Grand FCS A Chap 6

7/31/2019 Grand FCS A Chap 6

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CHAPTER VI

PRIORITIZATION OF HEALTH PROBLEMS

This chapter serves as tool called scale for ranking

health conditions and problems according to priorities. It

determines the nature of condition or problem presented

the modifiability of the condition, preventive potential, and

salience. It will show how the family health problems were

rated according to each criterion.

I. Presence of Health Threats

Table a. Accident hazards specifically pointed/sharp

objects, poisons and medicines improperly kept

Criteria Computation Actual

Score

Justification

Nature of

the Problem

2/3 x 1 0.67 It is a health threat

since the condition

may result to accident


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and may pose an

effect on the health of

the family.Modifiability

of the

Problem

2/2 x 2 2 This problem is easily

modifiable since it can

be managed through

proper health

teachings and withthe help of the family

itself to change their

way of keeping things

that can pose effect

on their health.

Preventive

Potential

3/3 x 1 1 If this problem will be

properly intervened,

risks for accidents on

pointed objects,

poisons and

medicines can be

highly prevented.


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Salience 0 x 1 0 The family does not

consider this as a

problem since theyhave not experienced

any accidents from

these objects.

Total: 3.67

Table b. Accident hazards specifically fire hazards


Score

Justification

Nature of

the Problem


because it may pose

a potential effect on

the familys health

and condition if not

given attention.

Modifiability

of the

Problem

1/2 x 2 1 The problem is

partially modifiable

because financial

matter needs to be


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considered to

improve the condition

of their house whichis made of light

materials. The

familys current

resources are

presently notadequate considering

the other problems,

but through health

teachings, their risk

for this problem can

be minimized.

Preventive

Potential

3/3 x 1 1 The risk for fire

accident can highly

be minimized if this

problem is properly

managed and

intervened.


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Salience 2/2 x 1 1 The family consider it

as problem that

needs immediateattention since their

house is made up of

light materials and

their cooking area is

located inside theirhouse. This made the

family alarmed that

they may be prone to

fire accidents.

Total: 3.67

Table c. Accident hazards specifically fall hazards


Score

Justification

Nature ofthe Problem

2/3 x 1 0.67 It is a health threatthat may cause future

accident and may


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pose an effect on the

health of the family.

Modifiabilityof the

Problem

1/2 x 2 1 The problem ispartially modifiable

because in this

problem, financial

matter needs to be

considered. There isa need for resources

to improve the

condition of their

house. Apparently,

the family resources

are not adequate for

improving their

environment

considering other

problems, but through

proper health

teachings and


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participation of the

family members, this

problem can partiallybe minimized.

Preventive

Potential

3/3 x 1 1 If properly managed,

threat to the familys

health will be

minimized. It will alsoprevent further harm

to Mrs. Z since she

has a problem with

her leg.

Salience 1/2 x 1 0.5 The family

recognized this as a

problem. However,

they do not see this

as a problem needing

immediate attention.

Total: 3.17


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Table d. Faulty/unhealthful nutritional/eating habits or

feeding techniques/practices specifically inadequate food

intake both in quality and quantity


Score

Justification

Nature of

the Problem


that requires

immediate

management to

eliminate untoward

consequences.

Modifiability

of the

Problem



because the familys

resources are

presently not

adequate considering

other problems.

Though can be

modified with the help

of the student nurses


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by helping family in

effective budgeting of

the money and time.Development of skills

of the members of the

family in terms of

good nutrition- proper

food selection andpreparation and

feeding practices.

Preventive

Potential

3/3 x 1 1 Susceptibility to other

disease can be

prevented if

unhealthful eating

habits will be

changed. Proper

budgeting and

development of the

skills of the members

in proper selection


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and preparation of

food could help a lot.

Thus normal growthand development can

be achieved.

Salience 2/2 x 1 1 The family is aware of

such problem and is

willing to change inorder to avoid

diseases brought

about by unhealthy

eating habits due to

inadequate

resources.

Total: 3.67

Table e. Faulty/unhealthful nutritional/eating habits or

feeding techniques/practices specifically faulty eating

habits


Score

Justification


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Nature of

the Problem

2/3 x 1 0.67 It is a health deficit

that requires

immediatemanagement to

eliminate untoward

consequences.

Modifiability

of theProblem


partially modifiablebecause the familys

resources are

presently not

adequate considering

other problems.

Though can be

modified with the help

of the student nurses

by helping family in

effective budgeting of

the money and time.

Development of skills


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of the members of the

family in terms of

good nutrition- properfood selection and

preparation and

feeding practices.

Techniques in food

selection would helpa lot in improving the

familys eating habits.

Preventive

Potential

3/3 x 1 1 Susceptibility to other

disease can be

prevented if

unhealthful eating

habits will be

changed. Proper

budgeting and

development of the


in proper selection


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and preparation of

food could help a lot.

Thus normal growthand development can

be achieved.

Salience 2/2 x 1 1 The family is aware of

such problem and is

willing to change inorder to avoid

diseases brought

about by unhealthy

eating habits due to

inadequate

resources.

Total: 3.67

Table f. Poor home/environmental condition/sanitation

specifically inadequate living space


Score

Justification

Nature of the 2/3 x 1 0.67 It is a health threat


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Problem that does not

demand immediate

action.Modifiability

of the

Problem



because the familys

resources are

presently notadequate

considering other

problems. Also,

increasing their living

space will need

financial expenditure.

Arranging the things

in their house may

allow more space for

them.

Preventive

Potential

2/3 x 1 0.67 Increasing their living

space will provide


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privacy to family

members and

provide bigger spaceto allow adequate

movement when

performing

housework and other

activities such asjoint recreational and

leisure activities.

Salience x 1 0.5 The family consider it

as problem since

space is not enough

for the four family

members. However,

they do not see this

as a problem

needing immediate

attention.

Total: 2.84


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Table g. Poor home/environmental condition/sanitation

specifically lack of food storage facilities


Score

Justification

Nature of the

Problem


that does not require

immediate

management andaction.

Modifiability

of the

Problem



because food

storage requiresfinancial expenditure

and the familys

resources is not

adequate

considering otherproblems. Through

proper health


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teachings, this

problem can be

minimized.Preventive

Potential

2/3 x 1 0.67 Poor home condition

can be prevented if

the available

resources will be

utilized properly.Anything or any

Tupperware can be

used for storage of

food as long as it is

clean. A clean and

proper storage of

food reduces the risk

of acquiring

diseases.

Salience 0 x 1 0 The family does not

consider this as a

problem.

Total: 2.34


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Table h. Poor home/environmental condition/sanitation

specifically polluted water supply


Score

Justification

Nature of the

Problem


that requires

immediatemanagement to

prevent untoward

consequences to

their health.

Modifiabilityof the

Problem

0/2 x 2 0 The problem is notmodifiable because

of inadequacy of safe

water supply in their

place.

Preventive

Potential

3/3 x 1 1 Safe water supply

will help prevent

occurrence of water-


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related disease and

untoward effects on

their health.Salience 2/2 x 1 1 The family consider it

as problem needing

immediate attention

because they know

that this problempose a great effect

on their health.

Total: 2.67

Table i. Poor home/environmental condition/sanitationspecifically presence of breeding or resting sites of

vectors of diseases (e.g. mosquitoes, flies, roaches)


Score

Justification

Nature of the

Problem


that can make the

family members at

risk for vector-borne


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diseases.

Modifiability

of theProblem


highly modifiablesince resources are

available and health

teachings regarding

the interventions for

this problem arefeasible.

Preventive

Potential

3/3 x 1 1 Vector-borne

diseases can be

prevented if this

problem will be

properly managed.


as problem needing

immediate attention

since there is

presence of vectors

in their place. Mrs Z


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wants to ensure that

no one will have

vector-bornediseases among

their family.

Total: 4.67

Table j. Poor home/environmental condition/sanitation

specifically improper garbage/refuse disposal


Score

Justification

Nature of the

Problem


that shows failure of

the family to maintain

sanitation.

Modifiability

of the

Problem

2/2 x 2 2 The problem is highly

modifiable since

resources areavailable and the

interventions for this

problem are feasible.


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Preventive

Potential

3/3 x 1 1 Presence of breeding

sites for vectors

carrying diseases willbe prevented as well

as the communicable

disease brought by

these vectors.

Salience 2/2 x 1 1 The family consider itas problem requiring

immediate attention

since they were able

to observe presence

of vectors in their.

Total: 4.67

Table k. Poor home/environmental condition/sanitation

specifically poor lighting and ventilation


Score

Justification

Nature of the

Problem


that requiring


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immediate attention

and intervention.

Modifiabilityof the

Problem

1/2 x 2 1 The problem ispartially modifiable

because the familys

resources are

presently not

adequateconsidering other

problems. Though

can be modified

through observance

of proper

arrangement of area

and maximum

utilization of the

available resources.

Preventive

Potential

1/3 x 1 0.33 Poor lighting and

ventilation can be

prevented if


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resources will be

utilized properly.

Proper arrangementof the area and

things as well as

utilization of the

available resources

will improveventilation and

lighting.

Salience 0 x 1 0 The family is aware

of such problem but

does not perceive it

to require attention.

Total: 2

Table l. Unsanitary food handling and preparation

Criteria Computation ActualScore

Justification

Nature of the 2/3 x 1 0.67 It is a health threat


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Problem that requiring

immediate attention

and intervention.Modifiability

of the

Problem

2/2 x 2 2 The problem is easily

modifiable since it

does not require

financial expenditure

and the studentnurses resources

are available.

Techniques in proper

handling and

preparation of food

can be taught to

each member of the

family.

Preventive

Potential

3/3 x 1 1 Susceptibility to

other disease and

infections can be

prevented if proper


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food handling and

preparation will be

observed.Development of the


in proper selection

and preparation of

food could help a lot.Salience 0 x 1 0 The family does not

recognize it as a

problem.

Total: 3.67

Table m. Unhealthful lifestyle and personal

habits/practices specifically poor personal hygiene


Score

Justification

Nature of theProblem

2/3 x 1 0.67 It is a health threatthat does demand

immediate action.

Modifiability 2/2 x 2 2 The problem is easily


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of the

Problem

modifiable since the

student nurses

resources areavailable. The family

can be taught of the

importance of proper

hygiene; teach the

proper way of doingpersonal hygiene

and provide

alternatives in

performing hygienic

practices once

resources are not

available.

Preventive

Potential

3/3 x 1 1 Susceptibility and

transferability of

other diseases to the

family members can

be reduced if proper


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hygiene will be

observed. Practice of

proper hygieneminimizes the risk of

acquiring disease as

well makes one

comfortable.

Salience 0 x 1 0 The family does notperceive it as a

problem.

Total: 3.67

Table n. Unhealthful lifestyle and personal habits/practicesspecifically self-medication


Score

Justification

Nature of the

Problem


that does demandimmediate action.

Modifiability

of the

2/2 x 2 2 The problem is easily

modifiable since the


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Problem student nurses

resources are

available. The familycan be taught of the

possible dangers of

self- medicating;

teach ways on how

to avoid acquiringdiseases, thus self-

medication is not

required.

Preventive

Potential

3/3 x 1 1 Increasing the

knowledge of the

family about the

possible ways of

acquiring different

diseases as well as

the dangers of self-

medication will be a

great help in the


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prevention of such

problem.

Salience 0 x 1 0 The family does notconsider it as

problem.

Total: 3.67

Health Deficit

Table a. Hypertension Stage 2 diagnosed by medical

practitioner as a health deficit


Score

Justification

Nature ofthe Problem

3/3 x 1 1 It is a health deficitthat requires

immediate action and

management to

prevent untoward

consequences.Modifiability

of the




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Problem because the familys

resources are

presently notadequate

considering other

problems.

Hypertension is a

condition thatrequires extra effort

in order to prevent

possible occurrence.

It is a condition that

requires a great

change in ones

lifestyle. Also,

hypertension long-

term management

and lifetime

maintenance of

medication.


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Preventive

Potential

3/3 x 1 1 Hypertension can be

a lifestyle- related

condition which canbe highly prevented.

It is a condition that

can be prevented

with strict

observance of agood lifestyle, proper

diet and exercise.


as problem and are

aware that it requires

an immediate action.

Total: 4

Table b. Gouty Arthritis diagnosed by medical practitioner

as a health deficit


Score

Justification

Nature of 3/3 x 1 1 It is a health that


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change in ones

lifestyle and requires

a long-termmanagement.

Preventive

Potential

3/3 x 1 1 Gouty arthritis can be

a lifestyle- related

condition which can

be highly prevented.It is a condition that

can be prevented

with strict

observance of a

good lifestyle, proper

diet and exercise.

Reoccurence of the

signs and symptoms

of the disease can be

prevnted through

proper modifications.



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as problem and are


an immediate actionTotal: 4

Table c. Unhealing wound diagnosed by medical

practitioner as a health deficit


Score

Justification

Nature of

the Problem

3/3 x 1 1 It is a health that

requires immediate

action and

management to

prevent untoward

consequences.

Modifiability

of the

Problem



because the familysresources are

presently not

adequate


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considering other

problems. Unhealing

wound is a conditionthat requires an extra

and consistent care.

Health teachings

about proper wound

care can be providedbut medical

management is still

needed.

Preventive

Potential

3/3 x 1 1 Unhealing wound

and infection can be

prevented with

proper management.


as problem and are


an immediate action

Total: 4


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Problem List and Ranking

1.5 Poor home/environmentalcondition/sanitation specifically presenceof breeding or resting sites of vectors ofdiseases (e.g. mosquitoes, flies, roaches)

4.67

1.5 Poor home/environmentalcondition/sanitation specifically impropergarbage/refuse disposal

4.67

3.3 Hypertension Stage 2 diagnosed bymedical practitioner as a health deficit

4

3.3 Gouty Arthritis diagnosed by medicalpractitioner as a health deficit

4

3.3 Unhealing wound diagnosed bymedical practitioner as a health deficit

4

6.14 Accident hazards specificallypointed/sharp objects, poisons andmedicines improperly kept

3.67

6.14 Accident hazards specifically firehazards

3.67

6.14Faulty/unhealthful nutritional/eatinghabits or feeding techniques/practicesspecifically inadequate food intake both inquality and quantity

3.67

6.14Faulty/unhealthful nutritional/eatinghabits or feeding techniques/practicesspecifically faulty eating habits

3.67

6.14Unsanitary food handling andpreparation

3.67


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6.14Unhealthful lifestyle and personalhabits/practices specifically poor personalhygiene

3.67

6.14Unhealthful lifestyle and personalhabits/practices specifically self-medication

3.67

13. Accident hazards specifically fallhazards

3.17

14 Poor home/environmentalcondition/sanitation specifically inadequateliving space

2.84

15. Poor home/environmentalcondition/sanitation specifically pollutedwater supply

2.67

16. Poor home/environmentalcondition/sanitation specifically lack offood storage facilities

2.34

17. Poor home/environmental

condition/sanitation specifically poorlighting and ventilation

2

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