.

Computation Actual Score Justification

1. Nature of the 2/3 x 1 2/3 Family size beyond what family can adequately provide as a
Problem Health Threat.
1. Inability to make decisions with respect to taking
appropriate health actions due to lack of knowledge as to
alternative courses of action open to the family.

2. Modifiability 1/2 x 2 1 The problem can be partially modified since the client knows
of the Problem some ways on how to reduce the increasing size of the family
but not utilizing it.

3. Preventive 3/3 x 1 1 The possibility of increasing family size is reduced: the

Potential available family resources can be utilized to encourage growth
promoting experience for members.

4. Salience 2/2 x 1 1 The family perceives it as a problem needing immediate

attention.

TOTAL SCORE 3.7

Criteria Computation Actual Score Justification

1. Nature of the 2/3 x 1 2/3 Inadequate living space as a Health Threat.
Problem 1. Inability to provide a home environment conducive to
health maintenance and personal development due to
inadequate family resources, specifically financial constraints.

2. Modifiability 0/2 x 2 0 The problem can be lowly modified because the family has
of the Problem difficulty of proving themselves a bigger place to live.

3.Preventive 3/3 x 1 1 By increasing the living space, it will reduce the transferability
Potential of communicable diseases; provide privacy for members, and
bigger space to allow free movements.

4. Salience 0/2 x 1 0 The family doesn't see this as a problem as long as they have
shelter.

TOTAL SCORE 1.6

Criteria Computation Actual Score Justification

1. Nature of the 2/3 x 1 2/3 Poor Lighting and Ventilation as a Health Threat.
Problem 1. Inability to provide home environment conducive to
health maintenance due to limited financial resources.
2. Failure to utilize community resources for health care
due to inaccessibility of required service due to location of
facility.

2. Modifiability 1/2 x 2 1 The problem can be partially modified because family can
of the Problem ask for possible assistance from the community resources.

3. Preventive 3/3 x 1 1 By increasing the lighting and ventilation, family will

Potential experience better home conducive for individual comfort and
growth.

4. Salience 1/2 x 1 1/2 The family perceives it as a problem not needing immediate
attention.
 TOTAL SCORE
3.16

Criteria Computation Actual Score Justification

1. Nature of the 2/3 x 1 2/3 Inadequate food Intake both in quality and quantity as a
Problem Health Threat.
1. Inability to provide home environment conducive to
health maintenance due to limited financial resources.
2. Failure to utilize community resources for health care
due to inadequate knowledge of the available programs of the
government that aids assistance.

2. Modifiability 1/2 x 2 1 Problem is partially modifiable because family can use the
of the Problem resources from the community and from the family itself
(income).

3. Preventive 2/3 x 1 2/3 If the quality and quantity of food is increased, there will be
Potential lesser risk of malnutrition that can lead to other problems.

4. Salience 2/2 x 1 1 Family views this as a problem that needs immediate action.
TOTAL SCORE
3.3

Criteria Computation Actual Score Justification

1. Nature of the 2/3 x 1 2/3 Toddlers walking barefooted as a Health Threat.
Problem 1. Inability to recognize the presence of the condition or
problem due to inadequate knowledge.
2. Inability to provide home environment conducive to
health maintenance due to inadequate knowledge.

2. Modifiability 1/2 x 2 1 Problem is partially modifiable because if adequate

of the Problem knowledge from the health personnel is given, it can lead the
family to be aware of the existing problem which in turn will
take immediate action.

3. Preventive 3/3 x 1 1 If the family is given adequate knowledge, there will be lesser
Potential risks for the toddlers to acquire diseases from the outside
environment without self protection.

4. Salience 0/2 x 1 0 The family does not view this as a problem.

TOTAL SCORE
2.7

Criteria Computation Actual Score Justification

1. Nature of the 2/3 x 1 2/3 Inadequate immunization status as a Health Threat.
Problem 1. Inability to make decisions with respect to taking
appropriate health action due to inadequate knowledge/
insight as to alternative courses of action open to them.
2. Failure to utilize community resources for health care
due to inaccessibility of required service due to inadequate
knowledge.

2. Modifiability 1/2 x 2 1 The problem is partially modifiable upon the consideration of

of the Problem the following criteria:
-Family manpower resources are available; the family can
go to the Barangay Health Center to avail those vaccines.
Community resources are available; the Barangay Health
Center offers the EPI program of the Department of Health
(DOH).

3. Preventive 1/3 x 1 1/3 The problem has a low preventive potential as reflected on the
Potential following reasons:
-Many of the family members are affected by the problem.
-The family does not have any management on this
problem since their awareness to this problem is not evident.

4. Salience 1/2 x 1 1/2 The family knows that this is a problem but perceives to have
no need of immediate action.
TOTAL SCORE
2.5

Criteria Computation Actual Score Justification

1. Nature of the 2/3 x 1 2/3 Poor Home Sanitation – unsanitary toilet facilities as a
Problem Health Threat.
1. Inability to recognize the presence of the condition or
problem due to inadequate knowledge.
2. Inability to make decisions with respect to taking
appropriate health action due to low salience of the problem.
3. Inability to provide home environment conducive to
health maintenance due to low salience of problem.

2. Modifiability 2/2 x 2 2 The problem is easily modifiable if adequate knowledge

of the Problem from the health personnel is given. This can lead the family to
be aware of the existing problem which in turn will make
3. Preventive 2/2 x 1 1 immediate action.
Potential

4. Salience 0/2 x 1 0
TOTAL SCORE
3.6
 IMPROPER HYGIENE

Actual
Criteria Computation Justification
Score

Nature of the 2/3 x 1= 0.6 S: “Mangaon lage mi usahay nga way hugasay. Diretso na. labi na
Problem ng bata kay magdula-dula tas mukaon ra diretso di manghugas.

O: The child of Mrs. L is eating without washing his hands first

and even his parents when we had our visit at noon. The finger
and toenails of the child are untrimmed with dirt under the nails.
The child is playing on muddy area under the house. Picking
finger foods such as cup cakes without washing hands. Often
times, the child plays with the chicken & dirt under their house.
When their 4 month old baby void on its blanket they do not
thoroughly wash the blanket.

I: The problem is a health threat in which the family can possibly

acquire diseases which could be transmitted by unwashed hands
and contact with dirt, which could alter and hinder their
performance of the activities of daily living.

O: It is easily modifiable in which the student nurse can teach and

instruct the family to perform hygienic practices such as
handwashing before consumption of meals and bathing at least
once a day.

O: It is highly preventable by the implementation o preventive

measures which are easy to perform, thereby minimizing the
occurrence of the disease and spread of infection.

Modifiability of 2/2 x 2= 2 O: The family is aware of the problem existing in their home.
the Problem However, they do not carry out the practices and knowledge about
hygiene measures and they aren’t aware of what danger it brings
them due to having poor hygiene practices.

Preventive 3/3 x 1= 1
Potential

Salience ½x1 0.5

4.1

IMPROPER FOOD HANDLING

Criteria Computation Actual Justification

 Score

Nature of the 2/3 x 1= 0.6 S: “Pasensya kayo mo ha. Gubot kaayo nang among kusina.
Problem Wala raba nay hugas among mga kinan-an dinha kay gi-una pa
naku ang paglaba.” As verbalized by Mrs. L.

O: During one of our home visits done by our group, while

they prepare their food for lunch they just leave their food
unattended expose to the flies. The family kitchen has
unwashed plates, unorganized placements of utensils, their
kitchen utensils are expose to insects and rodents. Their cooked
foods are being place on the table covered by a basin, which
they also used for washing of dishes.

I: It is a health threat; improper handling of food can lead to

gastro-intestinal problems.

O: The problem can be easily modified by letting the family

know how to utilize the available resources inside the house to
be used in handling the food and also emphasizing to them the
proper food handling before and after cooking through
imparting of health teaching.

O: If the problem is highly preventable, then the occurrence of

Modifiability of 2/2 x 2= 2 gastro-intestinal diseases such as diarrhea and parasitism can be
the Problem diminished.

O: The family is not aware of the problem.

Preventive 3/3 x 1= 1
Potential

Salience 0/2 X 1= 0_
3.6

FALL HAZARDS

Actual
Criteria Computation Justification
Score
Nature of the 2/3 x 1= 0.6 O: The deep well is approximately 2 meters from the house with
Problem the diameter of the hole approximately 1 meter and it is at the
level of the ground. The deep well has a depth of hole with 6 feet
and being used by the family without a cover.

I: It is health threat that requires immediate intervention to

eliminate the possible injury to the number of the family that can
alter to his/her functioning to the family.

O: It is easily modifiable in which the student can educate and

advice the family to utilize the available resources present in
their surroundings. Educating the family to made a fence around
the well to guard the hole of the well and protect the safety of
every family member.
Modifiability of 2/2 x 2= 2 O: The possibility of fall hazards is highly preventable through
the Problem the implementation of the interventions given by the student
nurse.
O: The family perceives it as a non-
threatening situation.

Preventive 3/3 x 1= 1
Potential

Salience ½x1 0
3.6

IMPROPER GARBAGE DISPOSAL

Actual
Criteria Computation Justification
Score

Nature of the 2/3 x 1= 0.6 S: “Ginasunog ra man namo among basura. Kapoyan naman gud
Problem mi mag kalot ug yuta ug maglubong ug basura. Ginatapok ra
namo sa kilid among basura dayon ginasunog na namo.” As
verbalized by Mrs. L.

O: The family throws their garbage to where they are about to

burn it. They do not segregate the biodegradable from non-
biodegradable wastes. They burn all garbage they throw.

I: The problem is a health threat. Improper disposing of wastes

and garbage can lead to the increased occurrence of
communicable diseases.

O: The problem can be easily modified through the utilization

and proper use of resources available in their place and backed
up by stressing of the importance of proper waste disposal by
teaching and facilitating them to segregate biodegradable from
non-biodegradable garbage; emphasize to the family not to do
Modifiability of 2/2 x 2= 2 burning because it might cause harm to their health & the
the Problem environment

O: If the problem can be controlled, the occurrence of

communicable diseases such as gastroenteritis or diarrhea and
parasitism can somehow be prevented by putting proper waste
disposal into practice

O: The family perceives the problem as a non-threatening

situation and they are not aware of the consequences of having
improper waste disposal
Preventive 3/3 x 1= 1
Potential

Salience ½x1 0
3.6

INADEQUATE IMMUNIZATION STATUS OF A CHILD

Actual
Criteria Computation Justification
Score

Nature of the 2/3 x 1= 0.6 S: “Si J1 dili kumpleto ang iyang bakuna kay wala man gud mi
Problem nakabalik sa petsa na dapat pabalikon mi. Pero akoang
 kamanghuran (J2) kumpleto iyang bakuna.”

O: Child J1 has not completed his immunization; he missed DPT

and Hepa B vaccines. While Child J2 has completed his
immunization for his age.

I: It is a health threat. Incomplete immunization during the

prescribed age of children can increase the risk of diseases due to
lack of immunity

O: The problem is partially modifiable by means of motivating

the family manipulate available resources in the community such
as fruits and vegetables, by planting and growing them, and
serving them to the children can serve as prevention of weakening
Modifiability of 1/2 x 2= 1 the immune system. Encourage the family to protect the immune
the Problem system by eating foods high in nutrients

O: If the problem is not controlled, the occurrence of

communicable diseases can weaken the immune system of the
child as well as altering the normal function of body cells. Advise
the parents to go to the health center and ask for proper
intervention with regards to the immunization of the child.

O: The family is aware of the problem and they are willing to use
alternatives to promote and strengthen their children’s immunity.
Preventive 2/3 x 1= 0.6
Potential

Salience 2/2 x 1 1
3.2

LOW INCOME

Actual
Criteria Computation Justification
Score

Nature of the 2/3 x 1= 0.6 S: “Ang akong bana ra man ang nangita
Problem sa amoa. Nagtrabaho siya sa ‘X’
bakeshop. Messenger ra intawon ang
trabaho niya didto. Kulang ra gyud
tawon sa amoa iyang suweldo. Sayo sa
 buntag mulakaw nana siya, unya pagka
ala-sais sa gabii na muuli. Usahay,
magabi-an nana siya. Hinuon, pag
domingo, day-off niya.” as verbalized by
Mrs. L.

O: The family as we observed has many

expenses and need to be met, they are the
one who pays the electric bill
consumption of their parents as their
neighborhood.

I: It is health threat problems having a

low income and having a lot of expenses
to spend. It can affect the ability of the
family to meet the needs of individual
members of the family.

Modifiability of 1/2 x 2= 1 O: The problem is partially modifiable

the Problem since the family had limited resources by
alternatives. But though some new health
teachings and instructing the family to
utilize is resources that is available and
suggesting to establish a small livelihood
or ways that could augment their
monetary aspect. Such as advising to
plant vegetable and sell it to their
neighbors and to their supermarket

Preventive 2/3 x 1= 0.6 O: If the resources and suggested

Potential alternatives is applied somehow it can
help and reduce the occurrence of health
problems such as malnutrition.

Salience 2/2x 1= 1 O: The family is aware of their problem,

3.2 that it needs an immediate intervention
and they are willing to acquire solution
to solve it.

PRESENCE OF INSECTS AND RODENTS

Actual
Criteria Computation Justification
Score

Nature of the 2/3 x 1= 0.6 S: Nah! Daghan gyud diria ng mga

Problem langaw, ok-ok, ug ilaga. Naa ganiy
pukyutan nagpuyo sa among atop,
daghan kaayo. Pero naanad naman pud
mi. pasagdan nalang namo.” As
verbalized by Mrs. L.

O: Their house is very open and the

insects and rodents can easily get into the
house

I: The problem is a health threat in

 which the presence of rodents and insect
increase the rate of possible onset of
disease with in the family because
insects and rodents are known vectors of
disease.

Modifiability of 1/2 x 2= 1 O: The problem is partially modifiable

the Problem since rodents and insects cannot be easily
controlled and it freely moves in and out
on their house. Through health teachings
such as always clean their house and
provide cover to keep the cleanliness of
the food.

Preventive 2/3 x 1= 0.6 O: If the planned intervention are

Potential carefully implemented and practice
somehow the problem can be reduced to
controllable situation and prevent further
development of communicable disease

Salience ½x1 0.5 O: The family is aware of the existing

2.7 problem. But they do not give attention
to it because they think its normal to
have it in their surroundings.

ABSENCE OF PERSONAL TOILET FACILITY

Actual
Criteria Computation Justification
Score

Nature of the 2/3 x 1= 0.6 S: “Wala man miy kaugalingon na

Problem kasilyas. Makigamit rami sa kasilyas sa
akong ugangan dinha sa luyo. Wala pa
man gyud miy kwarta ikapahimo.” As
verbalized by Mrs. L.

O: The family shares the available toilet

with their relatives

I: The problem is a health threat, since

sharing with the toilet facility increases
the risk of acquiring communicable
disease that could affect the health status
of every member within the family.
Modifiability of 1/2 x 2= 1 O: The problem is partially modifiable
the Problem due to the limited resources of the family
that can be used especially on the
monetary aspects.

Preventive 1/3 x 1= 0.3 O: If the problem is not solved, there’s a

Potential great possibility of acquiring
communicable disease such as
parasitism, diarrhea and schistosomiasis.

Salience 0/2 x 1 0 O: The family perceives the problem as

1.9 not a big deal, that there’s no problem of
sharing toilet facilities with other family.
The Society we live are still in AGRICULTURAL. We have community whose economy is based on producing and
maintaining crops and farmland. cultivating the land is the primary source of wealth. Such a society may
acknowledge other means of livelihood and work habits but stresses the importance of agriculture and farming.
Most citizens still live in rural areas and support themselves through agriculture. Farming creates opportunities to
lift people out of poverty in developing nations. Also we are Industrial society because our society driven by the use
of technology and machinery to enable mass production, supporting a large population with a high capacity for
division of labour. ... We use external energy sources, such as fossil fuels, to increase the rate and scale of
production. Peoples are going to cities to make more money. And those who are wealthy are starting to investing to
technology. The workers who did not have wealth cannot live in the cities, so they work in factory to earn more
money. Today we continue to live and use many machines that helps us to grow in prosper. Knowing the past
allows to understand present and improve the future.