HEALTH PROBLEMS

HEALTH NURSING SUPPORTING DATE

PROBLEMS PROBLEM DATA
IDENTIFIED RESOLVE

HEALTH NURSING SUPPORTING DATE

PROBLEMS PROBLEM DATA
IDENTIFIED RESOLVE

HEALTH NURSING SUPPORTING DATE

PROBLEMS PROBLEM DATA
IDENTIFIED RESOLVE

Subjective Data
“Alas dyes o
alas onse na
kami nagigising
kase ala una na
Disturbed
po kami
sleeping
Unhealthy nakakatulog
pattern due to
sleeping dahil hinahanda
financial crisis
pattern as pa namin ung April 29, 2024 Case on going
as evidence by
foreseeable paninda namin
working until
para bukas”
midnight
Objective Data
Lethargic
Dark circles
under the eye

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 LISTING AND CATEGORIZING OF HEALTH PROBLEM
Direction: Within two days, list down the health problems recognized in each of the 10
families you have visited and interviewed. Compute the score of each problem, justify
scores given and rank problems according to priority

Family Name: Gutierrez Group: 3

Family No:
Name of Family Head: John Louel Antonio
Address: #40 Consunji Street, Sto Rosario CSFP
List of health problems:
1.) Low income as a foreseeable crisis 1.) 2.99
2.) Unhealthy eating habits/time as a foreseeable 2.) 3.99
crisis 3.) 1.5
3.) Different father of the 1st born as a foreseeable 4.) 3.33
crisis 5.) 1.16
4.) Unhealthy Sleeping pattern as a foreseeable crisis 6.) 1.66
5.) Living with an extended family as a foreseeable 7.) 2.49
crisis 8.) 4.34
6.) Unstable income as a foreseeable crisis 9.) 2.83
7.) Relationship of 1st born and 2nd born due to 10.) 2.99
different father as foreseeable crisis
8.) Exposure to 2nd hand smoke during pregnancy as
a foreseeable crisis
9.) Lack of knowledge regarding safe sex practices as
a foreseeable
10.) Lack of social life as a foreseeable crisis

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 SCALE FOR RANKING HEALTH CONDITIONS AND PROBLEMS
ACCORDING TO PRIORITIES

Problem: Low Income as a foreseeable crisis

Actual
Criteria Standard Computation Justification
Score
Having low income as
a foreseeable crisis
can be incredibly
stressful and
challenging. It can
impact various
aspects of life,
including access to
basic needs,
healthcare, education,
Nature of the
Foreseeable crisis /3X1 0.33 and overall well-being.
problem
It's important to
explore strategies for
managing and
improving financial
stability, such as
budgeting, seeking
additional income
streams, or accessing
community resources
and support networks

3
 From a community
health nurse
perspective,
interventions like
Implementing
effective budgeting
techniques and
financial planning can
help make the most of
Modifiability of
Partially modifiable /2X2 1 available income and
the problem
reduce unnecessary
expenses. Exploring
part-time work,
freelance
opportunities, or other
side hustles can
supplement income
and improve overall
financial stability
As a community
health nurse,
interventions aimed
Developing effective
budgeting skills,
Preventive managing expenses
Moderate /3X1 1
potential wisely, and saving
diligently can help
mitigate the impact of
low income. Do a
supplementary
income Seeking

4
 opportunities for
advancement within
one's field or exploring
new career paths can
result in increased
income
Low income can
indeed be considered
a condition or problem
requiring immediate
attention. It can affect
various aspects of life,
including access to
Salience of the Does not need
/2X1 0.66 basic necessities such
problem immediate attention
as food, housing, and
healthcare. Immediate
attention may be
necessary to address
urgent needs and
prevent further
financial hardship

Total Score 2.99

5
Problem: Unhealthy eating habits and time as a foreseeable crisis
Actual
Criteria Standard Computation Justification
Score
Unhealthy eating
habits and time
constraints can pose
significant challenges
for pregnant women.
Proper nutrition is
crucial during
pregnancy to support
the health and
Nature of the
Foreseeable crisis 1/3X1 0.33 development of both
problem
the mother and the
baby. However, busy
schedules and
unhealthy eating
habits can make it
difficult for pregnant
women to consume
the necessary
nutrients
As a community
health nurse, it is an
Modifiability of easily modifiable
Easily modifiable 2/2X2 2
the problem intervention to
address unhealthy
eating habits and time

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 constraints in
pregnant women.
Organize workshops
on meal planning,
healthy cooking
techniques, and
grocery shopping tips
tailored specifically for
pregnant women,
providing practical
skills to overcome
time constraints and
make healthier food
choices. Provide
ongoing support and
follow-up to pregnant
women to monitor
their progress,
address any barriers
they may encounter,
and reinforce the
importance of
maintaining healthy
eating habits
throughout pregnancy
As a community
health nurse,
Preventive addressing unhealthy
Moderate 3/3X1 1
potential eating habits and time
constraints in
pregnant women can

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 indeed be considered
a high priority.
Nutrition during
pregnancy plays a
critical role in the
health and
development of both
the mother and the
baby. Unhealthy
eating habits and time
constraints can lead
to various
complications,
including inadequate
weight gain, nutrient
deficiencies, and an
increased risk of
pregnancy-related
complication
unhealthy eating
habits and inadequate
time management
during pregnancy can
have serious
A condition or
Salience of the implications for both
problem needing 2/2X1 0.66
problem the mother and the
immediate attention
baby. It can lead to
complications such as
gestational diabetes,
hypertension, and
poor fetal

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 development.
Providing education
and support for
pregnant women to
adopt healthier eating
habits and manage
their time effectively is
essential for
promoting positive
outcomes for both the
mother and the baby

Total Score 3.99

Problem: Different father of the 1st born as a foreseeable crisis

Actual
Criteria Standard Computation Justification
Score
Having a different
father for the firstborn
child can indeed
present unique
challenges and
potential crisis within
Nature of the
Foreseeable Crisis 1/3X1 0.33 a family. It could lead
problem
to issues related to
parenting dynamics,
financial
responsibilities, and
emotional
complexities
Modifiability of Not modifiable 0/2X2 0 As a nurse of

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 community open
communication and
understanding among
all parties involved are
crucial in navigating
such situations. This
may include offering
counselling,
the problem
connecting families
with support groups,
and providing
information on co –
parenting strategies to
promote healthy
relationship and well –
being for all involved
Addressing the
implications of having
a different father for
the firstborn
child could be
considered a
moderate priority in
Preventive
Moderate 2/3X1 0.67 community nursing.
potential
While it may not be an
immediate medical
concern, it's important
due to its potential
impact on family
dynamics, parenting
roles, and the overall

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 well-being of the
family members
involved. Providing
support, guidance,
and resources to help
the family navigate
these complexities
can contribute to their
long-term health and
stability.
Considering the
presence of a different
father for the firstborn
child as a condition or
problem not requiring
immediate attention
still warrants
acknowledgment and
support. While it may
not be urgent in a
Salience of the Not needing
1/2X1 0.5 medical sense, it
problem immediate action
can have significant
emotional and social
implications for the
family. Providing
resources,
counseling, and
education to address
potential challenges
and promote healthy
family dynamics can

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 be valuable in the
long term.

Total Score 1.5

Problem: Unhealthy sleeping pattern as a foreseeable crisis

Actual
Criteria Standard Computation Justification
Score
Unhealthy sleeping
pattern is a
Nature of the foreseeable crisis
Foreseeable crisis 1/3X1 0.33
problem because can lead to
higher level of stress
and frustration
The problem is
considered as partially
modifiable
because we can
Modifiability of
Partially Modifiable 1/2X2 1 instruct her in
the problem
techniques for
relaxation like deep
breathing and
meditation
Preventive High 3/3X1 1 The Development of
potential healthy sleep patterns
and efficient stress
management can be
facilitated by early
intervention,
addressing modifiable
factors, and improving

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 health
This problem needs
immediate action
because of its
significant
Salience of the Problem needing
2/2X1 1 consequences on
problem immediate action
living standards,
health, and the
possibility of
preventive actions

Total Score 3.33

Problem: Living with an extended family as a foreseeable crisis

Actual
Criteria Standard Computation Justification
Score
Living with an
extended family can
be seen or considered
as foreseeable crisis
because it could
cause potential power
Nature of the
Foreseeable crisis 1/ 3 X 1 0.33 struggles and conflict,
problem
complicated financial
management, lack of
privacy, and the need
for additional safety
measure. (Barbara &
Williams, 2023)
Living with extended
Modifiability of
Not modifiable 0/2X2 0 family is not
the problem
modifiable because of

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 certain reasons such
as dependency, lack
of opportunity to
improve the quality of
life, and financial
incapabilities
The preventive
potential of having
extended family is low
because some of the
extended family is
Preventive dependent on each
Low 1/3X1 0.33
potential other. Also, according
to indeonline.com, it
states that It instills
cultural roots and
beliefs in their
children.
Having an extended
family does not need
immediate attention
as long as it has
Salience of the Does not need
1/2X1 0.5 healthy
problem immediate attention
communication,
having boundaries,
and proving what the
family needs.

Total Score 1.16

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Problem: Unstable income as a foreseeable crisis
Actual
Criteria Standard Computation Justification
Score
Unstable income is
seen as foreseeable
crisis because of its
unpredictability.
Nature of the
Foreseeable crisis 1/3X1 0.33 Having an unstable
problem
income provides lack
of opportunity to
improve the quality of
life.
Unstable income is
partially modifiable
because their source
of income is
unpredictable. Also,
Modifiability of
Partially Modifiable 1/2X2 1 the family states that
the problem
they have times that
they earn below of
their minimum
earnings in a normal
day.
Preventive Low 1/3X1 0.33 Preventive potential of
potential having unstable
income is low
because they cannot
predict their earnings

15
 in a single day.
The family recognizes
that there are times
Salience of the Does not need that they earn below
0/2X1 0
problem immediate attention their minimum. They
already cope with this
kind of situation

Total Score 1.66

Problem: Relationship of 1st born and 2nd born due to different father as a
foreseeable crisis (alondra)
Actual
Criteria Standard Computation Justification
Score
Nature of the Foreseeable crisis 1/3X1 0.33 The relationship
problem dynamics between
siblings with different
fathers can indeed
present unique
challenges. It’s crucial
for families to
approach these
situations with
sensitivity, open
communication, and
understanding.
Addressing any
potential issues early
on and fostering a
supportive
environment can help

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 mitigate potential
conflicts and promote
healthy relationships
between sibling
As a community
health nurse, you can
play a role in
addressing the
relationship dynamics
between siblings with
different fathers by
providing education
and support to
families. While the
circumstances of
parentage cannot be
Modifiability of changed, you can
Partially modifiable 1/2X2 1
the problem help families focus on
fostering positive
communication,
empathy, and
understanding
between siblings.
Providing resources
for family counseling
or support groups can
also empower families
to navigate these
relationships more
effectively

Preventive Moderate 2/3X1 0.66 The relationship

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 between siblings with
different fathers can
be moderate in terms
of modifiability. While
the biological
circumstances cannot
be changed, the
quality of the
relationship can be
influenced by factors
such as family
potential dynamics,
communication, and
support systems. As a
community health
nurse, you can
provide resources,
guidance, and support
to families to help
them navigate these
relationships in a
positive and healthy
manner
The relationship
between siblings with
different fathers may
A condition or
Salience of the not necessarily
problem not needing 1/2X1 0.5
problem require immediate
immediate attention
attention as long as
the family is
functioning well and

18
 there are no
significant conflicts or
issues arising from
this situation.
However, it’s still
important for
healthcare
professionals to be
aware of the potential
challenges that may
arise and to provide
support and resources
to families as neede

Total Score 2.49

Problem: Exposure to 2nd hand smoke during pregnancy as a foreseeable crisis

(aira)
Actual
Criteria Standard Computation Justification
Score
Secondhand smoke is
a health risk for
Nature of the pregnancy because it
Health threat 2 /3X1 0.67
problem can cause baby to
born with low birth
weight.
The help of effective
smoke- free laws and
Modifiability of
Modifiable 2/2X2 2 smoke cessation
the problem
programs, the health
risk associated

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 with secondhand
smoke can be
reduced.
By establishing
smoke-free
regulations
andsurroundings,
Preventive Moderately secondhand smoke
2/3X1 0.67
potential preventable exposure can be
avoided and the
health hazards
associatedwith it can
be avoided.
Due to the serious
health concerns
associated with
smoking, including an
increased risk of
cancer, respiratory
Salience of the Needs immediate
2/2X1 1 infections, and
problem attention
cardiovascular
disorders, both
smoking and
secondhand smoke
exposure need to be
addressed right away.

Total Score 4.34

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Problem: Lack of knowledge regarding safe sex practices as a foreseeable crisis
Actual
Criteria Standard Computation Justification
Score
Lack of knowledge
regarding safe sex
practice is seen as
Nature of the foreseeable crisis
Foreseeable crisis 1/3X1 0.33
problem because it can cause
stress and crisis to a
unplanned and
unwanted pregnancy
Lack of knowledge
regarding safe sex
practice is easily
modifiable since the
family has a basic
knowledge on how to
prevent an unwanted
Modifiability of pregnancy. They also
Easily modifiable 2/2X2 1
the problem have a basic
knowledge about
withdrawal method.
Also, they once
identified the use of
contraceptive pills but
discontinue because
of its side effect.
Lack of knowledge
Preventive regarding safe sex
Highly preventive 3/3X1 1
potential practices is highly
preventive. With the

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 right health teaching
and techniques, the
family will be able to
gain knowledge
regarding safe sex
methods.
The family is aware of
the situation that they
can face with
unwanted pregnancy
Salience of the Does not need
1/2X1 0.5 but the mother has
problem immediate attention
plans after the current
pregnancy that the
she will under go tubal
ligation.

Total Score 2.83

Problem: Lack of social life as a foreseeable crisis (alondra)

Actual
Criteria Standard Computation Justification
Score
Nature of the Foreseeable crisis 1/3X1 0.33 Lack of social life can
problem indeed be a
foreseeable crisis,
particularly for
individuals who may
feel isolated or
disconnected from
their communities. It
can lead to feelings of
loneliness,
depression, and

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 decreased overall
well-being. As a
community health
nurse, you can play a
vital role in addressing
this issue by
connecting individuals
with social support
networks, community
resources, and
opportunities for
social engagement.
Encouraging
participation in
community events,
support groups, or
recreational activities
can help individuals
build meaningful
social connections
and improve their
overall quality of life
Addressing lack of
social life can indeed
be considered easily
modifiable within the
Modifiability of
Easily modifiable 2/2X2 1 scope of community
the problem
nursing. By providing
individuals with
information about
local social groups,

23
 community events,
and support networks,
you can empower
them to take steps to
improve their social
connections.
Additionally, offering
guidance on effective
communication skills
and building social
confidence can further
support individuals in
expanding their social
circles and enhancing
their overall well-being
Acknowledging the
impact of the woman’s
feelings on her social
life as a priority is
important in
community nursing.
While immediate
Preventive health concerns are
Moderate 2/3X1 0.66
potential critical, addressing the
woman’s emotional
well-being, especially
during pregnancy, is
essential for overall
health outcomes. By
exploring her feelings
of joylessness when

24
 living with her partner,
community health
nurses can offer
support, resources,
and interventions to
improve her social
connections and
emotional health
as a nurse in the
community with
maintaining a healthy
social life, especially
when having a
partner. It’s important
to prioritize self-care
and communication
with your partner to
find a balance that
A condition or
Salience of the works for both of you.
problem needing 2/2X1 1
problem Perhaps setting aside
immediate attention
specific times for
social activities or
date nights could help
address this issue.
Additionally, seeking
support from friends,
family, or colleagues
can provide valuable
perspective and
assistance

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Total Score 2.99

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 FAMILY NURSING CARE PLAN
Intervention Plan
Family Nursing
Health Problem Objectives Nursing Resources Evaluation
Problem
Intervention Required / Used

Intervention Plan
Family Nursing
Health Problem Objectives Nursing Resources Evaluation
Problem
Intervention Required / Used

Intervention Plan
Family Nursing
Health Problem Objectives Nursing Resources Evaluation
Problem
Intervention Required / Used
Within 2 hours, the 1.) Conduct 1.) Brochures or
Unhealthy sleeping Disturbed sleeping family will: educational handouts
pattern as pattern due to 1.) Demonstrate session/ about healthy
foreseeable crisis financial crisis as understanding health sleeping
evidence by and knowledge teaching pattern
working until ideal of healthy about
bed time sleeping pattern healthy
2.) Identify the risk sleeping

27
 of unhealthy pattern
sleeping pattern
3.) Verbalize the
importances of
healthy sleeping
pattern

28
 SERVICE AND PROGRESS NOTES

HEALTH CONDITION AND NURSING NURSING INTERVENTIONS, ACTIONS AND

DATE PROBLEMS EVALUATION OF PROGRESS/OUTCOME

Health Problem Nursing Problem

April 29, 2024 1.

April 29, 2024 2.

Disturbed sleeping - Educate the members of the family about the

pattern due to financial
3. Unhealthy sleeping benefits of having healthy sleeping pattern
crisis as evidence by
April 29,2024 pattern as foreseeable
working until midnight - Encourage the family to create a stress –
crisis
free environment to obtain quality sleep

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 APPENDICES

TIME AGENDA DOCUMENTATION

6:00 am – 6:15 am Assembly/Arrival at the

barangay hall

Checking of bionotes,
violations, requirements,
6:15 am – 7:00 am CHN bag + Umbrella

Brainstorming of the
leaders and members for
7:00 am – 8:00 am deployment

30
8:00 am – 8:15 am Groupings and assigning
of families

8:15 am – 8:30 am Preparing of tokens and

materials needed for
immersion

8:30 – 8:45 am Discussion of vicinity map

and spot map

8:45 am – 9:15 am Departure from the

barangay

9:15 – 11:00 am Immersion/ Home visit

31
11:00 am – 11:30 am Lunch break

11:30am – 12:00 pm Courtesy call with Brgy

Midwife

12:00 pm – 1:00 pm Discussion and

Consultation with CI

1:00 pm Log out

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REFERENCES

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