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Initial Database For Family Nursing Practice
Initial Database For Family Nursing Practice
INSTITUTE OF NURSING
SY. 2010 - 2011
BSN 311 - GRP. 1
Evasco Family
Mrs. Maricel Evasco a 34 yr. Old woman is married to Mr. Allan Evasco for 10 years and
have three daughters named Almira the eldest followed by Allysa and Apple. She gave birth to
Almira via Normal Delivery. She is pregnant again for twins but on the seventh month
unfortunately it leads to abortion because of Mrs. Evasco’s sick of rubella. She gave birth to her
second and third child in a caesarean section. Right after the birth of her third daughter she has
also undergone tubal ligation. The family is currently living at 32 Pasadena, San Juan City
verbalizes to us that she considered herself as the “ilaw ng tahanan” that teaches her child to be
polite and good to others and gives her child a healthy meal every day, some of this decisions are
usually about allocation of budget, because Mrs. Maricel Evasco is the person that is always left
at home she is the one who makes the decision regarding the health management at home like
buying self-prescribed medicine. Their family structure is Nuclear and they are Patriarchal, there
are only five members in the family. Whenever Mrs. and Mr. Evasco have a conflict they always
talk about it at night before sleeping and making sure the conflict is resolved, the most often
problem that they are fighting about is when Mrs. Evasco is so stressed out in managing the
children and food budgeting because sometimes her kids are so “makulit” as she verbalizes, and
they also making sure that they have a time for each other like eating together every dinner
because Mr. Evasco is at the house during evening and it enables them to share their experiences
during the day and talking about family, Mrs. Evasco verbalizes “Sa araw-araw na ginawa ng
diyos eh, lagi kaming sabay sabay kumakain at nagpapasalamat sakanya at nabigyan kami ng
pagkain sa araw na ito at nakauwi ng maaga an gaming mga mahal sa buhay. Sa gabi pag uwi ni
mister eh nakasanayan na namin itong gawin dahil ito ay gusto ng mister ko.” Only the eldest
daughter is studying because her sisters are young for schooling but Mrs. Evasco said that her
daughter Allysa will be sent to school in the next year.
Name of the Age Sex Birth date Civil Relationship to the head of
family Status the family
member
Allan Evasco 34 Male May 1, 1976 Married Head of the Family/Husband
Maricel Evasco 34 Female May 31, 1976 Married Wife
Almira Evasco 8 Female October 3, 2002 Child Daughter
Allysa Evasco 4 Female October 15, 2004 Child Daughter
Apple Evasco 1 Female June 15, 2004 Child Daughter
Mrs. Maricel Evasco told us that her husband is the one working for the expenses in the
house, only the water and electricity bill are their monthly bills. Mr. Evasco always give
2,500.00 PHP to Mrs. Evasco every week, Mrs. Evasco is a High School Graduate and Mr.
Evasco reached a 2 year vocational course in College. Their daughter Almira is currently
studying as a Grade 2 student in San Juan Public School. Mrs. Evasco is also the person
responsible for the budgeting the money for the house expenditures.
1st Floor 8x
Sink
Window 4x
2nd Floor
3rd Floor
Stairs
During the interview about the home and environment we ask Mrs. Evasco if the area of their
house is enough for them she said, “Maayos naman at kasya naman kaming pamilya, tatlong
palapag naman ito pero hindi na naming ginamit ang third floor maliliit pa naman ang mga bata
at kasya pa kami sa taas sa may 2 nd floor pag matutulog, maayos naman ang higaan naming
dun.”We ask Mrs. Evasco if there are any irritant vectors or insects inside the house she said ,
“Sa kusina ko madalas makita yung mga ipis at mga langgam,kung minsan kapag nag iispray ako
ng baygon eh naglalabasan ang mga ipis at langgam at nagkakagulo at namamatay din.” Based in
our observation their house is well oraganized and looks clean also observed that the stairs is too
narrow. It is made out of wood and looks old. Mrs. Evasco also verbalized “Dati sa pagmamadali
ko nahuhulog at nadudulas ako sa maliit na hagdanan na iyan, matagal na kasi yan at luma na
ang kahoy kaya minsan sa pagmamadali ko eh nadudulas na ako.” We also asked Mrs. Evasco
why they didn’t replace the stairs with a new kind of wood she said that “Balak na talaga naming
ito palitan kaso nga lang wag na lang baka umalis na din kami dito. They are also using a gas
stove for cooking and they have refrigerator where they can store there left over foods and store
uncooked meat or veggies it is located at the2nd floor of the house. The water supply is coming
from from NAWASA and they are using it for cleaning, washing and drinking. Mrs. Evasco also
explains to us how there toilet works she said that “Kapag kami ay dumudumi binubuhusan na
lang namin yung bowl at yung mga dumi na nangagaling sa CR eh may tubong nakakonekta na
dumadaloy papunta palabas sa ilog Pasadena jan sa creek.” from what she describe it is a water
sealed type of excreta disposing. The CR doesn’t have any lighting facility because they don’t
have any light bulb or fluorescent light to replace the old one but it’s clean but not tiled only
cemented. Also the kind of neighborhood where the Evasco Family is currently living is
considered as untidy area because the street is too narrow and a very dark area, sometimes the
smell inside the area smells bad cause of cat excreta around the streets. Mrs.Evasco also said that
their garbage is collected by the garbage collectors every other day. She is not practicing any
kind of recycling method and or any other thing. When we arrived to conduct the interview
Mrs.Evasco and her daughters were playing and having fun, no one in the family is sick that
time. All the family members are not fully immunized.
Presently the family is in good condition except for the youngest child who is malnourished.
Mrs. Evasco verbalized that “Si Apple lang naman ang nagging ganyan sa amin, ewan ko lang
kung bakit. Mataba naman ang mga kapatid niya nung baby pa siya lang talaga ang
nagkaganyan. We ask her what she do to give her child a proper nutrition she said “Pinapainom
ko ng gatas si Apple yung Lactum na pangbata, ewan ko ba umiinom naman pero kulang o wala
pading nagbabago malnourish padin yung mga ate naman niya kumakain ng tatlong beses sa
isang araw mahilig nga sila kumain ng kanin eh.” The family member’s undergone complete
immunization when they are young. Mrs. Evasco says that “ayaw ng mga anak ko kumain ng
gulay pero kumakain naman sila ng karne at mga sabaw gaya sa sinigang, nilaga o tinola.” No
one in the family is sick or any other family history of illness
NAME AGE NUTRITIONAL VITAL SIGNS
ASSESSMENT
Wt Ht. BMI Tem R P BP
1. Allan 34 . p R R
Evasco 78 171 26.7 36.4 38 10 120/9
34 kg cm 3 0
2.Maricel 49 149 22.1 36.7 32 64 90/70
Evasco 8 kg cm 36.7 35 69 n/a
19 120 13.2
3. Almira 4 kg cm 36.7 38 68 n/a
Evasco 12 105 10.9
1 kg cm 36.7 32 72 n/a
4. Allysa 7 74 12.8
Evasco kg cm
5.Apple
Evasco
E. Values, habits and practices and health promotion, maintenance and disease prevention
On the interview we ask Mrs. Evasco to show us the baby book of her daughters for us to
note all the vaccines they received some of the vaccines are DPT, OPV, Measles, Hepa B,
Influenza B, MMR, Varicella , Flu vaccine and Meningococcemia so she is considered fully
immunized and also got a negative result from her Newborn Screen test, Mrs. Evasco also got 5
shots of Tetanus toxoid from the hospital; she verbalizes, “Ilang beses na kong nasaksakan ng
anti tetano nayan simula pa nung magbuntis ako sa una hanggang sa kambal kong namatay dahil
sa nagkatigdas ako nung pangpitong buwan kong pagbubuntis at namatay, kaya nakumpleto ko
na din”. Evasco Family usually eat “Masabaw” as stated by Mrs. Evasco because the children
like to have a sabaw on their meals. Mrs. Evasco lack sleep she usually sleeps between 11 in the
midnight because of watching tv and wake up 5 in the morning to prepare his husbands’ things
and she always have a 30minutes nap during the afternoon she verbalizes “Ok naman ang tulog
ko kasi nakakatulog din naman ako pagkatapos kong asikasuhin si mister”, she always walk
everymorning with her daughters for about one hour. When Mrs. Evasco wants rest she takes a
nap for about thirty minutes and wakes up to prepare some food for the daughters.
3 Day Diet Recall
GENOGRAM
ASTHMA 5
Presence of Stress points in labor
1. Inability to make decisions with
respect to taking appropriate health Due to the fact that Mrs. Valentin has
action due to fear of consequences diabetes she is thinking whether their
of action specifically physical might be complications when
consequences delivering the baby she wants the baby
2. Inability to make decisions with to be delivered normally and not in a
respect to taking appropriate health caesarian way.
action due to negative attitude Traumatized of what happened during
towards the health condition or her first delivery with Mark
problem
Always go to the hospital for Diabetes Ate Marites said that she always have
and OB check up appointment with her doctor in diabetes
every Monday morning and every
Wednesday for OB
Knows how to measure her blood sugar Mrs. Valentin is monitoring her blood
without a help of a health worker sugar regularly/everyday. Mrs.
Valentins’ last result 08-04-10 is
Lunch-115 Dinner-221 (normal blood
glucose level range 70-125)
Problem Prioritization
Modifiability ½X2 1
of the Problem Mrs. Valentin don’t
think about it to much it
might affect her stress
1/3 X 1 0.33 level
Preventive
Potential Emotional/Psychological
2/2 X 1 1 distress is not easily be
Salience of the managed
Problem
The family perceives it
as a serious problem
needing attention to
ensure that the baby is
delivered w/o
complications
3.33
Labor
0.99/1
Vectors (roaches)
Modifiability 0/2 X 2 0
of the Problem Doesn’t think that this
a problem
2/3 X 1 0.66
Preventive Using spare wood to
Potential fix the stair steps to
0/2 X 1 0 make sure their safety
Salience of the
Problem Doesn’t need any
attention at all
1.32
Family Members’ Health Deficit
Family Members’ Health Deficit- 5 Narrow and “matarik” stair steps- 1.32
Fall Hazards- 4.32 Labor- 1
Health History which may participate/induce the occurrence of a health deficit- 3.33
Vectors (roaches)- 3.16
Presence of cold, cough and fever- 2
Inadequate rest and sleep- 1.66