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METROPOLITAN MEDICAL CENTER

COLLEGE OF ARTS, SCIENCE AND


TECHNOLOGY
1357 Guillermo Masangkay Street, Manila, Philippines






IN PARTIAL FULFILLMENT OF REQUIREMENTS FOR THE
SUBJECT IN COMMUNITY HEALTH NURSING RLE








FAMILY NURSING DIAGNOSIS






SUBMTTED TO:

Ms. Chalotte Jornacion, R.N.
CLNCAL NSTRUCTOR







Ms. Mila Herrera, R.N.
COMMUNTY COORDNATOR









SUBMTTED BY:

GROUP -A3

CAPULE, CHARLENE L.
MARTNEZ, NORDEN R.
TAN, MA. KHATRNA G.


TABLE OF CONTENTS

CONTENTS PAGE

Title Page..........................

Table of Contents......................

Acknowledgment................................................................................

. Spot Map.....................V

. nitial Data Base For Family Nursing Practice

a. Family Culture, Characteristics and Dynamics......

b. Socio-Cultural and Cultural Characteristics........
ncome and Expenses Table
Graphical Representation of ncome Allocation

c. Home and Environment...............................
nterior
Floor Plan
Ventilation
Exterior

d. Health Status of Each Member...........................................
Nutritional Assessment
Lifestyle Table

e. Values, Habits, Practice on Health Promotion,
Maintenance and Disease Prevention.............

f. Typology. ......................
First Level Assessment
Second Level Assessment

g. Scale and Ranking........................


















AcknowIedgement

e would like to thank God for giving us time and opportunity to be with
the Mambugan Community people. e thank our school for letting us experience
the feeling of a Community Health Nurse. e thank our parents for allowing us to
enjoy and feel being a student nurse. e thank our clinical instructors for sharing
their knowledge to us. Lastly, for the efforts made by of each of us in contributing
the success of this activity.







































InitiaI Database for FamiIy Nursing Practice

A. Family Structure, Characteristics and Dynamics


The family is consists of 9 members. Arnel Globio, the head of the family
who works for their family, followed by Cristina Globio who is the mother and
their 7 children Arlene Globio who is 17 years old, the eldest daughter who takes
care of the younger children especially when their mom is not around and when
she is in school, Ajen Globio who is 16 years old who takes care of her younger
siblings, Arnel Globio Jr. who is 15 years old who currently have disability of
being mute, Analyn Globio who is 12 years old, Aceste Globio who is 10 years
old, Jolo Globio who is 7 years old and the youngest, Amayalyn Globio who is 4
years old. They do not own their house but they are not renting. Their residence
is located at Brgy. Munting Purok, Mambugan, Antipolo with house number 9C.
Their family structure is a nuclear type of family since their family is composed of
a father, mother and children. t is considered as a matriarchal type of family
since decision making, family managing and financial management is lead by the
mother. For instance, the mother handles everything about their family especially
when conflict occurs. As verbalized by Cristina, "pag nagaaway ang mga anak
ko, lagi ako ang nagaayos ng gulo para tumahimik sila. The mother is
responsible for managing different situations in the family such as taking care of
Name of Family
Members
Sex Age Civil Status Position in
the Family
Residence
1. Arnel Globio M 38 Domestic
Partner
Father Temporary
2. Cristina
Globio
F 35 Domestic
Partner
Mother Temporary
3. Arlene
Globio
F 17 Child 1
st
Child Temporary
4. Ajen Globio F 16 Child 2
nd
Child Temporary
5. Arnel Globio
Jr.
M 15 Child 3
rd
Child Temporary
6. Analyn
Globio
F 12 Child 4
th
Child Temporary
7. Aceste
Globio
F 10 Child 5
th
Child

Temporary
8. Jolo Globio M 7 Child 6
th
Child Temporary
9. Amayalyn
Globio
F 4 Child 7
th
Child Temporary
their children when she has time, for budgeting husband's income and handling
issues concerning health of the family.

B. Socio-Economic and Cultural Characteristics



All of the members of the family are Roman Catholic. Although they are all
Roman Catholics, they do not participate in religious activities such as going to
masses and other spiritual activities. As verbalized by Cristina, "Katoliko kami
pero di kami nagsisimba. They all have a common ethnic background which is in
Antipolo. Arnel Globio works at Pasig as a welder. He has a net income of
P9000-P10000 per month. Being a welder, Arnel has more possibility of
acquiring respiratory related problems. On the other hand, Cristina Globio was
not able to graduate due to financial problem. She is a housewife who is
responsible of taking care of their children especially to Arnel Jr. due to a
disability. Their 4 children, continuously studies. Ajen and Aceste Globio were not
able to study due to financial problem. As Cristina stated, "Hindi na nakapag-aral
yun dalawa kong anak dahil sa kulang ang kita ni Arnel. Arnel Jr is not studying
due to his disability of being mute. He undergone some treatments but his family
stopped it due to lack of money.
Name of Family
Members
Religion Ethnic
Background
Educational
Attainment
Occupation Place of
ork
1. Arnel
Globio
Roman
Catholic
Antipolo Highschool
Graduate
elder Pasig
2. Cristina
Globio
Roman
Catholic
Antipolo Grade 5
Undergraduate
Housewife
3. Arlene
Globio
Roman
Catholic
Antipolo 4
th
year
Highschool
Student
4. Ajen Globio Roman
Catholic
Antipolo Stopped
5. Arnel
Globio Jr.
Roman
Catholic
Antipolo Not studying at
all

6. Analyn
Globio
Roman
Catholic
Antipolo 1
st
year
Highschool
Student
7. Aceste
Globio
Roman
Catholic
Antipolo Stopped
8. Jolo Globio Roman
Catholic
Antipolo Grade 4 Student
9. Amayalyn
Globio
Roman
Catholic
Antipolo Grade 1 Student
NCOME EXPENSES
404 x 22days = Php9240 P500 Electricity

P4000 Food

P800 Allowance of children

P250 Transportation

P4000 Education of children

P400 Miscellaneous (groceries)
TOTAL: P9240/month TOTAL: P9950/month


FinanciaI Deficit = P700

Only Arnel Globio works for the family for 22 days a month because he
stays at home and rest during Saturdays and Sundays, his monthly income
range from P9000-P10000. Arnel supports the needs of the family. The family
allocate P500 for electricity, P4000 for their monthly consumption of food like fish
and vegetables, P800 for the allowance of their 4 children who study, P250 for
transportation, P4000 for the education of the 4 children and P400 for
miscellaneous such as their groceries.
n this case of having a financial deficit, Cristina tends to borrow money
from other people and she pays it on the next month when his husband gets his
salary. As Cristina's verbalization, "nangungutang na lang ako sa kapitbahay
namin kapag walang wala na kami, sa susunod na buwan ko na lang
binabayaran, nakikiusap ako sa kanila.
As stated above, the family's budget is not sufficient for all the needs of
each member. As Cristina Globio stated that, "hindi na nakapag-aral yun
dalawang anak ko kasi kulang yun pera namin.






C. Home and Environment

nterior:

The house is a mixed type structure that includes concrete and wood. The
family do not own the house but they are not renting because they are
considered as informal settler. As Cristina stated that, "hindi naman kami
nangungupahan o nagbabayad ng renta dito pero hindi din naman amin itong
bahay. The house has only 1 window and a bungalow type wherein the wall and
flooring is made of cement while the main door, window and door of the
bathroom is made of wood. Their appliances inside the house include a television
set and electric fan. For their lightning inside the house, they use a small bulb
and it is not suitable for good lightning. Having a poor lightning facility, the family
is prone to accident due to inadequate lightning. The family doesn't use a gas
stove, instead, they use charcoal for cooking. As verbalized by the client, "hindi
uso kalan dito, mahal kasi ang gaas kaya naguuling na lang kami pag nagluluto.
Using charcoal for cooking can increase the possibility that the family may have
respiratory related problems and may be cancerous. The table serves their food
storage but with cover. All their water needs is supplied by NAASA. This water
needs is used for bathing, cooking, drinking, laundry and kitchen use. Cristina
verbalized, "yung iniinom naming tubig, galing lang sa gripo. niipon namin sa
lalagyanan tas lalagyan ng takip. n this case, the family is more suitable for
water-related diseases. They do own a toilet inside their house which is a pour
flushed toilet considered as level 1 toilet facility. For their garbage disposal,
Cristina stated that "iniipon lang namin yun basura namin tapos itatapon doon sa
malayo.







Living space:

Total Floor Area (TFA) = length X width (sq.m.)
Total Space Requirement (TSR) = sum of all members of the family

(A) No. of Adults X 3 sq.m =
(B) No. of Child X 1.5sq.m =
nterpretation:
TFA > TSA = adequate living space
TFA < TSA = inadequate living space
Computation:
TFA:
2.9m X 5m = 14.5sq.m
TSR:
A. 3 X 2 = 6sq.m
B. 1.5 X 7 = 10.5sq.m
Total: 16.5sq.m
14.5sq.m < 16.5sq.m = Inadequate Iiving space

Based on the computations above, TFA is 14.5sq.m and TSR is 16.5sq.m


indicating that the family has inadequate living space.
Since the family is consists of 9 members, two adults and 7 children, their
floor area is inadequate for their living space. Therefore, there is a higher risk for
them for injuries and transmission of diseases among family members because
they cannot freely move in their house. Cristina also verbalized, "Maliit ang bahay
namin, pag natutulog kami, siksikan talaga.







Ventilation:

Total window openings X (LX) X 100
Total floor area
nterpretation:
20% up = Good ventilation
16-19% = Fair
0-15% = Poor
Computation:
(0.69m)(1.37m) X 100
14.5m
Total: 6.5% = Poor
Based on the data given above, they only have one window; the window
size is inadequate for good ventilation because it is not appropriate within the
floor area. This indicates that the family has poor ventilation. n which, this
implies that the family is at higher risk of possibility for acquiring diseases such
as airborne or droplet-acquired diseases.

























Exterior:

hile entering the place, we noticed that the community is muddy. There
were a lot of domestic animals around such as dogs, cats, pigeons and chickens.
There were a lot of animal excreta around the place; a big creek is near the place
and this creek makes the family more prone to be filled with breeding sites with
different vectors. As we move on to Globio family's house, we noticed that there
was a big drum with no cover outside their house and this can be infested with
mosquitoes and other vectors. The family's neighbours are pleasant and
approachable. The family has a good and open relationship with their
neighbours. As Cristina stated that, "ok naman kami ng mga kapitbahay namin,
ka-tsikahan ko pa nga e. Brgy. Munting Purok is considered as a congested
area because there is no enough space between houses. There is no church,
chapel or barangay house located in their community, but there is a small
basketball court at the end. They have a dog and cat as their pets. There is also
presence of mosquitoes inside the house. As Cristina verbalized, "Talagang
maraming lamok dito kasi malapit sa kanal at tirahan ng mga hayop. The
nearest health center is the Mambugan Health Center. n terms of transportation,
jeepneys and tricycles are available in their community; for communication, the
eldest daughter owns a cellphone. There were also presence of mosquitoes and
cockroaches during the house visit


D. Health Status of Each Member

Nutritional Assessment


Remarks:





















Name Sex AGE HT
(m)
T
(kg)
BM REMARK DOM REMARK
1. Arnel Globio M 38 1.57 62 25 Obese 122% Obese
2. Cristina
Globio
F 35 1.44 58 28 Obese 134% Obese
3. Arlene
Globio
F 17 1.55 48 20 Healthy
eight
104% Nornal
4. Ajen Globio F 16 1.42 36 17 Underweight 80% 1
st
Degree
5. Arnel Globio
Jr.
M 15 1.55 37 15 Underweight 82% 1
st
Degree
6. Analyn
Globio
F 12 1.25 21 13 Underweight 50% 3
rd
Degree
7. Aceste
Globio
F 10 1.16 18 13 Underweight 44% 3
rd
Degree
8. Jolo Globio M 7 1.02 13 34% 3
rd
Degree
9. Amayalyn
Globio
F 4 0.87 10 28% 3
rd
Degree
BM DOM
< 18.5 = Underweight
18.6-22.9 = Healthy weight
>23.0 = Overweight
23.0-24.9 = At risk
25.0=29.9 = Obese
>30.0 = Obese
110% above = Obese
90-109% = Normal
75-89% = 1
st
Degree
60-75% = 2
nd
Degree
60% below = 3
rd
Degree
Classification BM aist Circumference
Men < 90
omen <80
>90
>80
Underweight <18.5 Low but increased
risk for other clinical
problems
Average
Normal 18.6-22.9 Average ncreased
Overweight:
At Risk
Obese
Obese
>23
23.0-24.9
25.0-29.9
>30.0
ncreased
Moderate
Severe
Moderate
Severe
Very Severe
Computation:

BM DOM
BM = eight in Kg
Height in m
2

DOM = Actual Body eight
deal Body eight
For B:
- Adult male, allow 106lbs for 5ft. add 6lbs for
each additional inch taller; below 5ft, subtract
6lbs.
- Adult female, allow 100lbs for 5ft. add 5lbs
for each additional inch taller; below 5ft,
subtract 5lbs.
- f age is < 1y/o: eight in kg + 3
- f age is >1y/o: eight in kg X 2 + 8


Computation for BM:

Arnel: 62kg / 1.57m
2
= 25
Cristina: 58kg / 1.44m
2
= 28
Arlene: 48kg / 1.55m
2
= 20
Ajen: 36kg / 1.42m
2
= 19
Arnel Jr.: 37kg / 1.55m
2
= 15
Analyn: 21kg / 1.25m
2
= 13
Aceste: 18kg / 1.16m
2
= 13
Computation for DOM:
Arnel: 137lbs / 112 x 100 = 122%
Cristina: 127lbs / 95 x 100 = 134%
Arlene: 48kg x 2 + 8 = 104%
Ajen: 36kg x 2 + 8 = 80%
Arnel Jr.: 37kg x 2 + 8 = 82%
Analyn: 21kg x 2 + 8 = 50%
Aceste: 18kg x 2 + 8 = 44%
Jolo: 13kg x 2 + 8 = 34%
Amayalyn: 10kg x 2 + 8 = 28%



hen we computed the BM of the family members, it resulted that the

father, Arnel Globio and the mother Cristina Globio is both Obese with their BM

of 25 and 28 respectively. As for their children, Arlene's BM of 20 is normal, but

Ajen, Arnel Jr., Analyn and Aceste has a result of 17, 15, 13, and 13,

respectively which is not normal and are all underweight. For Jolo and Amayalyn

the computation of BM is not applicable to both of them because they should be

8 y/o and above.

For the degree of malnutrition of the family, Arnel got 122%, classifying

him as obese, while the mother got 134% which also means that she is also

classified as obese. Arlene who got 104% is normal, Ajen with 80% and Arnel Jr.

with 82% is both classified as 1
st
Degree while the rest, Analyn with 50%, Aceste

with 44%, Jolo with 34% and Amayalyn with 28% are all classified as 3
rd
Degree

malnourishment. The mother said that she do not work, and stays at home which

is an additional factor for her to gain weight and be classified as an obese.

Almost all of their children are malnourished due to lack of nutrition that they get

in what they eat. They don't eat enough and sometimes they only eat twice a day

because of financial difficulty. As verbalized by Cristina, "Kadalasan kasi, puro
isda at gulay lang ulam namin. Pinagkakasya pa. Even if the mother said that
they eat vegetables and fish which contain a lot of nutrients, the amount of food
that they eat is still not sufficient for each of them. Fortunately, at present there
is no presence of any illness in the family.
















Present Health History of the Family:

As verbalized by Cristina, "Dati na talaga akong mataba simula nung
pagkabata ko, mahilig kasi akong kumain ng kumain ng matatamis dati kaya
siguro tumaba ako ng ganito. Cristina is at high risk of acquiring diabetes due to
her lifestyle before. As stated by Cristina, "Ang asawa ko naman mahilig
magkakain ng matatabang pagkain tsaka yung mga mamantika kaya tumaba.
Arnel is at high risk of acquiring cardiovascular related diseases because of his
standard of living before. As Cristina verbalized, "Yung mga anak ko naman hindi
mahilig magkakain lalo na kapag gulay ang niluluto ko, madalas pa namang
gulay o isda lang ang ulam namin dahil mahal yung mga karne, minsan mas
gusto pang maglaro sa labas kaysa kumain, buti nga yang si Arlene hindi
gaanong mapili sa pagkain kaya medyo normal kumpara sa mga kapatid niya
As stated above, the children is at risk for malnutrition due to inadequate
nutrients needed by their body.
At present, the family is in a healthy stage and the family is not suffering
from any illnesses. As verbalized by Cristina, "sa ngayon, wala naman
nagkakasakit sa aming pamilya, buti nga yun e, walang gastos.
But, Arnel Jr who is 15 years old is inability to speak. t was detected when
the mother decided to have a check up at health center for Arnel Jr when he was
4 years old because at this age, he still cannot speak. t was diagnosed that he is
mute. He was provided medications since then, but Cristina decided to stop
those medications when he was 10 years old due to lack of money and
inadequate knowledge given by the health center. At present, Arnel Jr is in a
healthy stage and can interact with others through sign languages.




E. Values, Habits, Practice on Health Promotion, Maintenance and Disease
Prevention

mmunization of each family member:

**nc ncomplete mmunization; / - Complete mmunization

Jolo and Amayalyn only received BCG and Measles vaccination and is
incomplete in DPT, OPV, and Hepa vaccines. As the Cristina verbalized "yung sa
tigdas at tb lang, hindi ko na kasi sila naibalik sa Health Center para pa-
bakunahan nung iba pa at tsaka wala na rin kaming pera para mapabakunahan
sila. At this situation, the 2 children are at high risk to acquire diphtheria,
pertussis, tetanus, polio and hepatitis due to lack of vaccines.
The rest of the family had their immunizations before. They had the
complete vaccines and this can provide lower risk for acquiring tuberculosis,
measles, diphtheria, pertussis, tetanus, polio and hepatitis.
For the family's lifestyle the father of the family is an alcohol drinker and
consumes 4 beers in a month that he drinks. All of the family members has an
adequate sleeping pattern as the mother verbalized "maaga kaming natutulog,
mga 9 pa lang natutulog na kami. All of them are also exercising as they divide
and share the household chores. f one of them is sick they only do self
medications as the mother verbalized "hindi kami pumupunta sa doctor.
Ginagamot naming sarili naming hanggat kayang gamutin. Their food
preference are most likely dry fish (like tuyo, daing) and vegetables (talbos ng
Name Age BCG MEASLES DPT OPV HEPA
1. Arnel Globio 38 / / / / /
2. Cristina
Globio
35 / / / / /
3. Arlene
Globio
17 / / / / /
4. Ajen Globio 16 / / / / /
5. Arnel Globio
Jr.
15 / / / / /
6. Analyn
Globio
12 / / / / /
7. Aceste
Globio
10 / / / / /
8. Jolo Globio 7 / / nc nc nc
9. Amayalyn
Globio
4 / / nc nc nc
kamote). They also prefer eating "saging na saba. As the mother verbalized,
"Kadalasan kasi, puro isda lang ulam namin. Pinagkakasya pa.



















































F. First Level Assessment

Cues/Data Nursing Problem
Presence of Breeding Site for nsects (e.g.
Mosquitoes, Flies)

Subjective:
"Talagang maraming lamok dito kasi
malapit sa canal at tirahan ng mga hayop.

Objective:
Presence of mosquitoes and flies
Nursing Threat
Malnutrition

Subjective:
"Kadalasan kasi, puro isda lang ulam
namin. Pinagkakasya pa.

Objective:
Amayalyn: 10kg x 2 + 8 = 28%
Health Deficit
nadequate Living Space

Subjective:
"Maliit ang bahay namin, pag natutulog
kami, siksikan talaga.

Objective:
TFA:
2.9m X 5m = 14.5sq.m

TSR:
(A) 3 X 2 = 6sq.m
(B) 1.5 X 7 = 10.5sq.m

14.5sq.m < 16.5sq.m = nadequate
living space
Health Threat
Unsafe Drinking ater

Subjective:
"Yung iniinom naming tubig ay galing
lang sa gripo. niipon namin sa lalagyanan
tas lalagyan ng takip.

Objective:
They are getting water directly from the
faucet.
Health Threat
Family Size Beyond hat Family
Resources Can Adequately Provide

Subjective:
"Hindi na nakapag-aral yun dalawa kong
anak dahil sa kulang ang kita ni Arnel.

Objective:
Ajen and Aceste are not studying.
Health Threat


Second Level Assessment

Cues/Data Typology
Presence of Breeding Site for nsects (e.g.
Mosquitoes, Flies)

Subjective:
"Talagang maraming lamok dito kasi malapit
sa canal at tirahan ng mga hayop.

Objective:
Presence of mosquitoes and flies
O nability to a home
environment conducive to
health maintenance and
personal development due
to lack of knowledge of
preventive measures.

Malnutrition

Subjective:
"Kadalasan kasi, puro isda lang ulam namin.
Pinagkakasya pa.

Objective:
Amayalyn: 10kg x 2 + 8 = 28%
= 3
rd
Degree Malnutrition
O nability to recognize the
presence of the condition
due to economic cost
implications.
nadequate Living Space

Subjective:
"Maliit ang bahay namin, pag natutulog
kami, siksikan talaga.

Objective:
TFA:
2.9m X 5m = 14.5sq.m

TSR:
(C) 3 X 2 = 6sq.m
(D) 1.5 X 7 = 10.5sq.m

14.5sq.m < 16.5sq.m = nadequate living
space
O nability to a home
environment conducive to
health maintenance and
personal development due
to inadequate family
resources, specifically,
limited financial resources.
Unsafe Drinking ater

Subjective:
"Yung iniinom naming tubig ay galing lang
sa gripo. niipon namin sa lalagyanan tas
lalagyan ng takip.

Objective:
They are getting water directly from the
faucet.
O nability to a home
environment conducive to
health maintenance and
personal development due
to lack of knowledge of
preventive measures.

Family Size Beyond hat Family Resources
Can Adequately Provide

Subjective:
"Hindi na nakapag-aral yun dalawa kong
anak dahil sa kulang ang kita ni Arnel.

Objective:
Ajen and Aceste are not studying.
O nability to a home
environment conducive to
health maintenance and
personal development due
to inadequate family
resources, specifically,
limited financial resources.

G. Scaling and Ranking

1. Presence of Breeding Sites for nsects (e.g. Mosquitoes, Flies)
Criteria Computation Actual Score Justification
Nature of the Problem 2/3 x 1 0.67 t is a health threat.
Modifiability of the
Problem
1/2 x 1 1 The problem is partially
modifiable because the
environment can be changed
and cleaned to avoid the
presence of breeding sites.
Preventive Potential 1/3 x 1 0.33 The problem can be
prevented if the client can
change their environment.
Salience of the Problem 1/2 x 1 0.5 t is a felt problem

Subjective Data:
"Talagang maraming lamok
dito kasi malapit sa kanal at
tirahan ng mga hayop.
Total 2.5

2. Malnutrition

Criteria Computation Actual Score Justification
Nature of the Problem 3/3 x 1 1 t is a health deficit that
requires immediate
management to eliminate
untoward consequences.
Modifiability of the
Problem
x 2 1 The problem is partially
modifiable since the family
have the resources that can
improve their condition but
does not know how to extent
the condition.
Preventive Potential 2/3 x 1 0.67 Resistance to other diseases
and infections can be
prevented if malnutrition is
eliminated; normal growth
and development can thus
be achieved.
Salience of the Problem 2/2 x 1 1 t is a felt problem.

Subjective Data:
"Kadalasan kasi, puro isda
lang ulam namin.
Pinagkakasya pa.
Total 3.67









3. nadequate Living Space

Criteria Computation Actual Score Justification
Nature of the Problem 2/3 x 1 0.67 t is a health threat that does
not demand immediate
demand.
Modifiability of the
Problem
x 2 1 The problem is partially
modifiable since they do
have the knowledge but
doesn't have enough
financial income to solve the
problem.
Preventive Potential 3/3 x 1 1 ncreasing the living space
will reduce possibility of
transferability of
communicable disease (eg.
Cough)
Salience of the Problem 1/2 x 1 0.5 t is a felt problem.

Subjective Data:
"Maliit ang bahay namin, pag
natutulog kami, siksikan
talaga.
Total 3.17


4. Unsafe Drinking ater

Criteria Computation Actual Score Justification
Nature of the Problem 2/3 x 1 0.67 t is a health threat.
Modifiability of the
Problem
x 2 1 The drinking resources can
be partially modifiable
because the family lacks
resources.
Preventive Potential 2/3 x 1 0.67 Other infections or diseases
can be acquired not
prevented.
Salience of the Problem 2/2 x 1 1 t is a felt problem

Subjective Data:
"Yung iniinom naming tubig,
galing lang sa gripo. niipon
namin sa lalagyanan tas
lalagyan ng takip.
Total 3.34






5. Family Size Beyond hat Family Resources Can Adequately Provide
Criteria Computation Actual Score Justification
Nature of the Problem 2/3 x 1 0.67 t is a health threat.
Modifiability of the
Problem
1 x 2 1 The problem can be partially
modifiable since the client
knows some ways to prevent
the increasing size of the
family but not utilizing it.
Preventive Potential 1/3 x 1 0.33 The family is already big; it
would be hard for them to
compensate for scarcity.
Salience of the Problem 2/2 x 1 1 t is a felt problem
Subjective Data:
"Hindi na nakapag-aral yun
dalawang anak ko kasi
kulang yun pera namin.
Total 3







































PROBLEMS RANKED ACCORDNG TO PRORTZATON:

RANK SCORE
1. Malnutrition 3.67
2. Unsafe drinking water 3.34
3. nadequate living space 3.17
4. Family Size Beyond hat
Family Resources Can
Adequately Provide
3.0
5. Presence of breeding sites 2.5















































NURSE PATIENT TECHNIQUE ANALYSIS
"Magandang hapon
po Nanay!
Magandang hapon
din naman mga iha.
Acknowledging The patient gave
acknowledgment when
we greeted her
"magandang hapon
"Hello po. Ako nga
po pala si Sugar at
si Khatrina naman
po ang kasama ko,
mga student nurses
po kami mula sa
Metropolitan Medical
Center College of
Arts, Science and
Technology
Hi mga iha, tuloy
kayo sa munting
tahanan naming.
Pasensya na at
medyo magulo ha.
Acknowledging The patient was able to
acknowledge us in an
indirect manner through
her non-verbal actions.
"Nay, maari po ba
kami mag-interview
sa inyo?
Sige, ayos lang. Close-ended
Question
The nurse only asked a
specific question
answerable by a simple
answer.
"Ano po and iyong
pangalan, Nay?
Ako si Cristina
Globio.
Close-ended
Question
The nurse asked a
specific question
answerable by a simple
answer.
"lang taon na po
kayo? May asawa
po ba kayo?
35 ako. Oo, meron
akong asawa, si
Arnel Globio pero
nasa trabaho siya
ngayon, sa Pasig,
edad 38 naman siya.
sa siyang welder.
Open-ended
Question
The nurse asked the
patient about her
husband then the patient
already described Mang
Arnel's place of work and
kind of work, and age.
"May mga anak po
ba kayo?
Meron, pito sila. 5
babae at 2 lalaki.
Open-ended
Question
Though this may be a
close-ended question, the
patient answered the
nurse with giving
information about how
many her children are.
"Sinu-sino po sila? Si Arlene ang
panganay edad 17;
Ajen-16; Arnel Jr.-15;
Analyn-12; Aceste-
10; Jolo-7 at si
Amayalyn na bunso
4.
Close-ended
Question
The nurse asked the
patient's children in a
simple question.
"May nag-asawa na
po ba sa kanila? O
may anak n po b
sila?
ala naman sa awa
ng Diyos.
Close-ended
Question
The nurse directly asked
the patient's children
status.
"Ano pong relihiyon
niyo? Katoliko po
ba?

"Saan po kayo
lumaki? Sa Maynila
po ba?
Oo.


Oo.
Close-ended
Question


Close-ended
Question
The nurse's question is
answerable by yes or no.


The nurse's question is
answerable by yes or no.
"May trabaho po ba
kayo? Eh yun mga
ala, nagaalaga
lang ako sa mga
Close-ended
Question
The nurse's question is
answerable by yes or no.
anak niyo? anak ko.
"Nakapag-aral po ba
kayo?
Grade 5 lang
natapos ko pero yun
asawa ko naka-abot
ng high school.
Etong mga anak ko
nakakapag-aral
naman hanggang
ngayon. Yun
panganay ko 4
th
yr
high school na, si
Arnel naman e hindi
nakakapag-aral dahil
pipi siya, si Analyn ay
1
st
yr high school, si
Jolo naman grade 4
at si bunso ay grade
1.
Open-ended
Question
Giving
nformation
Providing
General Leads
The nurse asked a
question that the patient's
answered clearly and
elaborated her answer
and gave factual
information. The patient
was able to verbalize
what she wants about the
topic.
"Nay, magkano po
ag kinikita ni Tatay
sa isang buwan?
Nasa 10,000 kada
buwan and kinikita
niya.
Close-ended
Question
The nurse asked the
patient directly about
husband's salary.
"Sa mga gastusin
niyo po dito sa
bahay,
napagkakasya niyo
po ba ito?
Oo, marunong
naman kaming
magtipid at sa
ngayon e wala
namang mga pasok
ang mga bata. Sa
isang buwan,
naglalaan kami ng:
P500-kuryente;
P4,000-pagkain;
P800-allowance ng
mga bata.
Providing
General Leads
The nurse used a
question that encouraged
the patient to verbalize
and elaborate the family's
monthly expenses.
"Nagrerenta po ba
kayo dito sa bahay?
Hindi naman
maituturing na sa
amin ito pero hindi rin
naman kami
nagbabayad.
Close-ended
Question
Giving
nformation
Though the nurse asked
a close-ended question,
the patient answered it by
elaborating it to give
information.
"Ano po ang
ginagamit niyong
tubig?
NAASA Colse-ended
Question
The patient was able to
answer the nurse directly.
"Saan niyo po
iniimbak ang inyong
tubig?
Ayun oh, sa isang
lalagyanan na may
takip, parang jug.
Close-ended
Question
The patient was able to
answer the nurse directly.
"Saan niyo naman
po nilalagay yung
pagkain o ulam
niyo?
Nasa ibabaw lang ng
lamesa pero may
takip naman.
Close-ended
Question
The patient directly
answered where.
"May kubeta po ba
kayo?
Oo, sa amin iyan. Close-ended
Question
The patient directly
answered the nurse.
"Yun mga basura
niyo po, saan niyo
po itinatambak?
Doon sa malayo,
doon namin
tinatapon
Close-ended
Question
The patient directly
answered the nurse.
"May mga alaga po
ba kayong hayop?
Oo, meron. Aso,
pusa, pato at
kalapati.
Close-ended
Question
Giving
The patient was able to
verbalize what animals
they take care of.
nformation
"May Health Center
po ba kayo na
malapit dito? Saan?
Oo, meron, doon sa
may Maligaya
Close-ended
Question
The patient answered the
nurse directly.
"May cellphone o
teleponopo ba kayo?

Anak ko lang ang
may cellphone.
Close-ended
Question
The patient directly
answered the nurse.
Pag buma-biyahe po
kayo, ano po ang
sinasakyan niyo?
Nagta-tricycle kami o
di kaya jeep.
Close-ended
Question
The patient answered the
nurse directly.
"Nay, meron po ba
kayong sakit? Yung
mga anak niyo po?
ala akong sakit na
nadadama. Ang mga
anak ko naman e
malulusog pero si
Arnel ay pipi.
Pinagamot namin
siya dati pero wala
din namang
pagbabago kaya
itinigil na namin yung
gamot niya nung 5
taon siya.
Open-ended
Question
Providing
General Leads
The nurse asked the
patient about their health.
The client was able to
explain what her son is
suffering.
"Nay, sa huling
limang taon,
hanggang sa
kasalukuyan,
namatayan na po ba
kayo?
Sa mabuting palad e
hindi naman.
Close-ended
Question

The nurse asked a
question answerable by
yes or no.
"Nay maari po ba
naming kunin ang
inyong timbang,
sukat ng inyong
tangkad at sukat ng
inyong beywang?
Oo naman. alang
problema.
Close-ended
Question

The nurse asked
permission about the
physical assessment to
do and the patient was
able to agree with the
assessment.
"Nay, sa mga anak
niyo po, nabigayan
po ba sila ng
immunizations tulad
ng BCG at measles.
Oo, BCG lang ang
nabigay kay Jolo at
Amayalyn. Hindi na
natuloy yun para sa
tigdas.
Close-ended
Question

The client was able to
answer it by yes or no.
"Kapag
nagkakasakit po ba
kayo, ano po
ginagawa niyo?

Hindi kami
pumupunta sa
doctor, ginagamot
lang naming ang
sarili namin hanggat
kaya.
Open-ended
Question
The nurse used an open-
ended question but the
patient was not able to
elaborate it clearly.
"Nay, meron po
kaming tanong na
medyo sensitibo po.
Ayos lang po ba?
Sige iha, ayos lang
naman.
Close-ended
Question

The nurse asked
permission to ask some
sensitive question and
the patient allowed us to
ask questions.
"Meron po bang
gumagamit o
gumamit ng drugs
sa inyo?
ala naman. Close-ended
Question

The patient directly
answered the nurse.
"May umiinom po ba
ng alak sa inyo?
Meron, yun asawa ko
nakaka-apat na beer
Close-ended
Question
The patient elaborated
and identified the
kapag nagiinom. Giving
nformation
member of the family who
drinks alcohol and gave
information on how many
beers her husband takes.
"Ano pong hilig
niyong pagkain?
Gulay, isda at karne. Close-ended
Question
The patient answered the
nurse directly.
"Ayan nay, tapos na
po ang pag-
interview. Babalik na
lang po kami ulit.
Salamat pos a oras
nay! Bye po. ngat
po.
alang anuman mga
iha't iho. ngat din
kayo. At salamat din.
Acknowledging The patient
acknowledges the
goodbye greetings of the
nurse's.