Professional Documents
Culture Documents
Process
Cristina Marie Manzano, RN, RM, MAN
Assistant Professor II, School of Nursing
Global City Innovative College
client
Conducts an initial assessment
Categorizes Health Problems
Determine the nature and extent of the
problems
Ranks health problems according to priorities.
Decides on what problems to tackle in the order
of immediacy/urgency
Defines nursing objectives in realistic
measurable terms
Plans approaches, strategies of action
Implements the nursing care plan
Evaluates the effectiveness of the
family
Place of residence of each member
Type of family structure and
government
Dominant family members in terms
dynamics
of each member
Ethnic Background and
Religious Affiliation
Significant Others
Relationship of the family
to larger community
Available
Assessment
Risk Factor Assessment
Physical Assessment
Results of Diagnostic or
Laboratory Tests
practices
Adequacy of rest and
preventive health
services
adequately provide
Accident Hazards
Faulty/unhealthy eating habits
Stress provoking factors
Poor home/environment condition
Unsanitary food handling and
preparation
Unhealthy lifestyle and personal
habits/practices
thrive/develop
according to normal
rate
Disability
SECOND LEVEL
ASSESMENT
Inability to recognize the presence of a
problem
Inability to make decisions with respect
Criteria in Different
Priorities
Nature of the
Problem Presented
Categorized whether a
Modifiability of the
Problem
Refers to the probability of
success in minimizing
alleviating or totally
eradicating the problem
through health intervention
Criteria in Different
Priorities
Preventive Potential
Refers to the nature and
Salience
Refers to the family
Weight
Scale:
Wellness state
Health Threat
Health Deficit
Foreseeable Crisis
1
3
3
2
1
Weight
2
2
1
0
Weight
3. PreventivePotential
Scale:
1
High
Moderate
Low
Weight
4. Salience
1
Scale:
A serious problem, immediate
attention
A problem but not needing
immediate attention
Not a felt need / problem
SCORING
1. Decide on a score for each of the criteria.
2. Divide the score by the highest possible score and
multiply by the weight.
Score
----------------- X Weight
Highest Score
3. Sum up the scores for all the criteria. The highest
score is 5, equivalent to the total weight.
The higher the score (near 5 and above) of a given
problem, the more likely it is taken as a PRIORITY.
With the available scores, the nurse then RANKS
health problems accordingly.
Example
Cues/Data
Family Nursing
Problem
Inability to recognize
presence of a possible
complication of pregnancy
due to lack of knowledge
Inability to provide
adequate nursing care to a
pregnant member due to
lack of knowledge on the
nature and management of
health condition
Failure to utilize community
resources for health care
Possible Pre-eclampsia
Criteria
Nature of
the
Problem
Modifiabil
ity of the
Problem
Preventiv
e
Potential
Salience
of the
Computati
on
Actual
Score
Justification
3/3 x 1
Possibility of complications
during labor and delivery
and occurrence
odabnormalities in the infant
are prevented if preeclampsia is eliminated as
early as possible
0/2 x 1
3/3 x 1
2/2 x 2