I. Family Structure a.

Members of the family and their relation Role in the Family Name Age Gender Educational Background Working Statu s Constructio n Worker(clas ser) Maid, Labandera Student Student

Father

Denice Aniceto

42

Grade6

Mother Daughter Son

Haidelita Aniceto Jelly ann Aniceto Jonathan Aniceto

37 10 14

F F M

Grade 6 Grade 4 2nd year highschool

b. Demographic data c. Introduction - General and specific objectives i. General ii. Specific d. Type of family structure The Herrera Family is a nuclear type of family consisting of the Mother, Fater, daughter and son. e. Dominant family member/s in term so of decision making The mother and the father often share in terms of decision making. f. Dominant family member/s in terms of health care Both of the parents are helping each other when it comes to health. g. General family relationships/dynamics II. Socio Economic and Cultural Characteristics a. Income expenses Family Member Denise Aniceto Haidelita Aniceto Occupation Construction Worker Maid,Labandera Place of Work Monthly Income 6,000 6,000

b. Adequacy to meet basic needs With the 12,000 salary of both parents, their basic needs are met.

c. Who makes the decision making about money/budgeting Both of the parents shared on their money, and budgeting. d. Educational attainment of each member As listed on the table.

e. Ethnic back ground and religious affiliation Family member Educational Attainment Mr. Aniceto Grade 6 Mrs. Aniceto Grade 6 Alberto Currently grade 6 f. Significant others- role/s they play in the familys life

Religion Catholic Catholic Catholic

Ethnicity Tagalog Tagalog Tagalog

g. Relationship of the family to larger community nature and extent of family participation in the community activities. The family are not so active in the community or its activities, because they will less benefit from it rather than participating in these activities, they prefer themselves to work. III. Housing and Environment a. Housing a. Adequacy of living space Their living space is enough for them. They only have 1 bedroom and they sleep all together there. b. Sleeping Arrangement Their sleeping arrangement is quite okay. c. Presence of breeding or resting sites of vectors of diseases d. Presence of accident hazards

e. Food storage and cooking facilities The family has n o fridge to put the food. They must consume the food immediately to prevent spoilage.

Water Supply source, ownership, portability

Toilet Facility type, ownership, sanitary condition

Garbage or refuse disposal type, sanitary condition

Drainage System type and sanitary condition

b. Kind of neighbourhood c. Social and Health facilities available d. Communication and transportation facilities available IV. Health status of Each member a. Medical and Nursing History indicating current or past significant illness b. Belief and practices conductive to health and illness c. Nutritional Assessment d. Development assessment of infants, toddlers, and preschoolers There are no infants, toddlers, or preschoolers in their family e. Risk factor assessment indicating presence of major and contributing modifiable risk factors for specific lifestyle disease f. Physical assessment indicating presence of illness state/s There are no illnesses of both parents and their grandson g. Result of laboratory/diagnostic and other procedure supportive of assessment findings.

V.

Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention

a. Immunization status of the family members According to the mother their grandson have completed their immunization at the health center but their personal records couldnt found. b. Healthy lifestyle practices c. Adequacy of: Rest and Sleep The Father goes to work Monday to Saturday. The mother and her grandson get enough sleep even though their grandson go to school early.

Exercise/activities Use of Protective measures Relaxation and other management activities

d. Use of promotive preventive health services