INITIAL DATA
BASE (IDB)
L.V.B.
for Family Nursing
Practice
INITIAL DATA BASE ASSESSMENT AREAS
A. Family Structure Characteristics and Dynamics
B. Socio-economic and Cultural Characteristics
C. Home Environment
D. Health Status of Each Family Member
E. Values, Habits, Practices on Health Promotion,
Maintenance and Disease Prevention
A. Family Structure Characteristics and Dynamics
Members of the household and relationship to the head of the family.
Demographic data-age, sex, civil status, position in the family
Place of residence of each member-whether living with the family or
elsewhere
Type of family structure-e.g. patriarchal, matriarchal, nuclear or extended
Dominant family members in terms of decision making especially on matters of
health care
General family relationship/dynamics-presence of any obvious/readily
observable conflict between members; characteristics,
communication/interaction patterns among members.
B. Socio-economic and Cultural Characteristics
Income and expenses
Occupation, place of work and income of each working member
Adequacy to meet basic necessities (food, clothing, shelter)
Who makes decision about money and how it is spent
Educational Attainment of each Member
Ethnic Background and Religious Affiliation
Significant others-role (s) they play in family’s life
Relationship of the family to larger community-nature and extent of
participation of the family in community activities
C. Home Environment
Housing
Adequacy of living space
Sleeping in arrangement
Presence of breathing or resting sites of vector of diseases (e.g. mosquitoes, roaches, flies, rodents, etc.)
Presence of accident hazard
Food storage and cooking facilities
Water supply-source, ownership, pot ability
Toilet facilities-type, ownership, sanitary condition
Garbage/refuse disposal-type, sanitary condition
Drainage System-type, sanitary condition
Kind of Neighborhood, e.g. congested, slum etc.
Social and Health facilities available
Communication and transportation facilities available
D. Health Status of Each Family Member
Medical Nursing history indicating current or past significant illnesses or beliefs
and practices conducive to health and illness
Nutritional assessment (especially for vulnerable or at risk members)
Anthropometric data: measures of nutritional status of children-weight, height, mid-upper
arm circumference; risk assessment measures for obesity : body mass index(BMI=weight in
kgs. divided by height in meters2), waist circumference (WC: greater than 90 cm. in men
and greater than 80 cm. in women), waist hip ration (WHR=waist circumference in
cm. divided by hip circumference in cm. Central obesity: WHR is equal to or greater than
1.0 cm in men and 0.85 in women)
dietary history specifying quality and quantity of food or nutrient per day
Eating/ feeding habits/ practices
Developmental assessment of infant, toddlers and preschoolers- e.g. Metro
Manila DevelopmentalScreening Test (MMDST).
Risk factor assessment indicating presence of major and contributing
modifiable risk factors for specific lifestyle diseases-e.g. hypertension, physical
inactivity, sedentary lifestyle, cigarette/ tobacco smoking, elevated
blood lipids/ cholesterol, obesity, diabetes mellitus, inadequate fiber intake,
stress, alcohol drinking, and other substance abuse.
Physical Assessment indicating presence of illness state/s (diagnosed or
undiagnosed by medical practitioners )
Results of laboratory/diagnostic and other screening procedures supportive of
assessment findings
E. Values, Habits, Practices on Health Promotion,
Maintenance and Disease Prevention
Immunization status of family members
Healthy lifestyle practices. Specify.
Adequacy of:
Rest and sleep
Exercise/activities
Use of protective measure-e.g. adequate footwear in parasite-infested areas; use
of bed nets andprotective clothing in malaria and filariasis endemic areas.
Relaxation and other stress management activities
Use of promotive-preventive health services
