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A.

FAMILY STRUCTURE, CHARACTERISTICS AND DYNAMICS

NAME OF FAMILY MEMBERS 1.Erlinda Bangis

AGE

SEX

CIVIL STATUS Married

POSITION IN THE FAMILY Grandmother

RESIDENCE

58

Female

Temporary

2.Josephine Bangis

23

Female

Single

Mother

Temporary

3.Kyla Bangis

3

Female

Child

Daughter

Temporary

NARRATIVE:

The Bangis Family is a typical extended type of matriarchal family which consist of, Mrs. Erlinda Bangis, Grandmother of Mrs. Josephine Bangis who is the housewife and her3 year-old daughter, Kyla Bangis.They have a good bonding relationship with each other as evidenced by the verbalization of the grandmother, “eto talagang anak ko mahal na mahal ako dito pa ako tumira sa kanya kahit medyo pasaway ako at magdadalawang taon na ako dito nakatira kasi dito ako nagpapagamot,mahal kasi sa amin ee, Eto namang apo ko makulit din , pero sumusunod naman sa mama nya kasi pag hindi papaluin sya ” Bangis Family don’t have a hard time in terms of decision making because each of them tend to consider each others opinion first before coming up with the final decision especially regarding health matters. The mother takes care of the household chores and their daughter Kyla. Sometimes, when the father is not around the mother usually decides as verbalized by the client “Pag wala yung asawa ko sa bahay, Ako na mismo yung nagdedesisyon tapos pagkauwe nya pag uusapan namin, katulad na lang pag si Kyla may sakit kung dadalin ko ba sya sa doctor o hindi?”

B. SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS FAMILY MEMBER RELIGION ETHNIC BACKGROUND EDUCATIONAL ATTAINMENT OCCUPATION PLACE OF WORK

Rogelio Cruz

Catholic

Visaya

High school graduate

Factory worker

Antipolo

Erlinda

Catholic

Visaya

High school graduate

Housewife

none

Josephine

Catholic

Visaya

High school graduate

Housewife

none

Kyla

Catholic

Visaya

NARRATIVE:

Low educational background seems to be an obstacle for Mr. Cruz to get a good job. He wasn’t able to continue his education in college and forced to work as a factory worker receiving only P2100 per week. On the other hand, Josephine, like her husband, wasn’t able to continue her education in college too and decided to stay at home to take good care of their first daughter .Mrs Erlinda Bangis also wasn’t able to finish her studies as evidenced by “Hindi na ako nagkolehiyo, dati kasi hindi uso sa amin ung

P1. kasi dati .000 Upa.800 per week Pagkain. 17 years old ako nung nag asawa ako tapos yung asawa ko 20 years old naman .P4.ganyan ee .400 per month EXPENSES Miscellaneus-P1.500 Kuryente. The mpde of communication of the family is just a single cellphone.P300 TOTAL :P8. ). PLDT etc. INCOME three times a week -P2. pagkagraduate mo pwede ka ng mag asawa dahil noon yung mga babae puro gawaing bahay lang tapos yung mga asawa sila ung magtatrabaho para sa pamilya nila”.600 *There is no pie graph because there is a P200 Deficit . They don’t have any other line ( e.P700 Transportation-P600 Tubig. They usually walk until they come where they can ride a jeepney but most of the time they don’t have enough money to travel. noong panahon namin . The mode of their transportation is just a tricycle and a jeep and it’s hard for them to other place because the tricycle is very limmited.g.500 -P8.400 TOTAL:P8. maaga pa lang nag aasawa na agad .

They sometimes attend mass and since they are just one religion .they follow everything that is required with the client verbalization of “Lahat kami katoliko dito . wala nga madalas matira sa sinasahod ng mister ko kung merun man mga P30 lng un. food and expense.sa Diyos lang .400 per month just enough to pay for their monthly rent. walang naiiba . Most of the time. Sa tubig lang at kurynte napupunta ang sweldo ng asawa ko ee . she spends P250 per day to meet their daily basic needs as verbalized by “Araw araw siguro mga P250 ang gastos ko kasi ang dami kong dapat bilhin katulad ng ulam naming para sa isang araw . Meron din kaming mga gastusin na biglaan. Cruz’s monthly income is approximately P8. but unfortunately they found out that the lifestyle in urban offers very little opportunities. According to Josephine Bangis. buti na lang talaga yung amo ng asawa ko pinapatirhan kami dito kaso may bayad lang nga. tapos minsan may mga gastusin pa na biglaan katulad ng pagbbili ko ng gamot pag may nagkakasakit sa amin.NARRATIVE: Mr. Yung upa pa namin. buti nga kahit papaano aynakakaraos kami ee . the budget for health maintenance is being sacrifice and not given enough priority due to lack of money. The family is a Roman Catholic. minsan tataas minsan bababa . sa sobrang hirap ng buhay hindi ko alam saan ako kukuha ng pera pag nagkulang kami !” The Bangis’ are basically from Visayan.Tapos . They migrated to Antipolo Maligaya I hoping for a better life. electricity bill.

Sa dami ba naman ng ginagawa naming ee ! Laba . mamalengke. Minsan utang dito utang doon . C. The NAWASA supplies the water they used for drinking.kami naniniwala at kung anu yung sinabi ng simbahan sinusunod naman namin Minsan lang kami magsimba kasi lahat kami busy. “sobrang kulang yan. the client verbalized “Etong bahay namin . linis ng bahay . but the income of the family is only P8400. it is insufficient. kumakain at nagpapalipas oras . The house is a Bungalow type which is all purpose.plantsa . cooking and general household. halos araw araw pagod ako at si nanay!” If you find the total expenses of the family. HOME AND ENVIRONMENT INTERIOR NARRATIVE: The lot and the home is just rented by the family to their boss.maliit at masikip dito sa sala kami natutulog . para sa lahat sya kaya nga lang madilim din kasi nga kulob minsan nga pagtabi-tabi kami natutulog nagkakahawaan kami kasi sa sobrang sikip halos parang sardinas kami dito”. syempre nakakahiya kasi lagi ako nangungutang !”. both concrete and wood. it has a deficit of P200 and Mrs.600. minsan hindi ko alam kung paano pagkakasyahin yan. mag alaga kay kyla. . The type of lighting used is electric.The flooring is cemented and they have 1 window for ventilation. The housing material used are mixed. luto. the total expenses is P8.Josephine Bangis verbalizes.

842 m² length= 4.5 m² For every child(<18y/o) =1.The client verbalized also “Malinis naman ang tubig naming dito kahit papaano kasi NAWASA ang nagsusuplay ng tubig namin . of children x 1.56m = 15.m = 9 m² (B)No.They have also water sealed toilet facility.5 m² (A)No.5 m² TSR= (A+B) = 10.The family have also their refrigerator where they store their foods.5 m² = ADEQUATE LIVING SPACE .5 sq.56m Total space requirement: = Sum of TSR of all members of the family For every Adult(>18y/o) =3. Diyan kami kumukuha ng pang inom at pangluto.m =1. LIVING SPACE Total Floor area: Length x Width = total floor area 4.55m x 3. of adults x 3 sq.45m width= 3.

INTERPRETATION: TFA>TSR =ADEQUATE LIVING SPACE TFA<TSR =INADEQUATE LIVING SPACE NARRATIVE: The Bangis Family has a adequate living space based on the results.3m . the total floor area is greater than the total space requirement meaning the spaces in their house is sufficient for them because the furnitures and appliances are properly arranged Even if they have poor ventilation and poor lightning they still have adequate space meaning they can do whatever they want to do. As they have adequate living space the mode of transfering such microoganism will be lessen and it will be very helpul for them to have adequate space because they can prevent the spread of microorganism in their house if there is a family member suffering in a communicable disease Ventilation: Ventilation= Total window opening x (length x width) / total floor area X 100 Length= 1.

90% = POOR VENTILATION INTERPRETATION: 20% UP 16-19% =GOOD VENTILATION =FAIR VENTILATION =POOR 0-15% VENTILATION NARRATIVE : Ventilation is important to our health.842m² x 100 = 11.45m Length x width 1.45m = 1. Well-planned ventilation also helps to manage moisture during both the heating and cooling season.Width= 1. as is a reliable heating system. It will help to protect the occupants from irritating pollutants and potentially dangerous gases like carbon monoxide or other combustion fumes. smoke alarm and a dry basement.885m² Ventilation: 1.3m x 1. reducing the likelihood of either excess dryness or fungal growth .885m² / 15. Good ventilation is important to our comfort and safety.

The Bangis Famlily has poor ventilation because they have only one window for ventilation . where there is stagnant water and different mosquitoes are seen. The passageway of air is not good as well as the light also because the area to which the air will enter is limited only it may greatly affect their health because they may acquire different diseases like asthma and respiratory diseases and also the spread of such microoganism will be a threat to their health because of the poor ventilation the communicable disease will be greater than to be lessen.” EXTERIOR The Bangis Family dispose their garbage in a can and then it will be collected by the truck with client verbalization of “Kinokolekta ung basura namin tuwing huwebes ng umaga bandang 9:00 ng umaga. their cloth is just hanging outside their windows and even in front of their doors.Minsan pag wala pa tiatakpan ko na lang ito tapos nakalagay sa plastik. the result of the computation is 11. there are no spaces in between houses. The family usually seek medical assistance in Health Centers with the client verbalization of “Sa may center ko pinapacheck up si nanay sa diabetes nya pati si kyla din pag may sakit. tapos minsan nga kulang. the houses are close to each other . As the mother verbalized “wala ako masampayan [ag ganitong marami akong labahin at lalo na kapag umuulan ang ginagawa ko pinapasok ko yan mga damit sa loob at yung iba sa harap ng pinto okaya sa sinasabit ko sa bintana para d mabasa pag umuulan. or more specifically the cloth was placed around their house.kulang din ang gamit nila ee . minsan wala .90% meaning they have poor ventilation. The family is near the canal .The kind of houses in the community they have is congested .

The family has many unnecessary types of equipment (e.g house and wharehouse) where in they can socialize D. walang bayad kaso matagal dyan ee kasi maraming pamilya din ang nagpapacheck up” They use their cellphones for communication and they ride a jeep for transportation.44m 49. The area is poor in ventilation and due to many things that are scattered around their living area there are some social facilities near to them (e.17 NORMAL 23 1.ng gamot o nauubusan na. short.g window and door)their house.36kg 17cm 21. and etc) is just hanging outside their windows and even in front of their doors. HEALTH STATUS OF EACH FAMILY MEMBER NUTRITIONAL ASSESSMENT NAME AGE HEIGHT WEIGHT Wrist measurement BMI REMARKS Erlinda Bangis Josephine Bangis 58 1. The other one that we noticed that.g. it occupies big space. the adequate amount of air is not able to past through the house. but their cloth (e.93 NORMAL .55kg 18cm 23. T.g.48m 46. within their house.they don’t have any pets such as dogs or cats. or more specifically the cloth was placed around (e. broken cabinets and televisions). For this instance. and with that set-up the space for the family members is limited.shirt.

44m =49.0736m² =23.26kg / 2.55kg / 2.DEGREE OF MALNUTRITION (karla all family members daw to ) NAME Kyla Bangis Degree of malnutrition 77.17.1904 m² =21.93 – AT RISK COMPUTATION: BMI (KYLA BANGIS) .MALNOURISHED 16-19 -UNDERWEIGHT 20-25 -NORMAL 26-30 -OVERWEIGHT 31-40 -MODERATELY TO SEVERELY OBESE >40 -MORBIDLY OBESE COMPUTATION: BMI (ERLINDA BANGIS) BMI= WEIGHT IN KILOGRAMS/ HEIGHT IN m² 46.48 m)² =46.NORMAL COMPUTATION: BMI (JOSEPHINE BANGIS) BMI= WEIGHT IN KILOGRAMS/ HEIGHT IN m² =49.92% Remarks 1st degree malnutrition BMI= WEIGHT IN KILOGRAMS/ HEIGHT IN m² (Ung Computatiions nito lagay din daw dito ) REMARKS: BELOW 16.55kg / 1.36 KG / ( 1.

she already diagnosed of having the .93 % = 1ST DEGREE MALNUTRITION INTERPRETATION: 110 AND ABOVE =OBESE 90-109 =NORMAL 75-89= 1ST DEGREE MALNUTRITION 60-75=2ND DEGREE MALNUTRITION NARRATIVE: The Bangis Family has a problem regarding malnutrition because the family is Not in a balanced diet because they usually eat meats not vegetables.Josephine is risk of being obese because she is near the borderline . Mrs. While her daughter Kyla Bangis is suffering from 1st degree malnutrition .Josephine Bangis prefer noodles than vegetables. she is very small and thin which is not appropriate for her age. the daughter of Mrs. Mrs. Mrs. Erlinda Bangis is a DM patient .91kg/14kg x 100 =77.Degree of malnutrition: = actual body weight / ideal body weight x 100 Ideal body weight= age in years x 2 + 8 3 x 2 + 8 =14 10.Erlinda Bangis has a normal BMI.

bandang July un . she also do some household chores like cleaning the house and helping her daughter in laundryng.VALUES.PRACTICES ON HEALTH PROMOTION.Erlinda Bangis verbalized “Noong bata pa ako kumpleto ako ng bakuna .Hindi ko lang matandaan kung kelan ako pinabakunahan ng nanay ko at nakalimutan ko din kung kalian yang anak ko pero pinabakunahan ko yan . she Frequently urinates and get thirst easily.Disease when she was 30 years old. She doesn’t have any doctor for her diabetes. She doesn’t take any maintenance but she just self Medicate by taking “Ampalaya Plus” to lower her sugar level . E.HABITS.Mrs. lahat sila ng mga kapatid nila kumpleto. MAINTENANCE AND DISEASE PREVENTION Immunization Status of each family member FAMILY MEMBER AGE BCG HEPA B DPT OPV MEASLES Josephine Bangis 23 Kyla Bangis 3 The Bangis Family has a completed their vaccination when they were still young . she sometimes seek medical assistance in Mambugan Health Center . Si Kyla din pinabakunahan ng nanay nya kaso dito na sa antipolo. Her usual blood sugar level is 180. kasi sa amin sa probinsya may libreng bakuna kaya nga pati yang anak ko ay kumpleto din ee. Siguro mga 2008 un .

Erlinda is the only one who has disease in the family and usually self medicate by taking “Ampalaya Plus” to lower her sugar level. They usually seek medical assistance in Mambugan Health Center. Erlinda Bangis can’t recall the year when she had her vaccination and also her daughter. She just stated that they both completed their vaccination . The Bangis Family usually eat 3 times a day . . Erlinda Bangis is having is balanced meal because she has a diabetes . Bangis who is usually not in the house. she usually eat 1 cup of rice and she avoids salty and fatty foods . The family usually drink occasionally . Josephine eats whatever food is served. If they don’t have money to buy for medicines they just self medicate. they are moderate drinkers No one in the family smokes except Mr.ee . Kyla usually prefer to eat noodles while Mrs.kumpleto yan kasi kasama pa ako pagnagpapabakuna yang apo ko. while Mrs. Mrs.Kyla Bangis also has a presence of scar in her right shoulder which means that she had already a BCG immunization. ” Mrs.

5929 =18.91/0. kumakain naman sya kumain kahit papaano yun nga lang hindi sya masyado mahilg sa gulay” Health Deficit TYPOLOGY OBJECTIVE: BMI=18.TYPOLOGY FIRST LEVEL OF ASSESSMENT: 1st DEGREE OF MALNUTRITION CUES/DATA SUBJECTIVE: “Si Kyla payat yan ! Kasi mahilig yan sa noodles tapos hindi sya umiinom ng gamot o kaya vitamins .4 BMI= weight in kg/ (height in meters) sq =10.III.40 .77m)sq =10.91/(.

30 years old ako nung nagsimula ung diabetes ko . Erlinda Bangis because she frequently go to the comfort room while we .DIABETES MELLITUS CUES/DATA SUBJECTIVE: “Matagal na akong may diabetes . minsan lang ako magpacheck up. yung iniinom kong gamot para bumababa yung diabetes ko amapalaya plu lang . mataas daw. yung huling check up ko nung nakaraang taon pa. 150 nga ee. 20 years na akong may diabetes. wala akong maintenance na iniinum minsan nagpapawis ko nagwawalis dyan sa bakuran” TYPOLOGY It is considered as Health Deficit OBJECTIVE: The complications of diabetes is seen with Mrs.

mahirap ang buhay ee . She also get thirsty easily ( medication saka level of sugar.) POOR LIGHTING and POOR VENTILATION CUES/DATA SUBJECTIVE: TYPOLOGY “Bukod sa masikip at maliit ang bahay namin.madilim din kasi isang maliit na ilaw lang ang nilagay namin sa sala para hindi din magastos sa kuryente .are having the interview. minsan tumataas ang kuryente minsan bumababa kaya mabuti ng magtipid dahil sa hirap ng buhay tapos pag natutulog kami sobrang init dahil isa lang ang bintana naming kulang na lang mahalikan kami buti nga walang may sakit sa amin baka magkahawa hawa kami” Health Threat .

90% = POOR VENTILATION .3m Width= 1.3m x 1.45m = 1.885m² / 15.885m² Ventilation: 1.OBJECTIVE: The house is very dark inside because they use one light bulb only and they use also the sunlight as alternative source of light. Ventilation= Total window opening x (length x width) / total floor area X 100 Length= 1.842m² x 100 = 11.45m Length x width 1.

It smells bad also . Nagkaroon na din ng dengue sa lugar na amin kasi yung mga tubig naiistock lang” TYPOLOGY It is considered as Health Threat OBJECTIVE: The house is near the canal where there is stagnant water and the mosquitoes are present in the water . besides there is a presence of cockroaches and small rodents in the canal .PRESENCE OF POOR HOME ENVIRONMENTAL CONDITION CUES/DATA SUBJECTIVE: “Dito sa labas namin. tabi kami ng canal kaya makikita mo medyo malamok dahil nga nakabukas yang malaking canal na iyan . minsan nga umaamoy pa yan ee kumakalat yung amoy sa amin at sa mga kapit bahay.

77m)sq =10.because the canal is open SECOND LEVEL OF ASSESSMENT: MALNUTRITION CUES/DATA SUBJECTIVE: “Si Kyla payat yan ! Kasi mahilig yan sa noodles tapos hindi sya umiinom ng gamot o kaya vitamins . kumakain naman sya kumain kahit papaano yun nga lang hindi sya masyado mahilg sa gulay” TYPOLOGY Malnutrition as health Deficit Inability to recognize the presence of the condition or problem due to: a) inadequate knowledge.91/0.91/(.4 BMI= weight in kg/ (height in meters) sq =10. OBJECTIVE: BMI=18.5929 =18.40 .

30 years old ako nung nagsimula ung diabetes ko .Lack of financial assistance nakaraang taon pa. dependent or vulnerable/ at risk of family due to: •ignorance of facts about the disease/ health condition . 150 nga ee. yung iniinom kong gamot para bumababa yung diabetes ko amapalaya plu lang .Lack or inadequate knowledge I. 20 years na akong may diabetes. minsan lang ako magpacheck up. Inability to recognize the presence of the condition or problem due to: A. Erlinda Bangis because she Health deficit -Diabetes >inability to provide nursing care to the sick disabled. wala akong maintenance na iniinum minsan nagpapawis ko nagwawalis dyan sa bakuran” OBJECTIVE: The complications of diabetes is seen with Mrs. yung huling check up ko nung TYPOLOGY Diabetes Mellitus as Health Deficit. mataas daw.DIABETES MELLITUS CUES/DATA SUBJECTIVE: “Matagal na akong may diabetes .Inability to make decisions with respect to taking appropriate health action due to: A.

mahirap ang buhay ee . minsan tumataas ang kuryente minsan bumababa kaya mabuti ng magtipid dahil sa hirap ng buhay buhay tapos pag natutulog kami sobrang init dahil isa lang ang bintana naming kulang na lang mahalikan kami buti nga walang may sakit sa amin baka magkahawa hawa kami” Inadequate living space as a health threat Inability to provide home environment conducive to health maintenance due to: A. She also get thirsty easily POOR LIGHTING and POOR VENTILATION CUES/DATA SUBJECTIVE: TYPOLOGY “Bukod sa masikip at maliit ang bahay namin.madilim din kasi isang maliit na ilaw lang ang nilagay namin sa sala para hindi din magastos sa kuryente .Inadequate family resources specifically : -financial resources -mechanical resources OBJECTIVE: .frequently go to the comfort room while we are having the interview.

45m Length x width 1.The house is very dark inside because they use one light bulb only and they use also the sunlight as alternative source of light.842m² x 100 = 11.885m² / 15.3m Width= 1.45m = 1.90% = POOR VENTILATION PRESENCE OF BREEDING OR RESTING SITES OF VECTORS OF DISEASES LIKE TYPOLOGY .885m² Ventilation: 1. Ventilation= Total window opening x (length x width) / total floor area X 100 Length= 1.3m x 1.

MOSQUITOES.Inability to provide home conducive to health maintenance and personal development due to ignorance in preventive measures Presence of Vectors and Rodents as Health Threat 1. tabi kami ng canal kaya makikita mo medyo malamok dahil nga nakabukas yang malaking canal na iyan . 3. Nagkaroon na din ng dengue sa lugar na amin kasi yung mga tubig naiistock lang” 2. besides there is a presence of cockroaches and small rodents in the canal .Inability to recognize the health threat due to lack of knowledge about the condition.It smells bad also because the canal is open .inability to make decisions with regards to the management of the condition due to the failure on identifying what measures are appropriate.RODENTS AND COCKROACHES CUES/DATA SUBJECTIVE: “Dito sa labas namin. FLIES . OBJECTIVE: The house is near the canal where there is stagnant water and the mosquitoes are present in the water . minsan nga umaamoy pa yan ee kumakalat yung amoy sa amin at sa mga kapit bahay.I2.

The susceptibility to other diseases and infection can be prevented if the problem is solve and achieved. The family recognize the existence of the problem needing immediate attention as evidence by family verbalization of “mapili sa pag kain si kyla puro noodles ayaw kumain ng gulay.SCALING AND RANKING Malnutrition CRITERIA Nature of the problem Computation 3/3 x1 ACTUAL SCORE 1 JUSTIFICATION Illness state. regardless of whether diagnosed or not by medical practitioner specifically weight and height of Kyla is a health deficit The client’s knowledge is available but the resources are not enough to solve the problem.IV .” Modifiability of the problem 1 /2 x2 1 Preventive Potential 3/3 x1 1 Salience of the problem 2 /2 x1 1 TOTAL SCORE 4 .

financial resources of the family are not enough to solve the problem. but the physical.Erlinda Bangis CRITERIA Nature of the problem Computation 3/3 x1 ACTUAL SCORE 1 JUSTIFICATION Illness state. . The possibility of occurrence of complications related to Diabetes Mellitus can be controlled The family recognize the existence of the problem needing immediate attention as the client verbalized “madalas ako maihe at minsan nilalangam ang aking ihe” Modifiability of the problem 1 /2 x2 1 Preventive Potential 2/3 x1 2/3 Salience of the problem 2 /2 x1 1 TOTAL SCORE 3 2/3 Poor home/environmental condition specifically presence of breeding sites of vectors and rodents.Erlinda Bangis The client’s knowledge is available. regardless of whether diagnosed or not by medical practitioner specifically the Diabetes Mellitus of Mrs.Diabetes Mellitus of Mrs.

The problem can be partially modifiable since availability of family resources is not enough to solve the problem The occurrence of coughs.CRITERIA Nature of the problem Computation 2/3 x1 ACTUAL SCORE 2/3 Modifiability of the problem 2 /2 x2 2 Preventive Potential 3/3 x1 1 JUSTIFICATION Poor home/environmental condition specifically poor lightning and ventilation is a health threat. colds and other diseases Salience of the problem 0/2 x1 0 The family doesn’t recognize the existence of the problem TOTAL SCORE 3 2/3 PRIORITIZED HEALTH PROBLEMS: The list of health conditions or problems ranked according to priorities is presented: .

regardless of whether diagnosed or not by medical practitioner specifically weight and height of Kyla Bangis 4 Illness state. regardless of whether diagnosed or not by medical practitioner specifically the Diabetes Mellitus of Mrs.Erlinda Bangis 3 2/3 Poor home/environmental condition specifically poor lighting and ventilation 2 2/3 . 4 2/3 Illness state.HEALTH CONDITIONS OR PROBLEMS SCORES Poor home/environmental condition specifically presence of breeding sites of vectors and rodents.

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