Occupation

Jonas

Jessica Jane

26 M Married 30 F Married 1 F Single

Construction Worker Housewife None

A. Family Structure, Characteristics and Dynamics The Arizala Family is a typical nuclear type of family consist of the father, Mr. Jonas (not his real name) who is a construction worker. Mrs. Jessica (not his real name), a full time housewife and their 1 year old baby girl Jane (not his real name). Mrs. Jessica is currently 7 months pregnant and is expected to give birth on the first week of June. Mr. and Mrs. XXXX dont have a hard time in terms of decision making because each of them tend to consider each others opinion first before coming up with the final decision especially regarding health matters. The father is the head and breadwinner of the family while the mother takes care of the household chores and their first born baby girl Jane. B. Socio-Economic and Cultural Characteristics Low educational background seems to be an obstacle for Mr Jonas to get a good job. He never finished elementary education and was forced to work as a construction worker receiving only P250 per day. On the other hand Mrs. Jessica was fortunate enough to finish second year high school but decided to stay at home to take good care of their first born child. Mr. Jonas monthly income is approximately P5,000 per month just enough to pay for their monthly rent, electricity bill, food and milk allowance and transportation expense. Most of the time, the budget for health maintenance is being sacrifice and not given enough priority due to lack of money. According to Mrs. Jessica, she spends P150 per day to meet their daily basic needs. The XXXs are basically from Antique, Aklan. They migrated to Manila hoping for a better life, but unfortunately they found out that the lifestyle in urban offers very little opportunities. The family is not a member of any social organization in the community nor an a active member of the catholic church. C. Home and Environment The family resides in a depressed area in Brgy. Pasong Tamo, Area 3, Quezon City. Their house is made up of wood and light materials. The floor area is approximately 6 sq. meters. The family sleeps together in a wooden bed with foam situated near the entrance door which also serves as their receiving area. They usually sleep very early at around 8 p.m. and wakes up at 7 a.m. The house is not well ventilated and there is inadequate lighting. Breeding sites for mosquitoes, flies, cockroaches, and rodents are inevitable due to open drainage and poor environmental sanitation. Their toilet facility is located at the back of their house which they share with all the families in the compound. There is no water supply in the area so Mr. Jonas is force to fetch water 20 meters

away from their house and costs 2 pesos per container. Mrs. Jessica buys their food in the market and stores it in an uncovered cabinet leaving it exposed to germ and bacteria. She usually cooks vegetable and fish dishes. The garbage is collected twice a week by a DPS truck. Tricycles roam around as their means of transportation while public phone for communication are available at the sari-sari store. Carinderias and mini-market are also visible within the vicinity. The overall surrounding of the family is unhygienic and the drainage system is open and very proximate to the houses. Only wooden walls separate them from their neighbors and the electrical connections are entangled and hazardous. D. Health Status of Each Family Member Mrs. Jessica is in a critical stage since she is seven months pregnant to her second child and is expected to give birth on the first week of June. Her first pre-natal check-up was done three months ago and was never repeated due to lack of time and awareness. According to her, she had a hard time delivering her first child due to hypertension. She gave birth at home with the help of a hilot and plans to do the same with the second child. Her first baby Jane is quite small for her age, though, she was able to walk and stand at the age of 9 months. As of now she is already learning how to speak. She had already taken vitamins during the first three months of her pregnancy but wasnt able to sustain it due to lack of money. She had her first dose of TT1 last February during her pre-natal check-up. She feeds her baby girl Jane 3 times a day with condensed milk and small amounts of solid foods like a mashed potato and rice with soup. Her husband Mr. Jonas sometimes complain of severe pain at the back of his neck maybe as a sign of hypertension and over fatigue but has no family history of hypertension in the family. The family doesnt use herbal medicine and goes to the health center when need arises. E. Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention The family sleeps early to have enough rest and energy for the next day. Mrs. Jessica goes out every morning to walk and exercise outside together with Jane. The family uses bed nets at night to protect them from mosquitoes and other insects while they are sleeping. The first born baby is complete with all the immunization required. Pa-BINGO is held every month at their compound as a form of their relaxation and entertainment. NURSING PROCESS RECORDING I. Personal Data

Name: Jessica XXX Age: 30 Sex: Female Civil Status: Married Educational Attainment : Second Year High School Order/Position in the family : Mother

II. Assessment prior to introduction The area is congested, there are around 20 families in a compound who is expose to several health hazards like poor environmental sanitation, open drainage system and inadequate living space. The XXX is one of those families living in the area. Mrs. Jessica is busy taking good care of her child who is about to sleep at the time when I arrived for the initial interview. III. Objectives A. Short-term Objectives To be able to achieve integration within the family and to promote health education and active participation in terms of general and distinct health necessities B. Long term Objectives To be able to study the conditions of the community with focus on the health aspects IV. Date, Place, Time and Duration of Nurse-Patient Interaction The interview took place dated April 23, 2005 in front of Mrs. Jessicas house at exactly 10:10 a.m. It lasted for about 15 minutes and I was very glad that Mrs. Jessica was very accommodating. I did not hesitate to ask relevant questions because she showed a lot of interest in the conversation. V. Brief description of the setting I was able to visit Mrs. Jessicas place twice and somehow I noticed that their house has no enough lighting and ventilation. I wonder how they manage to stay there for two years without water supply and no private toilet facility. Their house is considered to be a make shift type of house and has inadequate living space. The wooden bed found near the main door serves as the living room area leaving a small space for kitchen VI. Nurse-Patient Interaction VII. Evaluation Based on my interview, the family needs more orientation and information regarding health issues. They should value or prioritize their health above all. The importance of prenatal check up and malnutrition should be given emphasis to ensure the development of the baby. Inadequate living space and poor environmental sanitation seems to be a threat to the familys health.

Overall, the health requirements of the family are not being met due to poverty and lack of awareness. VIII. Future Plan or Objectives for the next interaction Promotion of health, prevention of diseases together with simple treatment and rehabilitation would be my next objective to help the family alleviate their health status and conditions