DE LA SALLE HEALTH SCIENCES INSTITUTE

Dasmarias, Cavite 4114 Philippines

COLLEGE OF MEDICINE

Family Report

Group 9-Section B Boac, Ma. Minerva M. Hernandez, Oliveros, Mark Joseph Sumaya, Arthur Ishmael Taruc, Mary Anne Tibubos, Maebritt Timtiman Desiree Yaun, Pilipina Karla Mutya

Table of Contents

List of Tables and Figures Introduction Background Statement of Objectives Methodology Instrumentation Data Collection Procedures Data Analysis Family Report Family Lifeline Famiy Genogram Family Profile Socio-demographic Profile House and Environment Housing Appliances Owned Water Sanitation Accessibility to Community Facilities Family Mapping Clinical Biography Psychodynamics Family Function Family APGAR

Family SCREEM Conclusion and Recommendations Appendices Interview Transcriptions APGAR Tests

Introduction

A. Background The Family systems approach views the family as a system composed of interrelated parts that work together to achieve a common goal. This implies that a change in a part of the system or each individual members of the family can bring about change to the whole family system and functioning. A family systems approach to common clinical situation can facilitate a new level of understanding of a patients problem which aids in leading to a better medical outcome.

B. Statement of Objectives General Objective To be able to understand the structure and dynamics of a family through the use of assessment tools under the family systems approach, and apply it in the identification of the familys problems as well as the recommendations on how to address and deal with the identified problems.

Specific Objectives 1. To describe the family according to their structure and phase of their family life cycle 2. To draw the familys genogram 3. To describe the family lifeline 4. To draw and describe the family mapping 5. To describe the clinical biography of the family 6. To identify the health, emotional, and socio-economic problems of the family 7. To determine the presence/absence of family dysfunction by using the APGAR 8. To determine the familys capability to provide health care by using the SCREEM method

Methodology

Instrumentation The report made use of the different tools in family assessment such as the construction of the family genogram, family mapping, and family lifeline, as well as the family APGAR and SCREEM.

Data Collection Procedure The group was assigned to a family in Dasmarinas, Cavite to conduct an interview regarding the familys background. The interview was conducted and questions were asked according to the guidelines provided by the Department of Community Medicine. The APGAR tests were conducted through one-on-one interviews of the members of the family who were then present at the time of the interview.

Data Analysis The information gathered during the interview were tabulated and analyzed by following the guidelines given for each assessment tool used.

Family Report

Family Lifeline

The Estocado family was established in 1989 with the union of Irene and Jaime Estocado Jr, whose roots were from Bicol. There was no information given whether they had a civil or church wedding. They have been residing in Dasmarinas, Cavite for seven years already but before the family settled in Dasmarinas, Jaime lived in Bicol. After the couple got married in 1898, Irene gave birth to their eldest daughter, Jhemaryn whos already a Business Management graduate of National College of Science and Technology. She gave birth to their first child on the same year they got married. The couple had another 4 children and Irene gave birth under the care of a midwife. She gave birth to her second child Evangeline on 1991 and was followed by the birth of her third daughter Shiela on 1993. She gave birth to another girl on 1997 and her names Zara Mae. Finally, she gave birth to her youngest and only son Andrew Spencer on 2000. Based on the family interview that was conducted, we found out that the family is nuclear. They all live together under one roof. Hence, no other relatives live with them. They also do not have any household helper and their home is composed only of the family members (7). Although there are instances that the grandmother visits them and stays with them for some time. There were no recorded deaths aside from the brothers and sisters of both of the parents. There were no recorded marriages as well because most of the children are still adolescents. The family is very supportive of each other. The mother has a close relationship with her children; they spend most of the time together at home. The older daughters are very industrious, they make sure that they support and help their family even in simplest ways. The eldest daughter whos already 21 has not built a family yet and is still supporting the family. The father on the other hand, though quite busy working was never aloof or distant to his family.

Figure 3, shows the three generations of (surname) family. The first generation shows the both parents of Mr. Jaime and Irene (surname) (figures 1, 2 and 3). The (Jaimes surname)s second generation consists of eight (8) members as well with Jaime Jr. as the 4 th child of Mr. Jaime Sr. and Virginia (figure 1). (irenes maiden name)s second generation consists of eight (8) members with Irene as the 6th child of Mr. Arturo and Gloria (figure 2). Furthermore, figure 3 shows the third generation of (irenes maiden name and Jaimes surname) with 5 members and 2 live births. Based on personal communication with the index person namely Mrs. Irene Estocado, there is a history of high blood pressure on her mothers side. Fortunately, Irene does not manifest any clinical and/or biological symptoms of high blood pressure. Among the eight siblings, only Rosemary (Irenes sister) diagnosed to have high blood pressure and diabetes (figure 1). The relative normal blood pressure of Irene may be attributed to her lifestyle and active participation to several community projects. Moreover, Ms. Irene also elaborated that Jaime Jr., aside from his vice of smoking and casual alcohol drinking, complains back muscle pains and insomnia. He drinks alcohol every night so as to soothe himself to sleep. For the third generation, Jaime and Irenes children 1st child, Jhemaryn, had a history of diarrhea in 2002 for drinking contaminated water from the faucet. Evangeline (19 years old), on the other hand, had a drug allergy specifically (_________________nasa interview un eh sorry d ko jot down). Approximately 2 years after giving birth to Evangeline, Mrs. Irene Estocado became pregnant with her 3rd child. On the 4th month of her conception, she had a miscarriage and was told to be as a result of namatanda. On her supposed to be the 5th and 6th month of pregnancy, she still do not have her regular menstruation and her suprapubic area still gets bigger

and had thought that maybe her child could have been twins. However, on her 7th month of gestation, she again had a miscarriage. Shiela (17 years old) had a motor accident in 1998 and was brought to the hospital. Fortunately when Shiela was examined, no major wounds, injury or fracture incurred. Zara Mae (12 years old) is susceptible to acute diseases such as colds, cough with or without fever. Lastly, their only son, Andrew Spencer, appears to be the healthiest so far among his siblings. Figure 3 also shows that the first child, Jhemaryn, is closest and has strong bonds with her mother. While Andrew Spencer, the youngest and only son, is closest and has strong bonds with his father. Evangeline and Shiela are close to each other but both have conflicts with Zara Mae, who was described as moody and often misunderstood.

Family Profile Family Name Family Structure Family Stage Type/Years of Residency: Authority: Place of Origin: Socio-demographic Profile Name Position Sex Age Occupation M F F F 44 Warehouse Manager Educational Religion Civil Monthly Level Status Earning College Graduate Catholic Married 20,000/ month varies 2500/week N/A

Jaime Estocado Father Jr. Irene Estocado Mother Jhemaryn Estocado Evangeline Estocado Eldest Second

40 Entrepreneur 3rd Yr High Catholic Married School 20 Human College Graduate Catholic Single Resources 19 Server trainee Vocational Catholic Single at KFC Course(TESDA) 17 N/A 13 Student 9 Student High School Graduate 1st Year High School 4th Grade Elementary Catholic Single Catholic Single Catholic Single

Sheila Estocado Third Zara Mae Estocado Fourth

F F M

N/A N/A N/A

Andrew Spencer Youngest Estocado

Socioeconomic profile Four members of the family work and contribute to the total family income. Mr. Jaime Estocado Jr. works as a warehouse manager at E-mart and earns about Php 25,000.00 a month. Their eldest also works at this place, specifically the Human Resources and is currently earning Php 10,000.00 a month. Mrs. Irene Estocado sells ihaw-ihaw (barbecued chicken small intestines, porks clotted blood, and etc.) occasionally and usually earns approximately P 500.00. This can be considered as an additional income for the family. Their second child, on the other

hand, just started as a trainee at KFC six days before the interview, and her monthly earning can not be established at the moment and will not be included in the total family income. The total family income of Estocado family is about Php 25,000.00 a month and designation of money for the basic necessities such as water, electricity, food and school fees are handled by Mrs. Irene.

House and Environment Housing The Estocado family resides in a house situated in Dasmarinas, Cavite. It is a duplex up-anddown house owned by a relative of the husband. The family are staying on the first floor of a unit of the duplex for free. The materials used in the construction of the house are reinforced concrete, iron, and wood, which can withstand different weather conditions. Pieces of plywood and metal scraps were also used in the construction of a mini sari-sari store owned by the family, which is located right in front of their house. The house has two rooms, one where both husband and wife and their youngest child (Andrew) sleeps, and another for the other four children. It also has a common bathroom, a kitchen, and a living room.

Appliances Owned The family owns appliances which they use mainly for cooking and food storage such as a gas stove and a refrigerator. They also own other electronic appliances such as a television unit, DVD player, a laptop, and electric fans for entertainment and comfort. All these are currently functioning well,

except for the refrigerator.

Water The drinking water used by the family is mineral water delivered to them in gallons once every week from Pala-Pala. They consume about four containers of mineral water per week and they also sell the water that is delivered to them to their neighbors. Tap water supplied by the Dasmarinas

Water District is for other water usage.

Garbage Disposal Garbage is collected periodically by garbage collectors and are disposed of by compost pit method.

Excreta Disposal/ Bathroom (will be included when all necessary information is gathered)

Sanitation

Animals Raised No farm animals are being raised by the family although they do have a pet dog that they play with every now and then. They feed the dog with their leftovers and they let it sleep inside their house every night. According to the children, their family is very fond of dogs especially their father. In fact, just a day after their previous pet dog died, their father brought home a new dog given by their fathers friend. Although the children say that the dog is maamo, it can pose a threat to them of getting bitten and acquiring rabies, since the family never had their dog brought to a veterinarian for necessary vaccinations.

Accessibility to Community Facilities

The location of their house is fairly accessible to community facilities. Their barangay is located across MERALCO and is just one or two kilometres away from health institutions such as DLS-UMC (De La Salle University Medical Center). It is also a kilometre away from the town proper and market, where the town church is located as well as food establishments. Private and public schools are also accessible to the familys children as well as recreational areas for relaxation and family bonding such as SM Dasmarinas, Robinsons Place Dasmarinas, and Walter Mart Dasmarinas. Their barangay hall is newly constructed with a health center and a basketball court where children can play.

Personal Habit The father of the family consumes about two to three beer at night to fall asleep. It was also mentioned that he smokes about five times every night.

Preferred Medicine Mrs. Irene plays the mommy doctor of the family. According to her she is able to discern whether her sick family member needs to seek greater care. It is only then, will she either bring him/her to the hospital or albularyo. Due to financial constraint, the family does not regularly visit a family physician. The family also utilizes herbal remedies such as ginger and oregano when needed. They occasionally buy vitamins but doesnt consider this as a priority. They sometimes dance inside the house for fun and consider this as their exercise.

Food Preparation and Source

Their eldest gets free rice from work which this usually last about half a month. Mrs. Irene prepares food for her family often using a gas stove, and occasionally uses charcoal for heating foods.

Food Preferences Mrs. Irene, who prepares food for her family believes that vegetables will keep her family healthy and thus, these are usually part of their daily meal. They also consume meat such as chicken, pork, beef and fish. She prepares breakfast, lunch, afternoon snack and dinner for her family every day.

Family Mapping

The green box represents the parents, Jamie and Irene while the yellow box represents their five children (from oldest to youngest), Jhemelyn, Evangeline, Sheila, Zara and Andrew. In general, the family lives in harmony although conflicts, differences and preferences in this nuclear family of seven cannot be avoided. Although all children have good relationship with both parents, they are much closer to their mother since she is the one who is always at home and the one who is more expressive in

terms of affection. The father fails to establish this kind of bond with his daughters since he leaves home early in the morning for work and comes home late in the evening. Meanwhile, he is more attentive and affectionate to his only son Andrew. Andrew being the youngest gets attention and affection from everyone. The second and third children, Evangeline and Sheila respectively, have a closer relationship with each other than to anyone else in the family. On the other hand. the eldest Jhemelyn is close to her mother. Jhemelyn also helps her mother Irene with the finances of the household. Zara, the youngest daughter doesnt get along that much with the rest of her siblings especially, Evangeline and Sheila. Zara is described as moody, sensitive, quarrelsome and always misunderstood. Nevertheless, the couple still talks about their problems and shares their thoughts and feelings regarding family matters.

E. Clinical Biography

Paternal side Jaime Sr. - high blood

Maternal side lola Gloria HB lolo Arturo casual alcohol drinker, smoker Mario (brother) high blood with diabetes

Family Jaime Jr. (father) - casual alcohol drinker, smoker Evangeline (mother) drug allergy Zara Mae (daughter) immunosuppressed

The Estocado family is not as different as is in a common filipino family regarding health issues. The family has a common side hypertension problem. Jaime Sr., on the father 's side and Lola Gloria on mother's aspect. Lolo Arturo, husband of Lola Gloria, is a casual alcohol drinker and smoker which can affect his health leading to more serious problem. Aside from HPN, the

family on the mother's side rule out a (+) diabetes mellitus on Mario, Ms. Irene's brother. The problems regarding this issue can be passed on to the next generation and genetically can overlap within the family. We are not certain if Jaime Jr. and Irene is having this problems too. Present family lifestyle is not that good. Jaime Jr., father of four and husband of Irene, even though not yet ruled out having some health problems has an issue of casual alcohol drinking and smoking which can lead to future detrimental health problems. Evangeline have some drug allergy and Zara Mae is somewhat immunosuppresed. There are no disabled in the family and all are still well functioning as a human being. Common coughs and colds are problems especially for the children, a typical Filipino health concern. There are no major casualties regarding their health so far, even on both family sides. The Estocado family as a whole is not that health challenged the way they discussed and bring it to us. They can manage their lifestyle in relation to health. They do not have that main issue regarding illness and disease. Maintaining their mind and body physically fit will help them become safe and well.

F. Psychodynamics

Religion plays an important role in the morality of human person. Mrs. Irene and her family is a Roman Catholic. No one in the family is active in any religious organization but Mrs. Irene is P.R.O last December 2008 of KDBM ( Kababaihan ng Dasmarias Bagong

Milenyo) in their place wherein the members of this organization is the one who is facilitating in the different charity works in the illiterate people of Dasmarias municipality. According to Mrs. Irene it does affect her relationship with her family because of this she is telling her family

especially her children that they are still blessed because they can still eat 3 times a day compared to others. Regarding health, Mrs. Irene views a healthy person as maliksing kumilos at maganang kumain at hind sakitin and in order for her to keep her self healthy she eat nutritious food like vegetables, exercise through dancing and resting 4-5 hours a day. Mrs. Irene define a person who is sick and ill as may masamang pakiramdam at mahina and to her the cause of illness is the microorganism that can be found in the food. In some situation, when one of the family got sick they go to Albularyo and often times they just do self-prescription and used OTC drugs (over the counter). They dont consult the doctors for the reason that the fee cost a lot and health condition is not severe because oftentimes the member of the family only has fever. Mr. JAIME is smoking and drinks 2 bottle of beer before going to sleep. She seldom exercises because according to her she has a lot of thing to do. They relax their selves through watching television and simply chatting with each other. She took care of his husband and children by providing all what her family need. When she is struggling she first consults her first daughter regarding monetary problems. They have a good mother-children communication because her children are more open to her than with their father. There exists a rivalry between 3rd child _ and _ . The 2nd child is more close to Sheila. One thing that unite them is when they are watching tv. Each of the members of the family has their own roles and responsibilities.

Assessment of Family Function Family APGAR Shiela Mae Estocado: 17 y/o, Female High school Graduate FAMILY APGAR QUESTIONNAIRE

(PART I) HALOS PARATI (Almost Always) A (Adaptation) Akoy nasisiyahan dahil nakaka-asa ako ng tulong sa aking pamilya ( I am satisfied that I can turn to my family for help when something is troubling me) Akoy nasisiyahan sa paraan na nakikipag-talakayan sa akin ang aking pamilya tungkol sa aking mga suliranin ( I am satisfied with the way my family talks things with me and shares problems with me) Akoy nasisiyahan na tinatanggap at sinusuportahan ng aking pamilya ang aking mga nais gawin tungkol sa mga bagong landas para sa aking ikauunlad (I am satisfied that my family accepts and supports my wishes to take on new activities or directions) Akoy nasisiyahan sa paraang ipinadarama ng aking pamilya ang kanilang pagmamahal at pag-unawa ng mga damdamin kong tulad ng galit, lungkot at pag-ibig (I am satisfied with the way my family expresses affection and responds to my emotions such as anger, sorrow and love) Akoy nasisiyahan na ako at ang aking pamilya ay may panahon para sa isat-isa (I am satisfied with the way my family and I share time together) PAMINSANMINSAN (Some of the time) HALOS HINDI (Hardly ever)

P (Partnership)

G (Growth)

A (Affection)

R (Resolve)

Evaluation 8-10 = Highly functional 4-7 = Moderately dysfunctional 0-3 = Severely dysfunctional

Scoring Almost always = 2 Some of the time = 1 Hardly ever =0

FAMILY APGAR QUESTIONNAIRE (PART II)

Who lives in your home?

Relationship

Age

Gender

How do you get

along? Well Fairly Poor Irene Estocado Jaime Estocado Jhemarene Estocado Vangeline Estocado Sara Mae Estocado Mother Father Sister Sister Sister 21 19 12 Female Male Female Female Female

If you dont live with your own family, list the persons to whom you turn to for help

Relationship

Age

Gender

How do you get along? Well Fairly Poor

Christine Sotto

Cousin of her cousins husband Brother

18

Female

Andrew Spencer Estocado

Male

Name: Shiela Mae Estocado Age: 17 Gender: Female Order in the family: 3rd Status: Single Educational attainment: High school Graduate FAMILY APGAR QUESTIONNAIRE (PART I) SCORING: 7 EVALUATION: Moderately dysfunctional

Based on Shiela Maes personal opinion upon answering the first part of the Family APGAR Questionnaire, and the scoring and evaluation done, we can conclude that the family is moderately dysfunctional.

FAMILY APGAR QUESTIONNAIRE (PART II) Based on the answers in the second part of the Family APGAR Questionnaire we can tell that Shiela Mae is closest to her 2nd sister, Vangeline, since they are always together. However, she also develops close relationship to her mother, father, and the rest of her siblings except for Sara Mae, which she describes as moody and hot tempered. She also develops close relationship to Christine Sotto, their neighbor and seeks for her help in case of conflicts and problems in the family.

Vangeline Estocado: 19 y/o, Female Vocational Graduate- Computer Hardware and Services FAMILY APGAR QUESTIONNAIRE (PART I) HALOS PARATI (Almost Always) A (Adaptation) Akoy nasisiyahan dahil nakaka-asa ako ng tulong sa aking pamilya ( I am satisfied that I can turn to my family for help when something is troubling me) Akoy nasisiyahan sa paraan na nakikipag-talakayan sa akin ang aking pamilya tungkol sa aking mga suliranin ( I am satisfied with the way my family talks things with me and shares problems with me) Akoy nasisiyahan na tinatanggap at sinusuportahan ng aking pamilya ang aking mga nais gawin tungkol sa mga bagong landas para sa aking ikauunlad (I am satisfied that my family accepts and supports my wishes to take on new activities or directions) PAMINSANMINSAN (Some of the time) HALOS HINDI (Hardly ever)

P (Partnership)

G (Growth)

A (Affection)

R (Resolve)

Akoy nasisiyahan sa paraang ipinadarama ng aking pamilya ang kanilang pagmamahal at pag-unawa ng mga damdamin kong tulad ng galit, lungkot at pag-ibig (I am satisfied with the way my family expresses affection and responds to my emotions such as anger, sorrow and love) Akoy nasisiyahan na ako at ang aking pamilya ay may panahon para sa isat-isa (I am satisfied with the way my family and I share time together)

Evaluation 8-10 = Highly functional 4-7 = Moderately dysfunctional 0-3 = Severely dysfunctional

Scoring Almost always = 2 Some of the time = 1 Hardly ever =0

FAMILY APGAR QUESTIONNAIRE (PART II)

Who lives in your home?

Relationship

Age

Gender

How do you get along? Well Fairly Poor

Irene Estocado Jaime Estocado Jhemarene Estocado Shiela Mae Estocado Sara Mae Estocado Andrew Spencer Estocado
Name: Vangeline Estocado Age: 19 Gender: Female

Mother Father Sister Sister Sister Brother 21 17 12 9

Female Male Female Female Female Male

Order in the family: 2nd Status: Single Educational attainment: Vocational Graduate- Computer Hardware and Services (TESDA) Occupation: Trainee (KFC- Dasmarias)

FAMILY APGAR QUESTIONNAIRE (PART I) SCORING: 8 EVALUATION: Highly functional Based on Vangelines personal opinion upon answering the first part of the Family APGAR Questionnaire, and the scoring and evaluation done, we can conclude that the family is highly functional.

FAMILY APGAR QUESTIONNAIRE (PART II) Based on the answers in the second part of the Family APGAR Questionnaire we can tell that Vangeline is closest to her 3rd sister, Shiela Mae, since they are always together and shares everything with each other. She also develops close relationship to her mother, father, and the rest of her siblings. She doesnt seek for anyones help in cases of conflicts and problems. She just resolves it on her own if her family cannot attend to her needs and doesnt mind her problems too much.

Family SCREEM

SocialCulturalReligiousEducationalEconomicMedical
PARAMETERS STRENGTH [+] Healthy intrafamilial relationships [+] Supportive intrafamilial relationships [+] Healthy extrafamilial relationships [+] Supportive extrafamilial relationships WEAKNESS [ ] Lack of famlial lines of communication [ ] Presence of rivalry or animosity [ ] Unhealthy intrafamilial relationships [ ] Unhealthy extrafamilial relationships

SOCIAL

[+] Absence of rivalry or animosity [ ] Others (specify)

CULTURAL

RELIGIOUS

[ ] Absence of beliefs or practices that are unacceptable to our culture or negatively affect way of living (e.g. institutionalization of elderly, practices of traditional healers/faith healers, dependency of married children to parents, belief in pamahiin, etc.) /Specify/ [ ] Others (specify) [+] Spirituality positively influences way of life [+] Practices one's faith, goes to mass, etc. [+] Enduring because of their faith [ ] Level of education does not hinder one's achievement and/or livelihood [+] Level of education facilitates comprehension of most challenging circumstances [ ] Others (specify) [+] Allocates funds appropriately [+] Ability to make ends meet all the time [ ] Others (specify) [+] Aware and practices wellness and environmental sanitation [+] Timely and appropriate medical consultation [+] Complies with medical management most often [ ] Others (specify)

[ ] Unsupportive intrafamilial relationships [ ] Unsupportive extrafamilial relationships [ ] Others (specify) [+] Presence of beliefs or practices that are unacceptable to our culture or negatively affect way of living (e.g. institutionalization of elderly, practices of traditional healers/faith healers, dependency of married children to parents, belief in pamahiin, etc.) /Specify/ --PAMAHIIN, BELIEF IN TRADITIONAL HEALERS [ ] Others (specify) [ ] Spirituality does not affect life positively [ ] Does not practice one's faith [ ] Others (specify) [+] Level of education is a hindrance to one's success and/or livelihood [ ] Level of education hinders comprehension of most challenging circumstances [ ] Others (specify) [ ] Inability to allocate funds appropriately [ ] Can hardly make ends meet most oftenly [ ] Others (specify) [ ] Does not practice wellness and environmental sanitation [ ] Inappropriate medical consultation [ ] Poor compliance with medical management [ ] Others (specify)

EDUCATIONAL

ECONOMIC

MEDICAL

Social

The family Estocado as a whole is a healthy family being that they are able to communicate well with each other. Of coarse they cannot avoid small conflicts most especially those between siblings but most often they really get along very well. It was also evident that the family is loving and is always concerned with the well being of one another. Not only does this family have a good relationship with each other but with their relatives and neighbors as well. With regards to the community though they are not always active they do participate sometimes and share good neighborly relations within the vicinity. As a whole the Estocado family has also been very accommodating to strangers.

Cultural The father, Jaime, grew up in Bicol whereas the mother, Irene, in Cavite. Most of their lives as a family have been eventful in Cavite. Even though they were living in the modern times it was evident that they still believed in the old practices or teachings with regards to traditional healers. As per quoting Shiela, 3rd of the 5 children, there was one incident that a sibling who had relentless fever was believed to be victimized by a spiritual element called nuno and was brought to the hospital then later on was brought to an albularyo as advised by someone who passed by them at the hospital.

Religious Catholicism has been well practiced in the family. They try to make sure they come to mass every Sunday as a family and involve themselves in church activities.

Economic

The father, Jaime, as well as the eldest child, Jhemarine, works at E-Mart situated at Dasmarias, Bayan. The 2nd child, Vangeline, is currently a trainee at KFC in Walter Mart. The mother, Irene, is a full-time housewife who tends to the needs of the family and at the same time sells cheap grilled food when she feels like it.

Education Majority of the household are college undergraduates. Shiela, the 3rd child, graduated high school and plans to go to college and take HRM as a coarse. Vangeline, the 2 nd child, took up a vocational coarse at TESDA for a year. Zarra Mae, the 4th child, is currently in 1st year highschool. The youngest, Andrew Samson, is currently in the 4th grade. Jhemarine, the eldest, was able to finish high school. The father, Jaime, and the mother, Irene were both able to graduate from high school.

Medical The are no notable illnesses in the family and they rarely get hospitalized. Only the usual cough and colds, fever, etc. which are manageable with medicines bought from the pharmacy. Irene most often asks the pharmacist what medication she would recommend for such basic illnesses. Sometimes Irene, the mother, gives oregano, a herbal medicine, to her children. They also seldomly take multivitamins.

Problems Recommendations