1st level assessment

8/13/2019 1st Level Assessment

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1st level assessment

1. Health strengths

Typology Cues

Potential for enhanced capability for:

a. Adequate living space S> Ay ayos met ta tag-gaysa kami ti kwarto,ngem agkakwarto kami keni apok.

O> Each room measures 10 square meters with

adequately sized bed for one person. The living

room measures 2 x 3 meters. The kitchen and

dining room is measured as one approximately

3x5 meters. The store which is located near

the house approximately measures 2x3 meters.

b. Adequate water supply for all washing

purposes including bathing.

S> Agapo ta ubbogtuloy tuloy met isu nga

uray awan ti drum mi.O> Pipelines going to the comfort room and in

the kitchen were seen during the visit.

c. Sufficient food storage S> "Ada met jay ref mi ijay store, nu saan mi

maibos, kaluban mi lattan itta lamisaan."

O> During the 2nd visit, left-over foods were

seen the table with plate cover.

Readiness for enhanced capability for:

a. Minimal stress-provoking factor: smoothinterpersonal relationship between and among

family members, occasional conflicts occur but

are immediately resolved.

S> "Agap-apa kami met nu paminsan ngem numapagtungtungan ket mayaten."

b. Complete immunization of children S> "Nakumpleton met jay apok na ni Kyla jay

bakuna na."

O> " No history of serious diseases such as

polio, tubercolosis and diphtheria.

c. Appropriate role assumption S>"Jay anak ko kenni asawak ti agtrabtrabaho

ijay, (pertaining to farm) siyak ket ittoy storelaeng."

O> During the home visit, Mr. Samson and Mr.

Leo Jose were not there since they were at

work. Mrs. Josefa stays in their sari-sari store

most of the time since she was discharged

from the hospital because of hypertension.

d. Adequate rest and sleep S> "Alas-otso matmaturog kamin tapos alas

kwatro kami nga bumangbangon tani agtrabaho

da pay gamin."e. Occasional drinking of alcohol S> "Agpaminsan da laeng nga uminom ti arak

(pertaining to Mr. Samson and Mr. Leo Jose).

Handa nga masango ngamin kinanayon da jay

trabaho."

f. No smoking member of the family S> "Han da met nga agsigsigarilyo."

O> No history of smoking-induced illnesses in

the family members.


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g.

2. Health threats

Typology Cues

a. Excessive intake of certain nutrients and

lack of intake of some important nutrients

S> "Manmanu kami nga agsida ti karne ken fish,

ngamin ti sidsidaen mi ket vegetables a namakita itta garden mi ken ittoy asideg balay

mi."

O> radish, carrots and cabbage were seen inthe garden while sayote was seen beside their

house

b. Unsafe water for drinking and cooking S> "Agininom kami diretso itta ubbog, pati

pagluto mi ket itta mi met laeng nga al-alan,

ipaburuk ku met bassit para keni Kyla ta ubing."

O> Pipelines going to the comfort room and inthe kitchen were seen during the visit.

c. Presence of breeding or resting sites of

insects

S> "Adu a ti ngilaw ittoy, ngem awan met ti

lamuk."

O> Flies were seen in their home and in theirstore during the interview. Sacks of chicken

dung is also seen in front of their store and

this attract flies.

d. Poor personal hygiene by some members of

the family

S> "Hankami nga inaldaw nga agdigos ta

nalamin, ngerm agtoothbrush kami met ti 2 ngabeses ti maysa nga aldaw."

O> Slightly unclean clothes were worn by Mrs.

Josefa during the interview

e. Inadequate exercise of most members of

the family

S> "Hanmi nga masangon a ta ununaen mi pay ti

trabaho. Jay ag garden sa ket exercisenO> They consider their works as their

exercise.

f. Presence of family history of hypertension O> Since Mrs. Josefa has hypertension, Leo

and Kyla can also have itg. Improper garbage disposal S> "Purpuuran mi nga kinanayon ti basura mi ta

awan ti mangkulkulekta. Medyo adayo itoy balay

ti pagpurpuuran mi.

h. Hazardous path beside the house and fall

hazard on the stairs

S> "Wen, nagalis (pertaining to the stairs going

to the store) lallalo na nu agtudo.

O> There are stairs inside their house and it's

made up of wood and has no railings. There are

also stairs going to the store which is made up

of stones and is slippery when it rains.i. Pointed or sharp objects and medicines

improperly kept

S> "Itak lang kusina nga ikabkabil dagijay

kutsilyo ken nakacellophane jay agas ko nga

pang high blood."

O> knives were scattered in the dirty kitchen

with no cover

j. Walking barefoot by some members of the

family

O> Kyla, who was Mrs. Josefa's grandaughter

was observed to be walking barefooted outside


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their store.

k. poor ventilation S>"Hanku nga iluklukat dagijay bintana tani

nalamin, ken hanak met nga kinanayon itoy

balay ta apapan kami ijay store ken awan

mabati ditoy.

O> There are 4 windows in the house but these

were closed, and it's not adequate to promotegood ventilation

3. Health Deficit

Typology Cues

Illness state whether it is diagnosed or

undiagnosed by a doctor:

>Hypertension

S> Karkarwar ko lang ijay ospital 3 days ago

ngamin na high blood ak ngem hanak met na

stroke. Maululawak met lang nu maminsan ken

sumaksakit ittoy ko." (massaging her napearea)

O> blood pressure taken as 160/100

2nd level assessment

Identified Health Problems Formulated Family Diagnosis

1. Excessive intake of certain nutrients and

lack of intake of some important nutrients

Inability to make decisions with respect to

taking appropriate health action related to

inadequate knowledge as to alternative coursesof action open to them

2. Unsafe water for drinking and cooking Inability to provide a home environment

conducive to health maintenance and personal

development related to inadequate knowledge

of preventive measures

3. Presence of breeding or resting sites of

insects

Inability to provide a home environment


development related to inadequate skill in

carrying out measures to improve homeenvironment

4. Poor personal hygiene by some members of

the family




of importance of personal hygiene and

sanitation.

5. Inadequate exercise of most members of

the family

Inability to recognize the presence of the

condition or problem related to inadequate

knowledge regarding the importance ofadequate and regular exercises.

6. Presence of family history of hypertension Inability to recognize the presence of the


knowledge regarding the predisposing factor

of hypertension

7. Improper garbage disposal Inability to provide a home environment



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of the effects of burning

8. Hazardous path beside the house and fall





of preventive measures and inadequate skill in

carrying out measures to improve homeenvironment.

9. Pointed or sharp objects and medicines

improperly kept




of preventive measures to improve home

environment

10. Walking barefoot by some members of the

family

Inability to recognize the presence of the


knowledge regarding the importance of

wearing slippers inside and outside the house

11. Poor ventilation Inability to provide a home environment


development related to failure to see the

benefits of home environment improvement

specifically utilizing the windows for adequate

ventilation

12. Illness state whether it is diagnosed or

undiagnosed by a doctor:

>Hypertension

Inability to provide adequate nursing care to

the sick family member related to inadequate

knowledge about the disease or health

condition and philosophy in life that it is part

of aging

Health Potentials Identified Family Diagnoses

1. Adequate living space Ability to provide a home environment


development due to ability to see benefits of

investment in home environment improvement.2. Adequate water supply for all washing

purposes including bathing.>Ability to provide a home environment



investment in home environment improvement.

>Ability to utilize community resources for

health care due to availability of required

service or resources.

3. Sufficient food storage Ability to provide a home environmentconducive to health maintenance and personal


investment in home environment improvement.

4. Minimal stress-provoking factor: smooth

interpersonal relationship between and among

family members, occasional conflicts occur but

are immediately resolved.

Ability to provide a home environment


development due to effective communication

patterns within the family and presence of


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supportive relationship among family members.

5. Complete immunization of children Ability to provide adequate care to the at-risk

members of the family due to adequate

knowledge about child development and care.

6. Appropriate role assumption Ability to provide a home environment


development due to effective communicationpatterns within the family and supportive

relationship among family members.

7. Adequate rest and sleep Ability to recognize the benefits of the actiondue to ability to attitudes in life that promote

the performance of the appropriate action.

8. Occasional drinking of alcohol Ability to recognize the benefits of the action

due to appropriate attitude in life which

hinders the performance of the action.

9. No smoking member of the family Ability to provide a home environmentconducive to health maintenance and personal

development due to appropriate attitude in life

which hinders the performance of the action.

PRIORITIZATION OF HEALTH PROBLEMS

1. Excessive intake of certain nutrients and lack of intake of some important nutrients

Criteria Justification Computation Actual ScoreNature of the

Problem

It is scored as such because the problem is

classified as health threat because it does not to

be attended right away. However, if this problem

will not be addressed, this will lead to actual

problem state.

2/3x 1 0. 67

Modifiability of

the Problem

The problem is considered to be PARTIALLY

MODIFIABLE because of the following

justification:

a) current knowledge, technology and

interventions to manage the problem are present

like eating chicken and pork

b) The community where the family lives has no

stores that sells chicken and pork meat at an

affordable price.

c) The family have money to buy chicken and

pork meat. The family does not have also the

adequate knowledge, financial and attitudes insolving the problem.

d) Barangay health clinics and the midwife are

present in their community to help them by

giving health educations.

1.5 / 2 x2 1.5

Preventive

Potential

The problem has a MODERATE PREVENTIVE

POTENTIAL because of the following

2.25/ 3 x 1 .75


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b) The family drinks directly from the faucet on

a long period of time and still

c) The management instituted by the family was

to boil the water for only 5 minutes which is

incorrectly done

d) no family member do not have any serious

illness pertaining to unsafe water

Salience of the

Problem

The family doesn't perceive it as a problem or

does not need change.

0/ 2 x 1 0

Total score: 2.67

3. Presence of breeding or resting sites of insects

Criteria Justification Computation Actual Score

Nature of the

Problem

The problem is classified as a health threat,

since insects such as files can be a carrier of

particular diseases.

2/3x 1 0. 67

Modifiability of

the Problem



justification:

a) Current knowledge, technology and

interventions are available to prevent breeding

or resting sites of insectsb) The community where the family lives has no

interventions to decrease the number of flies

c) The family also do not have resources in

preventing flies from entering homes because

there garden is just near them, where flies can

breed.



giving health educations.

1/ 2 x2 1

Preventive

Potential

The problem has a LOW PREVENTIVE


justifications:

a) The problem is not that severe and can be

managed by interventions

b) The presence of flies in the community occurs

for how many year now

c) There were no interventions done to address

the problem

d) The family do not experience certain diseases

caused by flies.

0.75/ 3 x 1 0.25

Salience of the

Problem



0/ 2 x 1 0

Total score: 1.92


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4. Poor personal hygiene by some members of the family


Nature of the

Problem

The problem is classified as a health threat

because it can cause microorganisms to enter the

body causing diseases

2/3x 1 0. 67

Modifiability of

the Problem

The problem is considered to be EASILY


justification:


interventions are available to improve personal

hygiene. The student nurses are also willing to

render health education regarding personal

hygieneb) The community where the family lives has

continuous water which can be used in improving

personal hygiene

c) The family has the resources because Mrs.

Josefa sells toiletries such as shampoo and soap



giving health educations

2/ 2 x2 2

Preventive

Potential



justifications:



b) The problem occurs for just one day because

they take a bath every other day


the problem because of the cold weather

d) The family especially the girls are at risk for

having diseases such as urinary tract infection

2.25/ 3 x 1 0.75

Salience of the

Problem



0/ 2 x 1 0

Total score: 3.42

5. Inadequate exercise of most members of the family


Nature of the

Problem

The problem is classified as a health threat

because if not addressed it can predispose to

certain diseases like heart diseases and obesity.

2/3x 1 0. 67

Modifiability of

the Problem

The problem is considered to be EASILY


2/ 2 x2 2


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justification:


interventions are available to manage the

problem. Student nurses are also willing to

encourage the family to have a regular exercise.

b) The community where the family lives has a

wide yard for them to run, jog, and do aerobicexercises.

c) The family has enough energy to do certain

exercises especially Mrs. Josefa




Preventive

Potential


POTENTIAL because of the followingjustifications:



b) The family does not practice regular exercise

for how many years already.


the problem

d) The problem does not give the family serious

diseases and this was not the main cause of Mrs.

Josefa's hypertension.

0.75/ 3 x 1 0.25

Salience of the

Problem



0/ 2 x 1 0

Total score: 2.92

6. Presence of family history of hypertension


Nature of the

Problem

The health problem is considered as health

threat since it does not need to be attended

immediately.

2/3x 1 0. 67

Modifiability of

the Problem

The problem is considered to be NOT


justification:

a) The are no current knowledge, technology and

interventions available to manage the problem

since you cannot change the gene of a person.

Hypertension is innate in the family.

b) The community lacks fruits and vegetables to

prevent hypertension.

c) The family also has no resources in preventing

hypertension.

0.5/ 2 x2 0.5


10/15




Preventive

Potential



justifications:

a) The problem is not that severe because nofamily member other than Mrs. Josefa have it

yet.

b) This problem cannot be prevented because it

is hereditary.


the problem

d) Mr. Leo Jose is vulnerable of having

hypertension because of his age and increaseintake of vegetables that's high in sodium.

1.5/ 3 x 1 0.75

Salience of the

Problem



0/ 2 x 1 0

Total score: 1.92

7. Improper garbage disposal

Criteria Justification Computation Actual ScoreNature of the

Problem

It is considered as health threat because it can

cause diseases

2/3x 1 0. 67

Modifiability of

the Problem



justification:



problemb) community resources are not available because

there were no garbage collectors to bring the

garbage to a dumpsite every week

c) family resources are available by doing proper

segregation

d) Health workers do not address this problem

1/ 2 x2 1

Preventive

Potential



justifications:

a) The problem is severe because there's no

other way to dispose garbage other than burning

b) The family practices burning of garbage for

how many years already.


the problem

0.75/ 3 x 1 0.25


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d) All family members are vulnerable in having

diseases such as lung cancer because of

continuous burning of garbage.

Salience of the

Problem



0/ 2 x 1 0

Total score: 1.92

8. Hazardous path beside the house and fall hazard on the stairs


Nature of the

Problem

The health problem is considered as health

threat since it does not need to be attended

right away. However, if this problem will not be

addressed, this will lead to actual problem state.

2/3x 1 0. 67

Modifiability of

the Problem

The problem is considered to be NOT


justification:



problem

b) community resources are not available

c) The family has no resources to solve the

problemd) Health workers do not address this problem

0.5/ 2 x2 0.5

Preventive

Potential



justifications:

a) The problem is not that severe because the

stairs outside is only slippery when it rains and

the family wear boots when going out.

b) It did not cause any injury in the past.c) There were no interventions done to address

the problem

d) Kyla who is only 3 years old is at risk for fall

because of being playful.

1.5/ 3 x 1 0.5

Salience of the

Problem



0/ 2 x 1 0

Total score: 1.67

9. Pointed or sharp objects and medicines improperly kept


Nature of the

Problem

It is a health threat because it doesn't need to

be attended immediately

2/3x 1 0. 67

Modifiability of The problem is considered to be NOT 0.5/ 2 x2 0.5


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the Problem MODIFIABLE because of the following

justification:



problem

b) community resources are not available

c) The family has no resources to solve theproblem


Preventive

Potential



justifications:

a) It's not that severe because no family

member was harmed from scattered knives on

the kitchenb) It did not cause any injury in the past.

c) The family did not do anything to solve the

problem

d) Kyla who is only 3 years old is at risk for

playing with improperly kept sharp objects

1.5/ 3 x 1 0.5

Salience of the

Problem



0/ 2 x 1 0

Total score: 1.67

10. Walking barefoot by some members of the family


Nature of the

Problem

It is a health threat because it doesn't need to

be attended immediately

2/3x 1 0. 67

Modifiability of

the Problem


MODIFIABLE because of the followingjustification:



problem

b) community resources are available because

they sell slippers

c) The family has also resources to solve the

problem because each has slippers to wear


1.5/ 2 x2 1.5

Preventive

Potential

The problem has a HIGH PREVENTIVE


justifications:

a) It's not that severe because no family

member got a disease because of walking

barefooted

3/ 3 x 1 1


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b) It occurs for long periods of time now for

Kyla because when she plays she doesn't like to

wear slippers.

c) Mrs. Josefa always reminds Kyla to wear her

slippers whenever she goes out to play.

d) Kyla can get hookworms because of walking

barefooted

Salience of the

Problem



0/ 2 x 1 0

Total score: 3.17

11. Poor ventilation


Nature of the

Problem

It is considered as health threat because it can

lead to certain diseases

2/3x 1 0. 67

Modifiability of

the Problem



justification:



problem

b) community resources are availablec) Family resources are not available


1/ 2 x2 1

Preventive

Potential

The problem has a NOT PREVENTIVE


justifications:

a) Problem is not severe because there's

interventions which can be done

b) It is occurring for how many years nowc) The family prefers to close the windows due

to the abundant flies and cold weather.

d) This problem does not cause serious diseases

to the family

0.75/ 3 x 1 0.25

Salience of the

Problem

It is scored as such because the family does not

identify it as problem.

0/ 2 x 1 0

Total score: 1.92

12. Illness state whether it is diagnosed or undiagnosed by a doctor: Hypertension


Nature of the

Problem

The problem is classified as health deficit. Mrs.

Josefa experiences dizziness and her blood

pressure is 160/200 mmHg.

3/3x 1 1


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Modifiability of

the Problem

The problem is considered to be HIGHLY


justification:



problem

b) Community resources are available such asstores that sell garlic, tomatoes and cabbage

which can lower blood pressure

c) Family resources are available such as

medicines that lowers blood pressure. This is

patient's stock.

d) Mrs. Josefa was hospitalized in Abatan

because of hypertension and the doctor

prescribed her medications that helps in lowering

blood pressure (She does not know the name of

the medications.) Doctors and nurses are

available in a certain hospital in Abatan that

addresses the problem.

2/ 2 x2 2

Preventive

Potential



justifications:

a) Problem is not severe because Mrs. Josefa

always take her maintenance drugs.

b) It is occurring for how many years now

c) Mrs. Josefa is taking her medications on a

regular basis and does not miss a dose.

d) The problem does not still cause to more

severe diseases.

1.5/ 3 x 1 0.5

Salience of the

Problem

The family member is aware that it is a problem

and needs immediate attention

2/ 2 x 1 1

Total score: 4.5

LIST OF PRIORITIZED PROBLEMS

PRIORITIZED PROBLEMS SCORE


15/15

1. Illness state whether it is diagnosed or

undiagnosed by a doctor: Hypertension

4.5

2. Excessive intake of certain nutrients and lack

of intake of some important nutrients

3.42

3. Poor personal hygiene by some members of

the family

3.42

4. Walking barefoot by some members of the

family

3.17

5. Inadequate exercise of most members of the

family

2.92

6. Unsafe water for drinking and cooking 2.67

7. Presence of breeding or resting sites of

insects

1.92

8. Presence of family history of hypertension 1.92

9. Improper garbage disposal 1.92

10. Poor ventilation 1.92

11. Hazardous path beside the house and fall


1.67

12. Pointed/Sharp objects improperly kept 1.67

1st level assessment

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