Prioritization Of Problems

IMPROPER HYGIENE Criteria Nature of the Problem

Computation

Actual Score

2/3 x 1=

0.6

Justification S: “Mangaon lage mi usahay nga way hugasay. Diretso na. labi na ng bata kay magdula-dula tas mukaon ra diretso di manghugas. O: The child of Mrs. L is eating without washing his hands first and even his parents when we had our visit at noon. The finger and toenails of the child are untrimmed with dirt under the nails. The child is playing on muddy area under the house. Picking finger foods such as cup cakes without washing hands. Often times, the child plays with the chicken & dirt under their house. When their 4 month old baby void on its blanket they do not thoroughly wash the blanket. I: The problem is a health threat in which the family can possibly acquire diseases which could be transmitted by unwashed hands and contact with dirt, which could alter and hinder their performance of the activities of daily living.

Modifiability of the Problem

2/2 x 2=

2

O: It is easily modifiable in which the student nurse can teach and instruct the family to perform hygienic practices such as handwashing before consumption of meals and bathing at least once a day.

Preventive Potential

3/3 x 1=

1

O: It is highly preventable by the implementation o preventive measures which are easy to perform, thereby minimizing the occurrence of the disease and spread of infection.

½x1

0.5 4.1

O: The family is aware of the problem existing in their home. However, they do not carry out the practices and knowledge about hygiene measures and they aren’t aware of what danger it brings them due to having poor hygiene practices.

Salience

IMPROPER FOOD HANDLING Criteria Nature of the Problem

Computation

Actual Score

2/3 x 1=

0.6

Justification S: “Pasensya kayo mo ha. Gubot kaayo nang among kusina. Wala raba nay hugas among mga kinan-an dinha kay gi-una pa naku ang paglaba.” As verbalized by Mrs. L. O: During one of our home visits done by our group, while they prepare their food for lunch they just leave their food unattended expose to the flies. The family kitchen has unwashed plates, unorganized placements of utensils, their kitchen utensils are expose to insects and rodents. Their cooked foods are being place on the table covered by a basin, which they also used for washing of dishes. I: It is a health threat; improper handling of food can lead to gastro-intestinal problems.

Modifiability of the Problem

2/2 x 2=

2

O: The problem can be easily modified by letting the family know how to utilize the available resources inside the house to be used in handling the food and also emphasizing to them the proper food handling before and after cooking through imparting of health teaching.

Preventive Potential

3/3 x 1=

1

O: If the problem is highly preventable, then the occurrence of gastro-intestinal diseases such as diarrhea and parasitism can be diminished.

Salience

0/2 X 1=

0_ 3.6

O: The family is not aware of the problem.

FALL HAZARDS Criteria Nature of the Problem

Computation

Actual Score

2/3 x 1=

0.6

Justification O: The deep well is approximately 2 meters from the house with the diameter of the hole approximately 1 meter and it is at the level of the ground. The deep well has a depth of hole with 6 feet and being used by the family without a cover. I: It is health threat that requires immediate intervention to eliminate the possible injury to the number of the family that can alter to his/her functioning to the family.

Modifiability of the Problem

2/2 x 2=

2

Preventive Potential

3/3 x 1=

1

½x1

0 3.6

Salience

O: It is easily modifiable in which the student can educate and advice the family to utilize the available resources present in their surroundings. Educating the family to made a fence around the well to guard the hole of the well and protect the safety of every family member. O: The possibility of fall hazards is highly preventable through the implementation of the interventions given by the student nurse. O: The family perceives it as a nonthreatening situation.

IMPROPER GARBAGE DISPOSAL

Criteria Nature of the Problem

Computation

Actual Score

2/3 x 1=

0.6

Justification S: “Ginasunog ra man namo among basura. Kapoyan naman gud mi mag kalot ug yuta ug maglubong ug basura. Ginatapok ra namo sa kilid among basura dayon ginasunog na namo.” As verbalized by Mrs. L. O: The family throws their garbage to where they are about to burn it. They do not segregate the biodegradable from non-biodegradable wastes. They burn all garbage they throw. I: The problem is a health threat. Improper disposing of wastes and garbage can lead to the increased occurrence of communicable diseases.

Modifiability of the Problem

2/2 x 2=

2

O: The problem can be easily modified through the utilization and proper use of resources available in their place and backed up by stressing of the importance of proper waste disposal by teaching and facilitating them to segregate biodegradable from non-biodegradable garbage; emphasize to the family not to do burning because it might cause harm to their health & the environment

Preventive Potential

3/3 x 1=

1

O: If the problem can be controlled, the occurrence of communicable diseases such as gastroenteritis or diarrhea and parasitism can somehow be prevented by putting proper waste disposal into practice

½x1

0 3.6

O: The family perceives the problem as a non-threatening situation and they are not aware of the consequences of having improper waste disposal

Salience

INADEQUATE IMMUNIZATION STATUS OF A CHILD Criteria Nature of the Problem

Computation

Actual Score

2/3 x 1=

0.6

Justification S: “Si J1 dili kumpleto ang iyang bakuna kay wala man gud mi nakabalik sa petsa na dapat pabalikon mi. Pero akoang kamanghuran (J2) kumpleto iyang bakuna.” O: Child J1 has not completed his immunization; he missed DPT and Hepa B vaccines. While Child J2 has completed his immunization for his age. I: It is a health threat. Incomplete immunization during the prescribed age of children can increase the risk of diseases due to lack of immunity

Modifiability of the Problem

1/2 x 2=

1

O: The problem is partially modifiable by means of motivating the family manipulate available resources in the community such as fruits and vegetables, by planting and growing them, and serving them to the children can serve as prevention of weakening the immune system. Encourage the family to protect the immune system by eating foods high in nutrients

Preventive Potential

2/3 x 1=

0.6

O: If the problem is not controlled, the occurrence of communicable diseases can weaken the immune system of the child as well as altering the normal function of body cells. Advise the parents to go to the health center and ask for proper intervention with regards to the immunization of the child.

Salience

2/2 x 1

1 3.2

O: The family is aware of the problem and they are willing to use alternatives to promote and strengthen their children’s immunity.

LOW INCOME

Criteria Nature of the Problem

Computation

Actual Score

2/3 x 1=

0.6

Justification S: “Ang akong bana ra man ang nangita sa amoa. Nagtrabaho siya sa ‘X’ bakeshop. Messenger ra intawon ang trabaho niya didto. Kulang ra gyud tawon sa amoa iyang suweldo. Sayo sa buntag mulakaw nana siya, unya pagka ala-sais sa gabii na muuli. Usahay, magabi-an nana siya. Hinuon, pag domingo, day-off niya.” as verbalized by Mrs. L. O: The family as we observed has many expenses and need to be met, they are the one who pays the electric bill consumption of their parents as their neighborhood. I: It is health threat problems having a low income and having a lot of expenses to spend. It can affect the ability of the family to meet the needs of individual members of the family.

Modifiability of the Problem

1/2 x 2=

1

O: The problem is partially modifiable since the family had limited resources by alternatives. But though some new health teachings and instructing the family to utilize is resources that is available and suggesting to establish a small livelihood or ways that could augment their monetary aspect. Such as advising to plant vegetable and sell it to their neighbors and to their supermarket

Preventive Potential

2/3 x 1=

0.6

O: If the resources and suggested alternatives is applied somehow it can help and reduce the occurrence of health problems such as malnutrition.

Salience

2/2x 1=

1 3.2

O: The family is aware of their problem, that it needs an immediate intervention and they are willing to acquire solution to solve it.

PRESENCE OF INSECTS AND RODENTS Criteria Nature of the Problem

Computation

Actual Score

2/3 x 1=

0.6

Justification S: Nah! Daghan gyud diria ng mga langaw, ok-ok, ug ilaga. Naa ganiy pukyutan nagpuyo sa among atop, daghan kaayo. Pero naanad naman pud mi. pasagdan nalang namo.” As verbalized by Mrs. L. O: Their house is very open and the insects and rodents can easily get into the house I: The problem is a health threat in which the presence of rodents and insect increase the rate of possible onset of disease with in the family because insects and rodents are known vectors of disease.

Modifiability of the Problem

1/2 x 2=

1

O: The problem is partially modifiable since rodents and insects cannot be easily controlled and it freely moves in and out on their house. Through health teachings such as always clean their house and provide cover to keep the cleanliness of the food.

Preventive Potential

2/3 x 1=

0.6

O: If the planned intervention are carefully implemented and practice somehow the problem can be reduced to controllable situation and prevent further development of communicable disease

½x1

0.5 2.7

O: The family is aware of the existing problem. But they do not give attention to it because they think its normal to have it in their surroundings.

Salience

ABSENCE OF PERSONAL TOILET FACILITY Criteria Nature of the Problem

Computation

Actual Score

2/3 x 1=

0.6

Justification S: “Wala man miy kaugalingon na kasilyas. Makigamit rami sa kasilyas sa akong ugangan dinha sa luyo. Wala pa man gyud miy kwarta ikapahimo.” As verbalized by Mrs. L. O: The family shares the available toilet with their relatives I: The problem is a health threat, since sharing with the toilet facility increases the risk of acquiring communicable disease that could affect the health status of every member within the family.

Modifiability of the Problem

1/2 x 2=

1

O: The problem is partially modifiable due to the limited resources of the family that can be used especially on the monetary aspects.

Preventive Potential

1/3 x 1=

0.3

O: If the problem is not solved, there’s a great possibility of acquiring communicable disease such as parasitism, diarrhea and schistosomiasis.

Salience

0/2 x 1

0 1.9

O: The family perceives the problem as not a big deal, that there’s no problem of sharing toilet facilities with other family.