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Submitted by:
Fernandez, Jobelline Mae
Orque, Eurice Jane
Pelayo, Christopher Philip
Eijansantos, Ezra Ed
Enriquez, Richelle Marie
BSN II-A
Submitted to:
Prof. Nurhana T. Caranguian
NCM Instructor
FAMILY PROFILE
Family Name: Marmol
Residential Address: Block 1 Phase 5 A, Sinunuc, Zamboanga City
INITIAL DATA BASE FOR FAMILY NURSING PRACTICE
A. Family Structure, Characteristics and Dynamics
Demographic Data
Name Position in
the family
Age Sex CS Education Occupation Estimated monthly
income
Antonio J.
Marmol
Father 61 Male Married College Graduate Self-employed 5,000.00
Lydia Marmol Mother 54 Female Married College
Undergraduate
Part-time baby
sitter
1,000.00
Michael
Marmol
1st child 32 Male Single College
Undergraduate
Factory worker 3,000.00
Melvin Marmol 2nd child 24 Male Single College
Undergraduate
None ____
Manfred
Marmol
3rd child 19 Male Single College
Undergraduate
None ____
Jerwin Marmol 4th child 16 Male Single 4th year Highschool None ____
Mary Grace
Marmol
5th child 15 Female Single 4th year Highschool None ____
Mary Rose
Marmol
6th child 13 Female Single 1st year Highschool None ____
Annalyn
Marmol
7th child 8 Female Single Grade 2 None ____
Type of Family: Nuclear Family
Length of residency: 20 years
Place of origin: Zamboanga City
Family size: 9 members
Religion: Roman Catholic (Husband)
Roman Catholic (Wife)
Dominant Family Members:
Father (decision-making and providing for family’s needs)
Mother (health care matters and budgeting of finances)
General Family Relation:
It is prevalent that the relationship among members of Marmol Family is good. There are no
existing conflicts among the seven children, among the children and parents and as well as between
parents.
Members of the family interact well especially during meal time. They share their day-to-day
experiences to one another.
B. Socio-economic and Cultural Factors:
Income and Expenses
Three members in the family share in the expenses. Mr. Antonio earns about 5,000 Php
monthly. His wife Mrs. Lydia brings home 2,000 Php per month. As a factory worker, their son Michael
is being paid approximately 3,000 Php every month.
More or less 10,000 Php is the monthly expenditure of the Marmol family. 65% goes to the
food. About 10% goes to the school needs of the children. 20% goes to electricity bills and water
supply while the remaining percentage goes to other needs like grocery items and the like.
The expenses are higher than their income, so there is no balance with their economic
situation. The salary of the working members is not enough to support the needs of the whole family
and worse, there are a lot of mouths to feed since the Mr. and Mrs. Marmol have seven children, six of
which do not earn a living while the rest are still studying. As a result, some needs are left unmet.
Educational Attainment
Only the head of the family has finished a College Degree. The rest are undergraduates
including his wife. Three of their children have stopped in the midst of their college life due to
financial constraints, only one of them has a job and contributes to the family’s expenses. Four
children, however, are still pursuing their education in both elementary and secondary levels.
Ethnic and Religious Background
Both parents are of Roman Catholic in religion. Though they admit that they do not attend
mass in a weekly basis, they see to it that each member of the family is instilled with faith towards
the Supreme Being. Rare are the times that they pray together as a family. But this does not hinder
their relationship with God.
Relationship to Larger Community
The place wherein the family stays is crowded. There are many people scattered out in the
streets and in the sidewalks. There are also unattended children who are playing and running in the
area. Most men are undressed from waist up which makes their tattoos visible to others. Despite
these, they respect the nurses and other health care provider that visit their community. When we
asked Mr. Antonio Marmol about their relationship to their community as well as to their neighbors, he
said that sometimes there is some fighting in their area. He gives advice to his sons and daughters to
avoid in the involvement of such. He kept on expressing his complaints to his barangay officials who,
in their best effort, try to do something to solve this problem.
C. Housing and Environment
Housing
a. Aadequacy of living space
The family owns the house which is made up of both hollow blocks and wood. It has two
bedrooms; a bathroom and a kitchen situated outside the house. Their house measures about
6 square meters. This living space is inadequate considering the number of family members
occupying the area.
b. Sleeping arrangement
The parents sleep on one room with their two youngest children. The other five members,
however, share spaces on the other room. The parents and two children share a bed made of
wood with worn-out foam mattress while the second room consists of two mats for the others
to sleep on.
c. Presence of Breeding/resting sites of insects, rodents or other vectors.
The family lives in an area that is suitable for vectors of diseases to make it as their
breeding site. Each member of the family, however, plays their role to solve this problem.
Thus, there’s no existing issue regarding this matter
d. Presence of accident hazards
There are numerous protruding nails inside and outside of their house. There is also a
number of hanging debris on the walls. These make their house an accident-prone one. The
family is aware of the existing problem, but do not act to solve it.
e. Food storage/cooking facilities
They use wood for cooking purposes. They have no refrigerator but it is not a problem for
them because there are no left-overs to be stored.
f. Water supply
The family does not have an existing problem regarding water supply because they live
near the sea. Water supply in the house is provided by the water district. They also have a
public deep well 10 meters away where they can get water for storage and other purposes.
g. Toilet Facility
The family owns the toilet which is flushed using a pale and a dipper. The whole structure
of the comfort room is cemented but not tiled but the sanitary condition is not properly
maintained.
h. Garbage/referred disposal
The garbage is thrown on garbage cans nearby which is then being collected by the
garbage collector but not in a regular basis. This impedes the sanitation at home because of
the prevalence of flies. Odor coming from the accumulated garbage can be smelled even at
the family’s home.
i. Drainage system
They have a drainage system leading to a canal which is well maintained by the
community.
Kind of neighborhood
The family lives in a congested area where houses are almost joined together. Their neighbors
are fond of gambling and vices. Their neighbors’ houses are far worse than theirs, with unnecessary
equipments scattered outside their houses.
Social and Health Facilities Available
There is an available health care facility 50 meters away from their house. There are also
health care providers in the vicinity who oversee the health of the families in the community.
Communication and transportation facilities available
Public transportation vehicles are numerous in the community. Some of which are jeepneys,
“habal-habal” and pedicabs. The family doesn’t own a personal car, so they resort to public jeepneys
for transportation.
Communication is made easy because Mr. Antonio owns a cellular phone which is used by the
entire family.
D. Health Status of Family Members
Health History
His two older sons had skin disease when they were young. Michael and Manfred took
antibiotics and some prescribed drugs. The doctor gave them a skin ointment called opionate. It was
applied to relieve the itchiness of their skin and to prevent further irritation. After quite a few weeks,
the skin disease was cured
Mr. Antonio is not using any tobacco or cigarettes for almost 2 years but he admits that he
drinks alcoholic beverages occasionally. His wife has no vices, as well as his three daughters and
younger son. His three older sons, however, follow Mr. Antonio’s footsteps. But unlike Mr. Antonio, his
sons do drink alcohols as often as thrice a week or when invited by a couple of friends.
Nutritional Assessment
a. Anthropometric Data
Name Weight Height BMI W
C
WC HC WHR
Antonio J.
Marmol
152 lbs. 5’7’’ 23.8 35 in. 40 in. 0.88
Lydia
Marmol
120 lbs. 5’3’’ 21.3 30 in. 39 in. 0.77
Michael
Marmol
146 lbs. 5’7’’ 22.9 31 in. 35 in. 0.89
Melvin
Marmol
140 lbs. 5’6’’ 22.6 34 in. 41 in. 0.83
Manfred
Marmol
141 lbs. 5’6’’ 22.8 32 in. 40 in. 0.8
Jerwin
Marmol
127 lbs. 5’5’’ 21.1 29 in. 34 in. 0.85
Mary
Grace
Marmol
119 lbs. 5’4’’ 20.4 2
8
27 in. 34 in. 0.79
Mary Rose
Marmol
93 lbs. 5’ 18.2 26 in. 31 in. 0.84
Annalyn
Marmol
53 lbs. 4’5 13.3 18 in. 24 in. 0.75
b. Eating / Feeding Habits
Mr. Antonio makes it a point that he feeds his seven children because he believes to
the saying “health is wealth”. Admittedly, his youngest daughter Annalyn has had poor eating habits
as a child. She prefer a meal with rice and soy sauce rather than mixing it with other delicacy. She
usually skips meals, prefers not to eat in regular intervals and lies to her parents about it when asked
whether she’s done eating not yet.
The sleeping patterns of the Marmol family affect the eating pattern of the family. The other
members of the family are able to skip their breakfast. But they usually take midnight snacks. Before
they sleep the younger members of the family eats three meals a day. Their breakfast is usually
consists of egg, dried fish, rice and fish while their lunch is usually composed of fried fish, vegetables
and rice. They usually drink juice, soft drinks and water. The younger members of the family often
demand for soft drinks rather than water. The parents do not tolerate their children for that thing,
because they are aware that soda has negative effects in the body when it is consumed in large
amount. Mr. Antonio and his wife make sure that their younger son and three daughters are not
drinking any alcoholic beverages. The children eat junk foods and chips during merienda time.
Because of their eating patterns, they tend to acquire the nutrients an individual must have.
But still, the younger members of the family are prone to diseases and infections because of their not
totally good resistance, especially Annalyn, the youngest of the children.
E. Values and Practices on health maintenance
Immunization
Vaccines 1st child 2nd child 3rd child 4th child 5th
child
6th
child
7th child
BCG / / / / / / /
DPT 1 / / / / / / /
DPT 2 / / / / / / /
DPT 3 X / / / / / /
OPV 1 X / / / / / /
OPV 2 X / / / / / /
OPV 3 X / / / / / /
HEP B1 / / / / / / /
HEP B2 / / / / / / /
HEP B3 X / / / / / /
MEASLES* X / / / / / /
Sleeping pattern:
Marmol family does not sleep together at the same time. The younger members of the family
sleep from around 8:00- 9:00 in the evening because they easily get tired after their school hours
while some of the older members of the family usually sleep at 11 o’clock in the evening because
they are busy in doing things like having conversation with each other and also doing vices such as
drinking alcoholic beverages and smoking cigarettes.
The parents and the older son wakes up at around 5:00 or 6:00 in the morning to prepare the
foods for the other members of the family.
The children have no time in taking naps during afternoon because they always play and hang
out with the other children in their neighborhood after school hours.
Healthy Lifestyle Practices
The family seeks medical attention whenever needed. With the presence of barangay health
clinic and sufficient health care providers in the area, they are able to aid the family with their health
concerns. Mrs. Marmol admits, however, that they are not very particular on the promotion of health
of each member of the family. They concentrate more on the curative aspect.
Leisure and recreation:
Marmol family spends most of their leisure time together. Their siblings are always around,
they have the time to spend time together. But sometimes children are fond of playing in the
sidewalks or to their neighbor’s house. The family of Mr. Antonio has enough time to have some
discussion with one another. When there is a free time, the two older sons of Mr. Antonio drinks
alcohol and at times they use cigarettes.
Protective Measures
The family owns several bed nets used during sleeping. They also use improvised “katol”
every now and then. This is to protect themselves from mosquitoes because they are aware of
diseases like Dengue.
FIRST LEVEL ASSESSMENT
Health Deficit Health Threat Foreseeable Crisis
1. Malnutrition
- eight-year-old Annalyn, stands
4’5’’ in height and weighs 53 lbs.
Her BMI is 13.3 which is below the
normal level.
1. Presence of vices in the
family
- frequent alcohol intake of Mr.
Marmol
- smoking (1 pack in 2 days)
and drinking habits of the
older children
2. Poor sanitation
-presence of flies inside and
outside the house
-unhygienic toilet facilities
-presence of breeding sites
e.g. house is near the garbage
disposal
3. Accident Hazards
a. Numerous protruding
rusty nails located inside and
outside the house
4. Inadequate Living Space
- nine family members in a six
meters square house.
SECOND-LEVEL ASSESSMENT
CUES/DATA HEALTH PROBLEMS
> Annalyn, eight years old, stand 4’5’’ in height and weighs
53 lbs. Her Body Mass Index measures 13.3 which is below
the normal level.
> The youngest child of the family looks pale, lethargic and
apathetic; markedly underweight and malnourished.
> Mr. Marmol verbalizad, “Maskin de antes, hinde ya gayot
le mahilig kome. Pirmi lang kanun nuay ulam ta kome”.
A. Malnutrition as a health deficit
1. Inability to recognize the presence of
malnutrition in a dependent member
due to lack of knowledge
2. Inability to decide about
taking appropriate health action due
to failure to comprehend the nature,
magnitude and scope of the problem
3. Inability to provide adequate
nursing care to a member suffering
from malnutrition due to:
a.lack of knowledge about
health condition
b.lack of knowledge on the
nature and extent of
nursing care needed
c.inadequate resources for care
i.e., financial constraints
> A number of protruding nails exist in and out of the house.
>The mother said, “Pirmi gayot kame ali ta iri… tiene kel
diya, ya liba gat kame kun Rose na health center porkawsa
kunese”.
B. Accident Hazards as Health Threat
1. Inability to recognize how hazardous
the environment is due denial about its
existence or severity as a result of fear of
consequences of diagnosis of problem
specifically economic or cost implications.
2.Inability to make decisions with respect to
taking appropriate health action due to:
a. failure to comprehend the
nature/magnitude of the
problem or condition
b. Low salience of the
problem/condition
c. inadequate family resources for
care specifically financial
constraints
2. Inability to provide a home environment
conducive to health maintenance and
personal development due to:
a. failure to see benefits of
investment in home
environment improvement
> Poor sanitation in their environment
> Existence of flies and other insects that can cause illness
> Poor maintenance on the sanitation of the family’s toilet
facility.
>”Tiene aki serka butahan de mga basura poreso muchu
moskas na kasa. Asta aki, ta ginda gayot el olor. Anad ya
man kame, poreso ta deha ya lang. Bahala ya,” as stated by
Mrs. Marmol.
C. Poor Sanitation as Health threat
1. Inability to recognize how hazardous the
environment is due to lack of knowledge
2.Inability to make decisions with respect to
taking appropriate health action due to:
b. failure to comprehend the
nature/magnitude of the
problem or condition
c. Low salience of the
problem/condition
3.Inability to provide a home environment
conducive to health maintenance and
personal development due to:
d. failure to see benefits of
investment in home
environment improvement
e. Lack of inadequate knowledge
of importance of hygiene and
sanitation.
> The father is not a good role model for
his children. He is seen with other friends drinking alcoholic
drinks.
> Mr. Marmol stated, “Ta abla man tamen yo kanila kay
poko poko lang puma y toma. Normal lang man se, basta
numa sobra. El problema, hinde sila ta pwede kontrola di ila
pumada y tomada”.
>Older children of the family are into drinking and smoking.
D. Presence of vices in the Family as
Health Threat
a. Inability to recognize the
presence of problem brought about
by vices due to lack of or
inadequate knowledge about its
effects to their health
b. Inability to provide adequate
nursing care to the vulnerable or at-risk
member of the family due to:
i. lack of or inadequate
knowledge and skill in
carrying out
interventions like
therapeutic regimen
ii. Philosophy in life which hinders
caring of the at-risk
member of the family
c. Failure to utilize community
resources for health care due to
negative attitude in life which
hinders utilization of community
resources for health care
> The family is composed of nine members in a six meters
square house.
> Five children share space on the floor and on the bed
inside a small bedroom while the other two younger children
sleep with their parents in the other room.
E. Inadequate Living Space
1. Inability to recognize the presence of
problem brought due to:
a. lack of or inadequate
knowledge about its effects
to their health
b. Lack of knowledge
2. Inability to make decisions with respect
to taking appropriate action due to:
a. failure to comprehend the nature
of the problem or condition;
b. low salience of the problem.
3. Inability to provide adequate nursing
care to the vulnerable or at-risk member of the
family due to:
a. inadequate family resources,
specifically limited financial
resources;
b. failure to see benefits of
investment in home environment
improvement.
PRIORITIZATION OF HEALTH PROBLEMS
1. Inadequate living space
Criteria Computation Actual
Score
Justification
1. Nature of the
problem
2/3 x 1
0.67
The problem is a health threat. There is a possibility
to acquire different diseases, which is easily to transfer
to other member of the family, most specially the
younger ones due to insufficient space.
2.Modifiability of the
Problem
0/2 x 2
0
The problem is not modifiable because
this problem involves social problem,
specifically financial constraints. It is
difficult to solve the problem when
resources are not available.
3. Preventive
Potential
3/3 x 1
1
Occurrence of the disease or illnesses can
be
prevented if they recognized the
importance of
having enough space for the family.
4. Salience of the
Problem
1/2x 1
0.5
The family does not see it as a problem
which needs immediate attention because
the family has already adjusted to this kind
of lifestyle.
2.17
2. Presence of vices in the Family
Criteria Computation Actual
Score
Justification
1. Nature of the
problem
2/3 x 1
0.67
The problem is a health threat. Smoking
may lead to respiratory problems which may
be fatal over time if not solved. Drinking
alcoholic beverages can also lead to kidney
diseases and the like.
2.Modifiability of
the Problem
1/1 x 2
1
The problem is partially modifiable. The
family is aware of the effects of these vices
to the body because they are experiencing it
physically and psychologically but they tend
not to stop it because of dissatisfaction.
They consider taking cigarettes or alcohol as
a past time activity.
Resources of the community- they can easily
buy any kinds of alcoholic beverages and
cigarettes in the store in the front of their
house or anywhere in the community.
3. Preventive
Potential
2/3 x 1
0.67
The problem is moderate in preventive
potential-
Length of the problem- The problem has
long existed. The head of the family sets a
bad example to his children.
Presence of high risk individuals- Their
siblings especially the youngest are exposed
to that kind of action and eventually they
can imitate those practices.
Availability of resources- There are absence
of resources to be used to stop this kind of
practices.
4. Salience of the
Problem
0/2 x 1
0
The problem is not yet and perceived-
The family does not think that it is a serious
problem. They see it as normal because
almost everyone practices it in the
community.
2.34
3. Poor Sanitation
Criteria Computation Actual Score Justification
1.Nature of the
problem
2/3 x 1
0.67
The problem is a health threat. The family
is prone for having many diseases and
illness because the environment in where
they live is unclean and not properly
organize.
2.Modifiability
of the Problem
1/2 x 2
1
It is partially modifiable.
Current knowledge- They are not aware
that poor sanitation may cause lot of
diseases.
Resources of the nurse- The nurse has
knowledge and skills that is applicable for
the solution of the problem.
There is an available resource like: plastic
bags, different cleaning materials and
trashcans.
3. Preventive
Potential
1/3 x 1 0.33 The problem is low in preventive
potential. There is a severity of the
problem because of poor sanitation. Their
community as a whole does not practice
healthy living and promoting lifestyle that
is why it is very difficult to implement
preventive measures regarding this
matter.
4. Salience of
the Problem 1/2x 1 0.5
The problem doesn’t need immediate
attention because in this condition the
family is already immune, and they can
easily go with the flow in this kind of
environment.
4. Malnutrition
Criteria Computation Actual
Score
Justification
1,Nature of
Problem
2. Modifiability
of the Problem
3. Preventiv
e
Potential
4. Salience of
the Problem
3/3 X 1
2/2 x 1
3/3 x 1
0/2 x 1
1
2
1
0
It is a health deficit that requires immediate
management to eliminate untoward
consequences
The problem is easily modifiable since the
nurse’s sources are available; she can help
the family on effective budgeting of money
and scheduling of time; she can develop the
skills of other members to achieve good
nutrition.
Susceptibility to other diseases and
infections can be prevented if malnutrition
is eliminated; normal growth and
development can thus be achieved.
It is not a felt problem for the family. The
family does not pay much attention to this
problem considering the number of
members in that particular family.
Total Score 4
5. Accident hazards
Criteria Computation Actual Score Justification
1. Nature of the
Problem
2/3 x 1 0.67 It is a health threat which is
conducive to infections,
diseases and accidents.
2. Modifiability of the
Problem
2/2x 2 1.00 It is easily modifiable since
there are available resources
within the community which
could solve the problem.
3. Preventive
Potential
3/3 x 1 1.00 It has a high preventive
potential since if the hazards
are eliminated, the members of
the community will be safe and
free from possible diseases and
accidents.
4. Salience 2/2 x 1 1.00 The family sees this problem as
something that needs
immediate attention because of
the different accidents it may
cause.
Total Score 3.67
List of Health Conditions and Problems Ranked according Priorities
1. Malnutrition 4
2. Accident Hazards 3.67
2. Poor Sanitation 2.50
3. Presence of vices in the Family 2.34
4. Inadequate Living Space 2.17
