IMPROPER HYGIENE
Actual
     Criteria      Computation                          Justification
                                 Score
Nature of the        2/3 x 1=     0.6     S: “Mangaon lage mi usahay nga way
Problem                                   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     2/2 x 2=      2      O: It is easily modifiable in which the
the Problem                               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           3/3 x 1=      1      O: It is highly preventable by the
Potential                                 implementation o preventive measures
                                          which are easy to perform, thereby
                                          minimizing the occurrence of the disease
                                          and spread of infection.
Salience              ½x1         0.5     O: The family is aware of the problem
                                  4.1     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.
                       IMPROPER FOOD HANDLING
                                 Actual
     Criteria      Computation                           Justification
                                 Score
Nature of the        2/3 x 1=     0.6     S: “Pasensya kayo mo ha. Gubot kaayo
Problem                                   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     2/2 x 2=      2      O: The problem can be easily modified
the Problem                               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           3/3 x 1=      1      O: If the problem is highly preventable,
Potential                                 then the occurrence of gastro-intestinal
                                          diseases such as diarrhea and parasitism
                                          can be diminished.
Salience             0/2 X 1=      0_     O: The family is not aware of the
                                  3.6     problem.
                                FALL HAZARDS
                                   Actual
     Criteria      Computation                            Justification
                                   Score
Nature of the        2/3 x 1=       0.6     O: The deep well is approximately 2
Problem                                     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.
                                            O: It is easily modifiable in which the
Modifiability of     2/2 x 2=        2      student can educate and advice the
the Problem                                 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.
Preventive           3/3 x 1=        1      O: The possibility of fall hazards is
Potential                                   highly preventable through the
                                            implementation of the interventions
                                            given by the student nurse.
Salience              ½x1            0      O: The family perceives it as a non-
                                    3.6     threatening situation.
                     IMPROPER GARBAGE DISPOSAL
                                 Actual
     Criteria      Computation                          Justification
                                 Score
Nature of the        2/3 x 1=     0.6     S: “Ginasunog ra man namo among
Problem                                   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     2/2 x 2=      2      O: The problem can be easily modified
the Problem                               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           3/3 x 1=      1      O: If the problem can be controlled, the
Potential                                 occurrence of communicable diseases
                                          such as gastroenteritis or diarrhea and
                                          parasitism can somehow be prevented by
                                          putting proper waste disposal into
                                          practice
Salience              ½x1          0      O: The family perceives the problem as
                                  3.6     a non-threatening situation and they are
                                          not aware of the consequences of having
                                          improper waste disposal
                INADEQUATE IMMUNIZATION STATUS OF A CHILD
                                     Actual
     Criteria        Computation                            Justification
                                     Score
Nature of the          2/3 x 1=       0.6     S: “Si J1 dili kumpleto ang iyang bakuna
Problem                                       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       1/2 x 2=        1      O: The problem is partially modifiable
the Problem                                   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             2/3 x 1=       0.6     O: If the problem is not controlled, the
Potential                                     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      O: The family is aware of the problem
                                      3.2     and they are willing to use alternatives to
                                              promote and strengthen their children’s
                                              immunity.
                                   LOW INCOME
                                 Actual
     Criteria      Computation                          Justification
                                 Score
Nature of the        2/3 x 1=     0.6     S: “Ang akong bana ra man ang nangita
Problem                                   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     1/2 x 2=      1      O: The problem is partially modifiable
the Problem                               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           2/3 x 1=     0.6     O: If the resources and suggested
Potential                                 alternatives is applied somehow it can
                                          help and reduce the occurrence of health
                                          problems such as malnutrition.
Salience             2/2x 1=       1      O: The family is aware of their problem,
                                  3.2     that it needs an immediate intervention
                                          and they are willing to acquire solution
                                          to solve it.
                   PRESENCE OF INSECTS AND RODENTS
                                 Actual
     Criteria      Computation                          Justification
                                 Score
Nature of the        2/3 x 1=     0.6     S: Nah! Daghan gyud diria ng mga
Problem                                   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     1/2 x 2=      1      O: The problem is partially modifiable
the Problem                               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           2/3 x 1=     0.6     O: If the planned intervention are
Potential                                 carefully implemented and practice
                                          somehow the problem can be reduced to
                                          controllable situation and prevent further
                                          development of communicable disease
Salience              ½x1         0.5     O: The family is aware of the existing
                                  2.7     problem. But they do not give attention
                                          to it because they think its normal to
                                          have it in their surroundings.
                   ABSENCE OF PERSONAL TOILET FACILITY
                                   Actual
     Criteria        Computation                           Justification
                                   Score
Nature of the          2/3 x 1=     0.6     S: “Wala man miy kaugalingon na
Problem                                     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       1/2 x 2=      1      O: The problem is partially modifiable
the Problem                                 due to the limited resources of the family
                                            that can be used especially on the
                                            monetary aspects.
Preventive             1/3 x 1=     0.3     O: If the problem is not solved, there’s a
Potential                                   great possibility of acquiring
                                            communicable disease such as
                                            parasitism, diarrhea and schistosomiasis.
Salience               0/2 x 1       0      O: The family perceives the problem as
                                    1.9     not a big deal, that there’s no problem of
                                            sharing toilet facilities with other family.