St. Mary’s CollegeTagum City

Bachelor of Science in Nursing

A Family Case Study of Canada Family

In Partial Fulfillment of Requirements inRELATED LEARNING EXPERIENCE

Presented to:

Mrs. Lesley A. Cadua, R.N.

Presented by:

De Guzman, Andrew Niño, B.SN – SMC

BSN-2A RLE

February 4, 2008

INITIAL DATA BASE

BARQUILLA FAMILY

Prk. 27, Garinan, Brgy. Madaum, Tagum City

A. Family Structure and Characteristics of Dynamics

FAMILY

MEMBER

S

AGE SEXCIVIL

STATUS

POSITIO

N IN THE

FAMILY

PLACE OF

RESIDENC

E

Rolando

Barquilla34 Male Married Father

Residing

with his

wife’s

family

Lovella

Barquilla34 Female Married Mother

Residing

with her

family

John

Lendonn14 Male Single Eldest

Residing

with her

parents

Jasper 8 Male Single Youngest

Residing

with her

parents

Type of Family Structure:

The type of family is traditional family. It comprises the father,

mother and their children. Both of the parents have their work and

they are married. And the family is living in the same house.

General Family Relationship:

The family is living together and in good condition. Both the

parents are the one who decide about the health care of the family as

well as the thing involved in money matters. The couple is very

particular to the education of the students as well as for the health

maintenance of each of the family members in terms of food and

immunization. They are also serious and responsible for their roles as

parents.

B. Socio-economic and Social Characteristics

Family

Membe

r

Occupation Income

Educationa

l

Attainment

Tribe

Religio

n

Rolando

Barquill

a

Factory

worker and

tricycle driver

Estimate

d:

P 5,000

monthly

High School

Graduate

Boholan

oCatholic

Lovella

Barquill

Businesswom

an

Estimate

d:

College

undergradua

Bisaya Catholic

aP 3,000

monthlyte

C. Home and Environment

1. Housing

a. Adequacy of Living Space

The house is enough for the family of four. It has

two rooms, one room is for the couple and one

room is for their two children. Their space is just

enough for them. The comfort room and cooking

area is located inside the house which is more

convenient but really needs a lot of space.

b. Adequacy of the Furniture

They own a refrigerator, radio, television, and

dvd player. They could also accommodate their

visitors in their sala set.

c. Presence of breeding sites of insects and rodents

We could find insects and rodents in their house,

like mosquitoes, flies and rats, they could be

found in the following:

stagnant water (pail, bottles, cans)

canals

well

dumped things

d. Kind of Neighborhood

Their neighbors are simple individuals like they

are, and living in a simple community where

their house are near from their neighbors.

e. Social and Health Facilities Available

In terms of social facilities, facilities near

includes the basketball court, school, chapel,

and the heakth center except for the barangay

hall which is far from them. The family is closely

located with their neighbors and could easily

affirm their social relations.

f. Communication and Transportation Facility Available

The Barquilla family has their own television,

radio, cellular phone, and they are supplied with

daily newspaper. They also have their own

tricycle for transportation.

D. Health Status of the Family Members

The family is in good condition except for Mr. Barquilla, he

has diabetes and UTI. Common colds are also threatening to the

family.

E. Values, Habits, Practices and Health Promotion, Maintenance and

Health Prevention

a. Immunization Status of the Family:

The children have acquired complete immunization.

b. Health, Lifestyle, Practices

With regards to their food intake, Mrs. Barquilla

makes sure that her children are acquiring complete

nutrition their body need.

c. Use of Protective Measures

To protect the family from insects, the family is using

insecticides to control them.

d. Presence of Accident Hazards

They are located in a deep well which is uncovered

and open canals.

e. Food Storage

Foods are stored in the refrigerator and left over are

left in the table covered.

f. Cooking Facilities

They use LPG to cook their foods.

g. Water Supply

For washing their clothes, bathing, dishwashing, and

other household chores, the family uses the water from

the deep well. They store the water in containers. For

drinking, their source is rain water and placed in a water

purifier. The deep well is also a source of other residents.

h. Toilet Facility

Their type of toilet is water sealed and it is located

inside their house. Their toilet is in good condition in

terms of structure and sanitation.

i. Garbage Disposal

Burying is the means of disposing their garbage.

j. Drainage System

They drain their water in an open canal and other

goes directly to the ground.

k. Lighting Facilities

The house of the family is powered by electricity.

FIRST LEVEL ASSESSMENT

A. HEALTH THREATS

1. Threat of cross infection from a communicable disease

Common colds are present in the community and anytime

could invade the health of the family especially the

children.

Houses are closely located together which contributes

greatly to the spread of infection.

2. Threat from breeding places of insects and rodents

Stored water are scattered outside the house for future

use.

Stagnant water could be a breeding place of insects

particularly the mosquitoes.

3. Presence of insects and rodents

Mosquitoes and rats are present in their house which is

really threatening to the health of the family.

Insects and rodent are harmful pests that could be

dangerous to the family.

B. HEALTH DEFICIT

1. Diabetes

One member of the family is diabetic particularly the father.

2. Urinary Tract Infection

The father, Mr. Barquilla have also Urinary Tract Infection.

SECOND LEVEL ASSESSMENT

A. HEALTH THREAT

1. Threat of cross infection from a communicable disease

Inability to provide a home environment which is

conducive to health maintenance and personal

development due to:

a. Ignorance for the preventive measures

b. Lack of protection from infection due to close

housing structure.

2. Threat from breeding places of insects and rodents

Inability to recognize the presence of the problem due

to:

a. Inadequate knowledge regarding the importance

of proper sanitation and preventive measures in

getting rid of insects.

3. Presence of insects and rodents

Inability to make decisions with respect to taking

appropriate health action due to:

a. Feeling of confusion and or resignation brought

about by failure to break down problems into

manageable units of attack.

B. HEALTH DEFICIT

1. Diabetes

Inability to provide adequate nursing care to the sick,

disabled, dependent, or vulnerable/ at risk member of

the family due to:

a. Ignorance of facts about the disease/ health

condition (nature, severity, complications, prognosis

and management).

b. Ignorance of the nature and extent of nursing care

needed

c. Lack of knowledge and skill in carrying out the

necessary treatment and care.

2. Urinary Tract Infection

Inability to provide adequate nursing care to the sick,

disabled, dependent, or vulnerable/ at risk member of

the family due to:

a. Ignorance of facts about the disease/ health

condition (nature, severity, complications,

prognosis and management).

b. Ignorance of the nature and extent of nursing care

needed

c. Lack of knowledge and skill in carrying out the

necessary treatment and care

SCALE FOR READING FAMILY HEALTH PROBLEMS ACCORDING

TO PRIORITIES

A. HEALTH THREAT

1. Threat of cross infection from a communicable disease

CRITERIACOMPUTATIO

N

ACTUAL

SCORE

JUSTIFICATIO

N

1. Nature of the

Problem2/3 x 1 0.67

It is a health

threat because

it could attack

the family

anytime.

2. Modifiability

of the problem 1/2 x 2 1

Communicable

disease

occasionally

returns to the

family.

3. Preventive

potential

3/3 x 1 1 Highly

prevented if the

members have

strong immune

system.

4. Salience of

the problem1/2 x 1 0.50

It is a problem

but the family is

not actually

threatened

about it.

TOTAL = 3.17

2. Threat from breeding places of insects and rodents

CRITERIACOMPUTATIO

N

ACTUAL

SCORE

JUSTIFICATIO

N

1. Nature of the

Problem2/3 x 1 0.67

It is a health

threat because

it could cause

harmful effects

to the family in

the future.

2. Modifiability

of the problem 1/2 x 2 1

Partially

modifiable

because there

is a need for

them to store

water for

several

purposes.

3. Preventive

potential

3/3 x 1 1 Breeding places

could be easily

cleaned if only

the family will

spend time on

doing it.

4. Salience of

the problem1/2 x 1 0.50

It is a problem

but the family is

not actually

threatened

about it.

TOTAL = 3.17

3. Presence of insects and rodents

CRITERIACOMPUTATIO

N

ACTUAL

SCORE

JUSTIFICATIO

N

1. Nature of the

Problem2/3 x 1 0.67

It is a health

threat because

they could

acquire disease

from the insects

and rodents

present.

2. Modifiability

of the problem 1/2 x 2 1

Insects and

rodents are not

erased easily

since they

continue to

reproduce.

3. Preventive

potential2/3 x 1 0.67

4. Salience of

the problem1/2 x 1 0.50

It is a problem

but the family is

not actually

threatened

about it.

TOTAL = 2.84

B. HEALTH DEFICIT

1. Diabetes

CRITERIACOMPUTATIO

N

ACTUAL

SCORE

JUSTIFICATIO

N

1. Nature of the

Problem3/3 x 1 1

It is a health

deficit because

the family

member is

already affected

with it.

2. Modifiability

of the problem

1/2 x 2 1 Partially

modifiable

because it takes

a lot of

treatment to

cure the

disease and

maintain it.

3. Preventive

potential3/3 x 1 1

Could be

prevented as

long as you

have your

treatment and

also control

your eating

habits.

4. Salience of

the problem2/2 x 1 1

The family sees

it as a problem

and that it

needs

immediate

attention.

TOTAL = 4

2. Urinary Tract Infection

CRITERIACOMPUTATIO

N

ACTUAL

SCORE

JUSTIFICATIO

N

1. Nature of the

Problem3/3 x 1 1

It is a health

deficit because

the family

member is

already affected

with the

disease.

2. Modifiability

of the problem

1/2 x 2 1 Partially

modifiable

because it is

not that easy to

cure the

disease.

3. Preventive

potential3/3 x 1 1

Could be

prevented as

long as you

control your

eating habits

and have a

treatment if you

are already

affected.

4. Salience of

the problem2/2 x 1 1

The family sees

it as a problem

and that it

needs

immediate

attention.

TOTAL = 4

PRIORITIZING PROBLEM

Rank Problem Score

1 *Diabetes

* Urinary Tract

Infection

4

4

2 * Threat of cross

infection from a

communicable

3.17

disease

* Threat from

breeding places of

insects and rodents

3.17

3 * Presence of insects

and rodents

2.84

FAMILY COPING INDEX

CRITERIA SCALING JUSTIFICATION

1. Physical

Independence5

The family is giving

all their care

whenever a member

is sick, they

cooperate and

support each other.

2. Therapeutic 3 They are capable of

Competence giving medications

but sometimes they

opt not to do it and

just lean on

controlling the diet

and generic

medicines.

3. Knowledge of

Health Condition3

The family can

identify minor

illnesses but they

tend to apply self

medications before

seeking any medical

assistance from

health care

personnel.

4. Applications of

Principles of General

Hygiene

3

They are hygienic

physically, they clean

their surroundings

but not all are done,

still, some garbage

remains.

5. Health Attitudes 3 The family accepts

medical services but

they prefer not to

avail such and choose

to have self

medications before

doing any referrals to

the Barangay Health

Center.

6. Emotional

Competence5

The Barquilla family

lives in unity and

harmony and faces

life positively.

7. Family Living 5

The family is

harmonious and they

have a strong bond

with each other.

8. Physical

Environment

3 They have adequate

living space which is

comfortable for a

family to live in. The

environment is not

that clean but the

family tends to do

household chores.

9. Use of Community

Facility3

The family is

knowledgeable of the

existing medical

services available in

the community but

unfortunately they

opted not to seek

medical advice.

However, the family

is well oriented of

what facility is

available in the

community and they

also use these

sometimes.