INITIAL DATA BASE FOR FAMILY NURSING PRACTICE

Head of the family :Leland N. de Leon

Address :Bansalan davao del sur
Type

A. Family Structure, Characteristics, and Dynamics

Member of Relationship age sex Civil Position in the family

the household to the head status
of the family
Leland N. de Father/ 45 Male Married Father/husband
Leon husband
Marciana S. wife 44 Female Married Mother/wife
de Leon
Mark Leland Son 19 Male Single Eldest
S. de Leon child/son/brother
Elaine S. de daughter 18 Female Single Youngest
Leon child/daughter/sister

Member of Place of Type of Dominant family General

the household residence of family members in terms family
each member structure of decision making relationship
of the family or dynamics
Leland N. de Living Patriarchal/ Short temper/
Leon independently nuclear easily
irritated
Marciana S. Living Patriarchal/ Good listener
de Leon independently nuclear
Mark Leland Living with Patriarchal/ Joker
S. de Leon parents nuclear
Elaine S. de Living with Patriarchal/ Easily
Leon parents nuclear irritated

B. Socio-economic and Cultural Characteristics

Member of Income and expenses
the occupation Place of Income of Adequacy Who
household work each working to meet makes
member basic decisions
necessities about
money
Leland N. Production Bulacan P15,000.00/mo Adequate
de Leon manager
Marciana Landlady Manila P4,000.00/mo Adequate
S. de
Leon
Mark BTM PUP
Leland S. student
de Leon
Elaine S. BSN UERMMMC
de Leon student

C. Home and Environment

The de Leon Family’s House is made of concrete and has three

bedrooms, one bathroom, a kitchen, and a living room which is just enough or
adequate for their living space. Every member of the family has their own
bedrooms. Mr. and Mrs. de Leon share bedrooms while the siblings have their
own rooms. The Laundry area outside the house, kitchen sink cabinet and the
garbage cans are the resting sites of vectors of disease such as flies, mosquitoes
and roaches present in de Leon family’s house. Their foods are stored in closed
door cabinets and the refrigerator. The de Leon’s’ water supply comes from deep
well and not from NAWASA. They use water septic tank for their water supply.
The water coming from the septic tank is used for washing, cleaning, and bathing
and not for drinking purposes. The de Leon family buys distilled water from water
refilling stations. The de Leon family has their own bathroom and toilet. Their
bathroom is near the kitchen and is kept clean everyday by Mrs. de Leon and
sometimes the siblings. Their garbage is taken out everyday and collected by
garbage trucks everyday. They have three garbage cans inside the house, one
is in the kitchen, the other, is in the bathroom and lastly, near the bedroom. Mr.
de Leon built a poso negro near the laundry area and is been cleaned every
once in a while to check for clogs. Their neighborhood is not congested, there is
still room for trees and plants to grow and place to play and hang-out. They have
their own telephone line and every family has their own cell phones. They also
have a family van for their transportation facility.

D. Health Status of Each Member

Member of the Medical and Nutritional assessment Risk factor

household nursing assessment
Dietary Eating habits
history
history and
practices
Leland N. de 4x a day Meat, fruits Cigarette and
Leon and tobacco
vegetables smoking
Marciana S. Rheumatic 2x a day Sea foods
de Leon heart disease
Mark Leland 4x a day Meat, fish, obesity
S. de Leon fruits and
vegetables
Elaine S. de dengue 3x a day meat, fruits, stress
Leon less
vegetables
and fish

E. Value, Habits, Practices on Health Promotion, Maintenance and Disease

Prevention
Member of the Immunization Healthy lifestyle Practices
household status of family
members
Leland N. de Leon complete Biking everyday

Marciana S. de Leon complete Stretching and eating fruits

Mark Leland S. de complete Basketball (occasionally)

Leon
Elaine S. de Leon complete Badminton, Walking and eating
fruits
Adequacy of :

Member of Rest/ Exercises Use of protective Relaxation and

the sleep / measures other stress
household activities management
activities
Leland N. 9 10-20 Uses jacket Rest or watch TV
de Leon hours minutes or listen to jazz
music
Marciana S. 8 5-10 Uses slippers in and Rest and watch
de Leon hours minutes out the house and TV
umbrella
Mark Leland 6-8 1 hour Use pads Rest or eat
S. de Leon hours
Elaine S. de 6 1 hour Use umbrella when Rest and watch
Leon hours raining, and TV or surf the
handkerchiefs internet
FIRST LEVEL ASSESSMENT

SMOKING

Structured Questions:

1. Why do you smoke?

I smoke because it relieves my stress and it’s already been a habit

and a part of my everyday practice.

2. Do you know the consequences of smoking?

I know that smoking is dreadful for the health especially for the
lungs but smoking has already been a habit for me.

3. Did you try to stop smoking?

I did not try to stop smoking.

STRESS

Structured Questions:

1. Why are you always stressed out?

 There are a lot of things I have to do so I sleep late and have to
wake up early to go to school.

2. Do you have enough rest or sleep?

No, because now that I’m in college. I usually sleep only for about 5
or 6 hours.

3. How do you relieve stress?

Whenever I came home from school, I tried to rest for an hour or

just lay back and watch TV

RHEUMATIC HEART DISEASE

Structured Questions:

1. What do you do to improve your health?

I drink my medicine on time and eat right amount of food.

2. Do you have regular check-ups with your doctor?

I usually go to heart center on the date that the doctor asked me to

come back
3. Do you take in alternative medicines or other herbal medicines you think
that will improve you current health?

I intake herbal drink and herbal supplements from

recommendations from friends and relatives. I also drink
multivitamins and vitamin C tablets.
PRIORITIZATION

SMOKING

Criteria Computation Actual Score Justification

1. Nature of the 2/3 x 1 0.66 It is a health
Problem threat that does
not demand
immediate action
2/2 x 2 2 Resources are
2. Modifiability of available and
the Problem interventions are
feasible
3. Preventive 3/3 x 1 1 Smoking can be
Potential reduced or
minimized

4. Salience of the 1/2 x 1 0.5 The family

Problem recognizes it as a
problem. It does
not seem the
problem as
needing
immediate action.
TOTAL SCORE 4.16

2. STRESS
Criteria Computation Actual Score Justification
1. Nature of the 2/3 x 1 0.66 It is a health
Problem threat that does
not demand
immediate action
2/2 x 2 2 Resources are
2. Modifiability of available and
the Problem interventions are
feasible.
3. Preventive 3/3 x 1 1 Stress can be
Potential reduced or
minimized

4. Salience of the 1/2 x 1 0.5 The family

Problem recognizes it as a
problem but does
not required
immediate action
TOTAL SCORE 4.16

3. RHEUMATIC HEART DISEASE

Criteria Computation Actual Score Justification

1. Nature of the 3/3 x 1 1 It is a health
Problem deficit that
requires
immediate
attention and
adequate
management.
 1/2 x 2 2 Current
2. Modifiability of knowledge,
the Problem interventions and
resources are
available to solve
the problem
3. Preventive 3/3 x 1 1 Disease can be
Potential prevented.

4. Salience of the 2/2 x 1 1 The family

Problem perceives it as a
serious problem
needing attention.
TOTAL SCORE 5

THE PRIORITIZED HEALTH PROBLEMS:

RANK 1 RHEUMATIC HEART DISEASE 5

RANK 2 SMOKING 4.16
RANK 3 STRESS 4.16
FAMILY NURSING DIAGNOSIS
forget
HEALTH GOAL OF OBJECTIVES NURSING EVALUATI
PROBLEM CARE INTERVENT ON
FAMILY ION
DIAGNOSIS
Smoking To improve General: 1. the
1. inability the condition To eliminate or client
to of the client minimized will be
recogniz smoking habits. able to
e the recogniz
presenc Specific: e the
e of the 1. to educate 1. Health bad
conditio about the Teaching effects
n or cause and of
problem effects of smoking
due to: smoking. .
attitude/ 2. the
philosop 2. to provide 2. Guide the patient
hy in life activities family as will be
which that will motivatio able to
hinders disregard nal eliminat
recogniti from strategy. e or
on/acce smoking. minimiz
ptance ed
of a 3. to give 3. discus smoking
problem appropriat with the .
2. inability e family the
to make medicatio cause
decision n and and
 s with counselin effects of
respect g for the smoking
to taking client and how
appropri does it
ate affects
health one’s
action health
due to:
failure
to
compre
hend
the
nature,
magnitu
de and
scope of
the
problem
3. Inability
to
provide
adequat
e
nursing
care to
the sick,
disabled
,
depend
ent or
 vulnera
ble/at-
risk
member
of the
family
due to:
lack of
knowled
ge
about
the
health
conditio
n
4. inability
to
provide
a home
environ
ment
conduci
ve to
health
mainten
ance
and
persona
l
develop
ment
 due to;
negative
attitude
/
philosop
hy in life
which is
not
conduci
ve to
health
mainten
ance
and
persona
l
develop
ment
5. Failure
to utilize
commu
nity
resourc
es for
health
care
due to:
lack of
inadequ
ate
knowled
 ge of
commu
nity
resourc
es for
health
care

HEALTH PROBLEM GOAL OF OBJECTIVES EVALUATION

FAMILY DIAGNOSIS CARE
Stress
1. inability to
recognize the
presence of
the condition
or problem
due to: lack of
or inadequate
knowledge

2. inability to
make
decisions with
respect to
taking
appropriate
health action
due to: failure
to
comprehend
the
nature/magnit
 ude of the
problem/condi
tion

3. Inability to
provide
adequate
nursing care
to the sick,
disabled,
dependent or
vulnerable/at-
risk member
of the family
due to:
4. inability to
provide a
home
environment
conducive to
health
maintenance
and personal
development
due to;
5. Failure to
utilize
community
resources for
health care
due to:
 HEALTH PROBLEM GOAL OBJECTIV NURSING EVALUATION
FAMILY DIAGNOSIS OF ES INTERVENTI
CARE ON
Rheumatic Heart a
Disease
1. inability to
recognize the
presence of the
condition or
problem due to:
2. inability to
make decisions
with respect to
taking
appropriate
health action
due to:
3. Inability to
provide
adequate
nursing care to
the sick,
disabled,
dependent or
vulnerable/at-
risk member of
the family due
to:
4. inability to
provide a home
 environment
conducive to
health
maintenance
and personal
development
due to;
5. Failure to utilize
community
resources for
health care due
to: