BULACAN STATE UNIVERSITY

COLLEGE OF NURSING
City of Malolos

ASSESSMENT DATA BASE

Family Name: PAED FAMILY__________________________

Purok(s): 4 , Brgy San Pablo , Malolos , Bulacan

Informant: Mrs. Cristeta R. Paed Time Started: 09:00am Time Finished: 11:00 am

A. Family Structure, Characteristics, and Dynamics

Name of Family Age Sex Civil Position In the Place of

Member Status Family Residence
Ferdinand Paed 55 M Married Father
Cristeta Paed 57 F Married Mother
Crisann Paed 24 F Single First-born child Purok 4 San
Cristine Paed 22 F Single Second child Pablo, Malolos,
Christian Paed 16 M Single Third child Bulacan

Type of family structure

(✔) Nuclear ( ) Extended ( ) Dyad
( ) Single- parent ( ) Homosexual/Same Sex
( ) Cohabiting/Communal

They are a nuclear family which consists of five members, Mr. and Mrs.
Paed, and their three children. Two of those are girls, and their youngest is a
boy.

Dominant family members in terms of decision making

( ) Patrifocal/Patriarchal (✔) Matrifocal/Matriarchal
( ) Egalitarian ( ) Matricentric

According to Mrs. Paed, she gives equal opportunity to each member of

the family to give insights whenever there’s a decision needed to be made, but
most of the time, she’s the one to make the decision, such as on how to spend
and to allocate their monthly income.

General family relationship/dynamics

Their family always find ways to talk to each other, and as possible they
would always try to eat meals with each other. But since Cristine, their second-
born child, works in Manila as a call center agent, and only goes home every
morning after her work, she’s not always around to eat alongside with their
family.

B. Socio-Economic and Cultural Characteristics

Family Member Occupation Total Educational Religion

Family Attainment
Income
Flower College
Ferdinand Paed Arranger/part time Graduate
tricycle driver Catholic
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 Cristeta Paed Housewife Range of College
5,000php Graduate
Crisann Paed Student to 10, 000
ph per College Student
Cristine Paed Call center agent month College
Graduate
Catholic
Christian Paed Senior High
Student School Student

Relationship of the family to larger community

According to Mrs. Cristeta, their family do their best to follow the

community guidelines and participate in community events.

C. Home and Environment

Housing

a. Adequacy of living space

They have an adequate living space for their family, although they
have five members their house can accommodate them all while still having a
lot of space for them not to jam.

b. Sleeping arrangement

Their sleeping arrangement is as follows: Mr. and Mrs. Paed sleep together
in their room, Crisann and Cristine share a room together but most of
the time they do not sleep at the same time because of their
schedules. Lastly,
Christian has his own room to sleep in.

c. Presence of breathing or resting sites of vector of diseases

In the family’s abode, there is a rooster in fornt of their house that the
mother’s brother is taking cared of, that can be a source of some significant
diseases that the family might get and encounter because of the feather and
feces of the chicken that they inhaled everyday

d. Presence of accident hazard

There were no presence of any accident hazard since the grandsons of the
mother’s niece is going to their house often so they made sure that they
protect them from any harm that they might get.

e. Food storage and cooking facilities

_They have a refrigerator for their food storage, and uses electric and

LPG stoves to cook their food.

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 f. Water supply

They get their water supply through NAWASA water supply system, they
do not have water pump and only uses the faucet.

g. Toilet facilities

_They have one toilet in their house, which has a flush, uses dipper and pail
for bathing and many other function in the bathroom, and has a clean, tidy
and good smell of hygiene when you enter in the bathroom.

h. Garbage/refuse disposal

_The garbage truck only collects garbages 2-3 times a month, so they put all
their garbages in a sack and wait for the garbage truck to collect it.

i. Drainage System
Oustide the family’s house there is no presence of any canals, open drainage,
stagnant water and any forms of water passages that may harm or can
promote diseases to the family.

j. Lighting Facilities

_ They have adequate lighting in their house, each room has atleast one
light bulb to provide light.

Kind of Neighborhood

_ Their family live in a peaceful neighborhood and do not ever had an argument
with their neighbors. According to Mrs. Paed, she does not always visit their
neighbors but when she does, they are all welcoming and possess the “Filipino
hospitality.”

Social and Health facilities available

_ There is a basketball court in their barangay which is open for public use, and
there is also a church where they can attend mass. There are plenty of health
facilities in their barangay, aside from the Barangay Health Center, there are also
maternal health clinics in at least every purok.

Communication and transportation facilities available

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 _ Their family has a tricycle which Mr. Ferdinand uses for extra income and also for
their family use. There are also tricycles available to ride in every waiting shed and
they also ride jeepneys for transportation.

D. Health Status of Family Member

Medical History of Diseases

Name Age Gender Disease

Cristeta Paed 56 Female Has seldom episodes of hypertension

Acccording to the mother her family is healthy and does not have any serious
health problems that is needing special attention aside for her seldom attacks of
hypertension, their family is only experiencing mild sickness like colds, cough, fever and
so on that immediately heals for some days.

Nutritional Assessment

Name Age. Wt. in kg. Ht. in feet and BMI Remarks

inches (Wt. in kg / Ht. in
m2)
Ferdinand Paed 56yrs old 76kg 5 ft and 10 24,0kg/m2 NORMAL
inch
Cristeta Paed 56 yrs old 57kg 5 ft and 4 inch 24.1 kg/m2 NORMAL
Chris Ann Paed 24 yrs old 65kg 5 ft and 4 inch 27.4kg/m2 OVERWEIGHT
Christine Paed 22 yrs old NO NO NO NO
Christian Paed 16 yrs old 53 kg 5 ft and 5 inch 19.0 kg/m2 NORMAL

72-hour Dietary Recall

Date Time of the day Food taken
OCTOBER 18, BREAKFAST Hotdog, eggs and rice
2019 (FRIDAY) SNACK None
LUNCH Pork Sinigang
SNACK Bread and juice
DINNER Crispy hipon
MIDNIGHTSNACK ---------

Date Time of the day Food taken

OCTOBER 19, BREAKFAST Ham and rice
2019(SATURDAY) SNACK Bread
LUNCH Chicken Kare-kare
SNACK Pancit
DINNER Pancit
MIDNIGHTSNACK ---------

24-hour Dietary Recall

Date Time of the day Food taken
OCTOBER 20, BREAKFAST Hotdog and rice
2019(SUNDAY) SNACK Cake
LUNCH Fried tilapia
SNACK Cake
DINNER Paksiw na bangus
MIDNIGHTSNACK ---------
The family’s diet recall or even the food supply of the family’s food storage may
vary depending on the income that the family has per month and if their income will
lasts according to their budget, allowance and needs per month.

Developmental assessment of infant, toddlers and preschoolers

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 Not applicable for their family.

Risk factor assessment

Cigarette Smoking
Is there a member of the family who is a cigarette smoker?
(✔) Yes ( ) No ( ) frequency/sticks or packs/day ________

Name Age Age started smoking Reason

Mr. Ferdinand Paed 55 18/19 yrs. old Peer pressure

Use of prohibited / dangerous drugs

Is there a member of the family who uses prohibited/dangerous drugs?
( ) Yes (✔) No ( ) Types of Drugs : ______/Solvent_________

Name Age Age started using Reason

drugs

Drinks alcoholic beverages

Is there a member of the family who drinks alcoholic beverages? (✔) Yes ( ) No

Name Age Age started drinking Frequency Type Reason

alcohol
Chris Ann 24 18 yrs old Occasionally Any Peer pressure and influence
Paed alcoholic
liquors

Physical Assessment
(See Physical Assessment Tool)

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

Prevention

Immunization status of family members

Incompl Fully
Complete
DPT DPT DPT Hepa B Hepa B Hepa B OPV OPV OPV Measl ete Immuni
Name Age Gender BCG according
1 2 3 1 2 3 1 2 3 es accdg zed
to Age
to Age Child
Ferdinand
Paed
56 M ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
Cristeta
Paed
56 F ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
Chris Ann
Paed
24 F ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
Christine
Paed
22 F ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔
Christian
Paed
16 M ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔

Healthy lifestyle practices

The lifestyle practices of the family where adequate and well since they do follow the
regular-balanced diet meal in the food they eat, they have healthy relationship as a
family and also in the community, the also have a positive vibes when handling
problems, they also have a strong faith with God that no matter what happens they will
be strong for their family until the end.
Adequacy of:

Rest and sleep

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 The family has a different pattern of rest and sleep since the children is already in
teenage to adult years where they now have jobs and studies to take care of, but
if possible every member of the family sleeps for about 6-8 hrs depending on the
situations.

Exercise/activities
_The youngest of their children, Christian, always play basketball for recreational
and exercise purposes. While Mrs. Paed wants to try to participate in Zumba
sessions if she can find the time to do so, but she tries to walk around in their
neighborhood in the morning as a form of exercise.

Use of protective measure

The family does not have any protective measure like bota since their community
or purok do not experience flood and high tides but they do have kapote and
trapal since the father is a part time tricycle driver and they do have different types
of umbrella to protect them when they are outside from the sun and rain.

Relaxation and other stress management activities

_As a form of relaxation, Mrs. Paed tries to have siesta and/or to watch television
in the afternoon.

Use of Promotive-Preventive Health Services

_Cristine is a member of Philhealth, while Mr. and Mrs. Paed has SSS as their
insurance.

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 GENOGRAM
(Draw your genogram here)

PATRILINEAL MATRILINEAL

Unknown 72 88
Unknown
(Cardiac Arrest) (Diabetes) (Old age)
(Old age)

(Unknown) 56 (Unknown)
(A & W) (A & W) 68 60 64 61 58
(A & W) (A & W) 56 54 51
(Cardiac Arrest (Cardiac Arrest (A & W) (Cardiac Arrest) (High Blood) (A & W) (A & W) (A & W)

24 22 16
(A & W) (A & W) (A & W)

The patrilineal side of the family that originates from father of the family has a parent that died from cardiac arrest which his father and his mother died
because of old age, the father of the family has 5 siblings, 2 of them are males and 3 of them were females, both males were dead already but according to the
informant she does not know what the cause is, but the other 4 is still alive and well. The matrilineal side of the family that originates from the mother of the
family which is also our informant, her parents were already dead, her father died because of diabetes and her mother died because of old age, she has 7
siblings, 5 of them were male, 2 of them were female, 3 of her siblings is already dead due to cardiac arrest while the other 4 of her siblings were alive and well,
then when they get married they had 3 offspring 2 females and 1 male that is all well and alive like the mother and father as of now in the present.

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 MOTHER PAED
LEADER’ FAMILY’S
S HOUSE HOUSE

ECOMAP
(Draw your Ecomap Here)

GREEN
HOSE
WITH
BAMBOO
GATE

GREEN
HOUSE

BARANGAY
HALL PUROK 3 PUROK 4
PINK
HOUSE

The Paed’s house is located on the purok 4 of San Pablo, Malolos City where it can be seen at the other side of the highway of the San Pablo where the Brgy.
Hall is located, In the way in purok 4, you will be passing by the purok 3 where it ends in the Green at Pink house which is the indication that it is the start of
Purok 4, in purok 4 there where a way that you get through the other houses or side of purok 4 when you pass through the palayan that has very narrow road ,
but before you get there you will be passing by the house of the Paed as illustared above.

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First Level Assessment

Cues/Data Health Condition

A. Health Threat

Risk for flu, asthma and other 1 The mother’s brother has a rooster pet in front and
significant disease that might inside their house and does not have proper habitant
get through inhalation that can mixed in the inhalation of some defecate and
feathers of the roosters

2 The father smokes cigarettes that may contribute

Risk for respiratory diseases and develop some significant respiratory disease to
him and also to other family members.

3 The garbage disposal of the family is only stored in a

Inadequate proper waste sack since the community has an collector of garbage
disposal and segregation every twice a month.

B. Health Deficit

1 The mother neglects having check up for her seldom

Failure to attend clinical check hypertension episode because she believes that it is
ups for health maintenance not a serious problem for her, although she knew that
and accuracy. she has a family history of cardiac arrest/

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Second Level Assessment

Health Condition Family Nursing Problem

A. Health Threat

1 Risk for flu, asthma and Inability to determine the risk of the rooster’s feces
other significant disease that and feathers that is possibly be the cause to develop
might get through inhalation significant disease prior to contamination and
inhalation by the causative agents.

Inadequate knowledge prior to the effects of

2 Risk for respiratory diseases cigarette smoking to the health of each of the family
member

Inability to gather sources and information on how to

3 Inadequate proper waste properly dispose and segregate garbage
disposal and segregation independently if there is no collection happens

B. Health Deficit

1 Failure to attend clinical Inability to foresee the sign and symptoms of the
check -ups for health unknown disease that might be an indication of
maintenance and accuracy. hereditary disease prior to family medical history or
self- develop diseases.

Scoring & Prioritization

A. The mother’s brother has a rooster pet in front and inside their house and does not
have proper habitant

Criteria Computation Actual Justification

Score
1. Nature of the
problem 2 ÷3 ×1 ⅔
2. Modifiability of
the Problem 1 ÷2 ×2 1
3. Preventive
Potential 1 ÷2 ×1 ½
4. Salience of the
Problem 1 ÷2 ×1 ½
Total Score 2⅔

B. The father smokes cigarettes near the family members or inside their house.

Criteria Computation Actual Justification

Score

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 1. Nature of the
problem 2 ÷3 ×1 ⅔
2. Modifiability of
the Problem 2 ÷2 ×2 2
3. Preventive
Potential 2 ÷3 ×1 ⅔
4. Salience of the
Problem 2 ÷2 ×1 1
Total Score 4⅓

C. The garbage disposal of the family is only stored in a sack

Criteria Computation Actual Justification

Score
1. Nature of the
problem 2 ÷3 ×1 ⅔
2. Modifiability of
the Problem 1 ÷2 ×2 1
3. Preventive
Potential 2 ÷3 ×1 ⅔
4. Salience of the
Problem 2 ÷2 ×1 1
Total Score 3⅓

D. The mother neglects check-ups and does not have any concerns on her seldom
hypertension episode/attack.

Criteria Computation Actual Justification

Score
1. Nature of the
problem 3 ÷3 ×1 1
2. Modifiability of
the Problem 1 ÷2 ×2 1
3. Preventive
Potential 2 ÷3 ×1 ⅔
4. Salience of the
Problem 0 ÷2 ×1 0
Total Score 2⅔

Prioritization of Problems

Rank Score Problem

1 4⅓ The father smokes cigarettes near the family members or inside their
house.
2 3⅓ The garbage disposal of the family is only stored in a sack

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3 2⅔ The mother’s brother has a rooster pet in front and inside their house
and does not have proper habitant
4 2⅔ The mother neglects check-ups and does not have any concerns on
her seldom hypertension episode/attack

Documentation

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