A.

Family Structure, Characteristics and Dynamics

The Arizala Family is a typical nuclear type of family consist of the father, Mr.
Juvy Arizala who is a construction worker. Mrs. Helen Arizala, a full time
housewife and their 1 year old baby girl Jana Arizala. Mrs. Helen is currently 7
months pregnant and is expected to give birth on the first week of June.

Mr. and Mrs. Arizala don�t have a hard time in terms of decision making because
each of them tend to consider each others opinion first before coming up with the
final decision especially regarding health matters. The father is the head and
breadwinner of the family while the mother takes care of the household chores and
their first born baby girl Jana.

B. Socio-Economic and Cultural Characteristics

Low educational background seems to be an obstacle for Mr Arizala to get a good

job. He never finished elementary education and was forced to work as a
construction worker receiving only P250 per day. On the other hand Mrs. Helen
Arizala was fortunate enough to finish second year high school but decided to stay
at home to take good care of their first born child.

Mr. Arizala�s monthly income is approximately P5,000 per month just enough to pay
for their monthly rent, electricity bill, food and milk allowance and
transportation expense. Most of the time, the budget for health maintenance is
being sacrifice and not given enough priority due to lack of money. According to
Mrs. Helen Arizala, she spends P150 per day to meet their daily basic needs.

The Arizala�s are basically from Antique, Aklan. They migrated to Manila hoping
for a better life, but unfortunately they found out that the lifestyle in urban
offers very little opportunities. The family is not a member of any social
organization in the community nor an a active member of the catholic church.

C. Home and Environment

The family resides in a depressed area in Brgy. Pasong Tamo, Area 3, Quezon City.
Their house is made up of wood and light materials. The floor area is
approximately 6 sq. meters. The family sleeps together in a wooden bed with foam
situated near the entrance door which also serves as their receiving area. They
usually sleep very early at around 8 p.m. and wakes up at 7 a.m. The house is not
well ventilated and there is inadequate lighting. Breeding sites for mosquitoes,
flies, cockroaches, and rodents are inevitable due to open drainage and poor
environmental sanitation. Their toilet facility is located at the back of their
house which they share with all the families in the compound. There is no water
supply in the area so Mr. Arizala is force to fetch water 20 meters away from
their house and costs 2 pesos per container. Mrs. Arizala buys their food in the
market and stores it in an uncovered cabinet leaving it exposed to germ and
bacteria. She usually cooks vegetable and fish dishes. The garbage is collected
twice a week by a DPS truck.

Tricycles roam around as their means of transportation while public phone for
communication are available at the sari-sari store. Carinderia�s and mini-market
are also visible within the vicinity.

The overall surrounding of the family is unhygienic and the drainage system is
open and very proximate to the houses. Only wooden walls separate them from their
neighbors and the electrical connections are entangled and hazardous.

D. Health Status of Each Family Member

Mrs. Helen Arizala is in a critical stage since she is seven months pregnant to
her second child and is expected to give birth on the first week of June. Her
first pre-natal check-up was done three months ago and was never repeated due to
lack of time and awareness. According to her, she had a hard time delivering her
first child due to hypertension. She gave birth at home with the help of a �hilot�
and plans to do the same with the second child. Her first baby Jana is quite small
for her age, though, she was able to walk and stand at the age of 9 months. As of
now she is already learning how to speak.

She had already taken vitamins during the first three months of her pregnancy but
wasn�t able to sustain it due to lack of money. She had her first dose of TT1 last
February during her pre-natal check-up.

She feeds her baby girl Jana 3 times a day with condensed milk and small amounts
of solid foods like a mashed potato and rice with soup.

Her husband Mr. Arizala sometimes complain of severe pain at the back of his neck
maybe as a sign of hypertension and over fatigue but has no family history of
hypertension in the family. The family doesn�t use herbal medicine and goes to the
health center when need arises.

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

Prevention

The family sleeps early to have enough rest and energy for the next day. Mrs.
Arizala goes out every morning to walk and exercise outside together with Jana.

The family uses bed nets at night to protect them from mosquitoes and other
insects while they are sleeping. The first born baby is complete with all the
immunization required.

Pa-BINGO is held every month at their compound as a form of their relaxation and
entertainment.
NURSING PROCESS RECORDING

I. Personal Data

* Name: Helen Arizala

* Age: 30
* Sex: Female
* Civil Status: Married
* Educational Attainment : Second Year High School
* Order/Position in the family : Mother

II. Assessment prior to introduction

The area is congested, there are around 20 families in a compound who is expose to
several health hazards like poor environmental sanitation, open drainage system
and inadequate living space. The Arizalas is one of those families living in the
area. Mrs, Helen Arizal is busy taking good care of her child who is about to
sleep at the time when I arrived for the initial interview.

III. Objectives

A. Short-term Objectives
To be able to achieve integration within the family and to promote health
education and active participation in terms of general and distinct health
necessities

B. Long term Objectives

To be able to study the conditions of the community with focus on the health
aspects

IV. Date, Place, Time and Duration of Nurse-Patient Interaction

The interview took place dated April 23, 2005 in front of Mrs. Arizala�s house at
exactly 10:10 a.m. It lasted for about 15 minutes and I was very glad that Mrs.
Arizala was very accommodating. I did not hesitate to ask relevant questions
because she showed a lot of interest in the conversation.

V. Brief description of the setting

I was able to visit Mrs. Arizala�s place twice and somehow I noticed that their
house has no enough lighting and ventilation. I wonder how they manage to stay
there for two years without water supply and no private toilet facility. Their
house is considered to be a make shift type of house and has inadequate living
space. The wooden bed found near the main door serves as the living room area
leaving a small space for kitchen

VI. Nurse-Patient Interaction

VII. Evaluation

Based on my interview, the family needs more orientation and information regarding
health issues. They should value or prioritize their health above all. The
importance of prenatal check up and malnutrition should be given emphasis to
ensure the development of the baby. Inadequate living space and poorenvironmental
sanitation seems to be a threat to the family�s health. Overall, the health
requirements of the family are not being met due to poverty and lack of awareness.

VIII. Future Plan or Objectives for the next interaction

Promotion of health, prevention of diseases together with simple treatment and

rehabilitation would be my next objective to help the family alleviate their
health status and conditions