JMJ

Marist Brothers
Notre Dame of Dadiangas University
College of Health Sciences
Department of Nursing

A FAMILY CASE STUDY OF THE VALLINTE FAMILY

In Partial Fulfillment of the Requirements

For Community Health Nursing (CHN)

For the degree of Bachelor of Science in Nursing (BSN)

Presented to:

Lourdes O. Decrepito RN MAN

Presented by:

Alyson Kate Castillon

December 19th, 2024

 ACKNOWLEDGEMENT

I would also like to express my appreciation to my academic mentors and the

College of Health Sciences for providing this opportunity to apply theoretical knowledge

in a real-world setting.

This family case study has been a significant milestone in my journey toward

becoming a competent nurse. The experience has deepened my understanding of

holistic care and strengthened my commitment to serving communities with compassion

and dedication.

I extend my heartfelt gratitude to our subject adviser, Mrs. Lourdes O. Decripito,

RN, MAN, and our clinical instructor, Mr. Kitz Kyiel M. Espartero, RN, MAN, for their

unwavering guidance and encouragement. Their patience, expertise, and motivational

words have been invaluable in completing this study and enhancing my learning

experience.

Above all, I am deeply grateful to my family—my steadfast pillars of support. To

my parents, siblings, and extended family, thank you for your love, understanding, and

encouragement. Your belief in my potential has motivated me to persevere and grow as

an individual and as a future nurse.

Special thanks to the Vallinte family for their openness and cooperation

throughout the assessment and teaching process. Without their trust and willingness to

share, this case study would not have been possible. I am truly inspired by their

receptiveness and hope the insights shared will positively impact their well-being.
 CHAPTER I

INTRODUCTION

The family has diminished in size, shape, and function as many of its economic,

educational and religious roles are replaced by church and state. The family as a

conjugal unit is quite recent and prevalent only in some parts of the world (Sear 2016).

Family is the most fundamental and universal social institution, as well as

the foundation of society. All family members receive psychological, social, and

financial support from the home. For some, home is the place where they can

freely express their emotions, and for some others, it’s a place where they

suppress all their feelings and emotions. One’s life starts at home, for a child, it’s the

first school from which they learn the important lessons of their life (Kelly 2023).

The family defines many aspects of our daily lives like who we work, eat and

sleep with, who we share with, whether we live in large extended or conjugal families,

and the time males and females, adults and children, spend in the company of each

other. The ways families are structured also affect where we live after marriage, who we

inherit our name and property from, who is included in our kin group and who is

excluded, whether we marry one or multiple partners, how disagreements and authority

are brokered, whether both females and males can instigate divorce and the extent to

which gender equality prevails. and expresses a wide array of forms across individuals,

cultures, ecologies and time. While the nuclear family is the norm today in developed

economies, it is the exception in most other historic and cultural contexts. Yet, many
aspects of how humans form the economic and reproductive groups that we recognize

as families are distinct to our species. (Ruggles 2019)

A traditional family is composed of a father, mother and their children, just as in a

nuclear family. The main difference between the two is that a traditional family has the

father as the sole breadwinner of the family. Nuclear or traditional families are often

considered to be the “ideal” family (Lauer and Lauer 2014).

As described by various scholars, the family serves not only as a unit of

emotional and moral support but also as the primary environment where children begin

their journey of education and socialization. This foundational role of the family

underscores its importance in nurturing physically healthy, morally upright, and culturally

aware individuals, which ultimately strengthens societal structures​(Walsh 2003).

The student nurse selected this family as they meet the criteria for families

experiencing health issues. This allows the student nurse to address and potentially

prevent these problems with the family's full cooperation. By applying community health

nursing skills, the student nurse can deliver care while equipping the family with the

knowledge and skills needed to sustain their well-being.

 Chapter II

PURPOSE OF THE STUDY

This chapter presents the general and specific objectives of this family case

study. Setting objectives provides direction for planning a family nursing intervention. It

facilitates motivation for the client and the nurse by providing a sense of achievement.

A. General Objectives

To conduct a thorough case study of Vallinte in Zone 2, Bula Extension, Gavilo

street, Barangay Bula, General Santos City, South Cotabato, to assess their overall

health status, classify them into health deficits, threats, and stress points, and

implement appropriate nursing interventions to improve their health and foster

self-reliance within a specific time frame.

B. Specific Objectives

The student nurse should be able to:

1. Build a trusting and respectful relationship with the Vallinte family.

2. Gather necessary data to create a family care plan addressing their sanitation

and health challenges.

3. Guide the family in recognizing their sanitation issues and exploring practical,

low-cost solutions.

4. Collaborate with the family to implement the family nursing care plan

5. Evaluate the effectiveness of the interventions through family feedback and

 observed improvements.

6. Provide health teachings on sanitation, hygiene, and sustainable practices for

daily application.

Throughout the process, the family should be able to:

1. Recognize their environmental issues and explore practical, low-cost solutions.

2. Describe the importance of sanitation, hygiene, and sustainable practices for

daily application.

3. Take actions about their children's developmental problem

 CHAPTER III

INITIAL DATABASE

A. Family Structure, Characteristics and Dynamics

The Vallinte’s household is located in Zone 2-B, Bula Extension, Gavilo Street,

General Santos City. It is comprised of 4 members: Mr. Vallinte, Mrs. Vallinte, Young

Vallinte and Baby Vallinte. The father, Mr. Vallinte, is a 31 year-old male and the head of

the family. He is married to Mrs. Vallinte, a 40 year-old female. Young Vallinte and Baby

Vallinte are Mr. and Mrs. Vallinte’s daughters, and are, respectively, 4 years old and 2

years old.

The Vallinte’s family is a traditional family, with Mr. Vallinte as the head of the

family. However, neither of them works. And only takes care of their two daughters and

their home.

B. Socioeconomic and Cultural Characteristics

Mr. Vallinte graduated from grade 6 while Mrs. Vallinte graduated from grade 10,

And their daughters Young and Baby have not started school yet. Mr and Mrs. Vallinte

are both unemployed, and so do not contribute to their family’s income.

The Vallinte have household appliances, and pay for electricity. They mainly eat

rice, vegetables, and fish, and only eat meat on special occasions or when they can

afford it. They avoid alcohol and emphasize family meals as a time for prayer and

connection. Mrs. Vallinte embraced the Baptist faith after marrying Mr. Vallinte, and their

whole family now practices Christianity with a strong Baptist foundation.

 They mainly use sign language to communicate at home, but their children also

understand and speak Tagalog and Bisaya to interact with others outside the family.

C. Home and Environment

The Vallinte live on a lot they own, which was generously given to them by the

late grandmother of Mrs. Vallinte. This gift has provided their family with a stable and

secure home. Their house is made of mixed materials and was built by Mr. Vallinte

himself with resourcefulness and hard work. Their lot is modest in size, their house

measuring 8 meters by 6 meters, occupying 5 meters by 3 meters in lot. The house is

divided into two main areas: a single bedroom where the entire family sleeps and a

dining area. The kitchen is located outside, where they cook over an open charcoal fire.

The house floor is made of cement, while the outside kitchen is constructed mostly of

light materials. The kitchen floor is bare soil, uneven, and littered with some trash in the

corners. An open drainage system runs near the cooking area, which poses health

risks, such as the attraction of pests and potential contamination of food. In one corner

of the outdoor kitchen, the family does their laundry and washes dishes, which adds to

the clutter. The area is crowded with old, unused items, creating additional hiding spots

for insects, which are visible throughout the space. Many of the materials used in the

outdoor kitchen are already deteriorating, further highlighting the need for repairs and

maintenance to ensure the family's safety and hygiene. The Vallintes have coconut

trees in front of their house, providing much-needed shade and fresh air, which helps

cool their home from the intense heat of the sun. Alongside the coconut trees, a few

decorative plants are neatly arranged, adding a touch of greenery to their surroundings.
However, there are no herbal, vegetable, or fruit plants in their yard. Without pets, the

area is quieter, but the absence of additional vegetation limits the family's opportunities

for self-sustenance through gardening. The Vallinte family relies on a public water

system connected through a pipe network, which is their primary source of water for

cooking, laundry, and bathing. This system provides convenience compared to fetching

water from distant sources, but the family still needs to store water in large containers

for household use, as water supply interruptions are common. The piped water is

accessible to the entire community, fostering a shared sense of resourcefulness and

cooperation among neighbors. While the system is functional, the outdoor kitchen and

washing area add challenges, such as managing cleanliness and avoiding

contamination due to the open surroundings. This setup reflects a modest but functional

way of living, where basic needs are met despite limited infrastructure and resources.

D. Health Status of Each Family Member

The Vallintes have no known hereditary illnesses, such as diabetes or

hypertension. Mrs. Vallinte, who is seven months pregnant, shared that neither she nor

her husband drinks alcohol or smokes, which supports their overall healthy lifestyle. A

urinalysis exam conducted by the student nurse revealed that Mrs. Vallinte's urine

tested negative for glucose and albumin, indicating no signs of gestational diabetes or

kidney issues at this time. However, the student nurse could not conduct a urinalysis on

Mr. Vallinte, as he was unavailable during the home visits due to work commitments.

The couple's proactive approach to health and the absence of common diseases reflect

a positive environment for the growing family, although regular monitoring, especially
during pregnancy, is crucial to ensure continued well-being.

E. Values, Habits, Practices on Health Promotion, Maintenance and Disease

Prevention

Both of the Vallintes’ children are completely up to date on their immunizations,

with Young having been recently dewormed in October of this year. Mrs. Vallinte

mentioned that they usually visit the barangay health center for their healthcare needs,

ensuring the children receive the necessary treatments and preventive care. Mrs.

Vallinte is currently six months pregnant and is taking care of her two children on her

own, as her husband is not always available at home due to work. She is formula

feeding Baby Vallinte and is not using any other form of contraception at the moment.

She mentioned that she plans to get a Depo Provera shot the next time it is available

from the barangay health workers. Mrs. Vallinte also shared that she and her husband

do not drink alcohol or smoke, and their family typically eats rice, vegetables, and fish.

The Vallintes cook their food outside the house in an open kitchen, using a

charcoal fire near the light, flammable materials of the kitchen, which poses a risk of

fire. They also have a drum for storing non-potable water, which, when left uncovered,

can attract mosquitoes and other vectors. Despite these challenges, the family makes

efforts to segregate their garbage and waste. Every Monday, the barangay garbage

collector truck comes by to collect their waste, providing a more organized method of

disposal compared to other communities that may rely on open burning.

 Chapter IV

FAMILY COPING INDEX

This chapter employs the Family Coping Index (FCI) to evaluate the family's specific

needs. This tool helps evaluate various aspects of a family’s ability to cope with

stressors, illness, and other challenges, shifting the focus from the individual coping

abilities to the overall coping capacity of the family unit.

This holistic assessment provides valuable insight into family dynamics, strengths,

and available resources, facilitating the identification of areas requiring support. Utilizing

FCI, healthcare providers can tailor interventions to enhance or maintain the family’s

health and well-being, promoting their resilience in the face of challenges.

The scoring is as follows:

1 - Poor or Low Competence

3 - Moderate Competence

5 - High Competence
Category Definition Actual Rating Justification

1. Physical
Independence Concerned Family 3 A scale of 3 is
with the ability provides given because
to move about, partially for while the family
to get out of needs of its members have
bed, to take members, or their own tasks
care of daily provides care and work
grooming, for some independently,
walking. members but the level of
not for others. cooperation
and support
among them is
limited and
could be more
balanced.

2. Therapeutic
Competence Includes all of Family carrying 3 A scale of 3 is
the procedures out some but given because
or treatments not all of the the family is
prescribed for treatments. cooperative in
the care of wellness
illness, such as assessments
giving but failed to
medications, demonstrate a
using clear
appliances, understanding
dressings, of the causes
exercises and of certain
relaxation. diseases which
limits their
overall
therapeutic
competence.
3. Knowledge
of Health Concerned Has some 3 A scale of 3 is
condition with the general given because
particular knowledge of the family has
health the disease or some
condition that condition, but knowledge
is the occasion has not about disease
for care. grasped the symptoms and
underlying prevention.
principles, or is However, they
only partially have not fully
informed. implemented
preventive
measures,
such as
keeping water
containers
uncovered,
which poses
health risks.

4. Application
of Principles Concerned Family diet 1 A scale of 1
of General with family grossly because the
Hygiene action in inadequate or Vallinte family’s
relation to unbalanced, application of
maintaining necessary general
family nutrition, immunization hygiene
securing not secured for principles is
adequate rest children. inadequate.
and relaxation Issues such as
for family open drainage,
members, improper water
carrying out storage, and
accepted clutter in the
preventive outdoor kitchen
measures. pose health
risks, limiting
effective
hygiene
practices.
5. Health
Attitude Concerned Accepts health 3 A scale 3 of
with the way care to some despite their
the family feels degree, but willingness to
about health with cooperate and
care in reservations. prioritize
general, health, the
including family
preventive struggles to
service, care of fully implement
illness, and health
public health practices due
measures. to financial
limitations and
inadequate
living
conditions,
hindering
effective
change.

6. Emotional
Competence This category Family does 1 The scale of 1
has to go with not face because the
maturity and realities. Vallinte family
integrity with is already
which the facing
members of emotional
the family are stress from
to meet the financial
usual challenges and
stressess and health risks,
problems of which may
life, and to plan affect their
for happy and coping abilities
fruitful living. but still lack
responsibility in
sexual
 activities.

7. Family
Living This category Family consists 1 The rate is 1
is concerned of a group of because the
largely with the individuals family is being
interpersonal indifferent or too much
or group hostile to one dependent on
aspects of another, so each other
family life. strongly which
dominated and threatens the
controlled by a independence
single family of one another.
member

8. Physical
Environment This topic is House in poor 1 A scale of 1
concerned with condition in a because the
the home, the unsafe, Vallinte family’s
community and unscreened, home lacks
the work poorly proper
environment as ventilated sanitation,
it affects family housing. open drainage
health. system, secure
water storage,
and space for
sustainable
gardening,
exposing them
to health risks
and reflecting
inadequate
living
conditions. And
the garbage
area is near to
the kitchen.
9. Use of
Community This category Family is 3 The scale is 3
Facilities has to do with aware of and because the
the degree of uses some, but family uses
the family use not all of the community
and awareness available services but
of the available community does not
community resources that consistently
facilities for they need. engage with or
health fully utilize
education and available
welfare. resources.
 Chapter V

TYPOLOGY OF NURSING PROBLEMS

This chapter presents the problems identified through observation, interview and

assessment with the family. These are categorized to reflect the family's current status

in terms of health, needs and capabilities. The problems are classified into health

deficits, health threats and foreseeable crisis or potential stress points, providing the

family's current status, potential challenges, capabilities, and needs.

Nursing diagnoses are then structured in two levels of assessment. The first level

of assessment identifies areas needing improvement or support (wellness, deficits,

threats, and stressors). The second level of assessment addresses the family's

challenges in recognizing health problems, decision makings, and providing adequate

family health support.

Cues/ Data Health Problem Family Nursing Problem

● The family resides Health threats due to the Inability to recognize

near the main road. surroundings, includes: presence of problem or
● House is made of A. Health and safety condition due to:
mixed materials (e.g risk due to A. Lack of or
concrete and wood) accessibility to inadequate
with no gate. intruders and knowledge
● The house is trespasses. B. Denial about its
cramped and small B. At risk for fire existence or
for a family of about hazards due to light severity as a result
to be five. Thus, the materials (such as of fear of
house is unkempt thin woods), and consequences of
clean with dust all unused items. diagnosis of
over the floor and C. Scrap materials and problems,
furniture. common materials specifically
● House has no are cramped as well economic/ cost
ceiling. as the presence of implications.
● Walls are covered cement blocks and
with thin woods. wood materials lying Inability to provide a home
● Scrap materials and on the floor is at risk environment conducive to
common materials of injury due to health maintenance and
are cramped in one trippings or fall. personal development
area. D. Inadequate living due to inadequate family
● Cement blocks and space for 5 people resources, specifically:
wood materials of as manifested by 1 A. Financial
scraps are present bedroom and 1 constraints/ limited
all around the area. living room. financial resources.
● Presence of old, E. At risk for the rapid B. Lack of/inadequate
dusty, unused and spread of viral and knowledge of
broken items are bacterial diseases hygiene and
both inside and (e.g common cold, sanitation.
outside the house. pneumonia, C. Lack of/inadequate
chickenpox) due to knowledge of
small living space. preventive
measures.

● Drainage system Health deficits due to Inability to recognize the

and garbage Unsanitary living conditions presence of a problem
disposal is open. and food preparation, due to:
● Cooking area is includes: A. Lack of or
near the drainage A. Presence of inadequate
system. breeding place for knowledge.
● Garbage is near the insects and
drainage area and parasites, being at Inability to provide a home
in the kitchen. risk for environment conducive to
 ● They use charcoal diseases/infections, health maintenance and
for cooking. and zoonotic personal development
● Unsanitary plate diseases. due to inadequate family
and utensils holder. (e.g Gastroenteritis, resources, specifically:
● Open drainage and diarrhea, malaria, A. Financial
spoiled left-over and dengue) due to constraints/ limited
foods for dogs are the hot climate, financial resources.
present. animals are able to B. Lack of/inadequate
● Animals like dogs roam around and knowledge of
and cats can come the area of the hygiene and
near and out of their environment. sanitation.
home. B. Improper drainage C. Lack of/inadequate
● They store disposal. knowledge of
non-potable water in preventive
a drum. measures.

Subjective data: Health deficits due to the Inability to provide

● Mother is 7 months parent's condition (mutism adequate nursing care to
pregnant. and deafness), includes: the sick, disabled,
● The mother A. Instances of failure dependent or
gestured to go to of health vulnerable/at risk member
health care facilities maintenance and of the family due to:
within the barangay failure of parents to A. inadequate
for prenatal check develop children knowledge of the
ups. according to normal nature or extent of
rate as manifested nursing care
by delayed child needed and
Objective data: development of B. Inadequate family
● GTPAL of mother is young Vallinte. resources,
3-2-0-0-2 B. Ineffective coping specifically
● Mrs. Vallinte’s vital due to children financial
signs: being constraints.
● BP - 117/80 developmentally
● PR - 76 beats per delayed among Inability to make decisions
minute peers. with respect to taking
● RR - 17 breaths per appropriate health action
minute due to:
● T - 36.2° C A. Failure to
● Increased belly size comprehend the
● Mother imposes no nature or
risk of edema as magnitude of the
there is no pitting in problem or
both lower and condition due to
upper extremities. permanent
● Her temperatures of conditions.
lower extremities B. Failure to
 are slightly cooler breakdown
than the upper problems into
extremities. manageable units
● Mother's capillaries of attack
refills within 2-3 Health threats due to home C. Lack of insights as
seconds habits and practices, to alternative
● Her nails are kept includes: courses of action
short and clean A. Habits and practices open to them
however, they are of walking barefoot
slightly pale. at risk for Inability to make decisions
● Both Mrs. And Mr. lacerations, with respect to taking
Vallinte have punctures, and appropriate health actions
hearing and mutism infection. due to:
conditions. B. Poor personal A. Fear of
● Mr. Vallinte’s health hygiene of each consequences of
history showcased individual as action, specifically
that he has been manifested by dirty economic
mute and deaf since clothes and dusty consequences
birth. feet. B. The accessibility of
● For Rinne’s test, appropriate
Weber’s test, and resources for care,
Romberg’s test, Mr. specifically
Vallinte's bone economic or
conduction is financial
greater than the air inaccessibility.
conduction, and
showcased clear Inability to provide a home
swaying motion. environment conducive to
● Mrs. Vallinte, health maintenance and
however, although personal development
also deaf and mute, due to:
could hear a little bit A. Ineffective
with the air Foreseeable crisis/ stress communication
conduction and is points due to mother's pattern with the
greater than the condition (currently family due to the
bone conduction. pregnant on her third condition of
● For the Romberg's trimester), father's parents.
test, she slightly condition (works as a B. Inadequate
swayed, the normal construction worker, competencies in
finding. however does not have relating to each
● Mr. Vallinte is the permanent job), includes: other for mutual
only one working A. Lack of a permanent growth and
temporarily. job may cause little maturation due to
● He works at a to no resources for preoccupation of
construction site the family to have. condition.
near their house. No permanent C. Inadequate
● Mrs. Vallinte is a income may pose a knowledge of
housewife who problem as this preventive
stays at home limits their chances measures.
taking care of the in life, like getting
house and children. enough nutrition, Inability to provide
● Young and baby proper health care, adequate nursing care to
Vallinte both walk education and life sick, disabled, dependent
barefooted. habits. or vulnerable member due
B. Risk of stress due to to:
upcoming labor and A. Inadequate
puerperium. knowledge about
C. Inadequate the health condition
parenthood as (nature, severity,
manifested through complications,
unavailability of the prognosis and
father because of management)
work, and the B. Lack of knowledge
divided attention of about child and
the mother to her development care.
children. C. Lack of necessary
D. Risk of stress due to facilities,
inadequacy of equipment and
money to provide for supplies of care
their present D. Inadequate
children and knowledge or skill
upcoming baby. carrying out the
E. Inability to send necessary
children to school. intervention or
treatment/
procedure of care.
E. Inadequate family
resources of care
specifically
financial
constraints
F. Altered role
performance
specifically role
strain.

Failure to utilize
community resources for
health care due to:
A. Inaccessibility of
services due to
cost constraints.
Subjective data: Foreseeable crisis/ stress Inability to recognize
points due young Vallinte’s presence of problem or
Objectives data: complications in condition due to:
● Young Vallinte is 4 development and physical A. Lack of knowledge
years old. Baby assessment, includes:
Vallinte is 2 years A. Risk for meningitis Inability to provide
old. infection as adequate nursing care to
● Young Vallinte is not manifested by fully the sick, disabled,
enrolled in any covered bottom dependent or
schooling. teeth with cavities of vulnerable/at risk member
● Young Vallinte has the 4 year old child. of the family due to:
her lower teeth full B. Deviation in growth A. inadequate
of cavities as and development of knowledge of the
manifested by the the children due to nature or extent of
fully black covered lack of exposure to nursing care
teeth. language (as needed
● Brudzinksi’s sign: manifested by B. Complete
● Both young Vallinte inability to verbalize dependence on
and baby Vallinte names and inability guardians.
have not manifested to recognize
clinical signs for analogies), has not Inability to make decisions
meningitis. been enrolled to any with respect to taking
● MMDST: institute and family’s appropriate health actions
● Young Vallinte, social environment due to:
cannot speak her (does not engage in A. Complete
name, is reluctant to social dependency on
follow instructions in communication with guardians.
regards to gross the neighborhood).
motor and Inability to make decisions
language. with respect to taking
● Baby Vallinte, also appropriate health action
cannot speak her due to:
name, nor A. Lack of insights as
comprehend to alternative
instructions when courses of action
asked, but can open to them.
follow if shown or
showcased to them.
 Chapter VI

PROBLEM PRIORITIZATION AND PROBLEM RANKING

This chapter focuses on identifying and organizing family problems based on

their urgency and importance. It highlights the process of ranking issues through careful

assessment, interviews, and observations. Problems are evaluated to determine which

pose immediate risks, which are potential threats, and which could lead to future stress

or crises. The ranking process ensures that critical concerns are addressed first while

also considering the family's strengths and capacities. By prioritizing problems, this

chapter aims to provide a clear framework for effective intervention, helping families

manage their challenges in a systematic and resourceful manner.

A. Failure to Provide a Safe and Healthy Environment Conducive to Growth

and Health Maintenance

Criteria Computation Actual Score Justification

Nature of 2/3 x 1 0.66 This is a health

Condition or threat due to a
Problem combination of
unsafe living
conditions, and
inadequate
resources.

Modifiability of the 2/2 x 2 2 The problem is

Problem easily modifiable
through targeted
interventions like
improving
sanitation,
 educating the
family on hygiene
practices, proper
waste disposal, and
creating a safer
living environment
by clearing scrap
materials.

Preventive 3/3 x 1 1 Prevention potential

Potential is high by
addressing the
hygiene issues,
teaching the family
proper sanitation
practices, and
fostering better
communication
could reduce the
risks of infections,
and further
complications.

Salience 1/2 x 1 0.5 While the family

might not fully
comprehend the
severity of the
long-term effects of
their current living
situation, there is
an awareness of
their difficulties.

Total 4.16
 B. Health Deficit Due to Unsanitary Living Conditions

Criteria Computation Actual Score Justification

Nature of 3/3 x 1 1 This is a health

Condition or deficit due to
Problem unsanitary living
conditions and food
preparation, with
risks for
gastrointestinal
diseases
(gastroenteritis,
diarrhea), malaria,
and dengue.
Breeding grounds
for insects and
exposure to
zoonotic diseases
are major
[Link] and the
baby.

Modifiability of the 2/2 x 2 2 The problem is

Problem highly modifiable by
improving
sanitation practices,
such as proper
garbage disposal,
closing off
drainage, storing
potable water
properly, and
teaching proper
food safety. These
changes can
significantly reduce
health risks..

Preventive 3/3 x 1 1 Prevention potential

Potential is high. Addressing
unsanitary food
storage, garbage
disposal, and water
 storage can
significantly reduce
the risk of infections
and diseases, such
as gastroenteritis,
malaria, and
dengue. Educating
the family on
hygiene and
disease prevention
would be beneficial.

Salience ½x1 0.5 While the family

might not fully
understand the
long-term health
risks, they are likely
aware of their poor
living conditions.
However,
immediate action
may not be
perceived as
urgent.

Total 4.5
 C. Challenges of Pregnancy Amid Health and Financial Strain

Criteria Computation Actual Score Justification

Nature of 1/3 x 1 0.33 This is a

Condition or foreseeable crisis
Problem due to the
increasing health
risks as she nears
the third trimester,
compounded by
financial instability

Modifiability of the 2/2 x 2 2 The problem is

Problem easily modifiable
through
interventions like
prenatal care,
stress reduction,
and improving
financial stability.
Targeted support
can help ensure a
safe pregnancy and
mitigate potential
risks.

Preventive 2/3 x 1 0.66 Prevention

Potential potential is
moderate. Access
to regular prenatal
care, nutrition, and
reducing stress can
help mitigate risks
for both mother and
baby. However,
financial limitations
could hinder full
access to services.

Salience 2/2 x 1 1 The family is highly

salient with their
 problem since the
mother is getting
her regular prenatal
check-ups and is
aware of the
financial constraint
problem that could
potentially affect
the upcoming labor.

Total 3.99
 D. Developmental Delays Related to Parental Disabilities

Criteria Computation Actual Score Justification

Nature of 1/3 x 1 0.33 This is a

Condition or foreseeable crisis
Problem since the
permanent
conditions of the
parents are
hindering the
children’s ability to
effectively
communicate,
which may lead to
inadequate
language
development for the
children.

Modifiability of the ½ x 2 1 The problem is

Problem partially modifiable
since a relative is
visiting the children
regularly to read
books for them.
The student nurses
can also provide
health teaching by
informing the
parents about the
importance of
consistent
communication to
develop the
children’s language
growth.

Preventive 3/3 x 1 1 Consistent

Potential communication has
a high preventive
potential because it
will improve the
 children’s language
development

Salience 0/2 x 1 0 The family does not

perceive language
development issues
as an urgent
problem

Total 2.33

The list of health problems ranked according to priorities is presented

Problem Score Rank

Health Deficit Due to 4.5 1

Unsanitary Living Conditions

Failure to Provide a Safe and 4.16 2

Healthy Environment
Conducive to Growth and
Health Maintenance

Challenges of Pregnancy 3.99 3

Amid Health and Financial
Strain

Developmental Delays 2.33 4

Related to Parental
Disabilities
 Chapter VII
Family Nursing Care Plan

This chapter is a comprehensive, individualized strategy developed by healthcare

professionals to address problems like physical, emotional and social needs of an entire
family, promoting holistic well-being and empowering family members to participate
actively in care. It Provides information about the nursing assessment and to provide
care on the specific problem that is identified.

Health Family Goal of Specific Intervention Plan Evaluation

Problem Nursing Care Objectives of
Problem Care

Nursing Method of Nurse Resources

Intervention family Contact Required

-Health deficit -Inability of -To -The patient -Assess the -Conduct Nurse -The patient
due to the family promot and family will family's scheduled resources: and family
unsanitary to maintain ea demonstrate understandin home visits verbalized
living a safe and clean, an g of the and provide Nurse for
understandi
conditions. clean safe, understanding impact of on-site patient and
ng of
environmen and of the risks unsafe and education family
environmen
t, posing supporti associated unsanitary and support. education
tal risks and
health risks ve with their living and
implemente
and environ environment conditions. -Follow-up monitoring.
d sanitation
infection. ment within 2 days. visits/meetin
Material practices.
that -Provide gs for
- The family education on updating Resources:
enhanc -The family
es the will implement environment about the
Cleaning engaged
health basic al health progress
supplies with local
and sanitation risks and and
(disinfectan services,
well-bei measures their effects. concerns.
ts, gloves, securing
ng of (waste
-Assist in -Written safer
removal,
creating a Communicat housing or
the cleaning) list of ion is also trash making the
family.. within 1 week. actionable applicable bags). current
steps to on the home
-Structural improve the continuing Educational livable.
hazards environment, care. materials
(broken floors, such as on hygiene, -Goals are
unstable walls) cleaning and infection partially
will be organizing. prevention, met.
identified and and home
mitigated -Educate the safety.
within 1 week. family on
infection Community
- The patient control Resources:
will measures
demonstrate Local
(hand
infection sanitation
hygiene,
prevention and pest
waste
measures control
disposal).
(proper services.

handwashing, -Collaborate
Emergency
food safety) with
shelters or
within 3 days. community
housing
sanitation
- The family relocation.
services for
will engage waste
with local removal and
resources to sanitation
secure safer
housing -Monitor for
arrangements early signs
within 1 month. of infection
(fever,
swelling).

Assess the
family's
understandin
g of hygiene,
sanitation,
 and
preventive
measures.

-Inspect the
home for
structural
hazards,
including
loose
flooring or
unstable
furniture.

-Teach the
family to
avoid
high-risk
areas and
activities.

Health Family Nursing Goal of Specific Intervention Plan Evaluation

Problem Problem Care Objectives of
Care

. Nursing Method of Resources

Intervention Nurse family Required
Contact

-Family
Health To improve - Educate the - Teach fire -Home visits, -Educational demonstrate
Inability to
threats due
recognize the family‘s family on the prevention family handouts,
to the s improved
presence of
surroundings recognition importance (e.g., proper counseling visual aids, awareness
problem or
, includes: of health of disposal of sessions, and safety of hazards,
condition due
to: problems recognizing light group brochures, implements
1. Health and
safety risk and ability health issues materials education community safety
1. Lack of or
due to to provide a through and unused workshops. safety measures,
inadequate
accessibility
knowledge home access to items). program and reduces
to intruders
and environmen educational contacts. risk factors.
2. Denial about
trespasses. - Support the
its existence or t conducive materials,
severity as a family in
2. At risk for to health workshops, -Family
result of fear of
fire hazards creating a
consequences maintenanc or demonstrate
due to light -Decluttering
of diagnosis of safety plan
materials e and counseling, s organized
problems, guides,
(such as thin to reduce
specifically personal aimed at living spaces
woods), and community
economic/ cost intruder
unused developme reducing and reduces
implications. resource
items. risks.
nt, despite ignorance hazards
Inability to directory,
[Link] existing and fear. (e.g., no
provide a home - Provide financial aid
materials
environment barriers. cluttered
and common home safety forms.
conducive to - Offer
materials are materials on
health checklists
cramped as support the floor).
maintenance
well as the and visual
and personal through
presence of
development aids for
cement counseling or -Family
due to
blocks and peer support learning.
inadequate adopts
wood
family
materials groups to proper
resources, - Offer
lying on the help
specifically: hygiene
floor is at risk practical
of injury due overcome practices,
1. Financial decluttering
to trippings fears related
constraints/ strategies minimizes
or fall.
limited financial to diagnosis,
resources. (e.g., infection
[Link] particularly
living space removing spread, and
2. Lack concerning
for 5 people scrap demonstrate
of/inadequate
as economic
knowledge of materials). s an
manifested
hygiene and implications.
by 1 understandin
sanitation.
bedroom and - Educate on g of
1 living room. - Assess and
3. Lack fall preventive
of/inadequate address
5. At risk for prevention
knowledge of measures.
the rapid financial
preventive techniques
spread of
measures. constraints
viral and and
bacterial by
diseases (e.g environment
connecting
common al
cold, the family
modifications
pneumonia, with
chickenpox)
due to small community - Connect
living space.
resources, the family
social with financial
services, or assistance
financial programs to
planning address
assistance to financial
improve the constraints.
home
environment. -Teach the
family proper
hand
hygiene
techniques
and
introduce
disinfection
practices,
such as
regular
cleaning of
frequently
touched
surfaces..
 Chapter VIII
SUMMARY AND CONCLUSION

Summary

The Vallinte family is a traditional family composed of a father, mother, and two
daughters residing in Zone 2-B, Bula Extension, General Santos City. The father built
their modest home using mixed materials on a lot inherited from the late grandmother of
Mrs. Vallinte, providing a stable living space. However, the household faces challenges
with sanitation, including an outdoor kitchen with deteriorating materials and an open
drainage system that poses health risks.

Both parents are unemployed, leaving the family below the poverty line, though
they emphasize health promotion and regular visits to the barangay health center for
care. The children are up to date on immunizations, and Mrs. Vallinte, who is six months
pregnant, ensures regular prenatal check-ups. They maintain a diet of rice, vegetables,
and fish, with a commitment to avoiding alcohol and smoking.

The family uses a public water system but stores water in containers due to
intermittent supply, sometimes leaving them uncovered, attracting vectors. Garbage is
segregated and collected weekly, though other hygiene practices, like maintaining clean
surroundings, need improvement. Their home environment includes coconut trees and
decorative plants, adding shade and greenery but lacking vegetable gardens.

After a series of health teachings, the Vallinte family acknowledged the

importance of maintaining their health and preventing illness. However, they
encountered difficulties in fully implementing the suggested changes due to financial
limitations and environmental challenges. Despite these constraints, the family's
willingness to learn and adapt signifies progress in promoting their well-being.
Conclusion

The Vallinte family faces several challenges, particularly regarding sanitation and
financial constraints, as both parents are unemployed. Despite these difficulties, they
prioritize health through regular check-ups and a healthy lifestyle, including proper
nutrition and avoidance of alcohol and smoking. Their commitment to health promotion
is evident, with up-to-date immunizations for their children and prenatal care for Mrs.
Vallinte. However, sanitation issues, such as the deteriorating outdoor kitchen and open
drainage system, pose health risks that need addressing. Although the family practices
waste segregation and relies on the public water system, improvements in hygiene
practices and the introduction of self-sustaining gardening could further enhance their
overall well-being. This case study highlights the need for continued support in
addressing their sanitation challenges and improving their living conditions for better
health outcomes.

The student nurse conducted health teachings for the Vallinte family, addressing
their health concerns and providing actionable solutions. While the family faced
challenges in fully implementing these solutions due to financial and environmental
constraints, they demonstrated an understanding of the health knowledge shared during
the intervention. Despite the partial implementation, the family's receptiveness to
education and willingness to improve reflect progress toward enhancing their overall
well-being. Thus, the objectives of this study were partially achieved.
CURRICULUM VITAE
Name: Alyson kate P. Castillon
Address: Prk. 10-A, Blk. 4 Brgy. Fatima Uhaw, General Santos City
Cell Phone Number: 09658140741
Email: castillonalysonkate@[Link]

EDUCATION
Elementary​​: Holy Trinity College of General Santos City

Junior High School​: Holy Trinity College of General Santos City

Senior High School​​: Mindanao State University

PERSONAL INFORMATION
Civil Status​​: Single
Birthday​​: September 10, 2004
Place of Birth​​: General Santos City
Religion​​: Roman Catholic
Name of Mother​​: Janice Castillon
Name of Father​​: Elmer H. Castillon