FAMILY ASSESSMENT

Name of Family: A Family

Place of Residence: Tophill. Lahug
A. STRUCTURE AND CHARACTERISTICS
MEMBERS
OF THE
FAMILY
RELATION TO THE
HEAD
DATE OF BIRTH AGE SEX
CIVIL
STATUS
RELIGION OCCUPATION INCOME
OTHER
SOURCES OF
INCOME
EDUCATIONAL
BACKGROUND
PLACE OF
BIRTH
O.A Head 12.16.1978 30 M Married Catholic Carpenter
Php
290.00/day

None Grade 6 Cebu
M.J.A Wife 09.10.1980 29 F Married Christian Housewife None Washwoman Grade 4

Negros
occidental


J.A

Son 11.27.1998 10 M Single Christian Student None None Grade 2 Cebu

J.A

Daughter 10.2.2000 8 F Single Christian Student None None Grade 3 Cebu

N.J.A

Daughter 09.15.2002 7 F Single Christian Student None None Grade 1 Cebu

J.A

Son 10.17.2004 4 M Single Christian - None None None Cebu

J.K.A

son 02.2.2008 1 M Single Christian - none none none Cebu

TYPE OF FAMILY STRUCTURE: The family has a nuclear type of family structure
FAMILY MEMBER WHO DECIDES ON MATTERS IN HEALTH CARE: Both M.J and O decide on health care matters and whenever they need medical assistance.
GENERAL FAMILY RELATIONSHIP (PRESENCE OF ANY OBVIOUS/READILY OBSERVABLE CONFLICT BETWEEN MEMEBERS) : The children of M.J. and O are observed to be always
quarreling with each other but not on serious matters. Most of their misunderstandings are caused by toys and food. M.J and her children also verbalized that M.J. and O have
conflicts every time O comes home not in the mood and drunk.
B. SOCIO ECONOMIC AND CULTURAL CHARACTERISTICS
INCOME AND EXPENSES
O is a carpenter and earns Php 290.00/day while M.J. was a washwoman but stopped for a while due to her pregnancy. O and M.J were able to provide their children of
their basic needs. The family is able to eat three times a day and sometimes can be able to provide snacks in the afternoon. The clothes of some of the couples children are
observed to be already worn out but were still usable and appropriate for their respective gender (dress for the daughter and shorts and shirts for the boys). The couple is able
to provide their family with a house to live in. in terms of decisions on money matters, O gives his salary to his wife and M.J will be the one who will budget the money which can
meet the familys basic necessities such as food, clothes, school supplies and the like.
EDUCATIONAL ATTAINMENT OF EACH MEMBER
Both M.J and O were not able to finish studying because of financial problems. O was able to graduate elementary while M.J stopped attending school when she was in
her 4
th
grade. Three of their children are currently studying i n a school near their home. J1, the eldest is still in his second grade since he had failures in some of his subjects that
needed him to re-enroll to grade 2. J2 on the other hand is in her 3
rd
grade and was an honor student when she was in grade 2. NJ is in his 1
st
grade while the rest of the family
members are staying at home.
ETHNIC BACKGROUND AND RELIGIOUS AFFILIATION
M.J. was born in Negros Occidental while O is from Cebu. O is a roman catholic and M.J is a Christian. Both of them decided and agreed to have their children baptized as
Christians. On Sundays, both M.J and O goes to colon to attend Christian mass. They dont bring their children with them since they are not still discipline enough with their
behavior and actions.


RELATIONSHIP OF THE FAMILY TO LARGER COMMUNITY
M.J. attends some of the activities implemented by the Barangay Health Workers such as immunization, garbage disposal and the like. Because of her present condition,
she seldom participates in the activities since their house is far from the location of the programs. M.Js family has a good relationship with their neighbors and is willing to help
whenever anyone is in need.
C. HOME AND ENVIRONMENT
The family is living in a two (2) room house and is beside the house of M.Js sister. The house is just enough for the family. In the presence of J1s wound (matag-tiki) on
his gluteus, he stayed on the room of his parents while the rest are currently staying on the other room which also served as the familys dining room and living room. Breeding
sites of insects and rodents such as uncovered pails with water and stagnant canals were observed in their surroundings. Thei r kitchen is situated at the side of the entrance of
their house. They use wood for cooking. They dont have refrigerator to store their food so they see to it that there will be no leftovers. I n some cases, they just cover their food
with plastic plates and store it at the side near the sink which is reachable to the dogs and cats. They get their water from their neighbor and pays Php 50.00 for 10 gallons, Php
3.00 for one pail. They have their own bathroom but is still under construction. They use empty sacks to cover their toilet. They have pour-flush type of toilet facility. They throw
their garbage far from their house and where there are no more houses and just leave it there.
KIND OF NEIGHBORHOOD
The family is settled in a congested slum area. The houses are situated side by side.
SOCIAL AND HEALTH FACILITIES AVAILABLE
The Barangay hall and health center is far from their house. They seldom avail medications from the health center since they find it too far from their house but M.J had
the effort to go on prenatal visits.
COMMUNICATION AND TRANSPORTATION FACILITIES AVAILABLE
The familys mode of transportation is just public vehicle or they just walk to save money. Whenever they need to call, the f amily just borrows the cellular phone of M.Js
sister.


D. HEALTH STATUS OF EACH FAMILY MEMBER
MEDICAL AND NURSING HISTORY
J.K was hospitalized because he fell from their four-stepped stairs and luckily, he didnt experience any complications. J2 had a tetanus toxoid shot because she was
wounded by a rusty metal on her right foot. Three of M.Js children are currently experiencing cough and colds and health teaching was done to help alleviate the illness. J1 had
a deep wound with abscess/pus on his right gluteus.
NUTRITIONAL ASSESSMENT
The family was not observed with dehydration, underweight, overweight or any kind of malnutrition.
DEVELOPMENTAL ASSESSMENT
None of the family has any problem with their development. No one is mentally retarded or had any problems with their learning abilities. M.J verbalized that all of their
children learned how to walk at approximately 1-1 years old.
PHYSICAL ASSESSMENT INDICATING PRESENCE OF ILLNESS STATES
Productive cough and mucosal secretions were observed in M.Js three children. Wounds were also noted on J.K and J3s scalp and legs and the deep wound of J1.
E. VALUES AND PRACTICES ON HEALTH PROMOTION/MAINTENANCE AND DISEASE PREVENTION
J1 and J3 were not able to be immunized with measles while the rest of the children had BCG, DPT, Hep B and measles. M.J. cannot recall if she had received any
immunization during her childhood. She didnt know if her husband has also been immunized. The family takes in multivitamins daily whenever they have money to supply. They
usually go to sleep at around 8 in the evening and wakes up at 6-7 am.
F. CLASSIFICATION OF HEALTH PROBLEMS
HEALTH DEFICIT HEALTH THREAT FORESEEABLE CRISIS
Cough and colds
Deep wounds
Poor environmental sanitation
Family size beyond family resources can
adequately provide
Pregnancy

G. HEALTH PROBLEMS ACCORDING TO PRIORITIES

COUGH AND COLDS

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
1. Nature of the problem
2. Modifiability of the problem


3. Preventive potential

4. Salience of the problem
3/3x1
1/2x2


3/3x1

1/2x1
1
1


1

0.5

3.5


-It is a health deficit and demands immediate attention
-The resources and interventions are not available to the family. The family
chooses not to take medications because they dont have enough money to
avail medications
-transmission of illness can be prevented if it is managed well as soon as
possible
-the mother recognizes the problem but she didnt attend to the problem
immediately

DEEP WOUND
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
1. Nature of the problem

2. Modifiability of the problem


3. Preventive potential

4. Salience of the problem
3/3x1

2/2x2


3/3x1

2/2x1
1

2


1

1

5
-It is a health deficit since the client experienced the illness and is vulnerable
for infection
-The nurses and familys resources are available. The nurse can help in
treating the wound through wound dressing. The mother gives medication to
the infected person
-Infection can be prevented if the problem is attended well like giving proper
medications and wound dressing
-the mother recognizes the problem and seek immediate attention

POOR ENVIRONMENT
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
1. Nature of the problem

2. Modifiability of the problem


3. Preventive potential

4. Salience of the problem
2/3x1

2/2x2


2/3x1

1/2x1
0.6

2


0.6

0.5

3.7
-it is a health threat since this can possibly cause diseases and illness like
dengue
-the family and the nurse have enough resources to prevent the occurrence of
illnesses/diseases caused by poor sanitation

-the family is not the only one contributing to the problem

-the problem was recognized by the family but they didnt take any
immediate action to their condition

FAMILY SIZE BYOND FAMILY RESOURCES CAN ADEQUATELY PROVIDE
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
1. Nature of the problem


2. Modifiability of the problem

3. Preventive potential

4. Salience of the problem
2/3x1


2/2x2

3/3x1

2/2x1
0.6


2

1

1

4.6
-it is a health threat since the family can no longer provide the basic
necessities thus the members cannot have proper nutrition that can lead to
illness
-The nurses and familys resources are available to solve the problem. The
nurse can help in budgeting the resources of the family
-The possibility of increasing family size is reduced through the use of
contraceptives like abstinence, condom, rhythm, pills and the like.
-the family recognizes it as a problem and believes that it needs immediate
attention and ensures that the sixth pregnancy will be the last



PREGNANCY
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION
1. Nature of the problem

2. Modifiability of the problem


3. Preventive potential

4. Salience of the problem
1/3x1

1/2x2


3/3x1

1/2x1
0.3

1


1

0.5

2.8
-it is a foreseeable crisis since pregnancy needs attention to the health of both
the mother and the baby. Also, it needs financial expenses
-The nurses resources and intervention are available but the familys
resources are not to solve the problem

-complications associated with pregnancy can be highly prevented if utmost
attention is given to the health of the mother
-the family recognized it as a problem since this could add up to their
expenses but they dont find it to be needing immediate attention

H. RANKING OF PRIORITIES

1. Deep wound as a health deficit5
2. Family size beyond family resources can adequately provide as a health threat4.6
3. Poor environmental sanitation as a health threat3.7
4. Cough and colds as a health deficit3.5
5. Pregnancy as a foreseeable crisis2.8






UNIVERSITY OF SAN CARLOS
COLLEGE OF NURSING
FAMILY NURSING CARE PLAN
HEALTH PROBLEM
FAMILY
NURSING
PROBLEMS
GOAL OF
CARE
OBJECTIVES OF
CARE
NURSING INTERVENTIONS
METHODS OF
NURSE-FAMILY
CONTACT
RESOURCES
REQUIRED
EVALUATION
Cough and col ds as a
heal th defi ci t

Subjecti ve cues: nah,
gpang.ubo ni si l ang tulo
ay. Usahay naai tambal,
usahay wal a. Depende
kung naai kwarta as
verbal i zed by the
mother

Objecti ve cues
Producti ve
cough
Average
amount i n
sputum
Cl ear-
yel l owi sh i n
col or
Mucosal
secreti ons
noted
>i nabi l ity to
provi de
adequate
nursi ng care
to the si ck,
di sabl ed,
dependent, or
vul nerabl e at
ri sk member
of the fami l y
due to:
- Lack of
/i nadequate
knowl edge
about the
di sease/heal t
h condi ti ons
(nature,
severi ty,
compl i cati ons,
prognosi s and
management)
>fai l ure to
uti l i ze
communi ty
resources for
heal th care
due to:
After the
nursi ng
i nterventi on
, the fami l y
wi l l be abl e
to el i mi nate
the cough
and col ds
and wi l l
prevent the
recurrence
of the
di sease i n
the future.

After nursi ng
i nterventi on, the
fami l y wi l l be abl e to:
a. Acqui re
adequate
i nformati on
about the
di sease
i ncl udi ng
si gns and
symptoms of
the di sease,
i mmedi ate
heal th care
assi stance
and
preventi ve
measures










1. Di scuss wi th the fami l y the causes,
si gns and symptoms and
compl i cati ons of cough and col ds.
1.1 col d-acute i nfl ammati on of the
mucous membrane of the upper
passages
1.2 causes:
i ntake of col d food
seasonal changes
i mproper di gesti on of
food
1.3 s/s:
runni ng nose/bl ocked
nose
sneezi ng
sore throat
congesti on
headache
l ow fever
l oss of appeti te
l ethargy
i nsomni a
1.4 compl i cati ons
ear i nfecti ons
si nus i nfecti ons
bronchi ti s
pneumoni a
1. Home visit
2. Lecture
3. discussion
Manpower:
Student
nurse
Family/client
Manhour:
Time and
effort of
family and
student
nurse
Materials:
Visual aids

-fai l ure to
percei ve the
benefi ts of
heal th
care/servi ces










b. Be aware on
how to
reduce the
chances of
spreadi ng
communi cabl
e di seases to
other fami l y
members







c. Identi fy l ow
cost home
remedi es for
cough and
col ds






d. Choose and
perform
2. provi de adequate knowl edge on the
vari ous ways of mai ntai ni ng
cl eanl i ness i n thei r surroundi ngs
2.1 ways:
hand washi ng
taki ng a bath everyday
di spose garbage
properl y

3. expl ai n the i mportance of proper
food preparati on, good nutri ti on, rest
and sl eep i n strengtheni ng ones
resi stance agai nst i l lness so as to
prevent the occurrence of cough and
col ds
3.1 i mportance
prevent someone from
getti ng si ck
prevent cross
contami nati on
prevent from spreadi ng
the di sease
heal th promoti on and
di sease preventi on

4. gi ve the fami l y some home remedi es
for cough and col ds
4.1 remedi es
SLK
Lagundi l eaves
Bl ack pepper and gi nger
Garl i c (boi led wi th
sugar)
Chi cken soup(col ds)

5. Hel p the cl i ent i denti fy appropri ate
remedy to be used
correctl y the
remedy
chosen
e. Uti l i ze
communi ty
resources
avai l able i n
resol vi ng the
condi ti on
experi enced


f. Verbal i ze
understandi n
g of proper
sani tati on
and the
remedi es
and
preventi ve
measures of
the condi ti on
6. Assi st cl i ent i n prepari ng the chosen
remedy

7. Ci te ways i n el i mi nati ng the di sease
and l i mi ti ng the occurrence of
transmi ssion through medi cati ons
and al ternati ve medi ci nes and
preventi ve measures such as coveri ng
the mouth when sneezi ng or
coughi ng and proper di sposal of oral
and nasal di scharges

8. Eval uate the fami l ys understandi ng
regardi ng proper sani tati on and
preventi ve measures of cough and
col ds




















HEALTH PROBLEM
FAMILY
NURSING
PROBLEMS
GOAL OF
CARE
OBJECTIVES OF
CARE
NURSING INTERVENTIONS
METHODS OF
NURSE-FAMILY
CONTACT
RESOURCES
REQUIRED
EVALUATION
Presence of breedi ng
si tes of vectors of
di seases

Subjecti ve
cues:magpundo man
mi ug tubi g kai wa man
mi amo.ang tubi g, ang
uban wai takub.. nah
cana pud among canal
ai y pwerte cadaghan ug
l amok as verbal i zed by
the mother

Objecti ve cues
uncovered pail
wi th water
observed
stagnant canal
noted
unfi ni shed
l aundry noted
unwashed
di shes noted
>i nabi l ity to
provi de a
home
envi ronment
conduci ve to
heal th
mai ntenance
and personal
devel opment
due to:
-i gnorance of
the
i mportance of
hygi ene and
sani tati on
-l ack of
knowl edge
regardi ng
preventi ve
measures of
i l l nesses and
di seases
After the
nursi ng
i nterventi on
, the fami l y
wi l l be abl e
to eradi cate
the
presence of
these
unwanted
si tes of
vectors
causi ng
di seases and
therefore
wi l l mai ntain
a home
envi ronmen
t conduci ve
to heal th.

After nursi ng
i nterventi on, the
fami l y wi l l be abl e to:
a. Acqui re
knowl edge
on the
i mportance
of proper
sani tati on
especi al l y at
home




b. Identi fy
vectors and
possi bl e
breedi ng
si tes














1. Assess the clients home for
breeding sites and proper
sanitation/hygiene
2. Discuss to the family the
importance of proper sanitation
2.1 reduce the numbers of
microorganisms such as
bacteria and viruses
2.2 reduce transmission of
communicable and infectious
disease
2.3 maintenance of health
2.4 promote health
2.5 prevent diseases and illnesses
3. explain to the client/family what
vector is and its different types
and breeding sites
3.1 vectors- described as any
agent that transmits a disease
organism
3.2 examples include:
bedbugs
cockroaches
flies
lice
mosquitoes
rat
fleas
3.3 breeding sites include
old tires
clogged canals
Home visit
Lecture
discussion
Manpower:
Student
nurse
Family/client
Manhour:
Time and
effort of
family and
student
nurse
Materials:
Visual aids





c. Enumerate
methods/
techni ques
to eradi cate
the breedi ng
si tes of
vectors of
di seases


d. poi nt out
possi bl e
breedi ng
si tes of
vectors of
di seases
e. choose from
the
methods/tec
hni ques
gi ven to use
at home to
eradi cate
breedi ng
si tes
f. perform the
methods
correctl y
g. verbal i ze
thei r
understandi n
g of the
i mportance
of proper
plastic wrappers
plants with large
leaves

4. familiarize to the client some
techniques and methods to
eradicate breeding sites
4.1 use of mosquito/fly trap
4.2 use of mosquito repellent
4.3 use of mouse traps
4.4 proper sanitation of the
environment

5. help client in assessing their home
for possible breeding sites



6. assist client/family in choosing the
appropriate techniques to be used






7. guide the client in performing the
chosen methods/techniques

8. evaluate what the family has
learned and assess how they feel
about the activity


sani tati on
and i ts
effects to
humans
heal th














































HEALTH PROBLEM FAMILY
NURSING
PROBLEMS
GOAL OF
CARE
OBJECTIVES OF
CARE
NURSING INTERVENTIONS METHODS OF
NURSE-FAMILY
CONTACT
RESOURCES
REQUIRED
EVALUATION
Heal th seeki ng
behavi ors for heal th
mai ntenance and
promoti on rel ated to
the need to i ncrease
i ntake of nutri ents and
cal ori es during
pregnancy

Subjecti ve cues:
gamay raman keu cog
caon nya sad coi
vi tami ns usahay cai wai
kwarta pero adto ko sa
heal th center para
prenatal as verbal i zed
by the mother

Objecti ve cues:
9 months
pregnant
Average type
of body
>i nabi l ity to
recogni ze the
presence of
the probl em
due to:
- l ack of
i nadequate
knowl edge
regardi ng the
proper
nutri ti on
duri ng
pregnancy
>i nabi l ity to
make
deci si ons wi th
respect to
taki ng
appropri ate
heal th acti on
due to:
-i naccessibility
of appropri ate
resources
speci fi cally
cost of
constrai nts or
economi c/fi na
nci al
i naccessibility
>fai l ure to
uti l i ze
communi ty
resources due
After the
nursi ng
i nterventi on
, the cl i ent
wi l l be abl e
to
demonstrat
e changes i n
her di et as
mani fested
by proper
food
sel ecti on
and
achi eved
proper
bal anced
di et by
acqui ri ng
the needed
nutri ents
duri ng
pregnancy

After nursi ng
i nterventi on, the
cl i ent wi l l be abl e to:
a. Verbal i ze
understandi n
g on the
i mportance
of proper
di et
especi al l y
duri ng
pregnancy

b. Enumerate
foods to be
i ncl uded i n
her di et as
wel l as
i mportant
nutri ents








c. Pl an the
desi red
meal s wi th
proper
bal anced di et
sui tabl e for
1. assess cleints attitude towards
eating and her diet during
pregnancy
2. educate the client regarding the
proper diet and its importance
during preganancy






3. educate the client about the
vitamins and minerals that are
essential during her pregnancy
3.1 protein
3.2 calcium
3.3 iodine
3.4 iron
3.5 carbohydrates
3.6 vitamin A
3.7 vitamin C
3.8 vitamin D
3.9 Folic Acid
3.10 Water
4. Plan with the client her desired
meals through providing her a
chart or the food pyramid as her
guide toward/on what foods she
should prepare
5. Instruct client to avoid caffeinated
Home visit
Lecture
discussion
Manpower:
Student
nurse
Family/client
Manhour:
Time and
effort of
family and
student
nurse
Materials:
Visual aids

to:
-
l ack/i nadequa
te knowl edge
of communi ty
resources for
heal th care
pregnant
women











d. Appreci ate
the
i mportance
of prenatal
check-
ups/vi si ts


e. Be aware of
the
compl i cati on
associ ated
wi th
pregnancy
f. Recogni ze
the presence
of heal th
care faci l i ties
i n thei r
barangay
that coul d
hel p her
attai n proper
heal th duri ng
pregnancy
beverages. Caffeinated beverages
may decrease the appetite and
will make the client feel full easily
6. Instruct client to avoid junk food
7. Instruct client to follow the
required number of servings. Too
much or too little could bring
about complications
8. Encourage client to maintain diet
throughout pregnancy and
puerperium
9. Assess clients views on prenatal
check-ups/visits
10. Assess if client had prenatal check-
ups/visits
11. Discuss to the client the
importance of prenatal check-up
for both mother and baby
12. Explain to the client the
complications of pregnancy
13. Instruct client to seek medical
attention if client experienced
high risk pregnancy complications

14. Encourage client to recognize the
presence of their health care
centers and the facilities available
that could help them learn more
about proper nutrition/health
during pregnancy