IMPROPER HYGIENE

Criteria
Nature of the
Problem

Computation

Actual
Score

2/3 x 1=

0.6

Justification
S: Mangaon lage mi usahay nga way
hugasay. Diretso na. labi na 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.

Modifiability of
the Problem

2/2 x 2=

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.

Preventive
Potential

3/3 x 1=

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.

x1

0.5
4.1

O: The family is aware of the problem

existing in their home. However, they do
not carry out the practices and
knowledge about hygiene measures and
they arent aware of what danger it
brings them due to having poor hygiene
practices.

Salience

IMPROPER FOOD HANDLING

Criteria
Nature of the
Problem

Computation

Actual
Score

2/3 x 1=

0.6

Justification
S: Pasensya kayo mo ha. Gubot kaayo
nang among kusina. 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.

Modifiability of
the Problem

2/2 x 2=

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.

Preventive
Potential

3/3 x 1=

O: If the problem is highly preventable,

then the occurrence of gastro-intestinal
diseases such as diarrhea and parasitism
can be diminished.

Salience

0/2 X 1=

0_
3.6

O: The family is not aware of the

problem.

FALL HAZARDS
Criteria
Nature of the
Problem

Computation

Actual
Score

2/3 x 1=

0.6

Justification
O: The deep well is approximately 2
meters from the house with 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.

Modifiability of
the Problem

2/2 x 2=

Preventive
Potential

3/3 x 1=

x1

0
3.6

Salience

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.
O: The possibility of fall hazards is
highly preventable through the
implementation of the interventions
given by the student nurse.
O: The family perceives it as a nonthreatening situation.

IMPROPER GARBAGE DISPOSAL

Criteria
Nature of the
Problem

Computation

Actual
Score

2/3 x 1=

0.6

Justification
S: Ginasunog ra man namo among
basura. Kapoyan naman gud 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.

Modifiability of
the Problem

2/2 x 2=

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 burning because it might cause harm
to their health & the environment

Preventive
Potential

3/3 x 1=

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

x1

0
3.6

O: The family perceives the problem as

a non-threatening situation and they are
not aware of the consequences of having
improper waste disposal

Salience

INADEQUATE IMMUNIZATION STATUS OF A CHILD

Criteria
Nature of the
Problem

Computation

Actual
Score

2/3 x 1=

0.6

Justification
S: Si J1 dili kumpleto ang iyang bakuna
kay wala man gud mi 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

Modifiability of
the Problem

1/2 x 2=

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 the immune
system. Encourage the family to protect
the immune system by eating foods high
in nutrients

Preventive
Potential

2/3 x 1=

0.6

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.

Salience

2/2 x 1

1
3.2

O: The family is aware of the problem

and they are willing to use alternatives to
promote and strengthen their childrens
immunity.

LOW INCOME

Criteria
Nature of the
Problem

Computation

Actual
Score

2/3 x 1=

0.6

Justification
S: Ang akong bana ra man ang nangita
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
the Problem

1/2 x 2=

O: The problem is partially modifiable

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
Potential

2/3 x 1=

0.6

O: If the resources and suggested

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

Salience

2/2x 1=

1
3.2

O: The family is aware of their problem,

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

PRESENCE OF INSECTS AND RODENTS

Criteria
Nature of the
Problem

Computation

Actual
Score

2/3 x 1=

0.6

Justification
S: Nah! Daghan gyud diria ng mga
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
the Problem

1/2 x 2=

O: The problem is partially modifiable

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
Potential

2/3 x 1=

0.6

O: If the planned intervention are

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

x1

0.5
2.7

O: The family is aware of the existing

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

Salience

ABSENCE OF PERSONAL TOILET FACILITY

Criteria
Nature of the
Problem

Computation

Actual
Score

2/3 x 1=

0.6

Justification
S: Wala man miy kaugalingon na
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
the Problem

1/2 x 2=

O: The problem is partially modifiable

due to the limited resources of the family
that can be used especially on the
monetary aspects.

Preventive
Potential

1/3 x 1=

0.3

O: If the problem is not solved, theres a

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

Salience

0/2 x 1

0
1.9

O: The family perceives the problem as

not a big deal, that theres no problem of
sharing toilet facilities with other family.