The document presents a comprehensive family health care plan for a 52-year-old female patient with a history of hypertension, emphasizing prevention, coordination, and education about illness management. The patient's family is identified as highly functional with adequate resources and strong support systems, evidenced by assessment scores of 8 on the APGAR and 15 on the SCREEM. Key recommendations include regular monitoring, medication adherence, dietary modifications, and stress management techniques.

1. FAMILY HEALTH CASE PRESENTATION

2. GROUP 1 - 109 - 114
109-KUMAR AKSHAYA
110-MONU KUMAR
111-KUMARAVEL VIJAY
112-KUSHAL VEMISHETTI
113-LAWRENCE NATHAN THEOFELIX JEVAN
114-ANUSHKA ASHOK MADAVI

3. Introduction
Family health care plan in
family medicine is a
comprehensive approach
to healthcare that
considers the unique
needs of each family
member. It
emphasizes on preventive
care, coordination of
medical services, and a
holistic approach to
promote the overall well-
being of family unit.

4. objectives
Identifying date, history and physical examination of
the patient.
Assess family's ability to deal with patient's illness
using family assessment tools.
Educate the patient and her family on how to
manage the illness of the patient.

5. Merit
1. The information given by the patient was
reliable (reliability 95%)
2. The patient was agreed to be enrolled for FHCP
3. The patient was cooperative during history
taking and physical examination

6. CLINICALPRESENTATIONOFTHECASE
A 52 year old female came in for routine checkup. She was diagnosed with Hypertension in 2020

7. DEMOGRAPHICS
Name: Jovelyn Rajoo
Age: 52
Gender: Female
Occupation: Mini restaurant
Religion: Catholic
Civil status: Married
Residence: Marfori, Davao city
Reliability: 95%

8. Chiefcomplaint
Routine check-up

9. History of present
illness
The patient was diagnosed with hypertension in 2020. They have
been managing their condition with medications well until now. The
aggravating factor is work and patient have been medicated with
Amlodipine 10 mg everyday .

10. PAST
MEDICAL
ILLNESS
:No childhood medical illness
:Diagnosed with hypertension in 2020 ,with
maintenance medication –Amlodipine 10 mg
everyday
:No prior hospitalization and history of surgery .
:Patient had all her childhood vaccination.
:For health maintenance patient has been
vaccinated with covid ( Sinovac ) 2 dose + booster
vaccine and flu vaccine .
:No psychiatric illness .
:No history of cancer and no genetically transmitted
diseases.
No allergies to drug and food

11. Personal&
socialhistory
no History of smoking
drinks alcohol occasionally in a party 1 Bottle of red horse
walks every morning for 1 hr
Nutrition: 3 meals per day, normal filipino food
1cupof rice, meat(mostly pork) everyday and sometimes
vegetable.
Alternative health practices: None
Life stressors: Work
​coping mechanism: chatting with friends and family

12. Ob-Gyne
history
Menarche 13 years old
Menopause 48 years old
Ob-Gyne score G3P2(2012)
Both of her child were born in province
via NSVD

13. FAMILY
HISTORY
Both father and mother had hypertension with
anti – hypertensive medication.
Uncle(maternal side) died due to asthma in 2000
No history of cancer in the family
No Genetically transmitted disease in the family

14. Reviewof systems
GENERAL: no weight loss, no fatigue,
no fever
HEAD: no headache, no dizziness
EYE: (+)glasses for reading, no eye
pain, no double vision
NOSE: (-) nasal congestion, no runny
nose
SKIN: (-) rashes, no itching
NECK: no stiffness
RESPIRATORY: (-) hemoptysis, (-) cough
CARDIOVASCULAR: no palpitation, no chest pain
GI: no diarrhea, no vomiting, no abdominal pain, no
constipation

15. EAR: no pain, no discharges
MOUTH: (-) sore throat, no mouth sores, no gum bleeding
URINARY: no dysuria, no genital discharges
MUSCULOSKELETAL: no back pain, no weakness, no joint pain
PSYCHIATRIC: (-) anxious, no insomnia
ENDOCRINE: no polyuria, no polydipsia, no excessive sweating

16. VITAL
SIGNS
Heart rate: 97 bpm
Blood pressure: 130/82 mm
Hg
Temperature: 37.8 Celsius
Respiratory rate: 14
breathes per min

17. PHYSICALEXAMINATION
SKIN: palms cold and moist ,no blue extremities seen .nails without
clubbing ,cyanosis
HEAD ,EYES,EARS,NECK ,THROAT(HEENT): HEAD: Hair of average texture,
scalp without lesions, normocephalic
EYES: farsightedness, conjunctiva pink, sclera white, pupils 4mm
constricting to 2mm, round ,regular equally reactive to light ,extraocular
movements intact
EARS: presence of wax in tympanic membrane with good cone of light,
acuity good to whispered voice test, mucosa pink, septum midline
MOUTH: oral mucosa pink , dentition good ,tongue midline, tonsils absent
,pharynx without exudated
NECK: trachea midline ,thyroid isthmus barely palpable, lobes not felt
THORAX AND LUNGS: thorax symmetric with good excursion, breath
sounds vesicular with no other sounds , diaphragm descends 4cm
bilaterally

18. CARDIOVASCULAR: jugular venous pressure 1cm above sternal angle
,with head of examining table 30degree ,carotid upstroke brisk without
bruits, apical impulse is tapping, barely palpable in 5th ICS ,no diastolic
murmurs
BREAST: pendulous, symmetric, no masses ,nipples without discharge
ABDOMEN: bowel sounds active ,no tenderness or masses ,spleen and
kidney not felt ,no costovertebral angle tenderness
GENETALIA: no lesions ,vaginal mucosa and cervix pink ,no discharges
,no cervical or adnexal tenderness
RECTAL: no masses ,negative for occult blood
PERIPHERAL VASCULAR :no edema at Botha ankles, no stasis
pigmentation or ulcers
MUSCULOSKELETAL: no joint deformities ,good range of motion
NEUROLOGICAL: alert and cooperative ,oriented to place and time
,cranial nerve intact ,good muscle tone ,gait stable

19. CLINICAL
DIAGNOSIS
HYPERTENSION
STAGE 1
[controlled ]

20. AHA CLASSIFICATION

21. ETIOLOGY OF
HYPERTENSION

22. Hypertension, also known as high blood pressure, is a
common condition that affects the body’s arteries. It’s
characterized by the force of the blood pushing against the
artery walls being consistently too high, causing the heart to
work harder to pump blood. The etiology of hypertension can
be divided into two main types:
Primary (or essential) Hypertension: This is the most
common type, affecting about 90-95% of people with high
blood pressure
Secondary Hypertension: This type is caused by an
underlying health condition such as kidney disease, hormonal
disorders, or as a side effect of certain medications.

23. Pathophysiology
of HTN

25. FAMILY
ASSESSMENT
TOOLS

26. FAMILY
GENOGRAM

27. Family profile
Name Age/Gender Birthdate Civilstatus Health status Educational
attainment
Lives with
family
Jovelyn rajoo 52/F 1971 Married Hypertension High School Yes
Eagmedio 57/M 1966 Married Hypertension College Yes
Queen ivy 21/F 2003 Single Healthy Graduate Yes
Tomgohn 23/M 2001 Single Healthy graduate Yes

28. FAMILY
STRUCTURE
Jovelyn family is nuclear type of family
Living in Marfori, davao city
All the family members are breadwinners
Patient plays a role of caregiver.

29. FAMILY
LIFELINE

30. FAMILY
LIFELINE

31. FAMILY
MAP
Our patient has a good
fully functional relationship
with her family
members. Also they support
each other during
toughest times and also
share happiness
among themselves .We
can observe that patient
has clear boundaries with
his family members.

32. FAMILY
CIRCLE

33. ECOMAP

34. FAMILY
APGAR

35. APGAR OF THE INDEX
PATIENT
Questions
ALMOST
ALWAYS
2
SOME OF THE
TIMES
1
HARDLY
EVER
0
ADAPTATION
I am satisfied that I can turn to my
family for help when something is
troubling me
2
PARTNERSHIP
I am satisfied with the way my family
talks over the things with me and
share problems with me
2
GROWTH
I am satisfied that my family accepts
and supports my wishes to take on
new activities
2
AFFECTION
I am satisfied with the way my family
expresses affection and responds to
my emotion as anger , love and
sorrow
1
RESOLVE
I am satisfied with the way me and my
family spends the time together
1

36. Interpretation: The family has an
APGAR score of 8, which
indicates the patient’s family is
highly functional

37. S C R E E M

38. PARAMETERS Questions
Strongly agree-
3
Agree -2 Disagree- 1
Strongly disagree-
0
SOCIAL
Family members are always
interacted and members outside
the home is friendly and helping
each others
3
CULTURAL
The family has a feeling that
cultural ethnics inferiority or shame
2
RELIGION
Our faith in god and our religious
belief helps our family
3
ECONOMIC
Our family income and savings is
adequate for our needs
2
EDUCATION
Our education is adequate to
understand information about the
illness
3
MEDICAL
Healthcare is available in our
community
2

39. SCORE
INTERPRETATION
0-6 : SEVERELY INADEQUATE FAMILY
RESOURCES
7-12 : MODERATE INADEQUATE
FAMILY RESOURCES
13-18 : ADEQUATE FAMILY RESOURCES
THE SCORE OF SCREEM FOR THE
PATIENTS FAMILY IS 15 WHICH INDICATES
ADEQUATE FAMILY RESOURCES.

40. Family
Wellness
Plan

41. CONTENT
Jovelyn Rajoo
(index patient)
Eagmedio
(husband)
Tomgohn
(Son)
Queen ivy
(daughter)
AGE(YEARS) 52 57 23 21
HEALTH CONDITION Hypertension Hypertension Healthy Healthy
PRIMARY
IMMUNIZATION
Flu vaccine, Pneumococcal
vaccine, Hepatitis B
Flu vaccine, Pneumococcal
vaccine, Hepatitis B
Completion of
vaccine
completion of
vaccine

42. BEHAVIORAL COUNSELING
At the time of
medical
consultation
At the time of
medical
consultation
N/A N/A
SECONDARY EYE CHECKUP YEARLY NA N/A
CERVICAL CANCER
SCREENING
Every 5 years NA N/A Every 5 years
CHOLESTEROL Every 4 years Every 4 years NA N/A
BREAST SCREENING Every 2 years NA N/A
Every 2 years once
she reaches 50 years

43. Regular Monitoring of Blood Pressure: Regular check-ups
are essential to monitor blood pressure levels and adjust
treatment plans as necessary
Medication Adherence: If prescribed, it’s crucial to take
antihypertensive medications as directed by the
healthcare provider
Dietary Modifications: Adopt a heart-healthy diet rich in
fruits, vegetables, whole grains, lean proteins, and low-
fat dairy. Limit sodium, saturated fats, and added sugars
Physical Activity: Engage in regular physical activity. A 10-
week physical activity program that includes both aerobic
(endurance) and muscle-strengthening (resistance)
exercises can be beneficial
WELLNESS
PLAN

44. Weight Management: If overweight, aim for a moderate weight
loss of about 1-2 pounds per week2.
Stress Management: Incorporate stress management techniques
such as deep breathing, yoga, or meditation into daily routine1.
Health Education: Learn about hypertension and
its management. This includes understanding the importance of
medication adherence, lifestyle modifications, and regular
follow-ups1.
Regular Check-ups: Yearly check-up if your blood pressure
is normal
Short and long term
WELLNESS
PLAN

47. Illness Trajectory
The index patient has sought consultation and got cured so he
is currently in STAGE 5 adjustment permanency to the outcome.
In this case: the patient at the time while she came to us has
good adjustment to the hypertension.

48. Family diagnosis
jovelyn’s family Is an nuclear family.
Family has adequate family resources as the
SCREEM score is 15.
Family is highly functional as the APGAR score is
8.
Family life cycle is Launching type.
Wellness plan is given according to their risk
factors.

49. Thanks!
GROUP 1 - 109 - 114