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Chapter V
FAMILY COPING INDEX
In this chapter, the ability of the family to cope up with stresses, whether
physical, emotional, and social, is measured. It is also presented in this chapter
on how they cope to these stressors or changes. This also provides the basis of
estimating the nursing need of the family. Their nursing need is present when
there are health problems which they are unable to cope and that there is a
reasonable likelihood that nursing will make a difference in the familys ability to
cope.
Criteria Ideal Actual Rating Justification
1. PhysicalIndependence
All family
members
whether or notthere is infirmity
or disability in
one of its
members are
receiving the
necessary care
to maintain
cleanliness,
including skin
care, are about
to get as far as
All family
members are
able to moveand perform
daily activities
with the
capability in
accordance to
their age.
Mr. and
Mrs. P are
independent in
performing
personal
4 All family
members are
able toperform
activities of
daily living in
accordance to
their capability
as what is
expected from
them at their
age. However,
the skin of the
family is dry
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possible within
their physical
abilities; are
receiving
assistance when
needed without
interruption or
undue delay.
hygiene and
daily
grooming.
However, their
skin is not
properly taken
care of. They
have lesions
on their dry
skin as well as
scars which
are mostly
present on the
lower
extremities
and some on
the upper
extremities.
Thechildren are
able to
perform daily
activities with
less
supervision.
and has some
scars which
indicate
improper skin
care.
Therefore, the
family is
partially able
to provide the
needs of its
members.
2. TherapeuticCompetence
Family members
are able to
demonstrate that
the members can
carry out the
The family is
able to carry
out needed
treatments for
some of the
3 The family is
partially able
to support the
health needs
of some family
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prescribed
procedures
safety and
efficiently, with
the
understanding of
the principle
involved and
willing attitude.
illnesses that
occur in the
family.
Though they
have financial
constraints,
they attend to
their health
needs
because they
believe in their
principle that
health is
wealth.
The family is
willing to work
hard in order
to provide
these needs. The couple
took care or
assist
whoever is
sick in the
family by
providing
over-the-
counter drugs
and utilize
herbal
medicines
members
because of
inadequate
financial
resources and
lack of
information
about proper
health
management.
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present in
their backyard
depending on
the illness or
manifestations
being
experienced
and presented
by a family
member.
The family
also tries
medicine
without any
particular
prescription.
They
sometimes go
to traditionalhilots before
they will bring
a sick member
of the family to
the barangay
health center.3. Knowledge
of HealthCondition
Knows the
salient facts
about the
disease well
enough to take
necessary action
The family
understands
that health is
important for
every family
member.
2 The family
doesnt have
enough
knowledge in
identifying
some
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at the proper
time,
understands the
rationale of care,
able to report
significant
symptoms.
However,
there are
times when
they do not
follow proper
action at a
specific
situation since
they admit
that they
somehow lack
the ability to
identify illness.
They
practice self-
medication
and they do
not treat the
illness at anearly stage
since they
only let it to
cure by itself.
Mrs. P
claimed that
there are
times when
they take their
illness for
granted and
do not have
illnesses and
how to
manage it with
prompt and
proper action.
They take
their illness for
granted and
are not aware
of what could
be the cause
of that certain
disease and
its
consequences
if not treated
immediately.
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prompt action.4. Applicationof Principles ofGeneralHygiene
Household runs
smoothly, family
meals well
selected, habits
of rest and sleep
adequate to
needs, securing
adequate rest
and relaxation for
family members,
carrying outaccepted
preventive
measures.
The family
eats three
times a day,
with meals
usually consist
of rice and
vegetables.
However, Mrs.
P had claimed
that
sometimes,they lack rice
due to
financial
constraints.
Sometimes,
they have fish
for all meals
as according
to the couple
is cheaper.
Their
utensils are
placed in a
plastic
container with
no cover
which are all
exposed to
air.
2 The family,
though they
do hygienic
practices, it is
observed to
fail in the
correct
principles of
proper
hygiene. They
take a bathand practices
handwashing
before and
after eating.
However, the
soap they
have is not
being used
properly and
its container is
not clean.
They also fail
the principles
of preparing
their meals
such as the
storage of the
utensils and
water. The
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They
practice
handwashing
before and
after eating.
Mrs. P
claimed that
they do not
boil their water
before
drinking which
they store in
gallons with
covers and
are not
cleaned
properly.
Mrs. P
believes thatall of them,
the household
members, are
able to receive
adequate rest
and sleep.
Since they
doesnt have
the electricity
and
appliances to
play, they go
water they
use to drink
which comes
from the pipe
system is not
boiled and its
containers,
though have
covers, are
not cleaned
properly. They
do not
experience
any problems
in their sleep
and rest
patterns. They
also practice
burninggarbages
which is a
threat to their
health.
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to sleep as
early as 7:30
in the evening
and wakes up
at around 5:00
to 6:00 in the
morning since
the children
have their
classes, Mr. P
has his work,
and Mrs. P
needs to take
care of them
too. They
consider
walking as a
form of
exercisewhich they
believe is
healthy for
them which is
added by the
fresh air they
are able to
breathe in.
They take a
bath and wash
their clothes in
a water facility
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approximately
ten (10)
meters away
from their
house.
The type of
toilet facility
they have is
pit privy which
use in order
for them to
urinate and
defecate
which is
located
approximately
five (5) meters
away from
their house. Itonly has walls
because they
were not able
to construct it
with roof.
The family
do not have a
drainage
system. The
water which
they use from
washing their
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while doing all
possible to effect
recovery and
rehabilitation.
that she
believes in the
importance of
having
complete
immunization
to become a
defense
mechanism on
ceratin
diseases for
she was able
to attend to
some lectures
conducted by
random health
officers in the
barangay.
Mr. P drinksalcoholic
beverages in
moderation
which Mr. P
claimed to be
more than 2
glasses of
alcoholic
beverage
including
tuba in a
month. Mr. P
believe in
superstitions.
They have a
good
indication of
having the
children with
complete
immunization.
Mr. P only
drinks
alcoholic
beverages in
moderation
and admitted
that he does
not do this
with abuse. It
is also goodthat no
household
member
practice
cigarette
smoking.
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admitted that
he do this only
as a form of
relaxation from
work or stress
and it is also a
way for him to
get along or
socialize with
other people
as well. No
one in the
household
smokes
cigarette.
They
practice self-
medication
and uses over-the-counter
medicines in
treating
common
illnesses.
They seek
help from
traditional
hilots in their
community.
They also use
herbal plants
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present in their
garden. Most
of the time, if
they would
assess that
the sickness
they
experience is
tolerable, they
dont mind it
and would
rather take a
rest.
They also
have some
superstitious
beliefs such as
the presence
of spirits in thesurroundings
that cannot be
seen by the
naked eye but
have the
capability to
inflict harm to
people if they
wanted or if
they will
destroy their
homes.
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6. EmotionalCompetence
All members of
the family are
able to maintain
a reasonable
degree of
emotional calm,
face up to illness
realistically and
hopefully; able to
discuss problems
and differenceswith objectivity
and reasonable
emotional
control;
considers the
needs and
wishes of other
family members,
of neighbors and
those with whom
they work and
live making
decisions or
deciding upon
action.
There are
no current
conflicts
among the
members of
the family.
However, they
claimed to
have conflicts
between Mr.
and Mrs. P.They viewed
and perceived
it as normal
among family
members and
since their
family is
closely tied,
they practice
not to keep
conflicts for so
long. Before
the day ends,
they try to
resolve
everything and
reconcile to
people
involved. They
5 The family is
able to face
problems or
stressors in
their lives
calmly with
the aid of one
another.
Together, they
discuss and
find solutionsto it and never
let a day
passes by
without fixing
things out.
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make it easy
by
communicatin
g properly and
discuss
matters
needed to be
discussed.
7. Family Living Family does
things together,
each member
acts for the goodof the family as a
whole; children
respect parents
and vice versa;
family tasks
shared, evidence
of planning.
The family
lives
harmoniously
in general. thechildren
respects their
parents and
the couples
love their
children as
well. They do
not encounter
any acts of
violence in
their house.
Mr. and
Mrs. P help
one another
when they
have small
problems and
try to solve it
first before
5 The family
has great love
and respect to
one anotheras evidenced
by their
treatment to
one another.
Acts of
violence are
not present in
their house.
They
maximize their
income by
budgeting it
properly in
order to
provide the
familys basic
needs.
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arguing.
Mr. and
Mrs. P both
share the
power of
decision-
making in
terms of
money or
budget, as
well as in the
matters of
health care.
Their
estimated
monthly
income is
P3,000. This is
allocated forfood, clothing,
gas, tuition,
and
allowances.
The ones
responsible in
budgeting or
how the
money will be
spent is the
couple. Mr.
and Mrs. P
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children; free
from undesirable
social elements;
opportunities for
community
activity.
made of
bamboo tied
together and
covered with a
thatched roof
using nipa
leaves.
There are
parts of the
house without
walls which
Mrs. P
admitted that
when it rains
heavily, water
enters. They
have a small
terrace infront
of the housemade also with
bamboo and
other types of
wood.
Their house is
divided into
terrace, dirty
kitchen, dining
area, and
bedroom. In
order to get
into the terrace
sites for flies
and
mosquitoes.
They live near
a cliff which
they knew
could be
dangerous
especially for
the children
when playing.
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and the
bedroom, one
must climb an
improvised
three-step
stairs made of
wood by which
Mrs. P
admitted that it
could be
dangerous for
their children.
Mrs. P
claimed that
they have
enough space
in their house
for the six (6)
householdmembers.
When they
sleep, Mr. and
Mrs. P
together with
their youngest
child, P6, are
on one side of
the bedroom
while P3, P4,
and P5 are on
the other side.
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They do not
have the bed
so they sleep
directly on the
floor made of
stable bamboo
with mats on it.
Aside from
being a
sleeping area,
their bedroom
also contains
their clothes
placed in
cartons.
The family
does not have
any
appliancessince they do
not have the
electricity. The
only gadget
they have is a
cellphone.
They make
use of their
dirty kitchen
for cooking.
They utilize
wood and gas
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to produce
fire. The
source of their
water comes
from a pipe
system which
they consider
their own. Mrs.
P claimed that
they do not
boil their water
before drinking
which they
store in
gallons with
covers and are
not cleaned
properly.
They take abath and wash
their clothes in
a water facility
approximately
ten (10)
meters away
from their
house.
The type of
toilet facility
they have is
pit privy which
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use in order
for them to
urinate and
defecate
which is
located
approximately
five (5) meters
away from
their house. It
only has walls
because they
were not able
to construct it
with roof.
The family
do not have a
drainage
system. Thewater which
they use from
washing their
dishes is
thrown directly
on the ground
outside the
house. They
are used to
burn their
garbage. Their
garbage
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container has
no cover and
they do not
practice
recycling.
There are
other water
containers
outside their
house with no
covers and
could be a
possible
breeding sites
of vectors of
diseases. Mrs.
P said that
there are
mosquitoesand flies
present in their
place.
They do not
have nearby
neighborhoods
. They need to
walk
approximately
fifty (50)
meters in
order to get
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social workers,
teachers,
doctors, etc.
however, she
claimed that
they
participate in
every activity
their
community
organizes.
They join
and participate
during
community
meetings and
assemblies.
They had
their
immunization
at the
BarangayHealth Center
in Olympog.
She was
able to attend
to some
lectures
conducted by
random health
officers in the
barangay.
They go to
the Barangay
Sentro and to
Barangay
Health Center.
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Health Center
in Olympog.
43