University of the Cordilleras

College of Nursing

FAMILY NURSING CASE STUDY

I. INTRODUCTION
- Individual
- Family
II. INITIAL DATA BASE
A. Family Structure, Characteristics and Dynamics
NAME RELATION AGE SE CIVIL HIGHEST OCCUPATIO MONTHY
TO THE X STATU EDUCATIONAL N LY
HEAD OF S ATTAINMENT INCOME
THE FAMILY
Junjun Abulencia Father (Head of 48 M Married 3rd yr high school Truck Helper 7000
the Family)
Leny Abulencia Wife 33 F Married Elementary graduate Housewife
Jonalyn Abulencia Daughter 15 F Single Grade 11 Student N/A
Crislyn Faith Daughter 4 F Single Pre-school Student N/A
Abulencia
Justine Karl Abulencia Son 1 M Single N/A N/A N/A
Junjun Abulencia, 48 year-old, the head of the family residing in Shamolog, Pico La Trinidad. He works as a Truck Helper, diligently
providing for his wife, Leny Abulencia, and their three children. Their family includes Jonalyn Abulencia, a 15-year-old who is
currently a Grade 11 student, Crislyn Faith Abulencia, a 4-year-old attending preschool, and Justine Karl Abulencia, their 1-year-old
youngest member.

The Abulencia family is classified as a nuclear family, characterized by the presence of both a mother and a father, along with their
three children living together in the same household. Leny takes on the primary role of being the decision-maker when it comes to
making choices and decisions for the family.

Members of the household and relationship to the head of the family

1. Sociodbemographic data
2. Place of residence of each member
3. Type of family structure
4. Dominant family members in terms of decision making
5. General family relationship/dynamics

B. Socio-economic and cultural characteristics

Abulencia family is a Roman Catholic and their primary spoken at home is Tagalog. Mr. Junjun is the primary provider to the family.
He works as a Truck Helper with a monthly salary of 7,000 pesos. For their expense, they pay their rent, electricity monthly and daily
needs.

Junjun has completed up to up to 3yr high school, whereas Leny is an elementary graduate. Their eldest daughter, Jonalyn, is currently
a Grade 11 student while Crislyn is at the pre-school level.

1. Income and Expenses

2. Educational attainment of each family member
3. Ethnic background and religious affiliation
4. Family traditions, envents or practices affecting members health or family functioning
5. Significant others
6. Relationship of the family to the larger community
C. Home and Environment
Abulencia Family is currently residing in JE 189 Shamolog, Pico for 16 years. Their house structure is characterized by a combination
of wooden and concrete construction materials. They have a single bedroom, one kitchen and one common bathroom.

The Benguet General Hospital is the first health facility to which the family Abulencia would go to provide immediate medicare care
during critical conditions. While for check ups and non-emergency medical needs, they would go to Pico Health Center.

The family appears to have access to reliable communication and transportation. They have both a telephone and electrical connection,
ensuring that they can easily stay in touch with others and access essential services. Additionally, the fact that transportation is
walkable in their area suggest that they have convient access to nearby facilities.
Housing
1. Kind of neighboorhood
2. Social and health facilities available
3. Communication and transportation facilities available
D. Health status of each member’
Based on Leni's statement, the Abulencia family does not have any reported current or past health illnesses, and there are no family
members with deformities or disabilities. Regarding their nutritional status, there was a previous listing indicating that the last-born
child was categorized as malnourished according to the barangay health station's records. However, upon recent assessment, it was
discovered that the baby's nutritional status is now within the normal range according to the child growth standard table. Futhermore,
the rest of the family members have a normal nutrional status.

1. Current and past significant health condition/s or illness/es or Beliefs and practices conducive to health and
illness
2. Nutritional status
3. Developmental status
4. Risk Factor assessment indicating presence of major contributing modifiable risk factors
5. Physical assessment
 6. Results of laboratory/diagnostic and other screening procedures supportive of assessment findings
E. Values and practices on health promotion/maintenance and disease prevention

1. Immunization status
2. Health lifestyle practices-specifiy
3. Adequacy of
a. rest/sleep
b. exercise/ activities
c. Use of protective measures
d. Relaxation and other stress management activities
e. Opportunities with enhance feelings of self worth, self efficacy and sense of connectedness to self
f. Stress management or other healthy lifestyle practices
g. Use of promotive-preventive health services

III. IDENTIFICATION OF HEALTH PROBLEMS

Health Condition and Problems Family Nursing Problems Cues/Data

Presence of Wellness condition - Refer to page 71-73 ( these are subjective and Objective
Health Deficit ( Nursing Practice in the cues.)
Health Threat Community)
Forseeable crisis/ Presnece of Stree Points

IV. PRIORITIZATION OF HEALTH PROBLEMS

Criteria Computation Actual Score Justification
1. Nature of the Condition or problem presented
Scale: Wellness state
Health Deficit
Health Threat
Forseeable crisis
2. Modifiability of the condition or problem
Scale: Easy Modifiable
Partially modifiable
Not modifiable
3. Preventive potential
Scale: High
Moderate
Low
4. Salience
Scale: a condition or problem, needing
immediate attention

a condition or problem not

needing immediate attention

not preceived as a problem or

condition needing change

Score:
1. Decide on a score for each of the criteria
2. Divide the score by the highest possible score and
multiply by the weight: ( Score/Highest Score) X
weight
3. Sum up the scores for all criteria. The highest
score is 5, equivalent to the total weight.

Guide for modifiability of the problem

1. Current knowledge, technology and interventions to enhance the wellness state or manage the problem
2. Resources of the family-physical, financial and manpower
3. Resources of the nurse- knowledge, skill and time
4. Resources of the community- facilities and community organization or support

Guide for preventive potential

1. Gravity or severity of the problem- the more severe the more lower preventive potential
2. Duration of the problem- the longer the problem, the poorer prognosis is
3. Current management- presence and appropriateness of intervention measures
4. Exposure of any vulnerable or high-risk group-increases the preventive potential

V. LIST OF PRIORITIZED FAMILY PROBLEM ( tabular form)

SCORE
1.
2.
3.
4.
 5.

VI. FNCP
HEALTH PROBLEM FAMILY GOAL OF OBJECTIVES INTERVENTION PLAN
NURSING CARE OF CARE
PROBLEMS
NURSING METHOD RESOURCES
INTERVENTIO OF NURSE REQUIRED
NS FAMILY
CONTACT

B. EVALUATION (Sample Evaluation Plan)

Outcomes Evaluation Criteria Evaluation Standards

/Indocators
Method Too/Data Source
Goal: Improve the Weight (as nutritional Increase of at least 1 Weight monitoring Weihging scale,early
nutritional status of status criterrion) kilogram in six weeks. childhood care and
the two-year old develoment Card for
family member 0-6 years

Objectives:
The Famly will be
able to:

1. Provide adequate Food recall form or

Performance Correct identification of Dietary history taking
care to the two- food frequency record
indicators/Critera: inadequacies in intake of
year old member
specific
1.a. identify macronutrients,vitamins and
inadequacies in specific minerals,critical to
nutriets generated from growth,bone-development
the baseline dietary and strong immune system.
intake of the child

1.b. prepare meals Accurate application of Menu Plan

based on cycle menu Daily Nitrition Guide
plan. Pyramid for Filipino Record Review
chirldren 1-6 years.

Preparation of meals guided

Performace evaluation
byprinciples such as
nutrients checklist
Observation
preservation,increased
variety and appealing to
taste.

Childs daily food intake

1.c. Feed the child bades on recommended Estimated food record
based on agreed upon energy and nutrient intake performance
quality and quantity of Record Review
for are group evaluation checklist
food Observation and
interview
Appropriate and effective
1.d.Carry out measures based on childs Performance
strategies/measures to age and nature/magnitude of evaluation checklist.
adress child’s eating eating/feeding problems. Interview and
idiosyncrasies and Observation
problems
VII. LIST OF REFERENCES