Gethro Family Case

I. Introduction The family is smallest unit of the society and the natural fundamental core of the community and consequently, it is considered effort,

as

which

the

primordial

is

contributory

recipient to

the

of

the

nursing

development,

and

progress of the community through active involvement and self – responsibilities of each constituent. It is composed of Father, Mother and children and it is being molded to be as one, working hand in hand to maintain a good atmosphere among the controls

family the

members.

functions

of

On

the

the

other

entire

hand, cell

a

and

nucleus can

be

thought as the “command center” of the cell. The nucleus as well has different components which are all needed in order for it and the cell to function well. The impression or status of each family will always affect the status of the community as a whole. Community health nursing is a response to the health needs of the people. It does not focus on a particular class or family.

It

is

comprehensive

and

general

in

approach.

Community health service is not episodic as it requires continuous observation and monitoring of the community as a whole.

Promotion

and

preservation

of

the

health

of

its

different clients (individual, family, group or community) is the primary goal of community health nursing.

Chapter II

Initial Data Base A. Family Structure, characteristics, and Dynamics: •

Family Structure, Members of the household

Cold

Family

is

composed

of

Seven

(7)

members

within

the

family- 5 children (Ate 1 Cold, Kuya Cold,Ate 2 Cold, Ate 3 Cold and Baby Cold) ,2 adults, and the parents, (Mrs. Cold and Mr. Cold). Cold Family is a kind of traditional and a nuclear family since it comprises a father, mother and their children in which both parents reside in one home with their children. The mother often assuming the nurturing role and the father foresee the necessary economic resources.

•

DEMOGRAPHIC PROFILE OF THE FAMILY

NAME

AGE

SEX

CIVIL

EDUCATIO

OCCUPATION

INCOME

RELIGION

Mr. Cold

42

M

STATUS Married

NAL LEVEL .

“Mekaniko”

MONTHLY Maximum of

Roman Catholic

Mrs. Cold

29

F

Married

.

House Wife

Ate Cold 1

17

F

Single

3rd year High

Student

Dependent

Roman Catholic

Kuya Cold

M

Single

Student

Dependent

Roman Catholic

Ate Cold 2

F

Single

Student

Dependent

Roman Catholic

Ate Cold 3

F

Single

Student

Dependent

Roman Catholic

3000.00 Roman Catholic

School

Baby Cold

4

M

Child

Going

to

Child

Dependent

Roman Catholic

Nursery

Name of the Family: Cold Family

Type of Family: Nuclear

Interviewer: Cabading, Dianne Ruth & Costorio Gethro Date: May 4- 15, 2009 Brgy./Prk.:

Prk.

Smile

Village,

Brgy.

Salvacion,

Murcia,

Negros Occidental Interviewee: Mrs. Cold

Total # of Family: 7

•

Residence of Cold Family

The Cold’s residence is located at GK Smile Village, Brgy. Salvacion. It is a 10 minute ride (tricycle or jeepney) to their house, 3 km. from CPAC.

•

Dominant members in terms of Decision making

The family lives harmoniously. In terms of decision-making in matters of family problems especially the health care of the family, the couple work hand in hand to support each other and make immediate action when problems occur. •

Family dynamics

Each

member

communicating

of

with

the

each

family other.

has

Their

their

own

children

way

uses

of some

dialects to be understand such as “tagalong and Hiligaynon” communicate

through

their

known

little

vocabulary

and

express their love by giving respecting their parents and following instructions given by their parents. Mr. and Mrs. Cold also expresses their love to their children through giving what they need and by giving time for family bonding every Sunday. They communicate with their children by words supported

with

accented

actions

for

understand what they’re trying to say.

children

to

easily

Due

to

the

busy

work

schedule

of

Mr.

Cold,

the

researchers have observed that Mrs. Cold gave her best to support the physical, emotional and mental status of their children. Though Mr. Cold seldom support this aspects, he gave also his best to support the financial

status by

leaving 8 a.m and be back at 6 p.m. B. Socio-economic and Cultural characteristics • a.

Income and Expenses

Occupation,

place

of

work

and

income

of

each

working

member Mr.

Cold

work

unidentified

as

salary

a

“Mekaniko”

“Abot-abot

in

lang

Murcia.

ang

With

kwarta

kon

swertehon lab.ot mga 500 kag kon malison kis-a wala gid” Sometimes his “Amo” is texting him if someone wants to repair some things.” Pero kon sugponon tanan may 100 guro ang adlaw nakon” Mrs. Cold is a housewife, has a hard time

in

doing

the

household

chores

and

maintains

the

cleanliness of their house because of the 6 months baby inside her womb. b. Adequacy to meet basic necessities Mr.

Cold

income

is

enough

to

met

the

family’s

daily

necessities, Mrs. Cold stated “igo lang man samon ang makita ni banahon nga karta kay makakaon man kami tatlo ka beses sa

isa

ka

adlaw,

kis-a

100.00

ang

adlaw.”She

also

stated

“masusteneran pa man kami ni bahahon ah.” Mommy Obama stated that in times of money problems they rely to Mr. Cold mother for financial aid. Mr. Cold Mother helps in sustaining the welfare of the family since they live nearby. If supplies like rice, salt; oil, etc. are insufficient Mrs. Cold ask Kuya Cold to borrow from Mr. Cold’s Mom. c. Breakdown of expenses Mr. Cold usually decides on how to spend the money. Mrs. Cold said that “ginabinlan lang kami ni banahon kwarta di sa balay gastos bakal sud-an kay kada puli nya na di sa balay may dala na na sya nga bugas tag tatlo ka kilo.” Mrs. Cold verbalized the approximate expenses that they spend for a week.

More or

less 800.00 per week, Mr.Cold uses the at least 300.00 per week to buy viand for their meals, which they consume for a week. The 300 pesos uses by her husband to buy rice and sometimes for their viand on the next day.200 pesos used for Mr.

Cold

during

lunch

time

including

20

pesos

for

his

smoking. •

Educational attainment of each member

Mr. Cold was able to study a Mechanics at West Negros College until 1st year and stopped. Mrs. Cold stopped her schooling at

3rd year High School, Ate 1 Cold planning to continue her 3rd year high school. Kuya Cold also is planning to continue his study in 1st year high school, Ate 2 Cold is now in Grade 4, Ate 3 Cold is now in grade 1 and baby Cold is studying in the house. •

Ethnic Background and religious affiliations

Cold’s Family is Roman Catholics, DSHGHJKL. Cold’s Family reigns only in the Land of Murcia. •

Significant others:

Mr. Cold’s Parents are just 50 meters away from their home. In case of needs such as food and money they would usually go to Mr. Cold’s parents .Mrs. Cold stated that “kung wala na gd kami kwarta makadto na land gid kami sa lolo nila, mangayo na lang kami sud-an kag kan-on, kung kis-a sila na lang ga hatag gd, maski wala kami ga pangayo.” But they are not dependent

to

Mr.Cold’s

parents

especially

when

there

is

financial instability, only when they needed.

•

Relationship of the family to larger community:

Cold family participates in the community such as meetings, school programs and some occasions that they were invited. Mr. Cold seldom participates due to works.“Si banahon

kis-a

indi na na ka intra kay gab-I na gapuli.” stated by Mrs.

Cold. With relation to the kids she stated, “baw mga bata ko grabe gd ni mag hampang upod sa mga iban nga mga bata” The family has a healthy relationship with the community, “Wala man kami problema sa mga tupad balay namon kay buot man kami ya.” As verbalized by Mrs. Cold. Chit-chat or gossips about the latest issues in the community, news from the TV especially about movies are the topics in which Cold Family use as communication with the neighbors.

Home and Environment 1. Housing a. Adequacy of living space The house is not adequate for a family of seven. There has a division between the kitchen, bedroom and living room.

b. Sleeping arrangement The house has 2 rooms with bed. Mr.

and Mrs. Cold sleeps

together in one room, Ate 2,3,and baby Cold sleeps in the other room.

Kuya Cold sleep only in the “sala”and Ate 1

Cold seldom sleep at their house usually but sleeps at

her Lolo’s house together with her cousin, 50 meters away from their house.. They use mattress and “banig.” c. Adequacy of furniture and appliances The family had only a small bench and stools (2 single chairs

and

a

long

one)

the

appliances

present

are

television, Karaoke, oven and a rice cooker. d. Presence of insects and rodents Breeding sites of insects especially the mosquitoes and flies are visible in the surroundings of the house, in the stagnant canals meters away from the front door of their house. 2. Presence of accident hazards Their ceiling, they just put without nailed might cause falling accident. 3. Food Storage and cooking facilities They just covered it with another plate. Dry foods such as “uga” were placed in a plastic basket and hang it in the roof. In terms of cooking facilities, they have their own and it is complete. They use charcoal when cooking. They have their own “dirty kitchen” located outside of

their house (2 Kalan). In terms of cooking facilities the family is equip with casserole, “sandok”, frying pan and knives. 4. Water Supply NAWASA is the family’s source of water, with a flat rate of 150 pesos a month. They use a jar, which is covered to store their drinking water. According to them the water is very much potable. 5. Toilet facility Cold Family owns their Comfort room. It is located inside their house. Its toilet does not have any water carriage. They have a tub which their water stored it. It has a fair sanitation and without paint. The toilet bowl itself is clean, there are no fecal materials noted but the smell of the comfort room is stinky that is why the group considered it as having a fair sanitation. 6. Garbage/ refuse disposal They

segregate

their

garbage

as

what

the

community

protocol and for the biodegradable, they just buried. 7. Kind of Neighborhood

Their house is meters away from their neighbors. 8. Drainage System The

drainage

system

of

the

family

is

close

type.

According to Mrs. Cold they put a tube to drain dirty water going to the canal 6 meter away from their house. There is no obstruction present at the drainage system, which makes the flow continuous. 9. Social and health facilities available The

family

Barangay

benefits

Health

from

Center;

the this

services is

offered

where

their

by

the

children

received their full immunizations. The other facilities within the community are the recreational facilities like basketball court and volleyball court. 10. Communication and transportation facilities Only Ate 1 Cold owns a cell phone in the family. Tricycle is their main transportation going to Murcia. D. Health Assessment of each family member According to Mrs. Cold both Mr. Cold and his mother has an

allergy

in

rubber.

They

don’t

use

rubber

strap

slippers but instead a plastic like strap. According to Mrs. Cold they have no medical and nursing history. E. Value Placed on Prevention of disease •

Immunization Status of children

The children have undergone complete immunization. F. Use of Protective measures The family uses slippers when they goes out to play or buy something, and mosquito net except for the children’s room during bedtime.

First Level Assessment A. Health Threats 1. Poor Environmental Sanitation Inadequate living space 2.

Presence

of

breeding

sites

and

disease Presence of stagnant and stinky canals 3. Accident hazards.

other

vectors

of

Fall Hazard (Unnailed ceiling in the sala) B. Foreseeable Crisis

A. Anthropometric Data

Name Weight Height BMI (kg/m2) WHR (cm) Tempera ture Respirati on Pulse BP

Ate 1

Kuya

Ate 2

Ate 3

Cold

Cold

Cold

Cold

Mr. Cold Mrs. Cold

Baby Cold

PHYSICAL ASSESSMENT

Hips

Mr. Cold

Mrs.Col d

-----------

Ate 1 Cold

Kuya Cold

Ate 2 Cold

Ate 3 Cold

89 cm

55 cm

60 cm

-----------

101 cm

56 cm

58 cm

43 cm

-----------

96 cm

50 cm

53 cm

43 cm

Wais t Brea

Baby Cold 40 cm

st Mid9 cm

uppe -----------

29.21 cm

-----------

Smooth skull contour

13 cm

12.5 cm

smooth skull contour

smooth skull contour

Smooth skull contour

Equal movement s, symmetric al,

Equal movement s, symmetric al,

Presence of “timus timus” Equal movement s, symmetric al,

Firm but not tender presence of ear holes for earrings cerumen noted

Firm but not tender presence of ear holes for earrings cerumen noted

Symmetric al, straight

Symmetric al, straight

Halitosis, tooth decay

tooth decay lack of front teeth

Dry skin

Dry skin

Short and well

Short and well

r arm H ead

Eyes

-----------

Ears

-----------

Nose

-----------

M -----------

outh Skin

-----------

Nails

-----------

Equal movemen ts, symmetri cal,

Firm but not tender, presence of ear holes for earrings cerumen noted Symmetri cal, straight ------------Presence of pimples Newly manicure

smooth skull contour

smooth skull contour

Equal movemen ts, symmetri cal,

Equal movemen ts, symmetri cal,

Firm but not tender presence of ear holes for earrings cerumen noted Symmetri cal, straight Complete teeth without decay Presence of pimples

Firm but not tender presence of ear holes for earrings cerumen noted Symmetri cal, straight Tooth decay noted, Halitosis Presence of pimples

Short and well

Presence of black

Firm but not tender presence of cerumen noted

Symmetric al, straight Tooth decay noted Dry skin

d

Hair

-----------

Wavy and black color, presence of dandruff

trimmed both hands and foot Slightly curl with mixed color black and brown hair

“kutiks” in both hands and foot Short black hair with dandruff

* We were not able to asses Mr. Cold due to his work.

trimmed

trimmed

No presence of lice, dandruff and nits, mixed color black and brown

No presence of lice, dandruff and nits, black color

Short and well trimmed Short black hair