FAMILY DATA
I.
INITIAL DATA BASE
A.
DEMOGRAPHY
The main focus of this narrative is S.B., 26 years old and 5 months pregnant woman
who has 2 sons, 4 years old is the eldest and 2 years old is the youngest. She is currently living
with her live in partner and with her mother, father and siblings with her niece. They are
currently living with 10 people in Block 142 Lot 173-C Phase 4 CAA, Las Pinas City. They are
baptized as Catholics but she practicing Born Again. Her mother and father both decided for the
family. S.B. graduated in TESDA in the course of Cosmetology. She is currently working at a
Salon as a Nail Tech in BF Homes. His live in partner works in construction but didn’t specify
where and know his initial daily salary.
Table 1: contains the names, birthday, civil status, assessed status and the relationship of the family
members to the pregnant woman
NAME
RELATION TO THE PREGNANT
WOMAN
BIRTHDAY
CIVIL
STATUS
ASSESSED OR NOT
S.B.
Pregnant woman; being interviewed
May 21,
1993
Single
Interviewed only not Physical
Examination
S.S.B.
Son
Feb 20, 2015
Single
Unable to Assess
C.B.
Son
July 12,
2017
Single
Unable to Assess
J.L.
Husband
Single
Unable to Assess
Sh.B.
Mother; also interviewed
Feb 14, 1963
Single
Interviewed only not Physical
Examination
A.B.
Father
Jan 14, 1965
Single
Assessed
She.B.
Sister
Aug 26,
1991
Single
Unable to Assess
C.Y.B.
Niece
April 21,
2014
Single
Unable to Assess
Sha.B.
Sister
Jan 28, 1990
Single
Unable to Assess
A.B.Jr.
Brother
Nov 06,
1999
Single
Unable to Assess
B. FAMILY DYNAMICS (ROLE AND RELATIONSHIP PATTERN)
Sh.B., the mother of the pregnant woman who is a housewife handles and makes the
decisions for their family alongside with her Husband, A.B. With Financial problems, the
Husband makes the decisions and give the initial budget to her partner, Sh.B. because of
always being at home, she handles most of the things at their home like laundry, going to the
market, cleaning and if her daughter, S.B.is at work she takes care of her children and also her
daughter’s child.
Figure 1: shows that family members of the pregnant woman and their hereditary conditions
S.B. works at a Nail Salon in BF Homes. Her Husband, J.L. and her Father, A.B. also
works. According to Sh.B., pregnant woman’s Mother, his Father works as a Painter/Cutting the
Grass/Carpenter or do services at his clients houses. In my fourth visit the father was there and
I got to assess him. He tend to manage more of the need to home, more on financial income.
Sh.B tend to manage the house problems and the food, bills and more on the need for the
house. When they tend to have problems, they tend to fix and solve it right away so that it won’t
get worse already.
C. SOCIO-ECONOMICS STATUS
S.B.’s family do not participate in any organization in and outside of their community.
They gather information through Television and Facebook. When they go out, they usually
commute through Jeep and Tricycle but S.B.’s father has a bicycle so that he can go to his work
near las pinas area only. S.B. finished a Vocational course in TESDA and now works in BF
Homes in a salon that earns about 250 to 450 a day being nail tech. His Father, Anselmo, earns
about 500 to 680 a day with his services.
According to the DOLE, as of 2018 the minimum wage for agricultural workers is within
PHP512 to PHP537. The total monthly income of the earning of the pregnant woman and her
father (excluding the live in partner of the pregnant woman) is about 8,000 to 14,200 pesos
monthly and daily allowance for about 750 to 1,200 pesos a day. Their expenses in the
everyday are mostly food, allowance and for Sh.B., the mother is her cigarettes.
Table 2: contains the family's daily expenses and their corresponding amount
EXPENSES
AMOUNT OF EXPENSES (IN PESOS)
Food and water
300
Allowance
100/person (college)
50/person (elementary)
Recreational
165 (55/pack)
Utilizes
66 (2000/monthly)
For the allowance, they have 2 children that is currently studying in high school. There
allowance is about 80 to 100 depending if it still fit their budget. For the children of S.B., S.S.B.
the 4 years old and currently studying elementary alongside with his cousin, Y.B. Their
allowance is about 20 to 50 pesos depending on their budget in that day. They allocated about
300 pesos a day for food and 165 pesos a day for recreational (cigarettes), whereas stated by
the mother of the pregnant woman, Sh.B. consumes about 3 packs of cigarettes a day, whereas
1 pack of cigarettes cost about 55 pesos per pack, Sh.B. only buys cigarettes if they have the
budget for it. They have a monthly bill in electricity for about 2,000/monthly. In the computation
the total of there daily expense is about 831 pesos with cigarettes and 666 pesos without
cigarettes.
II.
HOME AND ENVIRONMENT
A.
DESCRIPTION (WITH HOUSE PLAN)
Figure 2: shows the initial floor plan of their house with the placement for their furniture
Location of the house is estimated to be about 20 to 25 steps away from the barangay
health center. Their house is owned by S.B.’s parents, Sh.B. and A.B. since 1978. The front of
the house has a dog house that is made out of makeshift and wood and they usually do laundry
there where the water that they used from the laundry is thrown out in the close drainage, which
is not clogged. It is made out of mostly concrete. There is no windows present in the house, the
only source of fresh air is from the front door. The size of the rooms should be large enough to
allow the people living there to have enough space to live comfortably. (According to
health.gov.au) Overcrowding in a small house can make it easier for diseases to be spread from
person to person. It can also result in people the space doesn't getting enough air. A house
should have a well ventilated in each room, it mean that air should be able to flow in and out of
each of the rooms. This is important so that fresh air can get inside all the rooms and stale air
can get out. A good ventilation can also allows heat, steam, odours (smells) and vectors to
escape, particularly from the kitchen, bathroom, laundry and toilet to improve the health of the
people living there. (According to health.gov.au)
Their bathroom is beside the front door that contains a toilet without flush, there’s a
faucet where the source of water is coming from which is from Maynilad and they use a pail and
a dipper so that they can shower. They have a bath caddy which contains their toiletries and it is
near the pail and dipper. Their bathroom, living room and bathroom contains one light in each
room through electricity. According to health.gov.au, widows can let natural light into the house
which can be difficult for germs and insects to live and breed in light, airy rooms. Onto the other
side of the front door, It contains their dining table and beside it there is an open cabinet without
a cover that contains their sweeper, dustpan, washing machine and other cleaning materials.
Most of the time, they eat in the sofa rather than eating they’re in the dining table. The mother of
S.B. mostly prepares the food their which is a Health Threat because it is near the cleaning
materials and it can contaminate the food that they are eating. Food and Water-borne Diseases
can caused by any infectious (bacteria, viruses and parasites) and non-infectious agents
(chemical, animal and plant toxins).
Their kitchen is beside the bathroom that contains a gas stove, a sink beside the stove,
some utensils, water jug for their mineral water that they buy, they don’t have any refrigerator at
home they only have cabinets that contains lunch boxes and they also use it for storage but
when they have leftovers they feed it to their dog. Beside the cabinets from the kitchen is the
bedroom door. The bedroom door is only a curtain covering an open space.
Beside the bedroom door is cabinets that contains their clothes but some of them are
hanging on the wall. They also have cabinets where they put their stuff beside the bed frame
and their bed frame contains two mattresses. They put the other mattress on the floor for the
others to sleep in. The mattress in the bed frame can only occupied by 3 to 4 people, the other
mattress that they lay on the floor can occupy by 3 to 4 people. But one of the people is also
sleeping on the sofa. Sometimes, S.B. And her partner or boyfriend doesn’t sleep there. They
use two electric fans that is present in the living room and the bedroom for ventilation due to
lack of windows, the house feels “kulob” as verbalized by S.B., the pregnant woman. The living
room the is beside the bedroom door contains a TV Set with speakers and most of their
electrical stuff and sofa on the other side. The wall that is against the sofa contains nails that
can be dangerous because most of the time the children plays in the living room.
B. ENVIRONMENT/GENERAL CLEANLINESS
They have a Dog that have been vaccinated and it is staying at a dog house beside
there front door. They dispose their trash through a sack or plastic bag and put it at the back of
the dog house until a DPS collector get their trash outside from there street every week. The
solid waste such as food scraps, tin cans, plastic containers, glass bottles and jars, papers,
cardboard and disposable nappies. Should be disposed quickly and must be covered by a trash
bin so that it won’t attract pests and germs (according to health.gov.au) in Accordance to Las
Pinas government website, One of their concerns was the efficient and regular collection of
garbage by DPS collectors with trucks. To maintain the cleanliness of Las Pinas, there is regular
desilting and cleaning up of canals, drainages, and waterways. Their toilet is water-sealed
without flush. They have a close drainage in front of there front door. There have been a
presence of vectors inside of the house, from mosquitoes and flies to cockroaches. It can be an
indication that the environment of there house is not clean that vectors tend to live or stay
there.
In accordance with Department of Health (DOH) website in the June 2019, they advised
the public to prepare for the onset of illnesses that can develop during the rainy season like
Diarrhea, Typhoid fever, Cholera and vector-borne diseases such as Malaria and Dengue. Most
of them can get by contamination of food and water by feces, and flies that can fly to the food.
Leptospirosis common is there’s a present of rats that can infect flood or waters by their urine or
feces. According to the CDC, Climate is one of the factors that influence the distribution of
diseases borne by vectors such as mosquitoes, which spread pathogens that cause illness.
Other factors that can borne vectors is through socioeconomic and cultural factors, pest control,
and other factors. Through the climate in the Philippines, it is usually rainy season and they are
places where mosquitoes tend to stay in, especially in places where water can accumulate and
these can cause Dengue to the individuals present. As of July 2019, the cases of Dengue in
Metro Manila increases to up to 56 cases from the previous cases last 2018 and Las Piñas is
one of the cities that increases in dengue cases. The second to the last visit in the house,
there’s a dead rat the is present at the back of the dog house. The common diseases during the
rainy season include diarrhea, water-borne diseases such as typhoid fever, cholera,
leptospirosis, and vector-borne diseases such as malaria and dengue.
III.
HEALTH AND MEDICAL HISTORY
A.
PAST SIGNIFICANT CONDITION
S.B. past medical history was mostly on allergies, family history illness amd etc. She still
have allergies from tuyo and hard alcohol. Her family has a family history of High Blood
Pressure, Tuberculosis and Diabetes. Her mother, Sh.B. also has a High Blood Pressure and
Diabetes that has been diagnosed since she was 48 years old and she is currently taking
medication, Metformin for it. The father of her mother previously had Tuberculosis that can be
passed on but died from natural causes. Her father, A.B. had been diagnosed by a physician of
Hepatitis since 1991.
They only had colds and fever throughout 5 years and they get medication through the
health center. She.B., the sister of the pregnant woman got into a coma state when she was
working due to work overload. There’s also one accident that She.B. husband died due to an
accident at work and died.
B. PRESENT MEDICAL CONDITION (PE AND HH)
S.B. was interviewed for the family data form and for her health history. She wasn’t able
to be Physical Examination and have the maternal assessment due to not being present at her
parents' house. Her age is 26 years old with a height of 5’3 feet and weighs about 143 lbs. Her
previous weight as she stated was 80 kg (176 lbs) which is very huge gap to her current weight
as of Aug 2, 2019. Her previous BMI or Body Mass Index is obese that made her current weight
have a very huge lose of lbs. BMI is a measurement of a person’s weight with respect to its
height and It is more of an indicator than a direct measurement of a person’s total body fat. As
for her Review of System, S.B. had a history of weakness, mood changes, acne, change in
pigmentation, rashes, tendency towards bruising, hair loss, migraine, vertigo, eye pain(when
lack of sleep and during long period of using phone), blurry, sensitivity to light, loss of hearing,
sore gums, frequent sore throats, hoarseness, neck stiffness, chest pain, cough,
nausea/vomiting and loss of appetite, indigestion, amenorrhea(irregular menstruation), joint
pain, back pains and forgetfulness.
She doesn’t smoke or drink alcohol as of now and had breast examination at the health
center but she doesn't remember it. The examiner didn’t see anything bump or any discharges
with foul smell. She typically eats 3x/day, sometimes with additional snacks. She usually drink
with an estimate of 6 glasses/day of water and felt that she gained some weight. She tends to
lose appetite. When she have wounds, she tends to heal poorly. In terms of her bowel
movements, she defecates 1-2x/day and urinate 5x/day and doesn't feel any discomfort. She
usually walk as a form of exercise. She usually sleeps about 8-9 hours but not continuous due
to constantly checking her children. She doesn’t take any medications for sleep and usually take
naps in the afternoon. During her free time, she usually watches TV or play with her two
children. She has a difficulty in hearing due to over cleaning her ears everyday.
Sh.B., the mother, was interviewed for the family data form and for her health history.
She wasn’t able to be Physical Examined due to being busy with household chores and time
constrained. Her age is 56 years old and her height is 5’4 feet and her current weight is 101 lbs
which is underweight when computed for her BMI. Didn't able to gather all the Vital signs but
only got her BP or Blood Pressure which is around 90/50 which low. It can be an indication that
she is a steady smoker that lowers blood pressure. It can also result to loss of appetite that
leads to weight loss (onhealth.com). She is a housewife that is currently have diabetes that
started when she was 48 years old. She often gets tired everyday due to Houseworks. When
her Diabetes is acting up, she takes Metformin for medication that is prescribed by a physician.
Her Nutrition-Focused Physical Assessment consist of Signs of Poor Nutrition in the presence of
looks tired, Underweight, Brittle hair, a lot of missing teeth, rough/dry skin, brittle/pale color of
nails, flaccid or poor tone of muscles. As for her Review of System, Sh.B. had a history of
weight loss, feeling fatigue, mood changes, acne, tendency towards bruising, itching and rashes
on the skin, color changes on the nails, frequent headaches, fainting, difficulty of seeing, blurry,
itching in the eyes, seeing spotting in front of the eyes, tinnitus, frequent colds, nosebleeds,
change in the sense of smell, has frequent sore throat, bleeding gums, sores on the mouth,
toothaches, hoarseness, stiff neck, enlargement of nodes(tonsillitis), chest pain, cough,
shortness of breath, numbness/tingling of extremities, nausea/vomiting and loss of appetite,
heartburn, blood in stools, rectal pain, constipation and diarrhea, abdominal pain, excessive
gas, dysmenorrhea, amenorrhea(menopause), vaginal itching, dyspareunia, muscular
weakness, back pain, fainting, weakness, numbness/tingling, memory loss and forgetfulness.
She usually tend to have chest pain on the right side and also having shortness of
breath whenever she do house chores. She started smoking when she was 14 years old and
consumes 3 packs of cigarettes, a cup or 2 of alcohol everyday. She also took illegal drugs in
the late ‘80s but not anymore. She hasn't had a breast examination but when she checks
herself up, doesn’t feel any bump or discharges when further asked. According to the National
Objective of Health from the DOH website, Tobacco is the leading causes of respiratory
diseases in the country (Villaverde et al., 2012). It can be attributed to other risk factors such as
environmental pollutants like allergens and noxious fumes that can affect other people in the
house, especially children and to her child that is pregnant through 2nd hand smoking. One
effect for an infant is the Sudden Infant Death Syndrome (SIDS) or the sudden, unexplained,
unexpected death of an infant in the first year of life. Infants who are exposed to secondhand
smoke after birth are also at greater risk for SIDS due to the chemicals in secondhand smoke
that can affect the brain in ways and interfere with its regulation of infants’ breathing.
Children that are exposed to secondhand smoke can easily get sick and develop health
problems such as cough that can lead to bronchitis and pneumonia, frequent or severe asthma
and ear infections. Secondhand Smoke can cause a lot of diseases to nonsmokers like
Cardiovascular Disease and Lung Cancer. Nonsmokers who are exposed and breathe
secondhand smoke at home/work can have immediate adverse effects on your blood and blood
vessels that can increase the risk of having a heart attack and/or heart disease by 25–30%.
Through secondhand smoke, it is the same cancer-causing substances that are inhaled by
smokers. Nonsmokers who are exposed to secondhand smoke at home/work increase their risk
of developing lung cancer by 20–30% (according to Centers for Disease Control and
Prevention)
She eats 3x/day, they typically eat in the morning is coffee, eggs with rice. For lunch,
they usually eat chicken, fish or anything that fits their budget and for dinner they tend to eat
what is the leftover in what they ate for lunch and just another dish for it to fit for everyone. Most
of the time, she tends to lose her appetite when she doesn’t like the food. Her daily fluid intake
is about 2 glasses/day, she tends to forget to drink water. She doesn’t take any supplements
and she felt that she lost some weight, her previous weight is about 105 lbs and her current
weight is about 101 lbs which Sh.B. lose weight. When she have wounds, it heals wells but her
skin tends to gets itchy presumed it is due to the medication that she is taking. According to
Diabetes.co.uk, Metformin have several common to very rare side effects like disturbance to the
gut, nausea/vomiting, diarrhea, abdominal pain, loss of appetite, having metallic taste and skin
reaction such as rash, itching or flushing which is accurate with what she had mentioned. She
also has missing teeth.
As for her bowel movements, Sh.B. Usually defecates 2x/week experiencing blood in her
stool. She also urinate 1-3x/day without any discomfort or any pain. She sleeps about 8 to 9
hours but sometimes when she’s having a hard time falling asleep, she tends to drink a cup or a
bottle emperador with her husband, A.B. so that they be able to sleep well. She also use regular
and not prescribed reading glasses alongside her husband. In her spare time, she sew clothes
and play bingo and when she wants to relax, she watches TV with her grandchildren or child
when they are present at home. They don’t have sexual intercourse anymore due to there age
but when they have sex as Sh.B. said it painful.
A.B., the father, was interviewed for his health history and was able to be Physical
Examined during the last meeting because he was at home at that time. His age is 55 years old,
his height is about 5’5 feet and weighs about 132 lbs and his BMI is in the normal weight. As of
August 16, 2019, his vital signs are 35.5 celsius in Temperature, 60 beats/min pulse rate, BP is
110/70 is within the normal range, 15 breaths/min for Respiratory Rate. He works as a gardener
in different houses so he tends to cut grasses in very hot weather. Doesn’t have any allergies
and also not sure of having immunization when he was young due to being very poor. He had
an accident for falling from a window and fell onto his left side when he was 8 years old. Due to
this incident, he tends to have pain and having a hard time breathing on that side. When he is
having a hard time breathing or having pain, as he stated “kinakabog ko lang yung bidbid ko
para mawala yung sakit.” When examining his chest and lungs, there is a decrease resonant
sound on the left side while checking it through a stethoscope where he stated that he fell from.
His Nutrition-Focused Physical Assessment consist of Signs of Good Nutrition in the presence
of Alert responsive, Uniform skin color, clear eyes, good posture, well developed muscles,
normal BP and heart rate and no enlargement of the thyroid glands. As for his Review of
System, A.B. has history of feeling fatigue, changes in pigmentation, excessive dryness of skin,
pale color of nails, frequent/severe headaches, difficulty seeing and burry, sore in the mouth,
sore throats, toothaches, limited movement and stiffness of the neck, heart murmur, numbness
of extremities, nausea/vomiting,diarrhea with blood, abdominal pain, scrotal lumps/swelling,
muscle pain, back pain, numbness/tingling sensation and forgetfulness.
He also got hospitalized due to extreme exhaustion and dehydration from his previous
work, selling peanuts with a pedicab. As he said that after he ate 2 bottles of peanuts, he got
diarrhea and vomiting symptoms that his wife decided that they go to the hospital to put
dextrose because he is having vomit everytime he eats. According to prevention.com, It's a
common side effect due to compounds of phytates and tannins, which make nuts difficult to
digest. Nuts are also abundant with fats that can lead to diarrhea. He also had a history of
Hepatitis that he got treated since 1991. A.B. doesn’t have any family related illnesses.
He consumed cigarettes about 9 years ago and only consumes about 2 shots of
emperador few times when he is unable to sleep well. He usually eats 2x/day once for lunch
and once for dinner. He usually just drinks coffee in the morning before heading to find work. He
tends to eat fish and vegetables because is likes it more than meat or oily foods. In his fluid
intake, usually drinks a lot, about 2 pitchers/day due to his work more to the heat. He also heals
well in terms of wounds and have dry skin and rough. His nails has clubbing present and pallor.
He has missing teeth and tend to pull them out when it hurts. In terms of his bowel movements,
usually he defecate 1 or 2x/day and don’t feel any discomfort of pain in urinating and defecating.
He perspire a lot due to work and for a form of exercise, he uses his bicycle to go to work. When
he has free time he tends to play with his grandchildren when they are present, sometimes he
plays and watches his neighbors play billiards. He also wears a common reading glasses that
aren’t prescribed.
S.S.B., C.B., J.L., She.B.,C.Y.B., Sha.B. And A.B.Jr. are unable to assess and interview
due to not being present at home during visitation/duty days.
C. MATERNAL AND CHILD CARE
S.B. is currently 5 months pregnant with her 3rd child. Her Obstetric History is G3P3(T2P0-A0-L2-M0). G stands for Gravida that means Number of Pregnancies. P stands for Para
means the Number of Viability that reached 24 weeks and above. In the parenthesis contains
letters T-P-A-L-M which means T for Term birth that reached 37 weeks and above, P for
Preterm birth is less than 37 weeks but higher or equal to 24 weeks, A for Abortion where the
pregnany only reached less than 24 weeks, L for Living children that means Number of
Currently alive children and M for Multigravida or multi pregnancy that is resulting to twins or
triplets. She doesn’t remember her last menstrual period due to having irregular menstruation
that can last 2-3 days of bleeding, she found out that she is pregnant through an ultrasound last
April 1, 2019. The estimated LMP is around February 1, 2019. The estimated Expected Date of
Delivery (EDD) is on November 27, 2019. As of Aug 2, 2019, her age of gestation is 25 weeks
that correlates to her fundal height which is about 25 cm with the same age of gestation of 25
weeks.
Wasn’t able to demonstrate the Leopold’s maneuver and check the fetal heart tone of
the infant due to time constraint. S.B. and J.L. doesn’t practice family planning due to unplanned
pregnancy. They do not use any contraceptive. She has 2 children that are both alive, a 4 and a
2 years old handled by a Midwife and delivery in the lying-in and the other one is at home,
there’s no complications during labor.
She uses formula like Bonakid or Bear Brand for milk feeding than breastfeeding
because as S.B. verbalized that “masakit pag nagpapa breastfeed.” She got both Tetanus
Toxoid 1 and 2 shots from her first pregnancy and Tetanus Toxoid for the 3rd and recent
pregnancy. The recommended prenatal pregnancy at her age of gestation which is 5 months or
21 weeks should be a month prenatal check-up. Ever since her third pregnancy, she had 1
prenatal check-up. According to MNCHN by the Department of Health, “first prenatal visit at first
trimester, at least 4 prenatal visits throughout the course of pregnancy to detect and manage
danger signs and complications of pregnancy, provision of iron and folate supplementation for 3
months, iodine supplementation and 2 tetanus toxoid immunization, counselling on healthy
lifestyle and breastfeeding, prevention and management of infection, as well as oral health
services. While the contribution of antenatal care in anticipating and preventing maternal and
newborn emergencies is unclear, components of prenatal care remain effective in reducing
perinatal deaths and serves as a venue for birth planning and promotion of facility based
deliveries.”
The current level of maternal mortality in the Philippines is contributes mostly to
predominance of home births. According to Council for Health and Development or CHD, the
government implements the “No Home Birthing Policy” as an answer to the soaring number of
maternal and infant deaths. The main cause of Maternal Mortality Rate is due to home births
unsupervised by skilled health professionals. The policy states that all pregnant women should
give birth only in hospitals and lying-in centers. And Midwives are no longer allowed to deliver
babies in homes. Instead, DOH has encouraged nurses and midwives to put up lying-in centers.
Home birth can develop problems like with a higher risk of infant death, infection due to the
environment, seizures and more.
D. GENERAL HEALTH SEEKING BEHAVIORS
S.B. has two children and as she stated there both complete in vaccination. She doesn't
have her baby book or even her laboratory with her due to being in her other house.
PROBLEM IDENTIFICATION WITH PROBLEM SHEET
A.B., the father of the pregnant woman works as a Painter/Cutting Grass for people in
their houses. He is gets income when he has a client but when he doesn’t, he doesn’t have any
income. S.B.’s works as a nail technician at BF homes. Her income is unstable depending on
how many clients does she have in a day.
The size of the house is inadequate for a family of 9. Overcrowding in a small house can
make it easier for diseases to be spread from person to person. It can also result in people the
space doesn't get enough air especially their house doesn’t have windows and the only source
of ventilation is through the front door and through their electric fan. Without natural lighting into
the house, it is easy for germs and insects to breed into very dark and not ventilated rooms
which vectors (mosquitoes, flies and cockroaches) can breed and stay in their house that can
be an indication that the environment of there house is not clean (according to health.gov.au).
S.B.’s previous weight as she stated was about 80 kg (176 lbs) and her current weight is
about 143 lbs which is very huge gap to her current weight as of July 26, 2019. She usually eats
3x/day with snacks but tend to lose her appetite often. She also had 1 prenatal check
throughout her pregnancy. This can result in not keeping track of the developments or possible
problem of her baby, lack of nutrition or health problem for the mother. She also states that one
of her children gave birth at home which can indicate problems like a higher risk of infant death,
infection due to the environment, seizures and more.
Sh.B. tend to prepare food in the dining table and it is beside an open cabinet where
they store their sweeper, dustpan, washing machine and other cleaning materials that can
contaminate the food that they are preparing and also eating. It can cause food poisoning,
bacterial/virus infection that can result in diarrhea, abdominal pain, nausea/vomiting and other
symptoms. The wall that is against the sofa contains nails that can be dangerous because most
of the time the children plays in the living room.
Sh.B. usually usually smokes about 3 packs/day and tends to have chest pain on the
right side and also having shortness of breath whenever she do house chores. During the last
meeting, her Blood Pressure is 90/50, which is low that can be an indication that she is a steady
smoker that lowers blood pressure. It can also result to loss of appetite that leads to weight loss
(onhealth.com) which is why her BMI or Body Mass Index is underweight.
Through Sh.B.’s smoking, her grandchildren can solicit secondhand smoking and can
easily get sick and develop health problems such as cough that can lead to bronchitis and
pneumonia, frequent or severe asthma and ear infections.