INITIAL DATA BASE FOR FAMILY NURSING PRACTICE

A. Family Structure, Characteristics and Dynamics

1. Members of the household and relationship to the head of the family.

NAME RELATION AGE SEX CIVIL STATUS POSITION IN HIGHEST OCCUPATION

TO HEAD THE FAMILY EDUCATIONAL
ATTAINMENT
1. Mr. B Husband 40 yrs old Male Married Father Elementary Graduate Construction
worker
2. Mrs. M Wife 35 yrs old Female Married Mother Elementary Graduate Fish vebdor
3. Miguel Son 14 yrs old Male child 1st born son 1st year High school
4. Anton Son 12 yrs old Male child 2nd Grade 6
3. Joy Daughter 10 yrs old Female child 3rd Grade 4
4.Ysabel Daughter 8 yrs old Female child 4th Not yet in school
5. Lucas Son 6 yrs old Male child 5th Not yet in school
6. Chloe Daughter 4 ½ yrs old Female child 6th Not yet in school
7. Mira Daughter 3 yrs old Female child 7th Not yet in school