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Family Health Assessment

Head of the Family: Teresita Bohol


Address:Sitio Atis Banilad, Mandaue City
I. Assessment of the Family
A. Members of the Household
Name

Relation
to Head

Sex Month

Year

Ag
e

Teresita
Bohol
Rocelo Bohol

Head

Nov 29

1966

46

Marita
l
Status
Married

Husband

April 29

1965

45

Married

Diosel Bohol

Son

Aug 29

1987

25

Married

Highest
Education

Rina Bohol

Daughter
in law

Nov 22

1991

21

Married

Arcel Bohol

Daughter

Sept 5

1998

14

Single

Elementary
Graduate
Elementary
Graduate
College
Undergraduate
College
Undergraduate
Highschool

James Kyle
Bohol

Grandchild M

June 12

2011

Child

N/A

Type
of
Work
Housewife
Unempl
oyed
Unempl
oyed
Service
crew

Plac
e

Imm
on S

Inco

Inco

KFC

student

N/A

B. Type of Family Form: Nuclear Family


C. Cultural and Religious Orientation
A devoted Roman Catholic.
D. Social Class Status: Lower class
1. Breadwinner: Teresita Bohol
2. Average Monthly Family Income: P 7,000.00
E. Recreational or Leisure time Activities: Watching television together
II. PHYSICAL ENVIRONMENT
A. Home
Their house and lot are both owned. Its made up of mixed materials like
concrete and wood. There are two rooms used for sleeping and no specific room for
their kitchen and dining. There is limited furniture present. Home appliances present:
Television, Refrigerator, rice cooker, DVD player, computer, radio and an electric fan.

Fully
Imm
Chil
Fully
Imm
Chil
Fully
Imm
Chil
Fully
Imm
Chil

Lighting is electricity generated. Sharps and matches are easily accessible to children
and same as with soft drink bottles but medicines are well kept.
B. Kitchen
They use gas stove in cooking. And they have an open drainage.
C. Water Supply
Uses a public Piped System at a distance of 5 meters from the house. The
collection containers are covered and the water storage which is the pitcher is also
well covered.
D. Waste disposal
They have their own toilet at the back of their house and is a flush type.
Though the comfort room is a bit small and the garbage sack is just located near it.
The sack is not tied and disposes only when it's full. A truck for garbage collects it.
E. Domestic Animals:
They have one dog (unvaccinated) which is always tied outside the house and
three chickens inside the chicken coops.
F. The Community in General
Located in an urban residential community and is accessible to transportation,
church, school, malls, health agency except for the market. Houses are congested
and no recreational facilities. Though the health center is near but they have their
family friend private doctor but rarely visits too. At a distance of approximately 500
meters. The community is peaceful as they described it. The child of the family is the
only person using the community services especially on the free immunization but
after being fully immunized they rarely use it.

III. PSYCHO-SOCIAL ENVIRONMENT


A. Family strengths and weaknesses:
Strengths: Open Communication
Weaknesses: financial needs and temper
B. Family communication:
1. Usual pattern: Wheel
2. Purposes: They talk freely
3. Rules observed during interactions: Younger person is to respect elder ones.
C. Family Stage Of Development
1. Present Stage: Parental Years; Developing stage
2. Developmental tasks demonstrated by the family at present stage:
- Children enter school
- More activities focused outside the home
- Share and manage duties well
D.Role Structure
Family Member
Formal Role
Informal Role
Teresita Bohol
Breadwinner
Rocelo Bohol
Suggests the
head
Diosel Bohol
Helps in the house
Rina Bohol
Provides financial
support as well
Arcel Bohol
Student
James Kyle Bohol
E. Power structure
Decision to be made
1.Major family
purposes
2. Daily Household
expenses
3. Child-rearing
practices
4. Social Activities
5.Household
Activities
6. Discipline

Decision Maker
Teresita Bohol
Teresita Bohol
Teresita Bohol
Rocelo Bohol
Teresita Bohol
Teresita Bohol and

Decision-making
process
Assess the need to
do so
Budgeting only
present money
Incorporates with the
husband
For Leisure time
Prioritizes chores and
delegates it
Corrects bad

Rocelo Bohol
Teresita Bohol

conducts

7. Health-illness
matters
Over-all family power typology: Wife-dominated
F. Family Values
1. Identified and practiced moral values: Respect, Love
2. How do these family values affect the health of the family
It affects them by being responsible in taking care of oneself.
G. Family Coping Functions
1. Short term stresses
Daily financial budget
2. Long-term Stressors
Environment sanitation
3. Family stress which counterbalance stressors
The mother does laundry to counterbalance the stress
4. Functional Coping Startegies
Helping each other and talking feelings out to one another.

IV. HEALTH-RELATED BEHAVIORS


I. Family attitude towards
1. Health: Important for the family to function well to daily activities.
2. Illness: To prevent as much as possible but finances hinder them.
II. Health care facilities
1. Usual source of health care Health Center
2. Frequency of visit to health care facility only when needed most
3. member of the family who usually utilizes health care Rina Bohol used to utilized it
from her prenatal to immunization for James Kyle
4. means of financial health care what the budget could cover it
5. barriers of obtaining health care busy time, procrastination
III. Dental Health practices
Teresita Bohol was able to have four toothextraction
IV. Family Medical History
Teresita Bohol was diagnosed to have kidney stones by didnt comply with it.
V. Family Drug Habits : Uses biogesic for fever and Neozep for cough
VI. Nutrition

1. Dietary practices and food allergies: NONE


2.Food History Record
SAMPLE MENU FOR ONE DAY
MEAL
FOOD SERVED
QUANTITY

INDIVIDUAL
DIFFERENCES

3. Market Practices: Goes thrice a month


VII. Sleep and rest practices
FAMILY MEMBER
TIME FOR SLEEPING

TIME FOR WAKING

Teresita Bohol
Rocelo Bohol
Diosel Bohol
Rina Bohol
Arcel Bohol
James Kyle Bohol

6:00
4:00
9:00
7:00
6:00
6:00

12:00PM
8-9:00 PM
1-2:00 PM
10:00 PM
10-11:00 PM
9:00 PM

V. Further Assessment Data Needed:

AM
AM
AM
AM
AM
AM

SLEEPING AIDS
USED, IF ANY
NONE
NONE
NONE
NONE
NONE
NONE

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