NORTH VALLEY COLLEGE FOUNDATION INCORPORATED

Lanao, Kidapawan City

COMMUNITY HEALTH NURSING

A CASE STUDY OF TADEO
FAMILY

In Partial Fulfillment of the Requirement in

COMMUNITY HEALTH NURSING 1

Presented to the Faculty Nursing Department Of

North Valley College Foundation Inc.

Presented by:
Cordero, Francis James R. de
los Trajes, Shanelle C.
De Jesus, Kacey Mae P.
Dinopol, Jodie Claire E.
Cadungon, Rustom T.
Delos Reyes, Kate F.
Canon, Cheryl Joy I.
Fabila, Karen Joy C.
Copero, Vi Ann T.
Camin, Yusra L.
Presented to:
Joseph Maambong R.N.
Clinical Instructor
November 2022
 TABLE OF CONTENTS

Title Page i
Table of Contents ii
Acknowledgement iii
Chapter I - Introduction
A. Introduction 1-2
B. Case Study Objective 3
C. Significance of the Study 4
D. Scope and Limitation 4
Chapter II – Community Profile
A. Barangay History 5
B. Barangay Profile 5-6
C. Health Services 7
D. Health Profile 8-11
E. Spot Map 12
Chapter III – Initial Database
A. Family structure, characteristics and dynamics 13
B. Social Economics and Cultural Characteristics Income 14-16
C. Home and environment 17-29
D. Health Status of each Family Members 30-31
E. Values, Habits, Practices on Health 32
Chapter IV
A. Identifiable Health Problems 33-42
B. 1st Level of Assessment 43-44
C. 2nd Level of Assessment 45-46
Chapter V
Scaling for Ranking Health Condition and Probe 47-55
Scaling/Computation 56
Chapter VI
Family Nursing Care Plan 57-66
Family Assessment Tool
Appendices
References

ACKNOWLEDGEMENT

The study gave our group the opportunity to learn about the issues and
make an intervention for the family's health status. But none of this would have
been possible without the help of the people who assisted us throughout the
study.

For this fulfillment of the study, the student nurses want to give their
appreciation and genuine gratitude to the people who constantly guide us and
give their complete support. This section is for all of them.

The group would like to thank the following:

First of all, we would like to give our gratitude to our clinical instructors,
Ma’am Lorelie R. Dayondon, Ma’am Caridel S. Guillardo, and Sir Joseph D.
Maambong for guiding us in this family case study and for the opportunity to
improve our knowledge of Community Health Nursing.

Second, we would like to extend our thanks and appreciation to our

beloved family for their complete support and encouragement.

Third, we would like to extend our deepest thanks to Family Tadeo for the
cooperation and willingness to be part of our study.
 Fourth, is to thank our group mates for their cooperation and determination
in the completion of our case study to acquire knowledge and skill.

And especially to Our Almighty God for giving us guidance, and strength
upon doing this case study and for love that inspires us to help people.

CHAPTER I
INTRODUCTION

The global family begins at conception. Every person born into this world enters
into a global society in which beliefs and ideas about the meaning of life and its
purpose are shared, regardless of one’s country of origin or the demographic
characteristics of one’s birth parents. Ultimately, we are related to one another.
Our genetics do not differ significantly; there is no gene of for race. If the global
family begins at conception, then how might the meaning of a ‘global family’
cause to a rethink our antiquated ideas about conception, marriage and
parenting, particularly for heterosexual women who choose to remain single?
Feminist theory has not devoted substantial scholarship to intentionally
unmarried heterosexual women who choose not to conceive children (Kimberly
Petrovic, 2014).
 It is often said that humans are social creatures. We make friends, live in
communities and connect to acquaintances through shared interests. In recent
times, social media has become a new way for people to connect with childhood
peers, friends of friends, and even strangers. Perhaps nothing is more central to
the social world than the concept of family. Our families represent our earliest
relationships and often our most enduring ones. The definition of family has been
defined as two or more people who are related by blood, marriage, and
occasionally adoption (Murdock, 1949).
The family as integrated and functional unit of society has for a
considerable period of time capture the attention and imagination of researchers.
While the family itself is a matter of study, equally important for research is its
role as a factor influencing and affecting the development, behavior and well-
being of the individual. The family is a basic unit of study in many social science
discipline such as sociology, psychology, economic anthropology, social
psychiatry and social work (Desai, 1994).
The family is the smallest unit of the society and the natural fundamental
core of the community and consequently, it is considered as the primordial
recipient of the nursing effort, which is contributory to the development, and
progress of the community through active involvement and self- responsibilities of
each constituent. It is composed of persons, male and female, being molded to
be as one, working hand in hand to maintain a good atmosphere among the
family members. A nucleus controls the functions of the entire cell and can be
thought as the “command center’ of the cell. The nucleus as well has different
components which are all needed in order for it and the cell to function well, same
as with the “commander” or the head of the family and members who has
different functions within the family. The impression or status of each family will
always affect the status of the community as a whole (Ariel and Will Durant).

Tadeo family, is a social unit composed of the father, mother, child and
grandmother. Thus, considered to be a extended family. Mr. Marcelo Tadeo, a 41
years old farmer, he is the head of the family. He is married to Mrs. Jocelyn
Tadeo, a plain housewife. They were blessed with one child named David
Tadeo, a four
(4) year old, and they called it a “miracle baby” because of its condition. The
fourth member of the family is the mother of Mrs. Jocelyn Tadeo which is
Dominga Contal. All their needs is provided by Mr. Tadeo who is a farmer,
earning three thousand pesos (P3,000) per month. And the income is not enough
for the whole supply for 1 month.
Tadeo family is currently facing a health problems include presence of
accidents hazards. By that, the researcher find the family an ideal subject for
study.
 OBJECTIVES OF THE STUDY
This chapter presents the general and specific objectives of this family
case study. Setting objectives provides direction for planning a family nursing
intervention. It facilitates motivation for the client and the nurse by providing a
sense of achievement. (Kozier, Erb et. al., 2004)

GENERAL OBJECTIVES
To conduct a thorough case study about the Tadeo Family residing in
Barangay Ilomavis, Kidapawan City. This is to provide the family a plan for
intervention and nursing care to improve their lifestyle, especially their health
status and to become self-reliant in maintaining their health.

SPECIFIC OBJECTIVES
• Courtesy call of the community with barangay officials.
• Prior to arrival at the area, disseminating the task to each member of the
group.
• The group was divided into two groups to interview a family.
• The group was able to interview five families
• After the given time we are gathered again so we can visit the barangay
health center to collect some other needed data.
• We have a short discussion with our C.I. in order for us to choose which
family will be the focus of this study.
• After having the agreement on which family is the focus on the study, we
started to make the first and second chapter of our case study.
 • On the second exposure we gathered the lacking and needed information
for this study.
• When addressing the community’s unique health and developmental
needs, incorporate the ideas of community empowerment and
involvement.
• Identify high risk family and conduct family assessment using a variety of
methods.
• Create and carry out an action plan that addresses the needs of the
family.
• Provide instructions and reassurance to the family to ensure the upkeep
and continuation of the progress made as a result of the interventions
made to address the identified family nursing problems.

Significance of the Study:

The study will aid in informing and raising the family's understanding of the
nature of their issues, circumstances, and care priorities. Through the use of
appropriate treatments and nursing care, it will improve the use of systematic
communication among individuals involved in health care. It will also act as a
source of knowledge and a guide for other people and help the residents to gain
the appropriate information necessary for them to be aware about health care
services that already established in their barangay. It can also provide as a
baseline information on how we can improve the approach for the residents to be
more engaged to the health care services that are offered.

Scope and limitation

This group was assigned in Barangay Ilomavis, Kidapawan City, North
Cotabato. This was a 3days case study. It covers the survey of the area and the
family that needed the most of the care plan. It is supported with the data
gathered from the family itself from the Barangay Ilomavis where they reside.

CHAPTER II

Barangay History:
BARANGAY ILOMAVIS, KIDAPAWAN CITY
Ilomavis is a barangay in the city of Kidapawan, Province of North Cotabato. Its
population as determined by the 2022 census was 4,487. This presented 2.79%
of the total population of Kidapawan. Barangay Ilomavis composed 3 tribes which
are the ILOCANO, MANOBO, and VISAYAN. Ilomavis was formerly named
upper Ginatilan. On March 18, 1971 under the administration of former Barangay
Captain Hon. Prescillo Padua Sr. who served for more than 30 years, and it was
renamed as ILOMAVIS that symbolizes the unity of 3 tribes. Ilomavis stands for
ILO for ILOCANO, MA for MANOBO, and VIS for VISAYAN.

Barangay Profile
Barangay Leaders:
BARANGAY LEADERS
Barangay Officials Brgy. Captain: Jimmy Ayag Mantawil
Brgy. Secretary: Charmie Timil
Brgy. Treasurer: Rolan Bayawan
Brgy. Bookkeeper: Nining Mantawil
Brgy. Kagawad: Hon. Nelson A. Tula
Hon. Antonieto R. Bolado
Hon. Brigido A. Baroro
Hon. Christopher P. Damo Jr.
Hon. Melvin P. Ompong
Hon. Recardo A. Bacag
Hon. Jerry I. Siao
Hon. Mario A. Ayag SK
Chairman: Winmar Quijano
SK Kagawad :
Maymay Anonso
Maangue
Redjib Madidis
Jovelyn Mandacawan
Jerwen Ginobio
Sicao Love
Health Resources
Barangay Midwife : MERCEDES TANGCAWAN
Nurse : AIZA SANIEL, RN
BNS Barangay Nutrition Scholar
1. Andrelina L. Malveda
2. Perlita V. Diaz
GKK : Heronemo Bulado- Caobag
Barangay Record Keeper 1. ESTRELIA SUNDO
Brgy. Health Workers: Juvie F. Encarnation
(Purok 1A & 1B) Marietta M. Pascua
(Purok 2A & 2B) Amethyst L. Yahya
(Purok 3 & 4) Arlene D. Mantawil
(Purok 5) Jenle A. Lambac
(Purok 6A) Herminia M. Ahon
(Purok 6B) Nancy C. Velila
(Purok 7)
Day Care Workers :
Merlyn Nuñes
Hilda Oribado
Wilma Tula
Hanny Mae Linog
Efrel Love Lim
Nicky Jean Serano
CVO President : Mario Arcayos
Purok. President
Purok 1 A : Elmar Delfine
Purok 1 B : Elizabeth Roque
Purok 2 A : Arnele Pacete
Purok 2 B : Jerry Moting
Purok 3 : Renato Ompong

Barangay Health Services

MEDICAL
Treatment of simple illnesses referral cases
Animal bite cases
Maternal and Child Health
Prenatal and Post Natal care
Tetanus-ditheria immunization
Family Planning
IUD insertion-referral
Provision of pills and condom
DMPA injection
Natural family planning
Counseling
Papsmear-referrale

National Tuberculosis Program (NTP)

Sputum collection and referral for sputum microscopy/gen expert
Immunization Services
Every 1st Wednesday of the month, BCG penta, oral polio vaccine, IPV, Measles,
MMR, and PCV vaccines
Nutrition
Operation timbang/Opt
Under five clinic
Deworming, vitamin A
Provision of micronutrients and
Foods supplements
Environmental Sanitation
Inspection of food establishment
Fogging for identification dengue
Areas
Excreta and sewerage disposal
Solid waste management
Medical: treatment of simple illness Referral Cases Animal Bite Cases
Maternal and Child Health: prenatal and Post Natal Care, Tetanus -Diptheria
Immunization
Family Planning: IUD insertion- Referral provision of pills and condom DMPA
injection Natural Family planning Counseling papsmear-referral
National Tuberculosis Program (NTP) Sputum collection and referral for Sputum
Microscopy/ Gen Expert
Immunization Services: Every 1st Wednesday of the month BCG, PENTA, ORAL
POLIO VACCINE, IPV, MEASLES, MMR AND PCV VACCINES
NUTRITION: Operation timbang / OPT UNDER FIVE CLINIC DEWORMING,
vitamin A provision of Micronutrients and food Supplements

Health Profile
Kagawad on Health - Ricardo Bacag
Midwife - Mercedes P. Tangcawan, RM
Nurse - Aiza N. Daniel, RN
BNS
- Andrelina L. Malveda
- Perlita V. Diaz
BHW
- Juvie F. Encarnacion
- Marietta M. Pascua
- Amethyst L. Yahya
- Arlene D. Mantawil
- Jenlee A. Lambac
- Herminia M. Ahon
- Nancy C. Velila

HEALTH PROFILE
Barangay Situational Analysis
Barangay Ilomavis, Kidapawan City
CY 2019-2021

ACTIVITY 2019 2020 2021

Total no. of population 5099 4857 4627

Total no. of Household surveyed 1066 1159 1196

Total no. of Families 1102 1191 1225

Nutritional status of infants

a. No. of normal 94 100 83
b. No. of overweight 0 0 2

c. No. of underweight 0 0 2

d. No. of severe underweight 0 0 0

Total No. of women who are

a. Pregnant 84 89 72
b. Lactating 157

c. Exclusively breastfeeding 157 78

d. Continued breastfeeding at 1
71 107
year
e. bottled
3

Total no. of preschoolers (0-59

501 523 503
months)

Total no. of preschoolers weighed

501 523 503
(0-59 months)
Nutritional status of preschoolers
(0-59 months)

a. No. of normal 475 499 479

b. No. of overweight ( 0-59

0 2 2
months)

c. No. of underweight 20 16 16

d. No. of severely underweight 6 6 6

Nutritional status in height taking

1. Weight for length (0-50
months)
490 511 490
a. No. of normal
b. No. of wasted 8 5 4

c. No. of severely wasted 3 3 1

d. No. of overweight 4 6
e. No. of obese
2

2. length / Height for age (0-59

months)
453 483 470
a. No. of normal

b. No. of stunted 39 26 21
c. No. of severely stunted

9 14 10

Total No. of preschoolers (0-23

193
months)
Total No. of couple practicing family
planning
No. of preschoolers immunized
a. BCG 122 73 66
b. PENTA 1 154 71 69
 c. PENTA 2 132 64 63

d. PENTA 3 130 68 51

e. OPV 1 60 70 76

f. OPV 2 122 98 72
g. OPV 3
137 94 142

No. of household with:

a. Vegetable garden 415 341 282
b. Livestock / poultry 185 165 9

c. Fishpond 12 13

No. of household using iodized salt 1006 831 1196

No. of stores selling fortified foods 95 28 30

No. of lactating Mother practicing

129
Exclusive Breastfeeding
No. of households with Home yard
415 2 217
Garden

No. of Peer Councilors 10 10 10

Spot Map of Barangay Ilomavis, Kidapawa

n City

Chapter III
 The Initial Data Base of the Tadeo Family

A. Family Structures, Characteristics and Dynamics

The Tadeo family is an extended type of family, they are composed of a father,
mother, son, and grandmother. The wife of Mr. Tadeo was blessed with one child
namely David Tadeo, four (4) years old and they called him a “miracle baby”
because of his condition.
A.1 Family history and background
Tadeo family, is a social unit composed of the father, mother, child and
grandmother. Thus, considered to be a extended family. Mr. Marcelo Tadeo, a 41
years old farmer, he is the head of the family. He is married to Mrs. Jocelyn
Tadeo, a plain housewife. They were blessed with one child named David
Tadeo, a four (4) year old, and they called it a “miracle baby” because of its
condition. All their needs is provided by Mr. Tadeo who is a farmer, earning three
thousand pesos (P3,000) per month. And the income is not enough for the whole
supply for 1 month.
Tadeo family is currently facing a health problems include presence of
accidents hazards. By that, the researcher find the family an ideal subject for
study.

A.2.Demographic Data
Name of Family Age Sex Civil Status Position in
Member the Family
Marcelo Tadeo 41 M Married Father
Jocelyn Tadeo 41 F Married Mother
David Tadeo 4 M Eldest (only
child)
Dominga Contal 69 F Widowed Grandmother
B. SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS

B.1. INCOME AND EXPENSES:

B.1 a.) Occupational, place of work and income of each working family
Mr. Marcelo Tadeo was the breadwinner of the family. His job is a farmer,
with an estimated net income of 3,000.00 a month. Mrs. Tadeo (housewife) do
the budgeting of their monthly expenses.

B 1 b.) Adequacy to meet basic necessities (food, clothing, shelter)

The family has the means only for their basic needs and sacrificing the
quality and quantity of these needs for them to sustain their living. According to
Mr. Marcelo, the source of their electricity is a solar type, for their water supply is
the BIWSASA. They use firewood in cooking their food. Their monthly income is
3,000.00 only but sometimes it’s below 3,000.00 a month or above.
Tadeo’s Monthly Expenses
Below is a table showing the monthly expenses of Tadeo Family
Monthly Expenses
EXPENSES PRICE WEEKLY MONTHLY
Rice 42 7 kls. =294.00 1,176.00
Fish 170 1 kl. =170.00 340.00
Coffee(Nescafe 3 5 sticks =15 60.00
Sticks)
Soy Sauce 9 2 packs =18 72.00
Vinegar 7 2 packs =14 56.00
Vetsin 5 1 pack =5 20.00
Medicine (Valproic 550.00 (For 3 weeks) 1,650.00
Acid)
DHA (For brain) 16.00 Daily 496.00
TOTAL 3,870.00
EXPENSES/MONTH
TOTAL INCOME/MONTH 3,000.00
DEFICIT 870

The above table is only the basic needs of the family. It clearly shows that
their potential income of 3,000.00 a month is not enough to cover up the needs of
the entire family even the basic one.
D.2.1 ANTHROPOMETRIC DATA
CLASSIFICATION BMI RISK OF CO-
MORBIDITIES
UNDERWEIGHT <18.5 LOW
NORMAL WEIGHT 18.5-24.9 AVERAGE
OVERWEIGHT 25.0-29.9 INCREASED
OBESITY CLASS1 30.0-34.9 MODERATE
OBESITY CLASS II 35.0-39.9 SEVERE
OBESITY CLASS III >40.0 VERY SEVERE

NAME AGE SEX HEIGHT WEIGHT BMI REMARKS

JOCELYN 41 F 155.4 50 20.7 NORMAL

TADEO

MARCELO 41 M 173.7 60 19.9 NORMAL

TADEO

DAVID 4 M 94 12 13.6 UNDERWEIGHT

TADEO

DOMINGA 69 F 152.4 44 18.9 NORMAL

CONTAL
C. Home and Environment

Home is a place that gives comfort to everyone. Tadeo's home is very

simple, their home is situated in rural area. Their home is not too big nor to too
small. It comprises of father, mother, son and grandmother. The home were
family Tadeo lived in, is given by the government since they are victim of
earthquake last 2019. The home of Tadeo family is compose of one bedroom,
one comfort room, small kitchen area and tiny space for living area.
Environment

Their environment is clean and well taken care of by the Tadeo’s family.
Living space

Their living area is not spacious since they put a bed on it as their chair
and a table for dining. It is tight for 3 people living together but the bed makes it
more helpful for them to be comfortable. They don't have television or any radio
at all.
Adequacy Living Space
Computation
TFA – Total Floor Area
TFR – Total Space Requirement

Living Room
TFA= L x W =
5.03m x 2.04 m =
10.26 sqm.
TSR= (5sqm) + (2sqm x 3)
= 10 + 6
= 16m²
Result
TSR>TFA = Inadequate Living Space
Ventilation
(Window)L x W= m² x 100 = 61.07% = Good Ventilation
5.03m x 2.04m = 10.26m²
KITCHEN AND COOKING FACILITY

The Tadeo's family kitchen were they prepare their food has a tiny space,
the space is just limited. While their cooking facility is they used wood for cooking
and it is located outside in their house.
FOOD STORAGE

For the food storage of the family is keep in the close plastic container
since they don't have a refrigerator.

WATER SUPPLY

Tadeo family uses Bawasa as their water supply and store it in a big
container which they can use when needed.
TOILET FACILITY

Their Toilet Facility is water sealed. It is located inside their house.

GARBAGE DISPOSAL
 In terms of waste disposal, Tadeo's family segregates all the garbage and
uses sacks which are labeled. They separate all the biodegradables and non-
biodegradables then they use open burning as their method of disposal which
burns all of their garbage on specific area.
BREEDING SITE OF VECTORS DISEASES

After analyzing the interior and exterior of the house, we noticed that there
were some few breeding site for potential dengue vector in the house. One for
example is that of their backyard where a lot of stagnant water can be seen on
the ground due to a lack of proper sewage system and another is of their water
containers in the bathroom where it always seem to be uncovered and could
allow mosquito to breed inside their house.

KINDS OF NEIGHBORHOOD
 In terms of their neighborhood, they are very approachable and generous
towards each other. In times of difficulties, they are always willing to help without
hesitation.
SOCIAL AND HEALTH FACILITIES

Health center is present where immunizations and check-ups are

rendered. There are also several sari-sari stores in the area wherein they could
buy the things they need. There are also chapels and school near the community.

D. HEALTH STATUS OF EACH FAMILY MEMBER

1. MEDICAL AND NURSING HISTORY

Mrs. Jocelyn Tadeo a 41 years old, mother of David Tadeo a 4 years old
child. She gave birth to David Tadeo through normal delivery in Kidapawan
Midway
Hospital. Mrs. Jocelyn said that she also consults the “hilot” aside from the health
center. For their family planning, the husband and wife did not use any
contraceptive methods.

2. NUTRITIONAL ASSESSMENT
120 up OBESE
111-120 OVER WEIGHT
90-110 NORMAL
ST
76-89 1 MALNUTRITION
60-75 2ND MALNUTRITION
60 below 3RD MALNUTRITION
BMI CLASSIFICATION:
18.9 Below- UNDER WEIGHT
19-24.9- NORMAL
25-29.9- OVER WEIGHT
30-39.9- OBESE
40 UP- MORBIDITY

A. ATHROPOMETRIC DATA
NAME AGE SEX HEIGHT WEIGHT BMI %BMI REMARKS
Marcelo Tadeo 41 M 5’7 60 kg. 20.7 Normal

Jocelyn Tadeo 41 F 5’1 50 kg. 19.9 Normal

David Tadeo 4 M 94 cm 12 kg. 13.6 Underweight
Dominga 69 F 5’0 44 kg. 18.9 Normal
Contal

VITAL SIGNS
NAME AGE SEX TEMPERATURE PULSE RESPIRATORY BP
RATE RATE
MARCELO 41 M
JOCELYN 41 F 35.2 70 21 cycle/ min. 120/
90
DAVID 4 M 35.8 18 cycle/ min.
DOMINGA 69 F 34.9 85 23 cycle/ min. 130/
80
Note: Mr. Tadeo was not present during the visitation because he was at work,
thus the group was unable to get his vital signs.

B. DIETARY HISTORY
The history of family’s health diet includes rice, vegetables and
occasionally fish and meat. The Tadeo family can consume 3-4 cups of rice every
day. The family’s usual breakfast includes dried fish (toyo), and sometimes quick
chow. When the lunch time come, Mrs. Jocelyn sometimes cooks vegetable soup
with sardines while at dinner they eat Odong (noodles) with sardines. As Mrs.
Jocelyn verbalized, “ ang madali-dali lang jud namo og palit tinapa og bulad kay
ang among budget kulang pa pang-palit og maintenance na tambal sa among
anak”. As we observed, the family has sufficient resources of vegetables but
these doesn’t help in maintaining their healthy lifestyle because of the food that
they usually eat (e.g. dried fish and sardines).
In terms of the family’s health status, they often used herbal leaves to
ease the feeling of pain to their body. Mrs. Jocelyn uses tuba-tuba leaves to treat
body pain and sometimes she also uses germilena leaves to lessen the
inflammation or swollenness in some part of the body. If there are some serious
cases, Mrs. Jocelyn visits the Barangay Health Center for immediate intervention
of illness.

C. EATING/ FEEDING HABITS AND PRACTICES

The family eats more than three (3) times a day including their snacks and
4-5 glasses of fluid intake. Mrs. Jocelyn said that they usually eat vegetables and
fish.
David, their son, has a history of food allergy specifically eggplant. But the
rest of the family members, they don’t have any history of food allergy.

3. Risk Factor Assessment

Risk factor analyses reveal the existence of significant and changeable risk
factors for several diseases associated with a particular lifestyle. The family has
an open drainage systems and it appears that they have reservoir where they
store the water needed every day.
4. Physical assessment
Our overall assessment of the Tadeo family shows their physical well-
being are in good condition except for the sixty-nine (69) years old Domingga
who had experience blurry eyesight and a four (4) years old David who has
unusual behavior because of his condition.
E. VALUES, HABITS, PRACTICES ON HEALTH PROMOTION E.1 HEALTHY
LIFESTYLE AND PRACTICES
The Tadeo family has a complete sleep of 8 hours. From 8 PM to 5 AM in
the morning. Mrs. Jocelyn, her everyday routine is to do the household chores
and prepare their food while his husband, Mr. Marcelo, is doing his job as a
farmer. And these serve as their physical activity every day.

CHAPTER IV

IDENTIFICATION OF FAMILY HEALTH PROBLEM

A. HEALTH DEFICIT
• Malnutrition
• Diabetes
• Pneumonia
• Cataract

B. HEALTH THREATS
• Improper kitchen utensils and storage
• Breeding sites of vector disease

C. FORESEEABLE CRISIS
• Another possible pregnancy
• Miscarriage
• Loss of opportunity to have a job

A. Health deficit
MALNUTRITION
David Tadeo was malnourished based on BMI computation.
DIABETES
Dominga Contal a 69 years old was diagnosed of diabetes mellitus.
PNEUMONIA
David Tadeo was diagnosed by the physician with pneumonia.
CATARACT

Dominga Contal has a cataract and it was left untreated which causes her total
blindness.
B. HEALTH THREATS
IMPROPER KITCHEN UTENSILS AND STORAGE
 The improper storage of the
kitchen utensils. It is stored in
an open area which is not
appropriate because it might
be contaminated with
microorganisms

BREEDING SITES OF VECTOR DISEASE

The stagnant water can serve as perfect breeding ground for mosquitoes which
transmit virus causing dengue, malaria, and other life-threatening vector-borne
diseases
C. FORESEEABLE CRISIS
ANOTHER POSSIBLE PREGNANCY
Mr. and Mrs. Tadeo is not using any types of family planning that can lead into
another possible pregnancy.
LOSS OF OPPORTUNITY TO HAVE A JOB

While her husband is at work, Mrs. Teadeo is responsible for caring for David and
her mother Dominga, which has stopped her from being able to find a job.
First level of assessment Health deficit
Cues and data Problem
David is considered underweight base Malnutrition
on the result of the BMI. It was also
observe on his physical appearance.
Mrs. Jocelyn verbalize “ang mga
pagkaon na gina pa kaon namo kay
david kay pili lang tungod kay gina
iwas namo siya sa maka pa samot sa
iyang sakit pariha anang itlog ug
manok na maka tukar sa iyang ubo”. It
 was said that only few food are being
fed to him because her mother
believes that it can make david ill.
Dominga's diabetes has triggered her Cataract
to lose her vision since 2018. “2018
nagsugod nga dili na siya makakita
tungod kay nagbutang siya og
kalamansi sa iyang ulo kay iyahang
gitambalan ang kaspa, unya natuloan
ang iyang mata mao to na iyang
gilugod-lugod unya na irritate,” as
verbalized by Mrs. Jocelyn Tadeo.
Dominga has diabetes, and her Diabetes
daughter noticed that she smells
unpleasant when she
urinates.Dominga said and we quote
”Naa na jud sa among kaliwat ang
diabeteson”.
According to David’s mother he was Pneumonia
diagnosed of having a pneumonia.
“Naga trigger iyang pneumonia kung
tugnaw ang panahon unya gina
nebulizer lang namo”, as the mother
verbalized. “Napansin pud nako nga
kung putlan ang buhok ni david
mutukar ang iyang pneumonia mao
tong wala nalang nako ginaputlan”, as
Mrs. Jocelyn added.

Health threat
Cues and data Problem
It has been noticed that kitchen Improper kitchen utensils and storage
utensils, including plates, glasses, and
spoons, are stacked on a tray outside
the house wherein flies and other
insects may be seen.
Where the faucet located outside the Breeding site of vector disease
home, it was seen that there is
standing water where mosquitoes can
lay their eggs.
Foreseeable crisis
Cues and data Problem
Mrs. Jocelyn Tadeo said that they are Another possible pregnancy
not using any types of family
planning.”Wala mi gagamit og family
planning, kung gusto namo mag anak
magpahilot lang mi.”
Mrs. Jocelyn’s was said to have a Miscarriage
miscarriage to her first pregnancy.”
Nakuhaan ko tungod kay hina ang
kapit sa bata, 3 months old to siya nga
nawala sa amoa.”
Since her son required so much care, Loss of opportunity to have a job
Mrs. Jocelyn was unable to work due
to David’s condition.”Wala ko
gipatrabaho sa akong bana kay
tungod gusto niya na sa balay lang ko
aron makafocus ko og alaga kay
David og sa akong mama nga dili
kakita”, as Mrs. Jocelyn said.

Second level of assessment Health deficit

Cues and data Problem
Malnutrition Inability to provide nutritious food due
to:
a. Lack of financial resources
b. Limited source of nutritious food.
Cataract Inability to seek for medical attention
due to:
a. Lack of financial resources
b. The hospital is far from their house.
Diabetes Inability to treat and maintain the
medication due to:
a. Lack of financial support
Pneumonia Inability to provide healthy home
environment and adequate nursing
care.
Health threat
Cues and data Problem
Improper kitchen utensils and storage Inability to provide a home
environment conductive to health
maintenance and personal
development due to:
a. Lack of family resources to buy
a proper storage for the utensils b.
Limited house space
Breeding site of vector disease Inability to provide a home
environment conductive to health
maintenance and personal
development due to:
a. Lack of knowledge on having
preventive measures
b. Lack of knowledge on how to
maintain a clean environment.

Foreseeable crisis
Cues and data Problem
Another possible pregnancy Inability to have family planning due to
their beliefs that she will not get
pregnant unless she will undergo to a
“hilot”
Loss of opportunity to have a job Inability to have a job due to:
a. the condition of his son which
needed a full attention
b. the condition of her mother
which is blindness and diabetic.
 Chapter V
Scaling and ranking of family health and practices.
Pneumonia
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
Nature of the It is considered as
problem health deficit since
3/3x1 1 that is there is a
presence of
disease.
Modification of The problem can
the problem partially be
modifiable David
1/2x2 1 has some
medication for his
pneumonia, but not
enough
Prevention Complications may
potential 2/3x1 2/3 occur, it has
 moderately chance
of prevention due
to lack of financial
resources.
Salience Need an immediate
medical treatment
and interventions.
So the problem
2/2x1 1 won’t cause
another problem
that might
result to additional
expenses
Total score 3.66 Diabetes
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
Nature of the It is a health
problem deficit, it is
presents a risk to
3/3x1 1 your health and
has to be
addressed
immediately.
Modification of the The family has
problem natural resources
and remedies
1/2x2 1
necessary to
address the
problem.
Prevention It considered as
potential moderately
preventive as the
2/3x1 2/3 family is trying to
do home remedies
using natural
resources.
Salience Even though they
are aware of the
issue, the family
1/2x1 1/2
lacks the funds to
seek medical
attention.
Total score 3.16 Cataract
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
Nature of the It is health deficit
problem because it causes
3/3x1 1
permanent
blindness.
Modification of The problem is not
the problem modifiable
because the family
does not have the
financial means to
address it,
0/2x2 0
especially since
treating the
cataract would
require a hefty
amount to have
surgery.
Prevention It is low prevention
potential potential because
the problem is
1/3x1 1/3 already present
and surgery was
not possible due to
a lack of funds
Salience The family did not
give immediate
attention to the
1/2x1 1/2
problem due to
lack of financial
resources.
Total score 1.83 Malnutrition
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
Nature of the Identified as health
problem deficit malnutrition
because it can
affect the health of
David and may
3/3x1 1 cause more
complication that
the family might
not able to take
care of due some
food restrictions.
Modification of The problem is
the problem partially modifiable
as David has food
allergies and the
family was not
1/2x2 1 able to sustain
food that he need
to have enough
nutrition due to
lack of financial
resources.
Prevention It is moderately
potential preventable
because they grow
some vegetables
that can help
David obtain some
2/3x1 2/3 of the nutrients he
needs, but
because of his
illness, they are
restricted in
particular because
of his allergy.
Salience The family did not
see it to be
needed immediate
1/2x1 1/2 attention to the
problem due to
lack of financial
resources.
Total score 3.16 Breeding site of vector disease
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
Nature of the It is health threat
problem because insect or
other pest can
cause different
2/3x1 2/3 diseases which
leads can lead to
another problem
that the family
might be facing.
Modification of 1/2x2 1 The problem can
the problem be partially
modified since the
client knows
some ways on
how to reduce the
breeding sites but
they are not
utilizing it
Prevention It is moderately
potential possible to reduce
or get rid of
disease vector
breeding or resting
sites but the
2/3x1 2/3 mother can’t focus
on eliminating the
breeding site
because she needs
to take care of her
child and blind
mother.
Salience The family
recognize the
problem not
needing attention
1/2x1 1/2
because they still
not felt it as a
threat to their
health.
Total score 2.83 Improper kitchen utensils and storage
CRITERIA COMPUTATION ACTUAL JUSTIFICATION
SCORE
Nature of the It is health threat
problem because the
storage of utensils
that are left
2/3x1 2/3 outside is risky for
your health
because it
exposes them to
contamination.
Modification of The needed
the problem 1/2x2 1 resources are not
 available to the
family’s income
cannot meet the
demands of
providing adequate
kitchen utensils
storage.
Prevention The spread of
potential disease can be
minimized if the
problem is given
solution; sanitation
1/3x1 1/3 will be promoted.
But due to deficit
financial resources
the family wasn’t
able to provide
decent storage.
Salience The family does
0/2x1 0 not take it as a
problem.
Total score 2 Another possible pregnancy
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

Nature of the It is foreseeable

1/3x1 1/3
problem crisis.
Modification of the The family does not
problem recognize the
problem as they
1/2x2 1/2
were not able to
have or use
contraception.
Prevention It is moderately
potential preventive because
they did not use
2/3x1 2/3 any contraceptives
which is available
in the barangay
health center.
Salience They don’t consider
it to be needing
immediate attention
as they believe the
1/2x1 1/2 mother will not get
pregnant unless
she will undergo
hilot.
Total score 2 Loss of opportunity to have a job
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

Nature of the It is foreseeable

1/3x1 1/3
problem crisis.
Modification of the It is partially
problem modifiable in a
sense that the
mother can find job
1/2x2 1
but choose to be a
house wife so she
can take care of
her son.
Prevention It is lowly
potential preventive because
it is hard to find a
job and also her
1/3x1 1
son needs so much
care and attention
due to his
condition. .
Salience The family doesn’t
feel it as a problem
due to their
0/2x1 0 situation that no
one will take care
to her blind mother
and David.
Total score 2.33 Scaling and Ranking of family
Family health problem condition Total score ranking
Pneumonia 3.66
Diabetes 3.16
Cataract 1.83
Malnutrition 3.16
Breeding site of vector disease 2.83
Improper kitchen and utensils and storage 2
Another possible pregnancy 2
Loss of opportunity to have a job 2.33