Family V
Family Background:
Family V is composed of 8 members. Victor, the father, Venus,
the mother who is currently 9 months pregnant to their 7th child,
their children are AV, BV, CV, DV, EV, & FV. Victor is the head
of the family and is 35 years old. Venus, his wife is 29 years old.
Child AV, the eldest son is 11 years old, BV is a10 year old girl ,
CV is a 9 year old girl , DV is 7 years old while EV is 5 years
old, both are boys, the youngest child is a 3 year old girl, FV.
Victor was born in Purok Daan and grew up in the same place. His
father was a farmer and while his mother was a plain housewife. He
is the eldest among 12 siblings. He was only able to finish Grade 4
level. He did not continue going to school in order to help his
parents to earn money for their daily needs.
Venus was born and grew up in Malung. Her father is a farmer
and her mother is a housewife too. She has 2 siblings. She was able
to go to school and graduated elementary school. She did not
continue schooling due to financial constraints. Instead she helped
her parents in doing household chores and finding means to earn
money for their household. No familial history of diseases were
noted in both sides.
The family has frequently changed places of residences. They
have been in Mindoro, for 5 years and then they stayed in Batangas
for 3 years. Victor and Venus always discuss matters between them
when they are to make decisions for their family. They consult each
other in terms of planning the budget for their family. They make
sure that they discuss all matters together which includes
children’s school expenses,
problems that bother each one of them, either emotionally or
psychologically. Each time a situation or problem arises, they make
sure that they both try to solve the problem. However, all matters
concerning health of the members of the family, it is Venus who
dominantly makes the decision. She makes sure that compliance to
the appropriate management about certain health issues arise. She
has greater awareness concerning health matters than Victor. Though
at present she has not been to any OB check-up even if she is aware
that she needs it due to the distance of the clinic or hospital
even the health center from their home. She also believes that it
is part of her duty as the mother. These health matters include
immunization, feeding the right food and caring for the sick
member. Since she is pregnant, she however, ask assistance from
their eldest (when he is available) in taking care of their
youngest whenever she is doing the household chores.
Socio-Economic Background
The Viktor family’s main source of income is coming from
Victor’s farming. He earns about Php 10,000.00 a month. Venus,
being a plain housewife, had been in charge of the house and in
taking care of the children. Venus budgets the money for food,
education and miscellaneous expenses like clothes, shoes/slippers.
Most of Victor’s earnings goes to the family’s budget for food. The
children go to school for free and they walk from their house to
school and only occasionally spends for some school supplies.
Usually, there is nothing to be left to be spent for other
miscellaneous needs. With Victor’s monthly income, the family
strives hard to make both ends meet. Venus also admitted to the
student nurse that they do not have savings at hand, which can be
used for her giving birth, which is due within this month, much
more during an emergency. They typically borrow money from their
relatives when a certain situation comes. However, Mrs Venus
verbalized in a worried voice that she is not sure if any of their
relatives are going to lend them money for her giving birth
specially now that all is experiencing the pandemic.
As a farmer, Victor works from 3 am until 8 pm every day. He
seldom goes home but rather stays in the farm, which is situated
far away from the family’s house. Venus typically performs house
chores, which includes washing clothes, preparing meals, keeping
the house and the yard clean and helping their children with their
schooling. Sometimes, she has to go out for some errands as well
because she said that she is the only adult who can do that and is
allowed by the rules in their community. “ I had to do things even
if I
find it difficult and dangerous with my present condition
because I had to and because my children are still too young to do
what I do. So I had to do all the chores.”
All of the members of the family observe Protestant practices.
Venus mentioned that they do not go to church anymore due to its
distance from their house. Mrs. Viktor further added, “besides, it
is hard for me to move around much more take a long walk or travel
more often cause of my condition, I get tired so easily lately.”
The Viktor family barely enjoys the community resources since the
community does not have enough resources as well. Though, the
children go to Purok Daan Elementary School attending blended
learning on facial masks and basic school uniform.
The family’s water source is from the river which they mainly
use for washing clothes. There is also a shallow well built within
the river where the family gets their drinking water, most of the
time. However, when they get lazy in fetching water from the well,
there is a public tap water available from a faucet a few meters
away from their house but payment is needed everytime they get
water from here. It costs them 20 pesos per container; the reason
why they opted to go for the water from the well.
Home and Environment
The house that they are staying in is made of wood and bamboo.
The house only has 2 windows that are good enough to provide
adequate ventilation needed by the family. Venus mentioned to the
student nurse that their house is usually “presko” since it is
beside the river and the air freely passes through inside the
house.
The house is divided into 2 rooms. One is the sala/dining room
rolled into one while the other room is considered their sleeping
area, with no bed at all, which apparently is taking toll on Mrs.
Viktor lately as she is experiencing lower back pains and more leg
pains upon waking up in the morning due to the uncomfortable
sleeping area they have for a pregnant woman like her. She further
noted, “the bamboo flooring which are uneven in its nature is the
one causing all these pains I am having.” In addition, all the
members of the family sleep in together having not enough room to
really feel comfortable to sleep in any position. “We are usually
cramped up together to make us occupy the small space for all of us
sleeping together.” They use “banig” laid on the floor to just ward
off some insects from under their house that gets in from inbetween
opening of the bamboo flooring they have but Mrs. Viktor said, “but
this is not really successful in warding off the pests. In fact at
times roaches or rodents crawl in on us while we are sleeping,
aside from the mosquitoes that are present both inside and outside
our house, biting us anytime of the day.” The Viktor Family owns
only one appliance which is the radio powered by batteries since
the place has no supply of electric current yet. There is no other
means of information and communication outside their world but that
radio and the news that Mr. Viktor would bring the family or the
updates the children learn from school or from their
classmates.
For the garbage disposal, they either bury or burn their
garbage. Venus uses wood and charcoal in cooking. She is the one
who prepares the food. She cooks inside the house at the back
portion. They often eat fish and vegetables. The family uses
plastic plates and stainless spoons in eating. In storing their
left over food, they just cover it with another plate. The family
is equipped with pots, “sandok”, and knives. The river is the
family’s main source of water both for drinking and washing their
clothes. The drinking water is stored/ kept in a big container with
cover. They usually don’t go and get water from the faucet located
in the barangay hall in the purok since it is far from their house
and will cost them money as well. They prefer getting their water
supply from the river, however they drink it without “sterilizing”
or putting it into a boil. Viktor Family has no comfort room. They
usually urinate and defecate in an empty/ vacant lot within the
vicinity near their house. They have not yet built their own
comfort room since, Venus stated that they do not have enough
budget to spend for it yet. The family has an open type of drainage
system, where in the “sink water” flows anywhere and is continuous.
It is dirty and has a stinky smell and serves as the home for
mosquitoes. The student nurse found food debris that has been
washed off from the plates outside the house where the drainage
flows. Such attracts roaches, flies and other pests like ants and
rats.
Questions:
Make a Family Nursing Care Plan
1. Supporting cues (Subjective and Objective cues)
2. Health condition or problem (State the most prioritized
problem / Rank 1)
3. Family nursing problems
4. Goal of care
5. Objectives of nursing care
6. Nursing interventions
7. Method of family contact
8. Evaluation (outcomes/tools)
Thank you!