The document provides a summary of a family case study. It identifies 9 family members living in a joint family headed by 75-year-old Ramwati Bhati. The family lives in a 3-room home and earns a total monthly income of Rs. 26,000-30,000. Two members are currently employed while others are dependent. The document further details the family members, health issues, daily routines, dietary practices, and recommendations provided by the nursing student conducting the study.

1. FAMILY IDENTIFICATION DATA
NAME OF THE HEAD OF THE FAMILY : Ramwati Bhati
ADDRESS: Ramwati bhati, Bisrakh, Gautambudh nagar, Gajiabaad, Noida.
RELIGION: Hindu
CASTE: Gujjar
TYPE OF FAMILY : Joint
FAMILY SIZE : 9 Members
FAMILY COMPOSITION
S.N NAME AGE S EDUCATION OCCUPATION MARITL IMMUNI REMARK
E SATUS ZATION
X
1- Ramwati 75 yrs F Illiterate Housewife Married No Joint
Bhati pain
2- Jagdish 37 yrs M 10th - Unmarried No Healthy
Bhati
3- Adesh 36 yrs M MCA Own business Married - Healthy
bhati
4- Arun 22 F BA Housewife Married - Healthy
Bhati
5- Lokender 35 yrs M 10th Company Married - Healthy
Bhati work
6- Ripul 20 yrs F BA House wife Married - Pregnant
, 5th
month
7- Aryan 2yrs M - - - Done Healthy
8- Khushi 1.5 yrs F - - - Done Healthy

2. 9- Aashu 6 F - - - Done Healthy
month
RELATIONSHIP WITH THE HEAD OF THE FAMILY-
The head of the family Ramwati Bhati is having good relationship with her family
members that is with son’s and daughter-in-laws . There is no relationship
problem among them.
FAMILY TREE
(Arjulal, 1995) (Ramwati Bhati ,52yrs)
Jagdish(37) (Adesh,36yrs) (Arun,22yrs) (Lokender,35yrs) (Asha,20yrs)
(Aryan,2yrs) (Ashu, 6 months) (Khushi,1.5yrs)
FEMALES
MALE

3. THE HOME
HOUSING CONDITION
Type of house was pucca and it was their own house which consist of 3 rooms and
the roof was terraced and wall were cemented . There were adequate ventilation
facility and there were 2 windows per room and one door through which air is
coming inside the room .Proper lighting was there .The house was having electric
connection .They were having kitchen attached outside home and in verandah
also one small cooking facility was present and chimney facilities was not there
.They were using smokless chulah inside the house that is gas cylinder as well as
smoking chulah which is outside the house using commonly for cooking food .
There were no hand-washing facilities separately .The house was not clean .The
source of water supply through summer se-well. They were having their own
latrines which is sanitary . The source of refuse disposal is either burning or
throwing at common place. The drainage system was open drain .The presence of
domestic was there and that was at one side of house and was separate. Rats
were found in there houses. Mosquitoes were also there inside and outside the
house both during day time .
PROBLEM IDENTIFIED – SUGGESTED CONTROL MEASURES
PROBLEM IDENTIFIED SUGGESTIONS GIVEN
1-The house was not clean . keep the house clean as the uncleanness
cause the various diseases related to
infection .Use phenyl for cleaning the
house
3-The drainage was open, water Try to make it close drainage, as it can
was going outside the home in lead to various dengue mosquitoes breed.
open. Keep all water pots ,tanks covered
*Use mosquito net or use coil for the
mosquitoes.
4-To prevent from flies *Use anti -rodent for the cockroach as
they are also causing many diseases.

4. ACCIDENT HAZARDS-
INSIDE THE HOUSE –There were many articles like knife, nails and water buckets
kept at the reach of the small children that can lead to accidents to children.
SUGGESTION GIVEN –
- Keep knife, nails out of the reach of the children.
- Do not keep filled buckets at the reach of the children and it kept at ground
level then keep them covered with the tight cover.
- Try to make closed kitchen outside and if not possible then keep the articles
carefully and also be there when child is playing near to it.
OUTSIDE THE HOUSE –
The small arrangement of kitchen which was made outside the house was without
any walls that means open and things were thrown here and there which can
further lead to many home accidents to the small kids, which were there at home.
SUGGESTION GIVEN-
When you are using Chula then stay there for whole time so that no children can
come there. Don’t leave place till the time fire is there in the chulha. And also do
not keep anything at the reach of the child which can lead to problems.
Family does not consider that this home is adequate for there need because of
following reason –
1-They were not having adequate room for their living as there are two married
couple , and self with wife and sometimes daughters also use to come home, so
problem occur for their accommodation.
2-The condition of kitchen is not good as it is in the verandah and congested too.
3-The income is not fulfilling their requirement as all are in the private job and
one is unemployed at home.

5. INCOME AND EXPENDITURE
Ms. Ramwati Bhati is housewife and is the oldest member of the family. Her one
son is unemployed, he use to see household work. The other son has his own
business (a restorant), his earning is not specific but they have told that he use to
earn 20,000 per month. The third son of Ms. Ramwati bhati is in private jot i.e.
working in some factory and his earning is round about 6000 per. Total number of
earning member are 2 member and other are dependent on these two members .
They have sold their some fields and because of that there work has suffered. As
they have got compensation money but that was not sufficient to meet the needs
for whole life and because of all this their work has also suffered a lot. Their total
income per month is round about 26000-30,000 and per capita income as per
26,000 is round about 2500 per person.
MONTHLY EXPENSES
The house condition was fine and good as the house was pucca. They all are non –
vegetarian taking once a month and expensing nearly about Rs 5000 for the food
per month .They were wearing appropriate dress according to the season .
Education of all members was appropriate, except Jadish who has studied
upto10th std. The health condition of Ms.Ramwati Bhati is not good as she is
having joint pain and use to have gastric problems. The overall condition of home
is satisfactory.
LEISURE TIME ACTIVITIES:
They all used to see television during leisure time and sometime use to gossip
with each other and passing there time .There were no educational activities
found. For the religious activities they used to go temple and celebrate all the
festivals of Hindus .They do not participate in cultural and civic activities
FAMILY WELFARE
Number of eligible couple in the family was 2. There present age is –
Adesh Bhati-36 years, Arun Bhati-22 years

6. Lokender-35yrs, Ripul-20yrs
Adesh is married at the age of 33 years with Arun who was at the age of 20 yrs
during merriage. They were having one son name Aryan that is of 2yrs and second
son (Ashu) is of 6 months. The menstrual status of the Arun is regular that is of 30
days cycle.
Lokender is married at the age of 32 yrs with Ripul who was of 19 yrs at the age
of marriage. They have a girl child named Khushi who is of one and half yrs and
Ripul is 6 months pregnant. The family planning awareness and practices is very
much poor or we can say inappropriate. They were not using any contraceptive.
They do not talk about contraceptive much.
NEED IDENTIFIED SUGGESTION GIVEN
Lack of awareness Education given regarding the use of family
regarding family planning planning practices and devices.
Education given regarding the advantages and
disadvantages of each family planning devices .
Special emphasis given about the spacing
between the two children’s
Given advices regarding the use of copper t
insertion advantages
Not to use the condom and medicine because
most time they lead to failure
Three year minimum gap should be there
between two children.
Go for tubectomy after having the two children

7. MATERNAL AND CHILD HEALTH
MATERNAL HEALTH
Obstetrical history of previous pregnancies and there outcome
DATE DURATION DELIVERY CONDITION BREAST PRESENT
OF PLACE/TYPE MOTHER/CHILD FEEDING CONDITION
CONDITION OF CHILD
DURING
PREGNANCY
(1) 36 week hospital condition of the breast present
delivery/ child and feeding condition is
2010 vaginal delivery mother is started normal
Aryan satisfactory within
1hour
(2) 36weeks Hospital condition of the breast present
2012 delivery/vaginal child and feeding condition is
Ashu delivery. mother is started normal
satisfactory within
1hour
(3)
2010 37weeks Hospital condition of the breast present
Khushi delivery/Vaginal child and feeding condition is
delivery mother is started normal
satisfactory within
1hour
Mrs. Ripul w/o Mr. Lokender is pregnant and is in 6th month. She was
taking regular health checkup and her health status is satisfactory.

8. VITAL EVENTS IN THE FAMILY –
Mrs. Ripul is pregnant (G2P1A0L1).No marriages , death occur in the past one year.
CHILD HEALTH
There are three under five children in the family,2 years name Aryan, one and half
years named Khushi, and 6 months named Ashu and their health status is
satisfactory and proper growth and development is going on .The dietary pattern
of child is that they are eating everything which is made at home and Ashu is on
weaning. The immunization status of that child had been from the PHC, Bisrakh,
had been completed
As all kids are under five so there are chances of home accidens, so mother is told
regarding the home accidents and asked to take precautions to prevent these
home accidents.
FAMILY FOOD PRACTICES
The source of food material is from the fields and purchasing. They used to have 3
meals per day .General menu for each meal are as follows –
MORNING(BREAKFAST)
Roti-4 (male)
3(female)
Vegetable –moderate quantity
Dhal- one bowl (either vegetables or dhal)
Tea -1 cup
AFTERNOON(LUNCH)
Rice-1bowl (each Person)

9. Dhal-1 bowl each person
Curd- 1 bowl each person
EVENING
Tea-1 cup
Biscuits or rusk-acc to wish
NIGHT(DINNER)
Roti- 4to 5 males
3to 4 females
Vegetables- 1 bowl each
Milk -1cup each person
Fruits- sometimes not daily .
Method of cooking adopted by boiling, frying and steaming in general. They used
to wash vegetables before cooking and used to wash rice and pulses before
cooking .Food storage was done properly .
Special need to the member of family is that they do not know the well balanced
diet and which diet has to be taken when .The knowledge toward the diet is not
so good because they are less educated and having normal attitude regarding the
diet .They are having less knowledge that the nursing mother should be taken
care of her diet and also regarding the weaning.
DIETRY ADVICES GIVEN REGARDING TWO THINGS
1-pregnant mother
2-Weaning

10. CONDITION ADVICES GIVEN
Take high calorie diet
PREGNANT MOTHER
(Mrs.Ripul) Take iron and calcium rich diet
like green leafy vegetables ,all
pulses ,jaggery .
Drink juices and milk.
Do not take iron and calcium
together
Take food high in calories and
protein .
Take snacks in between
whenever feels hungry.
CHILD ON WEANING Start with liquid things or things
which can be easily swallowed
like Khichdi, Mashed Dal, Daliya,
Give food alternatively
Be on breast feeding also, do not
stop breast feeding abruptly
Start food with 2-3 spoons first
and then increase the quantity
slowly.
With the passage of time fruits
like mashed banana missed with
milk and mashed apple mixed
with milk and mashed cooked
vegitablescan be given to the
baby
Be there whenever feeding the
baby with weaning food
Give feed slowly

11. PERSONAL HYGIENE
They used to take bath regularly with soap and water and they use to wash their
clothes daily with detergent soap. The personal hygiene is adequately maintained.
SLEEP AND REST
They used to go for sleep at 10.00PM at their respected room .They used to sleep
at the day time according to their wish if they had work they do not sleep if not
having work they used to sleep .They use to take proper sleep and rest.
CARE OF SICK AT HOME
Mrs.Ramwati Bhati is having Joint pain and use to have gastric problem since long
time .She rarely goes for checkup when pain become untolerable. Mrs. Ripul is 6
months pregnant and she use to go for regular visit and does not do mush heavy
work at home.
Other than Mrs. Ramwati all the members in the family are healthy .
SUMMARY
The family identification data has been taken of this family in this family there are
9 member Mrs Ramwati Bhati is having Joint Pain and Gastric problem. Mrs Ripul
is Pregnant and Mrs. Arun is a nursing mother having 6 month old child and there
are the other five members in the family .Problem is identified from the family
and possible suggestion has been given to the family members.

12. INDEX
S.NO CONTENT PAGE NO
1- FAMILY IDENTIFICATION DATA
2- FAMILY COMPOSITION
3- RELATIONSHIP WITH THE HEAD OF THE FAMILY
4- THE HOME
5- INCOME AND EXPENDITURE
6- MONTHLY EXPENSES
7- LEISURE TIME ACTIVITIES
8- FAMILY WELFARE
9- MATERNAL AND CHILD HEALTH
10- VITAL EVENTS IN THE FAMILY
11- FAMILY FOOD PRACTICES
12- PERSONAL HYGIENE
13- SLEEP AND REST
14- CARE OF SICK AT HOME
15- SUMMARY
16- NURSING CARE PLAN

13. NIGHTINGALE INSTITUTE OF NURSING
FAMILY CASE STUDY
SUBMITTED TO – SUBMITTED BY -
Mrs. Shalu MISS Monika Sharma
Lecturer M.SC 1ST YEAR
NIN NIN