FAMILY-FIELD-VISIT.pptxppppppppppppppppp

Family visit

1. FAMILY FIELD VISIT ROLL NO : 6 & 11 DEPARTMENT OF COMMUNITY MEDICINE

2. HOUSEHOLD NUMBER : 53 NAME OF HEAD OF FAMILY : BIMAL KARKI TYPE OF FAMILY : NUCLEAR FAMILY RELIGION : HINDU CASTE :CHHETRI FAMILY MEMBERS: 5

3. NAME RELATIONSHIP TO HEAD OF FAMILY AGE/ SEX MARRITAL STATUS LITERACY OCCUPATI0N ADDITION REMARKS BIMAL KC - 47/M MARRIED LITERATE RETIRED ARMY HYPERTENSIE AND DIABETIC PATIENT SINCE 3 YRS KISHNA KC HUSBAND 44/M MARRIED LITERATE HOUSEWIFE SWOSTIKA KC DAUGHTER 24/M - LITERATE STUDENT SANDHYA KC DAUGHTER 18/M - LITERATE STUDENT SAFAL KC SON 15/M - LITERATE STUDENT RESPONDANT KISHNA KC

4. FAMILY INCOME /EXPENDITURE : (52,000+20,000) /100,000 SOURCE OF INCOME : OTHERS- PENSION (52,0000) AND FLAT RENT (20,000) PER CAPITA INCOME :14,400 EXPENDITURE FOOD: MEDICAL: 5,000 / MONTH EDUCATION: 15,000/MONTH DOES INCOME MEET EXPENDITURE : NO NO ANY DEBT IF ANY SAVING PER MONTH : 20,000 TO 30,000 IT IS UTILIZED ON MEDICAL EXPENSE

5. STUDY OF ENVIRONMENT FACTOR HOUSING HOUSE : PUCCA NO OF ROOMS :8 PER CAPITA SPACE: NO ANY PHYSICAL AND SEX CROWDING BUILT UP AREA: FLOOR :PUCCA ROOF: CEMENTED ROOF HEIGHT OF CEILING : VENTILATION :ADEQUATE LIGHTING:ADEQUATE KITCHEN:SEPERATE SMOKE OUT LETS :PRESENT WATER SUPPLY : MUNICIPILITY WATER SUPPLY REFUSE DISPOSAL : MUNICIPALITY BUS

6. EXCRETA DISPOSAL: IN SANITARY LATRINE LIVESTOCK : ABSENT DRAINAGE : NOT PRESENT INSECTS : FLIES -ABSENT MOSQUITOES:PRRSENT BUGS :PRESENT RODENTS : ABSENT IMPRESSION REGARDING THE ENVIRONMENTAL CONDITION -IT WAS HEALTHY ENVIRONAMENT

7. STUDY OF THE UNDER -5 CHILDREN SN NO NAME AGE HEIGHT WEIGHT MIDARM (RIGHT) MID ARM (LEFT) 1 SABIN PANTHI 3 YRS 17 KG

8. CLINICAL ASSESSMENT GENERAL APPEARENCE : NORMAL HAIR : NORMAL FACE: NORMAL EYE: a.CONJUCTIVA:NORMAL LIPS:NORMAL TONGUE:NORMAL TEETH:CARIES(ON UPPER TEETH ) GUMS:NORMAL GLANDS: a.THYROID:NORMAL b.OTHER GLAND:NORMAL SKIN:NORMAL NAIL:NORMAL OEDEMA :ÄBSENT LEGS:NORMAL SKULL:NORMAL CHEST:NORMAL NOTE:ON GENERAL APPEARENCE THE CHILD

9. FOOD STUFF ITEM QUANITY (gm) CALORIES PROTIEN VIT-A IRON VIT-B Ca VIT-C CEREALS RICE & WHEAT 500 &350 2918.5 76.35 PULSE MIX DAL 150 520.5 37.5 MILK MILK 1 L 262.5 35 EGG/MEAT EGG & MEAT 300&1KG 1699 253.9 OIL & FAT OIL (TORI) 133ML 1197 G.L.VEG SPINACH 250 85 10 ROOT & TUBER CARROT & POTATO 100 &200 211 3.9 FRUITS APPLE 600 234 2.8 TOTAL 7127.5

10. TOTAL CONSUMPTION UNIT IN THE FAMILY PROTEIN CONSUMPTION/UNIT/DAY : CALORIE CONSUMPTION/UNIT/DAY :

11. SOCIAL ASPECT OF NUTRITION 1.FOOD ADEQUECY -FAMILY HAVE CULTIVABLE LAND -THEY HAVE GROWN VEGETABLES -NOT SUFFICIENT AS REQUIRED 2.FACILITIES FOR FOOD PUTCHASED : NEAR BY COMMUNITY 3.QUANTITY OF FOOD RICE:8KG/WK VEGETABLE:2 KG/WK OIL:2L/WK DAL:2KG/WK

12. 2.FOOD PREPARATION OR COOKING METHOD a.SHE CLEANS RICE & DAL AFTER PURCHASING b.SHE WASHES RICE & DAL FOR 3 TIMES c.SHE WASHES VEGETABLE BERFORE AND BOTH d.SHE CUTS MEDIUM SIZED VEGETABLE e.SHE COOKS VEGETABLES ON FRY OIL f.ADVISE:DON’T DO OVERCOOKING

13. FOOD STORAGE SHE STORES FOOD GRAINS ON KITCHEN SHE STORE IT IN TIN CAN WITH LIDS SHE STORES SALT IN PLASTIC CONTAINER COMMENT ON STOGARE :WELL STORED FOOD SAFETY SHE KEEPS PREPARED FOOD COVERED SHE WASHES HANDS BEFORE HANDING FOOR STORAGE OF FOOD WAS SAFE

14. AVAILABILITY OF FOOD CREALS :PARTIALY PRODUCED / BOUGHT VEGETABLES:BOUGHT MEAT &EGGS :BOUGHT MILK:BOUGHT a.MILK WAS ADEQUATELY AVAILABLE b.MILK IS AVAILABLE FOR DRINKING TO ALL MEMBERS EATING HABITS : 3 TIMES /DAY

15. KAPSTUDY 1.NAME OF RESPONDANT:KISHNA KARKI 2.RELATIONSHIP TO HEAD OF FAMILY:WIFE 3.ASSESSMENT OF KNOWLEDGE REGARDING CAUSE OF DISEASE: INFECTION & NUTRITION DEFICIENCY 4.ATTITUDE TOWARDS HEALTH a.SHE CONSIDERED HEALTH AS VALUED ASSET b.SHE IS NOT SURE THAT MOST OF THE DISEASE ARE PREVENTABLE c.SHE IS NOT SURE THAT MOST OF THE DISEASE ARE CURABLE d.SHE THINKS INTERVENTION IS REQUIRED FO RECOVERY FROM DISEASE

16. PRACTISES A) PERSONEL HYGIENE BATH:EVERYDAY , NAIL:KEEPS CLEAN WASH HANDS WITH SOAP AND WATER BEFORE TAKING FOOD/COMING FROM TOILET BRUSH TEETH :DAILY IMMUNIZATION SHE CONSIDER IMMUNIZATION IS IMPORTANT FOR PREVENTION OF DISEASES HER FAMILY IS COMPLETELY IMMUNIZED

17. ENVIRONAMENTAL SANITATION SHE COLLECTS DRINKING WATER FROM MUNICIPALITY WATER SUPPLY SHE DISINFECTS DRINKING WATER HER FAMILY USES SANITARY LATRINE CARE DURING ILLNESS DIARRHOEA SHE WITHDRAW FOOD AND WATER DURING DIARRHOEA SHE GIVES MORE WATER DURING DIARRHOEA ICLUDING ORS HER FAMILY WOULD GO TO PRIVATE HOSPITAL FOR MEDICAL RELIEF

18. GUIDELINES FOR SOCIALO-CLINICAL CASE PRESENTATION NAME:BIMAL KC AGE:47 SEX:MALE LOCALITY :KALIKA CHOWK DISTRICT :CHITWAN RELIGION:HINDU TYPE OF FAMILY:NUCLEAR CASTE:CHHETRI ECONOMIC ASPECT OF FAMILY TOTAL INCOME :72,000 PER CAPITA:14400 EXPENDITURE : 1.FOOD:15K/MONTH 2.EDUCATION:10K/MONTH 3.MEDICAL:5K/MONTH DIETARY HABIT:NON-VEG

19. PATIENT DETAIL CHIEF COMPLAINS : 1.FATIGUE 2.SWELLING OF LEG 3.DIFFICULTY IN URINATION HISTORY OF PRESENT ILLNESS : ACCORDING TO PATIENT , HE HAD COMPLAINS OF FATIGUE FOR LAST 1 WEEK , INSIDIOUS AND GRADUAL IN ONSET .HE ALSO HAD A COMPLAIN OF DIFFICULTY IN URINATION AND PASSING THE STOOL FOR LAST 1 WEEK .HE HAD COMPLAIN OF SWELLING OF LEG (BOTH) PITTING EDEMA WITH NO RELEIVING FACTORS.HE HAD COMPLAINS OF INCREASED URINATION WITH INCREASE IN HUNGER AND THIRST FOR 3 WEEK AND DELAY IN HEALING OF WOUND .

20. HISTORY OF PAST ILLNESS OTHER ILLNESS: DIABETES PERSONAL HISTORY: HE WAS EXTREME ALCHOL CONSUMER . BUT HE STOPPED ALCHOL SINCE LAST 2 YEARS FOR HEALTH RECOVERY. LABORATORY: LOW HB LEVEL FASTING GULCOSE (HIGH) HIGH LEVEL OF UREA (SOURCE REPORT OF PATIENT FROM PMH)

21. RESPONDENT HOUSE

22. FIELD VISIT AREA

23. THANK YOU EVERYONE FOR YOUR PRECIOUS TIME