Family case

1. FAMILY AND INDEX
CASE REPORT
Location - Mehuwala
Name -suhani chhabra
Roll no -160
Date - 12/04/22
Government Doon medical college

2. IDENTIFICATION DETAILS
Date of registration - 12/03/22
Area - Mehuwala
Address - Mehuwala maafi
Name of head of household - Habib Mohammad
Religion - Muslim
Caste - OBC
Health Insurance Card - Ayushmaan card present
BPL card/ APL card - No
Total family members - 3
Type of family - Nuclear family
Non communicable disease in family - hypertension and thyroid disease
Total family income - 40,000 INR
Per capita income/month - 13,333 INR
Socioeconomic Class - Upper class

3. FAMILY PEDIGREE
Habib Mohammad
48 yrs
Sayveen
38 yrs
Armaan
13 yrs

4. FAMILY COMPOSITION
NAME RELATION AGE SEX MARITAL EDUCATION OCCUPATION
(Income) Status
Habib Mohammad. Father. 48 yrs. M. Married Intermediate. Government
(40,000 INR). (head) worker
Sayveen Wife 38 yrs F Married Graduate Housewife
Nil
Armaan Son 13 yrs M Unmarried Middle school Student
Nil

5. SOCIO ECONOMIC STATUS OF THE FAMILY
B G Prasad scale(2021)
A. Class Per capita monthly income (Rs.)
I ( UPPER CLASS ) 7770 and above
II (UPPER MIDDLE CLASS) 3808-7769
III (MIDDLE CLASS) 2253-3808
IV ( Lower MIDDLE CLASS) 1166-2253
V (Lower class) <1166
Per capita monthly Income = Total Income of Family /
No. of members
= 40000/3. = 13333 INR ( Upper class)
5

6. House
Type of house- Pucca house
Roof - made of concrete
Wall. - made of bricks with plaster and painted
Floor - made of tiles
No of Rooms - 2
Separate bathroom - separate bathroom present
Setback —. < 1/3 of total area
Overcrowding - No overcrowding
electricity - supply of electricity present
Ventilation - Adequate
Lighting - Adequate
Mosquitoes - presence of mosquitos
Mosquito breeding - there was potential mosquito breeding places around the house
Cattle / livestocks - no cattles or livestocks
Rodents in the house - Absent
Pets in the house- No pet in the house
Sanitary assessment of the house and
environment .
6

7. Blueprint of the house
mn
Gate
Stairs kitchen living room washroom
washing area

8. Kitchen
● separate Kitchen present
● Floor type :- Tiles ( impervious)
● clean ,adequately lighted
● storage of cooked /uncooked food. :- Refrigerator
● Fuel used. :- LPG cylinders
● smoke outlet :- Chimney present (outlet present )
● Drainage :- sink for washing utensils and fitted with
arrangements for proper drainage.

9. Water supply
● continuous supply of water
● Source of drinking water- Aquaguard
● Source of water for other purposes . - Submersible
● Storage of drinking water. - bottles
● Storage of water for other purpose - in overhead tank
● mosquito breeding in the stored water. - No

10. Refuse disposal
How stored inside house. - Dustbin
How disposed out of the house -Municipality Van
Frequency of disposal. - Once a day
• Latrine
Own toilet
Type of latrine - RCA latrine with presence of water
seal

11. Psychosocial Environment
● Any cause of psychological stress. - No
● Personal hygiene of the family members. - Good
● Relationship with family — apparently good
● Relationship with neighbours — apparently fine
● Social problems in family — no significant social problems in family

12. Recommendations :
To prevent spread of diseases from mosquitoes they can take help
of methods like regular fogging and spraying of DDT and use of oil
to form a film on water surface to prevent mosquitoes from laying
eggs in water.
Use of mosquito repellants, mosquito nets and mosquito repelling
creams.
Discarding any stagnant or dirty water in or near the house.

13. NUTRITIONAL INDICATORS OF THE FAMILY
3.4.1 Iodised Salt Intake by Family
1 Type of cooking salt purchased for your household to cook the meal = Iodized
2 cooking oil —— oil-refined oil
Ghee - pure ghee
Total Consumption Unit of Family :
NAME AGE SEX TYPE OF WORK CONSUMPTION UNIT
1) Habib
Mohammad 48 yrs M Heavy worker. 1.6
2) Sayveen 38 yrs F Moderate worker. 0.9
3) Armaan 13 yrs M 1

14. FAMILY PLANNING PRACTICES
Vital Events In Last One Year :
No significant events in last one year.
There was one eligible couple in the family. For family planning they have
opted for the natural and barrier method of contraception i.e. abstinence ,
condoms . They have 1 child (boy) They are not planning for any child further .
Recommendations : if the couple is not further planning for another kid then
they can opt for the terminal methods of pregnancy namely tubectomy or
vasectomy.

15. INDEX CASE :
ADOLESCENT
Case - I’m presenting the case of
Armaan, 13 yrs old boy, a resident of
Mehuwala , Dehradun. He belongs to a 3
membered muslim family.

16. GENERAL INFORMATION
1. Name Armaan
2. Age 13 years
3. Sex Male
4. Currently going to school yes
5. Education currently studying in 7th class
6. Religion muslim
7. Occupation student
8. Marital status unmarried
Chief complaint - no chief complaint at present
past history - Oedema all over body in childhood , protein in urine , treatment for 6
years.
Personal history - no history of any drug intake
Diet. - Mixed diet
Addiction - no addiction

17. Signs of Puberty :
- Change in voice no significant change in voice
- Beard / moustache no significant growth of any beard or
moustache
- Spurt in height no significant growth spurt in height
Immunization :
- TT 1 ( at 10 years ) vaccinated
- TT 2. ( at 16 years ). not applicable

18. MENTAL AND PSYCHOLOGICAL ASSESSMENT
He does not feel sad or loss of interest in routine activities.
No problem in concentrating in work or any feeling of low self
esteem or low self confidence.
No feeling of guilt or unworthiness.
Does not have bleak or pessimistic view of future or ideas or acts of
self flagellation or suicide.
No apparent disturbance in sleep at night or reduction in appetite.

19. DIETARY HISTORY
FOOD ITEM ENERGY(Kcal) PROTEIN (gm) IRON(mg) CALCIUM(mg)
MORNING :
1 glass tea 75 3.2 0.2 90
1 parantha 150 2.1 0.3 2
1 katori sabzi. 150. 7.2. 1.5. 20
LUNCH
1 katori dal 100 10.36 1.7 56.2
1 parantha 150 2.1 0.3 2
1 cup biryani. 195. 14. 1.65. 66.6
SNACKS
1 glass milk(cow) 180 3.2 0.2 90
4 Biscuits 196 4 1.6 131

20. DINNER
2 parantha 300 4.2 0.6
1 katori daal 100 10.36 1.7
TOTAL 1596 60.72 9.75
RDA 2860 45 22.
%DEFICIT/ -1264% +15.72 % -12.25%
EXCESS

21. RECOMMENDATIONS :
For energy deficiency he can start taking fruits like bananas and
other dairy products in his diet.
He can also increase intake of ghee, potatoes and eggs in his
diet.
For protein excess he does not need to cut off anything from his
diet since he’s a growing child slight excess in protein is tolerable
and variation can also be seen according to everyday diet.
For iron deficiency he can increase intake of green leafy
vegetables, jaggery, peas, bananas, apples , eggs, dates,
chicken, etc.
The mother can be advised to cook food in iron utensils.
For calcium deficiency he can increase intake of milk products in
his diet for example curd, paneer and green leafy vegetables, etc.

22. GENERAL EXAMINATION
Pulse rate 78 / min
Blood pressure 119/98 mm Hg
Respiratory rate. 18 times / min
Height 154 cm
Weight 43.5 kg
BMI 18.3 kg / m2 ( BMI is under mild thinness)
Pallor. pallor was absent
Icterus icterus was absent
Cyanosis cyanosis was absent
Clubbing absence of clubbing
Oedema absence of oedema
Vision the vision was normal

23. Thank you