Aras

DE LA SALLE PHILIPPINES, INC.
DE LA SALLE HEALTH SCIENCES INSTITUTE

COLLEGE OF NURSING & SCHOOL OF MIDWIFERY
Dasmarias, Cavite
FAMILY CASE STUDY
I.BACKGROUND INFORMATION
Family Name: BAWAG
Amadeo
Family Structure: Nuclear
Family Stage: Family with School-Age Children
Residency: 9 years
Religion: Kataastaasang Iglesia ni Kristo Hesus (KINKH)
A. Profile
Name
Benjamin S.
Bawag
Helen M. Bawag
Leeian M. Bawag
John Lester M.
Bawag
Lancel M. Bawag
Leeroi M. Bawag
Lorence M.
Bawag
Leeidol M.
Bawag
Place of Origin:
Nationality: Filipino
Years of
Relati
on to
family
Se
x
Ag
e
Occupati
on
Educatio
nal Level
Religio
n
Civil
Statu
s
Monthl
y
Earnin
gs
Php
3,000.0
0
Head
of the
Family/
Father
Mother
38
Dispatcher
High
School
Graduate
KINKH
Marrie
d
31
Housewife
at present
KINKH
Marrie
d
NONE
Son
Son
M
M
9
8
Student
Student
High
School
Graduate
Grade 4
Grade 1
KINKH
KINKH
Single
Single
NONE
NONE
Son
Son
Son
M
M
M
7
4
2
Student
Grade 1
KINKH
KINKH
KINKH
Single
Single
Single
NONE
NONE
NONE
Son
KINKH
Single
NONE
Children 0-5 Years of Age

Name
Ag
e
Se
x
Leeroi M. Bawag
Weig
ht
Nutritional
Status
Type of
Feeding
Immunizat
ion
Malnourished
Breastfed
until 6
months,
weaning at
Complete
Educa
tional
Level
N/A
Lorence M.
Bawag
Malnourished
Lidol M. Bawag
Malnourished
7 months
Breastfed
until 6
months,
weaning at
7 months
Breastfed
until 6
months,
weaning at
7 months
Complete
N/A
Complete
N/A
B. Health Condition of the Past Year

According to Mrs. Bawag, there is no severe illness have infected their family for
the past year. The most common disease was only cough, colds and flu that mostly
affected her sons. She verbalized that his fourth son had flu and it was transmitted to
the fifth and the youngest. No pharmacological interventions were done. If illness came,
they just went to the nearby health center for consults and check ups.
C. Deceased Family Member
There is no deceased family member.
D. In Terms of Decision Making
Decision comes from the head of the family.
E. General Family Relationships/Dynamics
There is a harmonious relationship between the father and the mother of Bawag
family. Despite of the hardships, their relationship is still intact and they try to be strong
and not to give up on their family crisis.
II. ENVIRONMENTAL STATUS
A. Housing
Their house was made of a mixture of kawayan, wood/plywood and cement. The
floor is slightly cemented but some are soil. They owned the house and the lot where it is
built. It has two rooms that were separated by walls and it also had a living room and a
kitchen. They have inadequate space inside the house; the ventilation is good since the
kawayan walls have slit through for the air to pass in and out. The source of lighting was
poor especially at night because they only use candles and lamps aided by kerosene
predisposing to risk for fire or burn injury to the small children.
The whole house is slightly dirty. The mother has no time to clean the house.
B. Water
They have good source of water that came from a water district. They store the
water in a drum with cover. They also get their drinking water from the tap water/water
district without boiling.
C. Excreta Disposal
They have toilet facilities but it is not connected to a septic tank. The hole from
the bowl goes directly to the body of water near the house and is sometimes referred to
antipolo system.
D. Garbage Disposal
They know how to segregate their waste and they sell some of their garbage like
plastic bags & bottles to earn a small amount of money. They say that biodegradable
wastes is thrown in a deep compost pits across the river.
E. Food Establishment
They buy foods at sari-sari stores and markets. It is observable that dishes and
foods at table is left uncovered and is sometimes feast by flies.
F. Drainage System
Their drainage is open and poor. It might be breeding sites for mosquitoes and
other vectors.
G. Animal Raised
There is a domesticated dog and cat that is often played by the children. The cat
scratches Lorence because he often plays with the kitten without the guardians
supervision.
H. Appliance Owned & Transportation Facilities
They have no appliances. Foods were cooked using woods and charcoals. The mother
said that their TV was brought to other house because they dont have electricity. There
is no transportation facility used by the family. In order to get to another place they have
to walk.
I. Accessibility to Community Facilities
The health center was accessible for them though it is quite far from their house
(Cluster 6 to Cluster 3). The elementary school is also far from the location of Bawags
home. But the children at school were very determined and enthusiastic to go to school
everyday though their way to the road is very steep.
III. Nutrition
A. Food Preferences
The family eats three times a day. Today, because of their shortcomings, they eat
rice with no viand. They put soy sauce or salt just to seasoned or to have added taste to
their rice. The mother picks guavas and santol to have her children snacks. Thus, the
malnourished child doesnt receive enough nutrients that aggravates their current
situation. The family doesnt drink at least 8 glasses of water a day making them prone
to dehydration.
B. Ways and Means of Food Preparation
They usually prepare their food. There are times that they buy cooked foods on
the streets because of lack of time in cooking. If they have money, the mother would buy
instant noodles for their meal.
Other Information
A. Personal Habits
The father smokes cigarettes and consumes roughly about 1 pack a day. He also
drinks alcohol occasionally. The mother doesnt smoke and has allergic reactions with
alcohol.
B. Exercise
They said that everyday walking was their form of exercise. The mothers also
consider doing household chores as their form of exercise. Children loves to play and run
and can be considered as their exercise.
C. Civic Involvement
They are not involved in any community organization.
D. Usual Source of Medical Care
The Health Center is their usual source of medical assistance since it is very
accessible.
E. Preferred Medicine
Sometimes, they bought over-the-counter medicines at Botika Binhi. Herbal
medicines is also a resort for simple ailments.
F. Values, Habits, Practices on Health Promotion, Maintenance and Disease
Prevention
The family verbalizes that they are having a crisis in rearing their children because
of lack of financial resources. The children experiences difficulties in attaining the right
nutrition for their age. Physiologic needs are their utmost priority such as food. Their
health is sometimes are at stake because they are pre-empted with financial problems.
Name:
PHYSICAL ASSESSMENT
Benjamin S. Bawag
System
Review of Systems
Physical Examination
a. General/ overall
health status
Maayos naman kapag

umaga pa. Hindi
nakatulog ng maayos,
umiiyak kc si Lidol mga
alas-dos ng medaling
araw.
b. Integument
Wala po
-conscious, coherent, oriented to

time person, and place
-ambulatory
-neat and groomed
V/S: BP= 110/70 mmHg
PR= 66 bpm
RR= 18 cpm
Temp= 35.2C
SKIN
- dark skin color (due to sun
exposure)
- Skin warm to touch
- (-) cyanosis
- (-) lesions
- Good skin turgor
- (-) lumps
HAIR
NAIL
c. Head
Hindi masakit.
d. Eyes
Medyo malinaw pa ang

mga mata ko
e. Ears
Malinaw pa ang
pandinig ko.
f. Nose and sinuses
Ayos lang po.
g. Mouth and throat
Maanghang kinain
namin kaya medyo
paos ako. Hindi pa nga
ako nakakapag sipilyo.
(-) tenderness
hair evenly distributed
(-) dandruff
Short trimmed nails
pink nail beds
(-) clubbing of fingers
Good capillary refill of <3
sec.
normocephalic
skull feels smooth to touch
with no tenderness,
depression, swelling and
abnormal protrusions
bilaterally and symmetrical
in size and shape
cornea moist and glossy
(-) redness
anicteric sclera
pinkish conjunctiva
pupils equal, round,
reactive to light and
accommodation (PERRLA)
(-) discharges
(-) tenderness
bilaterally symmetrical size
and shape
no obstruction
clean ear canal
(-) inflammation
(-) tenderness
symmetric nares
nasal septum @ midline
intact
no deformities or lesions
(-) nasal flaring
(-) discharges
(-) redness
(-) tenderness
LIPS
- moist lips
TEETH AND GUMS
- (-) dental caries
- complete teeth
- pinkish gums with no signs
of bleeding
- (-) sores
TONGUE
- Symmetric & is on the
midline
pink, with papillae; moves
strongly in, out, side to
side
THROAT AND TONSILS
- (-) redness/sores
- uvula is on the midline
- head centered on neck
- symmetric on the midline
with no deformities,
nodules or lesions
- (-) stiffness
- No limitations on ROM
- (-) swelling of lymph nodes
(-) enlargement of thyroid
gland
- (-) palpable masses
(-) lumps
(-) tenderness
- RR: 18 cpm
- symmetrical chest
expansion
- (-) barrel chest
Palpation:
- (-) crepitus
- (-) lumps
- (-) tenderness
Percussion:
- Resonance
Auscultation
- Clear breath sounds
- (-) adventitious breath
sounds
(-) cyanosis
(+2) on both radial pulses
(-) edema
- palpable carotid artery
- (-) jugular vein distention
- PR: 66 bpm
- pulse are in regular rhythm
and equal in selected sites
(radial and brachial on both
upper extremities)
- BP: 110/70 mmHg
- (-) heart murmurs
- Round abdomen
- Symmetrical bilaterally
- Umbilicus at midline and
inverted
- Pigmentis slightly liter than
-
h. Neck
Wala naman.
i. Breast and axillary

j. Respiratory
Normal naman.
k. Cardiovascular
Hindi naman ako high

blood .
l. Gastrointestinal
m. Urinary
Maayos naman ang

pagihi ko, minsan dilaw
minsan walang kulay
n. Genitalia
o. Musculoskeletal
Naigagalaw ko naman
lahat
p. Neurologic
q. Hematologic
r. Endocrine
Name:
Wala naman kami

diabetes
skin areas always exposed

to the sun
(-) nausea and vomiting
Normal bowel sounds
soft and non- tender
abdomen
(-) distention
(-) polyuria
(-) dysuria
Unable to be examined
- joints free from swelling
masses and deformity
- (-) muscle weakness
- (-) muscle deformities and
swelling
- FULL ACTIVE ROM
- (-) stiffness
- normally firm muscle tone
with smooth coordinated
movements
- (-) tenderness
- Muscle strength grading
- Left upper extremities-5
- Right upper extremities-5
- Left lower extremities-5
- Right lower extremities-5
- conscious and awake
- (-) dizziness
- (+) corneal reflex
- (+) knee reflex
- (-) edema
- (-) bleeding
- (-) bruising
- (-) heat and cold
intolerance
- (-) diaphoresis
- (-) change in skin
pigmentation
- no visible enlargement of
the thyroid gland
Helen M. Bawag
System
a. General/ overall
health status
Review of Systems
Maayos naman ho.
Physical Examination
-conscious, coherent, oriented to
time person, and place
-ambulatory
V/S: BP= 120/80 mmHg
PR= 98 bpm
RR= 16 cpm
Temp= 36.6C
b. Integument
Wala naman po
Nung 16 ako
nagpapantal ako pag
uminom ng alcohol.
c. Head
Walang masakit.
d. Eyes
Maayos pa ang mga

mata ko
e. Ears
Maayos pa pandinig
ko.
f. Nose and sinuses
Normal naman.
SKIN
- dark skin color (due to sun
exposure)
- Skin warm to touch
- (-) cyanosis
- (-) lesions
- Good skin turgor
- (-) lumps
- (-) tenderness
HAIR
- hair evenly distributed
- (-) dandruff
NAIL
- Short trimmed nails
- pink nail beds
- (-) clubbing of fingers
- Good capillary refill of <3
sec.
- normocephalic
- skull feels smooth to touch
with no tenderness,
depression, swelling and
abnormal protrusions
- bilaterally and symmetrical
in size and shape
- eyeballs moist and glossy
- (-) redness
- anicteric sclera
- pinkish conjunctiva
- pupils equal, round,
reactive to light and
accommodation (PERRLA)
- (-) discharges
- (-) tenderness
- bilaterally symmetrical size
and shape
- no obstruction
- (-) inflammation
- (-) tenderness
- symmetric nares
- nasal septum @ midline
- intact
- no deformities or lesions
- (-) nasal flaring
- (-) discharges
- (-) redness
- (-) tenderness
g. Mouth and throat
Wala naman.
h. Neck
Wala naman masakit

at kulani.
i. Breast and axillary
Wala naman kakaiba.
j. Respiratory
Hindi naman ako

nahihirapan huminga.
k. Cardiovascular
Palagi ang bp ko
120/80.
LIPS
- moist lips
TEETH AND GUMS
- (-) dental caries
- complete teeth
- pinkish gums with no signs
of bleeding
- (-) sores
TONGUE
- Symmetric & is on the
midline
- pink, with papillae; moves
strongly in, out, side to
side
THROAT AND TONSILS
- (-) redness/sores
- uvula is on the midline
- head centered on neck
- symmetric on the midline
with no deformities,
nodules or lesions
- (-) stiffness
- (-) swelling of lymph nodes
(-) enlargement of thyroid
gland
- (-) palpable masses
- symmetrical bilaterally
(-) lumps upon BSE
(-) tenderness
(-) discharge
- RR: 16 cpm
- symmetrical chest
expansion
- (-) barrel chest
Palpation:
- (-) crepitus
- (-) lumps
- (-) tenderness
Percussion:
- Resonance
Auscultation
- Clear breath sounds
- (-) adventitious breath
sounds
(-) cyanosis
(+2) on both radial pulses
(-) edema
- palpable carotid artery
- (-) jugular vein distention
- PR: 66 bpm
pulse are in regular rhythm

and equal in selected sites
(radial and brachial on both
upper extremities)
- BP: 110/70 mmHg
- (-) heart murmurs
- Flat abdomen
- Symmetrical bilaterally
- Umbilicus at midline and
inverted
- Pigment is slightly liter
than skin areas always
exposed to the sun
- (-) striae
- (-) nausea and vomiting
- Normal bowel sounds
- soft and non- tender
abdomen
- (-) distention
- (-) polyuria
- (-) dysuria
Unable to be examined
OB HISTORY:
G6T6P0A0L6M0
- joints free from swelling
masses and deformity
- (-) muscle weakness
- (-) muscle deformities and
swelling
- FULL ACTIVE ROM
- (-) stiffness
- normally firm muscle tone
with smooth coordinated
movements
- (-) tenderness
- Muscle strength grading
- Left upper extremities-5
- Right upper extremities-5
- Left lower extremities-5
- Right lower extremities-5
- conscious and awake
- (-) dizziness
- (+) corneal reflex
- (+) knee reflex
- (-) edema
- (-) bleeding
- (-) bruising
- (-) heat and cold
intolerance
- (-) diaphoresis
-
l. Gastrointestinal
Maayos naman po.
m. Urinary
Normal naman
n. Genitalia
o. Musculoskeletal
p. Neurologic
q. Hematologic
r. Endocrine
(-) change in skin

pigmentation
no visible enlargement of
the thyroid gland
PEDIATRIC PROFILES
A.
Name: Leeian M. Bawag Age: 9 years old Sex: Male
Amadeo, Cavite
Ordinal Position: 1st child
Birthplace: At home
1999
Address: Minantok West

Birthdate: July 30,
Maternal History:
The mother was pregnant at 21 years of age. Her current OB score is
G6T6P0A0L6M0. The mother during her pregnancy did not experience bleeding,
accidents, rashes, vomiting, edema, radiation exposure, edema. She had fever, cough
and cold. She doesnt take any drugs during her entire pregnancy. Prenatal check-ups
were done regularly at health center and facilitated by Barangays Midwife.
Birth History:
Leeian was delivered via Vaginal Spontaneous Delivery (VSD) at home and was
attended by a Registered Midwife from the Barangay Health Center. No recalled difficulty
during labor considered it was her first time. Leeian was a healthy baby boy at birth.
Feeding History:
The child was exclusively breastfed until 6 months of age. Bottlefeeding and
weaning started at 7 months. Dilution cannot be recalled by the mother. As early as 7
months, gruel and cerelac when readily available is given to the child.
Heredofamilial illness
On the fathers side, Hypertension and Diabetes Mellitus are common. Asthma and
allergies are common on the mother side.
There is no exposure to communicable diseases.
Family Social History:
Residence:
They owned a house made of wood and bamboo. There are only two rooms and a
living room at their house. The toilet is antipolo system and is quite dirty. Their
neighbors are their relatives. The neighbors identified the health problem of the Bawag
Family and are known to be a family with many malnourished children. Transport
facilities are very rare. Means of transportation is through walking. Garbage disposal is
through open land dumping and segregation. Water supply and drinking water is through
the water district. Environmental hazards identified are presence of snake within the
vicinity and the steepness of the road which is caution whenever the road is wet and
slippery and prone for falls and injury.
Financial Situation:
The family has lack of financial resources and support systems. The annual
monthly income is almost three thousand pesos, not enough to give the needs of a
family with 8 members.
The older child took care and watches over his younger brothers. The parents left
the child at home from 8 in the morning until 5 in the afternoon. Family
interrelationships are still happy despite of experiencing financial crisis.
PERSONAL AND SOCIAL HISTORY
The child eats three times a day composed of rice and condiments. No food
allergies are reported. He sleeps at around 9:30PM and wakes up at 5:00AM. He is a
consisted topnotch in his Grade 4 class. Recreation is playing with classmates in school.
Past illnesses include Chicken pox and measles. No serious illness or history of hospital
admission. The client has completed immunizations on the Barangay Health Center.
GENERAL
HEENT
Teeth
Cardiorespirat
ory
Gastrointestin
al
Genitourinary
Neurological
Endocrine
Dermatologic
PHYSICAL EXAMINATION
-9 years of age
-122cm height
V/S
T=37 C
RR=20cpm
PR=85bpm
-normocephalic
-PERRLA
-anicteric sclera
-discharge
-(+) dirty external ear canal
-good hearing
- patent anterior nares
- (-) neck masses
-uvula in the midline
(-) inflammation of tonsils
(-) dental carries
-(-) barrel chest
-Symmetric chest expansion
-resonance on both lungs
-clear breath sounds
-(-) heart murmurs
-flat abdomen
Normal bowel sounds
-(-) tenderness
-(-)dysuria
Awake, alert, conscious & coherent,
oriented to time, place and person
(-) diaphoresis
(-) heat and cold intolerance
(-) rashes
Good skin turgor
Good capillary refill

B.
Name: John Lester M. Bawag
West Amadeo, Cavite
Ordinal Position: 2nd child
2000
Age: 8 years old
Sex: Male
Birthplace: At home
Address: Minantok
Birthdate: August 11,
Birth History:
Lester was delivered via Vaginal Spontaneous Delivery (VSD) at home and was
during labor considered it was her first time. Lester was a healthy baby boy at birth.
Feeding History:
repeater in his Grade 1 class. Recreation is playing with classmates in school. Past
illnesses include Chicken pox and measles. No serious illness or history of hospital
admission. The client has completed immunizations on the Barangay Health Center.
GENERAL
HEENT
Teeth
Cardiorespirat
ory
-9 years of age
-112.5cm height
V/S
T=36.7 C
RR=22cpm
PR=89bpm
-normocephalic
-PERRLA
-anicteric sclera
-discharge
-good hearing
- (-) neck masses
(-) dental carries
-(-) barrel chest
Gastrointestin
al
Genitourinary
Neurological
Endocrine
Dermatologic
-(-) heart murmurs

-flat abdomen
Normal bowel sounds
-(-) tenderness
-(-)dysuria
(-) diaphoresis
(-) rashes
(+) scattered scars on anterior and
posterior trunk
Good skin turgor
C.
Name: Lancel M. Bawag Age: 7 years old Sex: Male
Amadeo, Cavite
Ordinal Position: 3rd child
Birthplace: At home
2001

Birthdate: January 4,
Birth History:
Lancel was delivered via Vaginal Spontaneous Delivery (VSD) at home and was
during labor considered it was her first time. Lancel was a healthy baby boy at birth.
Feeding History:
Grade 1 student at the nearest public elementary school. Recreation is playing with
classmates in school. Past illnesses include Chicken pox, mumps and measles. No
serious illness or history of hospital admission. The client has completed immunizations
on the Barangay Health Center.
GENERAL
-7 years of age
-110cm height
V/S
T=36.8 C
RR=20cpm
PR=80bpm
HEENT
Teeth
Cardiorespirat
ory
Gastrointestin
al
Genitourinary
Neurological
Endocrine
Dermatologic
-normocephalic
-PERRLA
-Left entropion
-good peripheral vision
-anicteric sclera
-discharge
-good hearing
- (-) neck masses
(-) dental carries
-(-) barrel chest
-(-) heart murmurs
-flat abdomen
Normal bowel sounds
-(-) tenderness
-(-)dysuria
(-) diaphoresis
(-) rashes
Good skin turgor
D.
Name: Leeroi M. Bawag Age: 4 years old Sex: Male
Amadeo, Cavite
Ordinal Position: 4th child
Birthplace: At home
1, 2003

Birthdate: September
Birth History:
Leeroi was delivered via Vaginal Spontaneous Delivery (VSD) at home and was
during labor considered it was her first time. Leeroi was a healthy baby boy at birth.
Feeding History:
allergies are reported. He sleeps at around 9:30PM and wakes up at5:00AM. Recreation
is playing with cousins. Past illnesses include Chicken pox and measles and recently he
had flu. No serious illness or history of hospital admission. The client has completed
immunizations on the Barangay Health Center.
GENERAL
HEENT
Teeth
Cardiorespirat
ory
Gastrointestin
al
Genitourinary
Neurological
Endocrine
Dermatologic
E.
-4 years of age
-84cm height (height for age is below
normal)
15.2kg weight
Head Circumference- 48cm
Chest circumference-52cm
Abdominal circumference-50cm
V/S
T=37 C
RR=25cpm
PR=90bpm
-normocephalic
-PERRLA
-anicteric sclera
-discharge
-good hearing
-(+) nasal flaring
- (-) neck masses
(-) dental carries
-(-) barrel chest
-(-) heart murmurs
-round abdomen
Normal bowel sounds
-(-) tenderness
-(-)dysuria
(-) diaphoresis
(-) rashes
Good skin turgor
Name: Lorence M. Bawag

West Amadeo, Cavite
2006
Age: 2 years old
Sex: Male
Birthplace: At home
Address: Minantok
Birthdate: January 28,
Birth History:
Lorence was delivered via Vaginal Spontaneous Delivery (VSD) at home and was
during labor considered it was her first time. Lorence was a healthy baby boy at birth.
Feeding History:
allergies are reported. He sleeps at around 9:30PM and wakes up at 5:00AM. Recreation
GENERAL
HEENT
Teeth
Cardiorespirat
ory
-2 years of age
-83cm height (height for age is below
normal)
11.9kg weight
Head Circumference- 48cm
Chest circumference-48cm
Abdominal circumference-49cm
V/S
-normocephalic
-PERRLA
-anicteric sclera
-discharge
-good hearing
-(+) nasal flaring
- (-) neck masses
(-) dental carries
-(-) barrel chest
Gastrointestin
al
Genitourinary
Neurological
Endocrine
Dermatologic
-(-) heart murmurs

-round abdomen
Normal bowel sounds
-(-) tenderness
-(-)dysuria
(-) diaphoresis
(-) rashes
Good skin turgor
E.
Name: Leeidol M. Bawag Age: 1 year old Sex: Male
Amadeo, Cavite
Birthplace: At home
2007

Birthdate: March 28,
Birth History:
Lorence was delivered via Vaginal Spontaneous Delivery (VSD) at home and was
during labor considered it was her first time. Lorence was a healthy baby boy at birth.
Feeding History:
months, gruel and cerelac when readily available is given to the child. His mother
recalled that her child refuse to be breastfed so she starts weaning them.

allergies are reported. He sleeps at around 9:30PM and wakes up at 5:00AM. Recreation
CUES/DATA
S> Minsan maraming lamok dito sa amin
O> Presence of breeding place of
mosquitoes and flies.
S> Minsan nagyoyosi ako dito sa bahay"
O> 38 years old male, father of 2, smoker
> 25 years old male, smoker
S> Minsan mainit at madilim dito sa
bahay pero kapg madaling araw medyo
malamig naman
O> Presence of poor source of ventilation
S> Namatay na ang asawa ko kaya
magisa na lang ako naghahanap buhay
pero natulong din naman ang mga anak
FAMILY NURSING PROBLEM

A. Presence of breeding sites of vector of
diseases such as mosquitoes and flies
health threat.
B. Unhealthy lifestyle and personal habits
such as smoking and alcohol drinking as a
health threat.
C. Poor lighting and ventilation as a health
threat.
D. Death of a
foreseeable crisis
family
member
as
ko
ESTABLISHING PRIORITIES
SCALE FOR RANKING HEALTH CONDITIONS AND PROBLEMS ACCORDING TO
PRIORITIES
CRITERIA
SCORE
WEIGHT
1. Nature of condition or
problem presented
Scale: Wellness state
3
Health Deficit
3
1
Health Threat
2
Foreseeable Crisis
1
2. Modifiability of the
condition or problem
Scale: Easily modifiable
Partially modifiable
Not modifiable
2
1
0
3. Preventive Potential
Scale: High
Moderate
Low
3
2
1
4. Salience
Scale: A condition or a
2
problem needing immediate
1
attention
1
A condition or a
problem not
needing
0
immediate attention
Not perceived as a
problem
or
condition
needing change
Scoring:
1. Decide on a score for each criteria.
2. Divide the score by the highest possible score and multiply by its weight.
(score/highest)x weight
3. Sum up the scores for all criteria. The highest score is 5, equivalent to the total
weight.
PRIORITZING HEALTH PROBLEMS
A. Presence of breeding sites of vector of diseases such as mosquitoes and flies health
threat.
Criteria
Computation
Actual Score
Justification
1. Nature of the
problem
2/3 x 1
0.67
problem
2/2 x 2
3. Preventive
Potential
3/3 x 1
4. Salience of the
Problem
1/2 x1
0.50
It is a health threat
since mosquitoes can
be a vector that
transmits disease.
It is easily modifiable
because good
environmental
sanitation can
eliminate these
vectors.
It is highly
preventable because
it can be eliminated
through proper
sanitation.
The problem was
perceived by the
family but do not
need immediate
action.
Total Score:
4.17
B. Unhealthy lifestyle and personal habits such as smoking and alcohol drinking as a
health threat.
Criteria
Computation
Actual Score
Justification
1. Nature of the
2/3 x 1
0.67
problem
because it can lead
to different disease
in the future.
2/2 x 2
2
problem
because health
teaching and lifestyle
modification can
eliminate this
problem.
3. Preventive
3/3 x 1
1
Its complications is
Potential
highly preventable
only if the patient
quits smoking.
4. Salience of the
0/2 x1
0
They dont consider
Problem
smoking as a health
problem.
Total Score:
3.67
C. Poor lightning and ventilation as a health threat.
Criteria
Computation
Actual Score
1. Nature of the
2/3 x 1
0.67
problem
Justification
because it poor
problem
2/2 x 2
3. Preventive
Potential
3/3 x 1
4. Salience of the
Problem
1/2 x1
0.5
ventilation and
lighting can be a risk
factor for accidents.
if they give time to it
can lessen accidents
and the family can
be comfortable.
The risk can be
highly preventable if
the family gives
attention to it.
The problem was
perceived by the
family but do not
need immediate
action.
Total Score:
4.17
D. Death of a family member as a foreseeable crisis
Criteria
Computation
Actual Score
1. Nature of the
1/3 x 1
0.33
problem
problem
0/2 x 2
3. Preventive
Potential
1/3 x 1
0.33
4. Salience of the
Problem
2/2 x1
Justification
Death of a family
member can be
affect future living of
a family so its a
foreseeable crisis.
Death is not
modifiable because
its a normal
experience in our
lives.
Death cant be
prevented by any
one because it is a
normal episode of
ones life.
The problem was
perceived by the
family and need
immediate action.
Total Score:
1.66
THE PRIORITIZED HEALTH PROBLEM

The list of health condition or problem ranked according to priorities is as follows:
1. Presence of breeding sites of vector of diseases such as mosquitoes and flies health
threat
---4.17
2. Poor lightning and ventilation as a health threat
---4.17
3. Unhealthy lifestyle and personal habits such as smoking and alcohol drinking as a
health threat
---3.67
4. Death of a family member as a foreseeable crisis
---1.66
Health
Problem
Family
Nursing
Problem
Goal to
Care
Objectives
of Care
Interventi
on
Measures
Presence
of
mosquito
es and
flies as
health
threat
Inability to
provide an
environmen
t that is
conducive
to health
due to:
After
nursing
interventio
ns, the
family will
be able to
know how
to eradicate
the vectors
on their
place.
After
nursing
intervention
the family
will be able
to:
-Involve
the family
in the
discussion
of the
problem.
-Provide
health
teachings
about
proper
sanitation.
-Provide
health
teachings
regarding
how
vectors can
transmit
diseases to
humans.
-Encourage
to maintain
cleanliness
-Advise
ways on
how to
eliminate
vectors
a. Lack of
knowledge
about the
presence of
health
threat
b. Lack of
knowledge
about
environmen
tal
sanitation
a. Verbalize
understandi
ng about
the
importance
of
environmen
tal
sanitation.
b. Know the
different
kinds of
vectors and
how they
are being
transmitted.
Method
of
NurseFamily
Contact
Interview
, Home
visit and
Health
teaching
Resourc
es
Require
d
Time and
effort for
the
health
teaching
s.
Health
Problem
Family
Nursing
Problem
Goal to
Care
Objectives
of Care
Interventi
on
Measures
Poor
lightning
and
ventilatio
n as a
health
threat
Inability to
provide an
comfortable
living place
due to:
After
nursing
interventio
ns, the
family will
be able to
what are
the risk of
this
problem
and be able
to give
attention to
solve this
problem.
After
nursing
intervention
the family
will be able
to:
-Involve
the family
in the
discussion
of the
problem.
Enumerate
the
advantages
and
importance
of having a
good home
environme
nt.
Enumerate
what are
possible
risks in
having
poor
lighting
and
ventilation
in the
house.
a. Lack of
knowledge
about the
presence of
health
threat
b. Lack of
knowledge
about the
possible risk
of having
poor
ventilation
and
lightning.
Health
Problem
Family
Nursing
Problem
a. Verbalize
understandi
ng about
the
importance
of having
good
lightning
and
ventilation
b.
Enumerate
different
risk that
might
happen
when the
family did
not pay
attention to
this
problem.
Goal to
Care
Objectives
of Care
Interventi
on
Measures
Method
of
NurseFamily
Contact
Interview
, Home
visit and
Health
teaching
Method
of
NurseFamily
Contact
Resourc
es
Require
d
Time and
effort for
the
health
teaching
s.
Resourc
es
Require
d
Unhealthy
lifestyle
and
personal
habits
such as
smoking
and
alcohol
drinking
as a
health
threat
Inability to
recognize
presence of
problem
due to:
After
nursing
intervention
s, the
family
members
a. Lack of
will be able
knowledge to limit or
about the
lessen their
presence of cigarette
health
smoking or
threat and
eradicate it
its
completely.
complicatio
n
After
nursing
intervention
the family
will be able
to:
b. Low
salience of
the
problem
b.
Understand
the
importance
of healthy
lifestyle.
a. Know
possible
diseases
and
complicatio
ns of
cigarette
smoking.
c. Limit or
lessen
cigarette
smoking
and
eventually
stop it.
d. Find
ways to
help
members in
their
smoking
cessation.
-Involve
the family
in the
discussion
of the
problem.
-Know how
the family
views the
problem.
-Introduce
the
possible
effects of
smoking to
our body
especially
the
diseases
that may
develop.
-Suggest
alternative
ways how
to limit
smoking.
Encourage
divertional
activities
Encourage
other
family
members
to
motivate
them to
stop
smoking.
Health
Problem
Family
Nursing
Problem
Goal to
Care
Objective
s of Care
Interventio
n Measures
Death of a
Inability
After
After
-Involve the
Interview,
Home
visit and
Health
teaching
Time and
effort for
the
health
teachings
.
Method
of
NurseFamily
Contact
Interview,
Resourc
es
Require
d
Time and
family
member
as a
foreseeabl
e crisis
to
recogniz
e
presence
of
problem
due to:
a.
Inability
to cope
to a
situation
in life.
nursing
intervention
s, the family
members
will be able
manifest a
relief from
the loss of a
member
and
demonstrat
e effective
coping
mechanism.
nursing
interventio
n the
family will
be able to:
a.
Verbalize a
relief about
the loss of
member
b.
Continue
daily living
and be
more
productive
c.
Understan
d that
death is a
normal
experience
in life
family in the
discussion of
the problem
-Know how
the family
views the
problem
-Encourage
acceptance
of the given
situation
-Provide
emotional
support
-Encourage
divertional
activities
-Perform
therapeutic
communicati
on
Home
visit and
Health
teaching
effort for
the
health
teachings
.
MMDST EVALUATION
I. DEMOGRAPHIC DATA
Name: Leeroi.M.B.
Address: Cluster 6, Minatok West, Amadeo Cavite
Birthdate: March 28, 2007
Birthplace: Amadeo, Cavite
Religion: KINKH
Sex: Male
II. COMPUTATION
Testing Date:
2008 08 14
Birth Date: 2007 03 28
1 4 16
Exact Age: 1year and 4 months
III. TEST ITEMS
A. PERSONAL SOCIAL
1. Imitates Housework
Score: Passed (Reported)
Description:
Mother reported imitation of household chores but not all. (50%)
2. Uses Spoon Spilling Little
Score: Passed (Reported and observed)
Description:
Mother reported use of spoon during feeding but spilling little rice. (10%)
3. Helps in House Simple Tasks
Description:
Mother reported helping in household simple task. (25%)
4. Drinks from cup
Description:
Mother reported use of cup when drinking water.
B. FINE MOTOR ADAPTIVE
1. Scribbles Spontaneously
Score: Passed (reported)
Description:
Mother reported that sometimes the child scribbles given a paper and pen.
2. Thumb finger grasp
Score: Passed (observed)
Description:
He can grasp on my fingers or in any object that he can grasp on.
C. LANGUAGE
1. 3 Words other than Mama/Papa
Description:
According to her mom, sometimes he can say the words other than mama and
papa such as sama, huwag, and ayoko.
2. Points to one named body parts
Description:
I asked the child to point out where his nose is. The child is correct.
D. GROSS MOTOR
1. Walks well
Description:
According to her mother, he can walk well and when he run he falls sometimes.
1. Walks backwards
Description:
According to her mother, he can walk backwards.
IV. CRITERIA AND INTERPRETATION
Personal and Social Sector
Normal, no developmental delays
Fine Motor Adaptive
Language
Gross Motor
OVER ALL IMPRESSION
The child has no developmental delays. All 4 aspects are normal.
MMDST EVALUATION
I. DEMOGRAPHIC DATA
Name: Lorence.M.B.
Birthdate: January 28, 2006
Religion: KINKH
Sex: Male
II. COMPUTATION
Testing Date:
2008 08 14
2 6 16
Exact Age: 2 years and 6 months
III. TEST ITEMS
A. PERSONAL SOCIAL
1. Plays interactive games
Description:
Mother reported that his child plays interactive games with his brothers and
cousins. (50%)
2. Uses Spoon Spilling Little
Description:
Mother reported use of spoon during feeding but spilling little rice. (90%)
3. Puts on Clothing
Description:
Mother reported that his child can put his clothes at his own with supervision.
(50%)
4. Removes garment
Description:
Mother reported that his child can remove his garments.
4. Washes and dries hands
Description:
Mother reported that his child can wash and dries hand. (25%)
1. Imitates Vertical Line

Description:
I drew a vertical line and instructed child to copy what I drew. The vertical line was
copied.
* Some are not administered because there is no MMDST kit.
C. LANGUAGE
1. Names one picture
Description:
I pointed out a cat picture and said that it was pusa.
2. Points to one named body parts
Description:
I asked the child to point out where his mouth is. The child is correct.
3. Follows direction
Description:
I asked the child to get in the house. The child gets in.
D. GROSS MOTOR
1. Throws ball over hand
Description:
I asked child to throw the ball to me. He threw it overhand.
2. Balance on one foot for one second
Description:
I demonstrated balancing on 1 foot and asked the child if he can do it. He does it
for one second.
3. Jumps in Place
Description:
I asked the child to jump towards me. He does it right.

Fine Motor Adaptive
Language
Gross Motor
OVER ALL IMPRESSION
MMDST EVALUATION
I. DEMOGRAPHIC DATA
Name:Leeroi M.B.
Birthdate: September 1, 2003
Religion: KINKH
Sex: Male
II. COMPUTATION
Testing Date:
2008 08 14
4 7 13
Exact Age: 4 years and 7 months
III. TEST ITEMS
A. PERSONAL SOCIAL
1. Dresses with Supervision
Description:
Mother reported that Leeroi can dress with little supervision. (50%)
2. Separates from mother easily
Description:
Mother reported that his child can be separated easily.
3. Puts on Clothing
Description:
Mother reported that his child can put his clothes at his own with supervision.
(50%)
4. Washes and dries hands
Description:
Mother reported that his child can wash and dries hand.

1. Copies circle
Description:
I drew a circle and instructed child to copy what I drew. The closed circle was
copied.
2. Copies square
Description:
I drew a square and instructed child to copy what I drew. The square was copied.
3. Pick longer lines
Description:
In the MMDST form, there are two lines, one shorter and one longer. I asked the
child to point which is longer and inverted the form and still pointing the longer lines. He
passed this item.
C. LANGUAGE
1. Comprehends cold, tired and hungry
Description:
I asked child what does he do when hungry and he replies he eats. I also asked
him what he does when he is tired and he replies that he sleeps.
2. Recognize 3 colors
Description:
I asked the child to identify what colors i am pointing. My shirt is blue, the trees
are green ang my pen is white. He passed this item.
3. Gives first and last name
Description:
I asked the child to give his name and he said Leeroi Bawag.
D. GROSS MOTOR
1. Catches bounced balls
Description:
I throw the ball and asked the child to catch it. He catch it with two hands.
2. Balance on one foot for ten second
Description:
I demonstrated balancing on 1 foot and asked the child if he can do it. He does it
for five seconds. (50%)
3. Heel to toe walk
Description:
I demonstrated to the walk backwards to within 1 inch of heel. He walks backward
4 consecutive steps.
Fine Motor Adaptive
Language
Gross Motor
OVER ALL IMPRESSION

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DE LA SALLE PHILIPPINES, INC.

DE LA SALLE HEALTH SCIENCES INSTITUTE

Children 0-5 Years of Age

B. Health Condition of the Past Year

Maayos naman kapag

-conscious, coherent, oriented to

Medyo malinaw pa ang

f. Nose and sinuses

Ayos lang po.

g. Mouth and throat

i. Breast and axillary

Hindi naman ako high

Maayos naman ang

Wala naman kami

skin areas always exposed

Maayos pa ang mga

f. Nose and sinuses

g. Mouth and throat

Wala naman masakit

i. Breast and axillary

Wala naman kakaiba.

Hindi naman ako

pulse are in regular rhythm

Maayos naman po.

(-) change in skin

Address: Minantok West

Good capillary refill

Age: 8 years old

-(-) heart murmurs

Address: Minantok West

Address: Minantok West

Name: Lorence M. Bawag

Age: 2 years old

-(-) heart murmurs

Address: Minantok West

PERSONAL AND SOCIAL HISTORY

FAMILY NURSING PROBLEM

THE PRIORITIZED HEALTH PROBLEM

1. Imitates Vertical Line

Normal, no developmental delays

B. FINE MOTOR ADAPTIVE

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