A.

HOME AND ENVIRONMENT

Floor map

The Godoy family lives with their relatives in that house. Their house was made of cement and other light materials. They dont have an adequate living space. The family doesnt have living room or kitchen. They have 4 separate room for sleeping. They sleep close with each other. The ventilation was not that good because they only have a single window where air can pass through in and out of their house that is why they are using electric fan to make them feel better especially when it is noon time. Nanay Julie said that they really feel hot in noon time thats why they sweat lot but they cannot do anything about it. They also have stairs which could be an accident hazard especially for the children when they are playing. The steps of the stairs are so narrow and it is made of plywood which is light material that makes it accident hazards. Nanay Julie said that the family gets used to going up and down to the stairs without having an injury or accident. They are using incandescent lamp and fluorescent lamp as their source of light. The mother added that there are rats, cockroaches and flies that can be seen in their house which she assumed is coming from their neighbors for they are really in a slum and congested area. They dont use insecticides because they believe that it can cause harm to their health especially for the children. The intervention that they use to prevent this problem is to maintain the cleanliness of their house.

When asking the mother, where did they store food, the mother said that they dont have a device where in they can store their foods thats why when she buy foods in the market, and will cook it immediately. The family is using electric stove for cooking. The mother also added that some flies are landing on their cups and bowl when she does preparation of foods. Their water supply comes from NAWASA and the family used it for bathing. She also added that they get their drinking water from the same source but the only one who drinks the water is the couple but they boil water for their children. They have a common C.R. shared with almost 6 families. Their toilet is an over-hung latrine type wherein the waste material directly goes to the river when you flush it with water. In terms of their garbage disposal, they placed first their garbage in the plastic bag without a cover until the garbage collector comes and collect it. In terms of their drainage, they have an open and stagnant drainage. Their community has its own health center where most of their problems are taken cared of. They can also get free medication from the health center. As to their mode of transportation, the father sometimes used tricycle or jeep but they frequently walk especially when their destination is not that far from their house.

B.

HEALTH STATUS OF EACH FAMILY MEMBER

The family perceived health as being active and attentive and free of diseases. The father, Crisal is 44 kg. His height is 154.94 cm. He

smokes for about 1 pack of cigarette when he is working and drinks 1 bottle of beer when he is painting. When he doesnt work, he usually plays basketball for 2 hours as his means of exercise. When he was asked if smoking has an effect on his health, he said that he doesnt feel any effects of smoking on his health. Nanay Julie agreed with Tatay Crisal. He added that alcohol and smoking helps him to feel relax even he is doing strenuous activities. They dont see any bad effects of smoking on their part because Tatay smokes outside the house. Moreover, Nanay Julie is 40 kg. Her height is 153 cm. She has no complaint during our interview with her in regards with her present health status. When asked
about the nutritional status of the children, she answered, maliliksi naman yung mga bata kaya tingin ko wala namang problema sa kanila.Nanay Julie states that they usually eat pritong galunggong and lucky me as soup. She explained that it is hard to budget the money they have so she would buy lowpriced foods that would be enough for them. She also added that there is no

history of disease in their family. She added, Hindi kami nagkaroon ng mga ganoong sakit. Nilalagnat lang, sinisipon, inuubo. Ganon lang naman parati. When I asked Nanay Julie about the family history of illness on Tatay Crisals side and on her side, she said, Ang alam ko lang ay namatay ang tatay ko sa sakit sa puso dahil mahilig siya kumain ng matataba at mamantika pero wala sa pamilya namen maliban kay tatay ang nagkaroon ng ganun sakit! Crisel is 10.2 kg with the height of 94 cm while Crisal is 10 kg with the height of 75 cm. Regarding about their belief and practices about health, Nanay Julie said that they use hygienic products such as soap and shampoo when taking a bath. They brush their teeth but it is not every after meal and they also cut their toe nails and fingernails when it is already dirty and long. They also change their clothes after they take a bath and whenever they feel the clothes that their wearing are already dirty. Regarding about their practices whenever someone in their family has an illness, she said that they go to the health center and consult the doctor. They prefer to consult the doctor of the health center because the service is free and she also added that the medicines are also free but they sometimes use herbal medicine such as oregano and ampalaya. Nutritional Assessment Name Crisal Babida Julie Babida Crisel Babida Crisal Babida Jr. Ht. 154.94 cm 153cm 94cm 75cm Wt. 44 kgs. 40 kgs. 10.2 kgs. 10kgs 36.7 C 36.8 C 36.5 C 80 bpm 70bpm 75bpm 15 bpm 14 bpm 15bpm Temp . PR RR BP 110/70 mm Hg 120/80m m Hg _ BMI 18.33 kg/m2 17.08kg/ m2 11.54kg/ m2 17.77 kg/m2

FAMILY HISTORY OF ILLNESS GENOGRAM followed through AHSE formats for HCP outputs (looks like a family tree, only of illnesses)

LEGENDS: MALE FEMALE

DECEASED

C.

VALUES, HABITS, PRACTICES ON THE MAINTENANCE AND DISEASE PREVENTION

HEALTH

PROMOTION,

Tatay Crisal and Nanay Julie said that they are all immunized. In fact, they said that all of the members have complete immunizations. They practice to eat nutritious foods because they believed that eating nutritious foods like vegetables can make you healthy. Watching tv, sitting and sleeping is the best relaxation for them. Tatay Crisal sleeps late(12 AM) and wakes up late(8:00 AM) when he doesnt have a work for tomorrow but Tatay Crisal usually sleeps early (9:00 PM) and wakes up at 6:00 AM during working days because he needs to prepare and fix some things before going to work. When asking nanay Julie, how about her?(the time she sleeps and wakes up), she verbalized, sabay kaming natutulog ng asawa ko!pagkatapos ng dyesebel! Sabay din kaming gumigising! Pinaghahanda ko kasi siya ng agahan at ung mga dadalhin niya sa trabaho!. I sum up their total no. of sleep by the time they sleep and by the time they wake up and I got the total no. of their sleep. The total number of their sleep is 9 hours. But theres a problem on the hours of sleep of Nanay Julie during our first day of interview. We noticed that nanay Julie had an insufficient sleep and rest and it is evident when you see the 3 day sleeping diary of Nanay Julie. She only consumed 6 hours of sleep during the night of Sunday and wakes up early on the morning of monday to help Tatay Crisal to fix his things before going to work. She also didnt have nap time during the afternoon of monday. She verbalized during our interview, nahihilo nga ako ngaun eh! Crisel and Crisal Jr. sleeps at 8:00 PM and wakes up at 7:00 AM during weekends. Both of them also sleeps and wakes up on the same time during the weekdays. They both sleep at 8:00 PM and wakes up at 6:00 AM. The total no. of their sleep during the weekends is 11 hours and 9 hours during the weekdays. We noticed that the 2 kids wakes up on the same time like their parents during the weekdays. We asked then whats the reason. Nanay Julie said that, Gumigising na yang mga yan kapag nakatayo na kami sa umaga kasi nararamdaman nila na wala na silang katabi! They dont have problems in sleeping. Tatay Crisal said all of them are satisfied with their sleep (quantity and quality) because they dont have sleeping disturbances at night except for Nanay Julie. One more thing, the total hours of sleep they get in a day is just right. Tatay Crisal plays basketball when he doesnt have work and he considered this as a form of exercise. They also believe that exercise is important because they can get a lot of benefits from it. They added that exercise helps them to strengthen their body and it will also help them in preventing diseases. When we speak of their elimination, Tatay Crisal and Nanay Julie does bowel elimination everyday while Crisel and Crisal Jr. does it twice a day. According to nanay Julie, there is no discomfort and pain in the everyday bowel and urinary elimination of all the members of the family. There is no exact time for their urination but nanay Julie added that it depends on the amount of fluid they drink in an hour. Nanay Julie said that she and tatay Julie doesnt perspire so

much except for the 2 kids because she said that the 2 drinks a lot of water every hour and theyre playing in the house thats why the 2 kids perspire fast. When we asked of the sexual activity done by tatay Crisal and Nanay Julie, Nanay Julie said that Tatay Crisal is busy with his work right now and he doesnt have time to have sexual intercourse with nanay Julie. The only sexual activity they do is kissing, hugging and caressing. When asking what family planning they apply/done, Nanay Julie said that she have done IUD. Nanay Julie is against Tubal ligation because she said that her parents is not permitting her to have that because they reasoned out that nanay Julie is still young to be ligated but she added that shes also dont want to be ligated because shes afraid of the side effects of that activity. She is also against vasectomy because of the same reason.

IMMUNIZATIONS

Name

DPT (3 doses given every month after 6 weeks old) / / / / / / / / / / / /

BCG (1 dose at birth or any time after birth)

OPV (3 doses given every month after 6 weeks old) / / / / / / / / / / / /

Hepa. B (3 doses given every month after 6 months old) / / / / / / / / / / / /

Measles (one dose at 9 months)

Tatay Crisal Nanay Julie Crisel Crisal Jr.

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