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University of the Cordilleras

College of Nursing

FAMILY NURSING CASE STUDY

I. INTRODUCTION
- Individual
- Family
II. INITIAL DATA BASE
A. Family Structure, Characteristics and Dynamics
1. Members of the household and relationship to the head of the family
2. Sociodbemographic data
3. Place of residence of each member
4. Type of family structure
5. Dominant family members in terms of decision making
6. General family relationship/dynamics
B. Socio-economic and cultural characteristics
1. Income and Expenses
2. Educational attainment of each family member
3. Ethnic background and religious affiliation
4. Family traditions, envents or practices affecting members health or family functioning
5. Significant others
6. Relationship of the family to the larger community
C. Home and Environment
1. Housing
2. Kind of neighboorhood
3. Social and health facilities available
4. Communication and transportation facilities available
D. Health status of each member
1. Current and past significant health condition/s or illness/es or Beliefs and practices conducive to
health and illness
2. Nutritional status
3. Developmental status
4. Risk Factor assessment indicating presence of major contributing modifiable risk factors
5. Physical assessment
6. Results of laboratory/diagnostic and other screening procedures supportive of assessment findings
E. Values and practices on health promotion/maintenance and disease prevention
1. Immunization status
2. Health lifestyle practices-specifiy
3. Adequacy of
a. rest/sleep
b. exercise/ activities
c. Use of protective measures
d. Relaxation and other stress management activities
e. Opportunities with enhance feelings of self worth, self efficacy and sense of connectedness to self
f. Stress management or other healthy lifestyle practices
g. Use of promotive-preventive health services

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