I.

Introduction

The family is smallest unit of the society and the natural

fundamental core of the community and consequently, it is

considered as the primordial recipient of the nursing

effort, which is contributory to the development, and

progress of the community through active involvement and

self – responsibilities of each constituent. It is composed

of Father, Mother and children and it is being molded to be

as one, working hand in hand to maintain a good atmosphere

among the family members. On the other hand, a nucleus

controls the functions of the entire cell and can be

thought as the “command center” of the cell. The nucleus as

well has different components which are all needed in order

for it and the cell to function well. The impression or

status of each family will always affect the status of the

community as a whole.

Community health nursing is a response to the health needs

of the people. It does not focus on a particular class or

family. It is comprehensive and general in approach.

Community health service is not episodic as it requires

continuous observation and monitoring of the community as a

whole. Promotion and preservation of the health of its

different clients (individual, family, group or community)

is the primary goal of community health nursing.

Chapter II
 Initial Data Base

A. Family Structure, characteristics, and Dynamics:

• Family Structure, Members of the household

Cold Family is composed of Seven (7) members within the

family- 5 children (Ate 1 Cold, Kuya Cold,Ate 2 Cold, Ate 3

Cold and Baby Cold) ,2 adults, and the parents, (Mrs. Cold

and Mr. Cold). Cold Family is a kind of traditional and a

nuclear family since it comprises a father, mother and their

children in which both parents reside in one home with their

children. The mother often assuming the nurturing role and

the father foresee the necessary economic resources.

• DEMOGRAPHIC PROFILE OF THE FAMILY

NAME AGE SEX CIVIL EDUCATIO OCCUPATION INCOME RELIGION

STATUS NAL LEVEL MONTHLY

Mr. Cold 42 M Married . “Mekaniko” Maximum of Roman Catholic

3000.00
Mrs. Cold 29 F Married . House Wife Roman Catholic

Ate Cold 1 17 F Single 3rd year High Student Dependent Roman Catholic

School
Kuya Cold M Single Student Dependent Roman Catholic

Ate Cold 2 F Single Student Dependent Roman Catholic

Ate Cold 3 F Single Student Dependent Roman Catholic

Baby Cold 4 M Child Going to Child Dependent Roman Catholic

Nursery

Name of the Family: Cold Family Type of Family: Nuclear

Interviewer: Cabading, Dianne Ruth & Costorio Gethro

Date: May 4- 15, 2009

Brgy./Prk.: Prk. Smile Village, Brgy. Salvacion, Murcia,

Negros Occidental

Interviewee: Mrs. Cold Total # of Family: 7

 • Residence of Cold Family

The Cold’s residence is located at GK Smile Village, Brgy.

Salvacion. It is a 10 minute ride (tricycle or jeepney) to

their house, 3 km. from CPAC.

• Dominant members in terms of Decision making

The family lives harmoniously. In terms of decision-making in matters of family

problems especially the health care of the family, the couple work hand in hand to

support each other and make immediate action when problems occur.

• Family dynamics

Each member of the family has their own way of

communicating with each other. Their children uses some

dialects to be understand such as “tagalong and Hiligaynon”

communicate through their known little vocabulary and

express their love by giving respecting their parents and

following instructions given by their parents. Mr. and Mrs.

Cold also expresses their love to their children through

giving what they need and by giving time for family bonding

every Sunday. They communicate with their children by words

supported with accented actions for children to easily

understand what they’re trying to say.

 Due to the busy work schedule of Mr. Cold, the

researchers have observed that Mrs. Cold gave her best to

support the physical, emotional and mental status of their

children. Though Mr. Cold seldom support this aspects, he

gave also his best to support the financial status by

leaving 8 a.m and be back at 6 p.m.

B. Socio-economic and Cultural characteristics

• Income and Expenses

a. Occupation, place of work and income of each working

member

Mr. Cold work as a “Mekaniko” in Murcia. With

unidentified salary “Abot-abot lang ang kwarta kon

swertehon lab.ot mga 500 kag kon malison kis-a wala gid”

Sometimes his “Amo” is texting him if someone wants to

repair some things.” Pero kon sugponon tanan may 100 guro

ang adlaw nakon” Mrs. Cold is a housewife, has a hard

time in doing the household chores and maintains the

cleanliness of their house because of the 6 months baby

inside her womb.

b. Adequacy to meet basic necessities

Mr. Cold income is enough to met the family’s daily

necessities, Mrs. Cold stated “igo lang man samon ang makita

ni banahon nga karta kay makakaon man kami tatlo ka beses sa

isa ka adlaw, kis-a 100.00 ang adlaw.”She also stated

“masusteneran pa man kami ni bahahon ah.”

Mommy Obama stated that in times of money problems they

rely to Mr. Cold mother for financial aid. Mr. Cold Mother

helps in sustaining the welfare of the family since they

live nearby. If supplies like rice, salt; oil, etc. are

insufficient Mrs. Cold ask Kuya Cold to borrow from Mr.

Cold’s Mom.

c. Breakdown of expenses

Mr. Cold usually decides on how to spend the money. Mrs. Cold

said that “ginabinlan lang kami ni banahon kwarta di sa balay

gastos bakal sud-an kay kada puli nya na di sa balay may dala

na na sya nga bugas tag tatlo ka kilo.” Mrs. Cold verbalized

the approximate expenses that they spend for a week. More or

less 800.00 per week, Mr.Cold uses the at least 300.00 per

week to buy viand for their meals, which they consume for a

week. The 300 pesos uses by her husband to buy rice and

sometimes for their viand on the next day.200 pesos used for

Mr. Cold during lunch time including 20 pesos for his

smoking.

• Educational attainment of each member

Mr. Cold was able to study a Mechanics at West Negros College

until 1st year and stopped. Mrs. Cold stopped her schooling at
3rd year High School, Ate 1 Cold planning to continue her 3rd

year high school. Kuya Cold also is planning to continue his

study in 1st year high school, Ate 2 Cold is now in Grade 4,

Ate 3 Cold is now in grade 1 and baby Cold is studying in the

house.

• Ethnic Background and religious affiliations

Cold’s Family is Roman Catholics, DSHGHJKL.

Cold’s Family reigns only in the Land of Murcia.

• Significant others:

Mr. Cold’s Parents are just 50 meters away from their home.

In case of needs such as food and money they would usually go

to Mr. Cold’s parents .Mrs. Cold stated that “kung wala na gd

kami kwarta makadto na land gid kami sa lolo nila, mangayo

na lang kami sud-an kag kan-on, kung kis-a sila na lang ga

hatag gd, maski wala kami ga pangayo.” But they are not

dependent to Mr.Cold’s parents especially when there is

financial instability, only when they needed.

• Relationship of the family to larger community:

Cold family participates in the community such as meetings,

school programs and some occasions that they were invited.

Mr. Cold seldom participates due to works.“Si banahon kis-a

indi na na ka intra kay gab-I na gapuli.” stated by Mrs.

Cold. With relation to the kids she stated, “baw mga bata ko

grabe gd ni mag hampang upod sa mga iban nga mga bata”

The family has a healthy relationship with the community,

“Wala man kami problema sa mga tupad balay namon kay buot man

kami ya.” As verbalized by Mrs. Cold. Chit-chat or gossips

about the latest issues in the community, news from the TV

especially about movies are the topics in which Cold Family

use as communication with the neighbors.

Home and Environment

1. Housing

a. Adequacy of living space

The house is not adequate for a family of seven. There

has a division between the kitchen, bedroom and living

room.

b. Sleeping arrangement

The house has 2 rooms with bed. Mr. and Mrs. Cold sleeps

together in one room, Ate 2,3,and baby Cold sleeps in the

other room. Kuya Cold sleep only in the “sala”and Ate 1

Cold seldom sleep at their house usually but sleeps at

her Lolo’s house together with her cousin, 50 meters away

from their house.. They use mattress and “banig.”

c. Adequacy of furniture and appliances

The family had only a small bench and stools (2 single

chairs and a long one) the appliances present are

television, Karaoke, oven and a rice cooker.

d. Presence of insects and rodents

Breeding sites of insects especially the mosquitoes and

flies are visible in the surroundings of the house, in

the stagnant canals meters away from the front door of

their house.

2. Presence of accident hazards

Their ceiling, they just put without nailed might cause

falling accident.

3. Food Storage and cooking facilities

They just covered it with another plate. Dry foods such

as “uga” were placed in a plastic basket and hang it in

the roof. In terms of cooking facilities, they have their

own and it is complete. They use charcoal when cooking.

They have their own “dirty kitchen” located outside of

their house (2 Kalan). In terms of cooking facilities the

family is equip with casserole, “sandok”, frying pan and

knives.

4. Water Supply

NAWASA is the family’s source of water, with a flat rate

of 150 pesos a month. They use a jar, which is covered to

store their drinking water. According to them the water

is very much potable.

5. Toilet facility

Cold Family owns their Comfort room. It is located inside

their house. Its toilet does not have any water carriage.

They have a tub which their water stored it. It has a

fair sanitation and without paint. The toilet bowl itself

is clean, there are no fecal materials noted but the

smell of the comfort room is stinky that is why the group

considered it as having a fair sanitation.

6. Garbage/ refuse disposal

They segregate their garbage as what the community

protocol and for the biodegradable, they just buried.

7. Kind of Neighborhood
Their house is meters away from their neighbors.

8. Drainage System

The drainage system of the family is close type.

According to Mrs. Cold they put a tube to drain dirty

water going to the canal 6 meter away from their house.

There is no obstruction present at the drainage system,

which makes the flow continuous.

9. Social and health facilities available

The family benefits from the services offered by the

Barangay Health Center; this is where their children

received their full immunizations. The other facilities

within the community are the recreational facilities like

basketball court and volleyball court.

10. Communication and transportation facilities

Only Ate 1 Cold owns a cell phone in the family. Tricycle

is their main transportation going to Murcia.

D. Health Assessment of each family member

According to Mrs. Cold both Mr. Cold and his mother has

an allergy in rubber. They don’t use rubber strap

slippers but instead a plastic like strap. According to

Mrs. Cold they have no medical and nursing history.

E. Value Placed on Prevention of disease

• Immunization Status of children

The children have undergone complete immunization.

F. Use of Protective measures

The family uses slippers when they goes out to play or

buy something, and mosquito net except for the children’s

room during bedtime.

First Level Assessment

A. Health Threats

1. Poor Environmental Sanitation

Inadequate living space

2. Presence of breeding sites and other vectors of

disease

Presence of stagnant and stinky canals

3. Accident hazards.
Fall Hazard (Unnailed ceiling in the sala)

B. Foreseeable Crisis
 A. Anthropometric Data

Ate 1 Kuya Ate 2 Ate 3 Baby Cold

Name Mr. Cold Mrs. Cold
Cold Cold Cold Cold

Weight

Height

BMI

(kg/m2)

WHR

(cm)

Tempera

ture

Respirati

on

Pulse

BP
 PHYSICAL ASSESSMENT

Mr. Mrs.Col Ate 1 Kuya Ate 2 Ate 3 Baby

Cold d Cold Cold Cold Cold Cold
Hips ----------- 89 cm 55 cm 60 cm
40 cm
Wais
----------- 101 cm 56 cm 58 cm 43 cm
t
Brea
----------- 96 cm 50 cm 53 cm 43 cm
st
Mid-
9 cm
uppe
----------- 29.21 cm 13 cm 12.5 cm
r

arm
H Smooth smooth smooth smooth smooth Smooth
----------- skull skull skull skull skull skull
contour contour contour contour contour contour
ead
Equal Equal Presence
movemen movemen of “timus
Equal Equal Equal
ts, ts, timus”
movemen movement movement
symmetri symmetri Equal
ts, s, s,
Eyes -----------
symmetri
cal, cal,
symmetric symmetric
movement
s,
cal, al, al,
symmetric
al,

Firm but Firm but Firm but Firm but

Firm but Firm but
not not not not tender
not tender not tender
tender, tender tender presence
presence presence
presence presence presence of cerumen
of ear of ear
Ears ----------- of ear of ear of ear
holes for holes for
noted
holes for holes for holes for
earrings earrings
earrings earrings earrings
cerumen cerumen
cerumen cerumen cerumen
noted noted
noted noted noted
Symmetri Symmetri Symmetri Symmetric
Symmetric Symmetric
Nose ----------- cal, cal, cal,
al, straight al, straight
al, straight
straight straight straight
M Complete Tooth tooth Tooth
Halitosis,
------------- teeth decay decay decay
----------- tooth
- without noted, lack of noted
outh decay
decay Halitosis front teeth
Presence Presence Presence Dry skin
Skin -----------
of pimples of pimples of pimples Dry skin Dry skin

Nails ----------- Newly Short and Presence Short and Short and
manicure well of black well well
 trimmed “kutiks” Short and
both in both well
d trimmed trimmed
hands hands trimmed
and foot and foot
Slightly Short No
curl with black hair presence Short black
Wavy and No
mixed with of lice, hair
black presence
color dandruff dandruff
color, of lice,
Hair -----------
presence
black and and nits,
dandruff
brown mixed
of and nits,
hair color
dandruff black color
black and
brown

* We were not able to asses Mr. Cold due to his work.