INITIAL DATA BASE

I. CHARACTERS:
A. What is the type of family structures?
___x___ Nuclear _______ Patriarchal
______ Extended _______ Matriarchal
B. Who makes decision regarding health care? mother
C. What is the present family relationship?
_________________ with conflicts between members
______x___________ without conflicts between family members
D. Activities of daily living:
1. Sleeping pattern:
Retiring/getting up hours depend on working hours
Nap during the day __1pm – 4pm____
Do members sleep together __yes_________
2. Eating pattern
How many meals each day? __4
Who appears overweight? ____________
Who appears underweight? ___________
3. Leisure time activities
How does each member spend leisure hours? __watch tv, playing, resting
Is it appropriate for the sex and age group? ______yes____
What is the effect to the family? __enjoying the moment
Any joint activity for leisure? _go to park, eating in restaurant, watching tv, play together

II. FAMILY INFORMATION

Head of the family: Mark Jan B. Crael____
Address: Quezon City___
Members of the household: __3_____

NAME RELATIONSHIP AGE EDUCATIONAL ATTAINMENT

M.J. Crael Family Head 25 Vocational Graduate
B. Ebuenga Live in 26 Collage Graduate
B.M. Crael Daughter 2

III. SOCIO-ECONOMIC AND CULTURAL FACTORS

A. Income

NAME OCCUPATION PLACE INCOME

M.J. Crael Nursing Attendant Quezon city 16k
B. Ebuenga Midwife Santa Cruz, Manila 20k

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

___✓_____ Yes _____ No
2. Who makes decisions regarding money matters? _______father ______________
 3. Religious affiliation Born again Christian
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: _”paglabas lang ng iskinita makikita, lakad lang konti makikita mo na ung Health
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
M.J. Crael Covid 19 Controlled Quarantined
B. Ebuenga Covid 19 Controlled Quarantined
B.M. Crael Rashes Controlled Consult to doctor, apply
medication
 VI. VALUE PLACED ON PREVENTION OF DISEASE
NAME AGE COMPLETE INCOMPLETE
M.J. Crael 25 Covid-19 vaccine,
booster shot, hepa A & B
vaccine
B. Ebuenga 26 Covid-19 vaccine,
booster shot, hepa A & B
vaccine
B.M. Crael 2 PCV, OPV, Measles, BCG,
penta hib, flu

Preventive practices employed by the family: _medicinal herbs, wearing face mask outside, washing
hands
Sources of Health Care:
_________ Health Center ________✓____ Government Hospital
_________ Private Hospital ____________ Others

PART B.
DETERMINE AT LEAST 3 FAMILY HEALTH PROBLEMS. IF NONE, DETERMINE THE FAMILY’S PROMOTIVE OR
PREVENTIVE PRACTICES.

FAMILY HEALTH PROBLEMS. / TYPOLOGY OF HEALTH PROBLEM

(IF NONE, FAMILY’S PROMOTIVE OR (WELLNESS STATE , HEALTH
PREVENTIVEPRACTICES.) DEFICIT,HEALTH THREAT,
FORESEEABLE CRISIS)
Poor sanitary condition of environment HEALTH THREAT
Poor sleeping pattern HEALTH THREAT
Poor eating habits HEALTH THREAT
PART C.
DO THE SCALING OF THE 3 IDENTIFIED HEALTH PROBLEMS OR PROMOTIVE PRACTICES OF THE FAMILY.
HEALTH PROBLEM 1. Poor sanitary condition of environment as a HEALTH THREAT.
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
NATURE OF THE PROBLEM 2/3x1 0.67 Poor sanitation is linked to
• HEALTH THREAT transmission of diarrhoeal
diseases such as cholera
and dysentery, as well as
typhoid, intestinal worm
infections and polio. It
exacerbates stunting and
contributes to the spread
of antimicrobial resistance.
(WHO, 2022)
MODIFIABILTY OF THE 2/2x2 2 It is easily modifiable since
PROBLEM there are community
• EASILY workers and family
MODIFIABLE resources available to help
with sanitation around the
area
PREVENTIV POTENTIAL 3/3x1 1 It is highly preventive since
• HIGH there are a lot of
preventive measures they
can take for this situation.
And if adequate knowledge
from the health personnel
is given, this can lead the
family to be aware of the
existing problem which in
turn will make immediate
action.
SALIENCE 2/2x1 1 Need an immediate
• A SERIOUS attention as verbilzed by
PROBLEM NEEDED the client “dapat ina
AN IMMEDIATE asikaso nayan eh. Bukod sa
ATTENTION mabaho na nakakadumi din
ung mga langaw tapos
dadapo yan sap ag kain.”
TOTAL: 4.67
HEALTH PROBLEM 2. INADEQUATE SLEEPING PATTERN as HEALTH THREAT

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

NATURE OF THE PROBLEM 2/3x1 .67 This is a HEALTH THREAT
• HEALTH THREAT because insufficient sleep
means not getting enough
sleep at night, which can
cause several problems
including decreased brain
development, learning
problems and more
frequent negative
emotions. It can also
contribute to weight
management problems,
growth issues and
increased frequency of
illnesses. (Children's
Hospital Colorado)
MODIFIABILTY OF THE 2/2x2 2 With right health teaching
PROBLEM and encouraging about
• EASILY having a proper sleep, this
MODIFIABLE problem will be easy
modifiable for the client.
PREVENTIVE POTENTIAL 3/3x1 1 This is a highly preventable
• HIGH with the use proper actions
for a good sleep.
SALIENCE 1/2x1 .5 The problem is recognized
• A PROBLEM BUT and not needed immediate
NOT NEEDING attention as evidence by, “
IMMEDIATE ako lagi kasi gusto katabi
ATTENTION niya, kaya di siya natutulog
kaagad kaya laging puyat
yan sa gabi lalo na kung
nasa trabaho kami mag
asawa di kaagad natutulog
kasi ayaw niya sa katabi
niyang nag babantantay sa
kanya. Kaya pag wala ako
pasok lagi ko siyang
pinatutulog.
TOTAL: 4.17
HEALTH PROBLEM 3. POOR EATING HABIT as HEALTH THREAT.

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

NATURE OF THE PROBLEM 2/3x1 .67 According Poor Nutrition
• HEALTH THREAT CDC, consuming unhealthy
food and beverages, such
as sugar-sweetened
beverages and highly
processed food, can lead to
weight gain, obesity and
other chronic conditions
that put people at higher
risk of at least 13 types of
cancer, including
endometrial cancer, breast
cancer in postmenopausal
women, and colorectal
cancer.
MODIFIABILTY OF THHE 1/2x2 1 The problem is partially
PROBLEM modifiable. Family
• PARTIALY members also eat healthy
MODIFIABLE foods but the
PREVENTIVE POTENTIAL 3/3x1 1 This is highly preventable
• HIGH with proper action and
encouragement them to
eat.
SALIENCE 1/2x1 .5 The problem is recognized
• A PROBLEM, BUT but not needing a
NOT NEEDING immediate action as
EMEDIATE CARE evidence by, “ kapag hindi
ako ang nag susubo or ang
papa niya tulad ng pag nasa
work kami pareho, ang
subo niya isa or dalawa
kaya pag ayaw talaga
mapakain biscuit nalang
ibibigay. Papakainin ko
nalng namin siya kapag
naabutan pa naming
gising.”
TOTAL: 3.27
SCALE FOR RANKING FAMILY HEALTH PROBLEMS ACCORDING TO PRIORITIES

HEALTH PROBLEM SCORE

Poor sanitary condition of environment 4.67
Inadequate sleeping pattern 4.17
Poor eating habits 3.27

Health Problem: POOR SANITARY CONDITION OF ENVIRONMENT

Health Family Goal of care Objectives INTERVENTION PLAN Evaluation

Problem Nursing
Problem Nursing Method Resource
Assessmen Intervention s of required
t Nurse used
Subjective Inability to Within 2 Short term: The PHN will: a. Materials Short Term:
data: provide a weeks the After two 1. establish Clinical * PHN bag The family
“Nag kalat home family will hours of rapport visit * IDB was able to
sa labas environment be able to nursing * Ballpen demonstrate
ung mga conducive to effectively interventions 2. Provide b. Home * Paper understandin
dumi ng health promote , the family health visit g of the
aso, pusa maintenance and will be able teaching: health
daga, and personal maintain an to Day 1: Man power teachings
madulas development environmen demonstrate a. Discuss first with regards
din diyan due to: t conducive understandin possible home a. Health to the
sa daanan to health. g of the sources of visit care facility possible
lagi kasing a. Lack health the presence (studet causes and
basa tapos of/inadequat teachings of the 2.secon nurse) effects of the
pababa pa e knowledge regarding the mosquitoes, d home presence of
may kanal of possible flies, and visit b. CI – Ma’am insects and
din dyan na importance causes and cockroaches. Jhal Barcial pest.
walang of hygiene effects of the 3. third Espinosa
taklob kaya and presence of b. Explain all home Long Term:
ang langaw sanitation the insects the possible visit c. Crael The family
dami .” and pest. disadvantage Family was able to
b. lack Long Term: s and 4. (client) show
of/inadequat After 2 weeks harmful farewell behavior and
e knowledge of home effects that visit Financial compliance
of preventive visits, the these resources on measures
Objective measures. family will be organisms on how to
data: able to show can bring a. maintain a
-Animals compliance about to the transportatio clean
waste on measures health of the n fee of the environment
scattered on how to family. student in order to
in the area. maintain nurse eradicate
clean c. and breeding
-Presence surroundings encourage sites of
of stagnant in order to them to insects and
water in eradicate maintain pest.
the breeding cleanliness
drainage sites of by regular
system mosquitoes, cleaning of
the
outside of flies, and surroundings
the house cockroaches. .

-Presence
of
mosquitoes
in the
vicinity

-Presence
of
cockroache
s and flies
in vicinity.