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Family Structure and Function

Family Structure and Function. Type of Family Nuclear Life Cycle Family in later years. Problems in Life Cycle. Parent (Elsa Delos Santos). Medical. Episodic medical problems S/p CVA, Peripheral arterial Occlusive disease s/p amputation of 1 st digit of left foot, anasarca

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Family Structure and Function

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  1. Family Structure and Function • Type of Family • Nuclear • Life Cycle • Family in later years

  2. Problems in Life Cycle Parent (Elsa Delos Santos)

  3. Medical • Episodic medical problems • S/p CVA, Peripheral arterial Occlusive disease s/p amputation of 1st digit of left foot, anasarca Hospital Acquired Pneumonia, ASHD CAD SAH stage 2, UTI

  4. Emotional and Social • Depression due to death of spouse • She did not leave the house because she might slip just like her husband • Loneliness • Most of her children does not visit her often • She lives with 2 of her sons • Financial Adjustment • Rolando – Construction worker (P9,000) • Grace – Nurse, gives money for medicine

  5. Problems in Life Cycle Children

  6. Medical • Episodic Medical problem • Rolando, 61 year old who was diagnosed to have Glaucoma. He did not seek treatment for his illness. • Juanito 57 years old had PTB (year unrecalled) and was treated. • Carlito 51 years old, was diagnosed to have kidney disease • Agnes 47 years old, was diagnosed to have kidney disease • Rolando 45 was diagnosed to have hypertension • Helen 43 was diagnosed to have Diabetes Mellitus

  7. Dealing with the Problem

  8. Elsa’s Problems • Medical problems are being dealt with • Admission to USTH CD • Referral to different services • Amputation of 1st digit of left foot • Hooked to a mechanical ventilator • Indwelling catheter • NGT

  9. Elsa’s Problems • Concern of the family • Duoderm for the bedsores • Sepsis and antisepsis during change of dressing • Signing of DNR order • Not doing laboratory work ups

  10. Elsa’s Problems • She has not recovered from her depression when her husband died • Her children and grandchildren visit her in USTH CD • Financial problems due to her confinement: children chip in for her medical needs

  11. Children’s Problems • Episodic medical problem • The respondent is not aware if his siblings sought treatment is taking any medications ofr their illnesses

  12. Role and Functions

  13. Breadwinner • Grace Maandal • Decision maker • Grace Maandal • Caregiver/s: • Rodolfo Delos Santos

  14. Children’s Expectations • Her children expects that their mother will: • Improve • be weaned from mechanical ventilator • Regain her strength • Be like in her pre morbid state

  15. Rodolfo’s Expectations • He expects his siblings to: • Help him take care of their mother • Someone will accompany him in the hospital • Help do errands • Financial aid

  16. Are these expectations realistic? • Childrens expectation to their mother • Not realistic • DNR order • Incomplete medication • No laboratory workups • Rodolfo’s Expectation to his siblings • realistic

  17. Are these expectations met? • Expectations of children from their mother • Not met • Rodolfo’s expectations from his siblings • Being met

  18. Family Lifeline

  19. 1944 Estela and Juanito were married 1958 Rodolfo, was born 1954 Armando, was born 1952 Juanitowas born 1954 Eduardo was born 1956 Edithawas born 1958 Carlito was born 1960 Grace was born 1962 Agnes was born 1964 Rolando was born 1966 Helen was born

  20. 1988 Armando died when he was 34 years old due to Myocardial infarction. 1991 Estela was diagnosed to have SAH s/p CVA 2000 Juanito, Estela’s husband died due to complications of his operation. 2007 Estela seldom goes out due to fear of slipping Oct 2009 Estela had a injury on her left foot that resulted to a wet gangrene. Admission to USTH CD

  21. Name of Community • Sta Cruz St., Sampaloc Manila • Name of Respondent • Rodolfo Delos Santos

  22. Dwelling Unit • Wood and Concrete • House and Lot owned by family • Own Electricity • Own water • 2 rooms • Own Comfort Room • Have TV, radio, light, electric fan • Uses Stove with LPG to cook • Communication thru cellphone • Transportation: Jeep, Taxi, Pedicab, bus

  23. Membership in Community Organization • none

  24. Environmental Indices

  25. Drinking water • They drink mineral water • They don’t store water, It is being delivered

  26. Garbage Disposal • They don’t segregate garbage • Garbage is being collected daily by the municipal garbage truck collection

  27. Environment • The environment is not very clean • It was crowded • Cemented streets • (+) flood • Closed drainage system • No pets • Many stray cats and dogs

  28. Kind of environment • House is crowded • Messy environment • Clean bathroom • Clean water • Tidy house • Smoke • No cigarette smoker • No bonfire • No factories • No welders • No battery recycling

  29. Analysis of the Health Status

  30. Morbidity Record

  31. Perceived Community Health Problem • none

  32. Household Checklist • Chairs • Television • Radio • Electric fans • Gas powered stove • Bed • Foldable table

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