case study
TRANSCRIPT
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. Rochelle T. Say, R.N.
Presented by:
Sedico, Quenny LouSN – SMC
BSN-2A RLE
February 4, 2008
FAMILY GENOGRAM
INITIAL DATA BASE
CANADA FAMILY
CANADA FAMILY
Dennis Canada
(Father)
Maricel Canada(Mother)
Princess Cherish Canada
(Only Child)
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
Dennis
Canada23 Male Married Father
Residing
with his
wife’s
family
Maricel
Canada22 Female Married Mother
Residing
with her
family
Princess
Cherish
Canada
1yr. and
2mos.Female Single Only Child
Residing
with her
parents
Type of Family Structure:
They have a combination of Nuclear and Extended Family since
they presently lived together with Ate Maricel Canada’s family along
with her parents and siblings.
General Family Relationship:
The family has an intimate relationship. The couple is doing their
best to give the love and care needed by their child as well as the
material support. They are both making ways to attend for the basic
needs of their child and they prioritize her health status. The couple
both does their responsibilities and they do not take for granted the
problems needing immediate attention.
B. Socio-economic and Social Characteristics
Family
Member
Occupatio
nIncome
Education
al
Attainme
nt
TribeReligion
Dennis
CanadaContractor
Approximat
ely P1,
610.00
monthly
2nd year
CollegeBisaya Catholic
C. Home and Environment
1. Housing
a. Adequacy of Living Space
The house consists of only two bedrooms
inadequate for the 2 families (their family and
the family of Ate Maricel). The living room has no
enough space for them as well as the dining
room. Their dirty kitchen is located outside the
house without walls. They share one comfort
room without water supply.
b. Adequacy of the Furniture
They own a television and a radio and ha sonly
one sala set inadequate for them to watch TV
together and discuss some important matters.
Their dining table is also not enough for them to
sit and eat together.
c. Presence of breeding sites of insects and rodents
The house is untidy that breeding places of
insects and rodents are present in the house.
These are as follows:
mosquitoes
flies
cockroaches
rodents
d. Kind of Neighborhood
The house is very close to their neighbors
approximately 2-3 meters away.
e. Social and Health Facilities Available
Their house is a walking distance to the chapel,
basketball court, health center, day care center,
school and Ate Maricel’s family has a small store
outside their house but they were very far from
the Barangay Hall.
f. Communication and Transportation Facility Available
Ate Maricel’s brothers have cellphones and they
have television and radio as their means of
communication. They don’t have their own for
transportation but there are a lot of single
motorcycles available in their community which
can be used for transportation.
D. Health Status of the Family Members
Ate Maricel’s mother has a history of diabetes which can
be inherited by her and their daughter is suffering from viral
infections.
E. Values, Habits, Practices and Health Promotion, Maintenance and
Health Prevention
a. Immunization Status of the Family:
Their daughter had received complete immunization
and according to Ate Maricel, she had her complete
immunization and check-up during her pregnancy.
b. Health, Lifestyle, Practices
They eat three times a day and fish is usually present
in their meals. They are also fond of eating raw fish
(kinilaw).
c. Use of Protective Measures
The family uses mosquito nets during night time to
somehow free them from mosquitoes.
d. Presence of Accident Hazards
They have a slippery pathway and there is presence
of knives and pointed objects scattered inside their house
which can cause them harm.
e. Food Storage
Their foods were stored in the refrigerator.
f. Cooking Facilities
They use woods and charcoals as means of cooking
their foods.
g. Water Supply
They fetch water in the nearest well of their neighbor
and use it for washing their dishes, clothes and bathing.
They use rain water for drinking.
h. Toilet Facility
They share one Antipolo Type o comfort room
without water supply. The toilet has poor sanitary
condition.
i. Garbage Disposal
They segregate their garbage and some were placed
in a compost pit.
j. Drainage System
They have an open canal and the water is directly
absorbed by the ground.
k. Lighting Facilities
The house is powered by electricity.
FIRST LEVEL ASSESSMENT
A. HEALTH THREATS
1. Health History of Specific Condition/Disease
Ate Maricel’s mother has a history of diabetes which might
be inherited by her since the disease is hereditary.
2. Accident Hazards
a. Pointed/Sharp Objects Improperly Kept
The knives are scattered inside their house and there
are pointed objects easily reached by their child.
3. Poor Environmental Sanitation
a. Inadequate Living Space
Their house is too small to cater a large number of
family.
b. Presence of Breeding Places of Insects and Rodents
Their untidy environment inside the house is an
evidence of breeding places of disease-causing pests.
c. Unsafe Water Supply
They rely on the deep well as their source of water
for washing dishes, clothes and bathing and uses rain
water for drinking without proper sterilization.
4. Personal Habits/Practices
a. Eating Raw Meat/Fish
The family is fond of eating uncooked fish (kinilaw)
which is a common source of life-threatening diseases.
b. Smoking and Alcohol Drinking
Kuya Dennis smokes and drinks alcoholic drinks
occasionally which can harm his health as well as the
health of the other members of the family.
SECOND LEVEL ASSESSMENT
A. HEALTH THREAT
1. Health History of Specific Condition/Disease
Inability to recognize the presence of a problem due to:
1. Ignorance of Facts
Inability to make decisions with respect to taking
appropriate health action due to:
1. Failure to comprehend the nature,
magnitude/scope of the problem
2. Low salience of the problem
2. Accident Hazards
a. Pointed/Sharp Objects Improperly Kept
Inability to make decisions with respect to taking
appropriate health action due to:
1. Low salience of the problem
3. Poor Environmental Sanitation
a. Inadequate Living Space
Inability to provide a home environment which is
conducive to health maintenance and personal
development due to:
1. Inadequate living resources
2. Lack of skill in carrying out measures to
improve home environment
b. Presence of Breeding Places of Insects and Rodents
Inability to recognize the presence of the condition of
the problem due to:
1. Inadequate knowledge regarding the
importance of proper sanitation and preventive
measures in getting rid of insects
c. Unsafe Water Supply
Inability to make decisions with respect to taking
appropriate health action due to:
1. lack of knowledge/insights as to alternative
causes of action open to them
2. Lack of sources of potable water
4. Personal Habits/Practices
a. Eating raw meat/fish
Inability to recognize the presence of problem due
to:
1. Ignorance of Facts
Inability to make decisions with
respect to taking appropriate health action due to:
1. Failure to comprehend the nature,
magnitude/scope of the problem
2. Low salience of the problem
b. Smoking and Alcohol Drinking
Inability to recognize the presence of problem
due to:
2. Ignorance of Facts
Inability to make decisions with
respect to taking appropriate health action due to:
3. Failure to comprehend the nature,
magnitude/scope of the problem
4. Low salience of the problem
SCALE FOR READING FAMILY HEALTH PROBLEMS ACCORDING
TO PRIORITIES
HEALTH THREAT
A. History of Specific Condition/Disease (Diabetes)
CRITERIACOMPUTATIO
N
ACTUAL
SCORE
JUSTIFICATIO
N
1. Nature of the
Problem2/3 x 1 0.67
It is health
threat because
it might be
inherited by the
members of the
family.
2. Modifiability
of the problem
0/2 x 2 0 Family
members don’t
have any idea
when the
disease will
take its toll on
them since it is
genetic.
3. Preventive
potential1/3 x 1 0.33
It has low of
potentiality to
be prevented
because it is
hereditary.
4. Salience of
the problem2/2 x 1 1
It is a serious
problem for it
can be a cause
of death for the
family
members.
TOTAL = 2
B. Accident Hazards
1. pointed/sharp objects improperly kept
CRITERIACOMPUTATIO
N
ACTUAL
SCORE
JUSTIFICATIO
N
1. Nature of the
Problem2/3 x 1 0.67
It is considered
a health threat
because it
might cause
injury to their
child or of other
members of the
family.
2. Modifiability
of the problem
2/2 x 2 1 It can be easily
kept after using
provided that it
is out of reach
of their child or
it is in the safe
place.
3. Preventive
potential3/3 x 1 1
They can
immediately
place the sharp
objects such as
knives in the
proper place
after using it.
4. Salience of
the problem0/2 x 1 0
It is not a
problem
because its
accidents can
be prevented
when it is
properly kept
and stored.
TOTAL = 2.67
C. Poor Environmental Sanitation
1. Inadequate living space
CRITERIACOMPUTATIO
N
ACTUAL
SCORE
JUSTIFICATIO
N
1. Nature of the
Problem2/3 x 1 0.67
It is a health
threat because
the child might
be at risk to
acquire the
diseases of the
other members.
2. Modifiability
of the problem
1/2 x 2 1 Family has
difficulty of
providing
themselves a
bigger and
separate place
to live.
3. Preventive
potential2/3 x 1 0.67
They can
monitor the
people that will
enter and pass
along their
house.
4. Salience of
the problem0/2 x 1 0
The family does
not perceive this
as a problem as
long as they
have shelter.
TOTAL = 1.34
2. Presence of 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
these insects
may carry
microorganisms
that cause
diseases.
2. Modifiability
of the problem
1/2 x 2 1 There are
interventions
and resources
that are
available to
help solve the
problem.
3. Preventive
potential2/3 x 1 0.67
These insects
cannot be easily
eliminated and
prevented and
diseases caused
by these are
not easily
cured.
4. Salience of
the problem2/2 x 1 1
It is a problem
since
complications of
the diseases
caused by these
insects may led
to death of the
member who
acquired the
disease.
TOTAL = 3.34
3. Unsafe water supply
CRITERIACOMPUTATIO
N
ACTUAL
SCORE
JUSTIFICATIO
N
1. Nature of the
Problem2/3 x 1 0.67
It is a threat for
unsafe water to
be drunk
because this
can cause
water-borne
diseases.
2. Modifiability
of the problem1/2 x 2 1
They can
sterilize their
rain water by
boiling it before
drinking.
3. Preventive
potential1/3 x 1 0.33
They cannot
easily change
their habit of
drinking rain
water because
it is the most
common source
of drinking
water in their
community.
4. Salience of
the problem
2/2 x 1 1 They cannot
assure that they
are safe of
drinking rain
water even
though they will
strain it
because they
are not sure
that the source
of that water is
safe and clean.
TOTAL = 3
D. Personal Habits/Practices
1. Eating raw meat/fish
CRITERIACOMPUTATIO
N
ACTUAL
SCORE
JUSTIFICATIO
N
1. Nature of the
Problem
2/3 x 1 0.67 It is a health
threat because
these are
diseases
causing
microorganism
in the uncooked
meat/fish.
2. Modifiability
of the problem 1/2 x 2 1
They can
properly cook
their foods
before eating.
3. Preventive
potential2/3 x 1 0.67
Diseases
caused by
eating raw
foods are hard
to cure and has
the possibility
to cause death.
4. Salience of
the problem1/2 x 1 0.5
Health
teachings can
provide family
members
TOTAL = 2.84
2. Smoking and Alcohol Drinking
CRITERIACOMPUTATIO
N
ACTUAL
SCORE
JUSTIFICATIO
N
1. Nature of the 2/3 x1 0.67It is health
threat because
Problem
second hand
smokers have
high risk of
acquiring the
disease
especially those
persons who
have weak
immune
system.
2. Modifiability
of the problem
0/2 x 2 0 The person can
smoke provided
that he is away
from the other
members to
prevent them
from the
diseases caused
by smoking or
much better if
he will totally
separate
himself from
this vice.
3. Preventive
potential0/3 x 1 0
It cannot be
easily stopped
once it had
already become
a habit.
4. Salience of
the problem2/2 x 1 1
It is a serious
problem since it
can also affect
not only the
person doing
the act of
smoking but
also the people
surrounding
him.
TOTAL= 1.67
PRIORITIZING PROBLEMS
RANKING PROBLEM
SCORE
1 Presence of breeding places of insects 3.34
and rodents
2 Unsafe Water Supply 3
3 Eating raw meat/fish
2.84
4 Pointed/sharp objects improperly kept
2.67
5 Health History of Specific Condition/Disease 2
(Diabetes)
6 Smoking and Alcohol Drinking
1.67
7 Inadequate Living Space 1.34
FAMILY COPING INDEX
CRITERIA SCALING JUSTIFICATION
1. Physical
Independence5
The child has viral
infections during my
visit but her parents
do not take this for
granted and gave her
the totality of their
care.
2. Therapeutic
Competence
3 The parents of the
child are capable of
giving medications to
her but they just give
her medicines
without any
consultations and
prescriptions from
the doctor. And they
administer medicines
in an inappropriate
time and dosage.
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
1
The surroundings
outside and inside
the house were very
dirty and they are not
so neat in terms of
their physical
appearances.
5. Health Attitudes 3 The family accepts
medical services but
they prefer not to
avail such and
chooses to have self
medications before
doing any referrals to
the Barangay Health
Center.
6. Emotional
Competence5
The family lives in
unity and harmony
and faces every
problems and
stresses that may
arise together.
7. Family Living 5
The family is well-
bonded with each
other and they have
high degree of love
and support with one
another.
8. Physical
Environment1
Their house has an
inadequate living
space and they have
a filthy surrounding
inside and outside
and their other
facilities were not
properly arranged.
9. Use of Community
Facility
3 The family is not that
knowledgeable of the
other existing
medical services
available in their
community that’s
why they cannot
completely avail its
offered services.