1

FAMILY HEALTH SURVEY

I. FAMILY PROFILE
FAMILY NAME: Oquias
Household Age Date of Nationality Religion Educational Occupation Total Monthly
Birth Attainment Income
Father: 44 01/23/75 Filipino Roman Grade 6 Labor Php. 6,000.00
Jacinto Catholic
Canete
Mother: 40 12/19/79 Filipino Roman Grade 5 Housewife N/a
Loida Catholic
Oquias

The family Oquias is a cohabiting family, comprising of two unmarried parents and 4
children. Their family authority mainly patriarchal as majority of the decisions are made by the
father. They have a gross income of Php 1,500.00 per week from the labor work of the father.
The family is located at Barangay Sampaguita, near the shore. They currently live in their own
small house made of woods, having no electricity in their home.

All Age Date of Religion Sex Educational Deliver Birth

family Birth Attainment by registration
member category
Loida 40 12/19/79 Roman F Grade 5 NSVD Yes
Oquias Catholic
Jacinto 44 11/23/75 Roman M Grade 6 NSVD Yes
Canete Catholic
Crisanto 9 04/19/10 Roman M Grade 1 NSVD Yes
Oquias Catholic
Jun 4 09/16/14 Roman M N/A NSVD Yes
Loid Catholic
Oquias
Cristy 3 03/16/16 Roman F N/A NSVD Yes
Lyn Catholic
Canete
Cristel 1.6 03/24/18 Roman F N/A NSVD Yes
Canete Catholic
 2

Immunizations Present Health conditions Remarks

BCG DPT Polio AMV AP PP Health Morbid?
supervised Treatment?
BP
/ None None
/ None None
/ / / / None None
/ / / / None None
/ / / / None None
/ / / / None None

II. MATERNAL AND CHILD HEALTH

Whenever the mother is pregnant, she submits to pre-natal check-up, she was
not able to recall when exactly was her last but verbalized it was at her third
trimester. The mother goes to rural health unit for consultation. She calls the doctor
for delivery of her baby. She brings her child to comply to full immunization. She
brought her healthy pre-school for check-up and attends mother’s class.

III.NUTRITION

Table 3. Food usually included in the family diet

GO GROW GLOW
Rice, Bread, Corn, Potato Salted dried fish, Fish, Carrots, Banana, Squash,
Chicken Orange, Tomatoes
The mother practices breastfeeding to feed her 0-2 years old children. She
would start giving supplementary foods 5 months onwards. These foods
supplemented are; chopped potatoes, rice and fish.

IV. FAMILY PLANNING

The mother is in favor of family planning and verbalized she practices family
planning. She uses an implant as family planning method after she had realized on
her last pregnancy that she has enough children that she wants, and have more than
 3

she could sustain. She is willing to disseminate information to her neighbors on the
need to use family planning methods, also to her friends and relatives if the need

arises. The mother verbalized that she goes for family planning check-up for her
implant as for when it is, we were not able to ask furthermore.

V. COMMUNITY

The client’s family do not participate in community meeting or social activity.

They do not belong in any organization in the community for the reason they simply
do not like to engage on issues and drama interacting may bring to them. The client’s
family do not have any source of communication except personal meeting with the
one they want to communicate.

VI. ENVIRONMENTAL SANITATION

The client’s family’s housing premises is unsatisfactory since their home is small
and made out of light materials like wood, bamboo, and plywood. Their drainage is
open and they perform human excreta disposal using their neighbor’s comfort room.
They do not have garbage containers and directly dispose their garbage by burning.
Their water supply is piped and transport water using bottles that has a cover. They
store their water using covered plastic containers.

COMMENTS/ OBSERVATIONS NOTED UPON INTERVIEW

On our home visit, as we conducted our interview, we observed that the children
have poor hygiene as evidenced by dust in their faces and in their arms. The 4-year-
old boy named Jun Loid was coughing upon our first visit. The client was inconsistent
with her answers regarding the birthdates of her children. They have inadequate
living space and was not enough to accommodate us inside the house. There was
stagnant water observable in the surrounding in which can be a possible breeding
site for vectors of diseases. There were coconut trees around the house. Rocky floor
of the beach could be accident hazard. They do not have any form of technology,
they rely on candle light every night.
4
 5

FAMILY COPING INDEX

PRIORITIZATION OF HEALTH PROBLEMS
Problem Nature Modifia Preventive Salience TOTAL JUSTIFICATION
bility Potential
Poor personal 2/3 x 1 2/2 x 2 = 3/3 x 1 = 1 2/2 x 1 = 4.67 1st Priority Poor personal hygiene is a health threat, easily modifiable,
hygiene = 0.67 2 1 preventive potential is high, and a problem needing immediate
attention, therefore it is 1st priority.

Improper Waste 2/3 x 1 1/2 x 2 = 2/3 x 1 = 1/2 x 1 = 2.84 3rd Priority Improper waste disposal is a health threat, partially modifiable,
Disposal = 0.67 1 0.67 0.5 its preventive potential is moderate, and it is a problem not
needing immediate attention, therefore it is 3rd priority.

Presence of 2/3 x 1 1/2 x 2 = 2/3 x 1 = 2/2 x 1 = 3.34 2nd Priority Presence of possible breeding sites of vectors is a health threat,
possible breeding = 0.67 1 0.67 1 it is partially modifiable, its preventive potential is moderate, and
sites of vectors it is a problem needing immediate attention, therefore it is 2nd
priority.

Accidental 1/3 x 3 0/2 x 2 = 1/3 x 3 = 1/2 x 1 = 1.16 5th priority Accidental hazards identified are foreseeable crisis, not
Hazards = 0.33 0 0.33 0.5 modifiable, preventive potential is low, and is a problem not
needing immediate attention, therefore it is 5th priority.

Inadequate Living 3/3 x 3 0/2 x 2 = 1/3 x 3 = 0/2 x 1 = 1.33 4th priority Inadequate living space is a health crisis, not modifiable, and its
Space =1 0 0.33 0 preventive potential is low, it is a problem not perceived as a
problem needing change.
 6

FAMILY NURSING CARE PLAN # 1

INTERVENTIONS
FAMILY METHOD OF
HEALTH GOAL OF OBJECTIVE OF
NURSING NURSING NURSE RESOURCES EVALUATION
PROBLEM CARE CARE
PRBLEM INTERVENTIONS FAMILY REQUIRED
CONTACT
Poor Risk for After nursing After 8 hours of 1. Asses the Home visit Human After the nursing
Personal infection interventions, student nurse, client family’s resources: intervention, the
Hygiene related to the family will interaction the knowledge Health client family
contamination have the family will be able on proper education Time and effort verbalized
from knowledge to to: hygiene of the student understanding on
microorganism reduce 1. Verbalize practices Demonstratio nurse and the need to
: possibility of the and their n of proper family practice proper
1. Improp transmission importance willingness hygiene hygiene to reduce
er of of proper to learn practices such Financial the possibility of
hygien microorganism hygiene 2. Explain the as bathing resources: transmitting
e or simply practices of importance and microorganism or
practic acquiring a the family of proper handwashing Visual aids for simply acquiring
es certain 2. Demonstrat hygiene proper hygiene disease be
disease will be e proper practices of Teach – back practice minimized.
minimized or hygiene the family technique
prevented for practices 3. Demonstrat Soap for After 8 hours of
the family 3. Implement e the proper Show – me demonstration student nurse-
the agreed- hand technique client intervention,
upon hygiene, the client family
measures in dental Return were able to;
order to hygiene, demonstration
improve and proper 1. Verbalize
their bathing the
personal especially importance
 7

hygiene for the of proper

within children hygiene
themselves 4. Emphasize practices
at home the benefits in the
4. Recognize of proper family
indicators hygiene 2. Demonstra
for hygiene practices for te proper
measures the family hygiene
5. Educate the practices
family 3. Implement
regarding measures
proper in order to
sanitation improve
and their
personal personal
hygiene hygiene
during 4. Recognize
toileting indicators
for hygiene
measure
Goal met.
9/28/19
 8

FAMILY NURSING CARE PLAN # 2

INTERVENTIONS
FAMILY METHOD
HEALTH GOAL OF OBJECTIVE OF
NURSING NURSING OF NURSE RESOURCES EVALUATION
PROBLEM CARE CARE
PRBLEM INTERVENTIONS FAMILY REQUIRED
CONTACT
 9

Presence of Inability to After the After 8 hours of 1. Assess the Home visit Human After nursing interventions, the
possible breeding perceive nursing student nurse – family’s resources: presence of possible breeding
sites of vectors stagnant interventions, client interaction knowledge Health sites was reduced. Promotion
water as a Presence of the family will be on possible education on Time and effort of clean and healthy
health threat possible able to: breeding how to find of the student environment for the family to
for the family breeding sites 1. Mitigate the sites of possible nurse and the live in was achieved
of vectors will presence of vectors breeding sites family
be reduced. possible 2. Explain the and what After 8 hours of student nurse-
breeding importance to appropriate Financial client interaction, the family
Promote a sites reduce or actions resources: were able to;
clean, safe, 2. Understand remove should be 1. Mitigate the presence of
and healthy the need to possible done Visual aids for possible breeding sites
environment remove or breeding 4s laban sa 2. Understand the need to
for the family reduce the sites of Observation dengue remove or reduce the
to live in presence of vectors around the presence of possible
possible 3. Explain the environment breeding sites of vector
breeding site concepts of to detect 3. Understand the 4s laban
of vectors the 4s laban possible sa dengue concepts
3. Understand sa dengue by breeding sites
the 4s laban DOH Goal met.
sa dengue Show – me 9/28/19
concept technique

Teach – back
method

FAMILY NURSING CARE PLAN # 3

INTERVENTIONS
FAMILY
HEALTH GOAL OF OBJECTIVE OF METHOD
NURSING NURSING RESOURCES EVALUATION
PROBLEM CARE CARE OF NURSE
PRBLEM INTERVENTIONS REQUIRED
FAMILY
 10

CONTACT

Improper Inability to The family After 8 hours the family 1. Assess the Home visit Time and effort After nursing interventions, the
Waste decide about will be able will be able to: family’s of the student family were able to determine the
Disposal taking to 1. Perform proper perception Education on nurse and the importance of practicing waste
appropriate determine waste disposal regarding proper importance cooperation of disposal
actions due to the 2. Understand the waste disposal of the family
failure of importance need to 2. Suggest segregation After 8 hours of nursing
comprehending of practicing perform proper methods for of trash Visual aids interventions:
the nature and proper waste disposal proper waste The client family were able to
scope of the waste 3. Identify disposal Education on understand the need to perform
problem disposal dangers of 3. Teach the the impact of proper waste disposal and
improper waste importance of burning trash identify the dangers and how it
Deficient disposal and proper waste to the could affect the family’s health.
knowledge on how it could disposal environment
the impact of affect the 4. Show-me Learn ways they could use the
improper waste family’s health technique, in segregated non-biodegradable
disposal to the 4. Recycle non- identifying waste as a recycled product
environment biodegradable improper waste
waste such as disposal The client family wasn’t able to
sachets of 5. Teach-back perform proper waste disposal
shampoo and method for as it was a hassle for them to
soap identifying the segregate their trash as there
dangers of were no collection of waste in
improper waste Barangay Marcos
disposal
Goal partially met. 9/28/19

FAMILY NURSING CARE PLAN # 4

 11

HEALTH FAMILY GOAL OF OBJECTIVE INTERVENTIONS EVALUATION

PROBLEM NURSING CARE OF CARE NURSING METHOD RESOURCES
PRBLEM INTERVENTIONS OF NURSE REQUIRED
FAMILY
CONTACT
Accidental hazards Risk for injury The family After 8 hours 1. Assess the Home visit Time and After nursing interventions,
 falling related to will be able of student- family’s effort of the the client family was able to
coconuts presence of to know how client knowledge of Observation student nurse learn how to respond in case
 rocky floor accidental to respond interaction the accidental of accidental and the of accidents from the
hazards such as in case of an family will be hazards hazards cooperation of hazards identified
falling coconuts accident on able to: present near around the the family
and rocky floor the hazards 1. Verbalize the house of house Understand the principle of
identified the the family Visual aids on asepsis
importance 2. Teach the Health how to act
Understand of reducing importance of education when there is After 8 hours of student
the principle risks for reducing risks on what to minimal injury nurse interventions:
of asepsis injury for injury do in case and the The client family was able to
2. Identify 3. Observe the there is principle of verbalize the importance of
risks for area of the injury asepsis reducing risks for injury,
injury in the house to identify risks for injury in the
area identify area and identify measures
3. Identify accidental to defend against risks for
measures hazards injury.
to defend 4. Provide
against measures to Goal met. 9/28/19
risks for defend
injury against risks
for injury
identified
 12

FAMILY NURSING CARE PLAN # 5

HEALTH FAMILY GOAL OF OBJECTIVE OF INTERVENTIONS EVALUATION

PROBLEM NURSING CARE CARE NURSING METHOD OF RESOURCES
PRBLEM INTERVENTIONS NURSE REQUIRED
FAMILY
CONTACT
 13

Inadequate Risk for After the After 8 hours of the 1. Teach the family Home visit Time and effort After nursing
living space spreading nursing student nurse- client the preventive of student nurse interventions, the client’s
communicable intervention the interaction, the family measures against Health and the family were able to learn
diseases related family will take will be able to communicable Education on cooperation of preventive measures to
to crowding of the preventive diseases how to prevent family reduce the spread of
family members measures to 1. Understand the 2. Educate family or minimize the communicable diseases
during bed time reduce the importance of on the common spreading of Visual aids on within the family
spread of reducing the spread communicable microorganism how to prevent
communicable of communicable disease and their spreading of After 8 hours of student
diseases within diseases symptoms Show – me microorganisms nurse interventions:
the family 2. Identify common 3. Educate family technique
communicable on the Facemask for The client family was
diseases importance of Teach – back demonstration of able to understand the
3. Take preventive reducing the method reverse isolation importance of reducing
measures against spread of in case of the spread of
communicable communicable coughing communicable diseases
diseases spreading disease
Identify common
communicable diseases

Take preventive
measures against
communicable diseases
spreading

Goal met. 9/28/19