DR. YANGA’S COLLEGES, INC.

Wakas, Bocaue, Bulacan

College of Health and Sciences

Bachelor of Science in Nursing Program

In partial fulfillment
of the requirements in
Related Learning experience

“Family Case Study”

Submitted by:
Garcia, Khate Zaira S.
Bachelor of Science in Nursing 2A

Submitted to:
Doc. Regie De Jesus
Gerlita Pio, MAN

S.Y. 2022-2023
 I. Introduction

A standard definition of community has formed as a collection of

individuals with various traits who are connected by social ties, have similar
viewpoints, and take part in cooperative activities in certain settings or locales
(MacQueen et al., 2001). "Health is a condition of complete physical, mental, and
social well-being and not only the absence of disease or disability," according to
the WHO constitution. This term has an essential implication that mental health
encompasses more than just the absence of mental illnesses or disabilities (Health
and Well-Being, n.d.).

Community health (CH) nurses offer communities and people health

services, preventive care, intervention, and health education. Community health
nursing, also known as public health nursing or community nursing, blends
primary healthcare with nursing practice in a community environment, according
to Lamar University (2022). Community health (CH) nurses offer communities and
people health services, preventive care, intervention, and health education. The
Family Assessment is a methodical, multi-faceted method of evaluating families. A
variety of tools and techniques are included for involving families in assessment
work and encouraging family contact. Additionally, it enables professionals to
conduct qualitative and quantitative assessments of family functioning that are
supported by empirical data (Child and Family Training | the Family Assessment,
n.d.).

Community health nursing is one crucial way that nurses may support the
community. It plays a significant role in the growth of a community where
everyone reaches the highest possible level of functioning and health. No matter
the setting—public, educational, or professional—nurses in this industry continue
to play a crucial role in improving the community's overall health. Community
nurses have the additional responsibility of promoting health. By reducing risks
and potential health issues, they can help others live longer. as it doesn't just
concentrate on one patient and contains extra subspecialties that the public needs.
A prominent area of nursing practice is community health nursing. Our ability to
apply our goals to a bigger population helps to promote and maintain health.

The term "family" refers to a group of individuals who are connected to one
another through the bonds of marriage, blood, or adoption. These individuals live
under the same roof and interact with one another according to the roles that they
play in society, which are typically those of spouses, parents, children, and
siblings. It is important to differentiate the group of people known as a family from
a household, which can include lodgers and roommates who share a same
residence. It is also important to distinguish it from kindred, which also refers to
blood lines, because kindred might be composed of multiple houses. In many
cases, the term "family" is used interchangeably with "marriage pair." However,
the primary component of a family unit is the relationship between a parent and a
kid, which may not exist in many marriage pairs (Family | Definition, Meaning,
Members, Types, & Facts, n.d.)

A. Objective
a. Short Term
Student Nurse Centered
After spending one day conducting home visits, the student nurses will be able to
accomplish the following goals:
 Become familiar with the community and the individuals who live there.
 Get to know the different members of the family and establish a rapport with
them.
 Give an explanation as to why house visits are being conducted.
 Conduct a thorough inspection of the home as well as the level of
cleanliness present in their immediate surroundings.
 Determine the current state of each individual member of the family's health.
 To offer guidance on matters relating to the wellbeing of the family.

Client Centered
After one day of the student nurse making house visits, the family that was chosen
will be able to do the following:
 Have faith and confidence in the student nurse.
 Keep working together with the nursing student.
 Determine whether or not the client has understood the instruction that was
given to them.
 Acquire knowledge from the health instruction that has been provided, and
be aware of the significance of maintaining a healthy body.
b. Long Term
Student Nurse Centered
After conducting house visits for a total of two days, nursing students should be
able to accomplish the following tasks:
 Educate the family so that they are able to care for themselves independently
 Provided instruction to the family on how to maintain appropriate levels of
cleanliness.
 Assist the family in recognizing real and potential issues that may stand in
the way of achieving optimal health, and provide solutions to those issues as
appropriate.
 Come up with interventions while taking into account the resources offered
by the nurses, the community, and the family.
 Improve their capacity to engage in conversation and interact with other
individuals as a result of the education they receive from being exposed to
the community.
 Evaluate any changes in the condition that have occurred as a result of the
therapies.

Client Centered
Following the completion of the home visits that took place over the course of two
days, the family will be able to:
 Put into practice some of the health education that the student nurse had
provided.
 Become self-sufficient, especially when it comes to issues concerning your
health.
 Achieve an appropriate level of personal hygiene.
 Ensure that the available resources are used to their fullest potential.
 Determine any health issues that might stand in the way of achieving your
ideal level of health.

B. Entry, Climate of Acceptance, First Few Words, Number of Home Visit

 The student nurses choose a different family to assist for. This particular
family lives on Garcia Street in Bocaue, Bulacan. The nurses were given a guided
tour of the community on the very first day of their community exposure, which
was on Wednesday, October 5, 2022. This allowed them to become familiar with
the neighborhood.

To their good fortune, on the very same day, the student nurses
visit a family that fulfills the requirements for their course of study. They are in a
level of poverty, have health concerns, and have a family that requires aid and
health teachings. They are near a river, which means that whenever there is a
storm, they are the first people who are flooded. The family that they decide to use
as the topic of their research, which they refer to as the Dog family, is quite
receptive to their inquiries, as well as very accommodating.

First Home Visit (October 05, 2022, Wednesday)

On the afternoon of our first day performing community work, which was a
bright and sunny day, we were accompanied by a mother leader from the barangay,
who assisted us in locating a family that would be a part of our family case study.
When we were searching for a family, we came across a mother who was walking
down the street. Our mother leader approached her, and after some conversation,
she decided to be our family to be evaluated.

The family that has been referred to as the Dog Family is headed by a
woman who is 29 years old and who has four children. The Dog Family currently
resides on Garcia Street in Taal Bocaue, Bulacan. Because their home is located so
close to a dike, it is the first place to become inundated whenever there is heavy
rain or flooding. Their projected weekly income is only 3,000 pesos, despite the
fact that Ate Bulldog works inside the home as a housewife and that German
Shepherd works outside the home as a "latero." After we have completed an
assessment and an interview with her family, I go over with them some
fundamental information, such as how a sanitary environment may make a positive
impact to their overall health. Mr. German shepherd and their son, Aspin is not
present at their home because Mrs. bulldog informed us that her son is studying
and that his husband is working so I am therefore unable to assess them. Following
that, we went straight back to the Taal health clinic.

Second Home Visit (October 06, 2022, Thursday)

On our second visit to their home and our last home visit, (October 06, 2022,
Thursday) which took place on a bright and beautiful afternoon, we found Mrs.
Bulldog resting off inside their home along Mrs. Bulldog's son Poodle and his
youngest daughter Shih Tzu. I started off by doing some talking, and then we
continued with the assessment from head to toe and Fancap. After that, I noticed
that their environment had been cleaned up; the leaves that were scattered around
their environment had been swept away; the dogs, chickens, and chicks that we had
seen on the first day are now locked up; and there is no more clutter.

II. Family Constellation

Name Age Ordinal Sex Educational Present Health
Position Status Status
Mrs. 29 Mother Female just finished Mrs. Bulldog's hair
Bulldog sixth grade is thin, short and
black, and it is
pulled back into a
ponytail.
She had on a gray
sando top, pajamas
with a design in
gray, and sleepers
over top of her
pajamas. Her
fingernails had
been neatly
trimmed and were
clean. She has a
complete set of
teeth and very little
 dental decay,
despite the fact that
her teeth have a
slightly yellowish
tint to them. On her
belly, stretch marks
were observed on
both the left and
right lower
quadrants. Her
fingernails and
toenails were both
trimmed, but her
toenails were
slightly dirty. and
we noticed that he
had a cold.
However, the
overall appearance
is decent.

Her vital signs are

as follows:
T- 36.9 °C
PR- 84 bpm
RR- 18 bpm
BP- 110/70 mmHg

BMI =
26.57(overweight)
Mr. 34 Father Male just finished The student nurse
German 1st year high did not assess Mr.
Shepherd school German shepherd
because he is
working all day.
Aspin 10 Oldest Son Male Grade 4 The student nurse
(Elementary) did not assess
Aspin because he
was at school all
day
Poodle 6 Second Son Male Grade 1 Poodle is a thin but
(Elementary) very healthy kid, he
has thick, shiny
black hair, and he's
dressed in a gray
shirt, blue shorts,
and slippers that
are just a little bit
dirty. Both his
fingernails and
toenails have been
thoroughly
trimmed and
cleaned. The boy
was neat, and I did
not see anything
unattractive about
his appearance,
aside from his tinny
body but fit on his
weight and height
and, like her
mother, he was
suffering from a
cold.

His vital signs are

as follows:
T- 36.5 °C
PR- 90 bpm
RR- 16 bpm
BP- 120/80 mmHg

BMI =
19.89(normal)
Shih Tzu 7 Only Female hasn't gone to Shih Tzu is a
months Daughter school yet chubby baby who
is seven months
old; she has thin
hair that is very
 soft; she is dressed
in a white sando
and white shorts
with designs on
them. Both her
fingernails and
toenails have been
thoroughly
trimmed and
cleaned. I did not
find anything
unattractive about
her appearance, just
like I did not find
anything unsightly
about her oldest
brother. However,
he suffers from a
cold just like his
mother and brother.

Her vital signs are

as follows:
T- 36.5 °C
PR- 92 bpm
RR- 20 bpm

BMI =
19.96(normal)

III. Health Assessment (IPPA-CEPHALOCAUDAL)

A. Physical Assessment of each member
Mrs. Bulldog
Parts Of the Technique Normal Actual Remarks
Body (IPPA) Findings Findings
(System)
Mouth Inspection No dental very little
 decay dental decay
Mouth Inspection Pearly white slightly
yellowish
teeth

Abdomen Inspection no visible Stretch marks

lesions or on her belly
scars.
Chest Auscultation Bronchial and Rhonchi
vesicular breath sounds
breath sounds

Mr. German Shepherd

Parts Of the Technique Normal Actual Remarks
Body (IPPA) Findings Findings
(System)
No assessment has been made

Aspin
Parts Of the Technique Normal Actual Remarks
Body (IPPA) Findings Findings
(System)
No assessment has been made

Poodle
Parts Of the Technique Normal Actual Remarks
Body (IPPA) Findings Findings
(System)
Chest Auscultation Bronchial and Rhonchi
vesicular breath sounds
breath sounds

Shih Tzu
Parts Of the Technique Normal Actual Remarks
Body (IPPA) Findings Findings
(System)
Chest Auscultation Bronchial and Rhonchi
vesicular breath sounds
breath sounds

B. FANCAP Assessment of each member

Mrs. Bulldog
DESCRIPTION (result of REMARKS
assessment)

F- FLUID The assessment from Fluid

indicates that the patient does not
appear to be in any danger. She
consumes eight glasses of water
each day, her skin is not dry, her
color is acceptable, she does not
have any edema, her temperature
is normal, and her urine output is
normal. She also does not have
any abnormalities in any of her
other vital signs.
A - AERATION The assessment of the aeration
shows that the patient is not in
complete and utter good health.
Her breathing is regular, she
does not have shortness of
breath, and her respiratory rate is
normal; nonetheless, she has
rhonchi breath sounds because
she had a cold. Her breathing
pattern is normal.
N - NUTRITION The student nurse believes that
the patient will have no further
complications about her nutrition
because their diet is well-
balanced. Additionally, she gets
 her vitamins from the health
center.
C - COMMUNICATION According to my observations,
the patient is performing well in
terms of communication. This is
because the patient is interested,
she does not have any fear from
any treatment that I've done, she
also readily understands what I'm
saying or asking, and she always
smiles and communicates what
she's feeling.
A – ACTIVITY OF DAILY According to my assessment, her
LIVING (ADL) activities of daily living are not
that fine because her elimination
pattern is irregular. However, she
does take care of her children,
especially her 7-month-old
daughter. She always does her
house chores, she takes care of
her children, and she maintains a
regular sleep pattern. She sleeps
8 hours a night and takes a short
nap in the afternoon every day.
She also said that she takes bath
every day ang brush her teeth
twice a day (every morning and
before bed time)
P - PAIN My evaluation shows that she is
not experiencing any pain other
than that caused by stress.

Mr. German Shepherd

DESCRIPTION (result of REMARKS
assessment)
F- FLUID
A - AERATION
N - NUTRITION
C - COMMUNICATION No assessment has been made
A – ACTIVITY OF DAILY
LIVING (ADL)
P - PAIN

Aspin
DESCRIPTION (result of REMARKS
assessment)
F- FLUID
A - AERATION
N - NUTRITION No assessment has been made
C - COMMUNICATION
A – ACTIVITY OF DAILY
LIVING (ADL)
P - PAIN

Poodle
DESCRIPTION (result of REMARKS
assessment)

F- FLUID The assessment from Fluid

indicates that the patient does not
appear to be in any danger. He
consumes eight glasses of water
each day, his skin is not dry, his
color is acceptable, he does not
have any edema, his temperature
is normal, and his urine output is
normal. He also does not have
any abnormalities in any of his
other vital signs.
A - AERATION The assessment of the aeration
shows that the patient is not in
complete and utter good health
like her mother. His breathing is
regular, he does not have
shortness of breath, and hi
 respiratory rate is normal;
nonetheless, he has rhonchi
breath sounds because he had a
cold like her mother. His
breathing pattern is normal.
N - NUTRITION The student nurse believes that
the patient will have no further
complications about his nutrition
because their diet is well-
balanced. Additionally, he is
taking his vitamins from the
health center.
C - COMMUNICATION According to my observations,
the patient is performing well in
terms of communication even
though he is young. This is
because the patient is interested,
he is slightly fear from treatment
that I've done, he also readily
understands what I'm saying or
asking, and like her mother,
poodle is always smiles.
A – ACTIVITY OF DAILY Poodle is a kid that has
LIVING (ADL) participated in a wide variety of
activities. He always spends his
time playing with his friends,
and he claims that he always
bathes and brushes his teeth
twice a day just as his mother
does. In addition, his elimination
happens at regular intervals, he
sleeps eight hours every night,
and he takes a brief nap in the
afternoon every day.
P - PAIN My evaluation shows that she is
not experiencing any pain.

Shih Tzu
 DESCRIPTION (result of REMARKS
assessment)

F- FLUID As far as I can tell, the Shih Tzu

is just seven months old, and
since her primary source of
nutrition is the breast milk
produced by her mother, which
is fluid, there should not be any
issues with Fluid.
A - AERATION The assessment of the aeration
shows that the patient is not in
complete and utter good health
like her mother and brother. Her
breathing is regular, she does not
have shortness of breath, and
respiratory rate is normal;
nonetheless, she has rhonchi
breath sounds because he had a
cold like her mother ang brother.
Her breathing pattern is normal.
N - NUTRITION Breast milk provided by her
mother ensures that Shih Tzu is
healthy and well-nourished
throughout her life. In addition to
that, she obtains her vitamins
from their health center and
keeps herself up to date on her
vaccinations.
C - COMMUNICATION She is still very young and does
not yet have the ability to
communicate verbally.
A – ACTIVITY OF DAILY She is still very young, so she
LIVING (ADL) simple actions can do.
P - PAIN According to her mom, she
doesn’t have any pain.

IV. SOCIO ECONOMIC, CULTURAL AND ENVIRONMENTAL

ASSESSMENT
 A. Type of Family

References:
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family | Definition, Meaning, Members, Types, & Facts. (n.d.).

Encyclopedia Britannica. Retrieved from https://www.britannica.com/topic/family-
kinship

Health and Well-Being. (n.d.). Health and Well-Being. Retrieved from

https://www.who.int/data/gho/data/major-themes/health-and-well-
being#:~:text=The%20WHO%20constitution%20states%3A%20%22Health,of
%20mental%20disorders%20or%20disabilities.

MacQueen, K. M., McLellan, E., Metzger, D. S., Kegeles, S., Strauss, R. P.,
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