INITIAL DATA

BASE (IDB)
L.V.B.
for Family Nursing
Practice
INITIAL DATA BASE ASSESSMENT AREAS

A. Family Structure Characteristics and Dynamics

B. Socio-economic and Cultural Characteristics
C. Home Environment
D. Health Status of Each Family Member
E. Values, Habits, Practices on Health Promotion,
Maintenance and Disease Prevention
 A. Family Structure Characteristics and Dynamics

 Members of the household and relationship to the head of the family.

 Demographic data-age, sex, civil status, position in the family
 Place of residence of each member-whether living with the family or
elsewhere
 Type of family structure-e.g. patriarchal, matriarchal, nuclear or extended
 Dominant family members in terms of decision making especially on matters of
health care
 General family relationship/dynamics-presence of any obvious/readily
observable conflict between members; characteristics,
communication/interaction patterns among members.
B. Socio-economic and Cultural Characteristics

 Income and expenses

 Occupation, place of work and income of each working member
 Adequacy to meet basic necessities (food, clothing, shelter)
 Who makes decision about money and how it is spent
 Educational Attainment of each Member
 Ethnic Background and Religious Affiliation
 Significant others-role (s) they play in family’s life
 Relationship of the family to larger community-nature and extent of
participation of the family in community activities
 C. Home Environment

 Housing
 Adequacy of living space
 Sleeping in arrangement
 Presence of breathing or resting sites of vector of diseases (e.g. mosquitoes, roaches, flies, rodents, etc.)
 Presence of accident hazard
 Food storage and cooking facilities
 Water supply-source, ownership, pot ability
 Toilet facilities-type, ownership, sanitary condition
 Garbage/refuse disposal-type, sanitary condition
 Drainage System-type, sanitary condition
 Kind of Neighborhood, e.g. congested, slum etc.
 Social and Health facilities available
 Communication and transportation facilities available
 D. Health Status of Each Family Member

 Medical Nursing history indicating current or past significant illnesses or beliefs

and practices conducive to health and illness
 Nutritional assessment (especially for vulnerable or at risk members)
 Anthropometric data: measures of nutritional status of children-weight, height, mid-upper
arm circumference; risk assessment measures for obesity : body mass index(BMI=weight in
kgs. divided by height in meters2), waist circumference (WC: greater than 90 cm. in men
and greater than 80 cm. in women), waist hip ration (WHR=waist circumference in
cm. divided by hip circumference in cm. Central obesity: WHR is equal to or greater than
1.0 cm in men and 0.85 in women)
 dietary history specifying quality and quantity of food or nutrient per day
 Eating/ feeding habits/ practices
 Developmental assessment of infant, toddlers and preschoolers- e.g. Metro
Manila DevelopmentalScreening Test (MMDST).
 Risk factor assessment indicating presence of major and contributing
modifiable risk factors for specific lifestyle diseases-e.g. hypertension, physical
inactivity, sedentary lifestyle, cigarette/ tobacco smoking, elevated
blood lipids/ cholesterol, obesity, diabetes mellitus, inadequate fiber intake,
stress, alcohol drinking, and other substance abuse.
 Physical Assessment indicating presence of illness state/s (diagnosed or
undiagnosed by medical practitioners )
 Results of laboratory/diagnostic and other screening procedures supportive of
assessment findings
E. Values, Habits, Practices on Health Promotion,
Maintenance and Disease Prevention

 Immunization status of family members

 Healthy lifestyle practices. Specify.
 Adequacy of:
 Rest and sleep
 Exercise/activities
 Use of protective measure-e.g. adequate footwear in parasite-infested areas; use
of bed nets andprotective clothing in malaria and filariasis endemic areas.
 Relaxation and other stress management activities
 Use of promotive-preventive health services