CHN Promise Final Na

I.
INTRODUCTION
“The family is the first essential cell of human society.” –Pope John XXIII
“The dictionary defines family in several ways. One definition is "a fundamental
social group in society typically consisting of one or two parents and their children."
While this definition is a good starting point, there are several modern family structures
that are excluded by this definition, such as childless couples or other variations on the
family unit. Another definition is "Two or more people who share goals and values, have
long-term commitments to one another and reside usually in the same dwelling." This
definition encompasses most modern family units (Michelle Blessing, 2013).
The traditional family consists of a father, mother and children. This is the family
shown on television as the standard family. However, the 21st century showcases a
variety of family units, some very different from the standard of the 1950s. Today,
children are also often raised in single parent homes, by grandparents or by homosexual
parents. Some families opt to have no children or cannot have children due to some
medical or emotional barrier (Michelle Blessing, 2013).
On the other hand, A Community is a broad topic within sociology, the social
sciences generally, and indeed even in the natural and physical sciences. This
bibliography focuses primarily on human communities, and although many different
definitions have been offered, most involve a few basic claims. First, a community is a
group of people who interact with one another, for example, as friends or neighbors.
Second, this interaction is typically viewed as occurring within a bounded geographic
territory, such as a neighborhood or city. Third, the community’s members often share
common values, beliefs, or behaviors (Christensen, Karen, and David Levinson. 2003).
In community health nursing, the family will be the considered as a client aside
from individual clients in the family. Family Nursing Care Plan is defined as a guide or
framework of nursing care designed to provide ways in solving health related problems
of the family. The nursing process is still implemented in making this type of care plan. It
is important to take in mind that Family Nursing Care Plans are unique since it is
continuous in nature. A community health nurse must be able to understand that he or she
1
must keep on updating the nursing care plan as the family is a dynamic unit of the
community (Ira Hope, 2018).
The nursing care plan focuses on actions which are designed to solve or minimize
existing problem. The plan is a blueprint for action. The cores of the plan are the
approaches, strategies, activities, methods and materials which the nurse hopes will
improve the problem situation (Maglaya, 4th Edition).
The significance of this study is to determine the living condition of a certain

family in the community. As student nurses, we are anticipated to do an application of
our knowledge and skills that we have learnt from our Instructors about the concepts of
community health nursing.
Within a short span of time, the BSN II- C2 were exposed to the community area,
which is the Purok Uno, Barangay Sta. Rita, Olongapo City. The group has 11 members,
and then were divided into three groups; the first 2 groups is consisting of 4 members,
while the last has 3 members only. With one goal, we have set on to start our journey. We
knocked through each different doors of the home of each different family, we collected
the data that are necessary for this study. Alongside assessing the family’s health and
their living condition, we found out that Family A has the most top prioritized problem
among the other families. We are grateful for the Family A for giving us the consent to
access all the information that we need in line of this case study.
2
A. FAMILY HISTORY
This is a case of Family A, Family A lives at #164 Avocado St., Purok Uno, Barangay
Sta. Rita, Olongapo City. This family is a cohabitation type of family, composed of 3
members; The father who is the main source of their income, the mother who takes care
of their child. According to Ms. L, she and her live-in partner are both from Olongapo
and has been living in the Barangay of Sta. Rita ever since they were born.
Ms. L is a 45 y/o woman who is living with her live-in partner Mr. J for almost 25 years
now, who is also the father of her daughter. Mr. J is a 40 y/o man who is an on-call
construction worker, a mason in specific to work and provide for his family’s needs.
Their daughter is Ms. J, a 14 y/o who is currently studying at the Olongapo City National
High School as a Grade 9 student.
Family A rents the house that they live on for 3 years now, their house is a very small
makeshift with one main door and 4 windows. The house is very small, it has poor
ventilation and lighting, given the size of the family members with the measurement of
the house, it serves as a threat to all the family members. Before stepping into their house
there is a large step that directs you to the main door, below that step is an open drainage
system which serves as a breeding site for pests and insects.
B. OBJECTIVES
1. To assess the family’s living/health condition
2. To apply the primary goal of the community health nursing, which is to promote
and preserve the health of the clients.
3. To indicate and prioritize the family’s health problems and health needs.
4. To plot a nursing care plan and give appropriate nursing interventions
5. To improve the health status of each family member by encouraging the family to
initiate effective problem-solving skills to nurture their quality of life.
3
II. FAMILY STRUCTURE AND CHARACTERISTICS
A. General Family Structure
Name of Position Sex Age Date of Educational Civil Occupation Religion

the in the Birth Attainment Status
members house
of the hold
Family
Ms. L Mother F 45 May 6, High Live-In House- Roman
1974 School wife Catholic
Graduate
Mr. J Father M 40 April 3, Elementary Live-In Mason Roman
1979 Level Catholic
(Grade 3)
Ms. J Daughter F 14 February High Single None Roman
6, 2005 School Catholic
Level
(Grade 9)
Interpretation
The family A is a cohabitation family, they are composed of three members;

which includes the mother, the father and their 14-year-old daughter. Ms. L is a 45 y/o
woman who was born on May 6, 1974, she is living with her live-in partner Mr. J for
almost 25 years now, who is also the father of her daughter. Mr. J is a 40 y/o man who
was born on April 3, 1979, he is an on-call construction worker, a mason in specific to
work and provide for his family’s needs. It is not a stable job because he only waits for a
contractor’s call before working and in this line of job, getting a call is very
unpredictable. Their daughter is Ms. J, a 14 y/o who was born on February 6, 2005, she
is currently studying at the Olongapo City National High School as a Grade 9 student.
The family’s religion is Roman Catholic, but they often go to church.
4
Analysis
Cohabitation families are composed of heterosexual couples, and perhaps

children, who live together but remain unmarried. Although such a relationship may be
temporary, it may also be long-lasting and as a more traditional alliance. Many couples
choose cohabitation as a way of getting to know a potential life partner better before
marriage as it seems as if this might make their eventual marriage stronger. Statistically,
people who cohabit before marriage have a higher divorce rate (The Childbearing and
Childrearing Family: Maternal and Child Health Nursing. 6th Edition, p. 41, 2010)
B. Genogram
FAMILY A
Mr. J Ms. L
Ms. J
Legend:
Male Female
Interpretation
The box represents the Male, and in this family, Mr. J is the only male in the
family. The circle represents the Female, in this family, Ms. L (Mother) and Ms. J
(Daughter). According to Ms. L, there are no deceased in the family, and they have no
pets in the household.
5
Analysis
With the size of their family, there are some very clear benefits on having a small
family. Each child receives more parental attention and educational advantages, which
generally raise her self-esteem. Children in small families, especially first and only
children, tend to have higher school and personal achievement levels than do children of
larger families. The financial costs of maintaining a household are lower. It is easier for
both parents to combine careers with family life. The general stress level is lower because
there often are fewer conflicts and less rivalry.
C. General Family Relationships
YES NO
Observable Conflicts 
Frequent Quarreling 
Child Abuse 
Open Communication 
Swearing or use of insults when talking to each other 
Interpretation
There are no observable conflicts between the family members. According to Ms.
L, conflicts and misunderstandings are possible especially when “money” comes
involved because given the occupation of Mr. J, the income will never be enough to
sustain their physiological needs. There are no events of frequent quarrel and child
abused shown during the length of our stay. In terms of communication, Ms. L is a good
communicator. She’s very open, active and she interacts with the rest of our group and
she also mentioned that her communication with Ms. J and Mr. J are very good as well.
Ms. J is very open to her mother she tells all her problems about love and problems about
school and peers. Ms. L is loving partner, caring mother, and good citizen. Based on our
observation, she is willing to sacrifice anything for her family. She is lovable and God-
fearing, and she raised her child to become family-oriented and to have a strong faith in
God. As we observe the family, there are no scenarios of swearing or use of insults when
talking to each member of the family.
6
Analysis
Healthy family relationships can foster a feeling of love and security in all family
members. It can be one of the greatest gifts’ parents can give to their children, a nurturing
and caring environment which helps them grow into well-balanced, happy and successful
adults. As life turns full circle, kids often have the chance to repay the gift by taking care
of their ageing parents. Communication, quality time, appreciation, treating one another
with respect, and teamwork are some of the essentials in building a strong and supportive
family unit. Using two measures of relationship quality (a needs fulfilment scale and an
intimacy scale) this study found no significant differences between married and
cohabiting couples. It found that the strongest influence on parent’s relationship
satisfaction was their ability to resolve argument positively, the distribution of household
tasks, men’s psychological and physical aggression towards their partner and personality
traits. While they find no direct links between socio-economic status and relationship
quality, they did find an indirect association with education and the support networks of
the mother; father’s social class also had an indirect effect on relationship quality (Family
Relationships and Family Well-being: Relationship Quality between Parents, p. 36, Tony
Fahey, Patricia Keilthy and Ela Polek, 2012)
III. SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS

A. Range of Income
Being the head of the family, Mr. J is responsible for their source of income
which they are relying on their everyday living. Mr. J is an irregular construction
worker. His monthly income ranges from 8,000-10,000 from construction worker;
P500 is the maximum income per day he gets through construction worker. Aside
from Mr. J’s work, there is no other source of income for the family.
Interpretation
Family A’s only source of income is Mr. J, an irregular construction worker.
7
Analysis
The Philippine Bureau of Labor and Employment mandates that the

minimum wage for those in the National Capital Region is Php 466 per day. This
translates to an income of roughly Php 10,000 per month. And this number is just in
NCR, where the minimum wage is already the highest. (9 Tips on How a Pinoy
Family can Live on One Income by Fitz Villafuerte, 2009)
B. Monthly Expenditures/Estimated Expenses
Monthly
Food 9000
Educational Allowances 1000
Transportation 800
Electric Bill 556
Water Bill 629.37
Personal Hygiene 300
Medication 100
LPG 500
Monthly Lot Rent 2000
Total: 14,885.37
According to Mr. J, for their monthly expenditures, he allots an estimated P300 a day
for their food. He gives P100 a day for her daughter who is going to school. His
estimated expenses on water and electric bill are P3438.74 a month. They spend P200 for
medication for hypertensive father and daughter and other health needs. He also spends
P2000 for lot rent. He pays it at Gordon Heights Block 17. They also spend P300 for their
personal hygiene.
When we were conducting the interview, they have an unpaid electric bill for 2
months that accumulated on 2580 pesos. Ms. L explained that their income was not
8
enough, and her husband is an irregular construction worker and he can only work if
there is a call from work.
Interpretation
Upon calculating all their daily and monthly income, their budget is not enough
for the whole family. Despite of being an irregular construction worker, Mr. J still
manages to provide the physiological needs of his family like the food, shelter, clothes
and education. He also gives priority in their medication since it is a must for them to live
longer.
Analysis
Their family’s income is not enough for the whole family since Mr. J is not
always being called to work. The family that affirms and support one another is
considered as a healthy family. Also, a family should exhibit a sense of shared
responsibilities (Joan G. Turner & Katherine H. Chavigny, Community Health Nursing,
Chapter 5, p.98).
IV. HOME AND ENVIRONMENT
A. Ownership
Type of Ownership Rent
Address #164 Avocado St. Purok 1, Barangay Sta. Rita

Owner Landlady from Gordon Heights
Amount P2000
Length of Stay 3 years
Size of House 52 m2
“Kung tutuusin mura na itong upa namin kasi ang hirap na maghanap ng bahay kaya
kahit bahain na lugar ito na kinuha namin” as verbalized by the mother.
Interpretation
9
The Family A is renting their house on #164 Avocado St. Purok 1, Barangay Sta.
Rita for 3 years. The owner of their house lives in Block 17 Gordon Heights where they
pay their bill monthly through cash amounting 2,000 pesos. Their house approximately
measures 52 m2. According to Ms. L, they chose their house even if it is prone to
flooding because it’s hard to find a cheap house nowadays.
Analysis
The family is prone to experience flood. The health impacts of floods are wide
ranging and depend on several factors. The immediate health impacts of floods include
drowning, injuries, hypothermia, and animal bites. In the medium-term, infected wounds,
complications of injury, poisoning, poor mental health, communicable diseases, and
starvation are indirect effects of flooding. In the long-term, chronic disease, disability,
poor mental health, and poverty-related diseases including malnutrition are the potential
legacy. (Du W, FitzGerald GJ, Clark M. (2010). Health Impacts of Flood.
B. Materials Used
Classification / Type: Makeshift
Materials used:  Old ply woods
 Cement
 Used tarpaulins
 Old linoleum
 Plastics
Interpretation
The house was categorized as makeshift, which was made from different materials
such as old ply woods, cements, used tarpaulins, old linoleum, and plastics. It has a one-
step stair to come inside of their house which is made of cements. They have 4 windows,
one on the living room which is made of jalousie, another one on their bed room which
10
are combination of jalousie and old tarpaulins, the other window is located beside the
main door that is just covered by an old transparent plastic and the last one was on the
comfort room which is the grills that serves as screen is covered with an old plastic. The
ceiling was covered with old linoleum and plastics to prevent the entry of rain water since
their roof has a lot of holes.
Analysis
Due to the materials used and type of their house, Family A has a possiblity to suffer
from typhoons, floods and other weather-related disaster. Typhoons, floods, and other
weather-related shocks can inflict suffering on local populations and create life-
threatening conditions for the poor or light housing materials. (Jha, Shikha, Martinez,
Arturo, Quising, Pilipinas,Ardaniel, Zemma, Wang,Limin. (2018). Natural Disasters,
Public Spending, And Creative Destruction: A Case Study of The Philippines.
C. Living Space
The Family A has 3 members and the space inside their house was filled with a lot of
stuffs and the dining area and living room shares the same space. They have 1 bedroom
where the three of them shares when they sleep. They don’t have a door for their
bedroom they just used a curtain.
The first thing that you will notice upon entering their house is the living room
which has sofa made from old woods and under it is where they keep their shoes and
other stuffs, on the left side of the living room is where the dining area located. Their
dining area has a small table made from old woods on top of it is where they put their
plates and other dining utensils that were kept on a storage, also above it there is a small
basin that has other dining utensils inside of it and other stuffs also are on top of it like
spray cologne, comb, ponytails, Tupperware’s and notebooks. Their sink is beside the
small table which is made from cement and the sink counter is covered with linoleum on
the right side is where we can see their drinking jug, condiments for cooking, a pitcher, a
thermos, a kettle, water bottles and other things like insecticide, cheese spread etc. While
on the right side, there are Tupperware that has a sponge and detergent powder inside and
11
a toothbrush and steel wool beside it, their single stove burner is also on the same side
with some condiments beside it. Below the sink and sink counter (from the left side to
right side) is where we can see their LPG, a plastic bag filled with empty plastic bottles, a
big black pail where they put their trash and also a small paint pail that also has some
trash inside, a DIY small cabinet without cover where they put their cooking pots
(kaserola), pans and knife, and a dustpan. The right side below the sink counter serves as
storage area where we can see a lot of stuffs like a pail filled with different things such as
a propeller, empty bottle, sandals and small wooden chair (bangkito), a ball, some woods,
plastic container etc. The floor below the sink and sink counter is surrounded by a lot of
trash. The space for bedroom which is located on the right part of the living is very small
and inside of it is their bathroom where we can see their toilet bowl without flush and
cover, a pail for bathing, 2 small basins with soaked clothes and a window.
“Madami kaming gamit kaya ganyan kung saan pwede ilagay dun nalang ilalagay
kaya masikip lalo yung bahay namin” as verbalized by Ms.L.
Interpretation
Family A has a lot of things inside their house where in they just store them where
they can be kept that occupied the little space of their house, according the Ms. L. Each
corner of their house is filled with different things. They had a 1 bedroom where in the
three of them share.
Analysis
Poor-quality housing is associated with various negative health outcomes, including

chronic disease and injury and poor mental health. These homes may be under insulated,
lack air conditioning, and cost more to heat, leaving homes either too hot or too cold,
which has been linked to poorer health outcomes. (Office of Disease Prevention and
Health Promotion. (2010) Quality of Housing.
D. Appliances Owned
12
APPLIANCES Quantity
Television 1
Electric Fan 1
LPG 1
Cellphone 1
DVD Player Television 0
Computer 0
Refrigerator 0
Radio 0
Aircon 0
Washing Machine 1
Interpretation
As we observe the house while interviewing, the appliances that they have are; 1
television, 1 electric fan, 1 LPG, 1 cellphone and 1 washing machine.
Analysis
Family A only has 5 appliances within their home, having those small quantity of
things can help them save electricity, it causes pollution, and have an adequate space. It
can reduce the chances for fire hazards, and more budget-friendly. (Bibiana Da Silva,
2019)
E. Lighting Facilities
Lighting Facility Electricity

Lighting Supply Olongapo Electricity Distribution Company
Monthly Bill P556
“yung bill ng kuryente namin hindi pa nababayaran kasi yung asawa ko pag may tawag
lang may trabaho tsaka mas inuuna ko yung tubig kasi naman mahirap na ang mawalan
ng tubig kesa kuryente” as verbalized by the mother.
Interpretation
13
Based on the data above, the lighting facility of the family, originally is through
electricity but since they haven’t paid yet their previous bill, they are currently using
candles as their temporary light source. Their lighting facility is supplied from the
Olongapo Electricity Distribution Company. The family has a monthly bill of 556 pesos.
Analysis
Since the family is using candles as a temporary source of light, their house is
prone to fire and health risks. According to BFP, one of the most common cause of fire is
the open flames or unattended burning candles that are placed near flammable/
combustible material is a fire waiting to happen. (Most Common Causes of Fire. (2009)
Retrieved from: https://sites.google.com/site/bfpregion13/fire-safety/most-common-
causes-of-fire)
Hence, fire is not just the problem upon using candles because candle’s smoke has
also an effect to our health once inhaled due to chemicals that it releases. (Dilonardo,
Mary Jo. (2016) The truth about candles.
F. Cooking Facilities
The family’s cooking facility is consisting of a little space located behind the main
door on the left side of their living room. Their means of cooking is by using LPG. Their
stove is located on top of their sink counter and on top of it is where we can see their
built-in cabinet that has kitchen utensils like strainers and on the wall some kitchen
utensils are also hanged on nails. The condiments are stored on the top of the sink
counter. The cooking pots are kept below the sink on a cabinet without a cover beside
their trash can. Also, they don’t have an exhaust fan to regulate the smoke emitted during
cooking just a window covered with plastic.
Interpretation
Their cooking has a little space located behind the main door on the left side of
their living room. They have an LPG which they use for cooking. Their cooking materials
14
hangs on the wall without cover. The pots they usually use was located under the sink
and was not also covered and the garbage was located on the side of it.
Analysis
According to Jo Johnson, 2016, the kitchen is a central room in anyone's house,

and is often the most used. It can however, be the most dangerous as the surfaces, utensils
and cloths contained in the kitchen can harbour many serious, sometimes lethal germs
that can have a very negative effect on health, (Jo Johnson (2016).
G. Food Storage
Family A does not have a refrigerator to store their food. They make sure that there
will be no left food since they do not have a refrigerator for storing them to stay fresh, so
they just consume what is needed for day, in short, they just buy food per day. In some
cases when they have a leftover food, they just cover it and placed them on the sink
counter because their small table is occupied by a lot of stuffs or they will ask their
neighbor if they can store the food on their refrigerator.
Interpretation
They don’t have a refrigerator that makes them inconvenient on storing left over
foods or any food for later consumption. Having no refrigerator lessen the expenses for
their monthly electricity bill. But they are prone on acquiring diseases of they will not
cover their food properly due to poor sanitation since breeding sites are present inside and
outside of their house.
Analysis
Food poisoning is frequently caused by bacteria from foods that have been
incorrectly stored, prepared, handled or cooked. Food contaminated with food-poisoning
bacteria may look, smell and taste normal. If food is not stored properly, the bacteria in it
can multiply to dangerous levels, (Better Health Channel, 2017).
15
H. Water Supply
The water supply of the family is from Subic Water and Sewerage Company. They
use their water supply for taking a bath daily, brushing their teeth, washing clothes,
cleaning their house, washing the dishes, for cooking and for drinking. They have an
estimated water bill of 629.37 pesos monthly. They pay their water bill monthly directly
on the Subic Water and Sewerage Company.
Interpretation
The family’s water supply is from the Subic Water and Sewerage Company, a
company that supplies water on Olongapo City. The family also used their water supply
as their drinking source.
Analysis
According to water.org, “Filipinos consider water and sanitation access a matter of

safety, pride, progress, and convenience, in addition to the health considerations. Families
without a safe water source in or near their home often spend significant time and energy
collecting water.” (Water.Org Contributors, (2019), Retrieved from:
https://water.org/our-impact/philippines/)
Family A had their access of water from the Subic water which gave them a lot of
benefits unlike others who does not have a water supply by a water district.
I. Source of Drinking Water
Family A gets their drinking water inside of their house by the use of tap water
coming from the faucet inside of their house. They don’t use any sterilization method.
Interpretation
The source of their drinking water is come from the Subic Water.
16
Analysis
The family A is using tap water as their source of drinking water and according to
the family it is essential for them for the usage because they are not using any methods of
sterilization and they only rely from the cities source of water. and According to the
Environmental Protection Agency (EPA), tap water is considered as generally safe only if
it comes from a public water system that maintained by a municipality. But drinking tap
water is not 100 % safe because it may contain small amounts of some contaminants that
may cause cosmetic effects like skin or tooth discoloration, or contaminants that may
alter the taste, odor, or color of drinking water. In addition, it is more important that the
water which people drink is safe and clean. This means that the water must be free of
germs and chemicals. (H.L. Habacon. (2018). Live well with tap water.)
J. Drinking Water Storage
The family A stored their water in a pink regular size of water jug and two small
reused plastic bottles for their storage of drinking water that are placed on the right side
of the sink.
Interpretation
The Drinking water storage of family A is a pink regular size of water jug and two
small reused plastic bottles.
Analysis
17
The family A is using plastic water containers for the safe keeping of treated
water away from sources of contamination. Using a clean and covered container also
means that drinking from the container should be done in a way that cross-contamination
can be avoided. The container should prevent hands, cups and dippers from touching the
water, so that the water does not get contaminated and also using plastics water storage is
not that safe because plastics bottles or water jugs contains Bisphenol A (BPA) it is an
industrial chemical that has been used to make certain plastics. Exposure to BPA is a
concern because of possible health effects of BPA on the brain and prostate gland of
fetuses, infants and children it can also affect the behavior. Therefore, the family can
possibly acquire illnesses mention above. (Center for Disease and Prevention, (2012) The
safe water system).
K. Methods Use to Sterilize
The family A are not using any methods of sterilization.
Interpretation
The family A is not using any methods of sterilization because according to the
mother “Matrabaho kasi kaya hindi na namin pinapakuluan at saka hindi naman
sumasakit yung mga tyan namin.” As verbalized by the mother.
Analysis
The family does not use methods of sterilization on their drinking water. The
family who are not using methods of sterilization is possible for higher chances of getting
diseases such as water borne diseases, gastro-intestinal diseases, that may cause a variety
18
of microorganisms, and toxic contaminants, which lead to devastating illnesses such as
cholera and other gastrointestinal problems which can be possibly acquired by the family
A. In addition, methods of sterilization are used to minimize the growth of organisms and
transmission of disease from one individual to another. (L. Mckeen, (2012). The Effect of
Sterilization on plastics).
L. Toilet Facility
The toilet facility of Family A is located inside of their house wherein, it has a normal
toilet bowl without a cover and doesn’t have a flash. It uses only a pail of water to clean
the waste.
Interpretation
The family A has a toilet facility inside of their house wherein, it has a normal uncovered
toilet bowl that only uses a pail of water to flush the waste.
Analysis
The family A is has their toilet facility inside their house that has the higher
chances of multiplying microorganisms such as fecal bacteria, Antibiotic resistant
staphylococcus ( one of the several “flesh eating bacteria”), E.coli, shigella that can cause
of an ill such as Urinary Tract Infection (UTI) and fecal-oral diseases for each members
of the family, because of the unsanitized and uncovered toilet bowl. However, cleaning
and disinfecting of restroom surfaces using chemical processes are essential to prevent
the spread of microorganisms. Furthermore, sanitation refers to the provision of facilities
19
and services for the safe disposal of human urine and fecal matter. The importance of
hygienic toilets facilities lies to prevent diseases which can be transmitted through human
waste that can cause illnesses. (C.MS. Miller & A. Fraser (2013). What diseases can I get
from toilet seat.
M. Garbage Disposal
Family A disposes their garbage, walking distance, away from their house, in a
corner beside the outpost of Sta. Rita where the garbage collectors are collecting it. They
put their garbage in a sack before they disposed it on the said area. Most of the residences
around them are also disposing their garbage in the same area.
Interpretation
Family A have a knowledge of proper garbage disposal and what are the benefits
of it for their health especially to those who has asthma and other health problem. via
disposal of their garbage.
Analysis
The family A knows the proper garbage disposal and its importance for the
environmental benefits that it has to offer, because they knew that proper garbage
disposal can also be beneficial for their health and Proper disposal of waste relocates
waste to areas where they can be left, incinerated, or disposed of safely. Waste removal
from public areas can reduce risks to overall health, while also decreasing the public’s
exposure to biohazards and reduce infestations of pests. In addition, garbage disposal
20
helps to prevent additional pollution which can improve public health. It also prevents the
spread of disease and ensures that environment remain habitable for humans, plants and
animals and also it teaches each member of the family how to dispose waste properly.
(A.L. Castillo & S. Otoma, (2013). Status of Solid waste management in the Philippines).
N. Garbage Collection
The garbage collection is during Wednesday and Saturday in the morning. The
family put their garbage near the outpost because it is the area where collector will easily
get the garbage the payment of the garbage collection is included to electricity bill.
Interpretation
Family A knows how to dispose their waste into the proper waste disposal and
separate its waste away from their house.
Analysis
The family A is aware about the purpose of Garbage collection which is to
improved recycling, lessens the impact on landfills, and protects the environment through
effectively controlling the pollutants and contaminants that are released also decreasing
the public’s exposure to biohazards and reduce infestations of pests. In addition, trash
removal is a necessity to ensure a clean environment and safety for both people and
animals. Collection of solid waste materials plays a vital role in the cleanliness and
sustainability of our communities to help ensure the clean, sanitary communities and to
conserve our planets natural beauty which can be flawed by thoughtless disposal of waste
21
and senseless littering. (A.P. Aquino, J.A. Deriquito & M. Festejo, (2013). Garbage
removal).
O. Drainage System
The drainage system of the family is open, and it is in front of their house. It is a 2
to 3 feet away from their door steps and their drainage has a lot of trash.
Interpretation
The Family A’s drainage system is open.
Analysis
Family A has an open drainage near their front door. Poor drainage system can
form stagnant water that provide breeding sites for vector diseases. Having an open
drainage can cause diseases especially when there are rainfalls. It can lead to flood when
it is clogged, and the materials can flow on it.
P. Common Pests and Breeding Sites
The common pests and breeding sites found inside and outside of the house are
mosquitoes, rats, cockroaches, flies, etc. The house of the said family has unnecessary
things placed in every corner of the rooms and under the sofa and their sink.
Interpretation
The family encounters pests such as mosquitoes, rats, cockroaches, flies and they
can sleep at night even though there are pests because Family A has adapted to it for
years.
Analysis
Family A said that they can sleep at night despite of having pests on their house.
Pests can bring diseases that can harm them especially when their area is not clean
enough. Mosquitoes are considered as pests. Their eggs are mostly seen on a stagnant
water and they can transmit dengue on humans. Another pest is cockroach which mostly
22
seen under the sink or in an unsanitized area. (2016, November). Commo n Pests During
the Summer.
Q. Pest Control
According to Ms. L, they are cleaning their house regularly and they are also
changing their linens every week. They are also using sprays or insecticide to prevent
pests on their house.
Interpretation
The family is controlling their pests through cleaning their house regularly and by
using insecticides.
Analysis
To prevent pests, Family A should not leave food and beverages open as there are
pests that can get attracted on the scent and smell of it. It should be tightly covered and
sealed. Fruits should be kept on an open table or on the kitchen counter as it can also
attract flies. Don’t throw away fruits’ peelings because it can be an insect repellant
especially the citrus ones. Just soak the citrus fruit peelings on a water and discard the
rinse and strain it into a clean spray bottle. (Marlog, A. S. (2015, April 5). 7 Ways to
Avoid Pests at Home.
R. Household Pests
The said family doesn’t have any household pets. They don’t have to think on
what they are going to give as a food on their pets. They can also prevent furs and other
materials coming out from their pets to clean with.
Interpretation
The family can prevent themselves from having illnesses coming from the pets
caused by their furs, etc. Without having any pets on their houses, they don’t have any
problems on it.
23
Analysis
Family A don’t have any pets on their house. They don’t need to clean their pets’
furs and feces but for humans, too many pets can cause problems especially towards their
hygiene. There are diseases that pets can transmit to humans. It ranges from hookworm
and roundworm. They can also infect humans through their rabies when they bit them.
S. Neighborhood
According to Ms. L, their neighbors aren’t noisy at all. They can sleep at night
without being distracted on noise. They can do their activities as they want because they
are free from noise.
Interpretation
Family A has a peaceful and quiet neighborhood.
Analysis
There is a bill that has been approved to prohibit the use of videoke and karaoke
in resident areas. The bill refers to noise or sound pollutions because there are sound
volumes that are too loud that can cause annoyance, stress or damage to the ears. They
are only allowed to use it at 8 o’ clock in the morning until 10 o’clock in the evening.
(Rosario, B. (2018, May 5). House Panel Takes Steps in Stopping Noisy Neighbors.
T. Presence of Hazards
The said family has much presence of hazards because of the makeshifts and
other materials used in the house. It is made up of woods, linens, etc.
Interpretation
The house of the family can be prone to any hazards as it was made of other scrap
materials. The family can experience fire if their cable linings weren’t fixed properly.
Other hazard can affect their health because of the messy things placed in some areas of
their house.
24
Analysis
Family A have dusts in their house that can harm their health. It can give them
allergies or asthma and if they have kids on their houses, they are prone to diseases as
they tend to put everything in their mouths. Dusts can also cling on clothes, shoes, skin or
hair – coming from different environments that you go to.
U. Community Organization
According to Ms. L, her family is not involved in any community organizations.
“Hindi naman kami masyadong interesado sa mga pagsali-Sali ng ganyan. Basta

nakatira lang kami dito.” As verbalized by the client.
Interpretation
Family A is not a member of any community organizations in the Barangay Sta.

Rita.
Analysis
There are local organizations that Family A can join to if they want. It can
respond to the urgent call of action by the rural poor, indigenous people, fisher folks,
farmers, etc. There are also corresponding missions: (1) self-empowerment of people
especially the marginalized sectors; (2) deepening of spirituality from various religious
persuasions; (3) using and developing a tool (social science, philosophy, theology,
education, anthropology) for social transformation; (4) keeping and sharing the wisdom
of one’s cultural values and (5) living by a vision of social transformative praxis towards
justice, peace and integrity of creation.
V. FAMILY HEALTH STATUS

A. Current Health Status
In A Family there are two members that are currently experiencing health
problem. Ms. L the mother who is experiencing pain in her breast since 2014. Mr. J,
the father who is being diagnosed as hypertensive at 1996 and Ms. J their daughter
25
who is also diagnosed as hypertensive at 2010. The family’s lifestyle didn’t change
even before Mr. J and Ms. J was diagnosed and when it comes to Ms. L’s breast pain,
she’s bothered about it but don’t want to have a formal diagnosis about pain she is
experiencing, she instead takes alternative medicine to ease the pain.
Ms. L, the mother is experiencing breast pain since 2014, 5 years from now.
According to Ms. L “Bigla na lang tumubo ‘yung bukol sa kaliwang dibdib ko tapos
bigla na lang din nawala pero masakit pa rin hanggang ngayon”. She is advice by the
Physician of Sta. Rita Health Center to have ultrasound but refused to go to the
hospital. Instead, she tried taking MX3 capsule every once a day whenever the pain is
intolerable. According also to Ms. L, whatever she does on her daily living, the pain
remains but she always ignores it when it is tolerable.
Ms. J, the daughter of Ms. L was diagnosed for being hypertensive at the age of 5.
Her father is also hypertensive but since she’s still not suitable to take medicine
unlike her father for maintenance on hypertension, she drinks in-can pineapple juice
instead as prescribed by a doctor.
Interpretation
Ms. L who is currently suffering from breast pain, is experiencing the pain
throughout daily activities even she’s resting or doing house chores. Since she didn’t take
a formal checkup and diagnosis about the mass and pain she is experiencing on her left
upper inner quadrant of her breast, she instead takes MX3 capsule to relieve the pain
she’s experiencing.
Ms. J is experiencing high blood pressure at her young age. She drinks in-can
pineapple juice as advice by the doctor whenever she experience severe pain on the back
of her neck. It is to maintain her blood pressure at a normal reading.
Analysis
26
Having high blood pressure makes people more likely to have strokes, heart
attacks, heart failure, kidney failure, or loss of vision. (Gidding, Samuel S. 2017, April.
Hypertension (High Blood Pressure).
When someone in your family has high blood pressure, or any chronic illness, it can
be stressful for the whole family. Your family member with high blood pressure may
need to take medicines and make some changes to a healthier lifestyle. You may feel
upset because you do not know what to do to help. Knowing about high blood pressure
and how it affects your family member will prepare you to help your loved one.
(National Kidney Foundation Contributors. 2015. High Blood Pressure: The Role of the
Family.)
B. Family Medical History
Upon taking the medical history of A family, Ms. L verbalized that Mr. J, her
husband is diagnosed for being hypertensive and on Mr. J’s side they are also
experiencing high blood pressure. Ms. L also stated that on her family’s side, none of
them experienced breast mass and pain.
Interpretation
Ms. L stated that on their family’s side, none of them have experienced the same
situation as her, the breast pain.
Since the father of the family is hypertensive, Ms. J may inherit the disease
resulting to be hypertensive as well. Out of all the offspring Ms. L and her husband may
have, Ms. J is one of those offspring to inherit hypertension.
Analysis
Hypertension tends to run in families. Individuals whose parents

have hypertension have an elevated risk of developing the condition, particularly if both
parents are affected. However, the inheritance pattern is unknown. Rare, genetic forms
27
of hypertension follow the inheritance pattern of the individual condition. (NIH
Contributors. 2019, October 29. Hypertension.
C. Deceased Member of the Family

According to Ms. L, there are no deceased member of the family. Her Parents as
well as Mr. J’s parents and siblings are still alive.
Interpretation
The family A does not have any member of the family that is deceased.
Analysis
The death may at first be difficult to accept. The method of death may also affect the
way in which the death is processed. The death of a family member causes a crisis in the
family. The stages of a traumatic crisis are shock, response, processing and reorientation.
The death may also evoke conflicting feelings. More information about the stages of a
traumatic crisis in Finnish. When a family member dies, most people seek support from
their relatives and friends. Many people also feel that peer support and professional help
provide relief and comfort. The death of a partner causes great sorrow. In addition to your
own grief and processing your own feelings, the partner’s death and possible widowhood
involve legal obligations and having to take care of your children. For a child, the death
of a parent or career is a powerful and traumatic experience. The child’s sense of security
is shaken. The child requires help and support from adults in order to process the death
and the sorrow it evokes. (Suomi, Svenska, 2019) Death of a family member.
D. Health Beliefs and Practices
D1. Common Illness Encountered for the Last 6 Months
Ms. L has had inflammation of tonsils for the past 6 months, and according to Ms. L,
both Ms. J and her father had hypertension. “Binaha yung medical records nilang dalawa
28
noong 2010” as verbalized by Ms. L. When Ms. L encounters an inflammation of tonsils,
she takes 500mg of amoxicillin orally twice a day and Ms. J and her father consults with
the Barangay Health Center about their health problem.
Interpretation
Family A relies their health problems in the Barangay Health Center and Hospital.
They only take medicines prescribed by a doctor. Therefore, they are knowledgeable
about how to manage and cure their health problem in a right way.
Analysis
People of certain cultures may perceive home remedies or tribal health customs as
superior to and more dependable than the health care practices. Culture and social
interactions influence how a person perceives, experiences, and copes with health and
illness. (Kozier & Erb’s page 302 Fundamental of Nursing 8th edition Volume 1)
D2. Whom Do You Consult for Health Problem
The family’s preference for consultation in their health problems are the Barangay
Health Center and when they experience severe illness/disease they go to a hospital.
Interpretation
Family A usually go to the Barangay Health Center to check whether they are
encountering any health problems and when they have severe illness/disease they proceed
to the hospital.
Analysis
Community-based health care (CBHC) is a primary health care system that provides
health-related services within the context of people’s daily lives. The care is directed
toward a specific group within the geographic neighborhood. (Kozier & Erb’s page 119
Fundamental of Nursing 8th edition Volume 1)
29
E. Dietary Habits (3-day meal recall)
BREAKFAST LUNCH DINNER

FOOD QUANTITY FOOD QUANTITY FOOD QUANTITY
MR. J
Rice 1cup (195g) Rice 2cups (390g) Rice 2cups (390g)
Cal: 204 Cal: 408 Cal: 408
Fats: 0.44g Fats: 0.88g Fats: 0.88g
Carbs: 44.08 Carbs: 88.18 Carbs: 88.18
Pro: 4.2g Pro: 8.4g Pro: 8.4g
Scrambled Cal: 150 Corned Cal: 170 Beef Noodles Cal: 200
eggs(44g) Fats: 5g beef Fats: 6g Fats: 8g
Carbs: 0g (210g) Carbs: 1g Carbs: 28g
Pro: 6g Pro: 1g Pro: 5g
cholesterol:186g Sodium:440 sodium:1120mg
cholesterol: 98mg
1 sachet (30g) Bangus/milkfish(85g) Cal: 190
Cal: 119 Cal: 310 Carbs: 0g
Kopiko Carbs: 21.10g 2 Eggs Fats: 22g Fats: 8.6g
coffee Pro: 3.10g (88g) Carbs: 2.2g Pro: 26g
Pro: 26g cholesterol:67mg
Cholesterol: 626mg
270mL 270mL
Glass of Glass of Glass of water 270mL
Water Water
MS. L
Cal: 204 Cal: 408 Cal: 408
Scrambled Cal: 150 Cal: 170 Beef Noodles Cal: 200

eggs(44g) Fats: 5g Corned Fats: 6g Fats: 8g
Carbs: 0g beef Carbs: 1g Carbs: 28g
Pro: 6g (210g) Pro: 1g Pro: 5g
cholesterol: 98mg
Cal: 310 Bangus/milkfish(85g) Cal: 190

Fats: 22g Carbs: 0g
Carbs: 2.2g Fats: 8.6g
2 Eggs Pro: 26g Pro: 26g
Glass of 270mL (88g) Cholesterol: 626mg cholesterol:67mg
water 270mL Glass of water 270mL
Glass of
water
30
MS. J
Cal: 204 Cal: 408 Cal: 408
eggs(44g) Fats: 5g beef Fats: 6g Fats: 8g
cholesterol: 98mg

Fats: 11g Carbs: 0g
Egg (44g) Carbs: 1.1g Fats: 8.6g
Pro: 13g Pro: 26g
Glass of 270mL Glass of Cholesterol:313mg cholesterol:67mg
water Water 270mL Glass of Water 270mL

MR. J
Cal: 204 Cal: 408 Cal: 408
Scrambled Cal: 150 Sardines Cal: 20 Beef Noodles Cal: 200

eggs(44g) Fats: 5g Fats: 2.5g Fats: 8g
Carbs: 0g Carbs: 1g Carbs: 28g
cholesterol:186g cholesterol: 5g sodium:1120mg
1 sachet (30g)
Cal: 119 2 Eggs Cal: 310 Tilapia(113g) Cal: 129
Kopiko Carbs: 21.10g (88g) Fats: 22g Carbs: 0g
coffee Pro: 3.10g Carbs: 2.2g Fats: 2.7g
Pro: 26g Pro: 26g
Glass of 270mL Cholesterol: 626mg cholesterol:
Water 270mL 57mg
Glass of Glass of Water 270mL
Water
MS. L
Cal: 204 Cal: 408 Cal: 408
31
eggs(44g) Fats: 5g Fats: 2.5g Fats: 8g
2 Eggs Cal: 310 Tilapia(113g) Cal: 129

(88g) Fats: 22g Carbs: 0g
Carbs: 2.2g Fats: 2.7g
Pro: 26g Pro: 26g
Cholesterol: 626mg cholesterol:
270mL 57mg
Glass of 270mL Glass of Glass of Water 270ml
Water Water
MS. J
Cal: 204 Cal: 408 Cal: 408

eggs (44g) Fats: 5g Fats: 2.5g Fats: 8g
Cal: 155
Glass of 270mL Egg (44g) Fats: 11g Tilapia (113g) Cal: 129
Water Carbs: 1.1g Carbs: 0g
Pro: 13g Fats: 2.7g
Glass of Cholesterol:313mg Pro: 26g
Water 270mL cholesterol:
57mg
Glass of Water 270mL

MR. J Rice
1cup (195g) Rice 2cups (390g) Rice 2cups (390g)
Cal: 204 Cal: 408 Cal: 408
Scrambled
egg (44g) Cal: 150 Corned Cal: 170 Beef Noodles Cal: 200
Fats: 5g beef Fats: 6g Fats: 8g
cholesterol: 98mg
Kopiko 1 sachet (30g)
coffee Cal: 119 Cal: 310 Bangus/milkfish(85g) Cal: 190
Carbs: 21.10g Fats: 22g Carbs: 0g
Pro: 3.10g 2 Eggs Carbs: 2.2g Fats: 8.6g
32
Glass of (88g) Pro: 26g Cholesterol: Pro: 26g
Water 270mL 626mg cholesterol:67mg
270mL
Glass of
Water
MS. L
Cal: 204 Cal: 408 Cal: 408
egg (44g) Fats: 5g beef Fats: 6g Fats: 8g
cholesterol: 98mg

Glass of 270mL Fats: 22g Carbs: 0g
Water 2 Eggs Carbs: 2.2g Fats: 8.6g
(88g) Pro: 26g Pro: 26g
Cholesterol: 626mg cholesterol:67mg
Glass of 270mL
Water
MS. J
Cal: 204 Cal: 408 Cal: 408
egg (44g) Fats: 5g beef Fats: 6g Fats: 8g
cholesterol: 98mg
Glass of 270mL Bangus/milkfish(85g)
Water Cal: 155 Cal: 190
Fats: 11g Carbs: 0g
Egg (44g) Carbs: 1.1g Fats: 8.6g
Pro: 13g Pro: 26g
Glass of Cholesterol:313mg cholesterol:67mg
Water 270mL Glass of Water 270mL
Calories per day

Father 2,159 cal
33
Mother 2,040 cal
Daughter 1,885 cal
Interpretation
The family’s dietary regime and food selection is often the type of food that are
plentiful in cholesterol and a lack of knowledge in the nutritional status of foods they
consume or lack of finance to purchase a wider spectrum of more diverse food may be
contributing to their background of hypertension. For the father who is aged 40 he almost
met the required calories per day for active males who are aged 31-50 whose calories are
2159 when the requirement is 2800-3000.
The mother meets the daily calorie requirement with 2080 calories per day
Analysis
Humans require food substances to supply the components necessary to build
tissues, to repair tissues as they wear out and die, to keep the body in good working
condition, and to supply fuel for energy. For good nutrition a person should eat a well-
balanced diet, that is, one that provides an adequate amount of each of the classes of
nutrients each day, furnishing at the same time an adequate but not excessive number of
calories for the body's energy needs. Children require relatively larger amounts of
nutrients and calories because of their rapid growth. The foods required for proper
nutrition fall roughly into three major groups: proteins, carbohydrates, and fats; vitamins,
minerals, and water are also important.
(J. Brody, Jane Brody's Nutrition Book (1981); S. Gershoff, The Tufts University Guide
to Total Nutrition (1990); J. Mayer, Jean Mayer's Diet and Nutrition Guide (1990). ; The
Columbia Encyclopedia, 6th ed. Copyright© 2018, The Columbia University Press. J.
Brody, (1981) Jane Brody's Nutrition Book.
F. Body Mass Index (BMI)
Name Age Height Weight BMI Interpretation
34
Ms. L 45 y/o 152cm 56kg 24.238 Normal
Ms. J 14 y/o 147cm 45kg 20.82 Normal
Interpretation
A person’s health is highly dependent on their body mass index, a well-balanced

meal and hours of sleep is a huge factor contributing to one’s health. The results of our
computation show that for her age, the mother is on the scale of being overweight while
the daughter, despite her complications is having more than enough rest and thus her
BMI is under the scale of being healthy.
Analysis
Body mass index (BMI): an index of a person's weight in relation to height,
determined by dividing the weight in kilograms by the square of the height in meter.
Whitney,E.N, Cataldo, C.B, Rolfes,S.R. Understanding Normal and Clinical Nutrition

(2nd Edition). West Publishing Company.
VI. VALUES, HABITS, PRACTICES ON HEALTH PROMOTION,

MAINTENANCE AND DISEASE PREVENTION
A. Immunization
According to Ms. L, all records of immunization of the members of the
family are either lost or thrown away.
Interpretation
Ms. L could not protect their immunization records because it was very
unexpected, and they were not prepared for the flood. All of their immunization and other
medical records starting from the beginning until the year 2010, are all gone and lost.
Analysis
35
Vaccines have dramatically reduced the number of people who get infectious diseases
and the complications these diseases produce, the viruses and bacteria that cause vaccine-
preventable diseases and death still exist. Without vaccines, epidemics of vaccine-
preventable diseases would return. Here is an idea of the effects of vaccinating and not
vaccinating. Polio, Prior to vaccination, between 13,000 and 20,000 polio cases of
paralytic poliomyelitis were reported each year. If we were to discontinue polio
vaccination, immunity to polio would decline, leading to the risk of polio epidemics like
those that occurred in the past. Measles, some people with measles develop encephalitis,
and 1:1,000 people with measles die. Widespread use of the vaccine has led to >95
percent reduction in measles. Hemophilus influenzae type b meningitis, without
vaccination, this disease would likely cause the same amount of disease and deaths that it
caused before the vaccines were developed. Pertussis, Pertussis can be a severe illness,
resulting in prolonged coughing and vomiting spells that can last for weeks. These spells
can make it difficult for a child to eat, drink and breathe. In infants, it can cause
pneumonia and lead to brain damage, seizures and mental retardation. Rubella, if
immunity to rubella were to decline, rubella would return, resulting in pregnant women
becoming infected and giving birth to infants with CRS.
B. Relaxation Activities and Stress Management

According to Ms. L, one of her major stressors is when they experience financial
crisis because she explained that her live-in partner Mr. J, is a construction worker but it
depends on when the contractors are going to call him to work for 500 a day. So as the
head of the family, she must budget the little money that Mr. J earns for the 3of them.
She manages her stress through visiting her grandchildren and spending a lot of time with
them.
As per Ms. J, one of her major stressors is academics. She’s not failing though she is
experiencing a lot of pressure. She is coping with her stress by hanging out with her
friends.
Interpretation
36
Ms. L and Ms. J, both have different factors on what is stressing them out. Ms. L
is about the financial crisis that they experience most of the time. While Ms. J, is about
her Academic status. The both of them are coping through spending a lot of time with
their loved ones and friends.
Analysis
Stress is your body’s response to a change or difficult situation. It is a natural
response. (Coping with Stress A Special Addition to Staying Healthy: An English
Learner’s Guide to Health Care and Healthy Living; by Naomi Soto, Rhonda Atkinson,
Gregory Smith; 2010, p. 5-7)
C. Method of Family Planning
According Ms. L, family planning method is by Birth Control Shot. The Depo-
Provera is administered every 13 weeks via intramuscular injection.
Interpretation
Ms. L chose the family planning method of Birth Control Shot with the content of
Depo-Provera via intramuscular injection. It was given by the health center to her to
prevent pregnancy for atleast 3 months.
Analysis
Depo-Provera or also known as Depot Medroxyprogesterone Acetate (DMPA) it
helps protect against the risks of pregnancy, cancer of the lining of the uterus or
endometrial cancer, uterine fibroids, iron-deficiency anemia and it reduces symptoms of
endometriosis. It helps prevent pregnancy up to 3 months and there are no known health
risks. (World Health Organization, Family Planning, 2018th Edition, Page 68)
37
D. Problems Other than Health Whom Do You Consult?
According to Ms. L, when it comes to financial problem, they don’t consult with
anyone and Ms. L sometimes borrow money from her closest friends to help them get
through the week.
Interpretation
In terms of problems other than health more specifically financial problem, Family A
consults no one though they confide with their friends when they experience extreme
financial crisis.
Analysis
Money and relationships mess with each other. Bad relationships cause money
messes. Money messes cause bad relationships. In fact, if you don’t get your money
under control, this one area can destroy a whole life! One must need to really dig in here
and see what money does in a marriage, what it does for single adults, how we need to
talk to our kids about money, and how money can bless or wreck our friendships and
every other relationship we have. (Dave Ramsey's Complete Guide to Money: The
Handbook of Financial Peace University; Dave Ramsey 2011, p. 25)
E. Health Practices
Family A’s health practices includes the use of herbal medicine, consultation from
the Health Center and Going to the Hospital. They use the leaves of Moringa to cover
their wounds instead of band aid. Ms. L stated that the leaves of moringa are more cost
efficient and environmentally friendly than band aids. They also use the leaves of Guava,
10 leaves to be exact then they grind it to extract the juice that will be drank by a person
who suffers from diarrhea. They trust the diagnosis of the Health Center plus it is more
budget friendly because it is only a walk away from their house. Family A tries to avoid
going to the hospital as much as possible because of their financial problem so this family
tries to solve any health problem within the materials inside their house or the neighbors
to sustain their health needs.
38
Interpretation
The family A’s health practices are composed of herbal medicines, but they also
consider consultations in the Health Center but as much as possible they try to avoid any
visitations on the hospital because of their low income.
Analysis
Herbal medicine has been used by traditional systems of medicine for a long time.
Prolonged and apparently uneventful use of herbal medicine is highly suggestive of its
safety and efficacy. Traditional use of herbal medicine is usually an integral part of the
culture, which developed within an ethnic group before the spread of modern science.
The principles of the traditional system of medicine must be respected when a policy on
herbal medication is prepared. As a general rule, traditional experience should be taken
into account along with the medical, historical and ethnological background of the
medicine. Herbal Medicine: Fundamentals of Nursing. 1(8) 334.
F. Activities of Daily Living
Ms. L’s Daily Activities
TIME ACTIVITY
5:00-6:00 am (usual time that rises) Rise, Make the bed
6:00-7:00 am Cook breakfast and then eat with family
7:00-8:00 am Accompany her daughter to school
8:00-11:00 am Household choirs
 Sweeping the floor
 Mop the floor
 Wash the dishes
 Do laundry
 Arrange all that is messy
11:00 am – 1:00 pm Prepares and cook for lunch and then eat
39
with live-in partner
1:00-2:00 pm Hanging out and making stories with
their neighbors.
2:00-4:00 pm Took a bath and after, surfing the internet
while resting.
4:00-6:00 pm Wait for the daughter to come home and
spend time with her.
6:00-7:00 pm Cooks dinner for the family then eat.
7:00-8:00 pm Preparing to go to sleep.
 Tooth brush
 Look the door
8:00 pm- 5:00 am Duration of sleep.
Interpretation
The usual time that Ms. L wakes up in the morning is 5:00-6:00 AM and she
prepares their breakfast between 6:00-7:00 AM then eat afterwards. After they eat, she
accompanied her daughter to school between 7:00-8:00 AM and immediately returns to
their home to do her daily chores like sweeping and mopping the floor and wash the
dishes between 8:00- 11:00 AM. At 11:00AM-1:00 PM she prepares food and cook the
food and eat with her live-in partner, Mr. J. After they eat Ms. L, went to their neighbor’s
house to have a little chitchat and between 2:00-4:00 PM Ms. L took bath so she can be
fresh again and surf the net watching Tulfo and play Candy Crush. Between 4:00-6:00
PM she patiently waits for her daughter to come home because her daughters walk to
their house from OCHNS to Sta Rita. Afterwards, she cooks food between 6:00-7:00 PM
and after she cook, they eat together and talk what happened about that day. 7:00-8:00
PM is their preparation before going to sleep and between 8:00PM-5:00AM is their hours
of sleep.
Ms. J’s Daily Activities
TIME ACTIVITY
5:00-6:00 am (usual time that rises) Rise, prepare uniform and things needed
40
for school.
6:00-7:00 am Took bath, wears uniform and eats
breakfast.
7:00-8:00 am Go to school accompanied by mother.
8:00 am -12:00 pm SCHOOL HOURS
12:00-1:00 pm Eat Lunch with schoolmates
1:00-4:00 pm SCHOOL HOURS
4:00-6:00 pm Walk 2 km from Olongapo City National
High School to their Home with friends
6:00-7:00 pm Eat dinner with family
7:00-8:00 pm Do homework then prepare to go to sleep
8:00 pm- 5:00 am Duration of sleep.
Interpretation
The usual time Ms. J woke up was 5:00-6:00 AM at this time she prepares her things
for school like her uniform. At 6:00-7:00 AM she took bath and wear her uniform and
eats her meal before going to school (OCNHS). Between 7:00-8:00 AM her mother
accompanied her to her school then at 8:00AM-12:00 PM is her time she stays at school.
At 12:00-1:00 PM she eats her lunch together with her friends. 1:00-4:00PM she stays
again at school to earn new knowledge from her teachers and between 4:00-6:00 PM she
walks from her school (OCNHS) to Sta Rita at Barangay Manggahan together with her
friends again. At 6:00-7:00 PM Ms. J eats dinner with her Mom and Dad. Between 7:00-
8:00 PM she does her homework and afterwards prepares for sleeping. Ms. J’s duration
of sleep is 8:00-5:00 AM.
Analysis
The activities of daily living (ADLs) are both essential and routine aspects of self-
care. The six essential ADLs includes the ability to be able to independently eat, dress,
walk or transfer from one position to another, bathe, and toilet, and maintaining bowel
and bladder continence. Independent adults generally can manage activities of daily
living so that they can successfully live without assistance from outside caregivers or
41
significant others. Inability to accomplish essential activities of daily living may lead to
unsafe conditions and poor quality of life; possibly serving as criteria to consider home
care assistance or placement in assisted living, skilled care, or long-term care.
(Greenberg, S.A., & McCabe, D. (2018) Functional assessment of older adults. In T.
Fulmer, & B. Chernof (Eds.). Handbook of geriatric assessment, 5th ed., pp. 231-239)
VII. PHYSICAL ASSESSMENT OF THE FAMILY

A. Physical Assessment of Ms. L
GORDON COLLEGE
College of Allied Health Studies
PHYSICAL ASSESSMENT
Preparation:
1. Welcome and introduced yourself with the client.8
2. Orient the client to clinical set-up.
3. Explain the procedure to the client.
4. Gather all equipments. (Enumerate and give each usage)
Procedure:
I. Demographic Data
Name: Ms. L
Age: 45 years old
Sex: Female
Civil status: Live In
Contact Number/s: 09058523307
Date/Time of History Taking: 9:23 am October 19, 2019
Source of History: Primary Source – Client
II. Chief Complaint:
42
“Masakit pa rin yung dibdib ko pero wala na iyong bukol” as verbalized by the
client.
“Nagpatingin na ako sa health center at binigyan akong request form (mammogram)
pero hindi ako pumunta kasi kulang kami sa pera at natatakot ako na baka sabihin ng
doktor na may kanser ako” as verbalized by the client.
III.History of Present Illness:

The client stated that 5 years ago she observed that there is a mass on her upper inner
quadrant of left breast. She took mx3 capsule once a day as a medicine which is not
prescribed by a doctor, she just saw it on television.
IV. Past History
 Childhood Illness
According to the client, she had a stomach pain when she was 12 years old. When
she turned 18, she said that she had an inflammation if tonsil.
 Immunization
The client stated that she had a complete vaccination in the health center when she
gave birth to her child.
 Allergy
The client states that she has no record of allergies to drug, animals, food or any
environmental agents.
 Accidents/Injuries
The client states that she has no record of injuries or accidents.
 Hospitalization
The client stated that she got hospitalized when she gave birth to her child.
 Medication
The client said that she takes mx3 vitamin capsule as a medication for her breast
pain. Also, the client said that whenever she has an inflammation of tonsil, she takes
amoxicillin 500 mg three times a day.
V. Family History of Illness
43
Life Style
 Personal habits
Ms. L said that she has no habit of drinking alcohol. She said that she has no vices.
 Diet
Ms. L said that she eats 3x a day. They mostly eat scrambled egg. She said that what
they usually eat in the afternoon is what they also eat in the evening if there are some
leftovers. They usually eat milkfish and beef noodles.
 Sleep/Rest patterns
Ms. L stated that she sleeps at 8 in the evening and wake up 5 in the morning. She
also said that she had no trouble in sleeping.
 Activities of Daily Living
The client stated that in the morning, when she wakes up, she prepares breakfast for
their family. After that, she said that she sent off her daughter to school. She also
prepares lunch and dinner for the family. She is the one that do all the household chores.
On the afternoon she also come to OCNHS to get her daughter after school.
VI. Social Data
 Family Relationship
According to Ms. L her family is consist of 3 members. She said that they usually
suffer from financial crisis. She also mentioned that her family is very open to each other.
 Ethnic Affiliation
As verbalized by the client, Ms. L’s mother is named Leonida Omedez and her
father’s name is Ricardo Omedez. They were all from Olongapo City. She mentioned that
their language is Tagalog.
 Educational History
Ms. L stated that she graduated elementary in Olongapo City Elementary School.
She finished her high school in Olongapo National High School.
 Occupational History
Ms. L said that she used to be a fish vendor in the market. She still sells fish if there
is fish to be sold. But now, she is a housewife.
 Economic Status
44
Based on the information gathered, Ms. L family is in Low Class in terms of
economic status. She mentioned that her husband is an irregular construction worker and
she is a housewife. The income of the family is not enough for their expenses.
 Home and Neighborhood Conditions
Ms. L described her community as a peaceful and quiet. She said that in their
neighborhood they don’t get involved with each other’s lives. They are currently renting
their house in Sta. Rita. She said that their house is prone in flood.
 Spiritual
The client said that her family usually goes to church every Saturday in the morning,
but she couldn’t come because of household chores.
VII. Psychological Data

Based on observation, the client is very active and comfortable in communicating
with the interviewers. During the interview, she had an eye contact in answering the
questions of the interviewer.
VIII. Patterns of Health Care

REVIEW OF SYSTEM ( HEAD TO TOE FRAMEWORK)
Body Parts/
System & Actual Findings Normal Findings Interpretation
Method of
Assessment Used
SKIN Normal
 Skin colour is  Skin colour
brown varies from light
 Uniform skin to deep brown
colour except  Generally
in areas uniform skin
exposed to the colour
sun  Skin spring back
 Immediate to previous state
return of skin
in original
state
NAILS Normal
45
 Intact  Convex
epidermis curvature with
 Smooth the angle of
fingernail 160degree
 Prompt return  Fingernail
of original texture should
pink colour be smooth
 Prompt return of
pink colour
generally less
than 4 seconds
HEAD The client has
 Round and  Normocephalic a presence of
smooth and symmetric,
 No nodules or smooth skull lice and nits on
masses contour her hair and
 Client has  Smooth,
the head is
symmetric uniform
facial consistency, equal and has
movement absence of no nodules or
 Has a presence nodule or
of lices. masses masses.
 Symmetric
facial movement
EARS
 Auricle is  Auricle is Normal
symmetric and aligned with
colour is same outer canthus of
as facial skin eye about
 Cerumen in 10degree from
external ear vertical
canal is wet in  Wet cerumen in
various shades various shades
of brown of brown
 It is not tender
 (+) Weber’s
Test
 (+) Rinne’s
Test
NOSE & The air moves
SINUSES  Nose is  Straight and freely in the
straight and symmetric, no client’s right
46
symmetric and discharge or nares but
no flaring and flaring and difficult in left
same color for uniform color nares.
facial  Nasal septum
 Intact nasal intact and in
septum and in midline
midline  Not tender
 Not palpable
for tenderness
 Air moves
freely in right
nares but
difficult in left
nares.
MOUTH & Normal
THROAT  Lips is uniform  Uniform pink
pink color, color, moist and
able to purse smooth texture,
the lips and ability to purse
lips is soft and lips
smooth  32 adult teeth,
 Teeth are teeth are
slightly smooth, white
yellowish and shiny tooth
 The tongue can enamel, pink
move freely color for gums
 Presence of  Moves freely
Gag reflex and no
 No swelling tenderness
 No nodules  Smooth with no
palpable
nodules
EYES Normal
 Eyebrows’ hair  Hair Is evenly
is evenly distributed and
distributed and skin intact
skin intact  No edema and
 Lacrimal sac tearing
and  blinks when the
nasolacrimal cornea is
duct are no touched
edema and no  both eye
47
evidence of coordinated,
tearing move in union,
 Client blinks with parallel
when the alignment
cornea is  20/20 vision on
touched Snellen chart
 Eyes is move
in union and
parallel
alignment and
both eyes are
coordinated
 Client’s able to
read 20/20 in
Snellen Chart
NECK Normal
 neck muscle is  muscles equal in
equal in size size and head
and centered centered
head  coordinated,
 head smooth
movement is movement with
coordinated, no discomfort
smooth  not palpable
movement  is central
with no placement in
discomfort midline and
 not palpable spaces are equal
for on both sides
enlargement of
lymph nodes
 trachea is
central
placement in
midline of
neck and equal
space for both
side
48
Body Parts/ System Actual Findings Normal Findings
& Method of Interpretation
Assessment Used
49
BREASTS
N/A N/A N/A N/A
RESPIRATORY
 Client chest  chest
is symmetric symmetric Normal
 Client spine  spine
is vertically vertically
aligned aligned
 Client  quiet,
breathing rhythmic and
pattern is effortless
quiet, respirations
rhythmic and
effortless
respirations
CARDIAC
Normal
 Client pulse  pulse is
is symmetric symmetric
volume volume
 Skin colour is  Skin colour is
pink, not pink, not
excessively excessively
warm or cold warm or cold
for for
temperature, temperature,
and no edema and no edema
 Immediate  Immediate
return of return of
colour for colour for
capillary test capillary test
ABDOMEN
Normal
 Abdomen  unblemished
skin integrity skin, uniform
is colour
unblemished
 abdomen is
skin, uniform
flat, rounded
colour
 Tympany over
 Client
the stomach
50
abdomen is and gas- filled
rounded bowels;
dullness,
 Tympany
especially
over the
over the liver
stomach and
and spleen
gas- filled
bowels;  6 to 12 cm in
dullness, the
especially midclavicular
over the liver line; 4 to 8 cm
and spleen at the
midsternal
line
Body Parts/ Actual Findings Normal Findings Interpretation

System & Method
of Assessment
Used
GIT
N/A N/A N/A N/A

System & Method
of Assessment
Used
URINARY
N/A N/A N/A N/A
GENITALS
N/A N/A
N/A N/A
Body Parts/ Method Actual Findings Normal Findings Interpretation

of Assessment Used
MUSCULOSKELET
51
AL  Muscle is  equal size on Normal
equal size on both side of
both side of the body
the body
 No
 Muscle have contractures
no
 equal
contracture
strength on
 Client have each body
equal side
strength on
 No swelling
each body
side
 No swelling
for joint
NEUROLOGIC
1. MENTAL STATUS Normal
a. Orientation
 Client was  able to
able to answer the
answer the city and state
city and state of residence
of residence correctly
correct
b. Memory  Client repeats  repeats the

* Immediate recall the digits in digits in
correct correct
sequence sequence
 Client slowly  slowly
repeats the repeats the
given digits given digits
in reverse in reverse
 Client told us  can recall
that she how got to
walked when school
she goes to
school.
 Client said
52
that she used  Can
* Recent memory to have remember the
inflammation three facts
of the toncil
and stomach
pain when
she was 12
years old.
 Client clearly
stated that
 clearly stated
they just
what
spend their
happened
vacation like
* Remote memory during
normal days.
vacation
 Client is alert Normal

 alert and
2. LEVEL OF and
completely
CONSCIOUSNESS completely
oriented for
oriented for
the total of 15
the total of 13
points
points
Body Parts/ Method Actual Findings Normal Findings Interpretation
of Assessment Used
3. 12 CRANIAL
NERVES
*Olfactory  identify Normal
 Client was
different
able to
aroma
identify
different
aroma
 Able to read Normal
*Optic  Client was the 20/20
able to read chart
the 20/20
chart
Normal
 Both eyes  Both eyes
*Oculomotor
53
coordinated, coordinated,
move in move in
unison with unison with
parallel parallel
alignment alignment
Normal
*Trochlear
 Can move
 Client can her eyes
move her associated
eyes 8 with with the 6
the 6 ocular ocular
movements. movements.
 Client eyelids Normal
*Trigeminal blink
 eyelids blink
bilaterally
bilaterally
*Facial Normal
 Client facial
movements
 facial
are
movements
symmetrical
are
 Client can symmetrical
frown, smile,
raise her
eyebrows,
and puff her
cheeks.
 Pupils Normal
*Abducens
equally round  Pupils
and reacts to equally round
light and reacts to
accommodati light
on accommodati
on
*Glossopharyngeal
 Client was Normal
able to  able to
identify the identify taste
54
taste of and gag
coffee and reflex is
gag reflex is present
present
 Client was
Normal
able to hear
*Auditory  able to hear
 Air- the sound for
conducted both ears
hearing is Normal
 Air-
greater than
conducted
bone-
hearing is
conduction
greater than
bone-
conduction
*Vagus  Uvula is
centered  Uvula is Normal
centered
Normal
*Accessories  Equal  Equal
strength strength
Normal
*Hypoglossal  Client can  Symmetrical
move tongue tongue with
side to side smooth
and up and outward
down. movement
and bilateral
strength
Body Parts/ Method Actual Findings Normal Findings Interpretatio
of Assessment Used n
4. REFLEXES
* Biceps
 + 2 normal  Respond to Normal
the
percussion
hammer
* Triceps  +2 normal  Elbow Normal
55
extends
respond to
the
percussion
hammer
 +2 normal  Elbow flexes Normal
* Brachioradialis respond to
the
percussion
hammer
 Extension of Normal
 +2 normal knee respond
* Patellar
to the
percussion
hammer
 Plantar
* Achilles flexion
 +2 normal responds to
the Normal
percussion
hammer
Normal
 Flexion of all
toes
* Plantar/Babinski  +2 normal
5. MOTOR  Negative
FUNCTION Romberg,
Gross: Normal
 Client was sway slightly
* Romberg’s Test able to but able to
maintain maintain
upward upward
posture and posture and
foot stance. foot stance
 Has upright
posture and
* Walking Gait Test  Has upright steady gait Normal
posture and with
steady gait opposing arm
with swing. Able
opposing arm to walk
swing. She unaided and
was able to maintained
56
walk unaided balance.
and
 able to
maintained
maintain
balance.
stance for at
 Client was least 5
able to seconds
* Stand on One Foot Normal
maintain
with Eyes close  Able to
stance for
maintain heel
atleast 5
to toe
seconds
walking
 Client was along a Normal
able to straight line.
*Heel to toe walking maintain heel
 able to walk
to toe
several steps
walking
on toes to
along a
heal
straight line.
Normal
 Patient was
*Toe or Heel able to walk  able to
walking several steps repeatedly
on toes to and rhythmic
heal touches the
nose Normal
 Client was
Fine: able to
*Finger to nose Test repeatedly
and rhythmic  Able to
touches the rapidly touch
nose each finger to
thumb with
 Client was each hand. Normal
*Finger to thumb able to
rapidly touch  can
each finger to alternately
thumb with supinate and
each hand. pronate hand
at rapid pace
 Client can Normal
alternately
*Alternate supination supinate and  able to
and pronation pronate both discriminate
hands hand at “sharp” and
rapid pace “dull”
57
 Client can
determine
 able to feel
object Normal
the Light
6. SENSATION whether it is
ticking or
* Pain sharp or dull.
sensation
 Client was
able to feel
Normal
the Light
touch
sensation
*Light Touch
with the use  able to
of cotton. discriminate
between
 Client was
“hot” and
able to
“cold” Normal
discriminate
*Temperature sensation
between
“hot” and
“cold”
sensation
 able to sense
whether 1 or
 Client was 2 areas of the
7. TACTILE able to sense skin are
DISCRIMINATION whether 1 or being
*One to two-point 2 areas of the stimulated by Normal
discrimination skin are pressure
being
stimulated by
pressure  recognized
 Client common
recognized object
common
object on the Normal
second try  both points of
*Stereognosis stimulus are
 Client both felt
points of
stimulus are Normal
*Extinction felt
Phenomenon
58
VITAL SIGNS:
BP: 110/80
PR: 80 bpm
RR: 22 bpm
TEMP: 35.4
B. Physical Assessment of Ms. J
GORDON COLLEGE
College of Allied Health Studies
PHYSICAL ASSESSMENT
Preparation:
1. Welcome and introduced yourself with the client.

2. Orient the client to clinical set-up.
3. Explain the procedure to the client.
4. Gather all equipment’s. (Enumerate and give each usage)
Procedure:
I. Demographic Data
Name: Ms. J
Age: 14 years old
Sex: Female
Civil status: Single
59
Contact Number/s: 09058523307
Date/Time of History Taking: 9:23 am October 19, 2019
Source of History: Primary Source – Client
II. Chief Complaint:

“Sumasakit ang batok at nasusuka ako” as verbalized by the client
III. History of Present Illness:

According to Ms. J’s mother she had history of hypertension when she is 5 years
old
IV. Past History
 Childhood Illness
According to Ms. J’s mother she had Measles, Mumps, Chickenpox when she
was 10 years old.
 Immunization
According to Ms. J’s mother they can’t remember how many vaccines her
daughter had because they are not aware of the side effect of the vaccine.
 Allergy
According to Ms. J she has no record of allergies to drug, animals, food or any
environmental agents.
 Accidents/Injuries
According to Ms. J she has no record of injuries or accidents.
 Hospitalization
According to Ms. J’s mother she was hospitalized because “sumakit ang batok
at nagsusuka” as verbalized by the mother of the client. In addition, she also
mentioned that Ms. J’s father side is hypertensive.
 Medication
According to Ms. J’s mother, Ms. J have a hypertension, but she has no
maintenance and she only drink pineapple juice when its needed.
V. Family History of Illness
60
Lifestyle
 Personal habits
According to Ms. J that she loves eating and browsing the internet
 Diet
According to Ms. J she loves eating chocolates. She is not a fan of vegetable,
but she is eating “lumpiang sariwa”. Her favorite dishes are chicken and pork
adobo.
 Sleep/Rest patterns
According to Ms. J she sleeps at 8:00 in the evening and wake up 5:00 in the
morning. In short, she has nine hours of sleep daily.
 Activities of Daily Living

According to Ms. J she goes to school and when she’s at home she helps her
mother on house chores and when it’s done, she surfs the internet.
VI. Social Data

 Family Relationship
According to Ms. J, she has a good relationship on her mother and father
because they are open in terms of communication to each other.
 Ethnic Affiliation
According to Ms. J’s mother they were all from Olongapo City and she
mention that their family language is Tagalog
 Educational History
According to Ms. J she went and graduated to kindergarten and primary
education at Olongapo City Elementary School and she is currently a grade 9
students at Olongapo City National High School under Basic Education
Program.
 Occupational History
The client is just a minor and still studying therefore she is not entitled to have
a job.
 Economic Status
61
Based on the information gathered on the client’s mother their family belongs
to low class earners in terms of economic status. The clients mother
mentioned that her father is an irregular construction worker and she is just a
housewife. The income of their family is not enough for their expenses.
 Home and Neighborhood Conditions
According to Ms. J she described her community as peaceful and quiet. She
also stated that their house is prone in flood even in just a little rain because
their place is in a low-lying area and near on the Sta. Rita river.
 Spiritual
According to Ms. J, her family’s religion is Roman Catholic and she goes to
church every Sunday or Sunday with her family.
VII. Psychological Data

Based on observation, the client is very shy and not comfortable with sharing her
life story because during interview there is no eye contact occurred between the
student and the client.
VIII. Patterns of Health Care
REVIEW OF SYSTEM (HEAD TO TOE F RAMEWORK)

System &
Method of
Assessment Used
SKIN  Skin color is  Skin color The client has

brown varies from light scars on her
 Uniform skin to deep brown both left and
color except in  Generally right legs due
areas exposed uniform skin to chickenpox
to the sun color and pimple
 Immediate  Skin spring back marks on her
62
return of skin to previous state face.
in original
state
 Presence of
scars due to
chickenpox
 Presence of
pimples on her
face
NAILS  Intact  Convex

The client’s
epidermis curvature with
both
 Smooth the angle of
fingernails and
fingernails 160degree
toenails are
 Presence of  Fingernail
dirty and long.
long dirty nails texture should
both fingers be smooth
and toes  Prompt return of
 Prompt return pink color
of original generally less
pink color than 4 seconds
HEAD  Round and  Normocephalic The client has

smooth and symmetric, a presence of
 No nodules or smooth skull lice and nits on
masses contour her hair.
 Long hair and  Smooth,
slightly curly uniform
 Presence of consistency,
lice and nits. absence of
nodule or
63
 Client has masses
symmetric  Symmetric
facial facial movement
movement
EARS  Auricle is  Auricle is The presence

symmetric and aligned with of excessive
color is same outer canthus of cerumen
as facial skin eye about obstructing ear
 Cerumen in 10degree from canal due to
external ear vertical unavailability
canal is wet in  Wet cerumen in of cleaning
various shades various shades equipment.
of brown of brown
 It is not tender
 (+) Weber’s
Test
 (+) Rinne’s
Test
NOSE &  Nose is  Straight and

SINUSES straight and symmetric
symmetric and  No discharge or
no flaring and flaring and
same color for uniform color
facial skin  No tenderness
 Intact nasal  Nasal septum
septum is intact and in
intact and in midline
midline  Pink mucosa
 Not palpable and no lesions
64
for tenderness
 Pink nasal
cavity
MOUTH &  Lips is uniform  Uniform pink

The client has
THROAT pink color, color, moist and
a presence of
able to purse smooth texture,
plaque and
the lips and able to purse the
tartar on her
lips is soft and lips
teeth due to
smooth  white and shiny
laziness to
 Teeth are tooth enamel,
brush her teeth
slightly pink color for
and lack of
yellowish gums
oral hygiene
 Gums were  Tongue moves
like toothbrush
slightly dark in freely
and toothpaste.
color  Tongue is in
 The tongue can central position
move freely  no tenderness
 Tongue is in  Smooth with no
the middle palpable
 Presence of nodules
Gag reflex
 Presence of
tooth decay
EYES  Eyebrows’ hair  Hair Is evenly

is evenly distributed and
distributed and skin intact
aligned
 Lacrimal sac  No edema or
and tearing
65
nasolacrimal
duct are no
edema and no
evidence of
tearing  blinks when the
 Client blinks cornea is
when the touched
cornea is
touched  both eye
 Eyes is move coordinated,
in union and move in union,
parallel with parallel
alignment and alignment
both eyes are
coordinated  20/20 vision on
 Client was able Snellen chart
to read 20/20
in Snellen
Chart
NECK  neck muscle is  muscles equal in

equal in size as size and head
the head and centered
centered head
 head  coordinated,
movement is smooth
coordinated, movement with
smooth no discomfort
movement  can move
with no against the
discomfort resistance of the
66
 not palpable hand both left
for and right.
enlargement of  not palpable
lymph nodes  is central
 trachea is placement in
central midline and
placement in spaces are equal
midline of on both sides
neck and equal
space for both
side
Body Parts/ System

& Method of Actual Findings Normal Findings Interpretation
Assessment Used
BREASTS
N/A N/A N/A
RESPIRATORY  Client chest is  chest

symmetric symmetric
 Client spine is  spine
vertically vertically
aligned and aligned
no signs no  quiet,
scoliosis rhythmic and
 Client effortless
breathing respirations
pattern is
quiet,
rhythmic and
67
effortless
respirations
CARDIAC
 Client pulse is  pulse is
symmetric symmetric
volume volume
 Skin color is  Skin color is

pink, not pink, not
excessively excessively
warm or cold warm or cold
for for
temperature, temperature,
and no edema and no edema
 Immediate  Immediate
return of return of
color for color for
capillary test capillary test
ABDOMEN
 Abdomen  unblemished
skin integrity skin, uniform
is color
unblemished
 abdomen is
skin, uniform
flat, rounded
color
 Client
abdomen is
flat
Body Parts/
68
System & Method Actual Findings Normal Findings Interpretation
of Assessment
Used
GIT
N/A N/A N/A
Body Parts/
System & Method Actual Findings Normal Findings Interpretation
of Assessment
Used
URINARY
N/A N/A N/A
GENITALS
N/A N/A N/A
Body Parts/ Method Interpret

of Assessment Used Actual Findings Normal Findings ation
MUSCULOSKELE
TAL
 Symmetric and  equal size on
equal in size both side of the
body
 There was no
contracture  No contractures
 Client can move  equal strength

against the on each body
resistance of both side
hand
 No swelling
 No swelling for
joint
NEUROLOGIC
1. MENTAL
 Client was able to  able to identify
69
STATUS identify the city, the city and
a. Orientation states and able to state and able to
recall the three recall the three
fact. fact.
 Client can repeat  repeats the

and reverse the digits in correct
digits correct sequence
b. Memory
sequence”1,6,7,8,
9”
 can recall how
 Client told us that
got to school
sometimes she
walked to school.
* Recent memory  Client able to

remember the last  Can remember
 Three facts to
birthday, window the three facts
recall
shopping and
* Remote memory
favorite teacher
 Client clearly
 clearly stated
2. LEVEL OF stated what
what happened
CONSCIOUSNESS happened during
during vacation
-using GCS vacation
 alert and
 Glasgow  Client got a score
completely
coma scale of 4 for eye
oriented for the
test opening, 4 for
total of 15
verbal response,
points
and 5 for motor
response, the total
of 13 over 15.
Body Parts/ Interpre
70
Method of Actual Findings Normal Findings tation
Assessment Used
3. 12 CRANIAL
NERVES
*Olfactory
 Ask the  identify
 Client was able to
client to different aroma
identify different
identify
aroma (coffee,
different
vinegar and
aroma
cologne)
*Optic
 Ask the  Client got a score
patient to of 19/20  Able to read the

read the 20/20 chart
Snellen chart
 Both eyes
*Oculomotor
coordinated,  Both eyes
 Assess Pt. 6
 move in unison coordinated,
ocular
with parallel move in unison
movement
alignment with parallel
and pupil
alignment
reaction  Client can move
her eyes  Both eyes
*Trochlear
associated with coordinated,
 Assess Pt. 6 the 6 ocular move in unison
ocular movements. with parallel
movement. alignment
 Client eyelids
*Trigeminal blink bilaterally  eyelids blink
bilateral
 Client facial
*Facial
movements are  Facial
symmetrical movements are
71
 Pupils equally symmetrical
*Abducens round and reacts
 Equally round
to light
and reacts to
accommodation
light
 Client was able to accommodation
identify taste of
*Glossopharyngeal  able to be
sugar, coffee and
identified taste
the gag reflex is
and gag reflex is
present
present
 Client was not
able to feel the
*Auditory vibration from the  able to head the
tuning fork sound for both

ears
 Air- conducted
hearing is greater  Air- conducted
than bone- hearing is
conduction greater than

bone-
 Uvula is centered
conduction
 Client’s voice is
Vagus well modulated.  Uvula is
centered
 Equal strength
and can move
*Accessories
against the  Equal strength
resistance of the
hand
 Client can move  Symmetrical
*Hypoglossal tongue side to tongue with
side and up and smooth outward
down. movement and
72
bilateral
strength
Body Parts/ Actual Findings Normal Findings Interpre
Method of tation
Assessment Used
4. REFLEXES
* Biceps  Respond to the
 Patient respond to
the percussion percussion
* Triceps hammer hammer
 Elbow extends
respond to the  Elbow extends
percussion respond to the
hammer `when it
was being hit by percussion
percussion hammer
hammer
* Brachioradialis  Elbow flexes and  Elbow flexes
respond to the respond to the
percussion
hammer percussion
hammer
* Patellar  Extension of knee  Extension of
and it respond to knee respond to
the percussion the percussion
hammer hammer
* Achilles  Plantar flexion  Plantar flexion
responds to the responds to the
percussion
hammer percussion
5. MOTOR hammer
FUNCTION  Negative
 Negative
Gross: Romberg, sway
slightly and she Romberg, sway
* Romberg’s Test was able to
slightly but able
maintain upward
posture and foot to maintain
stance
upward posture
73
* Walking Gait and foot stance
Test
maintain upward  able to be
posture and foot maintained
stance for almost stance for at
3 seconds. least 5 seconds
* Stand on One  Has upright  Has upright
Foot posture and posture and
with Eyes close steady gait with steady gait with
opposing arm opposing arm
swing. And able swing. Able to
to walk unaided walk unaided
and maintained and maintained
balance for 5 balance.
seconds.
*Heel to toe
 Client was able to  Able to be
walking
be maintained maintained heel
heel to toe to toe walking
walking along a along a straight
straight line. line.
*Toe or Heel
walking  Patient was able  able to walk
to be walked up several steps on
Fine: to 12 steps on toes to heal
*Finger to nose toes to heal
and to Nurse’s  Client was able to

 able to
finger repeat the method
repeatedly and
and point her
rhythmic
finger from the
touches the nose
nurse
*Finger to thumb  able to be
74
 Client was able to performed with
be performed coordination
with coordination and rapidity
*Alternate and rapidity
 can alternately
supination
 Client can supinate and
and pronation
alternately pronate hand at
supinate and rapid pace
pronate both
6. SENSATION
hands rapid pace
* Pain  able to be
 Client can determined
determine object “sharp” and
whether it is “dull”
*Light Touch sharp or dull.
 Client was able to  able to feel the

feel the Light Light ticking or
touch sensation sensation
with the use of
cotton.
 able to
*Temperature discriminate
discriminate
between “hot”
between “hot”
and “cold”
and “cold”
7. TACTILE sensation
sensation
DISCRIMINATIO
N
 able to sense
*One to two-point
whether 1 or 2
discrimination
determine how
areas of the skin
many pointed
are being
objects on her
stimulated by
75
palm pressure
*Stereognosis
 Client was not  recognized
able to identify common object
numbers on her
palm
*Extinction  both points of
Phenomenon  Client both points
stimulus are felt
of stimulus are
felt
VITAL SIGNS:
BP: 110/70 mmHg
PR: 72 beat per minute
RR: 18 breaths per minute
TEMP: 36.4
VIII. SUMMARY OF PRIORITISED PROBLEMS
PROBLEM SCORE
#1 Poor Environmental Condition Specifically 4.6
Presence of Breeding Sites of Vectors of Diseases
#2 Unsanitary Food Handling and 3.67
Preparation
#3 Accident Hazards Specifically Fire Hazards 3.3
#4 Poor Home Condition Specifically Poor 3
Lighting and Ventilation
#5 Inadequate Immunization Status 1
Specially of Child
IX. SUMMARY OF PRIORITIZED PROBLEMS
PROBLEM #1:
76
Poor Environmental Condition Specifically Presence of Breeding Sites of
Vectors of Diseases
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

1. Nature of the There’s a presence
3/3 X 1 1
Problem of Health threat.
The family have
2. Modifiability the capability to
of the 2/2 x 2 2 eliminate any
Problem breeding sites of
vectors of diseases.
The family has the
potential to prevent
the existence of any
3. Preventive
2/3 x 1 0.6 breeding sites of
Potential
vectors of diseases
thru regular
cleaning.
The family
recognizes this
4. Salience of the
1/2 X 1 1 problem as non-
Problem
immediate threat to
their Health.
TOTAL 4.6
PROBLEM #2:
Unsanitary Food Handling and Preparation
77
1. Nature of 3/3 x 1 1 There is a presence
the of Health Threat.
Problem
2. Modifiability 2/2 x 2 2 The problem is
of the easily modifiable if
Problem the family is given
the proper
interventions.
3. Preventive 2/3 x 1 0.67 The family has
Potential partial potential on
eliminating
problem when the
family applies the
proper
interventions given.
4. Salience of 0/2 X 1 0 The family does
the not consider the
Problem problem as a threat
to their Health.
TOTAL 3.67
PROBLEM #3:
Accident Hazards Specifically Fire Hazards

1. Nature of the 3/3 X 1 1 There’s a presence
78
2. Modifiability 1/2 x 2 1 The family does
of the not have the
Problem capability to
remove the agent
that is causing the
fall hazard.
3. Preventive 1/3 x 1 0.3 The family has
Potential slight potential to
prevent the future
accidents caused by
the fall hazards.
4. Salience of the 1/2 X 1 1 The family
Problem recognizes this
problem as non-
immediate threat to
their Health.
TOTAL 3.3
PROBLEM #4:
Poor Home Condition Specifically Poor Lighting and Ventilation

1. Nature of the 3/3 X 1 1 There’s a presence
2. Modifiability 1/2 x 2 1 The family does
79
of the not have the
Problem capability to
improve the
house’s lighting
and ventilation.
3. Preventive 0/3 x 1 0 The family has no
Potential potential in
improving their
house’s condition
due to lack of
money.
4. Salience of the 1/2 X 1 1 The family
Problem recognizes this
problem as non-
immediate threat to
their Health.
TOTAL 3
PROBLEM #5:
Inadequate Immunization Status Specially of Child

1. Nature of the There’s a presence
3/3 X 1 1
0/2 x 2 0 The family does
2. Modifiability of
not have the
80
appropriate
education in terms
of the health
the Problem
programs produced
by the Department
of Health.
The family cannot
prevent the risks of
3. Preventive
0/3 x 1 0 diseases that can be
Potential
avoided thru
vaccinations.
The family does
4. Salience of the not recognize this
0/2 X 1 0
Problem problem as a threat
to their Health.
TOTAL 1
X. FAMILY NURSING CARE PLAN
81
82
83
84
85
86
87
XI. APPENDIX
88
SURVEY TOOL
Head of the family/ informant: _______________________________
Number of Family members: _________
Address: _________________________________________________
Family structure: ___________________________
ASSESSMENT OF THE FAMILY AND ENVIRONMENT CONDITIONS

Name of the Position Gender Age Date Educational Civil Occupation
members of the in the of Attainment Status
family house- birth Type of Place Income Religion
hold work
I. HOUSEHOLD PROFILE
1.1 Type of Family Structure
___ Nuclear ___ Extended
1.2 Observable conflicts between family members
___ Physical Abuse ___ Child Abuse ___ Economic Abuse
___ Verbal Abuse ___ Neglect ___ None
Others, Specify: __________
II. FAMILY EXPENDITURES

2.1 Range of income
___ 1,000 – 3,000 ___ 10,000 – 13,000 ___ 20,000 – 23,000
___ 3,000 – 5,000 ___ 13,000 – 15,000 ___ 23,000 – 25,000
___ 5,000 – 8,000 ___ 15,000 – 18,000 Others specify: ____
___ 8,000 – 10,000 ___ 18,000 – 20,000
2.2 How often do you receive your income?
89
___ Per day ___ Monthly ___ Others specify
HOME AND ENVIRONMENT

1. House Ownership
___ Owned ___ Rent Others Specify: _________
2. Length of stay in residence (in years): _______
3. Housing Condition
___ Concrete ___ Wood ___ others specify
___ Semi-concrete ___ makeshift/salvage
4. Housing Structure
_____Single-attached ____ Single-detached ____Up and Down ___ others specify
5. Is the living space adequate?

____ Yes ____ No
6. Appliances owned:
___ Television ___ DVD Player Television ___ Radio
___ Electric fan ___ Computer ___ Aircon
___ LPG ___ Refrigerator ___ Washing machine
___ Cellphone __ Others, specify
7. Lightning Facilities
___ Electricity ___ Petromax
___ Kerosene ___ Others, specify
8. Means of Cooking
___ Electric ___ Charcoal ___ LPG
___ Wood ___ Gas ___ Others, specify
9. Food Storage:
____Refrigerator ___Cabinet ____Covered ____Uncovered
Others,specify:___________
10. Type Of Water Supply:

___OCWD ___Sibul/spring ___Deepwell Others,specify:___________
11. Source Of Drinking Water:

___OCWD ___Sibul/spring ___Deepwell ___Commercial Others,
specify:___________
12. Drinking Water Storage:

___Direct faucet/pipes ___Covered large container ____ Uncovered large
container Others,specify:___________
13. Methods Commonly Used to Sterilize Water:
90
_____ Boiling ____Sedimentation Others, specify:___________
14. Toilet Facility:

____Sealed ____Shared ____No toilet Others, specify:___________
15. Garbage Disposal:

___Burning ____Burrying _____Open dumping _____City collection
Others,specify:___________
16. Frequency of Garbage Collection/Scheduled: _______________________

17. Container for Garbage:
___Garbage bag ____Sack ____None Others, specify:___________
18. Drainage System:

____Open ___Closed Others, specify:___________
19. Common Pests and Breeding Sites

Kind of Pests Breeding Sites
___Rats ___Side of Their House
___Cockroaches ___Inside of the House
___Insects ___Inside and Out of
Others, please specify:___________ Others, please specify:___________
Usual Pest Control:
_____Clean-out method _____Poisoning ____Insect repellant Others,
specify:___________
20. Household Pets

Kind of Pet Where Kept Number of Pet Vaccination
With Without
21. Neighborhood:
___Quiet ____Noisy ____Considerate to others Others,specify:___________
22. Are there Presence of Accidents and Hazards?

___Yes _____No
23. What Particluar Hazards?

___Fire ___Landslide Others, specify:___________
___Typhoon ___Flood
___Earthquake ___Falling debris
91
HEALTH STATUS OF EACH FAMILY MEMBER
1. History of Illness among Family Members
Name Illness Date Duration Frequency Treatment/Health
Control Maintenance
2. Health Beliefs and Practices:

________________________________________________________________________
_______________________
________________________________________________________________________
________________________________________________________________________
______________________________________________
3. Preference for Consultation in Health Problem: ☐ Doctor ☐Nurse
☐ Albularyo
Others, pls. specify:
________________________________________________________________________
__________
4. Alternative Medicine in case of Lack of Budget:
________________________________________________________________________
_______________________
________________________________________________________________________
_______________________
5. Family Medical History: ☐Hypertension ☐ Diabetes Mellitus
☐ Cancer
________________________________________________________________________
__________
6. 3-day Meal Recall

Day 1:
Breakfast AM Snacks Lunch PM Snacks Dinner
Day 2:
92
Day 3:
7. Infant feeding (if applicable):

☐ Exclusive Breastfeeding ☐ Mixed Feeding
☐ Formula Feeding
________________________________________________________________________
__________
8. Are you aware of any organizations in the community? ☐ Yes ☐ No
If Yes, what are these organizations
93
CURRICULUM VITAE
NAME: Ancho, Jhonna Rose, Dicipulo
ADDRESS: #7 16th St., West Tapinac, Olongapo City
CELLPHONE NO: +639070601946
EMAIL ADDRESS: [email protected]
BIRTHDATE: November 2, 1999
BIRTHPLACE: San Antonio, Zambales
AGE: 20
GENDER: Female
HOMETOWN: San Felipe, Zambales
CITIZENSHIP: Filipino
STATUS: Single
E D U C A T I O N A L A T T A I N M EN T
Elementary: Bobulon Elementary School
Junior High School: Zambales Central Institute
Senior High School: Ramon Magsaysay Technological University
College: Gordon College
94
CURRICULUM VITAE
NAME: Bautista, Emmanuel, Salviejo
ADDRESS: #2064 Purok 12, Old Cabalan, Olongapo City
BIRTHDATE: November 9, 1998
BIRTHPLACE: Olongapo City
AGE: 20
GENDER: Male
HOMETOWN: Ilocos Norte
STATUS: Single
Elementary: Olongapo City Elementary School
Junior High School: Old Cabalan Intergrated School
Senior High School: Gordon College
95
CURRICULUM VITAE
NAME: Bermil, Aura Ylleana, Domingo
ADDRESS: Blk 9 Lot 14 Mabuhay ave., Brgy. Del Pillar,

Castillejos, Zambales
BIRTHDATE: October 9, 1999
BIRTHPLACE: San Felipe, Zambales
AGE: 20
GENDER: Female
HOMETOWN: San Felipe, Zambales
STATUS: Single
Elementary: San Felipe Elementary School West
Junior High School: Zambales Central Institute
Senior High School: Zambales Central Institute
96
CURRICULUM VITAE
NAME: Bernales, Jan Lianne Edrosolo
ADDRESS: #11th Coral Road St., Halfmoon Kalaklan

Olongapo City
BIRTHDATE: June 12, 2000
AGE: 19
GENDER: Female
HOMETOWN: Lubao, Pampanga
STATUS: Single
Elementary: Heaven Sent Learning and Tutorial Center
Junior High School: St. Joseph College-Olongapo, Inc.
Senior High School: St. Joseph College-Olongapo, Inc.
97
CURRICULUM VITAE
NAME: Cando, Kurt Lance, Boucher
ADDRESS: #24C Bacon St., East Tapinac, Olongapo City
BIRTHDATE: April 27, 1999
AGE: 20
GENDER: Male
HOMETOWN: Olongapo City, Zambales
STATUS: Single
Elementary: Olongapo Wesley School
Junior High School: Olongapo Wesley School
Senior High School: Columban College
98
CURRICULUM VITAE
NAME: Dataylo, Arlelie Fae, Soriano
ADDRESS: #63 Acacia St., Gordon Heights, Olongapo City
BIRTHDATE: September 12, 1999
AGE: 20
GENDER: Female
STATUS: Single
Elementary: Olongapo City Elementary School
Junior High School: Olongapo City National High School
99
CURRICULUM VITAE
NAME: Espejo, Vivien Rose, Floresca
ADDRESS: Brgy. San Rafael, San Narciso, Zambales
BIRTHDATE: July 16, 2000
BIRTHPLACE: Iba, Zambales
AGE: 19
GENDER: Female
HOMETOWN: San Narciso, Zambales
STATUS: Single
Elementary: Good Shepherd Ecumenical Learning Center
Junior High School: Magsaysay Memorial College of Zambales, Inc.
Senior High School: Magsaysay Memorial College of Zambales, Inc.
CURRICULUM VITAE
100
NAME: Flor, Venice Gail Audrey, Tanhueco
ADDRESS: #5 25th St., West Bajac Bajac, Olongapo City
BIRTHPLACE: Pampanga
AGE: 19
GENDER: Female
HOMETOWN: Olongapo City
STATUS: Single
Elementary: Asinan Elementary School
Junior High School: Olongapo City National High School
CURRICULUM VITAE
101
NAME: Quimson, Cedriel, Sambat
ADDRESS: #58 Salvador St, New San Jose, Dinalupihan Bataan
BIRTHPLACE: Dinalupihan Bataan
AGE: 19
GENDER: Male
HOMETOWN: Bataan
STATUS: Single
Elementary: New San Jose Elementary School
Junior High School: Saint John Academy
Senior High School: Saint John Academy Annex
CURRICULUM VITAE
NAME: Rellamas, Shaina Majelle, Lagarde
102
ADDRESS: #42 5th St., West Tapinac, Olongapo City
BIRTHDATE: October 21, 1998
AGE: 21
GENDER: Female
STATUS: Single
Elementary: St. Joseph International College, Papua New Guinea
Junior High School: Neepawa Area Collegiate Institute
Senior High School: Neepawa Area Collegiate Institute
CURRICULUM VITAE
NAME: Sabaulan, Crestine, Devera
ADDRESS: BLK 14 Upper Gordon Heights, Olongapo City
103
BIRTHDATE: December 8, 1996
BIRTHPLACE: San Ramon Claveria Masbate
AGE: 22
GENDER: Female
STATUS: Single
Elementary: Alternative Learning System
Junior High School: Gordon Heights National High School
XII. DOCUMENTATION
The Family A has 3 members and the space inside their house was filled with a lot of
stuffs and the dining area and living room shares the same space. They have 1 bedroom
104
where the three of them shares when they sleep. They don’t have a door for their
bedroom they just used a curtain.
The first thing that you will notice upon entering their house is the living room
which has sofa made from old woods and under it is where they keep their shoes and
other stuffs, on the left side of the living room is where the dining area located. Their
dining area has a small table made from old woods on top of it is where they put their
plates and other dining utensils that were kept on a storage, also above it there is a small
basin that has other dining utensils inside of it and other stuffs also are on top of it like
spray cologne, comb, ponytails, Tupperware’s and notebooks. Their sink is beside the
small table which is made from cement and the sink counter is covered with linoleum on
the right side is where we can see their drinking jug, condiments for cooking, a pitcher, a
thermos, a kettle, water bottles and other things like insecticide, cheese spread etc. While
on the right side, there are Tupperware that has a sponge and detergent powder inside and
a toothbrush and steel wool beside it, their single stove burner is also on the same side
with some condiments beside it. Below the sink and sink counter (from the left side to
right side) is where we can see their LPG, a plastic bag filled with empty plastic bottles, a
big black pail where they put their trash and also a small paint pail that also has some
trash inside, a DIY small cabinet without cover where they put their cooking pots
(kaserola), pans and knife, and a dustpan. The right side below the sink counter serves as
storage area where we can see a lot of stuffs like a pail filled with different things such as
a propeller, empty bottle, sandals and small wooden chair (bangkito), a ball, some woods,
plastic container etc. The floor below the sink and sink counter is surrounded by a lot of
trash. The space for bedroom which is located on the right part of the living is very small
and inside of it is their bathroom where we can see their toilet bowl without flush and
cover, a pail for bathing, 2 small basins with soaked clothes and a window.
Ms. L’s Physical Assessment
105
106
Family A’s House on the Outside
Family A’s Kitchen
107
The Ceilings
108
Family A’s Living Room
109
Family A’s Bathroom
110
Family A’s Bedroom
111
XIII. BIBLIOGRAPHY
112
Books
Berman, Audrey et. al. Vital Sign: Fundamentals of Nursing. 1(8), 552. New Jersey: Pearson
Prentice Hall, 2012.
Berman, A et. al. Health Assessment: Fundamentals of Nursing. 1(8), 627. New Jersey:
Pearson Prentice Hall, 2012.
Alpert, Joseph S. and Ewy, Gordon A. Hypertension: Manual of Cardiovascular Diagnosis
and Therapy. 1(5), 170. United States: Lippincott Williams & Wilkins, 2002.
Mckeen, Laurence. Introduction to the Physical, Mechanical and Thermal Properties of
Plastics and Elastomers: The Effect of Sterilization on Plastics and Elastromers. (3), 57. USA:
Elsevier, 2012.
Castillo, Alicia and Otoma, Suehiro. Status of Solid Waste Management in the Philippines.
677. Japan: University of Kitakyusha. 2013.
Turner, Joan and Chavigny , Katherine. Community Health Nursing. 98.
WHO (World Health Organization) Contributors. Family Planning: A Global Handbook for
Providers. (3) 68. 2018.
Caudal, Maria Lourdes C. Assessment of Nutritional Status: Basic Nutrition and Diet
Therapy. (2), 167. Philippines: C & E Publishing, Inc. 2019.
WHO (World Health Organization) Contributors. Immunization in Practice: Managing an
Immunization Session. 201. 2015.
Soto, Naomi et. al. Coping with Stress A Special Addition to Staying Healthy: An
English Learner’s Guide to Health Care and Healthy Living. 5-7. 2010.
Ramsey, Dave. Dave Ramsey's Complete Guide to Money: The Handbook of
Financial Peace University. 25. 2011.
Greenberg, S.A. et. al. Functional Assessment of Older Adults. In T. Fulmer, & B.
Chern of (Eds.). Handbook of Geriatric Assessment, (5). 231-239. 2018.
Newspaper/Article
Avila, Bobit S. “No one is Enforcing the Anti-Noise Law” The Philippine Star, 18 June,
2017, Retrieved from https://www.google.com/amp/s/www.philstar.com/the freeman/opinion/
2017/06/18/1711322/no-one-is-enforcing-anti-noise-law/amp/.
113
Romero, Alexis. “New law institutionalized Pantawid Pamilyang Pilipino Program” The
Philippine Star, 22 May 2019, Retrieved from https://www.google.com/amp/s/www
.philstar.com/headlines/2019/05/22/1920079/new-law-institutionalizes-pantawid-pamilyang-
pilipino-program/amp/.
Tan, Michael L. “How Many Pets?” Philippine Inquirer, 22 April, 2015, Retrieved from
https://opinion.inquirer.net/84331/how-many-pets.
Colbourn, Rob W. “The Importance of Proper Food Storage” Ezine Articles, 24
March, 2010, Retrieved from https://ezinearticles.com/?The-Impotance-of-Proper
-Food Storage&id=3985439
Journal/Research
Maqbool. N et. al. The Impacts of Affordable Housing on Health: A Research Summary.
Insights From Housing Policy Research. Washington: Enterprise, 2011.
Mills, Susanna DH et. al. Home cooking practices, experiences and perceptions: a qualitative
study using photo-elicitation interviewing. USA: Tha Lancet (Elsevier), 2016.
Sperber, William H. Food Safety in the Home: A Review and Case Study. USA: Wiley Onlie
Library, 2011.
Website:
Kosir, Mary Ann. Breast Masses (Breast Lump). Retrieved from https://www.msdmanuals.
com/professional/gynecology-and-obstetrics/breast-disorders/breast-masses-breast-lumps.
2019, July.
NIH (National Institutes of Health) Contributors. Hypertension. Retrieved from https://ghr.
nlm.nih.gov/condition/hypertension. 2019, October.
Habacon,K.L. Olongapo Philippines Subic Water. Retrieved from http://www.subicwater.
com.ph/company/. 2018.
CDC (Center for Disease, Control and Prevention) Contributors. Safe Water System.
Retrieved from https://www.cdc.gov/safewater/storage.html. 2012.
Aquino, Albert P. et. al. Ecological Solid Waste Management Act: Environmental Protection
through Proper Solid Waste Practices. Retrieved from http://ap.fftc.agnet.org/ap_db.php?
id=153&print=1. 2013.
PSA (Philippine Statistics Authority) Contributors. Most Filipino Families have Access to
Improved Source of Drinking Water (Results from the 2017 Annual Poverty Indicators Survey
(APIS) and Water Quality Testing Module) Retrieved from https://psa.gov.ph/
114
content/most-filipino-families-have-access-improved-source-drinking-water-results-2017-
annual. 2019.
Dela Cruz, Y. Salamat Dok Health Hazards: Home Safe Home? Retrieved from https://news.
abscbn.com/current-affairs-programs/12/04/10/salamat-dok-health-hazards-home-safe-home.
December 12, 2010.
WHO (World Health Organization) Contributors. Housing and Health. Retrieved from https://
www.who.int/hia/housing/en
Subic Water Contributors. Subic Water background. Retrieved from http://www.subicwater.
com.ph/company/
OEDC (Olongapo Electricity Distribution Company). OEDC Company Profile. Retrieved
from http://www.oedc.com.ph/about/#_company-profile
Bolton, Naomi. The Advantages of an Open Drainage System. Retrieved from https://
careertrend.com/list-7636450-advantages-open-drainage-system.html
DOH (Department of Health) Contributors. 3 Common Pests. Retrieved from https://www1.
health.gov.au/internet/publications/publishing.nsf/Content/ohp-enhealth-manual-atsi-cnt-
l~ohp-enhealth-manual-atsi-cnt-l-ch5~ohp-enhealth-manual-atsi-cnt--ch5.3
Luna, Bea. 3 Common Household Pests and What You Can Do About Them. Retrieved from
https://www.gawin.ph/blog/3-common-household-pests-and-what-you-can-do-about-
them/
Retrieved from:
https://www.ncbi.nlm.nih.gov/pubmed/?term=FitzGerald%20GJ%5BAuthor
%5D&cauthor=true&cauthor_uid=20586021
Retrieved from:
https://www.adb.org/sites/default/files/publication/408351/adbi-wp817.pdf
Retrieved from:
https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-
health/interventions-resources/quality-of-housing)
Retrieved from:
115
https://www.hunker.com/12518912/the-advantages-of-living-in-the-countryside
Retrieved from: https://www.mnn.com/your-home/at-home/stories/truth-about-candles)
Retrieved By:
http://www.cleaningexpert.co.uk/The-Dangers-of-an-Unclean-Kitchen.html).
Retrieved from
https://www.onemedical.com/blog/live-well/tap-water
Retrieved from
https://sswm.info/sswm-solutions-bop-markets/affordable-wash-services-and-
products/affordable-water-supply/safe-storage)
Retrieved from
https://www.niehs.nih.gov/research/programs/health_impacts/waterborne_disease
s/index.cfm
Retrieved from
https://well.blogs.nytimes.com/2015/06/08/ask-well-what-diseases-can-i-get-
from-a-toilet-seat/
Retrieved from
https://www.onestopdisposal.com/news/the-benefits-of-recycling-and-proper-
garbage-disposal/
Retrieved from
https://arrowaste.com/works-importance-garbage-removal/)
https://www.who.int/water_sanitation_health/hygiene/settings/hvchap5.pdf?ua=1)
Retrieved from
https://topbest.ph/blogs/common-pests-summer/amp/)
Retrieved from
116
https://www.realliving.com.ph/cleaning-organizing/home-care/7-natural-ways-to-
repel-pests-in-your-home)
Retrieved from
https://www.news.mb.com.ph/2018/05/05/house-panel-takes-steps-in-stopping-
noisy-neighbors/)
(https://www.google.com/amp/s/amp.rappler.com/brandrap/health-and-
self/202729-dust-germs-bacteria-health-hazards-house)
(https://www.ivolunteer.com.ph/organizations/158)
Retrieved from
https://kidshealth.org/en/teens/hypertension.html)
Retrieved from
https://www.kidney.org/atoz/content/hbpfamily)
Retrieved from
https://ghr.nlm.nih.gov/condition/hypertension)
https://www.hel.fi/sote/perheentuki-en/1-6-year-olds/crisis-in-the-family/death-
of-a-family+member/
Retrieved from
https://www.questia.com/library/science-and-technology/health-and-
medicine/food-and-nutrition/nutrition
117

CHN Promise Final Na

Uploaded by

Copyright:

Available Formats

CHN Promise Final Na

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

CHN Promise Final Na

Uploaded by

Copyright:

Available Formats

I.

The significance of this study is to determine the living condition of a certain

1. To assess the family’s living/health condition

4. To plot a nursing care plan and give appropriate nursing interventions

A. General Family Structure

Name of Position Sex Age Date of Educational Civil Occupation Religion

The family A is a cohabitation family, they are composed of three members;

Cohabitation families are composed of heterosexual couples, and perhaps

C. General Family Relationships

III. SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS

Family A’s only source of income is Mr. J, an irregular construction worker.

The Philippine Bureau of Labor and Employment mandates that the

B. Monthly Expenditures/Estimated Expenses

IV. HOME AND ENVIRONMENT

Type of Ownership Rent

Address #164 Avocado St. Purok 1, Barangay Sta. Rita

Classification / Type: Makeshift

Materials used:  Old ply woods

Poor-quality housing is associated with various negative health outcomes, including

Lighting Facility Electricity

According to Jo Johnson, 2016, the kitchen is a central room in anyone's house,

According to water.org, “Filipinos consider water and sanitation access a matter of

I. Source of Drinking Water

J. Drinking Water Storage

small reused plastic bottles.

safe water system).

K. Methods Use to Sterilize

The family A are not using any methods of sterilization.

sumasakit yung mga tyan namin.” As verbalized by the mother.

chances of multiplying microorganisms such as fecal bacteria, Antibiotic resistant

the spread of microorganisms. Furthermore, sanitation refers to the provision of facilities

from toilet seat.

disposal of their garbage.

exposure to biohazards and reduce infestations of pests. In addition, garbage disposal

separate its waste away from their house.

The family A is aware about the purpose of Garbage collection which is to

The Family A’s drainage system is open.

P. Common Pests and Breeding Sites

Family A has a peaceful and quiet neighborhood.

According to Ms. L, her family is not involved in any community organizations.

“Hindi naman kami masyadong interesado sa mga pagsali-Sali ng ganyan. Basta

Family A is not a member of any community organizations in the Barangay Sta.

V. FAMILY HEALTH STATUS

B. Family Medical History

Hypertension tends to run in families. Individuals whose parents

C. Deceased Member of the Family

D. Health Beliefs and Practices

D1. Common Illness Encountered for the Last 6 Months

D2. Whom Do You Consult for Health Problem

BREAKFAST LUNCH DINNER

Scrambled Cal: 150 Cal: 170 Beef Noodles Cal: 200

Cal: 310 Bangus/milkfish(85g) Cal: 190

Cal: 155 Bangus/milkfish(85g) Cal: 190

BREAKFAST LUNCH DINNER

Scrambled Cal: 150 Sardines Cal: 20 Beef Noodles Cal: 200

Scrambled Cal: 150 Sardines Cal: 20 Beef Noodles Cal: 200

2 Eggs Cal: 310 Tilapia(113g) Cal: 129

Scrambled Cal: 150 Sardines Cal: 20 Beef Noodles Cal: 200

BREAKFAST LUNCH DINNER