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Family Case Study Format

This document outlines the format for a family case study report, including sections for: an introduction; purpose and objectives; a family database with demographic and health information; an assessment of socioeconomic factors, home environment, and each family member's health status; an analysis of health behaviors and service use; a family coping assessment; prioritized nursing problems; a nursing care plan; and conclusions. The family database would include names, ages, medical histories, and risk factors for each household member. The nursing care plan aims to set goals and interventions to address the family's highest priority health problems.

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121 views

Family Case Study Format

This document outlines the format for a family case study report, including sections for: an introduction; purpose and objectives; a family database with demographic and health information; an assessment of socioeconomic factors, home environment, and each family member's health status; an analysis of health behaviors and service use; a family coping assessment; prioritized nursing problems; a nursing care plan; and conclusions. The family database would include names, ages, medical histories, and risk factors for each household member. The nursing care plan aims to set goals and interventions to address the family's highest priority health problems.

Uploaded by

sfd
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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FAMILY CASE STUDY FORMAT

TITLE PAGE
ACKNOWLEDGMENT
TABLE OF CONTENTS

CHAPTERS

I. Introduction
II. Purpose of the Study
a. Goal or General Objectives
b. Specific Objectives
III. Family Data Base

A. Family Structure, Characteristics and Dynamics


1. Name and Address of Household Head
Angelina A. Bantuas & Jamal P. Bantuas
Roca Subdivision, Barangay Apopong GSC
2. Household Members: Name, Age, Sex, Civil Status, Position in the Family

Name Age Sex Civil Status Position in the


Family
Jamal P. Bantuas
Angelina A. Bantuas
Jalica A. Bantuas
Mohaimen A. Bantuas
Meriniza A. Bantuas

3. Type of Family Structure – patriarchal, matriarchal, nuclear or extended

4. Dominant family members in terms of decision making especially in matters of health care

5. General family relationship / dynamics


B. Socioeconomic and Cultural Characteristics
1. Educational attainment of each members
2. Income and Expenses
3. Ethnic background and Religious Affiliation
4. Relationship of the family to the larger community
C. Home and Environment
1. Housing
2. Kind of neighborhood
3. Social and Health facilities available
4. Communication and Transportation facilities available
D. Health Status of each Family Members
1. Medical and Nursing History
2. Nutritional Assessment
3. Risk factor assessment indicating presence of major contributing modifiable risk factors for
specific lifestyle illness
4. Physical Assessment indicating presence of illness state
5. Result of laboratory / diagnostic and other screening procedures supportive of assessment
findings
E. Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention
1. Immunization Status of the family members
2. Deworming of Family members
3. Healthy lifestyle practices
4. Use of promotive – preventive Health Services

Family Background
IV. Family Coping Index

Criteria Ideal Actual Rating Justification

1. Physical ability to move about to get out of 4


independence bed, to take care of daily grooming,
walking and other things which
involves the daily activities.
2. Therapeutic all the procedures or treatment 4
Competence prescribed for the care of ill, such as
giving medication, dressings, exercise
and relaxation, special diets.
3. Knowledge particular health condition that is the 5
of Health occasion of care
Condition

4. Application family action in relation to 5


of the maintaining family nutrition, securing
Principles of adequate rest and relaxation for
General family members, carrying out
Hygiene accepted preventive measures, such
as immunization.
5. Health Care family feels about health care in 3
Attitudes general, including preventive
services, care of illness and public
health measures.
6. Emotional maturity and integrity with which the 5
Competence members of the family are able to
meet the usual stresses and
problems of life, and to plan for
happy and fruitful living.
7. Family Living concerned largely with the 4
Patterns interpersonal with the interpersonal
or group aspects of family life – how
well the members of the family get
along with one another, the ways in
which they take decisions affecting
the family as a whole
8. Physical home, the community and the work 5
Environment environment as it affects family
health.

9. Use of generally, keeps appointments. 3


Community Follows through referrals. Tells
Facilities others about Health Departments
services

V. Typology of Nursing Problem

Cues/Data Health Problems Family Nursing Problems

VI. Problem Prioritization and Problem Ranking

Criteria Computation Actual Score Justification

VII. Family Nursing Care Plan

Health Family Goal of Specific Intervention Plan Evaluation


Problem Nursing Care Objectives Nursing Method of Resources
Problem of Care Intervention Nurse Required
family
Contact

VIII. Summary / Conclusion


BIBLIOGRAPHY
APPENDICES
Pictorials/Documentation
Barangay Health Profile
Family Health Profile
Spot Map
Health Data Card
Actual Family Visit Record
CURRICULUM VITAE

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