St.

Scholastica's College Tacloban

Maharlika Highway Brgy. Campetic, Palo, Leyte

FAMILY HEALTH ASSESSMENT

Name of Interviewee: Cyd Jhoana N. Masiar

Age: 19 years old
Address: Blk. 9 Lot 8 Phase 3 Extension Area 7, Brgy. 109 - A V&G Subd. Tacloban City
Civil Status: Single
Educational Attainment: BSN Student

Member of the Relationship to Age Gender Civil Status Position in the Residence Family Structure Dominant General family
Household the head of the family family relation dynamics
family member in
terms of
decision
making
L. L. B Father/Husband 71 M Married Father/Husband Living Patriarchal/Nuclear / Resource Provider,
Independently Resolving Problems
M. L. B. Mother/Wife 65 F Married Wife/Mother Living Patriarchal/Nuclear / Resource Provider,
Independently Resolving Problems
F. L. B. Son 45 M Married Eldest Son Living Patriarchal/Nuclear Helper
Independently
F. B. L. B. Daughter 42 F Married Daughter Living Patriarchal/Nuclear / Resource Provider
Independently
F. G. L. B. Daughter 40 F Divorced Daughter Living Patriarchal/Nuclear Resource Provider
Independently
F. B. L. B Daughter 36 F Married Daughter Living Patriarchal/Nuclear Resource Provider
 Independently
F. K. M. L. B. Daughter 20 F Single Youngest Living with Patriarchal/Nuclear Helper
Daugter Parents
A. Family Structure, Characteristics and Dynamics
The Bernales family is a nuclear type of family consisting of 7 members. Mr. Lito Bernales, the father, and Mrs. Myrna Bernales, the mother. Mr. Bernales and Mrs.
Bernales have been married for 50 years and has 5 children.
Roy (son), Betsy (daughter), Glynis (daughter), Bianca (daughter) and Mattea (daughter); Age between 45, 42, 40, 36 and 20 years old. Mattea is now the only
daughter living with her parents because her other siblings now have families of their own.
However, everyone gets together with their in-laws and grandchildren on Sundays or important occasions to bond and celebrate. Mr. and Mrs. Bernales
sometimes have a difficult time making decisions because their opinions do not coincide, but at the end of the day they would arrive at a consolidated answer for
the final decision.

B. Socio-Economic and Cultural Characteristics

Member of the Religion Income and expenses

Household Occupation Place of work Income of each Adequacy to meet basic Who makes
working member necessities decisions about
money
L. L. B. Roman Catholic Retired Sales Manager N/A N/A /
M. L. B. Roman Catholic Housewife N/A N/A Adequate /
F. L. B. Roman Catholic Former Seaman N/A N/A
F. B. L. B. Roman Catholic General Practitioner Ormoc City P/Month Adequate /
F. G. L. B. Roman Catholic Regional Tacloban City P/Month Adequate
Accountant/Chief. Actg.
Sec.
F. B. L. B. Roman Catholic Home-based Call Center Tacloban City P/Month Adequate
Agent
 F. K. M. L. B. Roman Catholic BSN Student SSCT, Palo N/A

Mr. Lito Bernales, 71 y/o, a college graduate and retired sales engineer. Mrs. Myrna Bernales, 65 y/o, also a college graduate, worked in an insurance company.
Roy, Betsy, and Glynis are all college graduates, while Bianca graduated 4,444 due to hers only had two (2) years of college due to personal reasons, and Mattea
is currently a second-year nursing student at SSCT.
Roy, her eldest son, was a former seaman but was unable to return to work due to the pandemic. He has a wife who works at DepED and they have 6 children: 5
boys and 1 girl. Betsy works as a general practitioner at a private hospital in Ormoc City. Her husband works for D.A. and is currently studying law. Glynis is the
Regional Accountant/Chief. Actg. Sec. in the Region VIII Department of Agriculture and is also a Juris Doctor. She has 4 children, 2 boys and 2 girls, but was
separated from his ex-husband. Lastly, Bianca is a home-based call center agent at home and her husband also works for D.A. They have 3 children: 2, girls and
a boy.
Since Mr. and Mrs. Bernales is already Senior Citizens, they receive their allowance from their children the right amount to cover their monthly expenses such as
electricity, water, food and medicine for maintenance and to spend the money on their own needs. None of the family members are members of a large and/or
active parish in the Catholic Church.

C. Home and Environment

Mr. and Mrs. Bernales's home is located in the V&G subdivision in the city of Tacloban. Their house is the two-story type made of concrete and hard materials, but
the roof has some tiny holes that allows water to seep in when it rains.

Their house is well ventilated, there is enough water and lighting. However, breeding sites for insects, pests and rodents are vulnerable due to the dike behind their
house. Therefore, the family always uses an insect killing spray to get rid of insects and pests and to set mousetraps for rodents. Mr. Bernales and Mrs. Bernales
sleep separately with Mattea in different rooms. The couple normally sleeps at 10 p.m. and wakes up at 5 a.m. Mattea usually sleeps from 11:00 p.m. at 1:00 a.m.
and wakes up at 6:00 a.m. They have 2 bathrooms; one is in Mrs. Bernales's room and the other is at the back of her house, which serves as a shared bathroom.

Mrs. Bernales goes to the market in the morning or afternoon to buy fresh fish or meat and vegetables that are used for cooking three times a week. Raw
vegetables and leftovers store well in the refrigerator to maintain freshness and warmth. Their trash is picked up by a garbage truck once a week.
Schools, hospitals / health centers, markets and supermarkets / mini-stores are walking distance from their house or using tricycles or pedicabs for transportation.
Jeepneys are also available within their community if they want to travel to distant destinations. They live in a friendly, non-toxic environment with reliable
neighbors.

According to the couple, the only downside to their area is that it always floods when it rains and this can pose a health risk to their community.

D. Health Status of each Family Member

Member of the Medical and nursing history Nutritional assessment Risk factor assessment
Household
Dietary history Eating habits and practices
L. L. B. Rheumatoid Arthritis 4x a day Meat, Fruits, Seafoods & Veg. Dietary Restriction
M. L. B. Slightly Hypertensive 4x a day Meat, Fruits, Seafoods & Veg. Dietary Restriction
F. L. B. Hemorrhoidectomy 4x a day Meat, Fruits, Seafoods & Veg.
F. B. L. B. Type 1 Diabetes 4x a day Meat, Fruits, Seafoods & Veg. Dietary Restriction
F. G. L. B. N/A 4x a day Meat, Fruits, Seafoods & Veg.
F. B. L. B. N/A 4x a day Meat, Fruits, Seafoods & Veg.
F. K. M. L. B. Overweight 4x a day Meat, Fruits, Seafoods & Veg.

Mr. Lito has rheumatoid arthritis (RA), while Mrs. Myrna is slightly hypertensive. They explained that it has something to do with their age known that they are
already senior citizens. They also smoke at least 1 and half pack of cigarette each day collectively starting from their 20’s (father) and 30’s (mother). Mr. Bernales
stated that it is impossible for him to stop smoking because it is already a part of his life even though he is well aware of the effect of smoking to his health. Mr. and
Mrs. Bernales drinks vitamins and their medicine maintenance every day to avoid any further diseases.
Roy had hemorrhoidectomy when he was 38 years old. He began smoking when he was still a teenager and until now, he consumes about 1 pack every day.
Betsy, is diagnosed with type 1 diabetes when she was 39 years old. She started eating healthy and avoid sugar-rich food since she was diagnosed to maintain a
normal blood sugar level. She is also currently pregnant and injects insulin 2 times a day as advised by her ob-gyn doctor.
Meanwhile, Glynis and Bianca, has no known medical conditions and is having a healthy life. Lastly, Mattea is overweight but now is changing her diet and
exercises regularly as advised by her family. The family members drink alcoholic beverages yet only occasionally except for
Roy who was mildly alcoholic but now doesn’t drink alcohol because, according to him, he is having a hard time defecating whenever he drinks alcohol. Based on
Mr. Lito’s story, he has a line of diabetes disease. The family eats at least 4 times a day including snack time at 3 pm. They immediately seek help to the
healthcare professionals whenever needed.

E. Value, Habits, Practices on Health Promotion, Maintenance and Disease Prevention

Member of the Household Immunization Status of Family Members Healthy Lifestyle Practices
L. L. B. Complete Walking Exercise (Every Morning)
M. L. B Complete Walking Exercise (Occasionally)
F. L. B. Complete
F. B. L. B. Complete Jogging, Exercising (Occasionally)
F. G. L. B. Complete Jogging Exercising (Occasionally)
F. B. L. B. Complete Jogging, Biking (Occasionally)
F. K. M. L. B. Complete

Adequacy of:
Member of the Rest/ sleep Exercises/ activities Use of protective Relaxation and other stress management
Household measures activities
L. L. B. 8 hours 10 - 30 minutes Facemask, Face Shield, Rest, Watching T.V, Internet Surfing
 Alcohol
M. L. B. 8 hours 10 - 30 minutes Facemask, Face Shield, Rest, Watching T.V or Youtube Videos, Internet
Alcohol Surfing
F. L. B. 8 hours Facemask, Face Shield, Rest, Cook
Alcohol
F. B. L. B. 8 hours 30 minutes - 1 hour Facemask, Face Shield, Rest, Cook, Exercise
Alcohol
F. G. L. B. 8 hours 30 minutes - 1 hour Facemask, Face Shield, Rest, Exercise
Alcohol
F. B. L. B. 8 hours 30 minutes - 1 hour Facemask, Face Shield, Rest
Alcohol
F. K. M. L. B. 6-7 hours Facemask, Face Shield, Rest, Watching Movies/Series, Playing Video
Alcohol Games, Surfing the Internet

Identified Health Conditions

Upon reflecting on the interview, I have identified potential health and lifestyle conditions that may be a threat to the family. These potential health and lifestyle
conditions are rheumatoid arthritis, diabetes, smoking, and mild hypertension. The dike that is situated at the back of their house may also be a health threat to the
family because it may cause diseases related to rodents, pests, and insects.

Family Nursing Care Plan

 FAMILY FAMILY OBJECTIVE OF INTERVENTION EVALUATION
HEALTH NURSING CARE NURSING RATIONALE METHOD OF RESOURCES
PROBLEM PROBLEM INTERVENTION FAMILY REQUIRED
CONTACT
• Rheumatoid • Inability to After nursing 1. Assess family’s 1. An adequate • Home Visit • Visual Aids After a day of nursing
arthritis as health recognize the interventions, health status. database is necessary • Health • Pamphlets intervention,
deficit presence of the the family will be 2. Explain to the for the development of Teaching client/family is able
condition or the able to: family what is an effective teaching to:
problem due to: rheumatoid arthritis, plan. • Reiterate the
• Define in their
including its signs 2. Teaching will be definition of
Denial about its own words
and symptoms. ineffective if Rheumatoid Arthritis
existence or enumerate at
severity as a least 3 3. Include significant presented at a level or • Enumerate at least
result of fear of symptoms of others in the by a method 3 symptoms of
consequences Rheumatoid learning activity, if inappropriate to the Rheumatoid Arthritis
of diagnosis of Arthritis possible. family’s ability to
problem. learn.
• Practice a
healthy lifestyle
to avoid these
disease.

FAMILY FAMILY OBJECTIVE OF INTERVENTION EVALUATION

HEALTH NURSING CARE
 PROBLEM PROBLEM

NURSING RATIONALE METHOD OF RESOURCES

INTERVENTION FAMILY REQUIRED
CONTACT
• Diabetes as • Inability to After nursing 1. Have a healthy 1. An adequate • Home Visit • Visual Aids After a day of nursing
health deficit and recognize the interventions, diabetic diet and database is necessary • Health • Pamphlets intervention, client is
health threat presence of the the client will be with good blood for the development of Teaching able to:
condition or the able to: glucose control. an effective teaching • Reiterate the
problem due to: plan. definition of Diabetes
• Be aware of
Fear of the definition 2. Educate the client 2. Teaching will be
• Enumerate at least
consequences and the signs what is Diabetes and ineffective if
3 symptoms of
of diagnosis of and symptoms the different types, presented at a level or Diabetes.
problem of Diabetes including its signs by a method
specifically and symptoms. inappropriate to the
economic or client’s ability to learn.
cause
implication.

FAMILY FAMILY OBJECTIVE OF INTERVENTION EVALUATION

HEALTH NURSING CARE
PROBLEM PROBLEM
 NURSING RATIONALE METHOD OF RESOURCES
INTERVENTION FAMILY REQUIRED
CONTACT
• Unhealthful • Inability to After nursing 1. Assess smoking 1. An adequate • Home Visit • Visual Aids After a day of nursing
Lifestyle and recognize the interventions, history, kind and database is necessary and low cost intervention, client is
personal habits presence of the the client will be duration. for the development of materials able to:
specifically condition or the able to: an effective teaching needed for • Make appropriate
Smoking problem due to: 2. Determine plan. demonstration health action to make
• Make
Negative attitude appropriate reasons for smoking . healthful lifestyle and
towards the health action to 2. Teaching will be personal habits
3. Discuss the
health condition make healthful ineffective if through cessation of
effects and smoking.
or problem. lifestyle and presented at a level or
consequences of
personal habits by a method
smoking in human’s
through inappropriate to the
health condition, e.g.
cessation of client’s ability to learn.
Respiratory
smoking.
diseases, cancers,
etc.

4. Emphasize the
importance of having
a healthy lifestyle to
increase compliance
with the set
implementing
measures.
FAMILY FAMILY OBJECTIVE OF INTERVENTION EVALUATION
HEALTH NURSING CARE
PROBLEM PROBLEM
 NURSING RATIONALE METHOD OF RESOURCES
INTERVENTION FAMILY REQUIRED
CONTACT
• Mild • Inability to After nursing 1. Assess client’s 1. Salt may cause an • Home Visit • Visual Aids After a day of nursing
Hypertension as recognize the interventions, level of elevation in blood and low cost intervention, client is
health threat presence of the the client will be understanding volume; increase the materials able to:
condition or the able to: regarding the health cardiovascular or needed for
problem due to: problem. renal mechanisms to demonstration • Verbalized
• Have adequate
1. Lack of or knowledge, a adregenic influences. . understanding of
inadequate good proper disease process and
knowledge. nutrition that 2. Monitoring BP can treatment regimen.
reduce prevent further
hypertension. complications.