De La Salle Health Sciences Institute

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DE LA SALLE HEALTH SCIENCES INSTITUTEDasmarias, Cavite 4114 Philippines

COLLEGE OF MEDICINE

Family Report

Group 9-Section BBoac, Ma. Minerva M.

Hernandez,Oliveros, Mark Joseph

Sumaya, Arthur IshmaelTaruc, Mary AnneTibubos, MaebrittTimtiman Desiree

Yaun, Pilipina Karla Mutya


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Table of Contents

List of Tables and Figures

Introduction

Background

Statement of Objectives

Methodology

Instrumentation

Data Collection Procedures

Data Analysis

Family Report

Family Lifeline

Famiy Genogram

Family Profile

Socio-demographic Profile

House and Environment

Housing

Appliances Owned

Water

Sanitation

Accessibility to Community Facilities

Family Mapping

Clinical Biography

Psychodynamics

Family Function

Family APGAR


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Family SCREEM

Conclusion and Recommendations

Appendices

Interview Transcriptions

APGAR Tests


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Introduction

A. Background

The Family systems approach views the family as a system composed of interrelated parts that

work together to achieve a common goal. This implies that a change in a part of the system or each

individual members of the family can bring about change to the whole family system and functioning.

A family systems approach to common clinical situation can facilitate a new level of understanding of a

patients problem which aids in leading to a better medical outcome.

B. Statement of Objectives

General Objective

To be able to understand the structure and dynamics of a family through the use of assessment

tools under the family systems approach, and apply it in the identification of the familys problems as

well as the recommendations on how to address and deal with the identified problems.

Specific Objectives

1. To describe the family according to their structure and phase of their family life cycle

2. To draw the familys genogram

3. To describe the family lifeline

4. To draw and describe the family mapping

5. To describe the clinical biography of the family

6. To identify the health, emotional, and socio-economic problems of the family

7. To determine the presence/absence of family dysfunction by using the APGAR

8. To determine the familys capability to provide health care by using the SCREEM method


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Methodology

Instrumentation

The report made use of the different tools in family assessment such as the construction of the

family genogram, family mapping, and family lifeline, as well as the family APGAR and SCREEM.

Data Collection Procedure

The group was assigned to a family in Dasmarinas, Cavite to conduct an interview regarding the

familys background . The interview was conducted and questions were asked according to the guidelines

provided by the Department of Community Medicine.

The APGAR tests were conducted through one-on-one interviews of the members of the family

who were then present at the time of the interview.

Data Analysis

The information gathered during the interview were tabulated and analyzed by following the

guidelines given for each assessment tool used.


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Family Report

Family Lifeline

The Estocado family was established in 1989 with the union of Irene and Jaime Estocado

Jr, whose roots were from Bicol. There was no information given whether they had a civil or

church wedding. They have been residing in Dasmarinas, Cavite for seven years already but

before the family settled in Dasmarinas, Jaime lived in Bicol. After the couple got married in

1898, Irene gave birth to their eldest daughter, Jhemaryn whos already a Business Management

graduate of National College of Science and Technology. She gave birth to their first child on the

same year they got married. The couple had another 4 children and Irene gave birth under the

care of a midwife. She gave birth to her second child Evangeline on 1991 and was followed by

the birth of her third daughter Shiela on 1993. She gave birth to another girl on 1997 and her

names Zara Mae. Fi nally, she gave birth to her youngest and only son Andrew Spencer on 2000.

Based on the family interview that was conducted, we found out that the family is

nuclear. They all live together under one roof. Hence, no other relatives live with them. They

also do not have any household helper and their home is composed only of the family members

(7). Although there are instances that the grandmother visits them and stays with them for some

time. There were no recorded deaths aside from the brothers and sisters of both of the parents.

There were no recorded marriages as well because most of the children are still adolescents. The

family is very supportive of each other. The mother has a close relationship with her children;

they spend most of the time together at home. The older daughters are very industrious, they

make sure that they support and help their family even in simplest ways. The eldest daughter

whos already 21 has not built a family yet and is still supporting the family. The father on the

other hand, though quite busy working was never aloof or distant to his family.


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Figure 3, shows the three generations of (surname) family. The first generation shows the

both parents of Mr. Jaime and Irene (surname) (figures 1, 2 and 3). The (Jaimes surname)s

second generation consists of eight (8) members as well with Jaime Jr. as the 4 th child of Mr.

Jaime Sr. and Virginia (figure 1). (irenes maiden name)s second generation consists of eight (8)

members with Irene as the 6 th child of Mr. Arturo and Gloria (figure 2). Furthermore, figure 3

shows the third generation of (irenes maiden name and Jaimes surname) with 5 members and 2

live births.

Based on personal communication with the index person namely Mrs. Irene Estocado,

there is a history of high blood pressure on her mothers side. Fortunately, Irene does notmanifest any clinical and/or biological symptoms of high blood pressure. Among the eight

siblings, only Rosemary (Irenes sister) diagnosed to have high blood pressu re and diabetes

(figure 1). The relative normal blood pressure of Irene may be attributed to her lifestyle and

active participation to several community projects.

Moreover, Ms. Irene also elaborated that Jaime Jr., aside from his vice of smoking and

casual alcohol drinking, complains back muscle pains and insomnia. He drinks alcohol every

night so as to soothe himself to sleep.

For the third generation, Jaime and Irenes children 1 st child, Jhemaryn, had a history of

diarrhea in 2002 for drinking contaminated water from the faucet. Evangeline (19 years old), on

the other hand, had a drug allergy specifically (_________________nasa interview un eh sorry d

ko jot down). Approximately 2 years after giving birth to Evangeline, Mrs. Irene Estocado

became pregnant with her 3 rd child. On the 4 th month of her conception, she had a miscarriage

and was told to be as a result of namatanda . On her supposed to be the 5 th and 6 th month of

pregnancy, she still do not have her regular menstruation and her suprapubic area still gets bigger


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and had thought that maybe her child could have been twins. However, on her 7 th month of

gestation, she again had a miscarriage. Shiela (17 years old) had a motor accident in 1998 and

was brought to the hospital. Fortunately when Shiela was examined, no major wounds, injury or

fracture incurred. Zara Mae (12 years old) is susceptible to acute diseases such as colds, cough

with or without fever. Lastly, their only son, Andrew Spencer, appears to be the healthiest so far

among his siblings.

Figure 3 also shows that the first child, Jhemaryn, is closest and has strong bonds with

her mother. While Andrew Spencer, the youngest and only son, is closest and has strong bonds

with his father. Evangeline and Shiela are close to each other but both have conflicts with ZaraMae, who was described as moody and often misunderstood.


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Family Profile

Family NameFamily StructureFamily StageType/Years of Residency:Authority:Place of Origin:

Socio-demographic Profile

Name Position Sex Age Occupation EducationalLevel

Religion CivilStatus

MonthlyEarning

Jaime EstocadoJr.

ather M 44 WarehouseManager

College Graduate Catholic Married 20,000/ month

Irene Estocado Mother F 40 Entrepreneur 3rd Yr HighSchool

Catholic Married varies

JhemarynEstocado

ldest F 20 HumanResources

College Graduate Catholic Single 2500/week

EvangelineEstocado

Second F 19 Server traineeat KFC

VocationalCourse(TESDA)

Catholic Single N/A

Sheila Estocado hird F 17 N/A High SchoolGraduate

Catholic Single N/A

Zara MaeEstocado

ourth F 13 Student 1st Year HighSchool

Catholic Single N/A

Andrew SpencerEstocado

Youngest M 9 Student 4th GradeElementary

Catholic Single N/A

Socioeconomic profile

Four members of the family work and contribute to the total family income. Mr. Jaime

Estocado Jr. works as a warehouse manager at E-mart and earns about Php 25,000.00 a month.

Their eldest also works at this place, specifically the Human Resources and is currently earning

Php 10,000.00 a month. Mrs. Irene Estocado sells ihaw-ihaw (barbecued chicken small

intestines, porks clotted blood, and etc.) occasionally and usually earns approximately P 500.00.

This can be considered as an additional income for the family. Their second child, on the other


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hand, just started as a trainee at KFC six days before the interview, and her monthly earning can

not be established at the moment and will not be included in the total family income.

The total family income of Estocado family is about Php 25,000.00 a month and

designation of money for the basic necessities such as water, electricity, food and school fees are

handled by Mrs. Irene.

House and Environment

Housing

The Estocado family resides in a house situated in Dasmarinas, Cavite. It is a duplex up-and-

down house owned by a relative of the husband. The family are staying on the first floor of a unit of the

duplex for free. The materials used in the construction of the house are reinforced concrete, iron, and

wood, which can withstand different weather conditions. Pieces of plywood and metal scraps were also

used in the construction of a mini sari-sari store owned by the family, which is located right in front of

their house.

The house has two rooms, one where both husband and wife and their youngest child (Andrew)

sleeps, and another for the other four children. It also has a common bathroom, a kitchen, and a living

room.

Appliances Owned

The family owns appliances which they use mainly for cooking and food storage such as a gas

stove and a refrigerator. They also own other electronic appliances such as a television unit, DVD player,

a laptop, and electric fans for entertainment and comfort. All these are currently functioning well,

except for the refrigerator.


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Water

The drinking water used by the family is mineral water delivered to them in gallons once every

week from Pala-Pala. They consume about four containers of mineral water per week and they also

sell the water that is delivered to them to their neighbors. Tap water supplied by the Dasmarinas

Water District is for other water usage.

Garbage Disposal

Garbage is collected periodically by garbage collectors and are disposed of by compost

pit method.

Excreta Disposal/ Bathroom

(will be included when all necessary information is gathered)

Sanitation

Animals Raised

No farm animals are being raised by the family although they do have a pet dog that they play

with every now and then. They feed the dog with their leftovers and they let it sleep inside their house

every night. According to the children, their family is very fond of dogs especially their father. In fact,

just a day after their previous pet dog died, their father brought home a new dog given by their fathers

friend. Although the children say that the dog is maamo , it can pose a threat to them of getting bitten and

acquiring rabies, since the family never had their dog brought to a veterinarian for necessary vaccinations.

Accessibility to Community Facilities


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The location of their house is fairly accessible to community facilities. Their barangay is located

across MERALCO and is just one or two kilometres away from health institutions such as DLS-UMC

(De La Salle University Medical Center). It is also a kilometre away from the town proper and market,

where the town church is located as well as food establishments. Private and public schools are also

accessible to the familys children a s well as recreational areas for relaxation and family bonding such as

SM Da smarinas, Robinsons Place Dasmarinas, and Walter Mart Dasmarinas.

Their barangay hall is newly constructed with a health center and a basketball court where

children can play.

Personal Habit

The father of the family consumes about two to three beer at night to fall asleep. It was

also mentioned that he smokes about five times every night.

Preferred Medicine

Mrs. Irene plays the mommy doctor of the family. According to her she is able to

discern whether her sick family member needs to seek greater care. It is only then, will she either

bring him/her to the hospital or albularyo. Due to financial constraint, the family does not

regularly visit a family physician. The family also utilizes herbal remedies such as ginger and

oregano when needed. They occasionally buy vitamins but doesnt consider this as a priority.

They sometimes dance inside the house for fun and consider this as their exercise.

Food Preparation and Source


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Their eldest gets free rice from work which this usually last about half a month. Mrs.

Irene prepares food for her family often using a gas stove, and occasionally uses charcoal for

heating foods.

Food Preferences

Mrs. Irene, who prepares food for her family believes that vegetables will keep her family

healthy and thus, these are usually part of their daily meal. They also consume meat such aschicken, pork, beef and fish. She prepares breakfast, lunch, afternoon snack and dinner for her

family every day.

Family Mapping


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The green box represents the parents, Jamie and Irene while the yellow box represents

their five children (from oldest to youngest) , Jhemelyn, Evangeline, Sheila, Zara and Andrew. In

general, the family lives in harmony although conflicts, differences and preferences in this

nuclear family of seven cannot be avoided.

Although all children have good relationship with both parents, they are much closer to

their mother since she is the one who is always at home and the one who is more expressive in


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terms of affection. The father fails to establish this kind of bond with his daughters since he

leaves home early in the morning for work and comes home late in the evening. Meanwhile, he

is more attentive and affectionate to his only son Andrew. Andrew being the youngest gets

attention and affection from everyone. The second and third children, Evangeline and Sheila

respectively, have a closer relationship with each other than to anyone else in the family. On the

other hand. the eldest Jhemelyn is close to her mother. Jhemelyn also helps her mother Irene with

the finances of the household. Zara, the youngest daughter doesnt get along that much with the

rest of her siblings especially, Evangeline and Sheila. Zara is described as moody, sensitive,

quarrelsome and always misunderstood.Nevertheless, the couple still talks about their problems and shares their thoughts and

feelings regarding family matters.

E. Clinical Biography

Paternal side Maternal sideJaime Sr. - high blood lola Gloria HB

lolo Arturo casual alcohol drinker, smokerMario (brother) high blood with diabetes

FamilyJaime Jr. (father) - casual alcohol drinker, smokerEvangeline (mother) drug allergyZara Mae (daughter) immunosuppressed

The Estocado family is not as different as is in a common filipino family regarding health

issues. The family has a common side hypertension problem. Jaime Sr., on the father 's side and

Lola Gloria on mother's aspect. Lolo Arturo, husband of Lola Gloria, is a casual alcohol drinker

and smoker which can affect his health leading to more serious problem. Aside from HPN, the


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family on the mother's side rule out a (+) diabetes mellitus on Mario, Ms. Irene's brother. The

problems regarding this issue can be passed on to the next generation and genetically can overlap

within the family. We are not certain if Jaime Jr. and Irene is having this problems too.

Present family lifestyle is not that good. Jaime Jr., father of four and husband of Irene,

even though not yet ruled out having some health problems has an issue of casual alcohol

drinking and smoking which can lead to future detrimental health problems. Evangeline have

some drug allergy and Zara Mae is somewhat immunosuppresed. There are no disabled in the

family and all are still well functioning as a human being. Common coughs and colds are

problems especially for the children, a typical Filipino health concern. There are no majorcasualties regarding their health so far, even on both family sides.

The Estocado family as a whole is not that health challenged the way they discussed and

bring it to us. They can manage their lifestyle in relation to health. They do not have that main

issue regarding illness and disease. Maintaining their mind and body physically fit will help them

become safe and well.

F. Psychodynamics

Religion plays an important role in the morality of human person. Mrs. Irene and her

family is a Roman Catholic. No one in the family is active in any religious organization but Mrs.

Irene is P.R.O last December 2008 of KDBM ( Kababaihan ng Dasmarias Bagong

Milenyo) in their place wherein the members of this organization is the one who is facilitating in

the different charity works in the illiterate people of Dasmarias municipality. According to Mrs.

Irene it does affect her relationship with her family because of this she is telling her family


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especially her children that they are still blessed because they can still eat 3 times a day

compared to others.

Regarding health, Mrs. Irene views a healthy person as maliksing kumilos at maganang

kumain at hind sakitin and in order for her to keep her self healthy she eat nutritious food like

vegetables, exercise through dancing and resting 4-5 hours a day. Mrs. Irene define a person who

is sick a nd ill as may masamang pakiramdam at mahina and to her the cause of illness is the

microorganism that can be found in the food. In some situation, when one of the family got sick

they go to Albularyo and often times they just do self-prescription and used OTC drugs (over

the counter). They dont consult the doctors for the reason that the fee cost a lot and healthcondition is not severe because oftentimes the member of the family only has fever. Mr.

JAIME is smoking and drinks 2 bottle of beer before going to sleep. She seldom exercises

because according to her she has a lot of thing to do. They relax their selves through watching

television and simply chatting with each other.

She took care of his husband and children by providing all what her family need. When

she is struggling she first consults her first daughter regarding monetary problems. They have a

good mother-children communication because her children are more open to her than with their

father. There exists a rivalry between 3 rd child _ and _ . The 2 nd child is more close to

Sheila. One thing that unite them is when they are watching tv. Each of the members of the

family has their own roles and responsibilities.

Assessment of Family Function

Family APGAR

Shiela Mae Estocado: 17 y/o, Female High school Graduate

FAMILY APGAR QUESTIONNAIRE


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(PART I)

HALOSPARATI(AlmostAlways)

PAMINSAN-MINSAN

(Some of thetime)

HALOSHINDI(Hardly

ever)

A (Adaptation)

Akoy nasisiyahan dahil nakaka -asa akong tulong sa aking pamilya

( I am satisfied that I can turn to myfamily for help when something is

troubling me)

P (Partnership)

Akoy nasisiyahan sa paraan nanakikipag-talakayan sa akin ang aking

pamilya tungkol sa aking mga suliranin( I am satisfied with the way my family

talks things with me and shares problemswith me)

G (Growth)

Akoy nasisiyahan na tinatanggap atsinusuportahan ng aking pamilya angaking mga nais gawin tungkol sa mgabagong landas para sa aking ikauunlad(I am satisfied that my family accepts

and supports my wishes to take on newactivities or directions)

A (Affection)

Akoy nasisiyahan sa paraangipinadarama ng aking pamilya ang

kanilang pagmamahal at pag-unawa ngmga damdamin kong tulad ng galit,

lungkot at pag-ibig (I am satisfied with the way my familyexpresses affection and responds to my

emotions such as anger, sorrow andlove)

R (Resolve)

Akoy nasisiyahan na ako at ang aking pamilya ay may panahon para sa isat -isa

(I am satisfied with the way my familyand I share time together)

Scoring EvaluationAlmost always = 2 8-10 = Highly functionalSome of the time = 1 4-7 = Moderately dysfunctionalHardly ever = 0 0-3 = Severely dysfunctional

FAMILY APGAR QUESTIONNAIRE(PART II)

Who lives in your home? Relationship Age Gender How do you get


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along?Well Fairly Poor

Irene Estocado Mother Female

Jaime Estocado Father Male Jhemarene Estocado Sister 21 Female

Vangeline Estocado Sister 19 Female

Sara Mae Estocado Sister 12 Female

Andrew Spencer Estocado Brother 9 Male

Name: Shiela Mae Estocado

Age: 17

Gender: Female

Order in the family: 3rd

Status: SingleEducational attainment: High school Graduate

FAMILY APGAR QUESTIONNAIRE (PART I)

SCORING: 7 EVALUATION: Moderately dysfunctional

If you dont live with your ownfamily, list the persons to whom

you turn to for helpRelationship Age Gender

How do you getalong?

Well Fairly Poor

Christine Sotto Cousin of her cousinshusband

18 Female


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Based on Shiela Maes personal opinion upon answering the first part of the Family

APGAR Questionnaire, and the scoring and evaluation done, we can conclude that the family is

moderately dysfunctional.

FAMILY APGAR QUESTIONNAIRE (PART II)Based on the answers in the second part of the Family APGAR Questionnaire we can tell

that Shiela Mae is closest to her 2 nd sister, Vangeline, since they are always together. However,

she also develops close relationship to her mother, father, and the rest of her siblings except for

Sara Mae, which she describes as moody and hot tempered. She also develops close relationship

to Christine Sotto, their neighbor and seeks for her help in case of conflicts and problems in thefamily.

Vangeline Estocado: 19 y/o, FemaleVocational Graduate- Computer Hardware and Services

FAMILY APGAR QUESTIONNAIRE(PART I)

HALOS

PARATI(AlmostAlways)

PAMINSAN-

MINSAN(Some of the

time)

HALOS

HINDI(Hardly

ever)

A (Adaptation)

Akoy nasisiyahan dahil nakaka -asa akong tulong sa aking pamilya

( I am satisfied that I can turn to myfamily for help when something is

troubling me)

P (Partnership)

Akoy nasisiyahan sa paraan nanakikipag-talakayan sa akin ang aking

pamilya tungkol sa aking mga suliranin( I am satisfied with the way my family

talks things with me and shares problemswith me)

G (Growth)

Akoy nasisiyahan na tinatanggap atsinusuportahan ng aking pamilya angaking mga nais gawin tungkol sa mgabagong landas para sa aking ikauunlad(I am satisfied that my family accepts

and supports my wishes to take on newactivities or directions)


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A (Affection)

Akoy nasisiyahan sa paraangipinadarama ng aking pamilya ang

kanilang pagmamahal at pag-unawa ngmga damdamin kong tulad ng galit,

lungkot at pag-ibig (I am satisfied with the way my familyexpresses affection and responds to my

emotions such as anger, sorrow andlove)

R (Resolve)

Akoy nasisiyahan na ako at ang aking pamilya ay may panahon para sa isat -isa

(I am satisfied with the way my familyand I share time together)

Scoring EvaluationAlmost always = 2 8-10 = Highly functionalSome of the time = 1 4-7 = Moderately dysfunctionalHardly ever = 0 0-3 = Severely dysfunctional

FAMILY APGAR QUESTIONNAIRE(PART II)

Who lives in your home? Relationship Age GenderHow do you get

along?Well Fairly Poor

Irene Estocado Mother Female

Jaime Estocado Father Male

Jhemarene Estocado Sister 21 Female

Shiela Mae Estocado Sister 17 Female

Sara Mae Estocado Sister 12 Female

Andrew Spencer Estocado Brother 9 Male

Name: Vangeline Estocado

Age: 19

Gender: Female


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Order in the family: 2nd

Status: Single

Educational attainment: Vocational Graduate- Computer Hardware and Services (TESDA)

Occupation: Trainee (KFC- Dasmarias)

FAMILY APGAR QUESTIONNAIRE (PART I)

SCORING: 8 EVALUATION: Highly functional

Based on Vangelines personal opinion upon answering the first part of the Fam ily

APGAR Questionnaire, and the scoring and evaluation done, we can conclude that the family is

highly functional.

FAMILY APGAR QUESTIONNAIRE (PART II)Based on the answers in the second part of the Family APGAR Questionnaire we can tell

that Vangeline is closest to her 3rd sister, Shiela Mae, since they are always together and shares

everything with each other. She also develops close relationship to her mother, father, and the

rest of her siblings. She doesnt seek for anyones help in cases of conflic ts and problems. She

just resolves it on her own if her family cannot attend to her needs and doesnt mind her

problems too much.

Family SCREEM

S ocial C ultural R eligious E ducational E conomic M edical

PARAMETERS STRENGTH WEAKNESS

SOCIAL

[+] Healthy intrafamilial relationships[ ] Lack of famlial lines of communication

[+] Supportive intrafamilialrelationships [ ] Presence of rivalry or animosity[+] Healthy extrafamilial relationships [ ] Unhealthy intrafamilial relationships[+] Supportive extrafamilialrelationships

[ ] Unhealthy extrafamilialrelationships


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[+] Absence of rivalry or animosity[ ] Unsupportive intrafamilialrelationships

[ ] Others (specify)[ ] Unsupportive extrafamilialrelationships[ ] Others (specify)

CULTURAL

[ ] Absence of beliefs or practices thatare unacceptable to our culture ornegatively affect way of living (e.g.institutionalization of elderly, practicesof traditional healers/faith healers,dependency of married children toparents, belief in pamahiin, etc.)

/Specify/

[+] Presence of beliefs or practices thatare unacceptable to our culture ornegatively affect way of living (e.g.institutionalization of elderly, practicesof traditional healers/faith healers,dependency of married children toparents, belief in pamahiin, etc.)

/Specify/ --PAMAHIIN, BELIEF INTRADITIONAL HEALERS

[ ] Others (specify) [ ] Others (specify)

RELIGIOUS

[+] Spirituality positively influences

way of life

[ ] Spirituality does not affect life

positively[+] Practices one's faith, goes to mass,etc. [ ] Does not practice one's faith[+] Enduring because of their faith [ ] Others (specify)

EDUCATIONAL

[ ] Level of education does not hinderone's achievement and/or livelihood

[+] Level of education is a hindrance toone's success and/or livelihood

[+] Level of education facilitatescomprehension of most challengingcircumstances

[ ] Level of education hinderscomprehension of most challengingcircumstances


ECONOMIC[+] Allocates funds appropriately [ ] Inability to allocate fundsappropriately[+] Ability to make ends meet all thetime

[ ] Can hardly make ends meet mostoftenly


MEDICAL

[+] Aware and practices wellness andenvironmental sanitation

[ ] Does not practice wellness andenvironmental sanitation

[+] Timely and appropriate medicalconsultation [ ] Inappropriate medical consultation[+] Complies with medicalmanagement most often

[ ] Poor compliance with medicalmanagement


Social


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The family Estocado as a whole is a healthy family being that they are able to

communicate well with each other. Of coarse they cannot avoid small conflicts most especially

those between siblings but most often they really get along very well. It was also evident that the

family is loving and is always concerned with the well being of one another. Not only does this

family have a good relationship with each other but with their relatives and neighbors as well.

With regards to the community though they are not always active they do participate sometimes

and share good neighborly relations within the vicinity. As a whole the Estocado family has also

been very accommodating to strangers.

Cultural

The father, Jaime, grew up in Bicol whereas the mother, Irene, in Cavite. Most of their

lives as a family have been eventful in Cavite. Even though they were living in the modern

times it was evident that they still believed in the old practices or teachings with regards to

traditional healers. As per quoting Shiela, 3 rd of the 5 children, there was one incident that a

sibling who had relentless fever was believed to be victimized by a spiritual element called

nuno and was brought to the hospital then later on was brought to an albularyo as advised by

someone who passed by them at the hospital.

Religious

Catholicism has been well practiced in the family. They try to make sure they come to

mass every Sunday as a family and involve themselves in church activities.

Economic


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The father, Jaime, as well as the eldest child, Jhemarine, works at E-Mart situated at

Dasmarias, Bayan. The 2 nd child, Vangeline, is currently a trainee at KFC in Walter Mart. The

mother, Irene, is a full-time housewife who tends to the needs of the family and at the same time

sells cheap grilled food when she feels like it.

Education

Majority of the household are college undergraduates. Shiela, the 3 rd child, graduated

high school and plans to go to college and take HRM as a coarse. Vangeline, the 2 nd child, took

up a vocational coarse at TESDA for a year. Zarra Mae, the 4th

child, is currently in 1st

yearhighschool. The youngest, Andrew Samson, is currently in the 4 th grade. Jhemarine, the eldest,

was able to finish high school. The father, Jaime, and the mother, Irene were both able to

graduate from high school.

Medical

The are no notable illnesses in the family and they rarely get hospitalized. Only the usual

cough and colds, fever, etc. which are manageable with medicines bought from the pharmacy.

Irene most often asks the pharmacist what medication she would recommend for such basic

illnesses. Sometimes Irene, the mother, gives oregano, a herbal medicine, to her children. They

also seldomly take multivitamins.

Problems

Recommendations


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Documents

De La Salle Health Sciences Institute