I.

First Level Assessment

1.1 Initial Data Base
a. Family Structure, Characteristics and Dynamics
The Family Composed of six (6) members which all has equal
household participation in the family. They have been residing in Manila
for about 10 years. They belong to common religion which is Roman
Catholic. The type of structure based on authority is Patriarchal, meaning
the father rules, and four of the members are their sons and daughters.
However, the family, according to internal organization is nuclear.
Summarizing the demographic data of the members, the father, Mr. NB, is
a male with an age of 46, married,has pure Tagalog dialect and currently
works as a Part-time Construction Worker in a nearby Barangay here in
Manila. The mother, Mrs. CB, is a female with an age of 36, married,
tagalog dialect, and is not employed . Their first son is Mr. J, a male,
9years old, single, uses Tagalog as his dialect and is currently in a Grade 4
student in a nearby School. Then, the second child is Ms.PJ, a 7year old
girl,single,speaks Tagalog as her dialect,and a grade three student. next
child is a Female, Ms,MC 6years old, single and also a student; she also
uses Tagalog as her dialect. As for general family relationship or
dynamics, there are no observable conflict among Family Members.As a
matter of fact,the mother verbalized that her children help each others all
the time.
Socio- Economic and Cultural Characteristics
The father is the one who works to sustain the needs of the
family.however,the mother washes the clothes of their neighbours as her
part-time job,and it cost 150 per week.therefore,the mother earns 600
pesos in a month. To sum up the total family monthly income,they earn
Php 4,600.00. With the total family monthly income, the family sometimes
doesnt meet their basic necessities and all the expenditures monthly
because the estimated total monthly family expenditures is Php 5000.
Upon the interview process, information from their educational
attainment was also gathered. the father, is undergraduate in
Highschool,and the mother is a highschool graduate. The four children is
currently studying in Dapitan elementary School.

The family wasnt able to be associated in any organization as they

said.they ranked food as the highest family needs,followed by
Education,housing,utilities,financial,healthneeds,clothing,spiritual
needs,recreation and support systems.

b. Home and Environment

The Home of the Family is rent-free because it is owned by the
mothers relatives. The home is composed of mixed materials; it is partly
concrete and lumber-made. The living space is adequate upon computation
of the total floor area and total space. The ventilation, in the other hand, is
adequate. as a matter of fact, the air can easily penetrate the house. Since
the house is made of mixed materials, certain resting sites of vector
diseases such as mosquitoes and rats are present. In food storage and
cooking facilities, the family has refrigerator but the mother verbalized
that currently they stopped using it because it consumes a lot of electricity.
The water supply is level ll, meaning they get their water from the
pumping well . The excreta disposal is owned privately, and it is level IIPour Flush system. there is inadequate lighting and it is electrically
supplied. The garbage disposal is DPS, it is collected every morning by
the garbage truck. The means of their communication is through cell
phone and for transportation, they are using jeepney .the social facilities
such as Brgy.hall,School,wet and dry market,day care center,basketball
court,playground and barangay heath center is available.

c. Health Status of each Family Member

The family Members has common illness for the past six months
and it is cough,cold and fever.we have noticed that if one member of their
family,acquire a certain disease,it becomes communicable and the other
family members acquired the same disease. It affected and still affecting
the family because there is a need for maintenance of their condition.
However,the children were taking vitamins such as Ceelin,tiki-tiki and
incrimin.the youngest child appears to be underweight,
Upon nutritional assessment, the family is eating adequately and
fairly; the mother prioritizes this item which is food as top priority.

However,the family doesnt have any health insurance to sustain health

needs.

d. Values, Habits and Practices on Health Promotion, Maintenance and Disease

Prevention
. The health seeking behaviour of the family is then through
hospital and health center. The mother stated that all her children were
fully immunized. The children take vitamin c to boost their immune
system.
1.2 Genogram

1.3 Floor Plan

1.4 Physical Assessment

PHYSICAL ASSESSMENT

I.DEMOGRAPHIC PROFILE:
Name: Carolina Aguilar
Height: 53feet

Age: y/36o
Weight:50kg.

Gender: Female

II. VITAL SIGNS:

a. Temperature: 36.7 C- Axilla
b. Blood Pressure:110/70 mmHg R-sitting

c. Respiratory Rate: 18
d. Pulse Rate: 78 beats/ minute

III. BMI FORMAT:

BMI RESULT:
50kg/(1.62m)2 =

NORMAL FINDING:
18.5 24.9

ACTUAL FINDING:
19.08 normal

IV. PHYSICAL ASSESSMENT FORMAT:

PARTS TO BE ASSESSED:

NORMAL RESULTS:

ACTUAL RESULTS:

ANALYSIS:

Mouth

No tenderness/redness
of tonsils, presence of
moist in lips and buccal
mucosa

No tenderness/redness
of tonsils, presence of
moist in lips and buccal
mucosa.however,there is
tooth decay on the left
molar

.There is a tooth decay

on the left molar

Neck and thorax

Gland ascends when

swallowing; trachea is
on midline; muscles are
equal in size; lymph
nodes are not palpable.

Trachea is on
midline,lymph nodes are
slightly palpable

Upon palpating,there is a
nodule on the left
sternomastoid muscle.

NURSING HEALTH HISTORY

A. Personal Data
Patients Name: Carolina Aguilar
Address: 1034 Quintos St.Sampaloc Manila
Age:36y/o
Gender: Female
Birthdate: November 21,1978 7
Place: Bulacan
Civil Status:Married Occupation: Part-time laundry girl
Religion:Roman Catholic
Citizenship:Filipino
Initial Diagnosis: The patient is has not been diagnosed of any disease.however,upon
assessing,there is a nodule palpated on the left sternomastoid muscle

B.CHIEF COMPLAINT
Masakit po yung yung kaliwang ngipin ko at parang may bukol sa kaliwang leeg ko as
verbalized by the client.
C.HISTORY OF PRESENT ILLNESS
For the clients present illness, as diagnosed, he is having tooth decay that causes her left
sternomastoid muscle to have nodule.

D. PAST AND MEDICAL HISTORY

The client seems in normal condition with his upright stature. she doesnt have any
allergy so far. No reported accidents or injuries, even operations and surgeries. her last
hospitalization was about January 2010 when she gave birth to her youngest son. she
HEALTH
appearsGORDONS
to be cooperativeFUNCTIONAL
and jolly during the
interview. PATTERN
.

Name of Patient: ___Mrs.CAB__

Age:_36_ y/o

Gender: Female

Mrs.CAB is a jolly,cooperative and expressive person, she stated all the health ncondition
of her childre. shes eating pattern is regular three times a day. she have normal elimination
pattern.however,she is not active when it comes to physical activities .. Although he belongs to
Roman Catholic religion, he is not that very much active in attending mass.

PHYSICAL ASSESSMENT

I.DEMOGRAPHIC PROFILE:
Name: Prince Justine Charles Aguilar
Height: 97.5cm

Age: 4y/o
Weight: 13kg

GenderMale

II. VITAL SIGNS:

c. Temperature: 37.8 C- Axilla
c. Respiratory Rate: 17rpm
d. Blood Pressure:n/a
d. Pulse Rate: 89 beats/ minute
III. BMI FORMAT:
BMI RESULT:
13kg/0.97m= 13.7

NORMAL FINDING:
18.5 24.9

ACTUAL FINDING:
13.7- below normal,underweight

IV. PHYSICAL ASSESSMENT FORMAT:

PARTS TO BE ASSESSED:

Nose and sinuses

Mouth

NORMAL RESULTS:
Patency of both nostrils,
no tenderness/ redness
of sinuses
No tenderness/redness
of tonsils, presence of
moist in lips and buccal
mucosa

ACTUAL RESULTS:
Prescence of excessive
mucus on the nosetrils,
No tenderness/redness
of tonsils, presence of
moist in lips and buccal
mucosa but has
excessive phlegm

ANALYSIS:
The patient has colds
The patient has cough

Skin

Absence of any
lesion,symmetric,no
swelling or edema,no
palor

The skin is warm to

touch,no lesions
swelling or edema
present upon
assessment.

The client has

hyperthermia

NURSING HEALTH HISTORY

B. Personal Data
Patients Name: Prince Justine Charles Aguilar
Address: 1034,Quintos St. Sampaloc Manila
Age:4y/o
Gender: male
Birthdate:January 15,2010 Place: Manila
Civil Status:Single Occupation: n/a
Religion:Roman Catholic Citizenship:Filipino
Initial Diagnosis: The client has been diagnosed of fever,cough and colds

B.CHIEF COMPLAINT
nilalagnat po ang anak ko.sinisipon din po sya at inuubo as verbalized by

the clients mother=.

C.HISTORY OF PRESENT ILLNESS

Last august 28,the client,together with her mother went to the health center to seek medical advice
for his cough and colds.The Patient Diagnosed to have fever,cough and cold and was given
medication(Amoxicillin and Paracetmaol 125mg.syrup).he is also underweight

D. PAST AND MEDICAL HISTORY

The mother stated that the patient is fully immunized . he doesnt have any
allergy. no hospitalization yet.

GORDONS FUNCTIONAL HEALTH PATTERN

Name of Patient: ___Mr.PJAB

Age:_4_ y/o

Gender:___Male____

The client is an active health seeker. Every time that she feels something different,
the mother consults it to the nearby health center.. his elimination pattern is once a day
accompanied by complete passage of stool. Her sleeping pattern is about 9-11hours ,
commonly, she sleeps at 9pm and awakens at 7am. The client is very hyper-active when it
comes to playing. he plays the role as the youngest child in the family.

PHYSICAL ASSESSMENT
I.DEMOGRAPHIC PROFILE:
Name: John Paul Aguilar Age: 18 y/o
Height:131 cm

Gender: Male
Weight: 32 kgs

II. VITAL SIGNS:

a. Temperature: 36.9 C
b. Blood Pressure: N/A

c. Respiratory Rate: 16 bpm

d. Pulse Rate: 77 bpm

III. BMI FORMAT:

BMI RESULT:
32 kgs/1.31 cm= 18.60

NORMAL FINDING:
18.5-24.9

ACTUAL FINDING:
18.60- normal

IV. PHYSICAL ASSESSMENT FORMAT:

PARTS TO BE
ASSESSED:

NORMAL RESULTS:

Skin

Symmetric, absence of
any lesions, no edema
and swelling.

Symmetric, brown in color

equally distributed all over the
body.

Eyes

Symmetric, no lesions,
No clouding of cornea.

Upon assessment the patient

was find out of having
difficulty seeing far objects.

Nose

Symmetric and strait

appearance; not tender
upon palpation; no lesion;
clear patency of air way;
nasal septum intact and in
the midline

Symmetric in both side and in

medially align. No tenderness
upon palpation and no presence
of lesion. Air moves freely in
the nares. Nasal septum is intact
and in the midline.

ACTUAL RESULTS:
ANALYSIS:
Normal condition

Blurred vision

Normal finding
condition and no
suspected
deviation

Mouth

Pink in color; soft, moist

and smooth texture; no
lesion; symmetric in
contour; pink and smooth
palate; no tenderness and
able to purse lips

Lips are pink and appear to be

soft and smooth in texture.
Hard palate is lighter pink than
soft palate and grade 1 tonsil.
No discharge and not tender
upon palpation. Tongue moves
freely and lingual frenulum is
on the midline.

Normal finding
condition

NURSING HEALTH HISTORY

A. Personal Data
Patients Name: John Paul S. Aguilar
Age: 9 years old
Gender: Male
Civil Status: Single Occupation: student

Address: 1034 Quintos st, Sampaloc Manila

Birthdate: April 03,2005 Place:Manil
Religion:Roman Catholic Citizenship: Filipino

Initial Diagnosis: Based on

B.CHIEF COMPLAINT
Masakit ang lalamunan ko. Inuubo din ako as verbalized by the patient.

C.HISTORY OF PRESENT ILLNESS

He has sore throat because of tonsilitis. This acute sore throat leads to his
influenza, colds and cough because of the bacteria or viral infection.

D. PAST AND MEDICAL HISTORY

He looks healthy but he is still coughing, and has sore throat. He has asthma
since childhood. He also has allergies when eating shrimps, which causes to itchiness
of his lips. He was hospitalized because of his sore throat and influeza last July 6,
2009 and was discharged last July 10, 2009. And because of his cough and colds he is
taking Solmux, and ascorbic acid.

GORDONS FUNCTIONAL HEALTH PATTERN

Name of Patient: NFM

Age: 18 y/o

Gender:Male

The patient manages his health by having medications, drinking 8 oz of water every day
to prevent sickness. He is eating enough foods when needed but most of the times 1 cup of rice
every meal to maintain his diet. Normal elimination pattern, he hasnt experienced constipation. His
exercise is playing basketball, and walking daily. He has 7 hours of sleep regularly. He is not experiencing
pain. And when he feels it he just verbalized it to relieve the pain. He has a good relationship with his
family and friends. And for his family he is a kind and supportive older brother for them. He is very
responsible with his role. He has a good understanding about sexuality, and knowledge how to prevent
infectious disease. But now, he is still a student he is not yet ready for sexual activity although he has a
girlfriend right now. He can manage his stress by talking or chatting with his friends. He believes in God
and he is Catholic. He always pray and has a good relationship with the Father.

PHYSICAL ASSESSMENT
I.DEMOGRAPHIC PROFILE:
Name: Jhona Marie F. Molinar
Height: 62 inches

Age: 17y/o
Weight: 45kg

Gender: Female

II. VITAL SIGNS:

a. Temperature: 36.8 C- Axilla
b. Blood Pressure:110/70 mmHg R-sitting

c. Respiratory Rate: 18 cpm

d. Pulse Rate: 83 beats/ minute

III. BMI FORMAT:

BMI RESULT:

NORMAL FINDING:

ACTUAL FINDING:

45/2.4025=18.7304

18.5 24.9

18.73- normal

IV. PHYSICAL ASSESSMENT FORMAT:

PARTS TO BE ASSESSED:

NORMAL RESULTS:

ACTUAL RESULTS:

Thorax and Lungs

Anteroposterior to
transverse diameter in
ratio of 1:2; spine is
straight and in the
midline; chest
symmetric on both side;
uniform temperature;
full chest expansion;
vesicular and bronchovesicular breath sound;
symmetrical tactile
fremitus and full
respiratory excursion

Anteroposterior to
transverse diameter in
ratio of 1:2 and no
presence of masses and
lesion. Spine is
vertically aligned and
uniform skin color.
Chest symmetric on
both sides. Uniform
temperature and no
tenderness upon
palpation. Has a full
chest expansion and
bilateral tactile fremitus.
Full symmetric
excursion; thumbs
separate 3 cm. Crackle
sound is audible upon
auscultation on the right
lower lung lobe.

ANALYSIS:

Crackle sound may

indicate increase mucus
production

NURSING HEALTH HISTORY

A. Personal Data
Patients Name: Jhona Marie F. Molinar
Address: #1342 Zulueta St., Paco, Manila
B.CHIEF COMPLAINT
Age:17y/o
Gender: Female
Birthdate:Dec.31, 1991 Place: Batangas
Civil Status: Single Occupation: student
Religion:Roman Catholic Citizenship:Filipino
Inuubo ako tsaka makati lalamunan ko pero minsan lang.

C.HISTORY OF PRESENT ILLNESS

The client is anemic which she refuted that she inherited it from her mother. Aside from
this, she is also having cough right at this moment, but it is just a mild case.

D. PAST AND MEDICAL HISTORY

The client appears to be healthy and no deviation is visible physically and mentally. As
her mother said, she, along with her brothers was all fully immunized. She doesnt have any
allergy. She can no longer remember her last hospitalization. She is taking Chlorella, Vitamin C
with rose hip and multivitamins currently. She has not undergone any operation nor surgeries. No
infectious diseases even psychological illness.

GORDONS FUNCTIONAL HEALTH PATTERN

Name of Patient: ___Mr.JFM___

Age:_17_ y/o

Gender:___Female_____

The client upon the interview process stated that currently, she has a good health
management pattern though she has been diagnosed of Iron Deficiency Anaemia. The client is
taking multivitamins along with three times a day eating. She eats well every time shes hungry
and has good bowel movement. She doesnt have time for exercise but instead walks as an
alternative. Her sleeping pattern is irregular because sometimes theres a need for her to study
late at night. Although she has sleepless nights, she still manages to smile and think clearly. She
is alert, awake and enthusiastic during the interview. In terms of sexual-reproductive pattern,
since she doesnt have any boyfriend, she doesnt mind it and doesnt have plan yet for this issue.
Has responsible role in the family as a sister and daughter, an optimistic person and believes in
Gods intervening power.

PHYSICAL ASSESSMENT
I.DEMOGRAPHIC PROFILE:

Name: Joseph Mark Molinar

Height: 53feet

Age: 13y/o
Weight: 48 kg

Gender: Male

II. VITAL SIGNS:

a. Temperature: 36.9 C
b. Blood Pressure: 120/70 mm Hg R - sitting

c. Respiratory Rate: 28 cpm

d. Pulse Rate: 91 bpm

III. BMI FORMAT:

BMI RESULT:
18.7

NORMAL FINDING:
Normal BMI range 18.5-24.9

ACTUAL FINDING:
Have a normal body mass index
and body appearance is
proportional to the clients age.

IV. PHYSICAL ASSESSMENT FORMAT:

PARTS TO BE ASSESSED:

NORMAL RESULTS:

ACTUAL RESULTS:
ANALYSIS:

Nose

Mouth

Neck

Thorax and Lungs

Symmetric and strait

appearance; not tender
upon palpation; no lesion;
clear patency of air way;
nasal septum intact and in
the midline

Symmetric in both side and in

medially align. No tenderness
upon palpation and no presence
of lesion. Air moves freely in
the nares. Nasal septum is intact
and in the midline.

Pink in color; soft, moist

and smooth texture; no
lesion; symmetric in
contour; pink and smooth
palate; no tenderness and
able to purse lips

Lips are pink and appear to be

soft and smooth in texture.
Hard palate is lighter pink than
soft palate and grade 1 tonsil.
No discharge and not tender
upon palpation. Tongue moves
freely and lingual frenulum is
on the midline.

Gland ascends when

swallowing; trachea is on
midline; muscles are
equal in size; lymph
nodes are not palpable

Trachea is on the midline and

gland ascends when
swallowing. Coordinated
movements with no discomfort.
Lymph node is palpable on the
right s side of the neck and
equal neck muscle size.

Anteroposterior to
transverse diameter in
ratio of 1:2; spine is
straight and in the

Anteroposterior to transverse
diameter in ratio of 1:2 and no
presence of masses and lesion.
Spine is vertically aligned and

Normal finding
condition and no
suspected
deviation

Normal finding
condition

Presence of
nodule or
palpable lymph
node for possible
infection

midline; chest symmetric

on both side; uniform
temperature; full chest
expansion; vesicular and
broncho-vesicular breath
sound; symmetrical
tactile fremitus and full
respiratory excursion

uniform skin color. Chest

symmetric on both sides.
Uniform temperature and no
tenderness upon palpation. Has
a full chest expansion and
bilateral tactile fremitus. Full
symmetric excursion; thumbs
separate 3 cm. Crackle sound is
audible upon auscultation on
the right lower lung lobe.

Crackle sound
may indicate
increase mucus
production

NURSING HEALTH HISTORY

A. Personal Data
Patients Name: J. M Molinar

Address: #1342 Zulueta St Paco, Manila

Age: 13 y/o
Gender: Male
Civil Status: Single Occupation: Student

Birthdate: Jan 27, 1996 Place: Manila

Religion: Roman Catholic Citizenship: Filipino

B.CHIEF COMPLAINT
Inuubo ako, simula nung Thursday pero, hindi naman masakit. As verbalized
by the patient.

C.HISTORY OF PRESENT ILLNESS

The patient has cough and colds since Thursday, hindi naman po masyadong
masakit yung lalamunan ko pag umuubo ako, at umiinom naman po ako ng madaming
tubig para hindi masyadong dry. As stated by the patient, He has taken medications for his
cough but has not been to a doctor for a check-up.

D. PAST AND MEDICAL HISTORY

The patient is in normal condition at the moment of assessment. During
childhood days, he said that he had asthma. He also completed all of his
vaccinations before his first birthday as stated by his mother. There is absence of
any allergy within him and verbalized that he had fracture on the right knee but it
didnt occur as a serious matter. He was hospitalized last June 2008 and he also
exhibited alertness during the interview process.

GORDONS FUNCTIONAL HEALTH PATTERN

Name of Patient: J.M Molinar

Age: 13 y/o

Gender: Male

The client eats fruits but not all vegetables, he increased his fluid intake of about 7-8
glasses of water a day. He eats for at least three times a day or sometimes more than that. The
client urinates six times in a day and eliminates only once a day. He plays basketball as early in the
morning, at least once a week. His sleeps 7 hrs (most common) everyday .He doesnt have any experience
of trauma. Appears to have high level of self -esteem. He is the youngest member of the family and has a
good communication with his parents and other siblings. He hasnt yet experienced any sexual activity
since birth. Whenever he has problems, he takes a rest and eats a lot of food. For their values and beliefs,
they believe in God and almost every Sunday they are going to church. Most of the time they are not
complete in going to church because of his dads schedule. Its only him, his mother and his sister.

II. Listing and Categorizing Potential Health Problem

Objective: After gathering the data, the student will list down potential health problems in the
family and categorize it according to its nature. Compute the score of each problem
justify scores given and rank the problems.
Family Name: _Bajar Family
Name of Family heads: _Mr. and Mrs. CAB__
Address:__1034 Quintos St. Sampaloc Manila

List of Potential Health Problems

Nature of Problem

1. Impaired Home Maintenance

Health Deficit

2. Lack of Home Sanitation

Health Deficit

3. Inadequate Living Space

Health Deficit

4. Lack of Exercise Among Family Members

Health Deficit

III. Second Level Assessment

3.1 Family Coping Index
Family: Molinar Family
Address: #1342 Zulueta St., Paco, Manila
Family Coping Area

Point Scale

Health Department
Assessed Problems

Justification
Statement

Physical Independence

Therapeutic
Competence
Knowledge of Health
Condition

1
1
1

2
2
2

3
3
3

4
4
4

5
5
5

Physical environment

Use of Community
Facilities

Application of
Principles of General
Hygiene
Health Attitudes
Emotional Competence
Family Living

Inadequate exercise
among some members
of
the family

The family have some

exercise facilities but
due to busy schedule,
only some members
avail it.

Conflicting Opinions
among Significant
others

Significant others tend

to suggest opinions that
conflict or help the
decisions of family
regarding health
condition.

Absence of
Responsible member
due to busy schedule in
work
Poor sanitation
specifically presence of
breeding sites as vector
of diseases
Failure to recognize
community resources
for health care due to
inadequate knowledge
of community
resources for health
care

Both parents are

working in the family.
Cockroaches,
mosquitoes and rats are
residing in the house.
The family only seek
health in private
doctors and hospitals.

Comments: The family has high competence in meeting different factors regarding their health.
The gathered information manifests only minor problems which can be prevented.
Nurses Signature:

3.2 Cues and Data

CUES/DATA

FAMILY NURSING PROBLEM

 Inuubo ako, simula nung Thursday pero,

hindi naman masakit. As verbalized by the
patient, Mr.JMFM.

Masakit_ang_lalamunan_ko._Inuubo_din
ako as verbalized by the patient, Mr.NFM.
Inuubo ako at Makati lalamunan ko pero
minsan lang as verbalized by Ms.JFM.
Mother is busy with work and sometimes goes
home very late in the evening.
Family is composed of five members whereby
in terms of living, the father sleeps at his
office due to work needs.
Busy members of the family dont have time
for exercises.
They are not aware of the use of health centres
since they have health insurance which they
use in hospital matters.
There are cockroaches, mosquitoes and rats in
their house.
They used to live in Batangas where there are
lots of relatives lives. They play the role of
being the significant others of the family.

A. Ineffective airway clearance due to:

1.

Increase mucus production as

evidenced by coughing.

B. Absence of responsible member as

Health Threat
1. Inability to provide adequate
nursing care to the sick due to
inadequate family resources for
care specifically absence of
responsible member.
2. Inability to provide a home
environment conducive to health
maintenance and personal
development due to inadequate
competencies in relating to each
other for mutual growth and
maturation.
C. Unhealthy lifestyle and personal
habits or practices specifically:
1. Inadequate exercise among some
members of the family
D. Failure to recognize community
resources for health care due to:
1. Inadequate
knowledge
of
community resources for health
care
E. Poor home or environmental condition
or sanitation specifically:
1. Presence of breeding or resting
sites as vector of diseases.

F. Inability to make decisions with

respect to taking appropriate health
action due to:
1. Conflicting opinions among
significant others regarding what
action to take.

3.3 Scoring
Computing and Justifying the Scores of Health Problems

Problem: Hypertension
Criteria
1.Nature of the
Problem

Standard

Score

Weight

Actual
Score

Health Deficit
Health Threat
Forseable Crisis

3
2
1

2/3

Easily Modifiable
Partially Modifiable
Not Modifiable

2
1
0

High
Moderate
Low

3
2
1

2/3

Needs Immediate Attention

Doesnt need Immediate Attention
Not a Problem

2
1
0

2.Modifiability
of the Problem

3.Preventive
Potential

4.Salience of
the Problem

Total Score:

Problem: Diabetes

_3 5/6_

Justification
It is a health
threat that
does not
demand
immediate
action
The resources
and
interventions
needed to
solve the
problem are
available to
the family.
There is
medication to
prevent but it
will not
totally
eradicate the
problem.
The family
recognizes it
as a problem
however, it
does not see
the problem
as needing
immediate
action.

Criteria
1.Nature of the
Problem

Standard

Score

Weight

Actual
Score

Health Deficit
Health Threat
Forseable Crisis

3
2
1

2/3

Easily Modifiable
Partially Modifiable
Not Modifiable

2
1
0

High
Moderate
Low

3
2
1

2/3

Needs Immediate Attention

Doesnt need Immediate Attention
Not a Problem

2
1
0

2.Modifiability
of the Problem

3.Preventive
Potential

4.Salience of
the Problem

Total Score:

Justification
It is a health
threat that
does not
demand
immediate
action
The resources
and
interventions
needed to
solve the
problem are
available to
the family.
There is
medication to
prevent but it
will not
totally
eradicate the
problem.
The family
recognizes the
problem.

_4 1/3_

Problem: Coughing of some members of the family

Criteria
1.Nature of the
Problem

2.Modifiability
of the Problem

Standard

Score

Health Deficit
Health Threat
Forseable Crisis

3
2
1

Weight

Actual
Score
2/3

Justification
It is a health
threat that
does not
demand
immediate
action
The resources
and

Easily Modifiable
Partially Modifiable
Not Modifiable

2
1
0

High
Moderate
Low

3
2
1

Needs Immediate Attention

Doesnt need Immediate Attention
Not a Problem

2
1
0

3.Preventive
Potential

4.Salience of
the Problem

Total Score:

interventions
needed to
solve the
problem are
available to
the family.
Transfer of
this problem
to other
family
members is
reduced or
eliminated if
the problem is
managed
adequately as
soon as
possible.
The family
highly
recognizes the
problem as if
theres a need
for immediate
action.

_4 2/3_

Problem: Absence of Responsible member

Criteria
1.Nature of the
Problem

2.Modifiability
of the Problem

Standard

Score

Health Deficit
Health Threat
Forseable Crisis

3
2
1

Easily Modifiable

Weight

Actual
Score
2/3

Justification
It is a health
threat that
does not
demand
immediate
action
The resources
and

Partially Modifiable
Not Modifiable

1
0

High
Moderate
Low

3
2
1

2/3

Needs Immediate Attention

Doesnt need Immediate Attention
Not a Problem

2
1
0

3.Preventive
Potential

4.Salience of
the Problem

Total Score:

interventions
are not
available to
the family.
The problem
is not easily
prevented
because it is
concerned
primarily in
the schedule
of the head of
the family.
Since the
members are
mature
enough to
handle some
conflicts, the
problem
doesnt need
immediate
action.

_1 5/6_

Problem: Conflicting Opinions among Significant others

Criteria
1.Nature of the
Problem

2.Modifiability
of the Problem

Standard

Score

Health Deficit
Health Threat
Forseable Crisis

3
2
1

Weight

Actual
Score
2/3

Justification
It is a health
threat that
does not
demand
immediate
action
The resources
and

Easily Modifiable
Partially Modifiable
Not Modifiable

2
1
0

High
Moderate
Low

3
2
1

2/3

Needs Immediate Attention

Doesnt need Immediate Attention
Not a Problem

2
1
0

3.Preventive
Potential

4.Salience of
the Problem

Total Score:

interventions
needed to
solve the
problem are
partially
available to
the family.
The problem
can be cured
but not
always
because they
give
significance
to the
relatives
opinions at
times.
For the
familys
opinion, it is
not a problem
for them.

_2 1/3_

Problem: Inadequate exercise among some members of the family

Criteria

Standard

Score

Weight

Actual
Score

1.Nature of the
Problem

Health Deficit
Health Threat
Forseable Crisis

3
2
1

2/3

Justification
It is a health
threat that
does not
demand
immediate
action

2.Modifiability
of the Problem

Easily Modifiable
Partially Modifiable
Not Modifiable

2
1
0

3.Preventive
Potential

High
Moderate
Low

3
2
1

4.Salience of
the Problem

Needs Immediate Attention

Doesnt need Immediate Attention
Not a Problem

2
1
0

Total Score:

The resources
and
interventions
needed to
solve the
problem are
available to
the family.
Through time
management
allowing
some time for
exercise, the
problem can
surely be
prevented.
The family
doesnt
consider this
as a problem.

_3 2/3_

Problem: Poor home sanitation specifically presence of resting sites as vectors of diseases
Criteria
1.Nature of the
Problem

2.Modifiability

Standard

Score

Health Deficit
Health Threat
Forseable Crisis

3
2
1

Weight

Actual
Score
2/3

Justification
It is a health
threat that
does not
demand
immediate
action
The resources

of the Problem
Easily Modifiable
Partially Modifiable
Not Modifiable

2
1
0

High
Moderate
Low

3
2
1

Needs Immediate Attention

Doesnt need Immediate Attention
Not a Problem

2
1
0

3.Preventive
Potential

4.Salience of
the Problem

Total Score:

and
interventions
needed to
solve the
problem are
available to
the family.
The family
has been
trying to
solve this
problem by
using
disinfectants,
etc. Thus, it is
highly
preventable.
They are very
much aware
of the
problem and
is currently
doing
interventions.

_4 2/3_

Problem: Asthma
Criteria
1.Nature of the
Problem

Standard

Score

Health Deficit
Health Threat
Forseable Crisis

3
2
1

Easily Modifiable
Partially Modifiable

3
2

Weight

Actual
Score

2/3

2.Modifiability
of the Problem

Justification
It is a health
threat that
does not
demand
immediate
action
The resources
and
interventions
needed to

Not Modifiable

High
Moderate
Low

3
2
1

2/3

Needs Immediate Attention

Doesnt need Immediate Attention
Not a Problem

2
1
0

solve the
problem are
not available
to the family.
There is
medication to
prevent but it
will not
totally
eradicate the
problem.
The family
recognizes it
as a problem
however, it
does not see
the problem
as needing
immediate
action.

3.Preventive
Potential

4.Salience of
the Problem

Total Score:

_2 5/6_

3.5 Ranking
Ranking the Health Problems According to Priority:
PRIORITY

PROBLEM

SCORE

Coughing of some members of the family as

Health Threat

4 2/3

Poor home sanitation specifically presence of

resting sites as vectors of diseases as Health
Threat

4 2/3

Diabetes as Health Threat

4 1/3

Hypertension as Health Threat

3 5/6

Inadequate exercise among some members of

the family as Health Threat

3 2/3

Asthma as Health Threat

2 5/6

Conflicting Opinions among Significant

others as Health Threat

2 1/3

Absence of Responsible member

as Health Threat

1 5/6

IV.
Family Nursing Care Plan
Family

Name of Family: Aguilar

FAMILY-HEALTH WORKER CONTRACT

4.1 Family-health worker contract
We Second Level Nursing students of Adamson University will conduct an interview to
Aguilar Family for partial fulfilment of the requirements in the subject Community Health Nursing.
Fathers Signature: ________________________________
Mothers Signature: _______________________________
Signature of older siblings: _________________________
_________________________
_________________________
CHN Signature: _________________________
Date:____September 9, 2014, Tuesday____________
Methods of recording to be used: __The data will be gathered and recorded with the use of a tool and a
record sheet that will be presented in a Family Nursing Care Plan format. The group ensures that all
the information gathered will be kept confidential as respect for the right of the family_ .

Name of Family:_Aguilar
Family_
FAMILY-HEALTH WORKER CONTRACT
We Second Level Nursing students of Adamson University will conduct an interview to
Aguilar Family for partial fulfilment of the requirements in the subject Community Health Nursing.
Fathers Signature: ________________________________
Mothers Signature: _______________________________
Signature of older siblings: _________________________
_________________________
_________________________
CHN Signature: _________________________
Date:____September 9, 2014, Tuesday____________
Methods of recording to be used: __The data will be gathered and recorded with the use of a tool and a
record sheet that will be presented in a Family Nursing Care Plan format. The group ensures that all
the information gathered will be kept confidential as respect for the right of the family_ .

ADAMSON UNIVERSITY
COLLEGE OF NURSING

A FAMILY CASE STUDY

IN
PARTIAL FULLFILMENT OF THE REQUIREMENT IN
COMMUNITY HEALTH NURSING

SUBMITTED BY: BSN LEVEL 11- BLOCKS 201

LEADER: HARMAIN, MOHAMMAD AL-IBRAHIM J.

MEMBERS:
GARCIA, MAROCELLE
DIONISIO, KHIM MARGARETTE B.
FONTANILLA, JIHAN J.
DANSO, PRECIOUS O.
WANG, SHUTING
SUBMITTED TO:
TERESITA FLORES-MERIN RN, MPH
INSTRUCTOR
AUGUST 2014