COMMUNITY CARE STUDY

Client Information

Name :Mrs. Kamriben.Ramanbhai.Halpati

F.F.No:
Age:63 years
Sex:Female
Date of birth:12/4/1943
Head of the family:Mr.Rameshbhai.Sanyabhai.Halpati
Address: Patel Faliyu Kachi Gam , Nani Daman

Student Information:

Name: Miss. Khyati. D. Patel

Year: 1st Year MSc (N)
Date of care started:13/2/15
Date of care ended:16/2/15

I. INTRODUCTION:

a) General description:
I was posted in the rural area of community, I was allotted the 5 families and from
that I select F.F.No: 122 as the family member name Mrs. Kamriben has Diabetes Mellitus
and Hypertension since last 10 years.
b) Family:
 Type of family: Joint
 Total no. of family members:4
 Religion: Hindu
 Customs and habits: Good

II. COMMUNITY ASSESSMENT:

A. COMMUNITY SETTING:
1. Name of the area: Rural
2. Name of Taluka: Daman
3. Population:1,21,066
4. Administration: Panchayat
5. Main caste group:Halpati
6. Religion: Hindu
7. Occupation: Housewife
8. Method of recording birth and death: At the Panchayat office.
 9. Facilities available in the area and distance in kilometers:
a) Medical:
 Government Hospitals: 5km
b) Social Agencies:
 No and private agencies come and work out in the area
 The education is run by government in the areas.
 The market is nearby to her house
 There are 6 temples and 1 mosque in the area
 They have prayers in the evening in the temples.
 They travel through both bus, train and their private vehicle for
transportation to any place.

10. Community health and development programme developing in the area: yes
11. Influential persons in the area: Sarpanch
12. Sanitation:
a) Latrines:
 Own latrines
 Located in their house inside
 Excreta disposed in the tanks.
b) Waste water disposal:
 In the closed drainage
c) Refuse disposal :
 In the distbin
d) Disposal of the dead:
 Cremation

III. FAMILY ASSESSMENT:

A. HOME AND FAMILY:

1) Family setup:
Name Relation Age se Education Occupation Wages/ Health status
with head of in yrs x Salary
the family
Mr.Ramanbhai.S.Halpa Head 65 M Illiterate - - Geriatric
ti
Mrs. Kamriben wife 63 F Illiterate housewife - D.M. and
Hypertension
Mr.Rajubhai.R Son 42 M 10thstd Worker 4000/ month Active and
healthy
Mrs.Sheelaben Daughter in 32 F 8thstd Worker 3000/month -
law
Mast. Rinkal Grand Son 14 M 9thstd Study - Healthy
Mast. Pavan Grand Son 11 M 7thstd Study - Healthy
Mr.Ramanbhai.S.Halpati Mrs. Kamriben
(65years) (63 years)

Mr.Rajubhai.R Mrs.Sheelaben
(42years) (32years)

Mast. Rinkal Mast. Pavan

(14years) (11years)

Key:

MALE

FEMALE

2) Property and income in addition to salary/wages:

a. House : own house
b. Land : 1 Acer
c. Animal : no any animal husbandry

% Of Total
Sr.No Items Amount Spent Expenditure
1 Food 2000 22%

2 Clothing 1500 17%

3 House rent - -

4 Education 3000 33 %
5 Health 1000 11 %

6 Recreation(movies etc) 500 6%

 7 Savings 500 6%

8 Debt - -
9 Smoking - -

10 Liquor - -
11 Any others 500 6%

Total 9,000 100%

3) Description of house and surrounding:

 Roof : tiles
 Walls : brick
 Floors : 1
 Number of Rooms :4
 Lightening : electricity
 Furniture : wooden
 Water supply : bore-well
 Storage of food and water : in thanks water is stored and food is brought according
to the requirement
 Washing places for utensils : in home
 Bathing area : in home

Sourroundings:
o Neat and clean surrounding.
o Small Garden in front of home
o Trees and shrubs present
o No any animals

FAMILY HEALTH ATTITUDES,BELIEFS AND PRACTICES WITH REGARD TO:

i. DISEASE-
 Cause and spread
Due to unclean surrounding -
 Type of medical aid sought-
Family uses the facilities available from sub-centre near by and also goes to other government
CHC near by.
 Immunization-
No any small children
 Physical defects-
No other physical defect, handicaps are not present in the house.
 Others
I. FOOD:-
No proper food hygiene is maintained in the family, cheap season available food is used, use of
pulses and green leafy vegetables made.

MCH

 ANC/delivery/postpartum care/family care/new born care/infant feeding-

In the family no ANC mother is present, mostly delivery is done at their hometown in government
hospitals
IV. PHYSICAL ASSESSMENT
(MRS.KAMRIBEN)
1) GENERAL OBSERVATION:
a) Constitution : moderate body built
b) Stature : Normal
c) State of Nutrition : good
d) Personal appearance : normal
e) Posture : Good
f) Emotional stage : Anxious
g) Skin : Pallor
h) Cooperativeness : Cooperative
2) VITAL SIGNS:
Temperature : 98.6oF
Pulse : 86bpm
Respiration : 22Bpm
Blood pressure : 140 / 80 mmhg
3) HEIGHT : 153 CMS
4) WEIGHT : 58 KGS
5) SKIN AND MUCUS MEMBRANE:
a) Colour of skin : Pallor
b) Edema : Absent
c) Moist Temperature : Normal
d) Turgor : Normal
e) Texture : Dry, wrinked
6) HEAD :
a) Skull : No abnormality noted
b) Hair : white hair,
c) Movements of the head : normal
d) Fore head : No scars or lesion
e) Face : Anxious looking
7) EYES :
a) Expression : Anxious & fear
b) Eye brows : Equal
 c) eye lids : No lesion
d) lacrimation : clear fluid
e) conjunctive : pale
f) sclera : pallor
g) Cornea : clear
h) Iris : Normal
i) Pupils : Normal
8) EARS :
a) Appearance : No mass
b) Discharge : No
c) Hearing : Normal
d) Lesion : Absent
9) NOSE :
a) Appearance : No Septal deviation
b) Discharge : No
c) Patency : Both nostrils are patent
d) Sense of smell : Good
10) MOUTH AND THROAT:
 a) Lips : Dry
b) Tongue : Normal, uncoated
c) Teeth : Intact in upper and lower jaw,
dental carries present
d) Gums : Pink and moist
e) Buccal mucosa : No lesion
f) Tonsil : Redness present
d) Taste : Normal
11) NECK:
a) General appearance : Normal
b) Trachea : Normal in position
c) Lymph node : Palpable ,non stable
d) Thyroid gland : Feel smooth and firm
e) Cyst and tumor : Absence

12) CHEST AND RESPIRATORY SYSTEM:

a) Inspection : Size and shape normal, chest
expansion equal in both side and
respiration are shallow and short breath
b) Palpation : No local swelling, no lymph node
enlargement
c) Percussion : Normal resonance in both lungs
d) Auscultation : Bilateral crepts present, high pitched
in both side. Respiratory rate 22bpm,
S1 and S2 heart normal, heart rate – 86
bpm.
13) CARDIO VASCULAR SYSTEM
 a) Inspection : Size and shape of the chest is with in
normal limit;

b) Palpation : Carotid pulse and peripheral pulses

which is regular; normal sinus rhythm; rate- 86bpm
c) Percussion : Cardiac borders well with in normal
Limits.
d) Auscultation : S1 and S2 heard well. No abnormalities
noted. HR _ 86/mt and regular.
14) ABDOMEN:
a) Inspection : No abnormality
b) Palpation : No organomegaly
c) Percussion : No fluid filled spaces could be found
d) Auscultation : Peristalsis present 6 per min
14) BACK:
a) Spine and curvature : No abnormalities is noted , bed sore present
at sacrum region
b) Movements : not able to move by own, stiffness present
c) Tenderness : No tenderness noted

15) GENITALIA:
Normal - no discharges
16) UPPER EXTREMITIES:
Difficulty in joint movement
No lymph node enlargement
17) LOWER EXTREMITIES:
No Difficulty in joint movement
18) NERVOUS SYSTEM:
Higher function – consciousness
Memory – immediate, recent, remote is good
Speech – normal
Cranial nerves – no abnormalities
Sensory function – good

(MR. RAMANBHAI. S.HALPATI)

1) GENERAL OBSERVATION:
a) Constitution : moderate body built
b) Stature : Normal
c) State of Nutrition : good
d) Personal appearance : normal
e) Posture : Good
f) Emotional stage : Anxious
g) Skin : Pallor
h) Cooperativeness : Cooperative
2) VITAL SIGNS:
Temperature : 98.6oF
Pulse : 86bpm
Respiration : 22Bpm
Blood pressure : 140 / 80 mmhg
3) HEIGHT : 160CMS
4) WEIGHT : 70 KGS
5) SKIN AND MUCUS MEMBRANE:
a) Colour of skin : normal
b) Edema : Absent
 c) Moist Temperature : Normal
d) Turgor : Normal
e) Texture : Dry, wrinked
6) HEAD :
a) Skull : No abnormality noted
b) Hair : white hair,
c) Movements of the head : normal
d) Fore head : No scars or lesion
e) Face : Anxious looking
7) EYES :
a) Expression : Anxious & fear
b) Eye brows : Equal
c) Eye lids : No lesion
d) lacrimation : clear fluid
e) conjunctive : normal
f) sclera : normal
g) Cornea : Clear and moist
h) Iris : Normal
i) Pupils : Normal
8) EARS :
a) Appearance : No mass
b) Discharge : No
c) Hearing : Normal
d) Lesion : Absent

9) NOSE :
a) Appearance : No Septal deviation
 b) Discharge : No
c) Patency : Both nostrils are patent
d) Sense of smell : Good

10) MOUTH AND THROAT:

a) Lips : Dry
b) Tongue : Normal, uncoated
c) Teeth : Intact in upper and lower jaw,
dental carries present
d) Gums : Pink and moist
e) Buccal mucosa : No lesion
f) Tonsil : Redness present
d) Taste : Normal
11) NECK:
a) General appearance : Normal
b) Trachea : Normal in position
c) Lymph node : not Palpable
d) Thyroid gland : Feel smooth and firm
e) Cyst and tumor : Absence

12) CHEST AND RESPIRATORY SYSTEM:

a) Inspection : Size and shape normal, chest
expansion equal in both side and
respiration are shallow and short breath
b) Palpation : No local swelling, no lymph node
enlargement
c) Percussion : Normal resonance in both lungs
 d) Auscultation : Bilateral crepts present, high pitched
in both side. Respiratory rate 22bpm,
S1 and S2 heart normal, heart rate – 86
bpm.
13) CARDIO VASCULAR SYSTEM
a) Inspection : Size and shape of the chest is with in
normal limit;
b) Palpation : Carotid pulse and peripheral pulses
which is regular; normal sinus rhythm; rate- 86bpm
c) Percussion : Cardiac borders well with in normal
Limits.
d) Auscultation : S1 and S2 heard well. No abnormalities
noted. HR _ 82/min and regular.
14) ABDOMEN:
a) Inspection : No abnormality
b) Palpation : No organomegaly
c) Percussion : No fluid filled spaces could be found
d) Auscultation : Peristalsis present 6 per min
14) BACK:
a) Spine and curvature : No abnormalities is noted , bed sore present
at sacrum region
b) Movements : not able to move by own, stiffness present
c) Tenderness : No tenderness noted

15) GENITALIA:
Normal - no discharges
16) UPPER EXTREMITIES:
 No Difficulty in joint movement
No lymph node enlargement
17) LOWER EXTREMITIES:
No Difficulty in joint movement
18) NERVOUS SYSTEM:
Higher function – consciousness
Memory – immediate, recent, remote is good
Speech – normal
Cranial nerves – no abnormalities
Sensory function – good

(MR.RAJUBHAI .RAMANBHAI HALPATI)

1) GENERAL OBSERVATION:
a) Constitution : moderate body built
b) Stature : Normal
c) State of Nutrition : good
d) Personal appearance : normal
e) Posture : Good
f) Emotional stage : Anxious
g) Skin : normal
h) Cooperativeness : Cooperative
2) VITAL SIGNS:
Temperature : 98.6oF
Pulse : 86bpm
 Respiration : 22Bpm
Blood pressure : 120 / 80 mmhg
3) HEIGHT : 161 CMS
4) WEIGHT : 50KGS
5) SKIN AND MUCUS MEMBRANE:
a) Colour of skin : normal
b) Edema : Absent
c) Moist Temperature : Normal
d) Turgor : Normal
e) Texture : Dry, wrinked
6) HEAD :
a) Skull : No abnormality noted
b) Hair : black hair,
c) Movements of the head : normal
d) Fore head : No scars or lesion
e) Face : normal
7) EYES :
a) Expression : normal
b) Eye brows : Equal

c) eye lids : No lesion

d) lacrimation : clear fluid
e) conjunctive : normal
f) sclera : normal
g) Cornea : clear
h) Iris : Normal
i) Pupils : Normal
8) EARS :
a) Appearance : No mass
b) Discharge : No
c) Hearing : Normal
d) Lesion : Absent
9) NOSE :
a) Appearance : No Septal deviation
b) Discharge : No
c) Patency : Both nostrils are patent
d) Sense of smell : Good
10) MOUTH AND THROAT:
a) Lips : Dry
b) Tongue : Normal, uncoated
c) Teeth : Intact in upper and lower jaw,
dental carries present
d) Gums : Pink and moist
e) Buccal mucosa : No lesion
f) Tonsil : Redness present
d) Taste : Normal
11) NECK:
a) General appearance : Normal
b) Trachea : Normal in position
c) Lymph node : Palpable , non stable
d) Thyroid gland : Feel smooth and firm
e) Cyst and tumor : Absence
12) CHEST AND RESPIRATORY SYSTEM:
a) Inspection : Size and shape normal, chest
expansion equal in both side and
respiration are shallow and short breath
b) Palpation : No local swelling, no lymph node
enlargement
c) Percussion : Normal resonance in both lungs
d) Auscultation : Bilateral crepts present, high pitched
in both side. Respiratory rate 22bpm,
S1 and S2 heart normal, heart rate – 86bpm.
13) CARDIO VASCULAR SYSTEM
a) Inspection : Size and shape of the chest is with in
normal limit;
b) Palpation : Carotid pulse and peripheral pulses
which is regular; normal sinus rhythm; rate- 86bpm
c) Percussion : Cardiac borders well within normal
Limits.
d) Auscultation : S1 and S2 heard well. No abnormalities
noted. HR _ 86/min and regular.
14) ABDOMEN:
a) Inspection : No abnormality
b) Palpation : No organomegaly
c) Percussion : No fluid filled spaces could be found
d) Auscultation : Peristalsis present 8 per min
14) BACK:
a) Spine and curvature : No abnormalities is noted , bed sore present
at sacrum region
 b) Movements : not able to move by own, stiffness present
c) Tenderness : No tenderness noted
15) GENITALIA:
Normal - no discharges
16) UPPER EXTREMITIES:
No Difficulty in joint movement
No lymph node enlargement
17) LOWER EXTREMITIES:
No Difficulty in joint movement
18) NERVOUS SYSTEM:
Higher function – consciousness
Memory – immediate, recent, remote is good
Speech – normal
Cranial nerves – no abnormalities
Sensory function – good
 (MST. RINKAL)
1) GENERAL OBSERVATION:
a) Constitution : moderate body built
b) Stature : Normal
c) State of Nutrition : good
d) Personal appearance : normal
e) Posture : Good
f) Emotional stage : Anxious
g) Skin : normal
h) Cooperativeness : Cooperative
2) VITAL SIGNS:
Temperature : 98.6oF
Pulse : 88bpm
Respiration : 28Bpm
Blood pressure : 130 / 80 mmhg
3) HEIGHT : 130 CMS
4) WEIGHT : 38 KGS
5) SKIN AND MUCUS MEMBRANE:
a) Colour of skin : normal
b) Edema : Absent
c) Moist Temperature : Normal
d) Turgor : Normal
 e) Texture : Dry, wrinked
6) HEAD :
a) Skull : No abnormality noted
b) Hair : black hair,
c) Movements of the head : normal
d) Fore head : No scars or lesion
e) Face : Anxious looking
7) EYES :
a) Expression : Anxious & fear
b) Eye brows : Equal

c) eye lids : No lesion

d) lacrimation : clear fluid
e) conjunctive : pinkish
f) sclera : normal
g) Cornea : clear
h) Iris : Normal
i) Pupils : Normal
8) EARS :
a) Appearance : No mass
b) Discharge : No
c) Hearing : Normal
d) Lesion : Absent
9) NOSE :
a) Appearance : No Septal deviation
b) Discharge : No
c) Patency : Both nostrils are patent
 d) Sense of smell : Good
10) MOUTH AND THROAT:
a) Lips : Dry
b) Tongue : Normal, uncoated
c) Teeth : Intact in upper and lower jaw,
dental carries present
d) Gums : Pink and moist
e) Buccal mucosa : No lesion
f) Tonsil : Redness present
d) Taste : Normal
11) NECK:
a) General appearance : Normal
b) Trachea : Normal in position
c) Lymph node : Palpable
d) Thyroid gland : Feel smooth and firm
e) Cyst and tumor : Absence

12) CHEST AND RESPIRATORY SYSTEM:

a) Inspection : Size and shape normal, chest
expansion equal in both side and
respiration are shallow and short breath
b) Palpation : No local swelling, no lymph node
enlargement
c) Percussion : Normal resonance in both lungs
d) Auscultation : Bilateral crepts present, high pitched
in both side. Respiratory rate 22bpm,
S1 and S2 heart normal, heart rate – 86
 bpm.
13) CARDIO VASCULAR SYSTEM
a) Inspection : Size and shape of the chest is with in
normal limit;

b) Palpation : Carotid pulse and peripheral pulses

which is regular; normal sinus rhythm; rate- 86bpm
c) Percussion : Cardiac borders well within normal
Limits.
d) Auscultation : S1 and S2 heard well. No abnormalities
noted. HR _ 86/mt and regular.
14) ABDOMEN:
a) Inspection : No abnormality
b) Palpation : No organomegaly
c) Percussion : No fluid filled spaces could be found
d) Auscultation : Peristalsis present 6 per min
14) BACK:
a) Spine and curvature : No abnormalities is noted , bed sore present
at sacrum region
b) Movements : not able to move by own, stiffness present
c) Tenderness : No tenderness noted

15) GENITALIA:
Normal - no discharges
16) UPPER EXTREMITIES:
Difficulty in joint movement
No lymph node enlargement
17) LOWER EXTREMITIES:
No Difficulty in joint movement
18) NERVOUS SYSTEM:
Higher function – consciousness
Memory – immediate, recent, remote is good
Speech – normal
Cranial nerves – no abnormalities
Sensory function – good

(MAST. PAVAN)
1) GENERAL OBSERVATION:
 a) Constitution : moderate body built
b) Stature : Normal
c) State of Nutrition : good
d) Personal appearance : normal
e) Posture : Good
f) Emotional stage : Anxious
g) Skin : normal
h) Cooperativeness : Cooperative
2) VITAL SIGNS:
Temperature : 98.6oF
Pulse : 86bpm
Respiration : 22Bpm
Blood pressure : 140 / 80 mmhg
3) HEIGHT : 130 CMS
4) WEIGHT : 28 KGS
5) SKIN AND MUCUS MEMBRANE:
a) Colour of skin : normal
b) Edema : Absent
c) Moist Temperature : Normal
d) Turgor : Normal
e) Texture : Dry, wrinked
6) HEAD :
a) Skull : No abnormality noted
b) Hair : white hair,
c) Movements of the head : normal
d) Fore head : No scars or lesion
e) Face : normal looking
7) EYES :
a) Expression : Anxious & fear
b) Eye brows : Equal

c) eye lids : No lesion

d) lacrimation : clear fluid
e) conjunctive : normal look
f) sclera : normal look
g) Cornea : clear
h) Iris : Normal
i) Pupils : Normal
8) EARS :
a) Appearance : No mass
b) Discharge : No
c) Hearing : Normal
d) Lesion : Absent
9) NOSE :
a) Appearance : No Septal deviation
b) Discharge : No
c) Patency : Both nostrils are patent
d) Sense of smell : Good
10) MOUTH AND THROAT:
a) Lips : Dry
b) Tongue : Normal, uncoated
c) Teeth : Intact in upper and lower jaw, dental carries present
d) Gums : Pink and moist
e) Buccal mucosa : No lesion
 f) Tonsil : absent
d) Taste : Normal
11) NECK:
a) General appearance : Normal
b) Trachea : Normal in position
c) Lymph node : Palpable ,non stable
d) Thyroid gland : Feel smooth and firm
e) Cyst and tumor : Absence

12) CHEST AND RESPIRATORY SYSTEM:

a) Inspection : Size and shape normal, chest
expansion equal in both side and
respiration are shallow and short breath
b) Palpation : No local swelling, no lymph node
enlargement
c) Percussion : Normal resonance in both lungs
d) Auscultation : Bilateral crepts present, high pitched
in both side. Respiratory rate 22bpm,
S1 and S2 heart normal, heart rate – 86
bpm.
13) CARDIO VASCULAR SYSTEM
a) Inspection : Size and shape of the chest is with in
normal limit;
b) Palpation : Carotid pulse and peripheral pulses
which is regular; normal sinus rhythm; rate- 86bpm
c) Percussion : Cardiac borders well within normal Limits.
 d) Auscultation : S1 and S2 heard well. No abnormalities
noted. HR _ 86/mt and regular.
14) ABDOMEN:
a) Inspection : No abnormality
b) Palpation : No organomegaly
c) Percussion : No fluid filled spaces could be found
d) Auscultation : Peristalsis present 6 per min
14) BACK:
a) Spine and curvature : No abnormalities is noted , bed sore present
at sacrum region
b) Movements : not able to move by own, stiffness present
c) Tenderness : No tenderness noted
15) GENITALIA:
Normal - no discharges
16) UPPER EXTREMITIES:
Difficulty in joint movement
No lymph node enlargement
17) LOWER EXTREMITIES:
No Difficulty in joint movement
18) NERVOUS SYSTEM:
Higher function – consciousness
Memory – immediate, recent, remote is good
Speech – normal
Cranial nerves – no abnormalities
Sensory function – good
 (MRS. SHEELABEN)
1) GENERAL OBSERVATION:
a) Constitution : moderate body built
b) Stature : Normal
c) State of Nutrition : good
d) Personal appearance : normal
e) Posture : Good
f) Emotional stage : Anxious
g) Skin : normal
h) Cooperativeness : Cooperative
2) VITAL SIGNS:
 Temperature : 98.6oF
Pulse : 86bpm
Respiration : 22Bpm
Blood pressure : 120 / 80 mmhg
3) HEIGHT : 153 CMS
4) WEIGHT : 40KGS
5) SKIN AND MUCUS MEMBRANE:
a) Colour of skin : normal
b) Edema : Absent
c) Moist Temperature : Normal
d) Turgor : Normal
e) Texture : Dry, wrinked
6) HEAD :
a) Skull : No abnormality noted
b) Hair : white hair,
c) Movements of the head : normal
d) Fore head : No scars or lesion
e) Face : normal looking
7) EYES :
a) Expression : normal
b) Eye brows : Equal

c) eye lids : No lesion

d) lacrimation : clear fluid
e) conjunctivitis : normal
f) sclera : normal
g) Cornea : clear
 h) Iris : Normal
i) Pupils : Normal
8) EARS :
a) Appearance : No mass
b) Discharge : No
c) Hearing : Normal
d) Lesion : Absent
9) NOSE :
a) Appearance : No Septal deviation
b) Discharge : No
c) Patency : Both nostrils are patent
d) Sense of smell : Good
10) MOUTH AND THROAT:
a) Lips : Dry
b) Tongue : Normal, uncoated
c) Teeth : Intact in upper and lower jaw,
dental carries present
d) Gums : Pink and moist
e) Buccal mucosa : No lesion
f) Tonsil : Redness present
d) Taste : Normal
11) NECK:
a) General appearance : Normal
b) Trachea : Normal in position
c) Lymph node : Palpable , non stable
d) Thyroid gland : Feel smooth and firm
e) Cyst and tumor : Absence
12) CHEST AND RESPIRATORY SYSTEM:
a) Inspection : Size and shape normal, chest
expansion equal in both side and
respiration are shallow and short breath
b) Palpation : No local swelling, no lymph node
enlargement
c) Percussion : Normal resonance in both lungs
d) Auscultation : Bilateral crepts present, high pitched
in both side. Respiratory rate 22bpm,
S1 and S2 heart normal, heart rate – 86
bpm.
13) CARDIO VASCULAR SYSTEM
a) Inspection : Size and shape of the chest is with in
normal limit;

b) Palpation : Carotid pulse and peripheral pulses

which is regular; normal sinus rhythm; rate- 86bpm
c) Percussion : Cardiac borders well within normal
Limits.
d) Auscultation : S1 and S2 heard well. No abnormalities
noted. HR _ 80/min and regular.
14) ABDOMEN:
a) Inspection : No abnormality
b) Palpation : No organomegaly
c) Percussion : No fluid filled spaces could be found
d) Auscultation : Peristalsis present 6 per min
14) BACK:
a) Spine and curvature : No abnormalities is noted , bed sore present
at sacrum region
b) Movements : not able to move by own, stiffness present
c) Tenderness : No tenderness noted
15) GENITALIA:
Normal - no discharges
16) UPPER EXTREMITIES:
Difficulty in joint movement
No lymph node enlargement
17) LOWER EXTREMITIES:
No Difficulty in joint movement
18) NERVOUS SYSTEM:
Higher function – consciousness
Memory – immediate, recent, remote is good
Speech – normal
Cranial nerves – no abnormalities
Sensory function – good
 I. Nutritional assessment:
Name : Mrs. Kamriben
Age : 63yrs
Height : 158cm
Weight ; 58kg
Occupation : housewife
Food habits : vegetarian food
Dietary pattern
a. Staple food : rice
b. Number of meals : 3meals
c. Vegetable used : all green vegetable
d. Cocking practice : frying and curries
e. Food storage : “pinjara”

II. a) Assessment of diet :

Sr.no Name Time Menu Amoun Calori Protein Fat Iron Calcium
t e
kcal
1. Mrs. 6am Tea 100ml 36 0.7 0.8 - 0.03
Kamriben 7am Khakhara 66gm 304 4.5 19.6 4.1 0.01

1pm Rice 252 gm 297 5.95 0.4 2.4 0.002

Dal 151 gm 284 9.0 16.4 5.5 0.14
Roti 57gm 193 5.0 5.5 5.3 0.04
Sabji 45 gm 122 1.4 10.7 23.6 0.14

4pm Tea 100ml 36 0.7 0.8 - 0.03

9pm Rotla 300 gm 1017 26.4 28.8 3.9 0.003

Sabji 100gm 145 2.7 10.0 1.6 0.07
Total 2434 56.35 93 46.4 0.465
intake
Norm-al 1800 800 - 10 800
requirem
ent
Deficit/ excess Deficit exce excess Deficit
excess ss
Sr.no Name age,sex Time menu Amoun Calorie Protei Fat Iron Calcium
t kcal n
1. Mr. Raman 6am Tea 100ml 36 0.7 0.8 - 0.03
bhai.S.Halpati 7am Khak 66gm 304 4.5 19.6 4.1 0.01
hara
1pm Rice 252 gm 297 5.95 0.4 2.4 0.002
Dal 151 gm 284 9.0 16.4 5.5 0.14
Roti 57gm 193 5.0 5.5 5.3 0.04
Sabji 45 gm 122 1.4 10.7 23.6 0.14

4pm Tea 100ml 36 0.7 0.8 - 0.03

9pm Rotla 300 gm 1017 26.4 28.8 3.9 0.003

Sabji 100gm 145 2.7 10.0 1.6 0.07
Total 2434 56.35 93 46.4 0.465
2. Mr.Rajubhai 6am Tea 100ml 36 0.7 0.8 - 0.03
R.Halpati 7am Khak 66gm 304 4.5 19.6 4.1 0.01
hara
1pm Rice 252 gm 297 5.95 0.4 2.4 0.002
Dal 151 gm 284 9.0 16.4 5.5 0.14
Roti 57gm 193 5.0 5.5 5.3 0.04
Sabji 45 gm 122 1.4 10.7 23.6 0.14

4pm Tea 100ml 36 0.7 0.8 - 0.03

9pm Rotla 300 gm 1017 26.4 28.8 3.9 0.003

Sabji 100gm 145 2.7 10.0 1.6 0.07
Total 2434 56.35 93 46.6 0.465
3. Mrs. 6am Tea 100ml 36 0.7 0.8 - 0.03
Sheelaben 7am Khak 66gm 304 4.5 19.6 4.1 0.01
hara
1pm Rice 252 gm 297 5.95 0.4 2.4 0.002
Dal 151 gm 284 9.0 16.4 5.5 0.14
Roti 57gm 193 5.0 5.5 5.3 0.04
Sabji 45 gm 122 1.4 10.7 23.6 0.14

4pm Tea 100ml 36 0.7 0.8 - 0.03

9pm Rotla 250 gm 508.5 13.2 14.4 1.8 0.002

Sabji 100gm 145 2.7 10.0 1.6 0.07
Total 1925.5 43.15 70.2 44.3 0.464
4. Mast.Rinkal 6am Tea 100ml 36 0.7 0.8 - 0.03
khak 66 gm 304 4.5 19.6 4.1 0.01
hra

10am upam 128gm 163 3.8 5.4 3.0 0.02

11am a

2pm rice 252 gm 297 5.95 0.4 2.4 0.002

dal 151gm 284 9.0 16.4 5.5 0.14
 5pm tea 100ml 36 0.7 0.8 - 0.03

9pm rotla 100gm 339 8.8 9.6 1.3 0.01

sabji 56gm 81 1.5 5.6 0.9 0.004

5. Mast. Pavan 6am Tea 100ml 36 0.7 0.8 - 0.03

upam
10am a 64gm 81.5 1.9 2.7 1.5 0.01
11am

2pm rice 126 gm 148.5 2.97 0.2 1.2 0.001

dal 75.5gm 142 4.5 8.2 2.75 0.07

5pm tea 100ml 36 0.7 0.8 - 0.03

9pm chap 28.5gm 96.5 2.5 2.75 2.65 0.02

pati
sabji 56gm 81 1.5 5.6 0.9 0.004
Total 621.5 14.77 21.5 9 0.201
Conclusion :

I took Mr. Ramanbhai family for my case study. I visited his for some 5 days during the first
week of my visit to the community. His wife Mrs.Kamriben has D.M and Hypertension since last 10
years and I Finally gave her health education on Diet, personal hygiene and exercise.

Self – experience :

It was best part of my community visit. First I have learned to maintain good rapport with the
family members.From the study, I have explored my problem solving and teaching ability. From the
family unit, I came to know how to approach the community and how to maintain communication
with different age group and how to manage antenatal mother. It was very useful for me to uplift my
knowledge in the community care aspect.

Bibliography:

Book references:

1) B.T.Basvanthappa, “COMMUNITY HEALTH NURSING”,

Jaypee, Publication, 6th edition.

2) K.K. Gulani, “COMMUNITY HEALTH NURSING”, Kumar

Publication, 3rd edition..

3) K. Park,” TEXTBOOK OF PREVENTIVE AND SOCIAL

MEDICINE”, Bhanot publication, 18th edition, Page