IV. RESULTS OF SECOND LEVEL ASSESSMENT HEALTH PROBLEMS ACCORDING TO PRIORITY + RELEVANT CUES HEALTH DEFICIT A.

UNDIAGNOSED ILLNESS STATE: COLDS

FAMILY DIAGNOSES

1. Inability to decide about taking appropriate health action due to: a. Low salience of the problem

Mother verbalized Tatlong araw nang sinisipon si Cj pero di ko pa siya pinacheck-up. Dala lang siguro yan ng pabagobagong panahon. Hindi naman ito grabe kaya okey lang. CJ, 1 year old has runny nose and coughs occasionally.

2. Inability to provide adequate nursing care to a member suffering from colds due to: a. Lack of knowledge on the nature and extent of nursing care needed.

Mother verbalizes Mawawala din ito siguro kahit hindi gaanong naggagamot. Mother performs management to her sons colds but does not know the proper amount of Vitamins to give and admitted that her son sometimes lack adequate sleep.

HEALTH THREAT A. UNHEALTHY LIFESTYLE AND PERSONAL HABIT: SMOKING

1. Inability to make decisions with respect to taking appropriate health action due to: a. feeling of helplessness brought about by perceived uncooperativeness of family member

Sinasabihan namin siya na huwag manigarilyo pag may bata pero hindi namin siya masuway, as verbalized by the mother. Mr. Reynon has been smoking an average of ten cigarettes for almost 30 years. Mr. Reynon states Okey lang, hindi naman problema itong paninigarilyo ko. Wala pa naming grabeng nagkakasakit dito sa bahay e. Mr. Reynon is

b. low salience of the problem

smoking in front of the child inside the house. B. ACCIDENT HAZARDS: SLIPPERY FLOOR OR GROUND 1. Inability to make decisions with respect to taking appropriate health actions on the health threat due to: a. Low salience of the condition

Wala pa namang nadudulas diyan kaya hindi naming pinapaayos as verbalized by the mother. The ground is steep and has no rails. It is made up of cement. C. POOR ENVIRONMENTAL SANITATION: PRESENCE OF BREEDING PLACES OF COCKROACHES AND RATS

1. Inability to provide a home environment conducive to health maintenance and personal development due to: a. Lack of time to implement interventions

Mother verbalized, Kung may oras kami, naglilinis kami pero kadalasan e may mga ginagawa din kami lahat.

Mother states, nagsesegregate naman kami ng basura pero at nag-iispray ng baygon pero meron paring mga ipis at daga dito sa bahay.

b. Lack of skill in carrying out measures to improve home environment

PRIORITIZATION TABLES FOR IDENTIFIED PROBLEMS

Health Problem: UNDIAGNOSED ILLNESS STATE: COLDS CRITERIA 1. RE NATU It is a health deficit that requires immediate management. If left untreated, it may lead to more severe respiratory problem. The problem is highly modifiable because the condition is manageable through medications, complete bed rest and proper nutrition. The family allots 500 pesos of their budget for medicine. 2/2 x 2 .5 c.)Resources of health worker .5 d.)Resources of the community 3. PREV ENTIVE POTENTIAL 3/3 x 1 a.)Nature and magnitude of future problems that can be prevented if current problem is solved b.) gravity of problem .75 The problem has high preventive potential. If the condition is immediately treated, the occurrence future problems can be prevented. The condition can be managed easily. 1 We, as health care members have the ability to do health teaching the family about colds, its prevention and treatment. A health center is also found near the house, where the mother could visit. 2 SCOR E GIVEN JUSTIFICATION COMPUTATION ACTUAL SCORE

Health deficit 2. MODI FIABILITY a.)Current knowledge, technology and interventions to manage the problem

3/3 x 1

.5

.5 b.)Resources of family

.75

.75 c.) duration of problem .75 d.) appropriate current management initiated by the family 4. SALIE NCE

The problem has been present for 3 days. The mother increased the water intake of her son and performed management to her sons colds such as increasing his intake of Vitamin-C rich foods and complete bed rest. The problem has low salience.

a.)Family identified or verbalized problem b.)Feels or perceives it as needing immediate attention

The mother the problem. 1

identified 1/2 x 1 0.5

She verbalized that she did not take her son into a check up yet.

Total score: 4.50

Health Problem: ACCIDENT HAZARD: SLIPPERY FLOOR OR GROUND CRITERIA 1. RE NATU 2 The problem is a health threat. If left unsolved, the condition can cause accidents such as falls. The problem is highly modifiable because hardwares are near their place, and the head of the family knows how to fix the structure (rails). The head of the family can avail pieces of wood from his workplace and has enough budget to make the rails. We, as community health care nurses have the ability and skills to provide health teachings about the prevention of accidents. SCORE GIVEN JUSTIFICATION COMPUTATION ACTUAL SCORE

Health Threat

2/3 x 1

0.67

2. MODI FIABILITY a.)Current knowledge, technology and interventions to manage the problem .5

b.)Resources of family

.5

2/2 x 2

c.)Resources of health worker

.5

d.)Resources of the community

.5

The community has also the budget and supplies in repairing the ground.

3.

PREV ENTIVE POTENTIAL The problem has low preventive potential. 1.5/3 x 1 0.5

a.)Nature and magnitude of future problems that can be prevented if current problem is solved b.) gravity of problem

.75

Accidents will be prevented if the problem is resolved as early as possible.

.75

c.) duration of problem

However, the occurrence of the problem is more than 3 months already. The family did not do anything to solve the problem

d.) appropriate current management initiated by the family SALI ENCE a.)Family identified or verbalized problem b.)Feels or perceives it as needing immediate attention 4.

1 0

The problem has low salience. The family identified the problem but verbalized that no one has slipped on that ground yet.

1/2 x 1

.5

Total score: 3.67

Health Problem: UNHEALTHY LIFESTYLE AND PERSONAL HABIT: SMOKING CRITERIA 1. RE NATU It is a health threat that does not demand immediate actions but the condition can cause to the development of respiratory problems to other family members due to side stream smoking. The problem is highly modifiable because mass media provides information dissemination about smoking. The family is also knowledgeable about the effects of smoking to the smoker. The community has a health center SCORE GIVEN JUSTIFICATION COMPUTATION ACTUAL SCORE

Health Threat 2

2/3 x 1

0.67

2. MODI FIABILITY a.)Current knowledge, technology and interventions to manage the problem b.)Resources of health worker

2/2 x 2

.5

.5 .5 c.)Resources of family .5 d.)Resources of the

community PREV ENTIVE POTENTIAL a.)Nature and magnitude of future problems that can be prevented if problem is solved b.) gravity of problem c.) duration of problem d.) appropriate current management initiated by the family 3.

available people.

to

the

.75

.75 0

.75

The problem has moderate preventive potential. If the family member does not stop smoking, this may increase the risk of developing respiratory problems of other family members. The gravity of the condition can be modified through lifestyle modification. But the family member has been smoking for more than ten years. The significant others always remind the smoking member not to smoke especially in front of the children in the house.

2.25/3 x 1

0.75

4. SALIENCE a.)Family identified or verbalized problem 1 b.)Feels or perceives it as needing immediate attention 0

The problem has low salience. The family identified the problem but thinks they cannot prevent the family member from smoking.

1/2 x 1

.5

Total score: 3.92

Health Problem: POOR ENVIRONMENTAL SANITATION: PRESENCE OF BREEDING PLACES OF COCKROACHES AND RATS CRITERIA 1. RE NATU The problem is a health threat. If left unsolved, the condition could result to: a. Gastrointestinal problems b. Leptospirosis c. Damage of properties SCORE GIVEN JUSTIFICATION COMPUTATION ACTUAL SCORE

Health Threat

2/3 x 1

.67

2. MODI FIABILITY The problem is highly modifiable because the family is knowledgeable in managing the problem. The familys buying capacity is also adequate to buy pesticides. We, as health care members have the ability of health teaching on how to prevent or control the presence of rodents in the house and how to prevent acquiring the diseases which can be brought about by the rats and cockroaches. The barangay has a garbage collection system wherein they collect the garbage of the community every Monday and Thursday.

a.)Current knowledge, technology and interventions to manage the problem b.)Resources of family c.)Resources of family d.)Resources of the community

.5

.5 .5 .5

2/2 x 2

PREV ENTIVE POTENTIAL a.)Nature and magnitude of future problems that can be prevented if problem is solved
3.

.75

The problem has low preventive potential because the nature and magnitude of future problems can

1.50/3 x 1

0.5

b.) gravity of problem c.) duration of problem d.) appropriate current management initiated by the family SALI ENCE a.)Family identified or verbalized problem b.)Feels or perceives it as needed immediately 4.

.75 0

be prevented if the current problem is solved. The gravity of the problem as perceived by the health worker is not severe. The current intervention of the family in controlling the pests is through spraying Baygon. The problem has persisted for more that three months. The problem has low salience. The family identified the problem but verbalized that the presence of rodents is uncontrollable.

1 0

1/2 x 1

0.5

Total score: 3.67

LIST OF PRIORITIZED FAMILY PROBLEMS

RANK OR PRIORITY 1 2

PROBLEM Undiagnosed Illness State: COLDS

TOTAL SCORE 4.50

Unhealthy Lifestyle and Habit: SMOKING

3.92

Accident Hazards: SLIPPERY GROUND OR FLOOR

3.67

Poor Environmental Sanitation: PRESENCE OF BREEDING PLACES OF RATS AND COCKROACHES

3.67