INITIAL DATA BASE FOR FAMILY NURSING PRACTICE

A. Family Structure, Characteristics, and Dynamics

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

Member of the Place of Type of Dominant family General family

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

B. Socio-economic and Cultural Characteristics

Member of Income and expenses
the
household occupation Place of Income of Adequacy Who makes
work each working to meet decisions
member basic about
necessities money
Leland N. Production Bulacan P15,000.00/mo Adequate
de Leon manager
Marciana S. Landlady Manila P4,000.00/mo Adequate
de Leon
Mark BTM PUP
Leland S. student
de Leon
Elaine S. de BSN UERMMMC
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 history assessment
Dietary Eating habits
history and practices
Leland N. de 4x a day Meat, fruits Cigarette and
Leon and tobacco
vegetables smoking
Marciana S. de Rheumatic 2x a day Sea foods
Leon heart disease
Mark Leland S. 4x a day Meat, fish, obesity
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 Leon complete Basketball (occasionally)

Elaine S. de Leon complete Badminton, Walking and eating

fruits
Adequacy of :

Member of Rest/ Exercises/ Use of protective Relaxation and

the sleep activities measures other stress
household management
activities
Leland N. de 9 10-20 Uses jacket Rest or watch TV
Leon hours minutes or listen to jazz
music
Marciana S. 8 5-10 Uses slippers in and out Rest and watch TV
de Leon hours minutes the house and 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 TV
Leon hours raining, and or surf the internet
handkerchiefs
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 threat
Problem 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 threat
Problem 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 deficit
Problem that requires
immediate attention
and adequate
management.
1/2 x 2 2 Current knowledge,
2. Modifiability of interventions and
the Problem 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 5

DISEASE
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 the General: 1. the client
1. inability condition of To eliminate or will be
to the client minimized able to
recogniz smoking habits. recogniz
e the e the bad
presence Specific: effects of
of the 1. to educate 1. Health smoking.
condition about the Teaching 2. the
or cause and patient
problem effects of will be
due to: smoking. able to
attitude/p eliminate
hilosoph 2. to provide 2. Guide the or
y in life activities family as minimize
which that will motivation d
hinders disregard al smoking.
recogniti from strategy.
on/accep smoking.
tance of
a 3. to give 3. discus
problem appropriate with the
2. inability medication family the
to make and cause and
decisions counseling effects of
with for the smoking
respect client and how
to taking does it
appropri affects
ate one’s
health health
action
due to:
failure to
compreh
end the
nature,
magnitud
e and
scope of
 the
problem
3. Inability
to
provide
adequate
nursing
care to
the sick,
disabled,
depende
nt or
vulnerabl
e/at-risk
member
of the
family
due to:
lack of
knowled
ge about
the
health
condition
4. inability
to
provide a
home
environ
ment
conduciv
e to
health
maintena
nce and
personal
develop
ment due
to;
negative
attitude /
philosop
hy in life
which is
not
conduciv
 e to
health
maintena
nce and
personal
develop
ment
5. Failure
to utilize
communi
ty
resources
for
health
care due
to: lack
of
inadequa
te
knowled
ge of
communi
ty
resources
for
health
care

HEALTH PROBLEM GOAL OF OBJECTIVES EVALUATION

FAMILY CARE
DIAGNOSIS
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/magnitu
de 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 OF OBJECTIV NURSING EVALUATION

FAMILY DIAGNOSIS CARE ES INTERVENTI
ON
Rheumatic Heart
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: