PRIORITIZING NURSING

PROBLEMS

ZCMIRAFLORESRNMN
II. Planning
-The step in the process w/c answers the
following questions:

• What is to be done?
• How is it to be done?
• When it is to be done?
• It is actually the phase wherein the health
care provider formulates a care plan.
Steps in developing a Family Nursing
Care Plan

• Prioritized problems
• Goals and objectives of the
nursing care
• Plan of intervention
• Plan for evaluating care
Prioritizing Health Problems
1. Nature of the Problem Presented -
Categorized into wellness state, health
threat, health deficit and foreseeable
crisis.

2. Modifiability of the Problem/Condition -

Refers to the probability of success in
enhancing, improving, minimizing,
alleviating or totally eradicating the
problem through intervention.
3. Preventive Potentials - Refers to the nature
and magnitude of future problems that
can be minimized or totally prevented if
intervention is done on the problem
under consideration.

4. Salience - Refers to the family's perception

and evaluation of the problem in terms of
seriousness and urgency of attention
needed or family readiness.
•
Scoring
• Decide a score for each of the criteria

• Divide the score by the highest possible &

multiply by the weight

Score x weight
Highest score

• Sum up the score of all criteria. The highest

score is 5 equivalent to the total weight.
 CRITERIA Weight
1. Nature of the problems Presented 1
Scale:
-Health deficit / Wellness 3
-Health threat 2
-Foreseeable crisis 1
2. Modifiability of the problem 2
Scale:
 easily modifiable 2
 Partially modifiable 1
 Not modifiable 0
3. Preventive potential 1
Scale:
 High 3
 Moderate 2
 Low 1
4. Salience 1
Scale:
-A condition / problem needing 2
Immediate attention
-A condition / problem not needing 1
Immediate attention
-Not perceived as a problem or condition 0
needing change
Factors affecting priority setting:
The nurse considers the availability of the following
factors in determining the modifiability of a health
condition or problem:

1. Current Knowledge, technology and interventions

2. Resources of the family - physical, financial &
manpower
3. Resources of the nurse - knowledge, skills and time
4. Resources of the community - facilities and
community organization or support
Factors in Deciding Appropriate
Score for Preventive Potential
1. Gravity or severity of the problem
- Refers to the progress of the disease/ problem
indicating extent of damage on the patient /
family. Also indicates the prognosis, reversibility
of the problem
2. Duration of the problem
- refers to the length of time the problem has been
existing
3. Current Management
- refers to the presence and appropriateness of
intervention
4. Exposure of any high risk group
Basing on your assessment of
your selected family. Rate them
according to the criteria
presented.