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Family Case Analysis Format I.: College of Nursing

The document outlines the format for a family case analysis report conducted by nursing students. It includes 9 sections: 1) Introduction; 2) Family Constellation; 3) Health Assessment; 4) Socio-Economic, Cultural, and Environmental Assessment; 5) Problem Identification; 6) Family Nursing Care Plan; 7) Family Coping Index; 8) Learning Derived; and 9) Appendices. Each section contains subsections specifying the information to be included about the family's health, history, environment, identified problems, nursing care plan, and coping abilities.

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142 views

Family Case Analysis Format I.: College of Nursing

The document outlines the format for a family case analysis report conducted by nursing students. It includes 9 sections: 1) Introduction; 2) Family Constellation; 3) Health Assessment; 4) Socio-Economic, Cultural, and Environmental Assessment; 5) Problem Identification; 6) Family Nursing Care Plan; 7) Family Coping Index; 8) Learning Derived; and 9) Appendices. Each section contains subsections specifying the information to be included about the family's health, history, environment, identified problems, nursing care plan, and coping abilities.

Uploaded by

clar
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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SYSTEMS PLUS COLLEGE FOUNDATION

COLLEGE OF NURSING

FAMILY CASE ANALYSIS FORMAT

I. INTRODUCTION
a. Objectives (student-centered)
i. Cognitive
ii. Affective
iii. Psychomotor
b. Entry and climate of acceptance
i. Identify the entry
ii. Describe the general appearance of the entry (the first responsible member
whom you had interacted with).
iii. Climate of acceptance
c. Number of Actual Home Visits

II. FAMILY CONSTELLATION

Name Age Position Sex Civil Status Educational


Attainment

i. Start w/ the head of the family


- For extended family: should be written after the core family.
ii. Age: as of last birthday
iii. Position: Relationship to the head of the family
iv. Civil status: applicable for extended family and individuals 15 y/o and
above.

III. HEALTH ASSESSMENT


a. General Description/appearance
b. Vital Signs (T, P, R, BP, Height, and Weight)
c. Review of Systems/Physical Assessment
 Skin
 Head
 Eyes
 Ears
 Nose and sinuses
 Mouth and throat
 Neck
 Chest/lungs
 Heart
 Breast and axilla
 Gastrointestinal
 Genitourinary
Female: age of menarche, regularity of menstruation, amount of bleeding,
LMP, history of STI, dyspareunia
Male: circumcised, presence of any discharge

d. Health History (Past and Present Illness)

e. Obstetrical History
 GP (TPALM)
 LMP, EDD, AOG
 Past/present history of any OB or gynecological condition
Pregnant and family with an infant: type of delivery, place of delivery

Immunization – indicate when and where administered and availed


TT1 TT2 TT3 TT4 TT5

f. Growth and Development


i. Erik Erickson’s Psychosocial Theory
ii. Sigmund Freud’s Psychosexual Theory
iii. Jean Piaget’s Theory of Cognitive Development
iv. Lawrence Kohlberg’s Theory of Moral Development

g. IMMUNIZATION STATUS (Children 5 years old and below) include the


following: WHAT: vaccine, age, WHEN and WHERE administered and
availed

BCG DPT OPV Hepatitis Hib Measles MMR Immunization


-B Status
1 2 3 1 2 3 1 2 3 1 2 3

h. Activities of daily living (Routine Activities and lifestyle)


- Diet and food preferences
- Rest and sleep
- exercise/activities
- relaxation and other stress management activities
- practice of protective measures – e.g. adequate footwear in
parasite-infested areas; use of mosquito nets, etc.
- vices (smoking, drinking alcohol)

IV. SOCIO-ECONOMIC, CULTURAL, and ENVIRONMENTAL ASSESSMENT

a. Family Structure, Characteristics and Dynamics


i. Members of the household and relationship to the head of the family.
ii. Demographic profile of each member – age, birth date, and birth place.
iii. Place of residence of each member – whether living with the family or
elsewhere.
iv. Type of family structure – e.g. matriarchal or patriarchal, nuclear or
extended.
v. Dominant family members in terms of decision-making, especially in
matters of health care.
vi. General family relationship/dynamics – presence of any obvious/readily
observable conflict between members; characteristic
communication/interaction patterns among member.

b. Socio-economic and Cultural Characteristics


i. Educational attainment of each member
ii. Significant others – role(s) they play in family’s life
iii. Relationship of the family to larger community – nature and extent of
participation of the family in community activities.
iv. Occupation, place of work and income of each working member
v. Income (Members who financially contribute)
vi. Mode of Expenditure
vii. Ethnic background and religious affiliation.
viii. Health beliefs and practices.
c. Home and Environment
i. Housing
1. Adequacy of living space
2. Sleeping arrangement
3. Breeding or resting sites of vectors of diseases ( e.g. mosquitoes,
roaches, flies, rodents)
4. Accident hazards
5. Food storage and cooking facilities
6. Water supply – source, ownership, potability
7. Water storage
8. Type of drinking water facility
9.
10. Toilet facility – type, ownership, hygienic status
11. Garbage/refuse disposal – type of garbage disposal container ,
sanitary condition
12. Drainage system – type, sanitary condition
ii. Kind of neighborhood, e.g. congested, slum.
iii. Available social and health facilities, type of communication and
transportation facilities

V. PROBLEM IDENTIFICATION
a. List of problems identified with cues (Prioritized)
b. Priority setting

Criteria Computation Score Justification


1. Nature of the Problem
2. Modifiability of the
problem
3. Preventive potential
4. Salience
Total:

VI. FAMILY NURSING CARE PLAN

Health Family Objective(s) Nursing Method of Resources


Problem Nursing Goal of of care Interventions Nurse Required
Problems Care Family
Contact

VII. FAMILY COPING INDEX

Category Initial Justification Final Justification


Visit Visit
1 3 5 1 3 5
1. Physical
Independence

2. Therapeutic
Competence

3. Knowledge of
Health Condition
4. Application of
Principles of
Personal Hygiene

5. Health Attitudes

6. Emotional
Competence

7. Family Living

8. Physical
Environment

9. Use of
Community
Resources

VIII. LEARNING DERIVED


- Conclusion, Difficulties encountered with Recommendations

IX. APPENDICES
Sociogram
Spotmap and documentation

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