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INITIAL DATA BASE

I. CHARACTERS:
A. What is the type of family structures?
___✓___ Nuclear _______ Patriarchal
______ Extended _______ Matriarchal
B. Who makes decision regarding health care? matriachal
C. What is the present family relationship?
_________________ with conflicts between members
_______✓__________ without conflicts between family members
D. Activities of daily living:
1. Sleeping pattern:
Retiring/getting up hours 7pm-2am
Nap during the day 1pm-3pm
Do members sleep together yes
2. Eating pattern
How many meals each day? 3
Who appears overweight? ____________
Who appears underweight? ___________
3. Leisure time activities
How does each member spend leisure hours? Watching tv, go for a walk
Is it appropriate for the sex and age group? Yes
What is the effect to the family? _______________________________________
Any joint activity for leisure? Watch tv together

II. FAMILY INFORMATION


Head of the family: Filander Ebeunga Sr.
Address: Prieto-Diaz Sorsogon
Members of the household: 2

NAME RELATIONSHIP AGE EDUCATIONAL ATTAINMENT


F. Ebuenga Sr. Family Head 83 Elementary Graduate
B. Ebuenga Spouse 81 Elematary graduate

III. SOCIO-ECONOMIC AND CULTURAL FACTORS


A. Income

NAME OCCUPATION PLACE INCOME


F. Ebuenga Sr. None Both of them are
depending on their
children
B. Ebuenga none

1. Does the working family member meet the basic necessities?


____✓____ Yes _____ No
2. Who makes decisions regarding money matters? Matriarchal
3. Religious affiliation: catholic
4. What roles does the family play in the community? Community member

IV. ENVIRONMENTAL FACTORS


A. Housing
1. Ownership
______✓___ Owned ________ Rented ___________ Rent-Free
2. Construction materials used
_________ Light _____✓___ Mixed ___________ Strong
3. Living space
_________ Adequate ____✓____ Inadequate
4. Sleeping arrangement: sleeping together
5. Adequacy in furniture
_____✓____ Adequate ________ Inadequate
6. Water source
____✓_____ Private ________ Public
7. Food storage
_________ Refrigerator ____✓____ Jars/container
8. Cooking facility
_________ Electric stove ____✓____ Firewood
____✓_____ Gas Stove ________ Kerosene
9. Drainage facility
_________ Open drainage ________ Blind drainage ____✓____ None
10. Toilet facilities/type
_________ Flushed ___________ Over hung latrine
_________ Bored-hole latrine _____✓______ Water-sealed latrine
_____✓____ Pail system ___________ None
11. Sanitary condition
_________ Fair _____✓______ Good ________ Poor
12. Neighborhood
_________ Congested ___________ Slum ____✓____ Other
13. Availability of Health Care Facility
Describe briefly: malapit lanng sa suod na barangay anydan na yung center

14. Garbage disposal


__________ Dumped at street corner ____________Picked up by garbage collector
__________ Buried ______✓______ Burned then buried

V. HEALTH MEDICAL HISTORY


A. Presence of illness
_______ Diagnosed _________ Undiagnosed ________ None
NAME PAST ILLNESS ILLNESS STATE HEALTH ACTION TAKEN
F. Ebuenga Sr. Hypertension, diarrhea Controlled Taking medication,
medicinal herbs, regular
check up
B. Ebuenga Hypertension Controlled Taking
medication,
regular check up

VI. VALUE PLACED ON PREVENTION OF DISEASE


NAME AGE COMPLETE INCOMPLETE
F. Ebuenga Sr. 83 Covid 19 vaccine (1 dose)
B. Ebuenga 81 Covid 19 vaccine (1 dose)

Preventive practices employed by the family: medicinal herbs, hilot, washing hands
Sources of Health Care:
_____✓____ Health Center ____________ Government Hospital
_________ Private Hospital ____________ Others

PART B.

Scale for Ranking Health Problems According to Priorities.

FAMILY HEALTH PROBLEMS. / TYPOLOGY OF HEALTH PROBLEM


(IF NONE, FAMILY’S PROMOTIVE OR (WELLNESS STATE, HEALTH
PREVENTIVEPRACTICES.) DEFICIT, HEALTH THREAT,
FORESEEABLE CRISIS)
Inconsistent of taking medication for hypertension HEALTH THREAT
Presence of accidents hazards HEALTH THREAT
Hyper tension HEALTH DEFICIT

HYPERTENSION AS HEALTH THREAT

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION


NATURE OF THE PROBLEM 3/3x1 1 Hypertension is a Health
• HEALT DEFICIT deficit in which will cause
complications that requires
immediate attention and
adequate management of
one’s blood pressure
MODIFIABILTY OF THE 2/2x2 2 Current knowledge,
PROBLEM Interventions and resources
• EASYLY MODIFIABLE are available to solve the
problem of high blood
pressure or hypertension
PREVENTIVE POTENTIAL 3/3x1 1 Hypertension can be
• HIGH prevented through proper
health teaching and proper
management.
SALIENCE 2/2x1 1 the family recognize the
• A SERIOUS PROBLEM problem that needing
NEEDING, NEEDING immediate attention as
IMMEDIATE evidence by, “kapag gayan
ATTENTION na mataas dugo namin mag
asawa saka lang kami iinom
gamot pero kapag hindi
nawawala ang sama ng
pakiramdam didiretso na
kami nyan sa center.
TOTAL: 5

INCOSISTENT OF TAKING MEDICATION AS HEALTH THREAT

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION


NATURE OF THE PROBLEM 2/3x1 0.67 Inconsistent of taking
• HEALTHE THREAT maintenance for hypertension
is a health threat because it
could raise a more health
complication.
MODIFICATION OF THE 2/2x2 2 The resources, current
PROBLEM knowledge and intervention
• EASYLY MODIFIABLE are available to solve the
problem
PREVENTIVE POTENTAIL 2/3x1 0.67 It is a moderate preventive
• MODERATE because of the compliance of
the client.
SALIENCE 1/2x1 0.5 The family recognize the
• A PROBLEM, BUT problem but not receiving a
NOT NEEDING immediate action as evidence
IMMEDIATE CARE by “umiinom lang kami mag
asawa kapag may
nararamdaman na naming na
tataas dugo, para mas
effective ung gamot”
TOTAL: 3. 84

SMOKING AS HEALTH THREAT


CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
NATURE OF THE PROBLEM 2/3x1 0.67 According to CDC Smoking
• HEALTH THREAT causes cancer, heart disease,
stroke, lung diseases,
diabetes, and chronic
obstructive pulmonary
disease (COPD), which
includes emphysema and
chronic bronchitis. Smoking
also increases risk for
tuberculosis, certain eye
diseases, and problems of the
immune system, including
rheumatoid arthritis.
MODIFICATION OF THE 2/2x2 2 Current knowledge
PROBLEM and resources are
• EASILY MODIFIABLE available and
interventions are
feasible in the
elimination of
smoking
PREVENTIVE POTENTIAL 3/3x1 1 Smoking can be
• HIGH stopped, reduced or
minimized
SALIENCE 1/2x1 0.5 The family
• A PROBLEM, BUT recognizes it as a
NOT NEEDING problem. It does not
EMEDIATE CARE seem the problem as
needing immediate
action as evidence by “lagging
patago yan sakin kapag nag
sisigarilyo kahit
pinagsasabihan ko na ng
paulit-ulit”
TOTAL : 4.17

SCALE FOR RANKING FAMILY HEALTH PROBLEMS ACCORDING TO PRIORITIES


The list of health problems ranked according to priorities is presented:
HEALTH PROBLEM SCORE
Hyper tension 5
smoking 4.17
Inconsistent of taking medication for hypertension 3.84
Health Problem: HYPERTENSION as HEALTH DEFICIT

Health Problem Family Nursing Goal of care Objectives INTERVENTION PLAN Evaluation
Assessment Problem
Nursing Methods Resource
Intervention of Nurse Required
used
Subjective: Inability to make Goal: the After of 2 The phn will One to Materials After the
“ kakainom ko decisions with family will be weeks of 1. establish one resource nursing
lang ng gamot respect to taking able to nursing rapport lecture intervention
kanina pero appropriate health verbalize the intervention 2. provide discussion - IDB the patient
parang action due to: nursing care the family health via - Ballpen was able to:
highblood padin managemen will be able teaching. messenge - Pad
ata ako” A. Failure to t for understand a.Dіsсuss thе r call paper PARTIALLY
comprehend the hypertension and verbalize nаturе, sіgns, MET
“kapag nature/magnitude and manage of the ff. sуmрtоms Man
nararamdaman of the to lessen the аnd power a.Vеrbаlіzе
ko na highblood problem/conditio risk of a.determines соmрlісаtіоn undеrstаndіn
ako saka lang n hypertension the risk s thаt mіght Time and g оf thе
ako iininom ng factors that аrіsе duе tо effort соndіtіоn, іts
gamut” b. In accessibility contribute to hуреrtеnsіоn of the : rіsk fасtоrs,
of appropriate hypertension 1. Health sіgns аnd
Objective: resources for care, . b. Ехрlаіn Care sуmрtоms
there is no one specifically : hуреrtеnsіоn Facility аnd еffесts tо
to take care of b. аnd іts (student hеаlth
the couple at -physical incorporates еffесts іn thе nurse)
home inaccessibility low-sodium hеаrt, blооd 2. Clinical b. Наvе gооd
vеssеls аnd Instructo аnd hеаlthу
male: - Costs constraints ad low-fat оthеr bоdу r– nutrіtіоn аs
Bp120/80mmH or into diet оrgаns. Ma’am еvіdеnсеd bу
g Jhal rеduсеd
Weight 68 kl - financial c. acquires c. Dіsсuss Barcial іntаkе оf fаt
inaccessibility information wіth thе Espinosa аnd sаltу
Female on fаmіlу thе 3. fооds
Bp 120/90 alternatives rіsk fасtоrs оf Ebuenga
Weight 68 kl measures hуреrtеnsіоn family. c. Go for
treating suсh аs regular check
through fаmіlу up at the
medicinal hіstоrу, аgе, health center
herbal sаlt аnd
medications. аlсоhоl
іntаkе аnd
D. verbalize оbеsіtу.
preventive
measures of d. Іnstruсt іn
the disease рrоmоtіng а
condition hеаlthу
such as lіfеstуlе
healthy diet thrоugh
and exercise. rеduсіng
fооds hіgh іn
Е. Utіlіze sаlt, fаt аnd
соmmunіtу сhоlеstеrоl
rеsоurсеs
thаt аrе e. Еnсоurаgе
ореnlу frеquеnt
аvаіlаblе іn рhуsісаl
hеlріng tо асtіvіtу аnd
rеsоlvе thе lеg ехеrсіsеs
соndіtіоn
ехреrіеnсеd. f. Strеss
Such as going іmроrtаnсе
to health оf аvоіdіng
center for smоkіng аnd
regular check іntаkе оf
up. аlсоhоl, аs
wеll аs
еlіmіnаtе
іntаkе оf
саffеіnе lіkе
tеа, соffее,
соlа аnd
сhосоlаtеs

g. Еnсоurаgе
сhесk-uрs
аnd рrоvіdе
rеfеrrаl wіth
а mеdісаl
рrасtіtіоnеr
tо lеssеn
hуреrtеnsіоn
аnd mоdіfу
rіsk-fасtоrs.
h. Теасh оn
dіffеrеnt
strеss-
rеduсіng
tесhnіquеs
suсh аs rеst,
dеер
brеаthіng
ехеrсіsеs аnd
vаrіоus
dіvеrtіоnаl
thеrаріеs lіkе
lіstеnіng tо
rаdіо,
rеаdіng
nеwsрареrs,
lіstеnіng tо
musіс, еtс.

i. Рrоvіdе
іnfоrmаtіоn
rеgаrdіng
соmmunіtу
rеsоurсеs іn
hеаlth
mаnаgеmеnt
аnd
іmmеdіаtе
саrе
аssіstаnсе

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