Case Load

PRIORITY SETTING
Pest-Infested Bathroom
Computation Actual Score Justification
Nature of the 2/3 x 1 2/3 The bathroom is made up of cloth and is unsanitary
problem making it a health threat because it can be a
breeding ground for insects and other pests.
Modifiability of 2/2 x 1 1 Easily Modifiable. The use of materials that dry

the Problem easily like rice sack could eliminate the problem.
Preventive 3/3 x 1 3 Pest infestation and insect bites can be eliminated

Potential once the problem is resolved.
The family does not recognize the need to change

Salience of the 0/2 x 1 0
their bathroom and they do not see it as a problem.
Problem
Total Score 3 2/3
Improper way of Disposal
Nature of the This is viewed as a health threat because it can be a

problem breeding ground for insects.
2/3x1 2/3
Easily Modifiable. Health Education on proper

Modifiability of waste disposal (Biodegradable from Non-
the Problem Biodegradable) and the provision for another
2/2x2 2
compos pit to practice the health teaching.
Preventive Prevention of insect breeding and infestation is

Potential likely when the problem is resolved.
3/3x1 1
The family does not recognize the need to change

Salience of the
their proper waste disposal practice and they do
Problem
0/2x1 0 not see it as a problem.
Total Score 3 2/3
Risk for fall
Nature of the It is a health threat because the family might get

2/3x1 2/3
problem accident from it.
Modifiability of
2/2x1 1 Easily Modifiable because if it once repaired it will
the Problem
refrain the family from getting hurt.
Preventive Prevention of fall and injury is likely when the

3/3x1 1
Potential problem is resolved.
Salience of the The family does not recognize the risk for fall and
1/2x1 1/2
Problem felt like not needing immediate attention.
Total Score 2 1/3
Accident Hazards specifically pointed/sharp objects
Nature of the This is viewed as a health threat because unkept

2/3 x 1 2/3
problem sharp or pointed objects might harm the children.
Modifiability of Easy modifiable with proper education accidents

the Problem 2/2 x 2 2 hazards from sharp or pointed objects will be
eliminated.
Once Hazardous materials are secured and kept

Preventive
3/3 x 1 3 away from children the risk for accidents or injury
Potential
will be resolved.
The family recognize the problem but they did not
Salience of the give proper education to their children. The mother
1/2 x 1 1/2
Problem stated that she forbids the children to play with
sharp or pointed objects but the children are silly.
Total Score 5 1/16
Poor hygiene and sanitation
Nature of the The family has a poor hygiene making it as a health

3/3 x 1 1
problem deficit.
Modifiability of Easy modifiable through proper education and

the Problem 2/2 x 2 2 guidance to perform personal hygiene and proper
sanitation.
Preventive Once they will practice good hygiene and proper

3/3 x 1 1
Potential sanitation it will totally resolved.
Salience of the The family recognize it as a problem but not taking

1/2 x 1 1/2
Problem any action to resolve it.
Total Score 4 1/2
PRIORITY PROBLEMS BASED ON COMPUTATIONS:
1. Accident Hazards specifically pointed/ sharp objects 5 1/16
2. Poor hygiene and sanitation 4 1/2
3. Improper way of disposal 3 2/3
4. Pest-infested bathroom 3 2/3
5. Risk for fall 2 1/3

MEDICAL COLLEGES OF NORTHERN PHILIPPINES
Alimannao Hills, Peñablanca Cagayan
COLLEGE OF NURSING
A FAMILY CASE LOAD

SAN ESTEBAN, IGUIG, CAGAYAN
In partial fulfillment for Community Health Nursing
Related Learning Experience
BSN II
GROUP 1 GROUP 6
ACAPUYAN, CRIZEL BAUTISTA, MA. ANGELIKA
BALUBAL, KATRINA BUNNAO, VANESSA
BUGUINA, SHERYL BUTED, ERWIN
CAMMAYO, MAEGUN DASALLA, IRISH
CUDAL, THALIA NIÑA GALLEBO, LAARNI
GUMARU, GERALDINE KITONGAN, HARMIE
MARTIN, GERALD NAZ, CYZREL
NARAG, CHERRY KAYE TABERNA, MYRELL

UY, JELAINE
LAILANIE MAGUDDAYAO
MERLY ALCABEDOS
Clinical Instructors
INTRODUCTION
The family is the basic unit of the society and in contrast to community health nursing it
is considered as a unit of care. Consequently, it is the primary recipient of the nursing effort,
which is contributory to the development and progress of the community through active
involvement and self-responsibilities of each constituent of a father mother and children. The
impression or status of each family will always affect the status of the community as a whole.
Community health nursing is a response to the needs of the people. It does not focus on a
particular class or family alone. It is comprehensive and general in approach, the community as
a whole. Promotion and preservation of the health of different clients such as individual, family,
group or community is the primary goal of community health nursing.
The community is a group of people sharing geographic boundaries and / or values and
interests. With this a nurse exposed in the community learns how to interact and adopt to
different kinds of people because good communication brings understanding between a family
and a nurse which is vital to meet the needs through building rapport. 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. Thus, it is important that families in the community are
aware of their values and practices pertaining to their health.
Conducting family case load is a means by which student nurse reaches and feels the
community through its basic structure – the family. It is a tool in determining the health status
of a family through assessment and critical inspection. Through this, health related problems
are identified, thus giving the student nurses a hint on where to act and how to intervene. It is
also a means towards improving the health of the community people, making them more
productive. To come up with a family case load gives a sense of fulfillment to the student
nurses as they are given the opportunity to share their skills, knowledge and time to alleviate
and uplift the living condition of a family. The family that was chosen by us is a picture of the
majority of the family here in our country: a family living in a poor environmental condition
without enough resources, lacks knowledge on vital health information and exercises other
socio-economic related with the problem. Though tiring as it is, reaching out to this family and
mingling with them makes the student nurse feel the sense of fulfillment.
OBJECTIVES
GENERAL OBJECTIVE
The family case load is designed for us student nurses and other health care
providers to widen our knowledge on Community Health Nursing, enhance our skills to
the delivery of basic health care services, and develop our right attitude in dealing with
different clienteles in the community.
SPECIFIC OBJECTIVES
 To identify problem of our adopted family.
 To come up with a family nursing care plan base on the identified
problems of our adopted family.
 To enhance our skills in the family health nursing.
 To develop the right attitude in dealing with the different members of the
family.
INITIAL DATABASE
A. Family Structure, Characteristics and Dynamics
The head of the family is Mr. DS. He is 45 y/o and was born on September 07, 1975. He works as a
Construction Worker. His wife is Mrs. ES who is 40 y/o, and was born on October 05, 1980. She works as
a part time laundry washer. The couple has six children namely: DS1, DS2, DS3, DS4, DS5, and RS with
ages 18, 12, 11, 5, 3, 1 y/o and 3 months respectively. The family lives in Barangay San Esteban, Iguig,
Cagayan. Both the husband and wife decides for the family. The type of the family structure they have is
a nuclear. So far, the family has no conflict with each members. They use Ilocano dialect in their
household and Tagalog when they are communicating outside.
B. Socioeconomic and Cultural Characteristics
Mr. DS is a construction worker that works Monday through Saturday and makes P300/day. Mrs. ES
is a part time laundry woman that only works twice a week and makes P300 per load. The monthly
family gross income is Ten Thousand Eight Hundred Pesos (Php 9, 200) and they get additional Four
Thousand Eight Hundred (P4,800) quarterly which is equivalent to One Thousand Six Hundred (P1,600)
monthly from 4P’s. Both of them manages their financial budget whereas the family is able to meet their
basic needs such as foods, shelter, and clothing. Mr. DS is a Highschool graduate with diploma and Mrs.
ES is a elementary graduate. Their first child, DS1 is currently a 12th grade student and the second child,
DS2 is a 7th grade student at Iguig National High School. The third child DS3, is currently in 6th grade at
San Esteban Elementary School. The fourth child, DS4 is in kindergarten. The fifth and the sixth child,
DS5 and RS are not yet studying and stay at home with Mrs. ES. The family’s religion is Catholic and they
usually visit their church and attends prayer meetings. The family also participates in the activities of
their community.
C. Home and Environment
The family lives in a small house with steel roofing and wood walls with an area of 42 square meters.
The house has no room and no windows, it has two beds where they all sleep together. Also, kitchen is
located inside with a dining table and and a small living room with a TV and radio. The household’s
drinking water is stored in a plastic jar with a faucet and is from a pump well located at their neighbor’s
house with a distance of 26.52 m to the house. They have their own toilet which is a pit-privy type and
unsanitary, it is located about 5 meters from their water source which is different from their source for
drinking water, also their bathroom is separated from the toilet which is 3 meters away. The family also
does not practice proper waste segregation and disposal, also they don’t have a drainage system.
Transportation facilities are readily available from their place.
D. Health Status of each Family Member
Mrs. ES has a dry cough for 5 days and her children have also present illnesses. The fourth child DS4
has cough and runny nose. The fifth child DS5 has been having a fever for 3 days . The sixth child DS6 has
been having a fever at night. Hence there has been spread of flu like symptoms in their household. The
mother practices the use of herbal medicines like boiled Lagundi plant for cough and also uses over-the-
counter drugs like paracetamol for fever. She also stated that when the illness of the family member is
severe, they seek medical assistance in their nearby Barangay Health Center. The family eat vegetables
on a daily basis from their small vegetable garden and when their finances permits to do so, they
incorporate meat in their meals
E. Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention
The family sleeps 6 hours except for the toddlers DS5 and RS who sleep around 8 pm and
wakes up at 6 am. The father works as a construction worker that gives him a physical exercise
everyday while the mother do the household chores. As a form of relaxation, the father drinks
alcohol occasionally to relieve his stress while for the mother and the children they bond together,
read magazines or watch entertaining show in the television. During the night, the family uses bed
nets to protect them from mosquito bites. The family are into vegetables which is good since they
have their own little vegetable garden to maintain good health. Immunization were given to them
except for the sixth child who will be getting his last dose of measles on Oct. 16, 2019.sss
INITIAL DATA BASE FOR FAMILY NURSING CARE PRACTICE
I. FAMILY STRUCTURE AND CHARACTERISTICS
A. HEAD OF THE FAMILY

Name: Danilo Solancho
Age: 45 y/o
Sex: Male
Birthday: September 7, 1975
Civil status: Married
Address: Zone 1, San Esteban, Iguig, Cagayan
Religion: Roman Catholic
Position in the family: Father
Educational attainment: High School Graduate
Occupation: Construction worker
B. DEMOGRAPHIC DATA
NAME OF POSITION
CIVIL EDUCATIONAL
FAMILY IN THE AGE BIRTHDAY RELIGION OCCUPATION
STATUS ATTAINMENT
MEMBER FAMILY
Danilo 45 September High School Roman Construction

Father Married
Solancho years 7, 1975 graduate Catholic Worker
old
40
Erlinda October 5, Elementary Roman Part time
Mother years Married
Solancho 1980 school graduate Catholic laundry woman
old
Diana 18 Senior High Roman

February Single
Solancho years school student Catholic
19, 2002
old Gr.12
Dinalyn 12 High school Roman
January Single
Solancho years student Catholic
21, 2007
old Gr. 7
Dynasel 11 Elementary Roman
September Single
Solancho years school student Catholic
20, 2008
old Gr. 6
Danica Elementary Roman
5 years October Single
Solancho school student Catholic
old 15 , 2013
Kinder 2
Daniel 3 years May 24, Roman
Single
Solancho old 2016 Catholic
1 year
Roldan and 3 July 02, Roman
Single
Solancho months 2018 Catholic
old
C. COMMUNITY ORGANIZATION
1. 4 Ps (Pantawid PHP 4,800.00 Quarterly

Pamilyang Pilipino
Program)
D. TYPE OF FAMILY
[/] Nuclear [ ] Blended
[ ] Extended [ ] Gay/Lesbian
[ ] Cohabitation [ ] Foster
E. WHO MAKES THE DECISION IN THE FAMILY?
[ ] Father [ ] Mother [/] Both
F. WHO WORKS FOR THE FAMILY?

[ ] Father [ ] Mother [/] Both [ ] Other, specify: ____________
II. SOCIO – ECONOMIC
A. NUMBER OF FAMILY MEMBER/S WHO ARE WORKING: 1

B. FAMILY MONTHLY GROSS INCOME
[ ] 1, 000 – 2, 000 [ ] 7, 000 – 8, 000
[ ] 2, 000 – 3, 000 [ ] 8, 000 – 9,000
[ ] 3, 000 – 4, 000 [ ] 9, 000 – 10, 000
[ ] 4, 000 – 5, 000 [/] 10, 000 – 11, 000
[ ] 5, 000 – 6, 000 [ ] 11, 000 – above
[ ] 6, 000 – 7, 000
C. HOW DO YOU PRIORITIZE THE FOLLOWING? (Rate from 1 – 3)

[1] Food
[2] Education
[3] Health care (check – up, consultation, hospitalization)
III. HOME AND ENVIRONMENT
A. HOME
1. Ow nership: [/] Owned [ ] Rented
2. House structure: [ ] Concrete [/] Semi – concrete [ ] Nipa
3. Type: [/] Bungalow [ ] 2 storey [ ] Others, specify: ____
4. Number of rooms: None
5. Light facility: [/] Electricity [ ] Methane gas lamp [ ] Candle
[ ] Kerosene: ( ) Hasag ( ) Lamp
6. Floor area (square meters): 42 sqm
B. WATER SUPPLY
1. Source [ ] Open dig well [/] Pump well [ ] NAWASA
[ ] River [ ] Rain [ ] Others, specify:____
2. Ownership: [/] Owned [ ] Shared/Communal
3. Distance from the house (meters): 4.5 m
4. Storage of drinking water: [/] Jar with faucet [ ] Jar without faucet [ ] Plastic bottle [ ]
None
5. Source of drinking water: [ ] Faucet [/] Commercialized (pump well)
C. WASTE DISPOSAL
1. Garbage
Ownership: [ ] Owned [ ] Communal [/] None
Container: [ ] Covered [ ] Open
Method of disposal: [/] Open dumping [ ] Compost pit [ ] Burning
2. Drainage [ ] With [/] Without
D. TOILET
Ownership [/] Owned [ ] Communal [ ] None
Type [/] Pit – privy [ ] Water sealed [ ] Flush type
Distance of toilet from source of drinking water (meters): 26.52 m
IV. HEALTH PRACTICE AND MEDICAL HISTORY
A. PAST ILLNESS OF THE FAMILY DURING CHILDHOOD [specify]

Father Fainting,
Mother Flu, Coughing
Children (specify) Coughing, fever
B. PRESENT ILLNESS OF THE FAMILY [specify]

Father None
Mother Dry cough for 5 days
Children (specify) 1. Daniel - 3 days fever
2.:Roldan - suffered from night fever
3. Danica - cough and runny nose
C. IMMUNIZATION
NAME OF
TETANUS
FAMILY BCG OPV DPT MEASLES HEPA B
TOXOID
MEMBER
1. Diana / / / / / /
2. Dinalyn / / / / / /
3. Dynasel / / / / / /
4. Danica / / / / / /
5. Daniel / / / / / /
6. Roldan / / / Oct. 16 / /
7. Danilo / / / / / /
8. Erlinda / / / / / /
D. HOME REMEDIES BEFORE CONSULTING HEALTH PRACTITIONER

[/] Use of herbal medicines
[/] Use of over the counter drugs
[ ] Neglects the disease
[ ] Others, specify____________________
E. HEALTH PRACTICES OBSERVED

[ ] Offering (atang) [/] Consulting a doctor [ ] Consulting a quack doctor
F. FAMILY RECREATIONAL ACTIVITIES [check all applicable]

[/] Listening to radio [/] Watching TV [ ] Others,
specify_______
[/] Reading books, magazines, comics [ ] Sports
G. RECREATIONAL MATERIALS AVAILABLE IN THE HOME [check all applicable]

[/] Radio [/] Reading materials (books, magazines, comics)
[/] TV [/] Cellphones [/] Others, specify Bible
V. VALUE – BELIEF SYSTEM

A. SOURCE OF STRENGTH [rate from 1 – 4]
[1] God
[2] Husband/Wife
[3] Children
[4] Parents
B. RELIGIOUS PRACTICES USUALLY OBSERVED

[/] Going to mass
[/] Attending prayer meetings
[ ] Others, specify ______________
C. DOES IT HELP YOU IN YOUR DIFFICULTIES? [/] Yes [ ] No

VI. LIVESTOCK/PET
LIVESTOCK/PET WITH LEASH WITHOUT LEASH/ASTRAY WITH OWN HOUSE
1. Doves: 2 /
2. Dog: 1 /
3. Ducks: 7 /
4. Chicken: 1 hen 6 chicks /
5. Turkey: 1 /
PHYSICAL ASSESSMENT
Name: Daniel Solantio
Age: 3
Height: 3 ft
Date of Assessment: October 9, 2019
Time of Assessment: 8:30 am
VITAL SIGNS DURING ASSESSMENT
Temperature: 36.8 C PR: 82 bpm
RR: 30 cpm
AREA
METHOD USED NORMAL FINDINGS ACTUAL FINDINGS REMARKS
ASSESSED
SKULL
Round, with prominence
Inspection/Palpati Normocephalic in the frontal and occipital
Shape Normal
on area, no presence of
lesions
HAIR
Evenly distributed Evenly distributed covers

covers the whole the whole scalp,
Distribution Inspection Normal
scalp, no signs of No presence of nits and
alopecia lice, no signs of alopecia
Thickness Inspection Thick hair Thick hair Normal
Smooth,
Inspection/Palpati
Texture smooth Straight and shiny Normal
on
Color Inspection Depends on race black Normal
SCALP
No presence of
No presence of lesions,
lesions, scars,
Appearance Inspection scars, dandruffs, lighter in Normal
dandruffs,
complexion
Lighter in complexion
Moist, no tenderness Moist, no tenderness or

Texture Palpation Normal
or masses masses
SKIN
No presence of
lesions, bruise, No presence of lesions,
Appearance Inspection vascularity, insect bruise, vascularity, Normal
bites, stretch marks wounds and insect bites
and wounds
Varies from light to
Color Inspection deep brown(depending Light brown skin Normal
on race)
Generally uniform Generally uniform except
except in areas in areas expose to sun,
Uniformity Inspection Normal
expose to sun, areas areas of lighter
of lighter pigmentation pigmentation are palms,
are palms, lips, nail lips, nail beds in dark
beds in dark skinned skinned people.
people.
Moisture Palpation Moist skin Moist skin Normal
Texture Palpation Feels smooth and firm Feels smooth and firm Normal
with even surface with even surface
Skin Palpation Warm to touch Warm to touch Normal
Temperature
When pinched, skin Springs back to its
Skin Turgor Palpation springs back to its original state in 1-2 Normal
original state seconds
Edema Palpation No edema No edema Normal
Lesions Inspection No lesions No lesions Normal
NAILS
Round or oval shape,

Appearance Inspection Round shape, clean nails Normal
clean
Texture Palpation smooth smooth Normal
Nail bed
Palpation pinkish pinkish Normal
color
Capillary return to normal range return to normal range

Palpation Normal
refill color within 1-2s color within 1-2s
Nail clubbing Inspection Normal
EYES
Hair equally distributed
(maybe black, brown
Eyebrows Inspection (black in color), Normal
or blond depending on
symmetrical
race), symmetrical
Equally distributed Equally distributed slightly
Eyelashes Inspection slightly turned turned outward, Normal
outward, symmetrical symmetrical
PERRLA (Pupil Pupil constricts with the
Equally Round presence of light, and
Pupils Inspection Normal
Reactive to Light and dilates in the absence of
Accommodation) light
Clear and free of Clear and free of swelling,
Conjunctiva Inspection Normal
swelling, red or pinkish pinkish
Clear and tiny capillaries
Clear and moist,
Sclera Inspection are visible, moist, Normal
anicteric
anicteric
Visual acuity Inspection 20/20 vision 20/20 vision Normal
EARS
Same in color depends

Color Inspection Same in color, light brown Normal
on race
Upper connection of the

ear lobe is parallel with
Symmetry Inspection symmetrical Normal
the outer cantus of the
eye
Size Inspection Bean shape Bean shape Normal
No discharges, lesions
Inspection/Palpati No discharges, lesions
Appearance and wound noted at the Normal
on or wounds
ear canal
NOSE
Symmetrical, no Symmetrical, no
Appearance Inspection discharges, flaring of discharges, flaring of alae Normal
alae nasi nasi
No bone and cartilage
Texture Palpation deviation, no Normal
deviation, no tenderness
tenderness
Shape Inspection Bell shape Bell shape Normal
Uniform in color, light

Color Inspection Uniform in color Normal
brown
MOUTH
Symmetry in
Symmetry in appearance
appearance and
Appearance Inspection and movement, no Normal
movement, no lesions,
lesions, no edema
no edema
Color Inspection Pinkish, Pinkish Normal
Smell Inspection No halitosis No halitosis Normal
No lesions, placed in No lesions, placed in

Frenulum Inspection posterior to the ventral posterior to the ventral Normal
aspect, pinkish aspect, pinkish
LIPS
Uniform in color
Uniform in color, pale
Appearance Inspection (color varies depends Normal
brown
on the race)
Texture Palpation Smooth, moist Smooth, moist Normal
GUMS
Pinkish, no lesions, no Pinkish, no lesions, no

Appearance Inspection Normal
receding gums receding gums
TEETH
21 teeth (no dental
28 teeth for children
Number Inspection fillings, tooth loss or teeth Normal
and 32 for adults
removal)
White to yellowish
Color Inspection Yellowish in color Normal
color
TONGUE
Color Inspection Pinkish or reddish pinkish Normal
Surface of the tongue Surface of the tongue is

Texture im/Palpation Normal
is rough and moist, no rough( no lesions, or
lesions, varicosities varicosities on ventral
surface), moist
UVULA
Color Inspection Pinkish to red in color Color red Normal
Position Inspection Mid line position Mid line position Normal
ABDOMEN
No presence of
lesions, stretch marks,
Appearance Inspection stretch marks, uniform in Normal
uniform in color
color depending on race
depending on race
Presence of Presence of borborygmi
Auscultation borborygmi sounds or sounds or clicks and Normal
clicks and gurgles gurgles
Dull sound over liver
Dull sound over liver part
Percussion part and tympany over Normal
and tympany over left part
left part
No complains of pain No complains of pain or
Palpation Normal
or discomfort discomfort
UPPER EXTREMETIES
Symmetrical, no
Symmetrical, no lesions,
Appearance Inspection lesions, bruises or Normal
bruises or wounds
wounds
Uniform in color Uniform in color, light

Color Inspection Normal
(depends on race) brown
LOWER EXTREMETIES
Normal
Symmetrical, no
lesions, bruises or Symmetrical, no lesions,
Appearance Inspection
wounds bruises or wounds
Uniform in color, light

Uniform in color
brown Normal
Color Inspection (depends on race)
Can flex and extend lower

Inspection/Palpati Can flex and extend
Mobility extremities without Normal
on lower extremities
discomfort
without discomfort

PHYSICAL ASSESSMENT
Name: Erlinda Solantio
Age: 40
Height: 5 ft
BP: 120/80 mmHg
RR: 19 cpm
AREA NORMAL
METHOD USED ACTUAL FINDINGS REMARKS
ASSESSED FINDINGS
SKULL
Round, with prominence in
Inspection/Palpati Normocephalic
Shape the frontal and occipital area, Normal
on
no presence of lesions
HAIR
Evenly distributed Evenly distributed covers the

covers the whole whole scalp, no signs of
Distribution Inspection scalp, No presence alopecia Abormal
of nits and lice no There’s a presence of nits
signs of alopecia and lice
Smooth,
Inspection/Palpati
Texture smooth Straight and shiny Normal
on
SCALP
No presence of
lesions, scars, No presence of lesions,
Appearance Inspection dandruffs, scars, dandruffs, lighter in Normal
complexion
Moist, no
Moist, no tenderness or
Texture Palpation tenderness or Normal
masses
masses
SKIN
No presence of No presence of lesions,
lesions, bruise, bruise, vascularity, wounds
Appearance Inspection vascularity, insect and insect bites Normal
bites, stretch marks (+) stretch marks in abdomen
and wounds (strea gravida)
deep
Color Inspection Brown skin Normal
brown(depending
on race)
Generally uniform
except in areas
Generally uniform except in
expose to sun,
areas expose to sun, areas
areas of lighter
Uniformity Inspection of lighter pigmentation are Normal
pigmentation are
palms, lips, nail beds in dark
palms, lips, nail
skinned people.
beds in dark
skinned people.
Texture Palpation Feels smooth and Normal
Feels smooth and firm with
firm with even
even surface
surface
Skin Temperature Palpation Warm to touch Warm to touch Normal
When pinched, skin
Springs back to its original
Skin Turgor Palpation springs back to its Normal
state in 1-2 seconds
original state
NAILS
Round or oval
Appearance Inspection Round shape, clean nails Normal
shape, clean
Nail bed color Palpation pinkish pinkish Normal
return to normal
return to normal range color
Capillary refill Palpation range color within Normal
within 1-2s
1-2s
EYES
Hair equally
distributed
(maybe black, Hair equally distributed
Eyebrows Inspection Normal
brown or blond (black in color), symmetrical
depending on
race), symmetrical
Equally distributed
slightly turned Equally distributed slightly
Eyelashes Inspection Normal
outward, turned outward, symmetrical
symmetrical
PERRLA (Pupil
Equally Round Pupil constricts with the
Pupils Inspection Reactive to Light presence of light, and dilates Normal
and in the absence of light
Accommodation)
Clear and free of
Clear and free of swelling,
Conjunctiva Inspection swelling, red or Normal
pinkish
pinkish
Clear and moist, Clear and tiny capillaries are
Sclera Inspection Normal
anicteric visible, moist, anicteric
EARS
Same in color
Color Inspection Same in color, light brown Normal
depends on race
Upper connection of the ear

Symmetry Inspection symmetrical lobe is parallel with the outer Normal
cantus of the eye
Inspection/Palpati No discharges, No discharges, lesions and

Appearance Normal
on lesions or wounds wound noted at the ear canal
NOSE
Symmetrical, no
Symmetrical, no discharges,
Appearance Inspection discharges, flaring Normal
flaring of alae nasi
of alae nasi
No bone and
Texture Palpation cartilage deviation, Normal
no tenderness
Color Inspection Uniform in color Uniform in color, light brown Normal
MOUTH
Symmetry in
Symmetry in appearance and
appearance and
Appearance Inspection movement, no lesions, no Normal
movement, no
edema
lesions, no edema
No lesions, placed
No lesions, placed in
in posterior to the
Frenulum Inspection posterior to the ventral Normal
ventral aspect,
aspect, pinkish
pinkish
LIPS
Uniform in color
(color varies
Appearance Inspection Light brown Normal
depends on the
race)
GUMS
Pinkish, no lesions, Pinkish, no lesions, no

no receding gums receding gums
TEETH
28 teeth for children No dental fillings, 30 teeth, 2
Number Inspection Abormal
and 32 for adults teeth removal, no dentures
White to yellowish
color
TONGUE
Surface of the Surface of the tongue is

tongue is rough rough( no lesions, or
Texture im/Palpation Normal
and moist, no varicosities on ventral
lesions, varicosities surface), moist
UVULA
Pinkish to red in
Color Inspection Color red Normal
color
ABDOMEN
No presence of
lesions, stretch
Light brown in color,
Appearance Inspection marks, uniform in Normal
presence of stretch marks.
color depending on
race
Presence of
borborygmi sounds Presence of borborygmi
Sound Auscultation Normal
or clicks and sounds or clicks and gurgles
gurgles
Dull sound over
liver part and Dull sound over liver part and
Tone Percussion Normal
tympany over left tympany over left part
part
No complains of No complains of pain or
Presence of pain Palpation Normal
pain or discomfort discomfort
BREAST
Round in shape
Shape Inspection Round in shape, Normal
Uniform in color,
depends on race, Uniform in color, light brown
round areola, with dark brown areolas,
asymmetrical (left asymmetrical (left breast is
breast is bigger bigger than right)
than right)
No presence of
No presence of lumps or
lumps or
Texture Palpation tenderness, pain or Normal
tenderness, pain or
discomfort
discomfort
UPPER EXTREMETIES
Symmetrical, no
bruises or wounds
wounds
Uniform in color Uniform in color, brown or

(depends on race) tanned skin
LOWER EXTREMETIES
Normal
Symmetrical, no
lesions, bruises or Symmetrical, no lesions,
Appearance Inspection
wounds bruises or wounds
Uniform in color, brown or

Uniform in color
tanned skin Normal
Can flex and Can flex and extend lower

Inspection/Palpati
Mobility extend lower extremities without Normal
on
extremities without discomfort
discomfort

PHYSICAL ASSESSMENT
Name: Danica Joy Solantio
Age: 5
Height: 3’2”
Temperature: 36 C PR: 64 bpm
RR: 21 cpm
AREA ACTUAL
METHOD USED NORMAL FINDINGS REMARKS
ASSESSED FINDINGS
SKULL
Round, with
prominence in the
Normocephalic
Shape Inspection/Palpation frontal and occipital Normal
area, no
presence of lesions
HAIR
Evenly distributed
Evenly distributed covers the whole
covers the whole scalp, scalp, no signs of
Distribution Inspection Abormal
No presence of nits and alopecia
lice no signs of alopecia There’s a presence
of nits and lice
Smooth,
Texture Inspection/Palpation smooth Straight and shiny Normal
SCALP
No presence of
lesions, scars,
Appearance Inspection scars, dandruffs, Normal
dandruffs, lighter in
complexion
Moist, no
Moist, no tenderness or
Texture Palpation tenderness or Normal
masses
masses
SKIN
No presence,
bruise, vascularity,
wounds and insect
Appearance Inspection bites. Normal
insect bites, stretch
There’s a presence
marks and wounds
of lesions
Color Inspection Varies from light to deep Light brown skin Normal
brown(depending on
race)
Generally uniform
Generally uniform except in areas
except in areas expose expose to sun,
to sun, areas of lighter areas of lighter
pigmentation are palms, pigmentation are
lips, nail beds in dark palms, lips, nail
skinned people. beds in dark
skinned people.
Texture Palpation Feels smooth and Normal
Feels smooth and firm
firm with even
with even surface
surface
Skin Palpation Warm to touch Warm to touch Normal
Temperature
When pinched, skin Springs back to its
Skin Turgor Palpation springs back to its original state in 1-2 Normal
original state seconds
NAILS
Round or oval shape, Round shape, dirty

Appearance Inspection Abormal
clean nails
return to normal
return to normal range
Capillary refill Palpation range color within Normal
color within 1-2s
1-2s
EYES
Hair equally
(maybe black, brown or
Eyebrows Inspection distributed (black in Normal
blond depending on
color), symmetrical
race), symmetrical
Equally distributed
Equally distributed
slightly turned
Eyelashes Inspection slightly turned outward, Normal
outward,
symmetrical
symmetrical
Pupil constricts with
PERRLA (Pupil Equally
the presence of
Pupils Inspection Round Reactive to Light Normal
light, and dilates in
and Accommodation)
the absence of light
Clear and free of Clear and free of
Conjunctiva Inspection Normal
swelling, red or pinkish swelling, pinkish
Clear and tiny
Clear and moist, capillaries are
anicteric visible, moist,
anicteric
EARS
Same in color depends Same in color, light
on race brown
Upper connection
of the ear lobe is
Symmetry Inspection symmetrical parallel with the Normal
outer cantus of the
eye
No discharges,
No discharges, lesions lesions and wound
Appearance Inspection/Palpation Normal
or wounds noted at the ear
canal
NOSE
Appearance Inspection discharges, flaring of discharges, flaring Normal
alae nasi of alae nasi
No bone and
no tenderness
Uniform in color,
light brown
MOUTH
Symmetry in Symmetry in
appearance and appearance and
movement, no lesions, movement, no
no edema lesions, no edema
No lesions, placed
No lesions, placed in
in posterior to the
Frenulum Inspection posterior to the ventral Normal
ventral aspect,
aspect, pinkish
pinkish
LIPS
Uniform in color (color
Appearance Inspection varies depends on the Light brown Normal
race)
GUMS
Pinkish, no lesions, no Pinkish, no lesions,

receding gums no receding gums
TEETH
No dental fillings,
28 teeth for children and
Number Inspection 23 teeth, 5 tooth Normal
32 for adults
loss
Color Inspection White to yellowish color Yellowish in color Normal
TONGUE
Surface of the
tongue is rough( no
Surface of the tongue is
lesions, or
Texture im/Palpation rough and moist, no Normal
varicosities on
lesions, varicosities
ventral surface),
moist
UVULA
Color Inspection Pinkish to red in color Color red Normal
ABDOMEN
No presence of lesions, Light brown in
Appearance Inspection stretch marks, uniform in color, presence of Normal
color depending on race stretch marks.
Presence of
Presence of borborygmi
borborygmi sounds
Sound Auscultation sounds or clicks and Normal
or clicks and
gurgles
gurgles
Dull sound over
Dull sound over liver
liver part and
Tone Percussion part and tympany over Normal
tympany over left
left part
part
Presence of No complains of pain or No complains of
Palpation Normal
pain discomfort pain or discomfort
UPPER EXTREMETIES
Symmetrical, no
bruises or wounds
wounds
Uniform in color,
Uniform in color
Color Inspection brown or tanned Normal
(depends on race)
skin
LOWER EXTREMETIES
Normal
Symmetrical, no lesions, Symmetrical, no
Appearance Inspection bruises or wounds lesions, bruises or
wounds
Uniform in color,
Uniform in color brown or tanned
Normal
Color Inspection (depends on race) skin
Can flex and
Can flex and extend extend lower
Mobility Inspection/Palpation Normal
lower extremities without extremities without
discomfort discomfort

INITIAL DATABASE
A. Family Structure, Characteristics and Dynamics
The head of the family is Mr. DS. He is 45 y/o and was born on September 07, 1975. He works as a
Construction Worker. His wife is Mrs. ES who is 40 y/o, and was born on October 05, 1980. She works as
a part time laundry washer. The couple has six children namely: DS1, DS2, DS3, DS4, DS5, and RS with
ages 18, 12, 11, 5, 3, 1 y/o and 3 months respectively. The family lives in Barangay San Esteban, Iguig,
Cagayan. Both the husband and wife decides for the family. The type of the family structure they have is
a nuclear. So far, the family has no conflict with each members. They use Ilocano dialect in their
household and Tagalog when they are communicating outside.
B. Socioeconomic and Cultural Characteristics
Mr. DS is a construction worker that works Monday through Saturday and makes P300/day. Mrs. ES
is a part time laundry woman that only works twice a week and makes P300 per load. The monthly
family gross income is Ten Thousand Eight Hundred Pesos (Php 9, 200) and they get additional Four
Thousand Eight Hundred (P4,800) quarterly which is equivalent to One Thousand Six Hundred (P1,600)
monthly from 4P’s. Both of them manages their financial budget whereas the family is able to meet their
basic needs such as foods, shelter, and clothing. Mr. DS is a Highschool graduate with diploma and Mrs.
ES is a elementary graduate. Their first child, DS1 is currently a 12th grade student and the second child,
DS2 is a 7th grade student at Iguig National High School. The third child DS3, is currently in 6th grade at
San Esteban Elementary School. The fourth child, DS4 is in kindergarten. The fifth and the sixth child,
DS5 and RS are not yet studying and stay at home with Mrs. ES. The family’s religion is Catholic and they
usually visit their church and attends prayer meetings. The family also participates in the activities of
their community.
C. Home and Environment
The family lives in a small house with steel roofing and wood walls with an area of 42 square meters.
The house has no room and no windows, it has two beds where they all sleep together. Also, kitchen is
located inside with a dining table and and a small living room with a TV and radio. The household’s
drinking water is stored in a plastic jar with a faucet and is from a pump well located at their neighbor’s
house with a distance of 26.52 m to the house. They have their own toilet which is a pit-privy type and
unsanitary, it is located about 5 meters from their water source which is different from their source for
drinking water, also their bathroom is separated from the toilet which is 3 meters away. The family also
does not practice proper waste segregation and disposal, also they don’t have a drainage system.
Transportation facilities are readily available from their place.
D. Health Status of each Family Member
Mrs. ES has a dry cough for 5 days and her children have also present illnesses. The fourth child DS4
has cough and runny nose. The fifth child DS5 has been having a fever for 3 days . The sixth child DS6 has
been having a fever at night. Hence there has been spread of flu like symptoms in their household. The
mother practices the use of herbal medicines like boiled Lagundi plant for cough and also uses over-the-
counter drugs like paracetamol for fever. She also stated that when the illness of the family member is
severe, they seek medical assistance in their nearby Barangay Health Center. The family eat vegetables
on a daily basis from their small vegetable garden and when their finances permits to do so, they
incorporate meat in their meals
E. Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention
The family sleeps 6 hours except for the toddlers DS5 and RS who sleep around 8 pm and
wakes up at 6 am. The father works as a construction worker that gives him a physical exercise
everyday while the mother do the household chores. As a form of relaxation, the father drinks
alcohol occasionally to relieve his stress while for the mother and the children they bond together,
read magazines or watch entertaining show in the television. During the night, the family uses bed
nets to protect them from mosquito bites. The family are into vegetables which is good since they
have their own little vegetable garden to maintain good health. Immunization were given to them
except for the sixth child who will be getting his last dose of measles on Oct. 16, 2019.sss
PHYSICAL ASSESSMENT
Name: Daniel Solantio
Age: 3
Height: 3 ft
RR: 30 cpm
AREA NORMAL ACTUAL
METHOD USED REMARKS
ASSESSED FINDINGS FINDINGS
SKULL
Round, with
prominence in the
Normocephalic frontal and
Shape Inspection/Palpation Normal
occipital area,
no presence of
lesions
HAIR
Evenly distributed
Evenly distributed covers the whole
covers the whole scalp,
Distribution Inspection Normal
scalp, no signs of No presence of
alopecia nits and lice, no
signs of alopecia
Smooth,
SCALP
No presence of
No presence of
lesions, scars,
lesions, scars,
Appearance Inspection dandruffs, Normal
dandruffs, lighter
Lighter in
in complexion
complexion
Moist, no Moist, no
Texture Palpation tenderness or tenderness or Normal
masses masses
SKIN
No presence of No presence of
lesions, bruise, lesions, bruise,
Appearance Inspection vascularity, insect vascularity, Normal
bites, stretch wounds and insect
marks and wounds bites
deep
Color Inspection Light brown skin Normal
brown(depending
on race)
Generally uniform Generally uniform
except in areas except in areas
expose to sun, expose to sun,
areas of lighter areas of lighter
pigmentation are pigmentation are
palms, lips, nail palms, lips, nail
beds in dark beds in dark
skinned people. skinned people.
Texture Palpation Feels smooth and Feels smooth and Normal
firm with even firm with even
surface surface
When pinched, Springs back to its
Skin Turgor Palpation skin springs back original state in 1- Normal
to its original state 2 seconds
NAILS
Round or oval Round shape,

shape, clean clean nails
return to normal return to normal

Capillary refill Palpation range color within range color within Normal
1-2s 1-2s
EYES
Hair equally
distributed Hair equally
(maybe black, distributed (black
brown or blond in color),
depending on symmetrical
race), symmetrical
Equally distributed Equally distributed
slightly turned slightly turned
outward, outward,
symmetrical symmetrical
PERRLA (Pupil Pupil constricts
Equally Round with the presence
Pupils Inspection Reactive to Light of light, and Normal
and dilates in the
Accommodation) absence of light
Clear and free of
Clear and free of
swelling, pinkish
pinkish
Clear and tiny
anicteric
Visual acuity Inspection 20/20 vision 20/20 vision Normal
EARS
Same in color Same in color,

depends on race light brown
Upper connection
of the ear lobe is
outer cantus of the
eye
No discharges,
No discharges, lesions and wound
lesions or wounds noted at the ear
canal
NOSE
Appearance Inspection discharges, flaring discharges, flaring Normal
of alae nasi of alae nasi
No bone and
No bone and
cartilage
deviation, no
no tenderness
tenderness
Uniform in color,
light brown
MOUTH
movement, no movement, no
lesions, no edema lesions, no edema
No lesions, placed No lesions, placed

in posterior to the in posterior to the
Frenulum Inspection Normal
ventral aspect, ventral aspect,
pinkish pinkish
LIPS
Uniform in color
(color varies Uniform in color,
depends on the pale brown
race)
GUMS
Pinkish, no Pinkish, no
Appearance Inspection lesions, no lesions, no Normal
TEETH
21 teeth (no
28 teeth for
dental fillings,
Number Inspection children and 32 for Normal
tooth loss or teeth
adults
removal)
White to yellowish
color
TONGUE
Surface of the
Surface of the
tongue is
tongue is rough
rough( no lesions,
Texture im/Palpation and moist, no Normal
or varicosities on
lesions,
ventral surface),
varicosities
moist
UVULA
Pinkish to red in
color
ABDOMEN
lesions, stretch lesions, stretch
Appearance Inspection marks, uniform in marks, uniform in Normal
color depending color depending
on race on race
Presence of Presence of
borborygmi borborygmi
Auscultation Normal
sounds or clicks sounds or clicks
and gurgles and gurgles
Dull sound over Dull sound over
liver part and liver part and
Percussion Normal
tympany over left tympany over left
part part
No complains of No complains of
Palpation Normal
pain or discomfort pain or discomfort
UPPER EXTREMETIES
Appearance Inspection lesions, bruises or lesions, bruises or Normal
wounds wounds
Uniform in color Uniform in color,

(depends on race) light brown
LOWER EXTREMETIES
Normal
Symmetrical, no
Symmetrical, no
lesions, bruises or
Appearance Inspection lesions, bruises or
wounds
wounds
Uniform in color,
Uniform in color
light brown Normal
Can flex and

Can flex and
extend lower
Mobility Inspection/Palpation extend lower Normal
extremities without
extremities without
discomfort
discomfort

PHYSICAL ASSESSMENT
Name: Erlinda Solantio
Age: 40
Height: 5 ft
BP: 120/80 mmHg
RR: 19 cpm
AREA NORMAL ACTUAL

METHOD USED REMARKS
SKULL
Round, with
prominence in the
occipital area,
no presence of
lesions
HAIR
Evenly distributed
Evenly distributed
covers the whole
covers the whole
scalp, no signs of
scalp, No
Distribution Inspection alopecia Abormal
presence of nits
There’s a
and lice no signs
presence of nits
of alopecia
and lice
Smooth,
SCALP
No presence of
No presence of
lesions, scars,
lesions, scars,
dandruffs, lighter
Lighter in
in complexion
complexion
Moist, no Moist, no
masses masses
SKIN
No presence of
lesions, bruise,
No presence of
vascularity,
lesions, bruise,
wounds and insect
Appearance Inspection vascularity, insect Normal
bites
bites, stretch
(+) stretch marks
marks and wounds
in abdomen (strea
gravida)
deep
Color Inspection Brown skin Normal
brown(depending
on race)
surface surface
NAILS

shape, clean clean nails

1-2s 1-2s
EYES
Hair equally
distributed Hair equally
(maybe black, distributed (black
brown or blond in color),
depending on symmetrical
race), symmetrical
outward, outward,
Pupils Inspection Normal
Reactive to Light of light, and
and dilates in the
Clear and free of
Clear and free of
swelling, pinkish
pinkish
Clear and tiny
anicteric
EARS

Upper connection
of the ear lobe is
outer cantus of the
eye
No discharges,
canal
NOSE
No bone and
No bone and
cartilage
deviation, no
no tenderness
tenderness
Uniform in color,
light brown
MOUTH

pinkish pinkish
LIPS
Uniform in color
(color varies
depends on the
race)

GUMS
TEETH
No dental fillings,
28 teeth for
30 teeth, 2 teeth
Number Inspection children and 32 for Abormal
removal, no
adults
dentures
White to yellowish
color
TONGUE
Surface of the
Surface of the
tongue is
tongue is rough
rough( no lesions,
or varicosities on
lesions,
ventral surface),
varicosities
moist
UVULA
Pinkish to red in
color
ABDOMEN
No presence of
lesions, stretch Light brown in
Appearance Inspection marks, uniform in color, presence of Normal
color depending stretch marks.
on race
part part
BREAST
Round in shape
Shape Inspection Round in shape, Normal
Uniform in color,
Uniform in color,
light brown with
depends on race,
dark brown
round areola,
Appearance Inspection areolas, Normal
asymmetrical (left
asymmetrical (left
breast is bigger
breast is bigger
than right)
than right)
lumps or lumps or
Texture Palpation Normal
tenderness, pain tenderness, pain
or discomfort or discomfort
UPPER EXTREMETIES
wounds wounds
Uniform in color,
Uniform in color
(depends on race)
skin
LOWER EXTREMETIES
Normal
Symmetrical, no
Symmetrical, no
lesions, bruises or
wounds
wounds
Uniform in color,
Normal
Can flex and

Can flex and
extend lower
extremities without
extremities without
discomfort
discomfort

PHYSICAL ASSESSMENT
Name: Danica Joy Solantio
Age: 5
Height: 3’2”
Temperature: 36 C PR: 64 bpm
RR: 21 cpm
AREA NORMAL ACTUAL

METHOD USED REMARKS
SKULL
Round, with
prominence in the
occipital area,
no presence of
lesions
HAIR
Evenly distributed
Evenly distributed
covers the whole
covers the whole
scalp, no signs of
scalp, No
Distribution Inspection alopecia Abormal
presence of nits
There’s a
and lice no signs
presence of nits
of alopecia
and lice
Smooth,

SCALP
No presence of
No presence of
lesions, scars,
lesions, scars,
dandruffs, lighter
Lighter in
in complexion
complexion
Moist, no Moist, no
masses masses
SKIN
No presence,
No presence of
wounds and insect
lesions, bruise,
bites.
Appearance Inspection vascularity, insect Normal
There’s a
bites, stretch
presence of
marks and wounds
lesions

deep
Color Inspection Light brown skin Normal
brown(depending
on race)
surface surface
NAILS

Appearance Inspection Abormal
shape, clean dirty nails

1-2s 1-2s
EYES
Hair equally
Hair equally
distributed
distributed (black
Eyebrows Inspection (maybe black, Normal
in color),
brown or blond
symmetrical
depending on
race), symmetrical
outward, outward,
Pupils Inspection Reactive to Light of light, and Normal
and dilates in the
Clear and free of
Clear and free of
swelling, pinkish
pinkish
Clear and tiny
anicteric
EARS

Upper connection
of the ear lobe is
outer cantus of the
eye
No discharges,
canal
NOSE
No bone and
No bone and
cartilage
deviation, no
no tenderness
tenderness
Uniform in color,
light brown
MOUTH

pinkish pinkish
LIPS
Uniform in color
(color varies
depends on the
race)
GUMS
TEETH
28 teeth for No dental fillings,
Number Inspection children and 32 for 23 teeth, 5 tooth Normal
adults loss
White to yellowish
color
TONGUE
Surface of the
Surface of the
tongue is
tongue is rough
rough( no lesions,
or varicosities on
lesions,
ventral surface),
varicosities
moist
UVULA
Pinkish to red in
color
ABDOMEN
No presence of
lesions, stretch Light brown in
Appearance Inspection marks, uniform in color, presence of Normal
color depending stretch marks.
on race
part part
UPPER EXTREMETIES
wounds wounds
Uniform in color,
Uniform in color
(depends on race)
skin

LOWER EXTREMETIES
Normal
Symmetrical, no
Symmetrical, no
lesions, bruises or
wounds
wounds
Uniform in color,
Normal
Can flex and

Can flex and
extend lower
extremities without
extremities without
discomfort
discomfort

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PRIORITY SETTING

Computation Actual Score Justification

Modifiability of 2/2 x 1 1 Easily Modifiable. The use of materials that dry

Preventive 3/3 x 1 3 Pest infestation and insect bites can be eliminated

The family does not recognize the need to change

Total Score 3 2/3

Improper way of Disposal

Computation Actual Score Justification

Nature of the This is viewed as a health threat because it can be a

Easily Modifiable. Health Education on proper

Preventive Prevention of insect breeding and infestation is

The family does not recognize the need to change

Risk for fall

Computation Actual Score Justification

Nature of the It is a health threat because the family might get

Preventive Prevention of fall and injury is likely when the

Total Score 2 1/3

Accident Hazards specifically pointed/sharp objects

Computation Actual Score Justification

Nature of the This is viewed as a health threat because unkept

Modifiability of Easy modifiable with proper education accidents

Once Hazardous materials are secured and kept

Poor hygiene and sanitation

Computation Actual Score Justification

Nature of the The family has a poor hygiene making it as a health

Modifiability of Easy modifiable through proper education and

Preventive Once they will practice good hygiene and proper

Salience of the The family recognize it as a problem but not taking

Total Score 4 1/2

PRIORITY PROBLEMS BASED ON COMPUTATIONS:

1. Accident Hazards specifically pointed/ sharp objects 5 1/16

2. Poor hygiene and sanitation 4 1/2

3. Improper way of disposal 3 2/3

4. Pest-infested bathroom 3 2/3

5. Risk for fall 2 1/3

A FAMILY CASE LOAD

In partial fulfillment for Community Health Nursing

Related Learning Experience

ACAPUYAN, CRIZEL BAUTISTA, MA. ANGELIKA

BALUBAL, KATRINA BUNNAO, VANESSA

BUGUINA, SHERYL BUTED, ERWIN

CAMMAYO, MAEGUN DASALLA, IRISH

CUDAL, THALIA NIÑA GALLEBO, LAARNI

GUMARU, GERALDINE KITONGAN, HARMIE

MARTIN, GERALD NAZ, CYZREL

NARAG, CHERRY KAYE TABERNA, MYRELL

group or community is the primary goal of community health nursing.

aware of their values and practices pertaining to their health.

different clienteles in the community.

 To identify problem of our adopted family.

 To come up with a family nursing care plan base on the identified

problems of our adopted family.

 To enhance our skills in the family health nursing.

A. Family Structure, Characteristics and Dynamics

B. Socioeconomic and Cultural Characteristics

C. Home and Environment

D. Health Status of each Family Member

E. Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention

INITIAL DATA BASE FOR FAMILY NURSING CARE PRACTICE

I. FAMILY STRUCTURE AND CHARACTERISTICS

A. HEAD OF THE FAMILY

Danilo 45 September High School Roman Construction

Diana 18 Senior High Roman