INITIAL DATA BASE RIGOROSO FAMILY
A. Family Structure, Characteristics and Dynamics
Family Member Virgilio Rigoroso Nelia Rigoroso Roel Rigoroso Rowena Rigoroso Reinaldo Rigoroso Randy Rigoroso Arlene Rigoroso
Age
Sex
Civil Status
Position in the family Father Mother Eldest Daughter Son Son Youngest
Place of Residence Living with the family Living with the family Not living with the family Not living with the family Not living with the family Not living with the family Living with the family
65 51 30 28 27 24 21
M F M F M M F
Married Married Married Married Married Married Married
A.1 Type of family structure The family belongs to an extended family for one of his daughter lived there with his one grand-daughter. The family comprises of a father, mother and children with one of their grand-daughter. A.2 Dominant family members in terms of decision making, especially in matters of health care The Mother of the family, named Nelia Rigoroso, is the one that makes the decision of the family, because the father of the family, Virgilio Rigoroso, has a diabetes and the age of Virgilio Rigoroso is too old to decide in the family. A.3 General family relationship/dynamics The family lived happily together. They both understand each other in terms of decision making. The couples are the ones who are deciding for their money but when in terms of clothings and other miscellaneous things the wife is the one who is deciding.
B. Socio-Economic and cultural characterisctics
Family member Virgilio Rigoroso Nelia Rigoroso Arlene Rigoroso
Occupation
Educational Attainment High School Graduate High School Graduate College Graduate (Computer Servicing)
Ethnic Background Caviteno
Income
Religion
Tricycle driver House wife
Caviteno
Below Php. 5,000 a month No income
Roman Catholic Roman Catholic Roman Catholic
Unemployed
Caviteno
No income
C. Home and Environment 1. Housing a. Adequacy of living space The house they are living is only rented it is comprised of 3 rooms, the living room, the dining area, the cooking area, are on the same room then the bath room and the bed room. The first room is their living room, with the dining area. The house is made up of mostly wood. In terms of living space only the living room and the dining table are adequate for the 4 of them, the rest are inadequate for them. b. Sleeping arrangement The sleeping arrangement of the family is not good because the 4 of them are sleeping in a one bed room with a baby. c. Presence of breeding or resting sites of vectors of disease The most likely become the nesting sites of vectors of disease are in the outside of the house because in the outside of their house there is stagnant water with the waste which is contained.
d. Presence of accident hazards The house has no presence of accident hazards because the knife and other things which are breakable are well kept and in place. e. Food storage and cooking facilities The left over is being covered with the other plate. They dont have any cabinets or refrigerator for food storage. Some leftover are being placed in the Tupperware. f. Water supply They dont have any source of water in the house. The water they use is coming from their neighborhood. They say that the source of their neighbors water is coming from Maynilad. g. Toilet Facility They have their own toilet, its well cleaned and ready to use. h. Garbage Disposal The garbage in their community is well organized because they have a protocol that in every Wednesday only the non-biodegradable will be get and in every Thursday the biodegradable waste will be get. i. Drainage system
The used water drains directly to the pipe.
2. Kind of neighborhood It is congested because the houses are only 1 meter apart 3. Social and health facilities available In terms of social and health facilities the house is near from the barangay hall but far from other health centers because according to them they must ride a jeep to go to the nearest health center or hospital. 4. Communication The family doesnt have any means of communication, they just burrow cell phones to their neighbors. D. Health Status of each family member 1. Medical and nursing history indicating current or past significant illness or beliefs and practices conductive to health. Presently the family is in good condition except Virgilio Rigoroso who has a Diabetes mellitus. 2. Nutritional assessment They eat three times a day, they usually eat vegetables 3. Developmental assessment of infants, toddlers, and preschoolers The baby is fully immunized and has no sick since last 6 months. E. Values, Habits Practices on Health Promotion, Maintenance and Disease Prevention. The family is going to hospitals and health centers if one of their family member has sick. The sources of their health information are the midwife, nurse and doctor to the nearest hospital.
FIRST LEVEL OF ASSESSMENT
I.
PRESENCE OF WELLNESS CONDITION Wellness Potential The family has a good health management because in the past 6 months they dont have any diseases or illness except to the father of the family named Virgilio Rigoroso that has a Diabetes Mellitus.
II.
Presence of health threats A. Family size beyond what family resources can adequately provide. The income of Virgilio Rigoroso as a tricycle driver is not enough for his family in every day expenses and the medicines that the person must take. B. Unsanitary food handling and preparation The left over foods in the table is covered only with a Tupperware and plastic container.
III.
Presence of health deficits A member of the family has a diabetes mellitus. The family doesnt recognize it as a health deficit.
SECOND LEVEL OF ASSESSMENT
I.
Presence of health threats A. Family size beyond what family resources can adequately provide. Failure to utilize community resources for health care Lack of inadequate family resources in terms of financial resources for everyday expenses of the family and the medicines that Virgilio Rigoroso must take.
B. Unsanitary food handling and preparation Inability to provide a home environment conductive to health maintenance and personal development Inadequate knowledge and importance of proper food handling and placing in terms of the left over foods in the table is covered only with a Tupperware and plastic container.
II.
Presence of health deficits Inability to provide adequate nursing care to the sick Inadequate knowledge about the disease/health threat condition because the family doesnt recognize it as a health deficit.
SCALE FOR READING FAMILY HEALTH PROBLEMS ACCORDING TO PRIORITIES A. Health Threats 1.) Family size beyond what family resources can adequately provide.
Criteria
Computation
Actual Score
Justification
2/3 x 1 1.) Nature of the Problem
0.67
1/2 x 2 2.) Modifiability of the problem
It is a health threat because even the whole family doesnt have any illness they can have one because of inadequate resources in buying medicines Even though the family is lack of income, they can secure their health by a daily life style.
3/3 x 1 3.) Preventive Potential
Search for new income and know how to spend their income wisely.
2/2 x 1 4.) Salience of the Problem
The family doesnt perceived it as a problem
Total: 3.67
2.) Unsanitary food handling and preparation
Criteria
Computation
Actual Score
Justification
2/3 x 1 1.) Nature of the Problem
0.67
It is a health threat because the family can eat contaminated food
2/2 x 2 2.) Modifiability of the problem
It is easily modifiable because they can use their resources to contain the food properly
3/3 x 1 3.) Preventive Potential
Making use of the empty cabinets to store their food
2/2 x 1 4.) Salience of the Problem
The family doesnt perceived it as a problem
Total: 4.67
B. Health Deficit 3.) Inability to provide adequate nursing care to the sick Criteria Computation Actual Score Justification
3/3 x 1 1.) Nature of the Problem
It is a health deficit because a member in the has a diabetes mellitus and do nothing about it
1/2 x 2 2.) Modifiability of the problem
3/3 x 1 3.) Preventive Potential
Because the family doesnt know that it is a problem that can bring many complications to a member of the family, It can be modified by practicing healthy life style. Monitoring of blood sugar and a healthy life style
2/2 x 1 4.) Salience of the Problem
The family doesnt perceived it as a problem.
Total : 4
INITIAL DATA BASE RIGOROSO FAMILY
A. Family Structure, Characteristics and Dynamics
Family Member Reinaldo Rigoroso Mary Grace Rigoroso Arnie Rigoroso
Age
Sex
Civil Status
Position in the family Father Mother Only Child
Place of Residence Living with the family Living with the family Living with the family
27 27 8
M F M
Married Married Child
A.1 Type of family structure The family belongs to an nuclear family because the family consist only of a mother, father and a child. A.2 Dominant family members in terms of decision making, especially in matters of health care The Father of the family is the one making decision in the family because he is the one that has a good income in their family. The mother is only taking care of his child. A.3 General family relationship/dynamics The family lived happily together. The couples are the ones who are deciding for their money but when in terms of clothings and other miscellaneous things the wife is the one who is deciding.
B. Socio-Economic and cultural characterisctics
Family member Reinaldo Rigoroso Mary Grace Rigoroso Arnie Rigoroso
Occupation
Educational Attainment 2nd yr High School Graduate Vocational Course Elementary
Ethnic Background Caviteno
Income
Religion
Construction Worker House wife Grade 3
Below Php. 5,000 a month Pampanagga No income Caviteno No income
Roman Catholic Roman Catholic Roman Catholic
C. Home and Environment 1. Housing a. Adequacy of living space The house they are living has a second floor and their house has a three rooms only which is the living room then the dining area in the 2 nd floor with the kitchen, then the bath room at the back of the kitchen b. Sleeping arrangement The living room can be considered as the bedroom because of the lack of space in their house. Since they are only 3 they can sleep very well in the bed room. c. Presence of breeding or resting sites of vectors of disease The most likely become the nesting sites of vectors of disease are in the outside of the house because outside of their house is the where they contain garbages.
d. Presence of accident hazards The stairs in their house is the main hazard because the stairs are too shallow and the stair is only made up of wood without much support.. e. Food storage and cooking facilities The food is properly contained because they have container for the food and it is contained in the cabinet. f. Water supply They do have a water supply coming from the faucet which is came from maynilad. g. Toilet Facility They have their own toilet, its well cleaned and ready to use. h. Garbage Disposal The garbage in their community is well organized because they have a protocol that in every Wednesday only the non-biodegradable will be get and in every Thursday the biodegradable waste will be get. The only thing is that their garbage before collection is contained front of their house i. Drainage system
The used water drains directly to the pipe.
2. Kind of neighborhood It is congested because the houses are only 1 meter apart 3. Social and health facilities available In terms of social and health facilities the house is near from the barangay hall but far from other health centers because according to them they must ride a jeep to go to the nearest health center or hospital. 4. Communication The Family is using cell phones only to communicate with their other family long distance. D. Health Status of each family member 1. Medical and nursing history indicating current or past significant illness or beliefs and practices conductive to health. Presently the family is in a good condition, but in the past few months the child got fever for 2 days. 2. Nutritional assessment They eat three times a day, they usually eat meat and vegetables 3. Developmental assessment of infants, toddlers, and preschoolers Their immunization is complete E. Values, Habits Practices on Health Promotion, Maintenance and Disease Prevention. The family is going to hospitals and health centers if one of their family member has sick. The sources of their health information are the midwife, nurse and doctor to the nearest hospital. But sometimes they refer to the manghihilot and albularyo.
FIRST LEVEL OF ASSESSMENT
I.
PRESENCE OF WELLNESS CONDITION Wellness Potential Presently, the family is in a good condition only for the past 6 months only a member of the family, arnie, has a fever that last for 2 days.
II.
Presence of health threats A. Poor home/environment condition due to unsanitary waste disposal The garbage is in the front of their house. B. Poor home/environment condition due to inadequate living space The living room is considered to be as a bed room. SECOND LEVEL OF ASSESSMENT
I.
Presence of health threats A. Poor home/environment condition due to unsanitary waste disposal Inability to provide a home environment conductive to health maintenance and personal development - Inadequate knowledge of importance of hygiene and sanitation because of the given situation that the garbage is in the front of their house. B. Poor home/environment condition due to inadequate living space Inability to provide a home environment conductive to health maintenance and personal development - Limited physical resources, lack of space to construct facility because of the living room is considered and can be converted as a bed room.
SCALE FOR READING FAMILY HEALTH PROBLEMS ACCORDING TO PRIORITIES A. Health Threats 1.) Poor home/environment condition due to unsanitary waste disposal
Criteria
Computation
Actual Score
Justification
2/3 x 1 5.) Nature of the Problem
0.67
2/2 x 2 6.) Modifiability of the problem
It is a health threat because the placing of the garbage is near the house and the 1st room that you will enter in the house is the living room. It is easily modifiable because the garbage can be placed at least one meter from the house
3/3 x 1 7.) Preventive Potential
The garbage must be placed properly
2/2 x 1 8.) Salience of the Problem
The family doesnt perceived it as a problem
Total: 4.67
2.) Poor home/environment condition due to inadequate living space
Criteria
Computation
Actual Score
Justification
2/3 x 1 5.) Nature of the Problem
0.67
It is a health threat because it will difficult for them to sleep in a room which is too small The family doesnt have enough resources in solving the problem but we can minimize it by arranging the items one at a time Arrange the things to maximize space
1/2 x 2 6.) Modifiability of the problem
2/3 x 1 7.) Preventive Potential
0.67
2/2 x 1 8.) Salience of the Problem
The family doesnt perceived it as a problem
Total: 3.34
INITIAL DATA BASE BARING FAMILY
A. Family Structure, Characteristics and Dynamics
Family Member Alfredo Baring Florita Baring Maria Buena Baring Maria Salve Baring Florence Baring Angelie Amor Baring
Age
Sex
Civil Status
Position in the family Father Mother Eldest Daughter Daughter Daughter
Place of Residence Living with the family Living with the family Not living with the family Living with the family Living with the family Living with the family
65 64 36 32 24 12
M F F F F F
Married Married Married Widowed Married Child
A.1 Type of family structure The family belongs to an extended family for one of his daughter lived there with his one grand-daughter named Angelie Amor Baring the daughter of Maria Salve Baring. A.2 Dominant family members in terms of decision making, especially in matters of health care The Mother of the family, named Florita Baring, is the one that makes the decision of the family. A.3 General family relationship/dynamics The family lived happily together. The couples are the ones who are deciding for their money but when in terms of clothings and other miscellaneous things the wife is the one who is deciding.
B. Socio-Economic and cultural characterisctics
Family member Alfredo Baring Florita Baring Maria Salve Baring Florence Baring
Occupation
Educational Attainment PMA High School Computer Science
Ethnic Background Cebuano Cebuano Cebuano
Income
Religion
Unemployed Housewife Beauty Consultant
No income No income Below 5,000 Php
Catering
Business Cebuano Administration
Below 5,000 Php
Angelie Amor Baring
Student
High School
Cebuano
No income
C. Home and Environment 1. Housing j. Adequacy of living space
The house they are living is only rented it is comprised of 3 rooms, the living room, the dining area, the cooking area, are on the same room then the bath room and the bed room. The first room is their living room, with the dining area. The house is made up of mostly wood. In terms of living space only the living room and the dining table are adequate for the 4 of them, the rest are inadequate for them. k. Sleeping arrangement The sleeping arrangement of the family is not good because the 4 of them are sleeping in a one bed room with a child.
l.
Presence of breeding or resting sites of vectors of disease
The most likely become the nesting sites of vectors of disease are in the outside of the house because in the outside of their house there is stagnant water with the waste which is contained.
m. Presence of accident hazards The house has no presence of accident hazards because the knife and other things which are breakable are well kept and in place. n. Food storage and cooking facilities The left over is being covered with the other plate. They dont have any cabinets or refrigerator for food storage. Some leftover are being placed in the Tupperware. o. Water supply The source of their water is faucet coming from maynilad p. Toilet Facility They have their own toilet, its well cleaned and ready to use. q. Garbage Disposal The garbage in their community is well organized because they have a protocol that in every Wednesday only the non-biodegradable will be get and in every Thursday the biodegradable waste will be get. r. Drainage system The used water drains directly to the pipe.
2. Kind of neighborhood It is congested because the houses are only less than a meter apart 3. Social and health facilities available In terms of social and health facilities the house is near from the barangay hall but far from other health centers because according to them they must ride a jeep to go to the nearest health center or hospital. 4. Communication The family doesnt have any means of communication; they just burrow cell phones to their neighbors. D. Health Status of each family member 1. Medical and nursing history indicating current or past significant illness or beliefs and practices conductive to health. Presently the family is in good condition. 2. Nutritional assessment They eat three times a day, they usually eat vegetables 3. Developmental assessment of infants, toddlers, and preschoolers They are all fully immunized E. Values, Habits Practices on Health Promotion, Maintenance and Disease Prevention. The family is going to hospitals and health centers if one of their family member has sick. The sources of their health information are the midwife, nurse and doctor to the nearest hospital.
FIRST LEVEL OF ASSESSMENT
I.
PRESENCE OF WELLNESS CONDITION Wellness Potential The family has a good health management because in the past 6 months they dont have any diseases or illness.
II.
Presence of health threats
1.) Unsanitary food handling and preparation The Kitchen is near in the bath room, and the dining room and the kitchen are in the same room 2.) Poor home/environment condition due to inadequate living space The lighting is the house is poor thats why the house looks like dark and unventilated
SECOND LEVEL OF ASSESSMENT
I.
Presence of health threats A. Unsanitary food handling and preparation Inability to provide a home environment conductive to health maintenance and personal development Inadequate knowledge and importance of proper food handling and placing because the kitchen is near and beside the bath room
B. Poor home/environment condition due to inadequate living space Inability to provide a home environment conductive to health maintenance and personal development - Limited physical resources, lack of space to construct facility because of the spacing in the house are too small that it must be one person at time to go through that wall
SCALE FOR READING FAMILY HEALTH PROBLEMS ACCORDING TO PRIORITIES
1.) Unsanitary food handling and preparation
Criteria
Computation
Actual Score
Justification
2/3 x 1 1.) Nature of the Problem
0.67
It is a health threat because the family can eat contaminated food
2/2 x 2 2.) Modifiability of the problem
It is easily modifiable because they adjust the kitchen in somewhere else
3/3 x 1 3.) Preventive Potential
Adjust the kitchen so that the food will not be spoiled or contaminated
2/2 x 1 4.) Salience of the Problem
The family doesnt perceived it as a problem
Total: 4.67 2.) Poor home/environment condition due to inadequate living space
Criteria
Computation
Actual Score
Justification
2/3 x 1 9.) Nature of the Problem
0.67
It is a health threat because it will difficult for them to sleep in a room which is too small The family doesnt have enough resources in solving the problem but we can minimize it by arranging the items one at a time
1/2 x 2 10.) Modifiab ility of the problem
2/3 x 1 11.) Preventi ve Potential
0.67
Arrange the things to maximize space
2/2 x 1 12.) Salience of the Problem
The family doesnt perceived it as a problem
Total: 3.34
