CASE STUDY REPORT
I. IDENTIFYING INFORMATION
Name of the Client: Flaviana Hadara
Age: 59
Date of Birth: December 15, 1965
Address: Purok 6, Brgy. Ladol, Alabel, Sarangani Province
Dialect: Cebuano
Gender: Female
Civil Status: Married
Type of Client: Walk-in
II. PRESENTING PROBLEM
Flaviana is a 59-year-old woman who suffered a stroke in 2019 which worsened in 2023.
She is a person with disability (PWD) and has hypertension requiring maintenance
medicine. She struggles with mobility, daily activities, and financial limitations in sustaining
her treatment.
III. BACKGROUND INFORMATION (History of the Client)
The Client (Person):
Flaviana was born and raised in a rural barangay in Sarangani Province. She described her
childhood as simple but challenging, as her parents were farmers with limited income. She
grew up in a large family where survival depended on farming and occasional seasonal jobs.
She studied up to elementary level but was unable to pursue higher education due to
financial difficulties. Despite this, she helped her family by assisting in household chores
and caring for younger siblings.
In her adult years, Flaviana married at an early age and dedicated herself to raising her
children and managing their household. For many years, she assisted her husband in
livelihood activities, such as selling small goods and helping in minor farm work. Her life
was modest but stable until 2019 when she suffered her first stroke. This event became a
major turning point, as it left her physically weak and dependent on medication. In 2023,
her condition worsened, leaving her with greater mobility issues and increased reliance on
others.
She reported that after her stroke, she felt sadness and frustration because she could no
longer do the things she used to, such as household tasks and gardening. She struggles
emotionally with the changes in her lifestyle, feeling “parang pabigat” (like a burden) to her
family. Still, she is determined to fight her condition through regular medication, check-ups,
and therapy sessions when possible. She attends therapy at SACI once a week, although
sometimes financial constraints prevent her from being consistent.
The Family (Person-in-Situation):
Flaviana currently lives with her husband, who is a driver, and with her daughter’s family.
Her husband is 63 years old, an elementary graduate, and works to support their daily
needs. Her son-in-law is employed as a bangle worker, while her daughter takes care of
their children at home. Two grandchildren, ages 1 and 2, also live with them.
Her family serves as her primary support system. Her husband provides financially, though
their income is limited and mostly allotted to food and basic needs. Her daughter assists her
in daily household tasks and caregiving. Flaviana’s children visit regularly and contribute
what little they can. Despite financial struggles, her family tries their best to meet her needs.
However, the burden of medical expenses and her inability to contribute to household
income add to her stress.
Family dynamics have also changed since her illness. Before, she was active in helping with
the household, but now she depends on her children and husband. She sometimes feels
guilty and emotionally distressed when she sees her family working hard for her medical
needs. Yet, she finds strength in their love and their willingness to support her despite
hardships.
The Community / Environment (Person-in-Environment):
Flaviana lives in a modest barangay setting. Their house is small but provides adequate
shelter for the family. The environment is generally safe, though access to healthcare
facilities is limited and requires transportation to reach the city center or SACI clinic.
The barangay offers limited programs such as feeding programs, PWD assistance, and
livelihood support, but accessibility remains a challenge due to financial constraints and her
physical condition. Despite this, Flaviana’s religious community plays an important role in
her coping. She attends church services when able and receives encouragement from fellow
church members.
Transportation remains a barrier since she depends on her family to accompany her to
medical appointments. Financial hardship also limits her access to nutritious food and
consistent therapy. Nonetheless, she expresses gratitude for the help of neighbors and
barangay workers who occasionally visit and extend assistance.
IV. ASSESSMENT STATEMENT
Presenting Problem and Causal Factors:
Flaviana’s primary issue is her post-stroke disability, which affects her mobility,
independence, and quality of life. Compounded by her hypertension, her health condition
requires regular medication and therapy, which adds financial strain to her family. The
emotional toll of feeling dependent also contributes to her psychological stress.
Strengths and Change Potential:
Despite her limitations, Flaviana demonstrates resilience and determination. She adheres to
her medications, attends therapy, and follows dietary restrictions. She draws strength from
her family and religious faith, which serve as strong coping mechanisms. Her openness to
medical advice and family support makes her capable of adjustment and improvement.
Urgency and Risk Assessment:
The client faces health risks if unable to sustain medication and therapy. She is also
vulnerable to depression due to feelings of dependence and guilt. However, her strong
support system reduces risks of isolation.
Theoretical Support:
- Systems Theory: Explains that her condition is not only her individual problem but is
shaped by her family, economic status, and community resources. Interventions must
involve her family and local support systems.
- Strengths Perspective: Highlights her resilience, faith, and commitment to recovery as
resources for intervention. These can be used to empower her instead of focusing on her
disability.
- Crisis Intervention Theory: Supports the need for structured, immediate, and continuous
assistance to help her adapt to the changes caused by her stroke and prevent long-term
psychological harm.
V. INTERVENTION PLAN
Goal:
To improve Flaviana’s health management, access to medical and financial support, and
strengthen her coping mechanisms within 3–6 months.
Objective 1: To facilitate the processing of PWD ID for the client.
- Coordinate with Barangay Social Worker for requirements and endorsement.
- Assist client/family in completing application forms and gathering necessary documents
(medical certificate, ID photos).
- Accompany or refer client to the MSWDO for filing and processing of PWD ID.
Objective 2: To facilitate access to medical assistance for maintenance and therapy needs.
- Assist in preparing documents for medical/financial assistance (barangay certificate,
medical abstract, prescription).
- Refer client to DSWD, PCSO, or other agencies providing medical/laboratory support.
- Follow up with barangay health workers for free check-up and monitoring services.
Objective 3: To promote psychosocial support and client’s emotional well-being through
simple and accessible interventions.
- Encourage client’s participation in religious or barangay wellness activities for social
interaction.
- Conduct regular home visits to provide emotional support and monitor her condition.
- Link the client to women’s group or PWD support group in the barangay/community.
Prepared by:
SEAIT Social Work Intern
Brgy. Ladol, Alabel, Sarangani Province
