FAMILY CASE STUDY

FAMILY NAME:

Gardon

ADDRESS: Blk 4. room

7,Phase 5 Brgy. Dela Paz I. DEMOGRAPHIC DATA HOUSEHOLD NUMBER: BARANGAY HOUSEHOLD NUMBER:

II. FAMILY DATA Length of residency: 13 years Place of origin: Bicol (Luzon) Family size: 6 members Religion: Husband: Roman Catholic Wife: Roman Catholic

FAMILY MEMBERS CHART

Family Members 1.A.G.. 2.R.G. 3.L.G. 4.R.G. 5.A.G. 6.Jay jay Age 40 18 15 12 9 2 Sex Femal e Male female Male female male Civil Status Married Single Single Single Single Single Position in the family Wife Son Daughter Son Daughter son child Relationship to family head Mother Child Child Child Child Educational attainment High school Graduate High school Graduate Presently studying (Grade 4 student) Presently studying (Elementary) Presently studying (H.S.) Occupation House wife Studying Student Student Student

III. INITIAL DATA BASE

A. Family structure, characteristics and dynamics The Gardon family resides at 111, Garden Medium Rice Dela Paz St. Mandaluyong Blk 4. room 7,Phase 5 Brgy. Dela Paz . They are a nuclear type of family that has five members and all are Roman Catholic. The head of the family Mrs. A.G. (40 years old) were not able to pursue in high school. They have 3 children studying one in high school and two in elementary near them. The oldest is studying college. Mr. and Mrs. G. originated from Bicol but tagalog is the primary dialect spoken of the family since they live in Brgy. Dela Paz. And the head of the family was the only one whos working for the family as a shoe cleaner but they was only sustented. Mrs. A was 8 months pregnant,AOG(8 months and 21 days) and expected to deliver on September 29,2009. Their house is situated near olalia road and the schools are 4 meters from the house. Mrs. G. were the one who decides for their family because the father was just visiting them. Even though there have misunderstanding on financial matters they make an effort on resolving disputes.

B. Socio-economic and cultural characteristics Regarding with their socio-economic aspect, the family salary as a shoe cleaner approximately 1000 monthly. The sum of their income will be divided for their expenses such as 1.food, 2. Education, 3. Utilities (rent for their house which is 700 pesos), 4. health and others. The one who makes decision with their money is their mother. In terms of relationship of them with their community They dont attend on community meeting or assemblies because they say that they have no time for that. They are roman catholic. They have 3 children studying one in high school and two in elementary near them. The oldest is studying college. The place where they live is very crowded. The community is full of children maybe 6 to 8 years of age.

C. Home and Environment Under environmental factors, their house is a room which measures 4 square meters. that is inadequate space for five of them and it is not well ventilated because their home has only one window for the air to come in. As I assess the pregnant mother, I saw that the place is not well organized and the family has no cabinets for food storage. They cook food with charcoal. The water they drink is tap water. Their toilet is a community toilet, it is de-buhos and in front of the public is full of stagnant water. They make use of plastics or sacks for their trash,

and according to them it is collected by a track every wednesday. The drainage is close and the water flows freely. They have no garden and stray pets. There kitchen and sala are one who serves also as gate for visitors. The family has many unnecessary types of equipment within their house, it occupies big space, and with that set-up the space for the family members is limited. Adequate amounts of air were able to pass through cause of scattered equipments.

D. Health status of each family member As for the Past illness of the family include tonsillitis, diarrhea, cough and colds.They have enough time of sleep and eat three times a day. They primarily eat rice, vegetables, fish, meat, and fruits. And sometimes their oldest daughter skips breakfast at the morning and goes to school without eating anything. The drink alcoholic drinks occasionally and no family members smoke. As I assess the pregnant mother. The pregnant mother is not taking any screening and laboratory exams. They find it hard to find a good sleep because of inadequate space. E. Values and Practices on health maintenance The children of Mrs. G. are sleeping from 8:00p.m or 9:00p.m until 10:00 a.m. They find it hard to find a good sleep because of inadequate space. The family has complete set of meals from breakfast, lunch and dinner. Family spends time of leisure together and children is fond of playing at the plaza and sidewalks. Mrs. G spends time on cleaning, cooking and washing clothes of her siblings. The clinic where the mother is attending monthly check ups is situated at Katipunan, just 1 jeep going there. FIRST LEVEL OF ASSESSMENT CUES
There are stagnant water near their house. Family members live in a 2 by 2 house with no room. The room is not organized Pregnant mother whose age is 40 years old, 8 months and 21 days

PROBLEMS
Presence of breeding sites for mosquitoes. Inadequate members. living space for family

Poor sanitation Possible complications of pregnancy and foreseeable crisis for child birth

SECOND LEVEL OF ASSESSMENT CUES Doon sa may lapit kasi namin marami ang naiipong tubig kasi doon yung banyo

PROBLEM Presence of breeding sites of mosquitos as a health threat. Inability to provide a home conducive to health maintenance due to: Inadequate knowledge of importance hygiene and sanitation Inadequate living space as a health threat Inability to provide home environment conducive to health maintenance due to: a.Inadequate family resources specifically : -financial resources -physical facilities, ex. Living space Inadequate living space as a health threat Inability to provide home environment conducive to health maintenance due to: a.Inadequate family resources specifically : -financial resources -physical facilities

sorry maliit lang tong bahay kasi hindi pa ako nakaka pag ayos.

medyo magulo yung kwarto haaa

buntis ako huling dalaw ko eh yung nung January 1 PRIORITIZATION OF HEALTH PROBLEMS Presence of breeding sites of vectors CRITERIA DESCRIPTIO COMPUTATIO ACTUA N N L SCORE Nature of Health deficit2/3x1 0.67 the 3 problem Health threat -2 Foreseeable crisis-1 Modifiabilit Easily 1/2x2 1 y Modifiable- 2 Partially Modifiable- 1 Not Modifiable0

JUSTIFICATION It is in need of immediate help to eliminate the threat of mosquitoes Problem is partially modifiable. The family dont have enough materials to control the problem

Preventive potential

high-3 moderate-2 low-1

2/3x1

0.67

MODERATE PROBLEM SEVERITY OF THE PROBLEM: It didnt affect any members of the family . DURATION OF THE PROBLEM: there is no problem yet but it is in need of immediate attention CURRENT MANAGEMENT:memve rs of the family didnt do anything to improve condition EXPOSURE TO ANY RISK: they are at risk of acquiring disease specially those children Family members doesnt recognize it as a problem

Salience

Problem that need immediate attention-2 Problem no needing immediate attention-1 Not felt-0

0/2x1

Inadequate living space CRITERIA DESCRIPTION Nature of the problem Health deficit-3 Health threat -2 Foreseeable crisis-1

COMPUTATION 2/3x1

ACTUAL SCORE 0.67

JUSTIFICATION There is a possibility to acquire diseases specially those children because of space. The problem is not modifiable because the family doesnt know on what will be the diseases that

Modifiability

Easily 0/2x2 Modifiable- 2 Partially Modifiable- 1 Not Modifiable- 0

Preventive potential

High- 3 Moderate- 2 Low- 1

3/3x1

will be acquired because of insufficient space. They lack resources in order to eliminate insufficient space. Occurrence of disease can be prevented if they are aware of importance of in sufficient space for family members. Different diseases especially the communicable and other viral can be transmitted because of insufficient space. DURATION: it already exist for a long period of time. CURRENT MANAGEMENT: family has not performed solutions due to lack of financial resources EXPOSURE TO ANY HIGH RISK GROUP: all members are at high risk because of space Family does not

Salience

Problem

that

0/2x1

need immediate attention-2 Problem needing immediate attention-1 Not felt-0

recognize the existence of the problem. no

Poor sanitation CRITERIA DESCRIPTION Nature of the problem Health deficit-3 Health threat -2 Foreseeable crisis-1

COMPUTATION 2/3x1

ACTUAL SCORE 0.67

JUSTIFICATION The problem is a health threat. The family is prone for having many diseases and illness because the environment in where they live is unclean and not properly organize. They are not aware that poor sanitation can cause a lot of diseases but they are shy of disorganized home. There is plastic bags and cleaning materials available. The problem is partially modifiable because if the nurse and the family will do the cleaning task then it will be accomplished. The family is already immune to this

Modifiability

Easily 1/2x2 Modifiable- 2 Partially Modifiable- 1 Not Modifiable- 0

Preventive potential

High- 3 Moderate- 2 Low- 1

2/3x1

0.67

Salience

Problem that need immediate

1/2 x1

0.5

attention-2 Problem needing immediate attention-1 Not felt-0

no

environment so it doesnt need attention

POSSIBLE PRE ECLAMPSIA CRITERIA DESCRIPTION COMPUTATION Nature of the problem Health deficit-3 Health threat -2 Foreseeable crisis-1 3/3X1

ACTUAL SCORE 1

JUSTIFICATION It recquires more attention because the mother is at risk for complication because of her age. It is partially modifiable because the resources are not available because the center is far from the house while the interventions are available because screening test and the nurse can make teachings about taking care of the pregnant mother. The possibility of complications during pregnancy if remove as early as possible. The family knows that it is in need of immediate care that may affect her child birth.

Modifiability

Easily 1/2x2 Modifiable- 2 Partially Modifiable- 1 Not Modifiable- 0

Preventive potential

High- 3 Moderate- 2 Low- 1

3/3x1

Salience

Problem that need immediate attention-2 Problem no needing immediate

1/2x1

0.5

attention-1 Not felt-0