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LA CONSOLACION UNIVERSITY OF THE PHILIPPINES

Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

First level Assessment : Poor Environmental Condition


Cues/Data Health Condition

A. Health Threat

Subjective:
“Wala nang oras mga tao sa Poor sanitation associated with
bahay, para bigyan pansin naman uncleaned open drainages in the
talaga at linisin yung kanal at mga backyard
halaman sa likuran” as verbalized
by Godoy’s grandmother.

Objective:
- stagnant water located in the
back side of the house
- poor sanitation of the open
drainages in the backyard,
plastic bags and wrappers
are stuck at the bottom

Subjective: Poor environmental condition that


“Madalas nga po kaming lamukin causes vector-borne diseases
dahil na rin siguro sa di nga malinis
na mga kanal at malalalim na parte
ng bahay na naiimbakan ng
maruming tubig tuwing umuulan”
as per the verbatim of Godoy’s
grandmother

Objective:
- poor lighting in the corners of
the house as a contributing
factor to the breeding site of
mosquitoes
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

- uncleaned and unemptied


open drainages that stores
dirty rainwaters
- untidy collection of plants
that serves as one of the
mosquitoes’ breeding sites

B. Health Deficit

Subjective: Poor environmental condition that


“Nagkasakit pa nga yung isa kong caused vector-borne disease
apo dahil sa mga lamok,
nagkaroon sya dengue nung
nakaraang taon lang” as verbalized
by Godoy’s grandmother

Objective:
- One of the family members
was diagnosed with dengue
disease last year, December
26, 2021

C. Stress Points / Foreseeable Crisis

Subjective: Poor sanitation associated with


“Natatakot nga akong baka maulit uncleaned open drainages in the
nanaman na may madengue sa backyard
amin, kaso wala namang may oras
at kakayahan na makapaglinis,
iniisip ko na ngang kumilos dahil
nakakatakot ang gastusin sa
ospital pag magkataon” as
verbalized by Godoy’s
grandmother
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

Objective:
- obvious sign of possible
dengue outbreak or
vector-borne diseases due to
improper sanitation of the
back side of the house
- possible mild to serious
illnesses can be acquired if
not cleaned and exposure to
bad odors can result to
adverse health effects

Health Condition Family Nursing Problem

A. Health Threat

Subjective: To create or maintain a therapeutic


“Wala nang oras mga tao sa bahay, environment.
para bigyan pansin naman talaga at
linisin yung kanal at mga halaman - The family's failure to create a
sa likuran” as verbalized by setting that is conducive to
Godoy’s grandmother. everyone's health, including
the open drains and the dirty
Objective: back of the house, has had a
- stagnant water located in the negative impact on the
back side of the house family's health.
- poor sanitation of the open
drainages in the backyard,
plastic bags and wrappers are
stuck at the bottom
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

Subjective: To facilitate the maintenance of


“Madalas nga po kaming lamukin elimination.
dahil na rin siguro sa di nga malinis
na mga kanal at malalalim na parte - The family refused to remove
ng bahay na naiimbakan ng the dangerous materials and
maruming tubig tuwing umuulan” as the stagnant water that serves
per the verbatim of Godoy’s as a mosquito breeding
grandmother ground.

Objective:
- poor lighting in the corners of
the house as a contributing
factor to the breeding site of
mosquitoes
- uncleaned and unemptied
open drainages that stores
dirty rainwaters
- untidy collection of plants that
serves as one of the
mosquitoes’ breeding sites

B. Health Deficit

Subjective: To recognize the physiologic


“Nagkasakit pa nga yung isa kong responses of the body to disease
apo dahil sa mga lamok, nagkaroon conditions—pathologic, physiologic,
sya dengue nung nakaraang taon and compensatory.
lang” as verbalized by Godoy’s
grandmother - The family's neglect to
consider the threat the issue
Objective: might pose to the family led to
- one of the family members one of the family members
was diagnosed with dengue contracting dengue disease.
last year, December 26, 2021
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

C. Stress Points / Foreseeable Crisis

Subjective: To understand the role of social


“Natatakot nga akong baka maulit problems as influencing factors in
nanaman na may madengue sa the cause of illness.
amin, kaso wala namang may oras
at kakayahan na makapaglinis, - The family was unaware that
iniisip ko na ngang kumilos dahil their packed schedule was a
nakakatakot ang gastusin sa ospital social issue that was
pag magkataon” as verbalized by impacting them and would
Godoy’s grandmother result in more significant
problems if they weren't
Objective: immediately addressed.
- obvious sign of possible
dengue outbreak or
vector-borne diseases due to
improper sanitation of the
back side of the house
- possible mild to serious
illnesses can be acquired if
not cleaned and exposure to
bad odors can result to
adverse health effects
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

Cues/Data Health Condition

A. Health Threat

Subjective:
“Madalas nga may magsiga sa Poor air quality due to uncontrolled
kapitbahay namin, grabe yung fumes coming from the neighbor’s
usok hanggang sa loob ng bahay pyre
namin umaabot” as verbalized by
Godoy’s grandmother.

Objective:
- the smoke from nearby pyres
increases the amount of
contaminants in the air
- even the inside of the house
is filled with fumes

Subjective: Cigarette smoke as additional


“Pati nga yung nakagawiang contributing factor to the poor air
pagsisigarilyo nung anak ko ay quality condition inside the house
nakakadagdag sa kawalan ng
maayos na hangin dito sa bahay
namin” as per the verbatim of
Godoy’s grandmother

Objective:
- smoke from cigarettes serve
as a contributing factor to the
poor air quality within the
house
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

- only one (1) member of the


family smokes cigarettes
regularly
- the father typically smoked
one pack of cigarettes each
week, or two or more sticks
per day

B. Health Deficit

Subjective: Poor air quality condition due to


“Pakiramdam ko nga ay lalong smokes coming from the neighbor’s
lumalala yung asthma ko sa tuwing pyre, as well as the fumes from her
nakakaamoy ako ng mga usok son’s cigarette, led to worsening of
galing sa sigarilyo at siga sa grandmother’s asthma problem
kapaligiran” as verbalized by
Godoy’s grandmother

Objective:
- one of the family members
was diagnosed with
non-allergic asthma way
back in December 2012

C. Stress Points / Foreseeable Crisis

Subjective: Poor air quality condition associated


“Iniiwasan ko na nga lang na with harmful smokes in the
lumabas para lang di makaamoy environment
ng mga usok na yon dahil baka
lang lumalala yung asthma ko,
dagdag gastusin pa sa ospital” as
verbalized by Godoy’s
grandmother
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

Objective:
- possible hospitalization of a
family member due to poor
air quality condition related to
harmful smokes in the
environment

Health Condition Family Nursing Problem

A. Health Threat

Subjective: To understand the role of social


“Madalas nga may magsiga sa problems as influencing factors in
kapitbahay namin, grabe yung usok the cause of illness.
hanggang sa loob ng bahay namin
umaabot” as verbalized by Godoy’s - Due to the large number of
grandmother. people it affects, pyre-firing is
regarded as a societal
Objective: concern. It is also one of the
- the smoke from nearby pyres elements that contribute to
increases the amount of the development of diseases
contaminants in the air like asthma and other
- even the inside of the house respiratory issues or that
is filled with fumes make existing conditions
worse.

Subjective: To create or maintain a therapeutic


“Pati nga yung nakagawiang environment.
pagsisigarilyo nung anak ko ay
nakakadagdag sa kawalan ng - Since the grandmother's very
maayos na hangin dito sa bahay relative jeopardize the family
by smoking cigarettes within
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

namin” as per the verbatim of their home, the family was


Godoy’s grandmother unable to create a healthier
environment.
Objective:
- smoke from cigarettes serve
as a contributing factor to the
poor air quality within the
house
- only one (1) member of the
family smokes cigarettes
regularly
- the father typically smoked
one pack of cigarettes each
week, or two or more sticks
per day

B. Health Deficit

Subjective: To facilitate the maintenance of a


“Pakiramdam ko nga ay lalong supply of oxygen to all body cells.
lumalala yung asthma ko sa tuwing
nakakaamoy ako ng mga usok - One member of the family
galing sa sigarilyo at siga sa suffered worsening asthma as
kapaligiran” as verbalized by a result of the family's failure
Godoy’s grandmother to take into account the threat
the issue would pose to the
Objective: family.
- one of the family members
was diagnosed with
non-allergic asthma way back
in December 2012

C. Stress Points / Foreseeable Crisis


LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

Subjective: To facilitate the maintenance of


“Iniiwasan ko na nga lang na elimination.
lumabas para lang di makaamoy ng
mga usok na yon dahil baka lang - The unmanaged situation
lumalala yung asthma ko, dagdag prevented the family from
gastusin pa sa ospital” as solving the issue because the
verbalized by Godoy’s grandmother neighbor's pyre smoke cannot
be remedied if the neighbor
Objective: does not give up the habit.
- possible hospitalization of a
family member due to poor air
quality condition related to
harmful smokes in the
environment

—- for ASTHMA to diko lang maalis yung air pollution!!!!


Cues/Data Health Condition

A. Health Threat

Subjective:
“Dahil nga may madalas magsiga Poor air quality due to uncontrolled
na kapitbahay namin, madalas fumes coming from the neighbor’s
ding sumikip yung dibdib ko pag pyre that worsens grandmother’s
wala masyadong sariwang hangin” asthma problem
as verbalized by Godoy’s
grandmother.
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

Objective:
- the smoke from nearby pyres
increases the amount of
contaminants in the air
- even the inside of the house
is filled with fumes

Subjective: Cigarette smoke as additional


“Pati nga yung usok sa sigarilyo contributing factor that worsens the
dumadagdag sa sikip ng dibdib ko asthma problem of grandmother
tuwing naaamoy ko” as per the
verbatim of Godoy’s grandmother

Objective:
- smoke from cigarettes serve
as a contributing factor to the
poor air quality within the
house
- only one (1) member of the
family smokes cigarettes
regularly
- the father typically smoked
one pack of cigarettes each
week, or two or more sticks
per day

B. Health Deficit

Subjective: Poor air quality condition due to


“Para na ngang butas ng karayom smokes coming from the neighbor’s
ang paghinga ko tuwing pyre, as well as the fumes from her
nagsasabay yung usok ng sigarilyo son’s cigarette, led to worsening of
at siga” as verbalized by Godoy’s grandmother’s asthma problem
grandmother
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

Objective:
- chest pain rated by the
grandmother with the scale
of 5/10
- shortness of breath as
observed while interviewing,
rapid breathing
- while having conversation
with the grandmother,
coughing or wheezing
attacks was heard and
observed
- grandmother was diagnosed
with non-allergic asthma way
back in December 2012
- uses metered-dose inhaler to
treat asthma attacks as
prescribed by the doctor
(salmeterol, fluticasone
propionate)

C. Stress Points / Foreseeable Crisis

Subjective: Poor air quality condition associated


“Kumbaga eh kapag inaatake lang with harmful smokes in the
talaga ko ng asthma saka lang ako environment
naggagamot gamit inhaler” as
verbalized by Godoy’s
grandmother

Objective:
- possible hospitalization of a
family member due to poor
air quality condition related to
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

harmful smokes in the


environment
- non-productive cough, with
no signs of phlegm and
mucus from the lungs
- nasal flaring
- shortness of breath as
observed while interviewing,
rapid breathing
- uses metered-dose inhaler to
treat asthma attacks as
prescribed by the doctor
(salmeterol, fluticasone
propionate)

Health Condition Family Nursing Problem

A. Health Threat

Subjective: To understand the role of social


“Dahil nga may madalas magsiga problems as influencing factors in
na kapitbahay namin, madalas ding the cause of illness.
sumikip yung dibdib ko pag wala
masyadong sariwang hangin” as - Due to the large number of
verbalized by Godoy’s people it affects, pyre-firing is
grandmother. regarded as a societal
concern. It is also one of the
Objective: elements that contribute to
the development of diseases
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

- the smoke from nearby pyres like asthma and other


increases the amount of respiratory issues or that
contaminants in the air make existing conditions
- even the inside of the house worse.
is filled with fumes

Subjective: To create or maintain a therapeutic


“Pati nga yung usok sa sigarilyo environment.
dumadagdag sa sikip ng dibdib ko
tuwing naaamoy ko” as per the - Since the grandmother's very
verbatim of Godoy’s grandmother relative jeopardize the family
by smoking cigarettes within
Objective: their home, the family was
- smoke from cigarettes serve unable to create a healthier
as a contributing factor to the environment.
poor air quality within the
house
- only one (1) member of the
family smokes cigarettes
regularly
- the father typically smoked
one pack of cigarettes each
week, or two or more sticks
per day

B. Health Deficit

Subjective: To facilitate the maintenance of a


“Para na ngang butas ng karayom supply of oxygen to all body cells.
ang paghinga ko tuwing
nagsasabay yung usok ng sigarilyo - One member of the family
at siga” as verbalized by Godoy’s suffered worsening asthma as
grandmother a result of the family's failure
to take into account the threat
Objective: the issue would pose to the
family.
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

- chest pain rated by the


grandmother with the scale of
5/10
- shortness of breath as
observed while interviewing,
rapid breathing
- while having conversation
with the grandmother,
coughing or wheezing attacks
was heard and observed
- grandmother was diagnosed
with non-allergic asthma way
back in December 2012
- uses metered-dose inhaler to
treat asthma attacks as
prescribed by the doctor
(salmeterol, fluticasone
propionate)

C. Stress Points / Foreseeable Crisis

Subjective: To facilitate the maintenance of


“Kumbaga eh kapag inaatake lang elimination.
talaga ko ng asthma saka lang ako
naggagamot gamit inhaler” as - The family couldn't find a
verbalized by Godoy’s grandmother solution because the
neighbor's pyre smoke can't
Objective: be stopped unless the
- possible hospitalization of a neighbor quits it himself, and
family member due to poor air the son's smoking can only be
quality condition related to stopped if he cuts the habit as
harmful smokes in the well.
environment
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

- non-productive cough, with no


signs of phlegm and mucus
from the lungs
- nasal flaring
- shortness of breath as
observed while interviewing,
rapid breathing
- uses metered-dose inhaler to
treat asthma attacks as
prescribed by the doctor
(salmeterol, fluticasone
propionate)

Scoring & Prioritization: Poor environmental condition


LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

Criteria Score Computa Actual Justification


tion Score
1. Nature of 2 /3x1 1 The health threat is
the problem something that
would be severe
a. health deficit 3 and harmful to
b. health threat 2 everyone if not
c. forceable 1 addressed right
crisis away, thus it is
given the utmost
priority.
2. Magnitude 4 /4x1 1 If the issue with the
of the backyard's
Problem sanitation isn't
a. 75-100% 4 resolved,
affected mosquitoes can
b. 50-74% 3 spread and have an
affected impact on
c. 25-49% 2 everyone. If the
affected poor environmental
d. 25% 1 situation was not
affected addressed right
away, it would
contaminate other
water sources and
the family's and
their neighbors'
health would suffer
due to the foul
smell coming from
the unattended
drainage.
3. Modifiabilit 1 /3x1 0 This can be
y of the changed only to
Problem some extent
a. Easily 2 because the family
modifiable has no control over
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

b. Partially 1 when the rain


modifiable would come, and
c. Not 0 due to the packed
modifiable schedule of the
family members,
their open
drainages wouldn't
be cleaned and
emptied, thus
turning it to a
mosquito breeding
site.
4. Preventive 2 /3x1 1 The rationale for
Potential the moderate rate is
a. High 3 that even though
b. Moderate 2 the family's
c. low 1 backyard had been
cleaned once, the
issue would still
recur after another
downpour because
dirt and unclean
water would be left
in some areas.
5. Social 1 /2x1 1 Despite the fact that
Concern the family claims
a. Serious 2 they were not
problem/nee frequently in their
d immediate backyard, which
action reduced their
b. a problem 1 exposure to
but not potential mosquito
needing breeding grounds
immediate and accumulated
action dirt, this is seen as
an issue but does
not require
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

c. Not a felt 0 immediate


need/proble treatment.
m
4
Total Score

Scoring & Prioritization: Air pollution

Criteria Score Computa Actual Justification


tion Score
1. Nature of 2 /3x1 1 The health threat is
the problem something that
would be severe
d. health deficit 3 and harmful to
e. health threat 2 everyone if not
f. forceable 1 addressed right
crisis away, thus it is
given the utmost
priority.
2. Magnitude of 3 /4x1 1 Everyone is
the Problem impacted by the
e. 75-100% 4 neighbor's ongoing
affected pyre lighting,
f. 50-74% 3 though not entirely.
affected The only people
g. 25-49% 2 who would be
affected immediately
h. 25% 1 affected are the
affected houses around
where the fumes
come from, which
is why only 50–74%
are disturbed.
Additionally, since
they aren't typically
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

together, the smoke


from the cigarette
just affects the
family members,
which is not
something that
happens frequently.
3. Modifiability of 1 /3x1 0 The family has no
the Problem control over when
d. Easily 2 the neighbor lights
modifiable their pyres, thus
e. Partially 1 this can only be
modifiable modified to a
f. Not 0 certain extent.
modifiable Additionally, even if
they did want to
cease, the neighbor
would not do it
right away.
Furthermore,
treatment for a
smoking addiction
would not begin
immediately
because withdrawal
should be gradual
and steady.
4. Preventive 2 /3x1 1 The justification for
Potential the moderate rate is
d. High 3 that even if the
e. Moderate 2 neighbor stopped
f. low 1 using pyres once,
they would do once
again. Also keep in
mind that addiction
cannot be cured
overnight, thus
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

these issues would


eventually reoccur.
5. Social 2 /2x1 1 Because it involves
Concern one's health, this
d. Serious 2 requires rapid
problem/nee attention. If this
d immediate wasn't addressed
action right away, it could
e. a problem 1 lead to death due to
but not insufficient oxygen
needing level of the
immediate asthmatic family
action member .
f. Not a felt 0 Additionally, this
need/proble needs to be
m handled quickly in
order to further
prevent the family
member who
smokes cigarettes
from suffering
further respiratory
injury.
4
Total Score

Scoring & Prioritization: Asthma

Criteria Score Computa Actual Justification


tion Score
6. Nature of 3 /3x1 1 Asthma is one of
the problem the health issues in
their family, thus
g. health deficit 3 the health deficit is
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

h. health threat 2 given the highest


i. forceable 1 attention.
crisis
7. Magnitude 1 /4x1 0 Only 25% of the
of the family members are
Problem afflicted by the
i. 75-100% 4 problem, which was
affected only given a score
j. 50-74% 3 of 1, as only the
affected grandmother in the
k. 25-49% 2 family has asthma.
affected
l. 25% 1
affected
8. Modifiabilit 1 /3x1 0 Asthma cannot be
y of the entirely treated
Problem because it is a
g. Easily 2 respiratory
modifiable condition. Because
h. Partially 1 inhalers only
modifiable provide temporary
i. Not 0 relief and don't
modifiable completely heal a
person's condition,
this issue could
only be partially
resolved.
9. Preventive 2 /3x1 1 Given that it was a
Potential respiratory
g. High 3 condition, this was
h. Moderate 2 only accorded a
i. low 1 moderate rate
because it cannot
be entirely treated.
Only a minor
amount of this
problem's scope
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

can be avoided if
action is carried
out.
10. Social 2 /2x1 1 Even though it
Concern involves one's
g. Serious 2 health, it is still
problem/nee regarded as a
d immediate problem that can be
action resolved with an
h. a problem 1 inhaler whenever
but not necessary and does
needing not require
immediate immediate action.
action
i. Not a felt 0
need/proble
m
3
Total Score

Prioritization of Problems

Rank Score Problem


1 4 Lack of adequate air quality caused by a neighbor's pyre
and pollution from a family member's cigarette smoking
aggravates current illnesses and promotes the onset of
new respiratory disorders.
2 4 Failure to create a therapeutic environment that is
conducive to everyone’s health due to the inability to clean
the open drainages related to lack of time and packed
schedule.
LA CONSOLACION UNIVERSITY OF THE PHILIPPINES
Malolos, Bulacan
COLLEGE OF MEDICINE AND ALLIED MEDICAL PROFESSIONS

3 3 Current illnesses are worsened and the emergence of new


respiratory ailments is promoted by poor air quality brought
on by a neighbor's pyre and harmful emissions from a
family member's cigarette smoking.

Prepared by: BSN 2B Group 3

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