Doña Remedios Trinidad Romualdez Medical Foundation

College of Nursing
1ST Semester (A.Y. 2020 – 2021)

I. Top Nursing Problems

Nursing Problems Score Rank
Dengue as a Health Deficit 4 1
Schistosomiasis Japonicum
3.67 2
Infection as a Health Deficit
Possible Preeclampsia as a
3 3.5
Health Deficit
Malnutrition as a Health Deficit 3 3.5
Improper Drainage System as a
2.84 5
Health Threat
Addiction to Alcohol & Smoking
2.67 8
as a Health Threat
Faulty Eating Habits as a Health
2.67 8
Threat
Unsanitary Waste Disposal as a
2.67 8
Health Threat
Polluted Water Supply as a
2.67 8
Health Threat
Threat of cross infection from a
communicable disease as a 2.67 8
Health Threat
Inadequate Living Space as a
2.34 12
Health Threat
Presence of Breeding or Resting
Sights of Vector of Diseases as a 2.34 12
Health Threat
Family size beyond what family
resources can adequately 2.34 12
provide as a Health Threat
Accidents/Fire Hazards as a
2.01 14
Health Threat
II. Priority Setting on Identified Problems
A. Dengue
Criteria Computation Actual Score Justification
The problem is a health deficit and
1. Nature of the problem 3/3 * 1 1 requires more immediate
intervention.
The physical and financial constraints
2. Modifiability of the
1/2 * 2 1 of the family hinder them to do the
problem
interventions needed.
Further complications of dengue can
3. Preventive Potential 3/3 * 1 1 still be prevented through proper
intervention and management.
The family recognizes the condition
4. Salience of the problem 2/2 * 1 1 and gives herbal concoctions for
treatment.
Total Score 4

Goal: The family will manage dengue as a disease and a threat.

Objectives:
1. The family members will recognize that Moon Light will have risky complications that will
lead to death due to dengue.
2. Eliminate unnecessary container habitats wherein mosquitoes can lay eggs
3. The family will have Moon Light brought to the hospital for admission and be treated.

B. Schistosomiasis Japonicum infection

Criteria Computation Actual Score Justification
The problem is a health deficit and
1. Nature of the problem 3/3 * 1 1 requires more immediate
intervention.
The problem progressed to a severe
2. Modifiability of the stage and their resources are
1/2 * 2 1
problem insufficient based on their financial
status.
The family did not recognize the
existence of the problem therefore
3. Preventive Potential 2/3 * 1 0.67 the disease progressed and
preventive measure will not be that
effective already.
The family recognizes it as a problem.
4. Salience of the problem 2/2 * 1 1 it consulted the health professional
and is taking a medication.
Total Score 3.67
Goal: After the nursing intervention the family will be able to minimize and prevent further
complications of Mr. Light.
Objectives: The family will:
1. Be able to maintain Mr. Light’s medication (praziquantel).
2. Be able to practice proper footwear during occupation.
3. Maintain medical check-ups and laboratory confirmation determine the progression of
the infection.

C. Possible Preeclampsia
Criteria Computation Actual Score Justification
The problem is a health deficit and
1. Nature of the problem 3/3 * 1 1 requires more immediate
intervention.
The mode of transportation to the
2. Modifiability of the
1/2 * 2 1 health center is not stable in the area
problem
of the barangay.
The possibility of complications
during labor and delivery and
3. Preventive Potential 3/3 * 1 1 occurrence of abnormalities in the
infant are prevented if pre-eclampsia
is eliminated as early as possible.
The family does not recognize the
4. Salience of the problem 0/2 * 1 0
existence of the problem.
Total Score 3

Goal: The family will be able to take necessary measures to prevent or properly manage pre-
eclampsia.
Objectives:
1. To Implement agreed-upon health actions for Mrs. Light especially in the areas of
laboratory work-up, nutrition/diet, physical activity, rest and sleep and general hygiene.
2. The family members will prioritize Mrs. Light’s needs in terms of family budget and mode
of transportations to the nearest rural health unit.
3. To ensure that Mrs. Light will have regular prenatal check-ups until birth to prevent
preeclampsia.
4. The family will be able to recognize Preeclampsia as a health deficit.

D. Malnutrition
Criteria Computation Actual Score Justification
It is a health deficit that requires
1. Nature of the problem 3/3 * 1 1 immediate management to eliminate
untoward consequences.
2. Modifiability of the The problem is seen as partially
1/2 * 2 1
problem modifiable since they lack knowledge
 about food preparation but the
resources available.
Susceptibility to other diseases and
infections can be prevented if
3. Preventive Potential 3/3 * 1 1 malnutrition is eliminated; normal
growth and development can thus
be achieved.
4. Salience of the problem 0/2 * 1 0 It is not felt as a problem.
Total Score 3

Goal: All members of the Light family will have a normal BMI and will show no signs of any
nutritional deficiencies.
Objectives:
1. The family will be able to plan and prepare balanced meals which are within the family’s budget
for all seven members.
2. The family members will have regular medical and anthropometric assessments at the
nearest health h to determine if his nutritional status is improving.
3. The family prioritize the budget prioritized on adequate food preparation and planning.
4. The family will be able to recognize malnutrition as a health deficit.

E. Improper Drainage System

Criteria Computation Actual Score Justification
The problem is a health threat and
require immediate attention in order
1. Nature of the problem 2/3 * 1 0.67
to prevent its development to a more
serious condition.
Every family in their community has
2. Modifiability of the the same problem and they all lack
1/2 * 2 1
problem the initiative to intervene due to
insufficient financial resources
This condition can still be prevented
by irrigation of the canal and proper
3. Preventive Potential 2/3 * 1 0.67 use of the drainage system, but due
to their lack of financial resources,
this hinders the prevention.
The family recognizes the problem
4. Salience of the problem 1/2 * 1 0.5
but they lack resources.
Total Score 2.84

Goal: The family will be able to do the necessary adjustments for a clean drainage system.
Objectives:
1. The family will recognize the problem of their improper drainage system and will be able
to decide the appropriate actions regarding this problem.
2. The family will be able to recognize the different problems that would lead to an
unsanitary drainage system, and do the necessary actions to fix it. Due to their efforts, the
family can provide a clean home environment for all members.
3. The family will be able to recognize improper drainage system as a health threat.

F. Addiction to Alcohol & Smoking

Criteria Computation Actual Score Justification
The problem is a health threat due to
1. Nature of the problem 2/3 * 1 0.67 their lifestyle practice of weekly
drinking and smoking
2. Modifiability of the It is partially modifiable Due to the
1/2 * 2 1
problem uncooperative behavior of the client.
This condition of the family can still
3. Preventive Potential 3/3 * 1 1 be treated and prevented, changing
their usual lifestyle.
The family did not perceive the
4. Salience of the problem 0/2 * 1 0
problem as a need for change.
Total Score 2.67

Goal: After nursing interventions, the family will take necessary action to prevent complication
of alcohol and smoking intake.
Objectives: After a week of nursing intervention, the family will:
1. Recognize the presence of alcohol and cigarette addiction as a health threat.
2. Able to make appropriate decisions ad actions regarding alcohol and cigarette addiction.
3. Lessen intake to reduce the risk of possible complications.

G. Faulty Eating Habits

Criteria Computation Actual Score Justification
This problem is a health threat due to
1. Nature of the problem 2/3 * 1 0.67
their lifestyle.
The family has inadequate
knowledge about food preparation,
2. Modifiability of the which hinders them in buying
1/2 * 2 1
problem nutritious foods. They rely on salt or
foods that are high in sodium to cope
with hunger.
This condition of the family can still
3. Preventive Potential 3/3 * 1 1 be treated and prevented, changing
their usual lifestyle.
The family does not recognize the
4. Salience of the problem 0/2 * 1 0
existence of the problem.
Total Score 2.67
Goal: All family members will consume foods recommended according Nutritional Guidelines
for Filipinos.
Objectives:
1. The family will recognize the excess sodium intake and will recognize its health risks.
2. The family will be able to plan and prepare balanced meals which are within the family’s
budget for all seven members.
3. All family members will have a weight in a normal body mass index range in six months
time.
4. The family will be able to recognize faulty eating habits as a health threat.

H. Unsanitary Waste Disposal

Criteria Computation Actual Score Justification
The problem is a health threat and
require immediate attention in order
1. Nature of the problem 2/3 * 1 0.67
to prevent its development to a more
serious condition.
The problem is partially modifiable
2. Modifiability of the since the family lacks the necessary
1/2 * 2 1
problem resources & information needed to
modify their condition.
The progression of this health threat
can be prevented by practicing
3. Preventive Potential 3/3 * 1 1 segregation methods through
providing the family with adequate
knowledge about garbage disposal.
The family does not recognize the
4. Salience of the problem 0/2 * 1 0
existence of the problem.
Total Score 2.67

Goal: The family will be able to manage their unsanitary waste disposal problem and recognize
it as a threat that needs prompt action.
Objectives:
1. The family will be able to manage their unsanitary waste disposal problem and recognize
it as a threat that needs prompt action.
2. The family will be able to use and adapt to the appropriate segregation and disposal
practices (throwing of garbage to its designated container.
3. The family will be able to maintain the practice of proper garbage disposal (wastes are
now accordingly segregated; the house is no longer filled with wastes anywhere and the
family members already acknowledged the relevance of proper waste management in
their home).
4. The family will be able to recognize unsanitary waste disposal as a health threat.
 I. Polluted Water Supply
Criteria Computation Actual Score Justification
The problem is a health threat and
1. Nature of the problem 2/3 * 1 0.67 requires immediate intervention to
prevent serious infection.
The problem is partially modifiable
2. Modifiability of the
1/2 * 2 1 since there is a lack of resources that
problem
are need to modify their condition.
The problem can still be prevented,
by connecting to a water supply line
3. Preventive Potential 3/3 * 1 1
and adequate knowledge on proper
water sanitation.
The family does not recognize the
4. Salience of the problem 0/2 * 1 0
existence of the problem.
Total Score 2.67

Goal: The family will be able to know how to treat and properly get safe and consumable water
for their everyday use and proper storage of consumable water.
Objectives:
1. The family will be able to know what were to get and how to treat water for their
consumption and properly store of it.
2. The family will be able to understand were to get to treated water and identify the proper
storage for drink water differ water that is used for utilization.
3. The family will be able to maintain the proper wait of treating water for consumption, and
will no longer drink water that is untreated. The members of the family will know the
relevance and necessary actions put in place for their health.
4. The family will be able to recognize polluted water supply as a health threat.

J. Threat of cross infection from Schistosomiasis and Dengue

Criteria Computation Actual Score Justification
It is considered as a health threat
1. Nature of the problem 2/3 * 1 0.67 because these may increase the risk
of cross infection within the family
The family does not have adequate
resources and lacks knowledge but
the family is cooperative and this can
2. Modifiability of the
1/2 * 2 1 be modified through proper
problem
education of environmental
sanitation and proper garbage
disposal
Cross infection can be prevented
3. Preventive Potential 3/3 * 1 1 through proper education and
hygiene
 4. Salience of the problem 0/2 * 1 0 It is not felt as a problem.
Total Score 2.67
Goal: The family will decide on appropriate actions to improve sanitation in their home.
Objectives: The family will:
1. Practice good hygiene.
2. Ensure that consumption of clean water is done.
3. Practice proper waste disposal, segregation, and recycling.
4. Properly store their leftover food.
5. Recognize threat of cross infection as a health threat.

K. Inadequate Living Space

Criteria Computation Actual Score Justification
The problem is a health threat and
require immediate attention in order
1. Nature of the problem 2/3 * 1 0.67
to prevent its development to a more
serious condition.
Increasing the living space will
require quite a financial expenditure.
2. Modifiability of the That family’s resources are presently
1/2 * 2 1
problem not adequate considering the other
problems; however, furniture can be
arranged to allow more space
Increasing the adequate living space
will reduce the possibility of getting
infected with dengue and
schistosomiasis because of their
3. Preventive Potential 2/3 * 1 0.67
living conditions but due to financial
constraint the probability of
modification in the problem is
decreased.
The family does not recognize the
4. Salience of the problem 0/2 * 1 0
existence of the problem.
Total Score 2.34

Goal: The family will develop ways to minimize the problem in terms of inadequate spacing
and reduce the risk of vector disease such as schistosomiasis and dengue.
Objectives:
1. The family will be able to recognize inadequate living space as a threat and minimize the
spread of schistosomiasis and dengue.
2. The family will be able to identify factors that leads to inadequate spacing or the
congestion of the area.
3. The family would be able to demonstrate techniques to promote good environment
conditions such as proper arrangement of furniture.
4. The family will be able to recognize inadequate living space as a health threat.

L. Presence of Breeding or Resting Sights of Vector of Diseases

Criteria Computation Actual Score Justification
The problem is a health threat and
require immediate attention in order
1. Nature of the problem 2/3 * 1 0.67
to prevent its development to a more
serious condition.
There are resources of the nurse and
2. Modifiability of the in the community but not enough
1/2 * 2 1
problem resources and management on the
family.
The family shows lack of
management and already long
3. Preventive Potential 2/3 * 1 0.67 duration but, possible complications
can still be managed through
appropriate nursing interventions
The family does not recognize the
4. Salience of the problem 0/2 * 1 0
existence of the problem.
Total Score 2.34

Goal: The family will be able to clean up the possible breeding or resting sights of vectors of
diseases.
Objectives: After a week of nursing intervention, the family will,
1. Recognize the problem on the presence of breeding or resting sights of vectors of diseases.
2. Decide on appropriate action regarding clean-up of these sights.
3. Maintain the action and cleanliness of their environment to permanently eliminate the
breeding or resting sights.
4. The family will be able to recognize presence of breeding or resting sights of vectors of
diseases as a health threat.

M. Family size beyond what family resources can adequately provide

Criteria Computation Actual Score Justification
It is a health threat due to the inability
to provide a home environment
1. Nature of the problem 2/3 * 1 0.67 conducive to health maintenance and
personal development due to
inadequate family resources for care
The family does not have adequate
resources and lacks knowledge but
2. Modifiability of the
1/2 * 2 1 the resources of the nurse such as
problem
health teachings and advices that can
promote change in the problem
 The possibility of increasing family
size can be reduced but available
3. Preventive Potential 2/3 * 1 0.67 family resources is insufficient
making is hard to achieve the total
problem modifiability
It is not felt as a problem and
4. Salience of the problem 0/2 * 1 0
disregards it as a priority
Total Score 2.34

Goal: The family will decide on appropriate action to maintain family size based on a sense of
responsibility for love and life.
Objectives:
1. The family will explain what planning the family is all about.
2. The will enumerate the various ways of maintaining the size of the family.
3. The family will select a method most appropriate for them.
4. The family will be able to recognize family size beyond what family resources can
adequately provide as a health threat.

N. Accidents/fire hazards
Criteria Computation Actual Score Justification
It is a health threat due to the
1. Nature of the problem 2/3 * 1 0.67
increase risk of potential injury.
The family does not have adequate
resources for housing materials and
2. Modifiability of the
1/2 * 2 1 lacks knowledge but can be modified
problem
though risk reduction and
management
Due to the composition of the house
3. Preventive Potential 1/3 * 1 0.34 and inadequate resources, it is hard
to achieve the total modifiability.
4. Salience of the problem 0/2 * 1 0 It is not a felt as a problem.
Total Score 2.01

Goal: The family will make necessary measures to prevent the incident of an accident.
Objectives: The family will:
1. Be able to make the needed restoration of their floor.
2. Make sure not to use their firewood for cooking close to their house made of bamboo and
wood.
3. Apply their knowledge on risk reduction and management.
4. Recognize accidents/fire hazards as a health threat.