ADB/HEALTH CONDITION & PROBLEM SHEET

Group 3
Aliza Bakil
Gwyneth Dela Cerna
Nurolhizan Lagam
Michaela Mangcaan
Gwyneth Dela Cerna
 ASSESSMENT DATA BASE IN FAMILY NURSING PRACTICE

Address: Manggal Drive, Grande Baliwasan FAMILY NUMBER: 1285

Street/Road Barangay Zone

A. FAMILY STRUCTURE, CHARACTERISTICS, & DYNAMICS/RELATIONAL PATTERN

1. Members of the household

Birthdate
Members of the family Age Sex Civil status Position in the family Relationship to the head of the Family
Month Year
Najar Maulaha 36 years-old June 1985 M Married Father Head of the family
Myrna Maulaha 35 years-old January 1986 F Married Mother Wife
Nadzrina Maulaha 13 years-old September 2008 F Single Eldest Daughter
Abdul Maulaha 12 years-old November 2009 M Single Youngest Son

2. Socio-demographic data of members not currently living in the household but with major role in resource generation and use

Birthdate Highest Occupation

Relationship to the
Name of Family Member Age Sex Marital Status Educational
Month Year Type of Work Place head of the family
Attainment
Omar Maulaha 29 years-old July 1992 M Single College Engineer Dubai, UAE Brother
graduate

3. Lenghth of Residency: 8 years

 4. Type of family structure and form
Based on Composition Based on locus power Based on place of residency

Nuclear family Stepfamily/blended Patrifocal Patrifocal

Extended Single Matrifocal Matrifocal
Beanpole Same sex/Homosexual Egalitarian Bilocal
Single Parent Cohabiting Matricentric
5. Family dynamics, Communication patterns, interaction processes and interpersonal relationships.
Criteria Status Additional information
Observable conflicts between family members Often time -In this case when there is not enough money, parents might get into arguments.

Characteristics of communication Good When talking with their children, parents are courteous to them.

Interaction patterns Poor Child Abuse and Neglect

Others N/A

B. SOCIO ECONOMIC & CULTURAL CHARACTERISTICS

Name of Family member Ethnic background Religion Highest educational Occupation Income
attainment
Nature of work Place of work

Najar Maulaha Tausug Islam College graduate Sari-sari store owner Range: 1000-2000 a day
Myrna Maulaha Tausug Islam College graduate Sari-sari store owner
Nadrina Maulaha Tausug Islam High School Student N/A
education (GRADE 7)
Abdul Maulaha Tausug Islam Elementary education Pupil N/A
(GRADE 6)

Legend for monthly income

 1- Below 2500 3. Above 5000 to 7500 5- above 10000 to 12500 7- above 15000 to 17500 9-above 20000 to 25000
2- 2500 to 5000 4- above 7500 to 10000 6-above 12500 to 15000 8-above 17500 to 20000 10- above 25000
Income & Expenses
a. Adequacy to meet basic Necessities
- A sufficient income to satisfy basic needs is between 7,500 and 10,000

2. Family traditions, events or practices affecting members’ health or family functioning

- They trusted in the qadar of Allah and placed God at the core of their family relationships. They pray five times a day and give zakat, and if they have any benefits,
they share them with others. They also enjoy a nice connection with their neighbors as a result of this. Despite the fact that Mr. Najar Maulaha is the family's leader or head
of the family, his wife is the one who makes the majority of the decisions.

3. Significant others – role(s) they play in family’s life

Name Relation the family

Najar Maulaha Father
Myrna Maulaha Mother
Nadzrina Maulaha Child
Abdul Maulaha Child
4. Relationship of the family to the larger community- nature and extent of participation of the family in community activities
a. Awareness of existing organization Yes Name - Religious Organization
- Community Organization
- Health organization
b. Membership in an organization Yes Name – Religious organization No
c. Involvement in an organization Yes Name – Religious Organization
- Community Organization No Why?___________________________
- Heath Organization

d. Potential or Existing leaders _______________N/A ___________________________________________________________________________________

C. HOME AND ENVIRONMENT
1. Home
Ownership: owned rented free Constructional material used: light mixed strong
Lighting facilities: electricity kerosene others (specify) ____________________________________
Number of rooms used for sleeping and sleeping arrangement: 2 bedrooms
2. Water Supply
Drinking: Source: private public Potability: Specify if safe for drinking safe unsafe
Storage direct from pipe covered container with faucet large uncovered without faucet
Other (specify): ____________________________
3. Food storage & cooking facilities
Cooking facility: electric gas stove firewood

Sanitary condition: It is kept cleaned and has good sanitation.

Drainage facility : Open drainage blind drainage None

4. Waste disposal
a. Refuse and Garbage
- Container: Covered Open None

- Method of disposal : Hog feeding open dumping burial in pit composing Open burning

Garbage collection Other (specify) ______________________________________

b. Toilet
- Type none Overhung latrine open pit privy Closed pit privy Bored hole latrine

Pail system antipolo system water sealed latrine flush type Others

- Distance from the house: 10 steps away from the house

- Sanitary condition: Excellent condition, thoroughly cleaned

5. Domestic animal
Kind Number Where kept
Cat 3 Inside the house

6. Community in general
a. General sanitary condition: Excellent hygienic conditions
 b. Housing congestion: House shortages are good.
c. Presence of breeding or resting sites of vectors of disease: Disease/sickness hotspots, such as stagnant water that can serve as mosquito breeding grounds
d. Recreational activity: Basketball and Zumba Dancing are two activities that you may participate in.
e. Availability of health care services: Vaccination against tetanus and child immunization
f. Distance of house from nearest health care facility: It's within walking distance (1 Kilometer)
g. Communication & transportation facilities available: Jeepney, and tricycle or pedicab
D. Health status of each family member
1. Medical history and nursing history

Family member Health status

Father Hypertensive

Mother Hypertensive

Daughter Underweight

Son Nutritional risk and asthma

2. Nutritional assessment
a. Anthropometric Data : Measure of Nutritional Status of Children

Anthropometric data (Children)

Name of the family member Weight Height Mid arm circumference
First child/(Nadzrina Maulaha ) 35kg 130cm 20.1 cm
Second child/(Abdul Maulaha ) 36kg 28cm 19.2cm

Anthropometric data (Adults)

Name of family member Weight Height Body mass index Waist circumference Waist hip ratio
Father/ Mr. Najar Maulaha 62kg 167cm 22.2kg/m2 95cm 0.93
Mother/ Mrs. Myrna Maulaha 68kg 154cm 28kg/m2 118cm 1.16

b. Dietary History specifying quality and quantity of food intake per day
- Their family, including marienda, eats four times a day. And they mostly consume veggies, as well as processed and preservative-laden meals.

c. Eating and feeding habits

- According to them, it is up to them whether or not they eat three or four times a day.

_____________________________________________________________________________________________________________________________________________
d. Risk factor assessment indicating presence of major and contributing risk factors for specific lifestyle diseases
- Since they live near the river, they may be at risk of contracting dengue. In order to prevent mosquito breeding grounds, it's important to keep their surroundings clean.
e. Result of laboratory and other screening procedures supportive of assessment findings
- The head of the family and his wife underwent blood chemistry, and the results showed that they have high cholesterol.

E. VALUES, HABITS, PRACTICES ON HEALTH PROMOTION, MAINTENANCE AND DISEASE PREVENTION

1. Immunization status of family members

Name of child Immunization status Remarks

Nadzrina Maulaha Fully Immunized N/A

Abdul Maulaha Fully Immunized N/A

2. Health lifestyle practices

- Almost everyone in the family gets adequate sleep and rest. Mr. Najar gets less sleep on sometimes, while the rest of the family sleeps for approximately
eight to ten hours. They claimed that they do not have a regular workout regimen and that the only exercises they can think of are walking. It frequently
occurs when the father or mother walks their children to school and returns home. Another is Mr. Najar work, as well as playing with the children at home.
Despite the family's financial insecurity as a result of the father's inconsistent job and inability to place enough food on the table, the mother and father do
their best to be decent parents to their children. On the other hand, both parents get up early every day. The father goes to work, while the mother cooks
and cleans the house; however, she does not perform these things if she is sick. Both parents struggle to fulfil their responsibilities despite the difficulties
they confront. They thought that communication between husband and wife is crucial. The family is Muslim a religious one and they think that God/Allah
should be at the heart of every family connection
 3. Adequacy of
a. Rest and sleep Yes No
b. Exercise Yes Specify: The family goes for walks, Amah works, Inah does housework, and the kids play . No Why
______________________________

c. Use of protective measures Yes Specify: The family wears slippers in and out of the house, practices hygiene, and uses a mosquito net and off lotion.
No Why _________

d. Relaxation and other stress management activities Yes No

e. Opportunities which enhance feelings of self-worth, self-efficacy and sense of connectedness to self, others and a higher power essence of meaningfulness

Yes Specify : When their children do something that boosts their confidence and sense of self-worth, their parents praise them. They are teaching their youngster how to
think and speak positively about themselves by utilizing praise. No

4. Use of promotive-preventive health services yes Specify : Vaccines No Why _________________________

5. Use of Family Planning Method

a. Type
Natural

Abstinence Lactational Amenorrhea Method Basal Body Temperature Cervical Mucus Method
Symptothermal Method Standard Days Method Others: specify ____________________________________
Artificial
Hormonal
Oral Contraceptive Specify: Progesterone-Only Oral Contraceptive Low-Dose Combined Oral Contraceptive
Injectable [depot medroxyprogesterone acetate / Depo-Provera (DMPA)]
Norplant Implants
Barrier
Intrauterine Devices Condom Diaphragm Cervical Cap Other: specify___________________
Permanent
Tubal Ligation Vasectomy
None Are you willing to practice Family Planning Method? Yes No

What hinders you from practicing Family Planning Method? Biological Psychological Social Cultural

Religion Others, specify: ________________________

b. Who taught you about Family Planning Method?

 PHN/PHM BHW Friend Neighbor Print/Visual Ads Student Nurse Others; specify:_____________

c. Is your husband aware of your usage of Family Planning Method? Yes No

d. Do you know side effects of family planning method as a result of its use? Yes No
Changes in menstrual bleeding headache nausea weight gain moodiness
Delayed return of fertility dizziness acne in women nervousness change in appetite
Enlargement of ovaries/ovaran cyst hair loss breast tenderness others; specify: _____________________________

e. Do you have misconceptions about Family Planning Methods? Yes No

Some FP methods causes abortion Using contraceptives will render couples sterile Using contraceptive methods will result to loss of sexual desire
Others; specify: ____________________________________________________________
PROBLEM #1

Supporting Data/Cues Health Conditions and Nursing Problems Date Identified Date Resolved
Problems

Subjective Cues:  Inability to provide a

The Parents verbalized,
“minsan kaming mag pamilya
ay hindi kumakain sa tamang
oras dahil sa kami ay abala sa
aming mga trabaho”
home environment
Underweight as health deficit August 28, 2021
conductive to health
maintenance and
( Malnutrition)
personal development
due to inadequate family
resources, specially:
limited financial resources

Objective Cues:  Inability to make

decisions with respect to
- Skinny taking appropriate health
-Pale action due to
-Dry inaccessibility of
- Height: 153cm appropriate resource care
Weight: 35kg specially: financial
BMI:15 kg/m2 (UNDERWEIGHT) inaccessibility

 Readiness for Enhanced

capabilities for:
: 1 healthy lifestyle
2 health maintenance

 Inability to provide
adequate nursing health
care to the sick due to
health condition (nature,
severity, complications,
prognosis and
management)
PROBLEM #2

Supporting Data/Cues Health Conditions and Nursing Problems Date Identified Date Resolved
Problems
Objective Cues:
Spread to people through the
bite of an infected Aedes species
(Ae. aegypti or Ae. albopictus)
mosquito.
Severe bleeding, Fever,  Risk for bleeding related September 20, 2021
dehydration to possible impaired liver
function.
 Deficient fluid volume
related to vascular
leakage.
 Pain related to
abdominal pain and
severe headaches.
 Risk for ineffective tissue
perfusion related to
failure of the circulatory
system.
 Risk for shock related to
dysfunction in the
circulatory system.