PROBLEM # 1: PRESENCE OF COUGH AND COLDS

HEALTH DEFICIT

 NATURE OF THE PROBLEM

Presence of cough and colds is a health deficit since
it signifies failure to maintain the optimum level
of health of the family. It also requires immediate
interventions to prevent worsening of the
condition and further complications.
Computation and Score: 3/3 x 1= 1
 Modifiability of the Problem
 Knowledge of the Family
 
The family has awareness on the presence of the
problem since they are suffering from cough and
colds. Baby pie and Sweetie pie are suffering
from productive cough and she is drinking lots of
amount of water and calamansi juice.
 Modifiability of the Problem
 Community Resources
  The community resources contribute to the
resolution of the problem since the health center
is active in promoting the health of the family,
and there is presence of herbal medicines in the
community such as oregano.
 Computation and Score: 2/2 x 2 =2
 Modifiability of the problem
 Family Resources
 
 Though the family has limited financial resources
to afford medicines, they are still aware and
knowledgeable of the condition and that there
were other ways on how to improve their health
status such as maintaining a clean environment.
 Modifiability of the Problem
 Nursing Resources
 
 Resources from the nurse is available since health
teachings were provided to the family such as increasing
Oral Fluid Intake, intake of foods rich in vitamin C to
increase resistance. Interventions were also provided such
as cleaning the surroundings and encouraging the family to
maintain good personal hygiene to help alleviate the
problem.

  Therefore the problem is easily modifiable.

 Preventive Potential
 Severity
 
 The problem is not yet considered severe since there
it are no manifestations of difficulty of breathing,
increased respiratory rate and nasal flaring.
  Duration
  The problem has short duration as evidence by
verbalization of Mommy pie that the children are
suffering from it for 3 days only.
 Computation: 3/3 x 1=1
 Salience

 
 The family recognized it as a problem needing an
immediate attention and action as evidence of the
verbalization of the mother during the fifth home
visit with her concerns about the care of her
children
 Computation: 2/2 x 1=1
 Total: 5
 PROBLEM # 2: PRESENCE OF BREEDING PLACES FOR INSECTS
AND RODENTS
HEALTH THREAT
 

 Nature of the Problem

 Presence of breeding sites for insects and rodents
is a health threat because insects and rodents can
serve as carriers of different microorganisms
which can cause diseases to the family members.
 Modifiability of theProblem
 Knowledge of the Family
 
 The family has awareness on the presence of the
problem. They clean the house, but it isn’t suffice
to alleviate the problem. Mother also verbalized
“makilabas la mu naman ding dagis kaya e mi la
papaten, ding ipas ding papaten mi” and said that
the family use slippers in killing cockroaches to
prevent the insects and from increasing in number.
 Modifiability of the problem
 Community Resources
 
 There are community resources which can be
utilized by the family which can contribute to the
resolution of the problem since there are stores in
the community where they can buy insecticides
(such as baygon).
 
 Modifiability of the Problem
 Family Resources 
 The family is still aware or knowledgeable of the condition since
they clean the house and uses insecticides.
 Nursing Resources
 
 Resources from the nurse are available since health teachings were
provided to the family such as maintenance of a clean environment
to have a clean environment conducive for health.

  Therefore the problem is easily modifiable.

 Computation: 2/2x 2= 2
 Preventive Potential
 Severity 
 The problem is considered severe since it will predispose the
family to occurrence of diseases. The dirty floor and the sandy
ground can be breeding places for rodents and insects.

 Duration
 
 The problem has prolonged duration as evidence by verbalization of
the mother that since the time they stayed there, insects and rodents
have became part of their house; condition is conducive for
breeding sites of vectors given that their garbage is scattered.
 
 Preventive Potential
 Current Management
  
 The mother was able to provide some management since she uses insecticides
sometimes and clean the house.
 
 
 Exposure of High Risk Group
 
 All the family members is at high risk of acquiring it since and this will
predisposed them in acquiring diseases.
 
  The preventive potential of the problem is
moderate.
Comptation: 2/3 x 1 = .67
 Salience
 The family recognized it as a problem but doesn’t
need immediate attention as evidenced of the
verbalization of the mother that other matters
needs management first.

 Computation: ½ x 1=.5
 Total:3.84
 Preventive Potential
 Current Management
 
 The mother was able to provide some management to her children specifically
increasing fluid intake and calamansi juice.
 
 
 Exposure of High Risk Group
 
 All the family is at high risk of acquiring it because the transmission is very
possible since the mother and the children sleep together, and they also have
inadequate ventilation which predisposes them in acquiring cough and colds.
 
  The preventive potential of the problem is
high.
 
MALNUTRITION
HEALTH DEFICIT

NATURE OF THE PROBLEM: 3/3 x 1=1 

Presence of malnutrition is a health deficit

because its presence signals imbalance on the
optimum level of functioning due to decrease
nutritional status level. Also, such condition will
affect almost all aspects of body function making
an individual’s condition not conducive to a
healthy living.
 Modifiability of the Problem

 Computation: ½ x 2= 1
 Knowledge of the Family
 
The family is aware on the presence of the problem. The mother can do
interventions to resolve this problem such as serving cheap but nutritious foods. 

 Community Resources
 
The community Health Center is very active in reaching out members of the
community to promote health. Some programs are being implemented such as
dissemination of free vitamin supplements and deworming.
 
 Modifiability of the problem
 Family Resources
 
According to the mother, the family doesn’t have enough money to buy
high-priced food.
 
 Nursing Resources

Resources from the nurse is on hand since health teachings were provided
to the mother to help minimize the problem such as discussion of foods
that are inexpensive yet containing adequate nutritional value, and which
doesn’t compromise the nutritional status of the family.

 Therefore the problem is partially modifiable.

 Preventive Potential

 Computation: 2/3 x 1 = .67

 Severity

  The problem is considered severe. Being underweight of Banana

pie and Blueberry pie poses a serious problem to the family and is
severe in nature.
 
 Duration

The problem has prolonged duration as evidence by verbalization of

the mother that Banana pie and Blueberry pie are thin ever since.
 
 Preventive Potential
 Current Management

Further worsening of the problem can be prevented if the mother will learn
how to plan affordable yet nutritious meals without repeating the same meal on
the extent of the week. The mother manages the daily food intake of her
children, however, due to inevitable financial constraints, it is not always met.
 
 Exposure of High Risk Group

All of the family members are at high risk of acquiring malnutrition because if
they persist in eating not nourishing or unhealthy foods, they may suffer also
on the same condition.

 The preventive potential of the problem is moderate.

SALIENCE:
Computation: 2/2x1 = 1

The family recognized it as a problem but not

needing an urgent attention and action as
evidence of the verbalization of the mother that
Banana pie and Blueberry pie are normally thin,
so she can’t do anything about it.

TOTAL: 3.67
 
 INADEQUATE PERSONAL
BELONGINGS:HEALTH THREAT

NATURE OF THE PROBLEM: 2/3 x 1= 0.67

Inadequate personal belongings is a health threat

because sharing of personal possessions may
cause cross-infection or exposure to harmful
disease.
 MODIFIABILITY OF THE PROBLEM:
 Computation: 2/2 x 1= 2
 Knowledge of the Family

The family has awareness on the presence of the problem. They have
toothbrushes, towel, combs, and other personal belongings but they don’t
frequently utilize it and they were not putting it on their relative places.
 
 Community Resources

There are community resources which can be utilized by the family

which can contribute to the resolution of the problem since there are
stores in the community where they can buy personal belongings such as
comb and toothbrushes.
 Modifiability of the Problem
 Family Resources

The family is aware and knowledgeable of the condition since they are
still utilizing them, though not regularly.
 
 Nursing Resources

Resources from the nurse are available since health teachings were made
available to the family such as avoidance of sharing their individual
possessions, as well as the possible consequences of sharing these things.

 Therefore the problem is easily modifiable. 

 Preventive Potential
 Computation: 2/3x1= 0.67
 Severity

The problem is considered not severe since this can be alleviated

or lessen if due management are to be done such as provision of
individual properties/belongings.
 
 Duration

The problem has prolonged duration as evidence by verbalization

of the mother that ever since, they share toothbrushes and towels.
 Preventive Potential
 Current Management

The family was able to provide some management. Since they were
aware of the problem and have apprehended the possible consequences,
they have already provided separate toothbrushes for each member.
 
 Exposure of High Risk Group
All the family members is at high risk of acquiring diseases because
using of personal belongings can become direct method of the
transmission of diseased.
 
 The preventive potential of the problem is moderate.
SALIENCE: 0/2x1= 0
 
 The family doesn’t recognize it as a problem and
doesn’t need immediate attention as evidenced of
the ignorance of the problem since they have
been used to it for years.

TOTAL: 3.34
 Problem Identification
UNHEALTHFUL LIFESTYLE & PERSONAL
HABITS/PRACTICES: FREQUENT SMOKING
HEALTH THREAT
3.34

POOR TOILET FACILITY

HEALTH THREAT
3.34
5.PROBLEM # 5: UNHEALTHFUL
LIFESTYLE & PERSONAL
HABITS/PRACTICES: FREQUENT
SMOKING (Daddy Pie)
HEALTH THREAT

6.PROBLEM # 5: POOR TOILET

FACILITY
HEALTH THREAT
 
 UNHEALTHFUL LIFESTYLE & PERSONAL
HABITS/PRACTICES: FREQUENT SMOKING

 Score: 3.34
 Nature of the Problem =2/3 x 1=0.67
 Poor personal habits like smoking could be a
threat in one’s body not just to the smoker but
also with the other family members. Diseases like
asthma or even lung cancer could be acquired if
it is not stopped. It could also lessen the body’s
resistance against disease.
 UNHEALTHFUL LIFESTYLE & PERSONAL
HABITS/PRACTICES: FREQUENT SMOKING

 Modifiability of the Problem=2/2 x 2= 2

 Resources of the community, Resources of the family, Resources of the

student nurses√
 Current knowledge and interventions x
 The condition is partially modifiable because Daddy Pie have been
smoking for a long time. Even though health teachings were given, it
will still depend on the resources, current interventions and compliance
to the information given. There is a resource in the community because
Daddy Pie can go to the health center for further teachings on how to
quit and prevent its negative effect, with resource In the family because
the mother together with the children advice the father to quit smoking
together with the student nurses teachings, but the father has no
interventions to it.
 UNHEALTHFUL LIFESTYLE & PERSONAL
HABITS/PRACTICES: FREQUENT SMOKING

 Preventive Potential=2/3 x 1=0.67

 Gravity/severityx, Duration√,Current
Managementx, Exposure to any high risk group√
 It is moderately preventive. However since the
father already smokes for quite a long time still
he could not avoid or lessen his smoking which
exposes himself and the other members to
respiratory diseases. Also, it is a long time severe
problem since AEB the father’s darkened lips.
 UNHEALTHFUL LIFESTYLE & PERSONAL
HABITS/PRACTICES: FREQUENT SMOKING

 Salience= 0/2 x 1=0

 The family does not recognize the problem and
feels that it doesn’t need immediate intervention
because it’s already their way of life and they are
already use to it.
 POOR TOILET FACILITY
 Nature of the Problem=2/3 X 1=0.67
 This problem is a health threat. The condition of
this toilet is dangerous since the family is
predisposed to easily acquire different types of
diseases and illness due to unattended dirty
environment.
 POOR TOILET FACILITY
 Modifiability of the Problem=3/3 x 2=2
 Resources of the community, Resources of the family, Resources
of the student nurses, Current management and interventions √
 It is highly modifiable since they has a resource in the
community by means of their neighborhood that could help them
to improve the facility since it is shared. The effort that the
mother is doing everyday can be considered as a family resource.
The student nurses teachings and interventions would also be a
factor that could help in improving the facility. The mother has a
knowledge about the negative effect that a poor toilet facility
could lead according to the interview that the group conducted
with her.
 POOR TOILET FACILITY
 Preventive Potential=2/3 x 1=0.67
 Gravity/severity√
 Durationx
 Current Management√
 Exposure to any high risk group√
 The problem has moderate preventive potential since it is not
that severe because somehow the toilet looks quite good. It
has been existing for long but the family has a management
by means of cleaning the toilet everyday. It also exposes the
group into high risk but since they have management, they
could prevent it.
 POOR TOILET FACILITY
 Salience=0/2 x 1=0
 The family doesn’t recognized it as a problem.
Since the family makes use of it everyday and
seeing the way it is, they don’t see any problem
as long as stool passes into the bowl.
 NURSING CARE PLANS
•UNHEALTHFUL LIFESTYLE & PERSONAL
HABITS/PRACTICES: FREQUENT SMOKING

• POOR TOILET FACILITY

 UNHEALTHFUL LIFESTYLE & PERSONAL
HABITS/PRACTICES: FREQUENT SMOKING
 CUES= O>Daddy Pie smokes for 15 sticks/day and has been smoking for more than 40 years already 
 ANALYSIS OF THE PROBLEM
› Inability to provide a home environment which is conducive to health maintenance and personal development due to failure to
see possible complications of smoking and its effects to the second-hand smokers.
 OBJECTIVES
› SHORT TERM: After the initial home visit, the family members will be able to verbalize understanding on the possible
complications of smoking.
› LONG TERM: After the final home visit, the family members who smoke will be able to verbalize the willingness to lessen
the frequency of smoking.
 NURSING INTERVENTIONS
› >Assess the health condition of the family
› >Establish rapport with the family
› >Determine the unhealthful lifestyle of the family
› >Explain the possible effects of smoking 
› >Provide health teachings regarding smoking cessation
 RATIONALE
› >To obtain baseline data of the members’ of the family 
› >To obtain trust
› > To know the health teachings appropriate
›  >To let the family be aware of what danger the use of smoking could bring
› >To prevent acquiring diseases/complications regarding smoking
 UNHEALTHFUL LIFESTYLE & PERSONAL
HABITS/PRACTICES: FREQUENT SMOKING

 METHOD OF FAMILY CONTACT

› >Home Visits
 RESOURCES REQUIRED
› >Material resources 
› >Articles on the internet about smoking
›  >Visual Aids
›  >DOH book
›  >Time and effort of the student nurses and the family

 EVALUATION
› SHORT TERM: Daddy Pie verbalized understanding on the possible
complications of smoking
› LONG TERM: Daddy Pie verbalized willingness to lessen frequency of
smoking
 POOR TOILET FACILITY
 CUES
› O> Presence of cockroaches in the c.r
› >not well cleaned toilet
› >shared toilet facility 
 ANALYSIS OF THE PROBLEM
› >Inability to recognize the presence of a problem due to:
› a. Fear to consequences of disease or problem specifically economic cost implications.
› >Inability to provide a good and appropriate toilet facility which is conducive for health maintenance and personal development due to:
› a. Inadequate family resources specifically financial constraints
› b. Failure to see benefits of good toilet facility
 OBJECTIVES
› SHORT TERM:After the initial home visit, the family will have understanding regarding the importance of having a good toilet facility
› LONG TERM: After the final home visits, the family will be able to have a clean toilet facility without any presence of cockroaches or rodents
 NURSING INTERVENTIONS
› >Explain to the family the importance having a adequate and good toilet facility 
› >Demonstrate proper ways to clean the toilet
› >Demonstrate the proper hand washing before leaving the toilet and handling the bay
› >informed the mother the rationale the need to move the kitchen utensils and foods away from the toilet facility
 RATIONALE
› >Let them be aware of the disadvantages of improper garbage disposal  
› >To prevent spreading microorganisms caused by insects 
› >To prevent transmission of diseases
› >To prevent contamination of food
 POOR TOILET FACILITY
 METHOD OF FAMILY CONTACT
› >Home Visits
 RESOURCES REQUIRED
› >Knowledge of the student nurses
› >Time and perseverance of the student nurses
› >Participation of the family
 EVALUATION
› SHORT TERM: The family understood the importance of having a
adequate and good toilet facility AEB the mother regularly cleaning the
toilet 
› LONG TERM: The family had an ability to have a clean toilet facility
without any presence of cockroaches or rodents AEB the minimal or
absence of cockroaches.