GORDON COLLEGE

COLLEGE OF ALLIED HEALTH STUDIES

CLASS 2020-2021

Family Nursing Care Plan

In Partial Fulfillment of the Requirements in NCM104a

Submitted by:
BSN II –A2
Addon, Angelica M.
Antazo, Reygine Nicole L.
Bustamante, Denesa Joyce Z.
Damaso, Kristine Mae
Diaz, Desiree M.
Fulton, Jhanna Michaela
Gaton, Diane Grace
Jenuino, Marwin
Llarenas, Kimberly Kaye P.
Manzano Judy Lyn S.
Miranda, Patricia Mae T.
Pascual, Christyn Joie B.
Suarez, Angela

Submitted to:
Mr. Luckyhansel R. Cerezo RN, RM, MAN
Clinical Instructor
 TABLE OF CONTENTS
Acknowledgement i

Introduction ii

A. Family History ii

B. Objectives iii

I. FAMILY STRUCTURE AND CHARACTERISTICS

I.1 Genogram of the Family 1

I.2 Members of the Household 2

I.3 Type of Family Structure 3

I.4 Decision Making 4

I.5 Observable Conflicts between Family Members 5

II. SOCIOECONOMIC AND CULTURAL CHARACTERISTICS

Range of Monthly Income, Income Frequency andS 6

Monthly Expenditures

III. HOME AND ENVIRONMENT

III.A Ownership 8

III.B Material Used 9

III.C Adequacy of Living Space 9

III.D Lighting Facilities 10

III.E Cooking Facilities 11

III.F Food Storage 12

III.G Water Supply 12

III.H Source of Drinking Water 13

III.I Water Sterilization 14

III.J Toilet Facility 14

 III.K Garbage Disposal 15

III.L Frequency of Garbage Collection 16

III.M Common Pests and Breeding Sites 16

III.N Accident Hazards 17

III.O Household Pets 18

IV. HEALTH STATUS OF ALL MEMBERS OF THE FAMILY 20

V. VALUES AND HEALTH PRACTICES 25

VI. PHYSICAL ASSESSMENT 27

VII. PRIORITIZATION OF THE PROBLEMS 104

VIII. PRIORITIZED HEALTH PROBLEMS 109

IX. FAMILY NURSING CARE PLAN 110

X. CONCLUSION 115

XI. REFERENCES 116

XII. DOCUMENTATION 118

XIII. CURRICULUM VITAE 1

 ACKNOWLEDGEMENT
First and foremost, praises and thanks to God, the Almighty, for his showers
of blessings throughout the process and completion of this family case analysis.

We, the student nurses would like to express our deep and sincere gratitude to
our clinical instructors who had given us the opportunity to conduct analysis and
provide invaluable guidance in the making of this research. The dynamism, patience
and motivation you have provided have truly inspired us to finish this study.

We are also thankful for the willingness and participation of our informants, for
without their help and transparency this case analysis would be impossible.

To our beloved parents and families, for their love, sacrifices and support in the
accomplishment of this study for it required time and supplementary efforts considering
the situation we are all facing, we are all grateful for all of you.

And lastly, the student nurses would like to acknowledge the panelists for their
participation in the presentation of this family case analysis.

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 INTRODUCTION

A. Family History

The family case analysis revolves on an extended or multigenerational family,

Family Simpsons, consist of 8 members and currently living at Lincoln Height

Subdivision San Pablo, Bataan. Mrs. Jaqueline as the head who is an overseas Filipino

worker, has 2 daughters namely Mrs. Marge and Mrs. Selma. Mrs. Marge has 3 kids;

Lisa, Bart, and Maggie, and a live-in partner Mr. Homer. Mrs. Selma has 2 kids, Todd

and Ling. Todd died when he was 7 yrs. old in 2018 and recently Mrs. Selma gave birth

to Ling who is now 2 months old.

The Simpsons do not have any financial problems and the house they live in has

an adequately enough space for them. There are no observable conflicts in the family

and they grew in a household where open communication is being practiced. The home

environment is decent and orderly, except for the occasional loitering garbage bags left

from the delayed collection of the garbage collectors.

Members of the family have experienced several common diseases since

childhood and appropriate actions were done to handle the condition. The immunization

record of the children of Mrs. Marge is complete and Mrs. Selma’s newborn is currently

having follow ups and completing it. The two-month old baby was diagnosed with

G6PD, and the family is currently following the orders of the doctor related to her

condition. Lisa, a 12-year old female is currently experiencing Urinary Tract Infection,

which made her hospitalized for 3 days and given an antibiotic through IV drop as her

treatment. She is also taking medications prescribed by her doctor to address the

infection. Mrs. Selma also had Urinary Tract Infection on the year 2008. The family

prefers to seek medical advice from healthcare professionals or family members who

are providers of health care whenever health problems arise from the family members.

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 B. Objectives

A community is a group of people sharing geographic boundaries and/or values

and interests (Maglaya, 2004). A nurse exposed in a community setting learns how to
interact and adapt to different kinds of people. The family is considered as the basic
unit care in the community health nursing. The family is smallest unit of the society
and the natural fundamental core of the community and consequently, it is considered
as the primordial recipient of the nursing effort, which is contributory to the
development, and progress of the community through active involvement and self –
responsibilities of each constituent. It is in a family where a member develops his health
values, beliefs and practices. The family is a major influence in the health behaviors of
an individual.
Every family that composes the community are considered to be the most
significant field by which nurses are being exposed to practice their profession. Nurses’
field of work cannot be only observed or seen in all physical parts of the healthcare
facilities, but also it is carried out through conversations, communications, and person
to person handling and decision making among the clients. This enables them to learn
and critically analyze the health values, beliefs and practices that circulated within the
family.

The aim of this study is to recognize appropriate preventive measures and

nursing care plans as well as to have an organized course of action for the potential
family. This study will help in identifying the severity of health threats and deficits and
provide appropriate intervention. It will serve as a strategic plan and approaches on how
to improve and maintain the health and well-being of the family.

Conducting a family case analysis and study is a means by which a student nurse
reaches and feels the community through its basic structure – the family. It is a tool in
determining the health status of a family through assessment and critical inspection.
Through this, health related problems are identified, thus giving the student nurse the
information necessary to act and intervene with the situation. It is also a means of
improving the health of the family through health teaching and promotion.
I. FAMILY STRUCTURE, CHARACTERISTICS AND DYNAMICS
I.1 Genogram of the Family

Mrs.
Jaqueline

Mr. Homer Mrs. Marge Mrs. Selma

X
Lisa Bart Maggie Todd Ling

- Male - Female - Separated X - Deceased

Interpretation:

Family Simpsons consists of 8 members currently living at Lincoln Height

Subdivision San Pablo Bataan. Mrs. Jaqueline is the head of the family and has 2
daughters namely Mrs. Marge and Mrs. Selma, and was separated with the biological
father of her children. Mrs. Marge has a live-in partner, Mr. Homer with their 3 kids,
Lisa, Bart, and Maggie. Mrs. Selma, younger sister of Mrs. Marge has 2 kids, Todd and
Ling and was separated with the children’s father. Todd died when he was 7 years. old
last 2018 and recently, Mrs. Selma gave birth Ling.

Analysis:

Genogram is a graphic representation of a family tree that displays detailed data

on relationships among individuals. Genograms are used in a variety of fields, such as
medicine, psychology, social work, genealogy, genetic research, and education.

Reference:

Segen's Medical Dictionary. (2012). Farlex, Inc. Retrieved from https://medical-

dictionary.thefreedictionary.com/genogram

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 I.2 Members of the Household

Occupation Religion
Members of Relationship Gender Age Civil Educational
Type of Place Occupational
the Family to the Status Attainment
work Status
member
Mrs. Head of the Household Female 49 Married College WCJ Las Vegas, OFW Catholic
Jaqueline years old Undergraduate USA

Mrs. Marge Acting Head of the Female 30 Single College BCJ Home- Self-employed Catholic
household years old Undergraduate based
(sister of the student nurse)
Mr. Homer Live in partner (brother - Male 31 Single College BCJ Home- Self-employed Catholic
in-law of the student nurse) years old Graduate based
Lisa Daughter Female 12 N/A Elementary N/A N/A N/A Catholic
(Niece of the student nurse) years old (grade 6)
Bart Son Male 10 N/A Elementary N/A N/A N/A Catholic
(Nephew of the student years old (grade
nurse) 4)
Maggie Daughter Female 8 N/A Elementary N/A N/A N/A Catholic
(Niece of the student nurse) years old (grade 2)
Selma Sister of the acting head of Female 27 Single College N/A N/A House wife Catholic
the family years old Undergraduate
Ling Daughter Female 2 N/A N/A N/A N/A N/A N/A
(Niece of the student nurse) months old

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Interpretation:

The family is composed of 8 members living together. Mrs. Jaqueline, head of

the family, mother of Mrs. Marge and Selma is working abroad to support family needs.
Mrs. Marge, the eldest daughter, has 3 kids with her live-in partner Mr. Homer, Lisa is
their eldest child, followed by Bart and Maggie their youngest. Selma, the younger
daughter of Mrs. Jaqueline, sister of Mrs. Marge has a 2-month old daughter named
Ling.

Analysis:

A household is composed of one or more people who occupy a housing unit. Not all
households contain families., the family households consist of two or more individuals
who are related by birth, marriage, or adoption, although they also may include other
unrelated people.

Reference:

Joseph A. Mcfalls Jr. 2003. What is a Household and What is a Family Current
Population Reports (2003). https://www.prb.org/whatsahouseholdwhatsafamily/

1.3. TYPE OF FAMILY STRUCTURE

The Simpsons family is a multigenerational or extended family consisting of 8

members living together.

Interpretation:

The family is considered as an extended or multigenerational family consists of

different generations aside from the immediate family. The daughters of Mrs. Jaqueline,
Mrs. Selma and Mrs. Marge has their own family also with a partner and their children
living altogether.

Analysis:

An extended family can also be called a complex family, joint family, or

multigenerational family. In most cultures, the "core" of the family is the nuclear
family, the parents and their children, while additional relatives are considered
"extended." This type of family unit has multiple relatives or close friends other than

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just the parents and their children living in the same household or keeping close ties
and taking on responsibilities for that household. The key characteristic of the extended
family is that there are multiple adults in the family that are not parents of the children,
though they may also have parent-like roles and share in the responsibilities for
providing for the whole family, either by contributing financially or in other ways.

Reference:

Michelle Meleen M.S. Ed. 2020. Definition of Extended Families. Love to know Corp.
Inc. Retrieved from https://family.lovetoknow.com/about-family-values/definition-
extended-families

1.4. DECISION MAKING

When it comes to the decision making which concerns the family affairs, they
family decides democratically.

Interpretation:

They consult each other in terms of planning and budgeting for their family.
They discuss matters concerning the members financially and also with regards to the
emotional problems or aspects within the family. When problem arises, they make sure
that they will handle and solve the problem.

Analysis:

Families that use discussion and consensus as their mode of reaching a decision
are committed to the principle of democratic process. It is important to these families
that all members have a voice and that members feel that they contributed to the
eventual decision. Families utilizing discussion and consensus often convene family
meetings to discuss a potential decision. If a family wanted to adopt this process, they
would call a family meeting and let everyone have a voice in discussing the decision to
be made. The process of consensus necessitates that the family would continue
discussing the decision until all the members were satisfied with the eventual decision
made.

Reference:

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Web Solutions LCC. 2020 Decision Making. Retrieved November
25,2020https://family.jrank.org/pages/356/Decision-Making-Discussion-
Consensus.html

1.5. Observable Conflict

There is no observable conflict within the family and its family members.
Interpretation:

The family usually consult each other in times of problems and crisis to come
up with solutions. The adults in the house do not have any observable conflicts and
work together to keep their family healthy. They communicate with each other
especially on matters that concerns the welfare and safety of the children. The family
never felt any kind of abuse, nor verbal or physical particularly the children. They
belong to a healthy environment and raised to be disciplined and be respectful among
other people.

Analysis:

Family communication refers to the way verbal and non-verbal information is

exchanged between family members (Epstein, Bishop, Ryan, Miller, & Keitner, (1993).
Communication involves the ability to pay attention to what others are thinking and
feeling. In other words, an important part of communication is not just talking, but
listening to what others have to say.

Communication within the family is extremely important because it enables

members to express their needs, wants, and concerns to each other. Open and honest
communication creates an atmosphere that allows family members to express their
differences as well as love and admiration for one another. It is through communication
that family members are able to resolve the unavoidable problems that arise in all
families.

Reference:

Rick Peterson. (2020). Families First-Keys to Successful Family Functioning:

Communication. https://www.pubs.ext.vt.edu/350/350-092/350-092.html

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II. SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS

Family Simpsons sources of income are Mrs. Jaqueline, Mrs. Marge and Mr.
Homer. Their monthly expenditures are mainly spent for electricity, water, food or
grocery, Internet/TV and house loan.

Interpretation:

The income of the members of the family is ranging from PhP 37 thousand to
PhP 47 thousand a month and PhP 444 thousand to PhP 564 thousand annually. The
largest expenditure of the family is from the house loan which costs PhP 20 thousand
with the estimated percentage of 42.5 percent of their family income. The second largest
are from the food and groceries which cost PhP 10 thousand to PhP 15 thousand which
cover 21.3 – 31.9 percent of their family income. The third largest are from the
electricity and internet fees which cost Php 4, 300 with the estimated percentage of 9.15
percent. The lowest expenditure of the family is from the water bills which costs Php
500 a month with the estimated percentage of 1.06 percent of their family income. The
estimated overall monthly expenditure of the family is ranging from Php 30,000 to PhP
35,000 so the family will have Php 2,000 to PhP 12,000 (based on the overall income
of the family members) extra for other activities or for savings. Overall, the family’s
income is enough to suffice the daily needs of their whole family.

Analysis:

According to the latest publication of the Philippine Statistics Authority on June

4, 2020, the result of the 2018 Family Income and Expenditure Survey showed that
Filipino families had an average annual income of PhP 313,000, an average annual
family expenditure of PhP 239,000 and an average annual family savings of PhP
75,000.

As stated in the survey, the Filipino families spend mostly on food with the
estimated percentage of 42.6 percent of all expenditures. It was increased by 0.8
percentage from 41.8 percent in 2015. The second largest family expenditure from the
survey is the house rental value with the estimated percentage of 12.2 percent and then
followed by expenses n water, electricity, gas, and other fuels with the estimated
percentage of 8.2 percent. The fourth place in the largest percent of expenditures is the
expenses on transportation with the estimated value of 6.61 percent followed by the

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miscellaneous goods and services with 6.58 percent. The next in line is the expenses in
durable furniture and equipment with 3.5 percent. The expenses for family’s special
occasions, health, education, clothing and footwear, communication, and household
maintenance are ranging from 2 to 3 percent. The lowest expenditure percentage are
from tobacco, recreation and culture, alcoholic beverages, and accommodation services
for hotels that are ranging from 0.2 to 1.2 percent.

Reference:

Philippine Statistics Authority. (2020, June 4). 2018 Family Income and Expenditure
Survey. https://psa.gov.ph/survey/annual-poverty-indicator

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III. Home and Environment

A. Ownership

The family is paying for their house loan monthly for the ownership of the house
they are currently living.

Interpretation:

Family Simpsons which has 8 members is living at Lincoln Height Sub. San
Pablo Bataan, a property of which they owned. However, it is also included in their
monthly expenditure, an allotted budget to pay for the house loan.

Analysis:

According to Abraham Maslow's hierarchy of needs, a shelter is essential for

human's survival. Physiological needs include food, air, water, sleep, and reproduction.
A house can be a place for storage, preparation, and eating space for food. It should
also be close to water and food. Then, house also provides safety and sense of security
for it provides privacy, comfort, and contentment.

Also, the family members need to feel loved and have a sense of belonging and
individuals spend a lot of time in their home which builds and shape relationships with
others. Moreover, a type of home also shapes the esteem of an individual and says a lot
of things about him or her. Lastly, a house is a place where an individual can move
towards developing self-actualization to his/her future potential.

“A housing loan can help you reach your goal of owning your dream house. It
can also help turn your humble abode to a comfy paradise,” says John Amon,
AboitizLand, Vice President for marketing and reputation management.

References:

Maslow's Hierarchy of Needs- Housing. https://venngage.net/p/74670/maslows-

hierarchy-of-needs-housing.

Advantages of owning a house and lot. Manila Standard.

https://manilastandard.net/lifestyle/home-living/287703/advantages-of-owning-a-
house-and-lot.html.

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Moneymax with a goal to help Filipinos lead healthier financial lives. (2020, October
21). Housing Loan in the Philippines: A Complete Guide for Filipinos. Moneymax.
https://www.moneymax.ph/loans/articles/housing-loan-philippines.

B. Materials Used

The materials used in building the house of the family were cement and wood.

Interpretation:

The house of Family Simpson is built with mixed materials that includes both
cement and wood instead of just pure cement, pure wood or makeshift.

Analysis:

Weather in the Philippines can range from intense heat to a raging storm within
a couple of hours. This is why construction materials for Philippine houses must make
the structure durable and weather resistant. Most structures found in the Philippines
(residential and commercial) are made of concrete. Since the land these homes and
buildings are built on can easily be affected by the weather, it is crucial to create a stable
base to ensure the structure’s safety. Meanwhile, wood is a good material as it is
lightweight and easy to find locally. It can be used to add both aesthetic and support to
a home. Additionally, the combination of different materials can be a good and unique
way to secure a home.

Reference:

Home Made: Common Construction Materials for Houses: Regan Steel Blog. Regan
Industrial. (2020, March 13). https://reganindustrial.com/blog/homemade-commonly-
used-construction-materials-philippine-houses/.

C. Adequacy of Living Space

The living space is adequate enough for the Family Simpson and its members
respectively.

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Interpretation:

The family said that their total living space is adequate to accommodate all the
members of the family. Their family consists of 8 family members, 4 adults and 4
children.

Analysis:

According to the national building code of the Philippines, habitable rooms

should be at least 14 cubic meters of space per person. Ceiling height should be
minimum 2.4 m, and 2.7 m for first floor, but in most houses, all floors are 2.4 meters.

Reference:

Adopting a National Building Code of the Philippines (NBCP). Retrieved from

http://ray.dilg.gov.ph/files/national_building_code_of_the_philippines.pdf

D. Electricity
The family uses electric lighting facilities and pays for monthly electricity.

Interpretation:

The family said that their house uses electricity for all its lighting facilities. They
do not use kerosene or candle unless there is a power outage.

Analysis:

As stated in the psa.gov.ph, based on the results of the 2011 Household Energy
Consumption Survey (HECS), electricity remains as the most common source of energy
used by households in the Philippines. About 87 percent of 21.0 million households
used electricity from March to August 2011. The other sources used by a significant
proportion of households include fuelwood, charcoal, LPG and kerosene with at least
one-third of the total households using any of these types of fuel in 2011.

In 2011, electricity was mostly used for lighting purposes with 74 percent of
households reporting the use of electricity for such purpose. This is followed by
kerosene which was used for lighting by 30 percent of households. In the 2004 round
of the survey, electricity was used for lighting by about 78 percent of households. A

10
greater proportion of households used kerosene for lighting in 2004 (43%) than in 2011
(30%).

Reference:

Philippine Statistics Authority. 2013. Electricity is the most common source of energy
used by households. https://psa.gov.ph/content/electricity-most-common-source-
energy-used-households

E. Cooking Facilities

Family Simpson preferred using stove for cooking.

Interpretation:

During these times, most especially when residing in an urban area, means of cooking
using a stove is common. It brings comfort and ease to a family residing in a village
area, cooking using other conventional means (firewood, charcoal) is unusual and could
bring out issues of safety (fire) to other village members. Although using gas stove is
expensive, cooking using gas stove is more efficient than using firewood.

Analysis:

Most common reason on why many people choose to have a gas stove for
cooking is because of its accurate cooking temperature. People like seeing the flame.
They can control the temperature based on just looking at the gas flame. Even if gas
stoves are one of the most common choices when it comes to cooking stoves, there are
also some cons to it such as being messy due to the metal grates over each burner to
hold the spots. It requires some professional installation to ensure the safety of your
stove and property. Lastly, it’s an actual flame, therefore, it must always be watched
over and used properly. Leaking gas from a cylinder can be dispersed around your home
that could cause breathing and fire problems.

Reference:

Wazile Writer (2019). Gas Stoves or Induction Cookers: which to Choose. Southeast
Group LPG Company Inc. https://www.segroup.com.ph/gas-stoves-or-induction-
cookers-which-to-choose/

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 F. Food Storage

The Simpson family uses refrigerator for food storage.

Interpretation:

The use of a refrigerator as food storage is intended to avoid the immediate spoiling of
food and to keep the food fresh. Having a fridge at home enables the family to
comfortably store/ chill/ freeze food/drinks for safe consumption for each of the family
members. As a general knowledge, when food and beverages are not properly stored in
a desirable temperature, spoilage that can cause food poisoning can happen.

Analysis:

Food poisoning is frequently caused by bacteria from foods that have been incorrectly
stored, prepared, handled or cooked. Food contaminated with food-poisoning bacteria
may look, smell and taste normal. If food is not stored properly, the bacteria in it can
multiply to dangerous levels.

Reference:

Better Health Channel (2017). Food Safety and Storage. Department of Health &
Human Services, State Government of Victoria, Australia Retrieved Nov. 2020 from
https://www.betterhealth.vic.gov.au/health/healthyliving/food-safety-and-storage#

G. Water Supply
The family uses Type 3 water supply in their home.

Interpretation:

Since the area where the family lives in a well progressive vicinity/community,
the family avails of well-treated water systems that supplies safe and clean water used
in washing the dishes, laundry, etc. The water supply is well maintained by their
provider as to chlorination and cleanliness of the water source/reservoir. In this way,
the health of each of the members as to water borne diseases is ensured.

Analysis:

Safe drinking water, sanitation, and hygiene (WASH) are fundamental to

improving standards of living for people. The improved standards made possible by

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WASH include, among others, better physical health, protection of the environment,
better educational outcomes, convenience time savings, assurance of lives lived with
dignity, and equal treatment for both men and women. Drinking water and sanitation
were targets in the Millennium Development Goals (MDGs) for 2015; under the
Sustainable Development Goals (SDGs) for the post-2015 period, Member States of
the United Nations (UN) aspire to achieve universal access to WASH by 2030. The
Human Right to Safe Drinking Water and Sanitation (HRTWS) was adopted in 2010
under a UN resolution calling for safe, affordable, acceptable, available, and accessible
drinking water and sanitation services for all.

Reference:

Guy Hutton and Claire Chase (2017). Water Supply, Sanitation, and HygieneInjury
Prevention and Environmental Health, 3rd Ed. Publishing and Knowledge Division,
The World Bank. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK525218/

H. Source of Drinking Water

The family uses commercially prepared water for consumption.

Interpretation:

Family Simpson preferred to drink commercially prepared drinking water. They

are aware that water coming from the faucet may have bacteria that may get other
family member sick, particularly for children. Family Simpson trying to prevent their
family from getting future illness by drinking purified water.

Analysis:

Water, the most abundant compound on earth, is essential for life.

Unfortunately, it is becoming more difficult to provide potable water to the rapidly
expanding human population due to depletion of water sources and increasing
pollution. Nevertheless, the Philippines is committed to achieve the United Nations
Millennium Development Goal Number 7 to halve by 2015 the proportion of population
without sustainable access to safe drinking water and safe sanitation. According to the
National Statistical Information Center, 84.1% of the country’s population as of 2008

13
or about 77 million had attained sustainable access to safe drinking water and improved
sanitation and the target is to reach 86.5% by 2015.

Reference:

Source of drinking. Retrieved Nov. 15, 2020 from

https://www.nast.ph/images/pdf%20files/Publications/Bulletins/NAST%20Bulletin%
20no.%204%20-%20Drinking%20water%20final%20version.pdf

I. Methods commonly uses to sterilized the water

The family does not usually sterilize the water they use because it is already
prepared but they boil water when necessary.

Interpretation:

The family seldom need to sterilize water since the family is drinking
commercially prepared water but use boiling method when needed.

Analysis:

Water-borne infections can spread when animal or human feces containing

these pathogens get into drinking water. These pathogens may include bacteria, viruses
or parasites (e.g. Campylobacter, Salmonella, Giardia and Cryptosporidium).
Disinfection kills or removes pathogens from drinking water, reducing health risks.
You can disinfect water by adding chemicals, using heat, using ultraviolet (UV)
radiation, filtration or using a combination of these methods.

Reference:

Disinfecting Drinking Water (2018). Retrieved Nov. 2020 from

https://www.healthlinkbc.ca/healthlinkbc-files/disinfecting-drinking-water

J. Toilet facility
The family uses a type 3 toilet facility in their home.

Interpretation:

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 The family consist of 8 members so they use type 3 in their toilet facility which
is water carriage type of facility that is connected to septic tank. This type of toilet
facility is more used in communal area, where more than 1 family is using the toilet.

Analysis:

A septic tank is a form of on-site sanitation that provides the convenience of a

sewerage system. It is usually linked to flush toilets and can receive domestic
wastewater. Since flush toilets tend to use large amounts of water, septic tanks are
usually appropriate only for households with water piped into the home. The tank is
offset from the house and linked to the toilet and domestic wastewater by a short drain.
It is designed to hold solids and is linked to a soak away to dispose of liquid waste.

Reference:

World health Organization (2002). Healthy Villages - A Guide for Communities and
Community Health Workers. http://helid.digicollection.org/en/d/Jh3014e/6.1.3.html

K. Garbage disposal
The family uses recycling and animal feeding to dispose their garbage.

Interpretation:

In garbage disposal they recycle and animal feed their garbage. The family is
preventing pollution by reducing the need to collect new raw materials. The family also
recycles food residuals into animal feed to help reduce methane emissions from fruits
& vegetables to lower carbon footprints.

Analysis:

Recycling is the process of collecting and processing materials that would

otherwise be thrown away as trash and turning them into new products. Recycling can
benefit your community and the environment by reducing the amount of waste sent to
landfills and incinerators and increasing economic security by tapping a domestic
source of materials. For centuries, animals have been fed leftover food. Food recycling
through animal feed offers one of the best ways to deal with the scourge of food wastage
around the world.

15
References:

US Environmental Protection Agency (2020). Reduce, Reuse, Recycle. Retrieved Nov.

2020 from https://www.epa.gov/recycle

Outside2Inside Org. 2018. Food Waste Recycling through Composting and Animal
Feed. Retrieved from https://outside2inside.com/how-food-waste-recycling-can-be-
done-effectivelythrough-composting-and-animal-feed/

L. Frequency of Garbage Collection

According to the family, the garbage collector collects their garbage irregularly
in a week.

Interpretation:

The garbage of the family is being collected weekly. The schedule of garbage
collection differs from different places in their subdivision.

Analysis:

Regular residential garbage collection has many advantages for you as well as
for your neighborhood and the community as a whole. Regardless of whether or not
you are a homeowner, there is pride in maintaining a neat and clean exterior home
environment.

Reference:

Automated Waste Services. 2020. Reasons Garbage Collection Should Be Done Weekly.
Retrieved from https://automatedwasteservicesmo.com

M. Common Pests and Breeding Sites

There are different kind of pests that is present in the house of Simpson Family. The
pests included are usually found in areas where they can breed and where they can live
such as mosquitoes, houseflies and red and black ants. The number of pest found in

16
their house are not that high nonetheless it still carries dangerous diseases that can pass
through bites or feces.

Interpretation:
Mosquitos breed in buckets and garden pots outside their house, usually female
mosquitos prefer to lay their eggs in stagnant water for the reason that they needed it to
complete their life cycle. Next is Houseflies, the family noticed houseflies at the
garbage and garbage bins outside, for some reasons houseflies likes strong odors
because it might provide them direction for foods and a place to lay their eggs. And
lastly black and red ants, ants are commonly found at the crevices of walls and cabinets
of the house since this area provides them protection and a site for foods.
Analysis:
Pests and their negative effects on people, pests are injurious to health. Pests
can act as carriers for allergens which irritate people with sensitive medical conditions.
Pest’s fecal dropping and shed skin can also become airborne, contaminating the air we
breathe in.
This does not even include the bacteria that can be found on pests themselves. Common
household pests such as cockroaches, rats and mosquitoes are carriers for infectious
diseases and must be exterminated lest they overrun a household.
Reference:
Pest and their Negative Effects. Retrieved Nov. 15, 2020 from
https://onetwotree.com/pests-and-their-negative-effects/

N. Accident Hazzard
The family identifies hazards around their home and environment which has the
potential to cause accidents.
Interpretation:
The family Simpson is susceptible to accident hazards because their home is
located in a dangerous area that is why the risk for landslide hazard is high. Although
there are no family members that experienced hazard before there still a high possibility
for its occurrence.
Analysis:

17
 Attributes which affect residential property value are those related with the
surroundings, such as environmental factors, safety levels and existing urban
infrastructures, including sewing drainage systems, roads, public transport, health
centres, education centres and other community services. (Pollakowski, 1982).
Therefore, it can be stated that residential property value depends on the property’s
location, since location in corporates attributes which result in benefits and satisfaction
of the residents.
Safety should always be at the top of your mind when selecting the ideal
location for a family home. Property that is located in less safe areas is almost always
cheaper, but is the risk worth it? Location plays a central in determining where you
choose to live. It is, therefore, important to consider everything before you commit
because buying a house is a long-term and expensive investment.
References:
Laura Fernandez- Duran, et al. (2011). The impact of location on housing prices:
applying the Artificial Neural Ne twork Model as an analytical tool. Retrieved from
https://www.researchgate.net/publication/230819406_The_impact_of_location_on_ho
using_prices_applying_the_Artificial_Neural_Network_Model_as_an_analytical_tool

Choosing The Ideal Location For A Family Home. Retrieved Nov. 14, 2020 from
https://www.archute.com/choosing-ideal-location-family-home/

O. Household Pets
The family has no pets of any kind in their home.
Interpretation:
The Simpson family does not have any pets at home. One reason is why the
family has not owned any pets is because a member of the family is allergic to animal
fur.
Analysis:
There are many health benefits of owning a pet. They can increase opportunities
to exercise, get outside, and socialize. Regular walking or playing with pets can
decrease blood pressure, cholesterol levels, and triglyceride levels. Pets can help
manage loneliness and depression by giving us companionship. However, pets can
sometimes carry harmful germs that can make us sick even when the pet appears
healthy. The diseases people get from animals are called zoonotic diseases.(Dr

18
Behravesh, 2019) Also, before anyone seriously considers pet ownership, they first
need to carefully examine the many reasons why they should get a pet. Having a pet is
a huge responsibility where only few are able to fulfill ownership duty that’s why some
families choose not to have pets. Here are some reasons why they choose not to have
pets at home: Owning a pet is very work intensive and high maintenance, Pets can be
very costly, many owners are allergic to their pets, Pets can be very noisy, owning a pet
can lead to them destroying the house, Pet ownership and freedom are not compatible
and Short pet lifespan. (Tillerman, 2019)

References:
CDC’s Dr. Casey Barton Behravesh (2019). About Pets and People. Retrieved Nov.
2020 from https://www.cdc.gov/healthypets/health-benefits/index.html

Leonard Tillerman (2019). 8 Top Reasons Not to Get a Pet. Pet Helpful Retrieved Nov.
13, 2020. from https://pethelpful.com/pet-ownership/8-Top-Reasons-Not-To-Get-A-
Pet

19
IV. HEALTH STATUS OF ALL MEMBERS OF THE FAMILY

According to the family, they have experienced several common and usual
diseases in their lives particularly colds, flu, chickenpox and measles. There are some
differences in the kind of treatments they use for the adults and the children. One of
them, Mr. Marge had experienced having herpes zoster or shingles last 2010. Two
members of the family with diagnosed with Urinary Tract Infection and one of them is
experiencing it currently. And recently, the youngest family member, a two-month old
baby was diagnosed with Glucose-6-phosphate dehydrogenase deficiency or G6PD
deficiency which are being monitored by the family.

Interpretation:

JAQUELINE

Mrs. Jacqueline, 49 years old, has no severe disease/ illness experienced, only common
colds and flu. She’s experiencing it seasonally which usually lasts for 5 to 7 days. She’s
taking Advil and Paracetamol as her treatment. She also experienced chicken pox in the
year 1987 and it lasted for 2 and a half weeks, and used ointments as her treatment for
the itchiness. She also experienced having measles.

MARGE

Marge has no present severe disease or illness, but she had experienced common cold
and flu, she is experiencing it seasonal and it last for 7 to 9 days, she uses Advil or
Biogesic as her medication. She also had experienced Shingles last 2010 and it last for
almost 4 weeks, she had a hospital check-up as given pain reliever and was advised to
cold towel compress. She also had chicken pox last 2001 and it last for 3 weeks, she
uses ointments and lots of rest as her medication. She also experienced measles last
1997 and it last for 2 weeks, she uses -Acetaminophen/Ibuprofen, rest on and fluids.

HOMER

Homer has no present severe disease or illness, but he is experiencing common cold
and flu seasonal, it last for 5 to 8 days and he uses Common medicines such as biogesic
or advil as medication. He also experienced chicken pox and he use Biogesic, rest and
lots of fluid intake as treatment.

20
LISA

Lisa is having common colds and flu seasonally which lasts for 7 to 14 days. She takes
Biogesic, Tempra, and uses Cool Fever as her treatment. She is also experiencing
Urinary Tract Infection currently, which made her hospitalized for 3 days and given an
antibiotic through IV drop as her treatment. She is also currently taking medications
prescribed by her doctor to address her condition. She also experienced chicken pox
last 2018 which lasted for 2 weeks. She took Biogesic and Tempra and used ointments
and oatmeal soap for her itchiness.

BART

Bart has no present severe disease or illness but he had experienced common cold and
flu, he is experiencing it seasonal and it last for 7 to 14 days, he uses Biogesic, cool
fever, Tempra for his medication. He also had experienced chicken pox last 2018 and
it last for 2 weeks, he uses ointment for itchiness and oatmeal soap.

MAGGIE

Maggie has no present severe disease or illness but she had experienced common cold
and flu, she is experiencing it seasonal and it last for 7 to 14 days, she uses Biogesic,
cool fever, Tempra for her medication. She also had experienced chicken pox last 2018
and it last for 2 weeks, she uses Ointment for itchiness and oatmeal soap.

SELMA

According to Selma, she had experienced common cold and flu, she is experiencing it
seasonal and it last for 4 days to 2 weeks, every time she has cold and flu, she is taking
a Biogesic and Neozep as her medication. She also had Urinary Tract Infection (UTI)
on the year 2008 and she was hospitalized for 1 day, chicken pox on the year 2001 and
it last for 3 weeks, she used ointments and lots of rest as her medication. She also had
experience measles, she uses Acetaminophen/Ibuprofen, rest on and fluids as her
medications.

LING

Ling is two months old, she is positive for G6PD deficiency. The result was received
and known by the family last month, September 2020. She was given a list of prohibited
food, medicines, and chemicals as her treatment.

21
Analysis:

The common cold is an acute, self-limiting viral infection of the upper

respiratory tract involving the nose, sinuses, pharynx, and larynx. The virus is spread
by hand contact with secretions from an infected person (direct or indirect) or aerosol
of the secretions and virus. The incubation period varies but is just under two days for
rhinovirus. Symptoms, which generally relate to the infected mucosa, typically peak at
1–3 days and last 7–10 days, although they occasionally persist for three weeks. They
include sore throat, rhinitis, rhinorrhea, cough, and malaise. The severity and type of
symptoms will vary among individuals and with different infective agents. For
example, fever is common in children but rare and mild in adults. The incidence of the
common cold declines with age.

Reference:

Prevention and treatment of common cold. Retrieved Nov 15, 2020 from
https://pubmed.ncbi.nlm.nih.gov/24468694/

Chickenpox is caused by primary infection with varicella zoster virus. In

healthy people, it is usually a mild, self-limiting illness, characterized by low-grade
fever, malaise, and a generalized, itchy, vesicular rash. The most common
complications are bacterial skin sepsis in children under 5, acute cerebellar ataxia in
older children, and varicella pneumonia in adults (which causes 20-30 hospital
admissions per 10 000 adults). Mortality in adults is higher, at about 31/100,000.
Varicella pneumonia is the most common complication, causing 20-30 hospital
admissions/10 000 adults. Activation of latent varicella zoster virus infection can cause
herpes zoster, also known as shingles (see review on postherpetic neuralgia).

Reference:

Chickenpox. Retrieved November 15, 2020 from

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2943770/

22
 Despite the availability of a safe and effective vaccine, in 2018, around 350,000
measles cases were reported worldwide, which resulted in an estimate of 142,300
deaths from measles. Additionally, in 2017, global measles cases spiked, causing the
death of 110,000 people, mostly children under the age of 5 years and
immunocompromised adults. The increase in measles incidence is caused by the
ongoing reduction of vaccination coverage. This event has triggered public and
scientific interest. For this reason, we reviewed the pathophysiology of measles
infection, focusing on mechanisms by which the virus spreads systemically through the
host organism. By reaching the lymphocytes from the airways through a “trojan horse”
strategy, measles induces an immunosuppression status. H and F glycoproteins, both
expressed in the envelope, ensure attachment of the virus to host cells and spreading
from one cell to another by binding to several receptors, as described in detail. The
severity of the disease depends both on the age and underlying conditions of patients
as well as the social and health context in which epidemics spread and is often burdened
by sequelae and complications that may occur several years after infection.

Reference:

Measles: An Overview of a Re-Emerging Disease in Children and

Immunocompromised Patients. Retrieved Nov 15, 2020 from
https://www.mdpi.com/2076-2607/8/2/276

Clinically, UTIs are categorized as uncomplicated or complicated.

Uncomplicated UTIs typically affect individuals who are otherwise healthy and have
no structural or neurological urinary tract abnormalities; these infections are
differentiated into lower UTIs (cystitis) and upper UTIs (pyelonephritis). Several risk
factors are associated with cystitis, including female gender, a prior UTI, sexual
activity, vaginal infection, diabetes, obesity and genetic susceptibility. Complicated
UTIs are defined as UTIs associated with factors that compromise the urinary tract or
host defense, including urinary obstruction, urinary retention caused by neurological
disease, immunosuppression, renal failure, renal transplantation, pregnancy and the
presence of foreign bodies such as calculi, indwelling catheters or other drainage
devices. In the United States, 70–80% of complicated UTIs are attributable to
indwelling catheters, accounting for 1 million cases per year. Catheter-associated UTIs

23
(CAUTIs) are associated with increased morbidity and mortality and are collectively
the most common cause of secondary bloodstream infections. Risk factors for
developing a CAUTI include prolonged catheterization, female gender, older age, and
diabetes.

Reference:

Urinary tract infections: epidemiology, mechanisms of infection and treatment options.

Retrieved November 15, 2020 from https://pubmed.ncbi.nlm.nih.gov/25853778/

The World Health Organization (WHO) has classified G6PD deficiency

according to the magnitude of the enzyme deficiency and hemolysis severity. Class I
through Class III describe deficiency states ranging from the most severe chronic non-
spherocytic hemolytic anemia to mild deficiency that manifests hemolysis only with
exposure to certain metabolic conditions, infections, drugs, and foods. Classes IV and
V define non-deficient and high-enzyme-activity states. The main problem with G6PD
deficiency is that patients cannot regenerate adequate amounts of protective
glutathione. In most cells, this deficiency is inconsequential since other mitochondrial
processes sustain a supply of natural antioxidants to eliminate damaging ROS.
However, erythrocytes naturally lose organelles, including mitochondria, during cell
maturation and depend solely on the cytosolic pentose phosphate pathway and
generation of reduced glutathione for oxidative protection. G6PD deficiency, however,
diminishes these cells’ ability to regenerate glutathione, leaving red blood cells
vulnerable to oxidative damage and eventual death. G6PD deficiency can be detected
via several methods, the most common being a quantitative laboratory assay for G6PD
enzyme activity. A G6PD enzyme activity level below 5 units per gram of hemoglobin
constitutes deficiency. In addition, genetic testing can be performed to confirm the
diagnosis.

Reference:

Caring for Glucose-6-Phosphate (G6PD)—Deficient Patients: Implications for

Pharmacy. Retrieved November 15, 2020 from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4571844/

24
V. Values and Health Practices
Interpretation:

The Simpsons family believed herbal medicines promote good benefits in their
health and used herbal medicines as a vitamin in order to boost their immune system.
But they preferred to seek medical advice from healthcare professionals or family
members who are also health professionals which is also a common practice among
their family members. The Simpsons family is more dependent in medical facts rather
than other health beliefs and practices because the information came from the root of
reliable and scientific- based research.

In terms of health practices, most of the family members have the problem in
maintaining adequate and normal routine of regular exercise due to lack of time and
motivation.

Analysis:

Many Filipino Roman Catholics influence their health beliefs and practices to
cope with illness and enables them to face life challenges. In a research study by Levine
et al. (2009), examined the benefits of prayer in racially diverse breast cancer patients.
They found that women who prayed found positive aspects in their experience with
breast cancer (Levine, Aviv, Yoo, Ewing, & Au, 2009). In addition, seven themes that
83% of the women discussed in regards to their spirituality. These themes were
identified as: (1) God as a Comforting Presence; (2) Questioning Faith; (3) Anger at
God; (4) Spiritual Transformation of Self and Attitude Towards Others/Recognition of
Own Mortality; (5) Deepening of Faith; (6) Acceptance; and (7) Prayer by Self (Levine,
Yoo, Aviv, Ewing, & Au, 2007). Reconciliation, visiting in faith healers and anointing
of the sick offered by the Catholic churches are also one of the common values accepted
by many Filipinos. It also allows special prayer arrangements within the medical facility
along with the social support of family members because this practice tends to bring
adversities with strength and optimism to the client and family.

According to Sun Life Financial Asia Health Index, the Philippines ranked as
top country that lacked regular exercise. Based on the survey findings 2016, 57 percent
of respondents cited lack of time due to work and motivation. While some 47 percent
identified cost and lack of proper sports venues. Some 47 percent respondents blamed
it on their distractions in gadgets and engaging in social media instead of physical

25
activities and other health practices. To prevent unhealthy living, there are ways on
how to develop good health practices. One of these are starting slowly by making small
changes and be flexible, work around challenges and seek support to family and health
professionals.

References:

Grace J. Yoo, Ph.D., MPH (2014). “Leaving it to God”: Religion, Spirituality and
Filipina American Breast Cancer Survivors. J Relig Health.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4537655/

Martina C. (2017). Filipinos on regular exercise: No time, motivation.

https://today.mims.com/filipinos-on-regular-exercise--no-time--motivation

Doris Dumlao- Abadilla (2017) Most Filipinos lack exercise – study. Philippine Daily
Inquirer. https://business.inquirer.net/223197/filipinos-lack-exercise

26
VI. PHYSICAL ASSESSMENT: CEPHALOCAUDAL ASSESSMENT

Physical Assessment of Mrs. Jaqueline Simpson

Body Parts/ System Actual Findings Normal Findings Interpretation

& Method of
Assessment Used

SKIN - Skin color is white ● Light to deep

● Inspect skin and uniformed brown colour
colour - Skin turgor is good: ● Generally,
● Inspect it rapidly goes back to uniform in
uniformity of its original shape. colour except
No deviation from
skin colour in areas
normal
● Pinch skin to exposed to sun
note the skin ● When pinched,
turgor skin spring
back to
previous state

NAILS - Nails are transparent

No deviation from
● Inspect and shiny. ● Convex
normal
fingernail -Convex Curvature curvature
plate shape with a smooth texture ● Angle 160°
● Inspect - Capillary refill: ● Intact
fingernail Color rapidly goes epidermis
texture back.
● Perform
blanch test of
capillary
refill

HEAD - Head is round and

● Inspect the symmetrical. ● Rounded
No deviation from
skull for size, - No nodules, (normocephali
normal
depression, c)

27
 shape, and tenderness, or masses ● No masses and
symmetry palpated. nodules
● Palpate the - scalp is lighter in ● Uniform
skull for color and no consistency
nodule or deviations from ● Smooth skin
masses and normal.
depressions -facial movement is
● Note symmetrical
symmetry of
facial
movement

EARS - Auricles are the same ● Able to hear

No deviation from
● Inspect the color with the facial both ears
normal
auricles for skin and size is ● Symmetrical
colour, symmetrical with the 10°
symmetry of other. ● Dry cerumen
size, and -Upper pinna is Mobile and
positions aligned with the outer firm
● Inspect the canthus of the eyes
external ear -External ears can be
canal for folded and no pain is
cerumen, felt.
skin lesions, -No nodules or lesions
and blood found.
- Presence of cerumen
in the ear canal

Webers Test not

available
● Perform
webers test

28
 using tuning
fork

NOSE & SINUSES - External nose is

● Inspect straight and ● Air moves
No deviation from
external nose symmetrical. freely as the
normal
for flaring, -No flaring of nose client breaths
shape, or -Color is same with through nares
colour the facial skin ● No discharge
● Inspect the -Nasal septum is ● Mucosa pink
nasal septum midline. ● Symmetric
between the -No perforation found
nasal -Patent nares
chambers - No tenderness
● Palpate the palpated.
maxillary
and frontal
sinuses for
tenderness

MOUTH & - Outer lips are pinkish

THROAT in color, symmetrical ● 32 adult teeth
● Inspect the in shape and visible ● Smooth shiny
Risk for periodontal
outer lips for margins in the lips. tooth
disease and tooth
symmetry of -Gums are pink and ● Smooth intact
loss.
contour, moist. dentures
colour, and - Buccal mucosa is ● Smooth tongue
texture pinkish and no lesions base with
● Inspect the found. prominent
teeth and -Tongue is freely veins
gums while movable ● No palpable
examining - No nodules, lumps or nodules

29
 the inner lips excoriated areas
and buccal found.
mucosa - Has 30 teeth, 4 of it
● Inspect has Dental caries.
tongue
movement
● Palpate the
tongue and
floor of the
mouth for
any nodules,
lumps, and
excoriated
areas.

EYES - Eyebrows are thin

● Inspect the but even in ● Pupils size is 3
eyebrows for distribution. to 7 mm in
hair - No discharges found diameter
distribution during palpation. ● Pupils equally
● Inspect and - Blink immediately round and
palpate the when corneas are react to light
No deviation from
lacrimal sac touched accommodatio
normal
and - Can follow six ocular n (PERRLA)
nasolacrimal movements without ● Both eyes are
duct difficulty. coordinated
● Perform - Has normal vision ● No edema or
corneal 20/20 tearing
sensitivity ● Cornea is
● Assess six transparent
ocular
movement to
determine
eye

30
 alignment
and
coordination
● Assess
distance
vision

NECK
● Inspect the -No swelling or ● Equal strength
neck muscles masses found. ● Equal size of
for abnormal - Head can move with muscle
swelling or resistance of hand. ● Absence of
No deviation from
masses - full ROM bruits
normal
● Observe -Neck is midline ● Coordinated,
head - No enlarged lymph smooth
movement nodes movement
● Assess -Trachea is midline with no
muscle and no tumor palpated. discomfort
strength ● No spasm and
stiffness
● Palpate the
entire neck
for
enlargement
lymph nodes

● Palpate the
trachea for
lateral
deviation

31
 Body Parts/ Actual Findings Normal Findings Interpretation
System & Method
of Assessment
Used

RESPIRATORY - Thorax is
● inspect symmetrical ● No evidence of No deviation from
posterior - Spine is straight and enlargement of normal
thorax for has no deformities liver
shape and found. ● Flat, rounded,
symmetry - Breathing pattern is convex
● Inspect the regular. ● No tenderness
spinal
alignment
for
deformities

● Inspect
breathing
pattern

CARDIAC - Peripheral pulse is

● Palpate the symmetrical. ● Symmetric No deviation from
peripheral -Skin temp in hands heart volume normal
pulse and feet are normal; ● Normal heart
not too hot or not too sound
● Inspect the
cold. ● Limbs not
skin of the
- No edema or lesions tender
hand and
found. ● Veins are not
feet for
-Capillary refill test: visible
colour,
blood goes back
temp, and
immediately
edema

32
 ● Assess the
adequate of
arterial
blood flow
using
capillary
refill test

ABDOMEN - Abdomen skin is ● Flat, rounded,

● Inspect uniformed, no lesion convex No deviation from
Abdomen or discoloration normal
● No tenderness
for skin found.
in abdomen
integrity - Abdomen is round
● Inspect the and symmetrical.
abdomen for - Tympanitic in most
contour and abdominal regions,
symmetry and Dull sounds
● Percuss the above solid organs
abdomen such as the liver.
● Percuss the
liver

Body Parts/ Method of Actual Findings Normal Findings

Assessment Used Interpretation

MUSCULOSKELETAL - Muscle size is

● Inspect the Muscle symmetrical
● No deformities
size with each side.
- No ● No tenderness
contractures and swelling
● Inspect the Muscle found. ● Equal strength
No deviation from
and tendons for - Muscle in each body
normal
contractures strength is side

33
 normal against
resistance.
- Movement is
● Test muscle strength smooth and
coordinated.
- No swelling or
● Inspect the joints for
deviations from
swelling
normal found in
the joints.
NEUROLOGIC
1. MENTAL STATUS
a. Orientation No deviation from
● Memory is
● Ask the Patient the - Can give out normal
intact patient
city and state of the answer
don’t have any
residence immediately,
difficulty in
without
remembering
difficulty.
● Ask the patient for
time of day, day of
the week

● Ask the patient to

names the family
members

b. Memory
* Immediate recall - Have an ● Immediate
immediate recall recall is intact
by quickly patient don’t
saying the series have any

34
 ● Ask patient to repeat of digits and difficulty in No lapses in
a series of digits “9- reversing them. remembering memory
4-6-2-1-5”

● Ask patient to state

the same digits but
in reverse

* Recent memory ● Recent Memory

- Recent
● Ask the Patient how is intact patient
memory is easily
she got to the school don’t have any
remembered an No lapses in
difficulty in
no confusion or memory
remembering
difficulty in
● Provide the client
recalling.
with three facts to
recall

* Remote memory
● Remote
- Remote No Lapses in
● Ask patient to recall
Memory is
memory is memory
what happened
intact patient
intact.
during her vacation
don’t have any
difficulty in
remembering

2. LEVEL OF
CONSCIOUSNESS
Eye Response: 4
-using GCS
-opens ● 15 score
voluntarily and

35
 ● Glasgow coma scale spontaneously
test
Verbal
Response: 5
- Can speak
clearly and is No impairment in

oriented in time, consciousness.

person and place

Motor
Response: 6
- Can move
freely as
directed or
obeys command.

Score:15

Physical Assessment of Marge Simpson - 30 yrs old

Body Parts/ System Actual Findings Normal Findings Interpretation

& Method of
Assessment Used

SKIN - Skin color is white, ● Light to deep

● Inspect skin with presence of flat brown colour
colour and round nevi. ● Generally,
● Inspect - Skin is uniform uniform in
No deviation from
uniformity of - Skin springs back colour except in
normal
skin colour rapidly after areas exposed to
pinching. sun

36
● Pinch skin to ● When pinched,
note the skin skin spring back
turgor to previous state

NAILS - Nails are round,

● Inspect shiny and ● Convex
fingernail translucent. curvature
plate shape - Nails are smooth ● Angle 160°
● Inspect with intact epidermis ● Intact epidermis
No deviation from
fingernail - Refill time is 1
normal
texture second
● Perform
blanch test of
capillary
refill

HEAD - Head is round and

● Inspect the smooth. ● Rounded
skull for size, - Skull is (normocephalic)
shape, and symmetrical and ● No masses and
No deviation from
symmetry have no tenderness nodules
normal
● Palpate the or masses palpated. ● Uniform
skull for - palpebral fissure is consistency
nodule or equal in both sides ● Smooth skin
masses and -Face is symmetrical
depressions
● Note
symmetry of
facial
movement

37
 EARS ● Able to hear
-Auricle color is the
● Inspect the both ears
same as facial skin.
auricles for ● Symmetrical
- Auricle is
colour, 10° No deviation from
symmetrical and the
symmetry of ● Dry cerumen normal
upper portion is
size, and Mobile and firm
aligned to the outer
positions
canthus of the eyes.
● Inspect the
- Pinna can be folded
external ear
without pain.
canal for
cerumen,
skin lesions,
and blood
● Perform
webers test Webers Test

using tuning unavailable.

fork

NOSE &
SINUSES ● Air moves
- Symmetrical and no
● Inspect freely as the
flaring.
external nose client breaths
-Patent nares and
for flaring, through nares
nose skin color are
shape, or ● No discharge
uniformed. No deviation from
colour ● Mucosa pink
- Septum is midline normal
● Inspect the ● Symmetric
and not perforated.
nasal septum
-No tenderness or
between the
Lesions found.
nasal
chambers
● Palpate the
maxillary
and frontal

38
 sinuses for
tenderness

MOUTH &
THROAT ● 32 adult teeth Dentures can be a
- Outer lips are
● Inspect the ● Smooth shiny breeding site for
symmetrical and
outer lips for tooth bacterias and can
visible margin lines.
symmetry of ● Smooth intact lead to oral diseases
The color is pinkish
contour, dentures such as gingivitis,
colour, and - Has 32 teeth, the ● Smooth tongue periodontal disease
texture upper front are base with and tooth decay.
● Inspect the dentures ( 6 artificial prominent veins
teeth and teeth) and no ● No palpable
gums while presence of caries nodules
examining - Tongue moves
the inner lips voluntarily without
and buccal any pain.
mucosa
- No lesions or
● Inspect
tenderness found
tongue
movement -Mouth surface has
● Palpate the no lumps, nodule or
tongue and other deviation
floor of the found.
mouth for
any nodules,
lumps, and
excoriated
areas.

39
 EYES - Eyebrows are black
● Inspect the and evenly ● Pupils size is 3
eyebrows for distributed. to 7 mm in
hair - No discharges diameter
distribution found during ● Pupils equally
● Inspect and palpation round and react
palpate the - Blinks immediately to light
No deviation from
lacrimal sac after the cotton accommodation
normal
and touches the cornea (PERRLA)
nasolacrimal ● Both eyes are
- No difficulty in eye
duct coordinated
movement. can
● Perform ● No edema or
follow directly,
corneal tearing
clearly and
sensitivity ● Cornea is
immediately.
● Assess six transparent
ocular - Nearsightedness
movement to 400/375
determine
eye
alignment
and
coordination
● Assess
distance
vision

NECK
● inspect the ● Equal strength
- No swelling or
neck muscles ● Equal size of
tenderness observed.
for abnormal muscle
- Neck is midline and
swelling or ● Absence of
can move easily. No deviation from
masses bruits
Full ROM. normal
● observe head ● Coordinated,
- Has no enlarged
movement smooth

40
 ● assess lymph node. movement with
muscle -Trachea is midline, no discomfort
strength no tumor or edema ● No spasm and
● palpate the palpated. stiffness
entire neck
for
enlargement
lymph nodes
● palpate the
trachea for
lateral
deviation

Body Parts/ Actual Findings Normal Findings Interpretation

System & Method
of Assessment
Used

RESPIRATORY - Posterior is ● No evidence of

● inspect symmetrical and no enlargement of
posterior tenderness palpated. liver
thorax for -Spinal Alignment is ● Flat, rounded, No deviation from

shape and normal, no deformities convex normal

symmetry found. ● No tenderness

● Inspect the -Breathing pattern is
spinal regular.
alignment
for
deformities

41
● Inspect
breathing
pattern

CARDIAC - Has a symmetrical

● Palpate the pulse. ● Symmetric
peripheral - Both hands and feet heart volume
pulse have normal ● Normal heart
temperature and no sound No deviation from
● Inspect the
signs of reddening or ● Limbs not normal
skin of the
swelling, and other tender
hand and
deviations. ● Veins are not
feet for
-Capillary refill test : visible
colour,
color goes back
temp, and
rapidly
edema

● Assess the
adequate of
arterial
blood flow
using
capillary
refill test

ABDOMEN ● Flat, rounded,

● Inspect convex
- Abdomen skin color
Abdomen
is uniform and ● No tenderness
for skin No deviation from
presence of flat nevi. in abdomen
integrity normal
- No edema found
● Inspect the
- Abdomen is round
abdomen for
and symmetrical
contour and
- Mostly tympanitic
symmetry
sounds above
intestines and Dull

42
 ● Percuss the sounds above liver and
abdomen solid organs
● Percuss the
liver

Body Parts/ Actual Findings Normal Findings Interpretation

Method of
Assessment Used

MUSCULOSKELE
TAL
- Equal size on both ● No deformities
● Inspect the
sides
Muscle size ● No tenderness No deviation from
- Muscle tonicity is normal
and swelling
● Inspect the normal
● Equal
Muscle and - No contractures or
strength in
tendons for tremors found.
each body
contractures - Muscle movement is
side
coordinated and has
● Test muscle
good movement
strength
against gravity and
● Inspect the resistance.
joints for - The joints move
swelling smoothly, and there is
no swelling or nodules
found.

NEUROLOGIC
1. MENTAL
STATUS No deviation from
● Memory is
a. Orientation - Patient can easily normal
intact patient
● Ask the respond to questions
don’t have any
Patient the

43
 city and state asked. difficulty in
of residence remembering

● Ask the
patient for
time of day,
day of the
week

● Ask the - No difficulty in

patient to remembering or
names the thinking about
family common details.
members

b. Memory
* Immediate recall - Can immediately
● Ask patient repeat the same set of
● Immediate No lapses in
to repeat a numbers, and reverse
recall is intact Memory
series of the numbers slowly
patient don’t
digits “9-4-6- but accurately.
have any
2-1-5” difficulty in

● Ask patient remembering

to state the
same digits
but in reverse

* Recent memory ● Recent

- Gives an alert and
● Ask the Memory is
detailed response. Has
Patient how intact patient
oriented mental status.
don’t have any

44
 she got to the difficulty in
school remembering

● Provide the
client with
three facts to
recall

* Remote memory
- Able to recall
● Ask patient ● Remote
quickly with details.
to recall what Memory is
happened intact patient
during her don’t have any
vacation difficulty in
remembering

2. LEVEL OF
CONSCIOUSNESS
-using GCS Eye Response:
● Glasgow No impairment in
4-opens voluntarily
coma scale consciousness.
and spontaneously
test ● 15 score

Verbal Response: 5
- Can speak clearly
and is oriented in
time, person and place

Motor Response: 6
- Can move freely as
directed or obeys
command.

Score:15

45
 Physical Assessment of Homer Simpson - 31 yrs old

Body Parts/ System Actual Findings Normal Findings Interpretation

& Method of
Assessment Used

SKIN
● Inspect skin ● Light to deep
- Skin color is brown
colour brown colour
-Uniformed skin
● Inspect ● Generally,
color with presence No deviation from
uniformity of uniform in
of flat nevi normal
skin colour colour except in
- normal skin turgor:
● Pinch skin to areas exposed to
springs back rapidly.
note the skin sun
- presence of flat
turgor ● When pinched,
moles/nevi in the
skin spring back
skin of the arm, face
to previous state
and legs.
-Has few small
brown spots from
past scratches and
injuries.

NAILS
-Convex curvature
● Inspect ● Convex
angle of nail plate
fingernail curvature
about 160 degree -
plate shape ● Angle 160°
Intact epidermis - No deviation from
● Inspect ● Intact epidermis
Prompt return to pink normal
fingernail
normal state
texture
● Perform
blanch test of
capillary
refill

46
 HEAD
● Inspect the ● Rounded
-Smooth and uniform No deviation from
skull for size, (normocephalic)
in shape normal
shape, and ● No masses and
symmetry -Rounded nodules
● Palpate the Symmetrical facial ● Uniform
skull for movement. consistency
nodule or ● Smooth skin
masses and
depressions
● Note
symmetry of
facial
movement

EARS
No deviation from
● Inspect the ● Able to hear
- Auricle color is the normal
auricles for both ears
same with the facial
colour, ● Symmetrical
skin.
symmetry of 10°
- Upper auricle is
size, and ● Dry cerumen
aligned with the
positions Mobile and firm
outer canthus of the
● Inspect the
eyes.
external ear
- Ear canal is present
canal for
with cerumen.
cerumen,
- No lesions or blood
skin lesions,
found.
and blood

● Perform Webers Test

webers test unavailable.
using tuning
fork

47
NOSE & SINUSES
● Inspect ● Air moves
- External nose is No deviation from
external nose freely as the
straight, no flaring normal
for flaring, client breaths
and the color is the
shape, or through nares
same with facial
colour ● No discharge
skin.
● Inspect the ● Mucosa pink
- Nasal septum is
nasal septum ● Symmetric
intact, no
between the
abnormalities and
nasal
not perforated.
chambers
- No difficulty
● Palpate the
breathing through the
maxillary
nares.
and frontal
- No tenderness
sinuses for
palpated.
tenderness

MOUTH &
THROAT - Outer lips are ● 32 adult teeth Presence of dental
● Inspect the symmetrical and a ● Smooth shiny caries can lead to
outer lips for brownish to pink tooth tooth loss or
symmetry of color. ● Smooth intact periodontal disease
contour, - Has 30 teeth with dentures if not treated.
colour, and presence of 4 dental ● Smooth tongue
texture caries base with
● Inspect the - Tongue moves prominent veins
teeth and voluntarily without ● No palpable
gums while any pain. nodules
examining - No lesions,
the inner lips modules, lumps, and
and buccal excoriated areas
mucosa found.
- Gums are pink and

48
● Inspect moist
tongue
movement
● Palpate the
tongue and
floor of the
mouth for
any nodules,
lumps, and
excoriated
areas.

EYES - Eyebrows are black

● Inspect the and thick, also ● Pupils size is 3
eyebrows for evenly distributed. to 7 mm in
hair - No discharges diameter
distribution found ● Pupils equally
● Inspect and - Blinks immediately round and react
palpate the after the conea is to light
lacrimal sac touched. accommodation
and - Has good eye (PERRLA)
nasolacrimal movement, can ● Both eyes are
No deviation from
duct follow rapidly and coordinated
normal
● Perform with good alignment ● No edema or
corneal and coordination. tearing
sensitivity - Normal Vision: ● Cornea is
● Assess six transparent
no difficulty in
ocular
seeing far and near
movement to
objects.
determine
eye
alignment
and
coordination

49
 ● Assess
distance
vision

NECK
● Inspect the - No swelling or ● Equal strength
neck muscles tenderness observed. ● Equal size of
for abnormal - Neck is midline and muscle
swelling or can move easily. ● Absence of
No deviation from
masses Full ROM. bruits
normal
● Observe - Has no enlarged ● Coordinated,
head lymph node. smooth
movement -Trachea is midline, movement with
● Assess no tumor or edema no discomfort
muscle palpated. ● No spasm and
strength stiffness
● Palpate the
entire neck
for
enlargement
lymph nodes
● Palpate the
trachea for
lateral
deviation

Body Parts/ Actual Findings Normal Findings Interpretation

System & Method
of Assessment
Used

RESPIRATORY - Posterior is No evidence of No deviation from

symmetrical and no enlargement of liver normal

50
 inspect tenderness palpated.  Flat, rounded,
posterior -Spinal Alignment is convex
thorax for normal, no deformities  No tenderness
shape and found.
symmetry -Breathing pattern is
 Inspect the regular.
spinal
alignment
for
deformities
 Inspect
breathing
pattern

CARDIAC
● Palpate the ● Symmetric No deviation from
- Symmetrical pulse.
peripheral heart volume normal
- Same color of feet
pulse ● Normal heart
and hands, and
sound
● Inspect the temperature is normal;
● Limbs not
skin of the not too warm or not
tender
hand and too cold.
● Veins are not
feet for - Capillary refill:
visible
colour, color goes back
temp, and immediately
edema

● Assess the
adequate of
arterial
blood flow
using
capillary
refill test

51
 ABDOMEN
● Inspect No deviation from
- Abdomen skin is ● Flat, rounded,
Abdomen normal
uniform, with flat convex
for skin
nevi.
integrity ● No tenderness
- abdomen is flat and
● Inspect the in abdomen
symmetrical
abdomen for
- Resonance sound is
contour and
heard in the lungs, and
symmetry
tympanitic on the
● Percuss the
abdominal cavity. In
abdomen
the liver, Dull sound is
heard.

● Percuss the
liver

Body Parts/ Method of Actual Findings Normal Findings Interpretation

Assessment Used

MUSCULOSKELETAL
● Inspect the Muscle - Muscles are
● No deformities
size equal on each
side. ● No tenderness
- No and swelling
● Inspect the Muscle contractures or ● Equal strength
and tendons for tremors found. in each body
No deviation from
contractures - Muscle side
normal
movement is
coordinated and
has good
● Test muscle strength movement
against gravity
and resistance.

52
 ● Inspect the joints for - The joints
swelling move smoothly,
and there is no
swelling or
nodules found.

NEUROLOGIC
1. MENTAL STATUS
- can
a. Orientation No deviation from
immediately ● Memory is
● Ask the Patient the normal
remember intact patient
city and state of
common details don’t have any
residence
difficulty in
remembering

● Ask the patient for

time of day, day of
the week

● Ask the patient to

names the family
members

● Immediate
b. Memory
recall is intact
* Immediate recall - Immediately patient don’t
● Ask patient to repeat recalls the given
have any
a series of digits “9- series of digits
difficulty in
4-6-2-1-5” and reverse it. remembering No lapses in
Memory

53
 ● Ask patient to state
the same digits but
● Recent Memory
in reverse
is intact patient
* Recent memory don’t have any
● Ask the Patient how - No difficulty in difficulty in
she got to the school remembering remembering
questions asked
*Given different question

● Provide the client

with three facts to ● Remote
recall Memory is
-No difficulty
and can give intact patient
* Remote memory
don’t have any
● Ask patient to recall detailed
explanations. difficulty in
what happened
remembering
during her vacation

2. LEVEL OF
CONSCIOUSNESS
No impairment in
-using GCS Eye Response: 4
consciousness.
● Glasgow coma scale -opens
test voluntarily and ● 15 score

spontaneously

Verbal
Response: 5
- Can speak
clearly and is
oriented in time,
person and place

Motor

54
 Response: 6
- Can move
freely as
directed or
obeys command.

Score:15

Physical Assessment of Lisa Simpson- 12 yrs old

Body Parts/ System Actual Findings Normal Findings Interpretation

& Method of
Assessment Used

SKIN
● Inspect skin ● Light to deep
- Has a light brown
colour brown colour
skin color.
● Inspect ● Generally,
- Uniformed skin No deviation from
uniformity of uniform in
color. normal
skin colour colour except in
- normal skin turgor:
● Pinch skin to areas exposed to
springs back rapidly.
note the skin sun
- presence of flat
turgor ● When pinched,
moles/nevi in the
skin spring back
skin of the arm, face
to previous state
and legs.
-Has few small
brown spots from
past scratches and
injuries.

55
 NAILS
● Inspect ● Convex
- The nails are
fingernail curvature
translucent and shiny
plate shape ● Angle 160°
- convex curvature
● Inspect ● Intact epidermis
with approximately No deviation from
fingernail
160° angle. normal
texture
-Nail bed is colored
● Perform
pink.
blanch test of
- Capillary Refill
capillary
goes back rapidly.
refill

HEAD
● Inspect the ● Rounded
- The head is
skull for size, (normocephalic)
rounded and no No deviation from
shape, and ● No masses and
tenderness palpated. normal
symmetry nodules
- Skull has no
● Palpate the ● Uniform
masses,nodules and
skull for consistency
lesions found
nodule or ● Smooth skin
- Scalp is lighter in
masses and
color, hair is a little
depressions
oily and is present
● Note
with a few lice.
symmetry of
- palpebral fissure is
facial
equal in both sides
movement
-Face is symmetrical

EARS
● Inspect the ● Able to hear
- Auricles are the
auricles for both ears No deviation from
same color with the
colour, ● Symmetrical normal
skin of the face,
symmetry of 10°
symmetrical with
size, and ● Dry cerumen
each other and can be
positions Mobile and firm

56
 ● Inspect the folded without pain.
external ear - upper earlobe is
canal for parallel with the
cerumen, outer canthus of the
skin lesions, eye.
and blood - presence of
● Perform cerumen in the ear
webers test canal.
using tuning - no abnormal
fork discharges and
lesions found.

- Weber's Test
unable to perform

NOSE & SINUSES

● Inspect ● Air moves
- Nose is in the
external nose freely as the
middle, color is the
for flaring, client breaths
same with the skin of
shape, or through nares
the face.
colour ● No discharge
- No tenderness and No deviation from
● Inspect the ● Mucosa pink
no deviation in the normal
nasal septum ● Symmetric
cartilage and bone
between the
found during
nasal
palpation.
chambers
- both nares are
● Palpate the
patent, and have no
maxillary
difficulty in
and frontal
breathing experience.
sinuses for
- Septum is midline
tenderness
and not perforated.
- No tenderness in

57
 the frontal and
maxillary sinuses.

MOUTH &
THROAT - Mouth is ● 32 adult teeth
Presence of dental
● Inspect the symmetrical in ● Smooth shiny
caries due to
outer lips for appearance and tooth
inconsistent brushing
symmetry of movement. ● Smooth intact
of teeth.
contour, - Color is brown to dentures
colour, and pink and has visible ● Smooth tongue
texture margin. base with -Patients need to
● Inspect the -The buccal mucosa prominent veins manage personal
teeth and is pink and no ● No palpable hygiene.
gums while lesions found. nodules
examining - Gums are pinkish,
the inner lips no bleeding and no
and buccal receding.
mucosa - Has 29 teeth, color
● Inspect is whitish to yellow.
tongue - front lower teeth
movement are crooked and
● Palpate the overlapping.
tongue and - 2 teeth have small
floor of the caries in the enamel.
mouth for - Breath odor is
any nodules, normal, no weird or
lumps, and strong odor present.
excoriated - Tongue is pink and
areas. has whit taste buds

58
 on the surface.
- The tongue surface
is rough but not
fissured or
geographic.
- Frenulum is present
and no lesions
palpated.
- Tongue can freely
move and
-Mouth surface has
no lumps, nodule or
other deviation
found.
EYES - Eyebrows are
● Inspect the symmetrical, black ● Pupils size is 3
eyebrows for and evenly to 7 mm in
hair distributed. diameter
distribution -No discharges or ● Pupils equally
● Inspect and discoloration round and react
palpate the - No tenderness and to light
lacrimal sac regurgitation on accommodation
and lacrimal apparatus. (PERRLA)
nasolacrimal - Corneal sensitivity ● Both eyes are
duct is normal: blinks coordinated
● Perform immediately after the ● No edema or
No deviation from
corneal cotton touches the tearing
normal
sensitivity portion of cornea. ● Cornea is
● Assess six - Ocular movement transparent
ocular is good:
movement to No difficulty in
determine movement and
eye follows the exact

59
 alignment position of the
and finger.
coordination - Normal Vision:
● Assess clearly sees objects
distance that are near or from
vision at least 20 feet away.

NECK - Symmetrical
● inspect the muscles, and no ● Equal strength
neck muscles masses or swelling. ● Equal size of
for abnormal - Has full ROM muscle
swelling or movement and no ● Absence of
No deviation from
masses difficulty. bruits
normal
● observe head - Good muscle ● Coordinated,
movement strength against smooth
● assess resistance and no movement with
muscle pain or weakness no discomfort
strength observed. ● No spasm and
● palpate the - No enlarged lymph stiffness
entire neck nodes palpated or
for observed.
enlargement - placement is
lymph nodes midline and no tumor
● palpate the or lymph nodes
trachea for palpated.
lateral
deviation

60
Body Parts/ Actual Findings Normal Findings Interpretation
System & Method
of Assessment
Used

- Posterior thorax are

RESPIRATORY symmetrical,no bulges ● No evidence of No deviation from
● inspect or tenderness. enlargement of normal
posterior - Spines are vertically liver
thorax for straight in posterior ● Flat, rounded,
shape and view. convex
symmetry - Has a regular ● No tenderness
● Inspect the breathing pattern and
spinal respiration rate of 22
alignment per min.
for - Breath sounds are
deformities quiet.
● Inspect
breathing
pattern

CARDIAC - Full symmetrical

● Palpate the pulses. ● Symmetric No deviation from
peripheral - Light brown color in heart volume normal
pulse the hand and feet. ● Normal heart
- Temperature of the sound
● Inspect the
skin is not too warm ● Limbs not
skin of the
or cold. tender
hand and
-Skin is moist and no ● Veins are not
feet for
edema found. visible
colour,
- Capillary test: The
temp, and
color immediately
edema
returns.

61
 ● Assess the
adequate of
arterial
blood flow
using
capillary
refill test

ABDOMEN - Skin color is ● Flat, rounded,

● Inspect uniformed, no edema convex
- Abdominal pain can
Abdomen or blemishes found.
● No tenderness be caused by
for skin -Abdomen are
in abdomen infection, blockage,
integrity rounded and
intestinal disorder
● Inspect the symmetrical
etc.
abdomen for - Discomfort in the
contour and lower Abdomen
symmetry - Resonance sound is
● Percuss the heard in the lungs, and
abdomen tympanitic on the
● Percuss the abdominal cavity. In
liver the liver, Dull sound is
heard.

Body Parts/ Method of Actual Findings Normal Findings

Assessment Used Interpretation

MUSCULOSKELETAL - Muscles are

● Inspect the Muscle equal on each
● No deformities
size side.
- No ● No tenderness
● Inspect the Muscle
contractures or and swelling
and tendons for
tremors found.
contractures
- Muscle

62
 ● Test muscle strength movement is ● Equal strength
No deviation from
coordinated and in each body
● Inspect the joints for normal
has good side
swelling
movement
against gravity
and resistance.
- The joints
move smoothly,
and there is no
swelling or
nodules found.

NEUROLOGIC 1.
No deviation from
1. MENTAL STATUS A.
normal
a. Orientation - The patient
● Memory is
● Ask the Patient the does not have
intact patient
city and state of any difficulty in
don’t have any
residence remembering
difficulty in
common details.
remembering

● Ask the patient for

- Can
time of day, day of
immediately
the week
think and
respond to all
the questions
asked.
● Ask the patient to
names the family
members

b. Memory B.

63
* Immediate recall ● Immediate
● Ask patient to repeat - Immediate recall is intact
a series of digits “9- response is patient don’t
4-6-2-1-5” shown, no have any No lapses in

difficulty in difficulty in Memory

● Ask patient to state
recalling and remembering
the same digits but
alert.
in reverse

* Recent memory ● Recent Memory

● Ask the Patient how
- Alert and is intact patient
she got to the school don’t have any
active in
● Provide the client response. difficulty in

with three facts to remembering

- Responded to
recall
all questions
after thinking for ● Remote
* Remote memory a while. Memory is
● Ask patient to recall intact patient
what happened don’t have any
during her vacation difficulty in
2. remembering

Eye Response: 4
2. LEVEL OF
-opens
CONSCIOUSNESS
voluntarily and
-using GCS
spontaneously ● 15 score
● Glasgow coma scale
test
Verbal No impairment in
Response: 5 consciousness.
- Can speak
clearly and is
oriented in time,
person and place

64
 Motor
Response: 6
- Can move
freely as
directed or
obeys command.

Score:15

Physical Assessment of Bart Simpson - 10 yrs. old

Body Parts/ System Actual Findings Normal Findings Interpretation

& Method of
Assessment Used

SKIN
● Inspect skin ● Light to deep
- Skin color is No deviation from
colour brown colour
medium or white to normal
● Inspect ● Generally,
light brown.
uniformity of uniform in
- Uniformed color
skin colour colour except in
except for the parts
● Pinch skin to areas exposed to
that are exposed to
note the skin sun
the sun.
turgor ● When pinched,
- Presence of flat
skin spring back
moles/ nevi. and scar
to previous state
marks/ brown spots
in the knee and legs
from past minor
injuries.

65
 NAILS
● Inspect - Nail bed is pink, ● Convex
fingernail and nails are curvature
plate shape translucent. ● Angle 160°
● Inspect - Smooth nails with ● Intact epidermis
No deviation from
fingernail convex curvature.
normal
texture -Capillary refill goes
● Perform back immediately in
blanch test of 1 second.
capillary
refill

HEAD
● Inspect the ● Rounded
- Head is round and
skull for size, (normocephalic)
symmetrical. No
shape, and ● No masses and
tenderness palpated. No deviation from
symmetry nodules
- No masses,nodules normal
● Palpate the ● Uniform
or depression.
skull for consistency
-Facial movements
nodule or ● Smooth skin
are voluntary and
masses and
symmetrical.
depressions
● Note
symmetry of
facial
movement

EARS
No deviation from
● Inspect the ● Able to hear
- The upper auricles normal
auricles for both ears
are parallel to the
colour, ● Symmetrical
eyes, and the skin
symmetry of 10°
color is the same
size, and ● Dry cerumen
with the face.
positions Mobile and firm
-Auricle can be

66
 ● Inspect the folded without any
external ear pain experienced.
canal for - Presence or
cerumen, cerumen in the ear
skin lesions, canal but no
and blood abnormal discharges
● Perform or lesions found.
webers test
using tuning -Webers Test
fork unavailable

NOSE & SINUSES

● Inspect ● Air moves
- Symmetrical and no
external nose freely as the
flaring.
for flaring, client breaths
-Patent nares and
shape, or through nares
nose skin color are
colour ● No discharge
uniformed. No deviation from
● Inspect the ● Mucosa pink
- Septum is midline normal
nasal septum ● Symmetric
and not perforated.
between the
-No tenderness or
nasal
Lesions found.
chambers
● Palpate the
maxillary
and frontal
sinuses for
tenderness

MOUTH &
THROAT ● 32 adult teeth Risk for Infection
- Mouth is slight
● Inspect the ● Smooth shiny and can lead to tooth
pinkish and has
outer lips for tooth loss.
visible margins
symmetry of ● Smooth intact
-Buccal mucosa is
contour, dentures
pink as well as the

67
 colour, and gums. ● Smooth tongue Damage teeth due to
texture - No lesions found. base with past injuries
● Inspect the - Has 25 teeth, with 2 prominent veins specifically :
teeth and still progressing ● No palpable Accidentally slipped
gums while /growing and 1 nodules on a slippery floor.
examining damaged teeth
the inner lips (front).
and buccal -Presence of Dental
mucosa cavities in 3 teeth.
● Inspect -Tongue is pink and
tongue moves freely.
movement - No nodule, lumps
● Palpate the or excoriated areas.
tongue and
floor of the
mouth for
any nodules,
lumps, and
excoriated
areas.

EYES - Eyebrow hair is

● Inspect the black in color and is ● Pupils size is 3
eyebrows for evenly distributed. to 7 mm in
hair - No tenderness or diameter
distribution regurgitation. ● Pupils equally
● Inspect and -No discharges or round and react
No deviation from
palpate the discoloration to light
normal
lacrimal sac - Cornea is sensitive accommodation
and and blinks (PERRLA)
nasolacrimal immediately if ● Both eyes are
duct touched. coordinated
- No difficulty or ● No edema or
weakness found in tearing

68
● Perform eye movement, it is ● Cornea is
corneal aligned and transparent
sensitivity coordinated with the
● Assess six position of the
ocular finger.
movement to - Normal Vision.
determine
eye
alignment
and
coordination
● Assess
distance
vision

NECK - No swelling or
● inspect the masses found, ● Equal strength
neck muscles muscles are equal. ● Equal size of
for abnormal - Head has a full muscle
No deviation from
swelling or ROM with no pain or ● Absence of
normal
masses difficulty. bruits
● observe head - Muscle strength is ● Coordinated,
movement good with resistance. smooth
● assess - No enlarged lymph movement with
muscle node. no discomfort
strength -Trachea is midline ● No spasm and
● palpate the and no tumor or stiffness
entire neck deviations palpated.
for
enlargement
lymph nodes
● palpate the
trachea for

69
 lateral
deviation

Body Parts/ Actual Findings Normal Findings Interpretation

System & Method
of Assessment
Used

- Shape is symmetrical
RESPIRATORY and no tenderness ● No evidence of No deviation from
● inspect palpated. enlargement of normal
posterior - Spine is straight in liver
thorax for the posterior ● Flat, rounded,
shape and assessment. No convex
symmetry scoliosis or ● No tenderness
● Inspect the deformities found.
spinal - Regular breathing
alignment pattern.

70
 for
deformities

● Inspect
breathing
pattern

CARDIAC - Has full symmetrical

● Palpate the pulsation. ● Symmetric No deviation from
peripheral - color is light brown heart volume normal
pulse and temperature is ● Normal heart
neither warm or cold. sound
● Inspect the
- No edema present. ● Limbs not
skin of the
- Immediate return of tender
hand and
color. ● Veins are not
feet for
visible
colour,
temp, and
edema

● Assess the
adequate of
arterial
blood flow
using
capillary
refill test

ABDOMEN - Uniformed color ● Flat, rounded,

● Inspect with no lesions or convex No deviation from
Abdomen rashes. normal
● No tenderness
for skin - Abdomen is round
in abdomen
integrity and symmetrical
● Inspect the contour.
abdomen for - Tympanic sounds

71
 contour and above intestines and
symmetry most of the abdomen
● Percuss the and dull sound above
abdomen the liver

● Percuss the
liver

Body Parts/ Method of Actual Findings Normal Findings Interpretation

Assessment Used

MUSCULOSKELETAL
● Inspect the Muscle - Muscle is firm
● No deformities
size and equal to the
other side. ● No tenderness
- No tremors, and swelling
● Inspect the Muscle contractures ● Equal strength
and tendons for - Has good in each body
contractures coordinated side
movement and
equal strength
on each side.
No deviation from
● Test muscle strength - The joints
normal
move freely and
no tenderness or
● Inspect the joints for edema is found.
swelling

72
 NEUROLOGIC 1.
1. MENTAL STATUS A.
a. Orientation
- Can ● Memory is
● Ask the Patient the
immediately tell intact patient
city and state of
the city and state don’t have any
residence
of residence. difficulty in No deviation from
remembering normal

- Answers exact
● Ask the patient for
time and day of
time of day, day of
the week.
the week

- Immediately
● Ask the patient to
answers the
names the family
name of family
members
members.

● Immediate
b. Memory B.
recall is intact
* Immediate recall
patient don’t
● Ask patient to repeat - Can
have any
a series of digits “9- immediately
difficulty in
4-6-2-1-5” repeat the same
remembering
set of numbers,
● Ask patient to state
and reverse the
the same digits but
numbers slowly
in reverse
but accurately.
● Recent Memory
is intact patient
* Recent memory
don’t have any No lapses in
● Ask the Patient how
memory
she got to the school

73
 - Gives an alert difficulty in
and detailed remembering
● Provide the client
response. Has
with three facts to
oriented mental
recall
status.
No lapses in
● Remote
memory
Memory is
* Remote memory intact patient
● Ask patient to recall don’t have any
what happened difficulty in
during her vacation remembering

2. LEVEL OF ● 15 score
2.
CONSCIOUSNESS No impairment in
-using GCS consciousness
● Glasgow coma scale Eye Response: 4
test -opens
voluntarily and
spontaneously

Verbal
Response: 5
- Can speak
clearly and is
oriented in time,
person and place

Motor

74
 Response: 6
- Can move
freely as
directed or
obeys command.

Score: 15

Physical Assessment of Maggie Simpson - 8yrs old.

Body Parts/ System Actual Findings Normal Findings Interpretation

& Method of
Assessment Used

SKIN
● Inspect skin ● Light to deep
- Skin color is light
colour brown colour
brown except and
● Inspect ● Generally,
uniformed.
uniformity of uniform in
- skin turgor: springs No deviation from
skin colour colour except in
back rapidly. normal
● Pinch skin to areas exposed to
- presence of dark
note the skin sun
spots in legs and
turgor ● When pinched,
knees from past scars
skin spring back
and injuries.
to previous state

NAILS
● Inspect - Nails are smooth ● Convex
fingernail and epidermis is curvature
plate shape intact. ● Angle 160°

75
● Inspect - Convex curvature ● Intact epidermis
No deviation from
fingernail -Capillary refill time
normal
texture of 1 second.
● Perform
blanch test of
capillary
refill

HEAD
● Inspect the ● Rounded
- Shape is round and
skull for size, (normocephalic)
symmetrical
shape, and ● No masses and
- No nodules or No deviation from
symmetry nodules
masses palpated. normal
● Palpate the ● Uniform
- Symmetrical facial
skull for consistency
movement.
nodule or ● Smooth skin
masses and
depressions
● Note
symmetry of
facial
movement

EARS
No deviation from
● Inspect the ● Able to hear
- Auricle color is the normal
auricles for both ears
same with the facial
colour, ● Symmetrical
skin.
symmetry of 10°
- Upper auricle is
size, and ● Dry cerumen
aligned with the
positions Mobile and firm
outer canthus of the
● Inspect the
eyes.
external ear
- Ear canal is present
canal for
with cerumen.
cerumen,
- No lesions or blood

76
 skin lesions, found.
and blood
● Perform
Webers Test
webers test
unavailable.
using tuning
fork

NOSE & SINUSES

● Inspect ● Air moves
- External nose is
external nose freely as the
straight, no flaring
for flaring, client breaths
and the color is the
shape, or through nares
same with facial
colour ● No discharge
skin. No deviation from
● Inspect the ● Mucosa pink
- Nasal septum is normal
nasal septum ● Symmetric
intact, no
between the
abnormalities and
nasal
not perforated.
chambers
- No difficulty
● Palpate the
breathing through the
maxillary
nares.
and frontal
- No tenderness
sinuses for
palpated.
tenderness

MOUTH &
THROAT ● 32 adult teeth
- Outer lips are a bit
● Inspect the ● Smooth shiny
dry, but symmetrical.
outer lips for tooth
- Color is brown to
symmetry of ● Smooth intact
pink.
contour, dentures
-Buccal mucosa is
colour, and ● Smooth tongue
pink and firm, no
texture base with
lesions or tenderness
● Inspect the prominent veins
palpated.
teeth and
- Gums are pink and

77
 gums while moist. ● No palpable
examining - Has 22 teeth, 5 of nodules
the inner lips the teeth has dental
and buccal cavities..
mucosa - The good teeth are
● Inspect shiny and the color is
tongue white with a hint of
movement yellowish.
● Palpate the - Tongue moves
tongue and voluntarily without
floor of the any pain.
mouth for - No lesions,
any nodules, modules, lumps, and
lumps, and excoriated areas
excoriated found.
areas.

EYES - Eyebrows are black

● Inspect the and evenly ● Pupils size is 3
eyebrows for distributed. to 7 mm in
hair -No tenderness diameter
No deviation from
distribution palpated. ● Pupils equally
normal
● Inspect and - No discharges or round and react
palpate the discoloration. to light
lacrimal sac - Blink when cornea accommodation
and is touched. (PERRLA)
nasolacrimal - No difficulty in eye ● Both eyes are
duct movement. can coordinated
● Perform follow directly , ● No edema or
corneal clearly and tearing
sensitivity immediately. ● Cornea is
● Assess six - Normal vision: can transparent
ocular see clear objects and

78
 movement to words that are near
determine or far.
eye
No deviation from
alignment
normal
and
coordination
● Assess
distance
vision

NECK
● inspect the ● Equal strength
- No swelling or
neck muscles ● Equal size of
tenderness observed.
for abnormal muscle
- Neck is midline and
swelling or ● Absence of
can move easily. No deviation from
masses bruits
Full ROM. normal
● observe head ● Coordinated,
- Has no enlarged
movement smooth
lymph node.
● assess movement with
-Trachea is midline,
muscle no discomfort
no tumor or edema
strength ● No spasm and
palpated.
● palpate the stiffness
entire neck
for
enlargement
lymph nodes
● palpate the
trachea for
lateral
deviation

79
Body Parts/ Actual Findings Normal Findings Interpretation
System & Method
of Assessment
Used

RESPIRATORY - Posterior is ● No evidence of No deviation from

● inspect symmetrical and no enlargement of normal
posterior tenderness palpated. liver
thorax for -Spinal Alignment is ● Flat, rounded,
shape and normal, no deformities convex
symmetry found. ● No tenderness
● Inspect the -Breathing pattern is
spinal regular.
alignment
for
deformities

● Inspect
breathing
pattern

CARDIAC
● Palpate the ● Symmetric No deviation from
- Peripheral pulse is
peripheral heart volume normal
symmetrical.
pulse ● Normal heart
- Skin in both hands
sound
● Inspect the and feet are not too
● Limbs not
skin of the warm or cold, just in
tender
hand and between both.
● Veins are not
feet for - No edema or lesion
visible
colour, found.
temp, and - Capillary refill test
edema time with at least 2

80
 ● Assess the seconds.
adequate of
arterial
blood flow
using
capillary
refill test

ABDOMEN - Skin in the abdomen ● Flat, rounded,

● Inspect is elastic, color is convex No deviation from
Abdomen uniformed and no normal
● No tenderness
for skin lesions or scars found.
in abdomen
integrity - Abdomen is round
● Inspect the and symmetrical.
abdomen for - Mostly tympanitic
contour and sounds with dull
symmetry sound from solid
● Percuss the organs such as the
abdomen liver.
● Percuss the
liver

Body Parts/ Actual Findings Normal Findings Interpretation

Method of
Assessment Used

MUSCULOSKEL
ETAL
- Muscle is equal on ● No deformities
● Inspect the
both sides of the body.
Muscle size ● No tenderness
- No contractures
and swelling
● Inspect the found.
● Equal
Muscle and - Muscle strength is
strength in
normal against

81
 tendons for resistance. each body
No deviation from
contractures - Movement is smooth side
normal
and coordinated.
● Test muscle
- No swelling or
strength
deviations from normal
● Inspect the found in the joints.
joints for
swelling

NEUROLOGIC
No deviation from
1. MENTAL
1. normal
STATUS
A. ● Memory is
a. Orientation
intact patient
● Ask the
- Patient can easily don’t have any
Patient the
respond to questions difficulty in
city and
asked. remembering
state of
residence
- No difficulty in
● Ask the remembering or
patient for thinking about common
time of day, details.
day of the
week

● Ask the
patient to
names the
family
members ● Immediate
recall is intact
b. Memory
patient don’t
* Immediate B.
have any No lapses in memory
recall

- Easily remembered

82
 ● Ask patient and repeated the series difficulty in
to repeat a of digits. remembering
series of
digits “9-4- - Has accurate answers,
6-2-1-5” and reversed the series
of digits given. ● Recent
● Ask patient
to state the Memory is

same digits intact patient

No lapses in memory
but in don’t have any

reverse difficulty in
- Recent memory is
remembering
easily recalled and
* Recent memory questions are answered
● Ask the immediately.
Patient how
● Remote
she got to
Memory is No Lapses in
the school
intact patient memory
● Provide the don’t have any
client with difficulty in
three facts remembering
to recall
- No difficulty in
remembering and
* Remote
answering details
memory
regarding the question.
● Ask patient
to recall
● 15 score
what
happened
during her
vacation

2.

83
2. LEVEL OF
CONSCIOUSNES Eye Response: 4
No impairment in
S -opens voluntarily and
consciousness.
-using GCS spontaneously
● Glasgow
coma scale Verbal Response: 5
test - Can speak clearly and
is oriented in time,
person and place

Motor Response: 6
- Can move freely as
directed or obeys
command.

Score:15

Physical Assessment of Selma Simpson - 27 yrs old

Body Parts/ System Actual Findings Normal Findings Interpretation

& Method of
Assessment Used

SKIN
● Inspect skin ● Light to deep
- Skin color is light
colour brown colour
brown, no lesion No deviation from
● Inspect ● Generally,
found normal
uniformity of uniform in
- Presence of nevi
skin colour colour except in
-Uniffom skin
● Pinch skin to areas exposed to
- Skin turgor: goes
note the skin sun
back immediately
turgor
after pinching

84
 ● When pinched,
skin spring back
to previous state

NAILS
● Inspect - Nails are ● Convex
fingernail transparent and curvature
plate shape shiny. ● Angle 160°
No deviation from
● Inspect - Convex Curvature. ● Intact epidermis
normal
fingernail - Has one dead
texture toenail
● Perform -Nails are smooth
blanch test of - Capillary refill:
capillary color goes back
refill rapidly

HEAD
● Inspect the - Skull is round and ● Rounded
skull for size, symmetrical. (normocephalic)
No deviation from
shape, and - No nodules, ● No masses and
normal
symmetry masses, or nodules
● Palpate the depressions, ● Uniform
skull for - Scalp is lighter in consistency
nodule or color and hair is ● Smooth skin
masses and shiny.
depressions - has facial symmetry
● Note when smiling
symmetry of
facial
movement

85
 EARS
● Inspect the ● Able to hear
- Auricles have the
auricles for both ears No deviation from
same color with
colour, ● Symmetrical normal
facial skin and are
symmetry of 10°
symmetrical with
size, and ● Dry cerumen
each other.
positions Mobile and firm
- Upper pinna is
● Inspect the
aligned with the
external ear
outer canthus of the
canal for
eyes.
cerumen,
- No lesions or blood
skin lesions,
- Presence of
and blood
cerumen in the ear
● Perform
canal.
webers test
using tuning -Webers Test
fork unavailable

NOSE & SINUSES

● Inspect - Nose is straight and ● Air moves
external nose the same color with freely as the
for flaring, the facial skin. client breaths
shape, or - No flaring when through nares
colour breathing. ● No discharge
No deviation from
● Inspect the -Nasal septum is ● Mucosa pink
normal
nasal septum midline and not ● Symmetric
between the perforated.
nasal - Patent nares.
chambers -No tenderness
● Palpate the palpated and no
maxillary discharges or pain.
and frontal

86
 sinuses for
tenderness

MOUTH &
THROAT ● 32 adult teeth Risk for periodontal
- The outer lips are
● Inspect the ● Smooth shiny disease.
slightly pinkish to
outer lips for tooth
brownish.
symmetry of ● Smooth intact
- Has visible margin
contour, dentures
lines.
colour, and ● Smooth tongue
- Gums are pink
texture base with
- Buccal mucosa is
● Inspect the prominent veins
pink and moist.
teeth and ● No palpable
-Teeth are shiny and
gums while nodules
whitish to yellowish
examining
color.
the inner lips
- Has 28 teeth
and buccal
- One dentures
mucosa
- 2 teeth have dental
● Inspect
cavities.
tongue
-Tongue is freely
movement
movable and no pain.
● Palpate the
- No nodules, lumps
tongue and
and excoriated areas.
floor of the
mouth for
any nodules,
lumps, and
excoriated
areas.

87
 EYES
● Inspect the - Eyebrows are ● Pupils size is 3
eyebrows for evenly distributed to 7 mm in
hair - No discharge diameter
distribution found. ● Pupils equally
● Inspect and - Corneal sensitivity: round and react
palpate the blinks immediately to light
lacrimal sac after the tip of cotton accommodation
and touches the small (PERRLA)
nasolacrimal part of the cornea. ● Both eyes are
No deviation from
duct - Six ocular coordinated
normal
● Perform movement: can ● No edema or
corneal follow all the tearing
sensitivity positions without any ● Cornea is
● Assess six difficulty. transparent
ocular - Good alignment
movement to and coordination.
determine - 20/20 vision.
eye
alignment
and
coordination
● Assess
distance
vision

88
 NECK - No swelling or
● inspect the masses in the neck ● Equal strength
neck muscles muscles. ● Equal size of
for abnormal - Full ROM muscle
swelling or - Head can move ● Absence of
No deviation from
masses from small resistance bruits
normal
● observe head such as hand. ● Coordinated,
movement - No enlarged lymph smooth
● assess nodes. movement with
muscle - Trachea is straight no discomfort
strength and in the middle ● No spasm and
● palpate the and no tumors or stiffness
entire neck deviations from
for normal found.
enlargement
lymph nodes
● palpate the
trachea for
lateral
deviation

Body Parts/ Actual Findings Normal Findings Interpretation

System & Method
of Assessment
Used

RESPIRATORY
● inspect - Thorax are ● No evidence of No deviation from
posterior symmetrical enlargement of normal
thorax for - No spinal liver
shape and deformities, it is ● Flat, rounded,
symmetry straight in the convex
posterior view.

89
● Inspect the - Breathing pattern is ● No tenderness
spinal regular and no
alignment difficulty.
for
deformities

● Inspect
breathing
pattern

CARDIAC
● Palpate the - Peripheral pulse are ● Symmetric No deviation from
peripheral symmetrical heart volume normal
pulse - Hand and feet’s skin ● Normal heart
color is uniformed sound
● Inspect the
- No reddening or ● Limbs not
skin of the
swelling. tender
hand and
- Temperature is ● Veins are not
feet for
normal. visible
colour,
- Capillary refill test:
temp, and
color goes back in 1
edema
sec.
● Assess the
adequate of
arterial
blood flow
using
capillary
refill test

ABDOMEN - Abdomen is round ● Flat, rounded,

● Inspect and symmetrical. convex No deviation from
Abdomen - Skin color is uniform normal
and stretch marks

90
 for skin from pregnancy are ● No tenderness
integrity visible. in abdomen
● Inspect the - Tympanitic in most
abdomen for abdominal regions,
contour and and Dull sounds above
symmetry solid organs such as
● Percuss the the liver.
abdomen

● Percuss the
liver

Body Parts/ Actual Findings Normal Findings Interpretation

Method of
Assessment Used

MUSCULOSKEL
ETAL - Muscles are
● No deformities
● Inspect the symmetrical
Muscle size - No contractures and ● No tenderness
pains. and swelling
No deviation from
- Muscle strength is ● Equal
normal
● Inspect the normal against strength in
Muscle and resistance. each body
tendons for - Movement is smooth side
contractures and coordinated.
- No swelling or
deviations from normal
found in the joints.

91
 ● Test muscle
strength

● Inspect the
joints for
swelling

NEUROLOGIC
1. MENTAL
No deviation from
STATUS
● Memory is normal
a. Orientation A
intact patient
● Ask the
- Can easily remember don’t have any
Patient the
common information. difficulty in
city and
remembering
state of
residence

● Ask the
patient for
time of day,
day of the
week

● Ask the
patient to
names the
family
members ● Immediate
recall is intact
patient don’t
have any
b. Memory
B. difficulty in No lapses in memory
* Immediate
- Can recall the series remembering
recall
● Ask patient of digits given and

to repeat a

92
 series of reverse them.
digits “9-4-
6-2-1-5”

● Ask patient
to state the
same digits
but in
reverse

● Recent No lapses in memory

* Recent memory
● Ask the Memory is
- Remembers
Patient how intact patient
immediately the recent
she got to don’t have any
actions and no
the school difficulty in
difficulty remembering
(different remembering

question)

● Provide the
client with
three facts
to recall - Can think and explain
her memory without
● Remote
any difficulty. No Lapses in
* Remote Memory is
memory
memory intact patient

● Ask patient don’t have any

to recall difficulty in

what remembering

happened
during her
vacation

93
2. LEVEL OF
CONSCIOUSNES
Eye Response: 4 ● 15 score
S
-opens voluntarily and
-using GCS
spontaneously
● Glasgow
coma scale
Verbal Response: 5
test
- Can speak clearly and
is oriented in time,
No impairment in
person and place
consciousness.

Motor Response: 6
- Can move freely as
directed or obeys
command.

Score:15

Physical Assessment of Ling ( Infant - 3 months old)

Body Parts/ System Actual Findings Normal Findings Interpretation

& Method of
Assessment Used

SKIN
● Inspect skin ● Light to deep - Dryness in infant is
- Skin is light brown
colour brown colour commonly normal
to light with a little
● Inspect ● Generally,
paleness. - Paleness due to the
uniformity of uniform in
- Facial skin is a little genetic disorder
skin colour colour except in
bit dry. G6PD Deficiency.
● Pinch skin to areas exposed to
- Skin turgor :
note the skin sun
springs back rapidly
turgor
to original

94
 ● When pinched,
skin spring back
to previous state

NAILS
● Inspect - nails are transparent ● Convex
fingernail and soft. curvature
plate shape - Has convex ● Angle 160°
● Inspect curvature. ● Intact epidermis
No deviation from
fingernail - Toe nails are
normal
texture smaller than the nails
● Perform in the hands
blanch test of - No discoloration or
capillary swelling
refill -Capillary refill: goes
back in 1 second
HEAD
● Inspect the - Skull is round and ● Rounded
skull for size, symmetrical. (normocephalic)
shape, and - 35 cm at birth ● No masses and
symmetry -37 cm currently nodules
● Palpate the - No raised or ● Uniform
No deviation from
skull for bulging in the soft consistency
normal
nodule or spot of the head. ● Smooth skin
masses and - Facial symmetry
depressions
● Note
symmetry of
facial
movement

95
 EARS
● Inspect the ● Able to hear
- Auricles are the
auricles for both ears No deviation from
same skin color with
colour, ● Symmetrical normal
the face.
symmetry of 10°
- Symmetrical and
size, and ● Dry cerumen
aligned with the
positions Mobile and firm
outer canthus of the
● Inspect the
eyes.
external ear
- No lesions or blood
canal for
found.
cerumen,
-Presence of
skin lesions,
cerumen.
and blood
● Perform
webers test
using tuning
fork

NOSE & SINUSES

● Inspect ● Air moves
- Nose is straight and
external nose freely as the
in the middle, no
for flaring, client breaths
flaring found.
shape, or through nares
- patent nares, no
colour ● No discharge
obstruction in nasal No deviation from
● Inspect the ● Mucosa pink
passages normal
nasal septum ● Symmetric
- Nasal septum is
between the
midline and not
nasal
perforated.
chambers
- No tenderness
● Palpate the
found.
maxillary
and frontal

96
 sinuses for
tenderness

MOUTH &
THROAT - Outer lips is ● 32 adult teeth
No deviation from
● Inspect the pinkish ● Smooth shiny
normal
outer lips for - has visible margin tooth
symmetry of lines ● Smooth intact
contour, - Gums are pink dentures
colour, and - Buccal mucosa is ● Smooth tongue
texture pink and moist and base with
● Inspect the no lesions found. prominent veins
teeth and - No teeth yet. ● No palpable
gums while -Tongue is movable nodules
examining and pink with a
the inner lips whitish cover at the
and buccal top.
mucosa - No nodules or
● Inspect lumps found.
tongue
movement
● Palpate the
tongue and
floor of the
mouth for
any nodules,
lumps, and
excoriated
areas.

EYES
● Inspect the ● Pupils size is 3
- Eyebrows are thin
eyebrows for to 7 mm in
but evenly
diameter
distributed.

97
 hair - Sclera of the eyes ● Pupils equally
Yellowish of the
distribution are white with a round and react
eyes due to the
● Inspect and slightly yellowish to light
presence of genetic
palpate the tinge. accommodation
disorder, G6PD
lacrimal sac - No discharges (PERRLA)
Deficiency
and found. ● Both eyes are
nasolacrimal - corneal sensitivity: coordinated
duct blinks immediately. ● No edema or
● Perform - Six ocular tearing
corneal movement: follows ● Cornea is
sensitivity colorful objects and transparent
● Assess six lights.
ocular - Can focus on faces
movement to and objects with at
determine least 20 inches
eye
alignment
and
coordination
● Assess
distance
vision

NECK - Neck is still short

● inspect the - No swelling or ● Equal strength
neck muscles masses found. ● Equal size of
for abnormal - Can already move muscle
swelling or head and lift it for at ● Absence of
No deviation from
masses least 3 seconds. bruits
normal
● observe head -No enlarged lymph ● Coordinated,
movement nodes smooth
● assess - No tracheomalacia movement with
muscle no discomfort
strength

98
 ● palpate the ● No spasm and
entire neck stiffness
for
enlargement
lymph nodes
● palpate the
trachea for
lateral
deviation

Body Parts/ Actual Findings Normal Findings Interpretation

System & Method
of Assessment
Used

RESPIRATORY
● inspect - Thorax is ● No evidence of
No deviation from
posterior symmetrical enlargement of
normal
thorax for - No deformities in liver
shape and spinal alignment. ● Flat, rounded,
symmetry - Breathing pattern is convex
● Inspect the regular : 34 breaths ● No tenderness
spinal per minute.
alignment
for
deformities

● Inspect
breathing
pattern

99
 CARDIAC
● Palpate the ● Symmetric
- Peripheral pulse No deviation from
peripheral heart volume
using inner arm is normal
pulse ● Normal heart
regular.
sound
● Inspect the - The hands are warm
● Limbs not
skin of the but the feet are a little
tender
hand and cold.
● Veins are not
feet for - No edema or lesions
visible
colour, found
temp, and - Capillary refill: goes
edema back immediately.

● Assess the
adequate of
arterial
blood flow
using
capillary
refill test

ABDOMEN
● Inspect No deviation from
- Abdomen is round ● Flat, rounded,
Abdomen normal
and a little bit convex
for skin
protruding
integrity ● No tenderness
- It is symmetrical and
● Inspect the in abdomen
uniform in skin color.
abdomen for
- No masses or hernias
contour and
found.
symmetry
● Percuss the
abdomen

100
 ● Percuss the
liver

Body Parts/ Actual Findings Normal Findings Interpretation

Method of
Assessment Used

MUSCULOSKELE
TAL - Muscle is
● No deformities
● Inspect the symmetrical
Muscle size - Can move hands ● No tenderness
- Able to close and and swelling
● Inspect the No deviation from
open the fists. ● Equal
Muscle and normal
- Can kick and move strength in
tendons for
the legs. each body
contractures
- No swelling found side
● Test muscle
strength

● Inspect the
joints for
swelling

NEUROLOGIC
1. MENTAL
N/A N/A
STATUS
● Memory is
a. Orientation
intact patient
● Ask the
don’t have any
Patient the
difficulty in
city and state
remembering
of residence

101
 ● Ask the
patient for
time of day,
day of the
week

● Ask the
patient to
names the
family ● Immediate

members recall is intact

patient don’t
have any
b. Memory difficulty in
* Immediate recall N/A remembering
● Ask patient
to repeat a
series of
digits “9-4-6- ● Recent
2-1-5” Memory is
intact patient
● Ask patient
don’t have any
to state the
difficulty in
same digits
remembering
but in reverse

* Recent memory
● Ask the
● Remote
Patient how
Memory is
she got to the
intact patient
school
don’t have any
difficulty in
remembering

102
 ● Provide the
client with
three facts to
recall

● 15 score
* Remote memory
● Ask patient
to recall what
happened
during her
vacation

2. LEVEL OF
CONSCIOUSNESS N/A
-using GCS
● Glasgow
coma scale
test

103
VII. PRIORITIZATION OF THE PROBLEMS

Problem 1

Urinary Tract Infection as a health deficit

Assessment:

First Level Assessment:

Presence of disease specifically Urinary Tract Infection as a health deficit

Second Level Assessment:

Inability to provide adequate nursing care to the sick and dependent member
of the family due to inadequate knowledge of the nature or extent of nursing
care

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

The family members

Nature of the 3/3 x 1 1 was diagnosed with
problem UTI or Urinary Tract
Infection which is a
disease considered as
a health deficit.
Easily modifiable,
Modifiability of 2/2 x 2 2 most UTIs can be
the problem cured. Bladder
infection symptoms
most often go away
within 24 to 48 hours
after treatment
begins.
Highly preventable,
Preventive 3/3 x 1 1 UTI is usually easiest
Potential to treat in the lower
urinary tract. The
simplest way to

104
 prevent a UTI is to
flush bacteria out of
the bladder and
urinary tract before it
can set in.
The problem needs
Salience of the 2/2 x 1 1 an immediate action,
problem untreated UTIs
become more and
more severe the
further they spread.
An infection that
spreads to the upper
urinary tract is much
more difficult to treat
and is more likely to
spread into your
blood, causing sepsis.
Total Score: 5

PROBLEM 2

Acquisition of a Communicable Disease as a Health Threat

Assessment:

First level of Assessment:

Threat of cross infection from communicable disease as presence of health

threat.

Second Level of Assessment:

Inability to make decisions with respect to taking appropriate health action due
to failure to comprehend the condition.

105
 CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

Possible acquisition
Nature of the 2/3 x 1 0.66 of a communicable
problem disease is considered
as a health threat.
Modifiable, both the
Modifiability of 2/2 x 2 2 mother and the baby
the problem can modify the
problem through
intervention.
Moderately
Preventive 2/3 x 1 0.66 preventable, the
Potential mother and the baby
can prevent the
acquisition of the
disease.
The family sees the
Salience of the 2/2 x 1 1 condition as a
problem problem that needs an
immediate attention
to prevent cross-
infection acquired
from a communicable
disease and spread to
family members.
Total Score: 4.32

PROBLEM 3

Presence of G6PD as Health Deficit

Assessment:

First Level Assessment:

106
 Presence of disease specifically G6PD as a health deficit

Second Level Assessment:

Inability to make decisions with respect to taking appropriate health action due
to failure to comprehend the nature/magnitude of the problem/conditions.

Inability to provide inadequate nursing care to the sick, disabled, dependent or

vulnerable/ at risk member of the family due to lack of/inadequate knowledge
about the disease/health condition

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

The problem is an
Nature of the 3/3 X1 1 illness which is
Problem considered to be a
health deficit due to
the possibility that it
can be inherited from
one or both of the
parents.
The problem is
Modifiability of 1/2 X 2 1 partially modifiable
the Problem for the reason that the
client needs initiative
and guidance of the
family to prohibit the
member from certain
drugs and foods that
may trigger her
condition as advised
by the physician.
The preventive
Preventive 1/3 x 1 0.33 potential is low
Potential because the G6PD
can’t be prevented as

107
 it is a genetic
condition that doesn’t
have cure. The client
can only prevent
what triggers the
illness, but not that
illness itself.
This condition is
4. Salience of 2/2 x 1 1 perceived by the
the problem family as illness that
needs immediate
attention as they took
their time going for
hospital check-ups
knowing that G6PD
can be life-
threatening in some
individuals as it is
associated with
hemolytic anemia.
Total Score: 3.33

108
VIII. PRIORITIZED HEALTH PROBLEMS

Rank Problem Score

1 Presence of Urinary Tract Infection as a 5

Health Deficit

2 Acquisition of a Communicable Disease as a 4.32

Health Threat

3 Presence of G6PD as Health Deficit 3.33

109
 IX. FAMILY NURSING CARE PLAN

FAMILY PLANNING IMPLEMENTATION

NURSING
ASSESSMENT CARE GOALS OF OBJECTIVES OF NURSING RATIONALE METHOD RESOURCES EVALUATION
DIAGNOSES CARE CARE INTERVENTIONS OF NURSE- REQUIRED
FAMILY
CONTACT

Objective: 1ST Level of After STG: After 1 home 1. Provide an 1. Conveying Home visit Materials: STG:
Laboratory Assessment: successful visit, the family atmosphere of respect and Visual aids Goal met.
results nursing will be able to: respect, rapport, trust is and After 1 home
Presence of interventions, (1) verbalize and important to pamphlets visit, the family
Discomfort in disease the family appropriate collaboration. facilitate containing was able to:
the lower specifically will be able to nursing care openness. necessary 1. verbalize 4/5
Abdomen Urinary Tract provide for client with information appropriate
Infection as a appropriate UTI 2. Assess the 2. Obtaining for proper nursing care for
Facial grimace health deficit care and (2) identify client’s vital information care of a the client with
support to the community signs: T, HR, BP, about the client with UTI
2nd Level of family resources RR. clients serves Urinary 2. identify 3/3
Assessment: member with available to as baseline Tract community
Inability to UTI and them data. Infection resources
avoid the

110
 provide recurrence of (3) discuss the 3. Conduct a 3. To educate Human available to
adequate condition nature and health teaching the family Resources: them
nursing care risk factors regarding about the Time and 3. list down 3/3
to the sick and for acquiring appropriate appropriate effort of nature and risk
dependent UTI nursing care for nursing care both nurse factors of UTI
member of the (4) discuss the clients with UTI: they ought to and the 4. enumerate 4/4
family due to basis of a. Encourage do to address family basis of
inadequate assessment increased of fluid the problem of assessment for
knowledge of for positive intake the client. Financial positive changes
the nature or changes in the b. Encourage Knowing these Resources: in the condition
extent of condition of frequent voiding interventions Most of the of the client
nursing care the client with c. Proper perineal will make the financial with UTI
UTI care condition easier resources
d. Avoid urinary to be handled if were spent
irritants such as all the family on: LTG:
LTG: After 4 coffee, teas, soda members are (1) Goal met.
home visits, the and alcohol also aware. instructional After 4 home
family will be able e. Advise client to materials visits, the family
to address the strictly adhere (2) was able to:
problem with the snacks 1. demonstrate
appropriate

111
concerning UTI as physician’s nursing care for
evidenced by: prescription. the client with
(1) demonstration UTI
of appropriate 4. Conduct a 4. To raise 2. show positive
nursing care health teaching awareness of changes in the
for client with regarding the the family client’s
UTI importance of the about the condition
(2) show signs services and essential health
and resources present care made
symptoms of in the community: accessible to
improvement a. Health Center individuals and
in the client’s b. Barangay families in the
condition. Health Clinic community
c. Hospitals which can help
them with their
state.

5. Conduct a 5. To provide
health teaching knowledge for
about the nature the family to
apply necessary

112
and risk factors of interventions to
UTI: treat and avoid
a. Incidence of possible
UTI occurrence of
b. Female the infection.
anatomy
c. Prevalence of
asymptomatic
bacteria in homes

6. Discuss factors 6. To serve as a

needed to be basis to
assessed in determine the
determining state of
positive changes condition of the
in the condition client with UTI,
of the client and verify if the
a. Urgency in interventions
urinating being done is
b. Frequency of effective.
urination

113
 c. Absence of
burning sensation
during urination
d. Absence of
pelvic pain

114
X. CONCLUSION

A detailed family case analysis was performed by the Bachelor of Nursing (ll-
A2) students in the various factors influencing the chosen family, the Simpson family,
focusing on their lifestyles and needs. An evaluation was carried out by the student
nurses, in which the instrument was used to evaluate their family backgrounds and other
personal details regardless of their knowledge of certain subjects, such as health status,
socio-economic and cultural characteristics.

The case study was concluded by the student nurses. The Simpson family is
considered as a multigenerational or extended family consisting of 8 members living
together at Lincoln Height Subdivision San Pablo Bataan. And after a series of various
assessments, the problems of priority found are Urinary Tract Infection, Acquisition of
a communicable disease and G6PD involvement. Presence of Urinary Tract Infection
with a score of 5, Acquisition of a communicable disease with a cumulative score of
4.32, and finally the presence of G6PD with a score of 3.33, are the top three issues that
scored the highest.

Student nurses encouraged maximum wellbeing and educated the family about
health by formulating a nursing care plan to address the top priority problem. And after
implementing nursing interventions, the goals have been met. The family can now
continue to improve their health condition. The family showed the capability to achieve
the desired health goals and maximize their health potential in having optimum
wellness. The family also participated and cooperated easily regarding the setting of
goals and understanding the measures that they needed to do to solve the issues tackled.
Therefore, the objectives of the family case study problem were addressed to the best
of the ability of the student nurses who had motivated and encouraged the family
through the whole process and the family is now equipped with knowledge to handle
the situation whenever the situation needs to be.

115
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21). Housing Loan in the Philippines: A Complete Guide for Filipinos. Moneymax.
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Home Made: Common Construction Materials for Houses: Regan Steel Blog. Regan
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used-construction-materials-philippine-houses/.

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energy-used-households

Wazile Writer (2019). Gas Stoves or Induction Cookers: which to Choose. Southeast
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cookers-which-to-choose/

Better Health Channel (2017). Food Safety and Storage. Department of Health &
Human Services, State Government of Victoria, Australia Retrieved Nov. 2020 from
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Guy Hutton and Claire Chase (2017). Water Supply, Sanitation, and Hygiene Injury
Prevention and Environmental Health, 3rd Ed. Publishing and Knowledge Division,
The World Bank. Retrieved Nov. 2020 from
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Source of drinking. Retrieved Nov. 15, 2020 from

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20no.%204%20-%20Drinking%20water%20final%20version.pdf

Disinfecting Drinking Water (2018). Retrieved Nov. 2020 from

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World health Organization (2002). Healthy Villages - A Guide for Communities and
Community Health Workers. http://helid.digicollection.org/en/d/Jh3014e/6.1.3.html

US Environmental Protection Agency (2020). Reduce, Reuse, Recycle. Retrieved Nov.

2020 from https://www.epa.gov/recycle

Outside2Inside Org. 2018. Food Waste Recycling through Composting and Animal
Feed. Retrieved from https://outside2inside.com/how-food-waste-recycling-can-be-
done-effectivelythrough-composting-and-animal-feed/

Automated Waste Services. 2020. Reasons Garbage Collection Should Be Done

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using_prices_applying_the_Artificial_Neural_Network_Model_as_an_analytical_tool

CDC’s Dr. Casey Barton Behravesh (2019). About Pets and People. Retrieved Nov.
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Leonard Tillerman (2019). 8 Top Reasons Not to Get a Pet. Pet Helpful Retrieved Nov.
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Grace J. Yoo, Ph.D., MPH (2014). “Leaving it to God”: Religion, Spirituality and
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118
XII. DOCUMENTATION

PHYSICAL ASSESSMENT AN DINTERVIEW

119
DEVIATIONS FROM NORMAL FINDINGS

120
LABORATORY RESULTS AND PRESCRIPTIONS

121
XIII. CURRICULUM VITAE

ADDON, ANGELICA MACABIA

Nagbunga Castillejos, Zambales
Contact No.: 09989059142

PERSONAL INFORMATION:
Age : 19 years old
Birthdate : December 16, 2000
Birthplace : Castillejos, Zambales
Height : 5’2”
Weight : 45 kg
Civil Status : Single
Citizenship : Filipino
Religion : Catholic

EDUCATIONAL BACKGROUND:
TERTIARY LEVEL
2019- Present Bachelor of Science in Nursing
Gordon College Olongapo City

SECONDARY LEVEL
2016-2018 Science, Technology, Engineering and
Mathematics
Columban College Main Olongapo City
2012-2016 St. Nicholas Academy of Castillejos Inc.
Castillejos, Zambales
PRIMARY LEVEL
2005-2012 Castillejos Elementary School
Castillejos, Zambales

122
ANTAZO, REYGINE NICOLE L.
Roosevelt Dinalupihan, Bataan
Contact No.: 09383637822

PERSONAL INFORMATION:
Age : 19 years old
Birthdate : September 16, 2001
Birthplace : Dinalupihan Bataan
Height : 5’2”
Weight : 38 kg
Civil Status : Single
Citizenship : Filipino
Religion : Catholic

EDUCATIONAL BACKGROUND:
TERTIARY LEVEL
2019- Present Bachelor of Science in Nursing
Gordon College Olongapo City

SECONDARY LEVEL
2016-2018 General Academic Strand
Magsaysay National High School
Magsaysay Dinalupihan Bataan
2012-2016 Magsaysay National High School
Magsaysay Dinalupihan Bataan
PRIMARY LEVEL
2006-2012 Tipo Elementary School
Tipo Hermosa, Bataan

123
BUSTAMANTE, DENESA JOYCE Z.
Tipo Hermosa, Bataan
Contact No.: 09266713911

PERSONAL INFORMATION:
Age : 19 years old
Birthdate : April 15, 2001
Birthplace : Olongapo City
Height : 5’2”
Weight : 51 kg
Civil Status : Single
Citizenship : Filipino
Religion : Catholic

EDUCATIONAL BACKGROUND:
TERTIARY LEVEL
2019- Present Bachelor of Science in Nursing
Gordon College Olongapo City

SECONDARY LEVEL
2016-2018 Science, Technology, Engineering
and Mathematics
Columban College Main Olongapo City
2012-2016 New Cabalan National High School
New Cabalan, Olongapo City
PRIMARY LEVEL
2006-2012 Tipo Elementary School
Tipo Hermosa, Bataan

124
DAMASO, KRISTINE MAE
East Tapinac, Olongapo City
Contact No.: 09094441344

PERSONAL INFORMATION:
Age : 19 years old
Birthdate : July 25, 2001
Birthplace : Olongapo City
Height : 5’2”
Weight : 58 kg
Civil Status : Single
Citizenship : Filipino
Religion : Catholic

EDUCATIONAL BACKGROUND:
TERTIARY LEVEL
2019- Present Bachelor of Science in Nursing
Gordon College Olongapo City

SECONDARY LEVEL
2016-2018 Science, Technology, Engineering
and Mathematics
Tapinac Senior High School
2013-2016 Olongapo City National High School
Olongapo City

PRIMARY LEVEL
2006-2012 Tapinac Elementary School
Olongapo City

125
DIAZ, DESIREE M.
1146 Sta. Rita Road Sta. Rita Olongapo City
Contact No.: 09773853584

PERSONAL INFORMATION:
Age : 30 years old
Birthdate : July 30, 1990
Birthplace : Olongapo City
Height : 5’2”
Weight : 56 kg
Civil Status : Single
Citizenship : Filipino
Religion : Christian

EDUCATIONAL BACKGROUND:
TERTIARY LEVEL
2019- Present Bachelor of Science in Nursing
Gordon College Olongapo City
2010-2011 Nursing Assistant
College of Southern Nevada
SECONDARY LEVEL
2004-2007 Gordon Heights National Highschool
Olongapo City
PRIMARY LEVEL
1997-2003 Gordon Heights I Elementary School
Olongapo City

126
FULTON, JHANNA MICHAELA
#2095 Old Cabalan National Highway, Olongapo City
Contact No.: 0906 263 5151

PERSONAL INFORMATION:
Age : 19 years old
Birthdate : May 11, 2001
Birthplace : Olongapo City
Height : 5’0”
Weight : 78 kg
Civil Status : Single
Citizenship : Filipino
Religion : Born Again Christian

EDUCATIONAL BACKGROUND:
TERTIARY LEVEL
2019- Present Bachelor of Science in Nursing
Gordon College Olongapo City

SECONDARY LEVEL
2016-2018 Science, Technology, Engineering
and Mathematics
Gordon College, Olongapo City
2014-2017 Olongapo Wesley School
Olongapo City
2012-2013 Lady of Rose Academy Inc.
Santan, Cabuyao, 4025 Laguna
PRIMARY LEVEL
2005-2012 East Bajac-Bajac Elementary School
Ologapo City

127
GATON, DIANE GRACE
Sta. Maria Castillejos, Zambales
Contact No.: 09503660420

PERSONAL INFORMATION:
Age : 19 years old
Birthdate : August 30, 2001
Birthplace : San Marcelino, Zambales
Height : 5’1”
Weight : 42 kg
Civil Status : Single
Citizenship : Filipino
Religion : Catholic

EDUCATIONAL BACKGROUND:
TERTIARY LEVEL
2019- Present Bachelor of Science in Nursing
Gordon College Olongapo City

SECONDARY LEVEL
2017-2019 Humanities and Social Sciences Strand
St. Nicholas Academy of Castillejos Inc.
Castillejos, Zambales
2013-2017 St. Nicholas Academy of Castillejos Inc.
Castillejos, Zambales
PRIMARY LEVEL
2006-2013 Sta. Maria Elementary School
Castillejos, Zambales

128
JENUINO, MARWIN
Upper Pacheco Street, Gordon Heights, Olongapo City
Contact No.: 09150831148

PERSONAL INFORMATION:
Age : 19 years old
Birthdate : January 27, 2001
Birthplace : Olongapo City
Height : 5’5”
Weight : 50 kg
Civil Status : Single
Citizenship : Filipino
Religion : Catholic

EDUCATIONAL BACKGROUND:
TERTIARY LEVEL
2019- Present Bachelor of Science in Nursing
Gordon College Olongapo City

SECONDARY LEVEL
2017-2019 Humanities and Social Sciences Strand
College of Subic Montessori
Subic Bay Freeport Zone, Zambales

2013-2017 Gordon Heights National High School

Gordon Heights, Olongapo City
PRIMARY LEVEL
2006-2013 Gordon Heights I Elementary School
Gordon Heights, Olongapo City

129
LLARENAS, KIMBERLY KAYE P.
Brgy. Barretto, Olongapo City
Contact No.: 09165872268

PERSONAL INFORMATION:
Age : 19 years old
Birthdate : December 15, 2000
Birthplace : Olongapo City
Height : 5’2”
Weight : 40 kg
Civil Status : Single
Citizenship : Filipino
Religion : Catholic

EDUCATIONAL BACKGROUND:
TERTIARY LEVEL
2019- Present Bachelor of Science in Nursing
Gordon College Olongapo City

SECONDARY LEVEL
2016-2018 Science, Technology, Engineering
and Mathematics
Columban College Barretto, Olongapo City
2012-2016 Olongapo City National High School— STE
Olongapo City
PRIMARY LEVEL
2005-2012 Olongapo City Elementary School
Olongapo City

130
MANZANO, JUDY LYN S.
Linasin, San Marcelino, Zambales
Contact No.: 09480864836

PERSONAL INFORMATION:
Age : 19 years old
Birthdate : January 16, 2001
Birthplace : San Marcelino, Zambales
Height : 5’2”
Weight : 52 kg
Civil Status : Single
Citizenship : Filipino
Religion : Catholic

EDUCATIONAL BACKGROUND:
TERTIARY LEVEL
2019- Present Bachelor of Science in Nursing
Gordon College Olongapo City

SECONDARY LEVEL
2016-2018 Accountancy Business and Management
Magsaysay Memorial College
San Narciso, Zambales
2012-2016 San Guillermo National High School
San Marcelino, Zambales
PRIMARY LEVEL
2005-2012 Linasin, Elementary School
San Marcelino, Zambales

131
MIRANDA, PATRICIA MAE T.
Tipo Hermosa Bataan
Contact No.: 09054837393

PERSONAL INFORMATION:
Age : 19 years old
Birthdate : July 7, 2001
Birthplace : Olongapo City
Height : 5’1”
Weight : 49 kg
Civil Status : Single
Citizenship : Filipino
Religion : Catholic

EDUCATIONAL BACKGROUND:
TERTIARY LEVEL
2019- Present Bachelor of Science in Nursing
Gordon College Olongapo City

SECONDARY LEVEL
2016-2018 Humanities and Social Sciences Strand
Gordon College, Olongapo City
2012-2016 St. Jerome Emiliani Highschool
Roosevelt Dinalupihan, Bataan
PRIMARY LEVEL
2005-2012 Tipo Elementary School
Tipo Hermosa, Bataan

132
PASCUAL, CHRISTYN JOIE B.
Block 21 Lot 1, Lincoln Height San Pablo Bataan
Contact No.: 09610811435

PERSONAL INFORMATION:
Age : 19 years old
Birthdate : February 7, 2001
Birthplace : Olongapo City
Height : 5’0”
Weight : 47 kg
Civil Status : Single
Citizenship : Filipino
Religion : Catholic

EDUCATIONAL BACKGROUND:
TERTIARY LEVEL
2019- Present Bachelor of Science in Nursing
Gordon College Olongapo City

SECONDARY LEVEL
2016-2018 Science, Technology, Engineering
and Mathematics
Columban College Main Olongapo City
2012-2016 St. Jerome Emiliani Highschool
Roosevelt Dinalupihan, Bataan
PRIMARY LEVEL
2005-2012 San Pablo Elementary School
San Pablo Bataan

133
SUAREZ, ANGELA
Sitio Macupit Nagbayan Castillejos, Zambales
Contact No.: 09519195260

PERSONAL INFORMATION:
Age : 21 years old
Birthdate : October 27, 1999
Birthplace : Castillejos, Zambales
Height : 5’2”
Weight : 46 kg
Civil Status : Single
Citizenship : Filipino
Religion : Catholic

EDUCATIONAL BACKGROUND:
TERTIARY LEVEL
2019- Present Bachelor of Science in Nursing
Gordon College Olongapo City

SECONDARY LEVEL
2016-2018 Science, Technology, Engineering
and Mathematics
St.James School of Subic Inc.
Subic, Zambales
2012-2016 St.James School of Subic Inc.
Subic, Zambales
PRIMARY LEVEL
2005-2012 Calapandayan Elementary School
Subic, Zambales

134