Professional Documents
Culture Documents
P
Laoag City
By:
Gilo, Gretchen
Lagpacan, Marlon
Sales, Noel
Santos, Starlet
2011
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attaining their highest level of holistic health. To provide and promote healthy lifestyle
providing these groups with the skills they need to effect change in their own
Family, basic social group united through bonds of kinship or marriage, present in
all societies. Ideally, the family provides its members with protection, companionship,
security, and socialization. The structure of the family, and the needs that the family
fulfills vary from society to society. The nuclear family²two adults and their children²
is the main unit in some societies. In others, it is a subordinate part of an extended family,
which also consists of grandparents and other relatives. A third family unit is the single-
parent family, in which children live with an unmarried, divorced, or widowed mother or
In line with the subject NCM 104, our group was exposed to the community. Our
study was rendered to Barangay 7 San Miguel, Ilocos Norte last February 5, 2011 as
recommended by the RHU of San Nicolas. In this activity we were able to understand
what community nursing is and we were able to focus on improving the overall health of
the family by educating the members about health care issues, nutrition, childcare, and
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disease prevention. We choose the family of Mrs. N as our case because compared to our
first assessed family they need more knowledge about their health conditions as well as
their family relationship. As we get in to their house we immediate saw and assessed that
they are problems that would harm the family members infact as the interview go on we
had come up with the health threat that are present in their household and some problem
that may arise later in life. They belong to a big family which makes them more unite,
indeed they all have a good relation to each one of them. They are cooperative during the
à
aimed to understand and improved the belief that care directed to the
individual, the family, and the group contributes to the health care of the population as a
whole as well as to provide quality of care, by identifying health problems which are
recognized by the people themselves for the promotion of healthy lifestyle choices
through education, public awareness and community activities.
1.c For the family to become more practical in promoting health.
2.c For the family to be able to recognize the importance of having a healthy
lifestyle.
3.c For the family to be able to expand information of having a healthy
lifestyle.
4.c For the family to understand the implications of their belief, values and
practices in health.
5.c Propose priority interventions as being recognized by the family members
through a comprehensive health care plan.
6.c Inorder for us student nurses, provide teaching in improving the ways and
means of the family.
7.c To improve our skills in helping the family by giving hints and teaching
deal with the problems that will be identified.
8.c To help the family in attaining the goal of care of this study.
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Mrs. N, 68 years of age, the head of the family was born and raised in
Brgy.7 San Miguel, San Nicolas, Ilocos Norte. She had common law husband
when she was still 14 years old, and they live in Isabela at the family house of
common law husband. Before, they live with their 5 children namely son Ne
currently living at Pangil, Currimao, the second child is daughter Ma. who is also
currently living with her own family at the same barangay, their son Jo, the third
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child who is also currently living at the same barangay but different house.
Daughter Flo, the fourth child is now currently living at Leyte and daughter Mi.,
the last child is currently living at Nalbo, Laoag City who is a stay in housemaid.
Five years after Mrs. N¶s first common law husband death she married his second
common law husband and they resided at # 7 San Nicolas at their family house.
They were gifted with 7 children namely daughter T, first child, 39 years old,
female, a domestic helper in Hongkong, son F,36 years old, second child, male ,a
farmer and a construction worker, son S, thrid child who is a welder, son Y,
fourth son who is living with his family at the same barangay but different house,
son E, fifth son who is living with Mrs. N, the sixth child is daughter A, 28 years
old , a BHW in Brgy. 7 San Nicolas, Ilocos Norte and the last child is son J, 25
years old, and living also with Mrs. N. Her second law husband died last 2000
A, Son J, the three kids of Daughter A (Apo S, Apo X, and Apo Z) and son S and
her family but not included in the above table because they have separated things
and income.
Daughter T, daughter A and her three children are born again because they
The father of daughter A¶s children is not living with them because the
father of her first and only daughter has his legitimate family as well as the father
of her two sons. They don¶t have communication with the first father of his child
while the father of her two sons is through texting. Daughter A relationship with
her first partner was not good they don¶t have communication and he never
support his daughter while her second partner sometimes visit but never stay for a
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long time. Since the relationship of daughter A is not legal, Mrs. N still support
and never got angry with daughter A Daughter A takes a role of a mother and a
family is considered as patrilocal since their family lives at the house of her
second law husband. Since they are oriented with both the mother and fathers¶
Mrs. N makes most of the decision about family matters but not regards to
the health problems, Mrs. N, daughter M and daughter A decides but most of the
time Mrs. N and daughter A since daughter M is working in Nalbo. Son F serves
as the head of the family since he is the primary person who provides the needs of
the family. Mrs. N do not have hard time in terms of decision making because
they tend to consider each other¶s opinion first before coming up with the final
decision especially regarding health matters. Whenever problem arises within the
family such as conflicts and misunderstanding they would usually settle it right
away. As claimed, their family has a good relationship with each other, each one
of them knows how to understand someone¶s situation thus conflict rarely occurs.
According to Mrs. N, they also have good relationship with their neighbors; they
The family values connection to God. In fact, they have worship every
form of authority. As to endearments, they head called ³nana´ by her children and
grandchildren. They also use ³manong ´, ³manang´, ³ading´, ³tito´, and ³tita´.
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since most of them was not able to graduate in college, but they still thankful
because even they don¶t have stable job still they can provide every member of
the families need. As verbalized by Mrs. N, ³uray jak napagturpos dagitoy anak
ko iti kolehiyo ket agyamanak ta makastrek da met lata ti trabaho ta dida met
helping her daughter A in taking care of her grandchildren. Her first daughter
City Ilocos Norte receiving Php 3,000 per month and contributing Php 1,500 per
month for the expenses of the family. Second is daughter T a high school
graduate, currently working at Hong Kong as domestic helper since year 2005 and
farmer receiving 8 cavans per crop rotation and selling 3 cavans for the expenses
use in farming such as ³abono´ and irrigation and use the 5 cavans for food. He
also work as a construction worker (per contract) as his part time job receiving
Php 2,700-5,400 a month and if unfortunately none and since he is the one who
stand as the father of the family he contributes all of his salary if there is.
Daughter A attained high school level and is presently serving as a BHW at Brgy.
7 San Nicolas receiving Php 1,440 quarterly. The father of her two sons is giving
money worth Php 4,000 a month for their daily expenses. The youngest child is
Son J, a college graduate, working at Coca Cola Plant and giving Php 500 per
approximately Php 8,000-15,000 per month. The monthly income of the family is
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enough if Son F and Son J have a job but if none they need to borrow money from
their neighborhood. They help each other in making decisions about money and
4.17% 6.72%
10.42%
37.5% À
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33.33%
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Based on the pie graph above, the highest percentage is allotted for their
food which is 37.5 % or Php. 5000. About 4.17 % or Php 500 is spent for their
electricity and water bill, 33.33 % or Php. 4000 goes to the childrens expenses
such as vitamins (tiki-tiki, prophan and cherifer) diaper, milo, milk, toys, clothes
and educations. About 10.42 % or Php. 1,550 is allotted for their miscellaneous
such as load, transportation, vices and medication, and another 6.72 % or Php.
800 is spent for their home necessities such as gasoline and groceries the rest is
serve as payment for their debt and sometimes serve as their savings. They have
no relatives who are helping them and that they are striving on their own.
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7m.
and glass. The first floor is divided into a living room, a kitchen and a room which
is divided with a curtain under their stairs where son E sleeps. Their stairs have no
rails connected to the second floor made up of wood. They have 2 bedrooms at
the second floor which is consists of 1 foamed bed, and a caha de oro. One room
was occupied by Mrs. N, daughter A. and her 3 kids(Apo S, X and Z), and the
other room was occupied by son S and her family while Son F and son J sleeps in
Their living room is found on the first floor at the right side of their house
upon entering. The living room has a two plastic long chairs and a center table.
The chairs available can be climbed by the children. There are toys and souvenir
items on the divider. The floor is cemented. They have appliances in the living
With regards to their kitchen, it is located in the left side of their first floor
upon entering on the front door. Their kitchen consist of a table with four plastic
chairs, a gas ranged stove, an LPG tank, a covered water jag and a dish shelf
Scattered empty cans and a hammer were seen on the surrounding of the
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LPG, and sometimes charcoal, was used for cooking. Their clay stove is
located at their backyard. They prepare just enough food for the family members
like noodles most of the time combined rice and egg sometimes. Whenever there
are leftovers, it is covered with a plate and place in the kitchen table. Kitchen
utensils, especially knives, are kept away from children and are placed in an
Their water is from the deep well beside their old bathroom which is used
for bathing and flushing the toilet located at the front side of their house. The deep
well is owned by the family and it is chlorinated by the BHW of their barangays,
it is approximately 15 meters away to the toilet facility. The water that was
fetched is placed in a pail. They are also supplied by the Nawasa which they use
in cooking and washing dishes. Drinking water is bought from refilling stations.
They use pour flush in using their toilet facility, which is approximately 20 meters
They do not segregate garbage. Instead, they put it all together in a sack,
drainage system. However, the water remains stagnant which makes it a breading
site for mosquitoes. The family use mosquito repellants such as Bigon once a
mosquitoes.
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According to Mrs. N they do believe in quack doctors but they still consult
medical doctors. The family members had experienced chicken pox, measles and
mumps. They manage mumps with the traditional µ¶akot akot¶¶ mixed with
vinegar and applied during bed time while they manage measles by wearing black
t-shirt. As Mrs. N, claimed they don¶t usually manage chicken pox they just leave
it and wait until the vesicles disappears. They also avoid eating oily foods during
that time like fried eggs. She claimed also that they don¶t have any known
hereditary disease. They only experience cough, colds and fever. They take
Carboceistine 500mg once a day to manage cough and oregano one teaspoon for
the children, Paracetamol (biogesics) 500mg for fever and Neozep 500 mg twice a
day for common colds, with these 3 ailments, they increase their oral fluid level.
Mrs. N also told us that they don¶t usually visit the R.H.U. they onlyto the RHU if
she feels dizzy and aching of the nape, she ask her neighbor who is a BHW to
check her blood pressure and the result is always high which is not lower than
180/100mmHg. She was confined at Gertes Clinic by Dr. Ko due to the high
blood pressure. After three days of confinement, she was discharged and she
never had her check up again, instead, she prefer to rest and lay on bed when she
feels dizzy. She can¶t remember the management done. At this time her BP
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monitoring is already done by her daughter A, who is now a BHW in their
barangay. Since 2007, she never takes her nape ache up to now.
Mrs. N claimed that Son E, her 5th child on her second husband, used
prohibited drugs (SHABU) when he was in 2nd year college. When they first knew
that son E is using prohibited drugs, as a normal response of a parent they were
problematic and angry but then as time passed by, they continuously talk with son
E as an emotional support. Few years later, Son E never mingles with other
people since he stops to use drugs. He prefers to stay on his room than to go out
and have friends with their neighbors. During the interview, Mrs. N mentioned
that her Son E took a medicine for 6 months for cough and she cannot recall what
the name of the drug is was. They thought of consulting a specialist and a
Rehabilitation center but never try to go because they don¶t have enough money.
The medication was prescribed by Dr. Ka. Son E is suffering from arthritis and
taking Athro as a medication which is prescribed by the RHU doctor but he just
takes it if he feels joint pain. During our second home visit we saw son E, he is a
so skinny, long haired, long balbas and has a dark complexion compared to the
Son F is the third child of Mrs. N to her 2nd husband. He hasn¶t suffered
twice a day for pain and cleansing with betadine and dressing it with a clean cloth
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According to daughter A she was able to obtain the 5 shots of tetanus
toxoid vaccines. She delivered her 3 kids through normal delivery at GRBASMH.
As she claimed the she feed Son Z through mixed feeding but mostly
breastfeeding as well as to Son X when he still a baby but he is now using bottle
feeding. Son X was also confined August last year because of non healing cough.
He was admitted at Gertes Clinic and was confined for 5 days but due to mot
improving condition they decided to take him home. The following day they
consulted a ³mang-ngilot´, for a few hours after the ³ilot´ session the fever
subsides while his cough was relieved few days after, by taking oregano extract.
Since then they first consult quack doctors than medical doctors.
V6
At risk of overweight
normal BMI range: 13.5 - 16.8
Apo S 15 kg(33lbs) 0.94m BMI = 16.98 kg/m2 kg/m2
normal weight range for the
height: 11.9 - 14.8 kgs
Healthy weight
normal BMI range: 14.7 - 18.2
12 kg BMI = 17.85
Apo X 0.82m kg/m2
(26.5lbs) kg/m2
normal weight range for the
height: 9.9 - 12.2 kgs
BMI = 24.62 kg/m2
(Overweight)
7 kg normal BMI range: 13.8 - 16.8
Apo Z 0.57m BMI = 25 kg/m2 kg/m2
(17.3lbs)
normal weight range for the
height: 4.5 - 5.5 kgs
The family eats 3 times a day and sometimes they eat their snack in the
afternoon. They cook at least ½ ganta of rice every meal. During Sunday, they
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cook at least 1 ganta of rice because some of the family members are going home.
In the morning they usually cook 2 packs of noodles as their breakfast and
morning. They claimed that most of the time they cook noodles the morning and
ina-una ti umuna nga mangan ti pamigat ta mapan agbasa ket no anaman ti tedda
na isunto lang ti kanen mi kidetoy anakko nga maikadwa.´ Mrs. N and son F
mostly eat 2 pieces of pandesal and a cup of coffee while son E and J don¶t
usually eat their breakfast. At around 12 noon they take their lunch and they
usually cook vegetables and sometimes meat and fish. And at around 7 in the
evening they take their dinner and they cook vegetables and the leftover food are
all consumed. But they mostly eat vegetables and fish since they are not eating in
eating meat. Ms. A stated that, if there is a leftover food from their dinner they put
it in the covered in the kitchen table and reheat it in the following day. Their
merienda are usually consisting biscuits and 1 liter of juice at around 3-4 pm and
for the children they are found in eating junk foods. Ms. A claims that her 3
children are taking vitamins everyday Tiki-tiki(5 cc) for Apo Z, Prophan(1 table
As practiced by the farmer¶s son F usually rise to bed early in the morning
at exactly 5 o¶clock as his daily routine. But when he has a construction work, he
only go to the farm after work. According to Mrs. N, her son F can consume 3-4
sticks of cigarette per day. Mrs. N stated that son F smoked cigarette after meals
and sometimes the remaining one stick he smoke it during at night before bed
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time. Mrs. N also claimed that even at that age, she still drinks liquor with their
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The client passed this task
that is appropriate to 8
months ± 9 months old
Thumb-finger grasp P
children, and can improve
and master this task as he
goes older.
The client passed this task
that is appropriate to 8
months ± 9 months old
Put block in cup P
children, and can improve
and master this task as he
goes older.
The client failed to do this
task which is matched to
his age. Even though he is
Scribbles F
delayed to do the task, he
has still to accomplish and
master using scribbles.
The client passed this task
that is appropriate to 8
months ± 9 months old
Dad/Mama specific P children, and can improve
and master this task as he
goes older.
The client was able to do
this task appropriate to the
1 word P
age bracket being able to
say the word mama.
The client failed this task
2 words F since this task is not
appropriate to her age.
à
The client was able to do
this task since this task is
Get to sitting P appropriate to 8 months ± 9
months old old children.
The client was able to do
this task but with a few
Pull to stand P
seconds only with assist to
her mother.
The client failed to do this
Stand 2 seconds F
task since this is not
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appropriate to her age. She
can still do this task as he
reaches the right age.
The child was not able to pass all screen test. He was behaved during the
assessment. His developmental milestone was partially achieved because come of the
task are not yet able to carry out by Apo Z so the result is still NORMAL.
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V
The client was able to pass
this task and can still
Wash and dry hands P further improve and master
this task as he goes older.
The client was able to do
Brush teeth P this task but with an
assistance to his mother.
The client was able to pass
this task and can still
Put on clothing P
further improve and master
this task as he goes older.
The client failed to do this
task which is matched to
his age. Even though he is
Name friends F delayed to the task, he has
still time to accomplish and
master in naming his
friend.
The client was able to pass
this task and can still
Tower of 4 cubes P further improve and master
this task as he goes older.
Tower of 6 cubes R The client refuses this task.
The client failed to do this
task since this is not
Imitate vertical line F appropriate to her age. She
can still do this task as he
reaches the right age.
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!
The client passed this task
that is appropriate to 21
month old children, and
Speech half understandable P
can improve and master
this task as he goes older.
The client passes this task
since this task is
Name 1 picture P appropriate to 21 month
old, especially in naming
picture of animals.
The client passes this task
since this task is
appropriate to 21 month
Point 2 pictures P
old, especially in pointing
the named picture of
animals.
The client was able to pass
this task since this task is
appropriate to 21 month
Combine Words P
old children, and can still
further improve and master
this task as he goes older.
The client passed this task
that is appropriate to 21
month old children, as she
Point 2 pictures P
was able to point a picture
like the picture of his
mother and father.
The client was not able to
do this task matched to age,
Name 6 body parts F
but he can improve when is
life goes on.
The client was able to pass
this skill which we had
6 words P manifested by saying:
mama, lola, tito, popo,
wen, tita and many more.
à The client was able to pass
this task since this task is
Throw ball overhead P appropriate to 21 month
old children, and can still
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further improve and master
this task as he goes older.
The client was able to pass
this task since this task is
appropriate to 21 month
Jump up P
old children, and can still
further improve and master
this task as he goes older.
The client was able to pass
this task since this task is
appropriate to 21 month
Kick ball forward P
old children, and can still
further improve and master
this task as he goes older.
The client was able to pass
this task since this task is
appropriate to 21 month
Broad Jump P
old children, and can still
further improve and master
this task as he goes older.
The client was able to pass
this task since this task is
appropriate to 21 month
P
Balance each foot 1 second old children, and can still
further improve and master
this task as he goes older.
The client was able to pass
this task since this task is
appropriate to 21 month
Balance each foot 2 second F
old children, and can still
further improve and master
this task as he goes older.
Apo X does not able to pass the entire main task but he was cooperative and able
to perform more main task assigned to his age group. The result is NORMAL because
most of the sectors are achieved.
#
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#
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The client was able to pass
this task since this task is
appropriate to 5 month old
Copy square P
children, and can still
further improve and master
this task as he goes older.
The client was able to pass
this task since this task is
Draw person ± 6 parts P appropriate to 5 month old
children, and can still
further improve and master
this task as he goes older.
The client was able to pass
this task since this task is
appropriate to 5 month old
Copy square ± demonstrate P
children, and can still
further improve and master
this task as he goes older.
The client was able to pass
this task since this task is
appropriate to 5 month old
Define 7 words P children, and can still
further improve and master
this task as he goes older.
The client was able to pass
this task since this task is
appropriate to 5 month old
Opposite 2 P
children, and can still
further improve and master
this task as he goes older.
The client was able to pass
this task since this task is
appropriate to 5 month old
Count 5 Blocks P
children, and can still
further improve and master
this task as he goes older.
à The client was able to pass
this task since this task is
Balance each foot 6 seconds P appropriate to 5 month old
children, and can still
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further improve and master
this task as he goes older.
The client was able to pass
this task since this task is
appropriate to 5 month old
Heel to toe walk P
children, and can still
further improve and master
this task as she goes older.
The client was able to pass
this task since this task is
appropriate to 5 month old
Balance each foot 5 seconds P
children, and she can
master this task as she goes
older.
Apo S was a shy type kid but able to perform correctly the task requested to carry
out during the assessment since she is a pre-schooler. She passed all the task under her
age so as a result it is NORMAL.
Mrs. N said that she doesn¶t know if she received immunizations also with
her children if they were given vaccines because she is not aware of such program
of the government. Daughter A claimed that her 2 older children has completed
their vaccination proven that she showed us the yellow card of her children. The
youngest among her children received BCG, HEPA A&B, DPT and polio vaccine
1, 2&3. He does not yet receive an anti measles vaccine since he is still 8 months
old. She also claimed that she received five TT (Tetanus Toxoid) vaccines
Their meals consist of rice, vegetable meal, fish and instant noodles since
they are not fond of eating meat. They would only have a meal of meat if they feel
like to eat.
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The family member usually takes a bath once a day and the children
usually have half bath before going to bed. They use shampoo and soap in
bathing. They brush their teeth twice a day during morning and evening.
The family has three bedrooms in their house. The first room located at the
second floor is being used by Mrs. N, daughter A and daughter A¶s 3 children
while the other bedroom is used by her son S and his family. There is also a room
located in the first floor which is divided by a curtain from their living room, is
being used by Son J and Son F. They usually sleeps together at around 9-10pm
after they have done all the household chores and wake up around 6 in the
morning while the children of daughter A usually wakes up around 7-8 in the
morning. When they sleep, they used mosquito net, electric fan and mosquito coil.
Mrs. N claimed that doing their household chores is their form of exercise.
They sometimes go walking with daughter A in the afternoon but just around near
their house.
Mrs. N sees to it that sharps objects, and matches are place in their proper
The family has a good relationship with their neighbors. Every Tuesday
night, there is a worship service in their house together with their neighbors. On
their free time, daughter A usually goes to their neighbors to have some chitchat.
The children also play inside their house with the supervision of daughter A and
sometimes Mrs. N.
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The family is active in the barangay activities. Daughter A performs her
role as a BHW and involved themselves in community activities like Oplan dalus.
On their free time they usually stay on their living room watching their
They family don¶t usually seeks health of the RHU, whenever a member
of the family is sick. The family also believed in a ³mangngilot´ and quack
doctors and sometime they have more belief on it than with the health care given
by RHU. They also used alternative medicines such as oregano for cough. They
also use OTC drugs such as Biogesic 500mg tablet once a day for fever and
Neozep 500mg tablet twice a day for colds as well as Carboceistine 500mg once a
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TYPOLOGY OF NURSING PROBLEMS IN FAMILY NURSING PRACTICE
Healthy Lifestyle
©c The family eats 3 times a day and sometimes they eat their snacks
©c Their meals consist of rice, vegetable meal, fish and ³pancit mami´
since they are not fond of eating meat. They would only have a
©c The family member usually takes a bath once a day and the
children usually have half bath before going to bed. They use
shampoo and soap in bathing. They brush their teeth twice a day
fever and Neozep 500 mg twice a day for common colds, with
these 3 ailments, they increase their oral fluid level. D-a, P1, S7-8
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©c Son E is suffering from arthritis and taking Athro as a medication
©c Ms. A claims that her 3 children are taking vitamins everyday Tiki-
tiki(5 cc) for Apo Z, Prophan(1 table spoon) for Apo X, and
A&B, DPT and polio vaccine 1, 2&3. He does not yet receive an
Parenting
©c The children also play inside their house with the supervision of
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Spiritual well-being
©c Since 2007, she never takes her nape ache up to now. D-a, P2, S7
©c The living room has a two plastic long chairs and a center
C, P3, S2
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c.2 Presence of breeding or resting sites of vectors of disease
once a day for fever and Neozep 500mg tablet twice a day
cough. E, P10, S4
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3.c Presence of health deficits
©c Since 2007, she never takes her nape ache up to now. D-a, P2, S7
a.c Parenthood
©c The father of daughter A¶s children is not living with them because
the father of her first and only daughter has his legitimate family as
b.c Illegitimacy
©c The father of daughter A¶s children is not living with them because
the father of her first and only daughter has his legitimate family as
well as the father of her two sons. They don¶t have communication
with the first father of his child while the father of her two sons is
not good they don¶t have communication and he never support his
daughter while her second partner sometimes visit but never stay
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Health Threat
stairs.
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problem or condition as manifested by placing left over
unprescribed medications.
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Health deficits
knowledge about the health condition and its severity as manifested by not
Foreseeable crisis
1.c Parenthood
2.c Illegitimacy
daughter A.
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Scale for Ranking Health Problems According to Priorities
Criteria Weight
Preventive Potential
Scale: High 3
Moderate 2 1
Low 1
Salience
Scale:
A serious problem that needs immediate attention 2
A problem but not needed immediate attention 1 1
Not a felt need problem
SCORING
Decided a score for each criteria
Dive the score by the highest possible score and multiply by the weight
SCORE
Score/Highest Score x Weight
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Presence of risk factors of specific disease
COMPUTATION SCORE JUSTIFICATION
Nature of the problem It is a health threat because the
condition of the family may
3/3x1 1
aggravate and may lead to
more serious complication
Modifiability of the It is partially modifiable
problem because educating the family
1/2x2 1
will give them knowledge
about the problem
Preventive potential It is highly preventive because
teaching and educating the
family will prevent the
3/3x1 1
occurrence of serious
complication as well as the
aggravation of the disease.
Salience Problem needs immediate
2/2x1 1 attention because they may put
the health of the family at risk.
TOTAL SCORE 4.00
32c
c
about by leaving empty cans
and hammer scattered.
Salience The family recognize it as a
problem but it does not need
1/2x1 0.5 immediate attention in order
for them to keep themselves
safe from accident or injury.
TOTAL SCORE 4.17
Fall Hazards
COMPUTATION SCORE JUSTIFICATION
Nature of the problem It is classified a health threat
because the stair without rails
is conducive for accidents
2/3x1 0.67
especially to their children
wherein they tend to be
willfully assertive.
Modifiability of the It is partially modifiable
problem because railings can be easily
1/2x2 1 constructed especially there is
a carpenter in the family but no
resources available.
Preventive Potential It is a moderately preventive
because it can be avoided by
2/3x1 0.67
constructing the rails to
minimized the risk of injury
Salience It is identified as a problem but
does not need immediate
attention because they always
1/2x1 0.5
supervise their children and
always reminding them not to
climb the stairs.
TOTAL SCORE 2.84
33c
c
left over food will be easily
spoil and it can be a good site
of microorganism which may
cause disease.
Modifiability of the It is partially modifiable by
problem educating the advantage and
1/2x2 1 disadvantages of having a
proper storage but resources
are not yet available.
Preventive potential The preventive potential is
high because if there is a
3/3x1 1
proper storage, GI disease
would be minimized.
Salience The family does not recognize
it as a problem and does not
needs immediate attention
0/2x1 0
because the leftover food are
usually eaten on the following
meal.
TOTAL SCORE 2.67
34c
c
does not yet experience to have
dengue in and there is no need
for change because they are not
only the family who is using
the canal.
TOTAL SCORE 3.67
Smoking
COMPUTATION SCORE JUSTIFICATION
Nature of the problem It is considered as health threat
because the patient may
2/3x1 0.67 develop a disease because it
may cause various type of
respiratory disease.
Modifiability of the It is partially modifiable
problem because the client is still
1/2x2 1
willing to minimize the number
of stick he use a day.
Preventive potential It is highly preventable because
from the start of smoking he
3/3x1 1
already lessen the number of
stick he use a day
Salience 0/2x1 0 The problem does not need
35c
c
immediate attention because
the client is trying to control
his self.
TOTAL SCORE 2.67
Self Medication
COMPUTATION SCORE JUSTIFICATION
Nature of the problem It is a health threat because it
2/3x1 0.67 may lead to danger towards the
family such as over dosage.
Modifiability of the It is easily modifiable because
problem educating and teaching with
regards the effect of the used
2/2x2 2
OTC drugs will give them
better idea on how to use the
drug immediately.
Preventive potential It is moderately preventable
because collaborating the
effect of OTC to the family
2/3x1 0.67
will prevent the possible threat
brought about by taking OTC
drug.
Salience The family is not perceived as
a problem because they stated
0/2x1 0
that there is no side effect felt
by the family.
TOTAL SCORE 3.34
Illness state
COMPUTATION SCORE JUSTIFICATION
Nature of the problem It is classified under health
deficit because not taking
maintenance drug for
3/3x1 1 hypertension that may
aggravate the condition and it
may result to failure in
maintaining health condition
Modifiability of the It is partially modifiable
problem because it can be done by
1/2x2 1
educating her about the
advantage and disadvantages
36c
c
of taking maintenance for her
hypertension and encouraging
her take it religiously but the
attitude and the belief of the
patient must be consider in
order to do so.
Preventive potential The preventive potential is
high because if she will
3/3x1 1 comply to the treatment it may
prevent the aggravation of
diseases.
Salience The family did not recognize it
as a problem because the
patient doesn¶t feel any
0/2x1 0
symptoms of her disease and
she believes that not taking the
medication is just fine.
TOTAL SCORE 3.00
Parenthood
COMPUTATION SCORE JUSTIFICATION
Nature of the problem It is a foreseeable crisis
because it causes a negative
1/3x1 0.33
effect to the development of
the children.
Modifiability of the It is not modified because the
problem 0/2x2 0 father of the children has their
own family
Preventive potential It is low preventive because
1/3x1 0.33 daughter A can still do her part
being a mother and a father.
Salience The family does not recognize
it as a problem but not needing
immediate attention because
0/2x1 0 they cannot do otherwise
because the father¶s of
Daughter A¶s children have
different family.
TOTAL SCORE 0.66
37c
c
Illegitimacy
COMPUTATION SCORE JUSTIFICATION
Nature of the problem The problem is foreseeable
because it may affect the
1/3x1 0.33
perception and development of
young children.
Modifiability of the The problem is not modifiable
problem 0/2x2 0 since the father of her children
are married.
Preventive potential The problem is low because
the children do not yet know
1/3x1 0.33
the importance of having a
father.
Salience The problem is not perceived
0/2x1 0 as a problem because they are
not married.
TOTAL SCORE 0.66
38c
c