UST FACULTY OF MEDICINE AND SURGERY

DEPARTMENT OF PREVENTIVE, FAMILY AND COMMUNITY MEDICINE

FAMILY ASSESSMENT

A Requirement in Preventive, Family and Community Medicine Rotation at

Saint 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 SURGERY
DEPARTMENT OF PREVENTIVE, FAMILY AND COMMUNITY MEDICINE

FAMILY ASSESSMENT FORM

FAMILY NAME Tañola Family NAME OF HEAD OF Antonio Tañola

FAMILY (father)
ADDRESS Block 17 Lot 21 Purok 8 San Martin II, Sapang Palay, San Jose
Del Monte, Bulacan
CONTACT NO. N/A
DATE May 31, 2008 RELIGIO Roman Catholic
N

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

Tañola Family
Block 17 Lot 21 Purok 8 San Martin II, Sapang Palay,
San Jose Del Monte, Bulacan
May 31, 2008

1962 1966
I
Simproso, 70 Supriana, 64 Fernando, 62 Lauriana, 52

Matildi, 42 Job, 38 Salem, 34 Alfreda, 32 Thomas, 28 Lorna, 18

Emilda, 40 Susana, 36 Arnold, 25 Rosa, 14

II Antonio, 32 Clementia, 29

III Ana May, 6 Clemton, 5

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?
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 & functions

Breadwinner/s: Antonio Tañola (father)
Decision maker/s: Antonio Tañola
Caregiver/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 marriage
October 22, 2001: Ana May was born
December 29, 2003: The house the couple was renting in Caloocan City was caught on
fire and made them decide to move residence in Sapang Palay
September 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 Member Member
ninyong mag-anak (Antonio) (Clementia)
A Ako’y nasisiyahan dahil nakakaasa ako ng 2 2
tulong sa aking pamilya sa oras ng
problema.
P Ako’y nasisiyahan sa paraang 1 1
nakikipagtalakayan sa akin ang aking
pamilya tungkol sa aking problema.
G Ako’y nasisiyahan at ang aking pamilya ay 2 2
tinatanggap at sinusuportahan ang aking
mga nais na gawin patungo sa mga bagong
landas para sa aking ikauunlad
A Ako’y nasisiyahan sa paraang ipinadadama 2 2
ng aking pamilya ang kanilang pagmamahal
at nauunawaan ang aking damdamin katulad
ng galit, lungkot at pag-ibig.
 R Ako’y nasisiyahan dahil sa ang aking 2 2
pamilya at ako ay nagkakaroon ng panahon
sa isa’t-isa.
TOTAL SCORE (Interpretation: 8-10 highly functional, 4-7 moderately dysfunctional,
<4 severely dysfunctional)
Likert Scale: 2- Palagi, 1- Paminsan-minsan, 0- Halos hindi
Kung 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
SOCIAL [+] Open intrafamilial lines of
communication
[ ] Absence of animosity/rivalry
[+] Healthy/supportive
intrafamilial relationships
[ +] Healthy/supportive
extrafamilial relationships
Others: ____________________
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: ____________________
RELIGIOUS [+] Spirituality is positively
influencing way of life
[+] Practicing one’s faith,
enduring because of his faith
Others: goes to mass once a
month____________________
EDUCATIONA [] Level of education is not a
L hindrance to achievement,
livelihood, success
[+] Level of education facilitates
WEAKNESS
[] Lack of intrafamilial lines of
communication
[] Presence of animosity/rivalry
[] Unhealthy intrafamilial
relationships
[] Unhealthy extrafamilial
relationships
Others: ____________________
[+] Presence of some belief/s
practices that are unacceptable
to our culture or negatively
affect way of living (Specify
these practices):
_______pamahiin_____________
____________________________
____________________________
Others: ____________________
[] Spirituality is negatively or not
at all influencing way of life
[] Not practicing one’s faith
Others: ____________________
[+] Level of education is a
hindrance to achievement,
livelihood, success
[] Level of education hinders
 comprehension of most
challenging circumstances
Others: ____________________
ECONOMIC [+] Ability to allocate funds
appropriately
[+] Ability to make ends meet
most of the time
Others: ____________________
MEDICAL [+] Good compliance with
medical management
[+] Timely and appropriate
medical consultation
[+] Aware and practices wellness
and environmental sanitation
Others: ____________________
comprehension of most
challenging circumstances
Others: _finishing grade 6 is a
hindrance to her
livelihood.___________________
[] Inability to allocate funds
appropriately
[] Inability to make ends meet
most of the time
Others: ____________________
[] Poor compliance with medical
management
[] Inappropriate medical
consultation
[] Not aware/does not practice
wellness and environmental
sanitation
Others: ____________________

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  Very dark at night (lacks

week (Mon and Fri) lighting)

 Kind and generous neighbors  Far from the market

 Accessible barangay hall,

church and health center

 Generally peaceful community

6. Family Health Care Plan

Types of Care Family member Problem Recommendation

s
WELLNESS Antonio Tañola, 32 Diet (promotive) -Eat a well
balanced diet
consisting of
adequate amounts
of CHO (60%),
CHON (15%), fats
(25%).
- Drink
 multivitamins.
Immunization - Boil water before
(preventive) drinking

Give tetanus
Clementia Tañola, vaccine
29 Diet (promotive) Hepa B

-Eat a well
balanced diet
consisting of
adequate amounts
of CHO (60%),
Cervical cancer CHON (15%), fats
prevention (25%).
Breast cancer -Drink
prevention multivitamins.
(preventive) -Boil water before
drinking
Ana Mae, 6 Diet (promotive) Pap smear every 3
years

Regular self breast

exam.

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

Give 2nd dose of

BCG, 1st doses of
( hepa B, measles,
Clempton, 5 Diet DPT, OPV,
(promotive) varicella).

-Always brush
teeth to prevent
further tooth decay
- take a bath daily
especially after
playing outside.
- wash hands
before eating.
 Immunization Eat a well balanced
(preventive) diet consisting of
adequate amounts
of CHO (60%),
CHON (15%), fats
Hygiene (25%).
(promotive) -Avoid eating junk
foods.
-Eat a lot of meat
and vegetables.
- Eat high calorie
foods in between
Growth and meals.
development -Drink milk and
vitamins.

Give 2nd dose of

BCG, 1st doses of
( hepa B, measles,
DPT, OPV,
varicella).

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 Muscle pain Regular exercise to
condition muscles
especially before
work.
Clementia
Regular medical
check up
Ana Mae Malnutrition
Increase total
skin infections from caloric intake
insect bites Regular washing
with soap and
water and
antiseptic solutions
Clempton to prevent
Malnutrition infections.

Diarrhea Increase total

caloric intake
Cough and colds Boil water before
drinking
Drink a lot of fluids.
Take medications
 and consult a
doctor or the
health center if
there is
persistence.
PSYCHOSOCIAL Antonio Limited time for Maximize time
the family because when with the
of work family
Clementia
No work Family should look
for other sources of
income.
Ana May
Advice them to
Clempton take care of one
another.
Parents should
treat them equally
to avoid quarrels.

Appendix:

Cleme nti
a 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