FAMILY CASE ANALYSIS

Presented by:

GROUP 1
ABIJERO, ABNER
AGULLANA, REDEN
DOMINGO, QUEENIE ROSE
DACUYCUY, ESTRELLA
GARVIDA, CANDACE
LABRADOR, CHING MEI
LUMBRE, JESSICA
MAGNO, GEORGIA
PEDINES, SHERYL ANN

Presented to:
The Members of the Panel
December 2019
 INTRODUCTION

Community Health Nursing is a specialized field of nursing practice (Maglaya, 4 th edition) which
is essential that of all nursing is based on the concept of the “worth and dignity of the individual”, caring
of, giving comfort and ease, helping people with health problems to become healed in body and mind.
The health of every member of a family inevitably influences the health of all, physical and emotional
health is inseparable. Therefore, community health nursing should consider physical and emotional
aspect of the needs of all members of the families it serves.

A community is a group of people sharing common geographical boundaries and or common

values and interest. It functions within a particular sociocultural context, which means that no two
communities are alike. It is where the family which is considered to be an essential unit in a democratic
society, lives (Maglaya, 4th Edition)

The family is a very important social institution that performs two major function –reproduction
and socialization. It is generally considered as the basic unit of the community of health nursing for many
reasons. It may contribute knowingly or unknowingly to the development of health and nursing problems
of its members. However, it also performs health promoting, health maintaining and disease preventing
activities. In many cases, the family is the focus of decision making on health matters. It is the source of
the most solid support and care to its member particularly to the young, the elderly, the disabled, and the
chronically ill

There have been significant changes in the way people regard the family as social institution. In
the past it has been defined as the number of persons joined together by bonds of marriage, blood or
adoption (Burgess 1963, in Friedman 1992: 8). A contemporary view (which may not necessary be the
most dominant) debunks this view by stating that family members need not to be bound by legal marriage
or by blood or adoption. Friedman defines a family to be composed of two or more people who are joined
together by bonds of sharing and emotional closeness and who identify themselves as being part of the
family. (Maglaya, 4th Edition)

Family Nursing Case Analysis is a mean by which student nurse reaches and feel the community
through its basic structure – the family. They established rapport and be familiar with the family
members, identify health related problems and do skill and time to take action to uplift the condition of
the family.
 Whereof, health related problems are being identified thus making the student have a hint where
to act and do the complete nursing process.

Having this kind of case is making the student nurses to be better in their skills and cooperation in
the ground as well as to the family members. Simple deeds are being done with family because the goal is
not to give the family a reason to depend to the group but to be able for the family to solve the problems
in a specific short period of time. Making the family able to continue to comply the health teachings and
lesson as well as modification that was rendered by the student nurse after their exposure.

The family was chosen for this family case analysis with these criteria as follows: first, the family
have multi problem and a crisis inside the family, lack of housekeeping skills, lack of knowledge of
healthy lifestyle, and the head of the family lacks parenting knowledge.

Mrs. Blue’s family belongs to an extended family, a type of family structure. Is has 9 members;
the mother which is Mrs. Blue, and his 8 children. They belong to the low-class type of family and live
along a residential area flung far away from the center of the community. Their house is made up of
concrete, the roof is made up of galvanized iron and there are 3 windows one is made up of galvanized.
They’ve been living and residing in the rural community of Brgy. San Juan, San Nicolas, Ilocos Norte
approximately 20 meter away from the national highway and approximately half km away from the Rural
Health Unit.

Objectives:

a. Short Term: Student Centered

After a day of home visit to the family the student nurse will be able to:
1. Familiarize themselves with the physical surrounding of the house and
community
2. Able to choose the family that would be the center of the study
3. Introduce oneself and able to build rapport and stating their purpose and
methods.
4. Obtain consent and permission to the family allowing the student nurse to
conduct a study.
5. Gather and obtain initial data base including demographic data, socio-
economic status, cultural, environmental and general survey to the family.
6. Assess the possible problem that the family is encountering.

b. Short Term: Client Centered

 After 1 day of home visit, the family will be able to:

1. Established rapport to the student

2. Demonstrate understanding regarding the purpose of home visits to be
conducted by the student nurse.
3. Provide complete, necessary and true information in relation to all family
members’ history of past and present illnesses, nutritional status, socio-
economic status, cultural, and environment truthfully, honestly and sincerely.
4. Identify the problems regarding health in their family.
5. Able to acknowledge the services rendered by the student nurse.
c. Long Term: Student Centered
After 2 weeks of home visit, the student nurse will be able to:
1. Able to identify and prioritize the health problems jointly with the family.
2. Understand the health planning situation and health practices of the family
and use these as baseline in analyzing, planning and evaluating future
nursing intervention.
3. Able to facilitate family’s coping index
4. To plan with the cooperation of the family to solve the health and nursing
problem.
5. Implement nursing intervention and provide health teachings.
6. Encourage every member of the family to actively participate in health
programs and activities that is implemented by the student nurse.
7. Help the family realize the importance of availing health services provided
by the community or rural health unit.
8. Evaluate family response to the intervention and health teachings given.
d. Long Term: Client-centered
After 2 weeks of home visit, the family will be able to:
1. Identify the health problems present in their family.
2. Realize the importance of having and maintaining good health practices.
3. Prioritize the identified health problems
4. Identified the ways or the appropriate actions to meet their health needs and health
problems rationally.
5. Able to comply and obey the health teachings rendered by the student nurses.
6. Maintain an environment that is conducive and appropriate to health and
development
 7. Demonstrate continuous compliance and obedience with the health teachings given
after the student nurses community exposure.

I. FAMILY STRUCTURE, CHARACTERISTICS AND DYNAMICS

The family is headed by Mrs. Blue. There are 9 members of the family, mother, and 8
children. They live at Barangay 06, San Nicolas, Ilocos Norte.

A. Demographic data of members

Name of Date of Age Sex Civil Occupation Position Relationship Religion

Family Birth Status in the to the Head
Members Family of the
Family
Mrs. Blue October 52 F Widow N/A Family Head of the Church of jesus
10, 1967 y/o Head family christ
Ala May 15 29 M married slaughter 1st child Son Church of jesus
1990 y/o christ
nd
Ad October 22 M Single bagger 2 child Son Church of jesus
11, 1997 y/o christ
Pri March 02 18 F Single N/A 3rd child daughter Church of jesus
2001 y/o christ
Al October 17 M Single N/A 4th child Son Church of jesus
27 2002 y/o christ
Pre January 14 F Single N/A 5th child Daughter Church of jesus
25 2005 y/o christ
Que July 8 11 F Single N/A 6th child daughter Hurch of jesus
2008 y/0 christ
Fa May 03 8 y/o F Single N/A 7th child daughter Church of jesus
2011 christ
Ezi April 20 4 y/o M Single N/A 1st grandchild Church of jesus
2015 grandchil christ
d

Mrs. Blue’s family belongs to a typical extended type of family and has seven children and one
grandchild. Namely Ala (29 years old), Ad (22 years old), Pri (18 years old), Al (17 years old), Pre (14
years old), Que (11 years old), Fa (8 years old) and Ezi (4 yeasr old).
 Mrs blue is a widow, her husband was died last 2013. Mr. ala (29 years old) is the eldest, who is
currently working as slaughterhouse (San icolas). Mr. ad is the second child, who is currently working as
a bagger at the Savemore in Sanicolas. Pri is the 3 rd child, she is a grade 12 student. Al is the fourth child;
he is a grade 11 student. Pre is the fifth child; she is a grade 8 student. Que is the sixth child; she is a
grade 6 student. Fa is the seventh child; she is a grade 3 student. And Ezi is the grandchild, he is a
nursery. They all live in San Juan, Sanicolas, Ilocos Norte.

According to residency, the family is a patrilocal. As to the type of the family based on descent,
the family is a patrilineal since the family is closer and affiliated with the family of her husband.

In terms of decision making the family utilizes matriarchal, since her husband is already died last
2013. In case a member of family is sick, only the mother. As verbalized the motehr‘’mapan ku ipacheck-
up isuda idjay RHU ken siyak metlang ti mangistimar kanyada ‘’. The members of the family interact,
communicate and listen to each other wherever they have problems and they respect each other. The
children call their mother as ‘’mama’’ and calling their names among the sibling.

II. SOCIO-ECONOMIC AND CULTURAL CHARACTERISTIC

The head of the family is unemployed. She takes care of her children, but she is receiving
the pension of her late husband cost of Php. 3500 per month. The main source of income is the salary of
the eldest child which Php. 5000 monthlies. As verbalized by her mother, the monthly income shall be
deducted for the SSS, PAG –IBIG. Her second child started to work as a bagger at the Savemore in San
Nicolas. The salary is about Php. 7350 per month. They are also a member of 4P’s (Pantawid Pamilyang
Pilipino Program) which includes the 3 children as well as the head of the family, the mother receiving
Php. 5200 per 2 months making it Php. 2600 per month.

Table 2. Source of Income

OCCUPATION INCOME/MONTHLY
JANITOR SLAUGHTER Php.5000
GSIS Php. 3500
4P’S Php. 2600
TOTAL: Php. 11,100
Allocation of budget per month

Grocery Item and Price Weekly Monthly

quantity
1 dozen 3 in 1 coffee Php. 7.00 Php.84.00 Php.336.00
10 pcs noodles Php. 10.00 Php.100.00 Php.400.00
 10 eggs Php. 9.00 Php.90.00 Php.360.00
¼ salt Php. 10.00 Php.10.00 Php.40.00
2 bottle alcohol Php. 70.00 Php.140.00 Php.560.00
1 dozen shampoo Php. 60.00 Php.120.00 Php.480.00
1 tab bath soap Php. 35.00 Php.70.00 Php.280.00
1 tab laudry soap Php. 23.00 Php.46.00 Php184.00
1 bottle cooking oil Php.19.00 Php.57.00 Php.228.00
1 bottle soy sauce Php.18.00 Php.36.00 Php.144.00
1 tab toothpaste Php.45.00 Php.45.00 Php.180.00
1 bottle bagoong Php.12.00 Php.12.00 Php.48.00
TOTAL Php.810.00 Php. 3236.00

Market Item Price Weekly Monthly

Rice Php.45.00 Php.315.00 Php.1260.00
Vegetables Php.100 Php.200.00 Php.800.00
Meat Php.210.00 Php.420.00 Php. 1680
Php.935.00 Php.3740.00

Utilities

Electric Bill Php. 500.00

Water Php. 400.00
Health( Medicine) Php. 500.00
School Suplies ( allowance, miscellaneous) Php.1500
Total Php.2900

The family monthly income is Php.13,100, then broken down to meet their basic needs. The food
expenses included meat, vegetables, egg, noodles, groceries which is equivalent to the amount of Php.
6976.00 per month. The utilities hich is composed of electric bill worth Php.500 per month, water worth
Php.400.00 per month, medicine worth Php. 500 per month and educational expenses worth Php.1500 per
month.

As the elicit by the growth of the income of the family is adequate to sustain their need. The total
family expenses according to their breakdown is resulting in the total sum of Php. 9, 876.00.
Educational Attainment

Name of the family Educational Ethnicity Religious Affiliation

member Attainment
Mrs. Blue High School Graduate Ilocano Church of Jesus Christ
Ala High school Graduate Ilocano Church of Jesus Christ
Ad Undergrad College Ilocano Church of Jesus Christ
level
Pri High school level- Ilocano Church of Jesus Christ
studying
Al High school level- Ilocano Church of Jesus Christ
studying
Pre High school-studying Ilocano Church of Jesus Christ
Que Elementary level- Ilocano Church of Jesus Christ
studying
Fa Elementary level – Ilocano Church of Jesus Christ
studying
Ezi Pre-school-studying Ilocano Church of Jesus Christ

The Head of the family is a high school graduate. After she graduated, she started to work, and
her eldest son is a high school graduate and he is started to work as a janitor in the slaughterhouse. The
second child is a under grad in college. He stops because of poverty. The other three is studying high
school while the two is in elementary. The youngest is studying pre-school.

The head of the family and her seven children and one grandchild are all affiliated in Church of
Jesus Christ and all of them are purely Ilocano ethnic background.

The tradition and practice of the family when it comes to their health, the family is doing
“ILLUT” when they are suffering fracture or sprain. And also, they do “ILLOT” when someone got
pregnant to the family. No other related and tradition practices on the family except to the matter
mentioned above.

When the family experience financial crisis they borrow an amount to their neighbor and to their
significant others to their community. They are member of 4P’s program of the government.
 Monthly Expenses
Grocery Item Market Items Utilities

29%
33%

38%

Figure 1. allocation of monthly Expenses

Figure 1 present the allocation of monthly expenses. Most of the allocation is on the market
items which is 38%. The least allocated expenses are the utilities which is 29%.

III. HOME AND ENVIRONMENT

The family’s house is a semi-detached type with approximate area of 4 by 5 meters. The wall of the
house is made of woods, galvanized iron and concrete and the roof is made with galvanized iron. The
floor of the house is not made with tiles but a concrete pavement.

Upon home visit, we saw the house has divided into two parts, the other one serves as their rooms,
and it was divided by a curtain. There is a bed at the western part of the house, and beside it was a storage
box, and a dura box, together with an electric fan. Clothes was left hanging all over the house, most often
into the roomed area. There are also scattered clothes unto the floor of the living room. Which has also
another set of bed beside the front door,

The kitchen was located inside the house, at the southern part. The walls of the kitchen were made
with totally galvanized iron, a small wooden table was placed as the base and support of the gas burner,
and underneath is an LPG tank, which they use during cooking. Refrigerator was also present, but it is not
working properly, so they are just using it as storage only. Beside the burner, was a plastic round table
which accommodates kitchen utensils, which are not covered. There is a dirty kitchen outside the house
they use earthen stone and firewoods are stored ½ meter away the earthen stone. Sometimes they also
used in cooking their foods.

Their source of water supply was deep well, which they use during washing the dishes, cleaning, and
doing laundry. They also buy mineral water bottles for drinking.

The family is actively participating during barangay activities, like barangay meetings, fiestas, and
also, they are member of 4P’s which they attended meetings and activities of the 4P’s.

IV. HEALTH STATUS EACH MEMBER OF THE FAMILY.

The Blue’s family experienced illnesses such as fever, common colds, headache, stomachache
and they treat it with over-the-counter drugs (OTC) such as salbutamol for cough and paracetamol
(Biogesic) for fever and headache. They also have alternative practice to alleviate the illness, if one
member of the family has a fever, the mother would do sponge bathing to lower the temperature and give
plenty of water to drink. According to Mrs. Blue, they also consult to Dr. Kwak Kwak (albularyo).

Physical Assessment

 Mrs. Blue (52 years old) with a physical built of ectomorphic, without any vices. She was
diagnosed with hypertension last 16 years with maintenance of amlodipine 5 mg once a day.

Vital Signs:

 T: 36.7 C

 PR: 74 bpm

 RR: 20 bpm

 BP: 120/70 mmHg

 Weight: 42.4 kgs

  Height: 1.46 m.

 BMI: 19.7 (normal weight)

 Ala (29 years old) with a body built of endomorphic, uncombed hair, unpleasant odor and looks
untidy

Vital Signs:

 T: 36.5 C
 PR: 78 bpm
 RR: 21
 BP: 140/110 mmHg
 Weight: 52 kgs
 Height: 1.65 m.
 BMI: 19.1 (normal weight)

 Dandruff is present unto the hair

 With Dry lips

 Pinkish sclera

 Scar at the left hand about 3 1/2 cm.

 Scar at the right elbow, and right knee

 Dental caries is present

 With a scar below the knee

 Ad (22-year-old) with a body built of mesomorphic, without any vices.

Vital signs:

 T-37.0 C
 PR-75bpm
 RR-21
 WT-43 kgs
 HT-1.50 m
  BMI: 19.1
 Pri (18 years old) with a body building of ectomorphic,

Vital signs:

 T: 36.7 C
 PR: 74 bpm
 RR: 20
 BP: 90/70
 Weight: 38 kgs
 Height: 147 cm
 BMI: 17.59 (underweight)

• Silk brown hair

• Eyelashes are long and curly

• Pale Conjunctiva

• Scratches at the left lower extremity

• Bruise at the hand about 1 cm

• Dental carries are present

 Al (17 years old) with a body built of mesomorphic, without any vices.

Vital Signs:

 T: 36.7 C
 PR: 68 bpm
 RR: 23
 BP: 110/80 mmHg
 Weight: 45 kgs
 Height: 161 cm
 BMI: 17.36 (underweight)

 Pre (14 years old) July 30,2005

 Vital Signs:

 T: 36.5 C
 PR: 113 bpm
 RR: 25 bpm
 BP: 90/70 mmHg
 Weight: 38 kgs
 Height: 138 cm
 BMI: 19.9 (normal weight)

 Presence of lice and nits

 Ears are with discharges

 Eyes are pale in conjunctiva

 Presence of Acne unto the face

 Que (11 year old) July 8, 2008, with uncombed hair

Vital Signs:

 T: 36.6 C
 PR: 72 bpm
 RR: 19 bpm
 BP: 90/60 mmHg
 Weight: 33.9 kgs
 Height: 137 cm.
 Upper Arm: 21cm

 Presence of lice and nits

 Pink Conjunctiva

 Lips was moist

 Bruise at the right upper ulna about 1 cm.

 Ear discharges present

 Fa (8 years old) May 3, 2011

Vital Signs:

 T: 36.8 C
 PR: 22 bpm
 RR: 24 bpm
 BP: 110/80
 Weight: 19.3 kgs
 Height: 138 cmUpper Arm: 18 cm

 Presence of lice and nits unto the hair

 Dryness of the skin

 Pinkish Sclera

 Dental carries present at the lower and upper incisors

 Ez (4 years old) Apri,2015

Vital Signs:

 T: 36.1 C
 PR: 113 bpm
 RR: 27
 Weight: 24 kgs
 Height: 94cm.
 Upper Arm: 15 cm

 Black and smooth hair

 Pinkish Sclera

 Teeth are complete


 NUTRIONAL STATUS

Table III. ANTHROPOMETRIC MEASUREMENTS OF EACH MEMBERS OF THE FAMILY.

Name of Family Members Height Weight Mid-upper BMI Remarks

arm
circumferenc
e

Mrs. Blue 146 cm 42.2 kgs 19.7 Normal weight

Ala 165cm 55 kgs 19.1 Normal weight

Ad 150cm 43 kgs 19.1 Normal weiht

Pri 147cm 40 kgs 18.5 underweight

Alw 161cm 45kgs 17.36 Underweight

Pre 138 cm 38kgs 19.9 Normal weight

Qu 137cm 33.9 kgs 21 cm

Fa 96 cm 28kgs 18 cm

Ezi 94 cm 24 kgs 15 cm

V. VALUES, HABITS, PRACTICES ON HEALTH PROMOTIONS, MAINTENANCE

AND DISEASE PREVENTION

According to Mrs. Blue, she is not aware if she had completed her vaccination. but during
physical assessment there was BCG (bacillus-calmett-guerin) scar on his right deltoid. She also received
tetanus toxoid during her pregnancies. The children received complete immunization from the rural health
centered as reflected in the yellow card of the children. The family usually took a full bath in the morning
with soap and shampoo.

As observed during the home visit they do hand washing without soap before eating. They also
do wash their hands with water before cooking. The family eats three times a day, they just drink water if
they are thirsty.
 The sleeping time of the family is 9-10 at night and wake uo at around 5:30-6:30 in the morning
except ala who work at slaughterhouse. The relaxation of the family is that they all just stay in their home
and bond during Saturdays and during Sunday which they attend church.

Mrs. blue is taking her maintenance which is amlodipine for her hypertension, and they just use
over the counter drugd for cough, colds, fever and headache and some of herbal meds like leaves of guava
and garlice clovesfor hypertension.

The family eats three times a day. In the morning they consume foods like noodles, egg or canned
goods. At lunch and dinner time, they eat vegetables and fish at times and seldomly eats meat. They
usually get vegetables within the vicinity of their house. They buy drinking water ate water station.
However, they use deep well water for washing their, clothes and for taking a bath. They take a bath
twice a day and use shampoo and soap. They changed their clothes when their clothes soaked in sweat,
dirty and after taking a bath.

According to Mrs. lue, her eldest son drinks liquor occasionally. The family visits health center to
seek consultation wherever they are having illness.

CATEGORIES OF HEALTH PROBLEM/FIRST LEVEL ASSESSMENT

Health Problem Problems Cues Second Level

1. Presence of a. Healthy lifestyle The family practice
Wellness condition 1. Family takes a bath takes a bath once a
once a day day with soap,
shampoo and water
2. The family eats 3
times a day

3. The family has

complete
 immunization
especially the
children
b. Presence A. Presence of Risk
of Health factors of Specific
Threat Diseases Inability to recognize
1. History of Lourdes (Mrs. Blue the presence of a
Hypertension mother). problem

2. History of Florante (father of Inability to recognize

tuberculosis her late husband). the presence of a
problem

3. History of kidney Juanita (sibling of Inability to recognize

disease her late husband). the presence of a
problem

B. Threat for Cross-

infection

1. Presence of Nits Members with nits Inability to provide a

and lice and lice: home environment
Fa (8years old) conducive to health
Pri (18 years old) maintenance and
Que (11 years old) personal development
Pre (14 years old)

C. Family size beyond Family size of 9 Inability to provide a

what family members with a home environment
resources can monthly income of conducive to health
adequately provide. Php. 7000 maintenance and
personal development
 D. Accident Hazard Presence of rusting Inability to provide a
sharp edges of home environment
galvanized iron and conducive to health
rusty cans maintenance and
personal development
Presence of sharp
woods

Presence of broken
bottles

E. Poor Inadequate living Inability to provide a

home/environmenta space home environment
l conducive to health
condition/sanitation Presence of breeding maintenance and
. or resting sites of personal development
mosquitos

Improper garbage
disposal

No drainage system

c. Presence Presence of nits and lice Members with nits Inability to provide a
of Health and lice: home environment
Deficit conducive to health
maintenance and
personal development

Presence of dental carries Teresa, 40 years old, Inability of the family to

presence of dental recognized it as a health
carries on right problem
 lower incisors, and
lower molar teeth.
Princess,
Presence of dental
carries at incisors,
and left lower
molars, and another
one at the upper
premolar.
Alwin, Presence of
dental carries at the
molar teeth.
Alladin,
Presence of dental
carries at the upper
canine teeth and into
the lower incisor.
Queenie,
Presence of dental
carries at the lower
incisor.
Azikieal
Presence of dental
carries at the upper
canine teeth.
Precious,
Presence of dental
carries at the lower
premolars and upper
canine teeth.

d. Presence Entrance at school Ezi entering Failure to utilize the

of Stress Kindergarten this community resources
Points/For coming school year for health care
 eseeable

FAMILY COPPING INDEX

CRITERIAS/ AREAS DESCRIPTION RATE JUSTIFICATION
Physical independence Concern with the 5 As seen and examined during the
ability to move about, visitation in the family, members
to get out of bed, to can perform their daily activities
take care of daily such as feeding themselves and
grooming, walking performing activities necessary
for personal hygiene.
Therapeutic Includes all of the 3 The family is carrying out some
competence procedure or but not all treatment. The family
treatments prescribed is aware of their medication
for the care of illness regimen example is the head of
such as giving the family which is taking
medication, using amlodipine 5mg daily as her
appliances, dressing, maintenance for her
exercises and hypertension.
relaxation and special
diet
Knowledge of Health Concerned about 3 The family has some general
condition condition knowledge of the disease or
condition but has nor grasp the
underlying principles or they are
partially involved because some
of the family members are
children.
Application of Concerned with family 3 In the practice of general
Principles of General action in relation to promotion of health and
Hygiene and Nutrition maintaining family recommended preventive
nutrition, securing measures the family is failing to
adequate rest and apply some general principle of
relaxation for the hygiene because mostly, the
family members family members have dental
carries, lies and nits.
Health Attitudes Concerned with the 3 The family understand and
way the family feels recognize needs for medical care
about health care in in illness is for usual preventive
general including service and accept illness calmly
preventive services and recognize the limit it imposes
care of the ill and the while doing all possible to effect
disease and public recovery and rehabilitation. The
health measures family degree of responsiveness
 is moderately active because they
always go to RHU when one of
them are sick, the reason of their
responsiveness is due to the 4P’s
health maintenances program
which they always observe.
Emotional Has to do with 3 The family members usually do
Competence maturity and integrity fairly but one or more members
with which the is lack of security and maturity.
members of the family Ain the home visits the family
are able to meet the members was met by the
usual stresses and students and seems that the
problems of life and to mother needs to divert the
plan for happy and attention of the youngest for her
fruitful living. to work properly and make her
time more productive.
Family Living Concerned largely with 5 The family does things together,
the interpersonal or each member acts for the good of
group aspect of family the family, as a whole, children
life- how well the respect the head of the family,
members of the family the family tasked is always being
get along with one shared because they know that
another, the ways in they only have their mothers to
which they make work for them. As seen and
decisions affecting the observed during the family
family as a whole visitation, the family is organized
and have the sense of unity
during the physical examination
and interview with them.
Physical Environment Concerned with the `1 The house is in poor condition.
home, the community The back of the house is very
and the work dirty and poor sanitation. The
environment as oat space of the house is inadequate
affects family health for the family members. The
cleanliness of the surroundings of
the house is poor, their neighbor
is having “kalakal” which affects
them. Inside the house has many
clothes, unorganized and chaoitic
stuffs, cabwebs and weak post of
the house.
Use of Community Has to do with the 5 The family knows when and
Facilities degree of the family’s where to call for help in
use and awareness of emergency and urgent situation.
the available facilities
for health education
and welfare
RANKING HEALTH PROBLEMS ACCORDING TO PRIORITIES

CRITERIA WEIGHT
1. Nature of the condition or problem
presented
3
Scale: Wellness State 3
Health Deficit 2 1
Health Threat 1
Foreseeable Crisis
2. Modifiability of the condition or
problem
2
Scale: Easy Modifiable 1 2
Partially Modifiable 0
Not Modifiable
3. Preventive
3
Scale: High 2 2
Moderate 1
Low
4. Social Concern
2
Scale: a condition or a problem needing
immediate action: 1 1
A condition or a problem that not needing
immediate action: 0
Not perceive as a problem or condition
needing change.

HEALTH THREAT

A. PRESENCE OF RISK FACTORS AND SPECIFIC DISEASE

Criteria Computation Actual Score Justification
1.Nature of the 2/3x1 0.67
problem
2.Modifiability of the 2/2x2 2
problem
3.Preventive 2/3x1 0.67
Potential
4.Salience of the 0/2x1 0
problem
TOTAL 3.34

B. THREAT FOR CROSS-INFECTION

Criteria Computation Actual Score Justification
1.Nature of the 2/3x1 0.67
problem
2.Modifiability of the 2/2x2 2
problem
3.Preventive 3/3x1 1
potential
4.Salience of the 0/2x1 0
problem
TOTAL 3.67

A. FAMILY SIZE OF 9 MEMBERS WITH MONTHLY INCOME OF PHP 11000.

Criteria Computation Actual Score Justification
1.Nature of the 2/3x1 0.67
problem
2.Modifiability of the 2/2x2 2
problem
3.Preventive 3/3x1 1
potential
4.Salience of the 2/2x1 1
problem
TOTAL 4.67

B. ACCIDENTAL HAZARD
Criteria Computation Actual Score Justification
1.Nature of the 2/3x1 0.67
Problem
2.Modifiabilty of the 2/2x2 2
problem
3.Preventive 3/3x1 1
potential
4.Salience of the 0/2x1 0
problem
TOTAL 3.67

C. INADEQUATE LIVING SPACE

Criteria Computation Actual Score Justification
1.Nature of the 2/3x1 0.67
problem
2.Modifiability of the 0/2x1 0
problem
3.Preventive 1/3x1 0.33
potential
4.Salience of the 1/2x1 0.5
problem
TOTAL 1.5

D. PRESENCE OF BREEDING AND RESTING SITE OF MOSQUITOS

Criteria Computation Actual Score Justification
1.Nature of the 2/3x1 0.67
problem
2.Modifiability of the 2/2x2 2
problem
3.Preventive 3/3x1 1
potential
4.Salience of the 1/2x1 0.5
problem
TOTAL 4.17

E. IMPROPER WASTE DISPOSAL/UNSANITARY WASTE DISPOSAL

Criteria Computation Actual Score Justification
1.Nature of the 2/3x1 0.67
problem
2.Modifiability of the 2/2x2 2
problem
3.Preventive 3/3x1 1
potential
4.Salience of the 1/2x1 0.5
problem
TOTAL 4.17

E. No drainage
Criteria Computation Actual Score Justification
1. Nature of the 2/3x1 0.67
problem
2.Modifiability of the 2/2x2 2
problem
3.Preventive 3/3x1 1
potential
4.Salience of the 0/2x1 0
problem
TOTAL 3.67

POOR PERSONAL HYGIENE

1.Nature of the 2/3x1 0.67
problem
2.Modifiability of the 2/2x2 2
problem
3.Preventive potential 3/3x1 1
4.Salience of the 1/2x1 0.50
problem
TOTAL 4.17

HEALTH DEFICIT

A. PRESENCE OF NITS AND LICE

Cue: 4
Criteria Computation Actual Score Justification
1.Nature of the 3/3x1 1
problem
2.Modifiability of the 2/2x2 2
problem

3.Preventive potential 3/3x1 1

4.Salience of the 1/2x1 0.5

problem
TOTAL 4.5

B. PRESENCE OF DENTAL CARRIES

Cue: 4
Criteria Computation Actual Score Justification
1.Nature of the 3/3x1 1
problem

2.Modifiabilty of the 2/2x2 2

problem

3.Preventive Potential 3/3x1 1

4.Salience of the 0/2x1 0

problem
TOTAL 4

C. PRESENCE OF STRESS PONITS/FORESEEABLE

Entrance of school

Criteria Computation Actual Score Justification

1.Nature of the 1/3x1 0.33
problem

2.Modifiabilty of the 1/2x2 1

problem

3.Preventive Potential 1/3x1 0.33

4.Salience of the 1/2x1 1

problem
TOTAL 2.66

PRIORITIZATION OF PROBLEMS
RANK PROBLEMS SCORE

1 Family size of 9 members with 4.67

monthly income

2 Presence of nits and lice 4.5

3.5 Presence of breeding and 4.17

resting sites of mosquitos
3.5 Improper garbage disposal 4.17

5 Presence of dental carriers 4

7 Threat for cross infection 3.67

7 Accident hazard 3.67

7 No drainage system 3.67

9 Presence of risk factors of 3.34

specific disease

10 Entrance of school 2.66

11 Inadequate living space 1.5