FIRST LEVEL ASSESSMENT

1. Presence of health threata. Unhealthy lifestyle and personal habits (alcohol drinking by the father)b. Poor home/environment condition/sanitation

- presence of breeding sites of vectors of diseasec. accident hazards

- narrow stair without side rails

SECOND LEVEL ASSESSMENT

CUES/DATA FAMILY NURSING PROBLEMS According to Mrs Tamboan, Mr. Tamboan

drinks alcohol for past time and sometimes he doesn’t have any food intake yet before drinking alcohol.

There are flies and rodents in our house. We found out that their trash is near the kitchen table where there are many flies.

As I observe the stair on their bed is too narrow an d no side rails which can lead to fall/ accidents on their children.

Alcohol drinking of Mr. Tamboan as unhealthy lifestyle and personal habits.

1. Inability to recognize the presence of the condition or problems;

a. Lack of or inadequate knowledge.

Presence of breeding sites of vectors of disease as a health threat.

2. Inability to provide a home environment conducive to health maintenance and personal development due to;a. Lack of knowledge regarding

preventive measures.

Presence of accident hazards.1. Inability to provide a home environment

conducive to health maintenance and personal development due to;a. Lack of skill in carrying out measures

to improve home environment.

PRIORITIZATION

Unhealthy lifestyle and personal habit (alcohol drinking by the father)

Criteria Computation Actual scores JustificationNature of the problem 2/3 x 1 .67 Can be a cause of serious health

condition.Modifiability of the problem

2/2 x2 2 The resources are available and interventions are feasible. The nurse can help the father to change the unhealthy life style through health teaching.

Preventive potential 2/3 x 1 .67 The possibility of changing unhealthy life style and personal habits Is moderate due to the duration of the problem.

Salience of the problem ½ x 1 .5 The father doesn’t see this as a problem because he used it as a form relaxation. However, the mother recognizes it as a problem especially when he drinks first before eating. They don’t see the problem as needing immediate action.

TotaL: 3.84

Health problem: presence of breeding & resting sites of vectors of disease (flies and rodents)

Criteria Computation Actual scores JustificationNature of the problem 2/3 x 1 .67 Conducive to disease and failure to

maintain wellness.Modifiability of the problem

2/2 x2 2 The family has knowledge and resources available and student nurses are also present to educate the family about the preventive measures to lessen the possible acquiring of diseases from the vector.

Preventive potential 2/3 x 1 .67 Communicable diseases that may transfer by the insects and rodents can be prevented through proper health teaching and use of available resources they have.

Salience of the problem 0/2 x 1 0 The family doesn’t see this as a problem and doesn’t need immediate attention because for them this is a natural occurrence.

Total; 3.34

Presence of accident Hazard

Criteria Computation Actual scores JustificationNature of the problem 1/3 x 1 .33 Can be cause for a fall or accident.

There are no supports while going up and down especially for their children.

Modifiability of the problem

1/2 x2 1 The problem is partially modifiable since the nurse’s and community resources are available. However, the father is always at work and has no time in fixing it.

Preventive potential 2/3 x 1 .67 Putting a side rails on the stairs may prevent accidents/ cases of falling especially on their children.

Salience of the problem ½ x 1 .5 For the family it is a problem not needing immediate attention for they lack materials and they are busy with their work.

Total: 2.5