FAMILY STUDY

Outline
Demographics Medical Social Economic Environmental Emotional House plan Genomap Ecomap

Demographics
JN, 54 year old female Widow Chaguanas Unemployed Pentecostal

Medical
Known diabetic and hypertensive for 12 years following last pregnancy Controlled on Insulin and Enalpril Attends Chaguanas health facility every 6 months for management of both
Visual assesment Foot care

Has never been hospitalized for either condition since diagnosis Compliant with all medication

 Non-functioning glucometer, no self blood pressure monitors at home

Recieves medication and insulin needles via CDAP Knows how to self administer insulin

Does not have a record of glucose measurements Recently her insulin does was increased due to poor readings at the health center. May have been precipitated by a major stressor

 Patient feels her medical conditions are under control Not viewed as adversities Does not affect her daily living
Cleaning Washing Cooking

Feels motivated in attending the health center Participant in the Diabetic association meetings at the LHC

Risk factors
Multiparous Advanced maternal age Obesity Family history Cannot recall birth weights of children

Social
She attained education up to the secretarial level
Does not believe this hindered her from getting a job

Worked with the URP, but stopped in 2012 She attends church as often as she can Does not smoke or drink alcohol Came from a family of 11 siblings but grew up with maternal grandmother

 She lives with 2 others in the house. Her son and daughter The house is situated on a parcel of land shared by her husbands family 3 other houses Concrete, flat, currently incomplete All amenities are avaliable
No doors or windows Deed is owned by husbands sister

Garbage is stored outside the house and collected every 2 days

She gets water and electricity from the house infront Water not stored in tanks

 The family does not own a vehicle, she has to travel She describes an amicable relationship with the other occupants 2 dogs, 2 squirrels and 2 goats kept teathered near house

Diet

Major Stressor
Her husband, of a 36 years common law relationship passed away 2 months ago due a heart attack 54 years old, and suffered from hypertension and chronic bronchitis Electrician and sole breadwinner
Was employed at the moment

Attended school up to secretarial level as well Described as an alcoholic and smoked 1 pack of cigarettes per day Never sought medical management for his ailments

 Patient described a loving relationship Since his death she feels depressed
Depressed mood, difficulties sleeping and concentrating

Her greatest concern following the death is her financial needs

Food stuffs, completion of house, transport

 Her son is employed in Plipdeco

Contributes financially Suffers from no medical conditons

Her daughter is unemployed

Attends tertiary institution Needs money for school Suffers from no medical conditons

Economical
The patients expenses include that of:
Food
Grocery /Market

Utilities
Water, Electricity Utility bills are shared among the occupants of the family plot

Transport
to health centre, to church

Other
household items/ construction , school expenses (GATE), clothing

 Husband (deceased) was the breadwinner of the household.

Self employed (electrician) Patient has stopped working (URP/ Patient care) from Jan 2012 due to cramps she experiences in her hand (? Diabetic neuropathy)

Son is now forced to fill this role.

Patient dislikes the fact that her son now has to fill this role.

Her other children also contribute what they can. Patient would like to go back to work, however her disability poses a problem Patient is unaware of the social welfare benefits.

Barriers to patient care

Patient resources financial and physical
Ability to afford appropriate food stuffs Electricity for refridgeration of medication

Motivation and emotional status following death of her husband Inactivity

Exercise

Barrier control- family

She has a supportive family
Financial means Emotionally

Education level
Her daughter and son both finished secondary school level

Live relatively healthy lifestyles

Her son is active