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INITIAL DATA BASE

A. Family Structure, Characteristics and Dynamics

A.1 Members of the household and relationship to the head of the Family

Solis Family

(Patriarchal Family) Extended Type Family

• Ferdinand Solis - Head of the Family

Age: 62 Sex: M Civil Status:
Married

• Teresita Nicanor Solis - Mother

Age: 64 Sex: F Civil Status:
Married

• Mary Grace Solis - Daughter (1st child)

Age: 24 Sex: F Civil Status:
Single

• William Solis - Son (youngest)

Age: 20 Sex: M Civil Status:
Married

• Nerrisa Solis - granddaughter

Age: 3 Sex: F
• Williamson Solis – grandson
Age: 7 mos. Sex: M

• Maribeth Dayag Solis- daughter-in-law

Age:20 Sex:F Civil Status:Married

* Dominant Family members in terms of decision-making, especially in

matters of health care

A.2 Place of Residence of Each Member

• Ferdinand Solis - 15th Avenue, Murphy Cubao Q.C

• Teresita Nicanor Solis - 15th Avenue, Murphy Cubao Q.C

• Mary Grace Solis- 15th Avenue, Murphy Cubao Q.C

• William Solis - 15th Avenue, Murphy Cubao Q.C

 *All family members live in the same house.

A.3 General Family Relationship/Dynamics

Presence of any obvious/readily observable conflict between members;
characteristic/interaction patterns among members

Observable Interview

*Strained sibling relationship Mary Grace

mentioned that (between Mary Grace and William)
William and his family is
somewhat becoming a burden
to their family since William
doesn’t have a stable job and
only she herself and her
father is working to
sustain their
family’s needs.

B. Socio-Economic and Cultural Characteristics

B.1 Income and Expenses

• Ferdinand Solis - Head of the Family

Educational Attainment: high school graduate
Ocupation: Foreman (construction work)
Place of Work: depending on work available

Monthly Income/Rate: daily basis, P450

• Teresita Nicanor Solis – Mother

Educational Attainment: high school graduate
Ocupation: none
Place of Work: ------
Monthly Income: -----

• Mary Grace Solis - Daughter (1st child)

Educational Attainment: high school graduate
Ocupation: Cashier
Place of Work: EdMart’s, QC
Monthly Income: fixed P4,000

• William Solis - Son (youngest)

Educational Attainment: high school graduate
 Ocupation: school bus conductor
Place of Work: school bus for Stella Maris College, Q.C

Monthly Income/Rate: daily basis, P150

• Maribeth Dayag Solis- daughter-in-law

Educational Attainment: high school graduate
Ocupation: none
Place of Work: -----
Monthly Income: -----

B.2 Ethnic Background and Religious Affiliation

The whole family is Roman Catholic in religion. No one except Mrs.
Solis is a regular church-goer owing that she doesn’t have a work and all
household chores are left to her daughter-in-law, Maribeth, to attend to.
Mang Ferdinand, Mary Grace and William, on the other hand, has to go to
their respective works.

C. Home and Environment

C.1 Housing
a. Adequacy of living space and Sleeping arrangement
Small 1-bedroom apartment ideal for 3 to 4 persons
• 1 Room (separate from living area) - occupied by William, Maribeth
and 2 children
• Living area used by Mr./Mrs. Solis and Mary Grace (portion from the
entrance serves as the kitchen)
* Sketch of Solis residence (one-bedroom apartment)

b. Presence of breeding sites of vectors

• Cockroaches found under kitchen sink
• Drainage positioned outside door entrance, cockroaches present
c. Presence of accident hazards
• Sharp and rusted galvanized iron used as door for the bathroom
area
• Fire hazard
• Unsecured kitchen wares (knife and heavy pots on kitchen top)
• Slippery pavement
• Fall-hazard crib (crib side rails falls off when shaken, screws
loosened)

d. Food storage and cooking facilities -

• 1 refrigerator, fully functional, 4.3 Cu. Ft
• Family uses covered dish cabinet
• Ladles, pots and pans laid and exposed (no available cabinet
and space for storage)
• Kitchen sink and surface not tiled
• Faucet, with visible hard water deposit/stains
e. Water Supply - communal faucet system, NAWASA, potable
* Analysis: Relation to incidence of waterborne dermatological
diseases in the family
f. Toilet facility - Pour-flush toilet (communal, in use of 3 other
families in the same compound); unsanitary (stained bowl
and foul-smelling)
g. Garbage/refuse disposal – DPS (collected) and open burning
(backyard)
*Analysis: Uncollected garbage and improper disposal as
potential risk to health and to the environment
h. Drainage system - Sustainable Urban Drainage Systems

C.2 Kind of Neighborhood- congested

C.3 Social and Health Facilities Available
• Brngy. San Roque Health Center (10-minute walk)
• Quirino Memorial Medical Hospital (known as “Labor”; 1
jeepney ride)
C.4 Communication and Transportation Facilities Available :
• Easy access to all transportational means (except FX)
 • Telephone line feasible and available on the area, though, the
family doesn’t have a phoneline

D. Health Status of Each Family Member

D.1 Medical and nursing history indicating current or past significant

illnesses, beliefs and practices conducive to health and illness and health risk
factors

• Ferdinand Solis - Head of the Family

Hypertensive, confirmed by records
Chain Smoker
*complains about recurring joint pains
*refuses motivation of modifying smoking habit, states that there are
many heavy smokers but are even living a healthier life and that it just
so happen that hypertension runs in their family

• Teresita Nicanor Solis - Mother

Hypertensive
Diabetic
Elevated blood lipid

• Mary Grace Solis - Daughter (1st child)

Stress

• William Solis - Son (youngest)

Alcohol Drinking (controllable)
Smoking

• Nerrisa Solis - granddaughter

Asthmatic
Skin problem (multiple mosquito bites)
Emaciated (inadequate/improper nutrition)

• Williamson Solis – grandson

Skin problem (multiple mosquito bites)

• Maribeth Dayag Solis- daughter-in-law

1 Miscarriage (2008), confirmed by records
 Skin problem (multiple mosquito bites)

D.2 Nutritional Assessment

D.2.1 Anthropometric Data (Nutritional Status of Children)

• Nerrisa Solis - granddaughter

Age: 3 Sex: F
Weight:
Height:
BMI:
Waist Circumference:
Waist Hip Ratio:

• Williamson Solis – grandson

Age: 7 mos. Sex: M
Weight:
Height:
BMI:
Waist Circumference:
Waist Hip Ratio:

D.2.2 Dietary History (Quality and Quantity of Daily Intake)

• Nerrisa Solis - granddaughter

No milk given
Eats basic food (rice and ulam)

• Williamson Solis – grandson

Bonakid Wyeth (approx. 7-8 feeding using 270ml bottle)

D.2.3 Results of Laboratory and other Screening Procedures

• Ferdinand Solis: Blood Pressure monitoring: 160 over 100 mmHg
(fluctuates higher), blood glucose level: FBS 100 mg/dl (elevated)
• Teresita Solis: Blood glucose level: FBS 129 mg/dl (elevated)
• Mary Grace Solis: Blood Glucose level: FBS 98 mg/dl (normal)
• Maribeth Solis: (-) VDRL (done year 2008 after miscarriage)
• Nerrisa Solis: (+) Metacholine Challenge Test (asthma)
• Williamson Solis: Newborn Screening Test (no congenital problem)
E. Values, Habits, Practice on Heath Promotion, Maintenance and
Disease Prevention

E.1 Immunization Status

• Maribeth Dayag Solis (completed series of Tetanus Toxoid
vaccine year 2007)
• Nerrisa Solis (completed vaccines)
• Williamson Solis (BCG, 2 Hepa vaccines, 1 DPT, 1 OPV)

E.2 Healthy Lifestyle Practices

Practices hand washing before preparing food
Boils bottle feeders
Washes plates immediately after using

E.3 Adequacy of:

a. Rest and Sleep- Mang Ferdinand, Mary Grace and William
are the working family members in the family and have
stated that they at least get a descent sleep, so as the other
family members
b. Exercise and Activities- Nanay Teresita weighs 182 lbs at
does not work so she practices a sedentary lifestyle.
c. Use of protective measures – uses bed net (ineffective
though since Nerrisa and Williamson both have mosquito
bites) and slippers
d. Relaxation and other stress management activities-
Nanay Terista plays binggo, it serves as her recreational
activity. Maribeth, on the otherhand, stays at home most of
the time as she serves as home keeper while everybody else is
out working

E.4 Use of Promotive-Preventive Measures

• Maribeth gets her youngest child out every morning states, “
I know know that morning sunlight is healthy”.
• Maribeth also avails from their health center all available
services (i.e. vaccines).
• If their budget allows, she buys Nerrisa Nido so her child can
get the nutrients a girl in her age needs (Nerrisa is
undernourished though).
FLOOR PLAN

Housing Condition

A. Type of Housing
Mixed – made of concrete and wooden materials

B. Ownership
Rented – family pays P4,500 a month (excluding electricity and water
bills)

C. Ventilation
Total Floor Area
• Area 1
L= 13.3 feet or 4.05384 meter
W= 7.2 feet or 2.19456 meters
L x w= 8.89 sq. meters
TFA= A1+A2
TFA= 17.45 sq. meters
• Area 2
L= 12.8 or 3.90144 meters
W=7.2 or 2.19456 meters
L x w= 8.56 sq. meters
Window Opening
Length of window= 4 feet or 1.2192 meters
Width of window= 3.5 feet or 1.0668 meters
TWO= L x w = 1.3 sq. m
 Ventilation
TWO/TFA x 100
1.3/17.5= 0.7428
0.7428 x 100 = 7.428

*Analysis: Poor Ventilation

D. Overcrowding

Room Rquirements

Asing;le single [;lkdasjklahfh Multi- Single Purpose Room

purpose Room RReReq.
Ferdinand Solis 3.5 sq m 3 sq. m

Teresita Nicanor 3 sq. m 2.5 sq.m

Solis

Mary Grace Solis 3.5 sq m 3 sq. m

William Solis 3.5 sq m 3 sq. m

Maribeth Dayag 3 sq. m 2.5 sq.m

Solis

*Analysis: TSR > TFA, Overcrowded

Three-Day Diet Recall

Breakfast Lunch Merienda Dinner

January 20, Egg, rice and Menudo and Mais con yelo Miswa, hotdog
2010 coffee rice and rice
Day 1

January 21, Pandesal with Hotdog, Fish balls and Sinigang and
2010 coffee Instant softdrinks rice, nilagang
Day 2 noodles with okra
rice
January 22, Tuyo with Fried chicken none Ginisang
2010 kamatis and and rice sayote with
Day 3 rice and rice

Three-Day Activity Recall

January 20, 2010 January 21, 2010 January 22, 2010

Day 1 Day 2 Day 3

Tatay Ferdinand Stay at home, Surveyed project Working at

resting area at Antipolo construction as
foreman
Nanay Teresita prepared lunch for Played bingo 9 AM Went to Quiapo
her family and did to 1PM, slept Church by morning
some chores then during siesta and in the
went to Farmer’s houtrs then afternoon play
Mall to play bingo prepared dinner for binggo
from 1 PM to 5:30 her family
PM
Mary Grace Worked at the mini Worked at the mini Work at the mini
grocery (7:30 AM grocery (7:30 AM grocery (7:30 AM
to 5:30 PM) to 5:30 PM) to 5:30 PM)
William Worked as a Stayed at home, Work as a
conductor in a watched over kids conductor in a
school bus (5AM to school bus (5AM to
5PM), went home 5PM), went home
for lunch and for lunch and
watched over kids watched over kids
Maribeth Clean the house Play binggo with Take care of their
and take care of her mother-in-law children and wash
their children, 9AM to PM, did their clothes
cooked dinner and chores when they
did the chores went home
afterwards

HEALTH PROBLEMS

Presented problems are:

• Poor Sanitation
• Poor Ventilation
• Overcrowding
• Hypertension of Mang Ferdinand

Priority Setting
(Salience: Based on the family’s response)

1. Poor Sanitation

Criteria Weight

Nature of the Problem

Health deficit
3
2
Health threat
2

Foreseeable crisis
1

Modifiability of the Problem

Easily Modifiable
2
1
Partially Modifiable
1

Not Modifiable
0

Preventive Potential

High
3
3
 Moderate
2

Low
1

Salience

Immediate attention
2

A problem but does not

need 1

Immediate attention
1

Not a felt need/problem

0

Nature of the Problem

Score/Highest Score = 2/3= 0.666
Ans. X Weight = 0.666 x 2= 1.33
Modifiability of the Problem
Score/Highest Score = 1/2= 0.5
Ans. X Weight = 0.5 x 1= 0.5 Total Weight=
5.33
Preventive Potential
Score/Highest Score = 3/3= 1
Ans. X Weight = 1 x 3= 3
Salience
Score/Highest Score = 1/2= 0.5
Ans. X Weight = 0.5x 1= 0.5

2. Poor Ventilation

Criteria Weight

Nature of the Problem

Health deficit
3
 Health threat 2
2

Foreseeable crisis
1

Modifiability of the Problem

Easily Modifiable
2
1
Partially Modifiable
1

Not Modifiable
0

Preventive Potential

High
3
2
Moderate
2

Low
1

Salience

Immediate attention
2

A problem but does not

need 0

Immediate attention
1

Not a felt need/problem

0

Nature of the Problem

Score/Highest Score = 2/3= 0.666
Ans. X Weight = 0.666 x 2= 1.33
Modifiability of the Problem
 Score/Highest Score = 1/2= 0.5
Ans. X Weight = 0.5 x 1= 0.5 Total Weight=
2.16
Preventive Potential
Score/Highest Score = 2/3= 0.66
Ans. X Weight = 0.66 x 2= 0.3 3
Salience
Score/Highest Score = 0/2= 0
Ans. X Weight = 0 x 1= 0

3. Overcrowding

Criteria Weight

Nature of the Problem

Health deficit
3
2
Health threat
2

Foreseeable crisis
1

Modifiability of the Problem

Easily Modifiable
2
2
Partially Modifiable
1

Not Modifiable
0

Preventive Potential
 High
3
3
Moderate
2

Low
1

Salience

Immediate attention
2

A problem but does not

need 1

Immediate attention
1

Not a felt need/problem

0

Nature of the Problem

Score/Highest Score = 2/3= 0.666
Ans. X Weight = 0.666 x 2= 1.33
Modifiability of the Problem
Score/Highest Score = 2/2= 1
Ans. X Weight = 1 x 1= 1 Total Weight=
5.83
Preventive Potential
Score/Highest Score = 3/3= 1
Ans. X Weight = 1 x 3= 3
Salience
Score/Highest Score = 1/2= 0.5
Ans. X Weight = 0.5x 1= 0.5
4. Hypertension of Mang Ferdinand

Criteria Weight

Nature of the Problem

Health deficit
3
3
Health threat
2

Foreseeable crisis
1

Modifiability of the Problem

Easily Modifiable
2
1
Partially Modifiable
1

Not Modifiable
0

Preventive Potential

High
3
3
Moderate
2

Low
1

Saleince

Immediate attention
2

A problem but does not

need 2

Immediate attention
 1

Not a felt need/problem

0

Nature of the Problem

Score/Highest Score = 3/3= 0.666
Ans. X Weight = 0.666 x 2= 1.33
Modifiability of the Problem
Score/Highest Score = 1/2= 0.5
Ans. X Weight = 0.5 x 1= 0.5 Total Weight=
5.83
Preventive Potential
Score/Highest Score = 3/3= 1
Ans. X Weight = 1 x 3= 3
Salience
Score/Highest Score = 2/2= 1
Ans. X Weight = 1 x 1= 1

*Family stated that this particular problem be addressed immediately

since Mang Ferdinand is the biggest earner in the family and they will find it difficult
to survive if Mang Ferdinand will be disabled by his illness.

453.59237 Grams