FAMILY’S SECOND LEVEL ASSESSMENT
Family number: N/A
Head of the family: Evelyn (Mother)
Address: Sampaloc, Manila
First and Second Level of Assessment
First and Second Level
First Level:
Readiness for Enhanced
Capability for Health
Maintenance as a Presence of
Wellness Condition
Second Level:
Inability to provide adequate
nursing care to the sick,
disabled, dependent or
vulnerable/at-risk member of
the family due to inadequate
family resources for care
specifically financial constraints
First Level:
Incomplete Vaccination as a
Health Threat
Subjective Data Objective Data
 The family stated that  The family is a 2-
the mother is the member single parent
primary caretaker and family.
main provider of the  The son is diagnosed of
family. atopic dermatitis by his
 The family stated that dermatologist at 7 years
among all other topics old.
that are discussed  The dermatologist
within the family, prescribed a lotion for
health is one of the the condition.
most talked about.  The mother is
 The family stated that unemployed due to the
they take their vitamins pandemic, and they rely
daily. solely on their small
 The family stated that businesses.
maintenance medicines  The family’s monthly
are also taken except income is 17,000 to
for the son’s atopic 20,500 php every
dermatitis due to month.
financial constraints.  The family’s
 The family stated that approximate expenses
the son’s condition is monthly is 20,550 php.
manageable even
without the prescribed
lotion but gets worse
when he sweats and
during the summer.
 The family stated that  The son is 17 years old
the son is registered for and is a minor.
the vaccine but haven’t  The son remains
had the chance to get unvaccinated for
vaccinated yet. COVID-19 for he is still
 The family recently underage.
added that when they  COVID-19 vaccines for

Second Level:
Failure to utilize community
resources for health care due to
Inaccessibility of required
care/service due to physical
inaccessibility
First Level:
Diagnosed Illness of
Hypertension as a Health Deficit
Second Level:
Inability to provide a home
environment conducive to
health maintenance and
personal development due to
lack of/inadequate
competencies in relating to
each other for mutual growth
and maturation (reduced ability
to meet the physical and
psychological needs of other
members as a result of family’s
preoccupation with current
problem or condition)
First Level:
Unstable Finances as a Presence
of Stress Points/Foreseeable
Crisis Situations
had the chance to go minors are recently
the vaccine site, the made available.
vaccine was out of stock  The son is currently
when they got there. attending online classes
 The family stated that and handling a small
the second time they business while the
tried to go to the mother is occupied with
vaccine site, the son house chores and small
was bit by a dog and business.
had to get anti-rabies
vaccine.
 The family stated that  The family is a 2-
the mother is the member single parent
primary caretaker and family.
main provider of the  The mother gets
family. insufficient sleep (5-8
 The family stated that hours).
the mother practically
handles all of the
household chores.
 The family stated that
the mother sleeps late
(around 12 am or
onwards).
 The family stated that
the mother sometimes
is “cranky” due to
irregular and
insufficient sleep.
 The family stated that
because of the
responsibilities of the
mother, she has little to
no time for rest and
leisure activities.
 The family stated that
their meal includes fast-
food often.
 The family stated that  The family is a 2-
the mother is the member single parent
primary caretaker and family.
main provider of the  The mother is
family. unemployed due to the
 The family stated that pandemic, and they rely
their financial situation solely on their small
is unstable, and, on businesses.
some months, they  The family’s monthly
 need to cut expenses.
Second Level:  The family stated that
Inability to make decisions with they do not have spare
respect to taking appropriate money for emergency
health action due to situations.
inaccessibility of appropriate  The family also stated
resources of care specifically that they only have
cost constraints or check-ups when one
economic/financial member is feeling sick.
inaccessibility  The family stated that
they are not able to
maintain the prescribed
lotion for the son’s
atopic dermatitis.
Prioritization and Justification
Readiness for Enhanced Capability for Health Maintenance
Criteria Computation Actual Score
3/3 x 1 1 The problem is a
Nature of the Problem
½x2 1 The family is
Modifiability of the
Problem
2/3 x 1 0.67
income is 17,000 to
20,500 php every
month.
 The family’s
approximate expenses
monthly is 20,550 php.
Justification
presence of health
condition because from
the family’s state, they
show competency and
expression of
willingness to achieve a
higher level of state
when it comes to
health maintenance.
knowledgeable when it
comes to health which
makes it easier for
them to accept
suggestions on changes
when it comes to the
improvement of their
health, however, their
financial situation
remains to be a
hindrance for them
specifically, they
cannot maintain the
prescribed lotion for
the son’s atopic
dermatitis.
The problem can be
minimized by health
 education on strategies
Preventive Potential for the family to
enhance their health
maintenance, but not
entirely because
financial constraints
are another problem.
½x1 0.5 The family perceives
Salience of the improvement of health
Problem maintenance as
important but not
immediate.
TOTAL SCORE 3.17

Prioritization and Justification

Incomplete Vaccination
Criteria Computation Actual Score Justification
2/3 x 1 0.67 The problem is a health
threat for COVID-19
remains to spread and
Nature of the Problem infect people everyday
therefore is a big threat
to the family’s health
especially to the
unvaccinated.
2/2 x 2 2 The family sees the
Modifiability of the problem and is willing
Problem to be vaccinated if
given the chance.
3/3 x 1 1 By being vaccinated,
Preventive Potential the family will have
protection from the
virus.
2/2 x 1 1 The family perceives
Salience of the the problem as urgent
Problem and needs to be dealt
with immediately.
TOTAL SCORE 4.67

Prioritization and Justification

Diagnosed Illness of Hypertension
Criteria Computation Actual Score Justification
 3/3 x 1 1 The problem is a health
deficit for this is a chief
complaint of the
Nature of the Problem mother and is a big
factor on her health
and the family’s
lifestyle.
½x2 1 The problem is
addressed by the
family, who can be
Modifiability of the assisted further
Problem through health
education and home
environment
improvements.
2/3 x 1 0.67 The family can make
modifications based on
the health condition
with the help of health
Preventive Potential education. However,
due to the family's
financial restrictions
and limited manpower,
changes are also
limited.
½x1 0.5 While a healthy home
environment is
Salience of the necessary for the
Problem mother's health, the
family appears to be
managing the problem
well, therefore it is not
an urgent matter.
TOTAL SCORE 3.17

Prioritization and Justification

Unstable Finances
Criteria Computation Actual Score Justification
1/3 x 1 0.33 The problem is the
presence of stress
Nature of the Problem points/foreseeable
crisis situations, which
impacts the family's
lifestyle and, as a
result, their health and
 how they deal with it.
1/2 x 2 1 The family is wants to
do something about
Modifiability of the the problem however,
Problem due to the pandemic,
there is not much we
can do about it.
1/3 x 1 0.33 We can only perform a
limited amount of
intervention, such as
providing support in
Preventive Potential researching
alternatives, therefore
the impact on the
family is similarly
restricted.
½x1 0.5 Financial difficulties not
only cause stress in the
family, but they also
affect all other aspects
Salience of the of their lives, putting a
Problem strain on their health.
However, the family is
currently managing the
problem effectively and
does not require
immediate assistance.
TOTAL SCORE 2.16

Summary of Scale Ranking

Problem Score Rank Priority
Readiness for Enhanced 3.17 2.5
Capability for Health
Maintenance
Incomplete Vaccination 4.67 1
Diagnosed Illness of 3.17 2.5
Hypertension
Unstable Finances 2.16 3

Family Coping Index

Areas of Assessment
1. Physical Independence
Score Justification
5 The family has all of the
necessary skills to carry out
daily tasks. In this area, the
family is independent and does
not require assistance. The
 family considers themselves to
be active.
2. Therapeutic 4 The family can provide the
Competence essential care for each family
member, especially given their
conditions. The prescription for
hypertension is kept up to date,
vitamins are taken daily,
exercise is done on a regular
basis, and foods are tailored to
allergies; however, due to
financial restrictions, the
medication for atopic dermatitis
is not maintained.
3. Knowledge of Health 4 The family is well-informed
Condition about health. They have
ongoing discussions about
health, thus learning is
continuous as well. However,
the family could benefit from
more health education about
how to improve their health.
4. Application of the 3 The family makes sure to
Principles of General comply with health advice
Hygiene regarding their condition and do
what they can to prevent
diseases. However, due to
personal circumstances, the
family is unable to maintain
good health at all times. For
instance, the mother cannot
have adequate rest due to her
responsibilities as the primary
caregiver and main provider of
the family. Additionally, the 17-
year-old son remains
unvaccinated for COVID-19.
5. Health Attitudes 5 The family places a high value
on health. They talk about
health on a regular basis. Health
precautions, they believe, are
vital and should be followed.
They also value healthcare as
well, but financial restraints
prevent them from receiving it.
6. Emotional Competence 4 The family appears to deal with
challenges well most of the

7. Family Living 5 The family has an open and easy
8. Physical Environment 4 Since the pandemic began, the
9. Use of Community 3 The family is involved in the
Facilities
time. They have a positive
outlook in life and deals with
stress by seeking solution. It
also helps that they have an
open communication and good
support system which is each
other.
communication system.
Feelings can also be
communicated in a
straightforward manner.
According to the family, they
are close and make decisions
together.
family has primarily remained
inside their home. Their house
is neat, spacious, and safe,
making it conducive for school
and work. There is some noise
from their neighborhood, but it
is bearable.
neighborhood. They're also well
aware of what's going on and
the resources available to them.
If necessary, they make use of
these resources. However, due
to budgetary constraints and
personal factors, these are also
limited. Examples of these are
their incomplete vaccination
and infrequent checkups.