University of San Agustin

College of Health and Allied Medical Professions

Nursing Program

NCM 104A: COMMUNITY HEALTH NURSING

SCALE OF RANKING HEALTH CONDITIONS AND PROBLEMS ACCORDING TO PRIORITIES

Situation 1: Delia's Family

1.Enumerate the health problems identified based from the data gathered in the scenario.

1. Tuberculosis as Health Deficit (diagnosed)

2. Malnutrition as Health Deficit (undiagnosed)
3. Pregnancy as Foreseeable Crisis or stress points

2.Using the Scale for Ranking Health and Conditions and Problems According to Priorities,

PROBLEM NUMBER 1: Tuberculosis as Health Deficit (diagnosed)

CRITERIA WEIGHT Scoring Justification

1. Nature of the condition or 1 Tuberculosis is a
problem presented considered a
Scale: wellness state 3 health deficit
health deficit 3 because it is a
1 ( 3 /3)x
health threat 2 disease
1
foreseeable crisis 1 diagnosed by a
medical
practitioner.

2. Modifiability of the condition or 1/2 It is partially

problem 2 modifiable. The
Scale: easily modifiable 1 family have
Partially modifiable 0 enough
not modifiable knowledge
about the
disease, there
are
interventions
( 1 /2)x
2 like treatments
2
and therapies,
facilities are
accessible, and
the nurse has a
knowledge and
skill, however,
the client and
family does not
have a

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 capacity to
finance for their
health.
3. Preventive Potential 1 It is high
Scale: high 3 preventive
moderate 2 potential
low 1 because it is
not severe and
it has been
cured however
there are
minimal signs
appearing
1 ( 3/ 3 ) x 1
again. The
family also
have enough
knowledge,
they are aware
of the signs as
well as the
medications
and laboratory
measures.
4. Salience 2 The family
Scale: viewed this as
a condition or problem, needing 2 condition
immediate attention needing
immediate
( 2 /2)x
a condition or problem, not needing 1 1 attention and
1
immediate attention conduct ways
to eliminate the
not perceived as a condition or problem 0 problem.
needing change

Problem’s 4 1/2
TOTAL SCORE: 5
Score

PROBLEM NUMBER 2: Malnutrition as Health Deficit

CRITERIA WEIGHT Scoring Justification

1. Nature of the condition or 1 Malnutrition is a
problem presented health
Scale: wellness state 3 deficit(undiagnosed)
health deficit 3 1 because there is a
( 3/3)x1
health threat 2 failure to develop
foreseeable crisis 1 according to normal
rate since the
patient.
2. Modifiability of the condition or ( 1 /2)x 1/2 It is partially
2
problem 2 2 modifiable. There

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 Scale: easily modifiable 1 are interventions for,
Partially 0 there are also
modifiable community
not modifiable programs
combating
malnutrition, and the
nurse has a
knowledge and skill,
however, the family
does not have
enough knowledge
about the problem
client and is
financially
incapable.
3. Preventive Potential 1/3 The problem is
Scale: high 3 recognized by the
moderate 2 family, however,
low 1 they have
insufficient
knowledge about
1 ( 1 /3)x1
what to do with it. It
is also quite severe
since there are
abnormalities
already and existed
for quite a time.
4. Salience 1/2 The family viewed it
Scale: as problem or
a condition or problem, needing 2 condition not
immediate attention needing immediate
attention since they
a condition or problem, not needing 1 1 ( 1/2)x1 are not alarmed with
immediate attention it and actually think
of it as normal.
not perceived as a condition or 0
problem needing change

Problem’s 2
TOTAL SCORE: 5
Score 1/3

PROBLEM NUMBER 3: Pregnancy as Foreseeable crisis or stress points

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 CRITERIA WEIGHT Scoring Justification
1. Nature of the condition or 1/3 It is considered
problem presented as Presence of
Scale: wellness state 3 stress points/
health deficit 3 foreseeable
health threat 2 crisis situation
foreseeable crisis 1 because it
1
( 1/3)x1 anticipates
periods of
unusual
demand on the
individual/
family

2. Modifiability of the condition or 1/2 It is partially

problem 2 modifiable. The
Scale: easily modifiable 1 client is aware
Partially modifiable 0 of what to do
not modifiable and there are a
lot interventions
and facilities
available, there
are also
community
programs
2 ( 1 /2)x2
educating
mothers for
pregnancies,
and the nurse
has a
knowledge and
skill, however,
the family and
client is
financially
incapable.
3. Preventive Potential 1 It is high
Scale: high 3 preventive
moderate 2 potential
low 1 because it is
not severe or
serious. The
1 ( 3/ 3 ) x 1
family also
have enough
knowledge
they are aware
of the what to
do.
4. Salience 2 The family
Scale: viewed this as
a condition or problem, needing 2 1 ( 2/2)x1 condition
immediate attention needing
immediate

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 a condition or problem, not needing
immediate attention
not perceived as a condition or problem
needing change
1 attention and
conduct ways
to eliminate the
0 problem

Problem’s 3 5/6
TOTAL SCORE: 5
Score

3.Compute the score and rank the problems identified in Situation.

HEAD PROBLEMS

HEAD PROBLEMS SCORE RANK

PROBLEM NUMBER 1: 4 1/2 1st
Tuberculosis as Health
Deficit

PROBLEM NUMBER 2: 2 1/3 3rd

Malnutrition as Health
Threat

PROBLEM NUMBER 3: 3 5/6 2nd

Pregnancy as Foreseeable
Crisis or stress points

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Situation 2:

Formulate a family nursing care plan based on the situation. Use the space provided below for
your answer. This will serve as your guide in our virtual class discussion.

HEALTH GOAL OF CARE HEALTH STRATEGIES EVALUATION

PROBLEM

Faulty/ unhealthful After 2 days of Fully met. After 2

nutritional/eating effective health days of effective
habits or feeding care strategies, health care
techniques or the patient strategies, the
practices as a health understands the patient understands
threat related to importance of the importance of
limited food intake as proper diet and proper diet and
evidenced by: demonstrate demonstrate
healthy eating healthy eating
OBJECTIVE: patterns and patterns and
choices. choices and
weight of 48 kg. and verbalizes:
a height of 155cm.
“gakaon nko
SUBJECTIVE: mayad, kag ga
inom vitamins”
Client verbalized “I
am limiting my food “naga exercise mn
intake because I do ko kun magbugtaw
not want to have a ko taga aga”
caesarean section,
which may be
needed if the baby
grew big.”

Family Nursing
Problem

Objectives:
I. Inability to Within 12 hours of
recognize the health
presence of the education and
condition or problem nursing
due to: care, the family
will be
able to:

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 A1. exhibits A1. Educate the
A. Lack of or comprehension of client regarding the
inadequate the importance of importance
knowledge nutrition of eating healthy
foods during her
pregnancy in terms
of benefits to her
body and
especially to her
baby.

B. Denial about
its existence or A2. Understand A2. Educate the
severity as a the importance of client regarding the
result of fear sufficient amountsvitamin sand
of of nutrients and minerals that
consequences calories. areimportant
of diagnosis of during her
problem, pregnancy, such as
specifically: A3. demonstrates vitamin C, folic
Physical the understanding acid, iron,calcium,
consequences in selection of and protein; and
foods and meals the sources of
suitable for these nutrients.
acquisition of
appropriate A3. Help the
weight. patient to select
appropriate dietary
choices to reduce
the intake of milk
products,
caffeinated drinks,
alcohol and high
fiber, high fat foods

A3. Refer the

patient to the
dietitian.

B. Understand B. Encourage
that gaining patient create a
weight is a natural daily weight chart
and necessary and
part of pregnancy
and learn ways

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on how to remain B. Establish a
fit. minimum goal
weight and daily
nutritional
requirements

B. Encourage
exercise.

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