II.
PROBLEM SHEET
Health Conditions and Problems
Presence of health deficits- scabies
Unhealthy lifestyle practices and
personal habits specifically poor
personal hygiene
Cues/ Data
 The head of the family verbalized,
“Limang buwan na rin kaming
nagtitiis sa pangangati bago kami
natingnan ni doktora”.
 Presence of scabies among all
family members
 Spread of scabies among family
members that started with one family
member only
Family Nursing Problems
Presence of scabies as health deficit:
1. Inability to decide about making appropriate
health action due to failure to comprehend the
magnitude of the problem.
2. Inability to make decisions with respect to taking
appropriate health action due to inaccessibility of
appropriate resource care specifically :
a. financial inaccessibility
3. Inability to provide adequate nursing care to the
sick members of the family due to lack of
knowledge about the disease (nature, severity,
complication, prognosis and management)
B. Presence of poor lifestyle and personal habits as a
health threat:
1. Inability to provide a home environment conducive
to health maintenance and personal development
due to lack of knowledge of disease process of
scabies, signs and symptoms, measures to
prevent contracting the disease and treatment.

Family size beyond what family
resources can adequately provide
Presence of dental carries on Arvi
 Three family lives together in one
house; a total of 12 members
where only 2 members are
working and are not gaining
enough to meet basic needs
 (+) dental carries on upper and
lower incisors of Arvi
C. Presence of big family size as a health threat.
1. Inability to provide a home environment
conducive to health maintenance and personal
development due to:
a. limited financial resources
D. Presence of dental caries as health deficit
1. Inability to decide about making 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 PROBLEM PRESENTED 2
A. WELLNESS STATE 3
B. HEALTH DEFICIT 3
C. HEALTH THREAT 2
D. FORSEEABLE CRISIS 1
2.MODIFIABILITY OF THE CONDITION OR PROBLEM 2
A. EASILY MODIFIABLE 2
B. PARTIALLY MODIFIABLE 1
C. NOT MODIFIABLE 0
3.PREVENTIVE POTENTIAL 2
A. HIGH 3
B. MODERATE 2
C. LOW 1
4.SALIENCE 1
A. A CONDITION OF THE PROBLEM NEEDING IMMEDIATE ATTENTION 2
B. A CONDITION OF THE PROBLEM NOT NEEDING IMMEDIATE ATTENTION 1
C. NOT PERCEIVED AS A PROBLEM OR CONDITIONNEEDING CHANGE 0

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.
 MAGLAYA, A.S 2003. NURSING PRACTICE IN THE COMMUNITY. ARGONAUTA CORP. PHILIPPINES

B. CASE ILLUSTRATION ON PRORITY SETTING

1. Presence of Scabies

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

It is a health deficit that requires
immediate attention and adequate
NATURE OF THE PROBLEM 3/3 X 1 1 management in order to minimize
likelihood of transmission to other
people.
The family lacks adequate
resources to solve the problem.
MODIFIABILITY OF THE Inadequacy of living space is a
1/ 2 X 2 1
PROBLEM barrier which is important in the
management and prevention of
scabies
Aggravation of scabies can be
reduced or eliminated if the
PREVENTIVE POTENTIAL 3/ 3 X 1 1
problem is managed adequately as
soon as possible
SALIENCE 0/ 2 X 1 0 The family does not recognize it as
a problem. They refrained from
seeking consultation to any health
care facility and did not utilize any
intervention to cure and minimize
 the spread of scabies
Total score: 3

2. Unhealthy lifestyle and personal habits/ practices specifically poor personal hygiene

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

It is a health treat that does not
NATURE OF THE PROBLEM 2/3 x 1 2/3
demand immediate action
The resources and interventions
MODIFIABILITY OF THE
2/2 x 2 2 needed to solve the problem are
PROBLEM
available to the family
Occurrence of diseases can be
PREVENTIVE POTENTIAL 3/3 x 1 1 prevented if proper personal
hygiene will be practiced
The family does not recognize it as
SALIENCE 0/2 x 1 0
a problem.
Total score: 3 2/3
 3. Family size beyond what family resources can adequately provide

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

It is a health treat that does not
NATURE OF THE PROBLEM 2/3 x 1 2/3
demand immediate action
MODIFIABILITY OF THE Problem can be partially modified
1/2 x 2 1
PROBLEM due to inadequacy of resources
Problem can be moderately
PREVENTIVE POTENTIAL 3/3 x 1 1 prevented by applying family
planning
The family does not recognize it as
SALIENCE 0/ 2 x1 0
a health threat.
Total score: 2 2/3
 4. Presence of Dental Caries on Arvi

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

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

T
The Prioritized Health Problems
The following health conditions will be presented according to their rank of priority:

1) Unhealthy lifestyle and personal habits/ practices specifically poor personal hygiene 3 2/3
2) Presence of Scabies 3
3) Family size beyond what family resources can adequately provide 2 2/3
4) Presence of Dental Caries on Arvi 1 2/3