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FAR EASTERN UNIVERSITY

INSTITUTE OF NURSING
NCM102
INITIAL DATA BASE

Client: Lagon Family

A. FAMILY, STRUCTURE, CHARACTERISTICS , AND DYNAMICS

The Lagon is a nuclear type of family. Mr. Francis Lagon is the head of the family. He is now 26
years old and he is the one who made decisions. But whenever he is not around her wife take over,
that’s the reason why almost every time, her wife decides. And as regards to health decision making
her wife decides for their health. His wife Mrs. Maria Adoracion is 22 years old. They lived at 955
C.lerma St. Sampaloc, Manila. According to them their family has been settling in Manila for 26 yrs.
They have two siblings ash Kervyn and Kate Nicole. Mrs. Adoracion whom we interviewed said that
they have open communication in their family that’s the reason why possibility of having conflict in
their family is very minimal. Their primary dialect spoken inside their house and in their community
is Tagalog. They were all Roman Catholic.

Family member Relation to Sex Birthdate Age Marital Religion


the head of status (15
the family above)
Francis Head of the M July 18 26yrs old Married Catholic
family 1981
Ma. Adoracion Wife F Dec. 8 22yrs old Married Catholic
1985
Ash Kervyn Son M March 1 2yrs old Catholic
2006
Kate Nicole Daughter F Nov. 20 7months Catholic
2007
B SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS

FAL and MAL is both college undergraduate. FAL is a contractual service crew at Jollibee
Mendiola and earns 250 pesos a day. MAL is unemployed however earns 500 – 1,00 pesos from
selling candies and beverages along Lerma St. monthly. The combine family monthly income is
ranging from 7,000 to 8,000 pesos. According to MAL, they allocate 4,000 pesos for their food, 700
pesos for their water bill and 2,000 pesos for the house rent and 500 pesos for health monthly. MAL
verbalized “minsan nagkukulang pa dahil contractual lang si mister at pabugso bugso ang benta ko at
depende sa gatas na nakokonsumo ng anak ko”. The family is egalitarian in terms of decision
making. The family is a permanent resident of Manila and are devoted Catholics. The family
recognized Baranggay officials as the leaders of their community. However, the family is not aware
of the programs of the Baranggay. Health services offered in the Baranggay is utilized by the family
since one of their relatives is working in the Health center. MAL verbalized “pag may nagkakasakit
samin madali nang lumapit sa health center”

C. HOME AND ENVIRONMENT

MAL together with her husband and 2 children is living along the street of Lerma. They are
occupying the 2nd floor of the house and the place is not quite enough for a family with four
members. According to MAL they can sleep for 6 to 8 hours a day except her husband who is
working over time. The client verbalized "ako minsan hindi kuntento sa tulog ko kasi kapag
maagang nagising si baby syempre dapat babangon na rin ako". As we observe the place we have
seen a pail with water which is uncovered and seems to be stagnant then beside the stairs outside
there were empty bottles of soft drinks that were stocked in one corner. These may serve as resting
sites of vectors and insects. The client said that there were insects and cockroaches inside their
home. The client also verbalized, “kadalasan katol lang ang ginagamit ko pamatay lamok kasi mahal
pag bibili ako ng insecticed. Kulang sa budget.” The client also claimed, “ gumagamit kami ng OFF
para sa mga kagat ng lamok at nagkukulambo rin kami bago matulog.” She said that she was not
able to clean their house because she is busy taking care of her 2 children and managing her small
store.

Stairs may be dangerous for the family especially to children because there are many things on
its corner/side and slippery because of its cover and also the materials are already brittle. The
stairways are narrow and some of it is already dislodged diagonally.

The client said that they are buying cooked foods and if she will cook she makes sure that it is
just enough for them so that they won't need to store foods anymore. Their water supply is coming
from local water system. Their drinking water is stored in a covered plastic container and they are
buying mineral water for the baby. They are sharing toilet with their neighbor and has a water sealed
latrine in it. They are using uncovered plastic bag for their trash. It is collected regularly by the
garbage truck. The canals are not covered and the water in it is dark.
D. HEALTH STATUS OF EACH FAMILY MEMBER

The client viewed health as to the absence of disease and illnesses as she verbalized, “Hindi
bumababa sa normal growth, hindi nagkakasakit, malakas kumain.” For her, taking vitamins like
celine for her baby, eating 3x a day, and having enough rest are the things that could help her family
maintain their health, but she added that there are times that they can’t avoid having sickness. They
do visit their health center once a month and their last visit was on July 1. The client doesn’t have a
family doctor or a dentist. They only acquire their knowledge about health by attending a medical
mission conducted by CSP, a private organization in the ust. For her, it is normal for her family to
acquire cough and colds. She pointed out that her eldest son is the one who oftenly gets sick due to
his asthma. In addition, she considers viruses and sudden change of weather as the usual cause of
illness in her family.
The family eats thrice a day, most often meat, but she emphasized that it also depends on their
budget. She said that her family eats a lot during breakfast and lunch while few at dinner. They
usually eat at their house and most of the time they eat cooked foods bought at the store near their
house. She said that somehow they are not satisfied with the food that they consume. They are not
fond of drinking water. She drinks 6 – 7 glasses of water everyday.

E. VALUES, HABITS, AND PRACTICES ON HEALTH PROMOTION, MAINTAINANCE AND


DISEASE PREVENTION

When the mother is asked if what are the things she does to promote and maintain health in her
family, she verbalized, “Upang mapanatili ang kalusugan ng aming pamilya, lalung-lalo na ang mga
bata, pinagte-take ko sila ng vitamins (celine). Importante rin para sa’kin na dapat sila pakainin ng
tatlong beses sa isang araw. Kahit na kulang ung budget, pinagkakasiya nalang. Pinapatulog ko sila
sa tanghali para mabilis silang tumangkad.” The practices se used to do works and helps all the time
though sometimes illnesses in the family can’t be avoided. The family practiced sleeping 6-8 hours a
day. Also, they are satisfied with the amount of sleep they get. They feel refreshed. Exercise isn’t
utilize in the family for the reason that they are more of doing other things like watching TV,
listening to the radio etc. The family doesn’t have family doctor and dentist. The client has two
children, a 2 year old boy and a 5 months old young girl. Her son is fully immunized including BCG,
DPT, OPV, Hepatitis B, and AMV while her daughter has an incomplete immunization.
Problems Identified

Presence of health threat

Family size beyond what family can adequately provide

Threat of cross infection from communicable disease case

Accident hazards specifically broken stairs

Accident hazards specifically fire hazards

Accident hazards specifically fall hazards

Unhealthful eating habits specifically faulty eating habits

Poor home/environmental condition specifically inadequate living space

Poor home/environmental condition specifically lack of food storage

Poor home/environmental condition specifically presence of breeding sites of vectors and


rodents

Poor home/environmental condition specifically unsanitary waste disposal

Poor home/environmental condition specifically poor lightning and ventilation

Poor home/environmental condition specifically noise pollution

Poor home/environmental condition specifically air pollution

Unhealthful lifestyle and personal habits specifically alcohol drinking

Unhealthful lifestyle and personal habits specifically cigarette smoking

Presence of Health Deficits

Illness state, regardless of whether diagnosed or not by medical practitioner specifically asthma

Illness state, regardless of whether diagnosed or not by medical practitioner specifically weight
and height of kervyn

Foreseeable Crisis Situation

Specifically entrance at school

Loss of job
PRIORITIZATION

Family size beyond what family can adequately provide


Criteria Computation Actual Score Justification
1.Nature of the 2/3 x 1 2/3 Family size beyond what family
Problem can adequately provide is a
health threat.

2.Modifiability of the 1/2 x 2 1 The problem can be partially


Problem modifiable since the client
knows some ways on how to
reduce the increasing size of the
family but not utilizing it.

3. Preventive Potential 3/3 x 1 1 The possibility of increasing


family size is reduced: the
available family resources can
be utilized to encourage growth
promoting experience for
members.
4.Salience of the
problem 2/2 x 1 1 The family recognized it as a
problem that needs immediate
attention.

TOTAL SCORE 3 2/3

Threat of cross infection from communicable disease case.


Criteria Computation Actual Score Justification
1.Nature of the 2/3 x 1 2/3 Threat of cross infection from
Problem communicable disease case.
is a health threat.

The family does not have


2.Modifiability of the 1/2 x 2 1 adequate resources to solve the
Problem problem. Inadequate of living
space, presence of breeding sites,
unsanitary waste disposal, poor
ventilation, and many barriers to
achieve good personal hygiene,
this is important in management
and prevention of such disease.

3. Preventive 2/3 x 1 2/3 It is moderately modifiable since


Potential it can be prevented by solving
other problem

4.Salience of the 0/2 x 1 0 The family doesn’t recognize the


problem existence of the problem.
TOTAL SCORE 2 1/3
Accident hazards specifically broken stairs
Criteria Computation Actual Score Justification
1.Nature of the 2/3 x 1 2/3 Accident hazards specifically
Problem broken stairs is a health threat

2.Modifiability of the 2/2 x 2 2 The resources are available and


Problem interventions are feasible

3. Preventive 3/3 x 1 1 The possibility of having injury


Potential in a member of a family can be if
the stairs will be fixed.

The family doesn’t recognize the


4.Salience of the 0/2 x 1 0 existence of the problem.
problem

TOTAL SCORE 3 2/3

Accident hazards specifically fire hazards


Criteria Computation Actual Score Justification
1.Nature of the 2/3 x 1 2/3 Accident hazards specifically fire
Problem hazards is a health threat.

1/2 x 2 1 The family does not have


2.Modifiability of the adequate resources to solve the
Problem problem. Inadequate of living
space, unsanitary waste disposal,
poor ventilation, and many
barriers to totally eradicate the
problem

3. Preventive 2/3 x 1 2/3 It is moderately preventable since


Potential it can be solve by solving other
problem such as increasing
adequate space and ventilation.

0/2 x 1 0 The family doesn’t recognize the


4.Salience of the existence of the problem.
problem

TOTAL SCORE 2 1/3


Accident hazards specifically fall hazards
Criteria Computation Actual Score Justification
1.Nature of the 2/3 x 1 2/3 Accident hazards specifically fall
Problem hazards is a health threat.

2/2 x 2 2 The resources are available and


2.Modifiability of the interventions are feasible
Problem
The possibility of having injury
3. Preventive 3/3 x 1 1 in a member of a family can be if
Potential the stairs will be fixed.

The family doesn’t recognize the


4.Salience of the 0/2 x 1 0 existence of the problem.
problem

TOTAL SCORE 3 2/3

Unhealthful eating habits specifically faulty eating habits


Criteria Computation Actual Score Justification
1.Nature of the 2/3 x 1 2/3 Unhealthful eating habits
Problem specifically faulty eating habits is
a health threat.

2.Modifiability of the 1/2 x 2 1 The problem can be partially


Problem modifiable since the client has
knowledge but there lack in
financial aspect

3. Preventive 3/3 x 1 1 The occurrence of diseases


Potential related to nutrition can be
prevented if the problem is solve.

4.Salience of the 0/2 x 1 0 The family doesn’t recognize the


problem existence of the problem.

TOTAL SCORE 2 2/3


Poor home/environmental condition specifically inadequate living space
Criteria Computation Actual Score Justification
1.Nature of the 2/3 x 1 2/3 Poor home/environmental
Problem condition specifically inadequate
living space is a health threat.

2.Modifiability of the 1/2 x 2 1 The problem is partially


Problem modifiable since they do have
knowledge but doesn’t have
enough income to solve the
problem

3. Preventive 3/3 x 1 1 The occurrence of communicable


Potential diseases can be prevented if the
problem is solve

0/2 x 1 0 The family doesn’t recognize the


4.Salience of the existence of the problem.
problem

TOTAL SCORE 2 2/3

Poor home/environmental condition specifically lack of food storage


Criteria Computation Actual Score Justification
1.Nature of the 2/3 x 1 2/3 Poor home/environmental
Problem condition specifically lack of
food storage is a health threat

2.Modifiability of the 0/2 x 2 0 The current knowledge and


Problem resources of the family is not
enough to solve the problem

3/3 x 1 1 Susceptibility to other diseases


3. Preventive can be prevented if the problem
Potential is solve
0/2 x 1 0
The family doesn’t recognize the
4.Salience of the existence of the problem.
problem

TOTAL SCORE 1 2/3


Poor home/environmental condition specifically presence of breeding sites of vectors and rodents
Criteria Computation Actual Score Justification
1.Nature of the 2/3 x 1 2/3 Poor home/environmental
Problem condition specifically presence of
breeding sites of vectors and
rodents is a health threat.

2/2 x 2 2 The resources are available and


2.Modifiability of the interventions are feasible
Problem

3/3 x 1 1 The communicable diseases that


3. Preventive insects and rodents can transfer
Potential can be prevented.

2/2 x 1 1 The family perceives it as a


problem needing attention to
4.Salience of the ensure the health of the family.
problem

TOTAL SCORE 4 2/3

Poor home/environmental condition specifically unsanitary waste disposal


Criteria Computation Actual Score Justification
1.Nature of the 2/3 x 1 2/3 Poor home/environmental
Problem condition specifically unsanitary
waste disposal is a health threat.

2.Modifiability of the 2/2 x 2 2 The resources are available and


Problem interventions are feasible

3/3 x 1 1 The occurrence of parasitism and


3. Preventive other communicable disease can
Potential be reduced or minimized

0/2 x 1 0 The family doesn’t recognize the


existence of the problem.
4.Salience of the
problem

TOTAL SCORE 3 2/3


Poor home/environmental condition specifically poor lightning and ventilation
Criteria Computation Actual Score Justification
1.Nature of the 2/3 x 1 2/3 Poor home/environmental
Problem condition specifically poor
lightning and ventilation is a
health threat.

2.Modifiability of the 1/2 x 2 1 The problem can be partially


Problem modifiable since availability of
family resources is not enough to
solve the problem

3/3 x 1 1 The occurrence of respiratory


3. Preventive diseases such as lung cancer,
Potential thyroid diseases, eye sting,
asthma, tuberculosis and other
respiratory diseases.

0/2 x 1 0 The family doesn’t recognize the


4.Salience of the existence of the problem.
problem

TOTAL SCORE 2 2/3

Poor home/environmental condition specifically noise pollution


Criteria Computation Actual Score Justification
1.Nature of the 2/3 x 1 2/3 Poor home/environmental
Problem condition specifically noise
pollution is health threat.

2.Modifiability of the 1/2 x 2 1 The problem can be partially


Problem modifiable since availability of
family resources is not enough to
solve the problem

3/3 x 1 1 The occurrence of such disease


3. Preventive related to hearing can be
Potential prevented if the problem is solve.

0/2 x 1 0 The family doesn’t recognize the


existence of the problem.
4.Salience of the
problem

TOTAL SCORE 2 2/3


Poor home/environmental condition specifically air pollution
Criteria Computation Actual Score Justification
1.Nature of the 2/3 x 1 2/3 Poor home/environmental
Problem condition specifically air
pollution is a health threat.

2.Modifiability of the 1/2 x 2 1 The problem can be partially


Problem modifiable since availability of
family resources is not enough to
solve the problem

3. Preventive 3/3 x 1 1 The occurrence of respiratory


Potential diseases such as lung cancer,
thyroid diseases, asthma,
tuberculosis and other respiratory
diseases.

4.Salience of the 0/2 x 1 0 The family doesn’t recognize the


problem existence of the problem.

TOTAL SCORE 2 2/3

Unhealthful lifestyle and personal habits specifically alcohol drinking


Criteria Computation Actual Score Justification
1.Nature of the 2/3 x 1 2/3 Unhealthful lifestyle and
Problem personal habits specifically
alcohol drinking
is a health threat.

2.Modifiability of the 0/2 x 2 0 The problem is not modifiable


Problem since the client wants to drink
every day the current knowledge
of the client and the resources of
the family such as manpower is
not available.

3. Preventive 3/3 x 1 1 The occurrence of such disease


Potential can be prevented if the problem
is solve

4.Salience of the 0/2 x 1 0 The family doesn’t recognize the


problem existence of the problem

TOTAL SCORE 1 2/3


Unhealthful lifestyle and personal habits specifically cigarette smoking
Criteria Computation Actual Score Justification
1.Nature of the 2/3 x 1 2/3 Unhealthful lifestyle and
Problem personal habit: Cigarette smoking
is a health threat.

2.Modifiability of the 1/2 x 2 1 The problem can be partially


Problem modifiable since the current
knowledge of the client is
available btu the resources is not
enough
3/3 x 1 1
3. Preventive The occurrence of respiratory
Potential diseases such as lung cancer,
thyroid diseases, eye sting,
asthma, tuberculosis and other
respiratory diseases.
0/2 x 1 0
The family doesn’t recognize the
4.Salience of the existence of the problem
problem

TOTAL SCORE 2 2/3

Presence of health deficits

Illness state, regardless of whether diagnosed or not by medical practitioner specifically asthma
Criteria Computation Actual Score Justification
1.Nature of the 3/3 x 1 1 Illness state, regardless of
Problem whether diagnosed or not by
medical practitioner specifically
asthma is a health deficit

1/2 x 2 1 The client’s knowledge is


2.Modifiability of the available, but the physical,
Problem financial resources of the family
are not enough to solve the
problem.

3. Preventive 2/3 x 1 2/3 The possibility of occurrence of


Potential complications related to asthma
can be prevented

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


problem existence of the problem needing
immediate attention
TOTAL SCORE 3 2/3
Illness state, regardless of whether diagnosed or not by medical practitioner specifically weight and
height of kervyn
Criteria Computation Actual Score Justification
1.Nature of the 3/3 x 1 1 Illness state, regardless of
Problem whether diagnosed or not by
medical practitioner specifically
weight and height of kervyn is a
health deficit

2.Modifiability of the 1/2 x 2 1 The client’s knowledge is


Problem available but the resources are
not enough to solve the problem.

3. Preventive 3/3 x 1 1 The susceptibility to other


Potential diseases and infection can be
prevented if the problem is
eliminated and normal growth
and development can be
achieved.

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


problem existence of the problem needing
immediate attention
TOTAL SCORE 4

Foreseeable crisis situation

Specifically entrance at school


Criteria Computation Actual Score Justification
1.Nature of the 1/3 x 1 1/3 Entrance at school is a
Problem Foreseeable crisis situation

The problem can be partially


2.Modifiability of the 1/2 x 2 1 modifiable since the resources of
Problem the client is not enough to solve
the problem

3. Preventive 3/3 x 1 1 The normal growth and


Potential development of a child can be
achieved if the problems solve

0/2 x 1 1 The family doesn’t recognize the


4.Salience of the existence of the problem
problem

TOTAL SCORE 2 1/3


Loss of job
Criteria Computation Actual Score Justification
1.Nature of the 2/3 x 1 1/3 Loss of job is a Foreseeable crisis
Problem situation

The problem can be partially


2.Modifiability of the 1/2 x 2 1 modifiable since the resources of
Problem the client is not enough and the
community resources id not that
available to solve the problem

3. Preventive 3/3 x 1 1 If the problem is solve the other


Potential related problem also can be
solve.

4.Salience of the 0/2 x 1 0 The family doesn’t recognize the


problem existence of the problem

TOTAL SCORE 1 1/3


Prioritized health Problem

Health Problems Score


Presence of health threat

Family size beyond what family can adequately provide 3 2/3


Threat of cross infection from communicable disease case 2 1/3
Accident hazards specifically broken stairs 3 2/3
Accident hazards specifically fire hazards 2 1/3
Accident hazards specifically fall hazards 3 2/3
Unhealthful eating habits specifically faulty eating habits 2 2/3
Poor home/environmental condition specifically inadequate living space 2 2/3
Poor home/environmental condition specifically lack of food storage 1 2/3
Poor home/environmental condition specifically presence of breeding 4 2/3
sites of vectors and rodents
Poor home/environmental condition specifically unsanitary waste disposal 3 2/3
Poor home/environmental condition specifically poor lightning and ventilation 2 2/3
Poor home/environmental condition specifically noise pollution 2 2/3
Poor home/environmental condition specifically air pollution 2 2/3
Unhealthful lifestyle and personal habits specifically alcohol drinking 1 2/3
Unhealthful lifestyle and personal habits specifically cigarette smoking 2 2/3
Presence of Health Deficits
Illness state, regardless of whether diagnosed or not by medical practitioner specifically 3 2/3
asthma
Illness state, regardless of whether diagnosed or not by medical practitioner specifically 4
weight and height of kervyn
Foreseeable Crisis Situation

Specifically entrance at school 2 1/3


Loss of job 1 1/3