Southern Luzon State University

College of Allied Medicine

Lucban, Quezon
S.Y. 2016-2017

Family Case Study

BABLES Family

Submitted to:

Prof. Evangeline B. Mecija

Prof. Ma. Luisa E. Barretto

Submitted by:

Bernaline Grace B. Katada

BSN IV- Group 3
INTRODUCTION
I. Family Data

The Bables Family is headed by Mr. Danny Bables who works as a laborer but
currently resides in Bicol, Albay due to his work but went home at Tayabas,Quezon once
a month. Mrs. Bables is currently resides at Perez St. Brgy. Munting Bayan, Tayabas
Quezon with her mother, grandmother, her two children and their helper. Mr. and Mrs.
Bables resides at Brgy.Pook for almost ten years but moved away due to his certain
circumstance and his work. Mrs. Melca Bables is currently pregnant with their third
child.

A. Family Structure, Characteristics, and Dynamics

Family Member Ag Sex Civil Status Position in the Relation to

e Family Family Head
Danny Bables 36 M Married Father Head
Melca Bables 34 F Married Mother Wife
Clementina 89 M Widow Great grand Great
Subieto mother grandmother in
law
Violeta Subieto 66 F Widow Grand Mother Mother in law
Gina Delos 45 M Married --- Helper
Santos
Rose Ann Bables 7 F Child Eldest child Daughter
Laica Bables 5 F Child 2nd child Daughter

The table shows the family structure, characteristics and dynamics of Bables
family. They are patriarchal family as well as extended because Mr. Jaime Zubieta is the
father of his children and family head, 36 years old, and married to Mrs. Melca as her
wife. They have two young children namely Rose Ann, 7 years old and currently grade
one student and Laica, 5 years old and not enrolled as a nursery student. Mrs. Melcas
mother and grandmother lives with them in order to help themselves living in everyday
basis since Mrs. Melca is pregnant with their third child. They also have a helper,
Mrs.Gina who stay with them during the day for almost a week.
 B. Socioeconomic and Cultural Characteristic

Family Occupation Place of Monthly Educational Religion

Member Work Income Attainment
Danny Bables Laborer Bicol, Albay Php 20, College Catholic
000 Undergraduate
Melca Bables Housewife --- --- College Catholic
Graduate
Clementina None --- --- High School Catholic
Subieto
Violeta Subieto None --- --- High School Catholic
Gina Delos Helper --- Php 2,000 High School Catholic
Santos
Rose Ann Student --- --- Grade 1 Catholic
Bables
Laica Bables None --- --- --- Catholic

The table shows the socioeconomic and cultural characteristics of the Bables
family. The head of the family Mr. Danny Bables is a laborer in Bicol, Albay with a
monthly income of twenty thousand pesos. Mrs. Melca Bables is a plain housewife who
cares about her family especially to her mother who is bedridden due to her neck
fractures and her two children. The couples were able to attain college so they easily find
decent jobs. Mr. Danny Bables is a college undergraduate of Bachelor of Science in
Agriculture at SLPC in second year level and unable to finish due to financial
circumstances while Ms. Melca Bables was a college graduate of Bachelor of Science in
Business and Administration Major in Financial Marketing but unfortunately, Mr. Bables
decided that its better that Mrs. Melca should stay at home to take care on their family as
well as shes currently pregnant with their third child. Mrs. Clementina and Violeta
Subieto doesnt have any earnings due to their chronic illness and old age but according
to them, they inherit some of the lands at the Tayabas, Quezon thats also source of their
living. Mrs. Gina Delos Santos, their helper earned two thousand pesos from Dannys
income monthly.
 All members of the family are Roman Catholic however they do not go to mass
regularly as a whole family at times. Rose Ann, their eldest child is at her Grade 1 level in
elementary and of course, still not earning her income same as her sibling, Laica whos
still at home and not studying.
According to some trusty sources, Subietos family comes from a rich family yet
have many complicated problems like the death of the Violetas husband as well as the
accident that cause her neck fracture, Melcas confused state of mind as well as her health
status and many more. Theyre really lucky because they have the money for their day-to-
day expenses and have the budget for their basic needs.

C. Home and Environment

According to the survey and interview, the Babless house is made of durable and
good materials which include sturdy wood, and hollow blocks. According to Mrs. Melca,
the house was very old and antique because it was built and stand for almost four decades
since she was born. Upon observing the house, I observed some of the ceilings and floors
has been invaded of termites that my cause injury or harm to the family members.
They have a spacious space and sufficient number of rooms for them to use in
sleeping; their bed room was divided into three rooms accordingly. They have lighting
connection facilities. Their water supply is Level II which means their water facility is
piped water with a communal water point serving an average of 4-6 households within a
25-meter distance. They have a sanitary toilet and an open drainage system. Their
garbage is collected. They own basic appliances like television, refrigerator, and electric
fan.

D. Health Status of Each Member

Family Member Illnesses Health Action

Danny Bables Hypertension Take maintenance medicines
Melca Bables Tuberculosis / Non-compliant
Hypertension
Clementina Subieto Cholelithiasis Confined last year at Tayabas
Community Hospital
Take medications as ordered

Violeta Subieto Neck fracture
Laica Bables Multiple skin lesion at
lower extremities
Every family member Cough and colds
Every family member Fever
Treated
Neck brace for almost one
yearsix months
No management
Self- medication
Self- medication

According to the data obtained, Mr. Danny Bables, the head of the family has
hypertension and taking his maintenance medicines. Mrs. Melca Bables was recently
diagnosed tuberculosis in her chest x-ray as well as sputum smear. Unfortunately, Mrs.
Melca Bables wasnt consistent with her answers at all and I observed that shes very
confused then I found out to my assigned midwife as well as to our NDP that Mrs. Bables
is not compliant with her treatment at all and not having her consultation to Mrs. Lala
Omlas, head of TB-DOTS program. It is very alarming not only because its contagious
for the reason that shes pregnant with her third child that may cause harm for the both of
them. Clementina Subieto has been diagnosed of cholelithiasis last year, she wasnt able
to be operate cholecystectomy due to her old age. So her attending doctor ordered some
medications that will help to dissolve the gallstones and fortunately, they found out that it
was all cleared.

Mrs. Violeta Subieto has been involved to a vehicular accident together with her
husband last year that cause a tragic fate on the both of them. Mr. Leonard died at the age
of 68 years old due to multiple wounds on that accident while Mrs. Violeta suffered neck
fracture that cause her to be bedridden up to now with neck braces. Laica Bables, the
youngest child has multiple lesions on her lower extremities and when I asked Mrs.
Melca, she said that it was nothing. p

Also, in thisfuruncle in her right arm and shes doing nothing. The table shows
that when each of the family member has cough, cold, and fever, they self-medicate as
their health action.
 E. Values and Practices on Health Promotion

Zubietas family has no children aging from 0 to 5 years old.

II. Family Nursing Problems

PROBLEMS CUES / CLUES FAMILY HEALTH PROBLEM

First Level Second Level
Poor Unsanitary Health Threat Inability to
Environmental toilet provide a home
Sanitation Dirty environment
surroundings conducive to
Lack of food health
maintenance and
storage personal
facilities development due
Presence of to:
flies and a. Lack of
cockroaches knowledge of
importance of
inside and
hygiene and
outside of the sanitation
house b. Lack of skill
in carrying
out measures
to improve
home
environment
Unhealthy Self-medicating Health threat Inability to make
lifestyle when having decisions with
cough, cold, respect to taking
appropriate health
and fever
action due to:
a. Failure to
comprehend
the nature,
magnitude or
scope of the
problem
b. Lack of or
inadequate
knowledge/
insight as to
alternative
courses of
action open to
them
c. Lack of/or
inadequate
knowledge of
community
resources for
care
Hypertension Tumataas Health Deficit Inability to
talaga ang BP provide adequate
niya palagi, as nursing care to
verbalized by sick due to:
the wife. a. Lack of
knowledge
about the
disease
b. Inadequate
family
resources for
care,
specifically
financial
constraints
Furuncles Lagi akong Health Deficit Inability to
nagkakaroon ng recognize the
pigsa tapos para presence of a
palipat lipat problem due to
lang. as the lack of or
mother inadequate
verbalized. knowledge
Low income As verbalized Foreseeable Crisis Inability to
by the head of provide a home
the family, environment
conducive to
Konti lang
health
kinikita ko, P maintenance and
3,000 lang kada personal
buwan. development due
to:
a. Inadequate
family
resources,
specially
financial
constraints/
limited
financial
resources
 Pregnancy Buntis si Foreseeable Crisis Inability to
Lanie, yung provide adequate
asawa nung nursing care to
anak, pitong the dependent/
buwan na as vulnerable
verbalized by member of the
the mother. family due to:
a. Lack of or
inadequate
knowledge of
the nature and
extent of
nursing care
needed
Dangerous Their house has Foreseeable Crisis Inability to
pathway to their a narrow space recognize the
house entrance and a presence of the
stiff and rough condition or
road going to problem due to:
their house. a. Lack of or
inadequate
knowledge
and skills
b. Unavailability
of financial
support for
renovation or
transfer of
place of
living.

A. SCALE FOR RANKING HEALTH CONDITIONS AND PROBLEMS

ACCORDING TO PRIORITIES

CRITERIA STANDARD SCORE WEIGHT A

1. Nature of the Problem Health Deficit 3
Health Threat 2 1
Foreseeable Crisis 1
2. Modifiability of the Removable 2
problem Partially Modifiable 1 2
Not Modifiable 0
3. Preventive potential High 3
Moderate 2 1
Low 1
4. Salience of the problem Needs immediate 2
attention
Does not need 1 1
immediate attention
Not a problem 0

B. SCORING OF FAMILY NURSING PROBLEMS

Poor Environmental Sanitation

Criteria Computation Actual Score Justification

1. Nature of the 2/3 x 1 2/3 The problem is a

problem health threat that
does not demand
immediate action.
2. Modifiability of 2/2 x2 2 Intervention and
the problem resources are
available to solve
the problem.
3. Preventive 3/3 x 1 1 Communicable
potential diseases transferred
by insects and
rodents can be
prevented.
4. Salience 1/2 x 1 The condition not
needing immediate
attention.
Total Score: 4.17

Unhealthy Lifestyle

Criteria Computation Actual Score Justification

1. Nature of the 2/3 x 1 2/3 It is a health threat

problem that does not demand
immediate action.
2. Modifiability of 2/2 x 2 2 Interventions and
the problem resources are available
to solve the problem.
3. Preventive 2/3 x 1 2/3 The available
potential resources can utilize.
4. Salience 2/2 x 1 1 Condition needing
immediate attention
Total Score: 4.33

Hypertension

Criteria Computation Actual Score Justification

1. Nature of the 3/3 x 1 1 Health Deficit

problem
2. Modifiability of 2/2 x2 2 Intervention and
the problem resources are available
to solve the problem

3. Preventive 2/3 x 1 2/3 Can learn alternatives

potential to render solutions
4. Salience 1/2 x 1 1/2 The condition not
needing immediate
attention
Total Score: 4.17

Furuncles

Criteria Computation Actual Score Justification

1. Nature of the 3/3 x 1 1 Health deficit.

problem
2. Modifiability of 2/2 x 2 2 Easily modifiable
the problem because the availability
of the community health
center which provide
immediate care.
3. Preventive 2/3 x 1 2/3 Immoderately prevented
potential because cough and cold
to other member is
reducing although for
several days due to
alteration of climate
condition.
4. Salience 2/2 x 1 1 A problem but not
needing immediate
attention.
Total Score 4.66

Low Income

Criteria Computation Actual Score Justification

1. Nature of the 1/3 x 1 1/3 Foreseeable Crisis

problem
2. Modifiability of 0/2 x2 0 Not modifiable
the problem because it is already
the family structure.
3. Preventive 1/3 x 1 1/3 Can learn alternatives
potential to render solutions
4. Salience 0/2 x 1 0 The condition not
perceived as a
problem or condition
needing change.
Total Score: 0.66

Pregnancy

Criteria Computation Actual Score Justification

1. Nature of the 1/3 x 1 1/3 Foreseeable Crisis

problem
2. Modifiability of 2/2 x2 2 Intervention and
the problem resources are available
to solve the problem
3. Preventive 2/3 x 1 2/3 Can learn alternatives
potential to render solutions
4. Salience 1/2 x 1 The condition not
\ needing immediate
attention
Total Score: 3.5

Dangerous Pathway to their House

Criteria Computation Actual Score Justification

1. Nature of the 1/3 x 1 1/3 Foreseeable Crisis

problem
2. Modifiability of 2/2 x2 2 Intervention and
the problem resources are available
to solve the problem
3. Preventive 2/3 x 1 2/3 Can learn alternatives
potential to render solutions
4. Salience 1/2 x 1 1/2 The condition not
needing immediate
attention
Total Score: 3.5

C. List of Health Problems According to Rank

o Cough and cold 4. 66
o Inadequate living space 4. 33
o Headache 4. 17
o Poor environmental sanitation 4
o Low income 3. 5
o Number of family members 0.66