FAMILY HEALTH HISTORY

Chapter 1 Introduction
Health is define as 'a state of complete physical, mental and social wellbeing and not merely the
absence of disease or infirmity'(WHO) therefore health also means the safety of the body from
physical, social, and mental disorders. To achieve good health you need live a healthy life cycle
eat healthy and balanced diet, good hygiene habits, staying in a proper shelter, getting quality
and enough sleep, access to clean water, having regular physical activities and manages stress in
a healthy way all of this factors contributes in maintaining the body to reduce the possible
occurrence of disease. The individual health of every members of the family contribute
significantly to the overall state of the entire family as they are able to do their individual duties
for the development of the family, community and may also contribute to the economic.

Chapter 2 Objectives of the Study

General objectives

At the end of the visit student-midwife was able to build rapport and develop connections with
the chosen family, improve their health state through managing their medical conditions, and
impart the importance of healthy eating habits.

Specific Objectives

* Establish rapport and gain trust with the family

*Evaluate the family background
* Explain the importance of balanced diet depending on what the body needs
* Educate factual information about Covid-19 and the importance of following guidelines
* Assessing care requirements and write care plans
*Provide hygiene kit, facemask and vitamins

Chapter 3 Initial Data Base

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 A. Family structure, Characteristics and Dynamics
Name Age Sex Civil Position in Occupation Educational
Status the Family Attainment
Johnny A. Carasi 56 Male Married Father Farming High School
Graduate
Marissa C. Carasi 51 Female Married Mother House wife High School level
Ronaldo C.Carasi 33 Male Single Son Farming Elementary
Graduate
Roy C. Carasi 27 Male Single Son Banana College level
Dealer
Roshel C. Carasi 20 Female Single Daughter Student College student

Data base of the respondents

The respondent upon interview is the mother of the family

Name: Marissa Cister Carasi

Age: 51
Gender: Female
Address: Andabuen Benito Soliven Isabela
Birth place: Benito Soliven
Religion: Born Again Christian
Occupation: House wife
Civil status: Married
Nationality: Filipino
No. of children: 5
Educational attainment: High school level
Estimated Monthly Income: none
Name of Husband: Johnny A. Carasi

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 B. General Household Data
1. Total no. of children 5
2. List of household members

Members Status Occupati Sex Educational Religion Relation to Position Immunizatio

on Attainment Respondent in the n status
family
Johnny A.Carasi Married Farming Male High school Born Husband Father Complete
graduate again
Ronaldo C.Carasi Single Farming Male Elementary Born Son Son Complete
graduate again
Roy C. Carasi Single Banana Male College level Born Son Son Complete
Dealer again
Roshel C. Carasi Single Student Female College Born Daughter Daughter Complete
again
Jona Marie C. Single Student Female Senior high Born Daughter Daughter Complete
Carasi school again

FAMILY HEALTH PROFILE

Barangay/Purok ___02 Andabuen

PERSONAL DATA
Name of respondent: Marissa C. Carasi
Birthday: 1-23-1975
Status: Married
Educational Attainment:High School level

II. ECONOMIC DATA

A. Source of Income: Occupation: _Farming/Banana
Estimated Monthly Income: 5000
B. Land 1.Owned (/ ) Tenanted ( ) 2. No. of Hectares:9 Type: Plain ( /) Rolling ( )
C. Products if land is farmed: Corn/Rice/banana
D. Type of Housing: Concrete ( ) Ordinary ( / ) Rented ( ) Scrap ( )
E. Household Appliances: TV(/) Component/Washing/
F. Animal Raising: Chicken/duck/pig
G. Transportation Facilities: Owned ( ) Rented ( ) Others ( / )
H. Water: Bought ( ) Free ( / )

III. ENVIRONMENTAL DATA

A. Toilet facilities: Owned ( / ) Shared ( ) None ( ) Anywhere
B. Source of Drinking Water Supply: deep wheel

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 C. Drainage: Yes
D. Garbage Disposal: regularly collected by the city government
E. Home: Herbal ( /) Vegetable ( / ) None ( )

IV. MEDICAL HEALTH DATA

A. Common Diseases/Common Treatment: Hypertension/Amlidipine; Heart
Enlargement/Trimetazudine; Diabetes/Metformin; High Cholesterol/Simbastatine
B. Immediate Sources of medical care: Hospitals
C. Family planning: None ( Menopause) Continuous: n/a
D. Pregnancy: N/a
E. Lactating: N/a
F. Death in the Family: None
G. Other pertinent observation/informations like presence of personality disturbances: Vision
impairment
H. Disable member of the family:None

B. Socio-Economic and Cultural Characteristics

* Middle class family with annual gross income from farming

C. Home and Environment

* Surroundings are clean and neat
* Observered organization

D. Health Assessment of Each member of the family

Past and Present Illness
1. Health assessment of Each Family Member

FAMILY ASSESSMENT BASED ON FUNCTIONAL HEALTH PATTERN

1. Health Perception-health management pattern
* The mother of the family doesn't aware how unhealthy eating habits badly affected her health

2. Nutritional-Metabolic pattern
* no signs of paleness,
* Mother's weight is not ideal for her health condition
* started to cut carbs in mother's diet

3. Elimination Pattern
* Bowel: defecates 2 a day without experiencing discomfort
* Bladder: 5-6 times a / pale yellow in color without any pain when voiding

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4. Activity –exercise pattern
* The couple usually goes for a 30minute walk in the afternoon they consider it as a form of
exercise and their children often go to cycling

5. Sleep-rest pattern
* The whole family sleeps around 8pm and gets up at 3 or 4am except for their two daughters
who are students and needs extra time of sleep.

6. Cognitive-perceptual pattern
* The mother have a slight vission inpairment/ uses progressive glasses
* no signs of memory loss

7. Self- perception/self-concept
* Objective data: Body posture is in proper alignment
* neatly dressed

8. Roles and relationship

* Father of the family has a endearing bond with the mother
* healthy mother-children relationship as observed
* The family's mother usually stays home and do the chores

9. Sexual reproductive
* Mother had 5 pregnancies 4th pregnancy experienced complications
* Female Parent is menopause but sexually actively
* The daughters have regular monthly periods
* eldest daughter often experienced dysmenorrhea

10. Coping stress

* make time to unwind when streesed out
* take a deep breaths

11. Values/Beliefs
* The family are all Born Again Christians
* They also practice some superstitious beliefs may affect s their health

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E. Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention
This pertain to the family

Chapter 4 Family Background

Chapter 4. Midwifery Care Plan

This chapter shows the identified and prioritized problems in a ranking order. This chapter also
presents the family care plan formulated by the student midwife together with the family.
Problem List (Example)
1. Mother's s DM also causes increased in her blood pressure

* Hypertension is the chronic elevation of blood pressure that, int the long-term when left
untreated causes end-organ damage and increased morbidity and mortality.

* Occurs due to abnormal functioning of the arterial pressure related to the CNS, endothelial
dysfunction, genes and even due to certain environmental factors

Factors which contribute tonthe development of hypertension are:

 Aging
 Genetics
 Obesity
 High fat diet
 Smoking
 Low fiber diet
 frequent alcohol consumption

Biochemical Parameter Patient value-mg/dl Normal value-mg/dl

Total cholesterol 300 140-199
LDL cholesterol 135 <130
HDL cholesterol 35 37-70
Triglycerides 250 35-160

Hypertension Amlodipine
Heart Enlargement Trimetazidine
High cholesterol Simbastatine

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 FAMILY MIDWIFERY CARE PLAN
Problem# 1. Mother's s DM also causes increased in her blood pressure

Cues Analysis of Objectives

the INTERVENTION PLAN
Problem Midwifery Rationale Method Resources Expected
Interventions Required Outcome
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of the hy the family down blood  Dietary- les, encourage
responde approach
eating what are sugar by Brown the mother
nt that the good to
habits minimizing rice, to prepare a
she is minimize
causes benefits of food intake Home whole meal
diagnose the risk of
multipl eating with high Visit wheat suitable for
d with vegetables high
e cholesterol bread, her health
hyperten cholesterol
health  To educate  encourage fruits condition
sion, high
concer them how the , low in  maintain her
cholester
unto to to decrease respondents hypertensi sugar(av blood
ol level
the the intake to change on and ocado), pressure ,
and at
mother of sweets lifestyle lowers low cholesterol
the same
of the  To educate and food down choleste level and
time high
level of family them how choices blood rol oil blood sugar
blood
too much  create a 7- sugar by at normal
sugar.
intake of day meal choosing rates
sweet(suga plan foods that  maintain an
r) affects low in ideal weight
 Impart the
their health carbs and through
importance
of exercise creating a minimal
in meal plan programme
maintaining that still exercises
normal meets the
weight body's
nutritional
needs
 Isometric
exercises
can reduce
systolic
blood
pressure

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Chapter 5. Summary, Evaluation and Recommendation
Presented in this study is how the health conditions of the family specifically the Mrs Carasi who
diagnosed with DM and HTN affects her health due to uncontrolled intake of carbs that causes
health complications, with proper evaluation of their family's state and educate them to manage
her Blood sugar including her blood pressure with precribed medications by the Physician.
Provided a 7-day meal plan that is ideal for her calorie needs.
Evaluation

Recommendation