FAMILY VISIT

Department of community medicine

Prepared by:
Aayush Ghimire (18024)
Prakriti Dhakal (18020)
 FAMILY VISIT
• Name of the locality : Kalika chowk, Bharatpur-10

• District : Chitwan
 GENERAL
INFORMATIONS
 GENERAL INFORMATIONS
• House hold number: 4165
• Name of the head of the family: Uma Nath Dawadi
• Type of the family : nuclear family .
• Religion: Hindu
• Caste : Brahmin
• Family members: 2
• Respondent: Ram Maya Dawadi
 GENERAL INFORMATIONS
Name Relation Age/Sex Marital Literacy Occupation Addiction
with the status
head of
the family
Uma Nath Head of 62/M Married I.A. Retired None
Dawadi the family completed contractor
Ram Maya Wife 61/F Married Grade 8 Home None
Dawadi completed maker

Remarks
• Covid vaccine including booster doses received
• Head of the family is hypertensive since 15 years
• Family members not present: Son, daughter in law, grandson
 INCOME AND
EXPENDITURE
 INCOME AND EXPENDITURE
Source of income
• Remittance: Rs 50,000 per month
• House lease: Rs 18,000 per month

Per capital Income: Rs 34,000 per month

 INCOME AND EXPENDITURE
Monthly expenditure

House hold
• Food: Rs 25,000
• Fuel: Rs 3,000
• Clothing: Rs 8,000
• Medical: Rs 5,000

Social and religious functions: Rs 5,000

Education: none

Miscellaneous: Rs10,000
 INCOME AND EXPENDITURE

• Their income meets the expenditure

• No debts

• Savings: Rs 10,000 per month

(utilized in extra household activities and saved for medical purpose)
HOUSING
 HOUSING
• House : Pucca
• No. Of Rooms: 2
• Per capita space: 220 sq. feet
• Physical Crowding : absent
• Sex Crowding: absent
• Built up area (sq.ft) : 1100 sq feet
• Set back (sq.ft): 1816 sq feet
• Floor : pucca
• Roof :Cemented (Pucca)
• Height of ceiling: 10 feet
 HOUSING
• Ventilation : Adequate
• Cross ventilation : Absent.
• Lighting : Adequate
• Kitchen : Separate
• Smoke Out lets : Present
• Water Supply : Sources for Drinking: municipal water supply
For other purpose : municipal water supply
• Water treatment before drinking : Boiling
• Refuse disposal : Dumping
 HOUSING
• Excreta disposal :Sanitary latrine
• Live stock / poultry : absent.
• Drainage present around the house : YES
• If yes : Adequate
• Insects
Flies : Present
Mosquitoes : Present
Bugs : absent.
• Rodent: Absent
 DIET
SURVEY
Food stuff Item Quantity Calories Protein Vit-A Iron Vit-B Calcium Vit-C
(gm) (kcal) (μmg) (μmg) (μmg) (μmg) (μmg)
Cereals Rice 420 1449 28.56 0 2.94 9.24 42 0
wheat 70 238.7 8.47 20.3 3.43 2.94 33.6 0
Pulse Lentils 70 242.9 17.5 87.5 4.41 2.54 63 0

Milk products Milk 1000 750 35 1700 2 4 1700 10

Egg/Meat/Fish Fish 200 236 39 0 0 0 24 0

Oil and fats Oil 100 900 0 2000 0 0 0 0

Green leafy Mustard 250 85 10 6555 40.75 0.75 387.5 82.5

vegetables leaves

Root and tubers Potato 150 145.5 2.4 36 0.6 2.025 15 25.5

Fruits Banana 150 174 1.8 117 0.45 0.945 25.5 10.5

Total 4221.1 142.73 10515.8 54.58 22.44 2290.6 128.8

consumption
 DIET SURVEY
• Total consumption unit in the family: 1 + 0.8 = 1.8

• Protein consumption/unit/day: 79.29 gm (adequate)

• Calorie consumption/unit/day: 2345.05 kcal (adequate)

SOCIAL ASPECT OF
NUTRITION
 FOOD ADEQUACY
• Do you have cultivable land :No

• Facilities for food purchased : Shop in the community

• Quantity of food purchased (approx):

Rice / week: 3 kg Vegetable / week: 3 kg

Dal /week: 250gm Oil / week: 700ml
.
 COOKING METHOD

• Do you clean rice and dal after purchasing ?: Yes

• Do you wash rice and dal ? : Yes
• Yes , how many times : Twice
• How do you wash vegetables – Before cutting .
• How do you cut vegetables ? Medium
• How do you cook vegetables ? Fry with oil
 FOOD STORAGE

• Where do you store your food grains ? Kitchen

• What do you store it in? Plastic container

• Store of salt? Metal container

 FOOD SAFETY
• Do you keep the prepared foods covered ?: Yes

• Do you wash your hands before handing food ?: Yes

• Storage of cooked food : Safe

• Storage of uncooked food : Safe

 AVAILABILITY OF FOOD

• Cereals: Bought
• Pulses: Bought
• Vegetables: Bought
• Meat , Eggs: Bought
• Milk: Bought
• Is the milk available in adequate quantity : YES
(Milk is available for drinking to all members)
 EATING HABITS

• Frequency per day: 3

• Did you take some extra food during pregnancy / lactation ? YES
(more nutrition is required for the pregnant and lactating women)
 INFANT FEEDING AND WEANING
KNOWLEDGE
• How many hrs after delivery, breast feeding should be started? As soon
as possible(1st hour)
• Did you give colostrums ? Yes
• Do you know breastfeeding is important for child ? Yes
• Do you know about exclusive breastfeeding ? Yes
• How long did you continue breast feeding ? 2 years
• Frequency of breast before feeding? 8-10 times per day
• Do you clean your breast before feeding ? Yes
• Do you burp after each feed ? Yes
• Do you know about weaning ? Yes
• From which age weaning should be started ? 6 months
• What are the foods you consider suitable for weaning? Soft foods
( lito )
• Whether breast feeding should be continued along with weaning ? Yes
• If Yes, how long ? 2 years
• Frequency of weaning food? 1 time
• Do you know about the important of supplementary food ? Yes
 NUTRITION OF PREGNANT AND
LACTATING WOMEN

• Do you know the important of increased food intake during pregnancy and
lactation ? Yes
• What type of food do You Consider necessary? Nutritious food (Fruits, meat
soups)
• Do you know that increased food intake will give rise to bigger baby? Yes
• Do you think that big size of the baby will create problem in delivery? Yes
• Did you increase diet when became pregnant / after delivery ? Yes
• Do you have taboo for some food ?No
• Any particular social religious belives associated with eating practice? No
 KNOWLEDGE ATTITUDE &
PRACTICE TOWARDS HEALTH
 STUDY OF KNOWLEDGE ATTITUDE
& PRACTICE TOWARDS HEALTH

• Assessment of knowledge regarding causes of diseases.

• What do you think causes diseases? Not sure

 ATTITUTE TOWARDS HEALTH
• Do you consider health as a valued asset : YES

• Do you believe that most of the diseases are preventable? NOT SURE

• Do you believe that most of the disease are curable ? YES

• Do you think any intervention required for recovery from diseases ? YES
 HEALTH PRACTICES
Do you practice any preventive / promotive health care? No

PERSONAL HYGIENE

• Do you take bath every day? Yes

• Do you keep your nails clean ? Yes
• Do you wash your hands with soap and water before taking food / after coming
from toilet? Yes
• Do you brush your teeth every morning ? Yes
 HEALTH PRACTICES
IMMUNIZATION :

• Do you consider immunization is important for prevention of diseases?

Yes

• Do you know the important of complete immunization ? Yes

• Are you children completely immunized? Yes

 HEALTH PRACTICES
ENVIRONMENTALSANITATION:

• From where do you collect drinking water? Municipal tap

• Do you disinfect drinking water ? Yes

• Do you use sanitary latrine? Yes

• Where do you dispose off refuse? Yes (dumping)

 HEALTH PRACTICES
CARE DURING ILLNESSES :

DLARRHOEA :
• Do you with draw food and water during diarrhea ? Yes
• Do you give more water during diarrhea ? Yes

BRAST FEEDING / WEANING:

• Do you give colostrum? Yes
• When do you start weaning? 6 months
 HEALTH PRACTICES

• Where do you go for medical relief? Private hospitals

• Do you find any problem in seeking Medical Relief : No

• Attitude towards Govt. Health services : No

• Have you ever met the local health worker : No.

SOCIOCLINICAL
CASE
PRESENTATION
• Name :Uma nathDawadi
• Age : 62
• Sex : Male
• Locality : Urban
• District : Chitwan
• Zone : Bagmati
• Name of the Head of the Family : Uma Nath Dawadi
• Religion : Hindu
• Type of the Family : Nuclear
• Caste : Brahmin
Economic aspect of the family
i) Total income of the family : 60000 – 70000
ii) Per capita income of the family : 30,000 - 35,000
iii)Expenditure per month :
a. Food : 20,000 – 25,000
b. Clothing : 7000 – 8000
c. Education : None
d. Housing : None
e. Medical care : 3000 – 4000
iv) Amount of debt : None
Dietary habit of the family : Non–vegetarian

Environmental Sanitation
a. Housing : Pukka house
b. Refuse disposal : Municipality vehicle
c. Water supply: Municipality supply
d. Drainage : Adequate
e. Excreta disposal : Sanitary latrine
f. Livestock & poultry: None
Chief complaints
No any chief complains

History of Present illness

according to the patient he was diagnosed with chronic hypertension
15 years back while doing regular health check up incidentally. Now he is
under medication for hypertension for last 15 years. He was also recently
diagnosed with Cholelithiasis during his regular health checkup which was
confirmed via USG and is planning to undergo surgery.
History of past illness

a. Illness in the childhood: None

b. Other illness : Recently diagnosed with cholelithiasis

c. Chronic Illness : Hypertension

d. Treatment availed: Drugs ( Amlodipine 5mg and Losartan 50mg)

Personal History :
a) Smoking : Smoker for past 35 years
Pack years = (35*15)/20 = 26.25 pack years
b)Alcohol Consumption : 180 ml Vodka per day
No of units = (180*42)/1000 = 7.56 units
c) Bowel and bladder frequency are normal
d) Appetite is normal
e) Sleep is normal
f) Diet is mixed
General Examination

BP – 130/80 mm Hg

Pulse- 86/minute

RR – 18 times/minute

PILCCOD – Nil
Final impression
Chronic hypertensive and under medication

Possible Risk factors

- Past smoker and alcoholic
- high salt intake( 40gm per day)
- sedentary lifestyle