INITIAL DATA BASE

I. CHARACTERS:
A. What is the type of family structures?
______ Nuclear _______ Patriarchal
______ Extended  Matriarchal
B. Who makes decision regarding health care? Mother
C. What is the present family relationship?
________ ________ with conflicts between members
_________________ without conflicts between family members
D. Activities of daily living:
1. Sleeping pattern:
Retiring/getting up hours They sleep at 12am onwards and wake up at 7-8am
Nap during the day They don’t usually nap, but the mother who has been always busy, naps whenever she’s at home
Do members sleep together? Yes
2. Eating pattern
How many meals each day? 3, have snacks, they eat more meat/fish, once or twice a week vegetables
Who appears overweight? _____Mother______
Who appears underweight? _____None______
3. Leisure time activities
How does each member spend leisure hours? The children have been spending their leisure hours on computer games/cellphone games this
quarantine, some of them exercise (2 daughters) when they got time
Is it appropriate for the sex and age group? Yes, it is
What is the effect to the family? The children are lazy to do things sometimes so they are often scolded by their mother
Any joint activity for leisure? Since it’s quarantine, the children have been communicating a lot about their lives when they got nothing to do,
they do their household chores

II. FAMILY INFORMATION

Head of the family: Ranella G. Arago (Mother)
Address: #3 Soriano St. Lazaro-Soriano Compound, Brgy. Tandang Sora, Q.C.
Members of the household: 6 members

NAME RELATIONSHIP AGE EDUCATIONAL ATTAINMENT

Ranella G. Arago Mother 47 High School Graduate
Gilbert A. Arago Father 47 College Graduate
 Rachelle Anne Galon-Kossick Daughter 27 College Graduate

Ghilah Mae G Arago Daughter 20 2nd Year Student

Ghillary G. Arago Daughter 18 1st Year Student
Lharry Mae G. Arago Daughter 17 Grade 12 Student
August Caesar G. Arago Son 16 Grade 10 Student

III. SOCIO-ECONOMIC AND CULTURAL FACTORS

A. Income

NAME OCCUPATION PLACE INCOME

Ranella G. Arago Businesswoman Munoz Market 10,000-20,000
Gilbert A. Arago Company Nurse Saudi Arabia 40,000
Rachelle Anne G. Kossick Online Seller Home 5,000-10,000

1. Does the working family member meet the basic necessities?

________ Yes _____ No
2. Who makes decisions regarding money matters? Both parents, the daughter 1 also contribute
3. Religious affiliation: Iglesia Ni Cristo
4. What roles does the family play in the community? They don’t participate in any activities run by the community, they usually do their jobs on their
work and school

IV. ENVIRONMENTAL FACTORS

A. Housing
1. Ownership
_________ Owned ________ Rented ___________ Rent-Free
2. Construction materials used
_________ Light ________ Mixed ___________ Strong
3. Living space
_________ Adequate ________ Inadequate
4. Sleeping arrangement: 3 bedrooms, 1 room for mother, 1 room for 4 daughters and 1 room for son
5. Adequacy in furniture
_________ Adequate ________ Inadequate
6. Water source
 _________ Private ________ Public
7. Food storage
_________ Refrigerator ________ Jars/container
8. Cooking facility
_________ Electric stove ________ Firewood
_________ Gas Stove ________ Kerosene
9. Drainage facility
_________ Open drainage ________ Blind drainage ________ None
10. Toilet facilities/type
_________ Flushed ___________ Over hung latrine
_________ Bored-hole latrine ___________ Water-sealed latrine
_________ Pail system ___________ None
11. Sanitary condition
_________ Fair ___________ Good ________ Poor
12. Neighborhood
_________ Congested ___________ Slum ________ Other
13. Availability of Health Care Facility
Describe briefly: They do check-ups every time they want to do their check-up
14. Garbage disposal
__________ Dumped at street corner ____________Picked up by garbage collector
__________ Buried ____________ Burned then buried

V. HEALTH MEDICAL HISTORY

NAME PAST ILLNESS ILLNESS STATE HEALTH ACTION TAKEN

Ranella G. Arago Vertigo, GERD, Muscle Spasm, Recovered except GERD & PCOS Muscle Spasm: Therapy
PCOS Vertigo: Right position, took
medicines
Rachelle Anne G. Kossick Dengue Recovered IV Therapy
Ghilah Mae G. Arago Hyperacidity Recovered Took antacids, food avoidance
(spicy foods, high in caffeine)

Ghillary G. Arago Dengue Recovered IV Therapy

Lharry Mae G. Arago Dengue Recovered IV Therapy
August Caesar G. Arago Dengue Recovered IV Therapy

VI. VALUE PLACED ON PREVENTION OF DISEASE

 NAME AGE COMPLETE INCOMPLETE

Rachelle Anne G. Kossick 27 Flu Vaccine

Ghilah Mae G. Arago 20 BCG, POLIO, DPT

Ghillary G. Arago 18 BCG, POLIO, DPT

Lharry Mae G. Arago 17 BCG, POLIO, DPT

August Caesar G. Arago 16 BCG, POLIO, DPT

Preventive practices employed by the family: They do their check-ups on private hospital, they have their own doctor since when the children
have gotten dengue way back February or March 2020
Sources of Health Care:
_________ Health Center ____________ Government Hospital
_________ Private Hospital ____________ Others
 PROBLEM NO. 1: Difficulty swallowing as Health Deficit
Criteria
1. NATURE OF PROBLEM
Health Deficit
2. MODIFIABILITY OF
THE PROBLEM
Partially Modifiable
3. PREVENTIVE
POTENTIAL
Highly Preventable
4. SALIENCE
A problem but not needing
immediate attention
Weight Score Justification
3 1 1 Difficulty in swallowing is
usually caused by another
health condition, such as a
condition that affects the
nervous system, such as a
stroke, head injury,
multiple sclerosis or
dementia cancer – such as
mouth cancer or
oesophageal cancer,
gastro-oesophageal reflux
disease (GORD) – where
stomach acid leaks back
up into the oesophagus.
(NHS, 2018)
1 2 1 Since the client has not yet
been recovered from her
medical condition, this is
partially modifiable even
if she has given a right
health teaching.
3 1 1 This is highly preventable
with the use of proper
eating diet and avoidance
of food that triggers the
difficultness.
1 1 0.5 It is a problem but not
needing attention as
evidenced by,
“Nagpacheck-up naman
ako at iniiwasan ko naman
yung mga pagkaing
 matitigas pero minsan
talaga nahihirapan ako
lumunok.” as stated by the
mother.
Total Score: 3.5

COMPUTATION:
Difficulty swallowing as Health Deficit

Formula: 4. Salience
Criteria score x Weight 1 x 1 = 0.5
Highest criteria score 2

Given:
1. Nature of Problem TOTAL SCORE:
3x1=1 1 + 1 + 1 + 0.5 = 3.5
3

2. Modifiability of the problem

1x2=1
2

3. Preventive Potential
3x1=1
3

Criteria Weight Score Justification

1. NATURE OF PROBLEM 2 1 0.67 Menstrual bleeding lasts
about 4 to 5 days and the
Health Threat amount of blood lost is
small (2 to 3 tablespoons).
Women who have
menorrhagia usually bleed
for more than 7 days and
lose twice as much blood.
Blood loss from heavy
periods also can lead to a
condition called iron-
deficiency anemia. Severe
anemia can cause
shortness of breath and
increase the risk of heart
problems. (CDC, 2017)
2. MODIFIABILITY OF 2 2 2 With the right health
THE PROBLEM teaching and proper diet
and medication, this can
Easily Modifiable be easily modifiable for
the client.
3. PREVENTIVE 3 1 1 This is highly preventable
POTENTIAL with the right diagnosis
and treatment plan and
Highly Preventable proper use of medication.

4. SALIENCE 2 1 1 This is a problem needing

immediate attention as
A problem needing evidenced by, “Tumatagal
immediate attention ng isang buwan ang mens
ko at sobrang lakas nya
talaga,” as verbalized by
the mother.
Total Score: 4.67
PROBLEM NO. 2: Heavy Menstrual Bleeding as Health Threat

COMPUTATION:
Heavy Menstrual Bleeding as Health Threat

Formula: 4. Salience
Criteria score x Weight 2x1=1
Highest criteria score 2

Given:
1. Nature of Problem TOTAL SCORE:
2 x 1 = 0.67 0.67 + 2 + 1 + 1 = 4.67
3

2. Modifiability of the problem

2x2=2
2

3. Preventive Potential
3x1=1
3

PROBLEM NO. 3: Poor home sanitation such as presence of breeding

or resting sites of mosquitos
Criteria Weight Score Justification
1. NATURE OF PROBLEM 2 1 0.67 Poor sanitation is linked to
 transmission of diseases
Health Threat such as cholera, diarrhoea,
dysentery, hepatitis A,
typhoid and polio and
exacerbates stunting.
Poor sanitation reduces
human well-being, social
and economic
development due to
impacts such as anxiety,
risk of sexual assault, and
lost educational
opportunities. (WHO,
2019)
2. MODIFIABILITY OF 2 2 2 This is easily modifiable
THE PROBLEM with the right health
teaching about proper
Easily Modifiable hygiene and safe disposal.

3. PREVENTIVE 3 1 1 This is highly preventable

POTENTIAL by maintaining good
hygiene, waste
Highly Preventable management and proper
disposal.
4. SALIENCE 0 1 0 The family is not felt/need
problem as evidenced by,
Not a felt/need problem “Naglilinis naman kami ng
bahay dito pero talagang
nagkasakit yung mga anak
ko dahil wala ng tao sa
kabilang bahay pero may
stagnant water dun na
pwedeng naging bahay ng
mga lamok.” as verbalized
by the mother.
Total Score: 3.67
 COMPUTATION:
Poor home sanitation such as presence of breeding or resting sites of mosquitos

Formula: 4. Salience
Criteria score x Weight 0x1=0
Highest criteria score 2

Given:
1. Nature of Problem TOTAL SCORE:
2 x 1 = 0.67 0.67 + 2 + 1 + 0 = 3.67
3

2. Modifiability of the problem

2x2=2
2

3. Preventive Potential
3x1=1
3

FAMILY NURSING CARE PLAN

Health Problem Family Nursing Goal of Care Objective/s Nursing Method of Resourses Evaluation
Identified Problem Interventions Nursing- Required/Used
Assessment Family
Contact
Menorrhagia Risk for ineffective After 3 weeks of Within 3 weeks 1. Establish A. Clinical A. Materials Within 3
Known as Heavy tissue perfusion nursing of nursing rapport Visit 1. PHN Bag weeks of
Menstraul Bleeding related to intervention, the intervention the - September 2. Initial intervention,
hemorrhage client will able to family will: 2. Explain to the 7, 2020 Database the client
Subjective lessen heavy client about 3. Ballpen had
Data: Lack of knowledge menstrual A. Learn the Menorrhagia how B. Home Visit 4. IEC minimally
about risk of heavy bleeding and importance of difficult it is and 1. First Home Materials lessen the
“Tumatagal ng isang bleeding. anxiety when the risk heavy how they can Visit menstrual
buwan ang mens ko at experiencing menstrual handle it. - September B. Manpower bleeding and
sobrang lakas nya Lack of enough heavy menstrual bleeding. 7, 2020 1. BSN 2Y1- anxiety
talaga,” as verbalized by money to get bleeding. 3. Discuss to the Arago, Ghilah when
the mother. surgery. B. Lessen the family how 2. Second Mae and experiencing
anxiety every importance in Home Visit Dosdos, heavy
Objective Data: time getting surgery - September Amielette O. menstrual
experiencing and how effective 8, 2020 2. Clinical bleeding.
T: Normal temp, 36.5C the heavy it is. Instructors:
RR: Normal, 15cpm PR: bleeding 3. Third Mrs. Suva,
Normal, 80-100bpm BP: 4. Interact the Home Visit Rosanna and
110/70 C. Have the family the proper - September Mrs. Ilarde,
knowledge of taking of oral 14, 2020 Marivic.
how importance contraceptives, 3. Arago
getting into which in theory 4. Forth Family
surgery are supposed to Home Visit
control the - September
D. Comply the bleeding and 15, 2020
necessary balance the
medicine hormones. 5. Fifth Home
needed. Visit
5. Encourage the - September
mother to seek for 21, 2020
a doctor and
monitor the blood 6. Farewell
loss every month Home Visit
as long as they - September
can. 22, 2020