FATHER SATURNINO URIOS UNIVERSITY

San Francisco St. Butuan City 8600, Region XIII Caraga, Philippines

Nursing Program

INDIVIDUAL FAMILY CASE

STUDY PRESENTATION

Community Health Nursing Purok 4 Barangay Salvacion,

Butuan City

November 13, 14, 15, 20, 21, 22, 2023

Held at Father Saturnino Urios University, at 8:00 a.m.

Student nurse

Delarmente, Angel Mariel G.

Level 2 Clinical rotation Group 22

Ms. Leslie Alice L. Reyes, RN

Clinical Instructor

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 INTRODUCTION
Conducting home visits in remote areas, specifically Purok 4, Barangay Salvacion, Butuan City,
is essential for community health services. These visits aim to immerse individuals in various
households, collecting valuable information about each family's health and lifestyle background.
This data serves as the basis for identifying health issues and designing targeted interventions to
promote well-being and prevent diseases.

Home visits play an important role in meeting the nursing care and health counseling needs of
individuals, families, and the entire community. By visiting homes, a meaningful connection
between the nurse and the family can be established, allowing for the assessment of living
conditions and the provision of necessary nursing care and health-related activities. This
approach is particularly valuable for families facing socioeconomic constraints, as it enables the
delivery of holistic and high-quality care to those with limited access to healthcare services due
to financial limitations.

One of the households that we were immersed with consists of 5 people living together in a
Wooden House. Composed of Great-grandparents living together with their two great-
grandchildren. During this phase, the family primarily relies on the available resources in their
surroundings to sustain themselves economically and fulfill their dietary needs.

In this family case study, the selected family will be identified as Mr. F and Mrs. C, and Family
C, to ensure client privacy and maintain confidentiality. Despite their old age, the head of the
household, identified as the father, continues to work as a carpenter for their source of income.
Additionally, Family M demonstrates contentedness with their living conditions, accepting
whatever resources they possess or can afford, even if occasionally falling short in terms of
quality and quantity. Due to their situation and advancing age, this family is vulnerable to health
risks and potential dangers, providing the rationale for selecting them for the case study.

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 ABOUT BARANGAY SALVACION

Barangay salvacion map

Salvacion is a barangay in the city of Butuan. Its population as determined by the 2020 Census
was 1,501. This represented 0.40% of the total population of Butuan City. The barangay was
ratified on November 5, 1989, under the PD no. 557 as legal basis of the Barangay’s creation.
(Source: Barangay Salvacion’s Barangay Hall)

Salvacion is situated at approximately 8.8798, 125.5835, in the island of Mindanao. Elevation at

these coordinates is estimated at 21.8 meters or 71.5 feet above mean sea level. It is located on
the Southern part of Butuan City, bounded on the south by the mountain ranges of barangay Don
Francisco on the west side. It is 15 kilometers away from the City Hall and the mode of
transportation in this barangay is by single motor, bus and habal-habal. It is bounded on the
North by Barangay Tagabaca, on the East of Barangay Camayahan and on the West is Barangay
Aupagan and on the South is Barangay Don Francisco.(Source: PhilAtlas.com/Mindanao).

Barangay Salvacion Symbol and Heraldic Meaning

Farmer: Represents the majority of

the residents of Barangay Salvacion

Mountains: Depicts that Barangay

Salvacion is surrounded by Valleys
and Mountains

Bird: Symbolizes that their Barangay

is peaceful and orderly as envisioned
by its residents

Tree: Signifies the reserved tree for

protection in their Barangay

Hands: Signifies the support of the

farmers for the Barangay and spirit of
unity. (Source: Barangay

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 Barangay Salvacion’s Vision and Mission

Vision:

A God fearing and peace loving community, equipped with sufficient, infrastructure facilities in
an economically stable, sustainability greening forest and united leadership by empowered
citizenry.

Mission:

The Barangay Government of Salvacion in the attainment of its vision shall serve through the
principle of “Leadership by Example” in a way of strengthening Barangay Governance such as
Promotion of Health and Sanitation. (Source: Barangay Savacion’s Barangay Hall).

HISTORY OF BARANGAY SALVACION

According to local lore, the origin of the name comes from when Leyteño farmers
Eduardo Hinonangan, Salvador Napuli, and Florino Blanco pioneered the area. Salvador Napuli,
in particular, is credited with naming the land area that occupied the mother barangay Aupagan.
Through his efforts and affection for the farmers, he registered the sitio under his name. This
brought about a change from Salvador to Salvacion, which is now the current name of the sitio-
turned-barangay.

In 1948, subsequent to the conclusion of World War II, Israel Martinez was elected as the
First Lieutenant of the barangay, as documented in the records. He was accompanied by six
council members. The election was conducted during the plenary Barrio Assembly meeting,
which took place prior to the Senate Bill 372. The populace had already established their
appointed leaders, commonly referred to as barrio lieutenants or tenientes-del-barrio.

The following individuals were elected as barrio lieutenants after a series of successful
years: Efren Martinez, Fermina Eballe, Felomina Sastue, Salvador Napuli, Furtunato Diolas, and
Lorenzo Valencia.

The political leadership of Lorenzo Valencia, during the aforementioned period, focused
on the improvement of infrastructure facilities and socio-economic development. This included
the acquisition of land for the construction of a primary school, a church, and farm -to-market
roads, among other initiatives.

The Barrio Fiesta was commemorated in 1957 to pay honor to the patron saint, Senior
San Vicente Ferrer, with local residents. On November 5, 1989, the city Mayor Guillermo
Sanchez granted approval for the renaming of sitio Salvacion to Barangay. This decision was
made due to its previous status as a subunit of Aupagan, the mother barangay

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 MACRO SPOT MAP
(From FSUU College Building to Barangay Salvacion)
Macro spot maps help us to visualize the location of each case’s residence or exposure using dots
or other symbols. A spot map is helpful for displaying the geographic distribution of cases so that
infection or exposure sources can be found.

To identity:

• Client housing areas

• Potential transportation barriers (such as a neighborhood with little or no accessible bus
lines)
• To target and track prime outreach sites

The journey begins from FSUU to Brgy. Salvacion. A 13 kilometer road only requires 22 minutes
in a motorcycle or private vehicle. In Tiniwisan, there is a passenger terminal from which you
can take a motorcycle to get to Brgy. Salvacion. the streets leading to Brgy. Salvacion is firmly
established, making commuting, and traveling simple and secure.

The journey begins from FSUU to Brgy. Salvacion. A 13-kilometer road only requires 22
minutes in a motorcycle or private vehicle. In Tiniwisan, there is a passenger terminal from
which you can take a motorcycle to get to Brgy. Salvacion. the streets leading to Brgy. Salvacion
is firmly established, making commuting and traveling simple and secure

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 MICROMAPPING
The Group 22,24,25 Nursing Students were assigned to Brgy. Salvacion, specifically in Purok 4,
with the purpose of engaging and empowering the families residing there. In the initial
assessment, the Group 22,24,25 Nursing Students identified a total of 43 households in Purok 3.
The primary objective was to conduct micro-mapping to locate the chosen Family Case
Household, which happened to be household number 33. This was crucial in determining the
precise location of the family and gathering relevant information for the family case study.

Purok 4 is known for its abundance of farmlands, primarily used for cultivating rice fields and
maintaining vegetable gardens. The presence of a water pump deep well ensures a steady water
supply for the community. Some of the houses in Purok 4 also operate small stores, contributing
to the local economy.

To facilitate the activities and ensure the smooth functioning of the area, the Barangay Tanod
(village security personnel) was assigned to oversee the place. They play a vital role in
maintaining order and providing assistance whenever necessary. And for a visual representation
of the area, please refer to the image provided below. This image offers valuable insight into the
layout and features of Purok 3, enabling everyone to acquire knowledge about the specific
location of the chosen family and fostering a better understanding of the community for the
purpose of the family case study.

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 INITIAL DATABASE

A. FAMILY STRUCTURE AND CHARACTERISTICS

1. Member of the household and relationship to the head of the family

FAMILY BIRTH DATE AGE SEX POSITION REMARKS

MEMBER
Mr. F December 23, 1958 64 M Head of the family Living with wife
(Great Grandfather)
Mrs. S January 7, 1961 62 F Housewife (Great Living with
Grandmother) husband
Mrs. Rn June 10, 1977 46 F Daughter Living
independently
Mrs. Rd December 19, 1996 26 F Granddaughter Living
independently
Ms. K October 1, 2011 12 F Eldest Great Living with great-
granddaughter grandparents
Ms. J October 9, 2013 10 F Middle Great Living with great
granddaughter grandparents
Mr. J Aug 3, 2021 2 M Youngest Great Living with great-
grandson grandparents

2. Place of residence of each member

Mr. F and Mrs. S are currently living in Purok 4, Brgy Salvacion Butuan City. Mrs. Rn, their
daughter is residing in Isabel, Leyte. Whereas, Mrs Rd, their granddaughter is in Taguig, Manila.
Ms. K si residing in Isabel, Leyte also, Their remaining great-grandchildren, Ms. J and Mr. J, are
currently residing with them at Purok 4, Brgy. Salvacion, Butuan City. Their house is made up of
half wood and bamboo.
3. Type of family structure.
The D’s Family is a type of extended family which consists of 5 people living together.
Composed of Great-grandparents living together with their two great-grandchildren.
4. Dominant Family Members in Terms of Decision-Making Pertaining in Health
Matters
Even though Mrs. R is a barangay health worker, she is also the one deciding for the family
regarding health matters. One instance is when Mr. F had abdominal pain and Mrs. R decided to
go for a check-up for Mr. F. The decision making in terms of Health Matters is Matriarchal.
5. General Family Relationship
Appropriate interaction between all the members of the family. Good communication with each
other and address each other’s needs. Gives each member a sense of belonging. Shares a feeling
of togetherness such as having quality time.
B. SOCIO-ECONOMIC AND CULTURAL FACTORS
1. Income and Expenses

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 a. Occupation, Place of Work, and Income of each Family Member

Family Member Occupation Place of Work Income

Mr. F Carpenter Depends on the area ₱3,000/Monthly
assigned
Mrs. R Barangay Health Brgy. Salvacion ₱650/Monthly
Worker Health Center
b. Adequacy to Meet Basic Needs

Quantity (Food) Item Unit price Total

½ sako Rice ₱ 40 ₱ 1200
½ kilo Fish ₱180 ₱180
½ kilo Oil ₱ 25 ₱ 25
5 pcs/week Eggs ₱ 20 ₱ 100
3 pcs/week Garlic ₱7 ₱ 14
10 cans Mega 555 ₱ 27 ₱ 270
1-3 sachet/week Coffee ₱ 10 ₱ 30
Quantity (Hygiene)
3 sachets/week Shampoo ₱8 ₱ 24
1 sachets/week Powder Detergent ₱ 12 ₱ 24
(Surf)
1 pack/month Silka ₱ 18 ₱ 18
1 pack/month Safeguard ₱ 35 ₱ 35
1sachet/month Colgate ₱ 70 ₱ 70
Quantity (Others)
1 month Electricity 250 250
Monthly total 874
c. Who makes decisions about money spending?
Mr. F is the one deciding financially, such as what food and other necessities should be
bought. The decision about money spending is Patriarchal.
2. Educational Attainment of Each Member
Family Member Educational Attainment School Year
Mr. F Elementary graduate Santos Hill Elementary School 1971
Mrs. R Grade 2 only Antongalon Elementary School 1969
Mrs. A Elementary graduate Tagabaca Elementary School 1990
Mrs. B Elementary graduate Salvacion Elementary School 2009
Ms. K Ongoing Grade 5 Dona Josefa Elementary School 2023
Ms. J Ongoing Grade 4

3. Ethnic Background and Religious Affiliation

The family are Seventh-day Adventist Church and irregularly active members of the religion
since the church is distant from the family’s residence, as mentioned by the family.

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 4. Relationship of Family to the Community
The family has good relationship with the community such as having appropriate communication
and interaction with them.
C. ENVIRONMENT FACTORS
1. Housing
a. Adequacy of Living space

b. Sleeping arrangements

c. Adequacy of Furniture

The family house comprises a veranda, two bedrooms, a kitchen area, and a comfort room. The
family is conscious of the adequacy of their furniture and expresses growing concern about the
deterioration of their living space. The walls are made of wood, and the floor is constructed from
bamboo. The family owns several pieces of furniture, including wooden chairs, a dining table
with wooden chairs, and two other wooden table and chair sets on the terrace. Additionally, they
possess an old television as part of their household appliances.

d. Presence of Insects and Rodents

The house has a presence of mosquitoes and flies at times, according to Mrs. R. The family has
taken a preventive measure to address this by using mosquito coils to protect themselves from
mosquito bites.

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 e. Food storage and Cooking Facilities
The family's lack of a refrigerator indicates their financial limitations and suggests that they may
be facing difficulties in meeting their basic needs. The family's lack of a refrigerator indicates
that they are unable to store perishable food items for an extended period. As a result, the family
must prepare only the amount of food they can consume in a single meal, likely to prevent food
spoilage and waste. Despite the absence of a refrigerator, the family has access to essential
cooking utilities such as knives and pans, suggesting that they can prepare meals with the
resources available to them.
f. Water supply
The family lack of their own water source indicates a significant challenge in accessing clean
water conveniently. The family uses two water pumps, one for their daily needs such as bathing
located at the front of their house and one for drinking which is a few distance from their home.
This implies that they must endure the physical strain of carrying a pale of water back to their
home, which can be burdensome and time-consuming. The family reliance on external water
sources and the efforts they undertake to meet their water needs underscore the challenges they
face in ensuring necessities in their daily lives.
g. Toilet facility
The family owned a toilet facility constructed with woods located at the back of their house with
a pour-type toilet and in good condition with the septic tank. The reliance on water from a
communal pump at the front of their house. The use of the woods as a building material indicates
the simplicity and affordability of the structure. This reliance on a communal water source
suggests limited access to running water within their own household.
h. Garbage and Refuse Disposal
“Naa mi basura diha sa atubangan sa balay mga 4 naka lahi pero panalagsa mga dahon among
sunogon sa likod”, as stated by Mrs. S when asked about their managing their waste. But based
from my observation, I’ve seen a lot of empty bottles, broken bottle, and other sharp objects
scattered at the back of their house. “Gina butang ra namo ang mga uban butilya diha kay basin
magamitan ra namo” as respond by Mrs. S as I asked her why there are bottles everywhere. The
family’s garbage and refuse disposal practices suggest a lack of awareness and concern for the
environment impacts of their actions. By burning their trash instead of properly disposing of it,
they are contributing to air pollution and potentially harming their health and the health of their
community. On the other hand, scattered empty bottles, broken bottles and other sharp objects
increases the risk of accident. They have “sako” bags, however, they cannot segregate garbages
properly

i. Drainage system
“Ang sa pang drain sa among kusina kay mao ng taas na hose sa gawas padulong sa suba”, as
verbalized by Mrs. S. The inadequate drainage system in the family's house may lead to
problems such as flooding and water damage, as water cannot be properly drained and may
accumulate in unwanted areas. This situation highlights the need for proper sanitation and waste
management systems to ensure the health and safety of both the family and the surrounding
community.

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 2. Kind of neighborhood

“Inig mo gawas ko or mop alit sa mga tindahan mag chika chika ra mi ginagmay”. As verbalized
by Mrs. S. The nearest houses from their residence are only a few steps away and therefore the
neighborhood is close but not too crowded. It is considered an uncongested neighborhood, a non-
populated area. The family gets along well with the other families in the neighborhood seeing as
they tend to gather in one house to chat or eat snacks.

3. Social and Health Facilities Available

“Sa tambal para sa ubo na ako gi palit para sa ako anak kay gikan man diha sa health center.” As
verbalized by Mrs. S. Barangay Health Center is also available in barangay Salvacion. They have
enough facilities to accommodate, diagnose and treat diseases. However, there is no nearby
hospital in the community. The closest hospital from their barangay is Butuan Medical Center
which is 10.4 kilometers away.
4. Communication and Transportation available

To get to Barangay Salvacion, the most common mode of transportation is by taking a bus ride or
“habal-habal” which takes around 45-60 minutes. The family own their own transportation, 1
motorbike. The motorbike always used by Mr. F, to go work. “Panalgsa manakayan gyud mi kay
maoy gamiton sa akong bana pag naa syay trabaho” as verbalized by Mrs. S.

D. HEALTH ASSESSMENT OF EACH MEMBER

1. Medical and Nursing History of Past Significant Illness and Whom to Approach in
Time of Illness?
The family has recently been experiencing a cough. So, Mrs. S bought medicine for the cough. In
case any of the family members get sick, they rely on home remedies, such as hilot, and herbal
medicine for treatment. Mr. F had a past medical history of stomach ulcers which were left
untreated until the last home visits due to insufficient budget. Nutritional Assessment
a. Anthropometric Data

Family Member Weight Height BMI Interpretation

Mrs. F 52 kg 154 cm 21.9 kg/m2 Normal
Mrs. R 64 kg 152 cm 27.7 kg/m2 Overweight
Ms. J 28 kg 131 cm 16.3 kg/m2 Underweight
Mr. J 11kg 86 cm 14.9 kg/m2 Underweight

b. Dietary History
The family members have good appetites, but Mr. F doesn’t tolerate stir fried recipes. They
usually eat ‘Law-uy’ or vegetable soup, fish and buyad three to four times a week. However,
there are days when they only eat two meals per day instead of three, and Mr. F and Mrs. R only
have hot coffee for breakfast. Mrs. S prepares most of their meals.
c. Eating Feeding Habits
The family washes their hands before eating since Mr. F also uses his hands to eat. They usually
eat vegetables or fish and rice as their meal, for vegetables are accessible from their garden and

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fish are sold in peddles. Cooking 4 cups of rice per meal suggests that the family has a large
appetite and relies heavily on rice as a source of sustenance. The family eats together at one
table. They discard food by putting it in the sink.
2. Current Health Status in Indicating the Presence of Illness
The family has been recently experiencing a cough. Mr. F has an untreated stomach ulcer. Mrs. R
is showing signs of being overweight.

VALUE PLACED ON THE PREVENTION OF DISEASE

1. Immunization Status of Children
Ms. D and Mr. E are fully immunized with BCG, Hepa B, Penta, OPV, PCV, and MCV
2. Use of proper preventive services
The family’s use of preventive services such as mosquito coils shows that aware of the health
risks posed by mosquitos and take measures to protect themselves. The family’s tendency to seek
medical attention only when someone is severely ill suggests that they may not be prioritizing
preventative care. It is important for the family to have regular check-ups to monitor their health
and prevent the development of serious illnesses.

GENOGRAM

FAMILY DEVELOPMENTAL TASKS

The Family Developmental Theory focus on the way couples and family members
navigate different roles and developmental responsibilities within their marriage and family, as
they progress through each stage of the life cycle. This theory provides a comprehensive
examination of how families develop and grow over time.

Duvall’s (1977) family developmental framework suggests that families progress through
a sequence of eight stages over time, wherein each stage involves successfully accomplishing

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specific tasks. These stages include Married couple without children; Childbearing families with
the oldest child aged between birth and 30 months; Families with preschool children; families
with school-age children; Families with adolescents; Launching families (when the first to lost
child leaves home); Middle-aged families (from the “empty/spacious nest” to retirement);, and
Aging families.

The term “family” refers to a social unit that consists of at least one set of parents and
their offspring. According to research by Mattessich and Hill (1987), families are structured and
directed by social norms.

Based on the data, the households were assessed and classified as extended, which
consists of a husband and wife, and their two great-grandchildren. Mr. F and Mrs. S are currently
living in Purok 4, Brgy Salvacion Butuan City. Mrs. Rn, their daughter is residing in Isabel,
Leyte. Whereas, Mrs Rd, their granddaughter is in Taguig, Manila. Ms. K si residing in Isabel,
Leyte also, Their remaining great-grandchildren, Ms. J and Mr. J, are currently residing with
them at Purok 4, Brgy. Salvacion, Butuan City. From the assessment, we have concluded the
family to be in the eighth stage of Duvall’s Family Developmental Theory, the Aging Families
stage.

Family Developmental Theory

Stage Age Family tasks Observations Justification

Families (9,12) During this period, the Mrs. S become Involvement in
with chool- key responsibility is to more active in children’s education
Age accommodate and their children’s helps to promote
Children adapt to the changing education by academic achievement
requirements and helping them and cognitive growth. It
activities of school-age with homework, also emphasizes the
children. Families attending school significance of family
must encourage their functions, and learning
children's education, speaking with
social growth, and instructors.
independence while Children are
providing a secure and frequently
supportive home immersed in
environment. organized
learning
situations.

Industry vs. 6-12 years The family is critical Ms. C and Ms. Active participation in
Inferiority old in offering support and D learning tasks fosters

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 encouragement to (granddaughters) cognitive and social
children as they actively growth. Children gain
develop confidence in participates in new information and
their talents and a learning tasks abilities that will help
good self-concept. such as them succeed in the
academics, future.
hobbies, and
other skill
development
activities.

FAMILY COPING INDEX

The family coping index comes under the non-physical assessment of the family nursing process.
This is the scale, that helps the individual to assess the need for nursing care for the particular
family

1 – No Competence 3 – Moderate Competence 5 – Competence

Area Score Justification

Physical Independence 1 3 5 The members are all able to move without
assistance and difficulty such as dressing,
grooming, toileting, bathing, and mobility.
Therapeutic Independence 1 3 5 The parents are aware of what to do for the
care of their children if a member feels ill.
However, the parents can manage their medical
care independently such as drinking herbal.
Knowledge of Health 1 3 5 The mother is knowledgeable on health issues
Condition on their great-grandchildren but unable to apply
on themselves.
Application of the Principles 1 3 5 Lack of preventive measures such as adequate
of General Hygiene footwear.
Health Attitude 1 3 5 The family knows about their illness but is
unable to have follow-up check-up as they are
aged and the nearest hospital is not accessible
due to the distance of the location
Emotional Competence 1 3 5 The family is competent enough emotionally.
They see stress just like any other family does.
The mother take responsibility for their children
moreover to their youngest great-grandson
Family Living 1 3 5 There is a high concern within the family. In
terms of decision making, since Mr. F is always

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 at work. Mrs. S dominates in terms of family
budget the parents discussed it.
Physical Environmenet 1 3 5 Presence of accident hazard such as broken
bottles and sharp objects.
Use of Community Resources 1 3 5 The family may face financial constraints while
seeking assistance in times of health crisis.

LIST OF FAMILY HEALTH NURSING PROGRAM

Identified Problem Score Date Identified

Stomach ulcer 4.5 November 14, 2023
Cough 4.67 November 14, 2023
Obesity 3.17 November 14, 2023
Inadequate Living Space 3.34 November 14, 2023
Presence of resting sights of mosquitos 4 November 14, 2023
Improper clothing storage 2.97 November 14, 2023
Improper disposal of broken objects and 4.5 November 15, 2023
empty bottles.
Lack of food storage 2.84 November 15, 2023
Possible pollutes water supply 3.97 November 15, 2023
Improper drainage system 3.17 November 15, 2023

PRIORITIZATION OF THE PROBLEM

Identified Problem Score Ranking

Malnutrition 4.5 1st
Improper disposal of broken objects and 4.5 1st
empty bottles.
Stomach Ulcer 4.5 1st
Cough 4.34 2nd

Problem: Cough

Criteria Computation Justification

It is a health deficit that can lead to
discomfort, sleep disturbances, and
Nature of the Problem:
2/3 x 1 = .67 fatigue, affecting the affected
Health Deficit
individuals' daily functioning and
quality of life.
Modifiability of the Problem: With the right nursing intervention,
2/2 x 2 =2
Easy modifiable the client can be relieved of the

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 symptoms felt with the condition.
Regular medication can effectively
Preventive Potential:
2/3 x 1 = 0.67 prevent coughing episodes and reduce
Moderate
the severity of respiratory illnesses.
The client understands it is a threat to
his well-being and is eager to listen to
Salience of the Problem 2/2 x 1 = 1
the knowledge given by the student
nurse.
Total 4.34

Problem: Stomach ulcer

Criteria Computation Justification

3/3 x 1 = 1 It is a health deficit because it is
associated with chronic pain, digestive
Nature of the Problem:
discomfort, and can lead to
Health Deficit
complications such as bleeding or
perforation if not managed properly.
2/2 x 2 = 2 With the right nursing care and
Modifiability of the Problem: intervention the client's signs and
Easy Modifiable symptoms can be lessened and relieve
of the client's pain.
3/3 x 1 =1 Adopting a diet rich in fruits,
vegetables, and whole grains while
Preventive Potential:
minimizing the consumption of spicy
High
and acidic foods can contribute to
preventing stomach ulcers
1/2 x 1 = 0.5 The family understands that it is a
Salience of the Problem
serious condition but does not know
A condition or a problem not
what triggers or risks to avoid to
needing immediate attention
prevent worsening of the diseaese.
Total 4.5

Problem: Inadequate Living Space

Criteria Computation Justification

2/3 x 1 = 0.67 This problem can pose health threat due
to increased risk of physical and mental
Nature of the Problem: health issues. Crowded or poorly
Health Threat ventilated spaces may contribute to the
spread of infections, respiratory
problems, and stress-related issues.

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Modifiability of the Problem: 2/2 x 2 = 2 It is easily modifiable as there are

Easy Modifiable adequate resources available.

2/3 x 1 = 0.67 The preventive potential is high as

increasing living space can reduce the
transferability of communicable diseases;
Preventive Potential: provide privacy for members, and bigger
Moderate space to allow free movements; the
possibility of this problem occurring
again in the future can be prevented if the
family follows space management tips.
0/2x 1 = 0 The family does not see this as a problem
Salience of the Problem as they are already planning for a bigger
home in the future.
Total 3.34

Problem: Obesity

Criteria Computation Justification

It is a health threat due to the family's
Nature of the Problem:
2/3 x 1 = 0.67 inadequate intake resulting in their
Health Threat
weight above the normal range
Modifiability of the Problem:
With the right diet and exercise the
Easy modifiable 1/2 x 2 = 1
clients will become much healthier.

Without proper eating habits and

exercise the family's condition will
Preventive Potential:
3/3 x 1 = 1 worsen and could lead to health
High
problems if they won't manage their
weight.
Salience of the Problem The family knows but does not
1/2x 1 = 0.5
The problem is not felt/need. identify it as a problem.
Total 3.17

Problem: Presence of resting sights of mosquitos

Criteria Computation Justification

It is a health threat because
Nature of the Problem:
3/3x 1 1 mosquitoes carry diseases that the
Health threat
family may acquire.
Using mosquito nets over beds,
Modifiability of the Problem:
2/2x 2 = 2 especially during sleeping hours,
Easy modifiable
offers protection against mosquito

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 bites. It can be easily modifiable after
proper garbage disposal and proper
drainage
With a cleaner environment,
Preventive Potential.
3/3x 1 = 1 mosquitoes can be prevented from
High
surrounding the household.
The problem is disregarded by the
Salience of the Problem:
0/2 x 1 = 0 family and they presume normally
Not a felt need/problem
with their daily lives
Total 4

Problem: Improper disposal of broken objects and empty bottles.

Criteria Computation Justification

It is a health threat because the broken
Nature of the Problem: bottles and appliances can cause
3/3 x 1 = 1
Health threat injury to the family if not properly
stored or disposed of.
This is easily modifiable with the
Modifiability of the Problem: proper health teaching on proper
2/2 x 2 =2
Easy modifiable disposal of broken appliances and
broken bottles.
Preventive Potential: Proper disposal of hazardous items
3/3 x 1 = 1
High will avoid future injuries or wounds
The family is not concerned with the
Salience of the Problem 1/2 x 1 = 0.5 broken appliances surrounding their
household.
Total 4.5

Problem: Lack of food storages Facilities

Criteria Computation Justification

It is a health threat because proper
food storage prevent bacterial
Nature of the Problem:
2/3 x 1 = 1 contamination and food spoilage,
Health threat
reducing the risk of foodborne
illnesses.
Since the family does not have any
Modifiability of the Problem: storage facilities they still manage to
1/2 x 2 =2
Easy modifiable craft alternative ways such as
covering it with dry plate and etc.

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 Due to lack of storage facilities, the
Preventive Potential:
2/3 x 1 = 0.67 family have presented ways to prevent
Moderate
food contamination.
““Nagplano paman mi na magpahimo
ug cabinet mao ng takloban sa nalang
Salience of the Problem 1/2 x 1 = 0.5
namo kay wamay ref sab.” as
verbalized by Mrs. S
Total 2.84

Problem: Possible Pollutes Water Supply

Criteria Computation Justification

“Ang amo imnunon amo raman
Nature of the Problem: kinuha sa bomba, hinua sab wala
2/3 x 1 = 0.67
Health threat paman mi nasakit” as verbalized by
Mrs. S
If they will be given intervention this
Modifiability of the Problem: might change the outcome and they
2/2 x 2 =2
Easy modifiable will not rely on their water supply that
is not tested.
Since the family has no other source
Preventive Potential:
1/3 x 1 = 0.3 of water supply due to they don’t have
Low
any clean water supply.
he family sees it as a problem or a
condition not needing immediate
attention because they can easily
Salience of the Problem 1/2 x 1 = 0.5
evaluate the problem and in terms of
seriousness there are some problems
that need urgent attention
Total 3.47

Problem: Improper clothing storage

Criteria Computation Justification

It is a health threat because it can
Nature of the Problem: prevent the growth of mold and
2/3 x 1 = 0.67
Health threat mildew, reducing respiratory irritants
and allergic reactions.
Introducing low-cost storage solutions
Modifiability of the Problem:
2/2 x 2 =2 such as shelves, baskets, or hooks can
Easy modifiable
improve the organization of clothing,

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 preventing overcrowding and
facilitating proper ventilation.
Since the family has no enough
Preventive Potential:
1/3 x 1 = 0.3 money to repair the clothing storage
Moderate
or to buy a cabinet.
The family sees it as a problem or a
condition not needing immediate
Salience of the Problem
attention because they can easily
Not perceived as a problem or 0/2 x 1 = 0
evaluate the problem and in terms of
condition needing change
seriousness there are some problems
that need urgent attention
Total 2.97

Problem: Improper Drainage System

Criteria Computation Justification

It is a health threat because if there is
stagnant water it will become a
Nature of the Problem:
2/3 x 1 = 0.67 breeding site for mosquitos and
Health threat
insects which will pose harm to the
family.

It is a partially modifiable problem

because with proper health teaching
Modifiability of the Problem:
1/2 x 2 = 0.5 the family can modify their
Partially modifiable
environment but it would require man
power.

It has a high preventive potential with

regards to effective implementation of
proper drainage systems with the use
Preventive Potential: of other resources that prevent
3/3 x 1 = 1
Moderate stagnant water accumulation and
subsequent release of pollutants, and
reduce the risk of waterborne
diseases.
The family identify that it as a serious
problem because the water can or
Salience of the Problem
cannot drain and it leads to the back
A serious problem that needs 2/2 x 1 = 1
of their homes and the water stagnates
immediate attention
which can become a breeding site for
insects and mosquitos.
Total 3.17

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Problem: Malnutrition

Criteria Computation Justification

Nature of the Problem 2/3 x 1 = 0.66 This is identified as a health deficit
Health Deficit because of the failure to maintain
certain nutrients that are needed by the
body, which may result in varying
diseases if not managed immediately.
Modifiability of the Problem 2/2 x 2 = 2 The problem is easily modifiable as the
Easily modifiable family already has adequate resources
to improve the children’s nutrition.
Through health education, the family
will know how to utilize these
resources.
Preventive Potential 3/3 x 1 = 1 If the quality and quantity of food is
High increased, the children’s nutritional
needs will be met, therefore reducing
susceptibility to diseases and infection.
Salience of the Problem 1/2 x 1 = 0.5 The family acknowledges this as a
A condition or problem not problem but doesn’t think it needs
needing immediate attention immediate attention. When asked
regarding the eating habits of her
youngest child, she stated with a shrug
of her shoulders, “Gakaon man siya ika
tulo sa isa ka adlaw”.
Total 4.5

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