United Church of Christ in the Philippines

Widdoes St., Brgy. II, City of San

Fernando, La Union 2500 Philippines

DONATO, CYRA ALTHEA H.

BSN-2B (CHN1)

Initial Data Base for Family Practice

Name of the interview: Mrs. D
Educational Attainment: Bachelor of Science in Business Administration in Marketing
Management
Birthday: December 10, 1972
Status: Married

A. Family structure characteristics and Dynamics

i. FAMILY MEMBER: 5
Member of the Relationship to Age Sex Civil status Position in the
Household the head of the family
Family
Mrs. H Grandmother 79 F Widowed Grandmother
Mrs. D Mother 51 F Married Mother
D Brother 25 M Single Eldest child
D Daughter 20 F Single Middle child
D Daughter 13 F Single Youngest

ii. LIST OF THE MEMBER OF THE FAMILY

Member of Place of residence of each Type of Dominant General family
the household member of the family family family relationship
structure members in PR dynamics
terms of
decision
making
Grandmother Living with her 4th Extended Lovable, strict,
daughter together with 3 and responsible
grandchildren. in /
payocpoc sur, bauang, la
union.
 United Church of Christ in the Philippines
Widdoes St., Brgy. II, City of San
Fernando, La Union 2500 Philippines

Mother Living with her mother and Extended Lovable, kind,

children in Payocpoc Sur, and responsible
Bauang, La Union
Eldest child Living with his mother and Extended Lazy, playful
grandmother together with and selfish
his 2 sister in Payocpoc
Sur, bauang, La Union
Middle child Living with her Extended Kind, lazy, and
grandmother, mother and 2 strict
siblings in Payocpoc Sur,
Bauang, La Union.
Youngest Living with her Extended Disrespectful,
grandmother, mother and 2 spoiled, and
siblings in Payocpoc Sur, responsible
Bauang, La Union.

B. Socio-economic and cultural characteristics

Income and Expenses
Member of Occupation Place of Income of each Adequate to Who
the household work working met the comes
member basic decision
necessities about
money
Grandmother N/A N/A N/A YES /
Mother Rice Seller Bauang, 2,000/WEEK YES /
La Union
Eldest child Government Bauang, 10,000/MONTH YES
employee La Union
Middle child Student N/A N/A YES
Youngest Student N/A N/A YES
 United Church of Christ in the Philippines
Widdoes St., Brgy. II, City of San
Fernando, La Union 2500 Philippines

C. House and Environment

They owned the land where the house was located on which was given to grandmother
from her parents. Their house is made of concrete materials which make the house strong, and was
built by their grandfather. The house is a combination of house and store which is divided into five
areas: a kitchen, dining area, living room, bathroom and a 2 room where 3 of them sleep in one
room while the 2 sleep on the other room. The family cooks inside the house, over a gas stove but
sometimes they cook outside, over charcoal fire. They have a tank for the water. The container of
water used for washing dishes was left uncovered, but their drinking water was on water dispenser
and covered. There were some boxes and plastic bags around the house because of what they
bought for their store, but the whole home was kept relative tidy. The toilet is a water sealed with
a septic tank, located to the house, and flushed by pouring water into it. And for their trash it was
segregated. For the healthcare they are near on the barangay health cente

D. Health Status of Each Family Member

1. Medical nursing history including or past significant illnesses or beliefs and practices
conductive to health and illness,
Member of the Family Medical and nursing history
Grandmother Arthritis, Hypertension and history of
operation on gallbladder stone, and hernia
Mother High blood, heart disease and history of
operation on thyroid vectomy and ligation
Eldest child Asthma
Middle child Cough and cold
Youngest History of Urinary tract Infection

2. Nutritional Assessment (especially vulnerable or at risk members)

ANTHROPOMETRIC MEASUREMENT DATA
Member of Weight Height Mid-Upper BMI Waist Waist-
the Arm Circumference Hip
Household circumference Ratio
(CM)
Grandmother 69kg 4’9 No available 27.02 No available No
data data available
data
 United Church of Christ in the Philippines
Widdoes St., Brgy. II, City of San
Fernando, La Union 2500 Philippines

Mother 85kg 4,9 No available 38.28 No available No

data data available
data
Eldest child 60kg 5’5 No available 24.97 No available No
data data available
data
Middle child 55kg 5’1 No available 24.12 No available No
data data available
data
Youngest 55kg 4’7 No available 25.45 No available No
data data available
data

3. Dietary History of Eating Habits/ Practices

Member of the Dietary history/No. of Eating/feeding habits/practices
Household meals a day
Grandmother 3x a day Always vegetables, sometimes
meat and fish, fruits
Mother 3x a day Always vegetables, sometimes
meat and fish, fruits
Eldest child 3x a day Always vegetables, sometimes
meat and fish, fruits
Middle child 3x a day Always vegetables, sometimes
meat and fish, fruits
Youngest 3x a day Always vegetables, sometimes
meat and fish, fruits

4. Risk factor assessment

Member of the Household Risk Factor Assessment
Grandmother Cough and cold and hypertension
Mother Hypertension and heart disease
Eldest child Asthma
Middle child None
Youngest None

5. Physical Assessment
- No Available Data
6. Results of laboratory/ diagnostic presence of illness
- No available Data
 United Church of Christ in the Philippines
Widdoes St., Brgy. II, City of San
Fernando, La Union 2500 Philippines

E. Vales, Habits, Practices on Health Promotion, Maintenance, Risk Factor

Assessment and Disease Prevention

Member of the Household Immunization of family Healthy lifestyle practices

members
Grandmother Complete + COVID 19 Eating fresh vegetables from
Vaccine and anti-flu vaccine farm
Mother Complete + COVID 19 Eating fresh vegetables from
farm
Vaccine and anti-flu vaccine
Eldest child Complete + COVID 19 Eating fresh vegetables from
farm
Vaccine
Middle child Complete + COVID 19 Eating fresh vegetables from
farm
Vaccine and anti-flu vaccine
Youngest Complete + COVID 19 Eating fresh vegetables from
farm
Vaccine

3. Adequacy of:

Member of the Rest and Sleep Exercise/Activities Use of Relaxation and

Household protective other stress
measure management
activities
Grandmother 6-8 hours Walking Using facemask Watching
when having television and
cough and cold family bonding
and going out
Mother 4-8 hours Walking and Using slip- Sleeping and
Zumba at home resistance watching dramas
slipper and face through phone
mask when at
work
Eldest child 6-8 hours Walking and Using helmet Playing basketball
basketball when driving and playing
and using mobile games
facemask at
work

Middle child 4-8 hours
Youngest 6-8 hours
4. Use of promotive-preventive health services
Member of the Household
Grandmother
Mother
Eldest child
Middle child
Youngest
FIRST LEVEL ASSESSMENT
Cues
Subjective:
“ Basta no agabali ti panawen
isu met ti kanayon nga
aguyek ti tao. Ditoy kinya
tsyo uso ti managuyek isu
agina hawa tayo amin ditoy.
Maysa pay keta wan masyado
ti ammok no kasatno maikkat
atoy nga uyek isu Maminsan
ket agpagatang ak ti lemon no
haan ket calamansi isu ti
aramideak nga agas ko. “ as
verbalized by the patient.
Objective :
As I observed every seconds
the client will cough hard
with a sputum.
United Church of Christ in the Philippines
Widdoes St., Brgy. II, City of San
Fernando, La Union 2500 Philippines
Walking and work Using facemask Sleeping and
out at school and scrolling on phone
going out
Walking Using facemask Sleeping and
at school and watching videos
going out on the phone
Use of promotive-preventive health
services
None
None
None
None
None
Firs level Assesment Family Nursing Problem
Presence of cough and cold I. Lack of immunization
/inadequate
immunization status
specially to children.
1) Inability to make
decision with respect
to taking appropriate
health action due to:
a. Low salience of the
problem/ condition.
b. Failure to comprehend
the nature or scope of
problem.
2) Inability to provide
environment which is
conducive to health
maintenance and
 United Church of Christ in the Philippines
Widdoes St., Brgy. II, City of San
Fernando, La Union 2500 Philippines

personal development
due to:
a. Inadequate awareness
of preventative
measures.

Cues Firs level Assesment Family Nursing Problem

Subjective: Presence of symptoms for II. Illness states, regardless
“ kananayon nga agsakit atoy arthritis of whether it is
saka’k isu no maminsan diagnosed or
agpaala ak ti gaigay herbal undiagnosed by medical
plants isu aramidek nga agas practitioner.
na, isu ti itapal tapak ko inti 1) Inability to recognize
sakak.” As verbalized by the the presence of the
patient. condition/problem
Objective: due to :
- Stiftness in the a. Lack of knowledge on
morning the condition/disease.
- Aching in movement 2) Inability to provide
- Joint pain in the knee home environment
which is conducive
to health
maintenance and
personal
development due to
a. Inadequate family
resources

PRIORITIED HEALTH PROBLEMS Score

Cough and Cold 4.17
Arthritis 4.17
 United Church of Christ in the Philippines
Widdoes St., Brgy. II, City of San
Fernando, La Union 2500 Philippines

Cough and Cold

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
Nature of the 2/3x1 0.67 This problem is
problem health threat
Modifiability of the 2/2x2 2 The condition is
problem easily modifiable
because the
intervention is
available
Preventive potential 3/3x1 1 The possibility cause
of complications are
preventive
Salience of the 1/2x1 0.5 The family knows the
problem problem, but can’t
provide immediate
action because of
money.
Total 4.17

Arthritis
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
Nature of the 3/3x1 1 This problem is
problem health deficit
Modifiability of the 2/2x2 2 The condition is
problem easily modifiable
because the
intervention is
available
Preventive potential 2/3x1 0.67
Salience of the 1/2x1 0.5 The family knows the
problem problem, but can’t
provide immediate
action because of
money.
Total 4.17
 United Church of Christ in the Philippines
Widdoes St., Brgy. II, City of San
Fernando, La Union 2500 Philippines

Health Family Nursing Goal of Care Objective of Care Nursing Method of Resources
Problem Problem Interventions nursing required
family
contact

Health Inability to After the After the 1. Establish Home Maternal

Deficit make decision nursing nursing rapport Visit resources:
Cough with respect to intervention intervention the 2. Talk to the Visual aids
and taking the family patient will: family
Cold appropriate will be able about the Human
health action to cure the a. Getting the potential Resources:
due to colds and right origins of Time and
a. Low cough and medical the illness. effort of the
salience of stop the care, taking 3. Explain nurse and
the condition precautions, the value of cooperation of
problem/ from and healthy the family.
condition. returning in knowing eating,
b. Failure to the future. enough exercise, Financial
comprehend about the rest, and resources:
the nature disease, its sleep in Transportation
or scope of symptoms, building of the nurse.
problem. and one's
indicators. resistance
Inability to b. Learn how to sickness
provide to prevent and
environment contagious preventing
which is illnesses the onset of
conducive to from coughs and
health spreading colds.
maintenance and to other 4. Give
personal family examples
development members. of ways to
due to avoid the
a. Inadequate condition,
awareness of for as by
preventative taking
measures. vitamins.
 United Church of Christ in the Philippines
Widdoes St., Brgy. II, City of San
Fernando, La Union 2500 Philippines

Health Family Nursing Goal of Care Objective of Care Nursing Method of Resources
Problem Problem Interventions nursing required
family contact
Health Inability to After the After the nursing 1. Establish Home Visit Maternal
Deficit recognize the nursing intervention the rapport resources:
Arthritis presence of the intervention patient will: 2. Talk to Visual aids
condition/proble the family a. Able to the
m due to will be able: identify family Human
a. Lack of - To take and about the Resources:
knowledge the demonstr potential Time and
on the required ate origins of effort of the
condition/di steps to interventi the nurse and
sease. manage, ons to illness. cooperation of
Inability to reduce, relieve 3. In a chair the family.
provide home and pain. or on a
environment control bed, Financial
which is arthritic recomme resources:
conducive to risk nd the Transportatio
health factors. patient n of the nurse.
maintenance and - To choose a
personal understa comforta
development due nd the ble
to curative position.
b. Inadequate measure if
family s of the necessary
resources. disease. ,
encourag
e bed
rest.
4. Advice
the
patient to
provide
gentle
massage.
United Church of Christ in the Philippines
Widdoes St., Brgy. II, City of San
Fernando, La Union 2500 Philippines

5. Give
examples
of ways
to avoid
the
condition
, for as by
taking
vitamins