SAINT FERDINAND COLLEGE

COLLEGE OF HEALTH SCIENCES

Sta. Ana, Ilagan 3300, Isabela

A Family Case Study

Presented to the
College of Nursing

In Partial Fulfillment of the Requirement

In
Community Health Nursing

FAMILY CASE STUDY

Valery C. Lim, RN, MSN

Submitted by:
Rhien Yrah Cabalonga BSN II
Madelyn Aguilan BSN II
 Chapter I:

INTRODUCTION

Providing shelter, physical support, and emotional support are some of the most crucial
roles that families play in current and contemporary culture. Families also give
unconditional love and support. The family is ideally a significant source of practical and
emotional support, comfort, warmth, nurturing, safety, and security for its members.
Children rely on their parents and family to care for them and meet their needs from the
moment they are born. Every family's position will always have an impact on the state of the
community as a whole. We cannot ignore the reality that many of them frequently face
difficulties in meeting their demands, both monetarily and in terms of preserving their
physical condition.In response to the public's health care requirements, community health
nursing is practiced. It doesn't emphasize any one class or family in particular. It is an all-
encompassing strategy. In order to provide community health services, it is necessary to
continuously observe and monitor the community as a whole. Community health nursing's
main objective is the promotion and maintenance of a variety of customers, including
individuals, families, demographic groups, and communities.

Every family is distinctive. Nurses who are involved in the community develop their
interpersonal skills and ability to adjust to the various types of residents.A student nurse
can learn and apply all the ideas by doing a case study.It is a tool for assessing a family's
health state through critical inspection and evaluation. As a result, health-related issues are
discovered, which informs the student nurse about how to act in order to provide holistic
care and correct the deficit.

The researcher's choice of family is one of the lower-class households. In this study, it is
hoped that the family will receive some assistance in improving their health status, and that
a student nurse will be able to establish a rapport with them and win their cooperation in
order to successfully carry out the nursing interventions that will be given to the selected
family.

Chapter II:

II. OBJECTIVES
The adopted family will be able to express their awareness of how to improve their health
status at the conclusion of the student-family relationship, and we will be able to observe
some changes in their physical appearance as a result of their increased independence in
maintaining their health through appropriate interventions within a set time frame.

Particular Goals
Following a month of home visits and family interactions with a student nurse, the student
will be able to:
1. Build a relationship of trust with the family
2. Examine the family's medical and physical history.
3. impart health lessons on potential danger factors
4. Determine what issues—both real and imagined—could stand in the way of achieving and
maintaining optimal health.
5. Classify the detected health issues as health threats, health deficits, or impending crises.
6. Consider nurse interventions or potential remedies for the most urgent medical issue.

Chapter III

FAMILY HEALTH ASSESSMENT FORM

Respondent: Rosalina I. Arugay Age:52 Sex: F

Relation to the Head:Wife (If not the head of the family)

I. Family Initial Data Base/Family Structure and Characteristics

A. Head of the family: Dominador Rugay Age: 52
B. Name of Spouse: Rosalina Arugay Age: 52
C. Address: Purok 4, Capo,Ilagan City
D. Educational Attainment:
i.Husband: Third Year Highschool
Ii. Wife: Elementary Graduate

E. Length of Residency : Since Birth

F. Ethnic Origin: Ibanag
G. Family: Nuclear ( / ) Extended ( )
H. Religion: Roman Catholic
I. No. of Children: 2
J. Members of Household:3
 Name Relation to Age Sex Status Education Occupation
the head

Dominador Head of the 52 M M Third year Construction

family High School Worker

Rosalina Wife 52 F M Elementary Housewife

Graduate

Shandi Daughter 2 24 F S High School none

Graduate

Arugay family is a nuclear type of family structure,their religion is Roman Catholic. They live in
purok 4 of barangay Capo City of Ilagan Since birth as the respondent stated.Additionally they
are members of Ibanag ethnicity.The head of the family is a Construction worker while the
head's wife Mrs.Rosalina I. Arugay is a house wife alive and well.

Mr. Dominador Rugay the head of the family 52 years of age is a Construction worker who
finished third year highschool and the head’s wife Mrs. Rosalina Rugay is a 52-year-old
Housewife who finished elementary school lives with their youngest daughter, a high school
graduate. While the oldest daughter has already married and has own house.

II. SOCIO-ECONOMIC DATA

A. Source of Income
Occupation:
Husband: Construction Worker
Wife: Housewife

Employed ( ) Self-employed ( ) Unemployed ( / )

Monthly Income:
Below Php 2000 ( ) Php 2,000- Php 5,000 ( / )
Php 5000-8000 ( ) more than Php 8,000 ( )
 B. Family Expenditures
1. Food (per day)
Below Php 150- Php 300 ( / )
Php 300-500 ( )
Php 500-Php 700 ( )

2. Clothing: number of times of buying

Once a year ( / ) twice( ) Thrice ( )

3. Housing
Water ( / ) Cp load ( ) electricity ( / )

4. Schooling
Public ( / ) private ( )

5. Others: ___________________________

C. Nutrition
1. Food preference
Fish ( ) Fruit/vegetables ( / )
Meat ( ) Mixed ( )

2. Common fare
Rice and egg ( ) Rice and sardines ( )
Rice and noodles ( ) Others: Coffee and Breads

The head of the family Mr. Dominador Arugay is a Construction worker and unemployed citizen.
His wife is a housewife and she's well. The eldest of their children is a sales agent. Arugay
family gained a monthly income of php. 2000, php. 5000. Their family expenditures, which they
consumed is ranging 150-300 in their food per day, they buy clothes once a year and pay for
necessities in their house like water and electricity.

In addition their children in the household are currently enrolled in public school. While in terms
of nutrition, their food preference is fruit/ vegetables. They said that their breakfast is always
coffee and bread.

III. Housing and Environmental Condition

A. Home
 1. Type of Housing: Concrete ( ) wood ( ) mixed ( / ) Makeshift ( )
others:__________

2. Ownership
Owned ( / ) rented ( )
Rent-free ( ) others:____________________

3. Number of rooms for sleeping:2

4. Ventilation: Poor ( ) good ( / )

5. Lighting facilities:
Electricity ( / ) Kerosene ( )
Others:_____________________

6. General Surroundings: clean ( / ) dirty ( )

Sanitary observation: _____________________

B. Source of Water Supply

Artesian well ( ) NAWASA ( ) Deep well ( / ) others _______

C. Storage of Drinking Water

Refrigerated ( ) covered ( / ) uncovered ( )

Containers used: Plastic ( / ) bottles ( ) clay jars ( ) others: ___________

D. Kitchen:
Electric stove ( ) gas stove ( )
Firewood/charcoal ( / )

Drainage:
Open ( ) Blind ( )
None ( )
Sanitary Observations: _______________

E. Containers Used
Plastic ( / ) Jars ( )
Bottles ( ) Others_____________________

F. Toilet Facilities
Sanitary:
Flush ( ) pit privy ( )
Owned ( / ) Shared ( )
 Unsanitary:
“Balot” system ( ) Others: __________________

G. Waste Disposal
Collection ( ) Burning ( )
Burying ( / ) Open dumping ( )
Garbage cans ( ) Others___________________

H. Food storage
Covered ( / ) uncovered ( )
Refrigerated ( )

I. Presence of Animals
Dogs ( / ) cats ( )
Pigs ( ) Others ( )

J. Backyard Gardening
Vegetables ( / ) Herbal ( )
Fruit-bearing ( ) Others __________________

K. Community Observation
a. Sanitary Condition:_______________________________________________
b. House/overcrowding/congestion: Yes ( ) No ( / )
C. Presence of breeding sites of vectors: Yes ( ) No ( / )
If yes, specify: _____________________________
D. Health facilities :Brgy.health center
E. Recreational Facilities: Basketball court
F Distance of house to the nearest health care facility: 150 meters

The house of the family Arugay is made of wood and cement. It has two bedrooms . The
ventilation is good because there is enough air in their location, and as we arrive in the house
we observe the surrounding is a little bit dirty. The house is located close to the Cagayan river.

They get their water supply in the deep well behind the house, also they have mentioned that
they are buying mineral water for drinking, they store their drinking water in a plastic container.
They cooked their food through firewood .There was drainage nearby; the water freely flowed
down to the field of corn. They have their own toilet. They're burying their waste. They have a
small vegetable garden in their backyard.

While we are walking to Arugay`s family we observe that the barangay road is clean, even
their covered court and health center. The health facility in capo is close to the houses which is
accessible for the people, the community center also serves as their recreational facility which is
a basketball court. However the family Arugay household is just 150 meters away in the area.

IV. HEALTH ASSESSMENT of EACH FAMILY MEMBER

a. Past and Present Illness:
Health Assessment on Each Family Member

Family Member Past Illness Present Illness Immunization

Status

Head of the Family Hypertension None Complete

Wife none None Complete

Daughter 2 none None Complete

Mr. Dominador Arugay is the only one who has a past problem/illness in the
family. The respondent which is Mrs. Rosalina Arugay the wife says that he has
been diagnosed with hypertension but luckily and thankfully he recovered and
now he is well.

Chapter IV

PROBLEM IDENTIFICATION

- Health Threat

Risk factors of using deep well

Using deep well as their source of water
 Prone to fire
The family still using firewood for cooking
==
Foreseeable Crisis
Financial distress
The head of the family's work is unstable

Chapter V:

FAMILY COPING CHECKLIST

Coping Areas 1 2 3 4 5 Explanation

1.Physical Independence 5 They can all do the

daily activities
independently.

2. Therapeutic Independence 3 They are aware on their

health status, but their
source of water is deep
well which is uncover

3. Knowledge of Health Condition 3 Same with number 2,

they believe that
doctors can help them
to cure their certain
diseases that they
have.

4. Principles of Personal Hygiene 3 The Respondent looks

hygienic but their
source of water is
uncovered deepell.

5. Attitude toward health care 4 They don't have enough

money but there is a
brgy.health care that
can give them
medicine.

6. Emotional Competence 5 Good relationship with

the family.

7. Family Living Patterns 3 They have financial

distress
 8.Attitude toward environment 3 They know how to
preserve the
environment. They are
throwing their waste
properly.

9. Availability of community 5 They are close to the

resources Brgy. health care.

10. Socio-economic conditions 2 The head of the family

is a construction worker
and his wife is a
housewife.

11. Geographical and 3 Their community is near

environmental conditions the river and has been
flooded twiced.

12. Family Structure and Support 5 They have a good

System relationship towards
their family and
neighborhood.

Legend:
1- Poor
2- Fair
3- Average
4- Satisfactory
5- Very Satisfactory

Chapter VI:

FAMILY NURSING CARE PLAN

Cues Analysis of the Objectives Intervention Plan

problem

Nursing Rationale Method Resourc Expected

Intervention es Outcome
s

Risk factors Inability to The family Inform the In order for Home visit Time After nursing
of using recognize the will family about the family and intervention,the
deep well as presence of the understand the risk to be aware effort of family will
their source condition or the risk of factors in and Health the consider taking
of water problem due to: using water using deep understand teaching student appropriate
Lack of from the well as well the risk nurses actions about
knowledge deepwell. as factors to the prioritizing home
permanent using deep family. facilities for a
water well proper water
supply supply.
specifically: For them to Accurat
know the e
possible knowled
effect in ge and
Discuss bathing the data
possible deepwell. from the
disease that student
can be For them to nurses
acquired have to relay
from knowledge to the
bathing the about family
deepwell. infections
and
parasites
Discuss that they
parasitic will gather
infection from the
usually deep well.
coming from
unsanitary
water.

Presence of Low salience of The family: Discuss to To be able Home Time The family was
fire hazards the problem the family for the Visit and able to know the
due to resulting in Will know the possible family to effort of safety measures
firewood on accident the proper hazard that identify the Health the on cooking.
the side of hazards and place of can be hazard of Teaching student
their house house fires. cooking acquired. their way of nurses
food. cooking. and the
family

Deficient The head of Provide It helps Home visit Time Patient will
Past Knowledge: the family calm, restful lessen and participate in
hypertension will: surrounding sympathetic Health effort of activities that
as a health The patient’s s and stimulation; Teaching the reduce
deficit. understanding of Maintain his minimize promotes student BP/cardiac
the disease regular environment relaxation. nurses. workload.
process, check up. al activity
therapeutic and noise. Monitor Patient will
regimen, and Do lifestyle Limit the respons maintain BP
lifestyle changes modification number of e to within
are key in s that lower visitors and medicati individually
controlling blood length of on to acceptable
hypertension. pressure. stay. control range.
blood
Lessens pressur
Maintain physical e.
activity stress and
restrictions tension that
(bedrest or affect blood
chair rest); pressure
schedule and the
uninterrupte course of
d rest hypertensio
periods; n.
assist
patient with
self-care
activities as
needed.

Chapter VII:
Photo Documentation

Chapter VIII

VIII. REFLECTIVE JOURNAL

The key to gaining trust and completing the case study effectively is developing a
connection with the family that was selected. The selected family is really helpful since they
devote all of their time to responding to the student nurse's inquiries regarding their family
information. She is doing her best to respond to our query, despite some of the responders'
replies being uncertain.
The family's situation requires a great deal of attention and assistance if it is to
improve, particularly in terms of health issues. As evidenced by their surroundings and the
house itself, the student-nurse saw that they are genuinely having financial difficulties. One
of the primary vector locations is the deep well, which has to be targeted in order to stop the
spread of illnesses that might affect family members who are already struggling to pay for
everyday necessities, let alone treatment.
The student nurses are able to interact with many families and learn that while our
position may vary, we are all human beings who are striving for a better quality of life, which
makes this research highly engaging and a terrific learning experience. Community health
nursing is really the response for at least helping them make their life light by providing
simple help and teachings for them to be knowledgeable on how to maintain their good
health status. Some are really suffering hardship, while others are just relaxed because they
have enough. However, for those who are behind community health nursing is really the
solution. Taking care of yourself and being well is already a benefit and a help for them,
even if they receive no financial assistance.