FIRST LEVEL OF ASSESSMENT

WELLNESS

 The family has been staying in the community for about 15 years now. The family seldom participates
in activities in the community such as community assemblies and other social activities that are being
held within the barangay.
 Family observes proper methods of segregating and recycling of garbage.
 One of the family’s sources of information from the barangay is from the barangay kagawad, barangay
health worker, and through a public information system available in the community. Their means of
transportation going to the city is through solar jeep, multicabs, and air-conditioned buses. They have
regular and stable means of transportation within the area of the barangay.

Spiritual Well being:

Family members are Roman Catholic. They pray the Holy Rosary every 6PM. They offer a prayer before
sleeping. The family regularly hears mass every Sunday at the nearby chapel.

READINESS

 Mrs. Light has complete immunizations and does regular prenatal visits.
 Mr. Light is ready to stop his drinking habits. As verbalized, “Andam na ako pag-undang hini nga akon
pag-inom hin tuba kada semana”.
 Bright Light is currently at 6 weeks postpartum. She is compliant with the post-natal check-up and
scheduled immunizations of Neon Light. She also encountered no problems with breastfeeding Neon
Light.
 Celestial light uses herbal plants available in their garden for her rash.
 Neon Light is compliant with her immunization and is exclusively breastfeeding.
 The family’s diet consists of fish and vegetables and they eat 3 times a day.
 The family uses sleeping mats and mosquito nets to protect themselves. They also use slippers in their
house.

HOME AND ENVIRONMENT

 Inadequate toilet and bath room

(the number of people in the household is not proportionate to the number of toilets)
 Living in the area near mountain
(prone to landslides)
  The district health center of the barangay is located more than 3 kilometers away from their house
(It would take long for them to access their health care to a health facility)
HEALTH THREATS
 Left-over foods are placed on the table and left uncovered
(Food left may be contaminated with insects or bacteria that may lead to a serious illness)
 They get water for drinking from the spring. No boiling nor any treatment is done prior to its
consumption.
(Water may be contaminated due to poor irrigation system)
 The dishes are taken from a manual water pump.
(the water from the water pump may be contaminated due to poor water irrigation system)
 Uncovered water container in the comfort room.
(may be landed by different insects and may be a breeding habitat of mosquitoes)
 Mr Light smoker for 20 years to which he can consume 2 sticks a day
(May cause second hand smoke to the members of the family and may have long term diseases
such as TB or Respiratory Distress)
 Mr. Light, Mrs. Light, Sun Light, and Dark Knight each consume 2 liters of tuba at the end of each
week.
(May lead to alcohol addiction and damage to the liver)
 They do not use spoon and fork when eating.
(Accumulation of dirt under the nails may lead to infection especially in GIT)
 They do not do frequent handwashing.
(Bacteria may accumulate and lead to infection)
 Manure from stray dogs, ducks, and chicken could be seen as well in their backyard
(These animals may cause diseases such as exposure to intestinal parasites).

HEALTH DEFICIT

•Dark Knight (was) recently experienced weight loss, abdominal pain, and identified a worm in his stool after
defecating, which prompted him to seek consultation at the district health center. He was advised for a direct
fecal smear. Results showed positive for Ancylostoma dudenale.

Dark Knight SUMMARY:

-Weight loss

-Abdominal pain

-Identified a worm in stool after

defecating

-Positive Result for Anclyostoma dudenale

(Justification: Diagnosed illness state as characterized by Positive result for Anclyostoma following the
symptoms presented: weight loss, abdominal pain and identified worm in stool)

Definition of Anclyostoma duodenale:

-Infects a person through the oral route (known as Wakana syndrome. It is a species of the roundworm genus
Ancylostoma. It is a parasitic nematode worm and commonly known as the Old World hookworm. It lives in the
small intestine of hosts such as humans, cats and dogs, where it is able to mate and mature.

•Celestial Light is a 16-year-old, grade 9 student at Scandinavian National High School. She currently has a
pimple like rash present across most areas of her body, experiencing severe itching and thickening of her skin.
She described the itch as worse at night. She uses the herbal plants that are available in their garden.

CELESTIAL LIGHT Summary:

-Pimple-like rashh present across most areas of the body

-Severe Itching and Skin thickening (itch being mostly at night)

(Justification: Undiagnosed illness state)

•Moon Light is a 10-year-old, grade 4 student at San Roque elementary School. He is currently experiencing
the same signs and symptoms as Celestial Light.

MOON LIGHT Summary:

-Pimple-like rash present across most areas of body

-Severe itching and Skin thickening (mostly at night)

•Star Light is 4 years old, currently a Kindergarten 1 student at San Roque Elementary School. She

is 101 centimeters tall and weighs 10.9 kilograms upon assessment at their district health center. She

currently has fever, maculopapular rashes, Koplik spots, and her eyes are sensitive to light. She was also
recently advised for direct fecal smear but results showed no infection.
STAR LIGHT Summary:

-Underweight (BMI: 10.27)

-Fever

-Maculopapular rashes

-Koplik spots

-Eyes are sensitive to light

-Negative Results of Fecal Smear

(Justification: Failure to thrive/devlop according to normal rate given as Star light is Underweight with BMI of
10.27; Undiagnosed illness state possibly maculopapular rashes is the prodormal phase of measles being
Koplik spots)

FORESEEABLE CRISIS

Marriage

 Dark Knight is the husband of Bright Light. He lives with the Light Family after Bright Light gave birth to
Neon Light.

(Since marriage may not work out and lead to separation)

Additional Member

 Bright Light is 18 years old, finished grade 11 at Scandinavian National High School. She stopped
studying after she gave birth to Neon Light. She is currently at 6 weeks postpartum. She is compliant
with the post-natal check-up and scheduled immunizations of Neon Light. She also encountered no
problems with breastfeeding Neon Light.

(Since funds or resources may not be sufficient to raise a child)

Education
  Dark knight is the 18-year-old husband of Bright Light, working as a garbage collector. Finished grade
11 at Scandinavian National High School. He stopped studying after Bright Light gave birth to Neon
Light.

(lack of education for possible proper employment as a source of income to raise a child)

Menopause

 Mrs. Light is 40 years old and a mother of six with 1 granddaughter. Her LMP was on September 2,
2023.

(Can cause mood swings that may affect the person’s relationship with the family)

SECOND LEVEL OF ASSESSMENT

PRESENCE OF THE CONDITION OR PROBLEM

A. Lack of or inadequate knowledge

 Family’s level of education

B. Denial about its existence or severity as a result of fear or consequences of diagnosis of

problem

 Family's socio-economic status.

C. Attitude/Philosophy in life which hinders recognition/Acceptance of a problem

 Family's current belief in their situation.

 Family has been living in the same conditions for 15 years.

D. Others

 Family’s established habits

APPROPRIATE ACTION

1. Lack of knowledge of community resources for care

  The family seldom participates in activities in the community such as community assemblies
and other social activities that are being held within the barangay.

2. Low salience of the problem

 They do not use spoon and fork when eating

 they do not do frequent handwashing.
 The rest of the family members sleep in the living room floor made of concrete and use a
sleeping mat
 Left-over foods are placed on the table and left uncovered.
 They get water for drinking from the spring. No boiling nor any treatment is done prior to its
consumption.

NURSING DIAGNOSIS

1. Lack of necessary facilities, equipment, and supplies for care

 Inadequate bedroom
 Inadequate toilet and bathroom
 They get water for drinking from the spring. No boiling nor any treatment is done prior to its
consumption.

2. Inadequate knowledge about child development and care

 They do not practice frequent handwashing

 They do not use spoon and fork.

3. Inadequate family resources for care ( absence or responsible member, financial constraint,
limitation/lack of physical resources)

 Manure from stray dogs, ducks, and chicken could be seen in their backyard.
 Left-over foods are placed on the table and left uncovered.
 Uncovered water container in the comfort room
 Living in the area near mountain that is prone to landslides
 The district health center is located more than 3 kilometers away from their house.
 The dishes are taken from a manual water pump
4. Lack of knowledge about disease /health condition

 Mr. Light consumes 2 sticks of cigarette a day for 20 years

 Mr. Light, Mrs. Light, Sunlight, and Darknight consume 2 Liters of tuba at the end of every week.

ENVIRONMENT

1. LOW SALIENCE OF THE PROBLEM

 Manure of different animals, such as dogs, ducks and chicken can be seen in the backyard
 Leftover foods are left uncovered
 The source of water for drinking is from the spring. No boiling nor treatment are done prior to
consumption

2. LACK OF NECESSARY FACILITIES, EQUIPMENT, & SUPPLIES OCARE

 The family of 10 only has 1 bath & toilet room

 The family of 10 has inadequate sleeping rooms for not all family members has a room to sleep
in, and other family members sleeps in a sleeping mat in a concrete floor in the living room

3. LACK OF KNOWLEDGE IN PREVENTIVE MEASURE

 The family lives in a semi-concrete bungalow house near the mountain area (12m) thus, it is
prone to landslide

RESOURCES

1. Negative attitude/ philosophy in life which hinders effective/maximum utilization of

community resources for health care

 The family believes in quack doctors and tambalan.

 The family believes that their situations is their destiny given by god.

2. In accessibility of appropriate resources for care, specifically:

2.a Costs constraints or economic/financial inaccessibility

 Celestial Light only uses the herbal plants that are available in their garden to treat her current
condition which is a pimple-like rash present in most areas of her body.
  Moon light experiences the same condition as Celestial light.
SCORING W/ JUSTIFICATION

HEALTH THREATS:
1. The rest of the family members sleep in the living room floor made of concrete and use a sleeping mat.

Criteria Weight

1. Nature of the condition or problem presented 1

Scale**: Wellness state

Health deficit
Health threat
Forseeable crisis 2

2. Modifiability of the condition or problem 2

Scale**: easily modifiable

partially modifiable 2
not modifiable

3. Preventive potential 1

Scale**: high 3
moderate
Low

1
4. Salience

Scale**: a condition or problem, needing immediate attention

a condition or problem not needing immediate

attention.

not percieved as a problem or condition needing 0

change.
2. Inadequate bed room

Criteria Weight Justification

5. Nature of the condition or problem presented 1

Scale**: Wellness state

Health deficit
Health threat
Forseeable crisis

6. Modifiability of the condition or problem

Scale**: easily modifiable

partially modifiable
not modifiable
2

7. Preventive potential

Scale**:

high 2
moderate
Low

8. Salience 2

Scale**: a condition or problem, needing

immediate attention

1
a condition or problem not needing immediate
attention.

not percieved as a problem or condition needing 3

change.
 1

Nature of the condition or problem presented: 2/3=0.666x1 = 0.666

Modifiability of the condition or problem: 2/2=1x2=2
Preventive Potential: 3/3=1x1= 1
Salience: ½=0.5x1= 0.5

Total:4.16

3.
Criteria Weight

9. Nature of the condition or problem presented

Scale**: Wellness state

Health deficit
Health threat
Forseeable crisis

10. Modifiability of the condition or problem

Scale**: easily modifiable

partially modifiable
not modifiable

11. Preventive potential

Scale**: high
moderate
Low
12. Salience

Scale**: a condition or problem, needing immediate attention

a condition or problem not needing immediate

attention.

not percieved as a problem or condition needing

change.

Criteria Weight

13. Nature of the condition or problem presented

Scale**: Wellness state

Health deficit
Health threat
Forseeable crisis

14. Modifiability of the condition or problem

Scale**: easily modifiable

partially modifiable
not modifiable

15. Preventive potential

Scale**: high
moderate
Low
16. Salience

Scale**: a condition or problem, needing immediate attention

a condition or problem not needing immediate

attention.

not percieved as a problem or condition needing

change.

Criteria Weight

17. Nature of the condition or problem presented

Scale**: Wellness state

Health deficit
Health threat
Forseeable crisis

18. Modifiability of the condition or problem

Scale**: easily modifiable

partially modifiable
not modifiable

19. Preventive potential

Scale**: high
moderate
Low

20. Salience

Scale**: a condition or problem, needing immediate attention

a condition or problem not needing immediate

attention.

not percieved as a problem or condition needing

change.
III. HEALTH DEFICIT
1. Positive for Ancylostoma duodenale.
Criteria Weight

21. Nature of the condition or problem presented 1 1

Scale**: Wellness state

Health deficit
Health threat
Forseeable crisis

22. Modifiability of the condition or problem

Scale**: easily modifiable 3

partially modifiable
not modifiable

23. Preventive potential

Scale**: high
moderate
Low 2 2

24. Salience

Scale**: a condition or problem, needing immediate attention 2

a condition or problem not needing immediate

attention.

1 1
not percieved as a problem or condition needing
change.

1
 1

2. Pimple-like rash present across most areas of body

Criteria Weight

25. Nature of the condition or problem presented 1

Scale**: Wellness state

Health deficit
Health threat
Forseeable crisis

26. Modifiability of the condition or problem

Scale**: easily modifiable 3

partially modifiable
not modifiable

27. Preventive potential

Scale**: high
moderate
Low

28. Salience

Scale**: a condition or problem, needing immediate attention

1
a condition or problem not needing immediate
attention.

not percieved as a problem or condition needing

change.
IV. FORSEEABLE CRISIS

1. MARRIAGE
 Dark Knight is the husband of Bright Light. He lives with the Light Family after
Bright Light gave birth to Neon Light.

Criteria Weight Justification

29. Nature of the condition or 1 Marriage may not work out and lead to
problem presented separation

Scale**: Wellness state

Health deficit
Health threat
Forseeable crisis

30. Modifiability of the condition

or problem

Scale**: easily modifiable

partially modifiable

not modifiable 1

31. Preventive potential

Scale**: high
moderate
Low

2
32. Salience
1
Scale**: a condition or problem,
needing immediate attention

a condition or problem not

1
needing immediate attention.

not percieved as a
problem or condition needing
change.
 1

Both mr. and mrs. Light are currently in

a good relationship and are taking well
care of Neon Light.

Nature of the Problem = 1 / 3 = 0.333 x 1 = 0.333

2. ADDITIONAL MEMBER
 Bright Light is 18 years old, finished grade 11 at Scandinavian National High School. She
stopped studying after she gave birth to Neon Light. She is currently at 6 weeks
postpartum. She is compliant with the post-natal check-up and scheduled immunizations
of Neon Light. She also encountered no problems with breastfeeding Neon Light.

Criteria Weight Justification

33. Nature of the condition or 1 The funds or resources may not

problem presented be sufficient to raise a child

Scale**: Wellness state

Health deficit
Health threat
Forseeable crisis

34. Modifiability of the

condition or problem

Scale**: easily modifiable

partially modifiable
not modifiable
35. Preventive potential 1

Scale**: high 2
moderate
Low

36. Salience The family may not have or

receive adequate education for
Scale**: a condition or proper family planning.
problem, needing immediate
attention 0

1 It is not perceieved as a
a condition or problem problem since Neon Light is
not needing immediate being well taken care of
attention.

not percieved as a
problem or condition needing
change.
1

0
3. Education
 Dark knight is the 18-year-old husband of Bright Light, working as a garbage collector.
Finished grade 11 at Scandinavian National High School. He stopped studying after Bright
Light gave birth to Neon Light.

Criteria Weight Justification

37. Nature of the condition or problem 1

presented

Scale**: Wellness state

Health deficit
Health threat
Forseeable crisis

38. Modifiability of the condition or problem

Scale**: easily modifiable

partially modifiable
not modifiable
 39. Preventive potential
1
Scale**: high
moderate 2
Low

40. Salience

Scale**: a condition or problem, needing

immediate attention
2

a condition or problem not needing

immediate attention. 1

not percieved as a problem or condition

needing change.

4. Menopause
 Mrs. Light is 40 years old and a mother of six with 1 granddaughter. Her LMP was on
September 2, 2023.
Criteria Weight Justification

41. Nature of the condition or problem 1

presented

Scale**: Wellness state

 Health deficit
Health threat
Forseeable crisis

42. Modifiability of the condition or problem

Scale**: easily modifiable

partially modifiable
not modifiable

43. Preventive potential 1

Scale**: high
moderate 2
Low

44. Salience

Scale**: a condition or problem, needing

immediate attention
0

a condition or problem not needing

immediate attention. 1

not percieved as a problem or condition

needing change.

1
0