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CHAPTER VI PRIORITIZATION OF HEALTH PROBLEMS

This chapter serves as tool called scale for ranking health conditions and problems according to priorities. It determines the nature of condition or problem presented the modifiability of the condition, preventive potential, and salience. It will show how the family health problems were rated according to each criterion. I. Presence of Health Threats Table a. Accident hazards specifically pointed/sharp objects, poisons and medicines improperly kept Criteria Computation Actual Score Nature of the Problem 2/3 x 1 0.67 It is a health threat since the condition may result to accident Justification

and may pose an effect on the health of the family. Modifiability of the Problem 2/2 x 2 2 This problem is easily modifiable since it can be managed through proper teachings and health with

the help of the family itself to change their way of keeping things that can pose effect on their health. Preventive Potential 3/3 x 1 1 If this problem will be properly intervened,

risks for accidents on pointed poisons medicines can objects, and be

highly prevented.

Salience

0x1

The family does not consider this as a problem since they have not experienced any accidents from these objects.

Total:

3.67

Table b. Accident hazards specifically fire hazards Criteria Computation Actual Score Nature of the Problem 2/3 x 1 0.67 It is a health threat because it may pose a potential effect on the familys health Justification

and condition if not given attention. Modifiability of the Problem 1/2 x 2 1 The partially because problem is

modifiable financial

matter needs to be

considered

to

improve the condition of their house which is made of light The current are not

materials. familys resources presently

adequate considering the other problems, but through health

teachings, their risk for this problem can be minimized. Preventive Potential 3/3 x 1 1 The risk for fire

accident can highly be minimized if this problem is properly managed intervened. and

Salience

2/2 x 1

The family consider it as needs problem that

immediate

attention since their house is made up of light materials and

their cooking area is located inside their house. This made the family alarmed that they may be prone to fire accidents. Total: 3.67

Table c. Accident hazards specifically fall hazards Criteria Computation Actual Score Nature of the Problem 2/3 x 1 0.67 It is a health threat that may cause future accident and may Justification

pose an effect on the health of the family. Modifiability of the Problem 1/2 x 2 1 The partially because problem, problem is

modifiable in this

financial

matter needs to be considered. There is a need for resources to improve of the their

condition house.

Apparently,

the family resources are not adequate for improving environment considering other their

problems, but through proper teachings health and

participation

of

the

family members, this problem can partially be minimized. Preventive Potential 3/3 x 1 1 If properly managed, threat to the familys health will be

minimized. It will also prevent further harm to Mrs. Z since she has a problem with her leg. Salience 1/2 x 1 0.5 The family

recognized this as a problem. However,

they do not see this as a problem needing immediate attention. Total: 3.17

Table d. Faulty/unhealthful nutritional/eating habits or feeding techniques/practices specifically inadequate food intake both in quality and quantity Criteria Computation Actual Score Nature of the Problem 2/3 x 1 0.67 It is a health threat that immediate management eliminate to requires Justification

untoward

consequences. Modifiability of the Problem 1/2 x 2 1 The partially problem is

modifiable

because the familys resources presently are not

adequate considering other Though problems. can be

modified with the help of the student nurses

by helping family in effective budgeting of the money and time. Development of skills of the members of the family in terms of

good nutrition- proper food selection and and

preparation feeding practices. Preventive Potential 3/3 x 1 1

Susceptibility to other disease prevented unhealthful habits changed. budgeting will can be if eating be Proper and

development of the skills of the members in proper selection

and

preparation

of

food could help a lot. Thus normal growth and development can be achieved. Salience 2/2 x 1 1 The family is aware of such problem and is willing to change in order diseases to avoid brought

about by unhealthy eating habits due to inadequate resources. Total: 3.67

Table e. Faulty/unhealthful nutritional/eating habits or feeding techniques/practices specifically faulty eating habits Criteria Computation Actual Score Justification

Nature of the Problem

2/3 x 1

0.67

It is a health deficit that immediate management eliminate to requires

untoward

consequences. Modifiability of the Problem 1/2 x 2 1 The partially problem is

modifiable

because the familys resources presently are not

adequate considering other Though problems. can be

modified with the help of the student nurses by helping family in effective budgeting of the money and time. Development of skills

of the members of the family in terms of

good nutrition- proper food selection and and practices.

preparation feeding

Techniques in food selection would help a lot in improving the familys eating habits. Preventive Potential 3/3 x 1 1 Susceptibility to other disease prevented unhealthful habits changed. budgeting will can be if eating be Proper and

development of the skills of the members in proper selection

and

preparation

of

food could help a lot. Thus normal growth and development can be achieved. Salience 2/2 x 1 1 The family is aware of such problem and is willing to change in order diseases to avoid brought

about by unhealthy eating habits due to inadequate resources. Total: 3.67

Table f. Poor home/environmental condition/sanitation specifically inadequate living space Criteria Computation Actual Score Nature of the 2/3 x 1 0.67 It is a health threat Justification

Problem

that demand action.

does

not

immediate

Modifiability of the Problem

1/2 x 2

The

problem

is

partially

modifiable

because the familys resources presently adequate considering problems. other Also, are not

increasing their living space will need

financial expenditure. Arranging the things in their house may allow more space for them. Preventive Potential 2/3 x 1 0.67 Increasing their living space will provide

privacy members

to

family and

provide bigger space to allow adequate when

movement performing

housework and other activities such as

joint recreational and leisure activities. Salience x1 0.5 The family consider it as problem since

space is not enough for the four family members. However, they do not see this as a problem immediate

needing attention. Total: 2.84

Table g. Poor home/environmental condition/sanitation specifically lack of food storage facilities Criteria Computation Actual Score Nature of the Problem 2/3 x 1 0.67 It is a health threat that does not require immediate management action. Modifiability of the Problem 1/2 x 2 1 The partially because storage and the problem is and Justification

modifiable food requires familys is not

financial expenditure

resources adequate considering problems. proper

other Through health

teachings, problem minimized. Preventive Potential 2/3 x 1 0.67 can

this be

Poor home condition can be prevented if the resources utilized Anything available will be

properly. or any

Tupperware can be used for storage of food as long as it is clean. A clean and proper storage of

food reduces the risk of diseases. Salience 0x1 0 The family does not consider this as a problem. Total: 2.34 acquiring

Table h. Poor home/environmental condition/sanitation specifically polluted water supply Criteria Computation Actual Score Nature of the Problem 2/3 x 1 0.67 It is a health threat that immediate management prevent to requires Justification

untoward to

consequences their health. Modifiability of the Problem 0/2 x 2 0

The problem is not modifiable because

of inadequacy of safe water supply in their place.

Preventive Potential

3/3 x 1

Safe will

water help

supply prevent

occurrence of water-

related disease and untoward effects on their health. Salience 2/2 x 1 1 The family consider it as problem needing immediate attention

because they know that this problem

pose a great effect on their health. Total: 2.67

Table i. Poor home/environmental condition/sanitation specifically presence of breeding or resting sites of vectors of diseases (e.g. mosquitoes, flies, roaches) Criteria Computation Actual Score Nature of the Problem 2/3 x 1 0.67 It is a health threat that can make the family members at risk for vector-borne Justification

diseases. Modifiability of the Problem 2/2 x 2 2 The highly problem is

modifiable

since resources are available and health teachings regarding the interventions for this problem are

feasible. Preventive Potential 3/3 x 1 1 Vector-borne diseases prevented problem can if will be this be

properly managed. Salience 2/2 x 1 1 The family consider it as problem needing immediate since attention is

there

presence of vectors in their place. Mrs Z

wants to ensure that no one will have

vector-borne diseases their family. Total: 4.67 among

Table j. Poor home/environmental condition/sanitation specifically improper garbage/refuse disposal Criteria Computation Actual Score Nature of the Problem 2/3 x 1 0.67 It is a health threat that shows failure of the family to maintain sanitation. Modifiability of the Problem 2/2 x 2 2 The problem is highly modifiable resources available and since are the Justification

interventions for this problem are feasible.

Preventive Potential

3/3 x 1

Presence of breeding sites for vectors

carrying diseases will be prevented as well as the communicable disease brought by these vectors. Salience 2/2 x 1 1 The family consider it as problem requiring immediate attention

since they were able to observe presence of vectors in their. Total: 4.67

Table k. Poor home/environmental condition/sanitation specifically poor lighting and ventilation Criteria Computation Actual Score Nature of the Problem 2/3 x 1 0.67 It is a health threat that requiring Justification

immediate

attention

and intervention. Modifiability of the Problem 1/2 x 2 1 The problem is

partially

modifiable

because the familys resources presently adequate considering problems. can be other Though modified are not

through observance of proper

arrangement of area and utilization maximum of the

available resources. Preventive Potential 1/3 x 1 0.33 Poor lighting can and be if

ventilation prevented

resources utilized

will

be

properly.

Proper arrangement of the area and

things as utilization available will ventilation lighting. Salience 0x1 0

well as of the

resources improve and

The family is aware of such problem but does not perceive it to require attention.

Total:

Table l. Unsanitary food handling and preparation Criteria Computation Actual Score Nature of the 2/3 x 1 0.67 It is a health threat Justification

Problem

that immediate

requiring attention

and intervention. Modifiability of the Problem 2/2 x 2 2 The problem is easily modifiable does not since it

require

financial expenditure and nurses are the student resources available.

Techniques in proper handling and

preparation of food can be taught to

each member of the family. Preventive Potential 3/3 x 1 1 Susceptibility other disease can to and be

infections

prevented if proper

food

handling

and

preparation will be observed. Development of the skills of the members in proper selection and preparation of food could help a lot. Salience 0x1 0 The family does not recognize problem. Total: 3.67 it as a

Table m. Unhealthful lifestyle and personal habits/practices specifically poor personal hygiene Criteria Computation Actual Score Nature of the Problem 2/3 x 1 0.67 It is a health threat that does demand Justification

immediate action. Modifiability 2/2 x 2 2 The problem is easily

of the Problem

modifiable since the student resources nurses are

available. The family can be taught of the importance of proper hygiene; teach the proper way of doing personal and alternatives performing practices resources available. Preventive Potential 3/3 x 1 1 Susceptibility transferability and of are hygiene provide in hygienic once not

other diseases to the family members can be reduced if proper

hygiene

will

be

observed. Practice of proper hygiene

minimizes the risk of acquiring disease as well makes one

comfortable. Salience 0x1 0 The family does not perceive problem. Total: 3.67 it as a

Table n. Unhealthful lifestyle and personal habits/practices specifically self-medication Criteria Computation Actual Score Nature of the Problem 2/3 x 1 0.67 It is a health threat that does demand Justification

immediate action. Modifiability of the 2/2 x 2 2 The problem is easily modifiable since the

Problem

student resources

nurses are

available. The family can be taught of the possible dangers of selfmedicating;

teach ways on how to avoid acquiring

diseases, thus selfmedication required. Preventive Potential 3/3 x 1 1 Increasing knowledge family possible acquiring of the the the of is not

about ways

different

diseases as well as the dangers of selfmedication will be a great help in the

prevention of such problem. Salience 0x1 0 The family does not consider problem. Total: Health Deficit Table a. Hypertension Stage 2 diagnosed by medical practitioner as a health deficit Criteria Computation Actual Score Nature of the Problem 3/3 x 1 1 It is a health deficit that requires Justification 3.67 it as

immediate action and management prevent to

untoward

consequences. Modifiability of the 1/2 x 2 1 The partially problem is

modifiable

Problem

because the familys resources presently adequate considering problems. Hypertension condition is a that other are not

requires extra effort in order to prevent possible occurrence. It is a condition that requires change lifestyle. hypertension term and maintenance medication. a in great ones Also, long-

management lifetime of

Preventive Potential

3/3 x 1

Hypertension can be a lifestylerelated

condition which can be highly prevented. It is a condition that can with observance be prevented strict of a

good lifestyle, proper diet and exercise. Salience 2/2 x 1 1 The family consider it as problem and are aware that it requires an immediate action. Total: 4

Table b. Gouty Arthritis diagnosed by medical practitioner as a health deficit Criteria Computation Actual Score Nature of 3/3 x 1 1 It is a health that Justification

the Problem

requires action

immediate and to

management prevent

untoward

consequences. Modifiability of the Problem 1/2 x 2 1 The partially problem is

modifiable

because the familys resources presently adequate considering problems. other Gouty are not

arthritis is a condition that effort prevent requires in extra to

order

possible

occurrence. It is a condition requires a that great

change

in

ones

lifestyle and requires a long-term

management. Preventive Potential 3/3 x 1 1 Gouty arthritis can be a lifestylerelated

condition which can be highly prevented. It is a condition that can with observance be prevented strict of a

good lifestyle, proper diet and exercise.

Reoccurence of the signs and symptoms of the disease can be prevnted through

proper modifications. Salience 2/2 x 1 1 The family consider it

as problem and are aware that it requires an immediate action Total: 4

Table c. Unhealing wound diagnosed by medical practitioner as a health deficit Criteria Computation Actual Score Nature of the Problem 3/3 x 1 1 It is a health that requires action management prevent immediate and to Justification

untoward

consequences. Modifiability of the Problem 1/2 x 2 1 The partially problem is

modifiable

because the familys resources presently adequate are not

considering

other

problems. Unhealing wound is a condition that requires an extra and consistent care. Health teachings

about proper wound care can be provided but medical

management is still needed. Preventive Potential 3/3 x 1 1 Unhealing wound

and infection can be prevented with

proper management. Salience 2/2 x 1 1 The family consider it as problem and are aware that it requires an immediate action Total: 4

Problem List and Ranking 1.5 Poor home/environmental condition/sanitation specifically presence of breeding or resting sites of vectors of diseases (e.g. mosquitoes, flies, roaches) 1.5 Poor home/environmental condition/sanitation specifically improper garbage/refuse disposal 3.3 Hypertension Stage 2 diagnosed by medical practitioner as a health deficit 3.3 Gouty Arthritis diagnosed by medical practitioner as a health deficit 3.3 Unhealing wound diagnosed by medical practitioner as a health deficit 6.14 Accident hazards specifically pointed/sharp objects, poisons and medicines improperly kept 6.14 Accident hazards specifically fire hazards 6.14Faulty/unhealthful nutritional/eating habits or feeding techniques/practices specifically inadequate food intake both in quality and quantity 6.14Faulty/unhealthful nutritional/eating habits or feeding techniques/practices specifically faulty eating habits 6.14Unsanitary food handling and preparation 4.67

4.67

4 4 4

3.67 3.67 3.67

3.67

3.67

6.14Unhealthful lifestyle and personal habits/practices specifically poor personal hygiene 6.14Unhealthful lifestyle and personal habits/practices specifically selfmedication 13. Accident hazards specifically fall hazards 14 Poor home/environmental condition/sanitation specifically inadequate living space 15. Poor home/environmental condition/sanitation specifically polluted water supply 16. Poor home/environmental condition/sanitation specifically lack of food storage facilities 17. Poor home/environmental condition/sanitation specifically poor lighting and ventilation

3.67

3.67

3.17 2.84

2.67

2.34