MINDANAO MEDICAL FOUNDATION COLLEGE

P. Villanuva St. Agdao, Davao City

Tel. No.: (082) 221-6225

In Partial for the Requirements in

NCM 104: Community Health Nursing

Barangay Dutuerte, St. Agdao, Davao City

A FAMILY CASE STUDY OF

THE A FAMILY

Presented to:

Mrs. Ana Lagdameo, RN

Mrs. Ana Pendon, RN, MAN
Mr. Jovon Rey Toriales, RN

Presented by:

Autida, Kimberly
Balanghig, Cherryfee
Baliong, Aleijah Emmanuel S.
Daud, Jannah

December 2023
 ACKNOWLEDGEMENTS

We are grateful to have received guidance and support to finish our case
study, as the success and outcome of this project required a great deal of help from
many people. We are thankful for their advice and assistance throughout this project.
Without them, this study could have never been able to carry out. We, the student
nurses, would like to offer our humble thanks.

First, we would like to thank Family A for being willing participants in this study
and for taking time for us to do our assessments during the home visits. Without
them, the core purpose of this study would have been rendered ineffective. To that
end, we're very grateful to them for their participation.

Next, we're thankful to our clinical instructors, Mrs. Jo Ann A. Alcantara, RN,
and Mr. Jovon Rey Toriales, RN, for rendering all their support and guidance during
the making of this study. Their help has resulted in the final manuscript of this study.
We would also like to thank them for their patience and for making time to help us
despite their busy schedules.

To our families for their unwavering support and encouragement in the

making of this study. For their understanding of our late-night hardships for the
completion of our work.

Lastly, we'd like to thank God for the protection and guidance He has given us during
our home visits to the chosen family. For giving us the strength to move forward
despite the hardships we've faced in the making of this study.
Acknowledgement ………………………………………………………………
Introduction ................................................................................................................
Objectives ....................................................................................................................
.
A. Initial Data Base
A.1. Genogram……………………………………………………………..
A.2. Family Structure and Characteristics………………………………….
A.2.1. Family Structure……………………………………………….
A.2.2. Dominant Family Members…………………………………..
A.2.3. General Family Relationship…………………………………
A.2.4. Activities of Daily Living……………………………………….
A.2.4.1. Sleeping Pattern……………………………………..
A.2.4.2. Eating Pattern ……………………………………..
A.24.3. Leisure Time Activities ……………………………..
A.2.5. Family APGAR………………………………………………………
A.2.6. Family Coping Index…………………………………………………..
B. Socio-Economic and Structural Practices
B.1 Socio-Economic and Cultural Practices………………………………..
B.2. Family Expenses…………………………………………………….
B.3 Significant Others…………………………………………………….
B.4. Relationship of the Family to the Larger Community………………
C. Environmental Factors
C.1. Ecomap…………………………………………………………………
C.2. Housing …………………………………………………………………..
C.3. Kind of Neighborhood.…………………………………………………
C.4. Social and Health Facilities Available………………………………….
C.5. Communication and Transport Facilities…………………………….
D. Health Assessment of Each Member…………………………………………
E. Values, Habits, Practices on Health Promotion
Maintenance and Disease Prevention…………………………………………..
E.1. Immunization Status………………………………………………….
E.2. Healthy Lifestyle…………………………………………………………
E.3. Adequacy of Rest and Sleep…………………………………………
E.4. Adequacy of Exercise and Activities……………………………….
 E.5. Adequacy on the Use of Protective Measures………………………
F. Scaling Method…………………………………………………………………..
G. Prioritization of Family Health Problems.………………………………….
H. Family Nursing Care Plans…………………………………………………..
I. Conclusion…………………………………………………………………………
I.1. Recommendation………………………………………………………….
J. Appendices………………………………………………………………………….
K. Bibliography……………………………………………………………………….

ACKNOWLEDGEMENTS

We are grateful to have received guidance and support to finish our case
study, as the success and outcome of this project required a great deal of help from
many people. We are thankful for their advice and assistance throughout this project.
Without them, this study could have never been able to carry out. We, the student
nurses, would like to offer our humble thanks.
 First, we would like to thank Family A for being willing participants in this study
and for taking time for us to do our assessments during the home visits. Without
them, the core purpose of this study would have been rendered ineffective. To that
end, we're very grateful to them for their participation.

Next, we're thankful to our clinical instructors, Mrs. Jo Ann A. Alcantara, RN,
and Mr. Jovon Rey Toriales, RN, for rendering all their support and guidance during
the making of this study. Their help has resulted in the final manuscript of this study.
We would also like to thank them for their patience and for making time to help us
despite their busy schedules.

To our families for their unwavering support and encouragement in the

making of this study. For their understanding of our late-night hardships for the
completion of our work.

Lastly, we'd like to thank God for the protection and guidance He has given us
during our home visits to the chosen family. For giving us the strength to move
forward despite the hardships we've faced in the making of this study.

Introduction

Family is what contributes to an individual's advancement. The people

increase their knowledge and comprehension of different strategies and tactics that
will promote their successful development. Everything learned and experienced
inside one's home is manifested in the way a person acts and deals with others
(Kapur, 2022). The individuals, throughout their lives need to be informative in terms
of ways to promote well-being and goodwill.

Family members are considered crucial pillars of support, with parents serving
as the initial and most significant educators for their children. Hence, the family
members are regarded as the first and foremost individuals, who prepare the
individuals in an adequate manner. They are entrusted with the power and duty to
provide information across various domains to their children, make decisions on their
behalf, steer them in the right direction, and foster their overall well-being and
happiness.This case study aims to analyze the Dubar family's dynamics, shedding
light on their unique experiences, struggles, and triumphs. By examining the
interactions, communication patterns, and decision-making processes within the
family, we seek to unravel the complexities that shape their daily lives.

Moreover, in an era marked by rapid social, economic, and technological

changes, the dynamics of family life are undergoing transformations that warrant
thorough investigation. As we navigate the complexities of modern living, this
research endeavors to shed light on how families adapt, cope, and thrive in the face
of evolving norms and external pressures.

Through this case study, we anticipate uncovering valuable insights into the
complexities of family life, fostering empathy, and providing a basis for discussions
on family dynamics, relationships, and the broader implications for individual well-
being and societal harmony. We aspire to inform policymakers, educators, and
practitioners in their efforts to support and enhance the well-being of individuals
within the familial context.
B1, B2 Rel B3. B4. Sex B5. B6.( For B7. (For B8. (For 15 B9. (For 15 B10. (For
Name: (Last Name, to head Age 1. Male (For 15 yrs. Members 3 Members 3- Years Old & Years Old & Members 3-
First name) of HH 2. Female old Years old & 22 years old) Over) Over) 22 years old)
& over) Over) Is child currently enrolled Main Occu- What is the Membership
Marital Highest 1=YES pation Current emp- in healthcare
Status Level of 2=NO Loyment insurance
Schooling Status of
attained
Anisah Dubar 1 24 2 9 2

Argoh Senarillos 2 28 1 8 2 Driver Sikad

Arvin Senarillos 3 9 1 3 1

Airon Senarillos 3 3 1 1 1
INITIAL DATA
BASE
 GENOGRAM

A L
Age:57 H Age: 30 M
BD:2/22/66 Age: 52 BD: 2/10/68 Age: 54
BD: 2/11/71 Died: 2/6/1998 BD: 11/19/69
HS: Asthma HS: High Blood

C J J U W A.G
N N
A,S Age: 24 Age: 22 Age: 17 Age: 32 Age: 26 Age: 24
Age: 30 Age: 29
Age: 28 BD: 7/16/99 BD: 12/12/00 BD: 7/19/06 BD: 10/23/91 BD: 1/26/97 BD: 2/26/97
BD:9/29/93 BD: 12/19/94
BD: 10/15/96

Ar.S. Arn.S.
Age: 9 Age: 3
BD: BD:

A. Family Structure, Characteristics and Dynamics

Legend:
- Male - Married - Children list in birth order begin with the oldest on left
Household Management
-Female X - Deceased
B1
 FAMILY STRUCTURE & CHARACTERISTICS

FAMILY STRUCTURE

POSITION RELATIONSHIP
CIVIL PLACE OF ETHNIC
NAME AGE SEX IN THE TO THE HEAD
STATUS RESIDENCE BACKGROUND
FAMILY OF THE FAMILY
In
Brgy.
Common
Dutuerte,
A.S. 28 M -Law Father Partner Filipino
Purok IKP,
Relation
Ipil Beach
ship
In
Brgy.
Common
Head of the Dutuerte,
A.G. 24 F -Law Mother Filipino
family Purok IKP,
Relation
Ipil Beach
ship
Brgy.
Dutuerte,
Ar.S. 9 M Single Son Son Filipino
Purok IKP,
Ipil Beach
Brgy.
Dutuerte,
Arn.S. 3 M Single Son Son Filipino
Purok IKP,
Ipil Beach
Table #. Family Structure of Family A.

DOMINANT FAMILY MEMBERS

In Family A, the dominant family members are Mr. A.S. and Ms. A.D. Both Mr.

A.S. and Ms. A.G. work to sustain the family. In decision-making, Ms. A.G. holds

more authority than Mr. A.S.

GENERAL FAMILY RELATIONSHIP

In Family A, the members get along with each other most of the time.

Disputes still occur but are either easily resolved or does not majorly affect the

relationship between the members.

ACTIVITIES OF DAILY LIVING

Sleeping Pattern. In Family A, all the members sleep together. All members of

the family sleep at 9 PM. The family starts their day at 8 AM.

Eating Pattern. In Family A, all the members eat together. At times, Ms. A.G.

and Mr. A.S. will eat a light breakfast. The family eats 3 meals a day. The mother of

Mr. A.S. provides Family A with viands for their supper.

Leisure Time Activities. Ms. A.G. uses her free time in cleaning their house

and doing other household chores such as doing the laundry. Mr. A.S. uses his free

time in tending to his cocked chickens and participates in cockfighting. Mr. Ar.S. and

Mr. Arn.S. uses their free time in playing with their friends which are also their

neighbors.

Family APGAR

The questions in the Family APGAR are designed to permit qualitative

measurement of the family member’s satisfaction with each of the five basic
components of family function.
Adaptation
Adaptation is the utilization of intra and extrafamilial resources for
problem solving when family equilibrium is stressed during a crisis.
Partnership
Partnership is the sharing of decision making and nurturing
responsibilities by family members.
Growth
Growth is the physical and emotional maturation and self-fulfillment
that is achieved by family members through mutual support and guidance.
Affection
Affection is the caring or loving relationship that exists among family
members.
Resolve
 Resolve is the commitment to devote time to other members of the
family for physical and emotional nurturing. It also usually involves a decision
to share wealth and space.

Almost Some Hardly

Always of the Ever
(2) Time (0)
(1)
A How did family members aided each other
in time of need? 2
P How do family members communicate with
each other about such matters as 1
vacations, finances, medical care, large
purchases, and personal problems?
G How do family members aided each other
in growing or developing independent life- 1
styles?
A How have members of your family
responded to emotional expressions such 2
as affection, love, sorrow or anger?
R How do members of your family share 2
time, space, and money?
Total 8

Scoring:
7 to 10 - highly functional family
4 to 6 - moderately dysfunctional family
0 to 3 - severely dysfunctional family

Interpretation= Family A is highly functional family.

Famiy Coping Index

Socio-Economic
and Structural
Practices
SOCIO-ECONOMIC & CULTURAL PRACTICES
PLACE
FAMILY EDUCATIONAL ETHNIC
OCCUPATION OF INCOME RELIGION
MEMBERS ATTAINMENT BACKGROUN
WORK
Purok ~Php
Trisikad Driver
IKP 250/day
1st Year High
A.S. ~Php Catholic Filipino
Dacudao school
Porter 2,500/
, Agdao
month
2nd Year High
A.D. None N/A N/A Catholic Filipino
School
Ar.S. N/A N/A N/A Grade 1 Catholic Filipino
Arn.S. N/A N/A N/A Preschool Catholic Filipino
Table #. Socio-economic & Cultural Practices of Family A.

FAMILY EXPENSES
EXPENDITURES TOTAL EXPENSES

Food ~Php 1,200

Electricity Php 250

Water Php 156

Miscellaneous ~Php 240

Table #. Family Expenses of Family A.

DECISION MAKER OF FINANCIAL MATTERS

In Family A, the head of the family, Ms. A.G., is the decision maker in
regards to financial aspects.
SIGNIFICANT OTHERS

RELATIONSHIP OF THE FAMILY TO THE LARGER COMMUNITY

Family A’s relationship with the surrounding community is good. The
neighbors of the family are relatives therefore, everyone in the surrounding are know
each other.
Environmental
Factor
 Ecomap

Church Work

Hospital
Legend: Father
- Stressful
-Positive Mother

Ar.S Arn.S. Health Care Centers

Friends
School
HOUSING

The house of Family A is completely made up of wood. The total area of the

house is small for a 4-member household. The bridge that leads to the house of

Family A is made up of wood. A strong force can break the integrity of the bridge.

KIND OF NEIGHBORHOOD

SOCIAL & HEALTH FACILITIES AVAILABLE

The main road has a chapel of the purok. There is a preschool further down

the main road. The Barangay Hall and Barangay Health Center is kilometers away

from the house of Family A. A hospital is located further down the main road.

COMMUNICATION & TRANSPORT FACILITIES

The main mode of communication of the family is a mobile phone. The family

has only 1 available phone and is held by Mr. A.S. The main mode of transport of the

family is a Trisikad. There is a terminal for Trisikads in the main road.

 Health
Assessment of
Each Member
 Values, Habits,
Practices on
Health Promotion
Maintenance and
Disease
Prevention
 FAMILY MEMBER PAST ILLNESS HEALTH ACTIONS TAKEN

A.S.

A.G.

Ar.S.

Arn.S.

1.
Scaling Method
Prioritization of
Family Health
Problems
Family Nursing
Care Plans
 FAMILY NURSING CARE PLAN
FAMILY NURSING GOALS & INTERVENTIONS RATIONALE EVALUATION
PROBLEM DIAGNOSIS OBJECTIVES
Family size beyond Inability to provide Goal: 1. Discuss with the 1. To re-evaluate After 4 home visits,
what family adequate nursing care After nursing family the theirexpenses the family was
resources can to the sick, disabled, interventions, the benefits of and to revise partially able to:
adequate provide dependent, or family would be able to budgeting their budget by  Know and explore
due to sudden vulnerable/ at risk provide adequate inkeeping them prioritizingtheir differentalternativ
unemployment family member due to: nursing care to its sustained while essential needs es to meetfamily
 Inadequate family members through having and excluding demands.
resources of sustaining its members. limitedresources non-essential
carespecifically: . needs. Goal partially met.
 Financial Objective: 2. Explain & 2. To make the
constraints After 4 home visits, the explorewith the family consume
family will be able to: family the nutritious food
 Know and explore different cost- that suits them,
different effective& especially for
alternatives to meet nutritious the pregnant
family demands. alternatives for woman of the
their family who
consumption. needs proper
nutrition, while
keeping itwithin
their budget.

FAMILY NURSING CARE PLAN

FAMILY PROBLEM NURSING DIAGNOSIS GOALS & OBJECTIVES INTERVENTIONS RATIONALE EVALUATION
Nonattendance at Inability to make Goal: 1. Discuss with the 1. To for prepare the After 4 home visits,
obstetric visit decisions with respect to After nursing interventions, family the family for the family was
appropriate health action the family would be able to importance of pregnancy, to detect partially able
due to: make appropriate health prenatal check- issues & risks that to:
 Low salience of the action through attending ups & their may accompany the  Know the
problem / condition obstetric visits. benefits for the pregnancy, and to importance & will
upcoming. ensure a safe attend prenatal
Objective: pregnancy of pregnancy. check-ups.
After 4 home visits the the pregnant 2. To let the family
family will be able to: member. know about free and Goal partially met.
 Know the importance 2. Discuss with the accessible prenatal
&will attend prenatal family the check-up services
check-ups. available available for them.
options with the
help of the
Barangay
Health Center
for prenatal
check-ups.
 FAMILY NURSING CARE PLAN
FAMILY NURSING GOALS & INTERVENTION RATIONALE EVALUATION
PROBLEM DIAGNOSIS OBJECTIVES S
Tobacco-induced Inability to make Goal: 1. Hold a health 1. Educating them After 4 home visits,
health risks decisions with respect to After nursing teaching would give the the family was
appropriate health interventions, the family session to on knowledge partially able to:
action due to: will be able to make discuss the and will be the  Be
 Failure appropriate health dangers of 1st step on moreknowledgeab
tocomprehend decision to make healthful smoking alleviating le about the health
nature or magnitude lifestyle and personal especially to smoking. risks of smoking
of the problem habits through cessation of the unborn 2. For the family to at home.
condition. smoking. child. choose strategies  Be aware of the
2. Hold teaching that would be different strategies
Objectives: session and more suitable for to help quit
After 4 home visits, the discuss ways to them. smoking.
family will be able to: minimize
 Be smoking. Goal partially met.
moreknowledgeable
about the health risks
of smoking at home.
 Be aware of the
different strategies to
help quit smoking.
 FAMILY NURSING CARE PLAN
FAMILY NURSING GOALS & INTERVENTION RATIONALE EVALUATION
PROBLEM DIAGNOSIS OBJECTIVES S
Environmental  Inability to provide Goal: 3. Give 3. It can increase After 4 home visits,
Hazard a home After nursing information the awareness the family was
 Big gaps in environment interventions, the family about the about injury in partially able to:
bridges conducive tohealtrh will be able to think of necessity for hazard.  Know the
 No barricade maintenance and necessary action to reduce safety, the need 4. It will encourage importance of a
in the personal potential hazard in the to prevent the family to take safe environment
surrounding development due to home environment. injuries, and preventative free from hazard
area lack of/inadequate the motivation actions to it. and accident.
knowledge of Objectives: to do so.  Family became
preventive After 4 home visits, the aware and
measures. family will be able to: 4. Discuss about knowledgable of
 Know the importance supervision for the hazard in their
of a safe environment young ones home including its
free from hazard and and preventive
accident. improvement measures.
 Family will be aware of the faculty
and knowledgable of Goal partially met.
the hazard in their
home including its
preventive measures.
Conclusion