• FIRST LEVEL ASSESSMENT

Initial Data Base

1. Family structure, characteristics & dynamics

1. Members of the household: birthdate, sex, civil status, position in the family and
relationship to the head of the family
2. Sociodemographic data of members not currently living in the household but with
major role in resource generation and use.
3. Type of family structure and form
ͯ E.g., matriarchal or patriarchal, blended, extended or nuclear family structure
4. Dominant family members in terms of decision making (especially on matters of health
care) and care tending.
5. Family dynamics, communication pattern/s, interactional processes and interpersonal
relationships (e.g. dyadic and triadic interactions) which possess innate or great
potential to mediate or potentiate factors relevant to health, illness, growth,
development and the family’s ability to handle conflict, change, anticipated and
unexpected events.
2. Socio-economic&culturalcharacteristics
1. Income and expenses
- Occupation, place of work and income of each working member
- Adequacy to meet basic necessities (food, clothing, shelter)
- Who makes decisions about money and how it is spent
2. Educational attainment of each member
3. Ethnic background and religious affiliation
4. Family traditions, events or practices affecting members’ health or family functioning
5. Significant Others – role(s) they play in family’s life
6. Relationship of the family to larger community – Nature and extent of participation of
the family in community activities.

C. Home & environment

1. Housing

a. Adequacy of living space

b. Sleeping arrangement
c. Presence of breeding or resting sites of
i. vectors of diseases (e.g. mosquitoes,
ii. roaches, flies, rodents, etc.)
d. Presence of accident and fire hazards
e. Food storage and cooking facilities
f. Water supply – source, ownership, potability
g. Toilet facility – type, ownership, sanitary condition
h. Garbage/refuse disposal – type, sanitary condition
i. Drainage system – type, sanitary, condition
2. Kind of neighborhood, e.g. congested, slum, etc.
ͯ Location of home (Nasa tabi ba ng ilog? Marami bang lamok?)
 3. Social and health facilities available
4. Communication and transportation facilities available.

D. Health status of each family member

1. Medical and nursing hx indicating current or past significant illnesses or beliefs and practices
conducive to health and illness
2. Nutritional assessment (specially for vulnerable or at-risk members)
a. Anthropometric data
b. Dietary hx specifying quality and quantity of food/nutrient intake per day
c. Eating/feeding habits/practices
3. Developmental ax of infants, toddlers, and preschoolers – e.g. Metro Manila Developmental
Screening Test (MMDST).
4. Risk factor assessment indicating presence of major and contributing modifiable risk factors for
specific lifestyle diseases – e.g. HTN, physical inactivity, sedentary lifestyle, etc.
5. Physical ax indicating presence of illness state/s (diagnosed or undiagnosed by medical
practitioners)
6. Results of laboratory/dx and other screening procedures supportive of ax findings.

E. Values & practices on health promotion & disease prevention

1. Immunization status of family members

2. Healthy lifestyle practices. Specify.
3. Adequacy of:

a. Rest and sleep

b. Exercise/activities
c. Use of protective measures – e.g adequate footwear in parasite-infested areas
d. Relaxation and other stress mgt activities
e. Opportunities which enhance feelings of self- worth, self-efficacy and sense of
connectedness to self, others and a higher power, essence of meaningfulness.

4. Use of promotive-preventive health services (such as maternal and child health supervision) and
use of healthy lifestyle- related services.

SECOND LEVEL ASSESSMENT

Performance of Family Health Tasks

1. Family’s perception of the problem/s

2. Decisions made & their appropriateness; if none, reasons
3. Actions taken & results; if none, reasons
4. Effects of decisions & actions on other family members

METHODS OF DATA GATHERING

1. Observation
 a. Communication & interaction patterns
b. Role perceptions/task assumptions by each member, including decision- making
patterns
c. Conditions in the home & environment

3. Physical Examination
a. Health status
3. Interview
a. Health Hx of each family member
b. Data for second level ax
4. Records Review
5. Laboratory/Diagnostic Tests

SECOND LEVEL ASSESSMENT

1. Ability to recognize existence of a problem

o Ano po ang palagay/tingin ninyo sa kalagayan ng inyong anak na si Joseph?

2. Ability to make decisions & actions about identified problem

o Ano na po ang nagawa ninyo para mapaigi ang kanyang kalagayan?

3. Ability to recognize problems in implementation of interventions

o Anu-anopoangmganagingsagabal sa mga ginagawa ninyong solusyon sa kanyang kalagayan?

4. Perceived effect/s of identified condition to other family members

o Ano po ang naging epekto ng kanyang kalagayan sa ibang miyembro ng pamilya?

RECORDS REVIEW

ͯ If baby is exclusively breastfed (0-6 months nothing except mother’s milk), don’t just base on the wt.
Note also HC, wt & ht.

TOOLS USED IN DATA GATHERING

I. GENOGRAM
- a pictorial display of a person’s family relationships & medical history
- goes beyond a traditional family tree by allowing the user to visualize
hereditary patterns & psychological factors that affect relationships
- can be used to identify repetitive patterns of behaviour & to recognize
hereditary tendencies
ͯ in chn, no pt ć star since your client is the whole family. ͯ
Indicate3GENERATIONS
II. ECOMAP
- a pictorial representation of a family’s connections to persons &/or systems in
their environment
- a graphical representation that shows all of the systems at play in an
individual’s life
- Illustrates 3 separate dimensions:
a.) strength of the connection
b.) impact of the connection
c.) quality of the connection