C.

Home and Environment

Their house is made of mixed-type materials, the combination of light and strong materials such
as woods and cement. Their living space is not adequate for the family. The father verbalized “Nako.
Napakaliit ng bahay namin, Ang sikip dito kung ako lang talaga gusto ko ng lumipat kaso wala kaming
pera eh.” They have only 1 room in the 2nd floor and it is not sufficient for 7 members sleeping. He also
verbalized “Siksikan kami pag matutulog. Minsan young isa sa baba. Pero dahil may daga ay umaakyat
na lang sya dito kaya pito kami natutulog sa taas. Mahirap e, pero sanayan lang yan.” There are presence
of mosquitoes, rats and cockroaches in their house. Sometimes, the family is worried because their house
is prone to many hazards such as fire hazards because the streets in their barangay is too small to the fire
truck to enter. They has a point source type of water supply. They doesn’t have any faucet in their house
and just get water in the well in their barangay. They also drink water from the deep well. Two electric
lights are used to light the whole house. They have two electric fans as well. The source of heat for
cooking is a one-burner gas stove. The toilet facility is located outside their house. The father verbalized
“Yung cr naming nasa labas. Naghahati-hati kasi kame dyan. Pati yung ibang bahay. Kaya unahan na lang
maligo pag umaga.” They use pail system in disposing their excreta. They have also a toilet bowl donated
by the foster parents who have a program in their barangay. The garbage is well segregated and collected
by a garbage collector every night. But there are trucks who collected their garbage every Tuesday,
Thursday and Saturday. Their drainage system is a blind type. Father verbalized “Yung canal namin?
Nasa ilalim kaya di nakakasagabal.” Their neighborhood is slum and sometimes they are noisy because of
loud conversations. They do not engaged in health community services and free seminars because they
doesn’t have time and they are not used to it. Father verbalized “Hindi na kami sumasali dun. Nakakapag
exercise na din naman kami pag naglalakad. Lalo na mga anak ko pag nagtitinda sila pati na asawa ko.”
The type of transportation they used is the jeepney specially when Mang Rodolpho is going to hospital for
check-ups. They also have a tight communication relationship specially after eating; they tell their story
of what happened in that specific day.

D. Family Health Status

The family has follows some practices regarding their health. Father verbalized “Pag may sakit
kami, pag ubo o lagnat iinom lang namin ng gamot. Pero pag malala na dumidiretso na kami sa health
center para magpacheck-up.” They eat two-three times a day. They don’t have sufficient food to sustain
their whole day. Ronaldo verbalized “Kulang talaga ung kinakain namin. Kahit gusto pa naming kumain
hindi na pwede kasi wala na kaming kakainin e.” Father verbalized “Swerte na kung makakain kami ng
masarap sa isang lingo. Sobrang hirap talaga ng buhay. Kahit madami kaming gusting bilhin di namin
mabili kasi wala kaming pera.” They don’t eat together because some members of the family is in work
and school. The father has a history of lung disease. Rodolpho Jr and Randy are both alcohol drinker and
smoker. Rodolpho Jr. smokes 8 sticks per day. And drinks alcohol occasionally. Mang rodolpho also
smokes and drinks alcohol but after being diagnosed having a lung disease, he stops in doing his vices.

ANTHROPOMETRIC DATA
NAME WEIGHT HEIGHT BMI NORMS INTERPRETATI
ON
18.5-24.9
18.5-24.9
 18.5-24.9
18.5-24.9
18.5-24.9
18.5-24.9
18.5-24.9

NAME WAIST HIP WAIST- HIP NORMS INTERPRETATION

CIRCUMFEREN CIRCUMFEREN CIRCUMFERE
CE CE NCE
Waist
Circumference:
Greater than 90
cm in men;
greater than 80
cm in women.
Waist to Hip
Circumference:
Less than 1 cm
in men ;
Less than 0.85
cm in women

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

All of the members have complete immunizations and none of them had a history of allergies,
accidents. Only Mr. Rodolpho has been hospitalized due to lung disease. They have adequate rest and
sleep. Father verbalized “Sapat naman ang pahinga naming kasi pag walang ginagawa andito lang kami
sa bahay nanonood ng tv o kaya nakikinig ng radio.” They sleep for 6-8 hours a day. Walking is the only
form of exercise the family is doing. Because they do not have time in participating for the barangay’s
program regarding proper exercise. And most of them are busy in their works. The whole family is using
self-medication in case they do not have severe illness such as cough and colds. As long as they don’t feel
very weak, they didn’t go in health center for check-ups. Ronaldo verbalized “Wala naman kasi kaming
malalang sakit e. Kaya bakit kami pupunta sa health center diba?”
II. PROBLEM IDENTIFICATION
FIRST LEVEL ASSESSMENT

Cues/Data Health Problem

They eat two-three times a day. They don’t have Unhealthful eating habits related to inadequate food
sufficient food to sustain their whole day. intake in both quality and quantity.

Ronaldo verbalized “Kulang talaga ung kinakain

namin. Kahit gusto pa naming kumain hindi na
pwede kasi wala na kaming kakainin e.”

Father verbalized “Swerte na kung makakain kami

ng masarap sa isang lingo. Sobrang hirap talaga ng
buhay. Kahit madami kaming gusting bilhin di
namin mabili kasi wala kaming pera.”
The father verbalized “Nako. Napakaliit ng bahay Poor home condition related to inadequate living
namin, Ang sikip dito kung ako lang talaga gusto space.
ko ng lumipat kaso wala kaming pera eh.”

They have only 1 room in the 2nd floor and it is not

sufficient for 7 members sleeping.

He also verbalized “Siksikan kami pag matutulog.

Minsan young isa sa baba. Pero dahil may daga ay
umaakyat na lang sya dito kaya pito kami natutulog
sa taas. Mahirap e, pero sanayan lang yan.”

Rodolpho Jr and Randy are both alcohol drinker Unhealthful lifestyle and personal habits related to
and smoker. cigarette smoking.

Rodolpho Jr. smokes 8 sticks per day.

Mang rodolpho also smokes and drinks alcohol but

after being diagnosed having a lung disease, he
stops in doing his vices.

SECOND LEVEL ASSESSMENT

Cues/Data Family Nursing Problem

They eat two-three times a day. They don’t have
sufficient food to sustain their whole day.
Ronaldo verbalized “Kulang talaga ung kinakain
namin. Kahit gusto pa naming kumain hindi na
pwede kasi wala na kaming kakainin e.”
Unhealthful eating habits related to inadequate food
intake in both quality and quantity.
II. Inability to make decision with respect to talking
appropriate health action due to fear of
consequences of action specifically economic
consequences.

Father verbalized “Swerte na kung makakain kami
ng masarap sa isang lingo. Sobrang hirap talaga ng
buhay. Kahit madami kaming gusting bilhin di
namin mabili kasi wala kaming pera.”
The father verbalized “Nako. Napakaliit ng bahay
namin, Ang sikip dito kung ako lang talaga gusto
ko ng lumipat kaso wala kaming pera eh.”
They have only 1 room in the 2nd floor and it is not
sufficient for 7 members sleeping.
III. Inability to provide nursing care to the at-risk
members of the family due to inadequate family
resources of care specifically financial constraints.
Poor home condition related to inadequate living
space.
II. Inability to make decision with respect to taking
appropriate health action due to lack of knowledge
as to alternative courses of action opens to them.

He also verbalized “Siksikan kami pag matutulog. III. Inability to provide nursing care to the at-risk
Minsan young isa sa baba. Pero dahil may daga ay members of the family due to inadequate family
umaakyat na lang sya dito kaya pito kami natutulog resources of care specifically financial constraints.
sa taas. Mahirap e, pero sanayan lang yan.”

Rodolpho Jr and Randy are both alcohol drinker
and smoker.
Rodolpho Jr. smokes 8 sticks per day.
Mang rodolpho also smokes and drinks alcohol but
after being diagnosed having a lung disease, he
stops in doing his vices.
IV. Inability to provide a home environment
conducive due to health maintenance and personal
development due to lack of skills in carrying out
measures to improve home environment.
Unhealthful lifestyle and personal habits related to
cigarette smoking.
I. Inability to recognize the presence of the problem
due to denial of its existence or severity as a result
of fear consequences of diagnosis of problems
specifically physical consequences.
II. Inability to make decision with respect to the
appropriate health action due to failure to
comprehend of the nature of the problem.
III. Inability to provide nursing care to the at-risk
members of the family due to inadequate
knowledge about the health condition.
Problem Prioritization
Problem 1: Unhealthful eating habits related to inadequate food intake in both quality and quantity.
Criteria Computation Actual Score Justification
Nature of the Problem 2/3 x 1 2/3 The problem is a health threat which suggests
family members being at risk of acquiring problems
in health condition such as malnutrition.
The family does not have enough resources to have
Modifiability of the Problem. 1/2 x 2 1 adequate food to the family because of financial
problem.
Preventive Potential 2/3 x 1 2/3 The problem of having unhealthful eating habits
will be prevented if all the family members will
have their work to help the head of the family for
all the expenses.
Salience 1/2 x 1 1/2 The family able to recognize the problem
but they it is not their priority because
there is something more important to pay
for eg. Bills, rents.
Total Score: 2 1/3

Problem 2: Poor home condition related to inadequate living space.

Criteria Computation Actual Score Justification
Nature of the Problem 2/3 x 1 2/3 The problem is a health threat which suggests
family members being at risk of having a health
condition because of inadequate living space.
The family does not have adequate resources.
Modifiability of the Problem. 1/2 x 2 1 Especially financial support to evacuate to a bigger
house.
Preventive Potential 2/3 x 1 2/3 The family will be able to prevent the risk of having
a problem if they would have enough space in their
house for all of them.
Salience 1/2 x 1 1/2 The family recognized the problem but its not
needing an immediate action because of lack of
financial support.
Total Score: 2 5/6
Problem 3: Unhealthful lifestyle and personal habits related to cigarette smoking.
Criteria Computation Actual Score Justification
Nature of the Problem 2/3 x 1 2/3 The problem is a health threat which suggests
family members being at risk of acquiring diseases
from second hand smoking.
The family have adequate resources to reduce or
Modifiability of the Problem. 2/2 x 2 1 eradicate the problem.
Preventive Potential 3/3 x 1 1 The family can control the other family member to
stop smoking to prevent disease due to second hand
smoking.
Salience 1/2 x 1 1/2 The family perceives it as a problem but they don’t
want to take any immediate action due to fear of
consequences.
Total Score: 3 1/6

Total Score:

Problem 1: Unhealthful eating habits related to inadequate food intake in both quality and quantity.

2 1/3

Problem 2: Poor home condition related to inadequate living space.

2 5/6

Problem 3: Unhealthful lifestyle and personal habits related to cigarette smoking.

3 1/6