UNIVERSITY OF THE PHILIPPINES MANILA

The Health Sciences Center

COLLEGE OF NURSING
Sotejo Hall, Pedro Gil Street, Manila

N107- NURSING INTERVENTIONS

INITIAL DATABASE

A. FAMILY STRUCTURE, CHARACTERISTICS, AND DYNAMICS

Head of the family: Ladislao Mon
Address: 2552, Granate St. Barangay 766, San Andres, Manila City
FAMILY
RELATION BIRTHDATE CIVIL HIGHEST EDUC’L
MEMBER SEX OCCUPATION
TO HEAD STATUS ATTAINMENT
Name Mo. Yr.
Retired (worked as a
Ladislao Mon Head M Jun 27 1941 Married College graduate
teacher & barber)

None (used to be a
Araceli Mon Wife F Feb 11 1943 Married 1st year college
factory worker)

Lance Gabriel
Grandson M Dec 31 2004 Single Elementary none
Mon

Rejin
Nephew M April 9 1988 Single High school househelper
Masmehila

Table 1. Mon’s Family Data

The family is nuclear with the father serving as the head and main decision maker of the family. The head of
the family is Mr. and his wife is Mrs. Lordelisa Galoso years old. They have been married for almost 8 years. They
have 2 children, namely, Fiona Mae and. Mostly all areas of decision making are done by Mr. La while Mrs. Lordelisa
is in charge of taking care of the children and in managing their home. As reported the family lives harmoniously with
each other. The family is also open to each other in any matter.

B. SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS

I. Economic

Mr. is tye breadwinner and the main deciison maker of the family. he works as a construction worker at Royale
Tagaytay. He earns P per month. The family’s total income comes from his monthly salary. The family does not have
other sources of income. Their average monthly expenses are as follows:

Mon’s Family’s Monthly Income (Cash in pesos) P30,000.00

Expenses per Month
House Rent ------
Electricity P2, 000. 00
Water P2, 140. 00
Food P15,000. 00
Personal Needs ------
(shampoo, bath soap, laundry soap, etc.)
Health P1000. 00
Clothing ------
Transportation ------
Schooling expenses P2,000.00
Internet & landline P1, 500.00
TOTAL: P23, 640. 00 (approx.)

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The biggest allocation of their monthly income goes to food followed by utility expenses such as elextricity and water
and her childrens health needs. They cook their food at home. Mrs. Lordelisa buy some of their food at a market in
Sulsuginand once every 2 to 3 weeks. They do not have refridgirator so they cook their food as soon as possible to
avoid

Their family income ranges from P20, 000.00 to P30, 00 per mont According to the most recent Family Income and
Expenditure Survey (FIES), the family’s income falls under the lower middle income class. On average, middle class
household comprises four members, lower than an average family size of six among poor households. While this does
not mean that family size causes poverty, it suggests that those with low income may be further weakening their
purchasing power with more household members to support. In addition, according to NEDA, ideally a Filipino
household of 4 should have a gross monthly income of P120, 000.00 to live a “simple and comfortable life” which
entails owning a car and a medium sized house and having enough money for day to day needs. Evidently, the family’s
income does not reach the ideal income of a Filipino household of 4. However, Mrs. Araceli verbalized that their family
income is oftentimes enough to provide them with their basic needs in life – food, home, water, electricity, etc. The
client verbalized that she is grateful that they are able to eat three times a day and live life without getting hungry. The
income from their sari-sari store is usually not enough. Whenever they need money especially for emergency purposes,
they ask help from their children. A large portion of the family’s income goes to food. According to Mrs. Araceli, they
usually spend around P500- P1, 000.00 per day depending on the food they prepare and the number of family members
present at that day. They do not spend on house rent. The rightful owner of the land where their house was built died
several years ago and no other family member claimed their rights over it so since then the Mon family sought
ownership of the land. Monthly, their electric bill reaches around P2, 000.00 to P2, 500. 00. They are being supplied by
Maynilad and they pay around P2, 000.00 per month. Their latest water bill reached P2,140.00. In the family’s budget,
there is no specific allocation for the family’ s health needs; however, they use some amount of money to buy Mrs.
Araceli’s maintenance anti-hypertensive medications. They don’t usually spend on their personal needs because they
have a sari-sari store where they can get their supplies from. Lance’s schooling expenses reaches approximately a
maximum of P2,000.00 per month. This includes his money for food and school requirements. His schooling expenses
are being provided by her mother who works abroad. Every month, they also pay for internet and landline from PLDT
which costs P1,500.00. They don’t spend that much for transportation because they don’t usually leave their home and
travel.
II. Socio-cultural and political characteristics
The family is updated about current events because they love to watch the television. Oftentimes, they read
the daily newspaper. The family has two functioning telephones which they use to communicate with other family
members and for emergency purposes. Mrs. Araceli verbalized that there is good signal of telecommunication in the
area. All the members of the family are part of Iglesia ni Cristo. They sometimes attend church service at a nearby
kapilya located just a few streets away from them. Mrs. Araceli only attends church when someone accompanies her
because she needs support as she walks towards their worship place. Because of its close proximity to the location of
their house they just walk to church. The family members are not members of any other religious organization in the
community. Mrs. Araceli claims that their religion doesn’t really affect the decisions the family makes. Mrs. Araceli
claims that their family doesn’t usually face major problems. Currently, their main concern is her and her husband’s
health. “Tumatanda na kaming dalawa. Tapos, wala pa yung mga anak ko dito.”, she verbalized. Whenever they feel
sick, they call their youngest son and he accompanies them to consult a doctor. Their children abroad calls them
frequently to check up on them. The family is generally in good terms with their neighbors. However, they don’t
usually go out of their house to interact with them. They are able to interact with their neighbors when they buy from
their store. Mr. Ladislao usually represents the family and participates in general assemblies conducted by the barangay.
According to him, the major problem of their barangay is poverty and the lack of proper sanitation. The family is aware
of the health services available in the health center such as nutrition programs, check-ups, immunizations, dental
services and free consultations. However, they are not active users of the institution. They prefer to consult a private
doctor. The last time Mrs. Araceli went to the health center was when she got her youngest child vaccinated last 1983.
Mrs. Araceli verbalized that one thing she doesn’t like about the health center is that there’s usually a lot of people and
she has to wait in line first before she gets to be checked by a doctor or health worker.
C. HOME AND ENVIRONMENT
The family lives in 2552, Granate St. Barangay 766, San Andres, Manila City. They have been living there
for more than 50 years already. Their two storey house is approximately 3 meters wide and 7 meters long which is
made up of both wood and concrete material. Generally, their house is relatively clean and orderly. It is frequently
maintained and cleaned by Mr. Rejin. According to a report of WHO on Public Health aspects of housing, crowding
and inappropriately high room densities have been shown to have a number of adverse effects on the physical and
mental health of the family. They have a crowding index of 1 which indicates no overcrowding in their household. Mr.
Ladislao also verbalized that spacewise, their home is just enough for them. It also has good ventilation and lighting.
Inadequate ventilation is associated with a higher risk of airborne infectious disease transmission, including
tuberculosis, as well as the accumulation of indoor pollutants and dampness, which are factors in the development of
allergies and asthma. On the first floor, the house is divided into three parts; the sari- sari store, living room with dining
area and the kitchen. Their sari-sari store is situated at the receiving area of the house and a wooden wall separates it

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from the living area. At the right side of the store is a bunk bed where the couple sleeps. Mr. Ladislao takes the upper
part while Mrs. Araceli sleeps on the lower part of the bed. They chose to place a bed at one side of their sari-sari store
for two important reasons. Before Mrs. Araceli had stroke, they used to sleep at the second floor. After the incident,
they chose to transfer at the first floor to avoid going up and down the stairs. And another important reason is that they
can lie down on the bed while waiting for customers. Their dining is area is located at the left side of their living room
and at the right side is the wooden staircase that leads to the second floor. Their kitchen is at the furthermost part of the
house just right in front of the living and dining area. Beside the kitchen, is their bathroom. Upon observation, the
bathroom is kept clean and lacks any foul odor. It has good ventilation and lighting. Inside its is a pour-flush toilet. The
second floor of their house is divided into different rooms. The figure below shows the house layout of the Mon family.

Their water for household use is being supplied by Maynilad and there are usually no water interruptions in
the area as reported by Mr. Ladislao. They have functional faucets at their kitchen sink and bathroom. They don’t stock
Bathroom
water. As for drinking purposes, they have mineral water which is being supplied by a private water delivery service.
They use a gas stove for cooking. The family keeps their leftovers in the refrigerator. Their pots, pans, utensils and
other cooking equipment are kept clean and are properly arranged on their countertop while some are hanged on the
wall. They place their garbage on plastic containers which they bring out of their house at night to be collected the first
thing in the morning. Garbage is usually collected around 4 am in the morning. The family has two pets; a dog and a
cat. Upon observation, there were no cockroaches and rats inside the house. However, according to Mrs. Araceli, they
sometimes have cockroaches and insects inside the house. Once a month, they use a pesticide spray to kill household
pests. Mr. Ladislao reported to have no rats, bedbugs, and termites inside the house.
Outside of their home, pieces of trash like food wrappers, plastic beverage bottles, and plastic bags could be
seen. Cigarette butts could also be seen to be scattered outside of their house. Mrs. Araceli verbalized that the children
in the neighborhood usually throw their trash everywhere. Before reaching their home, one would have to go through a
narrow dimly lit wet passageway with foul smelling open canals. The streets of the community are filled with garbage
and other scraps. Roaming cats and dogs can be seen, leaving thestore
Sari-sari streets littered with animal feces. The community is
also filled with different kinds of noise. The barangay hall is approximately 200 m away from their house. There is a
basketball court and a wet market nearby. There is also an elementary school near them.
D. HEALTH STATUS OF EACH FAMILY MEMBER
A. Araceli Mon
She had stroke last March 2008. During the attack, she experienced the ff: sudden weakness of her lower
extremities, trouble walking dizziness, and loss of coordination and balance, sudden severe headache and vomiting .
Before her stroke, she did not know that she was already hypertensive. As the client recalled, she had a BP of 200/ 100
as she was brought in the hospital.She was unable to ambulate for over a month after she had stroke due to severe
muscle weakness. Since 2008, she has been taking Losartan as prescribed by her doctor and just last year she started
taking Atorvastatin and Carvedilol. She takes one 100 mg/tab of Losartan and one 40 mg/tab of Atorvastatin after she
eats breakfast at 6 am daily. Before she goes to sleep, she takes one tab of 6.25 mg Carvedilol. She has a family history
of hypertension, tuberculosis and cardiac problems. Her grandmother from the mother’s side died due to tuberculosis
while her grandfather died due to heart attack. She has no information about her grandparents from her father’s side.
The client’s mother died at 93 years old due to an accident where she hit her head on hard ground while her father who
was a smoker died at 66 years due to throat cancer. She has 9 siblings and among them 5 have died. The eldest died of
liver cirrhosis while her youngest sibling died of brain tumor. The client is a G5T5P0A0L4. One of her children died
right after birth due to some lung problem. She had menarche at 11 years old. She had a premature menopause at the
age of 40 years old.
The client expressed that she has been feeling weak ever since she had stroke last 2008. She had reports of
muscle weakness, loss of balance and falls. She does not get cough and colds nor fever often. As far as she can
remember, the last time she had cough and colds was last 2015. When she gets cough, it usually lasts for more than a
week. She often gets vertigo. When she experiences episodes of vertigo she takes a tab of Cinnarizine as prescribed by
her doctor. “Pag dumidilat ako, parang bumabaliktad yung bahay.”, she verbalized. She maintains her health by taking
her maintenance medications regularly. When she feels sick, she does not like taking medications unless prescribed by
her doctor. “Natatakot ako uminom ng kahit anong gamot lang.”, the client verbalized. She has no history of smoking
nor drinking. The client thinks that the reason why she had hypertension which led to stroke was her poor and
unhealthy diet and lifestyle. She verbalized that whenever she seeks help from a doctor, she sees to it that she follows
the doctor’s orders as much as possible.
The client verbalized that her appetite has been generally fine although she sometimes experiences bouts of
decreased appetite. Her usual food is composed of a cup of rice and one choice of viand. The client usually has light
breakfast; she usually consumes bread and pairs it with a cup of coffee. The client drinks coffee almost every other day.
She is not much of a rice lover and can consume only about one cup of rice every meal. She usually eats pork or beef
every meal. “Siyempre di nawawala ang karne. Palagi naming ulam yun. Kaya siguro ako nahigh blood.”, the client
verbalized. They usually cook marinated pork chop, nilagang baboy or baka, or adobong baboy. She also loves to eat
dried fish. The client verbalized that as much as possible she wants to have dried fish every meal. She eats vegetable
almost every other day. Her top favorite fruits are grapes,banana, orange, apple and star fruit. As reported, the client can
usually consume a kilo of her favorite fruits in one day. Since she comes from Iloilo, she loves to eat Ilonggo dishes

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such as laswa, KBL (Kadyos, Baboy, Langka) and pinaksiw na bangus. Recently, the family has not been preparing
these dishes because the couple’s grandson does not like to eat this type of food. They cook food at home and don’t
usually buy from outside. Before she had stroke she used to cook for the family but now she cannot do it anymore
because she easily gets tired and she can’t stand for a long time. According to her, they usually put seasoning to add
flavor in their food. “Minsan kasi parang walang lasa na yung mga pagkain,” the client verbalized. Before she had
stroke, she used to drink softdrinks for every meal; however, this all stopped after she had stroke. She drinks a cup of
coffee everyday. She does not experience difficulty in eating. The client does not have allergies to food. Mrs. Araceli
has a weight of 156.2 lbs and a height of 144.8 cm. She has a BMI of 31.5. According to WHO’s BMI classifications
for Asians, the client is obese putting her at great risk for a lot of non-communicable diseases. The table below shoes
the 24-hour food recall of the client.
24-hr food recall
(Taken on March 20, 2017)

Meal/Food Taken Dimensions – Number of Servings (household measures)

Breakfast 500 ml of water

250 ml of coffee
3 pcs of pan de sal

AM Snack ----
Lunch 500 ml of water
1 cup of rice
Chicken afritada, approx 1 cup

PM Snack ----
Dinner 500 ml of water
1 cup of rice
1 pc of tortang dilis
3 tbsp of tuna flakes (canned)
Bedtime Snack ----
* 1 glass= approximately 250 ml

Based on her 24 hr nutritional analysis, the client has insufficient intake of carbohydrates but has sufficient
intake of protein and fats. She has deficiency of Calcium, Iron, Vitamin A, Vitamin B12, Vitamn B6, Niacin and
Vitamin C. Upon report, the client has increased intake of salt. Her required TEA according to her DBW is 1200 cal
however she has a deficit of 176 cal.
The client’s bowel elimination follows a regular day to day pattern. She usually eliminates one to two times a
day. Her stool is usually of brown color and she does not experience any difficulty eliminating. Meanwhile, the client
voids for more than six times a day. She frequently urinates at night. “Nagigising ako sa gabi palagi. Minsan nakaka 3-
4 beses akong balik ng cr sa gabi para umihi.”, she verbalized. Her urine varies from pale straw yellow to transparent
yellow to a slightly darker shade with no putrid or fishy smell.
Table 1 presents the client’s Barthel Index of Activities of Daily Living (ADL) while Table 2 presents her
scoring of Lawton and Brody’s Instrumental Activities of Daily Living (IADL):

Table 1: ADLs Level

Bowels 2
Bladder 2
Toilet use 2
Grooming 1
Feeding 2
Transfer 3
General Mobility 3
Dressing 2
Stairs 1
Bathing 1
Total score: 17/20

Table 2: IADLs Level

Ability to use telephone 1

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 Shopping 0
Food preparation 0
Housekeeping
Laundry 0
Mode of Transportation 1
Responsibility for own 1
medications
Ability to handle finances 1
Total score 4/8

Table 3: Elderly Level

Mobility Scale (EMS)
Lying to Sitting 1
Sitting to Lying 2
Sitting to Standing 2
Standing 2
Gait 3
Timed walk 3
Functional reach 0
Total score: 13/20

Mrs. Araceli’s Barthel’s Index is high which indicates great independence in performing her ADLs. However, she
has a decline in her IADLs. The client verbalized that she usually feels weakness especially in her lower extremities.
After she had stroke, she experienced weakness all over her body and she couldn’t walk for more than a month and just
stayed in bed. Over the years, she was able to ambulate but the weakness remained although mostly in her lower
extremities. Based on her mobility scale, the client is at the borderline in terms of safety mobility and independence in
ADLs; sometimes she requires help with some mobility maneuvers. She does not follow a regular exercise regimen.
Before she had stroke, she used to engage in household chores like washing the dishes, cleaning the house, ironing,
doing the laundry and groceries and a lot more; however, currently she is only able to do light housekeeping practices
such as making her own bed and dusting pieces of furniture. She also used to jog around the area with her husband
almost every other day. “Ngayon di ako pwede tumayo ng matagal kasi matutumba ako. Gusto ko nga palagi akong
nakaupo”, the client verbalized. She does not get out of the house and go walk around because of the fear that she
might lose balance, fall and injure herself. Also, as much as possible the client tries to avoid going up and down the
stairs to avoid incidences of falling. When she feels really weak, she uses her cane inside the house.
The client usually sleeps for four to five hours every day. She usually sleeps around 11 to 12 in the evening
and she usually wakes up around 4 in the morning. She will not sleep until she finishes the entire episode of the
teleserye from her favorite network channel. She does not experience difficulty falling asleep. She does not sleep
continuously at night; she wakes up every now and then to urinate. For a night, she wakes up at least 3 times just to
urinate. She usually takes nap during the day at 11 am or every after meal. She does not have any problem with her
hearing. She also has no blurry vision; however, she has presbyopia. As a result, she uses reading glasses whenever she
reads. She also has a problem with her memory. “Mas makakalimutin na ako, di ko na nga maalala ulam namin
kahapon.”, the client verbalized. The client reported that she sometimes feel intermittent localized pain on the left side
of her chest which feels like pins an needles. She intends to consult her private doctor regarding this. The client has
discerned that over the years she’s starting to get weaker and weaker. According to her, ever since she had stroke, her
capability to do things such as doing the household chores and standing and walking for long periods of time has
decreased to a significant level. “Dati, hands on talaga ako sa bahay. Ako gumagawa lahat. Ngayon hindi ko na kaya.”,
the client verbalized. She easily gets sad, angry, scared, and nervous but she is able to calm herself and get relief by
watching her favorite television shows. The client thinks that the reason why she got stroke last 2008 was stress. “Na-
stress ako nang iniwan ako ng mga anak ko. Siguro isa din yun sa rason kung bakit ako nagkasakit. ”, she verbalized.
Currently, she doesn’t feel stressed or tensed. She tries to attend church service as much as she can at their kapilya
located in the barangay every Thursday and Sunday. The client verbalized that despite everything that happened to her
the past few years she still believes in God and that He never left her during her hardest times.
Physical assessment of Mrs. Araceli showed the following results: The blood pressure of the client is elevated
at 150/80 mmHg. The client has a dry rough atrophied skin and has poor skin turgor. She has dry coarse hair. Her facial
features exhibit peri-orbital edema and she has bilateral arcus senilis. She has dry lips and she is wearing dentures.
Bone conduction is longer than air conduction. She has diminished breath sounds all over mid lower right and left lung
fields and her heart sounds are faint. She has pale nail beds. Her muscle tone is decreased. Her muscle strength grade is
5/5 in her bilateral upper extremities and 4/5 in her bilateral lower extremities. She has 2+ and symmetrical biceps,
triceps, patellar, ankle, plantar reflexes but her bilateral brachioradialis reflexes were not elicited.
B. Ladislao Mon
The client is 75 years old. During initial interview, the client reported to be feeling fine. The client had a

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history of tuberculosis 30 years ago. The client does not remember if he underwent DOTS therapy but what he knows
is that he took several medications for months and he took a “vitamin for the lungs” for several years. According to
him, this vitamin is already phased out in the market that’s why he stopped taking this. He has a family history of
tuberculosis and hypertension. Included in the client’s past illnesses were mumps, pneumonia, and parasitism, He
cannot remember any other past illnesses apart from these. He occasionally experience fever, cough and colds. The
client claims to have complete immunization. When he has cough and colds, he just drinks plenty of water and does not
immediately go to the center or hospital for a consultation. He takes 500 mg of Paracetamol for febrile episodes which
does not last for more than three days. The client generally feels fine and reports not having difficulties with his cough.
He sometimes experiences cough and colds, usually 5-6 months before acquiring another one. The client tries to take
care of his health by staying active by doing the groceries for the family. Everyday, he goes back and forth the market
to buy their daily supply of food. When he was in high-school he used to smoke at least 1 pack of cigarette and drink
beer everyday. This all stopped when he got diagnosed with tuberculosis 30 years ago. He is able to follow everything
that the doctor or nurse had reminded him about in the past, and he only goes to the center or hospital now when he is
really sick.
24-hr food recall
(Taken on March 20, 2017)

Meal/Food Taken Dimensions – Number of Servings (household measures)

Breakfast 500 ml of water

250 ml of coffee
3 pcs of pan de sal

AM Snack 2 pcs pan de sal

Lunch 500 ml of water
2 cup of rice
6 tbsp. of afritada

PM Snack ----
Dinner 500 ml of water
2 cups of rice
1 pc of tortang dilis
3 tbsp of tuna flakes (canned)
Bedtime Snack ----
* 1 glass= approximately 250 ml

The client has good appetite in eating and he loves to eat every now and then. He reports no difficulty or
discomfort when eating and digesting food. He is currently not taking vitamins or supplements. “ Di ako umiinom ng
vitamins kasi parang bumibilis yung pagtibok ng puso ko.”, the client verbalized. His typical food intake consists of a
cup of coffee for breakfast, 1 cup of rice and 4-5 pieces of meat in the afternoon, 1-2 cups of rice and 4-5 pieces of
meat for dinner and 1, 500- 2,000 mL of water daily. Mr. Ladislao does not like putting seasoning in his food. “Ako
ayaw ko talaga na may Magic Sarap yung pagkain namin. Yung asawa ko mahilig diyan.”, he reported. He prefers to
eat stew over fried food. The client did not notice if he had lost weight recently, but said he never experienced losing or
gaining too much weight in a short span of time. He also generally do not experience a sudden or drastic loss of
appetite. Currently, he weighs 165 kg and he has a height of 165 cm. His BMI is 27 indicating that he is overweight.
He has no allergies to food and he experiences no difficulty in eating. His illnesses last for a maximum of 1 week and
his wounds usually heal after 4 days. He does not have any problems with his skin, although it is a little dry.
The client defecates 1-2 times per day with formed, soft brown stool and generally does not feel any pain or
discomfort in defecating. He voids around 5 times per day and according to him, his urine does not smell putrid or
fishy. Again, he notes no pain or discomfort urinating. Just like his wife, she frequently wakes up at night to urinate.
He notes no problem regarding the smell of his sweat or his body’s odor in general, even after the whole day has
passed. He says his body produces much sweat especially now that summer is coming.
The client is generally active, and has enough energy to finish his routine at home. Upon waking up in the
morning, he does some of the household chores like sweeping the floor if his nephew had not done it yet, then he would
go to the market to buy the ingredients for their meals; after eating lunch in the afternoon, he would go around the area
and during the entire day he would be helping his wife in their sari-sari store. He is responsible for paying their electric
and water bills. He says he does not have a regular and set exercise regimen but he considers jogging or walking around
the area as his exercise. He jogs or walks along the streets of Granate and Onyx in the early morning or late afternoon
two to three times a week for 10-15 minutes. THe is able to perform all of his ADLs and IADLs independently. able 1
presents the client’s Barthel Index of Activities of Daily Living (ADL) while Table 2 presents her scoring of

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Instrumental Activities of Daily Living (IADL):

Table 1: ADL Level

Bowels 2
Bladder 2
Toilet use 2
Grooming 1
Feeding 2
Transfer 3
General Mobility 3
Dressing 2
Stairs 2
Bathing 1
Total score: 20/20

Table 2: IADL Level

Ability to use telephone 1
Shopping 1
Food preparation 1
Housekeeping 1
Laundry 1
Mode of Transportation 1
Responsibility for own 1
medications
Ability to handle finances 1
Total score 8/8

Table 3: Elderly Level

Mobility Scale (EMS)
Lying to Sitting 2
Sitting to Lying 2
Sitting to Standing 3
Standing 3
Gait 3
Timed walk 2
Functional reach 2
Total score: 17/20

The client can perform his ADLs and IADLs with great independence as indicated by the scoring above.
Based on his mobility scoring, Mr. Ladislao is still able to perform mobility maneuvers alone and safely and with great
independence in performing his ADLs. Just like his wife, the client usually sleeps from 12 PM to 4AM. He has
continuous and peaceful sleep and the only time he wakes up in the middle of the night is when he has to go to the
bathroom and urinate. He does not experience night terrors or sleep walking. He sleeps for about 1 hour in the
afternoon. He finds watching the television, sitting and taking to his wife very relaxing. The client does not have
problems regarding his sense of hearing. However, he finds it hard to read words far from him. He said he is quite
forgetful especially when it comes to where he places things. He learns fast when he is able to perform things daily. He
says there is nothing that bothers him when it comes to getting old and he actually thinks his life is well-lived and he
regrets nothing about his past. He does not get angry, irritated and scared easily.
C. Lance Gabriel Mon
During the date of the interview, the client, also known as Gabby, complained of diarrhea that has lasted for 1
day. According to her grandmother, Lance drank juice that was being sold at the streets that caused him to have loose
watery stools. The client has no fever. He is currently staying hydrated by frequently drinking water and Gatorade. He
has not taken medication for this. Generally, Lance’s health has been fine. He does not get sick often. He does not
usually get cough. colds, or fever. As a matter of fact, he only gets sick for approximately once to two times a year. As
verbalized by his grandmother, Lance at his age, doesn’t really give importance to his health yet. He needs to be
reminded every now and then to take care of his body.
24-hr food recall
(Taken on March 21, 2017)

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 Meal/Food Taken Dimensions – Number of Servings (household measures)

Breakfast 250 ml of water

250 ml, hot chocolate
1 pc egg, boiled
1 cup of rice
AM Snack 1 bottle of coke
Lunch 1 cup of rice
1 pc fried chicken
250 ml of water

PM Snack Halo-halo
Dinner 250 ml of water
Adobong baboy
Ginisang sayote

Bedtime Snack ----

* 1 glass= approximately 250 ml

Generally, Lance does not have a huge appetite. As verbalized by his grandmother, Lance is really choosy
when it comes to food. He does not like to eat canned goods and paksiw. However, he loves to eat fried chicken and
pork chop. He eats any vegetable except for eggplant. He usually drinks softdrinks almost everyday. According to Mrs.
Araceli, he sometimes sneaks the softdrinks and junk foods from their sari-sari store. He can finish 1L of fresh milk I
one day. His weight is 99 lbs with a height of 150 cm. His BMI is 20.0. According to CDC, his BMI is placed at the 76 th
percentile for boys of his age, indicating a healthy weight. He eliminates wastes 2-3 times a week. He does not have
difficulty in defecating. Meanwhile, he urinates for at least 5 times a day. He sweats but not profusely. After school, he
usually plays computer games. “Kompleto yan ng gamit. May cellphone siya, computer, at tablet kaya laro ng laro lang
yan.”, his grandmother verbalized.
Lance normally sleeps at around 10 in the evening. He does not have difficulty in falling asleep and staying
asleep. He has a sound and continuous sleep at night every day. He wakes up at around 4:30 in the morning to prepare
for school. He does not have any difficulty in reading nor writing as well. His grandmother verbalized that Lance is an
easy learner. Even before he entered school, they taught him how to read and recite numbers and the alphabet and he
was able to do it with aptitude. At the present time, he studies on his own. However, as his grandmother verbalized
Lance still needs to develop his study habits since sometimes he still needs to be reminded to study. Sometimes he is
too busy playing games.
Physical assessment of Gabby shows the following results: BP: 120/80, T: 37.0, RR: 14, HR: 74; O2 sat:
100%. He has missing upper and lower molar teeth and dental caries but with no foul smell.
E. Values
According to Mrs. Araceli a healthy person is one that does not usually get sick. To be healthy, she believes
that a person must eat enough food and must have enough rest and with proper physical activity. She describes a sick
person to be thin, weak and does not have sufficient energy to finish her tasks for the day. The client verbalized that she
does not self-medicate. She seeks for the advise of the doctor first before she buys any medicine at home. She prefers
to buy medications with the prescription of the doctor because this makes her feel more secure. More often than not, the
family seeks consult from a private doctor rather than going to the health center. “ Madaming tao sa health center. Pipili
at mahihintay pa kami.”, Mrs. Araceli verbalized.