PRIORITIZATION OF HEALTH PROBLEMS

LEVEL OF
PRIORITIZATION

PROBLEM

SCORE

1

Improper Breastfeeding technique


4.67
2

Undernourished


3.5
3

Smoking


3.17








INDIVIDUAL PRIORITIZED PROBLEM

Problem 1: Improper Breastfeeding technique
Nature Weight Multiplier Computation Justification
Nature of the Problem 2/3 1 (2/3)*1 = 0.67 The problem is a health threat.
Modifiability of the
Problem
2/2 2 (2/2)*2 = 2.00
The problem is easily modifiable. The family is somehow
knowledgeable of the risks of improper breast feeding,
however breast milk is available but proper way is not
implemented.
Preventive Potential of
the Problem
3/3 1 (3/3)*1 = 1.00
According to NANDA, effective breastfeeding state in
which a mother-infant dyad/family exhibits adequate
proficiency and satisfaction with the breastfeeding
process. The problem has a high preventive potential.
Teaching proper way of breast feeding could be done.
Salience 2/2 1 (2/2)*1 = 1.00
The family perceives the problem as a condition needing
immediate action.
Total Score: 4.67

CUES/ DATA FAMILY NURSING PROBLEM
While doing the interview the mother verbalize nakakapag padede lang
ako kung kelan lang sya gutom at umiyak
Inability of the family to recognize the presence of the condition or
problem due to lack of adequate knowledge.

Problem 3: Undernourished
Nature Weight Multiplier Computation Justification
Nature of the Problem 3/3 1 (3/3)*1 = 1.00
It is considered a health deficit that requires immediate
action to eliminate the nutritional consequences.
Modifiability of the
Problem
1/2 2 (1/2)*2 = 1.00
The problem is partially modifiable. The family is not
aware that their child is undernourished. The family
experiences financial constraint. RHU and BHS conducts
feeding program, provide supplemental vitamins, needed
for the improvement of the childs condition.
Preventive Potential of
the Problem
3/3 1 (3/3)*1 = 1.00
According to UNICEF, Under nourished is defined as the
outcome of insufficient food intake and repeated infectious
diseases. It includes being underweight for ones age, too
short for ones age, dangerously thin for ones height and
deficient in vitamins and minerals. The problem has high
preventive potential. Nutritious and affordable meal choices
could be provided.
Salience 1/2 1 (1/2)*1 = 0.5 The family doesnt recognize it as a problem.
Total Score: 3.5

CUES/ DATA FAMILY NURSING PROBLEM

Inability to recognize the presence of health due to lack of
knowledge of community resources for health care.




Problem 3: Smoking

Nature Weight Multiplier Computation Justification
Nature of the Problem 3/3 1 (3/3)*1 = 1.00
It is a health threat because it can cause and developed
complications and more serious diseases.
Modifiability of the
Problem
1/2 2 (1/2)*2 = 1.00
The problem is partially modifiable. The couple is aware
about the danger of smoking but they are having a hard
time dealing with their vices considering the high
availability of cigarette.
Preventive Potential of
the Problem
2/3 1 (2/3)*1 = 0.67
Cigarette smoking is the largest preventable risk factor for
morbidity and mortality in developed countries.
(http://jnci.oxfordjournals.org) It is also one of the
leading causes of heart and lung failure. The problem has a
moderate preventive potential. It can be prevented through
giving out information regarding what smoke does to the
body could possibly make a positive mind set on the client.
At the same time minimizing the intake, exercising and
engaged to activities could be done.
Salience 1/2 1 (1/2)*1 = 0.5
The client perceives it as a problem that needs an immediate
action.
Total Score: 3.17



















CUES/ DATA FAMILY NURSING PROBLEM

Inability to recognize the presence of health threat due to lack of
knowledge of prolonged smoking.

FAMILY NURSING CARE PLAN FOR THE PRIORITIZED PROBLEM


Cues/Data

Problem

Family
Nursing
Problem


Goal

Objective/s

Intervention

Evaluation

Subjective:
The mother
verbalize
nakakapag
padede lang
ako
kungkelan
lang sya
gutom at
umiiyak



Objective:
Improper
hygiene


Improper
breastfeeding
technique

Inability of
the family
to
recognize
the
presence of
the
condition
or problem
due to lack
of adequate
knowledge.

After 30
minutes of
nursing
interventions,
the mother
express
physical and
psychological
comfort in
breastfeeding
practice and
techniques.

After 15 minutes of nursing
intervention, the family will be
able to:

Gain knowledge about the
understanding of breast
feeding techniques.

Execute skill on how to
breastfeed properly by;
Health teaching
and
demonstration,
and by answering
three out of five
questions asked.
Return
demonstration

Achieve mutually
satisfactory breast feeding
regimen with infant
content after feeding.


The level of
understanding of the
client would be
assessed.

To broaden knowledge
of the family, the
following would be
specifically discussed.

Importance of
breastfeeding
Advantages of
breast feeding
Ways to
improve a
proper breast
feeding such as
encouraging the
mother to drink
plenty of water
or at least
2000ml per day.


Goal met. The
client was
able to
understand the
topic during
the
interventions.


Cues/data

Problem

Family Nursing
Problem


Goal

Objective/s

Intervention

Evaluation

Subjective:
The
mother
verbalize
kung
ano lang
ang
meron at
kayang
bilihin
yun lang
din ang
pina
pakain
ko
Objective:
Thin
Light to
carry



Undernourished

Inability to
recognize the
presence of
health threat
due to lack of
knowledge of
community
resources for
health care

After 30
minutes of NI,
the family will
be able to
perform the
importance of
nutrition
among the
family
member.
Identify
cheaper yet
nutritious and
healthy foods.


After 15 minutes of NI, the family
will be able to:

Gain knowledge about the
importance of having a
proper nutrition.

Execute way of preparing
balance meal by

Perform return
demonstration
of preparing
food within the
family budget.
Answer three
out of five
questions.

Family shows interest on the
teaching and demonstration process
by cooperation in the interventions.

Level of understanding
of the clients will be
assessed.

Broaden knowledge of
the mother, the
following would be
specifically discussed.

Importance of
having
nutritious and
well balanced
meals.

The effect of
unhealthy food
choices

disadvantages
of malnutrition


Goal met. The
client was able
to understand
during the
intervention
phase.



Possible
complication
due to
malnutrition.

Nutritious and
affordable meal
choices could
be provided.















Cues/Data

Problem

Family
Nursing
Problem


Goals

Objective/s

Intervention

Evaluation

Subjective:
The
father
verbaliz
es
17yrs
old
palang
ako
bisyo ko
na to.

Objective:
He
smoke
20
sticks a
day.

He smoke while
taking care of
the baby


Smoking

Inability to
recognize
the presence
of health
threat due to
lack of
knowledge
of prolonged
smoking.

After 30
minutes of
NI, the client
will be able
take
appropriate
actions with
regards on
minimizing
his smoking
habit.

After 15 minutes of NI, the client will be
able to:

Gain knowledge on the risk of
cigarette smoking by
enumerating three out of five
health risks.

Execute skills on how to reduce
smoking by:

Enumerating three out of
five activities.
Health teaching


Show interest in promoting a healthy
lifestyle

Level of understanding of
the client will be assessed.

To broaden knowledge of
the client, the following
would be specifically
discussed.

Smoking, its
nature and depth

Disadvantages of
smoking such as
lung diseases.

Complications of
smoking in terms
of health and
significant others.


Goal partially
met due to
absence of
the father, but
the mother
was able to
understand
the
interventions.

Preventions

Ways to reduce
smoking.