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FLOOR PLAN
WINDOW
KITCH
EN LIGHT
BULB
COMFORT ROOM
ELECTRIC
FAN
FAMILY
ASSESSMENT
AND TOOLS
GENOGRAM
I
II
III
FAMILY CIRCLE
Myrna
Zoey
Josie
Melchor
ALICIA
Popoy
AKO
Christopher
Lea
DELIA
Baby
JC
Eunice
FAMILY CIRCLE
The patient is closest to his wife, Alice, his children,
Melchor and Christopher and his siblings, Lea and Baby.
He is equally close with Delia, Myrna, Josie, Popoy, JC,
Eunice and Zoey.
FAMILY APGAR
APGAR I
Almost Some of the Hardly
Always Time (Halos
(Palagi) (Paminsan hindi)
minsan)
2 1 0
IamsatisfiedthatIcanturntomyfamilyforhelp
whensomethingistroublingme
withmeandsharesproblemswithme
problema
Iamsatisfiedthatmyfamilyacceptsandsupportsmy
wishestotakeonnewactivitiesordirections
ikauunlad
Iamsatisfiedwiththewaymyfamilyexpresses
affectionandrespondstomyemotionssuchasanger,
sorrow,andlove
A Akoy nasisiyahan sa paraang ipinadadama ng aking
together
SCORE INTERPRETATION
1-3 Severelydysfunctional
4-7 Moderatelydysfunctional
8-10 HighlyFunctional
APGAR II
Who lives in your home? How do you get along?
Alicia Wife 63 F
Rogelio Brother-in-law 49 M
If you don't live in your family, list the person to whom you
How do you get along?
turn to for help?
Lea Sister 52 F
SCREEM
SCREEM Resource/ Strength Pathology/ Weakness PLAN
Thefamily Nopathologyhas
Social participatesinsocial beenidentified
activities.
Theyalsohavegood
relationshipswith
theirneighbors,
friendsandother
familymembers.
Noknownenemies
Theyhave Nopathologyhas
Cultural embracedFilipino beenidentified
valueandapply
theseintheir
everydaylife(i.e
teachingtheir
grandchildrento
respecttheelders)
Thefamilyis Theindexpatient Encouragethe
Religion Catholic. isnotableto wifetoinsist
Patientispraying attendtheweekly hishusbandto
and
participation
inreligious
groups.
Thepatientiscurrently Onlythewifehas Encouragefamily
Economic unemployedduetohis income. memberstoapply
condition. Theindexpatient theirlearningsfrom
hischildren. theircommunity.
Hisbrotherinlawshare
ontheexpenses. Difficultyinmanaging Toencouragethe
financesbecausethereis familytopractice
noregularfinancial efficientbudgeting
support. andsavemoneyfor
emergencyneeds.
Highest Mostofthe Elaboratethe
Education
educational familymembers importanceof
attainmentis includingthe education
Grade4 indexpatientwere especiallyto
notabletofinish theother
theirformal membersof
education. thefamily
Somemembersdo
notgive
importanceto
education.
Theylivenearthe Medicinegivenforfree Totellthemthe
Medical healthcenter. maynotbeappropriate importanceof
inthebarangayhealth checkups
center. especiallywithhis
conditions.
Tomakethem
moreawareofthe
servicesweoffer
intheclinic,
especiallythefree
medicinetheycan
availifnecessary.
FAMILY LIFE
LINE
Year Age Life Event Symptoms
of Severity
1951 Patientwasborn
Patientwasaccidentallyurinatedonhisshortandhefelt
ashamedaboutit
1961 10 His father sold their house because of financial Sad
reasons. Neutral
1967 16 StayinBicolfor6months
WhenhewentbacktoManilaheworkedastaga-igib Neutral
Hestarteddrinkingalcoholandsmoking(10sticks/day)
HehadwarwithVictoriasFather Sad
HehadelopedwithVictoria
1970 19 He worked in Casino Sad
1972 21
Helosthisjobincasino Depressed
howeverhisfatherinlawdeclinedtheproposal.
FirstChildwasborn-Melchor Happy
SecondChildwasborn-Maylene
1978 27 Second Child died Maylene Depressed
LosthisjobatSanMiguel Sad
Hewentbackforbeingconstructionworkerandpainter Happy
wifeandthebrotherofherwife
Heundergonebiopsyinhisheadbutdidnotgetthe
results