A. FAMILY STRUCTURE, CHARACTERISTICS and DYNAMICS Name of the Family Member Mariano Pinlac Elizabeth M.

Pinlac John RusselPinlac Liza Marie Pinlac Jana Mae Pinlac EvangePinlac John Carlo Pinlac Francine Ropeta Fermina Garcia Pinlac Civil Status Married Married Single Single Single Single Single Single Widow Religion RC RC RC RC RC RC RC RC RC Sex M F M F F F M F F Birthday March 8, 1972 February 29, 1970 December 17, 1994 October 6, 1999 May 20, 2004 August 8, 1974 July 12, 1996 June 22, 2007 October 13, 1940 Age 39 41 16 11 7 37 15 4 71

Educational Attainment High School Graduate High School Graduate College Level Elementary Level Elementary Level Vocational High School Level Not Applicable for 3-5y/o High School Graduate

Occupation Fabricator Employed Unemployed Student Student Student Bindery Employed Student Student Un-employed

Relationship to the Head of the Family Head of the Family Wife Son Daughter Daughter Sibling Son daughter Parent

The Pinlac Family was an extended family consisting of the father, Mr. Mariano Pinlac who is working as a fabricator, Mrs. Elizabeth M. Pinlac, a full time housewife, their children, John RusselPinlac, a college student, Liza Marie Pinlac and Jana Mae Pinlac who are both in elementary. They also live with Mr. Pinlacs sister Ms.EvangePinlac who is working at a bindery

and her children John Carlo Pinlac a high school student and Francine Ropeta a4 y/o child and their mother Fermina Garcia Pinlac a widow who has a high cholesterol level. The Pinlac family experiences a slight difficulty in decision making because they live in a single house and are nine in there; although they consider the opinions of each member of the family they still experience a little difficulty in doing so.The family has a healthy communication among its members and have an interactive relationship with each other, although conflict is present at times regarding trivial matters but they made it a point to talk with one another to promote a good and open relationship. The father along with his sister provides the daily necessities of the family while the mother and sometimes with the help of the children and her sister-in-law takes care of the house and her aged mother-in-law who was diagnosed with fatty liver. All members of the family are Roman Catholic. To show their dedication they never fail to go to church every Sunday, to give thanks and praises for all the blessings God had given them.

B. SOCIO-ECONOMIC STATUS Monthly Income: 27,200 Weekly Budget: 6800 Amount 2000 1000 2005.5 1000 794.5 6800 Expenditure Foods Electricity Water Transportation Savings TOTAL

In 2009 a family composing of 8 members should have P 11, 227 budget monthly and each member should have a budget of 369 per person. Mr.Pinlac earns 400 pesos a day from his work as a fabricator at a construction and along with his sister who is also earning her own money and contributing a great amount of it in the familys expenditures. So as C. HOME and ENVIROMENT

The Pinlac family lives ina compound-like place in Pasay city, with the relatives of the father at Brgy. 178 Pulo Area Pasay City. They have a bungalow type home, owned by the family, is made up of concrete and wood. The house has no bedroom, has one bathroom which was located near the kitchen and is always kept clean by Mrs.Pinlac and they have a kitchen and a small family area which is just enough for their living space. The house receives enough sunlight from the sun through their door and their two windows. The laundry area is outside the house with the jugs and drums or the containers for the collection of water. Although they can consume the collected water within a day still this could be a possible breeding site of Dengue, also they only throw their garbages in an unclosed plastic bag and to be collected only in the morning by the garbage collector. They keep their excess food only in the table by placing a cover on it or putting it in a tapper ware. The Pinlacs water supply comes from NAWASA, in which they use it for cooking and other household supplies, also they uses the water as a drinking water. Though their neighbourhood has a kind and warm feeling and is also safe the area is a bit unclean. Puddles of water can be seen here and there, stools of different animals can be seen also, and some of the children just pee on their walkway and also some garbages can be seen in different side of the village. Never to forget the contaminated/unsafe river flowing from a different area of Pasay, also carrying different garbages from other areas or houses in Pasay living near the river, just in front of their house.

D. HEALTH STATUS of each MEMBER of the FAMILY

Member of the Household

Height

Weight

BMI

Medical and Nursing History

Nutritional Assessment Dietary Eating habits History and practices Fish, Vegetables and Fish Fish, Vegetables and Fish Fish, Vegetables and Fish

Mariano Pinlac

57

145 lbs

21.80

Non

3 x a day

Elizabeth Pinlac

51

125 lbs.

23.73

Non

3 x a day

John RusselPinlac

53

144 lbs.

31.35

Non

3 x a day

Liza Marie Pinlac

43

77 lbs.

20.40

Jane Mae Pinlac

37

51 lbs.

18.01

Fever, Cough & Runny Nose Fever, Cough & Runny Nose Non

3 x a day

3 x a day

Evange Pinlac

52

140 lbs.

25.64

3 x a day

John Carlo Pinlac

411

95 lbs.

12.80

Non Fever, Cough & Runny Nose High Level of Cholesterol

3 x a day

Francine Ropeta

34

29 lbs.

12.25

3 x a day

Fermina Garcia Pinlac

410

100 lbs.

24.32

3 x a day

Fish, Vegetables and Fish Fish, Vegetables and Fish Fish, Vegetables and Fish Fish, Vegetables and Fish Fish, Vegetables and Fish Fish, Vegetables and Fish

E. VALUES, HABITS, PRACTICES on HEALTH PROMOTION, MAINTENANCE and DISEASE PREVENTION Member of the Household Mariano Pinlac Elizabeth Pinlac John Russel Pinlac Liza Marie Pinlac Jane Mae Pinlac Evange Pinlac John Pinlac Francine Pinlac Fermina Pinlac Immunization status of family members Complete Complete Complete Complete Complete Complete Complete Incomplete (BCG) Complete Healthy Lifestyle Practices Carries heavy equipment at the site Household works Basketball 2 x a week Playing outside the house Playing outside the house Household works Carrying containers of water Playing outside the house Light household works

ADEQUACY OF: Member of the Rest/Sleep Household

Exercise/Activities

Use of protective measures Helmet, Jacket, Glooves Sun Glasses, Uses slippers when stepping out of the house, & umbrella when raining. Uses rubber shoes when playing, does hand washing before eating Uses slippers when stepping outside the house, also an umbrella when raining. Uses shoes/slippers when stepping outside the house and umbrella when it starts raining or even when the sun is too high Uses handkerchief when wiping her face, has an umbrella for sunny days and rainy once.

Relaxation and other management activities

Sleeping, Drinking,

Mariano Pinlac

4-5 hours

8 hours

Elizabeth Pinlac

6-8 hours

24/7

Listening to the radio, Tending to her children, Nap.

John Russel Pinlac

6-8 hours

1-3 hours

Basketball, Surfing the internet, Rest/Sleep

Liza Marie Pinlac

6-8 hours

3 hours depending on the weather and her playmates

Playing, Resting

Jane Mae Pinlac 6-8 hours

1-3 hours depending on her playmates and how long she still wants to play.

Playing, Resting/Sleeping

Evange Pinlac

4-5 hours

5-8 hours

Sleeping and caring for her mother.

John Carlo Pinlac

6-8 hours

1 hour depending on his free time

Francine Ropeta Fermina Garcia Pinlac

6-8 hours 6-8 hours

Depending on how long the elderly allows her to play. 3-4 hours, she can no longer do strenuous activities due to old age.

Uses shoes/slippers when stepping outside Uses slippers/shoes when going outside and an umbrella when it is raining. Uses slippers when going outside to play. Uses slippers when going outside and inside the house.

He plays with his friends around the same age as his. Playing and sleeping.

Sleeping and Listening to the radio.

III.)

FAMILY HEALTH NURSING PROCESS 3.1. IDENTIFY FAMILY HEALTH PROBLEMS

Family No: 1 Name if the head of the Family: Mariano Pinlac Address: Brgy.178 Pulo Area Pasay City Lists of Health Problems 1. Malnutrition Nature of the Problem - Health Deficit

2. Colds and Cough

- Health Deficit

3. High Level of Cholesterol

- Health Deficit

4. Poor Environmental Sanitation

- Health Threat

5. Incomplete Immunization

-Health Threat

Family No: 2 Name if the head of the Family: Reynato B. Rivera Address: Brgy. 178 Pulo Area Pasay City Lists of Health Problems 1. Cold and Persistent Cough Nature of the Problem - Health Deficit

2. Cigarette Smoking

- Health Threat

3. Poor environmental sanitation

- Health Threat

4. Fire Hazard

- Foreseeable Crisis

5. Unsanitary Waste Disposal

- Human Threat

Family No: 3 Name if the head of the Family: Eduardo Fenol Address: Brgy. 178 Pulo Area Pasay City Lists of Health Problems 1. Poor Environmental Sanitation Nature of the Problem - Health Threat

2. Lack of Financial History

- Foreseeable Crisis

3. Colds and Persistent Cough

- Health Deficit

4. Fire Hazard

- Foreseeable Crisis

5. Alcohol Drinking

- Foreseeable Crisis

Family No: 4 Name if the head of the Family: Antonio Capilitan Address: Brgy. 178 Pulo Area Pasay City Lists of Health Problems 1. Poor Environmental Sanitation Nature of the Problem - Health Threat

2. Fire Hazard

- Foreseeable Crisis

3. Poor Lighting and Ventilation

- Foreseeable Crisis

4. Unsanitary Food Handling

- Foreseeable Crisis

5. Persistent Cough

- Health Deficit

Family No: 5 Name if the head of the Family: Mark Beltran Address: Lists of Health Problems 1. Persistent Cough Nature of the Problem - Health Deficit

2. Polycystic Ovaries

- Health Deficit

3. Poor Lighting and Ventilation

- Foreseeable Crisis

4. Poor Environmental Sanitation

- Health Threat

5. Fire Hazard

- Foreseeable Crisis

3.1.1 CATEGORIZING HEALTH PROBLEMS

3.1.2 JUSTIFYING SCORES OF HEALTH PROBLEMS Family No. 1 Problem No. 1 (Malnutrition) Criteria Standard Score Computation Actual Score Justification It is a health deficit. 3 3/3 x 1 1 The problem can easily be modified since the resources are available Cases can be prevented if the family would follow suggestions of proper eating (nutritious yet inexpensive Head of the Family: Mariano Pinlac

1. Nature of the problem

Health deficit

2. Modifiability of the problem 3. Preventive potential

Modifiable

2/2 x 2

Moderate

1/3 x 1

1/3

4. Salience of the problem

Not a problem

0/2 x 1

food). Yet, the environment as a factor in malnutrition, also needs improvement. It is not a recognized problem.

TOTAL: 3 1/3

Family No. 1

Head of the Family: Mariano Pinlac

Problem No. 2 (Cold and Persistent Cough) Criteria 1. Nature of the problem 2. Modifiability of the problem Standard Health deficit Score Computation Actual Score 1 Justification

3/3 x 1

Removable

2/2 x 2

3. Preventive potential

Moderate

1/3 x 1

1/3

4. Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

4 1/3

Family No. 1

Head of the Family: Mariano Pinlac

Problem No. 3 (High Level of Cholesterol)

Criteria 1. Nature of the problem 2. Modifiability of the problem

Standard Health deficit

Score

Computation

Actual Score 1

Justification

3/3 x 1

Removable

2/2 x 2

3. Preventive potential

Moderate

1/3 x 1

1/3

4. Salience of the problem

Need Immediate Attention

2/1 x 1

TOTAL:

5 1/3

Family No. 1

Head of the Family: Mariano Pinlac

Problem No. 4 (Poor Environmental Sanitation) Criteria 1. Nature of the problem 2. Modifiability of the problem Standard Health Threat Score Computation Actual Score 2/3 Justification

2/3 x 1

Modifiable

1/2 x 2

3. Preventive potential

Moderate

1/3 x 1

1/3

4. Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

Family No. 1

Head of the Family: Mariano Pinlac

Problem No. 5 (Incomplete Immunization) Criteria 1. Nature of the problem 2. Modifiability of the problem Standard Health Threat Score Computation Actual Score 2/3 Justification

2/3 x 1

Modifiable

1/2 x 2

3. Preventive potential

Moderate

1/3 x 1

1/3

4. Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

Family No. 2

Head of the Family: Mariano Pinlac

Problem No. 1 (Cold and Persistent Cough) Criteria 1. Nature of the problem 2. Modifiability of the problem Standard Health deficit Score Computation Actual Score 1 Justification

3/3 x 1

Removable

2/2 x 2

3. Preventive potential

Moderate

1/3 x 1

1/3

4. Salience of the problem

Needs immediate attention

1/1 x 1

TOTAL:

4 1/3

Family No. 2

Head of the Family: Reynato Rivera

Problem No. 2 (Cigarette Smoking) Criteria 1. Nature of the problem 2. Modifiability of the problem Standard Health Threat Score Computation Actual Score 2/3 Justification

2/3 x 1

Removable

2/2 x 2

3. Preventive potential

High

3/3 x 1

4. Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

4 2/3

Family No. 2

Head of the Family: Reynato Rivera

Problem No. 3 (Poor Environmental Sanitation) Criteria 1. Nature of the problem Standard Health Threat Score Computation Actual Score 2/3 Justification

2/3 x 1

2. Modifiability of the problem

Modifiable

1/2 x 2

3. Preventive potential

Moderate

1/3 x 1

1/3

4. Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

Family No. 2 Problem No. 4(Fire Hazard) Criteria 1. Nature of the problem 2. Modifiability of the problem

Head of the Family: Reynato Rivera

Standard Health Threat

Score

Computation

Actual Score 2/3

Justification

2/3 x 1

Modifiable

1/2 x 2

3. Preventive potential

Moderate

1/3 x 1

1/3

4. Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

Family No. 2

Head of the Family: Reynato Rivera

Problem No. 5(Unsanitary Waste Disposal) Criteria 1. Nature of the problem 2. Modifiability of the problem Standard Health Threat Score Computation Actual Score 2/3 Justification

2/3 x 1

Modifiable

1/2 x 2

3. Preventive potential

High

2/3 x 1

2/3

4. Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

3 1/4

Family No.3

Head of the Family: Eduardo Fenol

Problem No. 1 (Poor Environmental Sanitation) Criteria 1. Nature of the problem 2. Modifiability of the problem Standard Health Threat Score Computation Actual Score 2/3 Justification

2/3 x 1

Modifiable

1/2 x 2

3. Preventive potential

Moderate

1/3 x 1

1/3

4. Salience of the problem

Does not need

1/1 x 1

immediate attention TOTAL: 3

Family No.3

Head of the Family: Eduardo Fenol

Problem No. 2 (Lack of Financial History) Criteria 1. Nature of the problem 2. Modifiability of the problem Standard Foreseeable Crisis Score Computation Actual Score 1/3 Justification

1/3 x 1

Removable

2/2 x 2

3. Preventive potential

High

2/3 x 1

2/3

4. Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

Family No.3

Head of the Family: Eduardo Fenol

Problem No. 3(Cold and Persistent Cough) Criteria 1. Nature of the problem 2. Modifiability of the problem 3. Preventive Standard Health Deficit Score Computation Actual Score 1 Justification

3/3 x 1

Removable

2/2 x 2

potential

High

2/3 x 1

2/3

4. Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

4 2/3

Family No.3 Problem No. 4(Fire Hazard) Criteria 1. Nature of the problem 2. Modifiability of the problem

Head of the Family: Eduardo Fenol

Standard Foreseeable Crisis

Score

Computation

Actual Score 1/3

Justification

1/3 x 1

Partially

1/2 x 2

3. Preventive potential

High

2/3 x 1

2/3

4. Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

Family No.3 Problem No. 5(Alcohol Drinking) Criteria 1. Nature of the

Head of the Family: Eduardo Fenol

Standard Health

Score

Computation

Actual Score

Justification

problem 2. Modifiability of the problem

Threat

2/3 x 1

2/3

Removable

2/2 x 2

3. Preventive potential

Moderate

1/3 x 1

1/3

4. Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

Family No. 4

Head of the Family: Antonio Capilitan

Problem No. 1 (Poor Environmental Sanitation) Criteria 1. Nature of the problem 2. Modifiability of the problem Standard Health Threat Score Computation Actual Score 2/3 Justification

2/3 x 1

Modifiable

1/2 x 2

3. Preventive potential

Moderate

1/3 x 1

1/3

4. Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

Family No. 4 Problem No. 2(Fire Hazard) Criteria 1. Nature of the problem 2. Modifiability of the problem

Head of the Family: Antonio Capilitan

Standard Foreseeable Crisis

Score

Computation

Actual Score 1/3

Justification

1/3 x 1

Partially

1/2 x 2

3. Preventive potential

High

2/3 x 1

2/3

4. Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

Family No. 4

Head of the Family: Antonio Capilitan

Problem No. 3(Poor Light and Ventilation) Criteria 1. Nature of the problem 2. Modifiability of the problem Standard Foreseeable Crisis Score Computation Actual Score 1/3 Justification

1/3 x 1

Removable

2/2 x 2

3. Preventive potential

High

2/3 x 1

2/3

4. Salience of the

Does not

problem

need immediate attention

1/1 x 1

TOTAL:

Family No. 4

Head of the Family: Antonio Capilitan

Problem No. 4(Unsanitary Food HAndling) Criteria 1. Nature of the problem 2. Modifiability of the problem Standard Foreseeable Crisis Score Computation Actual Score 1/3 Justification

1/3 x 1

Removable

2/2 x 2

3. Preventive potential

High

2/3 x 1

2/3

4. Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

Family No. 4 Problem No. 5(Persistent Cough) Criteria 1. Nature of the problem 2. Modifiability of the problem

Head of the Family: Antonio Capilitan

Standard Health Deficit

Score

Computation

Actual Score 1/3

Justification

1/3 x 1

Removable

2/2 x 2

3. Preventive potential

High

2/3 x 1

2/3

4. Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

Family No. 5 Problem No. 1 (Persistent Cough) Criteria 1. Nature of the problem 2. Modifiability of the problem

Head of the Family: Mark Beltran

Standard Health Deficit

Score

Computation

Actual Score 1

Justification

3/3 x 1

Partially

1/2 x 2

3. Preventive potential

Moderate

1/3 x 1

1/3

4. Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL:

3 1/3

Family No. 5 Problem No. 2(Polycystic Ovaries)

Head of the Family: Mark Beltran

Criteria 1. Nature of the problem 2. Modifiability of the problem 3. Preventive potential 4. Salience of the problem

Standard Health Deficit Modifiable Moderate

Score 3

Computation 3/3 x 1

Actual Score 1

Justification

1 1

1/2 x 2 1/3 x 1

1 1/3

Not a Problem

0/1 x 1

TOTAL:

2 2/3

Family No. 5

Head of the Family: Mark Beltran

Problem No. 3(Poor Lighting and Ventilation) Criteria 1. Nature of the problem 2. Modifiability of the problem 3. Preventive potential 4. Salience of the problem Standard Foreseeable Crisis Removable High Score 1 Computation 1/3 x 1 Actual Score 1/3 Justification

2 2

2/2 x 2 2/3 x 1

2 2/3

Does Not Need Immediate Attention

1/1 x 1

TOTAL:

Family No. 5

Head of the Family: Mark Beltran

Problem No. 4(Poor Environmental Sanitation) Criteria Standard Score Computation Actual Score Justification

1. Nature of the problem 2. Modifiability of the problem 3. Preventive potential 4. Salience of the problem

Foreseeable Crisis Removable High

1 1/3 x 1 2 2 2/2 x 2 2/3 x 1

1/3

2 2/3

Does Not Need Immediate Attention

1/1 x 1

TOTAL:

Family No. 5 Problem No. 5(Fire Hazard) Criteria 1. Nature of the problem 2. Modifiability of the problem

Head of the Family: Mark Beltran

Standard Foreseeable Crisis

Score

Computation

Actual Score 1/3

Justification

1/3 x 1

Partially

1/2 x 2

3. Preventive potential

High

2/3 x 1

2/3

4. Salience of the problem

Does not need immediate attention

1/1 x 1

TOTAL: 3

3.1.3 RANKING HEALTH PROBLEMS ACC0RDING TO PRIORITY

Ranking Health Problems of Family

PRIORITY
1st 2nd 3rd 4th 5th

PROBLEM
High Level Cholesterol Cold and Persistent Cough Malnutrition Poor Environmental Sanitation Incomplete Immunization

SCORE
5 2/3 4 2/3 3 2/3 3 1/4 3 1/4

Ranking Health Problems of Family

PRIORITY
1st 2nd 3rd 4th 5th

PROBLEM
Cigarette Smoking Cold and Persistent Cough Unsanitary Waste Disposal Poor Environmental Sanitation Fire Hazard

SCORE
4 2/3 4 1/3 3 1/4 3 3

Ranking Health Problems of Family

PRIORITY
1st 2nd 3rd 4th 5th

PROBLEM

SCORE

Ranking Health Problems of Family

PRIORITY
1st 2nd 3rd 4th 5th

PROBLEM

SCORE

Ranking Health Problems of Family

PRIORITY
1st 2nd 3rd 4th 5th

PROBLEM

SCORE

3.2. DETERMINING PRIORITIES and HIGH RISKS 3.2.1. RANKING OF HEALTH PROBLEMS OF INTERVIEWS FAMILY.

Family Name 1 2 3 4 5

Problem

Score

3.3. IDENTIFYING PRIORITY FAMILIES

3.3.1. IDENTIFYING FAMILIES LEVEL of FUNCTIONING NAME FAMILY FUNCTION TODDLER JUSTIFY

3.3.2. DETERMINING NURSING PROBLEMS (FNCP) 3.3.3 FAMILY NURSING CARE PLAN

FIRST LEVEL OF ASSESSMENT I. Presence of Health Threats, Health Deficits, Foreseeable Crisis/ Stress point of the Family.

A.) Potential for Enhanced Capability for: 1. Healthy lifestyle 2. Health maintenance & management 3. Parenting 4. Breasting feeding 5. Spiritual well-being B.) Readiness for Enhanced Capability for: 1.Healthy lifestyle 2. Health maintenance & management 3. Parenting 4. Breasting feeding 5. Spiritual well-being

II.

Health Threats (colour the applicable circle).

A.) Family History of hereditary diseases

B.) Family size beyond family resources

C.) Threats of cross-infection from communicable diseases - Cough, colds and fever D.) Inappropriate immunization status especially in children: Poor environment situation Lack of food storage Polluted water supply Presence of breeding places of insects and rodents Improper garbage disposal Improper drainage system Poor ventilation and light Noise pollution Unsanitary food preparation Others:___________________

E.)

Inherent personality characters:

F.)

Accidents Hazards: Pointed sharp objects ( nails, woods) o Fire hazards o Fall hazard Others: unprotected stairs

G.) Faulty/unhealthy nutritional/Eating habits: Inadequate food intake both quantity and quality. Excessive intake of a certain nutrients. Others: H.) Stress provoking factors: Financial matters Noise surroundings

I.) Unhealthy Lifestyle and Personal Habits/Practices:

Drinking alcoholic drinks Cigarette Smoking Walking barefoot inadequate footwear Eating raw meat Poor personal hygiene Lack of exercise activities Inadequate relaxation activity Self-medicated

Non-use of protective measures (non-use of mosquito nets for dengue, malaria and filariasis). Others:

J.)

Health History that precipitate the occurrence of a health problem: Specifically: