Republic of the Philippines

Department of Education
Region IV-A (CALABARZON)
City Schools Division of Dasmariñas
CONGRESSIONAL NATIONAL HIGH SCHOOL
Via Verde Village, San Agustin II, City of Dasmariñas, Cavite
 (046) 973-2534

Senior High School

Family Health Assessment: The Case of Family A

A Capstone Project
Presented to
The Faculty of the Senior High School
Congressional Integrated High School
City of Dasmariñas, Cavite

In Partial Fulfillment
Of the requirements for Graduation

Jabonero, Kadymars
Secretario, Simon Timothy

February 2018
 Problems, Etiology, Signs and Symptoms (PESS)
Health Problems of Family A

The House Assessment and Gordon’s health Assessment of the family that lives
in Via Verde Village was used to determine their different health problems and it’s
etiology and symptoms. From these twenty different problems, we derived top health
problems with the help of the following criteria: Nature of the Problem, Modifiability of
the Problem, Preventive Potential of the Problem and Salience of the Problem.

1. Ability to utilize community resources for health care with relate to adequate
knowledge of community resources for health care in taking vitamins as manifested by
“Nanghihingi lang kami ng supply sa center tas yung binigay na vitamins nila yung
iinumin namin” The Family A is currently taking vitamins daily when supplied by the
barangay. Presence of vitamins and food supplements.

Actual
Criteria Computation Justification
Score

1. Nature of the Taking Vitamins promotes health

(3)1 3
Problem improvement.

2. Modifiability of
(2)2 4 Supply of Vitamins is free and available.
the Problem

3. Preventive
Potential (1)1 1 Vitamins intake must not be prevented.

4. Salience of the It does not need any attention since it is a

(20)1 0
Problem good practice.

Total Score: 8

2. Inability to provide adequate nursing care to the at-risk member of the family with
relate to inadequate family resources for care, specifically financial constraints on
congenital heart disease as manifested by “Kailangan mo bantayan pag nilalagnat kasi
bigla mangi- ngitim at minsan kinokombulsyon, lahat ng bawal nakakain na rin niya,
wala siyang ibang makakain eh” The Family A consist of a family member with this
disease that causes disruption in her health and is evident in his darkened nails and
pale skin. There is a presence of stock of instant noodles.
 Actual
Criteria Computation Justification
Score
The problem of having a family member
1. Nature of the
(3)1 3 who has congenital heart disease is
Problem
perceived as a health deficit.

2. Modifiability of It notates partial modifiability because the

(1)2 2
the Problem effects of it can be lessen or treated.

3. Preventive It has low preventive potential since this

Potential (1)1 1 disease cannot be eradicated from
occurring.

4. Salience of the This needs an immediate attention since

(2)1 2
Problem the effects may be fatal.

Total Score: 8

3. Breastfeeding as ability to provide adequate nursing care to the dependent member

of the family with relate to inadequate family resources for care specifically financial
constraints as manifested by “Matibay resistensya ng batang ito eh. Baka kasi
nagbrebreastfeed, wala kasing bayad pagbrebreastfeed eh, wala kasi kami pambili ng
gatas” The Family A is currently practicing breastfeeding in their youngest family
member to save money.

Actual
Criteria Computation Justification
Score
Breastfeeding improves the health of the
1. Nature of the baby.
(3)1 3
Problem

It has a high modifiability since its

2. Modifiability of
(2)2 4 continuous practice is evident.
the Problem

Breastfeeding is a good practice and

3. Preventive
must not be prevented since its good for
Potential (1)1 1
their health as well as their finances.

It is not perceived as a problem but

4. Salience of the
(0)1 0 perhaps a practice of good health
Problem

Total Score: 8
4. Inability to provide a home environment conducive to health maintenance and
personal development with relate to lack of inadequate knowledge of importance of
hygiene and sanitation in terms of water supply as manifested by “Diyan na kami
naghuhugas ng plato, nababa naman yung dumi sa ilalim kaya pwede pa panghugas
hugas” The Family A have pails with stagnant polluted water that serves as a water for
cleaning plates.

Actual
Criteria Computation Justification
Score
Having an unsanitary water supply water
1. Nature of the
(2)1 2 is a threat to family’s health.
Problem

Easily modifiable since waters in their

2. Modifiability of
(2)2 4 pails can be renewed and replaced with
the Problem
clean water to store.

3. Preventive
It has high preventive potential for its
Potential (3)1 3
effects can be prevented easily.

It needs immediate attention for this

4. Salience of the
(2)1 2 unsanitary water supplies are their
Problem
medium in cleaning plates, etc.
Total Score: 11

5. Inability to provide a home environment conducive to health maintenance and

personal development with relate to inadequate family resources, specifically financial
constraints/limited financial resources such as unsanitary drinking water as manifested
by “Yung tubig dun sa gripo na yun yung pinapanghugas hugas naming tsaka
pinangiinom, kasi mahal pag bibili pa tsaka ayaw nila lasa ng purified” The Family A’s
current source of drinking water is a faucet located in a lot outside their house instead of
purchasing purified water.

Actual
Criteria Computation Justification
Score
1. Nature of the Unsanitary drinking water is a health
(2)1 2
Problem threat to family’s health.
Unsanitary drinking water is easily
2. Modifiability of modifiable since practices of purifying
(2)2 4
the Problem water can be taught ad water stations
are available.
 Preventive Potential is high since only
3. Preventive one source of water is needed to fix
Potential (3)1 3 and resolutions that can be done are
many

The problem needs immediate

attention since all family members
4. Salience of the
(2)1 2 drink water obtained directly from a
Problem
faucet.

Total Score: 11

6. Inability to provide a home environment conducive to health maintenance and

personal development with relate to lack of/inadequate knowledge of importance of
hygiene and sanitation on drying clothes as manifested by “Wala, magtatali tali lang
kami jan tas sasampay na namin jan” The Family A have their clothes dried in a place
exposed to unsanitary dusts and garbages.

Actual
Criteria Computation Justification
Score

1. Nature of the Unsanitary Drying of clothes is a threat to

(2)1 2
Problem family’s health.

It is a partially modifiable since they can

2. Modifiability of
(1)2 2 dry clothes inside their house, but their
the Problem
house lacks in available of space.
It has high preventive potential since they
3. Preventive
have a neighbor close to them to dry their
Potential (3)1 3
clothes and they can also just clean their
drying place.
It does not need an immediate attention
4. Salience of the
(1)1 1 since the problem cannot lead to
Problem
immediate health problems.
Total Score: 8

7. Inability to provide a home environment conducive to health maintenance and

personal development with relate to lack of/inadequate knowledge of importance of
hygiene and sanitation as manifested by “Madumi talaga dito, dati kasi itong ano eh,
dating tapunan ng basura. May creek nga sa likod namin eh. Kaya parang tambakan ng
basura. Di naman kami mapapano diyan” The Family A has a lot full of garbage and
wastes and was once a dumping place of the community.
 Actual
Criteria Computation Justification
Score

1. Nature of the Unsanitary surroundings is a threat to

(2)1 2
Problem family’s health.

It has an easy modifiability since regular

2. Modifiability of
(2)2 4 cleaning and sanitation can solve this
the Problem
health threat.

3. Preventive It can be prevented since this problem

Potential (3)1 3 can be eradicated by just promoting
cleanliness.

It does not need immediate attention

4. Salience of the
(1)1 1 since the family members seldom loiter
Problem
their lot
Total Score: 10

8. Inability to provide home environment conducive to health maintenance and personal

development with relate to Inadequate family resources such as having no bathrooms
as manifested by “Nakikiligo kami diyan sa kabilang bahay. Minsan kina Auntie.” The
bathroom of Family A located at the back of their house covered with plywood and
galvanized iron sheets.

Actual
Criteria Computation Justification
Score

1. Nature of the Sharing bathrooms is a threat to health

(2)1 2
Problem when done in a regular basis.

It is partially modifiable since they do not

2. Modifiability of
(1)2 2 have their own bathroom but can take a
the Problem
bath without sharing bathrooms.
It cannot be prevented completely for it
3. Preventive
has low preventive potential. The family
Potential (1)1 1
will always tend to share bathrooms
because they don’t have one.
It does not need an immediate attention
4. Salience of the
(1)1 1 for its effects are minimum but must not
Problem
be disregarded.
Total Score: 6
9. Failure to utilize community resources for health due to lack of or inadequate family
resources, specifically financial resources such as cost of medicine prescribed as
manifested by “May mga ubo’t sipon kami ngaun.Si joy lang matatag diba joy. Matibay
resistensya ng batang ito eh. Yung dalawa nako, sakitin” The Family A currently
experiencing an illness which is cough due to cold weather.

Actual
Criteria Computation Justification
Score

1. Nature of the Cough and colds that are frequent are

(3)1 3
Problem considered a health deficit.

It can be treated with medications but is

2. Modifiability of
(1)2 2 hard to eradicate due to bed environment
the Problem
condition.
It is partially moderate in preventive
3. Preventive
potential since their exposure to cough
Potential (2)1 2
and colds causing environment is
unavoidable or controlled.
It needs immediate attention since
4. Salience of the
(2)1 2 pneumonia or other serious health
Problem
problems may be present.
Total Score: 9

10. Inability to provide a home/ environment conducive to health maintenance and

personal development with relate to lack of skill in carrying out measures to improve
home environment and inadequate family resources specifically limited financial
resources as manifested by “Yang mga nasa babang yan (turo sa mga bahay sa baba)
madalas niyang kinakalkal mga gamit namin dito, kaya nag lagay kami ng aso dito sa
likod para mabantayan yung iba pa naming gamit na nandidito sa labas. Eh wala eh di
na kasya sa loob.” Their house is located near the slope of the river. There are also
houses below them.

Actual
Criteria Computation Justification
Score
Having a house which is prone to theft
1. Nature of the
(1)1 1 may lead to a crisis that may affect their
Problem
living.
The house can be locked at times but
2. Modifiability of
(1)2 2 cannot be totally safe because of low
the Problem
quality house materials.
3. Preventive It has low preventive potential because of
Potential (1)1 1 the house location which is near to
possible intruders and to a cliff.
This needs an immediate attention since
4. Salience of the
(2)1 2 the problem has many threats to occur
Problem
many times already.
Total Score: 6

11. Inability to recognize the presence of the condition or problem with relate to lack of
or inadequate knowledge in open pit privy type of toilet system as manifested by “Yang
CR namin diyan labasan lang yan ng dumi kasi walang tubig diyan. Butas lang meron
diyan pansalo ng mga dumi namin tapos pag napuno, itatapon diyan sa baba o kaya
maghuhukay diyan sa tabi tapos dun ibabaon.” The bathroom of Family A has a simple
hole and no water supply.

Actual
Criteria Computation Justification
Score
Open Pit Privy is a health threat since the
1. Nature of the
(2)1 2 illnesses could arise in this type of toilet
Problem
system.
The problem is partially modifiable since
2. Modifiability of sanitation in this type of toilet system can
(1)2 2
the Problem be practiced but not totally change the
toilet system.
3. Preventive Open pit privy has low preventive
Potential (1)1 1 potential since they cannot afford to have
a better toilet system.
This needs immediate attention since
4. Salience of the
(2)1 2 diseases can be created with this
Problem
unsanitary toilet system.
Total Score: 7

12. Inability to provide home environment conducive to health maintenance and

personal development and failure to see benefits of investment in home and
environment improvement with relate to stagnant contaminated water as manifested by
“Ayan nag-iigib kami diyan sa kabilang bahay o kaya kina Auntie. Iniimbak namin yan
sa malaking drum panghugas ng plato,panlaba at pang inom na rin“ The Family has no
water supply. They get the supply to their neighbors and to Ms. F’s Aunt.

Criteria Computation Actual Justification

 Score
1. Nature of the Stagnant Contaminated water is a
(2)1 2
Problem threat to family’s health.
It has easy modifiability since
2. Modifiability of
(2)2 4 contaminated water can be disposed
the Problem
and renewed.
It has high preventive potential since
3. Preventive
proper education of clean waters can
Potential (3)1 3
solve this along with the risks of insect
multiplication.
This needs an immediate attention
4. Salience of the
(2)1 2 since serious health problems may
Problem
occur.
Total Score: 11

13. Inability to provide a home/ environment conducive to health maintenance and

personal development with relate to lack of inadequate knowledge of preventive
measures and inadequate family resources specifically limited financial resources to
addressed accident hazards as manifested by “Matagal na kami dito. Kung ilang taon si
budeng yun yon. Mga sampung taon ganon. Dati diyan kami nakatira kina Auntie, diyan
sa kabilang bahay. Nung nagkaanak kami, bumukod kami para may privacy” The house
of Family A is a bungalow style of house. It is mainly made up of woods and galvanized
iron sheets. The mother usually cooks at the back of the house using wood and
charcoal.

Actual
Criteria Computation Justification
Score
Accident Hazards is a foreseeable crisis
1. Nature of the
(1)1 1 for it can lead to destruction of home and
Problem
scarcity of resources.
It is partially modifiable since old
2. Modifiability of
(1)2 2 materials can be replaced but not the
the Problem
whole itself due to lack of resources.
It has a moderate preventive potential
3. Preventive
since these are only hazards and not a
Potential (2)1 2
current problem but must not be
disregarded.
It needs immediate attention since
4. Salience of the
(2)1 2 disasters can come without further
Problem
notice.
Total Score: 7
14. Inability to make decisions with respect to taking appropriate health action with
relate to Inaccessibility of appropriate resources for care of family eating habits as
manifested to “Eh kung anong meron, kakainin. Alangan naming mag-inarte pa buti nga
meron kesa wala” The Family eats all types of food that was fit for their budget. Their
Family income is worth P3000 a month.

Actual
Criteria Computation Justification
Score

1. Nature of the Bad family eating habits is a threat to

(2)1 2
Problem family’s health.

It is partially modifiable since what they

2. Modifiability of
(1)2 2 eat only depends on their available
the Problem
resources.
3. Preventive It has a low preventive potential for
Potential (1)1 1 having low financial resources to buy
healthy foods.
It needs immediate attention since health
4. Salience of the
(2)1 2 impacts that are fatal can occur in the
Problem
long run.
Total Score: 7

15. Inability to provide a home/ environment conducive to health maintenance and

personal development with relate to lack of skill in carrying out measures to improve
home environment and inadequate family resources specifically inadequate living space
as manifested by “Ayan ito lang yung aming bahay. Dito na lahat kwarto,kusina,sala
lahat na. Eh wala pang pera eh. Tsaka na pag may pera, eh kaso yung pera kulang
pang pangkain at gastusin dito sa bahay araw-araw” The house of Family A is
composed of single room where all of their kitchen,sala and even their bed are located
on it. inappropriate to the number of their family size.

Actual
Criteria Computation Justification
Score
Inadequate living space can lead to a
1. Nature of the
(1)1 1 foreseeable crisis one day.
Problem

It is partially modifiable because they

2. Modifiability of
(1)2 2 cannot afford to expand the house, but
the Problem
the space can be budgeted.
3. Preventive
It has low preventive potential since they
Potential (1)1 1
cannot avail to have a larger living space.

It must be attended immediately since

4. Salience of the
(2)1 2 their living space is not appropriate for
Problem
the numbers of the family members.
Total Score: 6

16. Inability to provide a home environment conducive to health maintenance and

personal development with relate to lack of skill in carrying out measures to improve
home environment as manifested by “Isa inaasthma, kailangan magpanebulize kasi
sobra ang ubo sa gabi , pinapainom ko na lang ng tubig.” The Family A has a family
member with asthma due to polluted environment and subsequent cough and colds.
Presence of dust and bed in the floor in the house.

Actual
Criteria Computation Justification
Score
The problem of having a family member
1. Nature of the
(3)1 3 who has asthma is perceived as a health
Problem
deficit.

2. Modifiability of It can be partially modifiable modification

(1)2 2
the Problem since it can be solved by nebulization.

3. Preventive It has high preventive potential since the

Potential (3)1 3 availability of medical medicine and
attention is good.

4. Salience of the It needs immediate attention because

(2)1 2
Problem asthma attacks every night to the child.

Total Score: 10

17. Inability to recognize the presence of the condition or problem with relate to attitude
or philosophy in life which hinders recognition or acceptance of a problem on
hemorrhoids as manifested by “Sinabihan ko na yun, di naman daw niya pinapansin,
tigas ng ulo, kayang kaya naman daw niya, sabi ko ipahinga niya eh ayaw naman rin
niya magpaawat, mas magkakasakit lang daw pag nagpadoktor pa” The Family A have
a family member who was once diagnosed with hemorrhoids for he is a former
construction worker facing extraneous activities because of his principles.
 Actual
Criteria Computation Justification
Score

The problem of having a family member

1. Nature of the
(3)1 3 who has hemorrhoids is perceived as a
Problem
health deficit.

It is partially modifiable since rest and

2. Modifiability of
(1)2 2 avoiding of carrying heavy objects leads
the Problem
only are required.

3. Preventive It has low preventive potential because

Potential (2)1 2 only the father itself can perform
extraneous tasks in the family.

It does not need an immediate attention

4. Salience of the
(2)1 2 since this deficit is simply a past health
Problem
history.
Total Score: 9

18. Inability to make decisions with respect to taking appropriate health action due to
misconceptions or erroneous information about proposed courses of action in seizures
as manifested by “Di ko na alam gagawin ko pag naulit ulit yun, binabasa ko na lang
mukha niya kasi natirik na mata niya nun tas hilot hilot lang, ganun diba” The Family A
has a family member who experienced convulsion when having a fever aggravated by a
heart disease.

Actual
Criteria Computation Justification
Score
The problem of having a family member
1. Nature of the
(3)1 3 who has seizure is perceived as a health
Problem
deficit.
It is partially modifiable since its
2. Modifiability of
(1)2 2 occurrence are seldom and medications
the Problem
are available.
3. Preventive It has a moderate preventive potential
Potential (2)1 2 since this can be prevented but it can be
heighted by the environment.

4. Salience of the It needs an immediate attention since it is

(2)1 2
Problem side effect of having a seizure of the child

Total Score: 9
19. Failure to utilize community resources for health with relate to lack of or inadequate
family resources, specifically financial resources such as wrong practices of addressing
health problems as manifested by “Eh wala namang pang padoktor, walang pera.
Gamot lang sa botika okay na. O Kaya sa Health Center pag malala na.” The Family
believes in self-medication and health alternatives. Their family income is P3,000 a
month.

Actual
Criteria Computation Justification
Score

1. Nature of the Malpractices of addressing health

(2)1 2
Problem problems is a health threat to the family.

This can be modified by simply imparting

2. Modifiability of
(2)2 4 proper education in addressing health
the Problem
problems.
3. Preventive This has high preventive potential since
Potential (3)1 3 once the family is educated, its bad effect
can be prevented.
This needs an immediate attention since
4. Salience of the
(2)1 2 wrong practices can aggravate health
Problem
problems.
Total Score: 11

20. Inability to make decisions with respect to having appropriate action with relate to
low salience problem of remoting the children to school as manifested by “Malapit lang
naman. Diyan sa Tirona. Nilalakad lang nila yan kasi malapit nga lang.” The children of
Family A walk to school. The school is about 3 km away.

Actual
Criteria Computation Justification
Score

1. Nature of the Remote school of children is a health

(2)1 3
Problem threat for the family.

This partially modifiable since they can

2. Modifiability of
(1)2 2 transfer the children to nearby school but
the Problem
still depends on their resources.

3. Preventive It has low preventive potential since the

Potential (1)1 1 family will choose the school for it is
convenient financially.
 This must be attached immediately since
4. Salience of the
(2)1 2 long duration of walking daily can lead to
Problem
fatigue, cough etc.
Total Score: 7

TOP HEALTH PROBLEMS

PROBLEMS SCORE
1. Failure to utilize community resources for health due to lack of or
inadequate family resources, specifically financial resources such as cost
of medicine prescribed as manifested by “May mga ubo’t sipon kami 11
ngaun.Si joy lang matatag diba joy. Matibay resistensya ng batang ito
eh. Yung dalawa nako, sakitin” The Family A currently experiencing an
illness which is cough due to cold weather.
2. Inability to provide a home environment conducive to health
maintenance and personal development with relate to inadequate
family resources, specifically financial constraints/limited financial
resources such as unsanitary drinking water as manifested by “Yung 11
tubig dun sa gripo na yun yung pinapanghugas hugas naming tsaka
pinangiinom, kasi mahal pag bibili pa tsaka ayaw nila lasa ng purified”
The Family A’s current source of drinking water is a faucet located in a
lot outside their house instead of purchasing purified water.
3. Inability to provide a home environment conducive to health
maintenance and personal development with relate to lack of
inadequate knowledge of importance of hygiene and sanitation in terms
of water supply as manifested by “Diyan na kami naghuhugas ng plato, 11
nababa naman yung dumi sa ilalim kaya pwede pa panghugas hugas”
The Family A have pails with stagnant polluted water that serves as a
water for cleaning plates.
4. Inability to provide a home environment conducive to health
maintenance and personal development with relate to lack
of/inadequate knowledge of importance of hygiene and sanitation as
manifested by “Madumi talaga dito, dati kasi itong ano eh, dating 11
tapunan ng basura. May creek nga sa likod namin eh. Kaya parang
tambakan ng basura. Di naman kami mapapano diyan” The Family A
has a lot full of garbage and wastes and was once a dumping place of
the community.
5. Inability to provide a home environment conducive to health
maintenance and personal development with relate to lack of skill in
carrying out measures to improve home environment as manifested by
“Isa inaasthma, kailangan magpanebulize kasi sobra ang ubo sa gabi , 10
pinapainom ko na lang ng tubig.” The Family A has a family member
with asthma due to polluted environment and subsequent cough and
colds. Presence of dust and bed in the floor in the house.