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    Preggy

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    semperfidels07

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    © All Rights Reserved
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    Preggy

    Uploaded by

    semperfidels07
    13 views5 pages

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    preggy

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    Copyright:

    © All Rights Reserved
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    13 views5 pages

    Preggy

    Uploaded by

    semperfidels07

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5

    COMMUNITY HEALTH NURSING RLE

    PART A. INITIAL DATA BASE


    I. CHARACTERS:
    A. What is the type of family structure?
    Nuclear Single - Parent
    Extended Others (specify)
    B. What is the type of family based on authority?
    Patriarchal
    Matriarchal
    C. Who makes decisions regarding health care? father
    D. What is the present family relationship?
    with conflicts between members
    without conflicts between family members
    E. Activities of daily living:
    1. Sleeping pattern:
    Retiring/getting up hours 5 am
    Nap during the day 3 to 4 pm
    Do members sleep together No
    2. Eating pattern
    How many meals each day? 3 meals
    Who appears overweight? father
    Who appears underweight? daughter
    3. Leisure time activities
    How does each member spend leisure hours? cooking
    Is it appropriate for the sex and age group? Yes
    What is the effect on the family? bonding
    Any joint activity for leisure? None

    II. FAMILY INFORMATION


    Head of the family: Father
    Address: cavite
    Members of the household: 2

    NAME RELATIONSHIP AGE EDUCATIONAL ATTAINMENT


    Lemuel John Mayer Father 51 N/A
    Vanessa Mayer Daughter 25 college graduate

    /avg 1
    III. SOCIO-ECONOMIC AND CULTURAL FACTORS
    A. Income

    NAME OCCUPATION PLACE INCOME /


    MONTH
    Lemuel John Mayer Multiple job cavite N/A
    Vanessa Mayer Sales lady N/A N/A

    1. Does the working family member meet the basic necessities?


    Yes No
    2. Who makes decisions regarding money matters? Father
    3. Religious affiliation: INC
    4. What roles does the family play in the community? Good neighbor

    IV. ENVIRONMENTAL FACTORS


    A. Housing
    1. Ownership
    Owned Rented Rent-Free Others (specify)
    2. Construction materials used
    Light Mixed Strong
    3. Living space
    Adequate Inadequate
    4. Sleeping arrangement:
    5. Adequacy in furniture
    Adequate Inadequate
    6. Water source
    Private Public
    7. Food storage
    Refrigerator Jars/container Others (specify)
    8. Cooking facility
    Electric stove Firewood Others (specify)
    Gas Stove Kerosene
    9. Drainage facility
    Open drainage Blind drainage None
    10. Toilet facilities/type
    Flushed Overhung latrine
    Water-sealed latrine Bored-hole latrine
    Pail system Others (specify)
    11. Sanitary condition
    Fair Good Poor
    Provide brief description: private homes

    12. Neighborhood
    Congested Slum Other
    13. Availability of Health Care Facility
    /avg 2
    Describe briefly: couple of miles to the nearest one
    14. Garbage disposal
    Dumped at street corner Picked up by garbage collector
    Buried Burned then buried Others(specify)

    V. HEALTH MEDICAL HISTORY


    NAME PAST ILLNESS DIAGNOSED / ILLNESS STATE HEALTH ACTION
    UNDIAGNOSED TAKEN
    Vanessa Mayer Flu Diagnosed Cured Rest

    VI. VALUE PLACED ON PREVENTION OF DISEASE

    Vaccinations

    NAME AGE COMPLETE INCOMPLETE

    Vanessa Mayer 25 COMPLETE

    Other preventive practices employed by the family: Good hygiene


    Sources of Health Care:
    Health Center Government Hospital
    Private Hospital Others (specify)

    /avg 3
    PART B.

    DETERMINE AT LEAST 3 FAMILY HEALTH PROBLEMS. IF NONE, DETERMINE THE FAMILY’S PROMOTIVE OR PREVENTIVE
    PRACTICES.

    FAMILY HEALTH PROBLEMS. TYPOLOGY OF HEALTH PROBLEM


    (WELLNESS STATE , HEALTH DEFICIT,HEALTH THREAT,
    (IF NONE, FAMILY’S PROMOTIVE OR FORESEEABLE CRISIS)
    PREVENTIVEPRACTICES.)

    1 Good hygiene

    PART C.

    DO THE SCALING OF THE 3 IDENTIFIED HEALTH PROBLEMS OR PROMOTIVE PRACTICES OF THE FAMILY.

    HEALTH PROBLEM 1: PREGNANT 34 WEEKS

    CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

    NATURE OF THE PROBLEM 2 0.66

    MODIFIABILITY OF THE 1
    PROBLEM 2

    PREVENTIVE POTENTIAL 1 0.33


    SALIENCE 0 1

    TOTAL 2.99

    HEALTH PROBLEM 2:

    CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

    NATURE OF THE PROBLEM

    MODIFIABILITY OF THE
    PROBLEM

    PREVENTIVE POTENTIAL

    SALIENCE

    TOTAL
    /avg 4
    HEALTH PROBLEM 3:

    CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

    NATURE OF THE PROBLEM

    MODIFIABILITY OF THE
    PROBLEM

    PREVENTIVE POTENTIAL

    SALIENCE

    TOTAL

    Villareal, Kian Anthony N.


    Surveyed by _________________________
    Date ______________________________
    March 16, 2024

    /avg 5

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