FAR EASTERN UNIVERSITY

INSTITUTE OF NURSING
SY. 2010 - 2011
BSN 311 - GRP. 1

Initial Database for Family Nursing Practice

Evasco Family

32 Pasadena, Brgy. Pasadena, San Juan City

Family Structure, Characteristics and Dynamics

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

Socio-Economic and Cultural Characteristics

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.

Name of the Religious Highest Occupation Ethnic Place of Monthly Income

family Sector Educational Background Work per working
member Attainment members
Allan Evasco Iglesia Ni 2 year Machine n/a Quezon City 10,000.00 PHP.
Cristo vocational Operator
course
Maricel Iglesia Ni HS grad. Housewife n/a n/a n/a
Evasco Cristo
Almira Iglesia Ni GS Student n/a n/a n/a
Evasco Cristo undergrad.
Allysa Evasco Iglesia Ni n/a n/a n/a n/a n/a
Cristo
Apple Evasco Iglesia Ni n/a n/a n/a n/a n/a
Cristo
TOTAL MONTHLY INCOME: PHP.10,000.00
 Mrs. Evasco said that their food budget is enough for the five of them she verbalize “ sapat
naman ang pagkain naming saaraw-araw. Hindi naman masyadong malakas kuimain ang mga
anak ko, pero mahilig sila kumain ng kanin pati kaming magasawa.” Mr. Evasco is always
giving the exact amount of money to spend every week. Mrs. Evasco verbalizes, “Madalas
kaming naggo-grocery pag naibigay na ng asawa ko ang pangangailanagn namin.” She also said
that there family gets along with the whole neighborhood in fact Mrs. Evasco verbalizes, “
Minsan walang naiwan kay Apple iniiwan ko muna siya kay aling Mameng para mabantayan
kasi pumupunta ako sa Ospital minsan pag may sakit ang kapatid nila pumapayag naman sila.”
When we ask her if they are always going to the Health Center Mrs. Evasco verbalizes, “Hindi
masyado kasi hindi naman importante yun at kaya naman naming pumunta sa ospital kung
kaylangan eh yung health center kasi kundi kulang ang gamit, eh malapit pang maexpire ang
mga binibigay na gamut kaya sa odpital nalang kami pumupunta.” We ask her if she also
involves herself in the activities like free check up and free reading glasses she said, “Hindi
naman kasi ako mahilig pumunta sa center, sa ospital kasi kami madalas sa nanay ko sa
novaliches.” And according to Mrs. Evasco, “Ang pagiging healthy ay pagkain ng madame at
hindi nagugutom at dapat ay mataba.”

Expenditure Allotment Ranking

Food 2,500.00 PHP per month 1
Water Supply 8,000.00 PHP per month 2
Electricity Bill 1,200.00 PHP per month 5
Medicine 2,000.00 PHP per month 3
Education 500.00 per month 4
TOTAL OF: 9,500.00 PHP per month
 EVASCO FAMILY’S FLOOR PLAN

Home and Environment

1st Floor 8x

Sink

Comfort Room Stairs 2nd floor

Window 4x

Entrance Door Sala

2nd Floor

Stairs 3rd floor

Kitchen and Dining

Window Sleeping Area

3rd Floor

Stairs

Sleeping Area (vacant)

 Home and Environment

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.

Health Status of each family member

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

Father ( allan ) and Mother ( maricel )

Day Breakfast Lunch Dinner

Aug 8, 2010 2 cups of sinangag / 1 1 small plate of 1 small plate of
small cup of coffee ginataang langka and papaitan and 2 cups of
2 cup of rice / 2 rice / 2 glasses of
glasses of water water
Aug 9, 2010 2 cups of rice and 2 1 small of bowl of 1 small plate of
tuyo (med) / 1 small sinigang na baboy adobong baboy (3pcs
cup of coffee (3pcs small cubes of small cubes of pork)
pork) and 2 cups of and 2 cups of rice / 2
rice / 2 glasses of glasses of water
water
Aug 10, 2010 2 cups of rice and 1 small of bowl of 1 fried chicken (leg
1fried egg / 1 small sinabawang na buto- part) and 2 cups of
cup of coffee buto (3pcs small rice / 2 glasses of
cubes of pork) and 2 water
cups of rice / 2 glasses
of water

Eldest Daughter ( almira ) and Middle ( allysa )

Day Breakfast Lunch Dinner

Aug 8, 2010 2 pcs. Pandesal and 1 1 small plate of 1 small plate of
glass of milk ginataang langka and papaitan and 1 cups of
1 cup of rice / 12oz rice / 2 glasses of
coke water
Aug 9, 2010 2 pcs. Pandesal and 1 1 small of bowl of 1 small plate of
glass of milk sinigang na baboy adobong baboy (3pcs
(3pcs small cubes of small cubes of pork)
pork) and 1 cups of and 1 cups of rice / 2
rice / 1 glass of glasses of water
orange juice
Aug 10, 2010 2 pcs. Pandesal and 1 1 small of bowl of 1 fried chicken (leg
glass of milk sinabawang na buto- part) and 2 cups of
buto (3pcs small rice / 2 glasses of
cubes of pork) and 1 water
cups of rice / 2 glasses
of water
Youngest Daughter ( apple )

Day Breakfast Lunch Dinner

Aug 8, 2010 1 glass of lactum milk 1 cup of rice and 1 cup of rice and
sabaw with bits of sabaw with bits of
meat / 1 glass of water meat / 1 glass of water
and milk and milk
Aug 9, 2010 1 glass of lactum milk 1 cup of rice and 1 cup of rice and
sabaw with bits of sabaw with bits of
meat / 1 glass of water meat / 1 glass of water
and milk and milk
Aug 10, 2010 1 glass of lactum milk 1 cup of rice and 1 cup of rice and
sabaw with bits of sabaw with bits of
meat / 1 glass of water meat / 1 glass of water
and milk and milk
 GENOGRAM OF EVASCO FAMILY

ETO GUIDE MO KAY BAYOG TO HA..

GENOGRAM

GENEROSA HERARDO ARACELLI ARNULFO

HYPERTENSION DIABETES 65 HYPERTENSION 69

LEGENDS:
Women 1st Level and 2nd Level Assessment
Men
Alive and Well
RITO JENNIFE MARITES
AWW Family Nursing Problems Cues/Data
 Health History which may  She also told us that when she is
participate/induce the occurrence of a laboring with Mark she doesn’t feel
HYPERTENSION AW 28 DIABETES, ASTHMA 39
health deficit 42 anything and suddenly scheduled by the
1. Inability to recognize the presence doctor for caesarian section due to the
of the condition due to denial about fact that the heartbeat of Mark become
its existence or severity as a result so low
of fear of consequences of  During the interview Ate Marites said
diagnosis of problem specifically “Sana nga di na maulit iyong nangyari
emotional/psychological MARK nung ipinanganak ko si Mark gusto ko
issues/concerns and physical kasi na ipanaganak siya ng normal”
consequences

ASTHMA 5
 Presence of Stress points in labor
1. Inability to make decisions with
respect to taking appropriate health
action due to fear of consequences
of action specifically physical
consequences
2. Inability to make decisions with
respect to taking appropriate health
action due to negative attitude
towards the health condition or
problem
 Poor Home/Environment Condition/
Sanitation as Health threat presence of
breeding or resting sites of vectors of
diseases (roaches)
1. Inability to make decisions with
respect to taking appropriate health
action due to fear of consequences
of action specifically physical
consequences
2. Inability to make decisions with
respect to taking appropriate health
action due to lack of insight as to
alternative courses of action open to
them
 Accident Hazards as Health threat
presence of very narrow and “matarik”
stair steps and a piece of plywood
blocking the way
1. Inability to provide a home
conducive to health maintenance
and personal development due to
lack of knowledge about preventive
measures
2. Inability to make decisions with
respect to taking appropriate health
action due to low salience of the
problem
 Due to the fact that Mrs. Valentin has
diabetes she is thinking whether their
might be complications when
delivering the baby she wants the baby
to be delivered normally and not in a
caesarian way.
 Traumatized of what happened during
her first delivery with Mark
 Ate Marites Verbalizes “gumagamit
kami ng kulambo sa pagtulog dahil
maraming ipis na lumilipad pag gabi”
 Di kasi kami pwedeng mag spray dahil
nga may asthma kami ni Mark
 During the interview Ate Marites
verbalizes “tsinelas na lang
pinangpapatay ko wala na kasi akong
ibang alam na paraan”
 but we also observed the very narrow
and “matarik” stairs and a plywood that
block the way going down the house it
might cause accidents
 When we are interviewing Mrs.
Valentin she said, “Wala pang
naaksidente sa amin dyan at sanay na
kasi kami.”
 She also said, “Kasi naman baka may
umakyat na mga bata sa bahay namin
may nangyari na kasing ganon dito
nakaakyat ung bata sa bahay at hindi na
makababa nahihirapan kaya umiyak na
lang”
 Mrs. Valentin also added, “bata palang
kasi ko nandyan na yang hagdan na yan

 The presence of Mr. Valentin’s
Hypertension, Mrs. Valentin’s
Diabetes, Asthma and Mark’s Asthma
problem categorized as health deficits
that it is a illness state & diagnosed
1. Inability to provide adequate
nursing care to the sick due to lack
of knowledge about the disease
2. Inability to provide adequate
nursing care to the sick due to
inadequate family resources for care
specifically financial constraints
 Presence of unhealthful lifestyle and
personal habits/practices specifically
inadequate rest or sleep
1. Inability to provide adequate
nursing care to the sick due to
inadequate family resources for care
specifically absence of responsible
members
2. Inability to make decisions with
respect to taking appropriate health
action due to low salience of the
problem
 Presence of health threat specifically
accident hazards (fall hazards)
1. Inability to make decisions with
respect to taking appropriate health
action due to low salience of the
problem
2. Inability to provide a home
conducive to health maintenance
and personal development due to
lack of knowledge about preventive
measures
 Presence of colds, cough and fever
which can trigger asthma
1. Inability to provide adequate
kaya sanay na sanay na talaga ako ung
plywood nilagay lang yan ng mister ko
para di makaakyat yung mga bata.
 Based on their family history or
genogram the Valentin Family has all
of these illnesses and they are
diagnosed with these illnesses.
 They are always seeking for the help of
a doctor whenever they have illnesses
 Ate Marites needs insulin to maintain
her blood sugar but because insulin is
very expensive the doctor recommend
much cheaper medicine for her as she
requested.
 Mrs. Valentin lack sleep she usually
sleeps between 12 in the midnight and
wake up 5 in the morning
 Because most of the time Mark and
Mrs. Valentin is left at the house so she
does all the chores no time to rest
 During the interview Mrs. Valentin said
that she feel whenever she wakes up
and always taking in between naps after
doing light household chores like
“magwalis and cleaning Mark’s visibly
soiled clothes” so she doesn’t regards
this as a important problem.
 and also the things that is placed above
or hanged the stairs like “palanggana”
and some mono block chairs
 Mrs. Valentin said, “maayos naman
yung pagkakalagay ng mister ko at
hindi basta basta mahuhulog yan at
tsaka matagal na kasi yan dyan.”
 She also added “wala pa naman kasing
nahuhulugan o naaaksidente dyan eh”
 “madalas kasi kaming magkaubo at
sipon at tsaka natatakot ako baka
 nursing care to the sick due to Mrs.
Valentin is pregnant and she is very
prone to sickness
bumalik iyong asthma namin at para
laging handa!” Ate Marites verbalizes
 Ate Marites also added, “kapag inuubo
nga si mister di siya natutulog katai
namin ni Mark dahil alam niya pwede
na kaming mahawaan.”

 They are not self medicating  always going to the hospital or

community center when a member of
there family is ill to get prescription of
drugs from the doctor Mrs. Valentin
don’t believe in self medicating

 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
without a help of a health worker

 Mrs. Valentin is monitoring her blood
sugar regularly/everyday. Mrs.
Valentins’ last result 08-04-10 is
Lunch-115 Dinner-221 (normal blood
glucose level range 70-125)

Problem Prioritization

Health History which may participate/induce the occurrence of a health deficit

Computation Actual Score Justification

Criteria
Nature of the 3/3 X 1 1 It can cause health
Problem deficit to the mother

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

Criteria Computation Actual Score Justification

Nature of the 1/3 X 1 0.33 She doesn’t think
Problem about it too much she
verbalizes “bahala
Modifiability 0/2 X 2 0 na!” it is a stress point
of the Problem
She doesn’t
2/3 X 1 0.66 recognized it as a
Preventive problem at all
Potential
0/2 X 1 0 Anxiety because of
Salience of the labor will be reduced
Problem

The family doesn’t

think that this
problem needs
immediate attention

0.99/1

Vectors (roaches)

Criteria Computation Actual Score Justification

 Nature of the 2/3 X 1 0.66 They usually get out
Problem during nighttime so it
doesn’t bother the
family at all. It is a
Modifiability ½X2 1 health threat
of the Problem
Even though they
cannot use bug sprays
against these pest they
3/3 X 1 1 still use alternative
Preventive methods like
Potential smashing it with a
½X1 0.5 slipper
Salience of the
Problem Keeping the house
clean at all times

The family doesn’t

prioritize this problem
at this time
3.16

Narrow and “matarik stair steps

Criteria Computation Actual Score Justification

Nature of the 2/3 X 1 0.66 It is a health threat
Problem

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

Criteria Computation Actual Score Justification

Nature of the 3/3 X 1 1 It is a health deficit
Problem

Modifiability 2/2 X 2 2 Current

of the Problem knowledge and
resources are
available to solve this
3/3 X 1 1 problem
Preventive
Potential Maintaining their
2/2 X 1 1 health status by
Salience of the keeping their body
Problem healthy

The family thinks that

this problem needed
immediate attention
5

Inadequate rest and sleep

Criteria Computation Actual Score Justification

Nature of the 2/3 X 1 0.66 It is a health threat
Problem
Doesn’t recognize this
Modifiability 0/2 X 2 0 as a problem
of the Problem
3/3 X 1 1 See to it to have 8hrs.
Preventive of sleep and or nap
Potential when doing nothing
0/2 X 1 0
Salience of the The family doesn’t
Problem recognize this
problem
1.66
Fall Hazards

Criteria Computation Actual Score Justification

Nature of the 2/3 X 1 0.66 It is a health threat
Problem
Use preventive
Modifiability 2/2 X 2 2 measure and proper
of the Problem arrangement of things
2/3 X 1 0.66
Preventive Avoid putting sharp,
Potential heavy, big objects in a
2/2 X 1 1 high place it might
Salience of the afall ona a person and
Problem cause accident

The family thinks that

it needs attention
4.32

Presence of cold, cough and fever

Criteria Computation Actual Score Justification

Nature of the 3/3 X 1 1 It is a health deficit
Problem
The family doesn’t
Modifiability 0/2 X 2 0 recognize this as a
of the Problem problem
3/3 X 1 1
Preventive
Potential Store medicine for
0/2 X 1 0 emergency cases and
Salience of the a family member is
Problem sick eat nutritious
foods and exercise
regularly

This problem doesn’t

need any attention at
 all
2
The Prioritized Health Problem:

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

First Level of Assessment