PROBLEM IDENTIFICATION

PRIORITY RANK 1 3 Presence of Coughs and Colds as a Health Deficit Poor Home/Environment Condition/Sanitation: Presence of Breeding Sites for Insects and Rodents as a Health Threat 3 Unhealthy Lifestyle and Personal Habits or Practices: Poor Personal Hygiene 3 Unhealthy lifestyle and personal habits: Walking Barefooted as a Health Threat 5 Inadequate Family Resource: Family size beyond what family resources can adequately provide 7.5 Poor Home/Environment Condition/Sanitation: Lack of Food Storage Facilities as a Health Threat 7.5 Poor Home/Environment Condition/Sanitation: Poor Lighting as a Health Threat 7.5 Presence of Accident Hazards: Fall Hazards as a Health Threat 7.5 Presence of Accident Hazards: Fire Hazards as a Health Threat 10 Poor Home/Environment Condition/Sanitation: Improper Garbage Disposal 2 2.84 2.84 2.84 2.84 3.34 3.84 3.84 4.00 3.84 PROBLEM SCORE

PROBLEM # 1 TITLE: Presence of Coughs and Colds as a Health Deficit

CRITERIA COMPUTATION SCORE JUSTIFICATION

Nature of the Problem Wellness State (3) Health Deficit (3) Health Threat (2) Foreseeable Crisis (1) 1 The nature of the problem is considered to be a health deficit because Baby Daphne Duck and Baby colds. Modifiability of the Problem Easily Modifiable (2) Partially Modifiable (1) Not Modifiable (0) 1 The Duck Familys has problem an easily regarding colds Louie Duck had nasal discharges and have cough and

modifiability status as reflected by the following criteria below.

Current knowledge, technology, and interventions to manage the problem Resources of the Family Resources of the Nurse Resources of the Community

Current Knowledge, Interventions and Technology The early family has no to current prevent to other knowledge on the importance of its treatment of spreading infection

members and that it may progress to much serious illness. Resources of the Family Although the family does not have enough money to buy medicine to treat colds, and do not often go to the health center for consultation, they utilize water therapy as a home remedy.

Resources of the Nurse The student nurses knowledge and initiative will enable the student nurses to provide health education for the family on how to minimize if not to eradicate their problem regarding coughs and colds. The student nurses emphasized and encouraged the clients SO to increase the clients fluid intake, adequate rest periods and intake of Vitamin C rich foods. Resources of the Community The Barangay Health Center is open Preventive Potential High PP (3) Moderate PP (2) Low PP (1) 1 The problem has Moderate Preventive Potential since only two of the factors affecting the problems PP increases it. Gravity or Severity of the Problem Duration f the Problem Current Management Exposue of any high risk group Duration of the Problem The only. Current Management problem has already been existing for a short period of time Gravity/Severity of the Problem The problem is considered to be not that severe since only two members are affected. for check-ups and consultation.

The

family

is

aware

of

the

importance of early treatment of the problem. Mothe Daisy Duck bring her children to the health center when they have colds for consultation and check-ups. Exposure of High Risk Group All the family members are the high- risk group because they all live in the same house. Salience A condition/problem needing immediate attention (2) A condition/problem not needing immediate attention (1) Not perceived as a condition/problem needing change (0) TOTAL SCORE: 4 1 The family recognizes it as a serious problem and needs immediate action because of high risk of spreading infection and the condition may progress to much serious illness.

PROBLEM # 3 TITLE: Poor Home/Environment Condition/Sanitation: Presence of Breeding Sites for Insects and Rodents as a Health Threat
CRITERIA COMPUTATION SCORE JUSTIFICATION

Nature of the Problem Wellness State (3) Health Deficit (3) Health Threat (2) Foreseeable Crisis (1) 0.67 The problem is considered to be a Health Threat since with the presence of vectors of diseases like mosquitoes, cockroaches and rats, there are more risks for the family to acquire diseases that these vectors carry like Malaria, Dengue, and Leptospirosis. The family lives near a stream of water which may become a site for vectors such as mosquitoes and flies and rodents such as rats may breed.

Modifiability of the Problem Easily Modifiable (2) Partially Modifiable (1) Not Modifiable (0) 2 The problem is Easily Modifiable because all of the factors needed to modify/alleviate/eradicate the problem are present. Current Knowledge, Interventions and Technology The family has knowledge about the problem since they are already used to the situation and there are the presence of rodents and insects. The family is cleaning the environment, however not all area are maintained clean.

Current knowledge, technology, and interventions to manage the problem Resources of the Family Resources of the Nurse Resources of the

Community Resources of the Family The resources of the family are present since they could always minimize nets, exposure any to these of breeding sites by using mosquito blocking passage rodents, and maintaining

cleanliness inside the house. Resources of the Nurse The student nurses can provide health teachings to The assist ways the about the importance of maintaining a clean environment vectors can also of multiplying. determining eradicate prevent diseases student the on various from nurses in to how

family

possible

breeding

sites of vectors. Resources of the Community At some time of the year, the local government performs fumigation to prevent the growth and reproduction of mosquitoes. Also, the community has a Tapat Ko, Linis Ko campaign. Preventive Potential High PP (3) Moderate PP (2) Low PP (1) 0.67 The problem has Moderate Preventive Potential since only two of the factors affecting the problems PP increases it.

Gravity or Severity of the Problem Duration of the Problem Current Management Exposue of any high ris group

Gravity/Severity of the The sanitation Dengue Problem problem will regarding predispose the the

occurrence of diseases such as Hemorrhagic Fever, Typhoid Fever, and Leptospirosis. The problem may be considered only mildly sever since the family had no history of any vectorrelated illnesses. Duration of the Problem The problem exists for a long period breeding of time sites of already. vectors The of

diseases have always been there since the family started to reside within the community. Current Management The family has knowledge about the problem since they are already used to the situation and there are presence of rodents and insects. The family is cleaning not the all environment, however

areas are maintained clean. Exposure of High Risk Group All members of the family are exposed to these areas since they all use the toilet facility near the stream, also, the house is directly

near the stream.

Salience A condition/problem needing immediate attention (2) A condition/problem not needing immediate attention (1) Not perceived as a condition/problem needing change (0) TOTAL SCORE: 3.84 0.5 The family perceives the problem but considers it not needing immediate attention and they already became used with their situation.

PROBLEM # 3 TITLE: Unhealthy Lifestyle and Personal Habits or Practices: Poor Personal Hygiene
CRITERIA COMPUTATION SCORE JUSTIFICATION

Nature of the Problem Wellness State (3) Health Deficit (3) Health Threat (2) Foreseeable Crisis (1) 0.67 The problem is considered as a Health Threat because the problem may precipitate other to more occur complicated problems

such as possibility of acquiring infections from lack of personal hygiene. Most of the family members assessed by the student nurses showed obvious signs of poor personal unkempt fingernails, cerumen hair, and hygiene such long and presence as of dirty

Modifiability of the Problem Easily Modifiable (2) Partially Modifiable (1) Not Modifiable (0) 2 The problem is Easily Modifiable because all of the factors needed to modify/alleviate/eradicate the problem are present. Current Knowledge, Interventions and Technology The knowledge of the family is present because they know that bathing, brushing of the teeth, combing of hair, and trimming removing of of fingernails, good hygiene.

Current knowledge, technology, and interventions to manage the problem Resources of the Family Resources of the Nurse Resources of the Community

cerumen is necessary to maintain

Resources of the Family The resources of the family are present since there are toiletries such as soaps, toothbrushes, toothpastes, shampoos, and combs available for the family to use. Resources of the Nurse The student nurses can provide health hygiene teachings as a about part of the the importance of maintaining personal maintenance of general health. Resources of the Community The Barangay Health Center promotes the maintenance of good personal hygiene.

Preventive Potential High PP (3) Moderate PP (2) Low PP (1) 0.67 The of problem the factors has Moderate the Preventive Potential since only two affecting problems PP increases it. Gravity or Severity of the Problem Duration of the Problem Current Management Exposue of any high risk group Gravity/Severity of the Problem The problem may be considered severe since poor personal hygiene has already cause the teeth of some family members to decay already. Duration of the Problem The children have been practicing

poor personal hygiene for a long period of time already, again as evidenced by the presence of dental caries and tooth decay. Current Management The mother encourages her children to take their bath, brush their teeth, comb their hair, and trim their fingernails. Exposure of High Risk Group The younger children are at risk in acquiring infections. Salience A condition/problem needing immediate attention (2) A condition/problem not needing immediate attention (1) Not perceived as a condition/problem needing change (0) TOTAL SCORE: 3.84 0.5 It is not felt as a major problem as evidenced by considering this as normal, but Mother Tweety Bird still encourages her children to perform hygiene measures. illness like possible

PROBLEM # 3 TITLE: : Unhealthy lifestyle and personal habits: Walking Barefooted as a Health Threat
CRITERIA COMPUTATION SCORE JUSTIFICATION

Nature of the Problem Wellness State (3) Health Deficit (3) Health Threat (2) Foreseeable Crisis (1) 0.67 Walking barefooted is considered a health threat to the family because walking around while barefoot may lead to illnesses such a parasitism. In addition, it can cause injury if a member of the family steps in something sharp or hazardous. Modifiability of the Problem Easily Modifiable (2) Partially Modifiable (1) Not Modifiable (0) 2 Current Knowledge, Interventions and Technology Current knowledge, technology, and interventions to manage the problem Resources of the Family Resources of the Nurse Resources of the Community The problem is easily modifiable because the family is aware that the threat. Resources of the Family The family has slippers that each member can wear. However, at times the members dont wear them. Resources of the Nurse The student nurse provides health teachings about the possible outcomes of walking barefooted such as acquiring diseases such as children are walking barefooted, which pose as a health The problem is easily modifiable because the all factors needed to modify the problem are present.

parasitism. Resources of the Community The community also has its own health center for proper management of diseases such as parasitism. Preventive Potential High PP (3) Moderate PP (2) Low PP (1) 0.67 Gravity/Severity of the Gravity or Severity of the Problem Duration of the Problem Current Management Exposue of any high risk group Duration of the Problem The problem existed before the student nurses conduction of the survey. Current Management The family constantly reiterates the proper usage of slippers to younger members. Exposure of High Risk Group There is exposure of high risk groups which include all of the children. Salience A condition/problem needing immediate attention (2) The family recognizes this problem, but for them, it does not require immediate intervention or Problem The problem is not yet severe since no harm was recalled with the kids not using slippers. The problem has a moderate preventive potential because

A condition/problem not needing immediate attention (1) 0.5

attention.

Not perceived as a condition/problem needing change (0)

TOTAL SCORE:

3.84

PROBLEM # 5 TITLE: Inadequate Family Resource: Family size beyond what family resources can adequately provide
CRITERIA COMPUTATION SCORE JUSTIFICATION

Nature of the Problem Wellness State (3) Health Deficit (3) Health Threat (2) Foreseeable Crisis (1) 0.67 The problem is a health threat for the family because family having resources inadequate

includes low income or financial problems. In this condition, the family may not be able to provide enough needs especially physiologic needs like food. This may result to nutritional problems such as malnutrition.

Modifiability of the Problem Easily Modifiable (2) Partially Modifiable (1) Not Modifiable (0) 1 The problem is Partially Modifiable because only some of the factors needed modify/alleviate/eradicate problem are present. Current knowledge, technology, and interventions to manage the problem Resources of the Family Resources of the Nurse Resources of the Community Current Knowledge, Interventions and Technology The family has current knowledge of the problem, as Mother Daisy Duck was able to verbalized this problem during the interview when the student nurses asked her of what are their problems in their house: Mahirap talaga ang buhaylalu na lumalaki na ang mga bata, to the

lumalaki din ang gastusin (Life is really hard especially the children are growing already and so the expenses too are growing) as stated by Mother Daisy Duck. Resources of the Family Familys physical and manpower resources are not enough to correct the problem. Father Donald Ducks income is not enough to suffice their needs. Resources of the Nurse The student nurses can help pinpoint some tips how they can minimize their electric and water consumption and enumerate some foods that are nutritious yet affordable. Resources of the Community Community Resources are not available, since if the community would manage the family problem, they also have to help the other families problem which and have the the said communitys

budget is not enough to respond on this problem. Preventive Potential High PP (3) Moderate PP (2) Low PP (1) 0.67 The of problem the factors has Moderate the Preventive Potential since only two affecting problems PP increases it.

Gravity or Severity of the Problem Duration of the Problem Current Management Exposue of any high risk group

Gravity/Severity Problem

of

the

The family's monthly income is really small and would not suffice their needs and if to compare with the NEDA prescribed share amount of money that each of the family members must have it is really far behind. NEDA- P2, 768. 60 Duck FamilyP7,600.00

(P7,600.00/8= P950.00/individual) Duration of the Problem The problem existed for years now, since Father Donald Duck is the only one working for the family as maintenance personnel. Current Management The much family as has they current try to management on the problem as possible conserve electricity and water. Exposure of High Risk Group All of the family members with emphasis on the children are the risk group of the problem as they have all their basic need that must be sufficed. Salience A condition/problem The family sees this as a problem,

needing immediate attention (2) A condition/problem not needing immediate attention (1) Not perceived as a condition/problem needing change (0) TOTAL SCORE: 3.34 1

which

is

for

them,

needs

an

immediate action AEB when the Student Nurses did their interview Mother Daisy Duck was able to verbalize their financial problem.

PROBLEM # 7.5 TITLE: Poor Home/Environment Condition/Sanitation: Lack of Food Storage Facilities as a Health Threat
CRITERIA COMPUTATION SCORE JUSTIFICATION

Nature of the Problem Wellness State (3) Health Deficit (3) Health Threat (2) Foreseeable Crisis (1) 0.67 The problem is considered as a Health Threat because lack of food storage facilities may cause food spoilage, thus causing diarrhea, stomachache, vomiting, of may diseases enter and thus such rodents, the as and food oftentimes, causing flies, ants and

dehydration. Also, various vectors cockroaches,

contaminate the food with dirt or various bacteria or protozoa. This may cause more severe problems such as gastroenteritis, amoebiasis, giardiasis, and other similar conditions. Modifiability of the Problem Easily Modifiable (2) Partially Modifiable (1) Not Modifiable (0) 1 The problem is Partially Modifiable because only three of the factors needed to modify/alleviate/eradicate the problem are present. Current knowledge, technology, and interventions to manage the problem Resources of the Family Current Knowledge, Interventions and Technology The family is not aware of the complications that can be caused by improper food storage.

Resources of the Nurse Resources of the Community

However, the student nurses can impart the knowledge they know to help manage the problem. The student nurses can advice Mother Daisy Duck to keep the containers clean and have them properly sealed so as to avoid entry of various vectors of diseases. Resources of the Family The family lacks resources of food storage constraints. Resources of the Nurse The student nurses can impart health storage teachings of food about and proper proper due to financial

sanitation of the utensils that are used for cooking. They can also teach Mother Daisy Duck regarding the prevention of food spoilage and ways to determine whether food is already spoiled or contaminated. Resources of the Community There are resources in the community that can provide the family the knowledge about proper storage of food and food handling. Barangay center if nutrition the scholars has are any available for service at the health family questions regarding proper food handling or preparation.

Preventive Potential High PP (3) Moderate PP (2) Low PP (1) 0.67 The problem has Moderate Preventive Potential since only two of the factors affecting the problems PP increases it. Gravity or Severity of the Problem Duration of the Problem Current Management Exposue of any high risk group Gravity/Severity of the Problem The problem is not severe because there were no illness acquired by the family which is related to lack of food storage and facilities. cases of Stomachaches

diarrhea were reported but were not necessarily caused by lack of food storage facilities. Duration of the Problem This problem exists for a long period of time already. Current Management The family lacks knowledge and management uses the on the proper they storage of food. The family simply casserole where cooked the food to serve as food storage facility. Exposure of High Risk Group The family is at high and diseases risk of acquiring illness such as diarrhea, stomachaches, digestive-related other and

disorders.

Salience A condition/problem needing immediate attention (2) A condition/problem not needing immediate attention (1) Not perceived as a condition/problem needing change (0) TOTAL SCORE: 2.84 0.5 The problem is felt by the family as a problem not needing immediate attention. However, Mother Daisy Duck still verbalized that this may be a problem both due to possible complications to health, as well as wastage of money from spoiled food, though it is not yet causing any health problem.

PROBLEM # 7.5 TITLE: Poor Home/Environment Condition/Sanitation: Poor Lighting as a Health Threat CRITERIA Nature of the Problem Wellness State (3) Health Deficit (3) Health Threat (2) Foreseeable Crisis (1) 0.67 This problem is considered as health threat because poor lighting facility can cause visual problem especially when reading and also accidents are most likely to occur if there are no light in the house. Modifiability of the Problem Easily Modifiable (2) Partially Modifiable (1) Not Modifiable (0) 1 The problem is Partially Modifiable because only some of the factors needed modify/alleviate/eradicate problem are present. Current knowledge, technology, and interventions to manage the problem Resources of the Family Resources of the Nurse Resources of the Community Resources of the Family The family is knowledgeable about what interventions should they do about the problem but because of lack of family resources especially financial resources the problem still It is Current Knowledge, Interventions and Technology partially nurses, modifiable primarily they since about if health teachings are available from student implications could have to the COMPUTATI ON SCOR E JUSTIFICATION

there is poor lighting in the house.

occurs. Resources of the Nurse The student nurses can inform the family on the interventions they can perform. Resources of the Community The community has low insight about the occurring problem. Preventive Potential High PP (3) Moderate PP (2) Low PP (1) 0.67 The of problem the factors has Moderate the Preventive Potential since only two affecting problems PP increases it. Gravity or Severity of the Problem Duration of the Problem Current Management Exposue of any high risk group since there as has Gravity/Severity of the Problem The problem is not that severe were to no accidents poor brought reported lighting whether

already

problems to the family members. Duration of the Problem The problem approximately exists for a long time according to Mommy Tweety Bird. Current Management The family does not have any current management on the problem as they were already used to their situation.

Exposure of High Risk Group All of the family members are exposed to this problem since all of them live on the same house. Salience A condition/problem needing immediate attention (2) A condition/problem not needing immediate attention (1) Not perceived as a condition/problem needing change (0) TOTAL SCORE: 2.84 0.5 The family recognizes the problem but does not think that it needs immediate attention. The family is use to it and also the family thinks that there are more important things rather than focusing in this problem.

PROBLEM # 7.5 TITLE: Presence of Accident Hazards: Fall Hazards as a Health Threat
CRITERIA COMPUTATION SCORE JUSTIFICATION

Nature of the Problem Wellness State (3) Health Deficit (3) Health Threat (2) Foreseeable Crisis (1) 0.67 The problem is categorized as a health threat. The problem can be dangerous to anyone especially with the children who tend to run around and sometimes play there. They can slip and fall from it. Modifiability of the Problem Easily Modifiable (2) Partially Modifiable (1) Not Modifiable (0) 1 The problem is Partially Modifiable because only some of the factors needed modify/alleviate/eradicate problem are present. Current knowledge, technology, and interventions to manage the problem Resources of the Family Resources of the Nurse Resources of the Community The Current Knowledge, Interventions and Technology The family lacks some knowledge on the current situation in their home setting. Resources of the Family family has manpower and physical aspects that can prevent injuries from houses setting. Resources of the Nurse The student nurses can provide health teachings about the safety measures that the family could these hazards by fixing them and organizing the to the

apply. They can also educate the family about possible hazards that may occur to the ignorance of the problem. Resources of the Community There are no available resources in the community. Preventive Potential High PP (3) Moderate PP (2) Low PP (1) 0.67 The of problem the factors has Moderate the Preventive Potential since only two affecting problems PP increases it. Gravity or Severity of the Problem Duration of the Problem Current Management Exposue of any high risk group Gravity/Severity of the Problem The problem is not that severe because even though any one from the family is at high risk still, of no acquiring an accident,

injury has been reported yet. Duration of the Problem The problem existed before the group conducted the study. Current Management The family has no management for the existing problem. Exposure of High Risk Group The whole family is at risk of the problem but the children are more prone to accidents because they are in the age when they spend

their time playing regardless of the environment thus being at risk of accident or injury. Salience A condition/problem needing immediate attention (2) A condition/problem not needing immediate attention (1) Not perceived as a condition/problem needing change (0) TOTAL SCORE: 2.84 0.5 The family recognizes does it not as a problem but need

immediate action since they do not perceive it as a serious threat.

PROBLEM # 7.5 TITLE: Presence of Accident Hazards: Fire Hazards as a Health Threat
CRITERIA COMPUTATION SCORE JUSTIFICATION

Nature of the Problem Wellness State (3) Health Deficit (3) Health Threat (2) Foreseeable Crisis (1) 0.67 Accident hazards are health threat to the family; on the Looney Tunes familys case because their kitchen is made of mostly combustible materials fatality to prevented. Fire hazards were seen when the student nurses inspected the cooking area of the family. It was seen that the gas tank was placed near a wooden stove. Modifiability of the Problem Easily Modifiable (2) Partially Modifiable (1) Not Modifiable (0) 1 The problem is Partially Modifiable because only some of the factors needed modify/alleviate/eradicate problem are present. Current knowledge, technology, and interventions to manage the problem Resources of the Family Resources of the Nurse Resources of the Community Current Knowledge, Interventions and Technology The family is not aware of the problem and what the problem can cause to them. Resources of the Family The familys financial resources will not be able to suffice the expenses to the and the this can if cause not family

needed to fix the problem, since they are already experiencing financial shortage for their daily needs. However, the family has the manpower to fix the cooking area so as to minimize the risk of starting a fire. Resources of the Nurse The student nurses could inform the family about the existence of the problem and cite some possible consequences that may arise brought about by fire hazards. Resources of the Community There are no available community resources. Preventive Potential High PP (3) Moderate PP (2) Low PP (1) 0.67 The of problem the factors has Moderate the Preventive Potential since only two affecting problems PP increases it. Gravity or Severity of the Problem Duration of the Problem Current Management Exposue of any high risk group Gravity/Severity of the Problem The problem is considered not yet severe as observed by the student nurses because it can be preventable by proper guidance to the family especially the children not to play fire. Duration of the Problem The problem approximately exists

for a long time (since when they transferred to that house). Current Management The family does not have any current management to the problem due to lack of financial resources and lack of knowledge regarding the problem. Exposure of High Risk Group All of the family members are exposed to the problem, since all of them resides on that house. Salience A condition/problem needing immediate attention (2) A condition/problem not needing immediate attention (1) Not perceived as a condition/problem needing change (0) TOTAL SCORE: 2.84 0.5 Prior to the student nurses conduct their interventions, the family sees it as a problem which according to Mommy Tweety Bird but needing an immediate attention.

PROBLEM # 10 TITLE: Poor Home/Environment Condition/Sanitation: Improper Garbage Disposal

CRITERIA COMPUTATION SCORE JUSTIFICATION

Nature of the Problem Wellness State (3) Health Deficit (3) Health Threat (2) Foreseeable Crisis (1) 0.67 Improper garbage disposal is a health threat to the family as it predisposes a good breeding ground for vectors of disease such as rodents and insects which could bring about diseases such as leptospirosis, dengue and the like. Modifiability of the Problem Easily Modifiable (2) Partially Modifiable (1) Not Modifiable (0) 1 The problem is Easily Modifiable because all of the factors needed to modify/alleviate/eradicate the problem are present. Current Knowledge, Interventions and Technology There is no current knowledge of the problem in the family. Resources of the Family The family has physical resources such as brooms and broomstick, Mother Daisy Duck also has the capability to clean their house and environment. Resources of the Nurse The student nurses could give the

Current knowledge, technology, and interventions to manage the problem Resources of the Family Resources of the Nurse Resources of the Community

family health teachings regarding proper garbage disposal such as segregating biodegradable biodegradable. Resources of the Community The barangay has a garbage truck which collects the garbage of the barangay. their and trash to non-

Preventive Potential High PP (3) Moderate PP (2) Low PP (1) 0.33 The problem has Low Preventive Potential since only one of the factors affecting the problems PP increases it. Gravity or Severity of the Problem Duration of the Problem Current Management Exposue of any high risk group The Gravity/Severity of the Problem problem is severe as evidenced by the observations of the student nurse on the familys dirty kitchen wherein their trash are scattered despite the fact that they are used to store their food articles at that place. Duration of the Problem The problem approximately exists for a long time according to Mother Daisy Duck Current Management The family does not have any current management on the problem as they just let the trash

scattered on their dirty kitchen. Exposure of High Risk Group All of the family members are exposed to this problem since all of them live on the same house. Salience A condition/problem needing immediate attention (2) A condition/problem not needing immediate attention (1) Not perceived as a condition/problem needing change (0) TOTAL SCORE: 2 0 Prior to the student nurses do their interventions, the family does not see this as a problem at all.