INITIAL DATA BASE FOR FAMILY NURSING PRACTICE

A. FAMILY STRUCTURE, CHARACTERISTICS, AND DYNAMICS

i. Members of the household and relation to the head of the family
ii. demographic data
iii.place of residence of each family member
MEMBERS OF RELATIO SEX DATE OF BIRTH AGE CIVIL RESIDENCE
HOUSEHOLD N TO STATUS
HEAD
Mr. Toothless Head Male April 21, 1951 59 Married Brgy. Gapas
Mrs. Toothless Wife Femal April 15, 1961 49 Married Brgy. Gapas
e
Baby Toothless Son Male April 6, 1998 12 Single Brgy. Gapas

iv. TYPE OF FAMILY STRUCTURE

 The family is a nuclear type and they live in a house that they own.

V. DECISION-MAKING
 Mrs. Toothless, the head of the family, makes most of the decision including those matters
concerning health. But most of the time, Mrs. Toothless consults her husband Mr. Toothless and
her children to take part and contribute in decision making.

vi. FAMILY RELATIONSHIP

 The family has good relationship with each other. They are open with each other with good
communication. There are no observed conflicts between the family members.

B. SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS

I. INCOME AND EXPENSES
A. OCCUPATION AND MONTHLY INCOME

MEMBERS OF OCCUPATIO PLACE OF INCOME per

HOUSEHOLD N WORK month
Mr. Toothless Farmer Brgy. Gapas P500
Mrs. Toothless House helper Brgy. Gapas P500
Baby Toothless N/A N/A N/A

B. ADEQUACY TO MEET BASIC NECESSITIES

 The breadwinner of the family is Mrs. Toothless. Income of the family is inadequate to meet
their everyday’s needs.
 The family’s income is below the poverty threshold of Region 8 as of 2006. ( 13,974/year -
Source: http://www.bles.dole.gov.ph/r8.html).
Formula: To solve if the family’s income is above, below or within the poverty threshold =
(Family’s Total income / the number of family members) x 12 months
Sol’n: (P1000 / 3) x 12 = 4,000
P4, 000/family member/year – family’s income is below the poverty threshold
 They eat three times daily and food menu consists of mainly rice, egg, vegetable, fish and
oily, fatty foods with a cup of coffee for each family member in the morning. The vegetables
are from their back yard which they just wash and cook them. Vegetables in their back yard
include gaway, alugbati, marigoso, malunggay, langka and agitway. The family can only buy
new clothes if they have extra money.

C. WHO MAKES DECISION ABOUT MONEY AND HOW IT IS SPENT

  Mr. Toothless gives his monthly income to Mrs. Toothless at times and she budgets this
money together with her income to try to meet their basic necessities such as food. Their
monthly income is around P1000 in which Mrs. Toothless mentioned that this amount is
not enough for their basic needs. There is almost no money allotted for other expenses
especially for health maintenance.

II. EDUCATIONAL ATTAINMENT

MEMBERS OF HIGHEST EDUC’L LAST YR OF

HOUSEHOLD ATTAINMENT SCHOOL
ATTENDANCE
Mr. Toothless High school Level (1st yr.) 1969
Mrs. Toothless Elementary Level (Grade 4) 1973
Baby Toothless Elementary Level (Grade 6) At the current year,
still attending

III.RELIGION
 All family members are Roman Catholic and believe in one Almighty God. They seldom attend
bible reading every Sunday held at their chapel. Every first Saturday of the month, a priest would
visit and held a mass at their chapel in which they would seldom attend. The Gresola family
doesn’t usually go to mass together. They have no religious activities done at home.

IV. SIGNIFICANT OTHERS

 No significant others and relatives lives with the family. The couple decides for themselves
though sometimes, they seek help and advice from their relatives.

V. RELATIONSHIP OF THE FAMILY TO A LARGER COMMUNITY

 The family has stayed at Brgy. Gapas for almost eight years. They seldom participate in
community activities. Some that were mentioned include those activities in their chapel, the
month of May activities such as their fiesta, community assemblies, programs and others. They
are very supportive to all activities held in their community and relationship with their
neighborhood as observed is good.

C. HOME AND ENVIRONMENT

I. HOUSING:
A. ADEQUACY OF LIVING SPACE
 The structure of the house is just enough to accommodate the members of the family. The
house is made up of wood and bamboo and lives in about 21 m2 home (6 x 3.5 meters).
 The house is not overcrowded.
Formula1: Total Floor Area = Length x Width
Sol’n1: 6 meters x 3.5 meters = 21 m2
TFA = 21 m 2
Formula2: Total Space Requirements = Sum of Individual Space Requirement (ISR) of each
member

ISR Multi-Purpose room Single-purpose room

Adult 3 m2 2.5 m2
Children 1.5 m2 1.26 m2
Infants 0 0

Sol’n2: 2 adults, 1 child

3 + 3 + 1.5 = 7.5m2
TSR = 7.5 m 2
 RESULTS:
If TFA > TSR – Not overcrowded
If TSR > TFA - Overcrowded
21m 2 > 7.5m2 – Not Overcrowded

Source: Concepts and Guidelines in COPAR (CDx, COPAR, Com. Dev.) by Aaron “CY” Tuesca Untalan, RN

 They have a room in which they utilize it as their bedroom and there is a space outside the
room in which they utilize it as their kitchen, dining area and living room.
 It has inadequate ventilation with two windows of about 0.75x0.75 meter.
Formula1: Total Floor Area = Length x Width
Sol’n1: 6 meters x 3.5 meters = 21 m2
TFA = 21 m 2
Formula2: TWO = (Length of the window x Width)
Sol’n: 0.75 x 0.75 =0.56
0.75 x 0.75 =0.56
______
1.12
2
TWO = 1.12 m
Formula3: Ventilation = TWO / TFA x 100
Sol’n: 1.12 / 21 x 100 = 5.33%

RESULTS:
If more than 20%, it has satisfactory ventilation.
If 18-19% and below, it has a fair 0r below poor ventilation.
5.33% – Below poor ventilation

Source: Concepts and Guidelines in COPAR (CDx, COPAR, Com. Dev.) by Aaron “CY” Tuesca Untalan, RN

 The floor is not cemented and only made of clay soil. The walls are made up of bamboo and
wood. They also have a backyard which they use to throw and burn their garbage.

B. SLEEPING ARRANGEMENT
 The family members sleep together in a room in a bed. It is lined with “banig”. Mrs.
Toothless mentioned that they are comfortable sleeping together in their room.

C. PRESENCE OF BREEDING OR RESTING SITES OF VECTORS OF DISEASES

 Improper garbage disposal can be seen in the vicinity of the house. There are presence of
fallen leaves, wrappers of candies and junk food in their backyard. They don’t have garbage
cans in their home. Garbage is situated at their backyard with presence of mosquitoes and
flies. They leave the garbage there until there are too many, and then burn them. They have
an open drainage. Dirty water from the sink flows directly to the ground creating a small
pool of water. There is presence of stagnant water from rain water. Wet and dry hanged
clothes are present inside the house and there are flies and mosquitoes flying in it.

D. PRESENCE OF ACCIDENT HAZARDS

 Fire hazards are present in the house. The house is made up of wood and bamboo. The
family cooks food inside the house and firewood is utilized for cooking. Kerosene lamp is
utilized for lighting in the house.

E. FOOD STORAGE AND COOKING FACILITIES

 They use a Tupperware with cover in storing food and left over and placed on their dining
table. They use firewood for cooking. They cook their food inside the house at an area near
their dining table as well as their living room.
 F. WATER SUPPLY
 Their source for drinking water comes from a deep well which is located 2-3 meters away
from their house. The source of drinking water is owned by their Barangay Captain in
which they have mentioned is chlorinated. They use a pail without cover in fetching
drinking water and a bottle with cover as a container for drinking water inside their house.
Water for laundering, washing dishes and bathing is taken from their neighbor’s water
pump which is about 2-3 meters from their house.

G. TOILET FACILTY
 The family doesn’t own a toilet facility. The couples’ son lives near their house in which
they share with his toilet facility. It is a sanitary pit type. Mrs. Toothless mentioned that she
would want to have a toilet facility of their own but due to inadequate resources, they
would rather buy what’s left in their income their basic necessities such as food.

H. GARBAGE/REFUSE DISPOSAL
 They don’t have garbage containers. They just dump their garbage at their backyard and
when there are too many of them, they burn it.

I. DRAINAGE SYSTEM
 The family has an open drainage. There is presence of stagnant water from rain water and
from the sink.

II.KIND OF NEIGHBORHOOD
Houses are quite far from each other and not congested. The distance of their house to other
houses is about 2-3 meters. Trees are present in the vicinity of their house. Astray animals such
as dogs are present. The vicinity of their house is muddy and slippery especially during rainy
days. There is a cemented road in their way to their house.

III.SOCIAL AND HEALTH FACILITIES AVAILABLE

 There is a health center located in Barangay Gapas which Mrs. Toothless mentioned was the
previous barangay hall in the community which is about 3-4 meters from their house. She
mentioned that a health worker and a midwife visit them every first Tuesday of the month.
Schistosomiasis treatment is every after six months. There is also a school which offers daycare
and elementary education. The barangay has also a chapel, barangay hall, basketball court.

IV.COMMUNICATION AND TRANSPORTATION FACILITIES AVAILABLE

 They don’t have telephones or cellular phones. The BHW, Barangay Kagawads and Barangay
Chairman are information sources. Their means of transformation in going in and out the
barangay is a “habal-habal” and to other places such as Tacloban is a public utility jeepney.

D. HEALTH STATUS
I. MEDICAL AND NURSING HISTORY
A. MRS. TOOTHLESS
Mrs. Toothless is 49 years-old, G 12T12P0A0L8M0. She mentioned that some of her deliveries
were handled by a traditional birth attendant and some were delivered at a hospital. She was
hospitalized before because she delivered her last child via caesarean section because the
child’s fetal presentation was transverse. No serious complications followed the operation. In
all her pregnancies, she did not have prenatal check-ups. She also mentioned that she didn’t
receive any pregnancy vaccines such as tetanus toxoid and she didn’t have any supplements
in all her pregnancies. She mentioned that she had childhood illnesses such as measles. No
significant family history of diseases was mentioned. She mentioned that she experienced
sudden right upper quadrant stabbing pain in the abdomen and radiating to her back in the
year 2000. Pain was aggravated when eating fatty foods such as fried foods and adobo. Pain
 was alleviated through resting and taking analgesics. Aside from the said complaint, no
other associated symptoms were experienced. She consulted at St. Paul’s Hospital. There, she
was diagnosed to have cholelithiasis through an ultrasound on the year 2000. She mentioned
that she was prescribed with Cefalexin, twice daily for three weeks by a doctor. She
mentioned that after taking the medications prescribed, the pain disappeared and she
thought that she was already treated. Currently, pain reoccurred at the same location, the
right upper quadrant of the abdomen in July 2010 after she attended a party in her employer’s
house. She ate crispy pata, adobo and fried foods. The pain started at around 9 PM and lasted
till morning. She didn’t take any pain reliever and no associated symptoms were experienced.
Pain Scale was used to measure the severity of the pain experienced in an attack with 0 as the
lowest and 10 as the highest and she scored the pain she experienced with 8. She was able to
undergo an ultrasound at January 10, 2011 in which it was confirmed that she still has
cholelithiasis. She is also about to undergo some laboratory tests as a preparation for her
upcoming cholecystectomy operation on Feb. 4, 2011. Vital signs were as follows: BP-110/90
mmHg, T-36.5˚C, RR-20, PR-71. The result of Mrs. Toothless’s sugar testing was normal (no
significant change in color) with the score of 0 and for protein testing was absence of
clamping.

II. Nutritional assessment

A. ANTHROPOMETRIC DATA
Mrs. Toothless’s weight is 45 kg and her height is 5 feet.
Mrs. Toothless’s BMI is within the normal range.
Formula:
BMI = Weight in kg / (Height in meters)2
Sol’n: 45 kg / (1.524)2 = 19.37
(N˚: 18-25)
B. DIETARY HISTORY SPECIFYING QUANTITY AND QUALITY OF FOOD INTAKE PER
DAY
 The family eats three times daily. The dietary patterns of the family are still the same.
 She is fond of attending fiestas and “tapos”. She can consume about 1-2 plates of fatty and
oily foods such as fried chicken, adobo and crispy pata. She mixes used oil from the fried
food into her boil of rice.
 24-Hour Diet recall:
Breakfast: 1 cup of rice + 1 piece of boiled egg + 1 cup of coffee
Lunch: 1 cup of rice + 1 piece of medium-sized fried fish + half bowl of ampalaya
Dinner: 1 cup of rice + 4 match box-sized of adobo + half bowl of vegetables
C. EATING PRACTICES
 The family use spoon and fork in eating. They wash first their hands before and after
eating. They eat three times daily.

D. RISK FACTORS ASSESSMENT INDICATING PRESENCE OF MAJOR AND CONTRIBUTING

MODIFIABLE RISK FOR SPECIFIC LIFESTYLE DISEASES
 Mrs. Toothless drinks soft drinks occasionally at about 2 glasses and started drinking at
the age of 8. She also drinks a cup of coffee in the morning. She started drinking coffee
at about the age of seven.

E. VALUES, HABITS, PRACTICES ON HEALTH PROMOTION, DISEASE

PREVENTION AND MAITENANCE
I.HEALTHY LIFESTYLE PRACTICES
 The family also uses a container with cover for storage of water inside the house. The family
also uses containers with cover when storing food and left overs. Mrs. Toothless does not smoke
 and drink. The family uses slippers and boots to prevent acquiring Schistosomiasis and uses
mosquito nets in sleeping to prevent vector-borne diseases such as dengue.

II.ADEQUACY OF:
A.REST AND SLEEP
 The family usually sleeps at around 8 PM and wakes at around 7 AM. Some of them take a
nap in the afternoon. There is adequate rest in each of the family member.
B.EXERCISE/ACTIVITIES
Mrs. Toothless mentioned that when she wakes up early at around 7 AM, she roams around
the community and this she consider as exercise. Mr. Toothless’s going to the rice field, back
and forth their house, he considers this as exercise. While Mr. Baby Toothless’s exercise is
playing.
C.USE OF ADEQUATE FOOTWEAR
The family uses slippers and boots to prevent acquiring Schistosomiasis. The family also
utilizes mosquito nets to prevent vector-borne diseases such as dengue.

Whenever the family needs assistance regarding their health, they immediately go to a hospital to
consult a doctor for severe cases and for minor cases, they prefer to go to a Quak doctor and
sometimes, they self-medicate.