VII. FAMILY COPING INDEX CATEGORY INITIAL 1 3 1.

Physical Independence 5 FINAL 1 3 5 Initial: The group gave the family a score of 3 in the This category is concerned with the ability to move about, for example, to get in and out of bed and to take and care of daily The may initial visit because the mother provides the needs of the members of the family in a scant manner. It may be considered as inadequate because they only have the capacity to provide for some of the needs of the family but not all the basic necessities that each of them must have. On a lighter note, the children are sometimes being neglected by their mother because of the household chores. Each of the family members of the Herbal family can do their responsibilities on their own like brushing their teeth, washing plates and cleaning the place where they slept; however, the care is given more to the children. Mother Malunggay mostly forgets to get herself groomed well. She has uncombed hair and takes a bath late in the afternoon. JUSTIFICATION

grooming causes of

walking.

dependence of

varylack

physical

independence in the family may be due to actual physical incapacity, to lack of knowhow, or to unwillingness or fear of doing the necessary tasks.

Final: Each member of the family gets their necessary care needed to maintain their hygiene as far as possible within their physical abilities. Each receives assistance needed without delay. Mother Malunggays hair is combed. 2. Therapeutic Competence Initial: The group gave the family a score of 1 131 | P a g e

because the family does not carry out This category includes all the procedures or treatment procedures which are out of harms-way and does unsafe actions, which may cause harm to them, in case of emergencies like performing self-medications some herbal medicines or drinking without

prescribed for the care of illness, such as giving medications and using appliances (including

crutches), dressings, exercises and relaxation and special diets.

understanding well the uses of which and without consulting medical professionals. Importance to prevention of illness is clearly being neglected as proven by the familys inability to maintain good personal hygiene. Moreover, the family believes in mananawas, manghihilot or also known as faith healers to be effective in healing certain illnesses. They do not consult health professionals unless the problem has gotten really worst.

Final: The group gave the family a score of 5 because during their first visit, Mother Malunggay was personally taught how to clean a wound properly by the help of the student nurses. It was said by Mother Malunggay that she is still reliant with the doctors to intervene with their health deficits, although Mother Malunggay witnessed and ingested personal hygienic knowledge and techniques that were demonstrated during the visits. Mother Malunggay is not confident enough to apply strategies to promote health in case her family members are anywhere ill. Even though Mother Malunggay isnt self-

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assured, she is resourceful in her community in a case of urgency. 3. Knowledge of Health Condition Initial: It would be just to give the family a fair score of 1 because of their perception towards This category is concerned with the particular health condition that is the occasion for care, for example, disease understanding knowledge or of the disease condition. Though, the family is very much capable of performing self-

medications, which can be beneficial at certain times but can also be extremely dangerous when performed in a wrong manner. The family does not also view

disability, of

communicability of diseases and modes of transmission,

diseases as occurrences that need to be taken seriously as proven by their not utilizing the health services that are offered for free in their health centers and by their not consulting health professionals even if the entire family has been exposed already to a communicable disease like measles and sore eyes.

understanding of general patterns of development of a newborn baby and the basic needs of infants for physical care and tender and loving care.

Final: The group decided to give the family a score of 5 because along with the groups explanation to the family the benefits of always consulting a health professional with regards to pieces of health advice, though, over-the-counter drugs are sometimes not prohibited to use like paracetamol for fever. The family especially Mother Malunggay has guaranteed that before anything else, she will prioritize the health of her children which would of course help in avoiding health

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threats, specifically cross-infection of a communicable disease case. Also, the family was seen to be improving with regards to promoting health because they are

observably well groomed now and they have set aside things that may lead to health deficit and done actions in collaboration with the student nurses to minimize, if not totally alleviate health threats which were identified to be existing in their family. 4. Application of Initial: The group gave the family a score of 1 because some of the members of the family are unkempt and very dingy. The children This is concerned with family walk barefooted and not able to maintain cleanliness after she has taken a bath because of excessive playing outside the house. It was also noted that some of the family members have a poor personal hygiene as evidenced by lice infestation in the children, dirty finger nail and toenails, presence of dental carries, dirty clothing. The group also observed used of uncover trash container with full garbage inside the house and the placement of insecticide near the storage of plates and cook wares.

Principles of Personal and General Hygiene

actions in relation to maintaining family nutrition securing

adequate rest and relaxation for family members and carrying out accepted preventive measures

such as immunizations, medical appraisal and safe home-making habits in relation to storing and preparing food

Final: The group decided to give the family a score of 3 because Promotion of preventive measure was completely given emphasis during the last home visit. The family was

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observed to be taking a bath every time we pay them a visit and was given

recommendations for it. Also, the insecticide were sorted out and put separately from the food preservatives, which of course, puts the familys nutritional state away from danger. Their sleeping pattern which is

approximately 6 hours a day has also improved to 7 to 8 hours a day. The children are also, little by little being controlled by their mother with regards to excessive eating of junk food because of her knowledge about the negative effects of eating junk foods all the time as explained in the health teachings of the student nurses. 5. Health Care Attitudes Initial: The group gave the family a score of 1 This category is concerned with the way the family feels about health care in general including preventive illness measures. services, public care of because the family members are more inclined to go to see a manghihilot or herbolarios when they perceive an illness or disease. Though Mother Malunggay feels that health care is really important it is conspicuous that she doesnt give a great value with regards to it as evidenced by their very poor practices and values that inhibit the promotion of health. Though, bothered by series of communicable diseases which has affected the entire family, they still wont bother to figure out what factor, be it at home or the environment has been causing diseases to plague their health condition.

and

health

Final: 135 | P a g e

The student nurses gave the family a score of 3 as evidenced by the Herbal family is still the same with their doctors are everything perception. In the student nurses case, the family would not consult a doctor for occasional checkups for the children even if they show absence of illness on the outside. Mother Malunggay would still have the motivation to buy prescribes medications from her doctors as well.

6. Emotional Competence

Initial: The group gave the Herbal family a score of

This category has to do with the maturity and integrity with which the members if the family are able to meet the usual stresses and problems of life, and to plan for happy and fruitful living. This involves the degree to which individuals accept the necessary disciplines imposed by ones family and culture; the

5 because based on what they had learned, even though the family experiences poverty, they are able to cope and satisfied on what they have. In times of family crisis, the family provides emotional support to each other as their means of coping it. The parents play a major role in providing their children with guidance.

development and maintenance of individual responsibility and

Final: The familys emotional competence remains the same. Despite of their low economic status, the family was able to cope up and maintain the unity among their family members. They maintain an open

decision; and willingness to meet reasonable obligations, to accept adversity with fortitude, and to consider the needs of others as well as ones own. 7. Family Living Patterns This category is concerned

communication to facilitate family solidarity. Initial: The family exhibits unity in doing things together. Their children are seen to be 136 | P a g e

largely with the interpersonal or

group aspects of family life how well the members of the family get along with one

showing respect to their parents and elderly by following and obeying their parents orders. Parents treat each of their children fair and equal. They strive together for survival.

another, the ways in which they make decisions affecting the family as a whole, the degree to which they support one another and do things as a family, the degree of respect and affection they show for one another, the ways in which they manage the family budget, the kind of

Final: The children continue to show their respect to their parents by running errands for them. They love each other by taking care of each and everyone in their family. Parents show their love by cooking food for them. They share tasks equally according to their capabilities.

discipline that prevails.

8. Physical Environment

Initial: The group gave the family a score of 1

This category is concerned with the home and community or work environment as it affects family health. This includes the conditions for housing, presence of accident hazards, screening, plumbing, facilities for cooking and for privacy ; level of community modern, (deteriorated of or social

because the overall sanitation of the house needs some improvements. Presences of breeding sites for rodents which may cause communicable and serious diseases have been observed. Dead cockroaches have also been noted under some furnitures. It is very exposed on the outside with tons of garbage collected by Father Bayabas, therefore, lacking the sense of privacy leading people to interfere to the actions that the family members might do. With regards to the level of the community, the community has good facilities because it has a day care center, school, health center and the like that can supply the needs of the family. For transportation, the family rides jeepney and tricycle to get to their house, but usually walk

presence

hazards such as bars, street gangs, delinquency, pests such as rats etc, availability of schools and and

conditions

transportation.

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most of the time.

Final: A score of 5 is given to the family since there is a seen improvement in the house such as, same materials are already organized, the breeding site of rodents and pest were lessened and there is improvement in their spacing because the furniture were arranged and set properly. Same facilities in the community are also available and functional and are being utilized now by the family. Two of the children are going to school and the mother ensured us that she would schedule a regular check up for the entire family, even when they are not sick to promote health and prevent sickness.

9. Use

of

Community

Initial: The group gave the family a score of 1 because the family is not completely aware of the privileges that their communitys Health Center and Barangay provides. The family also seldom goes to the health center to have check-ups and is not aware of the schedule of the respective programs and services that the center renders. The two of their children also studied in the elementary school of their barangay. Final: A score of 3 is given to the family. With the 138 | P a g e

Facilities

This category has to do with the degree to which family members know about and the wisdom with which they use available

community resources for health, education, and welfare. This would include the ways in which they use services of private physicians, clinics, and so forth. Even though they have a severe housing problems, if they have used all appropriate facilities for

enhancing compliance regulations

the with to

landlords sanitary public

health teachings rendered with the family especially with Mother Malunggay, she is now aware and was encouraged to follow the interventions given to her and she verbalized that she will be attending the seminars being organized conducted by the health center.

secure

housing, their coping capacity in relation to use of facilities is high even though the underlying

condition is not corrected.

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