Front page

Table of contents
Chapter 1 intro need daw sya I summarize
objectives
Significance of the study
SCOPE AND LIMITATION
The study was conducted at Purok Camanchilles Barangay Tres de Mayo, Digos City
Davao City DAvao Del Sur on October 23, 2023. The 2 nd year nursing students has
chosen one family from the community to interview and conduct their case study and
the necessary interventions. The study was conducted in the community in Digos
City, Davao del Sur. The community exposure involves gathering information and
assessment about the families from the designated Purok. Each student from the group
conducted home visits and health surveys, with the obligation of surveying one (1)
family. The selection of the family for the case study was carefully considered based
on these comprehensive evaluations.

CHAPTER II

METHODOLOGY

Methods Used

The team employed various methods such as direct observation, physical

assessment, and interviews involving the family head, neighbors, and community
leaders. The team utilized tools and instruments, historical records, observation and
interview schedules, and questionnaires or checklists. Statement involves gathering
data through the senses, inspection is a facet of physical examination, and interviews
aid in problem identification, gathering pertinent information, assessing changes,
teaching, offering support, and delivering counseling or therapy.
In addition to these methods for data collection, home visitation was an integral
approach for the team conducting the case study to connect with the family. It is
through these visits that the team can visually perceive, observe, and evaluate the
family as a cohesive unit.

Data need Sources

Case Study Procedures
The research for the case study commenced on October 23, 2023, with an
initial visit to the Barangay Hall of Tres de Mayo, Digos City. Accompanied by a
Clinical Instructor, the group received a warm reception from the Barangay Officials,
who graciously addressed their inquiries regarding the necessary community data.
Subsequently, the team proceeded to the health center to gather supplementary
information for the case study. Following this, the group visited the designated area
for the case study, initiating the visual examination.
The assessment process began involving data collection through interviews
conducted using survey forms. On the second day (October 24, 2023), the group
collected all the pertinent data and selected a specific family for the case study. On the
third day (October 25, 2023), a follow-up visit was commenced to gather data further
and to plan out interventions for the family.

CHAPTER III

HEALTH ASSESSMENT

A.COMMUNITY PROFILE

SPOTMAP

B. INITIAL DATABASE

1. FAMILY BACKGROUND
The family selected by the fourth group of BSN 2A is classified as an extended
family. It comprises a total of nine members, inclusive of the family's matriarch, Mrs.
J. She is a single parent because she and her husband separated, with details about his
identity intentionally omitted. Furthermore, Mrs. J is currently employed abroad.
Residing with her 22-year-old son, Mr. JR, and her 21-year-old daughter, JA, who is
presently pursuing her college education at the Davao Merchant Marine Academy
College Of Southern Philippines (DMMA) in Davao City.

In addition to the aforementioned individuals, Mrs. J’s parents also reside within the
same household. Her mother, Mrs. S, is 68 years of age, and her father, Mr. P, is 69
years old. Accompanying them is Mrs. J’s old sister 34-year-old sister, Mrs. M. The
household is overseen by Mrs. J's eldest son, Mr. JR, who is responsible for its
maintenance while his mother is employed abroad. Mr. JR's 20-year-old partner, Ms.
JM, also shares the residence with their two children, namely, 2-year-old JK and 4-
month-old AK.

2. FAMILY STRUCTURE, CHARACTERISTICS, AND DYNAMICS

name Gender Age Civil Status Position In

The Family

Mrs. J F 42 years old Married/ Head of the

Separated family

Mr. JR M 22 years old Single Son

Ms. JM F 20 years old Single Daughter in

law

Ms. JA F 21 years old Single Daughter

Ms. M F 34 years old Single Sister

Mrs. S F 68 years old Married Mother

Mr. P M 69 years old Married Father

JK M 2 years old Single Grandson

AK F 4 months Single Granddaughter

old
 Table 1. Demographic Profile of M Family

The table 1 shows the family M household is an extended family, which includes
Mr. JR, the 22-year-old son of the family head, Mrs. J, living with his partner, Ms. JA,
and their two (2) children, JK and AK. Mr. JR’s grandparents, Mrs. S and Mr.P, and
his aunt, Ms. M. Mr. JR’s younger sister, MS. J, is currently away to study college in
Davao City.

3. SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS

The M family is a devoted Roman Catholic household which roots from the
grandparents’ faith. According to Mrs. S, they always make time once a week to
attend mass or at least offer a prayer. Mr. JR’s partner, Ms. JM is a full-time
housewife which gives her time to fully take care of their two (2) young children.
Mrs. J is in charge of the financial support by working abroad while her son, Mr.JR
provides his own share of monetary support while working at a construction site.

FAMILY EDUCATIONAL OCCUPATION ESTIMATED ETHNICITY RELIGION

MEMBERS ATTAINMENT INCOME

Mrs. J Highschool Domestic Php 8,000/ Cebuano Roman

Graduate Helper Catholic
month

Mr. JR Highschool Laborer Php 4,000/ Cebuano Roman

Graduate Catholic
month

Ms. JM Highschool Housewife N/A Cebuano Roman

Graduate Catholic

Ms. JA College student Student N/A Cebuano Roman

Catholic
Ms. M Highschool Unemployed N/A Cebuano Roman
Graduate Catholic

Mrs. S Highschool Unemployed N/A Cebuano Roman

Level Catholic

Mr. P Highschool Unemployed N/A Cebuano Roman

Level Catholic

JK N/A N/A N/A Cebuano Roman

Catholic

AK N/A N/A N/A Cebuano Roman

Catholic

Table 2. Profile of Occupation and Total Income

Table 2 shows the monthly income and economic resources of the M family. Mrs. J,
the breadwinner of the family, has worked as a domestic helper in Abu Dhabi since
2018 so that she can support her daughter's education and also her other family
members. She sends money every once a month in the amount of Php 8,000. Her son,
Mr. JR, contributes Php 4,000 a month as an on-call laborer at a construction site,
totaling their monthly budget to Php 12,000.

Item Quantity Quantity in Amount in Total Amount in

unit peso peso/ month
Sugar 1 kg 75 300
Milk 1 kg 257 257
Coffee 1 pack 68 272
Body Soap 3 bar 165 165
Shampoo 2 1/2 dozen 72 180
Detergent Bar 3 Pcs 37 111
Dish washing 2 pcs 31 62
Soap
Detergent 2 dozen 248 248
Powder
Diaper 1 pack 193 193
Napkin 2 pack 26 52
Toothpaste 2 tube 58 119
Rice 1 1/2 sack 1700 2550
MSG 4 sachet 8 32
Pepper 15 sachet 2 30
Vinegar 10 packs 12 120
Soy Sauce 10 packs 12 120
 Salt 1/2 kl 16 16
Metformin 30 pad 5 150
Losartan 30 pad 11 330
Amlodiphine 30 pad 7 210
Gliclazide 30 pad 12 360
Atorvastin 30 pad 26 780
Vegetable 2 kg 200 400
Fish 1 kg 100 400
Meat (pork) 2 kg 300 600
Dried Fish ¼ kg 45 45
Hotdog ¼ kg 240 60
Noodles 3 pack 61 183
Oil 2 kl 80 160
Water 200 200
Electricity 1,115 1,115
Other Expenses Php 2180.00
Total Expenses Php 9820 .00
Total Income Php 12,000.00
Table 3. Total Monthly Expenses of the M Family.

The table delineates the recurrent expenditures associated with the essential needs
of the M family, culminating in a total of Php 9,820.00. The family's aggregate
monthly income amounts to Php 12,000.00, which is deemed sufficient to cover their
overall monthly expenses. These outlays naturally exhibit variations, with the most
substantial allocation directed toward the monthly rice consumption, totaling Php
2,550.00. The second most significant expense pertains to medical expenses,
amounting to Php 1,830.00.

4.HOME AND ENVIRONMENT FACTORS

4.1 HOUSING AND SLEEPING ARRANGEMENTS

4.2 ADEQUACY OF LIVING SPACE

Computation of Adequacy of Living Space and Their Corresponding Interpretation

• Total Floor Area (TFA) • Total Space Requirement (TSR)

TFA = (L x W) TSR = (3 x no. Of Adult) + (1.5 x

= 3.5m x 5.5m no. of Child)

= 19.25 sq.m = (3 x 7) + (1.5 x 2)

 = 21 + 3

= 24 sq.m

Legend: Interpretation:
Na = No. Of Adults(7)
Since TFA<TSR,
Nc= No. Of Child (2) therefore the area of the
L= Lengths house is inadequate for
the family.
W= Width
3= Constant
1.5= Constant

4.3 PRESENCE OF ACCIDENT HAZARD

During our observation inside and outside of their house, several hazards were
noted. Their comfort room’s floor is slippery due to green moss as well as in their
laundry area and bathroom. Placement of the ceiling fan is risk at falling.

4.4 PRESENCE OF BREEDING OR RESTING SITES OF VECTORS OF

DISEASES

The students nurses collected basic information about premise and discovered a
possible breeding sites, both inside and outside of their premises. The family stores
water within uncovered containers in their comfort room as well as in their bathroom
and laundry area there is also a suspended container with water in it creating potential
mosquito breeding sites that can cause diseases such as dengue and malaria.
Additionally, they leave their leftover food uncovered on the dining table.

4.5 KITCHEN AND DRAINAGE

Upon entering the living room, the student nurses have a direct line of sight to
the connected kitchen. Within this kitchen, there are pile of unwashed dishes in the
sink, alongside a potential hazard, as the residents store their cooking equipment
within reach of children. Furthermore, there are articles of clothing hanging in the
kitchen, and the practice of hanging pots also presents a potential hazard.

4.6 WATER AND LIGHTING FACILITIES

The primary source of their water is Digos water district, and for lighting
facilities, they use electricity (DASURECO) which they owned.

4.7 GARBAGE DISPOSAL

The student nurses observe that the family only uses one sack in collecting
garbage and did not practice segregating. They just put their waste on the sack and
hung beside the dirty kitchen where they usually cook their food everyday.

4.8 TOILET TYPE

The toilet that the family has is de buhos-type. A toilet that requires the users to
pour water after each use with force for it to flush. Their toilet does not have a faucet,
they just store water in an open container. The toilet is located inside their premises.
The bathroom does not emit a foul odor but is considered hazardous due to the fungus
forming on the flooring of the comfort room.

4.9 NEIGHBORHOOD

4.10 TRANSPORTATION AND COMMUNICATION

The family does not own any transport vehicle but uses tricycles as a standard
mode of transportation in their community. The family communicates through the use
of cellular phones.

5. VALUES, HABITS, AND PRACTICES ON HEALTH

IMMUNIZATION

VACCINE
Bacillus Calmette Guerin √
Diphtheria, Pertussis, and Tetanus √
 Oral Polio Vaccine √
Pneumococcal Conjugate Vaccin √
Hepatitis B √

JK, two years old, has been comprehensively immunized with the essential
vaccines appropriate for their age. At the earliest possible age, he was administered
the Bacillus Calmette Guerin (BCG) vaccine. Additionally, he have received the
Diphtheria, Pertussis, and Tetanus (DPT) vaccine, the Oral Polio Vaccine (OPV), the
Hepatitis B vaccine, and the Pneumococcal Conjugate Vaccine (PCV), with each dose
administered beginning at six weeks of age and four-week intervals. In contrast,
heryounger sister, AK, currently at four months of age, has received the
BCG,Hepatitis B, DPT, and OPV vaccines.

5.2 ACTIVITIES OF DAILY LIVING

Regarding the family's daily routines, the sleeping pattern, as reported by Ms. JM,
typically involves the entire family retiring around 9 p.m. In the early morning hours,
her husband promptly commences his work at the construction site. Her husband’s
grandparents, Mrs. S and Mr. P, are sometimes tasked with their laundry, aided by
Ms. JM. As for their meals, each of the family’s adults takes turns cooking their
meals. The family maintains a consistent eating pattern, partaking in three meals
throughout the day. Their meals typically consist of a staple diet comprising rice and
vegetables, often complemented with fish or meat.The family bathes regularly, at least
once per day, including the children. The student nurses noticed one of the kids of M.
JM, JK, not wearing slippers while strolling around the house.