Family Nursing Care

Plan

GROUP 15
FIGUEROA, FAMILLE L.
DE GUZMAN, DANIELA
 Initial Data Base
I. CHARACTERS:
A. What is the type of family structures?
______ Nuclear _______ Patriarchal
____yes__ Extended _____ Matriarchal
B. Who makes decision regarding health care? _RFB, GFB, DB
C. What is the present family relationship?
_________________ with conflicts between members
__________yes_______ without conflicts between family members
D. Activities of daily living:
1. Sleeping pattern:
Retiring/getting up hours __11pm-7am___________
Nap during the day ____sometimes 1 hr______________
Do members sleep together _____yes______
2. Eating pattern:
How many meals each day? ____3 meals a day_______
Who appears overweight? _____RFB, GFB_______
Who appears underweight? _none__________
3. Leisure time activities:
How does each member spend leisure hours? ______watching movies, eating
together______________________
Is it appropriate for the sex and age group? _________yes_____________________
What is the effect to the family? Gain more trust and love with each member of the
family______________________________________
Any joint activity for leisure? ____________________none______________________
II. FAMILY INFORMATION
Head of the family: __RFB_______________________
Address: _____Quezon City____________________________
Members of the household: ______5____________
III. SOCIO-ECONOMIC AND CULTURAL FACTORS
A. Income

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

____yes____ Yes _____ No
2. Who makes decisions regarding money matters? ___GFB_________________
3. Religious affiliation: ________catholic___________________
4. What roles does the family play in the community? _education and socialization of
children as well as
instiling values of citizenship and belonging in the society.___________
IV. ENVIRONMENTAL FACTORS
A. Housing
1. Ownership
_____yes____ Owned ________ Rented ___________ Rent-Free
2. Construction materials used
_________ Light _____yes___ Mixed ___________ Strong
3. Living space
_____yes____ Adequate ________ Inadequate
4. Sleeping arrangement: _____separate rooms________________________
5. Adequacy in furniture
____yes_____ Adequate ________ Inadequate
6. Water source
______yes___ Private ________ Public
7. Food storage
________yes_ Refrigerator ________ Jars/container
8. Cooking facility
_________ Electric stove ________ Firewood
_____yes____ Gas Stove ________ Kerosene
9. Drainage facility
_______yes__ Open drainage ________ Blind drainage ________ None
10. Toilet facilities/type
______yes___ Flushed ___________ Over hung latrine
_________ Bored-hole latrine ___________ Water-sealed latrine
_________ Pail system ___________ None
11. Sanitary condition
_________ Fair ______yes_____ Good ________ Poor
12. Neighborhood
______yes___ Congested ___________ Slum ________ Other
13. Availability of Health Care Facility
Describe briefly: ____2 km away _________________________________
14. Garbage disposal
__________ Dumped at street corner _______yes_____Picked up by garbage collector
__________ Buried ____________ Burned then buried
V. HEALTH MEDICAL HISTORY
A. Presence of illness
_______ Diagnosed _________ Undiagnosed ________ None

VI. VALUE PLACED ON PREVENTION OF DISEASE

Preventive practices employed by the family: _________________________

Sources of Health Care:
_________ Health Center ____yes________ Government Hospital
_________ Private Hospital ____________ Others
 Scale for Ranking Health Problems According to Priorities

Scoring
1. Decide on score for each criteria
2. Drive the score by the highest possible score and multiply by weight
Score X Weight
Highest Score
3. Sum up the scores for all criteria. The highest score is 5, equivalent to the total weight
INITIAL DATA BASE
I. CHARACTERS:

A. What is the type of family structures?

______ Nuclear _______ Patriarchal
__ / Extended _______ Matriarchal

B. Who makes decision regarding health care? WIFE

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 SLEEPING TIME 10:00 P.M. WAKING TIME 8:00 A.M.
Nap during the day 2-3HRS AROUND 1:00 P.M.
Do members sleep together YES

2. Eating pattern
How many meals each day? 4 MEALS EACH DAY
Who appears overweight? NONE OF THEM
Who appears underweight? NONE

3. Leisure time activities

How does each member spend leisure hours? PLAYING MOBILE GAMES, GARDENING
Is it appropriate for the sex and age group? YES
What is the effect to the family? NONE
Any joint activity for leisure? PLAYING MOBILE GAMES
II. FAMILY INFORMATION
Head of the family:
Address: QUEZON CITY
Members of the household: MEMBERS

III. SOCIO-ECONOMIC AND CULTURAL

FACTORS
A. Income
1. Does the working family member meet the basic necessities?
/ Yes _____ No

2. Who makes decisions regarding money matters? WIFE

3. Religious affiliation: CATHOLIC

4. What roles does the family play in the community? NONE

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: SLEPT WITH DIFFERENT ROOMS
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: APRROXIMATELY 2 KM. AWAY FROM THE 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

VI. VALUE PLACED ON PREVENTION OF DISEASE

Preventive practices employed by the family: _________________________

Sources of Health Care:
_________ Health Center ____________ Government Hospital/ Private Hospital ____________ Others
IDB 1
FAMILY 1 (Boni)
PROBLEM 1 :Lack of /inadequate exercise/physical activity
PROBLEM 2 :Fire hazards
PROBLEM 3 :Inadequate rest or sleep
IDB 2
FAMILY 2 (Boni)
PROBLEM 1 :Impaired Physical mobility
PROBLEM 2 :Ineffective Airway Clearance
PROBLEM 3 :Acute pain
IDB 3
FAMILY 3 (Limpahan)
PROBLEM 1 :Lack of /inadequate exercise/physical activity
PROBLEM 2 :Inadequate rest or sleep
PROBLEM 3 :Risk for suicide
FAMILY 1 (Boni)
PROBLEM 1 :Lack of /inadequate exercise/physical activity
PROBLEM 2 :Ineffective Airway Clearance
PROBLEM 3 : Lack of /inadequate exercise/physical activity