A.

Presence of breeding sites of insects, rodents or other vectors

Cues/Data Family Nursing Problems

Subjective:

- Inability to provide a home

Objective: environment which is conducive to
- Open water storage health maintenance
- Open drainage system
- Open garbage disposal A. Inadequate knowledge of
- The house is near the pineapple preventive measures
plantation

B. Poor personal hygiene

Cues/Data Family Nursing Problems

Subjective:
Client P.R.B was asked to wash his
hands after playing after playing outside
and he verbalized “Ayaw ko maghugas.” - Inadequate knowledge of the
importance of proper hygiene and
Objective: sanitation
- with dirty long nails
- refuses to wash hands when asked
to
- walking outside barefooted
- eating the foods even when
dropped on the floor
C. Lack of sleep

Cues/Data Family Nursing Problems

Subjective:
“ Nahihirapan akong matulog sa
gabi. Di ko nga alam ang gagawin.” As
verbalized by the client B.D.B - Inability to make decision with
respect to taking appropriate
health action due to:
Objective:
- Deep eye bags A. Lack of/ inadequate knowledge/
- Looks tired especially every insight as to alternative course
morning of action open to them
- Always wants to lie down after
finishing her work B. Low salience of the problem

D. Lack of food storage

Cues/Data Family Nursing Problems

Subjective:
“ Wala kaming refrigeratoe kaya
minsan pinapatago lng naming yung natira s
kapatid ko sa kabilang bahay pero kadalasan - Inability to provide a home
iniiwan lang naming dyan sa lamesa.” As environment conducive to the health
verbalized by client B.D.B maintenance

A. Lack of/ inadequate knowledge of

Objective: the importance of hygiene and
- There is no available refrigerator sanitation
inside the house for the storage of
left-over foods
- They usually put their left-over foods
at the cabinet/drum or at the table
which is accessible to different vectors
- Some of the foods left at the table
have no cover.
 E. Improper garbage disposal

Cues/Data Family Nursing Problems

Subjective:
“ Tinatambak naming sa lupa ang mga
basura at saka susnugin yung mga plastik.”as
verbalized by client B.D.B - Inability to provide a home
environment which is conducive to
health maintenance
Objective:
- There is no available garbage can A. Lack of/ inadequate knowledge of
inside and outside the house the importance of proper hygiene
- Garbage disposal is dumped in an and sanitation
open pit with many flies situated at
the back of the house near the kitchen
area

Scale for Ranking Family Health Problems according to Priorities

A. Presence of breeding sites of insects, rodents or other vectors

Criteria Computation Actual score Justificatiom

1. Nature of the 2/3 x1 0.67 It is a health threat

problem
2. Modifiability of 2/2 x2 2 It is easily modifiable since the
the problem resources and the
interventions needed are
available in the family
3. Preventive 3/3 x1 1 Communicable diseases
potential transferred by insects and
rodents can be prevented
4. Salience of the 2/2 x1 1 The family recognizes it as a
problem serious problem and needs
immediate attention
Total: 4.67
B. Poor personal hygiene

Criteria Computation Actual score Justificatiom

1. Nature of the 2/3 x1 0.67 It is a health threat

problem
2. Modifiability of 2/2 x2 2 It is easily modifiable since the
the problem resources and the
interventions are available in
the family
3. Preventive 3/3 x1 1 Occurrence of parasitism and
potential other communicable diseases
can be reduced
4. Salience of the 0/2 x1 0 The family does not recognize
problem it as a problem
Total: 3.67

C. Lack of sleep

Criteria Computation Actual score Justificatiom

1. Nature of the 2/3 x1 0.67 It is a health threat

problem
2. Modifiability of 1/2 x2 1 It is partially modifiable since
the problem the existence of the problem
is quite long
3. Preventive 1/3 x1 0.33 The existence of the problem
potential is quite long
4. Salience of the 1/2 x1 0.5 The client recognizes it as a
problem problem but does not need
immediate attention
Total: 2.5
D. Lack of food storage

Criteria Computation Actual score Justificatiom

1. Nature of the 2/3 x1 0.67 It is a health threat

problem
2. Modifiability of 2/2 x2 2 It is easily modifiable since the
the problem resources and the
intervention are available in
the family
3. Preventive 3/3 x1 1 Food contamination can be
potential prevented by different vectors
4. Salience of the 1/2 x1 0.5 The family recognizes it as a
problem problem but does not need
immediate attention
Total: 4.17
.
E. Improper garbage disposal

Criteria Computation Actual score Justificatiom

1. Nature of the 2/3 x1 0.67 It is a health threat

problem
2. Modifiability of 2/2 x2 2 It is easily modifiable since the
the problem resources and the
intervention are already
available in the family
3. Preventive 3/3 x1 1 Communicable diseases
potential transferred by insects and
rodents can be prevented
4. Salience of the 0/2 x1 0 The family does not perceives
problem it as a problem
 Total: 3.67

The prioritized health problem:

The list of health problems or conditions ranked accordingly to priorities presented

1. Presence of breeding sites of insects, rodents or other vectors

2. Lack of food storage
3. Poor personal hygiene
4. Improper garbage disposal
5. Lack of sleep

Home and Environment

The family‘s house, which is beside the pineapple fields, is made up of mixed materials of
wood and concrete. The house has a large space and with high roofing. The house is consisting
of one living room, three bedrooms, two comfort rooms, two dining areas, and two kitchen
areas. Mostly, the areas of the house have no ceiling except for the three bedrooms. Overall,
there is nine windows and maximum of two windows each bedroom. The floor of the dining
and the three bedrooms is made up of tiles while the rest of the rooms are covered with
linoleum or plainly concrete. The walls are smooth and covered with wall paint. Based on the
total window opening and the total area of the house, it resulted to 20% satisfaction which
indicates that the house well ventilated. Usually, the father, mother and his son sleep together
in one bedroom and the grandfather, the grandmother and one of their granddaughter sleeps
together. The other bedroom serves as a guest room. There are two separate dining and
kitchen areas. One is in the house and the other one is located outside the house which is
usually used by the family. The kitchen located outside the house has no sink and faucet. They
usually use LPG to cook their food but sometimes they also use wood. The kitchen utensils are
very open because it has no cover and may be prone to different vectors. The family has no
refrigerator so they usually store their food in the cabinet / drum or at the table and sometimes
they left the food uncovered. The family’s source of water is from NAWASA. Even though it is
potable, the family sometimes uses filtration to sanitize their water during rainy days. The
family has two comfort rooms which is exclusive only for the family. The type of their excreta
disposal is level 2 or it has a septic tank. They usually store their water in a drum but has no
cover. The family has no trash can inside and outside the house. The family usually dumps their
garbage in an open pit situated at the back of their house near the kitchen area. Mrs. B.D.B
verbalized “Sinusunog naman naming yung mga plastic.” The client also verbalized “ Kadalasan,
mga lamok, langaw at daga ang mga peste ditto sa bahay, siguro dahil na rin sa mga basura.”
The drainage system is open and free flowing. The family owns two dogs which is kept in a dog
house outside the house.

The distance of the houses has a good spacing and it is not crowded. The other two
neighboring houses are owned by the relatives of the family so they know each other and there
are less fights and misunderstanding. The relationship of the family between the other
neighbors are also good.