INITIAL FAMILY DATA RESULT

A. Family Structure, Characteristics and Dynamics.

Family Relationship Position Age Sex Civil Place of Educational Religion

Member Status Residency Attainment
Brgy, Taňo
Patient Wife Head of 49 F Live in RD High School Christian
1 the family partner Manghinao Graduate Baptist
Proper
Batangas
Brgy, Taňo
Patient Husband Head of 39 M Live in RD 2nd Year Catholic
2 the family partner Manghinao High School
Proper Graduate
Batangas
Brgy, Taňo
Patient Son 1st Son 9 M Son RD Grade 4 Catholic
3 Manghinao
Proper
Batangas
Brgy, Taňo
Patient Son 2nd Son 8 M Son RD Grade 3 Catholic
4 Manghinao
Proper
Batangas
Brgy, Taňo
Patient Son 3rd Son 6 M Son RD Kinder Catholic
5 Manghinao
Proper
Batangas

Type of Family Structure; Cohabitant Family

Dominant in decision making: Both mother and father are the decision maker of the family,
especially when it comes to family matters.
 FAMILY APGAR

Patient 1

Question Almost Always Some of the time Hardly ever

I am satisfied with
the help that I
receive from my 
family when
something is
troubling me.
I am satisfied with
the way my family
discusses items of
common interest 
and shares
problem solving
with me
I find that my family
accepts my wishes
to take on new 
activities or make
changes in my
lifestyle.
I am satisfied with
the way my family
expresses affection
and responds to 
my feelings such
as anger, sorrow
and love.
I am satisfied with
the way my family 
and I spend time
together.

Based upon the Family APGAR Questionnaire, patient 1 identifies their family as a highly
functional.
Patient 2

Question Almost Always Some of the time Hardly ever

I am satisfied with
the help that I
receive from my
family when 
something is
troubling me.
I am satisfied with
the way my family
discusses items of
common interest 
and shares
problem solving
with me
I find that my family
accepts my wishes
to take on new 
activities or make
changes in my
lifestyle.
I am satisfied with
the way my family
expresses affection
and responds to 
my feelings such
as anger, sorrow
and love.
I am satisfied with
the way my family 
and I spend time
together.
Based upon the Family APGAR Questionnaire, patient 2 identifies their family as a highly
functional.

Scoring:

 2 points for almost always 7-10: highly functional family

 1point for some of the time 4-6: moderate dysfunctional family
 0 hardly ever 0-3: severe dysfunctional family
B. Socioeconomic and Cultural Characteristics

Family Member Occupation Income Place of wok

Patient 1 Brgy. Officer and 4.000/month Brgy, Taňo RD
Mancurist Manghinao Proper
Batangas
Patient 2 Mason 500/day Bauan Government
Patient 3 Student - -
Patient 4 Student - -
Patient 5 Student - -

Allocation of Resources

The family’s monthly income is sufficient to their daily needs. As the mother and father
said they budget their money for the food, electric bill and necessities of their child. Some of
their money is spent in medication and school supplies.

ECOMAP

Mason in Father Mother Brgy.

Gov’t Officer

Student 1st Son 2nd Son Student

3rd Son`
 Student

The graph above shows that this family is highly functional in the community.

C. Home and Environment

1. Housing
a. Adequacy of living space
The type of house is a mix of concrete and woods. It consists of two bedrooms, kitchen, living
room and comfort room.

b. Sleeping arrangement

The mother and the father are sleeping in the first room with their youngest son, while their
eldest and middle son sleep in the other room.
 c. Presence of breeding or resting sites of vectors of disease

The clothes hanging and unnecessary things placed near the living room might be the place
where the mosquitoes and flies came from.
 d. Presence of accidents hazards

The stairway doesn’t have a strong hand rails and the back of their house has a cliff and it
might cause risk for injury because of falling.

e. Food storage and cooking facilities

They use gas stove as a means of their cooking. Their kitchen is not that organize and clean,
their food is in the table and they just cover it, it is their means of storing foods.

f. Water supply

Their water comes from the spring and they simply transfer it to the container.
 g. Toilet Facility

They have their own toilet and bathroom and they used curtain as their door.

h. Garbage Disposal
They put their trash in a garbage bin and burn it afterwards.

i. Drainage System

Their drainage is located at the back of their kitchen.

2. Kind of Neighborhood: Not secured and poor ventilated

 3. Social and Health Facilities Available

Their social and health facilities are accessible and highly functional for all the residents.
 4. Communication and transportation available

They are riding jeepneys and tricycles for their transportation.

 D. Health Status of each family member
1. Medical and Nursing History Indicating Current or Past significant illnesses or
beliefs and practices conducive to health and illness

Mother-

Father-

1st Son-

2nd Son-

3rd Son-
 2. Nutritional Assessment

a. Anthropometric Data

Family Members Waist Hip

Circumference Circumference WHR Remarks
(cm) (cm)
Patient 1
Patient 2
Patient 3
Patient 4
Patient 5

Values:

Males: above 1.0 (central obesity)

Females: above 0.85 (central obesity)

Body Mass Index

Family Weight Height BMI Significance

Members (kg) (m2)
Patient 1
Patient 2
Patient 3
Patient 4
Patient 5

Values:

Below 18: Undernourished

18-24.9: Normal

25-30: Overweight

31 above: Obese
3. Risk Factor:
Family Body Parts Assessment Methods of Remarks
Member Assessment
Patient 1 A.Head
Skull

Scalp

Hair

4. Physical Assessment:

Head to Toe Assessment

B.Body
Parts
Face

Eyes

Eyebrow

Eyelashes

Sclera

Pupils

Ears

Nose

C.Mouth
and
Oropharynx

Lips

Gums

Teeth
Family Body Parts Assessment Methods of Remarks
Member Tongue Assessment

Neck
D.Upper
and Lower
Extremities

E.Muscular

Strength
Heart
Patient 2 A.Head
Skull

Scalp

Hair
B.Body
Parts
Face

Eyes

Eyebrow

Eyelashes

Sclera

Pupils

Ears

Nose

C.Mouth
and
Oropharynx

Lips
Family Body Parts Assessment Methods of Remarks
Member Gums Assessment

Teeth

Tongue

Neck
D.Upper
and Lower
Extremities

E.Muscular

Strength
Heart
Patient 3 A.Head
Skull

Scalp

Hair
B.Body
Parts
Face

Eyes

Eyebrow

Eyelashes

Sclera

Pupils

Ears

Nose

C.Mouth
and
Oropharynx

Lips
Family Body Parts Assessment Methods of Remarks
Member Gums Assessment

Teeth

Tongue

Neck
D.Upper
and Lower
Extremities

E.Muscular

Strength
Heart
Patient 4 A.Head
Skull

Scalp

Hair
B.Body
Parts
Face

Eyes

Eyebrow

Eyelashes

Sclera

Pupils

Ears

Nose

C.Mouth
and
Oropharynx

Lips
Family Body Parts Assessment Methods of Remarks
Member Gums Assessment

Teeth

Tongue

Neck
D.Upper
and Lower
Extremities

E.Muscular

Strength
Heart
Patient 5 A.Head
Skull

Scalp

Hair
B.Body
Parts
Face

Eyes

Eyebrow

Eyelashes

Sclera

Pupils

Ears

Nose

C.Mouth
and
Oropharynx

Lips
 Gums

Teeth

Tongue

Neck
D.Upper
and Lower
Extremities

E.Muscular

Strength
Heart