Download - Case Presentation - Family Nursing Process

8/12/2019 Case Presentation - Family Nursing Process

1/41

FAMILY NURSING PROCE

a case presentation on

RLE GROUP 1

BATCH 2016


2/41

OP

Nicole Jan P. Almon


3/41

Alcolea FamilyPurok II, Brgy. M.V. Hechanova, Legane

Family


4/41

FCha

Mary Louise E. Pad


5/41

Name Date of Birth Sex Relation to Head Occupation

1. Albert Alcolea June 21 1985 Male HeadConstruction

Worker

2. Noveliza Cabando November 14, 1986 Female Partner Housewife

3.Andrew Alcolea March 15, 2010 Male Child N/A

4. Nicole Anne

AlcoleaSeptember 30, 2011 Female Child N/A

5. Althea Mae

AlcoleaJune 20, 2013 Female Child N/A

A.


6/41

B. Members of the family not living in the household:

Andrew Alcolea

C. Roles of Members What are the assignedhousehold tasks?

Albert Alcolea

As the head of the family, Mr. Alcolea is the provider.


7/41

Noveliza Cabando

She does the household chores and budgets the

money for their daily needs.


8/41

C. Relationship of the members

How do they get along?

The children get along well with their mother but since

the father is not around every time we visit, we don't

know how they around their father. And the

relationship of the mother and the father are

according to N.C. "sa mga bata nalang gid ang atensyon

namun. Amo na mo. Luyag sa luyag pero sa mga bata

nalang ang focus namin."


9/41


10/41

E. Decision makingWho makes them? How?

Minor Decisions:

Whoever is present on the house at that moment.


11/41

F. Sleeping Arrangements:

Which family members sleep together?

They are sleeping together in one bed except Andrew.

Which family members sleep alone?

Andrew

What type of bed does each one have?

They have one banigthat they use for sleeping.


12/41

What are the usual hours of sleep?

Bedtime Arise Rest Period

Adults

Albert Alcolea

Noveliza Cabando

10:00 PM11:00 PM

7:008:00 PM

4:00 AM4:30 AM

5:00-6:00 AM

Depends if they

have available time

Children

Andrew

Nicole Anne

Althea Mae

8:00 PM9:00 PM

7:00-8:00 PM

7:00-8:00 PM

6:00 AM7:00 AM

5:006:00 AM

10:0011:00 AM or

3:004:00 PM

anytime


13/41

G. Eating Patterns:

Observation about kitchen mealtimes:

They would eat together every breakfast and dinner.

According to N., they would wait for her husband to

return from work in the evening so that they could

eat their dinner together at around 6:00-7:00 PM. The

food that they usually eat include adobo, rice and

water.


14/41

Observation of family members about Nutrition

status:

They usually eat chicken. But according to N., she

makes sure that they eat vegetables if they have

money. The two children also appear healthy with

no signs of malnutrition.


15/41

24 hour family food intake beginning with previous

days breakfast

Meal Time Food Taken

Breakfast 7:00 AM8:00 AM paksiw na isda, fried rice, coffee

Lunch 12:00 NN1:00 PMDog adobo, chicken sinugba, fried

rice, water

Snacks Coffee

Dinner 6:00 PM - 7:00 PMChicken adobo, steamed rice,

water

Breakfast 7:00 AM8:00 AM Chicken adobo, fried rice, coffee


16/41

H. LeisureWhat are the usual activities?

Adults:

They watch TV, play tong-its, watch over the childrenand talk with neighbors.

Children:

They watch TV and play around.


17/41

Socioand

F

Nuraimah A. M


18/41

S

A. Educational Level

Albert Alcolea Elementary Level, 2ndGrade

Noveliza Cabando High School Level, 3rdYear

Andrew Alcolea

Nicole Anne Alcolea

Althea Mae Alcolea

Day Care

Day Care

Not schooling

B. Religious Affiliation: Roman Catholic

C. Occupation of working members:Albert Alcolea works a construction worker.


19/41

S

D. Income:

Family Income: at most 400.00/week

Source:

Salary Savings GSIS

Pension Others(specify): None


20/41

S

Contribution of working members:

Member Amount

Albert Alcolea 400.00/week

Are expenses greater or less than income?

Greater Less Equal

Who plans how the money is spent?

Albert, the head of the family, manages and plans on how the

money will be spent.


21/41

S

E. Social RelationWho the family members interact

with the outside of the immediate family and what

community activities do they participate in?

Extended Family:

Not applicable


22/41


23/41

S

E. Social RelationWho the family members interact with

the outside of the immediate family and what community

activities do they participate in?

Friends:

Patient considers her neighbors as her friends in which she

spends her free time with.

Church:

Patient rarely goes to church since she is taking care of her

children.

Clubs:

Patient doesnt anymore go to clubs, but verbalized to have

attended disco derbies in her maiden years.


24/41

S

E. Social RelationWho the family members interact with

the outside of the immediate family and what community

activities do they participate in?

Others: NONE

Community Activities (LIST):

Patient attends Barangay Assemblies and Christmas Party.

F Value System


25/41

S

F. Value System

Observation of the nurse: Patient sees the Student

Nurses to be very helpful, since she stated that she

appreciates the effort of the Student Nurses to

help improve the health welfare of her householdthrough health teachings.

Home:

Patient cleans her house and surroundings

every morning only since she is occupied doing herlaundry and attending her children.


26/41


27/41

S

F. Value System

Neighborhood:

Pt considers her neighbors as her friends;

she often spends time with them and trusts them.


28/41

Env

F

Leovy Meeh C. De

A Housing


29/41

A. Housing

Type:

Owned Rented

Number Furniture:

Adequate Inadequate

Toilet Facility: Close Pit Privy

Inside Outside


30/41

Source of water supply

Well MIWD Others(specify): mineral water fordrinking

Presence of flies: YES NO

Presence of rodents: YES NO


31/41

Presence of accidents, hazards (LIST)

1. The stairs do not have handrails.

2. Floor is only covered with linoleum and there areparts that are torn.

3. Medicine can be easily reached by children.

B Neighborhood


32/41

B. Neighborhood

Residential Industrial Rural

Urban Suburban Others(Specify)

Type of dwellings:

The house has only 1 room wherein all of the family members sleep

there. The bathroom is located inside. They also have kitchen but

the roof has some holes.

Condition of dwellings:


33/41

Condition of dwellings:

The house is made up of light materials. The house

is unorganized and is unclean. The backyard also

has scattered garbage. The roof of the house was

noted to have some holes.

Accessibility of play: YES NO

Accessibility of Health Facilities: YES NO

Accessibility School: YES NO


34/41

C. Transportation

Public Transportation

Adequate Inadequate


35/41

He

Medi

Lourni L.


36/41

M

A. Present Illness

B. Is any family member taking any

medications? YES NO

C. History of post-significant illness and

accidents of each member: Physical InjuryGinhaboyan ako sang pitsel, nawasak ang pitsel sa ulo ko tapos

napilas ko dayon ginpatahi. Tatlo man lang ka tahi.

Name Illness

Noveliza Alcolea Lymphoma


37/41

M

D. Immunization status of children less than one year of age

Altea Mae Alcolea ( 7 months old )

BCG 7-24-13

DPT 8-21-13 2-5-14

OPV 8-21-13 2-5-14

Hepa B 6-20-13

Measles*not yet

given

Others

1stdose 2nddose 3rddose


38/41


39/41

G Wh i h k l d f f il b b h l h?


40/41

M

G. What is the knowledge of family members about health?

Ang maayo nga lawas makuha basta kumakain ka lang

tatlong beses isang araw at malinis na pangangatawan.

H. What does the family perceive as a health problem?

Madali silang magkaubo, sipon at lagnat. Ang isa kong anak

inaatake nang asthma tuwing inuubo siya.

I Wh t d th i th f il h lth


41/41

M

I. What does the nurse perceive as the family health

problem?

The student nurses perceive inadequate nutrition, poor

hygiene, risk for injury or falls and poor health status as thefamilys health problems due to poor living conditions and

low socio-economic status.