MCN Notes
MCN Notes
MCN Notes
INTRODUCTION
The family is the basic and essential building blocks of societies, families have a crucial role in
social development. They bear the primary responsibility for the education and socialization of children as
In a community we can find a lot of families and a lot of problems also. Problems like diseases
which are categorized by communicable and non-communicable, so a nurse must make an action to
prevent the problems they might be encountering. Knowing that not all people in a certain community are
financially capable and educated. Large number of people has a low-level education. Problems are often
unidentified because they lack knowledge about the signs, symptoms, the nature, and treatment of a
particular diseases.
A nurse exposed in the community learns how to interact and adapt to different kinds of people.
The family is considered as the basic unit of care in the community health nursing. It is in the family where
a member develops his health values, beliefs and practices. The family is a major influence in the health
behaviors of an individual. With this, it is important that families in a community are aware of the things
and practices pertaining to their health. It is apt to say that community health nursing has a big role in the
nursing education. It is in the community where the student nurse learns nursing apart from the hospital
setting as she was exposed to different level of orientation. It is in the community where the saying
“nursing is an art” can be applied as a student nurse tries to give quality service using the available
So, Community Health Nurse makes action to educate people by helping them identify their
needs, identify problems in their family and render their service. Nurses in the community often give
health teachings, preventive measures and enhances the people’s knowledge about health promotion
Bendillo family is the one involved in this case study. We will be encountering health problem and
CHAPTER II
OBJECTIVES:
This chapter outlines the study's general and particular goals. Setting goals helps organize a
family nursing intervention. It provides a feeling of accomplishment for both the client and the nurse..
GENERAL OBJECTIVES:
Upon completion of the student nurse-family connection, the adopted family will be able to
SPECIFIC OBJECTIVE:
To create a positive relationship with the family in order to win their confidence so that
they would be willing to share with me the information necessary for this case study.
To learn more about their knowledge about health promotion and illness prevention
With the guidance of their student nurse, determine the priority of the identified family
Develop potential remedies or nursing interventions for the health conditions that have
been prioritized.
Evaluate the efficacy of the intervention based on the established goals, and
family composed of Mr. Efren Bendillo and his wife Mrs. Marcelina Bendillo they are married and had a
good relationship for almost 20 years. They were blessed with one daughter. They are considered as
patriarchal family since that Mr. Efren Bendillo is the head of the family. Since that Mr. Medes only
reached High School, he works only as Driver, the only thing he mastered and Mrs. Marcelina Bendillo
reached College graduate and got the teacher license, a housewife and took care of her 1 daughter. Mrs.
The Bendillo family is classified as a nuclear family. A nuclear family is a conventional family
structure consisting of a father, a mother, and a kid. This sort of family structure is prevalent in practically
all countries, although the duration of this structure varies even within the same community. The nuclear
family may be a caring setting for raising children if there is enough affection, time spent with children,
The Bendillo family resides in Purok Villapaz Naguilian, Isabela. They have started living there
since June of 2008. They were a family whose resident is always changing. Mr,and Mrs. Bendillo go hand
in hand in terms of decision-making. They consult each other in terms of planning and budgeting for their
family. They discuss matters concerning their children’s schooling financially and with regards to the
emotional problems or aspects within the family. When problem arises, they make sure that both will
handle and resolve the issue. However, Mrs. Bendillo is more dominating when it comes to health issues.
She ensures that she will adhere to the prescribed regimen in the event of specific health problems. She
is more conscious of health issues than Mr. Bendillo, of course, since she believes it is her responsibility
The `Bendillo family’s main source of income is coming from Mr. Efren Driver and Mrs. Marcelina
as a teacher. Mr. Efren earns about Php 5,000.00 a month and Mrs Marcelina earn 20k a month. Since
Mrs. Bendillo is teaching at home due pandemic, she is in charge of the house and in taking care of their
daughter. Mrs. Marcelina budgets the money in terms of food, education and miscellaneous where
clothes, shoes and slippers comes in. Out of Mr. Efren earnings, most of it goes to the family’s budget for
food. The education of their daughter is free, and they can teach her from their house, so only some
With Mr. Efren's monthly salary and Mrs. Marcelina's assistance, the family is able to purchase
anything they like, as well as all they need to survive. She also advised the student nurse that they had
financial assets available in the case of emergency. In the case that the money they have is insufficient,
Mr. Efren is a driver who works from 6 a.m. to 6 p.m. daily. Mrs. Marcelina's employment requires
her to remain at their home due to the epidemic. She is a normal housewife in that she is shown washing
clothes, preparing meals, sweeping the yard, and keeping the home tidy. After-school work. Mrs.
Marcelina stated that they had stopped attending church since the epidemic began, citing the necessity to
The Bendillo family's significant people include their relatives and a few neighbors. They
usually seek refuge with their families when confronted with challenges and troubles. Mrs. Marcelina also
carnivals. since they are long live in the place. The Bendillo Family barely enjoys the community
resources since the community itself lacks resources. The family uses the NAWASA electric water supply
as their means of water source in washing their clothes and as clean water to drink.
The house is made of Concrete they have tiles a ground as the flooring in the
whole house. They only have 2 bedroom and 2 beds., Mr and Mrs Bendillo occupies the first
bed, and the daughter is in the second room. They have small kitchen with their dining area,
and They usually store their foods in a covered plate placed on top of the table. The comfort
room located at center of the bedroom so that they easily go there. They used kettle and
casserole in cooking their food. Their clothes are just hanging around at the outside of their
house. They get their water supply in NAWASA. Mrs. Bendillo did not know the exact
measurement of their house. In order for the house to be considered as adequate, the total floor
area should be divided among the total members of the family, and each should at least have
10.5 m2. They used karamba, waterjag and bottled container in storing their water. They drink
water directly without boiling. They usually packed their garbage in an open receptacle and
dispose in the garbage dump in their block. Sometimes they burn their garbage backyard of
their house. They also use cellphone as a mean of communication and listen to TV for other
news and information. They have own transport vehicle but uses wave as mean of
transportation. They dont have any health facility like first aid kit inside their house.
The home has just eight windows yet provides ample ventilation for the household. Mrs.
Marcelina explained to the student nurse that their home is often "Fresh air," since it is next to
the farm and the air flows freely into and throughout the house. The family's drainage system is
a covered kind, which means that the drainage runs continuously. This indicates that the
family's health is secure. The family consists of a single cat, a dog, and a chicken. Vegetables
BP MONITORING
around 5'10" tall and weighs approximately 100 kilos. His BMI of 23.8 indicates
alcohol use. Mr. Bendillo was in stable condition at the time of the incident. He
B. B. Mrs.Bendillo said that she had high blood pressure last month as a result of
her daughter's misbehavior. She stands at 5'2" and weighs around 65 kg. Mrs.
Bendillo has a BMI of 20.7, which is considered normal weight. She is currently
free of degenerative, chronic, or infectious disorders. She has also finished her
vaccines; she currently has no complaints and is not taking any medicines. She
would just swallow paracetamol for fever and mefenamic acid for discomfort
C. Daughter- is currently free of infectious infections. She has not had all needed
vaccines since she is under the legal age. She stands at 4 feet 7 inches and
weighs 30.5 kg. Mrs. Bendillo informed me that she takes her kid to the hospital
owing to her daughter's non-normal weight, even though she consumes a large
amount of food.
• Without recognized vices such as smoking or drinking, except for Mr. Efren who
• Utilizes herbal plants from their garden, even though they are not recognized by
• If there are not feeling well, they just take medicine early as soon as possible.
2. Nutritional-metabolic pattern
• Avoid taking any dietary supplements or vitamins that may contribute to disease
or allergies.
very underweight.
3. Elimination pattern
The family members defecate every day and some, every other day with
4. Activity-exercise pattern
Mr. Efren reports that the family does not engage in any physical activity.
If a family has spare time, they prefer to remain at home and snooze while their
The family maintains regular breathing patterns even when they are exhausted
5. Cognitive-perceptual pattern
Maintains a sense of time and location and can recognize individuals and
immediately and was able to reason. Normal verbal pattern and spontaneity
Memory intact
According to the mother, the family typically sleeps 7-8 hours continuously.
the morning.
7. Self-perception/self-concept
• According to Mrs. Bendillo, family members communicate openly and can share
their difficulties.
• In their household, the father is the one who makes most of their decisions.
• If a family member is hospitalized, the parents take care of one another while
9. Sexual reproductive
• They provide support and comfort to one another through the most painful
providence will safeguard them from any unknown and potentially harmful
Always attend to the masses, even if the situation is not yet pandemic.
Due to her young age, the family's daughter has not finished their immunizations.
The family receives sufficient rest and sleep. They sleep early and get up early; their typical
bedtime is 7 p.m. and they awaken between 5 and 6 a.m. Mrs. Marcelina Bendillo claimed that
they exercise by doing domestic chores and walking. Their daughter is either at home or playing
The mother understands the value of health in the family, but financial restrictions
have forced them to overlook any severe health concerns that may occur. Additionally, they
were able to maintain enough supplies of medicine or other items necessary for their health
care requirements. They often self-medicate when OTC meds are accessible. The family is a
firm believer in the medicinal properties of herbs. They occasionally use herbal plants lodged
near the house in treating diseases or symptoms in the family and eat vegetables to become
healthy. But if the symptoms manifested by the family member become severe, they
immediately go to the health center or to the hospital. If the budget of the family for emergency
Chapter IV
FAMILY BACKGROUND
This chapter discusses the study's family history, which contains the Respondent's Database,
Family Tree, General Household Data, and Activities of Daily Living, which may be indicative of
the family's current health state, since it continues to impact each family member.
Family History
Family Bendillo is composed of 3 members Mr. Efren Bendillo is the father, Mrs.
Marcelina Bendillo as the mother, Angel Bendillo as their daughter. Mr. Efren is the head of the
family. He is 44 years old. Mrs. Marcelina, his wife is 44 years old. Child Angel Bendillo, as the
Mr. Efren was born and grew up in Purok Uno, Kaligyan Burgos Isabela. His father was
a farmer, and his mother was a housewife. He has 5 siblings, and he is the eldest. He was able
to go to High school up to 4th year level. After that he did not continue schooling to help his
Mrs. Marcelina was born and grew up in Villapaz Naguilian Isabela. Her father is a
farmer, and her mother is a housewife. She has 5 siblings. She was able to go to school and
graduated college degree. And now she is teaching student in villpaz elementary school.
Mr. Efren and Mrs. Marcelina met in manila when they are young, through friends of
friends. They become a couple and after 2 years, they got married. They resided in Cavite for 3
GENDER : Female
OCCUPATION : Housewife/teacher
NATIONALITY : Filipino
NO. OF CHILDREN : 1
Chapter V
It is shown in this chapter how real observations of family behavior and practices are
contrasted with ideal observations of family attitude and conduct. It involves an evaluation of the
family's ability to cope with different pressures. The observations are examined to see if any
Chapter VII:
Photo Documentation
Chapter VIII:
Reflective Journal
The result and output of the Bendoillo family's care were excellent. They cooperate and
adhere to the proposed strategy, which aims to enhance their living conditions while reducing
elements that may constitute a health risk to the person. Preventative actions were implemented
with the assistance of the family. I believe that their attitude toward a positive cooperation in
health promotion and disease prevention will result in a positive outcome for their health and
well-being. Although their income may seem to be or is not yet achieved, they have an excellent
coping mechanism that may and will influence them less soon. A family of medium size that has
a low income yet is an active participant in health care services. In this activity I understood and
acted with the family to resolve the perceived issue as a priority in promoting health and
removing the potential source of disease. I also spoke with the family some strategies for
improving their lifestyle and using neighborhood services. Additionally, I learnt the value of
effective communication. Without effective communication skills, the student nurse will be
unable to create rapport with his or her client, influencing the assessment process, making issue
identification, and prioritizing more difficult, so limiting the amount of care the family may get.
The most critical characteristic of a student nurse is initiative, time, effort, and patience; without
these characteristics, you will be unable to gather all the necessary information. Additionally, the
client's cooperation and compliance are critical ingredients for the success of creating a family
case study.