ASSIGNMENT II: APPLICATION OF NURSING PROCESS

A. Listing and Categorizing Health Problems

Nature of the Problem Family Nursing Problem

List of Problem
(1st Level Assessment) (2nd Level Assessment)
Inability to recognize the
1. Lose Bowel Movement HEALTH DEFICIT presence of the condition or
problem due to lack or
inadequate knowledge

Inability to make decisions with

respect to taking appropriate
health action due to failure to
comprehend the
nature/magnitude of the
problem/condition

2. Poor environmental HEALTH THREAT Inability to provide a home

sanitation as evidenced by environment conducive to health
inadequate living space, maintenance and personal
improper garbage disposal, development due to:
presence of flies, unsanitary
toilet, and poor water a. Inadequate family
sanitation. resource
b. Failure to see benefits of
investment in home
environment
improvement
c. Lack of/inadequate
knowledge of
importance of hygiene
and sanitation
d. Lack of/inadequate
knowledge preventive
measures lack of skill in
carrying out measures
for home improvement

3. Faulty Eating Habits Inability to recognize the

HEALTH THREAT presence of the condition or
problem due to lack or
inadequate knowledge.

4. Family size beyond what Inability to make decisions with

family resources can HEALTH THREAT respect to taking appropriate
adequately provide health action due to lack
 of knowledge as to alternative
courses of action open to the
family.

Failure to utilize community

5. Lack of immunization of the HEALTH THREAT resources for health care due to:
children a. Lack of awareness of
community resources for
health care
b. Failure to perceive the
benefits of health care

6. Unhealthy practices HEALTH THREAT Inability to practice proper

(Walking barefoot) hygienic care due to
a. Lack of resources for
maintaining cleanliness,
b. Lack of proper practice
in terms on hygienic
care
c. Failure to see benefits
with regards on having
proper hygiene.
7. Fire Hazard HEALTH THREAT Inability to provide a home
environment conducive to health
maintenance and personal
development due to:

a. Inadequate family
resource
b. Failure to see benefits of
investment in home
environment
improvement
c. Lack of/inadequate
knowledge of
importance of hygiene
and sanitation
d. Lack of/inadequate
knowledge preventive
measures lack of skill in
carrying out measures
for home improvement

8. Fall Hazard HEALTH THREAT Inability to provide a home

environment conducive to health
maintenance and personal
development due to:

a. Inadequate family
resource
b. Failure to see benefits of
investment in home
environment
improvement
 c. Lack of/inadequate
knowledge of
importance of hygiene
and sanitation
d. Lack of/inadequate
knowledge preventive
measures lack of skill in
carrying out measures
for home improvement

B. Computing and Justifying Scores of Health Problems

Problem: LOSE BOWEL MOVEMENT

Criteria Standard Score Weight Actual Justification
Score
1. Nature of Wellness state 3 IT IS CONSIDERED AS A
the problem Health deficit 3 HEALTH DEFICIT BECAUSE
1
Health threat 2 3/3 X 1 = THERE IS A PRESENCE OF
Foreseeable crisis 1 1 PROBLEM.
2. Easily modifiable 2 IT IS PARTIALLY MODIFIABLE
Modifiability Partially modifiable 1 1/2 X 2 BECAUSE THE MOTHER
of the Not modifiable 0 2 = 1 SHOWED WILLINGNESS IN
problem GIVING PROPER TREATMENT
TO HER SON.
3. Preventive High 3 IT IS CONSIDERED AS HIGHLY
potential Moderate 2 3/3 X 1 = PREVENTIVE BECAUSE THE
Low 1 1 1 NURSE HAD ALREADY
ADVISED ORAL
REHYDRATION THERAPHY.
4. Salience Needs immediate 2 THE FAMILY RECOGNIZED
attention 1 2/2 X 1 = THIS AS A PROBLEM NEEDED
Does not need 0 1 AN IMMEDIATE ATTENTION
immediate BECAUSE IF NOT TREATED
attention 1 IMMEDIATELY, THIS COULD
Not a problem LEAD TO SEVERE
DEHYFDRATION WHICH
COULD CAUSE MORE
SERIOUS COMPLICATIONS.
Total Score: 4
Problem: POOR ENVIRONMENTAL SANITATION
Criteria Standard Score Weight Actual Justification
Score
1. Nature of Wellness state 3 IT IS CONSIDERED AS A
the problem Health deficit 3 HEALTH THREAT BECAUSE
Health threat 2 2/3 X 1 = POOR SANITATION IS LINKED
Foreseeable crisis 1 0.67 TO DISEASES SUCH AS
CHOLERA, DIARRHEA,
1 DYSENTERY, HEPATITIS A.
THYHPOID, POLIO, AND
EXCACERBATES STUNTING.
IT ALSO REDUCES HUMAN
WELL-BEING, SOCIAL AND
ECONOMIC DEVELOPMENTS.
2. Easily modifiable 2 IT IS EASILY MODIFIABLE
Modifiability Partially modifiable 1 2/2 X 2 SINCE THE FAMILY IS
of the Not modifiable 0 = 2 COOPERATIVE AND FOLLOW
2
problem HEALTH EDUCATION IN
IMPROVING ENVIRONMENTAL
SANITATION.
3. Preventive High 3 IT IS CONSIDERED AS HIGHLY
potential Moderate 2 3/3 X 1 = PREVENTIVE BECAUSE THE
Low 1 1 NURSE WILL BE HAVING
HEALTH TEACHING ABOUT
1
THE IMPORTANCE OF GOOD
ENVIRONMENTAL
SANITATION AND WAYS TO
ACHIEVE IT.
4. Salience Needs immediate 2 THIS IS CONSIDERED AS A
attention 1 2/2 X 1 = PROBLEM THAT NEEDS
Does not need 0 1 IMMEDIATE ATTENTION
immediate 1 BECAUSE THOS COULD LEAD
attention TO MUCH MORE SERIOUS
Not a problem COMPLICATIONS AND
DISEASES IN THE FAMILY.
Total Score: 4.67

Problem: FAULTY EATING HABITS

Criteria Standard Score Weight Actual Justification
Score
1. Nature of Wellness state 3 IT IS CONSIDERED AS A
the problem Health deficit 3 HEALTH THREAT BECAUSE
Health threat 2 2/3 X 1 = FAULTY EATING HABITS CAN
Foreseeable crisis 1 1 0.67 CONTRIBUTE TO
DEVELOPING ILLNESSES
AND OTHER HEALTH
PROBLEMS.
2. Easily modifiable 2 IT IS PARTIALLY MODIFIABLE
Modifiability Partially modifiable 1 1/2 X 2 BECAUSE THE NURSE HAD
of the Not modifiable 0 2 = 1 ALREADY EXPLAINED THE
problem IMPORTANT OF HAVING
ADEQUATE FOOD INTAKE.
3. Preventive High 3 IT IS CONSIDERED AS
potential Moderate 2 3/3 X 1 = MODERATELY PREVENTIVE
Low 1 1 BECAUSE THE FAMILY
1 PRACTICED THE PROPER
BALANCED NUTRITION BY
EATING FRUITS AND
VEGETABLES.
4. Salience Needs immediate 2 THE FAMILY RECOGNIZED
attention 1 2/2 X 1 = THIS AS A PROBLEM NEEDED
Does not need 0 1 AN IMMEDIATE ATTENTION
immediate 1 BECAUSE ALL THE MEMBERS
attention OF THE FAMILY
Not a problem EXPERIENCES INADEQUATE
FOOD INTAKE.
Total Score: 3.67

Problem: FAMILY SIZE BEYOND WHAT FAMILY RESOURCES CAN ADEQUATELY PROVIDE
Criteria Standard Score Weight Actual Justification
Score
1. Nature of Wellness state 3 IT IS CONSIDERED AS A
the problem Health deficit 3 HEALTH THREAT BECAUSE
Health threat 2 2/3 X 1 = UNABLE TO PROVIDE
Foreseeable crisis 1 0.67 ADEQUATE RESOURCES
1
LIKE FOOD AND OTHER
ESSENTIAL NEEDS COULD
AFFECT THE HEALTH OF THE
FAMILY.
2. Easily modifiable 2 IT IS PARTIALLY MODIFIABLE
Modifiability Partially modifiable 1 1/2 X 2 BECAUSE THE NURSE
of the Not modifiable 0 = 1 EXPLAINED THE
problem 2 IMPORNTANCE OF HAVING
ADEQUATE RESOURCES
LIKE ESSENTIAL HUMAN
NEEDS TO THE FAMILY.
3. Preventive High 3 IT IS CONSIDERED AS
potential Moderate 2 2/3 X 1 = MODERATE PREVENTIVE
Low 1 0.67 BECAUSE THE FATHER IS
THE ONLY ONE WORKING
1 BUT THE MOTHER IS
WILLING TO FIND A JOB FOR
THEIR FAMILY ONCE THE
KIDS ARE OLD ENOUGH TO
BE LEFT ALONE.
4. Salience Needs immediate 2 THE FAMILY RECOGNIZED
attention 1 1 1/2 X 1 = THIS AS A PROBLEM NOT
0 0.5 NEEDED AN IMMEDIATE
 Does not need ATTENTION BECAUSE THEY
immediate CAN STILL MANAGE THE
attention RESOURCES OF THE
Not a problem FAMILY.
Total Score: 2.84

Problem: LACK OF IMMUNIZATION OF THE CHILDREN

Criteria Standard Score Weight Actual Justification
Score
1. Nature of Wellness state 3 IT IS CONSIDERED AS A
the problem Health deficit 3 HEALTH THREAT BECAUSE
Health threat 2 1 2/3 X 1 = THIS COULD INCREASE THE
Foreseeable crisis 1 0.67 CHILDREN’S RISK OF
INFECTION.
2. Easily modifiable 2 IT IS PARTIALLY MODIFIABLE
Modifiability Partially modifiable 1 2/2 X 2 BECAUSE THE NURSE
of the Not modifiable 0 2 = 1 ALREADY EMPHASIZED HOW
problem IMPORANT IMMUNIZATIONS
ARE.
3. Preventive High 3 IT IS CONSIDERED AS
potential Moderate 2 3/3 X 1 = HIGHLY PREVENTIVE
Low 1 1 BECAUSE THE FAMILY
1
SHOWED WILLINGNESS TO
LET THE CHILDREN BE
IMMUNIZED.
4. Salience Needs immediate 2 THE FAMILY RECOGNIZED
attention 1 2/2 X 1 = THIS AS A PROBLEM NEEDED
Does not need 0 1 AN IMMEDIATE ATTENTION
immediate 1 BECAUSE VACCINES ARE
attention VERY IMPORTANT AND
Not a problem SKIPPING IMMUNIZATION
CAN BE VERY DANGEROUS.
Total Score: 3.67

Problem: UNHEALTHY PRACTICES

Criteria Standard Score Weight Actual Justification
Score
1. Nature of Wellness state 3 IT IS CONSIDERED AS A
the problem Health deficit 3 HEALTH THREAT BECAUSE
Health threat 2 1 2/3 X 1 = UNHEALTHY PRACTICES
Foreseeable crisis 1 0.67 LIKE WLKING BAREFOOT
CAN LEAD TO PARASITISM.
2. Easily modifiable 2 IT IS PARTIALLY MODIFIABLE
Modifiability Partially modifiable 1 2/2 X 2 BECAUSE THE MOTHER
of the Not modifiable 0 = 1 MADE SURE THAT SHE
problem 2 WOULD ALWAYS REMIND
HER CHILDREN TO ALWAYS
WEAR SLIPPERS WHE THEY
GO OUT.
3. Preventive High 3 IT IS CONSIDERED AS
1
potential Moderate 2 MODERATE PREVENTIVE
 Low 1 3/3 X 1 = BECAUSE THE FAMILY
1 PRACTICED WALKING WITH
SLIPPERS.
4. Salience Needs immediate 2 THE FAMILY RECOGNIZED
attention 1 2/2 X 1 = THIS AS A PROBLEM
Does not need 0 1 NEEDED AN IMMEDIATE
1
immediate attention ATTENTION BECAUSE
Not a problem WALKING BAREFOOT IS
VERY DANGEROUS.
Total Score: 3.67

Problem: FIRE HAZARD

Criteria Standard Score Weight Actual Justification
Score
1. Nature of Wellness state 3 IT IS CONSIDERED AS A
the problem Health deficit 3 HEALTH THREAT BECAUSE
Health threat 2 2/3 X 1 = THIS COULD CAUSE MAJOR
1
Foreseeable crisis 1 0.67 ACCIDENTS THAT COULD
PUT THE FAMILY IN
DANGER.
2. Easily modifiable 2 IT IS PARTIALLY MODIFIABLE
Modifiability Partially modifiable 1 1/2 X 2 BECAUSE THE PLACE OF
of the Not modifiable 0 = 1 THE FAMILY IS MADE OF
problem 2 LIGHT MATERIALS BUT THE
NURSE HAD ALREADY
DISCUSSED THE WAYS HOW
TO AVOID FIRE.
3. Preventive High 3 IT IS CONSIDERED AS
potential Moderate 2 2/3 X 1 = MODERATELY PREVENTIVE
Low 1 1 0.67 BECAUSE THE FAMILY
PRACTICED THE WAYS TO
AVOID FIRE.
4. Salience Needs immediate 2 THE FAMILY RECOGNIZED
attention 1 2/2 X 1 = THIS AS A PROBLEM
Does not need 0 1 NEEDED AN IMMEDIATE
1
immediate ATTENTION BECAUSE FIRE
attention IS INEVITABLE.
Not a problem
Total Score: 3.34
Problem: FALL HAZARD
Criteria Standard Score Weight Actual Justification
Score
1. Nature of Wellness state 3 IT IS CONSIDERED AS A
the problem Health deficit 3 HEALTH THREAT BECAUSE
Health threat 2 2/3 X 1 = FALL HAZARDS COULD BE
Foreseeable crisis 1 1 0.67 CAUSE OF ACCIDENTS THAT
COULD MAKE A SIGNIFICANT
CHANGE IN THE FAMILY’S
HEALTH.
2. Easily modifiable 2 IT IS PARTIALLY MODIFIABLE
Modifiability Partially modifiable 1 1/2 X 2 = BECAUSE THE NURSE WAS
of the Not modifiable 0 1 ABLE TO POINT OUT THE
problem 2 POSSIBLE FALL HAZARDS IN
THE FAMILY’S PLACE AND
DISCUSSED THE WAYS HOW
TO AVOID ACCIDENTS.
3. Preventive High 3 IT IS CONSIDERED AS
potential Moderate 2 2/3 X 1 = MODERATELY PREVENTIVE
Low 1 1 BECAUSE THE FAMILY WAS
1 ABLE TO RECOGNIZE THE
FALL HAZARDS IN THEIR
PLACE AND DEMONSTRATED
SAFETY MEASURES.
4. Salience Needs immediate 2 THE FAMILY RECOGNIZED
attention 1 2/2 X 1 = THIS AS A PROBLEM NEEDED
Does not need 0 1 AN IMMEDIATE ATTENTION
immediate 1 BECAUSE THEY HAVE A LOT
attention OF FALL HAZARD IN THEIR
Not a problem PLACE AND ACCIDENTS ARE
INEVITABLE.
Total Score: 3.34
C. Ranking of Health Problems According to Priority

Ranking of Health Problems According to Priority

Ranking of Health Problems of Family _________________________________

Priority Problem Score

1 POOR ENVIRONMENTAL SANITATION 4.67

LOSE BOWEL MOVEMENT

2 4

4 LACK OF IMMUNIZATION OF THE CHILDREN 3.67

4 FAULTY EATING HABITS 3.67

4 UNHEALTHY PRACTICES (WALKING 3.67

BAREFOOT)
FALL HAZARD 3.34
6.5

FIRE HAZARD 3.34

6.5

FAMILY SIZE BEYOND WHAT FAMILY 2.84

8 RESOURCES CAN ADEQUATELY PROVIDE
 D. FAMILY NURSING CARE PLAN

METHODS OF
HEALTH FAMILY NURSING GOALS AND INTERVENTIONS NURSING EVALUATION
PROBLEM PROBLEM OBJECTIVES FAMILY
CONTACT AND
RESOURCES
REQUIRED
Inability to provide a After one week 1. Emphasize the
Poor environmental home environment of nursing importance of a HOME VISIT Clean
sanitation conducive to health intervention, the clean and environment
(evidenced by maintenance and family will be healthy
inadequate living personal able to: environment Materials Presence of
space, improper development due through needed for the properly
garbage disposal, to: discussion. visual aids for disposed wastes
presence of flies, 1. Know the the health and covered
unsanitary toilet, a. Inadequate risk factors 2. Explain to the teaching. wastes cans.
and unsanitary family resource and health family the ways
water source) as a threats of proper Improved toilet
health threat b. Failure to see caused by garbage The time, effort facility
benefits of inadequate disposal and information
investment in space for provision when Absence of flies
home living. 3. Teach them delivering and any vector
environment about the required of diseases in
improvement 2. Improve health treatment and the area.
garbage threatening appropriate
c. Lack collection vectors teaching on Water refilling
of/inadequate and disposal of disease and health. stations as
knowledge of through give ways on source of water.
importance of reduce- how to reduce
hygiene and reuse- the breeding Time and effort
sanitation recycle. grounds of the of the student
said vectors. nurse and the
family
d. Lack 3. Show
of/inadequate compliance 4. Provide Financial
knowledge on measures effective resources for
preventive on how to information the nurse’s
measures lack maintain a about the expenses for the
of skill in clean various visual aids.
carrying out surroundings diseases that
measures for in order to the family can
home eradicate acquire with
improvement breeding unsanitary
sites of toilet.
mosquitoes,
flies, and 5. Inform the
cockroaches. family about
the risk factors
of using the
4. To perform deep well as a
the proper permanent
use of toilet water supply.
facility and
keeping it
clean and
therapeutic
to all the
family
members.

5. Consider
about taking
appropriate
actions
about
prioritizing
home
facilities for a
proper water
supply.
6. Make
appropriate
decisions
and actions
to make their
environment
more ideal
for living.