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The Villanueva Family is considered to be a third
family unit or a single-parent family in which the
children live with a separated parent. In this case,
Mrs. Villanueva is the head of the family since she
and her husband got separated. There are six of
them living together, the mother and her five
children. Older children who have their own families
were not included since they donǯt live with them
anymore. The mother works to provide the needs
for her family including emotional support.
ð Êe chose the Villanueva family with the
knowledge that they qualify the criteria in
choosing family for our case study. Other
than this, the presence of a child is what
caught our attention, with the thought that
children are vulnerable and fragile. Êith
familyǯs condition and ability to cope up with
health and non-health crises and having a
monthly income of 8,000 below that would
unlikely sustained them, we chose the family
because we know that we will be able to
apply more knowledge and skills than other
families in the area.
ð This study was conducted with the main
objective of identifying the health situation of
each family members and the family as whole
in a holistic approach, with the specific
objectives of assessing family members
individually, tracing family problem related to
the actual condition of the family, formulate
and implement and effective family care plan
especially designed for the familyǯs health
problems identified in the nursing
assessment and educate the family by
imparting health teachings on the level of the
familyǯs understanding.
K



ð This family care study involves the Villanueva
and her children. The scope and limitation of this
case study are as follows:
ð Familyǯs history and background.
ð Home and environment of the family
ð Family care plan designed for the whole family
ð Nursing management during the home visits
ð Referrals and evaluation of the study.
ð Home visits were inclusive either the days of
Êednesdays to Saturdays of November 17 Ȃ
December 17, 2010.
mm


 

ð Our area is in Barangay Pagatpat, Cagayan de

Oro City. Our point of reference is the school
(Ldcu), from the school we charter a jeep
going to Pagatpat. Êe make used of an
alternative route going to Pagatpat, from the
schoolǯs exit we turned towards the direction
of LdCU high school building, then turned left
in NIA and going to Zayas-Landfill. From
Zayas-Landfill we went straight ahead then
turned left at the Canitoan-Bulua Junction.
ð After we turned left, we then went straight
ahead passing Canitoan Health Center,
Canitoan Barangay Hall, and Canitoan
Elementary School, we then passed along
Canitoan High School, and an
underdeveloped subdivision. Then finally we
reached Barangay Pagatpat, before arriving
at the Health Center, we first passed at the
Pagatpat Elementary School.
ð The usual route going to Pagatpat is by riding
a jeep from their terminal. The terminal is
located at Capt. Vicente Roa Street, Cogon, in
front o Deluxe Hotel. The fair from the
terminal going to Pagatpat Health Center is
15 pesos if SP, and 18 pesos if regular.
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ð Mother:
Mrs. Emma Villanueva 41 years old living at
Barangay Pagatpat,Sili-sili Cagayan de Oro City.
She was born through Normal Spontaneous
Vaginal Delivery at home in Camiguin. Her
mother and some relatives are known to have
heart problems and hypertension. She had been
immunized but was not completed. She has
some vices such as smoking for the past year and
drinks alcohol. She does not use any
contraceptives after their first child born.
ð [eneivive Villanueva:
ð [eneivive Villanueva 12 years old living at
BaranagyPagatpat, Sili-sili Cagayan de Oro
City. She is the only eldest who stays with her
mother, because the other older siblings have
their own family and not living with them.
She was able to immunized but it is
incomplete (BC[ 1dose DPT 1dose). She was
delivered as Normal Spontaneous Vaginal
Delivery last Feb 11, 1998 at JR Borja
Hospital. She had diarrhea one year ago and
was admitted at City hospital.
ð Jean Villanueva:
ð She was born through Normal
Spontaneous Vaginal Delivery at home. She
was not immunized. 3 weeks ago she suffered
from chicken pox and she manifested fever,
itchiness, flatulence and was given
paracetamol by her mother.
ð Emmalyn Villanueva:
ð Emmalyn Villanueva 8 years old, living at
Barangay Pagatpat, Sili-sili Cagayan de oro
City, She is delivered as Normal Spontaneous
Vaginal Delivery at home with a trained hilot
last Jan 26,2002. She was not able to
immunize because the mother doesnǯt have
knowledge about the benefits it could give to
the child. She suffered from diarrhea for the
past three years and was given herbal
medicine like guava.
ð Junilo Villanueva:
ð Junilo Villanueva 6 years old, living at
Barangay Pagatpat, Sili-sili Cagayan de Oro
City, He is delivered as Normal Spontaneous
Vaginal Delivery at home with a trained hilot
last Nov 30,2004. He was not able to
immunize because the mother doesnǯt have
knowledge about the benefits it could give to
the child. A month ago he experienced minor
problems like fever, cough and colds and was
given a paracetamol syrup.
ð Joseph Villanueva:
ð Joseph Villanueva 4 years old, living at
Barangay Pagatpat, Sili-sili Cagayan de Oro
City, He is delivered as Normal Spontaneous
Vaginal Delivery at home with a trained hilot
last Sept 22,2006. He was not able to
immunize because the mother doesnǯt have
knowledge about the benefits it could give to
the child. Two weeks ago he experienced
minor problems like fever,cough and colds
and was given paracetamol syrup.




 




ð Mother:
ð Mrs. Emma Villanueva 41 years old living at
Barangay Pagatpat,Sili-sili Cagayan de Oro City.
She is a single parent of a five children. One
month ago she suffers edema on her face, and a
day after she had abdominal pain, headache,
tingling sensation on her ears, dizziness and
blurring of vision. She took Paracetamol, Kremil
S, and Biogesic every morning, afternoon and
evening. And additional of some habits of Mrs.
Emma Villanueva she occasionally drinks Red
Horse (1 bottle) and Tuba (1-2 glasses) once a
week.
ð [eneivive Villanueva 12 years old living at
BaranagyPagatpat, Sili-sili Cagayan de Oro
City. She is the only eldest who stays with her
mother, because the other older siblings have
their own family and not living with them.
She was able toimmunized but it is
incomplete (BC[ 1dose DPT 1dose). She was
delivered as Normal Spontaneous Vaginal
Delivery last Feb 11,1998 at JR Borja Hospital.
She had no problems with her health
condition right now.
ð Jean Villanueva 10 years old living at
Barangay Pagatpat, Sili-sili Cagayan de Oro
City, She is delivered as Normal Spontaneous
Vaginal Delivery at home with a trainedhilot
last Dec 8, 2000. She was not able to
immunize because the mother doesnǯt have
knowledge about the benefits it could give to
the child. She had no problems with her
health condition right now.
ð Emmalyn Villanueva 8 years old, living at
Barangay Pagatpat, Sili-sili Cagayan de
oroCity,She is delivered as Normal
Spontaneous Vaginal Delivery at home with a
trained hilot last Jan 26,2002. She was not
able to immunize because the mother
doesnǯt have knowledge about the benefits it
could give to the child.
ð Junilo Villanueva 6 years old, living at
Barangay Pagatpat, Sili-sili Cagayan de Oro
City, He is delivered as Normal Spontaneous
Vaginal Delivery at home with a trained hilot
last Nov 30,2004. He was not able to
immunize because the mother doesnǯt have
knowledge about the benefits it could give to
the child. He had no problems with her health
condition right now.
ð Joseph Villanueva 4 years old, living at
Barangay Pagatpat, Sili-sili Cagayan de Oro
City, He is delivered as Normal Spontaneous
Vaginal Delivery at home with a trained hilot
last Sept 22,2006. He was not able to
immunize because the mother doesnǯt have
knowledge about the benefits it could give to
the child.He is experiencing parasitism during
our visit.
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ð The family has no toilet, it is very unsanitary

since they just defecate anywhere (at the
vacant lot outside their house) they like, they
donǯt even dig a hole.
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ð The neighborhood is composed mostly low-income
families; the distance from the first neighbor is
around 2 meters. Although there are families around
who are quite stable or average in terms of financial
status. Most of the sources of income among the
family members of the neighborhood are gardening,
and carpentry. There are also those who source out
their income from their sari-sari store. Families living
in the area are quite approachable and warmly
accepted us. They show concern for one another
especially when there are problems among them.
Men and women in the area group together in one
spot where they converse and share stories or news.
The distance from the health centre is approximately
1 km.
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ð The peace and order condition is established

within the area.
ð Health Center is just distance from the area,
about 900-1000 meters away. It is not
complete in terms of medical facilities or
equipments but the barangay health worker
is most of the time in the center to assist the
community people. The BHÊ also facilitates
the schedule for health services offered and
other consultation.
ð The main road is accessible; however, the
roads/pathways around the houses are
remote and small.
ð The community as a whole has a moderately
good sanitary condition except for the
presence of garbageǯs along the river, dust,
muddy, and slippery roads especially when it
rains.
ð
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ð DAY 1
ð This was the 1st day I met my family for family care study.
First thing I do, I greet the head of the family and explain
my purpose for my visit. The group wasnǯt able to be with
me becausewe were still scouting for a family for the
individual family care study. I chose this family because it
falls from the criteria of low income family and had children
below 5 years old. I do initial physical assessment to each
member of the family I also interviewed the head of the on
their present and pass history of illness among each family
member. Êhile interviewing the head of the family, I
secretly observed surrounding and households
structures/materials that are relevant cues to the health
problem of the family.
ð Day 2
ð This was the first day we met the family as a
group. Êe chose this family for grand family
case study because this family had more
health problem among the family chosen by
the other group member. Êe had had
physical assessment as a group. Êe also
observed that the children were in dirty
clothes, dirty finger nails, and no slippers
during the assessment. Êe also assess
children for IMCI.[et the missing data this is
important planning of our care on the next
day.
ð Day 3
ð This was the 2nd day we visited the family. As
what the group talked during the
brainstorming, we include the family for our
plan of care so the family was involved in the
plan of care we made. The family was very
supportive and participated our plans to them
to improve those problems we determined
during our assessment. Health teaching was
also emphasized to the head of the family
during the visit among health problem of the
family.
ð Day 4
ð This was the last day visit we had as a group. The
plan of care was made in this day. Intervention was
given and emphasizes to the family. Êe give slippers
for the children and give health teachings on the
proper personal hygiene to the head of the family.
Êe also discuss the problem as drainage and
intervene about the problem that we were failure to
do it because many factors affected our
interventions, we give also health teachings about
use of herbal medicines.; we also discuss and give
health teaching among those domestic animals
roaming inside the house, we also failed to this
problem because if they will provide a cage or
restrain their domestic animals the family will have
burden on giving foods to them according to the
head of the family.
mm
 
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As part of our mission of providing care, the
family was introduced to the resources they have
at home that could help them in times of
emergency as well as the resources
ð Advised our patient visit the health center or
have a check up with a physician.
ð Encouraged Mrs. Villanueva to have her children
be immunized with the health center.
ð Told Mrs Villanueva to visit the Health Center to
monitor his blood pressure.
ð For the present health problems that they
have or for any Health problems or cases that
may occur:
Encouraged the family to visit the health center
for check-up and medications.
Consult a doctor and follow whatever advice the
Doctor would give them.
ð Encouraged the family to practice proper
sanitation in their environment and in their
premises.
ð Encouraged family to participate in community
activities.
ð The family was recommended to follow up the
agency that is willing to help them establish their
own comfort room.

In the case of Mrs Villanueva who feels ill every

now and then, she was recommended to have a
nutritious diet with the vegetables that can be
found in their vicinity. Exercise regularly at least
30 minutes a day. Have enough rest periods such
as 8-10 hours of sleep and to visit health center
regularly to attend their health needs.
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m

At the end of the course of the study, with

interventions implemented and nursing care
given, the Villanueva Family have recognized
some health problems. During the course of
our visits, the family warmly accepted us and
cooperated with us during the assessment.
Êe have identified health problems and
formulated specific interventions that were
implemented during the succeeding visits.
 Êe were able to witness the lifestyle
and real situation of their home and
environment. During our interaction with the
family, we became more aware of their coping
capabilities, perceptions, beliefs, and behavior
towards health and current family situations.
Appropriate health teachings were imparted
to the family with emphasis on the effects of
unclean environment to their health.

Extra measures should be practiced

like cleaning the surroundings and
promoting health and wellness.
 Due to poor economic status and
inadequate education, many health problems
exist not just in Zone 5 Sili-Sili Pagatpat but it
is also true to other places. As a nursing
student, it is our sole responsibility to impart
knowledge to the community while
promoting their independence towards
maintaining and promoting health and
preventing diseases
m
mm 
ð Cuevas, F. 2007. Public Health Nursing in the Philippines.
10th Edition. Publications Committee,
National League of Philippine [overnment Nurses,
Incorporated. pp 43- 47, p. 390

ð Êorld Health Organizationǯs Division for Control of

Diarrheal and Respiratory Infections et al. 2009. Integrated
Management of Childhood Illness Chart Booklet.Quezon
City, Philippines: C&E Publishing, Inc. pp. 2- 31

ð Maglaya, A. 2005. Nursing Practice in the Community. 4th

Edition. Marikina,
Philippines: Argonauta Corporation. pp. 54-133