FAMILY CASE ANALYSIS

Family Data
Family Chart
Educational Attainment
Economic Status
Home and Environment
Health Status of the Family Member
Values Habits and Health Practices
Social Indices
Floor Plan





Family Data

Family X is currently living in Barangay_____________, and
has ____ total number of the family members. Approximately, the
family is in _____ years of residency in alleged to above address. In
terms of the authority, the family is (ex.Egalitaria) wherein the
decision is equally distributed to each of them even the members
of the family that is not yet employed. Family X is an (ex.extended)
family wherein one of the siblings of Mr. and Mrs. X has a recent
relation to same sex and now living together. Family X accepted
him (gay partner of one of the siblings of Mr. and Mrs. X) as part of
the family and one of the source of income related to his work.
Family X is also considers a Live-in and Single Parent family.


Family Chart
Name Age
Se
x
Civil
Status
Religion
Place of
Birth
Dialect
Relation to Family
Head
Employment Occupation
Mr. M. X 59 M S Catholic GMA Tagalog

employed factory worker
Mrs. Z. X 58 F S Catholic GMA Tagalog live-in-partner unemployed
A. X 50 M S Catholic GMA Tagalog brother of Mrs. X unemployed
J. X 48 M S Catholic GMA Tagalog brother of Mrs. X employed construction worker
R. X 30 M S Catholic GMA Tagalog son employed construction worker
L. X 28 M S Catholic GMA Tagalog son unemployed
K. X 12 F S Catholic GMA Tagalog granddaughter unemployed
C.X 10 F S Catholic GMA Tagalog granddaughter unemployed
J. X 8 M S Catholic GMA Tagalog grandson unemployed
C 26 M S Catholic GMA Tagalog extended member employed sales clerk


Educational Attainment
Name Elementary High School College
Mr. M. X

Undergraduate

Mrs. Z. X

Undergraduate

A. X

Undergraduate

J. X

Graduate

R. X

Undergraduate

L. X

Undergraduate

K. X Grade 6
C. X Grade 4

J. X Grade 2

C Graduate

Economic Status

Familys main source of income is on the related work of each member
that has a currently employed. Their monthly family income is
approximately 10, 001 15, 000, due to unconditional wages because
sometimes overtime in work may result to additional amount of salary
that may lead to increase in monthly family income but in contrary some
circumstances happened like sickness (may lead to absent) or end of
contract then lead to decrease in monthly salary income.

Familys monthly expenditures are above the monthly family income,
approximately 15, 001 20, 000. It affects each member of the family
especially Mrs. X who is the one budgeting the family monthly income
and the children who is still studying. Their budget allocation is 40% to
the household (basic needs), 30% for education, 15% for medicines, 10%
for clothing, and 5% for recreations.

Family felt needs; their highest priority is food, then education,
financial, health needs, support system, housing, clothing, utilities, and
recreation and last is spiritual needs.

Home and Environment

Family X have their own residency in an rural place with a mixed
type of housing materials and have an adequate living space, lighting
and ventilation enough for the family members. Their water supply is
considered in Level I-point source. They owned a private excreta
disposal which is in Level I-pit latrines. Electricity is their source of
light. Their food and water are properly stored in a covered area. They
have cell phone, and letter as their means of communication. They
usually use jeepney, tricycle, motor, and bus as means of their
transportation. In their social facilities, there is the availability of
Barangay Hall, school, wet and dry market, day care center,
basketball court as well as playground for children and chapel. There
are also Barangay Health Center , Hospital, Clinic and what they call
hilot present in their community. Accidents are present due to
domestic animals that are not vaccinated such as dogs and cats in
various places. Pests such as rats and mosquitoes that can cause
dengue are also prevented through fumigation in their community.

Health Status of the Family Member

Family members (excluding Mrs.. Z. X and her
brother J. X) have no severe illnesses present
only cough and cold for the past six months.
Mrs. X has a present illness (hypertension). Their
family has no health insurance and do not
undergo family planning. They usually go to
albularyo for consultation as their health seeking
behavior but they sometimes consult to a doctor
in the hospital and to the midwife in their
Barangay Health Station.

Values Habits and Health Practices

They believe in hilot, wherein they are
testified that hilot is effective in curing
illnesses of the family. Sometimes, they are
consulting to the albularyo rather than go the
nearest hospital due to their mind set of mas
makakamura kami rito, as verbalized by Mrs.
Z. X

Social Indices

Family X is not yet aware of organizations
in their residence since then. As a result of it
they are not aware of any organizations that
can help them to have a quality healthcare.

Genogram
Floor Plan

Measurement
Assessment
Family
Member
Vital Sign
Height Weight BMI Normal BMI
Actual
Finding Temp. PR RR BP
Mr. M. X 36.1C 91 bpm 18 cpm 140/90 mmHg 64 cm. 56 kg. 21.14
18.5-24.9

wt. in pounds
x
703

(Ht. in inches)
2


N
Mrs. Z. X 36.9C 81 bpm 19 cpm 130/90 mmHg 61 cm. 43kg. 17.87 BN
A. X 37.2C 70 bpm 16 cpm 100/70 mmHg 63 cm. 56 kg. 21.82 N
J. X 36.8C 70 bpm 14 cpm 120/70 mmHg 62 cm. 57 kg. 22.57 N
L. X 36.3C 63 bpm 14 cpm 120/80 mmHg 66.5 cm. 54 kg. 18.88 N
B. X 36.2C 74bpm 15 cpm 110/70 mmHg 61 cm. 56kg. 17.87 BN
K. X 36.1C 79 bpm 18 cpm 57 cm. 46 kg. 21.90 N
C. X 37.2C 75 bpm 17 cpm 53 cm. 30 kg. 16.52 BN
J. X 36.8C 84 bpm 17 cpm 54 cm. 43 kg. 22.81 N
C 36.3C 71 bpm 16 cpm 120/85 mmHg 60.5 cm. 61 kg. 25.77 AN

Mr. M. X
Mrs. Z. X
A. X
J. X
L. X
B. X
K. X
C. X
J. X
C



Assessment Normal Finding/s Actual Finding/s Justification

HEAD
EYES

EARS
NOSE

NECK

MOUTH

SKIN



















THORAX AND LUNGS


MUSCULOSKELETAL




NEUROLOGIC


BREAST AND AXILLA





CARDIOVASCULAR




ABDOMEN




Family X has a history of hypertension wherein it is presently
manifested to Mrs. Z. X She is not taking any medication due to
financial instability. According to her, it is much better to
prioritize taking at least 3 times a day of food than to take any
medication for her condition. Some of the family members
chief complaints are cough and cold, this is the main concern of
the family due to intermittent condition of the said complaints.
The children are not fully-immunized, so they are prone to any
kind of sickness or illness secondary to financial instability that
cannot provide a budget for consultation or check-up to a
doctor to the nearest hospital. Additionally, they even not
consult to the Barangay Health Station even though they are
aware for free consultation or check-up. They much believe to
the hilot or albularyo.



1. HEALTH PERCEPTION AND HEALTH MANAGEMENT PATTERN

2. NUTRITIONAL AND METABOLIC PATTERN

3. ELIMINATION PATTERN

4. ACTIVITY EXERCISE PATTERN

5. SLEEP REST PATTERN

6. COGNITIVE PERCEPTION PATTERN

7. SELF PERCEPTION AND CONCEPT

8. ROLE RELATIONSHIP

9. SEXUALITY AND REPRODUCTIVE

10. COPING STRESS TOLERANCE

11. VALUE BELIEF



Family: Family X
Address: Health Department:
Family Coping
Index
Point Scale Assessed Problems
Justification
Statement


Physical
Independence

1 2 3 4 5


Therapeutic
Competence

1 2 3 4 5



Knowledge of
Health Condition

1 2 3 4 5



Application of
Principles of
General Hygiene

1 2 3 4 5





Health Attitudes

1 2 3 4 5






Emotional
Competence

1 2 3 4 5



Family Living
1 2 3 4 5



Comments:


Nurses Signature
Cues/Data Family Nursing Problem

Subjective:
Malimit na masakit ang
batok ko, as verbalized by
the patient.

Objective:

T 36.7C
P 78 bpm
R 16 cpm
B/P 150/90 mmHg

- facial grimace
- guarding

1. Inability to recognize the presence of the condition or
problem due to:

lack of knowledge
denial about its existence or severity as a result of fear of consequences of diagnosis of problem,
specially:
- economic implication
- emotional concerns
- psychological concern


2. Inability to make decisions with respect to taking appropriate
health action due to:

low salience of the problem/condition
inadequate knowledge of community resources for care

Listing of Potential Health Problem

Family Name : Family X
Name of Family Heads : Mr. M. X
Address :

List of Health Problems Nature of Problem

Hypertension Health Deficit / Health
Threat
Inadequate Ventilation Health Threat
Inadequate Living Space Health Threat
Presence of resting sites of Vectors of Diseases Health Threat
Alcohol Drinking Health Threat
Smoking Health Threat
Loss of Job Foreseeable Crisis


Criteria Computation Actual Score Justification
1. Nature of the Problem
3/3 x 1 1
It is a Health deficit.
2. Modifiability of the
problem
1/2 x 2 1
The resources and interventions needed to
solve the problem are slightly available to
the family
3. Preventive Potential
2/3 x 1 2/3
The possibility of complication of the
condition may prevent in maintaining the
blood pressure low by taking the patients
medication regularly and by using
alternative like bawang.
4. Salience of the Problem
0/2 x1 0
The family does not recognize it as a
problem
Total Score 2 2/3
Scoring

Hypertension



Priority Problem Score
1
Presence of Resting Site of
Mosquito
3 1/3
2 Inadequate Ventilation
3 1/6
3 Inadequate Living Space
3 1/6
4 Smoking
3
5 Loss of Job
3
6 Alcohol Drinking
3
7 Hypertension
2 2/3


Health problem
Family Nursing
Problems
Goal of Care Objectives of Care Intervention Plan

Inadequate Living
Space as Health treat

1. Inability to
provide a home
environment
conducive to health
maintenance and
personal
development due
to:
Inadequate family
resources specifically:
financial constrains and
limited physical
resources.
Lack of skill in
carrying out measures to
improve home
environment..

After the nursing
interventions, the
family will decide on
appropriate actions in
improving home
environment.

After nursing
interventions, the
family:

1.will understand the
risks/ disadvantages of
having inadequate living
space.
2.can state possible
actions in improving
their home environment
3.will identify available
resources that could
help them.
4.will choose the most
appropriate actions for
the improvement of
their home.
Nursing
Interventions
Method of Nurse
Family Contact
Resources
required

1. Discuss with
the family the
risks of having
inadequate living
space.
2. Discuss with
the family on
actions
preventing
possible effects
of inadequacy of
living space.
3. Encourage
the family to use
resources
available within
their vicinity in
improving their
living space.

Home Visit

Human
Resources: the
availability and
effort of the
nurse and the
family