FAMILY PROFILE

EDELFA MACARIOLA FAMILY

Address: Brgy. Napnud, Leganes Iloilo
Name

Relations
hip with
Edelfa

Age

Birthda
y

Sex

Civil
Status

Educational
attainment

Work

Conditional/
Disease

EDELFA

------------

66

---------

Widow

Grade 2

1st
husband
1st child

--------1972

Male

-------------

--------------

Tetanus

2nd child

1973

-------------

--------------

-----------

EDELBERTO
MACAREOLA
Randy

2nd
husband
3rd child

---------

Femal
e
Male

-------------

Male

4th child

40

1976

Married

Edelberto

5th child

38

1978

Femal
e
Male

Carpenter

-----------

FELIPE
JIMENO
Romulo
Rosana

3rd
husband
6th child
7th child

unrecalle
d
37
35

----------

Male

JOSE
SEGUBRE
Jericho
Jennifer

Live in
partner
8th child
9th child

unrecalle
d
28
26

----------

Male
Femal
e
Male

Asinan
worker
Worker
OFW

Sea snake Poison

1979
1981

Decease
d
Married
Married

HS
graduate
HS
graduate
--------------

Central
worker
Sidecar
Maker
Housewife

Carya disease

1974

Decease
d
Decease
d
Decease
d
Decease
d
Married

--------------

Rosa

unrecalle
d
2 weeks
old
4 years
old
unrecalle
d
42

Housewife
/ Vendor
--------------

Suspected MDR-TB

VALERIANO
ILISAN
Baby. Boy

Femal
e
Male

-------------

------------

1987
1989

Male
Femal

Water boy
Sex

Mentally Retarded
------------

Arlene

Married

Decease
d
Single
Married

1st year HS

High school
Vocational
I.T
------------Grade 2
Grade 5

------------

Good health
-----------

--------------------

RENE

Mistress

Joem

10th child

unrecalle
d
24

---------

e
Male

1991

Male

Decease
d
Married

-----------2nd year
college
Engineering

worker
Security
Guard
-----------

----------------------------

10 children from 5 different partners; 6 males and 4 females

2 children from 1st husband. They live together at Igbaras for about 3 years then the first husband died due
to _________ ;
3 children from 2nd husband. They live together at Leganes for about 4 years then the second husband dies
due to cardiac disease;
2 children from 3rd husband. They live together at Leganes for about 7 years then the third husband died
because of sea snake poison;
After her three husband died she decided not to get married again legally but had a live in partner they
had
2 children and live together for about 3 years and then his live in partner died because of ____________
1 child from a person whom she had one night stand while still in a relationship with her live in partner.
9 of her children have their own family and has their own houses
1 child lives with her.

DEMORGRAPHIC AND ENVIRONMENTAL PROFILE

The index patient lives at Brgy. Napnud accompanied with his son Jericho, 29. Their home is located
near at the basketball court. Whenever there is an event or activity at the basketball court they can be
easily invited and can join in the event whenever is needed.

Patients home is a one storey house made of cement floor, a wooden wall and a metal roof. The
house is own by her daughter name Jennifer who is now working at Cebu. The house is poorly maintain
though not damage. It was a bit untidy but has no bad odour. The house has two bedrooms. Adelfa
occupies the 1st room where she sleeps and rest while her son Jericho sleeps only on the living room
because the other room was used as a stock room, piled with patients personal clothes and with some
personal things of her daughter. The living room and a dining room was separated by a wooden wall. The
comfort room is near at the dining area and it has a flush type latrine with septic tank. Straight directly
from the dining area there is a small sari- sari store and from the sari-sari store a small door was opened
connecting directly to the balcony. The lawn was cemented and her flowers was grown in a pot. At the
corner of the lawn there is a big tree that gives shade to the house. The front of the house is cordoned by a
sterling metal fence with a gate made of bamboo. In front of the fence there is a general drainage. No
pets are seen in the house nor poultry like chicken or duck as a livestock. Cockroaches and rodents are
present when called.
The family takes care of their waste by burning the dried leaves and by segregating and selling cans
or bottled plastics.
ECONOMIC PROFILE
The main source of the family is the sari-sari store. The sari-sari store earns 500 1500 every month. The
money that was earn from sari- sari store supports only two person Adelfa herself and son Jericho. Patient stated
that her youngest son Joen provides her regularly with rice. But when patient is financially constraint the patients
runs to their neighbourhood to borrow some money and pays it later when one of her children sends her money. Her
son Jericho earns his own money as a water delivery boy in their barangay and he was paid 5 peso per gallon. He
earns a total amount of 50-100 per day. Their diet mainly consists of vegetables and fish, and if they are able to,
they also eat meats like chicken and pork. The Adelfa claims she seldom drink Soda but her son Jericho drink soda
as replace to water.
FAMILY LIFE LINE

A family lifeline is a tool that summarizes the history of the family, particularly the individual or the familys
significant experiences over a period of time over a chronologically sequenced manner. It also includes how the
family has coped with these stressful life events(Textbook of Family Medicine)
Year

Ag
e

Event

Severity of
Illness

1967
1969
1970
1971
1973
1976
1978
19- 19- 19- 19- 1987
1989
1990
1991

17
19
20
21
23
26
28
37
39
40
41

Got married
Birth of baby Boy (1st Child)
Birth of Rosa (2nd Child)
Death of 1st Husband. Become widow
Birth of Randy (3rd Child)
Birth of Arlene ( 4th Child)
Birth of Edelberto (5th Child)
Death of 2nd Husband. Become widow
Birth of Romulo (6th Child)
Birth of Rosana (7th Child)
Death of 3rd Husband. Become widow
Birth of Jericho (8th Child)
Birth of Jennifer (9th Child)
Had 1 one night stand with Paramour
Birth of Joen (10th Child)
Death of Live In partner. Left Heart broken

****
***
****
****
****
****

Severity scale:
None
*
Mild
**
Moderate
***
Severe
****
Very Severe

FAMILY LIFE CYCLE

A family life cycle is a set of predictable steps or patterns and developmental tasks families undergo within a given
time frame. These include the emotional, psychosocial and physical changes attendant on each step. (Textbook of
Family Medicine)
5
6
8
9

Stage
Stage
Stage
Stage

Cycle:
Cycle:
Cycle:
Cycle:

Stage
Stage
Stage
Stage

V: Retirement or Senior years

VI: The Family in later life
VIII: Family in Later Years
IX: Aging Family Retirement to death

The Retirement and Later Years stage

The main tasks are coping with physiologic decline in the self as manifested by the illness of Mr. Ricardo and his
inability to work, adjusting to children taking a more central role in day to day activities like household work, valuing
the wisdom and experience of the elderly as their children still rely on the advise of their parents with regards to
decision making, dealing with the loss of a peer or siblings, and reviewing, reminiscing and preparing for ones own
eventual demise. The key emotional trait is accepting the shift in generational roles. Obviously, the chances of
having a chronic physical illness or a psychological one increases with age like in the case of Mr. Ricardo who has an
endocrine disease. Degenerative conditions and debility like Mr. RicardosDiabetic Retinopathy are also expected to
occur.
FAMILY ILLNESS TRAJECTORY
There are four stages that the family undergoes in coping with illness (Leopando, 1999 and Lavina 2002). The
timeline which the family surpasses each stage depends on the factors. At each stage the doctor forearmed with
knowledge of what the family members are gointhrough and what they need to know can be staunched
therapeutically and a source of extra-familial support. (Textbook of Family Medicine)
Stages Trajectory of Illness
Stage 1
Onset of symptoms and illness
Stage 2
Impact phase reaction to the diagnosis
Stage 3
Major therapeutic efforts
Stage 4
Recovery phase adjustment to outcome
The patient is categorized as Stage 4 because the patient is currently adjusting with the outcome of the disease.The
patient manifests signs and symptoms and the complications of Diabetes Mellitus. Patient is on maintenance
medications but activities of daily living are still affected.

Role of the Physician

Physicians play a diverse role in dealing with a family struck with illness and it is therefore important that they play
an integral part in aiding the family to reach wellness. Some of the task that the physicians needs to perform are as
follows:
- Monitor patients condition
- Advise the patient to seek medical help if necessary
- The physician should advise the family to monitor his vices ( Drinking Alcohol)
- The physician should advise the patient to have a proper diet
- Life style modification regimens such as exercises to improve his breathing