89216009 family-case-study

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Olivarez CollegeTagaytay
Bachelor ofScience in Nursing
A Family Case Study of
De Taza Family
In Partial Fulfillment of Requirements in
Related Learning Experience

Presented To:
Mr. Alvin Ganuelas RN., MAN
Clinical Instructor
Presented By:
Nikka F. Gatpandan
BSN IV
I N I T I A L D A T A B A S E
I. FAMILY STRUCTURE, CHARACTERISTICS AND DYNAMICS
a. Total number of children: 1
b. List of Household members:
NAME SEX AGE CIVIL
STATUS
EDUCATIONAL
ATTAINMENT
OCCUPATION RELIGION RELATION
TO THE
FAMILY
RODOLFO
DE TAZA
MALE 70 MARRIED GRADE 4 GARDENER ROMAN
CARHOLIC
FATHER
FELIX DE
TAZA
MALE 40 SINGLE HIGH
SCHOOL
GRADUATE
CONSTRUCTI
ON WORKER
ROMAN
CARHOLIC
CHILD
PLACE OF RESIDENCE OF EACH MEMBER

The De Taza family is living together in one house, located at house number 120 Brgy.
Kaypaaba General Emilio Aguinaldo, Cavite.
LENGTH OF RESIDENCY
The De Taza family is living in Kaypaaba since birth.
SOURCE OF INCOME
The family source of income is from the father and his son. The father earns money from
selling his plants and his son as a part-time construction worker. The average monthly income is less
than 2000 per month.
II. FAMILY CHARACTERISTICS
TYPES OF FAMILY STRUCTURE
The De Taza family is patrifocal since they only composed of father and child.
DOMINANT FAMILY MEMBER IN TERMS OF DECISION-MAKING, ESPECIALLY IN MATTERS OF
HEALTH CARE
Both Mang Rodolfo and his son Felix are responsible in making decisions with regards to
health care. The two of them work hand in hand to provide their health needs.
GENERAL FAMILY RELATIONSHIP
The De Taza family is a peaceful family though sometimes they experience quarrels but they
easily resolve it by talking through it. In terms of health problems, they consult first their baranggay
health workers or sometimes when straight to the baranggay health center to provide necessary
treatment before going to the hospital.

AWARENESS OF COMMUNITY ORGANIZATION
The family is aware of different community organization but they are not actively participating
on these because of work and distance of the activities to their house.
III. ECOGRAM

IV. HOME AND ENVIRONMENT
1. Housing
a. Space adequacy for the family
The house is made of concrete and woods. A typical house for a province like Kaypaaba. The
house and lot was owned by the father. The house only has 2 windows and can sustain the
ventilation needed by the family.
The house has two rooms, One for Mang Rodolfo and the other one for his son Felix. They
used “banig” for sleeping.
b. Adequacy of furniture
The De Taza family had only two appliances which is a television that sometimes didn’t worked
and a radio that is battery operated. . A dining table and wooden chairs, they have a wooden cabinet
wherein they place or keep their clothes and other things.
c. Presence of insects and rodents
The pests I’ve noticed here are that there were cobwebs noted at their ceilings. There were
mosquitoes in the kitchen and their bedroom. There are also small rats and ants noted. And there is
also presence of houseflies in all part of the house. It is highly possible for insects to get in because
their windows are not screened
d. Presence of accident hazards
The house is mainly made up of light materials. They cooked their foods outside the house at the
back portion using charcoal and woods. This can cause fire and consider hazardous to the well being
of all the members of the family. The poor sanitation in the area and the disorder arrangement of the
furniture in the house might cause accident to them.

e. Food storage and cooking facilities
The family uses wood and charcoal in cooking. Mang Rodolfo is the one who prepares the
food. He cooks outside their house at the back portion. The food that they usually eat is vegetables
which he harvests from their backyard. When it comes to storing their food, they have poor food
storage because they don’t have the refrigerator; they just cover it with a plate. In terms of cooking
facilities the family is equip with pots, “sandoks”, utensils and knives.
f. Water supply
The main source of their water supply is coming from the barangay water district. This is where
they use for taking a bath, washing clothes and use for cooking. In terms of paying they pay their own
water bill.
They put their water in a big container with cover and sometimes in a small jag. They usually
don’t sterilize their drinking water supply.
g. Toilet facility
The family does have a toilet of there own but is somewhat unsanitary. It is a hand-flushed
latrine type of toilet with black dirt surrounded it. It is dirty and has a stinky smell.
h. Garbage disposal
In terms of garbage disposal, they either bury or burn their garbage.
i. Drainage System
The drainage system of the family is an open where in the drainage flows anywhere and is
continuous. The drainage system is smelly and unsanitary.
j. Lighting facility
The family does have electricity but they sometimes use candles to minimize the electric bills.

2. KIND OF NEIGHBORHOOD
The houses in the community are not congested. They are spaced adequately. Most of their
neighbors are their relatives. They belong to low-income level family.
3. SOCIAL AND HEALTH FACILITIES
In terms of social facilities, the community has a basketball area and a chapel that is used by
the people for recreation and official activities Kaypaaba also houses the Kaypaaba Elementary
School wherein almost all of the children study.. There are also several sari-sari stores in the area
wherein they could buy the things they need. As to health facilities, there is a health center which is
near in their house.
4. COMMUNICATION AND TRANSPORTATION FACILITIES AVAILABLE
The family does not own any transport facilities. They ride on a tricycle or jeepney to the city
proper. When they go to the farm or any place in the Kaypaaba, they usually walk kilometers. The
family has a television and a radio as means of communication. They have no cell phone for
emergency cases of communicating.
V. HEALTH STATUS OF EACH FAMILY MEMBER
1. Health history of each family
a. Mang Rodolfo- He has no chronic or infectious diseases as of the present time. His hair is
evenly distributed and his head is appropriate in size with no masses noted. His skin is dark
brown and dry due to sun exposure when he is doing his household chores. He only
complains his vision because it appeared unclear due to his aging conditions. He never been
hospitalized and still had a healthy body despite his age. He mentioned that he can still hear
everything clearly, even the crackle of cockroaches. All time kind of illness, he would just drink

paracetamol for fever and mefenamic acid for pain or treat wounds with crushed plants
coming from their backyard.
b. Felix De Taza- The student has never met him since he was in his work during the interview.
The father mentioned that his son drinks occasionally and used cigarettes daily for releasing
of his tension.
2. Source of Medication
The family source of medication is from their backyard. They have some herbal plants that are
planted there. And some are coming form the health center such as paracetamol and mefenamic
acid.
3. Perception to the health works (e.g. student nurse)]
They have high respect for the health professionals. They were contented with the free
services given by the health workers since that were treated very well regardless of economic
status.
VI. FAMILY TREE
RODOLFO DE
TAZA
70 y/o
LETICIA DE
TAZA
65 y/o
FELIX DE TAZA
40 y/o

VII. FAMILY ASSESSMENT BASED ON FUNCTIONAL HEALTH PATTERN
1. Health Perception-health management problems
 With discontinue vices liking smoking and drinking alcohol for the father.
 Was able to recognize the importance of having a healthy well-being.
 Uses herbal plants, though not approved by the DOH, from their backyard.
2. Nutritional-metabolic pattern
 Do not take any food supplement or vitamins
 Daily food intake is mainly rice, fish and vegetables
3. Elimination pattern
 Eliminates everyday with an average of frequency of urine: 5 times
 No difficulty in voiding and they defecate everyday with no difficulty in defecating
noted.
4. Activity-exercise pattern
 Gardening, walking and household chores is the daily exercise of the father.
 The son preferred to stay at home and take a nap if he had a free time because
his work is toil and he need to recharge his lose energy.
5. Sleep-rest pattern
 Family usually has 7-8hours of uninterrupted sleep. They usually sleep at
around 9 in the evening and wake up at around 4 to 5 in the morning.
 They also take a nap at free time.
6. Cognitive-perceptual pattern
 Was oriented to time, place and is able to identify people and significant others
by their first names.

 Was able to responds accordingly and correctly to questions. Retaliates as soon
as he can and was able to rationalize.
 Memory intact and no sensory defects.
7. Self-perception/self-concept
 Showed apprehension and worry towards unspecific consequences.
 Perceived situations (health deficits) to be very stressful but remain passive
about things and condition.
8. Roles and relationship
 Family members have an open communication and able to discuss their
problems.
9. Sexual reproductive
 No active sexual reproductive since the father is separated with his wife and his
son is still single at his age.
10. Coping Stress
 Gains strength in the “assurance and guarantee” provided by each other.
11.Values. Belief Pattern
 The family is Roman Catholic in faith.
 Does not go anymore to church since they are situated far away from the place
of worship they attend.

VIII. DATA ANALYSIS
A. NURSING PROBLEM IDENTIFIED
CUES/DATA FAMILY NURSING PROBLEM
 The house of De Taza family is
composed of mixed structure (wood
and concrete). The house is mainly
made up of wood. The father usually
cooks at the back of the house using
wood and charcoal.
 Father verbalized “ sanay na kami sa
kahoy, ok lang naman magluto basta
babantayan at hindi hahayaan ang
ginagawa. Masyado mahal ang gasul
I. Accident hazards specifically
fire hazard, as a health threat.
A. Inability to provide a home
environment conducive to health
maintenance and personal
development due to:
a. In adequate family resources;
specifically financial
constraints/limited financial
resources.

kaya sa halip na ipambili nun sa
pagkain at iba pang gastusin
napupunta yun pera.”
b. Failure to see benefits of
investment in home environment
improvement.
B. Inability to make decisions with
respect to taking appropriate action
due to:
a. Failure to comprehend the
nature, scope, and magnitude of
the problem.
b. Negative attitude towards the
health problem.
c. Low salience of the problem.
 The income of the family is less than
2000 per month.
 Father verbalized, “Konti lang ang
kinikita ko buwan-buwan sa
pagbebenta ng mga halaman ko,
wala pa halos 1000. Buti minsan
kapag naka-extra aking anak sa
pagpapanday ay nadadagdagan ang
aming kita.”
II. Family income beyond daily
needs of the family as a health
threat.
A. Inability to make decisions with
respect to taking appropriate health
action due to:
a. Inaccessibility of appropriate
resources for care such as
financial constraints.
 The hands of the father are unclean
when he ate his meal.
 Father verbalized, “ sanay na ko
kumain ng kamay ang gamit.”
III. Unsanitary food handling as a
presence of health threat.

action due to:
a. Low salience of the problem
b. Negative attitude towards health
problems
 The family usually stores their food
by covering it with plate and leaves it
in the table.
IV. Poor home condition
specifically lack of food
storage facilities as a health
threat:
action due to:
a. Low salience of the problem
problem
c. Inaccessibility if appropriate
resources for care specifically
financial constraints.
 The family’s drainage is an open
type. They just throw it anywhere.
 Water overflows easily when it rains.
V. Poor environmental sanitation
specifically improper drainage
disposal as a health threat:
A. Inability to recognize the presence of
the problem due to ignorance of
facts and attitudes.
B. Inability to make decisions with
action due to:

a. Low salience of the problems.
problem.
 The family has no proper container
for their garbage wastes. They just
put it in plastic cellophane where
flies and rodents are present.
 Biodegradable and non-
biodegradable garbage are not
properly segregated.
VI. Improper Garbage disposal as
a health threat:
action due to:
magnitude of the condition.
b. Low salience of the problem.
 Father verbalized, “ kapag masakit
ang katawan ko, bumibili lang ako
ng gamot sa tindahan o kaya sa
botika. Ganon din ang ginagawa ko
kapag may lagnat o ubo.”
 Herbal plants even if not yet
approved by the DOH were used as
a substitute for medicines.
VII. Self-medication as unhealthy
lifestyle and personal habits or
practices as health threat:
action due to:
a. Failure to comprehend to
magnitude of the condition.
b. Low salience of the problem.
c. Lack of knowledge on the
consequences of the problem.
 Presence of vectors such as
flies and mosquitoes as well as
their breeding places like used
VIII. Poor environmental sanitation
due to presence of breeding
and resting sites for flies and

cans, bottles and drums.
 Flies are evidently noticed over
the cooking facilities and foods.
 Uncovered container
particularly filled with water
seen near the toilet facility
mosquitoes as health threat:
action due to:
magnitude of the condition
b. Low salience of the condition
c. Lack of knowledge on the
consequences of the problem.
B. FAMILY COPING INDEX
CRITERIA IDEAL ACTUAL RATING JUSTIFICATION
1.Physical
Independence
Is concerned with
ability to move
about to get out of
bed, to take care
of daily grooming,
walking, etc.
The members are
all able to move
without assistance
and difficulty.
They do their
activities of daily
living without aid.
They are
independent in
5 There are no abnormalities
in the physical
independence of the family
members. Every member
has no noted disabilities in
moving and/or doing their
ADL.

moving about and
using their
musculoskeletal
system.
2.Therapeutic
Competence
Includes all of the
procedures or
treatment
prescribed for the
care of illness
such as giving
medications,
using appliances,
dressing,
exercise,
relaxation, special
diets, etc.
They are aware
on what to do if a
member fells ill.
However due to
financial problems
they cannot
provide enough
and appropriate
interventions.
Although, they
use herbal plants
that not yet
approved by the
DOH.
3 They are aware of their
lapses in therapeutic
competence. They are
sentient of their financial
difficulties which is the
primary reason for not
having or following the
appropriate procedure or
treatment, having
appliances and even
enough clothes for the
children.
3.Knowledge of
Health Condition
Concerned with
the particular
health condition
that is the
occasion for care
such as
knowledge of the
disease or inability
The father is
knowledgeable on
salient health
issues and
responsibilities.
Yet due to
financial
problems, health
2 Though the father
recognizes pertinent health
issues, she does not regard
it as important at all. This
could be detrimental to the
lives of the members.

to understand
communicability of
diseases and
mode of
transmission.
Understanding the
general pattern
development of
newborn baby and
basic needs of
infants for
physical care.
issues are
overlooked.
4.Application of
Principles of
General Hygiene
Concerned with
family action in
relation to
maintaining family
nutrition, securing
adequate rest and
relaxation for
family members,
carrying out
accepted
preventive
measures
(immunizations,
The family sleeps
well and eats
vegetables
everyday. They do
not practice
sterilization nor
healthy habits in
food storage and
preparation.
2 Even though aware of
hygiene’s importance, the
family does not practice
good hygienic skills. Yes
they take a bath everyday
but their eating habits and
maintenance of healthy
lifestyle are not taken into
consideration that much.

medical appraisal,
safe home-making
in relation to
storing and
preparing of food.)
5.Health Attitudes Concerned with
the way the family
feels about health
care in general,
including
preventive
services, care of
illness, and public
health measures.
The father is
concerned about
the health of the
members of the
family yet they do
not participate
actively in
maintaining
optimum health
due to financial
constraints. Also
the family lacks
information
regarding healthy
lifestyle and
healthful ways
toward
improvement of
life.
1 They lack money and
information for them to carry
out the right health care for
the family.
6.Emotional
Competence
Has to do with the
maturity and
The family are
competent
5 The family lives
harmoniously at home. Even

integrity with
which the
members of the
family are able to
meet the usual
stresses and
problems of life,
and to plan for
happy and fruitful
living. The degree
to which
individuals accept
the necessary
disciplines
imposed by one’s
family culture. The
development of
the individual’s
responsibilities
and decision.
Willingness to
meet reasonable
obligations, to
accept adversity
with fortitude, to
consider the
enough
emotionally. The
father discipline
and teach her son
the morals of life.
though conflicts arise, they
really see to it that they
would discuss each concern
in a calm manner.

needs of others as
well as one’s own.
7. Family Living Concerned with
the interpersonal
or group aspect of
family life. The
family members
get along with one
another, the ways
in which they
make decision
affecting the
family, the degree
to which they
support one
another and do
things as family,
the degree of
respect and
affection, and the
ways in which
manage the
budget.
There is high
concern within the
family, especially
with regards to
their
interrelationship
with others. They
both discuss
decision-making.
3 Others respect individual
relationships of each
member of the family.
Decision-making is shared
among its members. Each
has his own part or role in
the family, which is well-
respected.
8.Physical
Environment
Concerned with
home, the
community and
The family house
space is good
enough. There are
2 The house environment is
not fitted for them because
of the presence of pests and

the work
environment as its
affect family
health. The
condition of the
house such as
pressure accident
hazards,
screening,
facilities of
cooking, privacy,
level of
community,
transportation of
schools and
availability.
presence of
insects, rodents,
and other vectors.
They cook their
food outside their
house wherein
they just use
earthly pot and
used wood as
fuel. They live in a
place wherein it’s
not congested but
then the distance
between their
neighbors are not
that so far from
each other.
accident hazards in their
community. Also their house
is poor conditions that they
can possibily acquire
serious diseases. Their food
storage is unsanitary.
Though it is covered with
plate or cloth, sometimes
the insects and other small
animals could crawl inside
the dish. The storage of
water has a cover but is still
unsanitary due to presence
of dirt on the outside of the
container. Having a earthly
pot near the house is really
a fire hazard because some
of the coal fire might come
in contact with their wood
wall.
9.Use of
Community
facilities
Degree of the
family use and
awareness of the
available
community
facilities for
They are aware of
the services
offered in their
community.
However, at
certain times, they
3 They are still not active in
the community gatherings.

education and
welfare.
are unable to avail
the services
offered since they
are busy because
of work. They
don’t attend
seminars
conducted by the
Baranggay.
IX. FAMILY NURSING CARE PLAN
a. Prioritizing Health Condition
I. Accident hazards specifically fire hazard
Criteria Computation Score Justification
1.Nature of the
problem
2/3 x 1 0.67 This problem is a
health threat
2.Modifiability of the
problem
½ x 2 1 The problem is
partially modifiable.
The only way to solve
this problem is to
renovate the house,
thus it needs money.
3. Preventive potential 2/3 x 1 0.67 The problem could be

moderately
prevented. This could
be done if the family
will be very alert in
watching out
especially if they are
cooking since the
house could catch fire
anytime.
4.Salience ½ x 1 0.5 The problem
compared with the
other problems does
not need immediate
attention since it
requires time and
money.
TOTAL SCORE: 2.84
II. Family income beyond daily needs of the family
1.Nature of the
problem
health threat.
problem
1/2 x 1 0.5 The problem could be
modified at all. The
family could earn

extra income if they
engaged to another
work or business.
3. Preventive potential 2/3 x 1 0.67 The problem may be
prevented by earning
extra money.
4.Salience 0/2 x 1 0 The problem is not
perceived as a
problem at all by the
family.
TOTAL SCORE: 1.84
III. Unsanitary food handling
1.Nature of the
problem
health threat.
problem
2/2 x 2 2 The condition can be
highly modifiable. If
the family receives
the right health
teaching, attitude can
be changed for the
better.
3. Preventive potential 3/3 x 1 1 The problem can be
prevented if the family

is educated on the
importance of hand
washing.
4.Salience ½ x 1 0.5 The problem is not
perceived as a
problem requiring
immediate attention
according to the
family since there are
other health problems
more important.
TOTAL SCORE:4.17
IV. Poor home condition specifically lack of food storage facilities
1.Nature of the
problem
health threat.
problem
½ x 2 1 This problem is
partially modifiable
since the family lacks
resources specifically
in the financial aspect.
However, appropriate
health teachings may
correct this problem.

3. Preventive potential 1/3 x 1 0.33 The problem is low
preventive potential
since there is lack of
appropriate resources
that could solve this.
4.Salience 1.2 x 1 0.5 The family is aware of
the existing potential
of a health threat but
they are taking this as
problems that need
not much attention
and immediate action.
TOTAL SCORE: 2.5
V. Poor environmental sanitation specifically improper drainage disposal
1.Nature of the
problem
health threat.
problem
2/2 x 2 2 The problem is easily
modifiable by
teaching the family
the importance of
having a proper

drainage.
3. Preventive potential 2/3 x 1 0.67 This is highly
preventable if the
family has learned the
importance of having
a clean drainage.
4.Salience ½ x 1 0.5 With regards to the
family’s perception,
the problem does not
need immediate
attention.
TOTAL SCORE: 3.84
VI. Improper garbage disposal
1.Nature of the
problem
health threat.
problem
½ x 2 0.50 It is partially
modifiable because
they do not know the
proper disposal of
garbage.

3. Preventive potential 3/3 x 1 1 The preventative
potential of the
problem is high, since
the implementation of
proper waste disposal
will prevent the
formation of possible
reservoirs of disease.
4.Salience 0/2 x 1 0 The family does not
perceive the waste
disposal as a problem
and are content with
their method since it
saves time and
energy.
TOTAL SCORE: 2.17
VII. Self Medication and unhealthy lifestyle
1.Nature of the
problem
health threat.
problem
2/2 x 2 2 It is modifiable
because the check-
ups in the clinic/health
center are free for

them and they can
avail it anytime they
want
3. Preventive potential 2/3 x 1 0.67 The family needs to
be informed about the
right medications or
treatments on certain
health problems, by
this way they would
know the proper
medication must be
given.
4.Salience 0/2 x 1 0 The family doesn’t
view it as a problem.
TOTAL SCORE: 3.34
VIII. Presence of resting sites of vectors of diseases such as insects and rodents.
1.Nature of the
problem
health threat.
problem
2/2 x 2 2 It is easily modified
since it only needs
effort, knowledge, and

cooperation of the
family.
3. Preventive potential 3/3 x 1 1 If proper sanitation of
environment is
practiced, diseases
and infection can be
prevented.
4.Salience 1/2 x 1 0.50 The family is aware of
the existing potential
of a health threat but
they are taking this as
problems that need
not much attention
and immediate action.
TOTAL SCORE: 4.17
THE PRIORITIZED NEEDS
PROBLEMS SCORE
UNSANITARY FOOD HANDLING 4.17
PRESENCE OF RESTING SITES OF
VECTORS OF DISEASES SUCH AS
INSECTS AND RODENTS
4.17

POOR ENVIRONMENTAL SANITATIONS
SPECIFICALLY IMPROPER DRAINAGE
DISPOSAL
3.84
SELF-MEDICATION AS UNHEALTHY
LIFESTYLE
3.34
ACCIDENT HAZARDS SPECIFICALLY FIRE
HAZARD
2.84
POOR HOME CONDITION SPECIFICALLY
LACK OF FOOD STORAGE FACILITIES
2.50
IMPROPER GARBAGE DISPOSAL 2.17
FAMILY INCOME BEYONG DAILY NEEDS
OF THE FAMILY
1.84
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