FAMILY CASE ANALYSIS

1. INTRODUCTION
a. Introduction
A family is a group consisting of parents and children living together in a household, and
it is being molded to be as one, 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
also has a big role in nursing education. The student nurse learns nursing apart from the hospital
setting as she was exposed to different level of orientation.
Family Case Analysis is an instrument utilized by PHN nurses and student nurses to
know all prevailing problems of the community by centering on the families composing it.
Home visits are the number one means in order to accomplish this. In here, the
familys health needs will be assessed and the student nurses, rather, will provide health
teachings and render nursing care the family needs.
b. Family Tree
Felina
Mariano

Sanod
Mariano

Mario Anas

Sintia Anas

Janet Anas

Denver
Mariano

Marlon
Mariano

Augustin
Mariano

Gina
Mariano

Michel
Mariano

Angel
Mariano

I.

Family Analysis
A. Family Profile
Marlon Mariano is the household head of the family. He is 42 years old. He finished
third year highschool and working as a laborer.
B. Family Members
Family Member

Sex

Age

Civil Status Educational

Occupation
Attainment
married
Third year high laborer
school

1. Marlon
Mariano

male

42 yrs.
old

2. Janet Mariano

female

married

3. Gina Mariano

female

4. Michel
Mariano

male

40 yrs.
old
10 yrs.
old
8 yrs. old

5. Angel
Mariano

female

5 yrs. old

OFW

single

High school
graduate
Grade IV

single

Grade II

none

single

none

none

none

C. Socio-economic Stratification
The household income of the family of Marlon Mariano as a helper and together with
his wife Janet Mariano is earning 20,000 a month.
D. Cultural Background
The cultural background of the family of Marlon Mariano includes the following:
1. They believe in God to heal their sickness.
2. They eat all kinds of meat.
E. Dwelling Unit
a. Type of Housing Unit
The house of the family is made of wood and G.I.
b. Status of Occupancy
The house of the family is their own.
c. Sleeping Area
The house of the family is sufficient to a family of 1 because they have 1
room for sleeping, and a kitchen.
d. Appliances in the House
The family has a battery operated radio, a television and a DVD player.

e. Source of Lighting
The family uses electricity as their source of lightning.
f. Materials for Cooking
The family uses wood and gas tank in cooking.
g. Lot ownership
The family owns the lot where their house was built.
F. Environmental Condition
a. Source of Water
The family got their water supply to a spring located to the community.
b. Storage of Water
The family uses drums and plastic container as their main storage of
water.
c. Toilet facilities
The family have flushed type of toilet facility.
d. Garbage Disposal Facility
The family practice open dumping.
e. Drainage System
The family has open drainage system.
f. Domestic Animals
The family has 2cats, and 4 chickens.
G. Health Status
Children have cough
1. Etiology
Airway irritation
Aspirated material
Inflammation
Infiltration
Constriction of airway
2. Clinical Manifestation

fever,
chills,
body aches,
sore throat,
nausea and vomiting,
headache,

sinus pressure,
runny nose,
night sweats, and postnasal drip
Sputum, or phlegm, sometimes
indicates an infection is present,

3. Pathophysiology
The stimulation of receptors within the airways to induce cough depends upon interactions with
branches of the vagus nerve, nucleus retroambiguus, and nucleus ambiguus of the medulla

oblongata. Although vagal afferent nerves regulate involuntary coughing, higher cortical
influences can control cough behavior, either inhibiting or voluntarily producing cough. The
interaction between rapidly adapting receptors (RARs), slowly adapting stretch receptors
(SARs), and non-myelinated C-fibers directs the cough response. Histamine, substance P, and
bradykinin play significant roles in stimulating the cough response. The transient receptor
potential vanilloid 1 (TRPV1) cation channel is expressed in sensory neurons that promote
inflammation via neuropeptide release. In the airways, TRPV1 agonists promote bronchial
hyperreactivity, cough, and microvascular secretion.

II.

FAMILY NURSING PROBLEM PRIORITIZATION

Computation Actual
Score

Nature of problem

2/3 x 1

2/3

Modifiability of the
problem

1/2 x 2

Preventive potential

3/3 x 1

Salience

2/2 x 1

Justification
Poor Home Sanitation unsanitary washing
area as a
Health Threat.
1. Inability to recognize the presence of the
condition or problem due to inadequate
knowledge.
2. Inability to make decisions with respect to
taking appropriate health action due to low
salience of the problem.
3. Inability to provide home environment
conducive to health maintenance due to low
salience of problem.
The problem is easily modifiable if adequate
knowledge from the health personnel is
given. This can lead the family to be aware
of the existing problem which in turn will
make immediate action.

TOTAL

3.6
Computation Actual
Score

Justification

Nature of problem

2/3 x 1

2/3

Modifiability of the
problem

0/2 x 2

Preventive potential

3/3 x 1

Salience

0/2 x 1

TOTAL

Inadequate living space as a

Health Threat.
1. Inability to provide a home environment
conducive to health maintenance and
personal development due to inadequate
family resources, specifically financial
constraints.
The problem can be lowly modified because
the family has difficulty of proving
themselves a bigger place to live.
By increasing the living space, it will reduce
the transferability of communicable diseases;
provide privacy for members, and bigger
space to allow free movements. The family
doesn't see this as a problem as long as they
haves helter.
1.6

The list of health condition or problems ranked according to priorities is presented.

1. Poor Home Sanitation as a health threat
2. Inadequate living space as a health threat
III.
Family Nursing Care
INTERVENTION PLAN
HEALTH
PROBLEM

FAMILY
NURSING
PROBLEMS

Poor
home
sanitati
on

Inability
to
provide a
home
environm
ent
conduciv
e to

GOAL OF
CARE

After 3
hrs. of
nursing
interventi
on, the
family
will be
able to

OBJECTIVE
S OF CARE

NURSING
INTERVEN
TIONS

METH RESOURC
ES
OD
REQUIRE
OF
D
NURS
EFAMI
LY
CONT
ACT

After the
nursing
interventi
on the
family
can:
a. Can
clean

Discusse
d to
father the
possible
disease
that can
be
acquired

Ho
me
Vi
sit

Materi
als and
resourc
es:
a. Ti
me
and
eff

health
maintena
nce due
to lack of
knowled
ge of
proper
home
sanitatio
n

recogniz
e health
problem,
and
understa
nd the
importan
ce of
proper
sanitatio
n to
provide a
clean and
safe
environm
ent for
the
whole
family.

the
unsani
tary
washi
ng
area in
their
house;

by the
health
problem.

ort
of
the
stu
den
t
nur
se
and
the
fam
ily

EVALUATION PLAN
Goals met by evidenced of:
a. Ability of the family to clean the area.

IV.

V.

Summary, Conclusions and Recommendation

In summary, the family of Mr. Marlon Mariano is consisting of 5 members, Marlon
herself, a 42 years old landlady laborer and his wife, a 40 years old OFW. Their
family income is 5,000.00 per month. They have their own house and lot. Their house
is overcrowded. The 5 of them have one room with a kitchen,. They use electric
current as their electricity and they have their tank of gas that they use in cooking.
They have their radio , TV, DVD as their entertainment. Their water source is very
safe and clean.
I recommended that they will continue maintaining a sanitary environment.
References
1. The informant Mr. Marlon Mariano.
2. Survey tool(questionnaire)

3. http://www.scribd.com/doc/37338281/Prioritization-of-Community-HealthProblems
4. http://www.expertconsultbook.com/expertconsult/op/book.do?method=display&t
ype=bookPage&decorator=none&eid=4-u1.0-B978-0-323-05659-5..00079-6-cesec2&isbn=978-0-323-048842https://www.google.com.ph/search?q=pathophysiology+of+hypertension&espv=
210&es_sm=93&source=lnms&tbm=isc
5. http://www.webmd.com/hypertension-high-blood-pressure/guide/blood-pressurecauses
6. https://www.google.com.ph/search?q=pathophysiology+of+primary+hypertension
&espv=210&es_sm=93&source=lnms&sa=X&ei=AV3aUsqyL8aEkQW74oDAB
w&ved=0CAYQ_AUoAA&biw=1024&bih=677&dpr=1
7. https://www.google.com.ph/search?q=pathophysiology+of+primary+hypertension
&espv=210&es_sm=93&source=lnms&sa=X&ei=AV3aUsqyL8aEkQW74oDAB
w&ved=0CAYQ_AUoAA&biw=1024&bih=677&dpr=1#q=causes+of+primary+
hypertension
8. http://www.scribd.com/doc/37338281/Prioritization-of-Community-HealthProblems

VI.

Documentation