CAPITOL UNIVERSITY

COLLEGE OF NURSING

NURSING ASSESSMENT: QUESTIONNAIRE AND DATA SHEET

A. FAMILY STRUCTURE AND CHARACTERISTICS

Head of the Family:

Llagas Liza A. 37
Last Name First Name M.I. Age

Address:

Colrai Landless Blk. 23, Zone 3 Puntod Cagayan De Oro city

Members of the family

Name Age Sex Civil Position Relationship Place of

Status in the of each residence
family member to
the head of
the family
10 F S Eldest Daughter Puntod
child

Lizavell Llagas
8 M S 2nd child Son Puntod

Vergie Beja
4 F S 3rd child Daughter Puntod

Mariafe
Beja

1
 2 M S Youngest Son Puntod
child

Robin Jr. Beja

X 20 M S Brother Half- Puntod
Ramon Luspo of Lissa Brother

B. BIOLOGICAL AND SOCIO-CULTURAL FACTORS

1. What is the family’s source of income?

• Mrs. Liza Llagas is the head of the family. She does laundry services and sell wood for
living. In a month, she earns P 900.00 and divides this amount with regards to their
needed commodities. Her separated husband would give her P 700.00 every 15 days as a
support for their children.

• Ramon Luspo, the brother of Mrs. Llagas also works but his money is only intended for
educational purposes.

2. What is their ethnic background? Their religious affiliation?

• Mrs. Llagas and her brother Ramon came from Gingoog city. However, her children were
born in their residing place at Colria Landless Blk. 23, Zone 3 Puntod Cagayan De Oro
city.

• Both the head of the family as well as the members of the family are Roman Catholic.

3. Who are the family’s significant others? What roles do they play in the family’s life?

• The family’s significant others is Ramon Luspo who is the half-brother of Mrs. Liza
Llagas. When Mrs. Llagas is not around, Ramon takes care of Mariafe and Robin.

4. Does the family participate in the activities of the community? If yes, what are these
activities? If no, what are the reasons why they don’t participate?

• Yes. The family does participate in the activities of the community like cleaning and
proper waste disposal activities. Mrs. Llagas also participate in group meetings related to
cleanliness in their area.

C. ENVIRONMENTAL FACTORS

1. Housing

a. Is the family’s living space adequate for their number?

• No. Their living space is not adequate to cater 6 members of the family since it only
measures 6 X 10 meters although the land area is 100sqm.

b. Is their furniture adequate for them? Is it enough for their needs?

• The family has furniture but it is not adequate and enough in providing for their needs
since there are too many of them and their furniture is only limited.

c. Are there insects and rodents in their house?

2
• Yes. There are occurrences of rodents and insects such as rats, flies, mosquitoes, and
cockroaches in their house since their place is not well-organize and properly built.

d. Are there accident hazards in and around the house? If yes, please enumerate.
• Yes, there are accident hazards. Here are some of the following:

• The containers of water remains uncovered which will cause accidental intake of
microorganisms that cause harm to the family.

• There are holes at the ceiling and water during rainfall can easily pass through this area
causing slippery floor which will later on becomes an accident hazard.

3
• Stool in the pale as alternative comfort room. This causes accident hazard to their health
since they don’t have proper disposal of waste.

• No proper disposal of garbage. This will cause harm to the family members knowing that
different kinds of garbage including sharp pointed objects were deposited in this area.

4
• Dirty kitchen. This picture shows unorganized placement of things. This will cause injury
in the future because different kinds of materials were left unattended.

• Muddy pathways, during rainy seasons there is a tendency that members of the family
will be slipped.

5
• There were woods hanging in the area were the foundation was not that strong.
Therefore, it is very dangerous to the children if they are playing.

• We could see some metallic things inside the house. It is very dangerous for them that it
will cause them harm if they will not be careful.

6
• The house has sharp objects which may cause the children to be punctured.

• The area is fire hazard because the cooking area is very near to the fire woods and if
children play there might be a possibility that fire may occur.

7
• Children might be prone to wound injuries because there are presences of sharp objects
placed everywhere.

• Children might fall on top of their bed.

e. What are their cooking utensils? What is their food storage?

• They are using cauldrons, wooden ladle, and frying pan for cooking. For their food
storage, they are using plastic containers for their water and a cauldron for their cooked
rice.

f. What is their water supply? Where is the source? Is it potable?

• The family of Mrs. Llagas has no water supply for their own use. They are just buying
their water from their neighbor. It would cost them P 2.50 per gallon.

• Their neighbor’s source of water comes from the water district. Although the water itself
is potable, still the water that is purchased by Mrs. Llagas would not be safe anymore
since their water container is not that hygienic.

8
 g. What is their toilet facility? What is its condition? Is it sanitary?

• The Family has an improvised toilet for their immediate use.. This toilet has a pale in at
the center which is surrounded with bamboo woods. They also utilize a communal toilet
which is being shared by the neighbors and this type of toilet is water sealed. Both toilets
are not clean and sanitized since people using this toilet are not responsible in
maintaining its cleanliness and sanitation.

h. What is the type of their garbage and refuse disposal system? Is it sanitary?

• Mrs. Llagas collects her garbage and place them in a sack. She waits until the garbage
collector collects her garbage. It is somehow unsanitary because they just dumped all of
their garbage without organizing them.

i. Describe their garbage system? Is it sanitary?

• They do not segregate their garbage. They just dumped all of their garbage in a sack. It is
not sanitary because their garbage system is not properly designed to organize their
waste.

2. What type of neighborhood did the family belong? Please describe.

• The family lives in an overcrowded, squatter-like, fire-hazard and unsanitary

environment. If they have quarrels with their neighbors, Mrs. Llagas doesn’t answer
back. Instead, she just asks for forgiveness to avoid any worst scenario.

3. Are their social and health facilities available in the neighborhood? If yes, please enumerate
and describe each.

• Yes. There are social and health facilities available. For social facilities there is the
basketball court, a place where people socialize with others. It is nearly located at Mrs.
Llagas residence. It can only be walked. Same is through with the health center; it is just
located near their residing place.

4. What is the family’s means of communication and transportation?

• Their means of communication is through verbal. Their relatives who are residing away
from Cagayan De Oro visits them and talk with each other.

• The family’s means of transportation are jeepneys, motorelas and tricycles.

D. HEALTH AND MEDICAL HISTORY

1. Medical and health of each of the family members.

DATE NAME COMPLAINTS OR

ILLNESS
6-20-08 Mrs. Liza Llagas Toothache
6-20-08 Robin Jr. Beja Cough
6-20-08 Lizavell Llagas Fever
7-05-08 Mrs. Liza Llagas 1st degree burn
7-05-08 Robin JR. Beja 1st degree burn

• The following illustration shows the family tree of Mrs. Llagas. It is also noted in the
illustration the causes of death of the members. In her father side, there were no ancestors
because Mrs. Llagas had not known her relatives and ancestors in her father’s side since
she was just 8 years old when her father died.

9
 Auria Babia Babing
Almonte Almonte
(mother) (father)
- died due to - Unknown
old age. death.

NormaBaguio Flaviano
- died due to Babia
over-fatigue
Elino Llagas
Conception (father)
Llagas (mother) -died due to
- died due to Gingging Concordia
Iskul Calamba brain cancer
bone cancer

Arnold Lino
Llagas Joseph Liza Amalia Llagas
Llagas Llagas Beron

Lizavel Vergie Mariafe Robin Jr.

Llagas Biha Biha Biha

2. Value placed on disease prevention

a. Are the children immunized? What is their immunization status?

10
Llyagas,Lizavell B-day: BCG Hepa B DPT Polio Measles REMARKS
First seen: 11-28-97 1-7-98 9-2-98 2-11-98 2-11-98 9-16-98
1-7-98 Birth 10-21- 3-18-98 3-18-98 INCOMPLETE;
weight: 98 4-22-98 4-22-98 Hepa B3
3.1 kg
Deliver:
Home
Beja, Vergie B-day: 3-21-01 5-3-01 4-25-01 4-25-01 01-07-
First seen: 3-15-01 6-7-01 5-30-01 5-30-01 01
3-15-01 Birth 7-12-01 7-18-01 7-18-01 COMPLETE
weight:
7.4lbs
Deliver:
Hospital
CDO
Beja, Mariafe B-day: 8-23-03 10-21- 10-13-03 10-13- 5-26-04 COMPLETE
8-21-03 03 11-17-03 03
Deliver: 11-25- 12-22-03 11-17-
Home 03 03
1-6-03 12-22-
03
Beja, Robin Jr. B-day: 8-21-05 10-18- 10-12-05 10-12- 5-31-06 COMPLETE
First seen: 8-13-05 05 11-23-05 05
8-24-05 Birth 11-29- 12-28-05 11-23-
weight: 05 05
3lbs. 01-24- 12-28-
Deliver: 05 05
Home

LEGEND:
BCG- Bacillus Calmette Guerine
HEPA B- Hepatitis B
DPT- Diphtheria, Pertussis, Tetanus

b. Does the family utilize other preventive actions? If yes, what are those?

• Yes. The family uses herbal plants as their preventive action. These herbal plants are
kalabo and kalamansi for treating coughs and colds, atay-atay, sambag leaves and pahid.

3. What are the family’s sources of medical care? Is it the same for each individual? To whom
does the family turn for help in times of illness or crisis?

• The family’s source of medical care for illnesses that are not serious is the health center
while for illnesses that are serious they usually refer at the NMMC hospital.

• Their source of medical care is the same for each individual except Robin Jr. Beja. Mrs.
Llagas refer him to a Pediatrician whose clinic is at Nazareth, Cagayan De Oro City.

• In times of crisis, Mrs. Llagas doesn’t ask for help from her relatives, instead she just
strives hard to find money for her to alleviate their condition.

4. What is their perception of the role of health professionals and their services? What are their
expectations of the services of the community health nurse?

• Health professionals for them are those people who know about diseases and illnesses.
According to them, the service that the health professionals render involves caring for the
sick.

• Their expectation with regard to the services of the community health nurse is that it can
help them.

11
5. Do they have previous experience with the health professionals? If yes, were they satisfied
with the result?

• Yes. They have previous experiences with health professionals. One of these experiences
was when Mrs. Llagas gave birth to her children with a midwife who assisted in her
delivery. She was satisfied with the result because the delivery was successful and the
midwife was compassionate enough in giving care.

E. TYPE OF FAMILY STRUCTURE

PATRIARCHAL EXTENDED

MATRIARCHAL SINGLE-PARENT

NUCLEAR ALTERNATE FAMILY

 Dominant family member in terms of decision-making, especially in health care.

 Mrs. Llagas, the mother does most of the decision-making since she is the head of
the family.

ACTIVITIES OF DAILY LIVING

A. SLEEPING PATTERN

1. Are there regular hours for retiring and getting up?

• Yes, there are regular hours for retiring and getting up. Mrs. Llagas and her
children go to sleep at 8:30 p.m. and they get up at 5:30 a.m. to prepare for meals
and prepare Lizavell and Vergie in going to school.

2. Do the family nap during the day?

• Yes. Mariafe and Robin take a nap at 10 a.m. and wake-up at 1 p.m. Their mother
sometimes sleeps with them and sometimes not because she has worked to do.

3. Do the members sleep together?

• No. Every Mondays to Thursdays, Mrs. Llagas, Mariafe, and Robin sleep at 7
p.m. while Lizavell and Vergie sleep within 8 p.m. since they have schoolwork to

12
 do. However, every Fridays to Sundays that’s the time they can sleep together
because all of them watch television at their neighbor.

B. EATING PATTERN

1. How many meals the family have each day?

• The family takes three (3) meals a day; sometimes they take smacks every
afternoon if they still have a budget for it.

2. Does anyone of the family appear overweight or underweight? Who are they?

• Yes there are members of the family who are underweight. They are Lizavell
Llagas, Mariafe Beja and Robin Jr. Beja.

Lizavell Llagas

Age: 10 years 6 months

Sex: Girl
Birth Date: November 28, 1997 Height: 4 feet 0–3/8 inch(es)
Date of Measurement: June 27, 2008 Weight: 43 pounds

Results

Based on the height and weight entered, the BMI is 12.9, placing the BMI-for-age below
the 1st percentile for girls aged 10 years 6 months. This child is underweight and
should be seen by a healthcare provider for further assessment to determine possible
causes of underweight.

Robi Beja

Age: 8 years 3 months

Sex: girl
Birth Date: March 04, 2000 Height: 3 feet 7 inch(es)
Date of Measurement: June 27, 2008 Weight: 40 pounds

Results

Based on the height and weight entered, the BMI is 15.2, placing the BMI-for-age at the
33rd percentile for girls aged 8 years 3 months. This child has a healthy weight.

Mariafe Beja

Based on the information entered, the calculated BMI is outside the range of expected values and
cannot be displayed on a BMI-for-age percentile growth chart.

If the entries are accurate, this child may be underweight and further assessment by a healthcare
provider is recommended. This calculator cannot provide additional results.

13
1. Birth Date:

2. Date of Measurement:

3. Sex:
boy girl

4. Height, to nearest 1/8 inch:

feet, inches, fractions of an inch
(12 inches = 1 foot; Example: 4 feet, 5 1/2 inches)
5. Weight, to nearest 1/4 (.25) pound:
pounds, fractions of a pound
(8 ounces = 1/2 pounds; Example: 75 3/4 pounds)

Robin Beja

Age: 2 years 10 months

Sex: Boy
Birth Date: August 13, 2005 Height: 2 feet 11–3/4 inch(es)
Date of Measurement: June 27, 2008 Weight: 24 pounds

Results

Based on the height and weight entered, the BMI is 13.2, placing the BMI-for-age below the
1st percentile for boys aged 2 years 10 months. This child is underweight and should be
seen by a healthcare provider for further assessment to determine possible causes of
underweight.

BMI Calculator for Child and Teen: English Version

This calculator provides BMI and the corresponding BMI-for-age percentile on a CDC BMI-
for-age growth chart. Use this calculator for children and teens, aged 2 through 19 years old.
For adults, 20 years old and older, use the Adult BMI Calculator.

Measuring Height and Weight Accurately At Home

14
BMI Percentile Calculator English |
for Child and Teen Metric
1. Birth Date:

2. Date of Measurement:

3. Sex:
boy girl

4. Height, to nearest 1/8 inch:

feet, inches, fractions
of an inch
(12 inches = 1 foot; Example: 4 feet, 5 1/2 inches)

5. Weight, to nearest 1/4 (.25) pound:

pounds, fractions of a pound
(8 ounces = 1/2 pounds; Example: 75 3/4 pounds)

Calculate

From: http://apps.nccd.cdc.gov/dnpabmi/Calculator.aspx

Liza Llagas- Has a normal weight since her BMI is 22.

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work
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From: http://www.nhlbisupport.com/bmi/bmicalc.htm

C. LEISURE TIME ACTIVITIES

1. How does each member spend his/her leisure hours? Is the leisure time appropriate for
the sex (gender) and age of the family?

• Every week-end, the family spends their leisure hours by watching television at
their neighbor and the children play together in their house.

17
 • The leisure time spend by the children are appropriate for their gender and age
since boys play with toys appropriate for them and girls also play with toys
suitable for them.

2. Does any member have all-consuming hobby? If yes, what effect does this have on the
family?

• They don’t have an all-consuming hobby since Mrs. Yagas value enough the
money she worked for. She prefers spending that money for food rather than
spending it in a game.

3. Does the family have any joint activity for leisure? What is it? How often do they do this
leisure?

• Yes. They have a joint activity for leisure and it is through strolling at Gaisano
mall. Mrs. Yagas allows her children to play in the arcade.

• They usually do this activity if Mrs. Yagas has enough money to spend it.

FIRST LEVEL OF ASSESSMENT

1. Presence of health threats, health deficits, and foreseeable crisis/stress points of the family.

A. HEALTH THREATS (Write check marks in applicable boxes)

Family history of hereditary diseases

Specify disease/s: Bone and brain cancer

Family size beyond family resources

Threat of cross infection from a communicable disease

Specify disease/s: Cough and colds, fever and headache

Accident hazards: Slippery way in going to their house, presence of sharp pointed
objects, fire and fall hazards.

Nutritional

Inadequate food intake both quantity and quality

Excessive intake of certain nutrients

Faulty eating habits

Stress provoking factors

Strained marital relationship

Strained parent-sibling relationship

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 Immature parents

Interpersonal conflicts between family members

Poor environmental sanitation

Inadequate living space

Inadequate personal belongings/utensils

Lack of food storage facilities

Polluted water supply

Presence of breeding places of insects and rodents

Improper refuse disposal

Unsanitary waste disposal

Improper drainage system

Poor ventilation and lighting

Unsanitary food handling and preparation

Noise pollution

Air pollution

Others, please specify ___________________________

Personal habits/practices

Excessive drinking of alcohol

Excessive smoking

Walking barefoot

Eating raw meat/fish

Poor personal hygiene

Self medication

Inherent personality characteristics

Short temper

Others please specify _______________________________

Health history, which may precipitate/induce the occurrence of health problem

Previous history of difficult labor

Inappropriate role assumption

Child assuming mother’s role

Others please specify _________________________________

19
 Inadequate immunization status especially of children

Family Disunity

Self-oriented behavior

Unresolved conflicts of members

Intolerable agreements

Others please specify ______________________________________

B. HEALTH DEFICITS (enumerate and discuss briefly)

• Colds - A viral infection characterized by inflammation of the mucous membranes

lining the upper respiratory passages and usually accompanied by malaise, fever,
chills, coughing, and sneezing.

• Cough - is a sudden, often repetitive, spasmodic contraction of the thoracic cavity,

resulting in violent release of air from the lungs, and usually accompanied by a
distinctive sound.

• Fever - an increase in internal body temperature to levels above normal.

• Malnutrition - is the lack of sufficient nutrients to maintain healthy bodily functions

and is typically associated with extreme poverty in economically developing
countries.
• Headache- is a condition of pain in the head; sometimes neck or upper back pain may
also be interpreted as a headache.

C. STRESS POINTS/FORSEEABLE CRISIS SITUATIONS

(Write check marks in applicable boxes)

Marriage

Pregnancy, labor

Parenthood

Additional member of the family

Abortion

Entrance at school

Adolescents

Loss of job

Death of a member

Illegitimacy

20
 Resentment in a new community

Others, please specify _____________________________________

SECOND LEVEL OF ASSESSMENT

II. Inability to recognize the presence of a problem due to:

Ignorance of facts

Fear of consequences of diagnosis of problem

Social

(Stigma, loss of respect of peer/significant others)

Economic (cost)

Physical/psychological

Attitude/ philosophy in life

Does not need to clean their backyard since they live in a city port.

III. Inability to make decision with respects to taking appropriate health actions due to:

(Check applicable boxes)

Failure to comprehend the nature, magnitude or scope of the problem

Low salience of the problem

Feeling of confusion and resignation brought about by failure to breakdown

problem into manageable units of attack

Lack of knowledge/ insight as to alternative courses of action open to them

Inability to decide which action to take among the list of alternatives

Conflicting opinion among members regarding action to take

Ignorance of community resources for health care

Fear of consequence

Social

Economic

Physical/psychological

Negative attitude toward the health problem

Lack of trust/confidence in health personnel/agency

Misconception of erroneous information about proposed course/s of action

21
 Inaccessibility of appropriate resources of care

Physical (location)

Cost

III. Inability to provide nursing care to the sick, disabled, or dependent member of the family due
to: (write check marks in applicable boxes)

Ignorance of the facts about the disease/health condition

(Nature, severity, complications, prognosis and management)

Lack of necessary facilities (equipment and supplies) for care

Lack of knowledge and skills in carrying out the necessary treatment/ procedure/
Care

Inadequate resources for care

Responsible family member

Financial

Physical resources (e.g. isolation room)

Negative attitude towards the sick/disabled or dependent member of the family

Presence of physical/psychological conflicts

Identity crises/psychological conflicts

Jealous/rivalry

Guilt feelings

Others, please _______________________________

Self-oriented behavior of the family members

Attitude/philosophy in life

“Ginoo ray bahala sa amo, ug mamatay unsaon taman”.

IV. Inability to provide a home environment, which is conductive to health maintenance and
personal development due to:
Inadequate family resources:

Financial

Responsible/competent family members

Physical (lack of space to conduct facility)

Failure to see benefits (especially long term-once) of investment in home

environment improvement

22
 Ignorance of importance of hygiene and sanitation

Presence of personal/psychological conflicts

Identity crises/role confusion

Jealousy/rivalry

Guilt feelings

Ignorance of preventive measures

Family disunity

Self-oriented behavior of members

Intolerable disagreements

Lack of support to members in crises

Others, please specify _________________________________

Attitude/philosophy in life

“ Magpaabot nga modako ang akong mga anak og nag.ampo pud ko sa ginoo na
walay sakit na moabot sa akoa”.

V. Failure to utilize community resources for health care due to:

(Write check marks in applicable boxes)
Ignorance or lack of awareness of community resources for health care

Failure to perceive the benefits of health care services

Lack of trust/confidence in health agencies/personnel

Previous unpleasant experience with health workers

Fear of consequences of action

Physical/psychological

Financial

Social

Unavailability of required care/services

Inaccessibility of required care/services

Cost

Physical

Inadequate family resources

Manpower

23
 Financial

Feeling of alienation/lack of support from the community

Attitude/philosophy in life

“They still go to health center though they practice self-medication”.

SCALE FOR RANKING FAMILY HEALTH

PROBLEMS ACCORDING TO PRIORITIES

24
 SCALE FOR RANKING FAMILY HEALTH PROBLEMS
-According to Priorities-

A. Improper Food and Water Storage Facilities

Cri Co Act Jus

teri mp ual tifi
a utat We cati
ion igh on
t

1. 2/3 0.6 Im
Nat X 1 7 pro
ure per
of and
the 2/2 2 uns
Pro x 2 anit
ble ary
m sto
1 rag
3/3 e
2. x 1 of
Mo foo
difi 0.5 d is
abil 0 a
ity 1/ hea
of 2 x lth
the 1 thr
Pro eat
ble to
m the
fa
mil
y.
3.
Pre Th

25
ven ere
tive sho
Pot uld
enti be
al pro
per
con
tain
4. ers
Sal for
ien wat
ce er
and
pro
per
foo
d
sto
rag
e
for
the
saf
ety
of
the
fa
mil
y’s
hea
lth.

It
is
hig
hly
avo
ida
ble
if
pro
per
san
itar
y
and
hy
gie
ne
are
pra
ctic
ed
by
the
fa
mil
y.

For
the
fa

26
 mil
y’s
per
cep
tio
n,
this
pro
ble
m
doe
s
not
nee
d
an
im
me
diat
e
atte
nti
on
of
the
fa
mil
y
sin
ce
thei
r
inc
om
e is
not
eno
ug
h
for
thei
r
dail
y
nee
ds.

To
tal
Sc
ore
=
4.1
7

B. Presence of breeding places of insects and rodents

Cri Co Act Jus

teri mp ual tifi

27
 a utat We cati
ion igh on
t

1. 2/3 It
Nat x 1 0.6 is a
ure 7 hea
of lth
the 2/2 thr
Pro x 2 2 eat.
ble
m
Th
3/3 1 ere
2. x 1 is
Mo an
difi ava
abil ilab
ity 0 le
of 0/ inte
the 2 x rve
Pro 1 nti
ble ons
m to
mi
ni
miz
3. ed
Pre occ
ven urr
tive enc
Pot e
enti of
al pes
t
and
rod
ent
4. s in
Sal the
ien ho
ce use

Th
e
fa
mil
y
wil
l
kn
ow
ho
w
to
kill
or
avo
id
hav
ing

28
 ins
ect
s
and
rod
ent
s in
the
ho
use
by
hav
ing
a
pro
per
san
itat
ion
.

Th
e
fa
mil
y
doe
s
not
rec
og
niz
e it
as
a
pro
ble
m.
.

tot
al
Sc
ore
=
3.6
7

C. Unsanitary Food Handling

Cri Co Act Jus

teri mp ual tifi
a utat We cati
ion igh on
t

29
1.N 2/3 2/3 It
atu x 1 is a
re hea
of 2 lth
the 2/2 thr
Pro x 2 eat.
ble 1
m
3/3 Res
x1 our
2. 0 ces
Mo are
difi ava
abil 0/2 ilab
ity x 1 le
of and
the inte
Pro rve
ble nti
m ons
are
fea
3. sibl
Pre e.
ven
tive Tra
Pot nsf
enti era
al bili
ty
of
dis
4. eas
Sal e
ien or
ce mic
roo
rga
nis
m
fro
m
the
han
ds
of
a
per
son
can
be
pre
ven
ted.

Th
ey
do
n’t
feel
the
occ

30
 urr
enc
e
of
the
pro
ble
m.

To
tal
Sc
ore
=
3.6
7

D. Accident hazards

Cri Co Act Jus

teri mp ual tifi
a utat We cati
ion igh on
t

1.N 2/3 0.6 It

atu x 1 7 is a
re hea
of lth
the 2/2 2 thr
Pro x 2 eat.
ble
m
1 Ke
3/3 epi
2. x 1 ng
Mo poi
difi nte
abil 0 d
ity obj
of 0/2 ect
the x 1 s,
Pro re
ble mo
m vin
g
tho
se
3. pro
Pre tru
ven din
tive g
Pot nail
enti s
al and
wo

31
 ods
cou
ld
4. sol
Sal ve
ien it.
ce
Ac
cid
ent
s
and
une
xpe
cte
d
bad
hap
pen
ing
s
wil
l be
mi
ni
miz
ed
if
the
acc
ide
nt
haz
ard
s in
the
ho
use
wil
l be
rep
air
as
soo
n
as
pos
sibl
e.

Th
e
fa
mil
y’s
per
cep
tio
n is
not
per
cei

32
 ved
as
a
con
diti
on
or
pro
ble
m.

To
tal
Sc
ore
=
3.6
7

E. Poor personal hygiene

Cri Co Act Jus

teri mp ual tifi
a utat We cati
ion igh on
t

1.N 2/3 0.6 It

atu x 1 7 is a
re hea
of lth
the 2/2 2 thr
Pro x 2 eat.
ble
m
Bo
osti
ng
2. aw
Mo 1 are
difi 3/3 nes
abil x 1 s of
ity the
of im
the por
pro 0 tan
ble ce
m 0/2 of
x1 pro
per
per
son
al

33
 hy
gie
3. ne.
Pre Ev
ven ery
tive me
Pot mb
enti er
al mu
st
be
res
po
nsi
4. ble
Sal of
ien his/
ce her
bo
dy
hy
gie
ne.
Fa
mil
y
res
our
ces
of
im
pro
vin
g
hy
gie
ne
are
ava
ilab
le
and
cou
ld
hig
hly
res
olv
e
the
pro
ble
m.

Po
or
per
son
al
hy
gie
ne

34
can
be
pre
ven
ted
by
giv
ing
atte
nti
on
to
the
bo
dy’
s
hy
gie
nic
con
diti
on.
By
hav
ing
app
rop
riat
e
and
pro
per
cle
ani
ng
of
the
bo
dy
and
usi
ng
cle
an
clot
hes
.

Th
e
fa
mil
y
did
not
felt
it
as
a
pro
ble
m

35
To
tal
Sc
ore
=
3.6
7

F. Walking barefooted

Cri Co Act Jus

teri mp ual tifi
a utat We cati
ion igh on
t

1. 2/3 0.6 It
Nat x 1 7 is a
ure hea
of 2/2 2 lth
the x 2 thr
pro eat.
ble 0.6
m 2/3 7 Fa
x1 mil
2. y
Mo res
difi 0 our
abil 0/2 ces
ity x 1 are
of ava
the ilab
pro le
ble and
m inte
rve
nti
3. on
Pre is
ven fea
tive sibl
Pot e.
enti
al It
is
par
tial
4. ly
Sal avo
ien ida
ce ble
of sin
the ce
pro the
ble fa
m mil

36
 y
can
bu
dge
t
her
mo
ney
to
bu
y
slip
per
s
for
her
chil
dre
n

Th
e
fa
mil
y
doe
s
not
feel
it
as
a
pro
ble
m.

To
tal
Sc
ore
=
3.3
4

G. Malnutrition

Cri Co Act Jus

teri mp ual tifi
a utat We cati
ion igh on
t

1. 3/3 1 It
Nat x 1 is a
ure hea
of lth

37
the def
Pro 2 icit
ble 2/2 that
m x2 req
uir
1 es
im
3/3 me
2. x 1 diat
Mo e
difi atte
abil nti
ity on
of 1 and
the equ
pro ival
ble 2/2 ent
m x1 ma
nag
em
ent
3. to
Pre pre
ven ven
tive t
Pot pos
enti sibl
al e
co
mp
lica
tio
n.

Cu
4. rre
Sal nt
ien kn
ce ow
of led
the ge,
pro inte
ble rve
m nti
on,
and
res
our
ces
are
ava
ilab
le
to
alle
viat
e
the
sai
d
pro
ble

38
m.

Th
e
pos
sibi
lity
in
inc
rea
sin
g
thei
r
har
dw
ork
to
get
mo
re
inc
om
e
and
intr
od
uce
to
the
cou
ple
the
pre
ven
tive
me
asu
res
of
mal
nut
riti
on
wh
erei
n
eve
ryo
ne
in
the
fa
mil
y
cou
ld
eat
ade
qua
te
and

39
 pro
per
pre
par
atio
n
of
foo
ds.

Th
e
mo
the
r
do
real
ize
that
the
pro
ble
m
is
seri
ous
that
nee
ds
im
me
diat
e
atte
nti
on.

To
tal
Sc
ore
:
5

H. Family history of hereditary disease

Criteria Computation Actual Justification

weight

40
 1.Nature of the problem 2/3 x 1 0.67 It is a health threat.

2. Modifiability of the problem 1/2 x 3 1.5 The problem is not modifiable since
The problem already exists within
the family.

3. Preventive Potential 2/3 x 1 0.67 It is partially prevented since the

family members can buy medicines
just to maintain their body to be
healthy despite of the presence of the
disease in their body

4. Salience of the problem 0/2 x 1 0 The family doesn't perceive this as a

problem.

Total Score: 2.84

I. Inadequate living space

Criteria Computation Actual Justification

Weight

1. Nature of the 2/3 x 1 0.67 The problem is a health threat.

problem

2. Modifiability of the problem 1/ 2 x 2 1 It is partially modifiable since they

have insufficient budget.

3. Preventive Potential 3/3 x 1 1 It can highly prevent if the family has

the initiative on ways to improve it.

4. Salience of the problem 0/ 2 x 1 0 They don’t give much attention on it.

Total Score: 2.67

J. Common colds and cough

Criteria Computation Actual Justification

Weight

41
1. Nature of the problem
2. Modifiability of the
problem
3. Preventive potential
4. Salience
RANKING OF THE FAMILY HEALTH PROBLEMS
RANK SCORE
1 5
2 5
3 4.17
4 3.67
5 3.67
6 3.67
7 3.67
8 3.34
9 2.84
3/3 x 1 1 It is a health deficit that need
especial attention in the sense that it
could be considered as life
threatening if not given due
attention.
2/2 x 2 2 It is easily modifiable if the family
members are being provided with
enough attention and care to
overcome or at least alleviate the
cough and colds of the children
3/3 x 1 1 This can be minimized and
prevented to occur by providing
proper care and precautions to the
family members with cough and
colds.
2/2 x 1 1 It is a serious problem that need
immediate attention and care as
verbalized by the mother.
Total Score: 5
FAMILY HEALTH PROBLEMS
Malnutrition
Common Colds and Cough
Improper Food and Water Storage Facilities
Unsanitary food handling and Preparation
Accident hazards
Poor personal hygiene
Presence of breeding places of rodents and insects
Walking barefooted
` Family history of hereditary disease
42
10 2.67 Inadequate living space

CUES, DATA AND CLASSIFICATIONS

43
A. MALNUTRITION
 They are used to of eating “guinamos”
because lack of money.
1. Inability to recognize the presence of
imbalanced food intake due to:
a. Ignorance of the facts with regards
to the nutritional value of food they
eat.
b. Fear of consequences of the cost
they need to spend to buy nutritious
food.
2. Inability to provide nursing care to the
sick due to:
a. Ignorance of facts about the much
needed nutrients strengthens the
body resistance against common
infection.
b. Lack of necessary vitamins and
dietary supplement for care due to
financial difficulties.
c. Inadequate resources needed for care
due to low income and cannot
support the nutrition needed for the
6 members in the family.
44
B. COMMON COLDS AND COUGH
 Her son Ruben suffer cough, while her 1. Inability to make decisions by respect to
eldest daughter is suffering for fever. taking appropriate health actions due to:

 They are prone to sickness due to the a. Failure to comprehend the nature of

present of holes in the roof and are the the problem that might all children to

passage for rain to go inside the house. get sick

 Lack of supplements needed to protect b. Low salience with regards to

the body from foreign bacteria. appropriate health actions.

c. Lack of knowledge/insight 3 to some
alternative present in the community
that might the cause them to spend
money.
2. Inability to provide nursing aid to sick due
to:
a. Ignorance of the nature / extent of
nursing care need by the children.
b. Lack of skills in carrying out
treatment / procedure of care.
c. Inadequate resource of care
financially, physical resources and
responsible family member.

C. IMPROPER FOOD AND WATER STORAGE FACILITIES

 The food are left unattended no proper 1. Inability to make decision with respect
food storage to taking appropriate health action due

 Containers of water remain uncovered to:

 When the children eat they all eat with a. Failure to comprehend on the

one plate and use the same spoon. magnitude of food safety and water

 Limited kitchen materials to provide safety.

the individual needs of each member b. Low salience of the problem since

during meal time. they cannot do anything about it

and they have financial difficulties
with regards to its cost.
c. Low salience with regards to the
problem.
d. Lack of knowledge and inside as to
alternative courses of action.
2. Inability to recognize the passive of a

45

D. UNSANITARY FOOD HANDLING
 Liza’s children eat the food even
without washing their hands.
 They don’t have the proper place for
kitchen and that they cook anywhere.
E. ACCIDENT HAZARDS
 The source of current which can be
easily reached by the children.
 The socket is near in the laboratory and
the water might splash on the outlet and
can cause electrical ground.
 Presence of wood hanging on the area
where foundation in not that strong for
support.
 Presence of metal materials inside
house.
problem due to.
a. Ignorance of facts with regards to the
importance of food storage
b. Fear of consequences as to the
economic cost.
1. Inability to provide nursing care to the
dependent member of the family due
to:
a. Ignorance of the native and extent
of the problem that might affect
their health.
b. Lack of necessary facilities due to
financial constraints.
c. Lack of knowledge and skills in
carrying the right procedure in
teaching the children.
2. Inability to provide a home
environment conducive to health
maintenance and personal development
due to:
a. Inadequate family resources due to
financial problem and irresponsible
family member.
b. Ignorance on the importance of
hygiene and sanitation.
c. Ignorance of preventive measures.
1. Inability to provide home environment
which is conducive to health
maintenance and personal development
due to:
a. Inadequate family resources due to
financial restrain, irresponsible
family members and limited area
available.
b. Ignorance of preventive measures.
c. Failure to see the benefits of
46
 Liza’s 3 daughters sleep on the upper
part of the deck and is risk of falling.
F. PERSONAL HYGIENE POOR
 Mrs. Liza Yagas is the head of the
family, she is also the one who works
to give the need of her children and that
she is busy in doing her job for money
and she is unable to provide and give
the needs of family.
 Presence of pale as comfort room for
her children.
G. PRESENCE OF BREEDING PLACES OF INSECTS AND RODENTS
 The containers of water are left
uncovered
 They have no proper garbage disposal
because of limited area available and
materials needed.
 Presence of pale as an alternative
comfort room for the children.
instrument in home improvement.
2. Inability to make decision with respect
to taking appropriate health active due
to:
a. Failure to comprehend on the
nature, magnitude that it might
bring to the other family members.
b. Low salience of the problem
c. Lack of knowledge / insight as to
alternative causes of action open to
them.
1. Inability to make decisions with respect
to taking appropriate health action due to:
a. Inadequate financial resources.
b. Lack of knowledge and still in
carrying and the necessary
treatment /procedure of care.
2. Inability to provide and have
environment conducive to health
maintenance due to:
a. Ignorance on the importance of
personal hygiene.
b. Ignorance of preventive measures
c. Failure to see the benefits of
personal hygiene.
1. Inability to recognize the presence of the
problem due to:
a. Fear of consequences that might
affect them financially.
b. Ignorance of facts about the
preventive measure
2. Inability to make decision with respect
47
 Muddy pathways that might be the to taking appropriate health actions due to:
bleeding place for mosquito. a. Failure to comprehend the nature,

 Presence of cockroach inside the house. magnitude or scope of the problem

that might affect their health.
b. Low saline on the problem since
they cannot do anything about it.
c. Lack of knowledge/insight as to
alternative course of action.

H. WALKING BAREFOOTED
 Presence of bulos that are placed 1. Inability to provide nursing care to the
anywhere and might cause injury to the dependent family member due to:
children a. Ignorance of the nature of the problem

 Presence of sharp pointed objects such likely the bacteria that they might get

as nails being placed anywhere. anywhere.

b. Lack of knowledge insight as to the
alternative courses of action available.
2. Inability to provide home improvement
which is conducive to health maintenance and
personal development due to:
a. Inadequate financial resources/
b. Ignorance of importance of hygiene
and sanitation.
c. Ignorance of preventive measure.
3. Inability to make decision with respect to
taking appropriate health action s due to:
a. Failure to comprehend the nature and
extent that might affect the health of
the child.
b. Low salience of problem due to busy
days working for money and is unable
to see the needs of children.
c. Lack of knowledge and insight as to

48

I. FAMILY HISTORY OF HIREDITARY DISEASE
 There is presence of hereditary disease
with regards to conception Yagas
Liza’s mother she dies due to bone
cancer and her father died of brain
cancer.
J. INADEQUATE LIVING SPACE
 Living space 6x10 m. with the land
area of 100 sq.m. with 1 room. (inside)
 They have 1 double deck bed for her 3
children sleep on the upper deck while
Liza and her youngest were sleep at the
lower bed and her brother sleep on the
floor.
 Living room is divided for their sala,
alternative courses of action.
1. Inability to recognize the presence of
problem due to:
a. Ignorance of facts about the hereditary
disease present.
b. Fear of consequences with regards to
the economic cost.
2. Inability to make decision of respect to
taking appropriate health actions due to:
a. Failure to comprehend in the nature of
the disease
b. Low salience of the problem since
only her parent has the disease and
they were already dead.
c. Lack of alternative courses of action.
1. Inability to provide home environment
conducive to health maintenance and personal
due to:
a. Inadequate financial resources,
impossible family members and lack
of living space to construct facility.
b. Failure to see benefits (especially long
term) of instruments in home
49
bed, table and limited amount of
furniture.
improvement.
c. Ignorance of importance of hygiene
,sanitation and privacy.
d. Presence of personal / psychological
conflicts due to jealousy and guilt
feelings for other members of the
community.
e. Ignorance of preventive measures.

FAMILY NURSING CARE PLAN

50
51