Student’s Name: Collantes, Andrea Grace D.

AY: 2021-2022 Semester: 1st Sem

Year/Section/Group: BSN 2 – 8, Group 2 Clinical Instructor: Prof. Pekson

Family’s Initial Database

Family Number:
Head of the Family: Mother
Address: 5477 Mag. Alonzo St., Bacood, Sta. Mesa, Manila

I. Family and Structure and Characteristics, Socio-Economic and Cultural Factors

Name of Family Family Structure and Socio-economic and Cultural Role/Status in the
Members Characteristics Factors Family
(F) Adrian Father Filipino Father
36 years old Highschool Graduate Provider
Male Employed
Married (Tech Support Manager)
(M) Marie Mother Filipino, Bicolana Mother
40 years old College Graduate Provider
Female Employed
Married (HR manager)
(D) Grace Daughter Filipino Daughter
18 years old Senior High School Graduate Student
Female College Student
Single
(O) Cherry Household Helper Filipino, Waray Household Keeper
40 years old Elementary School Graduate
Female Household helper for 20 years
Married

II. Home Living and Environmental Conditions

The family owns a two-story house with 3 bedrooms, 2 bathrooms, adequate water supply, and well
ventilation. The neighborhood is not congested with satisfactory cleanliness and sanitation. Each family
member has their own privacy. They own 3 dogs and 2 cats that are all situated inside the house.
Although they have a lot of pets, the house stays tidy and clean. They take out their trash every day as
well as clean the house. They do general cleaning at least once a month. They drink mineral water and
cook their food using gas stove. They own a refrigerator where they store their perishable goods. There
are indoor plants and a mini-garden located situated at their garage. Their location is convenient since
they are near groceries, markets and hospitals.
III. Health and Medical History

Name Present Illness/Health Condition Past Illness

F None Covid-19 last month. House
arrest and self-isolation.
 M None Hospitalized when she was 9
years old due to high persisting
fever for 2 days.
D None None
O Asthma Covid-19 last April. House
arrest and self-isolation.

IV. Immunization Status of Family Members

The daughter had been given vaccines when she was still an infant. Both the mother and the father were
vaccinated with anti-influenza shots last year. Recently, the family has been vaccinated with a Covid-19
vaccine – they are fully vaccinated.
V. Healthy Lifestyle Practices/Family Lifestyle
They are aware of how they should practice and live a healthy life but due to Covid-19, their lifestyle
became a bit sedentary compared to before. Pre-covid, they would jog every Sunday and would engage in
home exercises at least 3 times a week. Now, the father still has a rather active lifestyle by biking almost
every day (at least 5 times a week). The mother seldom exercises at home due to heavy work load, same
as the daughter. They stated that they gained a few pounds due to their changed lifestyle. In contrary to
that, they still have a healthy meal where there is a variety of food that is suitable for their diet like having
vegetables in every main course. However, they do not eat at the right time, for example: they eat
breakfast at 12 pm, lunch at 5 pm and dinner at 10 pm.