FCP Sacred Heart 102

I.
INTRODUCTION
The family is basic social group (which is composed of the father, mother and
children). They are united through bonds of kinship or marriage, present in all societies.
The primary role of the couple is to support and provide the needs of its members so that
they will be productive in their family and to the society.
Being the core of the society is not an easy task. Not all the needs of its member
are met and sometimes are being compromised especially the health of its members.
When illness knocks on the door of a family many problems arises which sometimes alter
the normal function of the family within the community and within the family itself, In
correlation to this, the Family Coping Index was used as a tool for criteria and basis for
estimating the nursing needs of this particular family. There are 9 categories in the Family
Coping Index namely: (1) Physical Independence, (2) Therapeutic Competence, (3)
Knowledge of Health Condition, (4) Application of Principles of General Hygiene, (5)
Health Attitudes, (6) Emotional competence, (7) Family Living, (8) Physical Environment
and (9) Use of Community Facilities and each was weighed to determine the coping
capacity of the members of the family.
The group chose this certain family as the care study because among the families
in Zone 8 Sacred Heart Village, Carmen CDOC, this has the most apparent and immediate
health needs and problems. Through this index the group was able to identify the priority
problems of the family to which the group gave much focus as bases for nursing care.
Recognizing the great role of the family to the society, the government provides many
programs intended for the wellness of each family around the country, and one of these
programs is the promotion of health. The program aims to educate each families of any
social status to give importance not only to ones health but as well as the community they
are settling. The program is good but the people do not hear the calling for community
service. In response to the lacking manpower, schools nowadays are extending extra hand
to help the people in those community that are deprived of those services and is far from
health facilities. Thus, Community Health Nursing claims its role. CHN is a unique blend of
nursing and public health practice woven into service in order to develop a tremendous
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impact on human well-being. The responsibilities that are covered include care and
supervisions of individuals and families in their homes, and that it does not only end in the
health center where people usually go. The community health nurses as members of the
health team are expected to integrate within the family health care the programs of the
Department of Health because he/she has the opportunity for evaluating the health status
of the people, the family and the development of the community within a timeframe.
As student nurses and as part of the health team that the school is responsible with,
Group 1 was exposed to Zone 8, Sacred Heart Village, Carmen, Cagayan de Oro City to
impart knowledge about the essence of health within the family and in the community as
well as to institute nursing care.
A.) OBJECTIVES OF THE STUDY

The main purpose of student nurses conducting care study and exposure in the
community setting is for them to undergo problem- solving and educational sessions on
the nursing care to the family. As this is one of their various concepts and tools of applying
sufficiently the concepts of Community Health Nursing.
At the end of 4 days (September 17-18 & October 1-2, 2012) of Community Health
Nursing exposure, we will be able to:
1. Establish trust and rapport to the family members in order to gain their
cooperation during an interview.
2. Be able to apply the different community health nursing concepts by determining
the problem and applying appropriate nursing interventions.
3.
Identify and evaluate the outcome of the intervened health problems of the
family.
4. Provide appropriate community nursing services needed by the family.

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5. Promote health awareness in prevention and cure of certain diseases.

6. Develop the capacity of the members to take care of their family and to find
curative measure in solution of their health problem.
7. Do a proper follow up and monitoring of the family case.
8. Impart the health teachings in promoting health and prevention of illness.
9. Do a referral to the community health provider at the end of the rotation to
intervene on the identified problems.
B.) SCOPE AND LIMITATION

The study was conducted within the parameters of Zone 8 Sacred Heart Village,
Carmen, Cagayan de Oro City to family Abarre. The study focuses on:
1.
Obtaining the family profile, health history and present health condition,
2.
Assessing, recording, and gathering of pertinent data about the family,

estimating the nursing needs and coping capacity of the family
3.
Finding the primary health problems of the family that we has chosen and
the interventions to solve the priority problems.
4.
Evaluation, recommendation and referrals for the family.
This study is conducted with a minimal time frame of 4 home visitations from
September 17-18 & October 1-2, 2012. With the time given, we grasped the opportunity to
take a closer look at the environment, nutrition, activities or routines of the family that
might threaten their health. However, not all the time all the family members are available
due to their occupational activities so the physical assessment of each member was not
consistent as to the home visitations correspondingly.
II. SPOT MAP

The point of reference in going to Zone 8 Sacred Heart Village Carmen, Cagayan
de Oro City is Liceo de Cagayan University. From the school the group rode a jeep
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passing through AFPSLAI and then to St. Marys Academy going to Zone 8 Sacred Heart
Village Carmen near Emmanuel Misson School.
III. FAMILY PROFILE
IMAGE
AVAILABLE
NONO
IMAGE
AVAILABLE
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4
Husband:
Name
: Mr. Alvin Abarre
Position in the Family
: Head of the family
Sex
: Male
Birth Date
: January 1, 1969
Age
:42 years old
Civil Status
: Married
Nationality
: Filipino
Address
: Zone- 8 Sacred Heart Village, Carmen , CDO
Religion
: Roman Catholic
Educ. Attainment
: Elementary Graduate
Occupation
: Mason
Income
: Php 4,800/month
Allergies
: No known Food and Drug Allergies
WIFE
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5
Name
: Mrs. Merlyn Abarre
: Mother
Sex
: Female
Birth Date
: March 25, 1968
Age
: 43 yrs. old
Civil Status
: Married
Nationality
: Filipino
Address
Religion
: Roman Catholic
Educ. Attainment
: Elementary Graduate
Occupation
: House Keeper
Income
: none
Allergies
: No Known Food and Drug Allergies
2ND CHILD
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6
Name
: Vem Abarre
: 2nd child
Sex
: Female
Birth Date
: September 21, 1992
Age
: 21 yrs old
Civil Status
: Single
Nationality
: Filipino
Address
Religion
: Roman Catholic
Educ. Attainment
: 3rd Year High School
Allergies
5TH CHILD
NO IMAGE AVAILABLE
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7
Name
: Ressy Abarre
: 5th child
Sex
:Male
Birth Date
: August 6, 1999
Age
:13 years old
Civil Status
: Single
Nationality
: Filipino
Address
Religion
: Roman Catholic
Educ. Attainment
: Elementary- Grade 5
Allergies
6TH CHILD
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8
Name
: Lady Jane Abarre
: 6th child
Sex
: Female
Birth Date
: April 5, 2003
Age
:9 years old
Civil Status
: Child
Nationality
: Filipino
Address
Religion
: Roman Catholic
Educ. Attainment
: none
Allergies
7TH CHILD
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9
Name
: Andrea Ann Abarre
: 7th child
Sex
: Female
Birth Date
: April 2, 2009
Age
: 3 years and 4 months
Civil Status
: Child
Nationality
: Filipino
Address
Religion
: Roman Catholic
Educ. Attainment
: Elementary- Grade 3
Allergies
GRANDCHILD
Name
: Jana Apao
: Grand daughter
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10
Sex
: Female
Birth Date
: June 19, 2012
Age
:1 year
Civil Status
: Child
Nationality
: Filipino
Address
Religion
: Roman Catholic
Educ. Attainment
: none
Allergies
IV. DEVELOPMENTAL DATA
Growing up is a complex phenomenon because of the many interrelated facets

involved. People do not merely grow taller and heavier as they get older, maturing also
involves growth in their ability to perform skills, to think, to relate to people, and to trust or
have confidence in them.
Growth is generally used to denote an increase in physical size or a quantitative

change while development is used to indicate an increase in skill or the ability to function
and to denote a qualitative change. Maturation is another word for development.
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11
Developmental theories provide road maps for explaining human development.

Because human development is highly complex and multifaceted, developmental stage
theories describe only one aspect of development such as cognitive, psychosexual,
psychosocial, moral, and faith development.
Stage theories emphasize a definite,
predictable sequence of development that is orderly and continuous.
Each stage is
affected by those stages preceding it and affects those stages that follow.
Freuds Psychosexual Theory

Alvin and Merlyn Abarre, who are adults belongs to the GENITAL Stage. This
begins at puberty and involves the development of the genitals, and libido begins to be
used in its sexual role. However, those feelings for the opposite sex are a source of
anxiety, because they are reminders of the feelings for the parents and the trauma that
resulted from all that.
Eriksons Theory of Psychosocial Development

Generativity vs. Stagnation
During adulthood, we continue to build our lives, focusing on our career and family.
Those who are successful during this phase will feel that they are contributing to the
world by being active in their home and community. Those who fail to attain this skill will
feel unproductive and uninvolved in the world.
Piagets Theory of Cognitive Development
Adulthood is the time when people are most capable of forming new concepts and
shifting their thinking in order to solve problems. During this period, thinking is
characterized by formal operationsgenerating hypotheses, rational thinking, deductive
and futuristic thinking. Merlyn shows responsibility in taking care of her children and she
has thought about their future.
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Kohlbergs Theory of Moral Development

They are now in the post-conventional level of moral development. At this time, the
person is able to separate self from the expectations and rules of others and to define
morality in terms of personal principles. When individuals perceive a conflict with societys
rules or laws, they judge according to their own principles. Women often define moral
problems in terms of obligation to care and to avoid hurt.
Havighursts Theory of Development

The Abarre couple, have already selected each other, which is one of the important
developments of this stage in life. They are learning to live with each other, start their own
family, and rear their children properly. They manage their home, as parents of their
children.
V. FAMILY HEALTH HISTORY

PAST /PRESENT HISTORY OF ILLNESS
A. Mr. Alvin Abarre ( Head of the family) We never met Mr. Abarre since he was at
work during the interview. Mrs. Abarre, however, told us that she thinks her husband
has never undergone immunizations at all since it was not that important before.
Mrs. Abarre said that her husband is about 54 tall and weighs about 55 kilograms.
His BMI reveals normal weight with a value of 20.8. Mrs. Abarre told us
that her husband has genetic or hereditary illness known like hypertension. He is a smoker
and he drinks alcohol rarely since they have no budget for that.
B.
Mrs. Merlyn E. Abarre (wife) She has no degenerative, chronic, or infectious

diseases as of the present time. She has also not completed immunizations. When
she was still 4 years old, she experienced chicken pox. She is 5 feet and weighs 48
kilograms. Her BMI reveals normal weight with a value of 20.4. She has no complaints
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as of the present time and has not taken any medications as of the moment. At
times of illness, she would just drink paracetamol for fever and mefenamic
acid for pain or treat wounds with crushed plants coming from their neighbors backyard. The
family is not using family planning anymore.
C. Vem Abarre (2nd child) is 20 years old is in her second pregnancy and has had
one live birth and no abortions. She is not seen for prenatal care at 36 weeks of
gestation. Her weight is 48, and her blood pressure is 110/70 mmHg. Uterine size is
34cm and Fetal heart beat is 136 bpm at right lower quadrant. The patient's has
past obstetric history includes the spontaneous vaginal delivery of a 6 lb, 3 oz.
female infant at 40 weeks gestation and 5 months ago she was confine to city
hospital for urinary tract infection and she told us she is doing well now. Her family
history reveals that her mother and father has history of hypertension.
D. Ressy Abarre (5th child) Has no any degenerative, chronic, or infectious diseases
as of the present time. He has not completed immunizations. She is 4 feet and 9
inch tall and weighs 26 kilograms.
E. Lady Jane Abarre Has no any degenerative, chronic, or infectious diseases as
of the present time. He has not completed immunizations. He is 4 feet and
weighs 19 kilograms.
F. Andrea Ann Abarre Has no any degenerative, chronic or infectious diseases. As
of the present time she has colds and dirty nailbeds. She has complete
immunizations. She is 3 feet and 2 inches tall and weighs 11 kilograms. She
appears thin. This child has many allergies and there are rashes still seen on her legs.
G. Jana Apao (grandchild) - Has No any degenerative, chronic or infectious diseases.

As of the present time she has colds. She was given a vaccination of BCG, DPT 12-3, OPV 1-2-3, Hep B 1-2-3 and no measles.
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VI. PRESENT FAMILY HEALTH STATUS

First level of assessment has been performed on the 4 members of the family during
the 4 home visitations which cover the period starting September 17-18 & October 1-2,
2012. We only met the wife because the husband has work and the children are at school.
The only one left is the pregnant woman and 4 kids.
During the first level of assessment, data has been gathered through interviews
conducted through the wife. It has been gathered that Vem has her UTI. Her husband
smokes and drinks alcoholic beverages.
With regards to their family planning, they are not using any family planning. All
members of the family have no known drug and food allergies.
With regards to the kind of food they eat, they seldom eat meat, their viand, if theres
any, was mostly canned goods, noodles and vegetables.
During our 1st assessment, the following data were gathered:
Name
Tempera
Pulse
ture
Respiratory
Blood
rate
Pressure
90/70 mmHg
Merlyn Abarre
36.4 C
79bpm
20 cpm
Vem Abarre
36.2 C
81bpm
21 cpm
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100/70
Weight
37 kg
41kg
Lady Jane Abarre
36.2 C
80bpm
24 cpm
90/60
26 kg
Andrea Ann Abarre
36.5C
125bpm
33cpm
No pedia cuff
11 kg
VII.
DESCRIPTION
of
HOME
&
ENVIRONMENT
(ENVIRONMENT
PROFILE)
HOUSE
The house is quiet small. It is mostly made up of wood. Their kitchen is on
the back side of the house. They dont have a faucet on their house. What you only
see are containers used for storage of water. They also dont have comfort room
and drainage system.
WATER SUPPLY
They dont have faucet inside their house. They are just getting their water
supply beside their neighbors faucet. It is where they get their water for drinking,
bathing and washing. They managed to have their water for drinking stored in a big
gallon. As observed, their kitchen is untidy due to the presence of garbage that was
not properly thrown in the garbage. They also dont have proper storage of their
food.
KITCHEN
Their kitchen is made up of wood. It is located at the back side of their
house. It is a dirty kitchen type and they use fire woods in cooking their foods. It has
containers on it which contains water for their needs.
WASTE DISPOSAL
They let their garbage being collected by the garbage collector every
Sunday. They have no proper waste segregation.
DOMESTIC ANIMALS
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They dont have any domestic animals.
PRESENT OF HEALTH HAZARDS

They have no drainage system. Windows were not screened which increased
the risk for disease-carrying insects to readily inhabit their place. Drinking water is
stored in dirty containers and some were not covered.
SOCIAL AND HEALTH FACILITIES AVAILABLE

The Health Center is a little bit far from the house. The barangay has various
facilities such as Brgy. Hall, Brgy. Health Center, Day Care Center and Elementary
and High School.
COMMUNITY
Zone 8, Sacred Heart Village Barangay Carmen is a rural area. It is 4
kilometers away from the city. It is a place for new settlers in the city. There are big
and small houses situated in the area. You can see people who have simple living..
You'll experience good ambiance, but unluckily the roads are not fully cemented
and it is so muddy and slippery most especially during rainy seasons. The houses
are close from each other. The people living in the place are all approachable,
friendly and very hospitable. Mostly of the community people are very warm hearted
and they always welcome us with a warm smile.
VII. FAMILY COPING INDEX

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17
Scale
Implication
- No Competence
- Moderate Competence
- Complete Competence
Area
Rate
1. Physical Independence - 3
ability to move about, get
out of bed and perform daily
activities.
2. Therapeutic Independence 1
-
includes
procedure
or
treatment prescribed for the

care of illness.
3. Knowledge
of
Justification
The family is able to perform
simple tasks as well as perform
their activities of daily living. The
wife is more active than the
husband. She does mostly of the
household chores and some
things they needed.
The family has poor compliance to
medication regimen. The pregnant
woman had no prenatal check up
and she has been admitted last
June for UTI and havent had her
prenatal after that also due to
financial reasons.
health 1
condition concerned with

a particular health condition
that is the occasion of care.
The family has knowledge about

the health condition of the
pregnant woman with UTI but
does not address it due to lack of
financial
abilities
in
the
management of the condition.
They fail to know about the salient
facts related to the disease well
enough to take necessary action
to resolve it. The ill member do not
even take precautionary measures
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Area
Rate
Justification
for
the
prevention
of
progression of the disease.
the
4. Application of Principles 1
of General hygiene -family
nutrition, adequate rest and
relaxation,
carrying
accepted
out
preventive
measures as immunization,
and, medical appraisal, safe
homemaking
relation
to
habits
storing
in
and
preparing foods.
5. Health attitude - the way 3
the family feels about health
care in general.
The family has poor hygiene

evident by dirty and long nails,
uncombed
hair
and
untidy
clothing. They walk barefooted and
just sit anywhere may it be on the
ground.
They
dont
have
comfortable room to sleep into.
The storage of their eating and
other utensils has no cover
wherein some other things may be
able to contaminate it.
The family's priority is basically on
daily sustenance as well as
attaining
basic
needs.
The
members did not mainly provide
health care as long as all are in
good functioning, they are satisfied
with the condition that they have.
6. Emotional Competence maturity and integrity with 3

which the members of the
family are able to meet
usual
stresses
and
problems of life and to plan

for a happy and fruitful
The family plans for their future

because they are so many in the
family. What is important to them is
that they have something to eat for
a particular day. The problems that
they encountered are all solved by
the parents especially that they
have a daughter who is pregnant.
living.
7. Family living - how well the 5
family members get along
with another in interpersonal
The family gets along with each

other well. They seemed to have a
great relationship with each other
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19
Area
Rate
relationships.
Justification
most especially that they only
have each other most of the times.
The
wife
seemed
to
be
understanding to her husband and
his wok. She helps him do the
things that he cannot able to do
due to his fatigue from work. They
communicated with each other
well.
VIII. NURSING ASSESSMENT

NURSING SYSTEM REVIEW CHART
Name: Merlyn Abarre
Vital Signs:
Pulse: 79 bpm ;
RR: 20 cpm ;
EENT
[ ] impaired vision [ ] blind
[ ] pain redden [ ] drainage
[ ] gums [ ] hard of hearing [ ] deaf
[ ] burning [ ] edema [ ] lesion [ ] teeth
Date: September 17, 2012

Temp: 36.4C
pale
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20
Assess eyes ears nose throat for abnormality

[ x ] no problem
RESP:
[ ] asymmetric [ ] tachypnea [ ] barrel chest
[ ] apnea [ ] rales [x ] cough
[ ] bradypnea [ ] shallow [ ] rhonchi
[ ] sputum [ ] diminished [ ] dyspnea
[ ] orthopnea [ ] labored [ ] wheezing
[ ] pain [ ] cyanotic
Assess resp. rate, rhythm, depth, pattern,
breath sounds, comfort [ x ] no problem
CARDIOVASCULAR:
[ ] arrhythmia [ ] tachycardia [ ]numbness
[ ] diminished pulses [ ] edema [ ] fatigue
[ ] irregular [ ] bradycardia [ ] murmur
[ ] tingling [ ] absent pulses [ ] pain
Assess heart sounds, rate rhythm, pulse, blood
Pressure, circ., fluid retention, comfort [ x ] no problem
GASTROINTESTINAL TRACT:
[ ] obese [ ] distention [ ] mass
[ ] dyspagea [ ] rigidity [ ] pain [ ] LBM
Assess abdomen, bowel habits, swallowing, bowel sounds,
comfort [ x ] no problem
GENITO URINARY AND GYNE
[ ] pain [ ] urine color [ ] vaginal bleeding
[ ] hematuria [ ] discharge [ ] nocturia
Assess urine frequency, control, color, odor, comfort,
gyne bleeding, discharge [ x ] no problem
NEURO:
[ ] paralysis [ ] stuporous [ ] unsteady [ ] seizures
[ ] lethargic [ ] comatose [ ] vertigo [ ] treamors
[ ] confused [ ] vision [ ] grip
Assess motor function, sensation, LOC, strength,
grip, gait, coordination, orientation, speech [ x ] no problem
MUSCULOSKELETAL and SKIN:
[ ] appliance [ ] stiffness [ x ] itching [ ] petechiae
[ ] hot [ ] drainage [ ] prosthesis [ ] swelling
[ ] lesion [ x ] poor turgor [ ] cool [ ] deformity
[ ] wound [ ] rash [ ] skin color [ ] flushed
[ ] atrophy [ ] pain [ ] ecchymosis
[ ] diaphoretic [ ] moist
Assess mobility, motion, gait, alignment, joint function
skin color, texture, turgor, integrity [ ] no problem
Name: Vem Abarre
Vital Signs:
Pulse: 81bpm ;
Poor
personal
hygiene
thin and
skinny

RR: 21cpm ;;
Temp: 36.2C ;
EENT:
[ x ] no problem
RESP:
dry hair
dry skin
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[ ] apnea [ ] rales [x ] cough
bradypnea [ ] shallow [ ] rhonchi
[ ] orthopnea [ ] labored [ ] wheezing
Assess resp. rate, rhythm, depth, pattern
breath sounds, comfort [ ] no problem
CARDIOVASCULAR:
[ ] dyspagea [ ] rigidity [ ] pain
comfort [ x ] no problem
NEURO:
[ ] appliance [ ] stiffness [ x ] itching [ ] petechiae
[ ] lesion [ ] poor turgor [ ] cool [ ] deformity
[ ] wound [ ] rash [ ] skin color [ ] flushed
[ ] diaphoretic [ ]moist
skin color, texture, turgor, integrity [ x ] no problem
Name: Lady Jane Abarre

Vital Signs:
Pulse: 80 bpm ;
RR: 24 cpm ;;

Temp: 36.2 C ;;
EENT:
[ x ] no problem
RESP:
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22
[ ]
2nd pregnancy
- 36 weeks
poor hygiene
Scars

[ ] apnea [ ] rales [ ] cough
CARDIOVASCULAR:
comfort [ ] no problem
NEURO:
[ ] appliance [ ] stiffness [ ] itching [ ] petechiae
[ ] wound [ x ] rash [ ] skin color [ ] flushed
Skin color, texture, turgor, integrity [ ] no problem
Name: Andrea Ann Abarre

Vital Signs:
Pulse: 125 bpm ;
RR: 33 cpm ;;
uncut
nails
poor skin turgor

Temp: 36.5 C ;;
EENT:
[ x ] no problem
RESP:
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rashes

[ ] apnea [ ] rales [ ] cough
CARDIOVASCULAR:
comfort [ ] no problem
NEURO:
[ ] appliance [ ] stiffness [ ] itching [ ] petechiae
[ ] wound [ x ] rash [ ] skin color [ ] flushed
Skin color, texture, turgor, integrity [ ] no problem
uncut nails
poor skin
turgor
rash
IX. PATHOPHYSIOLOGY
PRECIPITATINGFACTORS
PREDISPOSINGFACTO
RS
sexually active
Sex: female
unhygienic practices
Age: 15-24 y/o
use of contraceptivedevices
(diaphragm,spermicide)
Elderly/ postmenopausal
women
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24
voiding habits(interruption,
infrequentvoiding)
Etiology:
Uropathic pathogens
(Eschericiacoli) 90% of UTI in
Bacteria from external

genitalia/perianal area enters
urethra
Interrupted voiding
Washout phenomenon
(bacteria areremoved from
bladder and urethra during
Voiding is abruptly
Functional
destructionof urine
flow
Some bacteria remain in

urethra
Urethroventricularr
eflux(reflux of urine
from
Growth of microorganism in
the urine in the bladder
Bacteria is
elevatedback into
the bladder
Urine stasis
Destruction of the
protectivemucin layer of
bladder
wall
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25
Inflammatory
Cystitis
Invasion of bladder
Release
of
chemical
Local
humoralimmune
Destruction of
bladder and
urethral wall
(Dysuria)Bu
rning
painupon
urination
Frequencya
nd
urgencyof
urination
Release of secretory
fever
Back pain
Destruction of
invading
ENVIRONMENT
SOCIAL
PSYCHOLOGICAL
BIOLOGICAL
GENETIC PHYSICAL
hypertension
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26
All children
have skin
rashes and
scars.

FCP Sacred Heart 102

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I.

A.) OBJECTIVES OF THE STUDY

4. Provide appropriate community nursing services needed by the family.

5. Promote health awareness in prevention and cure of certain diseases.

B.) SCOPE AND LIMITATION

Assessing, recording, and gathering of pertinent data about the family,

Evaluation, recommendation and referrals for the family.

II. SPOT MAP

III. FAMILY PROFILE

: Mr. Alvin Abarre

Position in the Family

: Head of the family

:42 years old

: Zone- 8 Sacred Heart Village, Carmen , CDO

: No known Food and Drug Allergies

: Mrs. Merlyn Abarre

Position in the Family

: March 25, 1968

: Zone- 8 Sacred Heart Village, Carmen , CDO

: No Known Food and Drug Allergies

Position in the Family

: September 21, 1992

: Zone- 8 Sacred Heart Village, Carmen , CDO

: 3rd Year High School

: No Known Food and Drug Allergies

Position in the Family

:13 years old

: Zone- 8 Sacred Heart Village, Carmen , CDO

: No Known Food and Drug Allergies

: Lady Jane Abarre

Position in the Family

: Zone- 8 Sacred Heart Village, Carmen , CDO

: No Known Food and Drug Allergies

: Andrea Ann Abarre

Position in the Family

: 3 years and 4 months

: Zone- 8 Sacred Heart Village, Carmen , CDO

: No Known Food and Drug Allergies

Position in the Family

: June 19, 2012

: Zone- 8 Sacred Heart Village, Carmen , CDO

: No Known Food and Drug Allergies

IV. DEVELOPMENTAL DATA

Growing up is a complex phenomenon because of the many interrelated facets

Growth is generally used to denote an increase in physical size or a quantitative

Developmental theories provide road maps for explaining human development.

Stage theories emphasize a definite,

predictable sequence of development that is orderly and continuous.

Freuds Psychosexual Theory

Eriksons Theory of Psychosocial Development

Kohlbergs Theory of Moral Development

Havighursts Theory of Development

V. FAMILY HEALTH HISTORY

Mrs. Merlyn E. Abarre (wife) She has no degenerative, chronic, or infectious

G. Jana Apao (grandchild) - Has No any degenerative, chronic or infectious diseases.

VI. PRESENT FAMILY HEALTH STATUS

Lady Jane Abarre

Andrea Ann Abarre

They dont have any domestic animals.

PRESENT OF HEALTH HAZARDS

SOCIAL AND HEALTH FACILITIES AVAILABLE

VII. FAMILY COPING INDEX

treatment prescribed for the