DE LA SALLE LIPA

COLLEGE OF NURSING

FAMILY CASE STUDY

SUBMITTED BY:
BSN G2C3 GROUP 2

MEMBERS:
BADOCDOC, CHRYSLAINE GIAN C.
BAUTISTA, MARIA ZYLA ALLEYAH A.
FAMATIGAN, STEVEN GABRIEL Z.
INQUIT, PEACH ANGELU JOYCE V.

FIRST SEMESTER A.Y. 2020-2021

SUBMITTED TO:
Mr. ROD CYRUS KENT B. EBITE, RN, MAN
 CHAPTER 1
INTRODUCTION

The family is both the fundamental unit of society as well as the root of culture. It
is a perpetual source of encouragement, advocacy, assurance, and emotional refueling
that empowers a child to venture with confidence into the greater world and to become
all that he can be.
- “Dr. Mom's Parenting Guide” by Marianne E. Neifert

According to the Merriam Webster dictionary, a family is a basic unit in society

traditionally consisting of two parents and their children (Merriam-Webster, n.d.). It is a
very integral part of a culture that carries out the main functions of reproduction and
socialization. It also carries out activities to promote health, maintain health, and prevent
diseases. It is the source of support and takes care of its members, particularly the
young, the elderly, the disabled, and the chronically ill. It is, therefore, generally
regarded as the basic unit of care in community health nursing and the primary recipient
of nursing effort that contributes to the community's development and advancement
through the active participation of each component and self-responsibility. (Araceli S.
Maglaya, 2004)

The way people view a family as a social entity has changed significantly, such
as changes in its definition, structures, and composition. These changes have not
favorably altered the essence of family health tasks. It may, however, have changed
how the family performs these health tasks and its ability to remain as its members'
primary source of support. (Araceli S. Maglaya, 2004)

Community nursing practice involves the use of a series of processes to respond

to clients' health needs and issues, to manage health programs and resources. It is our
responsibility as community health nurses to transform the community to become a
group of individuals that is self-reliant and united. For this reason, it is essential to
conduct a family case study given that the family is the fundamental unit in society to
evaluate the home and family conditions to provide adequate nursing care and
health-related activities.

The perception or status of each household will always influence the condition of
the whole community. A response to people's health needs is community health nursing,
and it is not about a particular class or family. It is thorough and specific in its approach.
Community health services are not temporary, as the community itself requires constant
assessment and monitoring. The ultimate purpose of community health nursing is to
promote and preserve the health of individual families and groups or populations.

On the 13th day of November 2020, the student nurses interviewed with the
Family V from Brgy. Pusil, Lipa City, Batangas. Family V is considered an extended
family with eight members, comprising four adults, three children, and a deceased
member. (Ambrosio, et al., 2014)

All things considered, the ultimate purpose of this case study is to assess the
health status of each member of the family, to formulate a nursing care plan for each
family health concern, and to create interventions to provide nursing care to the
household to enable them to improve their way of living, their health status, and to
become self-reliant in maintaining their wellbeing.
 ACKNOWLEDGEMENT

The study provided our group the chance to learn about a family's different problems
and needs in developing their environment and, in particular, their health status.
Nevertheless, we would be unable to do all of these things without the assistance of
those who supported us throughout the study.

With a sense of appreciation and pleasure, the student nurses adhere to express their
overwhelming and genuine gratitude to the following people who extended their
never-ending support, guidance, assistance, and encouragement to the success of this
study. This section is for all of them.

First of all, we would like to express our deepest gratitude to our dear professors,
especially Mr. Rod Cyrus Kent Ebite, for his help, guidance, and encouragement
in our family case study and far beyond. His compassion in sharing his
knowledge and his sacrificing his time and effort to help us conduct this study is
appreciated. Without his numerous suggestions and immense information, we
could have never completed the family case study. Thank you, sir!

To our friends, family, and classmates, who have fully supported our work and
assisted us up and down, providing moral and emotional support.

To Family V, who wholeheartedly participated and supported our family case

study without any hesitation. Thank you!

And, of course, to our Omniscient God, for providing us an opportunity to see and
influence the lives of community people; and for the strength and determination
to face the trials and assistance of nursing researchers.
 DEDICATION

To our Filipino healthcare workers and frontliners who selflessly continue to devote their
time and energy to contain this pandemic. Beyond the call of duty to serve others, you
have shown how people can still choose compassion and empathy. To our heroes with
no capes, we stand with you firmly. We pray that after the storm, we can rise above this,
stronger together. We salute you for your service from the bottom of our hearts.

Most of all, to our Heavenly Father, for giving us strength, overflowing blessings, and
broad knowledge while conducting this study.
 Chapter II
OBJECTIVES OF THE STUDY

This chapter presents the general and specific objectives of this family
case study. Setting objectives provides direction for planning a family nursing
intervention. It facilitates motivation for the client and the nurse by providing a sense of
achievement. (Kozier, Erb et. al., 2004).

OBJECTIVES
I. GENERAL OBJECTIVES
At the end of the student–family relationship, the adopted family will be able to
improve their health status and become self–reliant in maintaining their health through
appropriate interventions in a given time frame.

II. SPECIFIC OBJECTIVES

After 1 month of home visits and student nurse–family interaction, the student will
be able to:

1. Establish rapport and trust with the family

2. Trace the family medical and health history
3. Illustrate the genogram of the family that will help visualize hereditary pattern
4. Explain the family APGAR score that shows the relationship of family function
5. Determine the different nursing theories that are related to the family’s condition,
concerns, and problems
6. Give health teachings about possible risk factors
7. Identify actual and potential problems which may be a hindrance in attaining
optimum health
8. Categorize the identified health problems as health threat, health deficit or
foreseeable crisis
 9. Plan possible solutions or nursing actions to prioritize health problems.
CHAPTER III
INITIAL DATABASE

This chapter presents the family structure, characteristics, and dynamics such as
the demographic information of each family member outlining their names, age, sex,
civil satuts, occupation, educational attainment, position in the family, and date and birth
of place. Also, Descriptions of the family with regard to their socio-economic status,
physical environment, past and present history and family assessment based on
functional health patterns.

A. Family Structure, Characteristics, and Dynamics

FAMILY MEMBERS

Position in Name Age Sex Civil Occupatio Educatio Date of Birth

the Family Status n nal Birth Place
Attainme
nt

Grandfather Mr. LV 63 M Widowe Retired College June 21, Lopez,

d police Graduate 1957 Quezon

Father Mr. MJV 31 M Married I.T. College June 18, Lopez,

Graduate 1989 Quezon

Wife Mrs. AJV 31 F Married Online Vocational January Cabatuan,

(Respondent # Seller 6, 1989 Isabela
1)

Sister of Mr. Ms. MJV 27 F Single Operations College Decemb Lopez,

MJV and Graduate er 2, Quezon
(Respondent # Project 1992
2) Manager

First Child Child ZAV 6 F N/A N/A Elementar August Lipa City,
y Student 18, 2014 Batangas

Second Child Child 4 M N/A N/A Preschool Decemb Lipa City,

ZEV Student er 20, Batangas
2015
Third Child Child 1 F N/A N/A N/A January Lipa City,
ZMV 15, 2018 Batangas

The data above shows the age, sex, position in the family, civil status,
occupation, educational attainment, date of birth, and birthplace of the family V. From
the data above, it is evident that family V is an extended type of family. According to
Michelle Blessing, this form of a family relationship consists of two or more individuals
living in the same household who are related either by blood or marriage. This family
involves multiple families living together and working on shared objectives, such as
raising children and keeping up with household obligations.

In the present case study, Mrs. AJV stated that she is currently living at 29
Robledo St., Brgy. Pusil, Lipa City, Batangas with her father-in-law, sister-in-law, her
husband, and their three children. She only moved in with her husband when they got
married in 2013, while her husband’s family has started living there since 2008. They
decided to move there permanently since Mr. LV became a widow in 2015. Mr. and Mrs.
V have been married for about seven years now and they have three children.

It requires more than one member’s choices and judgments for better solutions
and agreements in terms of family decision-making. Mr. LV, Mr. MJV, and Mrs. AJV go
hand in hand in terms of decision-making when it comes to managing finances and
household duties. There are however, instances where Mr. LV becomes more dominant
in the family and decides for himself. As far as her family is concerned, Mrs. AJV is
more presiding than Mr. MJV, particularly with regard to health matters.
 B. Socio-Economic and Cultural Characteristics

Seven individuals are residing in the home of the V’s, four adults and three
children. Fortunately, all the adults living at the residence have their source of monthly
income. The grandfather, which is Mr. LV, is a retired police officer. He earns an
estimated 30,000 pesos from his monthly pension from the government. Next is his
daughter, Ms. MJV, a college graduate, gets her source of income as operations and
project manager in an IT company. She has an estimated gross pay of 18,000 pesos a
month. Proceeding with Mr. MJV, the son of Mr. LV and the brother of Ms. MJV, was
also a college graduate. He acquires an amount of 12,000 pesos as a monthly source of
income as an IT professional who works in an IT firm. Meanwhile, his wife, Mrs. AJV, is
a part-time online seller and a housewife. She cannot go full time at work for the reason
that their eldest child is only six years of age, while the youngest is only a 1-year-old
infant. Still, she receives at least 6,000 pesos from her online business as a monthly
source of income.

With the overall income, the family has the capacity to live a comfortable life.
According to NEDA, the divided total income of the family among the entire family
members must provide every individual in a family at least 2768.60 pesos. If we sum up
the total income of the family, they get a total of 60,000 pesos as the monthly income of
their family. Also, when divided among the seven members of the family, each of them
has 8,571 pesos, which is much more than the estimated amount of NEDA each
individual in the family should have per month. They can therefore be considered as a
family that is above average.

They are all members of the Roman Catholic Church. And as a tradition in the
Catholic family, they said that it is significant for them to go to church and praise God as
one family. Considering that they are an extended family, we can see in them how much
the culture of the Filipinos applies to them. They stay together as a family living with
their parents and siblings. They also said that their bond as a family is essential to them
as well.
 The V family also often participates in the activities of their communities, as they
have said that they are part of their culture and tradition. These activities include fiesta,
parties, carnivals that their community organizes. The family also enjoys and benefits
from the resources of the barangay.

C. Home and Environment

Mr. and Mrs. MJV have been living with Mr. MJV's parents since they were
married. Mr. MJV's parents own the house located at Brgy. Pusil Lipa City, Batangas.

Concrete and steel made up the house. The house has four rooms. The first
room is for Mr. LV, the second room is for the sister of Mr. MJV, the third room is a guest
room for their relatives, and the last space is for Mr. and Mrs. MJV together with the
children, since they are still young. Mr. and Mrs. MJV use one medium bed for them and
the youngest child, while the eldest and the middle child share a regular bed.

There are eight windows made of aluminum and steel in the house. One in each
room, while others are in the kitchen and living room. The location of their residence is
on elevated grounds, so the air is fresh.

The MJV family has only five types of appliances, including a refrigerator, a
television set, a kitchen stove, a washing machine in their backyard, and air
conditioners in the bedrooms. In terms of waste disposal, the community has a garbage
collector roaming around the barangay every Friday. The barangay requires all
households to segregate their garbage and should place them in a sack.

Mrs. AJV is the one who cooks and prepares food at home. She cooks using the
stove inside their kitchen. Their cooking utensils, such as pans, pots, and knives, are
complete. They use stainless spoons and forks, ceramic plates, and ordinary glasses
while eating.
 The source of water for the family is surface water. They use it to take a bath and
wash dishes and clothes. The family's drinking source is mineral water, which is
delivered to their home once in a while.

The family is near the hazards because there is a firing range in front of their
house. The area of their residence is safe from flooding because the house is on high
ground, and trees surround it.

The drainage system is underneath the front of their house. Since it is

accessible and flows everywhere, there is no barrier to the drainage system.

The family owns three vehicles, one for Mr. LV and two for Mr. and Mrs. MJV.
They use their automobile to go to work, social, and health facilities. The family does not
have any pets.

The nearest health facility for the family is the barangay health center. However,
there is another health facility, but it is beyond the barangay, the Metro Lipa Medical
Center. In terms of food resources, there is a market near them. However, it is also
outside the barangay.

D. Health assessment of Each Family Member

D1. PAST AND PRESENT ILLNESS

1. Health Assessment on Each Member:

a. Mr. LV - During a student nurse interview with the family, Mr. LV is not
there, but Ms. MJV said that she is not sure if her father is diabetic or not
because Mr. LV's sugar levels sometimes increase. Besides, Mr. LV has
hypertension, has been hospitalized due to high levels of uric acid, and
has completed vaccination. Ms. MJV also said that his father is about
165.1 cm tall and weighs about 67 kilograms. His BMI reveals normal, with
 a value of 24.6. He does not have any bad habits, but he only drinks
alcohol occasionally. He has a maintenance medication since he has
hypertension and hyperuricemia. According to Ms. MJV, if his father's
blood pressure increases, he usually drinks water and rest.

b. Mr. MJV- He was diagnosed with an ulcer when he was ten years old. Mr.
MJV also said that there was no hereditary and genetic illness to their
family. He is 180.34 cm tall and weighs about 84.37. His BMI reveals
overweight with a value of 25.9. He smokes and drinks alcohol. He
completed immunization vaccines and with no present illness.
c. Mrs. AJV- She has no chronic or congenital diseases. She also
completed her immunization vaccines and is using a family planning oral
contraceptive because the doctors advised her that they should have
family planning since they have three kids already. She is about 160.02
cm tall and weighs 56.70 kg. Her BMI has a normal weight value of 22.1.
She does not have any bad habits.
d. Ms. MJV- Ms. MJV had a previous illness of Urinary Tract Infection when
she was young. However, she suffers from UTI again when she drinks so
many soft drinks and juices. She also said that every time she has UTI,
Mrs. MJV only drinks Buko juice. She stated that buko juice is a great help
to her. She is 160 cm and weighs 59kg, and her BMI has a normal weight
value of 23. She has complete immunization vaccines and no bad habits.
e. Child ZAV- Mrs. AJV said that her daughter ZAV had suffered from
constipation since she was born. Sometimes ZAV can't defecate in a day,
and it often takes as many weeks before she can defecate again.
According to Mrs. AJV, they already consulted a pediatrician who
performed an ultrasound. ZAV's pediatrician advised her to eat fiber-rich
food and drink plenty of water. Besides, the pediatrician prescribed her to
take Duphalac suppository once a day. However, ZAV experiences pain
whenever her mother administers the drug, which is why she only takes it
once a week. She is 117.5 cm tall and weighs 19.96 kg, and her BMI has
 a normal value of 14.5. She has no chronic diseases, and she has a
complete immunization vaccine.
f. Child ZEV- As of today, he has no chronic or congenital disease. He is
105 cm tall and weighs 10 kg, and his BMI reveals underweight with a
value of 9.1. He has a complete immunization vaccine.
g. Child ZMV- As of today, she has no chronic or congenital disease. She is
85.1 cm tall and weighs 11.70 kg, and her BMI reveals normal with a value
of 17.8. She has a complete immunization vaccine.

D2. FAMILY ASSESSMENT BASED ON FUNCTIONAL HEALTH PATTERN

a. Health Perception-health management patterns

● Mr. LV and Child ZAV drink Intra Herbal Juice, which is not yet
approved by the Department of Health.
● Mr. MJV drinks alcohol occasionally and smokes. Mr. LV drinks only
when there is an occasion.
● If someone has a fever in a family member, they give Paracetamol
to adults and Tempra to children.
● The family has been able to recognize the importance of healthy
well-being.

b. Nutritional-metabolic pattern
● Kids are taking vitamins. (Fern C)
● Children eat junk food and chocolate, but sometimes Mrs. AJV
does not allow her children to eat chocolate and junk food every
day. They can only eat junk food and chocolates on a specific day.
● Children have a poor appetite, according to Mrs. AJV.
● Rice, fish, and vegetables constitute the daily food intake. They
only eat meat and sometimes fruit.
● The daily fluid intake is 8-10 glasses of water.
c. Elimination pattern
● There is no problem with their urine.
● Child ZAV suffers constipation.
● Only Ms. MJV has a problem with Urinary Tract Infection.
● Eliminates standard pee recurrence regularly: 4 times a day

d. Activity-exercise pattern
● Ms. MJV stated that Mr. LV is the only one in their family who does
exercise because some of the family members have no time to do
so because they are too busy with their schedule.
● The spare time activities of the kids are playing online games,
watching television, and YouTube. Sometimes they do physical
activity too like playing street games.

e. Sleep-rest pattern
● There is no problem or difficulty in sleeping in any member of the
household, verbalized by Mrs. AJV.
● Children sleep around 1 pm until 4 pm.
● Mrs. AJV said they usually sleep around 10 pm and wake up at 6
am.
● The family usually has eight hours of continuous rest.
● They take a rest, too, if they have spare time.

f. Cognitive-perceptual pattern
● Every member of the family has no sensory defect, verbalized by
Mrs. AJV.
● As the respondents, Mrs. AJV and Mrs. MJV were able to respond
to the questions appropriately and accurately.
● Mrs. AJV has stated that her children can respond when called.
● The memory is intact.
g. Self-perception/self concept
● Appeared trepidation and stress towards unspecific outcomes.
● Mrs. AJV has indicated that the things that can make her easily
mad or angry are when her children have not followed her.

h. Roles and relationship

● All members of the family are open to discuss their problems with
each other, said Mrs. AJV.
● Mrs. AJV also noted that they are not currently facing any
problems.

i. Sexual reproductive
● Parent are still reproductive, but Mrs. AJV uses an oral
contraceptive to prevent pregnancy
● Parents are active in sex.

j. Coping stress
● They spend time together, share chores, keep communication
channels open, and sit down for an evening meal together several
times a week to cope with stress.
● They do not take any medication to relieve stress.

k. Values/ belief Pattern

● The religion of the family is Roman Catholic.
● They often go to church, but only when there is a mass in their
barangay.
● The family also believes in a quack doctor and a fake healer.
● They also have values and beliefs in their religion.
E. Values, Habits, Practices on Health Promotion, Maintenance and Disease
Prevention

The members of Family V were all immunized. The current health problem
of the family is the constipation of Child ZAV. Her elimination pattern is only once
a week. Sometimes she cannot even defecate. And when she tries to excrete, it
is so hard for her. When it comes to adequate rest, they usually sleep at around 8
in the evening, and they routinely wake up at about 4 to 5 am. However, Mr. LV is
the only one able to get exercise because other family members do not have
time due to their job and household duties. Mrs. AJV stated that taking care of
her three children, teaching them school modules, and doing household chores is
very tiring, especially in times of COVID-19 pandemic. She also stated that
maintaining the health of her family is essential, which is why they follow
preventive measures and protocol for COVID-19. Whenever someone gets sick
in the family, they sometimes self-medicate, but they also make use of the health
facilities within the barangay. They are also taking advantage of various medical
services, such as free consultation. They believe in both herbal remedies, fake
healers, and drugs prescribed over the counter as a means to cure their illness.
 Chapter IV
FAMILY BACKGROUND

This chapter illustrates the Family Background of the study which includes
Database of the Respondent, Family Tree, General Household Data, Activities of Daily
Living which could be an indicative for the present health status of the family as it
continues to influence each of the family members.

Family History

Family V is composed of eight members. Mr. LV, 63 years old and a widower, is
the father of Mr. MJV and Ms. MJV. His wife died at the age of 57. The head of the
family is Mr. MJV. He is 31 years old and has three kids - ZAV, ZEV, and ZMV. Mrs. AJV
is the wife of Mr. MJV, and she is also 31 years old. Ms. MJV is the sister of Mr. MJV,
she is living with them, and her age is 27 years old. ZAV is the oldest daughter of Mr.
MJV and Mrs. AJV, six years old. ZEV is the middle child who is four years old, and the
youngest is ZMV, 1-year-old.

Mr. MJV was born and raised in Lopez, Quezon, and his family moved to Lipa
City, Batangas, in 2008. His father, Mr. LV, is a retired police officer, while his mother
was a housewife. In 2015, his mother died in a cerebrovascular accident at the age of
57.

His sister, Ms. MJV, was also born and raised in Lopez, Quezon. She is now 28
years old, working as an operation and production manager in an IT company.

Moreover, Mrs. AJV was born and raised in Cabatuan, Isabela. She is now 31
years old, working as an online seller and a mother of three children. Her mother
worked in the local government, who now owns a small sari-sari store. Her father died in
2017 due to heart failure. She has a 27-year-old sister who works as an accountant.
 Mr. MJV and Mrs. AJV met in their work, became a couple for two years, and got
married in January 2013. After getting married, they decided to buy a house in a
subdivision in the same barangay. However, when his mother died in 2015, they
permanently moved to their parents’ house.

Data Base of the Respondent

The respondent upon the interview is Mrs. AJV and Ms. MJV in the family

NAME: Mrs. AJV

AGE: 31 YEARS OLD
GENDER: FEMALE
ADDRESS: 29 Robledo St., Brgy. Pusil, Lipa City, Batangas
BIRTH PLACE: Cabatuan, Isabela
RELIGION: ROMAN CATHOLIC
OCCUPATION: ONLINE SELLER
CIVIL STATUS: MARRIED
NATIONALITY: FILIPINO
NO. OF CHILDREN: 3
EDUCATIONAL ATTAINMENT: VOCATIONAL
ESTIMATED MONTHLY INCOME: 5,000 PHP
NAME OF HUSBAND: MR.MJV

NAME: MS. MJV

AGE: 27 YEARS OLD
GENDER: FEMALE
ADDRESS: 29 Robledo St., Brgy. Pusil, Lipa City, Batangas
BIRTH PLACE: LOPEZ, QUEZON
RELIGION: ROMAN CATHOLIC
OCCUPATION: OPERATIONS AND PROJECT MANAGER
 CIVIL STATUS: SINGLE
NATIONALITY: FILIPINO
NO. OF CHILDREN: NONE
EDUCATIONAL ATTAINMENT: COLLEGE GRADUATE
ESTIMATED MONTHLY INCOME: 18,000 PHP
NAME OF HUSBAND: NONE

B. Family Tree
C. General Household Data
1. Total No. of Children: 3 CHILDREN
2.. List of Household Members:

S
Educ. Position in Imm.
Members Status Occupation E Religion
Attainment the Family Status
X
Mr. LV Widowed Retired M College Grad. Roman Grand Father COM
Police Catholic
Mr. MJV Married I.T M College Roman Father COM
Grad. Catholic
Mrs. AJV Married Online Seller F Vocational Roman Mother COM
Catholic
Ms. MJV Single Operation F College Grad. Roman Sister of COM
and Project Catholic Mr.AJV
manager
Child ZAV Child N/A F Elem. level Roman 1st Child COM
Catholic
Child ZEV Child N/A M Pre-school. Roman 2nd Child COM
level Catholic
Child Child N/A F N/A Roman 3rd Child COM
ZMV Catholic
 Chapter V
FAMILY COPING INDEX

This chapter depicts the actual observation of the family behavior and practices
in contrast to the ideal family attitude and behavior. It includes an assessment on how
the family handles various stressors. The observations are analyzed to see occurrence
of health problems or negative attitudes and behavior.

Scaling:
1- No Competence
3- Moderately Competence
5- Complete Competence

CRITERIA IDEAL ACTUAL RATING JUSTIFICATION

1. Physical Is involved with The individuals in There are no

Independence the ability to move the family are all variations from
around, to get out able to move the norm within
of bed, to take without help and the physical
care of daily trouble; they are autonomy of the
hygiene, walking, also autonomous family individual.
etc. in moving around Each part of the
utilizing their 5 family has no
musculoskeletal famous
framework . Only incapacities in
ZMV, the one year moving and/or
old daughter, is doing their
the one who movement of
needs an every day living.
assistant because
 she isn't capable
of taking care of
herself since she's
still a baby.

2. Therapeutic Involves all They are mindful The guardians are

Competence procedures or of what to do in mindful of their
medications case an individual slips in
prescribed for the feels sick. They Therapeutic
treatment of have a Competence. The
illness, such as thermometer and family has a
prescription a first aid kit in source of income
drugs, appliances, their house. They which they are
dressing, also have the right 3 able to buy the
exercise, stress equipment to rightful
relief, diet plans, monitor the blood equipment and
etc. pressure of Mr. medicine if
LV. Families go to someone is ill in
the nearby their family.
barangay health
center if someone
is feeling ill.

3. Knowledge Associated with The mother has MRS. AJV

verbalized
of Health the specific health knowledgeable
“MAHALAGA
Condition condition that common basic PARA SA AMIN
YUNG
gives rise to information of the 3
AKSYUNAN
treatment, such illness or condition AGAD KAPAG
MAY
as the awareness and she knows
NARARAMDAMA
of the disease or the responsibility NG SAKIT.” The
mother is learned
the inability to on what to do if
on notable
 comprehend the someone in the wellbeing issues
and obligations .
communicability family is ill, but
She also knows
of illnesses and has not gotten a the salient facts
about the disease
the mode of handle on the
well enough to
transmission. general take necessary
action at the
Recognizing the standards, or is
proper time,
general pattern of somewhat understands the
rationale of care,
development of educated.
and is able to
newborn infants report significant
symptoms.
and basic
physical care
needs of infants.

4. Application Concerned with All family The family have

of Principles family action in members eat proper insights
of General relation to three to four times and good
Hygiene preserving family a day. Their daily decisions
nutrition, ensuring food is fish and pertaining in
adequate rest and vegetables. All of 5 having a healthy
relaxation for them drink 8 lifestyle. The
family members, glasses of water family is cautious
implementing except for the in what they will
accepted eldest child. The eat. And even
precautionary family completes though the kids
measures the 8 hours proper are not abundant
(immunization, sleep because in eating, they still
medical they sleep at 9pm. eat healthy foods
assessment, safe The parents have such as
home-making in medical vegetables. They
relation to food equipment and always prioritize
storage and medicines in case the health of each
 preparation). of emergencies. member of the
And all of them family.
are immunized.

5. Health Primarily The elders are The family is very

Attitudes concerned with always conscious cautious of their
the way the family of using utensils surroundings.
feels about health especially when They maintain the
care in general, eating and they proper ways to
including often place things 3 prevent the
preventive in order for proper possible health
services, health sequence. All the issues that cause
care and public kids take vitamins disease and
health measures. at the same time illnesses.
as Mr. LV and the
eldest child use
herbal juice. And
the family believes
in quack doctors.

6. Emotional It has to do with The emotional Because the

Competence the maturity and competence of the family lives
integrity with family is good peacefully at
which the enough to cope home. Despite the
members of the with stress and fact that problems
family are able to challenges in life. 5 emerge, they
cope with the They see make sure that
usual stress and problems like any they would
problems of life, other family does. discuss and talk
and to plan for a They consider it through it in a
happy and fruitful as part of their life, calm manner and
 life. The extent to and must get as one family.
which individuals through it together
recognize the as family. Even
appropriate though they are
disciplines extended family,
enforced by their the two parents
own family and take responsibility
culture.Developin to their children.
g the They teach them
responsibilities the ways of life
and decisions of and are also
the individual. An responsible for
eagerness to disciplining them.
meet sensible
responsibilities, to
accept fortitude
adversity, to
consider the
needs of others
as well as one's
own.

7. Family Concerned about The family has no They give respect

Living the interpersonal problem in to their individual
or group aspect of regards with their relationship with
family life. interrelationship the members of
Members of the with each other. 5 the family. They
family get along They are close also share their
with each other, enough to help decision making
the ways in which one another when among the
they make someone is in members of the
 decisions that need. They family except to
affect the family, consult everybody the children. Each
the extent to before they make of them has also
which they a decision that their own part or
support each involves their function in the
other and do family and their family, which is
things as a family, home. Except the well respected as
the degree of children are not well.
respect and yet involved in the
affection, and the decision making
way in which they as they are still
organise the young and do not
household have the ability to
finances. comprehend
enough with the
needs of the
family.

8. Physical Concerned with The family house Even though the

Environment the home, is in good firing range in
community and condition. It's not front of their
work environment crowded because residence follows
as it affects family they do not have 3 precautionary
health. House many household measures and
conditions such items. It provides safety protocols,
as accident privacy in their there is still an
hazard pressure, environment. accident hazard.
screening, However, there is Their house is
plumbing, system, a presence of free from debris
cooking facilities, accident hazards and in excellent
privacy, due to the firing condition.
 community level range in front of Besides, the
(deteriorated their residence. mosquitoes may
neighborhood, There is a water inhabit the
presence of social storage facility stagnant water
hazards, pests), next to their house beside their
school transport used for residence.
and accessibility. emergencies.
They use gas for
food preparation,
and they use cars
for transport. The
neighborhood is
decent.

9. Use of Degree of use of The family is The family knows

Community the family and aware of the when who, or
Facilities awareness of the health center in where to call or
community their barangay. ask for help,
facilities available There's also a particularly in
for welfare and private hospital terms of health.
education. near the area, but 5 The family is
it's already knowledgeable of
outside of the the community
barangay. Usually, facilities, and they
the family uses make prompt use
community of them. They
services, have developed a
especially free relationship with
vitamins, and free community
consultation, to workers.
save funds. They
approach a
private doctor if
barangay health
workers are
unable to comply
with their
condition. The
children also go to
the public school
in their barangay.
 Chapter VI
TYPOLOGY OF NURSING PROBLEM

This chapter discusses the problems that were identified during assessment and
interview with the family. It includes the cues/data, the family nursing problem and the
nursing diagnosis. The problems identified are categorized into presence of wellness
state, health deficits, health threats, foreseeable crisis and stress points.

Table 4. Typology of Nursing Problems identified in Family V

CUES OR DATA FAMILY NURSING PROBLEMS

Subjective Data: I. Poor home/environmental

Mrs. AJV stated: condition/ is specifically water
“Meron kaming mga inipon na tubig sa storage that serves as a
gilid ng bahay para may magagamit kami
breeding site of mosquitos as a
kapag nawawalan ng tubig.”
health threat.

Objective Data: 1. Inability to make decisions with

There is a water storage beside the respect to taking appropriate
residence which may be inhabited by health action due to:
mosquitoes. a. Failure to comprehend the
nature/magnitude of the
problem/condition
2. Inability to provide a home
environment conducive to health
maintenance and personal
development due to:
a. Failure to see benefits if
investment in home
environment improvement;
 b. Lack of/inadequate
knowledge of preventive
measures

Subjective Data: II. Unhealthy Lifestyle and

According to Mrs. AJV “Madalas umiinom Personal Habits/Practices,
at naninigarilyo ang aking asawa. Si papa specifically alcohol drinking and
naman ay umiinom lang kapag may
cigarette smoking as a health
okasyon”
threat
Objective Data:
Mr. LV: 1. Inability to recognize the presence
Pulse rate: 89 bpm of the condition or problem due to
Respiratory rate: 16 bpm attitude which hinders recognition
Blood Pressure: 120/90 of a problem.
Temperature: 37.2
2. Inability to make decisions with
BMI: 24.6 (Normal)
respect to taking appropriate
Mr. MJV: health action due to failure to
Pulse rate: 91 bpm comprehend the nature of the
Respiratory rate: 19 bpm problem/condition.
Blood Pressure: 110/80
Temperature: 36.9
BMI: 25.9 (Overweight)

Subjective Data: III. Poor home condition

“Sa ref namin nilalagay yung mga karne specifically lack of food storage
saka yung ibang pang-ulam na pwede pa facilities as a health threat
initin. Kapag may tirang kanin at ulam,
madalas tinatakpan lang namin ng plato.”
1. Inability to make decisions with
Objective Data: respect to taking appropriate
Most left-over foods are placed in the health action due to:
table covered with plates only. a. Low salience of the
Condiments are placed in a bowl below problem;
the sink. b. Negative attitude towards
health problem;
c. Inaccessibility of appropriate
resources for care
specifically financial
constraints
Subjective Data: IV. Comorbidity is specifically
“Di ako sure kung diabetic si papa, pero Hypertension , Diabetes and
lagi mataas ang sugar nya. May Gouty Arthritis, as health deficit
hypertension din sya.” - Mrs. AJV

“May gamot si papa para sa highblood. 1. Inability to recognize the presence

Hindi ko lang maalala kung ano yun. Si of the problem due to denial about
mama kasi ang madalas bumibili ng its existence as a result of fear of
gamot noon para kay papa.” - Mrs. AJV consequences of diagnosis of the
problem.
“Saka lang umiinom si papa ng gamot 2. Inability to make decisions with
kapag masama na yung lasa nya.” - Ms.
respect to taking appropriate
MJV
health actions due to:
“Mataas ang uric acid nya. Namamaga a. Failure to comprehend the
ang tuhod nya noon kaya nagpadala na nature of the problem.
sa ospital” 3. Inability to provide adequate
nursing care to the sick, disabled,
“Yung sa hypertension ni papa, kapag dependent or vulnerable/at-risk
masama lasa nya tumatawag pa kami sa
family member due to:
labas para may magcheck ng BP nya.” -
Ms. MJV a. Inadequate knowledge and
skill in carrying out the
necessary care;
Objective Data: b. Inadequate family resources
Mr. LV: for care, specifically
absence of responsible
The patient has the following history:
Hypertension (2008) members.
● Blood Pressure: 120/90
● Pulse rate: 89 bpm
● Respiratory rate: 16 bpm
● Temperature: 37.2
● BMI: 24.6 (Normal)

Hyperglycemia (2018)
● Dry mouth and skin
● Blurred vision 20/200 (Snellen
chart)
High uric acid levels (2018)
● Swelling in the limbs
Subjective Data: V. Urinary Tract Infection (UTI) as
“Ang kapatid naman ng aking asawa ay health deficit
nagkaroon ng UTI at ang alam ko ay may
UTI pa din siya hanggang ngayon.” - Mrs.
1. Inability to recognize the presence
AJV
of the condition or problem due to
“Kapag nakakaramdam ako ng sakit at lack of or inadequate knowledge.
hapdi ‘pag umiihi ako, alam ko may UTI 2. Inability to make decisions with
na ako. Madalas ganon kasi madalas din respect to taking appropriate
akong umihi.” - Ms. MJV health actions due to:
a. Low salience of the
“Buko juice at tubig yung madalas kong
problem/condition;
inumin.” - Ms. MJV
b. Inadequate knowledge as to
Objective Data: alternative courses of action
Ms. MJV: open to them.
Pulse rate: 67 bpm 3. Inability to provide nursing care to
Respiratory rate: 16 bpm the sick disabled, dependent or
Blood Pressure: 110/62 vulnerable/at-risk family member
Temperature: 37.1
due to:
BMI: 23 (Normal)
a. Inadequate knowledge and
Foul smell and yellowish urine skill in carrying out the
Needing to urinate often necessary care;
b. Lack of/inadequate
knowledge of the nature and
extent of nursing needed.

Subjective Data: VI. Constipation as health deficit

“Yung panganay kong anak ay
constipated. Hirap sya makapupu. Once a 1. Inability to recognize the presence
week lang siya pumupupu. Minsan hindi
of the constipation due to denial
pa.” - Mrs. AJV
about its severity as a result of fear
“Hindi sya makapupu tapos palaging of consequences of diagnosis of
matigas yung pupu nya. Kinakapa ko constipation, specifically:
yung tyan nya kung matigas na ba.” - a. physical consequences
Mrs. AJV b. emotional/psychological
issues/concerns
She also stated that the restrictions said
2. Inability to make decisions with
by the doctor are not followed.
“Hindi nasusunod. Pinapainom siya ng respect to taking appropriate
madaming tubig ng doktor niya pero health action due to:
tamad naman siya uminom.” a. Fear of physical
consequences of action;
She said that Duphalac suppository is the b. Lack of/inadequate
prescribed medicine for ZAV’s knowledge about child
constipation. development and care.

“Sabi ng doktor sa amin ay once a day

dapat pero once a week lang nya
natetake dahil nasasaktan siya at iyak
siya ng iyak.”

“Hanggang ngayon ay nakadiaper pa din

siya. Hindi nya pa kayang dumumi sa
banyo dahil hirap siya dumumi.”

She also stated that ZAV and her

father-in-law drink Intra herbal juice.
“Si papa at yung panganay kong anak ay
umiinom ng Intra herbal juice.”

Objective Data:
Child ZAV:
Height: 117.5 cm
Weight: 19.96 kg
BMI: 14.5 (Normal)
(Ideal BMI for gender and age: 13.4 to
17.3)

Dry, hard, formed stool

Straining with defecation
Distended abdomen

Subjective Data: VII. Imbalanced nutrition, less than

Mrs. AJV stated that her three children do body requirements as health
not have an appetite to eat most of the threat.
time.
1. Inability to recognize the presence
When asked if the child eats junk food, of imbalance nutrition in a
she replied “Oo. Pero hindi araw araw.” dependent member due to lack of
knowledge.
Lack of interest in food 2. Inability to decide about taking
appropriate health action due to
Objective Data: failure to comprehend the nature,
Child ZEV: magnitude, and scope of the
Height: 105 cm problem.
Weight: 13 kg 3. Inability to provide adequate
BMI: 12.1 (Underweight) nursing care to a member suffering
(Ideal BMI for gender and age: 13.9 to from imbalanced nutrition due to:
 16.8) a. lack of knowledge about the
health condition
Pale conjunctiva b. Lack of/inadequate
knowledge about child
development and care
c. lack of knowledge on the
nature and extent of nursing
care needed.

Chapter VII
PRIORITIZING PROBLEMS

This chapter shows the setting of priorities of family health problems that has
been identified. It includes a computation on how priorities were shown with their
corresponding justification.

I. Poor home/environmental condition/ is specifically water storage that

serves as a breeding site of mosquitos as a health threat.
Criteria Computation Actual Justification
Score

1. Nature of the 2/3x1 0.66 This problem is a health threat.

Problem

2. Modifiability 1/2x2 1 The problem is partially

of the modifiable, since the solution to
Problem this issue involves financial
resources to improve the storage
of water beside their residence.

3. Preventive 3/3x1 1 This problem has a high

Potential preventive potential, as a
solution to this problem could
help to eliminate the resting sites
of vectors that could prevent
them from developing dengue
disease.

4. Salience of 0/2x1 0 The family did not perceive this

the problem as a problem or condition
 needing change.

TOTAL SCORE 2.66

II. Unhealthy Lifestyle and Personal Habits/Practices, specifically alcohol

drinking and cigarette smoking as a health threat
Criteria Computation Actual Justification
Score

1. Nature of the 2/3x1 0.66 This problem is a health threat.

Problem

2. Modifiability 1/2x2 1 This problem is partially

of the modifiable because it requires
Problem changing the person’s lifestyle.
Quitting from drinking alcohol
and smoking cigarettes takes a
lot of time.

3. Preventive 3/3x1 1 Making healthy lifestyle

Potential changes, especially quitting
alcohol drinking and cigarette
smoking, affects not only our
disease risk, but also our health
and ability to function
independently in later life.

4. Salience of 1/2x1 0.5 The family sees this problem as

the problem a condition/problem not needing
immediate attention.

TOTAL SCORE 3.16

III. Poor home condition specifically lack of food storage facilities as a health
threat
Criteria Computation Actual Justification
Score

1. Nature of the 2/3x1 0.66 This problem is a health threat.

Problem

2. Modifiability 2/2x2 2 The problem is easily modifiable.

 of the According to Mrs. AJV, they use
Problem plates to cover their leftover
foods. There are alternative
storages like tupperwares.

3. Preventive 2/3x1 0.66 Managing this problem could

Potential prevent food spoilage and
contamination that can cause
various illnesses like stomach
ache and diarrhea. Moreover,
various vectors of diseases such
as flies, rodents, and
cockroaches can be avoided to
prevent food contamination.

4. Salience of 0/2x1 0 The family did not perceive this

the problem as a problem or condition
needing change.

TOTAL SCORE 3.32

IV. Comorbidity is specifically Hypertension, Diabetes and Gouty Arthritis, as

health deficit
Criteria Computation Actual Justification
Score

1. Nature of the 3/3x1 1 Hypertension is a health deficit.

Problem

2. Modifiability 2 /2x2 2 The problem is easily modifiable

of the by teaching Mr.AV some health
Problem teaching advice and advising
him to do an exercise.

3. Preventive 3/3x1 1 This is highly preventive if the

Potential family has learned the
importance of healthy living.

4. Salience of 1/2x1 0.5 The family sees this issue as a

the problem condition/problem not requiring
quick consideration.

TOTAL SCORE 4.5

V. Urinary Tract Infection (UTI) as health deficit
Criteria Computation Actual Justification
Score

1. Nature of the 3/3x1 1 Urinary tract infection is a health

Problem deficit

2. Modifiability 1/2x2 1 The problem is easily modifiable

of the by teaching or advicing the
Problem family to eat proper foods and
hydrate themselves with lots of
water.

3. Preventive 2/3x1 0.66 This is easily preventable if the

Potential family has learned the
importance of drinking lots of
water to flush out toxic out of
your body.

4. Salience of 1/2x1 0.5 The family perceives this as a

the problem problem or condition needing
change.

TOTAL SCORE 3.16

VI. Constipation as health deficit

Criteria Computation Actual Justification
Score

1. Nature of the 3/3x1 1 The problem is a health deficit.

Problem

2. Modifiability 2/2x2 2 The problem is easily modifiable

of the if they follow their doctor’s order
Problem which is to drink lots of water.

3. Preventive 3/3x1 1 This is highly preventable if the

Potential family knows the importance of
adding lots of fiber in their diet
and drinking lots of fluids.

4. Salience of 2/2x1 1 The family sees this problem as

the problem a condition/problem needing
immediate attention.
 TOTAL SCORE 5

VII. Imbalanced nutrition, less than body requirements as health deficit

Criteria Computation Actual Justification
Score

1. Nature of the 3/3x1 1 The problem is a health threat

Problem

2. Modifiability 2 The problem is easily modifiable.

of the Mrs. AJV stated, they eat
Problem 2/2x2 healthy food such as fish and
vegetables. And all of them drink
8 to 10 glasses of water a day
except for the eldest child.

3. Preventive 1 This problem has a high

Potential preventive potential by
3/3x1 managing, maintaining or
improving the health nutrition of
the family.

4. Salience of 0.5 The family sees this problem as

the problem 1/2x1 a condition/problem not needing
immediate attention.

TOTAL SCORE 4.5

 Chapter VIII
NURSING CARE PLAN

This chapter shows the identified and prioritized problems in a ranking order. This
chapter also presents the family care plan formulated by the student nurse together with
the family.
PROBLEM LIST

PROBLEMS SCORE

Constipation as health deficit 5

Comorbidity is specifically 4.5

Hypertension, Diabetes and Gouty
Arthritis, as health deficit

Imbalanced nutrition, less than body 4.5

requirements as health deficit

Poor home condition specifically lack 3.32

of food storage facilities as a health
threat

Unhealthy Lifestyle and Personal 3.16

Habits/Practices, specifically alcohol
drinking and cigarette smoking as a
health threat

Urinary Tract Infection (UTI) as health 3.16

deficit

Poor home/environmental condition/ is 2.66

specifically water storage that serves
as a breeding site of mosquitos as a
health threat.

FAMILY NURSING CARE PLAN

Link:

FCS FNCP
 Chapter IX

SUMMARY, EVALUATION AND RECOMMENDATION

Presented in this case study is the different characteristics and health condition
of family V. This case study presents the family structure, socio – economic and cultural
factors, home and environmental factors, health assessment of each member. It also
contains data about identified problems on the living condition of the family.

Summary and Evaluation

The family V is considered as an extended type of family. This type of family unit
has multiple relatives or close friends other than just the parents and their children living
in the same household or keeping close ties and taking on responsibilities for that
household. In most cultures, the "core" of the family is the nuclear family, the parents
and their children, while additional relatives are considered "extended." The key
characteristic of the extended family is that there are multiple adults in the family that
are not parents of the children, though they may also have parent-like roles and share in
the responsibilities for providing for the whole family, either by contributing financially or
in other ways.
 The V family resides in Brgy. Pusil Lipa City, Batangas. They have started living
there since Mr. MJV and Mrs. MJV got married. Their house is made up of concrete and
steel. It has four rooms, which is the first room belongs to Mr. LV, the second room is for
the sister of Mr. MJV, the third room is a guest room , and the last space is for Mr. and
Mrs. MJV together with their children, since they are still young. In addition, their
residence is located on higher grounds, so the air is fresh.

The V family’s source of income comes from Mr. LV, Ms. MJV, and Mr. MJV. If
going to sum up the total income of the family, they get a total of 60,000 pesos as the
monthly income of their family. According to NEDA, each individual should at least have
Php 2768.60 when the total monthly income of the family is divided among the total
family members. In the case of the V family, when the total income is divided among the
seven members of the family, each of them has 8,571 pesos, which is much more than
the estimated amount of NEDA each individual in the family should have per month.

All of them are affiliates of the Roman Catholic church. And as a tradition in the
Catholic family, they said that it is significant for them to go to church and praise God as
one family. But at this time of pandemic, they are not able to go to church to serve their
responsibility to God. Thus, they make sure that they still praise and thank Him all the
time even though they are only staying at home.

The V Family enjoys and benefits the community resources since the community
provides the necessary needs of each family. The father is an IT professional who
works in an IT firm. Meanwhile, his wife, Mrs. AJV, is a part-time online seller and a
housewife. She cannot go full time at work for the reason that their eldest child is only
six years of age, while the youngest is only a 1-year-old infant.

The family V often participates in the activities of their communities, as they have
said that they are part of their culture and tradition. These activities include fiesta,
parties, carnivals that their community organizes.
 The source of water for the family is surface water. They use it to take a bath and
wash dishes and clothes. The family's drinking source is mineral water, which is
delivered to their home once in a while.

The family is near the hazards because there is a firing range in front of their
house. The family's drainage system is underneath the front of their house. Since it is
accessible and flows everywhere, there is no barrier to the drainage system.

The family V is identified to have a healthy lifestyle pertaining to their eating

habits and beliefs in life. In this situation, they still encounter problems such as health
deficit and threats which are the children's appetite and Mr. MJV's hobbies in drinking
and smoking. A nursing care plan then is formulated to address the different problems
identified.

However, the family has the capability to improve their way of life. There is still
the opportunity in their system to meet the optimal characteristics and improve their
wellbeing capacity for maximum well-being.

The goals of the student nurse is to recognize family nursing issues were only
partly accomplished due to safety reasons. The student nurse, along with the family
helped the family to change their lifestyle and improve their health status through
inspiration and encouragement.

Although the execution of the interview allocated for the student nurse to learn
about the family was difficult and not adequate, due to the CoronaVirus pandemic. The
family is now oriented and prepared which can help them healthier.

Recommendations
The student nurses, along with the family, identified and prioritized issues and needs.
The student nurses have also developed a treatment plan on how to provide the best
nursing care for the family in order to meet their needs. Plans and recommendations
identified by both the student nurse and the family are the following:

1. Educate the family about the importance of having normal elimination process by
having good nutrition and correct amount of liquid intake;
2. The family V, especially the patient, should be encouraged to have an oral fluid
intake of 1,400 - 1,750 mL/day for children, and 2000 to 3000 mL/day for adults, if
not contraindicated;
3. Encourage the patient to drink certain fruit juices such as prune, apple, or pear;
4. Advise patient to increase intake of dietary fiber;
5. Let the patient undergo such activities or exercises per day;
6. Provide information about the relationship of diet, exercise, fluid, and appropriate
use of medication ordered by her physician.
7. Encourage healthy toilet habits such as sitting on the toilet for approximately 10
minutes once or twice a day after eating she does not have a bowel movement.
8. Encourage the mother of the patient to maintain an elimination diary.
9. Identify specific actions if the problem recurs.
References

Cuevas, F. et. al. Public Health Nursing in the Philippines. 10th ed. Philippines:2007

Untalan, A. Concepts and Guidelines in COPAR. 1st ed. Manila: Educational Publishing
House, 2005.

Ambrosio, M., Barnobal, R., Birador, R. M., Lorico, J. M., Natoza, R., Molina, P.
J., . . . Sarmiento, R. M. (2014, October 1). A Community Diagnosis of
Sitio Asana 1, Brgy. Santisima Cruz, Sta. Cruz, Laguna. Retrieved from
slideshare.net: https://www.slideshare.net/rozymea/chn-case-study

Araceli S. Maglaya, R. P. (2004). Nursing In the Community. Retrieved November

16, 2020

Merriam-Webster. (n.d.). Family. Retrieved November 16, 2020, from

Merriam-Webster.com Dictionary:
https://www.merriam-webster.com/dictionary/family

British Nutrition Foundation. (2018, August). Hydration for children. Retrieved

December 17, 2020, from British Nutrition Foundation:
https://www.nutrition.org.uk/healthyliving/hydration/hydration-for-children.html
Gil Wayne, B. R. (2017, September 24). Constipation Nursing Care Plan.
Retrieved December 16, 2020, from NursesLabs:
https://nurseslabs.com/constipation/

Health-Conditions.com. (n.d.). Constipation – Nursing Diagnosis & Care Plan.

Retrieved December 16, 2020, from Health-Conditions.com:
https://health-conditions.com/nursing-care-plan-constipation/

Kozier, B., Erb, G., Berman, A., & Synder, S. (2004). Fundamentals of Nursing
Concepts, Process, and Practice (Seventh ed.). Pearson Education South Asia
Pte Ltd. Retrieved December 22, 2020

Sood, M. R. (2020, January 23). Patient education: Constipation in infants and

children (Beyond the Basics). Retrieved December 16, 2020, from
UpToDate.com:
https://www.uptodate.com/contents/constipation-in-infants-and-children-beyond-t
he-basics#H14
 APPENDICES

APPENDIX A

LINK:
https://docs.google.com/document/d/1Xez-CS-io9gcILPw7THenECD0
PjynDXBweyZb9vHnCU/edit?usp=sharing
 APPENDIX B

Process Recording
This appendix represents the course of interaction between the student and the
family during each phase of interview. It also includes the reactions of the family or how
they respond to the questions that were raised during the entire interview.
Purpose:
1. To be able to have a specific data on how the interview was conducted
2. To be able to interpret or analyze the answers given by the respondent
3. To document pertinent data and how they responded to questions that
were raised

1. Orientation Phase
Student Nurse Client Remarks Rationale

“Good morning po Ma’am” “Good morning din! Bakit The student nurse The opening can be the
(wave and smile) ‘neng? Ano yun?” (smile) welcomed the respondent most important part of the
and the respondent invited interview. The purposes of
the student nurse in their the opening are to set up
house. rapport and situate the
interviewee. Establishing
rapport may be a handle
“Ako po si Chryslaine “Oo naman iha. Paanong The student nurse of creating goodwill and
Gian, 2nd year nursing family case study? educated the respondent trust to the client.. It can
student po sa De Lasalle Mahihirap ba ang mga on her reason for coming start with a welcoming
Lipa. Ako po ay naririto tanong sa interview? and the meeting. (“Good morning Sir!”) or
ngayon para po Tuloy muna ikaw sa loob self-introduction (“Good
mag-interview. Ang inyo ng bahay.” morning! I’m a nursing
pong pamilya ay ang student”) went with by
napili namin para sa nonverbal signals such as
aming family case study. a grin, a handshake, and
Pwede ko po ba kayong a neighborly way.
ma-interview?” Giving acknowledgment,
in a nonjudgmental way, of
an alter in conduct, an
“Salamat po ma’am “Ah sige. Ako si Mrs. AJV The student nurse effort the client has made,
(smiles). Madadali lang po iha pero pwede mo explained the purpose of or a commitment to
ang mga questions. Ang naman akong tawagin na the family case study and communication.
gagawin po natin ay mag tita na lang. Wag na asked the client's name. Affirmation may be with or
identify po tayo ng mga maam” (smile) without understanding,
actual at posibleng verbal or nonverbal.
problema po ng inyong
pamilya at gagawan po
natin ng plano para
maisaayos po natin.
Pwede po ba ma’am
malaman ang inyong
pangalan?”

“Sige po tita, saka nga po “Yung bahay na to is The student nurse verified
pala sa inyo po ba itong bahay to ng parent ng if the respondent was a
bahay na to? Gaano na husband ko, dati kumuha member of the community.
po kayo katagal dito?” kami ng bahay sa
subdivision kaso nung
namatay yung mother ng
husband ko nag decide na
lang kami na dito na lang
manirahan.”

“Sige po tita bale po “Pwede naman tuwing The student nurse asked
tuwing kailan po kaya Sunday kase dito lang the client’s availability in
kayo available para po sa naman ako sa bahay” an interview and told the
interview namin sa inyo respondent the time term
po? Yung interview namin of their remaining within
po is hanggang November the community.
until December lang
naman po.”

“Bale next visit po ay dito “Sige iha. 29, Robledo St., The student nurse knew
po uli ako pupunta. Ano Brgy. Pusil, Lipa City.” where she was going on
po bang address ng her next home visit.
inyong bahay?”
The student nurse
“Mayroon po bang buntis “Wala namang buntis iha. determined whether any
na nakatira dito po sa 3 bata lang. Saka si papa, special equipment is
bahay nyo, mga bata po? may history ng needed.
O may sakit po? Para lang hypertension”
po makapaghanda kami
sa susunod naming
bisita.”

“Sige po tita maraming “Sige iha walang ano The respondent approves
salamat po at pumayag po man, natutuwa din ako na of the student nurse’s
kayo na kayo yung iadopt ang aking pamilya ang purpose and
naming family, Inaasahan inyong napili ng sa ganon acknowledges her
po namin ang inyong malaman din namin if presence.
kooperasyon po” meron ba kaming severe
na karamdaman para ma
aksyonan kaagad at para
mabigyan niyo din kami
ng health education”

2. Working Phase
Student Nurse Client Remarks Rationale

“So tita simulan na po “Sige iha, ano ba mga The student nurse initiated Nurses engaged to
natin ang interview?” itatanong niyo? Ako lang the interview. The family-centered care
at ang mga bata ang respondent willingly involve both the ill and the
andito ha. Pati yung responded. family in the nursing
kapatid ng asawa ko.” process. Nurses can give
support and information
“Sige po. Okay lang po “Si papa, sya yung The data for family through their interaction
iyon. Sino po ang kasama biyenan ko. Yung asawa structure, characteristics, with families. Nurses
nyong nakatira sa inyong ko, yung kapatid nya, at and dynamics were make sure that not only
bahay? Ano po ang yung tatlo naming anak.” gathered. The respondent the individual but also
relasyon ninyo sa bawat was also asked to fill out a each family member
isa?” “Simula lang noong questionnaire for understands the health
“Kailan pa po kayo bagong kasal kami, demographic data and condition, its
nakatira dito?” January 2014. Itong background of each management, and the
bahay kasi ay sa member of the family. The effect of these two factors
magulang talaga ng questionnaire is presented on family functioning. The
asawa ko. Dito kami on Appendix A. nurse also evaluates the
namahay kasi walang readiness and ability of
kasama si papa simula the family to provide
nung namatay si mama.” continued home care and
supervision when
“Sige lang ‘neng. 4 na warranted. Families are
“Itong susunod na set of kwarto ang meron dito. Isa The data for given a chance to
questions po ay tungkol kay papa, isa sa aming socio-economic and demonstrate their ability to
naman sa mismong bahay mag-anak, at isa para sa cultural characteristics of provide care under the
po at sa environment po. kapatid ng aking asawa. the family were gathered. nurse's supportive
Hmm, ilan po ang kwarto Yung isa naman ay kapag The respondent was also guidance after carefully
ang mayroon dito?” may bisita, pero kapag asked to fill out a planned instruction and
umuuwi ang tito ng aking questionnaire for practice. When the
asawa dito sa Batangas, demographic data and indicated care is beyond
doon siya natutulog. Sa background of each the family's ability, nurses
Pampanga kasi siya member and expenses of work with families to
nagtatrabaho.” the family. The identify socially and
questionnaire is presented financially acceptable
“Oo. Walo lahat ng on Appendix A. resources that are
“Ah. So may tig-iisang bintana sa bahay kaya available.
bintana po bawat kwarto? fresh yung hangin.”
Presko naman po ang Nurses use the data
hangin dito?” collected during the family
“Yung bahay at lupa ay sa assessment to identify
“Ito po ba ay sarili ninyong mga magulang ng nanay family resources and
lupa at bahay o ng aking asawa.” deficits. By formulating
nangungupahan po mutually acceptable
kayo?” reintegration goals, nurses
“Oo, meron. Bale tatlo help families cope with the
lahat. Isa kay papa, at problem. The reality of the
“Meron po ba kayong dalawa sa aming illness and the changes
sasakyan? Ilan po?” mag-asawa.” that it may have brought
about, which may include
“Yung inumin namin ay new roles and functions of
mineral water. May family members or the
“Ano po ang main source nagdedeliver dito sa amin. need to provide the
ng tubig niyo? San po Yung pangligo, panglaba patient with continuing
kayo kumukuha?” naman eh sa water medical care or recovery.
district. Meron kaming Working together, nurses
mga inipon na tubig sa and families can create
gilid ng bahay para may environments that restore
magagamit kami kapag or reorganize the
nawawalan ng tubig.” functioning of the family
during illness and during
the recovery process.
“Ay, maganda dito samin.
Nangongolekta ng basura
“Pagdating naman po sa ang truck barangay tuwing
pagtatapon ng basura, Friday. Required kada
paano nyo po iniipon at household na
tinatapon ang mga magsegregrate ng basura.
basura?” Dapat may sariling sako
din.”

“Wala”

“May family pet po ba “Meron. Yung Metro Lipa

kayo?” Medical Center. Ang
“Meron po bang malapit pinakamalapit ay yung
na health facilities sa center ng aming barangay.
bahay niyo? Grocery Medyo malapit kami sa
stores po?” palengke kaso sa labas
pa ng barangay namin.”

“Osige ‘neng. Di lang ako

sure don sa iba. Wag The data for health
“Buti po ay meron pong mahirap ang tanong ha.” assessment of each family
malapit na ospital dito. (laughs) member and the family
Ang susunod naman po coping index were
na mga tanong ay tungkol gathered. A table for the
sa health nyo naman po. BMI of each member of
Yung mga past and the family and daily food
present illnesses po ng intake is presented on
pamilya at tsaka kung Appendix A.
paano nyo po hinahandle
ang mga ganoong sakit.
Pwede na po ba tayong
magsimula?” “Di ako sure kung diabetic
si papa, pero lagi mataas
“Hindi naman po. Kayang ang sugar nya. May
kaya nyo po ito (laughs). hypertension din sya.
First question po, sino po Mataas ang uric acid nya.
ang nagkaroon ng sakit sa Namamaga ang tuhod nya
inyo dati at tsaka yung noon kaya nagpadala na
may sakit po ngayon.” sa ospital. Ang kapatid
naman ng aking asawa ay
nagkaroon ng UTI at ang
alam ko ay may UTI pa
din siya hanggang
ngayon. Ang asawa ko
naman ay nagkaulcer
 noon. Yung panganay
kong anak ay constipated.
Hirap sya makapupu.
Once a week lang siya
pumupupu. Minsan hindi
pa.”

“May gamot si papa para

sa highblood. Hindi ko
“Ano pong iniinom nilang lang maalala kung ano
gamot?” yun. Si mama kasi ang
madalas bumibili ng
gamot noon para kay
papa. Yung panganay ko
naman ay Duphalac
suppository. Para yon sa
constipation nya.”

“Buko juice at tubig yung

madalas kong inumin.” -
Ms. MJV

“Naku. Saka lang umiinom

si papa ng gamot kapag
“Yung mga gamot po na masama na yung lasa
iyon ay naiinom nila? nya.” - Ms. MJV
Nakakasunod naman po
sa prescription ng doctor? “Sabi ng doktor sa amin
ay once a day dapat pero
once a week lang nya
natetake dahil nasasaktan
siya at iyak siya ng iyak.
Hindi nasusunod. (tsk tsk)
Pinapainom siya ng
madaming tubig ng doktor
niya pero tamad naman
siya uminom.” - Mrs. AJV

“Meron naman. Kaso

kapag masama lasa nya
“Sa kaso ng hypertension tumatawag pa kami sa
ni Mr. LV, mayroon po labas para may magcheck
bang tamang kagamitan ng BP nya.” - Ms. MJV
ang pamilya upang
masubaybayan ang
kanyang BP?” “Yung sa hypertension ni
papa, kapag sumasakit
“Ano po ang ginagawa ang ulo nya saka nahihilo
ninyo kapag dumadaing ay pinapacheck ko na
po sila ng sakit? Aware po agad yung BP nya. Don
ba kayo sa mga sintomas naman sa constipation ng
ng constipation, aking anak, hindi sya
hypertension, at UTI?” makapupu tapos palaging
hard yung pupu nya.
Kinakapa ko din yung tyan
nya if matigas na ba.” -
Mrs. AJV
“Kapag nakakaramdam
ako ng sakit at hapdi ‘pag
umiihi ako, alam ko may
UTI na ako. Madalas
 ganon kasi madalas din
akong umihi.” - Ms. MJV

“Oo. Si papa at yung

panganay kong anak ay
“Gumagamit po ba kayo umiinom ng Intra herbal
ng herbal na gamot?” juice.” - Mrs. AJV

“Biogesic para sa
matanda at Tempra sa
“Pag may nilalagnat o bata. Sa ubo naman eh
nagkakasakit sa member Fluimucil. Kapag sinisipon
ng family niyo ano kaagad ay Neozep.” - Mrs. AJV
yung action niyo or ano
pinapainom niyo kaagad
sa kanya?” “Meron ‘neng, Fern-C.”
- Mrs. AJV
“Yung mga bata po ba ay
may iniinom na vitamins?” “Nako. Yan ang problema
ko sa kanila. Madalas eh
“Magana po ba kumain walang gana kumain. Lalo
ang mga bata?” na yung pangalawa ko.”
- Mrs. AJV

“Oo, pero hindi araw-araw.

Madalas ang ulam namin
“Ano po ang madalas nila ay isda o itlog.”
kinakain? Madalas po ba
sila mag-sitsitsirya?”
“Sa ref namin nilalagay
yung mga karne saka
“Kapag po may natitirang yung ibang pang-ulam na
ulam, saan po ninyo pwede pa initin. Kapag
madalas nilalagay?” may tirang kanin at ulam,
madalas tinatakpan lang
namin ng plato.”

“Umiinom at naninigarilyo
ang aking asawa. Si papa
“Last question po, meron naman ay umiinom lang
po bang naninigarilyo at kapag may okasyon.” -
umiinom po ng alak sa Mrs. AJV
pamilya ninyo?”

3. Termination Phase

Student Nurse Client Remarks Rationale

“At dun po nagtatapos ang “Balik lang kayo dito if The student nurse Communicating
aming interview sa inyo. meron pa kayong summarized appreciation makes the
Thank you po sa kailangan para sa family accomplishments of the respondent feel that they
cooperation (smile). Bale case study niyo” visit and discussed plans did something great.
isummarize ko lang po for the next visit. Giving acknowledgment,
ang interview. Yung in a nonjudgmental way, of
questions po ay tungkol an alter in behavior, an
sa inyong pamilya, sa exertion the client has
bahay at environment po made, or a commitment to
ninyo, at sa health po ng communication.
bawat member ng family.” Affirmation may be with or
without understanding,
“Opo naman. Sa susunod “Sige ‘neng. Andito naman verbal or nonverbal.
na Linggo na lang po uli sila papa tuwing Linggo.
ako babalik para po Mga hapon ‘neng.”
kumpleto kayo dahil
magcheck po ako ng vital
signs ninyo. Okay lang po
ba yon? Available po ba
kayo ng Linggo? Anong
oras po kayo pwede?”

“Sige po. Maraming “Walang ano man iha, The respondent

salamat po tita sa inyong nagpapasalamat din ako acknowledged our
kooperasyon sa amin, sa inyo dahil kami ang presence and was open in
malaking bagay po ito napili niyo na pamilya. replying to all the
para samin. Godbless po Always welcome kayo questions.
and ingat kayo parati. dito.”
(smile)

CURRICULUM VITAE

Full Name BADOCDOC, CHRYSLAINE GIAN C.

Address 31, Robledo St., Brgy. Pusil, Lipa City, Batangas

Email Address [email protected]

Educational Attainment
College De La Salle Lipa
1962 J.P. Laurel National Highway, Lipa City, Batangas
Bachelor of Science in Nursing (BSN)
2019-present
Polytechnic University of the Philippines
A. Bonifacio St, Matandang Balara, Santo Tomas, Batangas
Bachelor of Science in Information Technology (BSIT)
2018-2019

Senior High School Batangas College of Arts & Sciences, Inc.

Banaybanay Concepcion, Lipa City, Batangas
Science, Technology, Engineering, and Mathematics (STEM)
2016-2018

Junior High School Batangas College of Arts & Sciences, Inc.

 Banaybanay Concepcion, Lipa City, Batangas
2012-2016

Grade School St. Mary’s Montessori

Lipa City, Batangas
2006-2012

Academic and Non-Academic Achievements

Title/Description of the Achievement Dean’s Lister
School Year & Semester(if applicable) SY 2019-2020, 2nd Semester

Title/Description of the Achievement With Honors

School Year & Semester(if applicable) SY 2017-2018, 2nd Semester

Scholarship/s Received
Title/Description of Scholarship N/A
School Year & Semester(if applicable) N/A

Affiliation in School/Civic Organizations

Name of Organization Lasallian League of Nurses
Position Member
School Year & Semester (if applicable) S.Y. 2019-present

Full Name BAUTISTA, MARIA ZYLA ALLEYAH A.

Address 140 J.P. Laurel Highway Luta Sur Malvar Batangas

Email Address [email protected]

Educational Attainment

College De La Salle Lipa

1962 J.P. Laurel National Highway, Lipa City, Batangas
Bachelor of Science in Nursing (BSN)
2019-present

Senior High School Canossa Academy Lipa City San

Carlos, Lipa City, Batangas
Accountancy Business Management (ABM)
2017-2019

Junior High School Canossa Academy

San Carlos, Lipa City, Batangas
2013-2017

Grade School Our Lady of Perpetual Succor College (OLOPSC)

 Marikina City
2007-2013

Academic and Non-Academic Achievements

Title/Description of the Achievement With Honors
School Year & Semester(if applicable) N/A
Scholarship/s Received
Title/Description of Scholarship N/A
School Year & Semester(if applicable) N/A

Affiliation in School/Civic Organizations

Name of Organization Lasallian League of Nurses
Position Member
School Year & Semester (if applicable) S.Y. 2019-present

CURRICULUM VITAE

Full Name FAMATIGAN, STEVEN GABRIEL A.

Address Purok 1, Pinagkawitan Lipa City, Batangas

Email Address [email protected]

Educational Attainment
College De La Salle Lipa
1962 J.P. Laurel National Highway, Lipa City, Batangas
Bachelor of Science in Nursing (BSN)
2019-present

Senior High School B De La Salle Lipa

1962 J.P. Laurel National Highway, Lipa City, Batangas

(ABM) 2016-2018

Junior High School The Lipa Grace Academy, Inc.

B. Morada St. Ave. Lipa City, Batangas
2012-2016
Grade School The Lipa Grace Academy, Inc.
B. Morada St. Ave. Lipa City, Batangas
2006-2012

Academic and Non-Academic Achievements

Title/Description of the Achievement N/A
School Year & Semester(if applicable) N/A

Scholarship/s Received
Title/Description of Scholarship N/A
School Year & Semester(if applicable) N/A

Affiliation in School/Civic Organizations

Name of Organization N/A
Position N/A

Full Name INQUIT, PEACH ANGELU JOYCE V.

Address Brgy. Mabini Lipa city

Email Address [email protected]

Educational Attainment

College De La Salle Lipa

1962 J.P. Laurel National Highway, Lipa City, Batangas
Bachelor of Science in Nursing (BSN)
2019-present

Senior High School Ramon Avancena National High School

Yulo Drive Arevalo, Iloilo City
Accountancy Business Management (ABM)
2016-2018

Junior High School Ramon Avancena National High School

Yulo Drive Arevalo, Iloilo City
2012-2016
Grade School Arevalo Elementary School
Arevalo, Iloilo City
2006-2012

Academic and Non-Academic Achievements

Title/Description of the Achievement With Honors
School Year & Semester(if applicable) SY 2019-2020, 2nd Semester

Scholarship/s Received
Title/Description of Scholarship N/A
School Year & Semester(if applicable) N/A

Affiliation in School/Civic Organizations

Name of Organization N/A
Position N/A
School Year & Semester (if applicable) N/A