Case Presentation #1

Fernandez
Family
Elijah Quiano
Danela Umed
19 September 2018
Family
Background
Fernandez Family
Barangay: Sitio Katwiran

Municipality/ City: Rodriguez

 Name Age Relationship to Head of
Household

Cornelio Fernandez 46 Father

Cornelia M. Fernandez 45 Mother

Arnel Fernandez 11 Son

Arvin Fernandez 8 Son

Ann Marie Fernandez 4 Daughter

Family Mobility

Length of time at current address: 11 years

Address of previous residence: Payatas
Frequency of geography moves: 1
Family Dynamics
Emotional Bonding: Going to malls and parks (Robinson Malls and Quezon Memorial
circle)
Distribution of authority & mother: Both mother & Father
Degree of individual autonomy: Verbal, time varying
How members communicate: Verbal
How decisions are made: Mutual decision of parents
How problems are solved: Helping each other
How conflict is handled: Waiting for a cool off, before communicating
Division of labor: Father-Mother (Both providers); Children (Students) Chores are
done by everyone.
Socioeconomic and Cultural Characteristics

Language or dialect spoken: Tagalog

Literacy: 4th year high school
Degree of social network with friends, neighbors, and other relatives: Work is good.
Network with religious organizations: Catholicism; Holidays
Network with social organizations: None
Socioeconomic and Cultural Characteristics

Education Background: Mother graduated 6th grade; Father is high school graduate,

Work History Education: Father works at construction

Adequacy of financial resources: According to the father, it was inadequate

Leisure Time Interests: 1 week of break

Cultural influences:
Values attitudes and Beliefs
Religion: Catholic
Health Illness
Pattern
Health concerns of the family
The father has been diagnosed with a broken foot.

Pests are prevalent

Health concerns that are non-salience
Garbage disposal by burning in front of their house

Children do not know the repercussions of always playing in the rain and not wearing boots when the
mud is deep and slippery
Health Beliefs
They believe in wack doctors

Father believes that there will be adverse effects during having a cast.
Participation about health
The father had the injury x-rayed and is advised to have cast

The family has been seeking healthcare from the health center for the past couple of years.

According to the father, he states that he rarely drinks

Medical history/current History
The father suffered the current broken foot d/t an accident during at work. According to him a giant
plank of wood fell on his foot.

The father has been impaled before during also an accident in construction which according to him has
affected both his lungs and liver but has now healed.
Scale for Health
Problems
 Injured Foot of the Father

Criteria Score Weight

Nature of the Problem: 3/3 1 1

Health Deficit

Modifiability of the 1/2 2 1

Problem:
Partially Modifiable

Preventative Potential: 1/3 1 .33

Low

Salience: 2/2 1 1
A serious problem,
immediate attention
needed

3.33
 Pest Control

Criteria Score Weight

Nature of the Problem: 2/3 1 .66

Health Threat

Modifiability of the 2/2 2 2

Problem:
Easily Modifiable

Preventative Potential: 3/3 1 1

High

Salience: 2/2 1 1
A serious problem,
immediate attention
needed

4.66
Family Nursing
Care Plan
Health Problems 1.
2.
Injury of father’s right foot
Pesticides
 ●Inability to recognize the presence of a
problem, due to lack of knowledge with
the injury
●Inability to make decisions with respect

Family Nursing to taking appropriate health action, due

to the injury of the father
Problems ●Inability to provide adequate nursing
care to the sick, disabled, dependent or
vulnerable/at risk member of the family,
due to lack of finances
●Garbage disposal via burning in front of
the house may provide pulmonary
complications
●Failure to utilize health care from
hospital specialists, such as medications
and casting, due to disability and
refusal.
Goal of Care After nursing intervention, family
will take necessary measures to
prevent potential harms that
could negatively affect their
well-being.
 After nursing intervention, the family
will:
● Ensure that Mr. Fernando will have
Objectives of regular check-ups at the health

Care center.
● Make sure that Mr. Fernando is
taking his medications.
● Educate the family regarding the
potential health repercussions of
playing in the rain
● Recognize the potential harms that
surround inside and outside their
home.
 ●Broaden the knowledge the family on
potential complications specifically:
○ Discuss implications of the signs and
Nursing symptoms presented by Mr.

Interventions Fernando.
○ Educate the family of consequences
of poor health choices
○ Discuss the consequences of failure
to take appropriate action on the
problem.
○ Discuss the appropriate actions to
be taken by the family, in
accordance with their convenience
 ● Home visit and clinic visit
● Referral to specialist

Method of
Family Nursing
Contact
 ● Use of illustrations to
demonstrate the benefits and/or
consequences of health choices
●
Resources Medication (Mefenamic acid and
Amoxicillin) for the father’s
Required swollen R foot; also explaining
the therapeutic effects and side
effects of the medication
● Moth balls, mosquito repellents
and cockroach repellents to
prevent accumulation of pests
Feedback
The family accepted the umbrellas that were given to them. They also understood and
took into consideration the health education that was provided for them. Although they
seem to dismiss the chance of having the broken foot to be casted.
Case Presentation #2

Celeutterio
Family

Elijah Quiano
Danela Umed
19 September 2018
Family
Background
Celeutterio Family
Barangay: Katwiran

Municipality/City: Rodriguez
 Household Members

Name Age Relationship to Head of

the Household

Nilda Celeutterio - -

Noli Farinas Celeutterio 50 Husband

Jake Ivan Ceeuterrio 8 Son

Mobility
Length of time at the current address: 45 Years

Address of previous residence: N/A

Frequency of geographic moves: N/A

Family Dynamics
Emotional bonding of family: Watching TV, Eating
Distribution of authority and power: Mother mostly makes decisions
Degree of individual autonomy: Normal
How members communicate: Verbal
How decisions are made: Mother makes the decisions
How conflict is handled: Silent treatment then verbal communication
Division of labor: Both parents are working.
Socioeconomic and Cultural Characteristics
Language(s) or dialect(s) spoken: Tagalog; Bikolano (can understand but not speak)

Literacy: Able to read and write

Degree of social network with friends, neighbor, and other relatives: Verbal. She states
she has an “okay” relationship with friends neighbor and relatives

Network with religious organizations: None

Network with social organizations: None

Socioeconomic and Cultural Characteristics
Educational experiences: Up to Grade 3

Work history: None

Adequacy of financial resources: Moderately Adequate

Leisure time of interests: None

Cultural Influences: Values, Attitudes and
Beliefs

Spirituality: Roman Catholic

Rituals (holidays and celebration): None

Dietary habits: None. (Normal diet)

Cultural Influences: Values, Attitudes and
Beliefs

Health: None

Folk diseases: None

Traditional healers: None

Health Illness
Pattern
Health Concerns of the Family
Prevalent pests (cockroaches, rats, and mosquitoes)

Improper water sanitation

Smoking as a health threat of the father

Health Beliefs
Mother believes that there will be adverse effects of medication to her kidneys.
Participation about health
If illness is severe, the mother says that they take the medication.

The family has been seeking healthcare from the health center for the past couple of
years.
Scale for Health
Problems
 Pest Control

Criteria Score Weight

Nature of the Problem: 2/3 1

Health Deficit

Modifiability of the Problem: 2/2 2

Easily Modifiable

Preventative Potential: 3/3 1

High

Salience: 2/2 1
A serious problem,
immediate attention
needed

⅔+2+1+1= 4 2/3
 Improper Water Sanitation

Criteria Score Weight

Nature of the Problem: 2/3 1

Health Deficit

Modifiability of the Problem: 0/2 2

Not Modifiable

Preventative Potential: 3/3 1

High

Salience: 0/2 1
Not a felt/need problem

⅔+0+1+0= 1 2/3
 Smoking of the Father

Criteria Score Weight

Nature of the Problem: 2/3 1

Health Deficit

Modifiability of the Problem: 0/2 2

Preventative Potential: 2/3 1

Salience: 2/2 1

⅔+0+⅔+1= 2 1/3
Family Nursing
Care Plan
 ● Pest prevalence (cockroaches, rats,
and mosquitoes) as a health threat.
○ According to Nilda, pests are
Health Problems prevalent in their home.
● Improper water sanitation as a
health threat.
○ According to Nilda, the water
is prone to be infected.
○ According to observation,
the pipes are near the
sewage water.
● Smoking as a health threat of the
father.
○ According to Nilda, at most
he smokes 10 cigarettes a
day.
 ● Inability to maintain a home
environment conducive to good
health and personal development
due to…
Family Nursing ○ Lack of pest control

Problems ○ Lack of knowledge of pest

control
● Inability to recognize the
interpretations of health or
development due to…
○ Lack of knowledge
○ Lack of resources
● Inability to seek health care due to
○ Poor decision making
Goal of Care After nursing intervention, family will
take necessary measures to prevent
potential harms that could negatively
affect their well-being.
Objectives of After nursing intervention, the family
will:
Care ● Be able to live in a pest
controlled environment.
● Be aware of potential health
hazards of water contamination
and living near a sewage
● Be aware of the adverse effects
of smoking
Nursing In order to provide health care:

Interventions We will donate a rat trap and insecticide to

the family. Also, instruct on how to properly
use them for maximal efficiency.

We would also provide health education

about sanitation and its importance when it
comes to water resources

We would also provide another health

education for the father to explain the
adverse effects of smoking to a person
 ● Home visit and clinic visit
● Referral to specialist
Method of
Family Nursing
Resources Visual Aids for explanation

Required Brochures

Rat trap and Insecticide

Feedback
The family was accepting in giving the insecticide and rat trap. They were familiar with what we gave
them.