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A Family Case Study
(Malacabibi, Solana Cagayan)
RLE 2C
Preparedby: Submittedto:
Jennifer Aggabao Mrs. Annabel Lee Daoala, RPT, MSN
Rosalina Rosete (Clinical Instructor)
Leslie Nonato

2. Mark Louie Duran
INTRODUCTION
Monday morning, May 7, the community student nurses were looking for families to
assess here in Malaccabibi, Solana. On our way to Zone 3, a house caught our attention. The
structure of the house is made up of combined nipa, bamboo, concrete, and wood. Their
surrounding is dirty and is not suitable for living. We also observed that their comfort room was
just covered with sacks.
Mrs. H, a 20- year old client, was the one who entertained us. She was not well groomed
and walks barefooted. Her clothes were dirty and ragged. Upon arriving to their house, we saw
her cooking while carrying her 7-month-old child. We asked her if we could interview her and
she easily agreed.
We started the interview by asking the history of Malaccabibi. She answered that
Malaccabibi was then known to be the last zone in Dassun. They decided to separate it because
Dassun was already a large barangay and they named it Malaccabibi because it was known to
have large and several “kabibe” in that area.
Their type of family is extended and is composed of 10 members. The mother is the
breadwinner since her husband died 8 years ago. The family is Roman Catholic and was able to
attend mass twice in a month.
Their primary source of income is farming. The mother and her three children are the

3. ones responsible for this. They are able to earn 500-700 pesos in a week since they only act as
tenants. They usually harvest corn.
COMMUNITY ASSESSMENT FORM
NAME OF COMMUNITYASSESSED:Zone 3, Malacabibi,SolanaCagayan
DATE ASSESSED: May 2, 2012
ASSESSED BY: RLE 2C
Name of Household
Member Age Gender Civil Status
Highest
Educational
Attainment
Religion
A.G 48 Female Married Grade 6 RomanCatholic
R. G 29 Male Single Grade 6 RomanCatholic
J.R.G 22 Male Married Grade 6 RomanCatholic
M.G 11 Female Single Grade 6 RomanCatholic
E.G 9 Male Single Grade 6 RomanCatholic
H.G. 20 Female Married High school RomanCatholic
J.G 1 Male Single RomanCatholic
J.M.G 7 months Female Single RomanCatholic
G.G 1 Female single RomanCatholic
Type of family: Nuclear x Extended
I. COMMUNITY SUBSYSTEM
A. PHYSICALENVIRONMENT
1. Land use: Agricultural
Pasteurland
Residential x
Industrial
Others,specify
2. Type of soil ( ) loam ( ) clay ( ) sandy (x) others
3. Boundarymaintenance
( ) river (x) highway
( ) mountain ( ) hills
( ) field ( ) others,specify
4. Real network(state type (graveled ,asphalted,concrete) andlengthof roads/streets
existinginthe barangay).
5. Housingandzooming
a. What isthe age of the house/s? 10 years

4. b. Constructionmaterialsused?( ) nipa/bamboo ( ) wood
( ) concrete (x) mixed
c. Are all most neighborhousessimilarinsize/architecture?No
d. General state of repair/disrepair( brokenstairs,doors,windows,walls)
e. Commonneighborhoodhangouts(stores,schoolyard,churchyard,etc.) house
f. Alongwithpeople,whatanimalsdoyousee onthe streets?Name them.
Dogs, pig,
Carabao chicken
B. HEALTH ANDSOCIALSERVICES
Facilityused Location Servicesoffered Characteristicsof
users
Brgy. Healthcenter Zone 3 Malacabibi Medical assistance
BloodPressure Monitoring
C. ECONOMICS
1. Sourcesof income
Name of HH
member
Main
occupation
Income from
mainjob
Place of work Other
sourcesof
income
Income from
other
sources
A.G
R.G
J.R.G
H.G
Farming 500-700
pesos
Malacabibi,
Solana
2. House holdincome/annum(please check)
P 1,000 below P2, 000-3,999 P5, 000-5,999
xP1,000-1,999 P4, 000-4,999 P6, 000 above
3. Agricultural productsraisedbythe family
Rice tobacco peanuts
x Corn root crops mongo
Beans others,specify
D. SAFETY ANDTRANSFORMATION
1. Sanitation
Water source: openwell x pumpwell river
Water storage: elevatedtanks drum/can
bottles Earthenjar x plasticcontainers
Toiletsystem: flushtype ___x___water-sealed none
Garbage disposal:
Communal pit individualpit x burning
Opendumping “wrap and throw”

5. Drainage disposal:
Open blind x none
2. What type of transformation/sisavailable inthe community?Pleasename these,
indicate frequencyof tripscominginandgettingoutof barangay.
 Jeep
E. COMMUNICATION
1. Formal communicationchannels
__Newspaper __x___ TV telephoneservice
__x__ Radio postal service others,specify
2. Informal communicationchannels
Bulletinboards TV radio
Newsletter ___x___word of mouth othersspecify
3. Are there communitymeetingstodiscusscommunityconcerns?How often?
Yes,once a month
4. Are there specificgatheringplaceswhere informationis shared?Whatisthis?
Yes, in Barangay Hall
II. GENERAL HEALTH PARCTICES
1. Where do youseekmedical assistanceforsimple illness?
Private hospital/clinic ___x___rural healthcenter
Districthospital CHN worker
Self-medication
2. Reasonsforchoosingthe place forconsultation.
___x___Accessible ___x___free of charge
Others,specify effective/dependable services
3. Where do youusuallyseekmedical assistance forcomplicatedillness?
Private hospital/clinic rural healthcenter
Districthospital CHN worker
___x___Provincial hospital Self-medication
Others,specify
4. Reasonforchoosingthe place of consultation.
Accessible free of charge
Chargesresponsible rate ___x___effective/dependable services
Others,specify
5. Where do youusuallybuy/getyoursupplyof medicine?
 Barangay HealthCenter,Stores

6. III. Second Level of Assessment
CUES/DATA FAMILY NURSING PROBLEMS
The surroundingsare dirtyand notsuitable
for living.
 The familymembersare notwashingtheir
hands before andaftereating
 Theyare alsonot well groomed.
A. Possible Infectionandtheyare prone to
diseasesrelatedtopoorsanitation
1. Inabilitytoprovide ahome environment
conducive tohealthmaintenance andpersonal
developmentdue to:
a. Inadequate knowledge of importance of
hygiene andsanitation.
b. Inadequate knowledge of preventive
measures.
c. Lack of skill incarryingoutmeasuresto
improve home environment
 Brokenstairs
 There were pointed/sharpobjectsinside and
outside of the house thatare improperlykept.
 Knife
 Fall hazards
 Stairswithouthandle.
A. Possible InjuryandAccident
1. Inabilitytomake decisionswithrespectto
takingappropriate healthactiondue to
inadequate knowledge astoalternative courses
of actionopento them.
 The house isnot enoughtoaccommodate all
the familymembers.
 Familyhastenmemberswithaweekly
income of 500- 700 Php.
 Familylivesinone-roomhouse witha
dimensionof 3metersby3 meters
A. Familysize beyondwhatfamilyresourcescan
adequatelyprovide
1. Inabilitytomake decisionswithrespectto
takingappropriate actionsdue toconflicting
opinionsamongfamilymembers
B. Inadequate livingspace
IV. PRIORITY SETTING
A. Poor Sanitation specifically on unsanitary wastedisposal
Criteria Computation Actual
Score
Justification

7. 1. Nature of the Problem
2. Modifiability of the
Problem
3. Preventive Potential
4. Salience of the Problem
2/3 x 1
2/2 x 2
3/3 x 1
2/2 x 1
2/3
2
1
1
It is a health threat.
The problem is easily modifiable since the
nurses’ resources are available; they can
educate the family regarding proper ways
of sanitation.
Susceptibility to possible diseases and
infections can be prevented if poor
sanitation is eliminated.
The family recognizes it as a problem that
needs immediate action.
Total Score 4 2/3
A. Accident Hazards specifically fire hazards and broken stairs
Criteria Computation Actual
Score
Justification
1. Nature of the
Problem
2. Modifiability of the
Problem
3. Preventive
Potential
4. Salience of the
Problem
2/3 x 1
2/2 x 2
3/3 x 1
0/2 x 1
2/3
2
1
0
It is a health threat.
Current knowledge, interventions
and resources are available to solve
the problem.
It is highly preventable since the
required resources are available.
It is not a felt problem.
Total Score 3 2/3
B. InadequateLiving Space
Criteria Computation Actual
Score
Justification
1. Nature of the
Problem
2. Modifiability of the
Problem
3. Preventive
Potential
4. Salience of the
Problem
2/3 x 1
1/2 x 2
3/3 x 1
0/2 x 1
2/3
1
1
0
It is a health threat.
Increasing the living space will require
quite a financial expenditure.
Increasing the living space will allow
more facilities to be utilized.
It is not a felt problem.
Total Score 2 2/3
C. Presenceof stress points in parenthood
Criteria Computation Actual
Score
Justification

8. 1. Nature of the
Problem
2. Modifiability of the
Problem
3. Preventive
Potential
4. Salience of the
Problem
1/3 x 1
2/2 x 2
3/3 x 1
0/2 x 1
1/3
2
1
0
It is a foreseeable crisis.
The resources and interventions
needed to solve the problem are
available to the family.
Proper parenting skills promote the
well-being of each family member
It is not a felt problem.
Total Score 3 1/3
Family size beyondwhat family resources can adequately provide
Criteria Computation Actual
Score
Justification
1. Nature of the
Problem
2. Modifiability of the
Problem
3. Preventive
Potential
4. Salience of the
Problem
2/3 x 1
2/2 x 2
3/3 x 1
0/2 x 1
2/3
2
1
0
It is a health threat.
Interventions and resources are
available to solve the problem.
The available family resources can be
utilized to encourage growth
promoting experiences for members.
It is not a felt problem.
Total Score 3 2/3

10. FAMILY NURSING CARE PLAN
HEALTH PROBLEM FAMILY NURSING
PROBLEM
GOAL OF
CARE
OBJECTIVE OF CARE INTERVENTION PLAN
NURSING INTERVENTIONS METHODS
OF NURSE
FAMILY
CONTACT
RESOURCES
REQUIRED
1. Poor
home/environmental
condition/sanitation:
 Inadequate
livingspace.
 Unsanitary
waste disposal.
Inabilitytoprovide a
home environment
conclusive tohealth
maintenance and
personal development
due to inadequate
familyresources
specificallyfinancial
constraints/limited
financial resourcesand
lack of/inadequate
knowledge of
preventivemeasures.
Afternursing
intervention,
the family
will take the
necessary
measuresto
properly
maintain/
manage to
improve the
family’s
environment
and good/
proper
sanitation.
Afternursing
interventions,the
familywill:
a. Identify
necessary
actionsto
improve their
living.
b. Change their
behavior
regarding
theirhealth.
c. Practice
proper
segregation
of waste
disposal
between
biodegradabl
e andnon-
biodegradabl
e.
A. Discusswiththe
familythe
strategiesto
improve their
living.
B. Guide the family
inimplementing
the strategies.
C. Motivate the
familyto
maintainhealthy
living.
D. Encourage the
memberof the
familytoactivity
participate in
everyhouse hold
chores.
Home visit  Materials
resources
visual aids
for the
health
education.
 Human
resources
effortof the
nurse in
discussing
health
education
withthe
family.
 Financial
resources
moneyfor
the
materials
neededfor
the visual
aidsand for
transportati
on of the
nurse.

11. FAMILY NURSING CARE PLAN
HEALTH PROBLEM FAMILY NURSING PROBLEM GOAL OF CARE OBJECTIVE OF CARE INTERVENTION PLAN
NURSING
INTERVENTIONS
METHODS OF NURSE
FAMILY CONTACT
RESOURCES REQUIRED
1. Accident
hazards
specificallyon
fire hazardand
brokenstairs.
Inabilitytorecognize the
presence of the condition
or problemdue to:
a. Lack or inadequate
knowledge.
b. Denial about
existence or
severityasa result
of fearof
consequencesof
diagnosisof
problem,
specifically:
a. Physical
consequences.
Afternursing
interventionthe
familywill gain
knowledge onthe
presentsof the
consideredproblem.
After
interventions
the familywill:
a. Can
determine
the
presentsof
hazards.
b. Can
enumerate
various
waysto
prevent
injury.
c. Will seeksa
method
appropriate
for them.
1. Broadenthe
knowledge of
the familyon
the hazards
a. Discussthe
consequences
of failure to
the
appropriate
activityonthe
problem.
2. Discusswith
the familythe
casesof action
opento them
Home visit  Materials
needed:visual
aids,
 Time and
efforttothe
nurse and the
family.
 Expensesfor
the teaching
aidsand
transportation
of the nurse.

12. FAMILY NURSING CARE PLAN
HEALTH PROBLEM FAMILY NURSING
PROBLEM
GOAL OF CARE OBJECTIVEOF CARE INTERVENTION PLAN
NURSING
INTERVENTIONS
METHODS OF NURSE
FAMILY CONTACT
RESOURCES REQUIRED
2. Familysize
beyondwhat
family resources
can adequately
provide.
Inabilitytomake
decisionswithrespectto
takingappropriate action
due to inaccessibilityof
appropriate resources,
speciallyfinancial
inaccessibility.
Afternursing
intervention,the family
will decide an
appropriate action(s) to
maintainfamilysize.
Afterthe nursing
intervention,the family:
c. Can innumerate
the appropriate
waysof
maintainingthe
size of the
family.
d. Will selecta
methodmost
appropriate for
them.
e. Will consultthe
studentnurse
afterdeliveryfor
guidance onthe
methodchosen.
3. Analyze withthe
followingthe
critical issues
relatedwith
inadequate
resourcesto
accommodate
the whole family.
4. Discusswith
familysize the
alternative
coursesof
action.
5. Analyze withthe
familypossible
consequencesof
each methodto
encourage better
decisionmaking
on the best
optiongivento
the family.
Home visit  Human
resourcestime
and effortof
boththe nurse
and the family.
 Financial
resourcesmoney
for the nurse
transport.

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