FATHER SATURNINO URIOS UNIVERSITY

San Francisco St. Butuan City 8600, Region XIII Caraga,

Philippines
Nursing Program

INITIAL DATABASE

A. FAMILY STRUCTURE AND CHARACTERISTICS

1. Members of the Household and Relationship to the Head of the Family
Family Member Birth Date Age Sex Position Remarks
Sandra L. De la Cruz Sept. 22, 45 F Mother
1977
John Coven D. Librero Nov. 25, 1 M Child
2020
Mellven P. Librero Feb 1, 1998 24 M Father

2. Place of Residence in Each Member

Purok 2, Barangay Salvacion, Butuan City

3. Type of Family Structure

Nuclear Family
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4. Dominant Family Members in Terms of Decision-Making Pertaining in Health Matters
Family’s dominant family members are both the mother, Sandra De la Cruz and the father,
Mellven Librero.

General Family Relationship

The family states that they are in good terms in their relationship.

B. SOCIO-ECONOMIC AND CULTURAL FACTORS

1. Income and Expenses
a. Occupation, Place of Work, and Income of each Family Member
Family Member Occupation Place of Work Income
Sandra L. De la Cruz n/a
Mellven P. Librero n/a
n/a

b. Adequacy to Meet Basic Needs

Quantity Item Unit Price Total

Note: If you have a lot of items to list down, you may use a separate sheet.
c. Who makes decision about money spending
The one who handles the money is the mother.
2. Educational Attainment of Each Member
 Family Member Educational Attainment School Year
Sandra L. De la Gradeschool, Homeschooled 2
Cruz years college
John Coven D. n/a n/a n/a
Librero
Mellven P.
Librero

3. Ethnic Background and Religious Affiliation

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4. Relationship of Family to the Community
The family is on good terms with the community, they participate in events that take place in
their barangay.

C. ENVIRONMENTAL FACTORS
1. Housing
a. Adequacy of Living Space
(Please make a diagram of the house with measurements or use a separate sheet)

b. Sleeping Arrangement
(Please make a diagram of the house with measurements or use a separate sheet)

c. Adequacy of Furniture
They do not own any furniture. They usually sleep on the floor, sit on the floor and eat on the
floor.

d. Presence of Insects and Rodents

Pests and insects frequently visit their home especially with present domestic animals around
that may drop their waste around the house. Flies and mosquitos are present.

e. Food Storage and Cooking Facilities

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Water Supply
The family acquires water for cleaning from a deep well or artesian well. Providing them level I
water supply.
 f. Toilet Facility
They do not have their own toilet facility. They visit the grandmother’s house to use the toilet.
g. Garbage and Refuse Disposal
They do not own any trash bin or do segregation. The family uses a composed pit which is near
to their home. “Ang gamit ra bitaw namo kay... kanang bangag, naa rapud sa likod sa among
balay.”
h. Drainage System
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2. Kind of Neighborhood
The neighborhood is quiet. The family has no conflict with neighbors. Houses have reasonable
space from one another. Homes are not secluded nor compacted.

3. Social and Health Facilities Available

They have one Barangay center where events take place and where they seek health facilities
from.

4. Communication and Transportation Available

The family when in need of transportation, they use services such as “habal-habal” or tricycads
that pass by their neighborhood.

D. Health Assessment of Each Member

1. Medical and Nursing History of Past Significant Illness and Whom to Approach in Times of
Illness?
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2. Nutritional Assessment
a. Anthropometric Data
Family Member Weight Height BMI Interpretation
Family Member 11.8 kg
Sandra L. De la 55 kg
Cruz
Mellven P. 65 kg
Librero

b. Dietary History
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c. Eating Feeding Habits
Usually eats Vegetables due to financial issues. Have less meat prepared on the table. “panagsa
ra mi mag meat pero kasagaran gulay jud”

3. Current Health Status in Indicating the Presence of Illness

The family is healthy.
E. VALUE PLACED ON PREVENTION OF DISEASE
1. Immunization Status of Children
John Coven Librero, the only child, is fully vaccinated

2. Use of Proper Preventive Services

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PRIORITIZATION OF THE PROBLEM

Problem: Nutritional Imbalance due to unhealthful eating habits

Criteria Computation Justification
Nature of the Problem 2/3 x 1 = 0.7 The problem is a health
threat

Modifiability of the Problem 1/2 x 2 = 1 The problem is partially

modifiable

Preventive Potential 2/3 x 1 = 0.7

It has moderate
preventive potential due to its
recurrence in the family.

Salience of the Problem 1/2 x 1 = 0.5 The family perceives the

condition as not needing
immediate attention.

Total 1.9

Problem: Risk for infections due to Improper Waste disposal

Criteria Computation Justification
Nature of the Problem 2/3 x 1 = 0.7 This is a health threat
because of the improper
garbage disposal

Modifiability of the Problem 2/2 x 2 = 2 It is easily modifiable.

Preventive Potential 3/3 x 1 = 1 There is high preventive

potential

Salience of the Problem 1/2 x 1 = 0.5 The family does not perceive
 the problem to need
immediate attention.

Total 4.2
FAMILY COPING INDEX

1-No Competence 3-Moderate Competence 5-Competence

Area Score Justification

Physical Independence 1 3 5 All of the family members are able
to physically maneuver on their
own.

Therapeutic Independence 1 3 5 The family is active in barangay

events and are physically active at
home and at work. The child is
given time to spend with family
outdoors and indoors.
Knowledge of Health 1 3 5 Mother aware of no current health
Condition conditions that may contribute to
illness

Application of the 1 3 5 Home is unhygienic due to only to

Principles of General have done many activities on the
Hygiene floor but they do have water and
soap to clean themselves.

Health Attitude 1 3 5 Mother is able to comply for public

health measures but shows
unawareness to nutritional
imbalance due to eating habits

Emotional Competence 1 3 5 The family shows strong-willed

attitude and is very composed.

Family Living 1 3 5 The mother mentions money is an

issue.

Physical Environment 1 3 5 The surroundings are filled with

greenery, and animals. There is
waste scattered.
 Use of Community 1 3 5 Utilizes community resources when
Resources needed.

FAMILY NURSING CARE PLAN

Problem Identified: Improper Garbage Disposal Date Identified: Nov. 4, 2022

Cues:

 Subjective Cues: ““Ang ginagamit namin kasi ay.. kanang bangag, nandun lang
din sa likuran.”

 Objective cues: Mother, 45 years old, has weight of 55 kg and the child, 1 year
old, has a weight of 11.8 kg

Family Nursing Problem:

Risk for infections due to Improper Waste disposal

Goal of Care:
 Short-Term: Within 8 hours of exposure, the family will be able to recognize
benefits to proper waste placement and disposal.
 Long-Term: Within a week, the family will be able to observe proper waste
management.

Objectives:

Within 8 hours of exposure, the family will be able to:

1. discuss ways to minimize improper disposal of waste
2. recognize advantages of proper ways of disposal
3. discuss new location for waste disposal

Interventions:

Intervention Rationale
Assess waste disposal habits To observe the family’s patterns

Educate about proper waste disposal To enhance knowledge of family

Discuss further about waste disposal To avoid pest and/or insect

such as locations and other techniques infestation.
Discuss adjustments to placements of Minimize vector diseases.
waste. if
using a composed bin, instruct to place
it farther away from kitchen and
 house. To encourage recycling and
Segregation of plastic/recyclable segregation
materials into another container to be
collected by garbage collectors or to
be reused again for
recreational or functional activities The recording of a home visit is an
important
Record Result/findings and other reference for future care, as well as a
information documentation of the nursing services
data gathered. rendered

Resources Required:
Time and effort of the nurse and client

Evaluation: