $ith their relatives left in Beyte! They still #omm)ni#ate thro)gh
te"ting!
The family o$ns a (i#y#le $hi#h is daily )sed for heading to $ork! Jeeps and
tri#y#les are also their means of transportation!
V. V. +RO,LEM IDENTIFICATION +RO,LEM IDENTIFICATION
+&
.! .! BI8T 5F ID6:TIFI6D 1;5BB628 BI8T 5F ID6:TIFI6D 1;5BB628
&! 1resen#e of (reeding or resting sites of ve#tors of diseases as a health threat (*!F+
2! 2aln)trition as a 3ealth Defi#it (*!,
%! .##ident hazards as a health threat (%!F+
*! 1resen#e of Co)gh and Colds (%!FF
,! Family size (eyond $hat family reso)r#es #an adeI)a#y provide (%
F! InadeI)ate living spa#e (2!8*
+! .l#ohol drinking and smoking as health threats (2!F+
8! Cnhealthy personal pra#ti#es s)#h as $alking (arefooted as a health threat (2!,
/! :on>#omplian#e to imm)nization s#hed)le as a health threat (2!%*
B! B! 1;I5;IT< 86TTI:@ 1;I5;IT< 86TTI:@
&! 1resen#e of (reeding or resting sites of ve#tors of diseases as a health threat
C;IT6;I.
C521CT.TI5
:
8C5;
6
JC8TIFIC.TI5:
:.TC;6 5F
T36
1;5BB62
2G% " & 0!F+
The pro(lem is a health threat sin#e some #orners
of their ho)se are d)mped $ith )n)sed and d)sty
st)ff! This is a possi(le ve#tor site for #o#kroa#hes,
mosI)itoes and rats that #an #a)se serio)s
diseases!
25DIFI.BIBIT
< 5F T36
1;5BB62
2G2 " & 2
The pro(lem is easily modifia(le (e#a)se there is
presen#e of #)rrent kno$ledge and interventions to
(e )sed s)#h as methods on ho$ to #ontrol the
ve#tors! The family has the availa(le reso)r#es in
#leaning their ho)se! The st)dent n)rses #an give
health tea#hings regarding the importan#e of home
environment #leanliness and on ho$ to #lean those
pla#es $hi#h serves as (reedingGresting sites for
ve#tors of diseases!
1;676:TI76
15T6:TI.B
%G% " & &
The preventive potential is high (e#a)se the
pro(lem is not yet severe and the family #an provide
#)rrent management s)#h as #leaning their ho)se
and environment!
8.BI6:C6 2G2 " & &
The family re#ognizes the pro(lem and they kno$
that it needs immediate attention and intervention
as eviden#ed (y the ver(alization of Wala na kasi
kaming paglagyan ng mga gamit kaya nilalagay
nalang dyan, pero sinusubukan naming linisin.
T5T.B 8C5;69 *!F+
2! 2aln)trition as a 3ealth Defi#it
C;IT6;I.
C521CT.TI5
:
8C5;
6
JC8TIFIC.TI5:
:.TC;6 5F %% " & & It is a health defi#it (e#a)se there is a fail)re to
+2
T36
1;5BB62
rea#h the normal range for the (ody $eight and
greatly reI)ires immediate management to prevent
f)rther #ompli#ations!
25DIFI.BIBIT
< 5F T36
1;5BB62
2G2 " 2 2
It is easily modifia(le (e#a)se4
- The family may resort to #heaper food
#hoi#es $ith #onsidera(le n)tritional val)e!
- The family #an also attend some programs
of the government like feeding programs (if
present in the #omm)nity! The st)dent
n)rses #an also provide health tea#hings
a(o)t (alan#ed diet and proper n)trition!
The family a#kno$ledges the e"isten#e of the
pro(lem (e#a)se they kno$ that it is #a)sed (y
inadeI)ate intake of food d)e to finan#ial restraints!
1;676:TI76
15T6:TI.B
%G% " & &
The pro(lem has lo$ preventive potential (e#a)se
s)s#epti(ility to other diseases and infe#tions #an
(e prevented if maln)trition is eliminated4 normal
gro$th and development #an th)s (e a#hieved! The
family #an manage this pro(lem (y eating
vegeta(les and #hi#ken as s)(stit)te for pork and
improvement in hygiene pra#ti#es and sanitation
red)#es the in#iden#e of infe#tions and #omplian#e
to health tea#hings of st)dent n)rses!
8.BI6:C6 Q " & 0!,
The family #onsiders it a #ondition a pro(lem not
needing immediate attention!
T5T.B 8C5;69 *!,
%! .##ident hazards as a health threat
C;IT6;I.
C521CT.TI5
:
8C5;
6
JC8TIFIC.TI5:
:.TC;6 5F
T36
1;5BB62
2G% " & 0!F+
It is a health threat that demands immediate a#tion
(e#a)se it #an #a)se serio)s in-)ries if not fi"ed!
25DIFI.BIBIT
< 5F T36
1;5BB62
2G2 " 2 2
The interventions needed to solve the pro(lem are
availa(le to the family s)#h as removing sharps
o(-e#ts from rea#h of #hildren!
1;676:TI76
15T6:TI.B
%G% " & &
The possi(ility of #)ts, (r)ises, (reaks and
la#erations #an (e prevented if the threat is
eliminated as early as possi(le!
8.BI6:C6 0G2 " & 0
The family does not re#ognize it as a health
pro(lem (e#a)se they #o)ld ad-)st in their type of
environment $itho)t harming themselves!
T5T.B 8C5;69 %!F+
*! 1resen#e of Co)gh and Colds
C;IT6;I.
C521CT.TI5
:
8C5;
6
JC8TIFIC.TI5:
:.TC;6 5F
T36
%G% " & & The pro(lem is a health defi#it it reI)ires more
immediate attention!
+%
1;5BB62
25DIFI.BIBIT
< 5F T36
1;5BB62
Q " 2 &
The reso)r#es and intervention needed to solve the
pro(lem are not availa(le in the family!
1;676:TI76
15T6:TI.B
2G% " & 0!FF
The possi(ility to spread the disease to other
mem(ers of the family is high!
8.BI6:C6 2G2 " & &
The family re#ognizes it as a pro(lem! 8he
immediately gave the medi#ation to prevent spread
$ithin family mem(ers (e#a)se she sees the
pro(lem as needing immediate attention!
T5T.B 8C5;69 %!FF
,! Family size (eyond $hat family reso)r#es #an adeI)a#y provide
C;IT6;I.
C521CT.TI5
:
8C5;
6
JC8TIFIC.TI5:
:.TC;6 5F
T36
1;5BB62
2G% " & 0!F+
The pro(lem is a health threat #an lead to a poor
health maintenan#e and )na(le to send their
#hildren into the s#hool (e#a)se of lo$ in#ome
$o)ld mean limitation of the (asi# needs of ea#h
mem(ers of the family e"ample $hen one is
degraded $ith n)tritio)s food that is needed (y the
(ody to maintain good health, heGshe may (e at
high risk in a#I)iring diseases sin#e the (ody is not
getting right n)trition to fight #ertain illness or to (e
strong from mi#roorganisms r foreign o(-e#ts that
$ant to enter it!
25DIFI.BIBIT
< 5F T36
1;5BB62
Q " 2 &
The pro(lem is partially modifia(le (e#a)se of
kno$ledge of family regarding the pro(lem! The
money is ()dgeted to prioritize the most important
needs and (ig portion of it is for the food! The father
and t$o #hildren are $orking to provide in#ome for
the family! Thro)gh these interventions may(e p)t
into pra#ti#e yet the n)m(er of the family mem(ers
#annot (e lessened!
1;676:TI76
15T6:TI.B
&G% " & 0!%% In#omes still not eno)gh to s)stain family e"penses!
8.BI6:C6 2G2 " & & The family is a$are of their sit)ation!
T5T.B 8C5;69 %
F! InadeI)ate living spa#e
C;IT6;I.
C521CT.TI5
:
8C5;
6
JC8TIFIC.TI5:
:.TC;6 5F
T36
1;5BB62
2G% " & 0!F+
InadeI)ate living spa#e is a health threat (e#a)se it
promotes easy transmission of #omm)ni#a(le
diseases from one family to another espe#ially to
the yo)ng mem(ers of the family $ho are
imm)no#ompomised!
25DIFI.BIBIT Q " 2 & The pro(lem is partially modifia(le! The family #an
+*
< 5F T36
1;5BB62
rearrange the pla#ements of f)rnit)re and
applian#es to ma"imize the spa#e! The mother
a#kno$ledges the pro(lem Lmasikip talaga sa loo(H!
There are no reso)r#es fo)nd d)ring the
assessment (e#a)se of finan#ial pro(lem! The
st)dent n)rse #an provide health tea#hings
regarding proper hand $ashing and adeI)ate
n)trition
1;676:TI76
15T6:TI.B
2G% " & 0!F+
The pro(lem has a moderate preventive potential!
The pro(lem is severe (e#a)se some of the
mem(ers of the family have #o)gh and #olds! The
pro(lem has (een present ever sin#e the family had
lived in the ho)se! 8in#e there is inadeI)ate spa#e
for the family! Their movement (e#omes limited and
threat of spreading #omm)ni#a(le diseases is high!
8.BI6:C6 Q " & 0!,
It is seen as pro(lem ()t interventions are not taken
into a#tion d)e to finan#ial #onstraint!
T5T.B 8C5;69 2!8*
+! .l#ohol drinking and smoking as health threats
C;IT6;I.
C521CT.TI5
:
8C5;
6
JC8TIFIC.TI5:
:.TC;6 5F
T36
1;5BB62
2G% " & 0!F+
The pro(lem is a health threat that reI)ires
immediate attention to prevent )nto$ard
#onseI)en#es!
25DIFI.BIBIT
< 5F T36
1;5BB62
2G2 " 2 2
The pro(lem is easily modifia(le sin#e the n)rse0s
reso)r#es are availa(le, she #an help the father on
ho$ to avoid and prevent al#ohol intake and #an
stressed o)t possi(le #onseI)en#es and pro(lem
that he may a#I)ire if he #ontin)e drinking al#ohol
(everages! 8he #an also instr)#t the h)s(and to
grad)ally de#rease the n)m(er of #igarette sti#ks
that the h)s(and )sed ea#h day!
1;676:TI76
15T6:TI.B
%G% " & &
The possi(ility of a#I)iring l)ng diseases, liver
damage, kidney damage and hypertension #an (e
lo$ered if eliminates as early as possi(le!
8.BI6:C6 0G2 " & 0
The family re#ognizes it as a pro(lem (e#a)se they
#onsider it is a part of their life style!
T5T.B 8C5;69 2!F+
8! Cnhealthy personal pra#ti#es s)#h as $alking (arefooted as a health threat
C;IT6;I.
C521CT.TI5
:
8C5;
6
JC8TIFIC.TI5:
:.TC;6 5F
T36
1;5BB62
2G% " & 0!F+
This pro(lem is #lassified as a health threat
(e#a)se $alking (arefooted or )nprote#ted may
lead to a#I)iring diseases like tetan)s, as#ariasis
and hook$orm infe#tions!
25DIFI.BIBIT
< 5F T36
Q " & & It is partially modifia(le (e#a)se of the fa#t that
despite the lo$ #ost of slippers they still tend to
+,
1;5BB62
prioritize other needs s)#h as food! The #omm)nity
does not provide reso)r#es s)#h as foot$ear!
1;676:TI76
15T6:TI.B
&G% " & 0!%%
The pro(lem is lo$ preventive (e#a)se9
- The pro(lem is severe sin#e the family
reso)r#es #o)ld affe#t the family0s health!
- The pro(lem is (eing e"perien#ed sin#e the
father lost his -o( as a #onstr)#tion $orker!
- The family is not doing anything to solve the
pro(lem!
- 8ome mem(ers of the family are affe#ted (y
the pro(lem (e#a)se of inadeI)ate
reso)r#es!
8.BI6:C6 &G& " & 0!,
The family #onsiders this pro(lem that does not
need immediate attention!
T5T.B 8C5;69 2!,
/! :on>#omplian#e to imm)nization s#hed)le as a health threat
C;IT6;I.
C521CT.TI5
:
8C5;
6
JC8TIFIC.TI5:
:.TC;6 5F
T36
1;5BB62
2G% " & 0!F+
The pro(lem is a health threat (e#a)se the
mem(ers $ith in#omplete imm)nization are still
yo)ng and are highly s)s#epti(le in a#I)iring
diseases!
25DIFI.BIBIT
< 5F T36
1;5BB62
Q " & &
The pro(lem is partially modifia(le sin#e the
mem(ers $ith in#omplete imm)nization had
skipped their s#hed)led day of imm)nization!
Tho)gh they #an still avail their missed doses, the
ones that are given on s#hed)led time are more
effe#tive!
1;676:TI76
15T6:TI.B
2G% " & 0!F+
8in#e some mem(ers have missed doses on their
61I there is an in#reased risk on a#I)iring
#omm)ni#a(le diseases! F)t)re pro(lems are
moderately preventa(le sin#e #ompletion of missed
doses $ill (e availa(le at the health #enter!
8.BI6:C6 0G2 " & 0
It is not a per#eived pro(lem d)e to the la#k of
kno$ledge a(o)t imm)nization and its (enefits!
T5T.B 8C5;69 2!%*
VI. VI. FAMILY NURSIN- CARE +LAN FAMILY NURSIN- CARE +LAN
36.BT3
1;5BB6
2
F.2IB<
:C;8I:@
1;5BB628
@5.B 5F
C.;6
5BJ6CTI76
8 5F C.;6
I:T6;76:TI5: 1B.:
:C;8I:@
I:T6;76:TI5
:
26T35D
5F
:C;86>
F.2IB<
C5:T.C
T
;685C;C6
8
;6RCI;6D
1resen#e
of
Ina(ility to
re#ognize
.fter &>2
ho)rs of
.fter the
n)rsing
Dis#)ss the
importan#e of
3ome
visits
Time and
effort of the
+F
(reeding
or resting
sites of
ve#tors of
diseases
as a
health
threat
the possi(le
health
pro(lems
(ro)ght (y
ve#tors
s)#h as
#o#kroa#he
s and rats
home visit
the family
mem(ers
$ill kno$
the possi(le
health
threats in
their
environmen
t
.t the end
of the *
th

home visit
the family
mem(ers
sho)ld
kno$ ho$
to manage
a #lear and
ve#tor free
environmen
t
intervention
s the family
$ill #lean
the d)mped
#orner
a #lean
environment
.ssess the
family0s
kno$ledge
a(o)t the
pro(lem
Tea#h the
family ho$ to
separate the
#lean from the
dirty o(-e#ts
to prevent
#ontamination
from ve#tors
>provide
kno$ledge
a(o)t the
possi(le
diseases
#arried (y
ve#tors
st)dent
n)rses and
the family
36.BT3
1;5BB62
F.2IB<
:C;8I:@
1;5BB628
@5.B 5F
C.;6
5BJ6CTI76
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I:T6;76:TI5: 1B.:
:C;8I:@
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5:
26T35
D 5F
:C;86>
F.2IB<
C5:T.C
T
;685C;C
68
;6RCI;6D
2aln)trition
as a 3ealth
Defi#it
Ina(ility to
re#ognize
the
presen#e of
maln)trition
in a
dependent
mem(er
d)e to la#k
of
kno$ledge
Ina(ility to
de#ide
a(o)t
taking
appropriate
a#tion d)e
to fail)re to
.fter
n)rsing
intervention,
the
#hildren0s
n)tritional
stat)s $ill
improve
from
maln)trition
for at least
si" months
.fter
n)rsing
intervention,
the family
$ill9
a! avail itself
of food
s)pplement
s
(! (e a(le to
plan and
prepare
(alan#ed
meals $hi#h
are $ithin
the family0s
()dget
Dis#)ss9
a! The
impli#ations
of the signs
and
symptoms
o(served in
the #hildren
(! The
#onseI)en#e
s of
maln)trition
Dis#)ss $ith
the family
reasons for
the #hildren0s
maln)trition
3ome
visits
Time and
effort of
the
st)dent
n)rse and
family
mem(er
++
#omprehen
d the
nat)re,
magnit)de
and s#ope
of the
pro(lem
Ina(ility to
provide
adeI)ate
n)rsing
#are to a
mem(er
s)ffering
from
maln)trition
d)e to9
a! la#k of
kno$ledge
a(o)t the
health
#ondition
(! la#k of
kno$ledge
on the
nat)re and
e"tent of
n)rsing
#are
#!
inadeI)ate
reso)r#es
for #are
Dis#)ss $ith
the family the
#o)rses of
a#tion
6"plore $ith
the family
(etter $ays
of ()dgeting
family
in#ome
36.BT3
1;5BB6
2
F.2IB<
:C;8I:@
1;5BB62
8
@5.B 5F
C.;6
5BJ6CTI76
8 5F C.;6
I:T6;76:TI5: 1B.:
:C;8I:@
I:T6;76:TI5
:
26T35D
5F
:C;86>
F.2IB<
C5:T.CT
;685C;C6
8
;6RCI;6D
.##ident
hazards
as a
health
threat
Ina(ility to
re#ognize
the
presen#e of
possi(le
health
threat to the
family
Ina(ility to
make
de#isions
on taking
.fter
n)rsing
intervention,
the family
$ill
re#ognize
the possi(le
health
threat and
do
appropriate
a#tions to
.fter
n)rsing
intervention
the family
$ill9
;e#ognize
the a##ident
hazard as a
health threat
to the family
Be a(le to
do
Dis#)ss $ith the
family the
pro(lem and
#onseI)en#es if
proper
management is
not done
6"plore $ith the
family $ays of
implementing
meas)res to
3ome visits Time and
effort of
st)dent
n)rses and
the family
+8
appropriate
a#tions on
health
threat d)e
to the
fail)re to
#omprehen
d the nat)re
of the
pro(lem
prevent
o##)rren#e
of in-)ry
$ithin the
family
mem(ers
appropriate
a#tions to
prevent
o##)rren#e
of in-)ries
prevent
o##)rren#e of
in-)ries to the
mem(ers of the
family s)#h as
removing sharp
o(-e#ts $ithin
the rea#h of the
#hildren
36.BT3
1;5BB6
2
F.2IB<
:C;8I:@
1;5BB62
8
@5.B 5F
C.;6
5BJ6CTI76
8 5F C.;6
I:T6;76:TI5: 1B.:
:C;8I:@
I:T6;76:TI5:
26T35D
5F :C;86>
F.2IB<
C5:T.CT
;685C;C6
8
;6RCI;6D
1resen#e
of Co)gh
and Colds
Ina(ility to
provide
adeI)ate
n)rsing
#are to the
si#k,
dependent
mem(ers of
the family
d)e to la#k
kno$ledge
a(o)t
health
#ondition
and
ne#essary
intervention
.fter the
home visit,
the family
$ill have
#hanged in
lifestyle
and
(ehavior to
prevent
#o)ghs
and #olds
.fter &>2
ho)rs of
home visit,
the mem(er
of the family
shall have
ver(alized
different
$ays to
manage
#o)ghs and
#olds
.fter the end
of the *
th

home visit,
the mem(ers
shall have
demonstrate
d #hanges in
lifestyle to
prevent
#o)ghs and
#olds
Determine
fa#tors that #an
attri()te to its
o##)rren#e
.ssess for
family0s #)rrent
kno$ledge
;einfor#e non
pharma#ologi#al
meas)res s)#h
as $ater therapy
Identify
#omm)nity
reso)r#es and
fa#ilities for
s)pport
Tea#h deep
(reathing
e"er#ise and
#o)ghing
.dvi#e to eat
vitamin C ri#h
food
effort of the
st)dent
n)rses and
the family
36.BT3
1;5BB6
2
F.2IB<
:C;8I:@
1;5BB62
8
@5.B 5F
C.;6
5BJ6CTI76
8 5F C.;6
I:T6;76:TI5: 1B.:
:C;8I:@
I:T6;76:TI5
:
26T35D
5F
:C;86>
F.2IB<
C5:T.CT
;685C;C6
8
;6RCI;6D
Family
size
(eyond
$hat
Ina(ility to
make
de#isions
$ith
.fter n)rsing
intervention,
the family
$ill de#ide
.fter n)rsing
interventions
the #o)ple
$ill9
.nalyze $ith the
#o)ple #riti#al
iss)es related
$ith marital
effort of the
st)dent
n)rses and
+/
family
reso)r#es
#an
adeI)a#y
provide
respe#t to
taking
appropriate
health
a#tion d)e
to la#k of
kno$ledge
as type of
alternative
#o)rses of
a#tion open
to the
family
an
appropriate
a#tions to
maintain
family size
(ase on a
sense of
responsi(ilit
y for love
and life
aen)merate
the vario)s
$ays of
maintaining
the size of
the family
($ill sele#t
a method
appropriate
for them
relationship $ith
the parents
responsi(ility for
love and life as
for maintaining
family size
Dis#)ss $ith the
#o)ple the
alternative
#o)rses of
a#tion
.nalyze $ith the
#o)ple the
advantage and
disadvantages
of ea#h method
to en#o)rage
(etter de#ision
making on the
(est option
given the family
sit)ated
possi(ilities
the family
36.BT3
1;5BB62
F.2IB<
:C;8I:@
1;5BB628
@5.B 5F
C.;6
5BJ6CTI76
8 5F C.;6
I:T6;76:TI5: 1B.:
:C;8I:@
I:T6;76:TI5
:
26T35D
5F
:C;86>
F.2IB<
C5:T.C
T
;685C;C
68
;6RCI;6D
InadeI)at
e living
spa#e
Ina(ility to
re#ognize
the pro(lem
and possi(le
#onseI)en#e
s regarding
inadeI)ate
living spa#e
Ina(ility to
provide
adeI)ate
living spa#e
for the family
.fter n)rsing
intervention
the family $ill
de#ide
appropriate
a#tions to
improve
living spa#e
for the family
and
a#kno$ledge
possi(le
#onseI)en#e
s
.fter n)rsing
intervention
the family
$ill9
Be a(le to
a#kno$ledge
#onseI)en#e
s of having
inadeI)ate
living spa#e
Be a(le to
plan for
adeI)ate
living spa#e
and de#ide
appropriate
a#tions to
improve
living spa#e
.nalyze $ith
the family the
disadvantages
of having an
inadeI)ate
living spa#e
like easy
transmission of
#omm)ni#a(le
diseases and
provide
information on
the
advantages
a(o)t having
an adeI)ate
living spa#e
Dis#)ss $ith
the family the
alternative
#o)rses of
a#tion like
3ome
visits
Time and
effort of
st)dent
n)rses and
the family
80
rearranging
the
pla#ements of
f)rnit)re to
ma"imize the
spa#e
36.BT3
1;5BB6
2
F.2IB<
:C;8I:@
1;5BB62
8
@5.B 5F
C.;6
5BJ6CTI76
8 5F C.;6
I:T6;76:TI5: 1B.:
:C;8I:@
I:T6;76:TI5:
26T35D
5F :C;86>
F.2IB<
C5:T.CT
;685C;C6
8 ;6RCI;6D
.l#ohol
drinking
and
smoking
as health
threats
Ina(ility to
re#ognize
the health
threats of
drinking
al#ohol and
smoking
.fter the
end of *
th

home visits
the
mem(ers
of the
family $ill
have
#hange in
lifestyle
and
(ehavior
.fter &>2
ho)rs of
home visits
the
mem(ers
$ill kno$ the
effe#ts of
drinking
al#ohol and
smoking and
ho$ to
manage it!
.t the end of
*
th
home
visit the
mem(ers
shall
demonstrate
lifestyle
#hanges!
.ssess the
amo)nt of
al#ohol taken,
and pa#k year
Broaden the
kno$ledge of
the family in the
effe#ts and
possi(le
#ompli#ations of
al#ohol and
smoking
Dis#)ss to the
family the
a#tions on ho$
to manage
al#ohol and
smoking
effort of
st)dent n)rse
and the family
36.BT3
1;5BB62
F.2IB<
:C;8I:@
1;5BB62
8
@5.B 5F
C.;6
5BJ6CTI76
8 5F C.;6
I:T6;76:TI5: 1B.:
:C;8I:@
I:T6;76:TI5
:
26T35D
5F
:C;86>
F.2IB<
C5:T.CT
;685C;C6
8
;6RCI;6D
Cnhealthy
personal
pra#ti#es
s)#h as
$alking
(arefooted
as a health
threat
&!ina(ility
to provide
healthy
personal
pra#ti#e
2!ina(ility
to provide
reso)r#es
for self
prote#tion
from health
threats
.fter
n)rsing
intervention,
the family
$ill solve
the pro(lem
and identify
the possi(le
health
threats
.fter n)rsing
intervention
the family
$ill9
a! avail itself
of needed
reso)r#es9
slippers
(! (e a(le to
prevent
spread of
diseases,
improve
)nhealthy
Dis#)ss the
importan#e of
#omplian#e to
healthy living
Dis#)ss the
#onseI)en#es
of )nhealthy
personal
pra#ti#es
Dis#)ss $ith the
family the
possi(le disease
effort of the
st)dent n)rse
and family
mem(er
8&
personal
pra#ti#es
#! make
#hildren
avoid health
threats
that #an (e
a#I)ired to
improper
pra#ti#es
2ake proper
distri()tion of
in#ome to fill the
inadeI)ate
reso)r#es
6mphasize the
danger that #an
happen (e#a)se
of non>
#omplian#e to
healthy
pra#ti#es
6"plore $ith the
family $ays of
implementing
healthy
meas)res
36.BT3
1;5BB62
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:C;86>
F.2IB<
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T
;685C;C
68
;6RCI;6D
:on>
#omplian#e
to
imm)nization
s#hed)le as
a health
threat
Ina(ility to
re#ognize
the
importan#e
of
imm)nizatio
n
Ina(ility to
de#ide to
take an
a#tion a(o)t
the fail)re to
#omply to
imm)nizatio
n s#hed)le
.fter n)rsing
intervention
the family $ill
(e a(le to
)nderstand
the
importan#e of
#ompleting the
imm)nization
s#hed)leGdose
s
.fter n)rsing
intervention
the family
$ill9
afollo$ the
reI)ired
s#hed)le for
imm)nizatio
n
(gain
kno$ledge
a(o)t the
(enefit of
imm)nizatio
n
#re#ognize
the disease
that #an (e
prevented (y
the va##ines
.ssess the
kno$ledge of
the mother
a(o)t
imm)nization
Inform the
mother a(o)t
the s#hed)le
of
imm)nization
.dvi#e the
mother on
$hat to e"pe#t
$hen her
#hildren
re#eive a dose
of va##ine
6n#o)rage the
mother to
follo$ the
s#hed)le
3ome
visits
Time and
effort
e"erted (y
the st)dent
and the
family
82
imm)nization
@ive the
mother an
idea a(o)t the
disease that
#an (e
preventa(le
$hen availing
the va##ine
VII. VII. FAMILY CO+IN- INDE. FAMILY CO+IN- INDE.
C.T6@5;<
I:ITI.B 7I8IT
JC8TIFIC.TI5:
FI:.B 7I8IT
JC8TIFIC.TI5:
& % , & % ,
&! 13<8IC.B
I:D616:D6:
C6

There seems to (e a
pro(lem $ith some of
the family mem(er0s
grooming, parti#)larly
$ith the #hildren!
This #an (e
s)(stantiated (y the
health and
environmental
assessment! 3aving
dirty finger nails,
$alking (arefooted
on the streets, and
d)mping of -)nks on
some parts of their
ho)se are -)st fe$
eviden#es! The
mother0s physi#al
independen#e might
(e partly impaired!
8he may (e having
diffi#)lties $ith the
overall management
of her F yo)ng
#hildren! 8he may
need learning
s)pport, $hi#h may
(e provided (y the
st)dent n)rses! This
may help her (e
a$are of the risks of
having s)#h
pro(lems! This $ill
also promote
independen#e!
There has (een

some improvement
sin#e they already
realized that the
environment they
are living in is a
threat to their health!
They already did
their part (y #)tting
their dirty
fingernails, (y )sing
slippers $hen they
are going o)tside
and they also
learned ho$ to p)t
their -)nks in the
right pla#e! The
mother learned
some information
from the st)dent
n)rses on ho$ to
manage and
ma"imize her time in
fo#)sing on her
#hildren0s needs!
2! T36;.16CTIC
C5216T6:C6
This #an (e
family0s
There has (een
improvement!
Instead of )sing
8%
so#ioe#onomi# and
#)lt)ral
#hara#teristi#s $ritten
a(ove! The )se of
kerosene as an
emollient for (ody
a#hes may pose a
great danger to their
health! .nother
eviden#e of
in#ompeten#eS they
#ons)lt her(olarios
first (efore heading
to the nearest health
#enter!
kerosene, $e
advised them to )se
6ffi#as#ent oil as an
emollient for their
(ody pains! The
st)dent n)rse
instr)#ted them to
freI)ently visit the
(arangay health
#enter instead of
going to her(olarios!
%! K:5=B6D@6
5F 36.BT3
C5:DITI5:

The family seems
partly a$are of their
overall health
#ondition! 6viden#e9
Bily kno$s that
in#ompletion of
imm)nization may
pose disease
s)s#epti(ility to her
#hildren, ()t she fails
to persistently follo$
the 61I s#hed)les!
The freI)ent
#ons)ltation from
her(olarios more
than from the health
#enter is another
proof that the family
partly kno$s a(o)t
the in#onsisten#ies of
health information
that her(olarios may
advise!
=ith the help of

health tea#hings
given (y the st)dent
n)rses, the family
$as a(le to make
themselves a$are of
their health and
environmental
#onditions! This $as
done (y #orre#ting
$rong health
per#eptions
regarding their
pra#ti#ed home
remedies!
*! .11BIC.TI5:
5F
1;I:CI1B68
5F
16;85:.B
3<@I6:6
There seems to (e a
pro(lem $ith some of
the family mem(er0s
grooming, parti#)larly
$ith the #hildren!
This #an (e
health and
environmental
assessment! 3aving
dirty finger nails,
$alking (arefooted
on the streets, and
d)mping of -)nks on
There has (een
some improvement
on their part (y
#)tting their dirty
fingernails! They
also )sed slippers
$hen going o)tside!
The st)dent n)rses
instr)#ted them to
dispose their
gar(age properly,
and the mem(ers of
the family o(ediently
follo$ed!
8*
some parts of their
ho)se are -)st fe$
eviden#es!
,! 36.BT3
.TTITCD68

This #an (e
family0s health
assessment and
so#ioe#onomi# and
#)lt)ral
#hara#teristi#s $ritten
a(ove! The )se of
kerosene as an
emollient for (ody
a#hes may (e
dangero)s, ()t the
fa#t that they also
)se her(al aids like
sam(ong and
ampalaya as health
s)pplements I)alifies
their health attit)de to
(e of average!
There has (een

improvement in their
health seeking
(ehavior, instead of
them )sing
kerosene as an
emollient, they no$
)sed 6ffi#as#ent oil!
They no$ also rely
more on her(al
medi#ines!
F! 625TI5:.B
C5216T6:C6

The family seems to
(e spirit)ally
n)rt)red! This is
evidently s)pported
(y their a#tive
parti#ipation in
attending 8)nday
masses! The
presen#e of an altar
in their living room
may also (e an proof!
Bily even said that
they (o)ght a 8anto
:iOo on #redit! 8he
have also stated,
Madalang lang
naman kami
nagaaway ng asawa
ko, kapag umiinom
lang siya, ganun
kahit mahirap lang
kami hindi naman
kami laging
malungkot, ganyan
talaga ang buhay.
Ang Diyos naman
ang bahala.
The family seems to

(e spirit)ally
n)rt)red! This is
evidently s)pported
(y their a#tive
parti#ipation in
attending 8)nday
masses! The
presen#e of an altar
in their living room
may also (e an
eviden#e! Bily even
said that they
(o)ght a 8anto :iOo
on #redit! 8he have
also stated,
Madalang lang
naman kami
nagaaway ng asawa
ko, kapag umiinom
lang siya, ganun
kahit mahirap lang
kami hindi naman
kami laging
malungkot, ganyan
talaga ang buhay.
Ang Diyos naman
ang bahala.
+! F.2IB<
The family gets
=e advised them to
8,
BI7I:@
along, ()t it takes
more than a healthy
relationship to say
that their overall
living is satisfa#tory,
(e#a)se an important
responsi(ility (health
management in their
lives seems to (e
la#king!
have a more open
#omm)ni#ation to
ea#h other, and to
do their
responsi(ilities
inside their home
$ith a parti#)lar
emphasis on health
management!
8! 13<8IC.B
6:7I;5:26:
T

This may (e
presen#e of a##ident
hazards, inadeI)ate
living spa#e, poor
ventilation, flooding,
and )nsanitary toilet
fa#ilities!
The family identified

the threats inside
their ho)se! They
have already fi"ed
the things that are
hazardo)s to their
health! They already
opened the (a#k
$indo$ to in#rease
their ventilation, ()t
even tho)gh they
fi"ed the things
inside their ho)se,
the living spa#e
remain the same
(e#a)se of
inadeI)ate finan#ial
means!
/! C86 5F
C522C:IT<
;685C;C68

5nly the #omm)nity
61I $as )sed (y the
family! It $as even
in#omplete! The
#o)ple, ho$ever,
advo#ated
themselves to the
)se of #ontra#eptive
pills, $hi#h $ere
learned from the
health #enter!
8in#e the yo)ngest

#hild of the family
#an still (e
s)(-e#ted to
#omplete the
imm)nization, $e
strongly advised Bily
to let Ch)#k have
the remaining
reI)ired doses! =e
also advised her to
have BTB sin#e it is
a s)rer $ay of
preventing
#on#eption!
VIII. VIII. LEARNIN- DERIVED LEARNIN- DERIVED
6veryone thinks that gar(age is -)st trash that #annot (e )sed anymore ()t for some
people gar(age #an (e a $ay to s)rvive life! For o)r adopted family gar(age have played
s)#h a (ig role in their lives! It is $here they get their daily e"penses! It is $here they have
their ho)se ()ilt, (eneath the on#e #alled a d)mping site is no$ #alled a #omm)nity $here
8F
people #an live and have their o$n family! Be#a)se they have a large family and the pay for
gathering re#y#ling materials depend on ho$ many yo) had gathered, some of their #hildren
also help in earning money!
I have learned from this e"perien#e that even tho)gh yo) are fa#e in a very hard sit)ation
yo) m)st not lose hope and try to (e strong (e#a)se like o)r #hosen family even tho)gh
they are not ri#h they still strive hard together to help their family! Bike their #hildren $ho in
their early age they do their responsi(ilities! =e m)st learn ho$ to fa#e and do o)r
responsi(ilities and m)st o)r pro(lems head on!
LTime only goes for$ard4 $e m)st al$ays do o)r (est so that $e $on0t regret the things
that $e didn0t do!H
/Ni0 Ceci(i ,u$ /Ni0 Ceci(i ,u$
I had learned so many things in doing o)r FC.! I en-oyed in intervie$ing and assessing the
family (e#a)se $e did not had diffi#)lty! The family #ooperated, ()t sometimes they are not
saying the tr)th thatMs $hy $e m)st do)(le #he#k the re#ords, like the va##ine of
their #hildren! Then $e had the #han#e to do health tea#hings to help them to improve their
health and the $ay they vie$ their life! I $as glad (e#a)se $e had helped another family in
identifying pro(lems and ho$ to solve them! 3elping is not al$ays (y giving money! ItMs all
a(o)t sharing kno$ledge to other people to help them!
/M$ue((e Lee$$ D%d% /M$ue((e Lee$$ D%d%
.t first, I $as )n#on#erned $ith the lives of others! I don0t mind passing (y those sha((y
ho)ses $henever I go to s#hool or some$here else! I don0t pay attention to those street
#hildren (egging for a penny in front of the #h)r#h! 3onestly, I $asn0t affe#ted $ith all those
iss)es of poverty, h)nger, et#! This is -)st me>not so#ia(le, self>#entered at times and very
apatheti#!
.s the so>#alled LFamily Case .nalysisH progressed, I event)ally #ame )p $ith the
realization that I $as (linded (y my o$n interests! I $as trapped $ith my o$n pro(lems not
kno$ing that there0s a great distress o##)rring aro)nd me! Cpon meeting o)r adopted family,
I $as #ontemplating on $hat to feel and $hat to do! I did my part, I performed a thoro)gh
physi#al assessment on the family mem(er assigned to me! I gathered all the information
needed, I took several pi#t)res that $ill serve as do#)mentation for o)r FC.! B)t, is it overT
Does it have to end -)st like thatT I $as more than $orried (e#a)se they had lots of
pro(lems! .nd $hat0s $orse is that they0re )na$areU .s time passed (y, health tea#hings
8+
$ere #ond)#ted! =e fed them $ith all the information needed to make them realize a(o)t
their pro(lems and think of a $ay to solve them!
.s it all #ame to an end, it felt good! :ot (e#a)se another reI)irement $as #ompleted4 it0s
the feeling of (ringing #hange to someone! The family might not appre#iate the little things
that $e did no$, ()t I (et they $ill in the near f)t)re! It felt good (e#a)se I had #hanged
myself too! I (e#ame sensitive eno)gh! I am no longer the person $ho isn0t affe#ted $ith the
things that are happening aro)nd her! I $as a(le to sho$ a different side of me>the sociable
one!
/Mri1 Si0ed F(ores /Mri1 Si0ed F(ores
In doing the family #ase st)dy, the gro)p $as hardly to find the s)(-e#t family to (e fitted in
o)r #riteria and reI)irements for the perfe#t family (e#a)se the area $here $e sho)ld get
o)r family s)(-e#t is too small and more of the family residing in the area didn0t possessed
o)r #riteria for family s)(-e#t! The gro)p mem(ers $ere divided in different parts of the
st)dy for )s to eI)ally distri()ted o)r $orks and the gro)p mem(ers $ere given tasks to (e
done in gathering (asi#s and needed information0s that are important in final #ompletion of
the family #ase st)dy! In the pro#ess of family #ase st)dy the gro)p needs to apply the
format and standard reI)irements of the previo)s family #ase st)dy for the validation of the
st)dy! It0s (een a year ago $hen $e had o)r family #ase st)dy that0s $hy $e a(le to relay all
of the information0s and reI)irements needed on o)r st)dy and also $e didn0t m)#h get hard
in doing the st)dy sin#e $e had done already this kind of st)dy (efore ()t $e still kno$ that
the s)(-e#t family $as different (efore to the s)(-e#t family in o)r st)dy! =e also a(le to
assess o(-e#tively and e"isting pro(lems in the s)(-e#t family applied and provided n)rsing
interventions needed (y the family s)(-e#t and a(le to gather information to s)pport o)r
st)dy for #ompletion pro#ess! I $as a(le to pra#ti#ed n)rse>patient intera#tions, interventions
and relationship to help me in gathering data and information in o)r family s)(-e#t that0s $hy
I $as a(le to assess and identify e"isting and f)t)re pro(lem in the family s)(-e#t! In
identifying the family priority pro(lem $e )sed to help the parents in independently identify in
their o$n assessment! I hope that this st)dy $ill (e )sef)l to st)dent n)rses or others $hom
may read it!
/S1er(o$ -r2o /S1er(o$ -r2o
=hile $e0re doing this FC., I find myself that I0m a (lessed person (e#a)se every time I
see the family $e0re handling I tho)ght of the things, the $onderf)l things that @od has given
me and I0m very thankf)l of this things! =hen I sa$ o)r #hosen family for FC. I felt pity
88
espe#ially the #hildren (e#a)se for their yo)ng age they are $orking as a Lmag(a(as)raH in
order them to earned money for their food! .nd yet, they did not #hoose this kind of life! B)t
that0s life $e #annot #hoose $here family $here going to (elong!
3aving this kind of life, having eno)gh money for my needs, family $ho are s)pportive and
a good ed)#ation that they gave me I $as so thankf)l of this things! Being one of the l)#ky
people here on earth $e sho)ld share o)r (lessings and kno$ledge to those $ho are less
fort)nate!
/Rc1e( A$$ M$(o /Rc1e( A$$ M$(o
Cpon kno$ing that $e $ill (e doing a Family Case .nalysis this semester as a
reI)irement, made )s fro$n (e#a)se $e0ve (een told (efore that $hat $e had last year $as
s)pposed to (e o)r last, ()t sin#e it is a reI)irement $e need to made another one! 5)r
#omm)nity this semester $as on Brgy! C)ayan, $ell $e $ere I)ite familiar on that pla#e
(e#a)se d)ring o)r :8T1 days, $e )sed to go and #lean their e#opark! Choosing a family to
(e a (asis on o)r st)dy $as not that easy (e#a)se $e need to follo$ #ertain #riteria! =e had
en-oyed doing the Family Case .nalysis someho$ (e#a)se, $e kno$ that $e #an share
some health tea#hings to o)r #lient and $e #o)ld help them (e kno$ledgea(le on #ertain
things that $ill (e ne#essary for them!
/E#e(!$ Mir$d /E#e(!$ Mir$d
In doing o)r family #ase analysis, $e $ere a(le to apply again n)rsing skills like
#ephalo#a)dal assessment! .s $e intervie$ the mother I realized ho$ (lessed I am! I $as
a(le to o(served different pro(lems e"isting $ithin their family like poor hygiene, and poor
n)trition!
Family #ase analysis helps me to gain more )nderstanding a(o)t different type of people!
.lso, it gives )s opport)nity to provide health tea#hings! I realized that having this Family
Case .nalysis is not -)st a reI)irement for )s to pass the s)(-e#t, ()t it0s more on e"pos)re
for )s n)rsing st)dents to (e#ome a (etter n)rses someday that $ill provide #are to those
$ho are in need!
/Nico Nr#e3 /Nico Nr#e3
There are only ew people who use medical institutions among the poor. Moreo!er, they
tend to consult rural health units or barangay health stations more than hospitals.
>Japan Bank for International Cooperation, 2008
8/
This is only one of the n)mero)s (othering fa#ts that third $orld #o)ntries str)ggle $ith!
Thro)gh the Family Case .nalysis, I $as a(le to make myself a$are of the harsh reality that
o)r #o)ntry is fa#ing at the moment! FC. sho$ed me a #loser and a #learer vie$ of ho$ a
poor family #opes )p $ith poverty!
A little knowledge that acts is worth ininitely more than much knowledge that is idle.
> Khalil @i(ran
I0m making idleness my $orst enemy, and starting an FC. ahead of time is not a (ad
(eginning! 8in#e this is not the first time, $e $ere a(le to eI)ip o)rselves $ith all things
helpf)l, like drafts, assessment tools, and intervie$ skills! :o$ $e don0t have to #ram for
s)(mission! Time management really matters, espe#ially $ith gro)p $orks like this! .ll of )s
have individ)al he#ti# s#hed)les and a great deal of #ooperation paved the $ay to the
a##omplishment of o)r very o$n, non>#opy>pasted FC.!
/A(!s +e0"uerte /A(!s +e0"uerte
I learned many things in o)r family #ase analysis! It is a very fr)itf)l e"perien#e to )s
(e#a)se $e #an pra#ti#e freely on ho$ to )se therape)ti# #omm)ni#ation to get the attention
and tr)st of the people in the #omm)nity! I learned to (e more #ooperative $ith my gro)p
mates and it also helped me to improve my skills in assessment! I also noti#ed that thro)gh
home visits, $e #an help other people to (e independent! 3ome visit is not -)st for the good
of the #omm)nity ()t also for the development of the skills of )s st)dent n)rses!
/4e$$et1 Sdie /4e$$et1 Sdie
The first time I sa$ the family, I #o)ld not help ()t noti#e their present sit)ation! I felt pity
$ith the #hildren (e#a)se of the ins)ffi#ient n)trition and the health #ondition they have! .nd
from their sit)ation I made refle#tion to myself! I am deeply gratef)l of $hat I have right no$!
=e )s)ally keep #omplaining and ask for something more than $hat $e have ()t $e sho)ld
think of others and (e thankf)l on $hat life has offer! L6"perien#e is still a real essen#e of
man0s life!H .t first, I have do)(ts that this #omm)nity d)ty $o)ld (e harder, tiring, and more
#omple" than $e had in o)r previo)s d)ty and I think o)r instr)#tor e"pe#ted more from )s
no$ that $e are on o)r third year! B)t then I had fo)nd o)r d)ty more en-oya(le, lots of
learning e"perien#e $ith my fello$ gro)p mates even tho)gh there are times that there
$o)ld (e a tiring day yet a lot of learning e"perien#es! It proved to sho$ that something hard
$hile is $orth$hile (e#a)se even tho)gh $e have lot of things to organize and to do for the
family #ase analysis, tiredness and diffi#)lties (e#ome feelings of satisfa#tion and happiness
$hen $e had #ompleted and finished it! This made o)r gro)p more (onded and I had also
/0
learned to have perseveran#e, faith that $e #an do things in o)r o$n $ays and that eleven
heads are (etter than one, dedi#ation, and determination and mostly to val)e things and to
(e happy in everything $e $ill do!
/Rose A$$ S(u$% /Rose A$$ S(u$%
Indeed, third year is a different level of e"perien#e! It entails m)#h (igger responsi(ility!
1resen#e of mind and aggressiveness is the key to (e a(le to perform o)r tasks $ell! 2y
d)ty in the #omm)nity allo$s me to handle families $ith different health pro(lems!
.s $e dealt $ith o)r analysis, I have learned many things that I #o)ld )se as a referen#e
as I go on in p)rs)ing a n)rsing #areer! This st)dy also helped me gain more skills,
kno$ledge, and attit)de and gave me the opport)nity to )nderstand the important roles of
n)rses in promoting I)ality #are, $ith s)#h e"perien#e I have learned the importan#e of
team $ork in every things that $e are doing!
/5o1$ Er! Tu2i$os /5o1$ Er! Tu2i$os
I.. I.. ,I,LIO-RA+HY ,I,LIO-RA+HY
&! 2aglaya, .ra#eli (200*! "ursing practice in the community (fo)rth edition! 2arikina
City9 .rgona)ta Corporation!
2! ;odolfo F! Florentino, 2!D!, 1h! D! et! al (&//2! F:;I>118 anthropometri# Ta(les and
Charts for Filipino Children (Based on the s)ggested marginal #)t>off points, 2anila,
1hilippines!
/&
.. .. A++ENDICES A++ENDICES
A&&e$di6 78 I$iti( Visit Docu*e$ttio$
/2
A&&e$di6 98 Fi$( Visit Docu*e$ttio$
/%
A&&e$di6 :8 S&ot M&
/*
Barangay Cuayan Spot Map
LE-END8
F*i(!
Sc1oo(
Tric!c(e Ter*i$(
Store
C1urc1
I$ter$et s1o&
5u$) s1o&
,r$%! H((
,r$%! He(t1 Ce$ter
Co**u$it! Ler$i$%
Resource Ce$ter
S(o$; ,r2ers s1o&
Dri$)i$% 'ter Sttio$
,utter"(! S$ctur!
S(u%1ter House
'ter District
,oti) $% ,!$
A&&e$di6 <8 ,od! Mss I$de6 T2(e
:ame .ge 3eight =eight B2I Interpretation
Father *, ,0F &*0 l(s 22!,/ :ormal
2other %% ,0* &20 l(s 20!F :ormal
A&&e$di6 =8 Adequc! o" Li#i$% S&ce Co*&uttio$
Total Biving 8pa#e ;eI)irement (T8;
Individ)al 2)ltip)rpose ;oom 8ingle 1)rpose ;oom
.d)lt (V&% years old %mP 2!,mP
Child (&>&2 years old &!,mP &!2FmP
Infant ((elo$ & year old 0 0
Total Floor .rea (TF.
TF.(mP W Bength(mP " =idth(mP
Interpretation9 TF. V T8; W :ot over#ro$ded
/,
T8; V TF. W 5ver#ro$ded
2em(er .ge
8ingle 1)rpose
Bedroom
2)lti 1)rpose
Biving ;oom
8ingle 1)rpose
Kit#hen
Father *, 2!,m
2
%m
2
2!,mP
2other %% 2!,mP %m
2
2!,mP
2
nd
#hild &* %m
2
2!,mP
%
rd
#hild &2 &!,m
2
&!2FmP
*
th
#hild && &!,m
2
&!2FmP
,
th
#hild + &!,m
2
&!2FmP
F
th
#hild * &!2Fm
2
&!,m
2
&!2FmP
+
th
#hild & &!2Fm
2
&!,m
2
&!2FmP
Total 8pa#e
;eI)ired
%+!82mP
Comparison T8;9%+!82mP > TF.920!F+ m
2
Interpretation Cro$ded
A&&e$di6 ?8 Ve$ti(tio$ Co*&uttio$
Form)la9 Total =indo$ 5pening " &00'
/F
Total Floor .rea
8ol)tion9
=indo$ & W &m " &m Total Floor .rea W
Bength " =idth
W &mP W Fm " %!*,m
5pen Door & W &!8%m " !+/m W 20!F+mP
W &!*,mP
=indo$ & J 5pen Door & W Total =indo$ 5pening
&mP J &!*,mP W 2!*,mP
Categories9
1oor> &2' and (elo$
8atisfa#tory> &,' and a(ove
Fair> Bet$een &%' to &*'
Total =indo$ 5peningW 2!*,mP " &00' W &2' W 1oor
Total Floor .reaW 20!F+mP
A&&e$di6 @8 +o#ert! T1res1o(d
.nn)al 1er Capita 1overty Thresholds, 1overty In#iden#e
and 2agnit)de of 1oor Families9 2000, 200% and 200F
:)m(er of Family 2em(ers9 8
/+
Total of Daily In#ome9 %,01hp
Total 2onthly In#ome9 &0,,001hp
Form)la9 .nn)al 1overty Threshold " :)m(er of Family 2em(ers
&2 months
8ol)tion9 &+,2*%1hp " 8 family mem(ers W &&, */,!%F1hp (In#ome ;eI)irement
&2
Comparison9 &&, */,!%F1hp V &0,,001hp
Interpretation9 1oor
A&&e$di6 A8 Hei%1t $d 'ei%1t "or A%e T2(e
3eight and =eight for .ge
1hilippine 8tandards for Children (&>&/ <ears
B5<8
<ear 3eight (#m! =eight (kg
& +&!,>/&!, 8!2>&%!*
2 8&!%>//!0 &0!&>&,!*
% 8+!8>&0*!8 &&!F>&+!2
* /%!2>&&0!& &2!/>&8!8
, /80,>&&,!% &*!*>20!2
F &0%!/>&20!0 &,!8>2&!8
+ &08!/>&2%!F &+!2>2%!2
8 &&%!+>&28!* &8!8>2,!*
/ &&8!%>&%%!F 20!,>28!*
&0 &22!8>&%/!F 22!*>%2!&
&& &2+!*>&*F!F 2*!,>%+!0
&2 &%2!&>&,,!0 2F!/>*%!&
&% &%+!2>&F2!F 2/!/>*8!/
&* &**!/>&F+!% %*!F>,%!,
&, &,&!+>&+0!0 %/!/>,+!0
&F &,,!8>&+&!% *%!,>,/!/
&+ &,+!8>&+&!/ *,!8>F2!&
&8 &,8!,>&+2!, *+!%>F%!*
&/ &,8!F>&+%!8 *8!2>F*!,
@I;B8
<ear 3eight (#m! =eight (kg
& F/!*>88!2 +!/>&2!%
2 +8!*>/,!/ /!8>&*!2
% 8,!8>&02!F &&!2>&F!0
* /&!/>&08!/ &2!F>&+!/
, /+!8>&&*!/ &%!/>&/!8
F &0%!2>&20!+ &,!2>2&!F
+ &08!*>&2,!& &F!F>2%!2
/8
8 &&%!%>&%0!+ &8!2>2,!F
/ &&8!%>&%F!* 20!0>28!F
&0 &2%!*>&*2!& 22!*>%2!/
&& &28!8>&*8!0 2,!*>%8!0
&2 &%*!+>&,2!2 2/!&>*%!+
&% &*&!0>&,F!% %%!%>*8!,
&* &**!,>&,8!F %+!%>,&!F
&, &*F!,>&,/!F *0!0>,%!%
&F &*+!F>&,/!/ *&!,>,*!%
&+ &*8!2>&F0!0 *2!%>,,!2
&8 &*8!+>&F0!0 *2!+>,F!%
&/ &*8!/>&F0!0 *2!/>,F!%
A&&e$di6 B8 Sc(e "or R$)i$% He(t1 Co$ditio$s
8#ale for ranking health #onditions and pro(lems a##ording to priorities
Criteri Score 'ei%1t
Nture o" t1e co$ditio$ or
&ro2(e* &rese$ted
8#ale9
&
=ellness state %
3ealth defi#it %
3ealth threat 2
Foreseea(le #risis &
Modi"i2i(it! o" t1e co$ditio$ o"
t1e &ro2(e*
8#ale9
2
6asily modifia(le 2
1artially modifia(le &
:ot modifia(le 0
+re#e$ti#e &ote$ti(
8#ale9
&
3igh %
2oderate 2
Bo$ &
S(ie$ce
8#ale9
//
. #ondition or a pro(lem
needing immediate
attention
2
&
. #ondition or a pro(lem
not needing immediate
attention
&
:ot per#eived as a
pro(lem or #ondition
needing a #hange
0
8#oring9
&! De#ide on a s#ore for ea#h of the #riteria!
2! Divide the #hosen s#ore (y the highest possi(le s#ore for ea#h s#ale, then m)ltiply the
I)otient (y the #orresponding $eight9
(8#oreG 3ighest 8#ore " =eight
%! 8)m )p the ans$ers for all the #riteria! The highest possi(le s#ore is ,, $hi#h is
eI)ivalent to the total $eight!
A&&e$di6 7C8 F*i(! Co&i$% I$de6 Cte%ories
F.2IB< C51I:@ I:D6A C.T6@5;I68
.! 1hysi#al Independen#e
This #ategory is #on#erned $ith the a(ility to move a(o)t, to get o)t of (ed, to
take #are of daily grooming, $alking, et#! :ote that it is the family0s #ompeten#e that is
meas)red X even tho)gh an individ)al is independent, if the family is a(le to
#ompensate for this is important! The #a)ses of independen#e may vary! Ba#k of
physi#al independen#e in the family may (e d)e to a#t)al physi#al in#apa#ity, the
ina(ility of Lkno$ ho$H, the $illingness or fear of doing the ne#essary tasks!
& > Family failing entirely to provide reI)ired personal #are to one or more of its
mem(ers! 6"ample9 arthriti# patient is )na(le to get o)t of (ed alone and no
one is availa(le to help!
% > Family providing partially for needs of its mem(er, or providing #are for some
mem(ers ()t not others! 6"ample9 mother may (e doing effi#ient #are to a ne$
(orn (a(y ()t at the #ost of negle#ting other #hildren or other mem(ers of the
family4 da)ghter may (e giving e"#ellent #are to aging mother ()t $ith poor
(ody me#hani#s that pla#e strain d)e )pon her!
, > .ll family mem(ers, $hether or not there is infirmity or disa(ility in one or
more of its mem(ers, are re#eiving the ne#essary #are to maintain #leanliness,
in#l)ding skin #are, are a(le to get a(o)t as far as possi(le $ithin their physi#al
a(ilities, are re#eiving assistan#e $hen needed $itho)t interr)ption or )nd)e
delay!
B! Therape)ti# Competen#e
This #ategory in#l)des all of the pro#ed)res or treatment pres#ri(ed for the #are
of illness, s)#h as giving medi#ations, )sing applian#es, dressing, e"er#ises,
rela"ations, spe#ial diets, et#!
& > Family either not #arrying o)t pro#ed)re pres#ri(ed or doing it )nsafely!
6"ample9 giving several medi#ations $itho)t (eing a(le to disting)ish one from
the other, or taking them inappropriately, applying (ra#es in#orre#tly p)tting the
limn o)t of line, meas)ring ins)lin in#orre#tly, and family re-e#ts to give
ne#essary #are!
&00
% > Family #arrying o)t some ()t not all of the treatment! 6"ample9 giving ins)lin
()t not adhering stri#tly to diet, #arrying o)t pro#ed)re a$k$ardly, ineffe#tively
or $ith resentment or )nne#essary an"iety, 6"ample9 #r)t#h $alking may (e
done ()t the helper )sing poor (ody me#hani#s or not giving the patient
eno)gh se#)rity and #onfiden#e4 patient may (e a(le to give o$n hypodermi#
in-e#tion ()t says, LI dread it every timeH4 may (e giving medi#ations #orre#tly
()t not )nderstanding p)rposes of the dr)gs, or symptoms to (e o(served,
se#)red initial imm)nizations ()t failed #omplete imm)nization program!
, > Family a(le to demonstrate that the mem(ers #an #arry o)t the pres#ri(ed
pro#ed)res safely and effi#iently, $ith the )nderstanding of the prin#iples
involved and $ith #onfident and $illing attit)de!
C! Kno$ledge of 3ealth Conditions
This #ategory is #on#erned $ith the parti#)lar health #ondition that is the
o##asion for #are! 6"ample9 kno$ledge of the disease or a(ility to )nderstand
#omm)ni#a(ility of disease and modes of transmission, )nderstanding of general
pattern of development of a ne$(orn (a(y, and the (asi# needs of infant for physi#al
#are
& > Totally )ninformed or misinformed a(o)t the #ondition! 6"ample9 (elieves
t)(er#)losis is #a)sed (y sin, or syphilis #)red $hen symptoms s)(side,
(elieves stroke patient m)st (e (edridden and that it is #r)el to make them do
something for themselves, that over$eight in the s#hool age is healthy!
% > 3as some general kno$ledge of the disease or #ondition, ()t has not grasped
the )nderlying prin#iples, or is only partially informed! 6"ample9 may re#ognize
the need for TBC ()t not relate this to pla#ing the (a(y0s #ri( near people $hen
the (a(y is a$ake, may )nderstand dietary and ins)lin #ontrol of dia(etes, ()t
no need for spe#ial #are of feet, et#!
, > Kno$s the salient fa#ts a(o)t the disease $ell eno)gh to take ne#essary a#tion
at the proper time! Cnderstands the rationale of #are, a(le to o(serve and
report signifi#ant symptoms!
D! .ppli#ation of 1rin#iples of @eneral 3ygiene
This is a(o)t family a#tion in relation to maintaining family n)trition se#)ring
adeI)ate rest and rela"ation for family mem(ers, #arrying o)t a##epted preventive
meas)res s)#h as imm)nizations and medi#al appraisal, safe homemaking ha(its in
relation to storing and preparing foods!
& > Family diet gross inadeI)ate or )n(alan#ed, ne#essary imm)nization not
se#)red
For #hildren, ho)se dirty, food prepared in )nsanitary $ay, mem(ers of family
$orking (eyond reasona(le limits, #hildren and ad)lts getting too little sleep4
family mem(ers )nkempt, filthy, inadeI)ate #lothing in relation to $eather, et#!
% > Failing to apply some general prin#iples of hygiene! 6"ample9 keeping ho)se in
e"#ellent #ondition ()t spending too m)#h energy and (e#oming over fatig)e
as a res)lt, et#!
, > 3o)sehold r)ns smoothly, family meals $ell sele#ted, ha(its of sleep and rest
adeI)ate to needs!
6! 3ealth .ttit)des
This #ategory is #on#erned $ith the $ay the family feels a(o)t health #are in
general, in#l)ding preventive servi#es, #are of illness and p)(li# health meas)res!
& > Family resents and resists all health #are, has no #onfiden#e in do#tors,
employs I)a#k nostr)ms, feels illness in )navoida(le and to (e a##epted
&0&
as one0s fate rather than treated, feels #omm)nity health agen#ies sho)ld not
interfere, pra#ti#e folk medi#ine or s)perstitio)s rites in illness, et#!
% > .##epts health #are in some degree, ()t $ith reservations! 6"ample9 may
a##ept the need for illness ()t not general preventive meas)res4 may have
#onfiden#e in do#tors ()t feels that #ertain illnesses are hopeless and #are is
)nne#essary, father a(le to provide needs of family ()t has t$o f)ll time -o(s,
et#!
, > Cnderstands and re#ognizes the need for medi#al #are for illnesses and for the
)s)al preventive servi#es, arranges for periodi# physi#al appraisals and
follo$s thro)gh $ith re#ommendations, a##epts illness #almly and re#ognizes
limits it imposes $hile doing all possi(le to effe#t re#overy and reha(ilitation!
F! 6motional Competen#e
This #ategory has to do $ith the mat)rity and integrity $hi#h the mem(ers of
the family are a(le to meet the )s)al stresses and pro(lems of life, and to plan for
happy and fr)itf)l living! It is to meas)re the degree to $hi#h individ)als a##ept the
ne#essary dis#iplines imposed (y one0s responsi(ility and de#ision4 $illingness to meet
reasona(le o(ligations, to a##ept adversity $ith fortit)de, to #onsider the needs of
others as $ell as one0s o$n!
& > Family does not fa#e realities X ass)mes mori()nd patient $ill get $ell, that
they event)ally pay a hospital (ill far (eyond their means, that gam(ling is -)st a
diversion -)st like drinking al#oholi# drinks4 family torn X s)spi#io)s of one
another4 eviden#es of great inse#)rities, g)ilt or an"iety, et#!
% > Family mem(ers )s)ally do fairly $ell ()t one or more mem(ers manifest la#k
of se#)rity or mat)rity! 6"ample9 th)m( s)#king in late #hildhood, )n)s)al
#on#ern $ith $hat the neigh(ors $ill think, fail)re to plan ahead for foreseea(le
emergen#ies, leaving #hildren )nattended, Yfighting0 in the family on o##asion,
et#!
, > .ll mem(ers of the family a(le to maintain a reasona(le degree of emotional
#alm, fa#e )p to illness realisti#ally and hopef)lly, a(le to dis#)ss pro(lems and
differen#es $ith o(-e#tivity and reasona(le emotional #ontrol4 do not $orry
)nd)ly a(o)t trivial matters, #onsider the needs and $ishes of other family
mem(ers, of neigh(ors and those $ith $hom they $ork and live in making
de#isions or de#iding )pon a#tion!
@! Family Biving
This #ategory is #on#erned largely $ith the interpersonal or gro)p aspe#ts of
family life X ho$ $ell the mem(ers of the family get along $ith one another, the $ay in
$hi#h they s)pport one another, the $ays in $hi#h they manage the family ()dget, the
kind of dis#ipline that prevails!
& > Family #onsist of a gro)p of individ)als indifferent or hostile to one another or
strongly dominated and #ontrolled (y a single family mem(er4 no #ontrol of
#hildren or family mem(ers so dependent on one another that they are (eing
stifled! 6"ample9 2other developing ha(its of dependents on sons $hi#h
threatens f)t)re #apa#ity for de#ision making, no rational plan for
managing availa(le money, Y(attered0 #hild, et#!
% > Family gets along ()t has ha(its or #)stoms that interfere $ith the )nity of the
family! 6"ample9 . family fond of one another have more home a#tivities ()t is
dominated (y a father in a kindly $ay, re#reational ha(its separate
mem(ers of the family m)#h of the time (father $ith (arkada often! Children
some$hat over prote#ted, parents0 e"pe#tations on the #hildren are sometimes
realisti#, parents e"pe#ting #hildren $ith lo$ a#ademi# #ompeten#e to (e#ome
s)##essf)l professionals, et#!
&02
, > Family does things together, ea#h mem(er a#ts and de#ides as a $hole4
#hildren respe#ts parents and vi#e versa4 family task shared, there is eviden#e of
planning in ma-or p)r#hases, et#
3! 1hysi#al 6nvironment
This topi# is #on#erned $ith the home, the #omm)nity ant the $ork environment
as is affe#ts the family health!4 the #ondition of pl)m(ing system, fa#ilities for #ooking
and priva#y, level of #omm)nity X (deteriorated neigh(orhood, presen#e of so#ial
hazards s)#h as (ars, street gangs, delinI)en#y, pets s)#h as rats, of transportation,
#ondition and availa(ility of s#hools!
& > 3o)se in poor #ondition X )nsafe, )ns#reened, poorly heated, neigh(orhood
deteriorated X -)venile and ad)lt delinI)en#y, no re#reational e"#ept streets,
et#!
% > 3o)se needs some repair or painting ()t f)ndamentally so)nd, neigh(orhood
poor ()t possi(le to prote#t #hildren from poor so#ial infl)en#es thro)gh
ed)#ation and other #omm)nity a#tivities4 ho)se #ro$ded ()t
ad-)stment #an (e made, et#!
, > 3o)se in good repair4 provides for priva#y and is free from a##idents and pest
hazards4 neigh(orhood respe#ta(le and $ith re#reational fa#ilities for #hildren4
free from )ndesira(le so#ial infl)en#es, opport)nities for #omm)nity a#tivities!
I! Cse of Comm)nity Fa#ilities
This #ategory has to do $ith the degree of the family0s )se and a$areness of
the availa(le #omm)nity fa#ilities for health ed)#ation and $elfare! This in#l)des the
$ays in $hi#h they )se servi#es of private physi#ians, #lini#s, hospital, s#hools, $elfare
organizations, #h)r#hes, et#! the #oping a(ility does not indi#ate the level of the need
for servi#es, ()t rather the degree to $hi#h they #an #ope $hen they seek s)#h aid!
& > Family has o(vio)s and serio)s so#ial needs, ()t has not so)ght or fo)nd any
help! 6"ample9 a family may (e (orro$ing )nreasona(le s)m of money for
medi#al #are, instead of availing of the free hospital or #lini#s4 or leaving
#hildren $itho)t any s)pervision $hile the mother $orks4 or fail)re to take steps
to register for p)(li# ho)sing $hen availa(le, )sing so)r#es inappropriately, for
e"ample, )sing emergen#y servi#e for minor ills, et#!
% > Family is a$are and )ses some ()t not the availa(le #omm)nity reso)r#es that
it needs! 6"ample9 the family may go to the (arangay health #enter for prenatal
#are and #hild imm)nization ()t on the other hand overlooks the help that the s#hool
g)idan#e #o)nselor or spirit)al g)idan#e from #h)r#h for a tro)(led teenage
mem(er of the family!
, > Family )ses the fa#ilities it needs appropriately and promptly, kno$s $hen and
$hom to #all for help, feels se#)re in its relationship $ith the #omm)nity
$orkers s)#h as so#ial $orkers, tea#hers, do#tors, et#!
1repared (y9
6lvira D! Chan, ;:, 2.:
&0%

Family Case Analysis 2011

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I. I.

There has (een

=ith the help of

There has (een

The family seems to

The family gets

The family identified

8in#e the yo)ngest

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