St.

Marys College Tagum City

Bachelor of Science in Nursing A Family Case Study of Tactay Family

In Partial Fulfillment of the Requirements in Related Learning Experience

Presented to: Mrs. Gemma l. Mulit , RN

Presented By: Pero, Sharmaine S. SN-SMC BSN-2D RLE

August 2011

Introduction

The Family is the basic unit of the society. It is a group related by blood, marriage or adoption that shared the same household, emotional bond and common goals. They also perform certain interrelated social tasks. The family has different types, functions and characteristics. There are also family developmental stages that each family will experience. This study identifies the different structures of the family including their individual health needs and problems. How they cope up with their activities of daily living and their relationship towards the community. The familys socio- economic data and housing and environmental condition can be also seen in this study, that includes the nursing interventions to the familys health problems and needs.

Melchor Tactay Male 44 y . o Farmer , Mandaya

Josephine Tactay Female 48 y . o Housewife Mandaya

Lindon Tactay

Hanybee Tactay Female 16 y . o Student, Mandaya

Maylene Tactay Female 20 y . o Student , Mandaya

18 y . o Male Student , Mandaya

INITIAL DATA BASE Tactay Family Prk.8 Buclad Asuncion, Davao del Norte

A. Family Structure and Characteristics of Dynamics

Family members 1.Melchor

Age

Sex

Civil Status

Position in the family

Place of Residence Residing with family

44 y.o

Married

Father

2.Josephine

48 y.o

Married

Mother

Residing with family

3.Maylene

20 y.o

Single

Eldest

Residing with family

4.Lindon

18 y.o

Single

1st son

Residing with family

5.Hanybee

16 y.o

Single

2nd daughter

Residing with family

Type of Family Structure

The family is a nuclear family, because it is composed of husband, wife, and children. The family was able to provide support to family members.

General Family Relationships The family is living in the same house and is able to provide the familys needs. They are bonded and they show care and affection to each other. The family also affects the members individual social values, dispositions and outlook in life.

B. Socio-economic and Social Characterisics

Family member 1.Melchor Tactay

Occupation

Income

Educational Attainment

Tribe

Religion

farmer

Below P2,000

Elementary graduate

Mandaya

Pentecost

C. Home and environment

1. Housing a. Adequacy of Living Space The house of the family is insufficient to shelter a family of five. Because they have only 2 rooms the bedroom and the kitchen.

b. Adequacy of Furniture and Appliances The family has a battery operated radio which they usually use during their free time.

c. Presence of breeding site of insects and rodents The familys drainage was a possible breeding site for mosquitoes as well as their deep well.

d. Food storage The family usually store their food in plastic containers and bottles.

e. Kind of neighborhood The family has a good neighborhood. They also had a nice relationship towards them.

f. Water supply The family got their water supply from the well that was owned by their datu.

g. Drainage System The family has an open drainage which is a possible breeding site for mosquitoes.

h. Lighting facilities The family does not have electricity and they usually used lamp in the evening.

i. Toilet Facility The family has a sanitary way of excreting their body wastes. They had their own flushed toilet.

j. Garbage/Refuse disposal The family is not practicing the proper way of disposing their garbage, they do not practice segregation and they burn their garbages.

2. Communication and Transportation Facility Available The family has a cell phone which they usually use for communicating to their relatives in the city but does not have any transportation facility and they usually commute whenever they want to go to the city.

D. Health Status of each family member The fathers health is not good since he is a hypertensive person and do not take any medications and treatments. He doesnt follow the medications of the doctor. The mother and the childrens health was good.

E. Values, Habits and Practices and health Promotion, Maintenance and Disease Prevention

a. Immunization status of family members The family members had a complete immunization.

b. Healthy Lifestyle Practices The family eats vegetables, fruits and fish. But they rarely eat meat because according to them they cannot afford to buy it. The family also exercise rarely but theyve considered their work as a daily exercise.

First Level Assessment

A. HEALTH THREATS

1. Poor environmental sanitation There are some places in their house and backyard that is a breeding site of mosquitoes. Burning of plastics and dried leaves are scattered everywhere.

2. Presence of accident hazards Their deep well is uncovered and their house is prone to fire accident because they cook their food inside their wooden house with the use of firewood/charcoal.

3. Hypertension Fathers Blood Pressure: 150/90 mmHg

Second Level Assessment

A. Health Threat a. Inability to provide a healthy environment with good sanitation for the maintenance of health - Dry leaves are scattered in their backyard and coconut husk are left unattended. - Burning of garbages.

b. Inability to recognize the accident hazards and possible breeding sites of vectors. - Lack of knowledge about the problem. - Open drainage and uncovered deep well. Abi nako ug ok lang nawalay taklob among balon c. Failure to recognize hypertension as a health problem. - Lack of knowledge about the disease. - No absolute maintenance medicines. Abi nako ug normal lang ang malipong inig magtrabaho

FAMILY NURSING CARE PLAN

HEALTH PROBLEMS

FAMILY NURSING PROBLEMS

GOAL OF CARE

OBJECTIVES OF CARE

INTERVENTION PLAN NURSING INTERVENTI ONS Method of NurseFamily Content Resources Required

EVALUATION

07/14/11 @ 9:30 AM -Poor environme ntal sanitation

Inability to provide a home environme nt conducive to health maintenan -Improper ce due to disposal of lack of garbage, knowledge abnd about the importance -poor of a clean drainage environme system nt and proper garbage disposal.

After 2 hours of nursing interventio n, the family will be able to recognize and prevent the health problem and provide a clean and safe environme nt for the whole family.

After nursing 1. Discussed intervention, to the family the family. the possible diseases a.can that can be segregate their acquired by garbages; the health problem. 2. b.will observe a Emphasized clean and the healthful alternative environment. courses of action. c.will establish 3. Showed a proper the proper drainage way of system segregating and how to make a compost pit.

Home visit

Materials and resources: Three sacks for the segregation. Pieces of wood for the covering.

07/14/11 @ 11:30 AM Goal partially met as evidenced by:

a. the segregate garbages.

ablity

to their

b. the ability to accomplish a clean Time and and healthy effort of the environment that is to the nurse and conducive familys health. the family. c. inability to provide proper drainage sytem due to lack of resources.

FAMILY NURSING CARE PLAN

HEALTH PROBLEMS

FAMILY NURSING PROBLEMS

GOAL OF CARE

OBJECTIVE S OF CARE

INTERVENTION PLAN NURSING INTERVENTI ONS Method of NurseFamily Content Resou rces Requir ed

EVALUATION

07/14/11 @ 9:30 AM Presence of accident and fire hazards due to uncovered deep well and firewood inside their house.

Low salience of the problem resulting for the probabilit y of vector breeding sites,acci dent hazards and house fire.

After nursin g interve ntion, the family will be able to recogn ize and utilize availab le resour ces and alterna tive materi als to

After nursing intervention, the family. a.will know the proper place of cooking food; b.will be able to know the importance of covering their well. c.will able utilize be to a

1. Discuss to the family Home the possible visit diseases that can be acquired by the health problem. 2. Discuss the alternative courses of action. 3. Provide the first step in making the wells cover.

Materi als and resour ces: Two tarpau lins and 4 piece s of wood.

07/15/11 @ 10:00 AM goal met as evidenced by:

a.the family was able to know the safety measures on cooking.

b.the family Time was able to and know the effort recognize of the how nurse important the and cover was. the

make covering to a their deep proper well. well coverin g.

family .

c.their deep well was covered.

FAMILY NURSING CARE PLAN

HEALTH PROBLEMS

FAMILY NURSING PROBLEMS

GOAL OF CARE

OBJECTIVE S OF CARE

INTERVENTION PLAN NURSING INTERVENTI ONS Method of NurseFamily Content Resou rces Requir ed

EVALUATION

07/14/11 @ 9.30 AM Hypertensi on BP:150/90 mmHg

Failure to recognize the presence of health problem due to inadequa te knowledg e about the said disease

After nursin g interve ntion, the family will be able to recogn ize the signs and sympto ms of hypert ension and will be able to live a

After nursing intervention, the family.

1. Discuss to the family Home they said visit disease. The causes a. will be and effects. able to know the 2. Discuss signs and the symptoms alternative of courses of hypertensio action. n; 3. Discuss b. will be with the able to family the know the contraindica treatment of ted foods to the disease; hypertensio n.

Materi 07/14/11 @ als 10:30 AM as and evidenced by: resour ces: a. the family was able to Time know the and indications of effort a person who of the has a high nurse blood pressure. and the family b. the family was able to . know some herbal medicines that can lower the

healthy lifestyl e.

blood pressure and they were able to know the importance of medical check up.

FAMILY COPING CHECKLIST

1 Poor 2 Fair

3 Average 4 Satisfactory

5 Very Satisfactory

COPING AREAS 1. Physical Independence

EXPLANATIONS They take a bath everyday and they are wellgroomed. No disabilities present in the family.

2. Therapeutic Independence

They knew the treatment of some illnesses like cough and fever but they do not know the principles behind it.

3. Knowledge of Health Condition

They knew their current illness .Went to the doctor for medical checkup but did not follow the prescriptions.

4.Principles of personal Hygiene

They took a bath everyday and somehow are properly groomed.

5.Attitude toward Health Care

They used herbal medicines to treat some illnesses like fever, cough and abdominal cramps.

6. Emotional Competence

They are open to each other.

7. Family Living Patterns and Lifestyle.

They shared time together. And decisions are being discussed by the family members.

8. Attitude Toward Environment.

House needs repair and environment should be cleaned to avoid illnesses.

9.

Availability

of

Community

They knew that they have a basketball court and a health center but they rarely use it. Money income= below 200/week.

Health Resources. 10. Socio-economic Conditions

11.Geographical Environmental Conditions

and

River is near to their residence and floods are normal for them. Family system was implemented and support system was good because the parents provide adequate love and food to the family.

12. Family Structure and Support System.

SCALE FOR RANKING HEALTH CONDITIONS AND PROBLEMS ACCORDING TO PRIORITIES

1. Poor environmental sanitation, improper disposal of garbage and poor drainage system

Criteria 1.Nature Problem of the

Computations 2/3 x 1

Actual score 0.66

Justification It is a health threat to the family that can be a cause of diseases.

2.Modifiability of the Problem.

2/2 x 2

The resources and interventions needed to solve the problem available family to are the

3.Preventive Potential.

3/3 x 1

Susceptibility diseases prevented can if

to be the

nursing intervention will be given. 4. Salience of the Problem 1/2 x 1 0.5 The family does not recognize problem. Total Score 4.16 the

2. Presence of accident hazards Criteria 1.Nature Problem 2. Modifiability of 2/2 x 2 2 The needed resources for the is of the Computations 2/3 x 1 Actual score 0.66 Justification It is a health threat.

the Problem.

intervention

present to the family 3.Preventive Potential. 3/3 x 1 1 The health problem can be prevented or reduced health with the

teachings

that will be provided by the nurse. 4. Salience of the Problem 0/2 x 1 0 The family do not recognize problem. Total Score 3.66 the

3.Hypertension Criteria 1.Nature Problem of the Computations 2/3 x 1 Actual score 0.66 Justification It is a health threat to the family. And it requires immediate intervention. 2. Modifiability of 1/2 x 2 1 The family does not have enough

the Problem.

resources to solve the problem. 3. Potential. Preventive 3/3 x 1 1 The health problem can be prevented if the family will follow the health teachings of the nurse as well as the prescriptions of the doctor. 4. Salience of the Problem 0/2 x 1 0 The family do not see the disease as a health problem. Total Score 2.66

PRIORITIZING HEALTH PROBLEMS

Rank 1

Health Problem Poor environmental sanitation, improper disposal of garbage and poor drainage system

Score 4.16

Presence of accident hazards

3.66

Hypertension

2.66

Reference: Conopio, Flor B.The Filipino Family Today. Philippine Publishing House. Health and Home May- June 1999

Summary: The article talks all about families, Filipino families to be specific. The professor in the article was a social scientist who really cares about the Filipino family today. He cited three major family problems and the most serious one was the physical separations that were inflicted to the families. These actions were mostly caused by poverty. Many families were being destroyed because of this and he wished that the government would take action regarding this problem. The second problem that he cited was the destruction of the environment, according to him it erodes the bases of existence of our the future generation. The last problem the he cited was about malnutrition and undernourishment on account to poverty. He was very disappointed knowing that the mothers do not breastfeed their children and chose diluted condensada over breast milk. Although he was not a medical doctor he knows that if the child does not have the proper nourishment for the first five years of his life, his brain development will be impaired and that the brain of the children had been ravaged and yet the government allocate so much for the foreign debt and it cannot allocate even just a one-half to feed the children.

Reaction: I deeply agree with the professor. Because of poverty majority of the Filipino went abroad to find job to support their individual families. And this is one of the causes of separation which greatly affect the children, and still our present government still do not have a resolve for this, I believe this is because our country is also experiencing poverty. Our natural resources are also being destroyed by the countrymen, and despite the fact that the government is doing its best to preserve Philippines natural resources there are still stubborn and immoral people who chose to destroy it. Breastfeeding is really best for the babies and even for the children up to two years of age. The professor stated that it should be five but I think two years is enough. Children aging five are really quite difficult to handle and mothers rarely breastfeed them because the child is already going to school during this age. It is quite a nuisance for both the parent and the child. Proper nutrition though completes the childs nourishment and growth. But I agree with him about some babies whose mataba, for me a child who is mataba doesnt really mean that the child is really healthy because there are many babies that the physical aspect is good but was really ill inside. For me physical appearance is not a basis for being healthy, except for those children whom you can really see its malnutrition. And I also agree about the professors fear of breeding a generation of immoral and imbeciles because in the present year, although

not all of us are immoral but majority of the people are being influenced by the bad features of the technology thus making them immoral and imbeciles.