INTRODUCTION

A family is a place where principles are hammered and honed on the anvil of everyday living. -Charles R. Swindoll: brainyquote.com

Health is a right of every human being. Healthy people is a prerequisite to national development. The DOH uses the life span approach to design programs and assist in the delivery of health services to specific age groups. It views health care of individuals within the context of the family. The term family is defined as the basic unit of the community. All members of the family are empowered to maintain their health status. They must be free from disease or infirmity with no disabilities. In public health perspective, the health of the family is considered as a whole and not individually. (Cuevas, Public Health Nursing in the Philippines, 2007). A family refers to two or more individuals joined or related by ties of blood, marriage or adoption and who constitute a single household, interact with each other in their respective familial roles and who create and maintain a common culture. As a kinship unit, a family consists of at least one man living with a woman in a legally or socially recognized and more or less permanent sexual relationship, with particular rights and obligations, together with or without their offspring. (Salvacion Bailon-Reyes, Community Health Nursing The Basics of Practice, 2006)

The community is a group of people sharing geographic boundaries and/or values and interests. (Maglaya, 2004) No two communities are alike. A nurse exposed in the community learns how to interact and adapt to different kinds of people. The family is considered as the basic unit of care in the community health nursing. It is a part of a larger system encompassing communities and cultures. It is in the family where a member develops his health values, beliefs and practices. The family is a major influence in the health behaviors of an individual. With this, it is important that families in a community are aware of the things and practices pertaining to their health. It is apt to say that community health nursing has a big role in the nursing education. It is in the community where the student nurse learns nursing apart from the hospital setting as she was exposed to different level of orientation. It is in the community where the saying nursing is an art can be applied as a student nurse tries to give quality service using the available resources in the health center. Conducting a family case study is a means by which student nurses reach and feel the community through its basic structure the family. It is a tool in determining the health status of a family through assessment and critical inspection. Through this, health related problems are identified, thus giving the student nurses a hint on where to act and how to intervene. It is also a means towards improving the health of the community people, making them more productive. To come up with a family case study gives a sense of fulfillment to student nurses as they were given the opportunity to share their skills, knowledge and time to alleviate and uplift the living condition of a family.

The family that was chosen by the student nurses is a picture of the majority of the family here in our country: a family living in a poor environmental condition without enough resources and lacks knowledge on vital health information and experiences other socio-economic related problems. Though tiring as it is, reaching out to this family and mingling with them makes the student nurses feel the sense of fulfillment as they share their knowledge, skill and time to aid in uplifting the condition of the family.

GOAL OF THE STUDY

Client-Centered

General Objectives: At the end of our Family Case Study at Purok Ilang-ilang Barangay Anakan, Gingoog City, the Minions Family will be able to learn how to live in a healthy lifestyle, know the importance of well being, and the appropriate decision making.

Specific Objectives: At the end of our Family Case Study, the family will be able to identify certain tasks in the area of health care which the family must be able to perform in order to effectively cope with health problems.

Cognitive: a. To make decision about taking appropriate health action. b. To deal effectively with health and non-health crises. c. To recognize interruptions in health development, or the presence of a health problem. d. To maintain a home environmental conducive to health maintenance and personal development.

Psychomotor: a. Use appropriate and proper communication in consideration of a clients/patients socio-cultural and educational background, as well as age and gender community at large. b. To develop or enhance specific skills and abilities related to health and health care of an individual member, the family as a whole, a specific population group or the community at large. c. Use appropriate teaching methods and teaching-learning materials considering the learners socio-cultural and educational background as well as the resources available in the community. Locally available materials must be used as teaching aids, such as locally grown fruits and vegetable when teaching about family nutrition. d. To enhance or broaden a clients/patients information and knowledge base about health and related matters.

Affective: a. Treat all clients/patients equally with courtesy and respect. Do not play, much more show, favoritism in the way clients/ patients are served and treated. Rules and regulation need to be applied equally to all. b. To change personal habits, behavior patterns or lifestyle of an individual, the family as a unit, a group or the whole community in order to promote better health.

c. To maintain a reciprocal relationship with the community and its health institutions, including effective utilization of available resources for health care. d. Initiates contact, establishes and maintains an effective working relationship with individual clients/patients, families, specific population groups, other social units and organization in the community.

Student-Centered

General Objectives: At the end of our Family Case Study at Purok Ilang-ilang Barangay Anakan, Gingoog City, we will be able to know how the family functions in the community, seek problems that may apply in our future study as a community health nurse and how to solve it.

Cognitive: a. Commonly agreed and understood goals and plan of action. b. Recognition of the responsibility of each professional group represented in the team to safeguard its own practice. c. Appropriate use of available resources so as to achieve the goals of the team. d. A clear division of labor and appropriate allocation of responsibilities among members.
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e. Plans properly and conducts home visit follow-ups of high-risk or priority families in the community with the ultimate objective of enhancing the families capabilities foe self-care and to effectively cope with health and health-related problems. f. Ability to provide health promotive, preventive, curative and rehabilitative nursing services to individual clients/patients, families and specific groups in an integrated, coordinated manner with the use of appropriate health. g. Keeps accurate and complete records and reports of nursing services and related activities, and assists in the preparation and maintenance of the health agencys records and reports system, including vital statistical data. h. Use language, phrases and words which the leaner will understand. It is frustrating, even stressful, to listen to something too advanced or beyond ones ability to comprehend. Avoid the use of technical words and use analogy with familiar things to explain a concept, an idea or a process.

Psychomotor: a. Training, retraining and continuing education for team members. b. Supportive, collaborative and cooperative relationship among the members of the team. c. Effective leadership. d. Provide skilled nursing care to the sick and disabled patients requiring part-time professional nursing service in various settings in the

clinic/health center; in the home, school, place work another community settings.

Affective: a. An attitude of mutual trust, confidence and respect among the various members of the team. b. Supportive and cooperative relationship among the members of the team. c. Provide health teachings/ education to individual clients/patients, families settings, on subject dealing with health promotion, disease prevention, care of the sick at home and rehabilitation; attempts to change individual, family or group health behavior and lifestyle in order to promote and maintain health.

SCOPE AND LIMITATION

This Family Case Study is limited to: Our exposure in the community that is only conducted in 3 days. Prior to our first home visit, we received an endorsement (verbal) from the 2nd year Midwifery group. As we conducted our First Home visit to our assigned Family, most of the Information is only given by the Mother; and most of the family members were not present during our Assessment. As for our 2nd home visit, still not all the members of the family are present.

INITIAL DATABASE A. Family Structure, Characteristics, and Dynamics

Name

Birth date

Age

Sex

Position in the Family

Occupation

Educational Attainment

Mr. A Minion Mrs. B Minion Mr. F Minion

May 11, 1972 October 20, 1964 May 17, 1994

41

Father

Wood Gatherer

49

Mother (Respondent)

Housewife

19

Second Child (From first Husband)

Helper

Mr. G Minion Mr. I Minion Ms. J Minion Ms. L Minion Ms. M Minion

September 20, 1995 June 28, 2000 March 20, 2002 July 11, 2004 April 7, 2008

17

Third Child (From first Wife)

Working Student Student

(Grade 5)

13

Fourth Child

(Grade 7)

11

Fifth Child

Student

(Grade 5)

Sixth Child

Student

(Grade 2)

Seventh Child

The Family Minion is considered as a nuclear type of family. A nuclear type is a typical type of family composed of a father, a mother and child/children. This type of family structure is found in almost all societies, although the length of time in which the family remains in this form varies even within the same society. The nuclear family can be a nurturing environment in which to raise children as long as there is love, time spent with children, emotional support, low stress, and a stable economic environment. In nuclear families, both adults are the biological or adoptive parents of their children (Jay C, 2004,). The Minion family resides in Purok Ilang-ilang, Brgy. Anakan, Gingoog City. They have started living there since 1995 but not consecutively. Mrs. B Minion was first married through a ritual to the father of her two children (Ms. E and Mr. F Minion) Mr. Tribo in Brgy. Eureka whom she had two other children with. Both children not mentioned died only a few days after their birth. They are both older than Ms. E Minion. Mr. A Minion was already married and has a child, Mr. G Minion. When he separated with his former wife, Mrs. B Minion then met Mr. A Minion and married him legally on a civil wedding. Mr. G Minion lived with his father and stepmother and stepsiblings. They had a cottage in Brgy. Anakan where she gave birth to another boy who died and she also delivered in that same place their son, Mr. I Minion. They went back to Brgy. Eureka where she gave birth to Ms. J Minion. She also delivered another boy who died. She then gave birth to Ms. L Minion. She has delivered her children at home. Four years later, she became pregnant again and delivered their youngest child, Ms. M Minion in Misamis Oriental Provincial Hospital. They then started living in Brgy.

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Anakan and they sought shelter from a resident of the community who owns a piece of land in the area. They built a house made of wood by themselves and nurtured their family ever since. Ms. E met her partner in life who is the father of their first child (1 year old) and they are now living in another house in Brgy. Anakan. Mrs. Minion takes the role of a decision-maker since Mr. Minion is an introvert. His role is mostly to gather wood that will be sold by him and sometimes with Mrs. Minions help in looking for a buyer. She is responsible for the budget for their expenses. As of now, majority of their money goes to the food they eat and to the school expenses of the children: Mr. G, Mr. I, Ms. J, and Ms. L Minion.

B. Socio-Economic & Cultural Characteristics

The Minion Familys source of income is coming from Mr. A Minion. He earns Php 80.00 and below as a wood gatherer a day. In terms of Monthly Income, they reach Php. 1,680.00 (estimated) but it depends on how many bulk of woods will be sold. Mrs. B Minion is the one who decides and budgets the money in terms of food and other important expenses related to education fees (if it is adequate). Out of Mr. A Minions earnings, most of it goes to the familys budget for food. With their income, the family strives hard to accommodate everything they need in order to live, especially the needs of the three students who go to school every day. The education of the children is free and they can walk from their house to the school. Usually, there is nothing to be left for the miscellaneous expense. Sometimes they lend

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money from her daughter Ms. E Minion in order to sustain their financial needs. Mrs. B Minion also stated that they do not have any financial assets at hand in case of emergency. They are called informal-settlers, living in the land which they do not own. They originally came from Brgy. Eureka, and later on settled at Brgy. Anakan. Their house is located around the trees of Gemelina, Coconut and Falcata, which is far from their neighbors. As Mrs. B Minion stated, some of their neighbors approach them, but some are not really, specifically those who owned a sari-sari store which they bought some of their basic needs due to their poor economic status. Mr. A Minion works from 8 am until 5 pm every day at LogPan Company. He seldom goes home but rather stays where he works, which is situated far away from the house. Mrs. B Minion sometimes helps her Husband to deal the firewoods to their neighbors or in some stores order to earn income. She is the typical housewife where you can see her wash the clothes and prepares food for the family. In terms of Religious affiliation, they usually go to church and attend mass. Last December, 5 of their children were baptized in a Roman Catholic Church along with them.

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C. Home and Environment

The house is made of amakan, coco lumber and zinc as roof. Mrs. B Minion did not know the exact measurement of their house. Her husband knows it yet he was not there during the interview. In order for the house to be considered as adequate, the total floor area should be divided among the total members of the family and each should at least have 3.5 m2. The house only has 2 windows and can sustain the adequate ventilation needed by the family. Mrs. B Minion told the student nurse that their house is usually presko since it is surrounded by trees and the air goes to an d fro freely inside the house but is hazardous because there is a Gemelina tree near the house. The house has 2 rooms. Both are bedrooms, with no bed at all. Mr. and Mrs. Minion sleep together with the little children in one room whereas the older siblings sleep in the next room. They use banig in sleeping and mosquito nets for protection. The Minion Family has only one appliance which is the radio powered by batteries since the place has no electrical supply yet. In terms of garbage disposal, they burn their garbage. Mrs. Minion uses firewood in cooking. She is the one who prepares the food. She cooks inside the house at the back portion on the right side of the house. The food that they usually eat is binas-oy (vegetables). The family uses plastic plates and stainless spoons in eating. When it comes to storing their food, they just put inside the pot and hang it beside the dirty kitchen. In terms of cooking facilities the family is equip with pots.
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Mrs. B Minion washes their clothes in the water well and gets their drinking water supply by buying from their neighbors. The price ranges between P 2.00-5.00 per container. They put their water in a big container with cover. They usually dont sterilize their drinking water supply. Minion Family has a comfort room located a feet away from the house. Their comfort room uses nipa as roof, wood sticks as its foundation and plastic sacks as walls. They dug up a hole and placed wood to serve as seat cover. The drainage system of the family is an open type where in the drainage flows directly to the hole they dug up. There is no obstruction present at the drainage system since it is open and flows directly to the hole. The family does not own any transportation facilities. They ride on a jeepney or multicab in going to the city proper. When they go to work or to any Purok within Brgy. Anakan, they usually walk since a vehicle cant go any more closely to their home. From the health center to their house, it is 7-minutes walk and it is more or less 254 meters in distance. From the house to the water well which is sometimes dirty after the rain is more or less 74 meters in distance. From the house to the second water well which they use in bathing and washing their clothes and is located at a neighbors house is more 132 meters in distance. The family has one chicken with 5 chicks, one dog and three cats. There are vegetables planted near the house. There is no table inside the house so they use the table located a few feet away from the house for eating.

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D. Health Assessment on Each Member

Mr. A Minion On our first visit, we never met Mr. A Minion since he was working that time during our interview. Mrs. B Minion, however, told us that she thinks her husband has never undergone immunizations at all since it was not that important before. On our 3rd visit, we finally meet and interview him. He told us that he is a Smoker. He drinks alcohol rarely since they have no budget for that. He has gone Vasectomy 4 yrs ago. He is 5 feet and 5 inches and weighs 66.22 kg, his BMI reveals normal weight with a value of 24.29.

Mrs. B Minion She has no chronic or infectious diseases as of the present time. She has never undergone immunizations because she came from Eureka. Among her 11 children, 4 died. kilograms. She is 5 feet and 2 inches and weighs 42

Her BMI reveals underweight with a value of 16.86. She has no

complaints as of the present time and has not taken any medications as of the moment. At times of illness, she would go to the nearest Barangay health Center in order to ask for a medication like Paracetamol for fever and she also uses some herbal medicines. Mr. F Minion According to Mrs. B Minion, her son has no chronic or infectious diseases as of the present time. He was not immunized. He is currently working as a helper in an Ukay-Ukay Store, has no vices of smoking and drinking. As Mrs. B minion stated, Mr. F Minion is 5 ft and 5 inches (estimated). Mr. G Minion He is a Grade 5 student, a working student. According to Mrs. B Minion, he was fully immunized; and according also to Mrs. B Minion He is 5 feet

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and 4 inch tall and weighs 55 kilograms. His BMI reveals Normal weight with a value of 20.81. Mr. I Minion He is a grade 7 student. According to Mrs. B Minion, his

Immunization is not completed; according also to Mrs. B Minion, He is 4 feet and 7 inches and weighs 45 kilograms (estimated). His BMI reveals normal weight with a value of 23.06. Ms. J Minion She is a Grade 5 Student, has no infectious diseases or illness as of the present time. She was not able to complete her immunizations. She is 4 feet and 7 inches tall and weighs 45.5 kilograms. Her BMI reveals normal weight with a value of 23.21. Ms. L Minion She is a grade 2 student. She is experiencing some ear problem due to the presence of secretions in her right ear (Ear wax). She is 4 feet tall and weighs 29.5 kilograms. Her BMI reveals normal weight with a value of 19.15. Ms. M Minion She is 5 yrs old. She appears thin. She was fully immunized. She is 3 feet and 4 inches tall and weighs 20 kilograms. Her BMI reveals normal weight with a value of 18.86.

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Gordons Typology Assessment Name: Mr. A Minion 1. Health- Perception a. Mr. A Minion has b. Cannot recognize the importance of having a healthy well-being c. Cant manage the health as a Father to his family 2. Nutritional- Metabolic Pattern a. Daily food intake 2 or 3 times a day, mainly rice and vegetables. b. Condition base on BMI: Weight 66.22 kg, height - 55 3. Elimination Patterns a. Defecates and urinates normally as he said, and has no voiding difficulty. 4. Activity Exercise Pattern a. Dili man ko ga-exercise Maam ka na lang mag-baklay ko ug mangahoy, usahay ga-panday panday pud ko diri sa among balay. 5. Sleep Pattern a. Wala man ko nag lisod ug tulog Maam dili man pud ko ga -mata mata sa kadlawon, kana lang usahay na problemado gyud ko sa kahimtang sa akong pamilya makahuna-huna dayun ko. 6. Cognitive Percetual Pattern a. Mr. A Minion can respond accordingly and correctly to questions, but he doesnt know how to read and write.

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7. Self Perceptive Pattern a. He describe his self as an unhealthy person because of his surgery (vasectomy), he feels pain when he lift heavy objects. But in terms of their family problem they trying to fixed it with his wife and talk about it. 8. Role Partnership Pattern a. As a Father and a Husband to his children and to h is wife: Hes very concerned about the status of his family and also he is a good farther to his children, hes very close to them. When they are experiencing problems they trying to handle it accordingly. 9. Sexuality Reproductive Pattern a. Sa amoang kahimtang karon Maam dili na mi kayo aktido ana kay grabe na jug kalisod, daghan na sad among anak ug gi-operahan na pud ko Maam kana bitaw vasectomy. 10. Coping Stress Tolerance a. He defines stress as a difficult situation to handle, but there are times that he shared problems to his wife and talk about it together. 11. Value Belief Pattern a. He is originally a Higao-non by means of blood but he and his family was baptism as a Christian last December. Name: Mrs. B Minion 1. Health Perception a. Mrs. B Minion has no vices like smoking and drinking. b. Cannot recognize the importance of having a healthy well-being.
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c. Cannot manage the health as a Mother to her children and cant refer to health center if sickness occurs in her children. 2. Nutritional-Metabolic Pattern a. Only ate their meals two times a day, mainly are camote tops, porridge and vegetables. b. Condition base on BMI: weight- 44kg, height- 54

3. Elimination Pattern a. Defecates normally as she stated, urinates normally and has no difficulty in voiding. 4. Activity Exercise Pattern a. Mrs. B Minion has no idea or knowledge about exercise and what is the important of it. 5. Sleep Pattern a. Has inadequate sleeping pattern because she always thinks about their financial problem and always problematic because she is very concern to the situation of her children especially in terms of their daily needs like food. 6. Cognitive Perceptual a. Mrs. B Minion can recognize time, place and is able to respond accordingly and correctly to questions, buts he doesnt know how to read and write.

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7. Self Perceptive Pattern a. She described herself as unhealthy person, she always says that she doesnt know how to read and write. 8. Role Partnership Pattern. a. As a Mother and a Wife to her husband and children; she is a caring and loving Mother to her family. They talk about their problems with their children so that they could understand it according to the Mother. 9. Sexuality Reproductive Pattern a. Wala na man kayo mi ana Maam kay busy pud ug daghan na pud among anak, daghan kaayo problema. Sa karon dili na namo na ginahunahuna. 10. Coping Stress-Tolerance. a. She defines stress as difficult situation to handle, but she shares it with her husband. 11. Value Belief Pattern a. She is originally a Higao-non by means of blood but he and his family was baptism as a Christian last December. Name: F Minion 1. Health Perception a. According to Mrs. B Minion, F minion has no vices of smoking and drinking. b. She believe that F minion look at his self as a healthy person.

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c. Can manage and determine the importance of life, he works us a sales boy in a store at Gingoog city. 2. Nutritional-Metabolic Pattern a. According to Mrs. B Minion, F minion eat times a day when he get home he also eat vegetables, rice and sometimes fish. b. According to Mrs. B Minion, she estimated the weight and height of F Minion, BMI: weight- not stated by Mrs. Minion, height- 55 3. Elimination Pattern a. According to Mrs. B Minion, when F Minion is home he has no difficulty voiding and defecating. 4. Activity and Exercise Pattern a. According to Mrs. B Minion, F Minion likes to play basketball. If he has extra time he plays basketball together with his friends at Brgy. Anakan. 5. Sleep Pattern a. Mrs. B Minion states to us that F Minion has no difficulty or inadequate sleeping pattern. 6. Cognitive Perceptual a. Mrs. B Minion stated that F Minion can recognize time, places, he just finished 2nd year high school and decided to stop going to school due to financial crisis.

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7. Self Perceptive Pattern a. Mrs. B Minion stated that she could describe F Minion as a healthy person, he is very aggressive to help his parents and siblings buy sending them money every time he got his income. 8. Role Partnership Pattern. a. According to Mrs. B Minion. F Minion as a Son and a brother to his family; he is a caring and supportive Son and brother to his family. When he has problem he always trying to fix it us he can and he also share it to his Mother. 9. Sexuality Reproductive Pattern a. Mrs. B Minion stated; Wala man ko kabalo Maam kung naa bay trato akong anak kay kung mag uli siya diri siya ra man isa. Wala pud siya giingon sa akoa. 10. Coping Stress-Tolerance. a. Mrs. B Minion describes F Minion in terms of stressful event or problem she said that F Minion is a strong person he face his problem as a challenge to his life. 11. Value Belief Pattern a. He is originally a Higaonon by means of blood but he was baptism as a Christian last December.

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Name: G Minion 1. Health Perception a. According to Mrs. B Minion, G Minion has no vices of smoking and but she doesnt know if he smokes. b. She believe that G minion look at his self as a healthy person. c. Can manage and determine the importance of life, he is a working student. 2. Nutritional-Metabolic Pattern a. According to Mrs. B Minion, G minion eat 2 to 3 times a day depending with their budget, he usually eat vegetables and rice and if they had extra money they buy sardines or fish.. b. According to Mrs. B Minion, she estimated the weight and height of G Minion, BMI: weight- 55kg height- 54 3. Elimination Pattern a. According to Mrs. B Minion, when G Minion has no difficulty of voiding and defecating. 4. Activity and Exercise Pattern a. According to Mrs. B Minion, G Minion likes to play basketball with his friends. 5. Sleep Pattern a. Mrs. B Minion states to us that G Minion has no difficulty or inadequate sleeping pattern.

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6. Cognitive Perceptual a. Mrs. B Minion stated that G Minion can recognize time, places; he is a grade 5 student and trying hard to finish his study. 7. Self Perceptive Pattern a. Mrs. B Minion stated that she could describe G Minion as a healthy person, he is very aggressive to help finish his study thats why G Minion decided to have a part time job so that he could send his self to school. 8. Role Partnership Pattern. a. According to Mrs. B Minion. G Minion as a Son and a brother to his family; he is good and a loving person, son and brother to his family. 9. Sexuality Reproductive Pattern a. Wala ko kabalo Maam kung naa pud ban a siyay uyab kay wala man pud siya ginapaila sa amoa.. 10. Coping Stress-Tolerance. a. Mrs. B Minion describes G Minion palaban man siya Maam bisag naa siya problema ginakaya ug hilom ran a niya. Pero naa pud panahon nga moistorya siya sa amoa kung unsa iyang problema, maminaw man siya sa among mga tambag. 11. Value-Belief Pattern a. He is originally a Higao-non by means of blood but he was baptism as a Christian last December.

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Name: I Minion 1. Health Perception a. I Minion have no vices of drinking and smoking. 2. Nutritional-Metabolic Pattern a. Only eat meals 2 or sometimes 3 times a day depends on the money that they get from the wood. b. Mrs. B Minion estimated I Minions BMI: weight-45 to 46 kg, height- 4 7 or 5 3. Elimination Pattern a. According to Mrs. B Minion, when I Minion has no difficulty of voiding and defecating. 4. Activity and Exercise Pattern a. According to Mrs. B Minion, I Minion is a shy time person he only interact with few people. 5. Sleep Pattern a. Mrs. B Minion states to us that I Minion has no difficulty or inadequate sleeping pattern. 6. Cognitive Perceptual a. Mrs. B Minion stated that I Minion can recognize time, places, can read and writes; he is a grade 7 student and trying hard to finish his study.

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7. Self Perceptive Pattern a. Mrs. B Minion stated that she could describe I Minion as a healthy person, he is brave and has a big dream to finish his study so that he could help his parents and other siblings. 8. Role Partnership Pattern. a. According to Mrs. B Minion. I Minion as a Son and a brother to his family; he is good and a loving person, he care to us to his brother and sister. Son and brother to his family. 9. Sexuality Reproductive Pattern a. Mrs. B Minion stated Wala man ko kabalo Maam kung naa ba na siyay uyab. 10. Coping Stress-Tolerance. a. Mrs. B stated that: maulawun man na siya Maam human niyag eskwla moderetsco man na siya sa balay mag tabang- tabang. 11. Values Belief Pattern a. Mrs. B Minion describes I Minion He is originally a Higao-non by means of blood but he was baptism as a Christian last December. Name: J Minion 1. Health Perception a. J Minion has no vices of drinking and smoking. b. State eating pattern 3 or 2 times a day.

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2. Nutritional-Metabolic Pattern a. Only eat meals 2 or sometimes 3 times a day depends on the money that they get from the wood. b. BMI: 4 7 tall and weighs 45.5 kilograms 3. Elimination Pattern a. Defecates and urinates normally. 4. Activity and Exercise Pattern a. No musculoskeletal impairment b. Plays with her siblings and classmates. 5. Sleep Pattern a. No difficulty in sleeping pattern, she just stated that she woke up when she want to void. 6. Cognitive Perceptual a. No sensory defects. b. Can read simple words. c. Answer questions fluently. 7. Self Perceptive Pattern a. Describe herself as a healthy and happy person. b. Can help her Mother. 8. Role Partnership Pattern. a. She helps her Mother when she got home from school. b. Could do simple tasks.

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9. Sexuality Reproductive Pattern a. She plays with her classmates and sometimes talks about crushes. 10. Coping Stress-Tolerance. a. kung naa koy problema kay mama ra ko modulo ug magsaba, usahay mohilak ra ko sa kwarto 11. Values Belief Pattern a. She is a Higao-non and she was baptized as a Christian last December. Name: L Minion 1. Health Perception a. Have no vices of drinking and smoking. b. State eating pattern 3 or 2 times a day. 2. Nutritional-Metabolic Pattern a. Only eat meals 2 or sometimes 3 times a day depends on the money that they get from the wood. b. BMI: height 4 weighs 29.5 kilograms. 3. Elimination Pattern a. Defecates and urinates normally. 4. Activity and Exercise Pattern a. No musculoskeletal impairment b. Plays with her siblings and classmates. 5. Sleep Pattern a. No difficulty in sleeping pattern.

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6. Cognitive Perceptual a. No sensory defects. b. Answer simple questions. 7. Self Perceptive Pattern a. Describe herself as a healthy and happy person. b. She plays with her sisters. 8. Role Partnership Pattern. a. She helps her Mother when she got home from school. b. Could do simple tasks, she also helps her Mother to wash their laundry. 9. Sexuality Reproductive Pattern 10. Coping Stress-Tolerance. a. Kung naa koy problema kay mama ko mosuol. 11. Values Belief Pattern a. She is a Higao-non and she was baptism as a Christian last December. Name: M Minion 1. Health Perception a. Have no vices of drinking and smoking. b. State eating pattern 3 or 2 times a day. 2. Nutritional-Metabolic Pattern a. Only eat meals 2 or sometimes 3 times a day, she said that she dont eat vegetables. b. BMI: weight-20 kg height- 34

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3. Elimination Pattern a. Defecates and urinates normally. 4. Activity and Exercise Pattern a. No musculoskeletal impairment b. Plays with her siblings and classmates. 5. Sleep Pattern a. No difficulty in sleeping pattern. b. Sleep 8 hours a day. 6. Cognitive Perceptual a. No sensory defects. b. Answer simple questions. 7. Can identify people and significant others by their first name. 8. Self Perceptive Pattern a. Describe herself as a healthy and happy person. b. She plays with her sisters. 9. Role Partnership Pattern. a. She helps her Mother when she got home from school. b. Could do simple tasks, she also helps her Mother to wash their laundry. 10. Sexuality Reproductive Pattern 11. Coping Stress-Tolerance. a. Kung naa koy problema kay mama ko mosuol. 12. Values Belief Pattern a. She is a Higaonon and she was baptism as a Christian last December.

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CHECKLIST FOR GROWTH AND DEVELOPMENT FOR GRADE SCHOOLER NAME: J Minion BIRTHDATE: March 20, 2005 ADDRESS: Brgy. Eureka, Gingoog City MOTHER: Mrs. B Minion FATHER: Mr. A Minion SEX: Female BIRTHWEIGHT:N/A PEDIATRICIAN: N/A

Assessment I. Physical assessment Weight Height Number of teeth Drooling Posterior fontanels Temperature Pulse Respiration Blood pressure II. MOTOR CONTROL Rides tricycle using pedals Walks downstairs alone Walks upstairs, alters his/her feet Jumps from a low step Jumps from a high step Dance Pours fluids from a pitcher well Uses scissors Strings large beads Draws pictures Undresses him/herself Unbuttons buttons Goes to toilet Washes hands Brushes teeth

Date 7-21-13 2nd visit 2nd visit 2nd visit 2nd visit 2nd visit 2nd visit 2nd visit 2nd visit 44lbs 103cm 20 teeth Symmetrical 36.7C 103bpm 30cpm N/A
DEVELOPMENT OBSERVE NOT OBSERVE
NO OPPORTUNITY

REFUSE D

X X X NO X
31

Feeds him/herself Dusts object Climbs well Goes up and down the stairs Hold the railing and uses legs alternately Throws ball overhead Laces shows Runs skillfully and play games Hops well Skips on alternating Uses hammer & hits a nail on the head Forms some letters correctly Fold paper diagonally Prints name Wash himself without wearing clothes Dresses himself without assistance III. VOCALIZATION, SOCIALIZATION & MENTAL ABILITIES Uses language fluently & with confidence Uses plurals, nouns/words/speech Appears to care whether others listen or not Sings simple songs Knows his/her gender Plays simple games Toilet trained at night Repeats numbers Interested in colors Exaggerates, boasts & talks with other Talks with imaginary companions Cooperates in play groups Runs errands outside the house Selfish and impatient Name objects in succession Knows how old she is Counts corns

X X X X NO NO X NO X

X X X NO X X X
32

Names one or more objects well Knows names of days of weeks Talks constantly Asks for meaning of words

33

CHECKLIST FOR GROWTHAND DEVELOPMENT FOR GRADE SCHOOLER NAME: L Minion BIRTHDATE: July 11, 2004 ADDRESS: Brgy. Eureka, Gingoog City MOTHER: Mrs. B Minion FATHER: Mr. A Minion SEX: Female BIRTHWEIGHT:N/A PEDIATRICIAN: N/A

Assessment IV. Physical assessment Weight Height Number of teeth Drooling Posterior fontanels Temperature Pulse Respiration Blood pressure V. MOTOR CONTROL Rides tricycle using pedals Walks downstairs alone Walks upstairs, alters his/her feet Jumps from a low step Jumps from a high step Dance Pours fluids from a pitcher well Uses scissors Strings large beads Draws pictures Undresses him/herself Unbuttons buttons Goes to toilet Washes hands Brushes teeth

Date 7-21-13 2nd visit 2nd visit 2nd visit 2nd visit 2nd visit 2nd visit 2nd visit 2nd visit 65lbs 124cm 24 teeth Symmetrical 36.2C 84bpm 21cpm N/A
DEVELOPMENT OBSERVE NOT OBSERVE
NO OPPORTUNITY

REFUSE D

X X X X X
34

Feeds him/herself Dusts object Climbs well Goes up and down the stairs Hold the railing and uses legs alternately Throws ball overhead Laces shows Runs skillfully and play games Hops well Skips on alternating Uses hammer & hits a nail on the head Forms some letters correctly Fold paper diagonally Prints name Wash himself without wearing clothes Dresses himself without assistance VI. VOCALIZATION, SOCIALIZATION & MENTAL ABILITIES Uses language fluently & with confidence Uses plurals, nouns/words/speech Appears to care whether others listen or not Sings simple songs Knows his/her gender Plays simple games Toilet trained at night Repeats numbers Interested in colors Exaggerates, boasts & talks with other Talks with imaginary companions Cooperates in play groups Runs errands outside the house Selfish and impatient Name objects in succession Knows how old she is Counts corns Names one or more objects well

X X X X NO NO X NO NO

X NO NO X X X

35

Knows names of days of weeks Talks constantly Asks for meaning of words

X X

36

CHECKLIST FOR GROWTHAND DEVELOPMENT FOR PRESCHOOLER NAME: M Minion BIRTHDATE: April 7, 2008 ADDRESS: Brgy. Eureka, Gingoog City MOTHER: Mrs. B Minion FATHER: Mr. A Minion SEX: Female BIRTHWEIGHT:N/A PEDIATRICIAN: N/A

Assessment VII. Physical assessment Weight Height Number of teeth Drooling Posterior fontanels Temperature Pulse Respiration Blood pressure VIII. MOTOR CONTROL Rides tricycle using pedals Walks downstairs alone Walks upstairs, alters his/her feet Jumps from a low step Jumps from a high step Dance Pours fluids from a pitcher well Uses scissors Strings large beads Draws pictures Undresses him/herself Unbuttons buttons Goes to toilet Washes hands Brushes teeth

Date 7-21-13 2nd visit 2nd visit 2nd visit 2nd visit 2nd visit 2nd visit 2nd visit 2nd visit 44lbs 103cm 20 teeth Symmetry 36.7C 103bpm 30cpm N/A
DEVELOPMENT OBSERVE NOT OBSERVE
NO OPPORTUNITY

REFUSE D

X X X NO

37

Feeds him/herself Dusts object Climbs well Goes up and down the stairs Hold the railing and uses legs alternately Throws ball overhead Laces shows Runs skillfully and play games Hops well Skips on alternating Uses hammer & hits a nail on the head Forms some letters correctly Fold paper diagonally Prints name Wash himself without wearing clothes Dresses himself without assistance IX. VOCALIZATION, SOCIALIZATION & MENTAL ABILITIES Uses language fluently & with confidence Uses plurals, nouns/words/speech Appears to care whether others listen or not Sings simple songs Knows his/her gender Plays simple games Toilet trained at night Repeats numbers Interested in colors Exaggerates, boasts & talks with other Talks with imaginary companions Cooperates in play groups Runs errands outside the house Selfish and impatient Name objects in succession Knows how old she is Counts corns Names one or more objects well

X X X X NO NO X NO NO

X X NO NO X NO X NO

38

Knows names of days of weeks Talks constantly Asks for meaning of words

NO

39

Psychological Assessment of the Minion Family

Name: Mr. A Minion Occupation: Wood Gatherer Family Position: Father

Age: 41 BP: 100/60

Height: 55 HR 84bpm: RR: 24cpm

Weight: 66.22kg Temp: 35.7

Health Status: He had surgical history of Vasectomy. Feels pain when he lift heavy objects. Erick Erickson Developmental Theory Mr. A Minion is at his stage which according to Erickson is the stage of Generativity vs. Stagnation. During middle age the primary developmental task is one of contributing to society and helping to guide future generations. Mr. A Minion has a problem of raising his family and working toward the betterment of his family, he works as a wood gatherer and he cant work as a construction worker due to his past surgical site. The Doctor advises him to avoid too many work and lifting heavy objects. Mr. A Minion is striving to produce income for his family. He wanted to have a job so that he could sustain the needs of his children but due to his past surgery, he can just gather woods that he could sell.

40

Name: Mr. B Minion Occupation: Housewife Family Position: Mother

Age: 43 BP: 100/70mmhg HR: 71bp

Height: 52 RR: 20cpm

Weight: 42kg Temp: 36.2

Health Status: She has no vices, she only experiencing dizziness when she work too much. Erick Erickson Developmental Theory Mr. B Minion is at his stage which according to Erickson is the stage of Generativity vs. Stagnation. During middle age the primary developmental task is one of contributing to society and helping to guide future generations. Mr. B Minion has a problem of raising her family and working toward the betterment of her family. Shes striving to build their better lives, focusing on her children and also in helping her husband to sell the woods that they gathered. Her lack of education limits her to do more for her family. Sometimes she tries to find additional income for the needs of the family.

41

Name: F Minion Occupation: Helper Family Position: 2nd child

Age: 19 BP: N/A HR N/A

Height: 55 RR: N/A

Weight: N/A Temp: N/A

Health Status: According to F Minions mother he has no vices and health issues. Erick Erickson Developmental Theory Mr. F Minion is at his stage which according to Erickson is the Intimacy vs. Isolation; in this stage they start to explore relationships leading toward longer term commitments with someone other than a family member. Successful completion of this stage can lead to comfortable relationships and a sense of commitment, safety, and care within a relationship. Avoiding intimacy, fearing commitment and relationships can lead to isolation, loneliness, and sometimes depression. Success in this stage will lead to the virtue of love. F Minion works as a helper in an Ukay-ukay and he sends money every month to his family. He feels the sense of belongingness with his family despite being the son of the first husband of her mother.

42

Name: G Minion Occupation: Working Student Family Position: 4th child

Age: 17 BP: N/A HR N/A

Height: 53 RR: N/A

Weight: N/A Temp: N/A

Health Status: According to G Minions mother he has no vices and health issues. Erick Erickson Developmental Theory Mr. G Minion is at his stage which according to Erickson is the Identity vs. Role Confusion; this is a major stage in development where the child has to learn the roles he will occupy as an adult. It is during this stage that the adolescent will re-examine his identity and try to find out exactly who he or she is. Erikson claims that the adolescent may feel uncomfortable about their body for a while until they can adapt and grow into the changes. Success in this stage will lead to the virtue of fidelity. During this period, they explore possibilities and begin to form their own identity based upon the outcome of their explorations. Failure to establish a sense of identity within society ("I dont know what I want to be when I grow up") can lead to role confusion. Role confusing involves the individual not being sure about themselves or their place in society. In response to role confusion or identity crisis an adolescent may begin to experiment with different lifestyles (e.g. work, education or political activities). Also pressuring someone into an identity can result in rebellion in the form of establishing a negative identity, and in addition to this feeling of unhappiness. G Minion is a working student; he decided to do this so he can earn money for allowance or extra money for his studies. He also helps his father to gather wood when he doesnt have classes.

43

Name: I Minion Occupation: Grade 7 student Family Position: 5th child

Age: 13 BP: N/A HR N/A

Height: 47 RR: N/A

Weight: 45-46kg Temp: N/A

Health Status: According to I Minions mother he has no vices and health issues. Erick Erickson Developmental Theory Mr. I Minion is at his stage which according to Erickson is the Identity vs. Role Confusion this is a major stage in development where the child has to learn the roles he will occupy as an adult. It is during this stage that the adolescent will re-examine his identity and try to find out exactly who he or she is. Erikson claims that the adolescent may feel uncomfortable about their body for a while until they can adapt and grow into the changes. Success in this stage will lead to the virtue of fidelity. During this period, they explore possibilities and begin to form their own identity based upon the outcome of their explorations. Failure to establish a sense of identity within society ("I dont know what I want to be when I grow up") can lead to role confusion. Role confusing involves the individual not being sure about themselves or their place in society. In response to role confusion or identity crisis an adolescent may begin to experiment with different lifestyles (e.g. work, education or political activities). Also pressuring someone into an identity can result in rebellion in the form of establishing a negative identity, and in addition to this feeling of unhappiness. Minion is a grade 7 student according to his mother; he really wants to finish his studies. He is active in school activities. Even though they dont have money he still goes to school just to attend his classes. His mother also say that I minion dont want to be left behind during their lessons. The mother also said that he plays Chinese garter and basketball.

44

Name: J Minion Occupation: Grade 5 Student Family Position: 6th child

Age: 11 BP: N/A

Height: 55 HR: 83bpm RR: 20cpm

Weight: N/A Temp: 35.6

Health Status: According to F Minions mother she has no vices and health issues. Erick Erickson Developmental Theory Mr. J Minion is at her stage which according to Erickson is the Industry vs. Inferiority It is at this stage that the childs peer group will gain greater significan ce and will become a major source of the childs self esteem. The child now feels the need to win approval by demonstrating specific competencies that are valued by society, and begin to develop a sense of pride in their accomplishments. If children are encouraged and reinforced for their initiative, they begin to feel industrious and feel confident in their ability to achieve goals. If this initiative is not encouraged, if it is restricted by parents or teacher, then the child begins to feel inferior, doubting his own abilities and therefore may not reach his or her potential. If the child cannot develop the specific skill they feel society is demanding (e.g. being athletic) then they may develop a sense of inferiority. Some failure may be necessary so that the child can develop some modesty. Yet again, a balance between competence and modesty is necessary. Success in this stage will lead to the virtue of competence. J Minion is a grade 5 student. She helps her mother in house chores, she also washes her laundry and sometimes helps her father to find buyer for the woods. She also takes care of her little sister.

45

Name: L Minion Occupation: Grade 2 Student Family Position: 7th child

Age: 9 BP: N/A

Height: 40 HR: 82bpm RR: 16cpm

Weight: 29.5kg Temp: 36.4

Health Status: According to F Minions mother she has no vices and health issues. Erick Erickson Developmental Theory Mr. L Minion is at her stage which according to Erickson is the Industry vs. Inferiority It is at this stage that the childs peer group will gain greater significance and will become a major source of the childs self esteem. The child now feels the need to win approval by demonstrating specific competencies that are valued by society, and begin to develop a sense of pride in their accomplishments. If children are encouraged and reinforced for their initiative, they begin to feel industrious and feel confident in their ability to achieve goals. If this initiative is not encouraged, if it is restricted by parents or teacher, then the child begins to feel inferior, doubting his own abilities and therefore may not reach his or her potential. If the child cannot develop the specific skill they feel society is demanding (e.g. being athletic) then they may develop a sense of inferiority. Some failure may be necessary so that the child can develop some modesty. Yet again, a balance between competence and modesty is necessary. Success in this stage will lead to the virtue of competence. L Minion is a grade 2 student. According to her mother, L minion could do basic house chores in their house. She also helps her sister J minion to hang their laundry and also in taking care of their little sister when her parents are not around.

46

Name: M Minion Occupation: child Family Position: 8th child

Age: 5 BP: N/A

Height: 34 HR: 84bpm RR: 24cpm

Weight: 20kg Temp: 35.7

Health Status: According to F Minions mother she has no vices and health issues. And has completed her immunization. Erick Erickson Developmental Theory M Minion is at her stage which according to Erickson is the Initiative vs. Guilt during this period the primary feature involves the child regularly interacting with other children at school. Central to this stage is play, as it provides children with the opportunity to explore their interpersonal skills through initiating activities. Children begin to plan activities, make up games, and initiate activities with others. If given this opportunity, children develop a sense of initiative, and feel secure in their ability to lead others and make decisions. The child takes initiatives which the parents will often try to stop in order to protect the child. The child will often overstep the mark in his forcefulness and the danger is that the parents will tend to punish the child and restrict his initiatives too much. It is at this stage that the child will begin to ask many questions as his thirst for knowledge grows. If the parents treat the childs questions as trivial, a nuisance or embarrassing or other aspects of their behavior as threatening then the child may have feelings of guilt for being a nuisance. Too much guilt can make the child slow to interact with others and may inhibit their creativity. Some guilt is, of course, necessary otherwise the child would not know how to exercise self control or have a conscience. A healthy balance between initiative and guilt is important. Success in this stage will lead to the virtue of purpose. M Minion is the 8th child of Mr. & Mrs. Minion, she doesnt go to school yet because her mother stated that they dont have money to buy school materials for M minion. M minion is

47

the only one left at home when her sisters go to school. She only plays outside of their house and sometimes goes to her playmates. She likes to play Chinese garter. When her friends argue with her, she just cries in the corner or go inside of their house.

48

FAMILY BACKGROUND

This chapter illustrates the family background of the study which includes, Database of the Respondent, Family Tree, General Household Data, Activities of Daily Living which could be an indicative for the present health status of the family as it continues to influence the each of the family member.

Family History

The Family Minion is considered as a nuclear type of family. A nuclear type is a typical type of family composed of a father, a mother and child/children. This type of family structure is found in almost all societies, although the length of time in which the family remains in this form varies even within the same society. The nuclear family can be a nurturing environment in which to raise children as long as there is love, time spent with children, emotional support, low stress, and a stable economic environment. In nuclear families, both adults are the biological or adoptive parents of their children (Jay C, 2004,). Not a typical family living on the scarcity of the unwanted circumstance they are in. The family resided at barangay Anakan, Purok Ilang-ilang, Gingoog City. Their house is located approximately 71 meters south east from the barangay heath center. They
49

own their house but they settle in a vacant land which they do not own. No formal arrangement between both sides was done, that is why the land owner is constantly telling them to leave, and settle elsewhere. The name of the father is Mr. A Minion, a 42 year old man, born on the 11 th of May 1972 at barangay Eureka, Gingoog City. He never got a chance to go to school, because of their poor condition and the distance between school and home. He married Mrs. B Minion on a mass Getida, a form of civil wedding, on the 3 rd day of March 2006. He gathers wood and sell it per bundle, and consider this as his major source of income. He sometimes works as a gardener and maintains the landscape of the church. Mrs. B Minion is a 49 year old woman, born on the 11 th day of July 1964 at barangay Eureka, Gingoog City, a member of Higaonon tribe, ethnic group found in Gingoog city. She was 19 years old when she married her first husband in a tribal wedding. Her husband died when she was 35. She was then 42 years old when she married Mr. A Minion. Mother of 7, she always works hard in helping his husband in selling firewood in order to buy their necessities. Mrs. B Minion is a typical mother having an ambition for all of her children, a simple ambition of good education. This made them decide to leave their own land and seek for a new one that might bring them new opportunities, but still their poor situation is a great barrier in achieving their goal. Mr. F Minion is an 18 year old man, second child of Mr. and Mrs. Minion. He is born on the 17th day of May 1994 via home delivery at barangay Eureka Gingoog City. He only finished 2 years on his secondary education; poverty prompted him to stop going to school and work instead. He works on an Ukay-Ukay store and sometimes

50

gives his parents some amount, for their daily needs. He is sometimes bothered by the fact that he is a child of Mrs. B Minion from her First husband but always insist that Mr. A Minion is his real father. Mr. G Minion is a 17 year old boy, born on the 20 th day of September 1995 at barangay Eureka Gingoog City via home delivery. Together with his siblings he continues his primary education as a grade 5 student at Anakan elementary School. A strong kid with a strong motivation to finish high school, Mr. I Minion is a 13 year old child, was born on the 28th day of June 2000. Still on his 7th grade, Mr. Minion strive the most in his education, trying hard to move at the same pace with his classmates, showing his competence and motivation. Ms. J Minion, is an 11 year old Girl, born on the 20th day of march 2002 via home delivery at barangay Eureka Gingoog City, unlike her brother she is a lively girl, being on her 5th grade with her older brother, she is doing good in school despite of the scarcity they are in. A lively Child on her second grade, Ms. L minion is the 6th child of Mr. and Mrs. Minion. A 9 year old Girl, Born on the 11 th day of July 2004, via home delivery at barangay Eureka Gingoog City. A happy lace, Ms. M Minion is the youngest sibling constantly helping her mother with the house chores. She is a 5 years of age born on the 7th day of April 2008 and is the first child to be delivered on a hospital facility. She is constantly looking on the pictures of her siblings books, a clear indication of interest towards learning, yet due to having poor means for sending her to school; her mother decided that she must remain in the house in the meantime.
51

Data Base of the Respondent

The respondent upon interview is the mother in the family.

Name: Age: Gender: Address: Birthplace: Religion: Occupation: Civil Status: Nationality: No. of Children: Educational Attainment: Name of Husband:

Mrs. Minion 49 years old Female Purok Ilang-ilang, Brgy. Anakan, Gingoog City Brgy. Eureka, Gingoog City Roman Catholic Housewife Married Filipino 11 P 1, 600.00 Mr. Minion

52

53

C. General Household Data 1. Total No. of Children: 6 2. List of Household Members Educ. Occupatio Members Status n x t Mr. A Minion Married Wood Gatherer M Roman Catholi c Mrs. B Minion Married Housewife F Roman Catholi c Mr. F Minion Single Helper M Roman Catholi c Mr. G Minion Single Student M (Grade 5) Roman Catholi c Mr. I Minion Child Student M (Grade 7) Roman Catholi c Ms. J Minion Child Student F (Grade 5) Roman 6th Child NW 5th Child INC 4th Child 2nd Child Mother UW Father Se Attainmen n the Family Status Religio Position in Imm. NS

54

Catholi c Ms. L Minion Child Student F (Grade 2) Roman Catholi c Ms. M Minion Child F Roman Catholi c 8th Child FIC N 7th Child NW

55

FAMILY COPING INDEX

This chapter depicts the actual observation of the family behavior and practices in contrast to the ideal family attitude and behavior. It includes an assessment on how the family handles various stressors. The observations are analyzed to see occurrence of health problems or negative attitudes and behavior.

CRITERIA

IDEAL

ACTUAL

Rating

JUSTIFICATION

The 1. Physical Independence Is concerned with ability to move

members 5 There are no

are all able to move without and

abnormalities in the physical independence of the family members.

about, to get out of bed, to take care of daily grooming, walking, etc.

assistance

difficulty. They do their activities of daily living

Every member has no noted disabilities or disparities in

without aid. They are independent in moving about and using their musculoskeletal

moving and/or doing their ADL.

56

system.

2. Therapeutic Competence

Includes all of the The parents are 3 procedures treatments or aware on what to do if a member

The

parents

are

aware of their lapses in therapeutic They

prescribed for the falls ill. However, care such of as illness due to financial giving problems, they provide and/or

competence.

are sentient of their financial difficulties,

medications, using cannot appliances, enough

which is the primary reason for not having or following the

dressing, exercise, appropriate relaxation, special interventions diets, etc. except for the

appropriate procedure treatment, or having

free medications in the Health

appliances and even enough clothes for the children.

Center. Although, they use herbal plants, plants are those not

approved by the

57

DOH.

3. Knowledge of Health Condition

Concerned the health that

with The mother lacks 2 on health and

Though the mother recognizes pertinent health issues, she does not regard it as important except

particular knowledge condition salient is the issues

occasion for care responsibilities, such as and due to

when illnesses get worse. This could be detrimental to the

knowledge of the financial disease or inability problems, health to understand issues are

lives of the members especially children. the

communicability of overlooked. diseases mode transmission. Understanding the general pattern of development of and of

newborn baby and basic needs of

infants for physical

58

care.

4. Application of Principles of General Hygiene

Concerned family relation action

with The family sleeps 2 in in a confined

Even though aware of hygienes the not good

to space and eats enough which is

importance, family practice does

maintaining family barely nutrition, securing food

adequate rest and most of the time relaxation family carrying accepted preventive measures (immunizations, for unappetizing for

hygienic skills. Yes they take a bath but not every day since the children who go to school are given the priority for this privilege since they dont have bath soap and only use the dishwashing/laundry soap. Their source of water, eating habits and maintenance of healthy lifestyle are

members, the children due out to lack of The

seasoning.

storage of their drinking water

does not have a The

medical appraisal, cover.

safe home-making children use the in relation to water from the and water well

storing

preparing of food).

located in their neighbors house

59

except for their parents who use the public water well which is dirty for bathing. They do not practice sterilization nor

not

taken

into that

consideration

much due to lack of own water source, food source and Their room outside is a

finance. comfort located

healthy habits in food storage and preparation.

house. It is an open pit privy and is

covered by nipa as roof and plastic sacs as its walls and door. Surrounding the

privy are garbages.

5. Health Attitudes

Concerned

with The parents are 1

Parents, as much as possible, want to

the way the family concerned about feels about health the health of the care in general, members of the family yet they do

protect their children from any harm but then, they lack

including

60

preventive

not

participate in

money

and

services, care of actively illness, and public maintaining health measures. optimum

information for them to carry out the right health care for the family

health

due to financial constraints. Also, the family lacks information regarding healthy lifestyle healthful toward improvement life. of and ways

6. Emotional Competence

Has to do with the The maturity integrity which members of and usually with fight

parents 5 would due to

The

family

lives at

harmoniously

home. Even though conflicts arise, they really see to it that they would discuss

the financial the constraints. The

family are able to mother wants her

61

meet

the

usual husband to work and harder for their The take

each concern in a calm manner.

stresses

problems of life, family. and to plan for parents

happy and fruitful responsibility for living. The degree the to which They children. discipline

individuals accept them and teach the necessary them the morals of life.

disciplines imposed by ones family and culture. The development of the individuals responsibilities and decision. to

Willingness meet

reasonable to

obligations, accept

adversity

with fortitude, to consider the

needs of others as

62

well as ones own.

7. Family Living

Concerned the

with There

is

high 3 within family, with

Others individual

respect

interpersonal concern

or group aspect of the family family life. The especially

relationships of each member family. making is of the

members regards to their

Decisionshared

get along with one interrelationship another, the ways with others. The in which they parents discuss

among its members except on young

make affecting

decisions decision- making. the

member. Each has his or her own part or role in the family,

family, the degree to which they one and do The except children, for the

which respected.

is

well

support another

Ms. D, Mr. F. and Mr. G, are not yet open suggestion for to But majority of the decision is made by the mother.

things as family, the degree of and

respect

affection, and the ways in which they

decision-making since they are

63

manage the family still young and budget. difficult to

comprehend their current situations.

8. Physical Environment

Concerned home, community

with The

familys 2

The

house

the house space is and not good enough the family. are of rodents other Their is also

environment is not fitted for for them the

work environment for

especially

as its affect family There health. condition house pressure of The presence the insects, as and of vectors.

children, because of the presence of

pests and accident hazards community. in their Also

such

accident hazards, house screening,

their house is in poor condition, that they can possibly acquire serious diseases.

located under the tree.

plumbing, system, Gemelina facilities cooking,

of The falling fruits privacy, and dead

They dont have food

level of community branches pose a

64

(deteriorated neighborhood,

great

hazard.

storage.

They cook their

presence of social food inside their hazards, pests), house wherein

transportation schools availability.

of they just use pot and and used wood as fuel.

9. Use of Community Facilities

Degree family

of use

the The and aware

mother of

is 3 the

The use both health and school facility all

awareness of the available available community facilities education welfare. resources in the community, both for in health and

however,

not

children was given the chance to study. The youngest child is not enrolled since

and education.

their so no budget for her.

65

TYPOLOGY OF NURSING PROBLEM

This chapter discusses about the problem that were identified during assessment and interview with the family. It includes the cues, data, the family nursing problem and the nursing diagnosis. The problems identified are categorized into presence of wellness state, health deficits, health threats, and foreseeable crisis and stress points.

Table 4. Typology of Nursing Problems identified in Minion Family Cues or Data Objective data: Family Nursing Problems I. Accident hazards specifically fire

The house of Minion Family is hazard, as a health threat. mainly made up of amakan, coconut lumber and zinc as its roof. The mother A. Inability usually cooks inside the house using wood. to provide a home

environment conducive to health maintenance and personal

development due to: Subjective data: The mother verbalized Kaning among balay gi panday ra sa akong bana. Puro kahoy, amakan og sin ra ni a. Inadequate resources; financial family specifically constrains/limited

financial resources.

66

siya. Dira lang ko galuto sa sulod sa among balay kay naa man pud miy abuhan og kahoy lang dayun among gamit pangluto.

b. Failure to see benefits of investment in home

environment improvement.

B. Inability to make decisions with respect to taking appropriate action due to: a. Failure to comprehend the nature, scope, and

magnitude of the problem. b. Negative attitude towards

the health problem. c. Low salience of the problem

Objective data:

II. Family size beyond what family

The income of the family is about resources can adequately provide as Php 80 per day depending whether the a health threat. wood that they gathered will be sold. There are eight members in the family. Most of the time, in one week, they will only have earnings for four days. A. Inability to make decisions with respect to taking appropriate

health action due to: Subjective data: a. Inaccessibility of appropriate resources for care such as
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Mother verbalized, gamay ra jud among ma kwarta kada adlaw usahay pa jud kung wa jud miy halin wa pud miy kwarta. Di na gani mi kapalit sa mga galamiton sa bata para pang iskwela usahay pa jud di mi makakaon kay wala man miy kwarta palit sa pagkaon pa imnun nalang namu ang mga bata og tubig para dili mag sakit ang ilang tiyan kung makakwarta pud mi mag palit lang dayun mi og three forth nga bugas, asin og bitsin dayun, kung maigo pa ang kwarta dayun mag bas.oy nalang dayun ko para sa sud.an

financial constraints.

Objective data: The hands of the children are unclean when they eat their meal.

III. Unsanitary food handling as a presence of health threat.

A. Subjective data: Mother verbalized wala man sad gud sila naanad og panghugas sa

Inability to make decisions with respect to taking appropriate health action due to: a. Low salience of the problem.
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kamot og mao napud ila na andan.

b. Negative attitude towards health problem

Objective data:

IV. Poor home condition specifically

The family usually stores their lack of food storage facilities as a food by putting it inside the pot, cover it, health threat and then hang it beside their dirty kitchen. A. Subjective data: Mother verbalized dira lang namu ginabutang sa mai kilid sa abuhan kai wala man miy lamisa o kabutangan sa among mga pagkaon. Inability to make decisions with respect to taking appropriate health action due to: a. Low salience of the problem. b. Negative attitude towards health problem c. Inaccessibility if appropriate resources for care specifically financial constraints

Objective data: V. Poor environmental sanitation The familys drainage is an open specifically type. They place their garbage in disposal as a health threat cellophane, place it outside and burn it. improper drainage

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Subjective data: Mother verbalized ginabutang

A.

Inability to make decisions with respect to taking appropriate health action due to: a. Low salience of the problem. b. Negative attitude towards health problem

namu sa selofane ang basura og amo lang daun ilabay sa gawas din halingan lang daun namu.

VI. Poor environmental sanitation Objective data: specifically unsanitary waste

The family has a toilet but it is disposal as a health threat unclean and disorganize. A. Inability to make decisions with respect to taking appropriate health Subjective data: Mother verbalized naa man miy kasilyas pero dili nako agkalimpyohan kay ako paman atimanon akong a. Low salience of the problem. b. Negative attitude towards health problem c. Inaccessibility if appropriate resources for care specifically financial constraints Objective data: The family gets their water VII. Poor environmental sanitation source from a faucet of their neighbor specifically polluted water supply as and just pay them about 2-5 pesos per
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action due to:

istudyante og mangita pa daun ko og ka utangan para naa miy kaonon.

gallon.

a health threat A. Inability to recognize presence of

Subjective data: Mother verbalized didto mi

condition

or

problem

due

to:

a. Lack of knowledge B. Inability to make decisions with respect to taking appropriate health action due to: a. Low salience of the problem. b. Negative attitude towards health problem d. Inaccessibility if appropriate resources for care specifically financial constraints C. Failure to utilize community resources for health care due to: a. Inaccessibility of required service due to physical inaccessibility (location of facility)

gakakuha sa among silingan para sa among tubig nga ga imnon, mag bayad lang daun mi naay 2 pesos og naa pui 5 kada gallon.

Objective data: VIII. Lack of immunization status All children have not completed specially of children as a health
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their immunizations except for the 5th threat child and the youngest. A. Inability to make decisions with respect to taking appropriate health Subjective data: Mother verbalized ang ika lima og kinamanghuran ra jud nako ang naka graduate sa bakuna. a. Inaccessibility if appropriate resources for care specifically financial constraints B. Failure to utilize community resources for health care due to: action due to:

a. Inaccessibility of required service due to physical inaccessibility (location of facility)

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FAMILY NURSING CARE PLANS

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