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D. Health Status of Each Member
Nutritional Assessment
Remarks:
Name Sex AGE HT
(m)
T
(kg)
BM REMARK DOM REMARK
1. Arnel Globio M 38 1.57 62 25 Obese 122% Obese
2. Cristina
Globio
F 35 1.44 58 28 Obese 134% Obese
3. Arlene
Globio
F 17 1.55 48 20 Healthy
eight
104% Nornal
4. Ajen Globio F 16 1.42 36 17 Underweight 80% 1
st
Degree
5. Arnel Globio
Jr.
M 15 1.55 37 15 Underweight 82% 1
st
Degree
6. Analyn
Globio
F 12 1.25 21 13 Underweight 50% 3
rd
Degree
7. Aceste
Globio
F 10 1.16 18 13 Underweight 44% 3
rd
Degree
8. Jolo Globio M 7 1.02 13 34% 3
rd
Degree
9. Amayalyn
Globio
F 4 0.87 10 28% 3
rd
Degree
BM DOM
< 18.5 = Underweight
18.6-22.9 = Healthy weight
>23.0 = Overweight
23.0-24.9 = At risk
25.0=29.9 = Obese
>30.0 = Obese
110% above = Obese
90-109% = Normal
75-89% = 1
st
Degree
60-75% = 2
nd
Degree
60% below = 3
rd
Degree
Classification BM aist Circumference
Men < 90
omen <80
>90
>80
Underweight <18.5 Low but increased
risk for other clinical
problems
Average
Normal 18.6-22.9 Average ncreased
Overweight:
At Risk
Obese
Obese
>23
23.0-24.9
25.0-29.9
>30.0
ncreased
Moderate
Severe
Moderate
Severe
Very Severe
Computation:
BM DOM
BM = eight in Kg
Height in m
2
DOM = Actual Body eight
deal Body eight
For B:
- Adult male, allow 106lbs for 5ft. add 6lbs for
each additional inch taller; below 5ft, subtract
6lbs.
- Adult female, allow 100lbs for 5ft. add 5lbs
for each additional inch taller; below 5ft,
subtract 5lbs.
- f age is < 1y/o: eight in kg + 3
- f age is >1y/o: eight in kg X 2 + 8
Computation for BM:
Arnel: 62kg / 1.57m
2
= 25
Cristina: 58kg / 1.44m
2
= 28
Arlene: 48kg / 1.55m
2
= 20
Ajen: 36kg / 1.42m
2
= 19
Arnel Jr.: 37kg / 1.55m
2
= 15
Analyn: 21kg / 1.25m
2
= 13
Aceste: 18kg / 1.16m
2
= 13
Computation for DOM:
Arnel: 137lbs / 112 x 100 = 122%
Cristina: 127lbs / 95 x 100 = 134%
Arlene: 48kg x 2 + 8 = 104%
Ajen: 36kg x 2 + 8 = 80%
Arnel Jr.: 37kg x 2 + 8 = 82%
Analyn: 21kg x 2 + 8 = 50%
Aceste: 18kg x 2 + 8 = 44%
Jolo: 13kg x 2 + 8 = 34%
Amayalyn: 10kg x 2 + 8 = 28%
hen we computed the BM of the family members, it resulted that the
father, Arnel Globio and the mother Cristina Globio is both Obese with their BM
of 25 and 28 respectively. As for their children, Arlene's BM of 20 is normal, but
Ajen, Arnel Jr., Analyn and Aceste has a result of 17, 15, 13, and 13,
respectively which is not normal and are all underweight. For Jolo and Amayalyn
the computation of BM is not applicable to both of them because they should be
8 y/o and above.
For the degree of malnutrition of the family, Arnel got 122%, classifying
him as obese, while the mother got 134% which also means that she is also
classified as obese. Arlene who got 104% is normal, Ajen with 80% and Arnel Jr.
with 82% is both classified as 1
st
Degree while the rest, Analyn with 50%, Aceste
with 44%, Jolo with 34% and Amayalyn with 28% are all classified as 3
rd
Degree
malnourishment. The mother said that she do not work, and stays at home which
is an additional factor for her to gain weight and be classified as an obese.
Almost all of their children are malnourished due to lack of nutrition that they get
in what they eat. They don't eat enough and sometimes they only eat twice a day
because of financial difficulty. As verbalized by Cristina, "Kadalasan kasi, puro
isda at gulay lang ulam namin. Pinagkakasya pa. Even if the mother said that
they eat vegetables and fish which contain a lot of nutrients, the amount of food
that they eat is still not sufficient for each of them. Fortunately, at present there
is no presence of any illness in the family.
Present Health History of the Family:
As verbalized by Cristina, "Dati na talaga akong mataba simula nung
pagkabata ko, mahilig kasi akong kumain ng kumain ng matatamis dati kaya
siguro tumaba ako ng ganito. Cristina is at high risk of acquiring diabetes due to
her lifestyle before. As stated by Cristina, "Ang asawa ko naman mahilig
magkakain ng matatabang pagkain tsaka yung mga mamantika kaya tumaba.
Arnel is at high risk of acquiring cardiovascular related diseases because of his
standard of living before. As Cristina verbalized, "Yung mga anak ko naman hindi
mahilig magkakain lalo na kapag gulay ang niluluto ko, madalas pa namang
gulay o isda lang ang ulam namin dahil mahal yung mga karne, minsan mas
gusto pang maglaro sa labas kaysa kumain, buti nga yang si Arlene hindi
gaanong mapili sa pagkain kaya medyo normal kumpara sa mga kapatid niya
As stated above, the children is at risk for malnutrition due to inadequate
nutrients needed by their body.
At present, the family is in a healthy stage and the family is not suffering
from any illnesses. As verbalized by Cristina, "sa ngayon, wala naman
nagkakasakit sa aming pamilya, buti nga yun e, walang gastos.
But, Arnel Jr who is 15 years old is inability to speak. t was detected when
the mother decided to have a check up at health center for Arnel Jr when he was
4 years old because at this age, he still cannot speak. t was diagnosed that he is
mute. He was provided medications since then, but Cristina decided to stop
those medications when he was 10 years old due to lack of money and
inadequate knowledge given by the health center. At present, Arnel Jr is in a
healthy stage and can interact with others through sign languages.
E. Values, Habits, Practice on Health Promotion, Maintenance and Disease
Prevention
mmunization of each family member:
**nc ncomplete mmunization; / - Complete mmunization
Jolo and Amayalyn only received BCG and Measles vaccination and is
incomplete in DPT, OPV, and Hepa vaccines. As the Cristina verbalized "yung sa
tigdas at tb lang, hindi ko na kasi sila naibalik sa Health Center para pa-
bakunahan nung iba pa at tsaka wala na rin kaming pera para mapabakunahan
sila. At this situation, the 2 children are at high risk to acquire diphtheria,
pertussis, tetanus, polio and hepatitis due to lack of vaccines.
The rest of the family had their immunizations before. They had the
complete vaccines and this can provide lower risk for acquiring tuberculosis,
measles, diphtheria, pertussis, tetanus, polio and hepatitis.
For the family's lifestyle the father of the family is an alcohol drinker and
consumes 4 beers in a month that he drinks. All of the family members has an
adequate sleeping pattern as the mother verbalized "maaga kaming natutulog,
mga 9 pa lang natutulog na kami. All of them are also exercising as they divide
and share the household chores. f one of them is sick they only do self
medications as the mother verbalized "hindi kami pumupunta sa doctor.
Ginagamot naming sarili naming hanggat kayang gamutin. Their food
preference are most likely dry fish (like tuyo, daing) and vegetables (talbos ng
Name Age BCG MEASLES DPT OPV HEPA
1. Arnel Globio 38 / / / / /
2. Cristina
Globio
35 / / / / /
3. Arlene
Globio
17 / / / / /
4. Ajen Globio 16 / / / / /
5. Arnel Globio
Jr.
15 / / / / /
6. Analyn
Globio
12 / / / / /
7. Aceste
Globio
10 / / / / /
8. Jolo Globio 7 / / nc nc nc
9. Amayalyn
Globio
4 / / nc nc nc
kamote). They also prefer eating "saging na saba. As the mother verbalized,
"Kadalasan kasi, puro isda lang ulam namin. Pinagkakasya pa.
F. First Level Assessment
Cues/Data Nursing Problem
Presence of Breeding Site for nsects (e.g.
Mosquitoes, Flies)
Subjective:
"Talagang maraming lamok dito kasi
malapit sa canal at tirahan ng mga hayop.
Objective:
Presence of mosquitoes and flies
Nursing Threat
Malnutrition
Subjective:
"Kadalasan kasi, puro isda lang ulam
namin. Pinagkakasya pa.
Objective:
Amayalyn: 10kg x 2 + 8 = 28%
Health Deficit
nadequate Living Space
Subjective:
"Maliit ang bahay namin, pag natutulog
kami, siksikan talaga.
Objective:
TFA:
2.9m X 5m = 14.5sq.m
TSR:
(A) 3 X 2 = 6sq.m
(B) 1.5 X 7 = 10.5sq.m
14.5sq.m < 16.5sq.m = nadequate
living space
Health Threat
Unsafe Drinking ater
Subjective:
"Yung iniinom naming tubig ay galing
lang sa gripo. niipon namin sa lalagyanan
tas lalagyan ng takip.
Objective:
They are getting water directly from the
faucet.
Health Threat
Family Size Beyond hat Family
Resources Can Adequately Provide
Subjective:
"Hindi na nakapag-aral yun dalawa kong
anak dahil sa kulang ang kita ni Arnel.
Objective:
Ajen and Aceste are not studying.
Health Threat
Second Level Assessment
Cues/Data Typology
Presence of Breeding Site for nsects (e.g.
Mosquitoes, Flies)
Subjective:
"Talagang maraming lamok dito kasi malapit
sa canal at tirahan ng mga hayop.
Objective:
Presence of mosquitoes and flies
O nability to a home
environment conducive to
health maintenance and
personal development due
to lack of knowledge of
preventive measures.
Malnutrition
Subjective:
"Kadalasan kasi, puro isda lang ulam namin.
Pinagkakasya pa.
Objective:
Amayalyn: 10kg x 2 + 8 = 28%
= 3
rd
Degree Malnutrition
O nability to recognize the
presence of the condition
due to economic cost
implications.
nadequate Living Space
Subjective:
"Maliit ang bahay namin, pag natutulog
kami, siksikan talaga.
Objective:
TFA:
2.9m X 5m = 14.5sq.m
TSR:
(C) 3 X 2 = 6sq.m
(D) 1.5 X 7 = 10.5sq.m
14.5sq.m < 16.5sq.m = nadequate living
space
O nability to a home
environment conducive to
health maintenance and
personal development due
to inadequate family
resources, specifically,
limited financial resources.
Unsafe Drinking ater
Subjective:
"Yung iniinom naming tubig ay galing lang
sa gripo. niipon namin sa lalagyanan tas
lalagyan ng takip.
Objective:
They are getting water directly from the
faucet.
O nability to a home
environment conducive to
health maintenance and
personal development due
to lack of knowledge of
preventive measures.
Family Size Beyond hat Family Resources
Can Adequately Provide
Subjective:
"Hindi na nakapag-aral yun dalawa kong
anak dahil sa kulang ang kita ni Arnel.
Objective:
Ajen and Aceste are not studying.
O nability to a home
environment conducive to
health maintenance and
personal development due
to inadequate family
resources, specifically,
limited financial resources.
G. Scaling and Ranking
1. Presence of Breeding Sites for nsects (e.g. Mosquitoes, Flies)
Criteria Computation Actual Score Justification
Nature of the Problem 2/3 x 1 0.67 t is a health threat.
Modifiability of the
Problem
1/2 x 1 1 The problem is partially
modifiable because the
environment can be changed
and cleaned to avoid the
presence of breeding sites.
Preventive Potential 1/3 x 1 0.33 The problem can be
prevented if the client can
change their environment.
Salience of the Problem 1/2 x 1 0.5 t is a felt problem
Subjective Data:
"Talagang maraming lamok
dito kasi malapit sa kanal at
tirahan ng mga hayop.
Total 2.5
2. Malnutrition
Criteria Computation Actual Score Justification
Nature of the Problem 3/3 x 1 1 t is a health deficit that
requires immediate
management to eliminate
untoward consequences.
Modifiability of the
Problem
x 2 1 The problem is partially
modifiable since the family
have the resources that can
improve their condition but
does not know how to extent
the condition.
Preventive Potential 2/3 x 1 0.67 Resistance to other diseases
and infections can be
prevented if malnutrition is
eliminated; normal growth
and development can thus
be achieved.
Salience of the Problem 2/2 x 1 1 t is a felt problem.
Subjective Data:
"Kadalasan kasi, puro isda
lang ulam namin.
Pinagkakasya pa.
Total 3.67
3. nadequate Living Space
Criteria Computation Actual Score Justification
Nature of the Problem 2/3 x 1 0.67 t is a health threat that does
not demand immediate
demand.
Modifiability of the
Problem
x 2 1 The problem is partially
modifiable since they do
have the knowledge but
doesn't have enough
financial income to solve the
problem.
Preventive Potential 3/3 x 1 1 ncreasing the living space
will reduce possibility of
transferability of
communicable disease (eg.
Cough)
Salience of the Problem 1/2 x 1 0.5 t is a felt problem.
Subjective Data:
"Maliit ang bahay namin, pag
natutulog kami, siksikan
talaga.
Total 3.17
4. Unsafe Drinking ater
Criteria Computation Actual Score Justification
Nature of the Problem 2/3 x 1 0.67 t is a health threat.
Modifiability of the
Problem
x 2 1 The drinking resources can
be partially modifiable
because the family lacks
resources.
Preventive Potential 2/3 x 1 0.67 Other infections or diseases
can be acquired not
prevented.
Salience of the Problem 2/2 x 1 1 t is a felt problem
Subjective Data:
"Yung iniinom naming tubig,
galing lang sa gripo. niipon
namin sa lalagyanan tas
lalagyan ng takip.
Total 3.34
5. Family Size Beyond hat Family Resources Can Adequately Provide
Criteria Computation Actual Score Justification
Nature of the Problem 2/3 x 1 0.67 t is a health threat.
Modifiability of the
Problem
1 x 2 1 The problem can be partially
modifiable since the client
knows some ways to prevent
the increasing size of the
family but not utilizing it.
Preventive Potential 1/3 x 1 0.33 The family is already big; it
would be hard for them to
compensate for scarcity.
Salience of the Problem 2/2 x 1 1 t is a felt problem
Subjective Data:
"Hindi na nakapag-aral yun
dalawang anak ko kasi
kulang yun pera namin.
Total 3
PROBLEMS RANKED ACCORDNG TO PRORTZATON:
RANK SCORE
1. Malnutrition 3.67
2. Unsafe drinking water 3.34
3. nadequate living space 3.17
4. Family Size Beyond hat
Family Resources Can
Adequately Provide
3.0
5. Presence of breeding sites 2.5
NURSE PATIENT TECHNIQUE ANALYSIS
"Magandang hapon
po Nanay!
Magandang hapon
din naman mga iha.
Acknowledging The patient gave
acknowledgment when
we greeted her
"magandang hapon
"Hello po. Ako nga
po pala si Sugar at
si Khatrina naman
po ang kasama ko,
mga student nurses
po kami mula sa
Metropolitan Medical
Center College of
Arts, Science and
Technology
Hi mga iha, tuloy
kayo sa munting
tahanan naming.
Pasensya na at
medyo magulo ha.
Acknowledging The patient was able to
acknowledge us in an
indirect manner through
her non-verbal actions.
"Nay, maari po ba
kami mag-interview
sa inyo?
Sige, ayos lang. Close-ended
Question
The nurse only asked a
specific question
answerable by a simple
answer.
"Ano po and iyong
pangalan, Nay?
Ako si Cristina
Globio.
Close-ended
Question
The nurse asked a
specific question
answerable by a simple
answer.
"lang taon na po
kayo? May asawa
po ba kayo?
35 ako. Oo, meron
akong asawa, si
Arnel Globio pero
nasa trabaho siya
ngayon, sa Pasig,
edad 38 naman siya.
sa siyang welder.
Open-ended
Question
The nurse asked the
patient about her
husband then the patient
already described Mang
Arnel's place of work and
kind of work, and age.
"May mga anak po
ba kayo?
Meron, pito sila. 5
babae at 2 lalaki.
Open-ended
Question
Though this may be a
close-ended question, the
patient answered the
nurse with giving
information about how
many her children are.
"Sinu-sino po sila? Si Arlene ang
panganay edad 17;
Ajen-16; Arnel Jr.-15;
Analyn-12; Aceste-
10; Jolo-7 at si
Amayalyn na bunso
4.
Close-ended
Question
The nurse asked the
patient's children in a
simple question.
"May nag-asawa na
po ba sa kanila? O
may anak n po b
sila?
ala naman sa awa
ng Diyos.
Close-ended
Question
The nurse directly asked
the patient's children
status.
"Ano pong relihiyon
niyo? Katoliko po
ba?
"Saan po kayo
lumaki? Sa Maynila
po ba?
Oo.
Oo.
Close-ended
Question
Close-ended
Question
The nurse's question is
answerable by yes or no.
The nurse's question is
answerable by yes or no.
"May trabaho po ba
kayo? Eh yun mga
ala, nagaalaga
lang ako sa mga
Close-ended
Question
The nurse's question is
answerable by yes or no.
anak niyo? anak ko.
"Nakapag-aral po ba
kayo?
Grade 5 lang
natapos ko pero yun
asawa ko naka-abot
ng high school.
Etong mga anak ko
nakakapag-aral
naman hanggang
ngayon. Yun
panganay ko 4
th
yr
high school na, si
Arnel naman e hindi
nakakapag-aral dahil
pipi siya, si Analyn ay
1
st
yr high school, si
Jolo naman grade 4
at si bunso ay grade
1.
Open-ended
Question
Giving
nformation
Providing
General Leads
The nurse asked a
question that the patient's
answered clearly and
elaborated her answer
and gave factual
information. The patient
was able to verbalize
what she wants about the
topic.
"Nay, magkano po
ag kinikita ni Tatay
sa isang buwan?
Nasa 10,000 kada
buwan and kinikita
niya.
Close-ended
Question
The nurse asked the
patient directly about
husband's salary.
"Sa mga gastusin
niyo po dito sa
bahay,
napagkakasya niyo
po ba ito?
Oo, marunong
naman kaming
magtipid at sa
ngayon e wala
namang mga pasok
ang mga bata. Sa
isang buwan,
naglalaan kami ng:
P500-kuryente;
P4,000-pagkain;
P800-allowance ng
mga bata.
Providing
General Leads
The nurse used a
question that encouraged
the patient to verbalize
and elaborate the family's
monthly expenses.
"Nagrerenta po ba
kayo dito sa bahay?
Hindi naman
maituturing na sa
amin ito pero hindi rin
naman kami
nagbabayad.
Close-ended
Question
Giving
nformation
Though the nurse asked
a close-ended question,
the patient answered it by
elaborating it to give
information.
"Ano po ang
ginagamit niyong
tubig?
NAASA Colse-ended
Question
The patient was able to
answer the nurse directly.
"Saan niyo po
iniimbak ang inyong
tubig?
Ayun oh, sa isang
lalagyanan na may
takip, parang jug.
Close-ended
Question
The patient was able to
answer the nurse directly.
"Saan niyo naman
po nilalagay yung
pagkain o ulam
niyo?
Nasa ibabaw lang ng
lamesa pero may
takip naman.
Close-ended
Question
The patient directly
answered where.
"May kubeta po ba
kayo?
Oo, sa amin iyan. Close-ended
Question
The patient directly
answered the nurse.
"Yun mga basura
niyo po, saan niyo
po itinatambak?
Doon sa malayo,
doon namin
tinatapon
Close-ended
Question
The patient directly
answered the nurse.
"May mga alaga po
ba kayong hayop?
Oo, meron. Aso,
pusa, pato at
kalapati.
Close-ended
Question
Giving
The patient was able to
verbalize what animals
they take care of.
nformation
"May Health Center
po ba kayo na
malapit dito? Saan?
Oo, meron, doon sa
may Maligaya
Close-ended
Question
The patient answered the
nurse directly.
"May cellphone o
teleponopo ba kayo?
Anak ko lang ang
may cellphone.
Close-ended
Question
The patient directly
answered the nurse.
Pag buma-biyahe po
kayo, ano po ang
sinasakyan niyo?
Nagta-tricycle kami o
di kaya jeep.
Close-ended
Question
The patient answered the
nurse directly.
"Nay, meron po ba
kayong sakit? Yung
mga anak niyo po?
ala akong sakit na
nadadama. Ang mga
anak ko naman e
malulusog pero si
Arnel ay pipi.
Pinagamot namin
siya dati pero wala
din namang
pagbabago kaya
itinigil na namin yung
gamot niya nung 5
taon siya.
Open-ended
Question
Providing
General Leads
The nurse asked the
patient about their health.
The client was able to
explain what her son is
suffering.
"Nay, sa huling
limang taon,
hanggang sa
kasalukuyan,
namatayan na po ba
kayo?
Sa mabuting palad e
hindi naman.
Close-ended
Question
The nurse asked a
question answerable by
yes or no.
"Nay maari po ba
naming kunin ang
inyong timbang,
sukat ng inyong
tangkad at sukat ng
inyong beywang?
Oo naman. alang
problema.
Close-ended
Question
The nurse asked
permission about the
physical assessment to
do and the patient was
able to agree with the
assessment.
"Nay, sa mga anak
niyo po, nabigayan
po ba sila ng
immunizations tulad
ng BCG at measles.
Oo, BCG lang ang
nabigay kay Jolo at
Amayalyn. Hindi na
natuloy yun para sa
tigdas.
Close-ended
Question
The client was able to
answer it by yes or no.
"Kapag
nagkakasakit po ba
kayo, ano po
ginagawa niyo?
Hindi kami
pumupunta sa
doctor, ginagamot
lang naming ang
sarili namin hanggat
kaya.
Open-ended
Question
The nurse used an open-
ended question but the
patient was not able to
elaborate it clearly.
"Nay, meron po
kaming tanong na
medyo sensitibo po.
Ayos lang po ba?
Sige iha, ayos lang
naman.
Close-ended
Question
The nurse asked
permission to ask some
sensitive question and
the patient allowed us to
ask questions.
"Meron po bang
gumagamit o
gumamit ng drugs
sa inyo?
ala naman. Close-ended
Question
The patient directly
answered the nurse.
"May umiinom po ba
ng alak sa inyo?
Meron, yun asawa ko
nakaka-apat na beer
Close-ended
Question
The patient elaborated
and identified the
kapag nagiinom. Giving
nformation
member of the family who
drinks alcohol and gave
information on how many
beers her husband takes.
"Ano pong hilig
niyong pagkain?
Gulay, isda at karne. Close-ended
Question
The patient answered the
nurse directly.
"Ayan nay, tapos na
po ang pag-
interview. Babalik na
lang po kami ulit.
Salamat pos a oras
nay! Bye po. ngat
po.
alang anuman mga
iha't iho. ngat din
kayo. At salamat din.
Acknowledging The patient
acknowledges the
goodbye greetings of the
nurse's.