Activity 2.

Identifying and Prioritizing Family Health

Problems
Activity Objectives:
Using the forms for identifying and ranking health problems, students should be able to:
1. list down the health problems recognized in each family;
2. categorize each health problem into wellness potential, health threat, health deficit, foreseeable
crisis;
3. prioritize health problems according to nature, modifiability, preventive potential and salience;
4. justify scores given to each problem;
5. rank health problems according to priorities; and
6. identify corresponding health problems.

A. Listing and Categorizing Health Problems

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Direction: List down the health problems recognized. Compute for the score of each problem, justify the
scores given and rank problem.

Head of Family: Grandmother (E.M.)

Address: 61 Durian Street, Imperial Homes III Subdivision, Mandurriao, Iloilo City

Nature of the Problem Family Nursing Problem

List of Problem
(1st Level Assessment) (2nd Level Assessment)
1. Presence of Type II Unhealthy lifestyle and eating Inability to make decisions with
Diabetes in one of the habits as evidenced by lack of respect to taking appropriate
family members (health exercise and excessive health action due to failure to
threat). carbohydrate and sugar intake comprehend the magnitude of
the problem/condition
2. Presence of hypertension in Unhealthy lifestyle and eating Inability to make decisions with
one of the family members habits as evidenced by lack of respect to taking appropriate
(health threat). exercise and excessive intake of health action because of failure
food containing high sodium to comprehend the magnitude of
the condition
3. One of the family members Poor environmental condition. Inability to provide adequate
is asthmatic (health deficit) Acquired from childhood care to the at-risk member of the
exposure to industrial smoke family due to lack of knowledge
of the nature and extent of
nursing care needed
4. Faulty eating habits (health Unhealthy eating habits as Inability to provide a home
threat) evidenced by untimely environment conducive to
mealtime/skipping meals personal development (not
gathering together) due to
ineffective communication
pattern within the family and
meal time does not jibe with
each other’s schedules.
5. Sedentary lifestyle in most Unhealthy lifestyle due to Inability to recognize the health
of the family members insufficient interest in consequences by denying about
motivation for physical activity its existence or severity
6. Disturbed sleeping pattern Stress-provoking factors such as Inability to recognize the
related to nonrestorative inability to catch up well in the presence of the condition by
sleep pattern (health deficit) new fast-paced online learning. denying about its existence or
severity as a result of
consequences of diagnosis of
problem, specifically in the
emotional/psychological aspect.
7. Family does not practice Poor home/environmental Inability to provide a home
waste segregation sanitation as evidenced by environment conducive to health
improper garbage maintenance and personal
disposal/unsanitary garbage development due to ineffective
disposal communication pattern within
the family
8.

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9.

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B. Computing and Justifying Scores of Health Problems
Problem: Presence of Type II Diabetes in one of the family members as a health threat
Criteria Standard Score Weight Actual Score Justification
1. Nature of the Wellness state 3 (2/3) x 1 = Unhealthy lifestyle and eating habits as evidenced by
Health deficit 3
problem 1 0.7 lack of exercise and excessive carbohydrate and sugar
Health threat 2
Foreseeable crisis 1 intake
2. Modifiability Easily modifiable 2 (2/2) x 2 = 2 This problem is easily modifiable since the family
Partially modifiable 1
of the problem member can lessen the harmful effects of Type II
Not modifiable 0 2
Diabetes through constant exercise and improving
nutritional diet
3. Preventive High 3 (2/3) x 1 = Further complications will be avoided if this problem
potential Moderate 2 1
Low 1 0.7 will be recognized and be given a careful attention
4. Salience Needs immediate attention 2 (2/2) x 1 = 1 The family recognize this as a problem needing
Does not need immediate attention 1
Not a problem 0 1 immediate attention because it can be worsened if
preventive measures are not practiced
Total Score: 4.4

Problem: Presence of hypertension in one of the family members as a health threat

Criteria Standard Score Weight Actual Score Justification
1. Nature of the Wellness state 3 (2/3) x 1 = Unhealthy lifestyle and eating habits as evidenced by
Health deficit 3
problem 1 0.7 lack of exercise and excessive carbohydrate and sugar
Health threat 2
Foreseeable crisis 1 intake
2. Modifiability Easily modifiable 2 (2/2) x 2 = 2 This problem is easily modifiable since the family
Partially modifiable 1
of the problem member can lessen the harmful effects of
Not modifiable 0 2
Hypertension through constant exercise and eating
less food containing high-sodium
3. Preventive High 3 (2/3) x 1 = Further complications will be avoided if this problem
potential Moderate 2 1
Low 1 0.7 will be recognized and be given a careful attention
4. Salience Needs immediate attention 2 (2/2) x 1 = 1 The family recognize this as a problem needing
Does not need immediate attention 1
Not a problem 0 1 immediate attention because it can be worsened if
preventive measures are not practiced
Total Score: 4.4

Problem: One of the family members is asthmatic

Criteria Standard Score Weight Actual Score Justification

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1. Nature of the Wellness state 3 (3/3) x 1 = 1 It is a health deficit because there are instances
Health deficit 3
problem 1 wherein the member experiences difficulty in
Health threat 2
Foreseeable crisis 1 breathing when doing strenuous activities
2. Modifiability Easily modifiable 2 (1/2) x 2 = 1 This problem is partially modifiable since the member
Partially modifiable 1
of the problem 2 is compliant with her medications and she chooses to
Not modifiable 0
rest whenever she feels exhausted.
3. Preventive High 3 (2/3) x 1 = Further complications will be avoided if this problem
potential Moderate 2 1
Low 1 0.7 will be recognized and be given a careful attention
4. Salience Needs immediate attention 2 (2/2) x 1 = 1 Family recognizes this as a problem needing
Does not need immediate attention 1
Not a problem 0 1 immediate attention because it is not conducive to
health
Total Score: 3.7

Problem: Faulty eating habits of the members of the family as a health threat
Criteria Standard Score Weight Actual Score Justification
1. Nature of the Wellness state 3 (2/3) x 1 = It is a health threat because it promotes an unhealthy
Health deficit 3
problem 1 0.7 diet and could lead to gastrointestinal complications in
Health threat 2
Foreseeable crisis 1 the future
2. Modifiability Easily modifiable 2 (2/2) x 2 = 2 This problem is easily modifiable since there is high
Partially modifiable 1
of the problem 2 probability of success in enhancing wellness state if
Not modifiable 0
preventive measures will be strictly implemented
3. Preventive High 3 (3/3) x 1 = 1 By improving coordination within the family
Moderate 2
potential 1 members and planning meals in advance, one is able
Low 1
to adjust with the meal schedules on time
4. Salience Needs immediate attention 2 (1/2) x 1 = Family recognizes this as a problem not needing
Does not need immediate attention 1 1
Not a problem 0 0.5 immediate attention
Total Score: 4.2

Problem: Sedentary lifestyle in most of the family members

Criteria Standard Score Weight Actual Score Justification
1. Nature of the Wellness state 3 (2/3) x 1 = It is a health threat since it promotes an unhealthy
Health deficit 3
problem 1 0.7 lifestyle that could lead to complications in the future
Health threat 2
Foreseeable crisis 1
2. Modifiability Easily modifiable 2 (1/2) X 2 = 1 This problem is partially modifiable since the member
of the problem Partially modifiable 1 2
Not modifiable 0 know how to

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3. Preventive High 3 (2/3) x 1 = Further complications can be avoided if family
Moderate 2
potential 1 0.7 members will engage in physical activities in a way
Low 1
that it does not compromise their overall health status
4. Salience Needs immediate attention 2 (2/2) x 1 = 1 Family members recognize this as a problem needing
Does not need immediate attention 1
Not a problem 0 1 immediate attention since it may lead to further health
issues like developing chronic illnesses
Total Score: 3.4

Problem: Disturbed sleeping pattern related to nonrestorative sleep pattern as a health deficit
Criteria Standard Score Weight Actual Score Justification
1. Nature of the Wellness state 3 (2/3) x 1 = Caused by stress-provoking factors such as inability to
Health deficit 3
problem 1 0.7 catch up well in the new fast-paced online learning.
Health threat 2
Foreseeable crisis 1
2. Modifiability Easily modifiable 2 (1/2) x 2 = 1 This problem can be partially modified since the
Partially modifiable 1
of the problem 2 client knows how to correct her sleeping pattern,
Not modifiable 0
although chooses not to
3. Preventive High 3 (2/3) x 1 = Further complications will be avoided if this problem
potential Moderate 2 1
Low 1 0.7 will be recognized and be given a careful attention
4. Salience Needs immediate attention 2 (2/2) x 1 = 1 The family recognizes this as a problem needing
Does not need immediate attention 1 1
Not a problem 0 immediate attention since it is not conducive to health.
Total Score: 3.4

Problem: Improper waste segregation

Criteria Standard Score Weight Actual Score Justification
1. Nature of the Wellness state 3 (2/3) x 1 = This problem is a health threat since it poses
Health deficit 3
problem 1 0.7 unsanitary action that can create pollution on the
Health threat 2
Foreseeable crisis 1 surroundings
2. Modifiability Easily modifiable 2 (2/2) x 2 = 2 This problem is easily modifiable since there is an
Partially modifiable 1
of the problem 2 availability of resources and family members are well-
Not modifiable 0
aware of the consequences
3. Preventive High 3 (3/3) x 1 = 1 By proper coordination within the family members
Moderate 2
potential and implementing proper waste segregation practice,
Low 1 1
the family will experience better home environment
conducive for individual comfort and health
4. Salience Needs immediate attention 2 1 (1/2) x 1 = The family does not recognize this problem as not
Does not need immediate attention 1

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 Not a problem 0 0.5 needing immediate attention because it
Total Score: 4.2

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C. Ranking of Health Problems According to Priority

Direction: Rank the health problems of each family. The higher the score, the greater the priority which means that Priority 1 has the highest score.

Ranking of Health Problems of Family ___________________________________

Priority Problem Score
Presence of hypertension in one of the family 4.7
1 members

Presence of Type II Diabetes in one of the family 4.4

2 members

Improper Waste Segregation 4.4

3

Faulty eating habits of the members of the family 4.2

4

One of the family members is asthmatic 3.7

5

Sedentary lifestyle in most of the family members 3.4

6

Disturbed sleeping pattern related to 3.4

7 nonrestorative sleep pattern

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Activity 3. Formulating and Evaluating Family Nursing Care Plan
Activity Objectives:
Using the forms for preparing a family health care plan, students should be able to:
1. identify the family health problems;
2. formulate the goals and objectives of health care;
3. list planned interventions for identified problems; and
4. evaluated care provided to the family.

Direction: Prepare, together with the family concerned, family health care plans.
Methods of
Nursing Family
Family Nursing
Health Problem
Problem
Goals and Objectives Interventions Contact and Evaluation
Resources
Required
Presence of Inability to make 1. To maintain blood glucose 1. Monitor blood sugar and make sure it is within Home visit
Type II decisions with levels within normal ranges normal ranges. Patient may have a different target
Diabetes respect to taking appropriate to the age group blood sugar level, but usually the normal ranges are
(Diabetes appropriate health within 70-180 mg/dL.
Mellitus) action due to failure 2. To monitor vital signs,
to comprehend the especially blood pressure, and 2. Make health teachings to the client about how to
magnitude of the make sure it is within normal monitor blood glucose using a glucometer and how
problem/condition ranges. to record the results. (Rationale: it is important for
the client to know how to assess himself in case of
3. Health teachings about the emergencies).
dos and don’ts when diagnosed
with diabetes 3. Monitor blood pressure and make sure it is within
normal ranges. Normal ranges are 120/80 mmHg.
4. By the end of nursing care, (Rationale: people with diabetes and high blood
the family will make necessary pressure are more at risk of having a heart attack or
measures to properly manage, stroke).
control, and lessen the risk
factors of diabetes mellitus. 4. Educate the client about maintaining a healthy
weight and keeping active. (Rationale: When you

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 weigh less, it means that you are physically active
and you are eating food with proper nutrients, thus
better manage your blood glucose levels and target
blood lipid levels).

5. Teach client of the possible

outcomes/consequences of the actions taken
otherwise.

Methods of
Nursing Family
Family Nursing
Health Problem
Problem
Goals and Objectives Interventions Contact and Evaluation
Resources
Required
Presence of Inability to make 1. To maintain blood pressure 1. Assess the client, as well as the family, of their Home visit
Hypertension decisions with levels of the client and keep it level of understanding regarding the health problem.
respect to taking within normal ranges
appropriate health appropriate to the age group. 2. Make health teachings to the client about the signs
action due to failure Normal ranges are 120/80 and symptoms of hypertension and complications
to comprehend the mmHg. that might arise due to hypertension.
magnitude of the
problem/condition 2. The client is knowledgeable 3. Discuss the risk factors with the client.
about the dos and don’ts when
diagnosed with hypertension. 5. Constantly monitor the blood pressure of the
client. Make sure it is within the normal ranges
3. The client is aware of the (120/80mmHg).
normal ranges of blood
pressure. 6.Educate the client, as well as the family, about
maintaining a healthy lifestyle.
2. Have adequate knowledge
about necessary food intake to 7. Teach client of the possible
help alleviate hypertension and outcomes/consequences of the actions taken
also to prevent the occurrence otherwise.
of complications in the future

3. Be able to determine the risk

factor that contribute to the

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hypertension such as family
history, age, physical inactivity,
vices, etc.

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