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FAMILY VISIT-COMMED.pptx
- 1. AGARTALAGOVT. MEDICAL COLLEGE Dept.of Community Medicine Clinico-psycho-socio-environmental study PRESENTED BY:- ROLL NO. 53 to 57
- 2. IDENTIFICATION OF THEFAMILY DATES OF VISITS:- IST:-20/07/2022 2ND:-29/07/2022 3RD:-08/08/202 ADDRESS :-Kamalghat,Shantipara PIN-799210 NAME OF HEAD OF THE FAMILY:- Shimul Bhadra RELIGION:- Hindu COMMUNITY:- Bengali CASTE:- SC
- 3. Family composition SL . N O. NAME RELATION WITHHOF AGE SEX MARITAL STATUS EDUCATIO N OCCUP ATION INCOME PER MONTH HEALTH STATUS 1. Shimul Bhadra Self 35 M Married 12th pass News channe l editor Rs 10,000 App. Healthy 2. Aparna Das Bhadra Wife 30 F Married 7th pass House wife Rs 3000 App. Healthy 3. Trinindita Bhadra Daughter 6 F Unmarri ed Nursery Studen t Nil Healthy 4. Rajlakhshmi Bhadra Mother 62 F Widow NIL House maker nil Hyperte nsion
- 4. Type of thefamily: Third generation family
- 5. FAMILY BUDGET TotalMONTHLY FAMILY INCOME : =(10000+3000) Rupees =13000 Rupees Only
- 6. Per Capita IncomeOf the Family Total Number of Family Member= 4 Total Family Income = RS 13000/= So the Per Capita Income is = RS 3250/=
- 7. According to modifiedBG Prasad scale(2021),SINCE THE PER CAPITA INCOME OF THE FAMILY IS RS 3250, THIS FAMILY COMES UNDER THE CATEGORY OF MIDDLE CLASS. MONTHLY PER CAPITA INCOME IN RS SOCIOECONOMIC CLASS 7008 & ABOVE UPPER CLASS 3504-7007 UPPER MIDDLE CLASS 2102-3503 MIDDLE CLASS 1051-2101 LOWER MIDDLE CLASS BELOW 1050 LOWER CLASS
- 8. FAMILY EXPENDITURE CATEGORIES COSTPER MONTH FOODINGS RS 5500 MEDICINE RS 100 EDUCATION RS 500 MAINTENANCE RS 3000 FUEL RS 1500(petrol for bike) ELECTRICITY RS 300 LPG RS 650 (RS 1300 in 2 months-1 cylinder) PUJA RS 300 TOTAL RS 11850
- 9. FINANCIAL STATUS Incomeis Rs 13,000 Expenditure is Rs 11,850 So the financial status of the family is balanced
- 10. GENERAL HEALTH STATUSOF THE FAMILY NAME BUILT PULSE RATE BP WEIGHT (KG) HEIGHT (CM) SIGNS OF NUTRITIONAL DEFICIENCY SYSTEMIC EXAMINATION REMARKS Shimul Bhadra Avg. indian built 67 124/86 47kg 154 cm No signs found No abnormal ity found healthy Aparna Das Bhadra Avg. indian built 70 100/70 38kg 145 cm No signs found No abnormal ity found healthy Trinidita Bhadra Avg. indian built 71 122/82 13kg 85 cm No signs found No abnormal ity found healthy Rajlaxmi Bhadra Avg. indian built 82 148/90 40kg 142 cm No signs found No abnormal ity found healthy
- 11. MEDICAL PROFILE CHIEFCOMPLAINTS: No apparent problem HISTORY OF PRESENT ILLNESS: None HISTORY OF PAST ILLNESS: In 2020 shimul had a wrist fracture FAMILY HISTORY: Father had Tb and died due to it PERSONAL HISTORY: Shimul Bhadra has no addiction,his mother and wife eat paan supari.
- 12. ANTHROPOMETRY SL. NO. NAME HEIGHT(CM) WEIGHT(KG)BMI (WT IN kg/HT IN m^2) REMARKS (1) Shimul Bhadra 154 47 19.81 Normal (2) Aparna Das Bhadra 145 38 18.07 Underweigh t (3) Trinindita Bhadra 85 13 15.31 Underweigh t (4) Rajlaxmi Bhadra 142 40 19.83 Normal
- 13. VITAL EVENTS THEREIS NO VITAL EVENT LIKE BIRTH,DEATH,MARRIAGE,DIVORCE,ADOPTIO N THAT HAS OCCURRED IN 2022
- 14. HEALTH SEEKING BEHAVIOUROF THE FAMILY Usually from the nearby public healthcare facility ( Subcentre or Mohanpur CHC ) for common illness. Sometimes from tertiary health care institute i.e AGMC & GBPH. Availability of public health facilator nearby : ASHA & GNM.
- 15. ENVIRONMENTAL SANITATION HOUSING Location:Plain area Accessibility from road: Accessible,200m from road Setback: Adequate Courtyard: Adequate Dampness: Slight Artificial Ventilation: Present Type of house: Pakka(two living rooms) & Kaccha(one living room & kitchen).
- 16. OVER CROWDING TOTALFLOOR SPACE:243 sq. ft PER CAPITA FLOOR SPACE: 60.75 sq. ft(min. req. is 50sq feet) NO. OF PERSON SLEEPING IN EACH ROOM: ROOM 2: 3 persons ROOM 1: 0 persons ROOM 3: 1 persons PERSON OVERCROWDING: absent SPACE OVERCROWDING: absent SEX OVERCROWDING: absent
- 17. CUBIC SPACE HEIGHTOF ROOF: 10 ft. CUBIC SPACE: 2436.75 cubic ft. PER CAPITA CUBIC SPACE:609.18 cubic ft. CUBIC SPACE IS ADEQUATE.
- 18. NATURAL VENTILATION:- Presentin all the rooms. Total areas of the windows- Living room 1 had 18.8 sq feet for 2 windows and 17.7 sq feet for door Living room 2 had 9.4 sq feet for window and 17.7 sq feet for door Living room 3 had 18.8 sq feet for windows and 40 sq feet for 2 doors Total area of the doors = 53.1 sq feet Cross-ventilation is present in Room 1 and 3.
- 19. Natural lighting Ona bright sunny day(29/07/2022) with -All artificial lights off -All doors,windows and curtains opened and -Standing in the middle of the rooms I was able to read a newspaper placed at a distance of 25 cm from my eyes with proper optical correction and without any strain.
- 20. KITCHEN IT ISSEPARATE FROM THE LIVING ROOM. FUEL USED: LPG + wood WASHING FACILITY: Water from tubewell STORAGE AND FOOD: Cooked food in covered utensils,uncooked food on racks SMOKE OUTLET: Absent DRAINAGE: No drainage present
- 21. WATER SUPPLY SOURCE:From shallow tubewell LOCATION: Behind kitchen APPROX. DISTANCE: : Approx. 2 metres STORAGE: In buckets MODE OF MAKING POTABLE: Cemented filter
- 22. BATHROOM PERMANENT PRIVACY:Maintained DRAINAGE: No permanent drainage structure ; waste water is drained by ,manmade sloping behind it.
- 23. SOLID WASTE DISPOSAL COLLECTION: Plastic buckets & polythene packets. SEGREGATION: No FREQUENCY OF REMOVAL: Once in 1-2 days FINAL DISPOSAL METHODS: Dump in manmade bare hole 3m behind the house.
- 24. EXCRETA DISPOSAL SANITARYLATRINE IS PRESENT. WATER FACILITY FOR TOILET: Tubewell water is collected and stored in buckets. DISTANCE FROM WATER SOURCE: About 8 m away
- 25. CROSS-SECTIONAL SKETCH OFTHE HOUSE
- 26. DOMESTIC PETS ANDANIMALS They have domesticated cows and ducks. Cows have their own shed. Ducks have duck pan. No. of cows = 3 cows No. of ducks = 4 ducks Adequate space is provided to each animal in their shelters.
- 27. PSYCHO-SOCIAL ENVIORNMENT INTRAFAMILY RELATIONSHIP = GOOD INTER-FAMILY RELATIONSHIP = GOOD RELATIONSHIP WITH THE NEIGHBOURS = GOOD PARTICIPATION IN SOCIAL GATHERINGS = ACTIVE PARTICIPATION
- 28.
- 29. INDEX CASE UNDERFIVE IS ABSENT PREGNANT WOMAN IS ABSENT LACTATING MOTHER IS ABSENT CHRONIC DISEASE SUFFERER IS PRESENT ELIGIBLE COUPLE IS PRESENT
- 30.
- 31. CALORIC CONSUMPTION UNITOF THE FAMILY Serial No Name of Family Member Age Sex Type of Activity Consumpti on Unit (1) Shimul Bhadra 35 Years Male Moderate 1.2 (2) Aparna Das Bhadra 30 Years Female Moderate 0.9 (3) Trinindita Bhadra 6 Years Female Sedentary 0.6 (4) Rajlaxmi Bhadra 62 Years Female Sedentary 0.8
- 32. TOTAL CONSUMPTION UNIT=3.5 Total calorie requirement of the family = ( Total Consumption Unit × 2320 ) Kcal/Day =( 3.5 × 2320 ) Kcal/Day = 8120 Kcal/Day
- 33. TOTAL PROTEIN REQUIREMENTOF THE FAMILY Total Protein Requirement Of the Family = ( 47 + 38 + 13 + 40 ) gm/day = 138 gm/day
- 34. TOTAL CALORIE ANDPROTEIN CONTENT OF THE FOOD CONSUMED BY THE FAMILY MEMBERS IN LAST 24 HRS FOOD ITEM QUANTITY (gm) ENERGY(Kcal) PROTEIN(gm) RICE 1500 5190 112.5 DAL 150 500 25.65 POTATO 100 97 1.6 ONION 100 0.6 nil BRINJAL 200 50 2 DRY FISH 30 33.6 5.91 COOKING OIL 100 ml 900 nil
- 35. CONTD…. FOOD ITEM QUANTITY(gm)ENERGY(Kcal) PROTEIN(gm) TEA 6 cups(900 ml) 474 5.4 BISCUIT 94 372.12 6.72 COW MILK 800 536 25.6 TOTAL 8153.32 185.38
- 36. DIETARY INTAKE OFTHE FAMILY PROTEIN REQUIREMENT= 138 gm/day ENERGY REQUIREMENT= 8120 Kcal/Day THEREFORE,CALORIE INTAKE OF THE FAMILY IS 8153.32 Kcal/day THE PROTEIN INTAKE OF THE FAMILY IS 185.38 gm
- 37. Dietary intake ofthe family Therefore the calorie intake of the family is- EXCESS (BY 33.32Kcal) Therefore the protein intake is-EXCESS (BY 47.38 gm)
- 38.
- 39. FACTORS AFFECTING THEHEALTH OF THE FAMILY UNDERWEIGHT IMPROPER DRAINAGE SYSTEM IMPROPER VENTILATION
- 40.