CASE

PRESENTATION

UNIT 2

PAGRAI

CASE SCENARIO
Mrs. R is 43 years old and rents a house in Unit 2
PAGRAI for six months with her family. She has 5
children and 1 grandchild. Her husband, Mr. R
who is 42 years old sells suman in the community
as a source of income. Mrs. R., yung pagtitinda
lang niya ng suman at pangongolekta ng basura
ang pinagkukunan naming ng pera. Tatlong beses
lang siya kung magtinda sa isang linggo dahil nga
mahal ang dahon ng saging na siyang
pinambabalot namin sa suman . 500 pesos a
week lang ang kita kaya hindi kasya sa buong
pamilya. Kaya sobrang nahihirapan kami
magbudget. They dont have savings so if one
member of the family gets sick, they dont have

CASE SCENARIO
Mrs. R also verbalized her complaints regarding
her health but ignores it because she believes
that it is only natural for a faith healer like her. All
the children stopped studying because of financial
reason. Mrs.Rs family shares a very small house
with their friends Mr.G and Mrs. G for almost a
month. Mr. G is currently suffering from pain due
to the fracture and large bruise he acquired from
a recent motorcycle accident. Mr.G verbalized that
nililinis ko ang sugat ko gamit yung 3rd solution at
pagkatapos ay hindi ko ito tinatakpan dahil lalong
nagbabasa lang yung sugat. Despite his
condition, the student nurses were still able to
witness Mr.G riding his motorcycle to accompany

CASE SCENARIO
The house they are renting is small and cannot
accommodate two families, has poor ventilation
and lighting and is very crowded. They dispose
their garbage using sacks and dont segregate.
There are lots of flies and mosquitoes flying
outside their house. Their water containers are not
all covered and there are open drains on the side
of their house. They get their drinking water from
NAWASA and get extra water they use for cooking
at rasyon ng tubig. Nanay said, yung pangkape
na tubig lang yung pinapakuluan namin. So they
drink water straight from the faucet. They also use
wood for cooking their food. Mrs. Rs daughter
Child W has asthma. They are aware of the health

CASE SCENARIO
The mother says that if she knows other ways on
how to earn money and different herbal medicines
and also proper sanitation, she will apply it to
promote health to her family. The nurse recognizes
the familys learning needs.

INITIAL DATABASE
FOR FAMILY
NURSING CARE
PLAN

A. FAMILY STRUCTURE,
CHARACTERISTICS, AND DYNAMICS

1. Members of the household and relationship to the

head of the family

The household consists of two families. The first family will be

termed as family A from hereon, the second family will be
termed as family B.
Family A, consists of six children being child S, T, U, V, W and
X
respectively and one grandchild, Y. Wherein, Mr. R is the head
of the
family and Mrs. R. is the mother.
Family B, are friends of family A. They do not have any
offsprings. Mr. G is the head of the family and Mrs. G is the
wife.

2. Demographic data of the family Age, Sex, Civil

Status and Position in the family

FAMILY A
NAME
Mr. R

AGE
42

SEX
M

CIVIL STATUS
Married

POSITION
Head of the
family

Mrs. R
Child S
Child T
Child U
Child V
Child W
Child X

43
22
20
16
14
9
7

F
M
M
M
M
F
F

Married
Single
Single
Single
Single
Single
Single

Wife
Son
Son
Son
Son
Daughter
Daughter

FAMILY B
NAME

AGE

SEX

CIVIL STATUS

POSITION

Mr. G

29

Married

Head of the
family

Mrs. G

28

Married

Wife

3. Place of residence of each member

Both families are both renting the same house at Unit II, Brgy,
Mayamot, Pagrai, Antipolo City.

4. Type of family structure

Extended, both families are patriarchal.

5. Dominant family members in terms of decision making,
especially in matters of health care

In both of the families, the father is the dominant member; he is in

chare of the entire decision making especially with regards to the over
all health care of the family.

6. General relationships Presence of any obvious observable

conflicts between members, communication, or interaction
patterns among members

There are no observable conflicts between members of both families.

They have a very steady flow of communication between one another.

B. SOCIO ECONOMIC AND

CULTURAL CHARACTERISTICS
1. Income and Expenses

In family A, Mr. R earns his living by collecting garbage at night and

making suman during daytime, while Mrs. R is unemployed. Their
basic expenses are spent mainly on food, utilities(electric bills,
water supply, etc.) and rent.
In family B, Mr. G earns his living by working in a computer shop as
a technician whilst Mrs. G works as a canteen cashier. Most of their
expenses is centered on food, rent, transportation and utilities.
2. Educational Attainment

Mr. R of family A has only finished his first year of highschool while
Mrs. R is an elementary graduate. All of their children have stopped
schooling.
Mr. G of family B has only finished his second year of highschool
while Mrs. G has finished until her third year of college.

3. Ethnic Background and Religious Affiliation

Both of the families are Tagalog and are Catholics.

4. Significant others roles they play in the familys lives

The fathers of both families are the breadwinners. Both of the

families help one another with the financial aspect of their daily
life.

5. Relationship of the family to larger community

nature and extent of participation of the family in
community activities

Both families are not actively involved in activities initiated by

the barangay unless they are obligated to do so.

C. HOME AND ENVIRONMENT

1. Housing
a. Adequacy of living space

The house is made mixed lightweight and heavy materials it has a

low ceiling roof. Both families rent the house and the lot. It has 2
bedrooms; the first one is well spaced and serves as both the
living room and the bedroom, while the other can only
accommodate two persons. The kitchen is located in front of the
second bedroom.

b. Sleeping Arrangement

They only have two bedrooms. Family A together with their

children sleeps in the first bedroom which is well spaced but
because of their family size, the bedroom becomes crowded.
Family Bs bedroom is only fit for two, it is not crowded.

C. Presence of Breeding/ resting sites of insects, rodents

or other vectors

The family lives in a place wherein there are numerous areas

suitable for vectors to breed in. Their front yard is where their
dog is located, it is also the same area where they wash their
clothes and take a bath, it has been noted that there are
garbages surrounding the area. An empty little lot is located at
the back of the house wherein more garbages are being
dumped in it which may contribute to presence of mosquitoes
and other vectors.

d. Presence of Accident Hazard

The whole structure is located below the main road. There is a

wide opening in between the main road and the steep slope
approaching the house. This may be a risk for falls especially
during torrent rains because the soils tends to be very slippery
or they might fall into the said opening in the road.

e. Food storage/cooking facilities

The family uses plastic containers with cover for their left over

f. Water supply

They use rationed water for their cooking and drinking purposes and
they also have an individual house connection supplied by NAWASA
for bathing. The family boils the water for coffee use.
g. Toilet facility

The familys toilet type is de buhos, it is well maintained. It is

communal and well cemented.

h. Garbage/ Referred Disposal

Their daily garbage is placed in a sack and then collected by the

truck. Those that can still be of use is being recycled and then sold in
the junk shop or thrift stores.

i. Drainage System

They have an open drainage which is free flowing.

2. Kind of Neighborhood

The family is living in a vicinity that is not congested. The

house is near the main street; they have a peaceful
environment and has good relationship with other families in
the area.

3. Social and Health Facilities Available

They family goes to the health center for consults and when
in need and often seek the help of Barangay Health Workers
as well as hilots. If the Health Center is closed, they self
medicate using herbal medicines and others (Lagundi,
Luyang dilaw and Banaba) and they also use tawas.

4. Communication and transportation

The families utilizes cellphones and face to face meetings

as a means of communication. For their transportation, they
utilize the jeepneys and tricycles in their area.

D. HEALTH STATUS OF EACH

FAMILY MEMBER

1. Medical and Nursing history indicating current

of past significant illness or beliefs and practices
conducive to health and illness

In family A, Mrs. R has been diagnosed with asthma

and child W too has been diagnosed with asthma at
present which has been manifested by wheezes during
auscultation.
In family B, Mr. G at present has sustained a fractured
leg together with broken skin integrity due to vehicular
accident.

E. VALUES AND PRACTICES ON

HEALTH PROMOTION/
MAINTENANCE OF DISEASE
PREVENTION

1. Immunization status of the family

Vaccine Child S Child T Child U Child V Child
W
BCG
x
x
x
x
x
DPT
x
x
x
x
x
OPV
x
x
x
x
x
Hep B
x
x
x
x
x
Measles
x
x
x
x
x
Vit. A
x
x
x
x
x

Child X

Child Y

x
x
x
x
x
x

x
x
x
x
x
x

2. Use of Preventive health services

The community health center is their primary access to

health care services especially during times of
emergencies. They also use the services of hilots.

NURSING
PROBLEM

Inadequate living space

CUES/DATA
Subjective:
oo rent lang, isa lang yun
kwarto dito. Kami yun
natutulog sa maliit na kama.
Yun mga bata at cla pare at
mare sa papag natutulog.
Objective:
Their house is small having
one division composing of
bedroom and sala
The rest nine members of
the family were sleeping in
the floor.
The house measures
approximately 8-9 square
meters with a population of

NURSING PROBLEM
Inability to provide a home
environment which is
conducive to health
maintenance and personal
development due to:
a. inadequate family resources,
specifically
limited financial resources
limited physical resources
a. failure to see benefits of
investment in home
environment improvement

Family size beyond what family resources can

adequately
provide
CUES/DATA
NURSING PROBLEM
Subjective:
yung pagtitinda lang niya ng
suman at pangongolekta ng
basura ang pinagkukunan naming
ng pera. Tatlong beses lang siya
kung magtinda sa isang linggo
dahil nga mahal ang dahon ng
saging na siyang pinambabalot
namin ng sa suman . 500 pesos a
week lang ang kita kaya hindi
kasya sa buong pamilya. Kaya
sobrang nahihirapan kami
magbudget
Hindi ko na pinag aaral ang mga anak ko dahil
na rin sa kakulangan ng pera.
Objective:
The family earns 500 pesos
weekly

Inability to make decisions with

regards to earning extra income to
support all needs of the family
members and maintaining the
family size.

Presence of breeding or resting sites of vectors

of diseases
CUES/DATA
Subjective:

NURSING PROBLEM
Inability to provide a home
environment which is
wala naman sa amin yan,
kasi walang kulang lang tlaga conducive to health
ang paglalagyan na my takip maintenance and personal
development due to:
Objective:
a. Failure to see benefits of
investments in home
The environment is filthy
environment
and it is near the breeding
place of the mosquitoes.
b. Inadequate knowledge of
There are uncovered pales
of water in front of the
house.

importance of sanitation.

ANKING & SCALING

I. Family size beyond what family

resources can adequately provide

II. Inadequate Living

Space

III. Presence of breeding or resting

sites for vectors of diseases

FAMILY
NURSING
CARE PLAN

NURSING CARE
PLAN

Asthma

Inability to wash
body

Acute Pain

DOCUMENTAT
ION