CAPITOL UNIVERSITY

College of Nursing
Cagayan de Oro City

CATEGORIES OF THE FAMILY PROBLEM:

MONDOÑEDO FAMILY

In Partial Fulfillment

of the Requirements for the Subject

Community Health Nursing 1 (NCM 104)

by:

Mondoñedo, Tazha Camille D.

Block B
CN 57

October 5, 2020
 FAMILY COPING INDEX

Definition:

This indicator provides a system of identifying areas that may require intervention
and areas of family strengths that may be used to help the family deal with health needs
and problems.

Family Coping Index is measured with the following scores:

1 – No competence 3 – Moderately competence 5 – Complete competence

FAMILY COPING DEFINITION RATING JUSTIFICATION

AREAS
Physical This refers to the 5 Our family can perform all of the
independence family members’
activities of daily living without any
mobility and ability to
perform activities of difficulty. All members of the family
daily living.
are mobile and ambulatory. Each
member of the family can feed
themselves and perform activities
necessary for their personal hygiene.

Therapeutic This refers to the 3 Our family is very keen in following

competence family’s ability to
prescribed medications especially for
comply with prescribed
or recommended antibiotics. However, some members
procedures and
of our family tend to self-medicate
treatments to be done
at home. with available over-the-counter drugs
(i.e. Paracetamol, mefenamic acid) if
the symptoms experienced are mild
and tolerable.
Knowledge of This means 3 Family members who perform the
Health understanding of the
role of the health manager, my
conditions health condition or
essentials of care mother and I, have enough
according to the
knowledge of the diseases that are
developmental stages
of family members. genetically transmitted in our family.
However, the knowledge we have of
communicable diseases is only
superficial and may not be sufficient.
For unfamiliar symptoms/conditions,
we tend to search it online; we self-
diagnose sometimes.
FAMILY COPING DEFINITION RATING JUSTIFICATION
AREAS
Application of This includes the 5 My siblings and I, my niece, and my
principles of practice of general
sister-in-law have completed all of our
general hygiene health promotion and
recommended immunizations. Our family gets
preventive measures.
enough rest and sleep, eat three
meals (sometimes with snacks), and
incorporate different food variants in
our diet in order to get the sufficient
vitamins and minerals.
Health care This refers to the 3 We often go to the hospital and get a
attitudes family’s perception of
check-up whenever we experience
health care in general.
symptoms that persist for several
days. However, some members of
our family prefer to endure the
symptoms as long as it is still
tolerable in order to avoid getting a
check-up. Some members of our
family also prefer folk medicine such
as “hilot” especially if early symptoms
occur.
Emotional This is concerned with 5 All members of our family have
competence the degree of
reached a degree of emotional
emotional maturity of
family members maturity wherein we handle our daily
according to their
challenges and struggles
developmental age.
appropriately. We are also open to
each other, help each other’s
struggles, and solve problems
together. We always support each
other.
Family living This refer to 5 All members of our family have a
patterns interpersonal
close and peaceful relationship. We
relationships among
family members, communicate effectively with each
management of family
other. Although most members in the
finances, and the type
of discipline in the family are adults, we still maintained
home.
the discipline that we grew up with.
The family finances come from the
shared contribution of each working
member in our family. Our family’s
monthly budget suffices.
FAMILY COPING DEFINITION RATING JUSTIFICATION
AREAS
Physical This includes the 5 Our family is fortunate to live in a
environment home, school, work,
peaceful, organized, and clean
and community
environment that may environment. My school and the
influence the health of
respective workplace of each
family members.
member of our family are safe for the
health: clean with minimal or no
accident hazards.
Use of This is the ability of the 3 Our family rarely uses the community
community family to seek and
facilities; we rarely go to our
facilities utilize, as needed, both
government-run and Barangay Health Station. However,
private health,
my niece have received the
education, and other
community services. government-provided childhood
vaccinations.
 CATEGORIES OF THE FAMILY PROBLEM

1. HYPERTENSION

Criteria Computation Actual Score Justification

Nature of the 3/3 x 1 1 Hypertension is a health deficit in
problem presented our family. Although undiagnosed,
several members of our family are
having symptoms of hypertension
such as high blood pressure
measurements. My mother is also
a borderline hypertensive after she
had her cholecystectomy.
Modifiability of the 1/2 x 2 1 Hypertension is a partially
problem modifiable problem through our
family’s current knowledge, our
resources available (i.e. exercise
equipment and sports facilities
available in our subdivision, blood
pressure apparatus), and the
application of interventions in order
minimize or eradicate the problem
such as by maintaining a healthy
lifestyle.
Preventive 3/3 x 1 1 Hypertension has a high
potential preventive potential through the
use of our current knowledge
about this disease and the ways to
minimize it or totally stop its
occurrence such as having proper
health management by having a
healthy lifestyle, balanced diet, and
by constant health monitoring such
as monitoring our blood pressures
regularly.
Salience of the 2/2 x 1 1 Our family considers the risk for
problem developing Hypertension as a
serious problem needing
immediate attention since it can
lead to many health complications.
TOTAL SCORE 4
2. STRESS

Criteria Computation Actual Score Justification

Nature of the 2/3 x 1 0.67 Stress is health threat in our family
problem presented since it can cause lead to faulty
eating habits (stress eating) and
can cause inadequate sleep/rest
which may lead to health
complications.
Modifiability of the 1/2 x 2 1 Stress is a partially modifiable
problem problem since it is really a part of
our lives; however, it can be
minimized through interventions
such as doing stress-releasing
activities.
Preventive 3/3 x 1 1 Stress has a high preventive
potential potential through instituting
interventions such as eliminating
stressors, shifting to a more
positive outlook, engaging in
stress-releasing activities such as
exercising or going out and
spending time in nature.
Salience of the 1/2 x 1 0.5 Our family considers stress as a
problem problem but not needing
immediate attention because it can
be managed and minimized
through appropriate activities (i.e.
spending time with each other) and
having a more positive outlook and
perspective in life.
TOTAL SCORE 3.17
3. POLYCYSTIC OVARY SYNDROME (PCOS)

Criteria Computation Actual Score Justification

Nature of the 3/3 x 1 1 PCOS is a health deficit
problem presented manifested by my sister and I. We
were both diagnosed with it and we
are both experiencing its
symptoms.
Modifiability of the 0/2 x 2 0 PCOS is not a modifiable problem
problem because it is a hormonal problem.
We cannot control and monitor it
easily. There is no cure for this
disease.
Preventive 1/3 x 1 0.33 PCOS has a low preventive
potential potential because it is a hormonal
disease; however, through the
current knowledge and the
intervention measures instituted
such as having a healthy diet,
exercising, and taking the
prescribed oral contraceptives, we
can manage the symptoms that we
experience.
Salience of the 2/2 x 1 1 Our family considers PCOS as a
problem problem needing immediate
attention since it can cause
reproductive problems; my sister
and I are both in our reproductive
age. PCOS can also cause
several complications such as
Diabetes mellitus and obesity.
TOTAL SCORE 2.33
4. SELF-MEDICATION

Criteria Computation Actual Score Justification

Nature of the 2/3 x 1 0.67 Self-medication is a health threat
problem presented since there is no proper
prescription from the doctor; it is
only based on our common
knowledge and testimonials that
we heard from other people.
Modifiability of the 2/2 x 2 2 Self-medication is an easily
problem modifiable problem with the use of
our current knowledge and
available resources to get more
information about the drug (i.e. the
internet), we can easily stop this
practice.
Preventive 3/3 x 1 1 Self-medication has a high
potential preventive potential since we have
the control and discretion to totally
prevent doing this practice.
Salience of the 0/2 x 1 0 Our family does not consider self-
problem medication as a problem since it is
highly controllable and preventable
and we have the full potential to
stop doing it.
TOTAL SCORE 3.67
5. CIGARETTE SMOKING

Criteria Computation Actual Score Justification

Nature of the 2/3 x 1 0.67 Cigarette smoking is a health
problem presented threat since it can lead to several
health problems especially lung
problems.
Modifiability of the 2/2 x 2 2 Cigarette smoking is an easily
problem modifiable problem with the
appropriate feasible interventions
in the elimination of smoking such
as health teaching and monitoring
if this habit is still being done.
Preventive 3/3 x 1 1 Cigarette smoking has a high
potential preventive potential. It can easily
be stopped, minimized, or
controlled through health teaching
and close monitoring to determine
whether the habit is still being
practiced.
Salience of the 1/2 x 1 0.5 Our family considers cigarette
problem smoking as a problem but not
needing immediate attention. It is a
controllable and manageable
problem.
TOTAL SCORE 4.17
6. DRINKING ALCOHOL

Criteria Computation Actual Score Justification

Nature of the 2/3 x 1 0.67 Drinking alcohol is a health threat
problem presented since it can lead to several health
problem especially liver problems.
Modifiability of the 2/2 x 2 2 Drinking alcohol is an easily
problem modifiable problem with the
application of appropriate feasible
interventions such as health
teaching and monitoring if this
habit is still being done.
Preventive 3/3 x 1 1 Drinking alcohol has a high
potential preventive potential. It can easily
be stopped and controlled through
health teaching and close
monitoring whether the habit is still
being done.
Salience of the 1/2 x 1 0.5 Our family considers drinking
problem alcohol as a problem but not
needing immediate attention. It is a
controllable and manageable
problem.
TOTAL SCORE 4.17
7. HYPERCHOLESTEROLEMIA

Criteria Computation Actual Score Justification

Nature of the 3/3 x 1 1 Hypercholesterolemia is a health
problem presented deficit manifested by my father.
Modifiability of the 1/2 x 2 1 Hypercholesterolemia is partially
problem modifiable problem since it is a
hereditary disease in our family;
however, the application of
interventions such as shifting and
maintaining a healthy lifestyle and
balanced diet can help minimize
the problem.
Preventive 3/3 x 1 1 Hypercholesterolemia has a high
potential preventive potential because it can
be totally prevented from
happening through health
management and maintenance of
a healthy lifestyle, balanced diet
especially avoiding fatty/oily foods.
Salience of the 2/2 x 1 1 Our family perceives
problem Hypercholesterolemia as a serious
problem that needs attention since
this condition can cause severe
health complications such as
cardiovascular diseases.
TOTAL SCORE 4
8. ASTHMA

Criteria Computation Actual Score Justification

Nature of the 3/3 x 1 1 Asthma is a health deficit
problem presented manifested by my sister.
Modifiability of the 1/2 x 2 1 Asthma is a partially modifiable
problem problem since it is a genetic
disease. Maintaining a healthy
lifestyle and diet and the avoidance
of triggering factors can help
minimize the problem.
Preventive 2/3 x 1 0.67 Asthma has a moderate preventive
potential potential through health
management and the avoidance of
factors or allergens that may
trigger or worsen asthma attacks to
happen.
Salience of the 2/2 x 1 1 Asthma is perceived by our family
problem as a serious problem that needs
special attention since it can be a
life-threatening condition since
symptoms include difficulty of
breathing
TOTAL SCORE 3.67
9. OBESITY/OVERWEIGHT

Criteria Computation Actual Score Justification

Nature of the 3/3 x 1 1 Obesity and overweight are health
problem presented deficits that are manifested by
some of the members of our
family.
Modifiability of the 2/2 x 2 2 Obesity and overweight are easily
problem modifiable problems through our
current knowledge about this
condition, the resources of our
family (i.e. healthier foods,
exercise equipment) and
interventions to manage or totally
eradicate the problem such as
constant weight monitoring, shifting
to healthier food choices, and
exercising regularly.
Preventive 3/3 x 1 1 Obesity and overweight have high
potential preventive potential through proper
health management such as eating
a balanced diet, having an active
lifestyle and exercising regularly.
We should develop healthier eating
habits and be more conscious
about our food and the size and
portion of the foods that we eat.
Salience of the 2/2 x 1 1 Our family perceives obesity and
problem overweight as a serious problem
that need immediate attention
since it can lead to serious health
problems and complications.
TOTAL SCORE 5
10. PRESENCE OF BREEDING SITES FOR MOSQUITOES IN STAGNANT WATER

Computation Actual Score Justification

Criteria
Nature of the 2/3 x 1 0.67 The presence of breeding sites for
problem presented mosquitoes in stagnant water is a
health threat to our family since the
mosquitoes may cause diseases
such as dengue.
Modifiability of the 2/2 x 2 2 The presence of breeding sites for
problem mosquitoes in stagnant water is an
easily modifiable problem since it
is feasible to eliminate this problem
and stop the practice of collecting
stagnant water.
Preventive 3/3 x 1 1 The presence of breeding sites for
potential mosquitoes in stagnant water has
a high preventive potential since
minimizing or stopping the practice
is within our control and discretion;
we should stop collecting stagnant
to prevent this problem from
occurring.
Salience of the 0/2 x 1 0 Our family does not consider the
problem presence of breeding sites for
mosquitoes in stagnant water as a
problem since it is highly
preventable and controllable by
stopping the practice of collecting
used water.
TOTAL SCORE 3.67
 THE PRIORITIZED HEALTH PROBLEMS

RANK 1 OBESITY / OVERWEIGHT 5

- CIGARETTE SMOKING
RANK 2 4.17

- DRINKING ALCOHOL

RANK 3 4
- HYPERCHOLESTEROLEMIA
- HYPERTENSION

- SELF-MEDICATION
RANK 4 - ASTHMA 3.67
- PRESENCE OF BREEDING SITES FOR
MOSQUITOES IN STAGNANT WATER

RANK 5 3.17
STRESS

POLYCYSTIC OVARY SYNDROME (PCOS)

RANK 6 2.33

Based on the results of the calculations, Obesity/Overweight is the health problem

that should be the top priority of concern in our family. Cigarette smoking and drinking
alcohol are both second in rank; hypercholesterolemia and hypertension are both third in
rank; self-medication, asthma, and the presence of breeding sites for mosquitoes in
stagnant water are all fourth in rank; stress is 5th in rank; and Polycystic Ovary Syndrome
(PCOS) is the last in rank.