II.

PROBLEM SHEET

Health Conditions Cues/ Data Family Nursing Problems

and Problems

Urinary Tract Infection as health

 The head of the
deficit:
family verbalized,
“pabalik-balik
1. Inability to decide about making
nalang yung UTI
Urinary Tract appropriate health action due to
naming ng anak
Infection: Health failure to comprehend the magnitude
ko(Sheryl).”
Deficit of the problem.
2. Inability to make decisions with
 Family
respect to taking appropriate health
Manguiat, usually eat
action due to inaccessibility of
meat, frozen foods,
appropriate resource care specifically :
junkfoods and
a. Low salience of the
carbonated drinks.
problem/condition

1. Inability to assess the risk for

acquiring dengue in current situation
due to:
 Their house is a. Lack of knowledge regarding
located near the dengue and breeding sites
Presence of breeding
river. b. Lack of time and effort in
or resting sites of
 Terence Manguiat collecting information and doing
vectors and diseases:
was hospitalized last
Health Threat interventions necessary to
month due to
dengue. eliminate dengue.

 Three family
lives together in A. Presence of big family size as a health
one house; a total threat.
Family size beyond of 7 members
what family where only 1 1. Inability to provide a home
resources can member are environment conducive to health
adequately provide working and are maintenance and personal
not gaining development due to:
enough to meet a. limited financial resources
basic needs
Presence of dental  (+) dental carries B. Presence of dental caries as health
carries on Sherwin on upper and deficit
Manguiat Jr. lower incisors of 1. Inability to decide about making
Terence appropriate health action due to
inaccessibility of appropriate
resources of care specifically:
a. Financial constraints
I. Prioritization of Nursing Problem

A. SCALE FOR RANKING HEALTH CONDITIONS AND PROBLEMS

ACCORDING TO PRIORITIES
SCALE FOR RANKING HEALTH CONDITIONS AND PROBLEMS
CRITERIA WEIGHT
1.NATURE OF THE CONDITION OR 2
PROBLEM PRESENTED 3
A. WELLNESS STATE 3
B. HEALTH DEFICIT 2
C. HEALTH THREAT 1
D. FORSEEABLE CRISIS
2.MODIFIABILITY OF THE CONDITION 2
OR PROBLEM 2
A. EASILY MODIFIABLE 1
B. PARTIALLY MODIFIABLE 0
C. NOT MODIFIABLE
3.PREVENTIVE POTENTIAL 2
A. HIGH 3
B. MODERATE 2
C. LOW 1
4.SALIENCE 1
A. A CONDITION OF THE 2
PROBLEM NEEDING IMMEDIATE 1
ATTENTION 0
B. A CONDITION OF THE
PROBLEM NOT NEEDING IMMEDIATE
ATTENTION
C. NOT PERCEIVED AS A
PROBLEM OR CONDITIONNEEDING
CHANGE

SCORING:
1. DECIDE ON A SCORE FOR EACH OF THE CRITERIA
2. DIVIDE THE SCORE BY THE HIGHEST POSSIBLE
SCORE AND MULTIPLY BY THE WEIGHT (score/highest
scoreXweight)
3. SUM UP THE SCORE FOR ALL THE CRITERIA. THE
HIGHEST SCORE IS EQUIVALENT TO THE TOTAL
WEIGHT.
 B. CASE ILLUSTRATION ON PRORITY SETTING

1. Urinary Tract Infection

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE
This is considered as
a health deficit
because inadequate
NATURE OF THE
3/3 X 1 1 knowledge to health
PROBLEM
problems and may
affect the activities of
its members.
The problem is
MODIFIABILITY easily modifiable and
2/ 2 X 2 2
OF THE PROBLEM the resources are
available.
The prevention is
high prevention
PREVENTIVE because the health
3/ 3 X 1 1
POTENTIAL center is available
and accessible to
them.
The family
experiences some
difficulty regarding
SALIENCE 1/ 2 X 1 0.5
this problem but
explains that this is
not their priority
Total score: 4.5
 2. Presence of breeding or resting sites of vectors and
diseases

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE
It is a health treat
NATURE OF THE that does not
2/3 x 1 0.7
PROBLEM demand immediate
action
It is not easily
modifiable because
MODIFIABILITY
2/2 x 2 2 their house is
OF THE PROBLEM
located near the
river.
Occurrence of
diseases can be
PREVENTIVE
3/3 x 1 1 prevented if proper
POTENTIAL
personal hygiene
will be practiced
The family does not
SALIENCE 0/2 x 1 0 recognize it as a
problem.
Total score: 3.7

3. Family size beyond what family resources can

adequately provide

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE
It is a health treat
NATURE OF THE that does not
2/3 x 1 0.7
PROBLEM demand immediate
action
Problem can be
MODIFIABILITY partially modified
1/2 x 2 1
OF THE PROBLEM due to inadequacy
of resources
Problem can be
moderately
PREVENTIVE
3/3 x 1 1 prevented by
POTENTIAL
applying family
planning
The family does not
SALIENCE 0/ 2 x1 0 recognize it as a
health threat.
Total score: 2.7

4. Presence of Dental Caries on Terence

CRITERIA COMPUTATION ACTUAL JUSTIFICATION

 SCORE
Presence of dental
NATURE OF THE caries is already
3/3 x 1 1
PROBLEM considered a health
deficit.
With consideration
to the current
financial status of
MODIFIABILITY
0/2 x 2 0 the family, it would
OF THE PROBLEM
be very difficult to
alleviate this
problem
The extraction of
the diseased teeth
PREVENTIVE
2/3 x 1 0.7 could prevent
POTENTIAL
further damage to
the adjacent teeth.
Arvi’s mother does
SALIENCE 0/ 2 x1 0 not perceive this as
a problem
Total score: 1.7

The Prioritized Health Problems

The following health conditions will be presented according to their rank of
priority:

1) Urinary Tract Infection 4.5

2) Presence of breeding or resting 3.7
sites of vectors and diseases
3)Family size beyond what family 2.7
resources can adequately provide

4) Presence of Dental Caries on 1.7

Terence