UST FACULTY OF MEDICINE AND SURGERYDEPARTMENT OF PREVENTIVE, FAMILY AND COMMUNITY MEDICINE

FAMILY ASSESSMENT

A Requirement in Preventive, Family and Community Medicine Rotation atSaint Martin Community Socio-Medical Center

Sapang Palay, San Jose Del Monte, Bulacan

Submitted by:

Uy, Melissa Claire K.Valdez, Julius Caesar Q.

Valenzuela, Kristoffer Allen T.Group 12 Medical Clerks 2009

UST FACULTY OF MEDICINE AND SURGERYDEPARTMENT OF PREVENTIVE, FAMILY AND COMMUNITY MEDICINE

FAMILY ASSESSMENT FORM

FAMILY NAME Tañola Family NAME OF HEAD OF FAMILY Antonio Tañola (father)

ADDRESS Block 17 Lot 21 Purok 8 San Martin II, Sapang Palay, San Jose Del Monte, Bulacan

CONTACT NO. N/ADATE May 31, 2008 RELIGION Roman Catholic

1. Family Genogram. (Use different colors for mapping out the function)Functional charting: -- close / overly close / - - distant / ^^^ conflictualPresence of any readily available conflict between family members (specify)

Tañola FamilyBlock 17 Lot 21 Purok 8 San Martin II, Sapang Palay, San Jose Del Monte, BulacanMay 31, 2008

I

II

III

2. Family structure and function.

a). Type of family: Nuclear b). Life cycle: Family with Young Children

What problems does this phase in the life cycle raise for them?

1962

Simproso, 70 Supriana, 64

Matildi, 42 Emilda, 40

Job, 38 Susana, 36

Salem, 34

Antonio, 32 Clementia, 29

Ana May, 6 Clemton, 5

1966

Fernando, 62 Lauriana, 52

Alfreda, 32 Thomas, 28 Arnold, 25

Lorna, 18 Rosa, 14

Antonio (father) and Clementia (mother) are concerned mainly in the process of raising their children namely, Ana May and Clemton. According to them, it is difficult to rear children of such age especially at this stage, they are active physically and are emotionally labile.

Does the family feel these problems were dealt with satisfactorily?The parents are able to handle such problems by talking about the matter and thinking together of how

they can be resolved. Antonio and Clementia are making sure that they are helping each other in rearing their kids. They are both pleased on how they are able to raise their children

b). Role & functionsBreadwinner/s: Antonio Tañola (father)Decision maker/s: Antonio TañolaCaregiver/s: Clementia Tañola (mother)

c). What does each member expect from their parent/s or head of the family or spouse? Ana May and Clemton are expecting their parents to provide them with what most children of their age want like new toys, food, and clothing.

d). What does the parent/s expect from their child/children? The parents wanted their children to finish college for them to be able to help their parents. The mother also mentioned that she don’t want her children to experience what she had when she was still young.

e). Are these expectations realistic? If yes, how can these be achieved? If no, why not? It is not realistic to meet all the expectations of the children at present time since the daily income of the father who is the main provider of the family is enough for them to survive the day. A big part of the income is allocated for food and a portion of it needed for water and other daily necessities.

The parents’ wish for their children to finish schooling is not impossible especially with the help of the government in providing education through public school subsidies and giving out scholarships to those who most need of it.

f). Are these expectations met? If no, what are the possible hindrances?The expectations of the children from their parents are not met due to financial constraints of the family.

However, Antonio and Clementia has been saving for Ana May’s education. Ana May was already in fact enrolled and preparing to start her first school year in grade 1 on the coming month of June.

3. Family Lifeline. Major significant life events (positive and negative; successes and losses) that had impact on the family. Indicate year of occurrence.December 10, 2000: The couple started to live in together out of marriageOctober 22, 2001: Ana May was bornDecember 29, 2003: The house the couple was renting in Caloocan City was caught on fire and made them decide to move residence in Sapang PalaySeptember 4, 2003: Clempton was born

4. APGAR. (At least 2-3 family members (>12 y/o), if applicable)Sagutin ang mga sumusunod ayon sa relasyon ninyong mag-anak Member

(Antonio)Member

(Clementia)A Ako’y nasisiyahan dahil nakakaasa ako ng tulong sa

aking pamilya sa oras ng problema.2 2

P Ako’y nasisiyahan sa paraang nakikipagtalakayan sa akin ang aking pamilya tungkol sa aking problema.

1 1

G Ako’y nasisiyahan at ang aking pamilya ay tinatanggap at sinusuportahan ang aking mga nais na gawin patungo sa mga bagong landas para sa aking ikauunlad

2 2

A Ako’y nasisiyahan sa paraang ipinadadama ng aking pamilya ang kanilang pagmamahal at nauunawaan ang aking damdamin katulad ng galit, lungkot at pag-ibig.

2 2

R Ako’y nasisiyahan dahil sa ang aking pamilya at ako ay nagkakaroon ng panahon sa isa’t-isa.

2 2

TOTAL SCORE (Interpretation: 8-10 highly functional, 4-7 moderately dysfunctional, <4 severely dysfunctional)

Likert Scale: 2- Palagi, 1- Paminsan-minsan, 0- Halos hindiKung hindi ka nakakahingi ng tulong sa inyong sariling pamilya, kani-kanino ka humihingi ng tulong? Anong uri ng tulong (emotional, physical, spiritual, financial, others)

The family need not ask for help from others; they try to solve their problems by themselves.

In the future, what is the family’s primary (most important) goal? Name two (2) other priorities.The primary goal of the family especially the parents are for their children to have formal education and finish

schooling. The family would also want their house to be repaired specifically the house’s flooring so that water will not get

inside especially when raining. It is also another priority of the family especially the mother to go back to Dumaguete because it has been years since they last visited their relatives who live there.

At this point, what does the family wish for? Why?The family wished for them to have their own house. This gives them a sense of security for the family.

Do all the members work together toward these goals/desires? How? If not, what seems to be the hindrance for working together? Who is the main person responsible for these goals?

All the members of the family especially the parents are working together to meet all of these goals. Clementia even do laundry to help her husband by providing extra income. Antonio is the main person responsible for the family’s goal and is the one who heads in fulfilling them.

5. SCREEM. Briefly specify/explain other items not included or described in the checklist.PARAMETER STRENGTH WEAKNESSSOCIAL [+] Open intrafamilial lines of

communication[ ] Absence of animosity/rivalry[+] Healthy/supportive intrafamilial relationships[ +] Healthy/supportive extrafamilial relationshipsOthers: ____________________

[] Lack of intrafamilial lines of communication[] Presence of animosity/rivalry[] Unhealthy intrafamilial relationships[] Unhealthy extrafamilial relationshipsOthers: ____________________

CULTURAL [ ] Absence of or very few beliefs/practices that are unacceptable to our culture or negatively affect way of living (e.g. institutionalization of elderly, dependency of married children to parents, value for education, does not advocate family closeness, seeking help from traditional healers, etc.)Others: ____________________

[+] Presence of some belief/s practices that are unacceptable to our culture or negatively affect way of living (Specify these practices):_______pamahiin_____________________________________________________________________

Others: ____________________RELIGIOUS [+] Spirituality is positively influencing

way of life[+] Practicing one’s faith, enduring because of his faithOthers: goes to mass once a month____________________

[] Spirituality is negatively or not at all influencing way of life[] Not practicing one’s faithOthers: ____________________

EDUCATIONAL [] Level of education is not a hindrance to achievement, livelihood, success[+] Level of education facilitates comprehension of most challenging circumstancesOthers: ____________________

[+] Level of education is a hindrance to achievement, livelihood, success[] Level of education hinders comprehension of most challenging circumstancesOthers: _finishing grade 6 is a hindrance to her livelihood.___________________

ECONOMIC [+] Ability to allocate funds appropriately[+] Ability to make ends meet most of the

[] Inability to allocate funds appropriately

timeOthers: ____________________

[] Inability to make ends meet most of the timeOthers: ____________________

MEDICAL [+] Good compliance with medical management[+] Timely and appropriate medical consultation[+] Aware and practices wellness and environmental sanitationOthers: ____________________

[] Poor compliance with medical management[] Inappropriate medical consultation[] Not aware/does not practice wellness and environmental sanitationOthers: ____________________

To what groups or organizations do the family members belong?The family members do not belong to any group or organization.

What national / community resources has the family used?The couple asked help from the city hall of Caloocan for financial assistance after their house Caloocan city was

burned down. Luckily, they were given P 1,000.00. Also, they asked for monetary assistance from the PCSO and they were given P 2,000.00.

The couple takes advantage of the free oral contraceptive pills from the health center.Recently, they went to the San Martin II health center for free medications for Clempton.

What are the primary concerns of the family with their immediate environment?Presence of several stray dogs in the streets is the primary concern of Clementia. Also, mosquitoes bother the

family. Lastly, the area around their house and the streets becoming muddy is a problem for the family especially when raining.

What are the positive and negative points of the community where the family resides?Positive points Negative points

Garbage collection twice a week (Mon and Fri)

Kind and generous neighbors Accessible barangay hall, church and

health center Generally peaceful community

Very dark at night (lacks lighting) Far from the market

6. Family Health Care Plan

Types of Care Family member Problem RecommendationsWELLNESS Antonio Tañola, 32

Clementia Tañola, 29

Diet (promotive)

Immunization (preventive)

Diet (promotive)

-Eat a well balanced diet consisting of adequate amounts of CHO (60%), CHON (15%), fats (25%).- Drink multivitamins.- Boil water before drinking

Give tetanus vaccineHepa B

-Eat a well balanced diet consisting of adequate amounts of

Ana Mae, 6

Clempton, 5

Cervical cancer preventionBreast cancer prevention (preventive)

Diet (promotive)

Immunization(preventive)

Hygiene(promotive)

Diet(promotive)

Immunization(preventive)

CHO (60%), CHON (15%), fats (25%).-Drink multivitamins.-Boil water before drinkingPap smear every 3 years

Regular self breast exam.

-Eat a well balanced diet consisting of adequate amounts of CHO (60%), CHON (15%), fats (25%).- Avoid eating too much sweet foods to prevent further tooth dacay.- Eat calorie rich foods in between meals.-Drink milk and vitamins-Avoid drinking too much coffee.

Give 2nd dose of BCG, 1st

doses of ( hepa B, measles, DPT, OPV, varicella).

-Always brush teeth to prevent further tooth decay- take a bath daily especially after playing outside.- wash hands before eating.

Eat a well balanced diet consisting of adequate amounts of CHO (60%), CHON (15%), fats (25%).-Avoid eating junk foods.-Eat a lot of meat and vegetables.- Eat high calorie foods in between meals.-Drink milk and vitamins.

Give 2nd dose of BCG, 1st

doses of ( hepa B, measles, DPT, OPV, varicella).

Hygiene(promotive)

Growth and development

Advice parents to teach him to take a bath daily especially after playing, brush teeth regularly, and wear slippers all the time.

Monitor growth and development. Stimulate learning by teaching him how to read and write.

MEDICAL Antonio

Clementia

Ana Mae

Clempton

Muscle pain

Malnutrition

skin infections from insect bites

Malnutrition

Diarrhea

Cough and colds

Regular exercise to condition muscles especially before work.

Regular medical check up

Increase total caloric intakeRegular washing with soap and water and antiseptic solutions to prevent infections.

Increase total caloric intakeBoil water before drinkingDrink a lot of fluids. Take medications and consult a doctor or the health center if there is persistence.

PSYCHOSOCIAL Antonio

Clementia

Ana May

Clempton

Limited time for the family because of work

No work

Maximize time when with the family

Family should look for other sources of income.

Advice them to take care of one another.Parents should treat them equally to avoid quarrels.

Appendix:

Clementia with her children Ana May and Clemton Tañola family’s residence

The family leading us inside their house

Clemton or Buboy, as his mother would call him, makes a big smile as he poses on top of their bed

A view showing the kitchen

Members of the group with Tañola family

Ana May and Clemton showing their gifts from the group