FIRST AND SECOND LEVEL OF ASSESSMENT

A. FAMILY STRUCTURE, CHARACTERISTICS, AND DYNAMICS

/RELATIONAL PATTERNS: Assigned students: Ms. Domingo & Ms. Bool

FIRST LEVEL SPECIFIC CUES SECOND LEVEL

ASSESSMENT ASSESSMENT
I. Presence of
Wellness Condition
Readiness for enhanced When we inquired about the family’s
capability for health N/A
way of discussing their health such as
management as a wellness immunization, the client verbalized that
state
“Ngayon nagbo-boost kami ng immune
system kaya lagi kaming may vitamin c
at multivitamins ng mga bata.”
“Vitamins C, Vitamin B12 at saka with
Zinc".

When we inquired about the family’s

way of discussing their health such as
sleep/rest, the client verbalized that
“Nagsiesiesta kami, regular naman ang
pahinga lalo ngayon nagka pandemic
so wala kang ibang gagawin kundi mag
pahinga. ”, “Nakukumpleto naman
namin yung 7-8 hours of sleep”.

When asked about the family’s contact

to a private clinic, the client verbalized
that “Dati yung maliliit sila, regular
check-up ngayon pag may sakit na
lang. Oo, alam ko yung mga number ng
doctor kaya tinetext ko nalang sila”,
“Sa private clinic oo. Twice a year nag
papa annual checkup kami. tapos kapag
mga nararamdamin kaming sakit
nagpapacheck up din kami pati yung
mga bata ganon din.”.

“Usually taste test na lang ang

ginagawa namin..kapag ka medyo di
mabango o may kakaibang lasa sinosoli
namin nagrereklamo kami sa
nagdedeliver” the client verbalized
regarding safe drinking water.

“Yung kakainin namin for the day

naandon sa table may takip, pero yung
pagkadating ng gabi nakakain na kami
lahat ilalagay na namin sa ref. I see to it
na chinechek ko yung laman kung
dapat na idispose o pag medyo matagal
na nasa ref dinidispose na namin. Basta
regular check-up ng laman ng ref.” the
client verbalized regarding proper food
storage.

When asked about the cleaning

maintenance of the family’s facilities
such as comfort rooms, the client
verbalized that “Oo yun yung number
one kung nililinis palagi halos everyday
nililinis ko siya.”

“Marami kaming fire extinguisher sa

bahay.. tapos yung electricity namin
palagi naming pinapacheck.. yung
kalan naman sinasarahan namin pag
hindi na ginagamit sinasarahan namin
yung tanke, so very maingat talaga
kami pagdating sa sunog.” the client
verbalized regarding fire prevention.

“Yung sa lamok naman talagang

iniinspect naming yung lugar na
pwedeng pamahayan nila.” the client
verbalized regarding the prevention of
growth of mosquitoes.
 Analysis:
Some characteristics of readiness for
enhanced capability for health
management are choices of daily living
for meeting goals, identify and use
additional resources as appropriate, and
demonstrate proactive management by
anticipating and planning for
eventualities of condition or potential
complication (NANDA, 2019) and the
stated cues indicated this qualities.
Therefore, it is applicable to the said
assessment.

Readiness for enhanced

capability for spiritual
well-being-process of the
client’s developing
mystery through When we inquired about the ways to
harmonious bring happiness back to their home
interconnectedness that after solving a problem, the client
comes from God as a verbalized “Prayers, magpapasalamat
wellness state kami, magsisimba (pagkatapos
humarap sa isang pagsubok).” And
“Usually kakain lang sa labas,
mamasyal, prayers magpapasalamat
kami magsisimba.”

Analysis:
Demonstrating behaviour congruent
with verbalization that lend support and
strength for daily living is one of the
quality of readiness for enhanced
capability for spiritual well-being
(NANDA, 2019) that is in agreement
 with the stated cue above.

When we inquired about describing

their communication as a family, the
client verbalized “Maayos naman (na
naipaparating ang mensahe kapag
Readiness for enhanced naguusap-usap) nagkakaunawaan
capability for good and
naman kami, no communication gap”
open communication
maintenance among and the client also verbalized
family members as a “Communication iyong unang una,
wellness state kung paano makapag-communicate sa
bawat miyembro ng pamilya, iyon
yong palagay ko na madalas naming
ginagawa para matulungan ang bawat
isa”

Analysis
The stated cue above is in compliance
with the quality of readiness for
enhanced capability for good and open
communication, which is the client is
able to verbalize or indicate an
understanding of the communication
process (NANDA, 2019).

N/A
 N/A

B. SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS:

Assigned students: Mr. Jimenez & Mr. Maniquis

FIRST LEVEL SPECIFIC CUES SECOND LEVEL

ASSESSMENT ASSESSMENT

I. Presence of Wellness
Condition Q. Kamusta naman po ang
● Readiness for iyong komunidad?
Enhanced Capability
for Good A. “Icoconsider ko na nasa
Interrelationship mga parang middle class
between Family and yung ano namin subdivision,
Community maraming bahay pero hindi
naman siya yung dikit dikit
na parang slum. Ah N/A
subdivision kasi to eh kaya
lang marami nading tao.”

Q. Kamusta naman po yung

relasyon niyo sa
community?

A. “Ayos naman wala

naman kaming kaaway.”

Q. Kapag po may
programang ipinapalapag
yung community niyo,
sumasama o nakikibahagi
po ba kayo?

A. “Ay oo, Active ako don.

Dati kasali ako sa
Homeowner Association,
pero ngayon wala na
masyado dahil sa panahon
na nangyayare.”

Q. Sa paanong paraan
nakakahingi o
nakakatanggap ng tulong
ang inyong pamilya sa mga
kaibigan o sa mga ahensya
na mayroon sa inyong
komunidad?

A. “Yung mga kaibigan,

Meron naman handang
tumulong kapag kailangan.
Nakakapagopen din naman
kapag may problema.” “Sa
bagay madali din humingi
ng tulong dito kapag May
 emergency ka. Marami sila,
maraming malalapitan.

C. HOME AND ENVIRONMENT: Assigned students: Ms. Pangilinan & Ms. Cuñada

FIRST LEVEL SPECIFIC CUES SECOND LEVEL

ASSESSMENT ASSESSMENT
I. Presence of
Wellness Condition

“Usually taste test na lang ang

● Readiness for ginagawa namin..kapag ka
enhanced medyo di mabango o may N/A
capability for kakaibang lasa sinosoli namin
Health nagrereklamo kami sa
maintenance/mana nagdedeliver” the client
gement as a verbalized when asked on how
wellness state they assess that the water they
are drinking is safe.
“Dati yung maliliit sila, regular
check-up ngayon pag may sakit
na lang. Oo, alam ko yung mga
number ng doctor kaya tinetext
ko nalang sila”, the client
verbalized when asked when do
she brings her children to the
private clinic and if she has
contact to the private clinic.

“Yung kakainin namin for the

day naandon sa table may takip,
pero yung pagkadating ng gabi
nakakain na kami lahat ilalagay
na namin sa ref” “I
see to it na chinechek ko yung
laman kung dapat na idispose o
pag medyo matagal na nasa ref
 dinidispose na namin. Basta
regular check-up ng laman ng
ref”, the client verbalized when
asked on how they store their
food and how they maintain it
clean.

“Oo yun yung number one kung

nililinis palagi halos everyday
nililinis ko siya.”, the client
verbalized when asked if she is
maintaining the cleanliness of
their comfort room.

“Marami kaming fire

extinguisher sa bahay.. tapos
yung electricity namin palagi
naming pinapacheck.. yung
kalan naman sinasarahan namin
pag hindi na ginagamit
sinasarahan namin yung tanke,
so very maingat talaga kami
pagdating sa sunog.”, the client
verbalized when asked if there
are fire hazards and accident
prone area in their house.

“Yung sa lamok naman talagang

iniinspect namin yung lugar na
pwedeng pamahayan nila”, the
client verbalized when asked
what are the preventive
measures they are doing to
prevent breeding of vectors and
pests.

II. Presence of Health

Threat

When asked if they are Inability to provide a home

● Improper practicing segregation of environment conducive to
 garbage, the client verbalized:
health maintenance and
garbage/refuse personal development due to
disposal - No “Segragation hindi masyado eh
failure to see benefits of
segregation of medyo mahirap.. pero yung mga
investments in home
garbage as a health recyclable iniipon din naman
threat environment improvement
namin kaya lang yung mga
nabubulok hindi na namin Inability to make decisions
nahihiwalay… pag with respect to taking
namamalengke ako, sama sama appropriate health action due
na lang [sa] plastic“ to low salience of segregation
of garbage
“Guilty ako dun”
When asked how they manage
their garbage to avoid pests the
client verbalized:
“Paano nga ba? Wala naman..
Kasi regular talaga dito sa
Valenzuela ang collection eh.
Kaya di namin masyadong
problema yung uuurin. Bihira ko
lang siya maexperience”

When asked if there is a

presence of breeding or resting
● Presence of sites of pests and vectors of
breeding or resting diseases in their home:
sites of vectors of “Yung ipis kasi kahit anong
diseases as a health ginagawa namin nandoon pa din
threat e, kasi nga may tindahan kami,
medyo maraming gamit, kaya Inability to provide a home
minsan hirap kaming i-ano yung environment conducive to
ipis. Yung lamok, wala kaming health maintenance and
masyadong problema sa lamok, personal development due to
yung daga meron din kasi sa inadequate family resources
tindahan pero sa bahay wala specifically: limited physical
naman bihirang bihira lang” as resources such as inadequate
verbalized by the client. space: business facility
overfilled with supplies and
equipment.
When asked if the problem with
the cockroaches has been around
for a long time: “Matagal na.” as
 replied by Mr. Mendoza.

When asked what are the

preventive measures they do:

“Ang ano, cleaning, tsaka

gumagamit din ako siyempre ng
mga insecticides. Sa daga, yung
pandikit lang, yung sa lamok
iniinspect naming yung lugar na
pwedeng pamahayan nila.” as
verbalized by the client.

According to WHO,
cockroaches are proven or
suspected carriers of the
organisms causing: diarrhea,
dysentery, cholera, leprosy,
plague, typhoid fever, viral
diseases such as poliomyelitis.
IV. Presence of stress
points

● Children engaged When asked if there are negative

changes in their family: Inability to provide a home
in too much use of
environment conducive to
gadget as a stress
health maintenance and
point “Ang isang negatibong personal development due to
pagbabago lang naman yung ineffective communication
ano, sobrang naho-hook sa within the family caused by
paggamit ng gadgets yung mga gadget addiction
anak ko. Tsaka yung minsan di
sila nag-aaral masyado.” as
verbalized by the client.

When asked if how if it gives

stress to the mother:

“Yung paggamit ng gadget hindi

naman masama ‘yon, pero lahat
kasi ng sobra masama kaya
minsan pagka maghapon na
silang nakatutok sa gadget,
masama rin sa kanila. Unang-
una, yung affected yung
kanilang mata. Tapos yung
kanilang attention sa mga
sinasabi ko, parang hindi nila
ako naririnig pagka naggagadget
sila especially mga games. Then
yung time nasasayang lang halos
sa gadget kasi puro gadget na
halos maghapon.” as verbalized
by the client.

When asked about the factors

why they get addicted:

“Yung mga factors kung bakit

ka talaga naaadik sa gadget, kasi
marami ka talagang mapapanood
at malalaro” as verbalized by the
client.

When asked if what are they

doing to control it:

“Yung ginagawa ko para

macontrol ‘yon, meron lang
silang time limit sa gabi. Pag
oras nang matulog, patutulugin
ko sila. Pero the rest of the day
lalo na ngayon na online yung
pag-aaral… pagka sinasaway mo
sila sabihin nila may ginagawa
silang homework, so hindi mo
talaga macocontrol.” as
verbalized by the client
 According to research entitled
“Adolescents’ Gadget Addiction
and Family Functioning” by
Annisa Chasanah, gadget
addiction negatively affects
adolescents’ family functioning,
where a higher gadget addiction
risk leads to worse family
functioning.

Ineffective communication
creates barriers and some
examples of barriers are lack of
attention, interest, distractions,
or irrelevance to the receiver,
according to Chris Smith of
guides.co.

D. HEALTH STATUS OF EACH FAMILY MEMBER:

Assigned students: Ms. Jugueta & Mr. Mendoza

FIRST LEVEL SPECIFIC CUES SECOND LEVEL

ASSESSMENT ASSESSMENT

I.Presence of Wellness
Condition
● Readiness for
Enhanced Capability
for Healthy Lifestyle
Q: Ilang beses po kayo nag N/A
eehersisyo sa isang linggo?
bawat miyembro po.
A: “Yung asawa ko mga 4x a
week, ako zero, ako hindi nag
eexercise yung mga anak ko
nag babasketball sila at nag
ggym kaya halos mga 5x a
week sila.”
 Q: Kapag po di kayo nag
eehersisyo ano po yung
kapalit niyo dun?”

A: “Active naman ako

naglalakad ako tsaka gawaing
bahay, di rin exercise yun eh
pero mahilig ako maglakad”

Q: Mayroon po bang mga

pagkain na pinipili niyong
wag kainin dahil sa
kondisyon?

A: “Yung husband ko di siya

masyado mahilig sa baboy at
tsaka karne usually siya ay
vegetable tsaka fish, pero
● Readiness for yungthe rest of the family di
Enhanced Capability naman namimili.”
for Health
Maintenance Q: Paano niyo naman po
pinag uusapan bilang pamilya
ang mga bagay bagay pa
tungkol po sa bakasyon,
gastusin, mga kailangang
medical?

A: “Kung medical naman first

priority naman namin yun, N/A
kagaya ng immunization kahit
mahal siya uunahin ko siya
tapos yung sa sakit naman
ngayon talagang nag bo-boost
kami ng immune system kaya
lagi kaming may Vitamin C
sa bahay tsaka yung
multivitamins ng mga bata.”
Q: May kasalukuyang may
sakit po ba sa inyong family?

A: “Yung normal yung high

blood, yung mataas na
cholesterol”

HDL = 47 mg/dL

LDL = 163 mg/dL

Total Cholesterol = 210

mg/dL

“Umiinom kami ng
Atorvastatin para sa high
cholesterol namin”

“Na-diagnose din ako ng

arrhythmia at umiinom ako ng
rhytma para doon”

Presence of arrhythmia upon

auscultation of the
precordium

Q: May kasalukuyang may

sakit po ba sa inyong family?

A: “Yung normal yung high

blood tapos yung mataas na
cholesterol, ako may diabetes
tapos highblood yun yung
usually tas yung overweight.”
 Q: Sino pong may highblood
and high cholesterol?

A: “kaming mag asawa”

MVM57

Height: 157cm

Weight: 70kg

BMI: 28.4

DBM56

Height: 175cm

Weight: 83kg

BMI: 27.1

“Umiinom kami ng Twinsta

para sa high-blood namin”

“May diabetes na ako,

Umiinom na ako ng gamot,
Tragenta and Diamicron ang
iniinom ko para sa diabetes.”

II. Presence of Health

Threat Q: Meron po ba sainyo ang
may asthma? Inability to make decisions
· Previous history of with respect to taking
Asthma as a health threat A: “Si Ellis yung bunso, may appropriate health action due
respiratory asthma siya nung to low salience of the
pagka panganak tapos nag condition.
turn siya sa skin asthma, pero
bihira nalang siya
makaramdam ng
symptoms.”Q: Meron po ba
 sainyo ang may asthma?

A: “Si Ellis yung bunso, may

respiratory asthma siya nung
pagka panganak tapos nag
turn siya sa skin asthma, pero
bihira nalang siya
makaramdam ng symptoms.”

Visible scars on victims’ legs

due to itchiness upon
inspection

No Abnormal sounds heard

upon auscultation of the
chest.

E. VALUES, HABITS, PRACTICES ON HEALTH PROMOTION,

MAINTENANCE, AND DISEASE PREVENTION: Assigned students: Ms.

Tabaquero & Ms. Suarez

FIRST LEVEL SPECIFIC CUES SECOND LEVEL

ASSESSMENT ASSESSMENT
I. Presence of
Wellness Condition

Q: Paano naman po ninyo pinag-

● Readiness for uusapan bilang isang pamilya
Enhanced ang mga bagay-bagay patungkol
Capability for sa pagbabakasyon, gastusin, mga
kailangang medical at mga
Health
personal na problema?
Maintenance/Healt
h Management
A: “Ngayon kung medical
naman, first priority naming yon.
Kagaya ng mga immunization,
kahit mahal siya, uunahin ko
siya tapos yung sa sakit N/A
naman… Ngayon nagbo-boost
kami ng immune system kaya
lagi kaming may vitamin C at
multivitamins ng mga bata”

Q: Kayo po ba ay umiinom ng
vitamins? Anong klase po?

A: “Vitamin C, vitamin B12, at

saka with Zinc”

Q: May pagkakataon po ba na
kayo ay nagpatingin sa health
center o sa private clinic?

N/A
A: “Sa private clinic, oo. Twice
a year nagpapa-annual check-up
kami. Tapos kapag may
nararamdaman kaming sakit,
nagpapacheck-up din kami pati
yung mga bata gano’n din”

Q: May kasalukuyang may sakit

po bas a inyong family?
N/A

A: “Yung normal yung high

blood, yung mataas na
cholesterol”
HDL = 47 mg/dL
LDL = 163 mg/dL
Total Cholesterol = 210 mg/dL
 “Umiinom kami ng
Atorvastatine para sa high
cholesterol namin”
N/A

“Na-diagnose did ako ng

arrythmia at umiinom ako ng
rhytma para doon”

Presence of arrythmia upon

auscultation of the precordium

Q: Sino pong may highblood

and high cholesterol?

A: “kaming mag asawa”

MVM57
Height: 157cm

● Readiness for Weight: 70kg

Enhanced BMI: 28.4
Capability of
DBM56
Healthy Lifestyle
Height: 175cm
Weight: 83kg
BMI: 27.1

“Umiinom kami ng Twinsta para

sa high-blood namin”

N/A
“May diabetes na ako, Umiinom
na ako ng gamot, Tragenta and
Diamicron ang iniinom ko para
sa diabetes.”
 Q: Gaano kadalas ang
pagpapahinga ni Mister, Misis,
at mga anak?

A: “Nagsisiesta kami. Regular

naman ang pahinga lalo ngayon
nagka pandemic so wala kang
ibang gagawin kundi
magpahinga”

Q: Sapat po ba ang inyong

pagtulog? Ilang oras po ang
kalimitang haba ng inyong
pagtulog?

A: “Nakukumpleto naman
namin yung 7-8 hours’ sleep”

Q: Ilang beses po kayo nag-

eehersisyo sa isang lingo?

● Readiness for
Enhanced A: “Yung asawa ko mga 4x a
Capability for good week…Yung mga anak ko
and open nagbabasketball sila saka nag- N/A
communication gygym so halos mga 5x a week
maintenance sila.”
among family
members
Q: Ano-anong uri ng relaxation
o pagpapahinga ang ginagawa
niyo?

A: “Si mister nanunuod ng

basketball, naglalakad siya under
the sun tuwing umaga, tapos ako
naman k-drama, yung mga bata,
nag-gygym sila, nagbabasketball
at yung gadget”
 N/A
Q: Mayroon po bang umiinom
ng alak?

A: “Walang umiinom ng alak sa

amin, wala ring naninigarilyo”

Q: Sa paanong paraan N/A

natulungan ng bawat miyembro
ng pamilya ang isa’t isa sa
paglaki o pagbuo ng malayang
istilo ng pamumuhay?

A: “Communication yung
unang-una, kung paano
makapag-communicate sa bawat
miyembro ng pamilya, ‘yon
yung palagay ko na madalas
naming ginagawa para
matulungan ang bawat isa”
N/A
 N/A

N/A
II. Presence of Health
Threat
Q: Mayroon po bang lifestyle-
● Lack/inadequate
related services na programa ang
exercise/physical Inability to make decisions
inyong barangay? Sumasali po
activity (mother) as with respect to taking
ba kayo sa programang ito?
a Health Threat appropriate action due to low
A: “Alam ko may Zumba every salience of the
morning. Hindi eh, hindi problem/condition.
(Unhealthy masyado. Kasi yung Zumba, ako
Lifestyle and lang naman ang may kailangan
Personal mag Zumba kasi sila kumpleto
Habits/Practices) naman sa exercise eh ako kasi
talagang hindi mahilig eh. Hindi
talaga ako mahilig mag
exercise.”

Q: Kayo po ba ay kumpleto sa
bakuna katulad ng BGC, DPT,
Pentahib, Polio, AMV, MMR? Inability to make decisions
with respect to taking
A: “Kumpleto kami don BGC, approriate health action due
MMR, DPT (yung mga bata to misconception information
meron), Pero kami nung una, di about proposed course of
● Lack of naman uso yon), Pentahib meron action.
immunization (bata), Polio meron(bata) pero di
(parents) as a na alam (mr and mrs. Mendoza).
Health Threat Pupunta lang sa school yung
 mga mag-iimunize pero di na
naming alam kung para saan.
(Inadequate Anti-measles
Immunization
bata) kumpleto pati booster.
Status)
Kaming mag-asawa, nagkaroon
na ng measles kaya nakapag-
deveop na kami ng anti-bodies.”

Q: Bukod po sa nabanggit na
mga bakuna, may iba pa po ba
kayong bakuna na natanggap
katulad ng sa pneumonia, flu,
chicken pox?

A: “Yung mga bata. Kaming

mag-asawa, pneumonia lang
kami siguro” as verbalized by
the mother regarding different
vaccines received

Q: Kayo po ba ay kumakain ng
masusustansiyang pagkain?

A: “Yung isang anak ko,

kumakain ng gulay, si DL
mapili. Yung isa ko naman
usually, yung normal na
kinakain ng mga bata, puro
fried”
Inability to make decisions
with respect to taking
appropriate health action due
to negative attitude towards
the health condition/problem
● Faulty eating habits
as a Health Threat

(Faulty/unhealthful
nutrition/eating
habits or feeding
techniques/practice
s)