Question: Why did Mrs. Anastacia Cruz fail to go back to the clinic for her scheduled prenatal check-up? What does the family think about Mrs. Anastacia Cruz condition? Does the family recognize it as a possible health threat? If no, why not? If yes, what is the family doing about it?   Case Scenario: The family lives in a two-room house made of light materials, situated in an urban community, which is about 8 km from the health center. Anastacia Cruz is an elementary graduate. She did not finish her education due to poverty. She married at the age of 16 and got pregnant with her first baby. She is a “labandera” and earns 300 per day. But she only has work three times a week.

Essentials Health Info Management Principles/Practices
4th Edition
ISBN:9780357191651
Author:Bowie
Publisher:Bowie
Chapter9: Legal Aspect Of Health Information Management
Section9.5: Release Of Protected Health Information
Problem 2E
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Question: Why did Mrs. Anastacia Cruz fail to go back to the clinic for her scheduled prenatal check-up? What does the family think about Mrs. Anastacia Cruz condition? Does the family recognize it as a possible health threat? If no, why not? If yes, what is the family doing about it?

 

Case Scenario:

  • The family lives in a two-room house made of light materials, situated in an urban community, which is about 8 km from the health center.
  • Anastacia Cruz is an elementary graduate. She did not finish her education due to poverty. She married at the age of 16 and got pregnant with her first baby. She is a “labandera” and earns 300 per day. But she only has work three times a week.

 

  • I had a hard time going back to check-up on my schedule ma'am, because I have laundry for two clients. I can't refuse.
  • "I didn't isolate myself at home maam, I'm fine. My cough will disappear and I will drink boiled ginger. I don't believe in  COVID ma'am."

 

  • Anastacia Cruz husband, Mariano, 45, is a garbage collector and works every Monday, Wednesday and Friday only with an income per day of 500php. He is a known alcoholic in the neighborhood and oftentimes breaks the empty alcohol bottles in their front lawn. He has a family history of high blood and diabetes from his paternal side. He has no existing conditions.
  • Rodrigo, 26 years old, is an out of school youth who stopped schooling during his 2nd year in high school. He helps his parents by selling bottles and scrap metals.
  • Rodora, 24 years old, also an out of school youth who stopped schooling and is currently living in with her partner who is their neighbor.
  • Renato, 20, is a second year university scholar at Bukidnon State University and also works part-time in a nearby carenderia to help sustain his studies and to also help in home expenses. He is the only one among the siblings who wishes to graduate in college.
  • Rosita, 16, is a Grade 10 student at Cabulohan-Paradise National High School who is a certified barkadista and is into drugs and alcohol. She also engages in premarital sex and is often not seen at home because she stays in her boyfriend’s house. She also smokes inside their house whenever home.
  • Romina, 12, is a grade 6 student at Maramag Elementary School (MES). She is often the ones being left with her younger siblings when her mother does laundry in the neighborhood. She is also the one that’s trained to cook and clean at home and feed her younger siblings.
  • Ricardo, 9, is a grade 4 student also at MES. He often plays outside barefooted.
  • Roberto, 7, has been cured with diarrhea. He has no signs of dehydration.
  • Juana, 5, also has diarrhea. Her mother reported that her stools are watery and defecates 5-7 times a day. She has dry lips; when the skin of the abdomen is pinched, it comes back very slowly at < 3 seconds. She has also sunken eyes. She is often seen playing near the unsanitary toilet.
  • Maria, 4, still has faulty eating habits and still weighs 13kg. She is pale, lethargic and apathetic; markedly underweight and undernourished. She only eats her meal if the viand is hotdog, which her parents seldom buy due to financial constraints. She also likes drinking milk but her parents often neglect to buy her.
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