Problem Case Illustration

Problem 1 : Poor Environmental Conditions (Improper Water Storage)

Criteria Computatio Actual Score Justification
n
Nature of the Problem 2/3 × 1 0.67 The problem is a health threat
because it can cause harm and
needs immediate attention.
Modifiability of the 2/2 × 2 2 It is modifiable as it is flexible and
problem the intervention needed is available.
Preventive Potential 3/3 × 1 1 The health problem can be
prevented if proper storage of water
is achieved.
The salience of the 2/2 × 1 1 It needs immediate attention to
Problem prevent the possibility of the
condition from worsening.
Total Score 4.67

Problem 2 : Risk for poor nutrition and potential obesity

Criteria Computation Actual Score Justification
Nature of the 2/3 × 1 0.67 The problem is a health threat and
Problem requires more needed attention
because each member of the family
consumes unhealthy food almost
every day.
Modifiability of the 1/2 × 2 1 The nurses can perform health
problem teaching and suggest a dietary meal
plan for the family so the problem
can be partially modifiable.
However, the family’s attitude
towards a healthy diet must be
enhanced.
Preventive 2/3 × 1 0.67 The possibility of current illness to
Potential progress and develop health
complications can be prevented if
the faulty eating habits are
 discontinued.
The salience of the 2/2 × 1 1 The family acknowledges this as a
Problem problem and requires immediate
attention due to existing chronic
illness of some family members.
Total Score 3.34

Problem 3: Risk for Skin Disease

Criteria Computatio Actual Justification
n Score
Nature of the Problem 2/3 × 1 0.67 The problem is giving our clients health
threats such as skin disease given that they
live alongside the river and it requires
immediate action.

Modifiability of the 0/2 × 2 0 The problem is not modifiable since the nurses
problem cannot do anything about the location of their
house.

Preventive Potential 1/3 × 1 0.33 The preventive potential of this case is low
because they cannot do anything about I.

The salience of the 2/2 × 1 1 This problem needs immediate action.

Problem

Total Score 2

Problem 4 : Poor Environmental Conditions ( Noise Pollution)

Criteria Computatio Actual Justification
n Score
Nature of the 2/3 × 1 0.67 The problem health threat because it can
Problem cause high blood/ hypertension and
sleep destruction due to environmental
conditions such as noise pollution.
Modifiability of the 1/2 × 2 1 the condition problem is partially
problem modifiable because the only problem
and their barangay is the teenagers that
cause trouble by creating a loud noise
 using their motorcycle
Preventive Potential 2/3 × 1 0.67 Moderately because they can ask help to
their barangay officials to lessen the
noise caused by the teenagers in their
barangay due to their recyclable
motorcycles so that they can prevent
their grandparents from experiencing
hypertension and also to avoid their
sleep
The salience of the 2/2 × 1 1 A condition or problem needs immediate
Problem attention because it is to prevent their
grandparents from experiencing
hypertension every time their neighbors
cause a loud noise.
Total Score 3.34

Problem 5: Unhealthy Lifestyle (Lack of Physical Activity)

Criteria Computatio Actual Justification
n Score
Nature of the 2/3 × 1 0.67 The problem is considered to be a health
Problem threat and requires immediate attention.
Modifiability of the 1/2 × 2 1 The problem is partially modifiable
problem since the nurse can help the family to
improve their lifestyle.
Preventive Potential 1/3 × 1 0.3 The possibility of the family improving
their lifestyle is low because the family
is used to that kind of habit.
The salience of the 0/2 × 1 0 The family does not recognize/ consider
Problem it as a problem.
Total Score 1.97

Do the same table for Problems 2 to 5. Then after being able to arrive with your scores, proceed
now to ranking your health problems using the sample table below. The nurse considers as
priority those conditions and problems with total scores nearer five (5). Thus, the higher the
score of a given condition or problem the more likely it is taken as a priority. With the available
scores, the nurse then ranks health conditions and problems accordingly.

List of the Health Problems based on Scoring and Ranking

1. Poor Environmental Conditions (Improper Water Storage)
2. Risk for poor nutrition and potential obesity
3. Poor Environmental Conditions ( Noise Pollution)
4. Risk for Skin Disease
5. Unhealthy Lifestyle (Lack of Physical Activity)

After being able to come up with the prioritized health problems, complete the details of your
family nursing care plan using the template below.

Family Nursing Goals and Nursing Evaluation

Problems Objectives Interventions

FIRST LEVEL SHORT TERM: • Discuss home SHORT TERM:

environment or
1.) Presence of risk After 1 day of family perform home visit, After 1 day of family
factors for dengue nursing interventions, as indicated, to nursing interventions,
infection due to poor the client will be able determine client's the client was able to:
environmental to: ability to care for self,
condition/ sanitation to identify potential 1. To demonstrate
such as storing water 1. To demonstrate health and safety appropriate, effective
in an unsafe appropriate, effective hazards, and to use of resources.
container. use of resources. determine adaptations
that may be needed 2. To verbalise plan
SECOND LEVEL 2. To verbalise plan such as clean water to eliminate health
to eliminate health available. and safety hazards.
1.) Inability to and safety hazards.
provide a home • Note personal or LONG TERM:
environment LONG TERM: environmental factors
conducive to health that can contribute to After 1 week of
maintenance andAfter 1 week of neglect of home family nursing
personal development family nursing cleanliness or repair. interventions, the
due to inadequate interventions, the client was be able to:
knowledge ofclient will be able to: • Identify resources
preventive measures available for 3. To adopt behaviors
specifically: 3. To adopt behaviors appropriate reflecting lifestyle
reflecting lifestyle assistance. changes to create and
a. Proper storage of changes to create and sustain a healthy and
water sustain a healthy and growth-promoting
growth-promoting environment.
b. Preoccupation with environment.
other responsibilities  GOAL MET

FIRST LEVEL SHORT TERM: • Conduct a SHORT TERM:

comprehensive
2.) Presence of risk After 3 hours of nutritional assessment After 3 hours of
for poor nutrition and family nursing for each family family nursing
potential obesity due interventions, the member. intervention, the
to unhealthy lifestyle family will be able to: family was able to:
such as consuming • Conduct individual
processed foods 1. Improve their and family
frequently/faulty understanding of discussions to 1. Understand the
eating habits. proper nutrition and understand each importance of proper
comprehend the member’s concern nutrition and the Goal
SECOND LEVEL effects of eating and barriers to proper was met.
unhealthy foods in the nutrition.
2.) Inability to make body.
decisions with respect • Provide education
to taking appropriate 2. Increase the on the importance of 2. Increase the
health action due to acceptance of balanced nutrition acceptance of
conflicting opinions nutritious foods, and the risks of nutritious foods,
among family especially vegetables. processed foods. especially vegetables
members regarding and the Goal was met.
action to take MEDIUM TERM: • Encourage and
specifically: assist the family in LONG TERM:
After family nursing exploring and
a. Lack of knowledge interventions, the incorporating After 1 month of
about proper nutrition family will be able to: healthier food family nursing
options. intervention, the
b. Refusal to eat 1. Establish a culture family will be able to:
nutritious food of informed decision- • Offer guidance on
particularly making regarding portion control and 1. Reduce the
vegetables nutrition among mindful eating. consumption of
family members and processed foods and
foster a supportive • Collaborate with a establish sustainable,
environment for dietitian to develop a healthy eating habits
healthy eating meal plan that within the family and
choices. incorporates the Goal was met.
nutritious food and
2. Reduce the gradually introduces 2. Establish
consumption of vegetables in sustainable, healthy
processed foods. palatable ways. eating habits within
the family, including
LONG TERM: • Monitor progress regular vegetable
and provide ongoing consumption and the
After family nursing support for behavior Goal was met.
interventions, the changes.
family will be able to:

1. Establish
sustainable, healthy
eating habits within
the family, including
regular vegetable
consumption.

2. Eliminate their
poor habit of
consuming processed
foods.

FIRST LEVEL SHORT TERM: • Encourage SHORT TERM:

community members
3.) Presence of risk
After 4 days of family to join groups and After 4 days of
factors to high blood
nursing interventions, engage in problem- family nursing
pressure/ the family will be solving activities to interventions, the
hypertension and
able to: strengthen efforts and family was able to:
sleep disruption due
1. Recognize negative broaden the base
to environmental
and positive factors support 1. Recognize negative
condition such as affecting and positive factors
noise pollution. community’s ability • Create plans affecting
to meet its own for managing community’s ability
demands or needs interactions within to meet its own
2. Report a the community itself demands or needs.
SECOND LEVEL measurable increase and between the 2. Report a
in ability to deal with community and the measurable increase
3.) Inability to problems and larger society. in ability to deal with
provide a home stressors problems and
environment • Review the stressors.
conducive to health LONG TERM: community plan for
maintenance and dealing with the LONG TERM:
personal development After a month of problems and
due to lack of skill infamily nursing stressors After a month of
carrying out measures interventions, the family nursing
to improve home client will be able to: • Define and interventions, the
environment 1. Identify discuss current needs client was able to:
specifically: alternatives to and anticipated or
inappropriate projected concerns. 1. Identify
a. Lack of time to activities for alternatives to
raise concern due to adaptation/problem inappropriate
other responsibilities solving. activities for
adaptation/problem
b. Noise pollution 2. Identify positive solving.
and negative factors
c. Extreme heat affecting management 2. Identify positive
of current and and negative factors
anticipated problems affecting management
and stressors. of current and
anticipated problems
and stressors.

 GOAL MET

FIRST LEVEL SHORT TERM: • Monitor the SHORT TERM:

environment for
4.) Presence of risk After 1 hour of potentially unsafe After 1 hour of
factors to skin disease nursing intervention, conditions or hazards nursing intervention,
due to accident the family will be and modify as the family is now able
hazards such as living able to: needed. to:
along the river.
1. Know how • Orient or re-orient 1. Demonstrate
SECOND LEVEL demonstrate client to environment, preventive measures
preventive measures as needed. to ensure that they
4.) Failure to utilize to ensure that they can reduce the risk of
community resources can reduce the risk of • Provide information acquiring skin
for health-care due to acquiring skin regarding disease of diseases.
fear of consequence diseases. conditions that may
of action specifically: result in increased
LONG TERM: risk of injury. LONG TERM:
a. Lack of attention
towards the After a month of • Identify After a month of
improvement of safe family nursing interventions and family nursing
environment intervention, the safety devices to intervention, the
 family will be able to: promote safe physical family is now able to:
b. Prioritizing family environment and
expenses before 1. Show healthy individual safety 1. Show healthy
environmental statuses of each statuses of each
matters member regardless of member regardless of
the location of their the location of their
c. Living along house. house.
riverside
2. Know how 2. Establish a
establish a preventive preventive measure
measure for the for the family to not
family to not acquire acquire any diseases.
any diseases.
 GOAL MET

FIRST LEVEL SHORT TERM: • Educate the patient SHORT TERM:

about the importance
5.) Presence of risk After 1 day of family of regular exercise to After 1 day of family
factors to physical nursing interventions prevent the health nursing interventions
disabilities and the client will be able threats such as risk the client was able to:
chronic diseases due to: for physical
to unhealthy lifestyle disabilities. 1. To know
such as lack of 1. To know importance of regular
physical activity. importance of regular • Advise the client to exercise to prevent
exercise to prevent have a regular check- the health threats such
SECOND LEVEL the health threats such up to assess his as risk for physical
as risk for physical physical well- being. disabilities.
5.) Inability to disabilities.
recognize the • Offer resources and 2. To know the
presence of the 2. To know the referrals to fitness importance of having
condition or problem importance of having program or healthcare a regular check-up to
due to denial about its a regular check-up to professional if assess his physical
existence or severity assess his physical necessary. well- being.
of problem, well- being.
specifically: 3. To know some
3. To know some fitness program or
a. Lack of self- fitness program or healthcare
discipline towards healthcare professional that
preventing the professional that might help him/her
existing disease from might help him/her improve his/her
worsening improve his/her lifestyle.
lifestyle.
b. Lack of physical
activity LONG TERM: LONG TERM:
 After 1 month of After 1 month of
family nursing family nursing
interventions the interventions the
client will be able to: client was able to:

4. Improve his/her
ways and change 4. Improve his/her
things that isn't good ways and change
for his/her lifestyle. things that isn't good
for his/her lifestyle.

 GOAL MET

GROUP A MEMBERS:
Adonis, Cassandra Veronica Murillo, Yvonne Hilary
Estrella, Regine Par, Lady Jane
Julao, Lorraine Keith Revilla, Nolasco
Lolong, Jhon Ray Rodas, Jennivy
Macailao, Teresa Semilla, Pamela Bianca
Miñoza, Jeanne Galini