1
Republic of the Philippines
UNIVERSITY OF NORTHERN PHILIPPINES
Vigan City
COLLEGE OF NURSING
COMMUNITY HEALTH SURVEY
Household Number: ____03_____
Barangay: ______SULVEC_____
Date: _NOVEMBER 16, 2021_
Municipality: ___NARVACAN___
INTRODUCTION:
Naimbag nga bigat/aldaw mo Manang, Siak ni _Jewel R. Galinato_ Maysa nga estudyante ti
University of Northern Philippines, Institute of Nursing diay Vigan nga naidestino nga umay
makipagnaed ditoy barangayyo. Kas parte iti aktibidadesmi, masapul nga balay-balayenmi iti
agsurvey. Mabalin kadi nga ikkan da kami iti apagbiit nga orasyo para iti daytoy a panagsaludsodmi
kadakayo?
Immay kami ditoy nga addaan pannakanaig iti salun-at tapno iti kasta ket
makapagtitinnulong tayo nga mangkita iti rumbeng nga aramiden maipanggep kadagitoy (no adda
man). No adda saanyo a maawatan, saludsudenyo latta kanyami tapno maiyesplikar mi kadakayo.
I. FAMILY MEMBERS AND CHARACTERISTICS
Manang, siasino kadi ti kaduayo ditoy balayyo? No adda, mabalin kadi nga maammuan iti
naganna/naganda, no ania iti relasyonda kenka, mano iti tawenda, lalaki wenno babai, adda kadin
asawada wenno awan pay, nakagraduar kadin wenno saan, adda kadi trabahoda wenno awan?
(Prompt the respondent for every item/column reflected for each member. Start with the head of the
family.)
Name
Relation
Age
Sex
1. Robin Arce
2. Gladys Arce
3. Randy Arce
4. Rica Arce
HOF
Wife
Son
Daughter
36
40
10
6
M
F
M
F
Civil
Status
CL
CL
S
S
Educational
Attainment
Tech-Voc
CU
EL
EL
Occupation Religion
SKILLED
SKILLED
STUD
STUD
RC
RC
RC
RC
II. FAMILY HEALTH STATUS AND PRACTICES
A. Immunization and Nutritional Status (for children 0-5 years)
Manang dagitoy sumagmamano nga saludsod ket para kadagiti annakyo nga agtawen iti 0-5
years.
(List the names of the child/children referred to, then ask the following questions for each child)
1. Adda kadi yellow card na?
(If YES, request to see the card then copy the immunization and nutrition data from it. If NO,
ask the following questions :)
a. Nabakunaan kadin wenno saan?
(If YES, ask: Ania kadi iti bakuna nga naited kaniana?
(Prompt if respondent cannot remember. List all immunizations given to each child on the margin. If
you have a weighing scale with you, weigh each child after the interview.)
Name of Child
Yellow
Card
Immunization
Status
Nutritional
Status
Attendance
at Birth
Reason for
Preference
2
B. MORBIDITY (past 6 months) and MORTALITY (past 2 years)
1. Adda kadin nagsakit a miyembro ti familyayo bayat iti napalabas nga innem a bulan?
If YES: Ania iti naikagapo?)
(For each person mentioned, ask the following questions then log in the answers in the appropriate
column/space)
a. Ania ti sakitna?
b. Mano iti tawenna idi nagsakit
c. Impaagas/impakonsultayo kadi isuna?
d. (If YES: Sino iti nagpaagasanna/nagpakonsultaanna?
e. Ania ti agas/tumaren nga naited kenkuana?
Illness
Causes
Sex
Age
Flu
Flu
Heat/Rain
transmitted
Drinking
something
colds & eating
dairy products
Male
Female
Male
Sore throat
Meds/Rx used
36
40
Who
Attended
Self Medicate
Self Medicate
10
Self Medicate
Paracetamol
Biogesic
Biogesic
2. Adda kadin natay nga miyembro ti pamilyayo kadagitoy napalabas nga dua tawen?
If YES, ask the following questions for each member who died then log in the answers on the
spaces provided for.
a. Ania kadi iti impataty na?
b. Mano iti tawenna idi natay?
c. Impaagasyo kadi sakbay a natay?
Death
Sex
Age
Who Attended
C. NUTRITION
(Ask the following questions for mothers with child/ren below 3 years old. If there is more
than one child in the age group, ask for the youngest child).
1. Nagpasuso ka kadi kadagiti annakmo? (Breastfeeding)
/___/ Yes
(go to question number 2)
/___/ No
(go to question number 3)
2. Ania ti taw-en ti ubing idi nagsardengka nga nagpasuso?
(Specify in months ___________ bulan (months)
3. Ania ti rason ta apay nga saanka nga nagpasuso?
_____ Awan ti tubbog ti suso
_____ Adda trabahok
_____ Nagsakitnak
_____ Masikognak
_____ Dakkel ti ubingen
_____ Dadduma pay nga rason
4. Idi insardengmo ti nagpasuso, ania nga makan ti intedmo kaniana? Mano ti taw-enna idin?
Am / Segget
Lugaw
Innapoy
Kamote
Bulan ken taw-en ti ubing
_____________________
_____________________
_____________________
_____________________
Bulan ken taw-en ti ubing
Ebaporada
_____________________
Kondensada _____________________
Infant Formula (Name: _______________
Inasukaran a danum
3
Saba
Karabasa
_____________________
_____________________
Dadduma pay: ___________________________
D. FAMILY PLANNING (For Women at Reproductive Age 15-45)
1. Mano ti taw-enmo idi umuna a panagsikogmo? ___29___ taw-en
2. a. Mano iti annakmo? (total children) ____2_____
b. Nami-anoka nga nagsikog? (total pregnancies) ______2______
c. Mano ti natay? (miscarriage) N/A
d. Namin-ano ka nga naalisan? N/A
3. a. Ania nga wagas iti sinurotyo kabayatan iti inkay panagan-anak? (natural or artificial)
NATURAL
b. Ania kadi kadagitoy nga klase iti Family Planning iti inkay us-usaren?
Methods
Panagayunar (abstinence)
Pills
IUD
Rhythm
Condom
_____________
_____________
_____________
___________
_____________
Ligation
Vasectomy
Injection
Withdrawal
Dadduma pay
Awan
_____________
_____________
_____________
_____________
_____________
_____________
4. Makaapektar kadi iti relihiyonyo bayat iti inkay panagdesisyon iti pnagusar iti family planning
methods?
/___/ YES /__/ NO
5. Ania nga family planning method ti kayatmo nga maamuan ken kayatmo nga usaren tapno
maikkanka iti naan-ayat nga impormasyon maipanggep ken daytoy? N/A
E. BELIEFS AND PRACTICES
Ania kadi iti pammatiyo ken inkay sursuroten maipanggep kadagitoy nga ban-banag?
1. Panagpili iti makan (Choice of food for the family)
Mabalin amin mailaksid iti kape, tsaa ken arak.
2. Panagsikog ken panaganak (Pregnancy and Birth in terms of Nourishment and Care of the Mother)
Nu masikog haan unay ti nalamiis nga inumen, nu met naganaken ket napudot ti inumen.
3. Panagtaripato iti masakit (Care of the sick)
Pakanen ti nasustansya ken painumen ti addu nga danum, nangrunaan ti kinadalos ti
arubayan ken isu amin nga madalapos.
4. Panagpakan iti ubing (Child feeding)
Pure breastfeed nu kenyak. Inton innem nga bulan santo maikkan agiti nalukneng nga
makan.
5. Ania a makan iti saan nga pagayatan ti pamilyam?
Makan
Awan
F. ENVIRONMENTAL CONDITIONS
Rason
Haan kami napili ti makan
1. Ania nga klase ti kasilyas ti inkay us-usaren?
__________ Flush toilet
__________ overhang
________ water scaled
__________ none
__________ Antipolo type
2. Kasano met iti pagayusan ti danum nga aggapo iti lababo?
 Open
__________ Blind
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3. a. Ania kadi ti pagibelbelenganyo ti basurayo? (collection)
 open receptacle (Awanan ti kalub)
__________ covered receptacle (addan ti kalub)
__________ none (awan)
b. Kasano ti pampamay-anyo ti basurayo?
__________ Composting
__________ riverside dumping
 burning
__________ open dumping
__________ burying
__________ dadduma pay a wagas: ________________
4. a. Adda kadi dimguenyo (animalesyo)?
// YES
/___/ NO
Bulos kadi? ________ wenno nakapupok? __________
5. a. Sadino met ti pagal-alanyo ti danum nga in-inumenyo?
__________ NAWASA
__________ Shallow dug well
_________ water pump
__________ protected spring
__________ deep well
__________ unprotected spring
__________ Dadduma pay; (Specify) ___________________________
b. Ania ti pagik-ikkanyo iti danumyo? ______water jug_____
c. Adda kadi kalobna daytoy? /__/ YES
/___/ NO
d. Basta kadi lattan nga inumenyo? (Diretsoyo kadi nga in-inumenen?)
/__/ YES /___/ NO
e. No saan, ania kadi ti ar-aramidenyo (pampamay-anyo)
__________ chlorinate (ikkan iti chlorine)
__________ boiling (pagbureken)
6. Ania kadi ti pagiduldulinanyo ti makmakan?
__________ kabinet
__________ refrigerator
________ natakkaban a plato (covered plate)
__________ basket a naibitin
__________ uneg ti lakasa
__________ Dadduma pay: ____________
III. SOCIO-ECONOMIC, POLTICAL AND CULTURAL FACTORS
1. a. Ania kadi ti nangnangruna a pagsapulanyo (trabaho)?
 Farming
 Own farm __________ Tenanted
__________ Fishing
__________ Laborer (trabahador)
__________ Empleyado
__________ Government
__________ Private
__________ Karpintero
 Aglaklako (Small industries: Sari-sari store, shop, karinderya, pagmikian,
pagsinanglawan)
Specify: Sari-Sari Store
__________ Dadduma pay: ______________________________________________________
b. Manu met ti masapulanyo iti makabulan?
P5,000 kada bulan
2. Food Production Activities
(Prompt the respondent for every food production activity. Check the appropriate item in each
column)
a. Adda kadi gardenyo (pagnatengan)? Babuyan? Manukan? Pagprutasan?
b. Para kadi iti inaldaw-aldaw a pagbiagyo wenno para lako?
Resource
Vegetable Gardening
Piggery
Poultry
Fruit Trees
Fishery (pagikanan)
Others:
5. Real Property
Family Use

For Selling



5
a. Sino ti akinbagi ken daytoy nagbalayanyo?
1. __________ sika wenno ti asawam
2.  kabagiam wenno ti asawam
3. __________ ni-rentaam (rented)
4. __________ pakitaltalunam (tenanted)
5. __________ gobyerno/komyunal
6. __________ dadduma pay: ___________________________
b. observe the type of house construction and circle the number of the best description:
1. __________ light (house made of light materials: i.e. nipa or cogon roof,
bamboo/hut wall, earth or bamboo floor)
2. __________ Medium (house made of mixed materials: i.e. nipa roof but with
wooden walls and floor)
3.

Heavy (house made of strong materials: i.e. galvanized sheets roofing,
wood or cement walls, wood or cement floor)
c. Adequacy of living space: 5 meters width
5 meters length
1 # of bedrooms
6. Utilities:
a. Nakapakonektar kay kadin ti koryente? // YES
/___/ NO
7. Appliances:
a. Ania dagiti appliancesyo nga inkay us-usaren?
_____ radio (transistor)
_____ AM/FM cassette player
 refrigerator
_____ Betamax/VHS/VCD/DVD
 electric fan
_____ gas range
_____ television
_____ Dadduma pay: _______________
8. Decision Making
Sino ti agdesisyon kadagitoy sumagmano a banag?
a. Panaggastosan ti pamliya
__agasawa__
b. Inaldaw-aldaw
__agasawa__
c. Panag-eskwela (Edukasyon)
__agasawa__
d. Panagatendar ti aktibidades ti barangay __agasawa__
e. Dadduma pay a bambanag:
__agasawa__
9. Community Needs and Problems
a.
Malaksid ti saksakit, ti panagkunayo, mangted ka man ti tallo (3) nga gagangay nga
problema nga mapaspasaranyo nga makaapektar ti linawas a panagbiagyo ditoy a
barangay?
1. Basura ti karruba
2. Taraken ti sabali a nakabulos
3. Quarantine Protocols
b.
Ania kadi ti mairekomendaryo nga solusyon dagitoy nga problema ditoy barangayyo?
1. Panangreport kadagiti maseknan nga opisyales ti barangay
2. Mangted ti barangay ti pagsyaatan nga supply iti protection kits
3. Pagmultaen agiti saan sumursurot ti Health Protocols ken agiti wara nga masalapon
10. Community Resources
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a. No adda maysa a proyekto ti barangay, kas koma ti panagaramidan ti kasilyas,
panagaramidan ti basuraan ken dadduma pay, ania kadi dagiti materyales nga adda ditoy
nga ammoyo nga usaren?
Cement, Sand, Hallow-blocks
b. Sino kadi ti mairekomenda nga dua (2) a tao nga maibalintayo a pagpatulungan para ti
nasao a proyekto? Ania kadi ti posisyonna?
Name
Cecilia Bedar
Luis “Chavit” Singson
Position
Brgy. Captain
Municipal Mayor
c. Ania kadi nga organisasyon ti inkayo nakaikappengan ditoy barangayyo?
Farmer’s Associations
CONCLUSION:
Ag-Dios ti Agngina kami Manang iti oras ken kooperasyon para iti daytoy nga
panagdamdamagmi a “survey” ditoy barangayyo.
Kalpasan ti sumagmamano nga aldaw,
maamuanyonto met laeng ti resulta daytoy nga panag-survey ket yamanenminto no makaatendar
kayonto iti maysa a paanagtitipon nga mai-schedule iti masanguanan nga aldaw. Mapagpapatanganto
dagiti bambanag nga makaapektar ti inaldaw-aldaw a panagbiagtayo ken no anianto ti maiyanatup nga
aramidentayo maipanggep kadagitoy.
Kastan Manang ket agyaman kami.
____ Jewel R. Galinato
___
(Signature of Student over printed name)
Date:_November 16, 2021_ Time:_11:00 a.m_
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INITIAL DATABASE
Name of the Head of the family:
Robin Arce
Age:
36 years old
Birthdate:
October 16, 1985
Sex:
Male
Adress:
Sulvec, Narvacan, Ilocos Sur
Marital Status:
Common Law
Religion:
Roman Catholic
Educational Attainment:
Tech-Voc
Occupation:
Skilled (Farmer)
Name
Relation
Age
Sex
5. Robin Arce
6. Gladys Arce
7. Randy Arce
8. Rica Arce
HOF
Wife
Son
Daughter
36
40
10
6
M
F
M
F
Civil
Status
CL
CL
S
S
Educational
Attainment
Tech-Voc
CU
EL
EL
Occupation
Religion
SKILLED
SKILLED
STUD
STUD
RC
RC
RC
RC
A. Family Structure, Characteristics, and Dynamics/Relational Patterns
Arce Family is a nuclear family with five members. It is a small group comprising a couple living with
their children, which forms a part of a community. Each member of the family has a distinct function
to play in the family, which is well-respected. They also teach their children to be disciplined by
reprimanding them when they make mistakes and consistently instill the importance of good behavior
and discipline in their children. Children are closer to their parents and may have more open and
honest discussions about their concerns with their parents, which assists in the development of their
personalities. This is one way of producing great citizens.
B. Socio-economic and Cultural Characteristics
Both parents work to support financial stability for the household, providing sufficient income for
basic family necessities such as housing, food, and healthcare. The father is a farmer, and the mother is
a Barangay Health Worker, which gives her an advantage in becoming well-versed in essential health
issues and responsibilities for her family members. There are no significant differences between the
parents. Decisions are made by both parents, especially when it comes to money. Furthermore, the
family communicates openly. However, since the father is always on the farm, the mother has the
upper hand in decision-making. The parents have a quite discussion regarding the family budget.
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C. Home and Environment
Their relatives own the area on which the Arce Family's house stands; the house is constructed of
durable material, including galvanized sheets roofing, wood and cement walls, and floor. The
adequacy of living space varies to 5 meters width and 5 meters length, consisting of 1 bedroom.
Moreover, the potential of harm from broken chairs is all things to be aware of. They have trash cans
for their rubbish, but they do not have a cover, and they just burn it after. There is a lack of preventive
measures in parasite-infested areas. Their mother is covering leftovers in a hanging basket, covered
plate, and non-functioning refrigerator that makes the food remain warm for longer and is not
completely sealed, permitting the bacteria to grow faster. They acquire their water from a water pump
and store it in a water jug; even if it has a cover, they drink it without boiling or filtering that can affect
their health issues. Their sink often operates as an open conduit to wastewater, and there they can
develop illnesses or infections if an open wound is exposed to polluted water. The type of toilet they
use is watered scaled, which takes less water than a typical flush toilet. However, it can result in the
transmission of germs contaminated by people when the water we use is unclean and can splash in the
toilet seat, where the following user will absorb. Lastly, they do not wear slippers when going to
nearby areas or socializing with their neighbors.
D. Health Status of each Family member
According to Mrs. Gladys Arce, her husband had the flu due to the heat and rain in the first week of
November, and it was then transmitted to her. They also stated that they are not picky eaters, except
they do not drink coffee, alcohol, and tea. The Arce family does not smoke nor drink alcohol. In the
family, they do not appear obese and do not have elevated blood lipids. Both paternal and maternal
sides do not have a history of diabetes mellitus and hypertension.
E. Values, Habits, Practices on Health promotion, Maintenance and Disease Prevention
Mr. and Mrs. Arce mentioned that they ensure that their child gets immunized as well as for their own
vaccination. As a Barangay Health Worker, the mother is well-versed in essential health issues and
responsibilities. As a response, if a family member becomes ill, the parents know what to do to care for
their children. However, the parents are unable to give nutritious nourishment. Parents are concerned
about the health of their children and accept medical treatment when they become unwell. However,
there were times when they were unable to obtain some prescription medications that could aid in the
treatment of the condition or illness. "Mahal kasi," as the mother expressed it. The family gets enough
sleep and rest. They can eat three times a day, and the family knows whom to contact or whom to
approach for assistance with community services, particularly health.
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A TYPOLOGY OF NURSING PROBLEMS IN FAMILY
NURSING PRACTICE
PROBLEM IDENTIFICATION
Problems are identified within the family by using 1st level and 2nd level of assessment. 2
levels of assessment were used in order to get in depth analysis of the problems involved.
The utilization of these systematic ways of assessment will help improve the quality and
course of action to take by specifying what problem/s is/are relevant within the family.
In my family case study, I have identified eight (8) problems that are currently present in
the lives of my subject family. These are:
1.
Potential for enhancement Capability for healthy lifestyle (Wellness Condition)
2.
Improper drainage system (Health threat)
3.
Noise Pollution and Disturbance of Sleep (Health Threat)
4.
Improper garbage/refuse disposal (Health Threat)
5.
Unfiltered water supply (Health Threat)
6.
Lack of food storage facilities (Health Threat)
7.
Open receptacle of garbage/waste disposal (Health threat)
8.
Non-use of self protective measures (Health threat)
Readiness for enhancement Capability for healthy lifestyle
CUES
During my interview with
Mrs. Gladys Arce, she stated
that improving their
capability as a family for a
healthy lifestyle is needed
such as exercising.
2nd LEVEL OF
ASSESSMENT
Presence of Wellness condition Ability to make
decisions with
●
Readiness for
respect to taking
enhancement
appropriate health
Capability for
action due to:
healthy lifestyle
 Feeling of readiness
for enhancement
capability for a
healthy lifestyle.
1st LEVEL OF ASSESSMENT
Improper drainage system
CUES
Objective:
Their drainage system is
open which can give
disadvantage to the health
of the family.
Subjective:
Mrs. Arce said that their
drainage system did not occur
as a problem for them
because it was only in their
house. She added that the
1st LEVEL OF ASSESSMENT
Presence of Health Threats
● Poor environmental
condition
specifically
improper drainage
system
2nd LEVEL OF
ASSESSMENT
Inability to provide a
home environment
conducive to health
maintenance and
personal
development due to:
 Lack of skill in
carrying out
measure to improve
home environment
Inability to make decisions
with respect to taking
10
appropriate health action
due to:
 Low salience of the
problem
water from their drainage
system leads to their plants so
that the plants absorb the
water.
Noise Pollution and Disturbance of Sleep
CUES
1st LEVEL OF ASSESSMENT
Presence of Health Threats
Objective:
 Poor environmental
The location of their house is
condition
surrounded by houses, so the
specifically noise
chances that they are
Pollution
disturbed by the noises made
by dogs and neighbors,
especially at night is possible.
Subjective:
Mrs. Arce said during the
interview that neighbors who
shout during arguments or
use karaoke and dogs that
constantly bark are factors
that disturbs them during
sleeping hours.
2nd LEVEL OF
ASSESSMENT
Inability to provide a home
environment conducive to
health maintenance and
personal development due
to:
 Lack of
competencies in
relating to each
other for mutual
growth and
maturation
Failure to utilize community
resources for health care due
to:
 Lack of
trust/confidence in
the
agency/personnel
Improper garbage/refuse disposal of the other neighbor
CUES
Objective:
During my visit, I’ve
observed that Mr. and Mrs.
Arce's nearest neighbor
lacks cleanliness outside of
their house which results in
a poor environment that
affects other families.
1st LEVEL OF ASSESSMENT
Presence of Health Threat
 Poor environmental
condition
specifically
improper garbage
disposal
Subjective:
Mrs. Arce stated that their
neighbor’s trash goes into
their house. She also added
instances that explain how
they are being affected by it.
Unfiltered Water Supply
CUES
1st LEVEL OF ASSESSMENT
Presence of Health Threats
Objective:
● Poor
They acquire their water from
2nd LEVEL OF
ASSESSMENT
Inability to provide a home
environment conducive to
health maintenance and
personal development due to:
 Lack of supportive
relationship among
the neighbor.
Failure to utilize community
resources for health care due
to:
 Lack of
trust/confidence in
the
agency/personnel.
 Fear of
consequences of
actions, specifically
social
consequences.
2nd LEVEL OF
ASSESSMENT
Inability to provide a
home environment
conducive to health
11
a water pump and store it in a
water jug; even if it has a
cover, they drink it without
boiling or filtering that can
affect their health issues.
environmental/hom
e condition
specifically
unfiltered water
supply.
Subjective:
Mrs. Arce states that they get
their water supply from the
water pump and store it in the
water jug as it is, they didn’t
bother to filter or boil it
because according to them the
storage has covered that’s
why they think it is already
safe to consume. Moreover,
their family is reducing their
bills which includes the gas.
maintenance and
personal
development due to
inadequate family
resources,
specifically:

Financial
constraints/limited
financial resources.

Lack of or
inadequate
knowledge
of
importance
of hygiene
and
sanitation
Lack of food storage facilities
CUES
1st LEVEL OF ASSESSMENT
Presence of Health Threats
Objective:
 Poor
During our merienda I
environmental/hom
observed that the mother is
e condition
meticulous in covering
specifically lack of
leftovers but is is in a hanging
food storage
basket, covered plate, and
facility.
non-functioning refrigerator
that makes the food remain
warm for longer and is not
completely sealed, permitting
the bacteria to grow faster.
2nd LEVEL OF
ASSESSMENT
Inability to provide a
home environment
conducive to health
maintenance and
personal
development due to
inadequate family
resources,
specifically:
 Financial
constraints/limited
financial resources.
Subjective:

Mrs. Arce didn’t have
functioning refrigerator for
the reason that they are
saving consumption of
energy-electricity because of
financial problem and they
just store the leftovers in a
covered plate or hanging
basket and their stock is
stored in nonfunctional
refrigerator.
Open receptacle of garbage/waste disposal
CUES
During my visit, I’ve
observed that one of their
disposal garbage does not
1st LEVEL OF ASSESSMENT
Presence of Health Threat
● Poor
environmental
Lack of or
inadequate
knowledge
of
importance
of hygiene
and
sanitation
2nd LEVEL OF
ASSESSMENT
Inability to make decisions
with respect to taking
appropriate health action
12
have a lid or referred to as an
open receptacle, because they
use pale as their waste
container which can create or
cause air pollution which can
expose health threat/risk to
the family.
condition
specifically
improper garbage
disposal and air
pollution
due to:

Low salience of the
problem
Inability to provide a home
environment conducive to
health maintenance and
personal development due to:
 Lack of skill in
carrying out
measures to
improve home
environment
Walking barefooted or inadequate footwear
CUES
During my visit, I’ve
observed that they do not
wear slippers when going to
nearby areas or socializing
with their neighbors.
1st LEVEL OF ASSESSMENT
Presence of Health Threat
 Unhealthful lifestyle
and personal
habits/ practices
specifically
inadequate
footwear.
2nd LEVEL OF
ASSESSMENT
Inability to provide a
home environment
conducive to health
maintenance and
personal
development due to
failure to see
benefits:
 Lack
of/inadequat
e knowledge
of
preventative
measures.
 Lack
of/inadequat
e knowledge
of hygiene
and
sanitation.
13
NURSING PRIORITIZATION
Nursing prioritization will help the community nurse organize the problems identified. Prioritizing
problems requires a systematic way of scoring so that problems are organized accurately in descending
fashion. The most prioritized problem is the problem that is relevant to the family and should be the
one mainly addressed. The nurse can only tackle one problem at a time, that’s why nursing
prioritization is important.
CRITERIA
ACTUAL
SCORE
COMPUTATION
JUSTIFICATION
I. Readiness for enhancement Capability for healthy lifestyle
NATURE OF THE
PROBLEM
MODIFIABILITY
OF THE
PROBLEM
PREVENTIVE
POTENTIAL
Wellness State = 3
3/3 (1)
1
Current knowledge = 1
Resources of the family =
1
Resources of the nurse =
0
Resources of the
community = 0
2/2 (2)
Gravity of the problem =
0
Duration of the problem
=0
Current management = 1
Exposure to high-risk
group = 0
2
0.33
1/3 (1)
SALIENCE OF
THE PROBLEM
Not a felt ned/problem =
0
0
0/2 (1)
Total=3.33
CRITERIA
COMPUTATION
It is a wellness state wherein they
are willing to achieve a higher level
of a healthy lifestyle, specifically
exercise.
The family has adequate
knowledge on how to take care of
their-selves. The family is
physically capable of improving
their lifestyle. The nurse in the
barangay center seldom visits. The
community has barangay workers
installed in the Barangay Center.
The Arce family has the ability to
make decisions in taking
appropriate health actions. Mrs.
Arce stated that they exercise often.
The family perceives the existence
of their need to enhance their
lifestyle, but it is not of immediate
attention for them, since they just
need to improve their habit in
exercising.
ACTUAL
SCORE
JUSTIFICATION
II. Improper drainage system
NATURE OF THE
PROBLEM
Health threat = 2
2/3 (1)
MODIFIABILITY
OF THE
PROBLEM
Current knowledge = 0.5
Resources of the family =
0.25
Resources of the nurse =
0
0.67
1.5
The problem is a health threat
because an open drainage system
can have harmful effects to a
family’s health, perhaps leading to
much more significant and severe
health problems.
The family are well aware and have
current knowledge about their open
drainage system since they have
plants to absorb the water coming
out from their drainage.
14
Resources of the
community = 0.25
1/2 (2)
PREVENTIVE
POTENTIAL
SALIENCE OF
THE PROBLEM
Gravity of the problem =
0.25
Duration of the problem
= 0.25
Current management =
0.75
Exposure to high-risk
group = 0.75
2/3 (1)
Problem but not needing
immediate attention
needed = 1
1/2 (1)
CRITERIA
0.67
0.5
The family however has limited
resources and skills on how to
improve their home environment.
The nurse in the community is not
present and the barangay doesn’t
have health facilities but they have
health care workers, therefore
addressing the problem and the
initiative to promote health to the
family that may possibly improve
their drainage system can be met.
However, the community does not
have the manpower and financial
resources to solve the problem.
The issue is moderately severe
because as Mrs. Arce stated, their
drainage system doesn’t seem to
affect them. The community hasn't
addressed the issue yet. Their
current management to address the
issue is by planting. There are kids,
ages 10 yrs. old and 6 yrs. old who
are considered to belong to a highrisk group in their area.
Mrs. Arce said that their drainage
system did not occur as a problem
to them so it did not need
immediate attention.
Total = 2.84
COMPUTATION
ACTUAL
SCORE
JUSTIFICATION
III. Noise Pollution and Disturbance of Sleep
NATURE OF THE
PROBLEM
MODIFIABILITY
OF THE
PROBLEM
Health Threat = 2
2/3 (1)
Current knowledge = 0.5
Resources of the family =
0
Resources of the nurse =
0
Resources of the
community = 0.5
0.67
1
0.5/2 (2)
PREVENTIVE
POTENTIAL
Gravity of the problem =
0.5
Duration of the problem
= 0.5
Current management = 0
Exposure to high-risk
group = 0.75
1.75/3 (1)
0.58
The problem is a health threat
because noise can induce
restlessness, sleep disturbances and
stress.
The family, and families residing
nearby know well the implication
of noise pollution in their health
and they have the current
knowledge but do not have
adequate resources to prevent it.
The community does not have
health facilities, but there’s health
care workers who can provide
health education to the community.
The community hasn't addressed
the issue yet. The family hasn't
been able to report the problem
because of the lack of confidence
to the agency/personnel. There are
children being exposed to
restlessness, and disturbance
brought about by the noise created
by their loud neighbors and dogs at
15
SALIENCE OF
THE PROBLEM
Serious problem
immediate attention = 2
2/2 (1)
1
Total=3.25
CRITERIA
ACTUAL
SCORE
COMPUTATION
noon and night.
The family said that the problem is
one of their major issues in their
community that requires prompt
response from the barangay.
JUSTIFICATION
IV. Improper garbage/refuse disposal of other neighbor
NATURE OF THE
PROBLEM
MODIFIABILITY
OF THE
PROBLEM
Health Threat = 2
2/3 (1)
0.67
Current knowledge = 0.5
Resources of the family =
0.5
Resources of the nurse =
0
Resources of the
community = 0.5
1.5
1.5/2 (2)
PREVENTIVE
POTENTIAL
Gravity of the problem =
0.5
Duration of the problem
= 0.5
Current management = 0
Exposure to high-risk
group = 0.75
0.58
1.75/3 (1)
SALIENCE OF
THE PROBLEM
Serious problem
immediate attention = 2
1/2 (1)
1
The problem is a health threat
because lack of cleanliness causes
poor environmental conditions that
may lead to health issues.
The Arce family knows well the
implication of cleanliness in their
house. However, their nearest
neighbor seems to not know the
implication of proper garbage
disposal as it affects the Arce
family. The family has manpower
resources to solve the problem. The
health care workers can provide
lectures to the community
regarding the proper garbage
disposal to minimize the presence
of health threats to the community.
They had been experiencing this
problem for 3 months. The family
has current management of the
problem as the mother always
cleans their house. However, she
hasn’t been able to discuss the
problem with the neighbor due to
lack of supportive relationship and
confidence with them. The family
is a high-risk group as they are
being affected with the improper
garbage disposal of their neighbor.
The Arce family is very well aware
of the problem that needs
immediate attention from the
barangay.
Total=3.75
CRITERIA
COMPUTATION
ACTUAL
SCORE
JUSTIFICATION
V. Unfiltered Water Supply
NATURE OF THE
PROBLEM
Health Threat = 2
2/3 (1)
0.67
MODIFIABILITY
Current knowledge =
1
The problem is a health threat
because presence of contaminants
in drinking water supply can lead
to short term or long term adverse
health effects
The Arce family aware that
16
OF THE
PROBLEM
0.25
Resources of the family =
0.25
Resources of the nurse =
0
Resources of the
community = 0.5
1/2 (2)
PREVENTIVE
POTENTIAL
Gravity of the problem =
0.25
Duration of the problem
= 0.25
Current management = 0
Exposure to high-risk
group = 0.5
0.5
1.5/3 (1)
SALIENCE OF
THE PROBLEM
Serious problem
immediate attention = 2
1/2 (1)
1
unfiltered drinking water could be
swarming with dangerous
microorganism but because of
financial constraints, Mrs. Arce
states that they didn’t filter or boil
it and they just cover the container
and drink as it is.. Moreover, their
family is reducing their bills which
includes the gas and electric
current.
The problem is moderately severe
for the reason that Mrs. Arce
stated, from the beginning of
building their family that is their
practice and the water they used to
drink that’s why they think they are
immune. Hence, they also covered
the container where they store the
water. The family is a high risk if
they continue of this practice, yes,
they stated that they have it
covered but still, their safety is not
secured without it being filtered.
The Arce family is very well aware
of the problem that needs
immediate attention from the
barangay.
Total=3.17
CRITERIA
COMPUTATION
ACTUAL
SCORE
JUSTIFICATION
VI. Lack of food storage Facilities
NATURE OF THE
PROBLEM
MODIFIABILITY
OF THE
PROBLEM
PREVENTIVE
POTENTIAL
Health Threat = 2
2/3 (1)
Current knowledge =
0.25
Resources of the family =
0.25
Resources of the nurse =
0
Resources of the
community = 0.5
1/2 (2)
Gravity of the problem =
0.5
Duration of the problem
= 0.5
Current management = 0
Exposure to high-risk
group = 0.5
1.5/3 (1)
0.67
1
0.5
The problem is a health threat
because improper food storage can
lead to several health problems,
including bacteria and mold
growth.
This problem is partially
modifiable since the family lacks
resources specifically in financial
aspects. However, appropriate
health teachings may correct this
problem.
The problem is low preventive
potential since there is a lack of
appropriate resources that could
solve this.
17
SALIENCE OF
THE PROBLEM
Serious problem
immediate attention = 2
2/2 (1)
1
The Arce family is aware of the
existing potential of a health threat
but they are taking this as problems
that need not much attention and
immediate action.
Total=3.17
CRITERIA
ACTUAL
SCORE
COMPUTATION
JUSTIFICATION
VII. Open receptacle of garbage/waste disposal
NATURE OF THE
PROBLEM
MODIFIABILITY
OF THE
PROBLEM
Health Threat = 2
2/3 (1)
0.67
Current knowledge = 0.5
Resources of the family =
0.5
Resources of the nurse =
0
Resources of the
community = 0.5
1.5
1.5/2 (2)
PREVENTIVE
POTENTIAL
Gravity of the problem =
0.5
Duration of the problem
= 0.5
Current management =
0.5
Exposure to high-risk
group = 0.75
0.75
2.25/3 (1)
SALIENCE OF
THE PROBLEM
CRITERIA
Problem but not needing
immediate attention = 1
1/2 (1)
COMPUTATION
0.5
The problem is a health threat
because open receptacles of
garbage disposal could create air
pollution which can expose health
threats to the family.
The family has adequate
knowledge on disposing. The
family have sufficient resources as
not only they use sacks as their
waste container but they also have
covered receptacle garbage
disposal in their house. The health
care workers in the community can
conduct health education and
advice that could eradicate the
possibility of problems that may
occur in the future.
The problem is highly preventable
since the Arce family knows the
possible risks of an open receptacle
garbage disposal as they have two
separate garbage disposals; one
inside their house for plastic waste
which is a covered receptacle and
the other one outside their house
which is an open receptacle.
Therefore, their neighbor who has
kids is a high-risk group as they’ll
encounter possible health threats
by the garbage disposal outside the
house of the Arce Family.
The family is aware of the problem
but does not need immediate
attention.
Total=3.42
ACTUAL
SCORE
JUSTIFICATION
VIII. Walking barefooted or inadequate footwear
NATURE OF THE
PROBLEM
Health Threat = 1
1/3 (1)
0.33
The problem is a health threat
because lack of knowledge in
preventative measures, hygiene and
sanitation that may lead to health
18
MODIFIABILITY
OF THE
PROBLEM
Current knowledge = 0.5
Resources of the family =
0.75
Resources of the nurse =
0
Resources of the
community = 0.75
2
2/2 (2)
PREVENTIVE
POTENTIAL
SALIENCE OF
THE PROBLEM
Gravity of the problem =
0.25
Duration of the problem
= 0.25
Current management = 0
Exposure to high-risk
group = 0.5
1/3 (1)
Problem but not needing
immediate action = 1
1/2 (1)
0.33
0.5
issues.
The Arce family knows the
implication of cleanliness in their
house because upon my
observation they left their slippers
outside their house when they go
inside but they sometimes forgot
their preventative measures and
body sanitation when they quickly
go to their neighbors and when
their neighbors notice it they make
them aware which will take them
immediate action.
They forget to use protective
measures but not every time, and if
the family is given adequate
knowledge, there will be lesser
risks for the children to acquire
diseases from the outside
environment without self
protection.
The Arce family does not perceive
this as a health problem
Total=3.16
PRIORITIZED HEALTH PROBLEMS
- 2
Problems
1. Improper garbage/refuse disposal of the other neighbor
2. Open receptacle of garbage/waste disposal
Score
3.75
3.42
The topmost priority of the family is the “Improper garbage/refuse disposal of the other neighbor”
garnering a score of 3.75. It is a health threat; Proper waste disposal is a strict responsibility towards
the environment. Therefore, the family must have an appropriate and well-maintained community to
live in and eradicate the possibility of health threats or health issues brought by the improper disposal
of the other family. This will promote protection to the environment and withdraw worse problems.
The second most relevant problem for the family is the “Open receptacle of garbage/waste disposal”
accumulating a 3.42 score. It is also a health threat to the family. Their house is vulnerable to disease
transmission if their waste is not properly covered and imposing proper disposal and proper measures,
will help the family avoid and reduce harm brought by it.
19
FAMILY NURSING CARE PLAN
HEALTH
PROBLE
M
FAMILY
NURSING
PROBLEMS
Improper
garbage/re
fuse
disposal of
other
neighbors
as a health
threat
Inability to
provide a
home
environment
conducive to
health
maintenance
and personal
development
due to:
a. Lack of
supportive
relationship
among the
neighbor
Failure to
utilize
community
resources for
health care
due to:
a. Lack of
trust/confide
nce in the
agency/perso
nnel
b. Fear of
consequence
s of actions,
specifically
social
consequence
s.
GOAL OF
CARE
After the first
visit to the
family, they
will be able
to have a
home
environment
conducive to
health
maintenance
as neighbors
will be able
to recognize
the condition
of the
problem.
OBJECTI
VES OF
CARE
After the
interventi
on
measures,
the family
will be
able to:
1. Gain
support
from the
other
neighbor
as they
explain to
them the
importance
of
environme
ntal
sanitation.
2. Their
neighbor
will be
able to
start to
initiate
proper
waste
segregation
and proper
cleaning to
their
house.
3. Their
neighbor
will give
importance
of a clean
environme
nt to the
health and
well-being
of the
family.
INTERVE
NTION
MEASURE
S
-Provide
health
teaching on
the
importance
of
maintaining
an
environment
conducive to
health
maintenance
and personal
development
and then
allow them
to reflect on
the health
teaching.
-Provide
health
teaching on
waste
segregation
and proper
cleaning and
allow them
to ask
questions
-Encourage
the neighbor
to clean
their
surrounding
s to avoid
any possible
risks to the
Arce Family
then discuss
to them the
possible
outcome if
they
continue not
cleaning
their
surrounding
s.
METHOD OF
NURSEFAMILY
CONTACT
 Home visit
 Observatio
n
 Interview
RE-SOURCES
REQUIRED
- Time and
effort of both
the family and
student nurse
- Initiative and
full
participation of
the neighbor in
applying proper
refuse disposal
-Fare for the
student-nurse
during home
visitation
-Visual aid for
teaching session
20
HEALTH
PROBLE
M
FAMILY
NURSING
PROBLEMS
Open
receptacle
of
garbage/w
aste
disposal as
a health
threat
Inability to
make
decisions
with respect
to taking
appropriate
health action
due to:
a. Low
salience of
the problem
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
GOAL OF
CARE
After the first
visit to the
family, they
will be able
to make
decisions
with respect
to taking
health action
and have a
home
environment
conducive to
health
maintenance
OBJECTI
VES OF
CARE
After the
interventi
on
measures,
the family
will:
1. Be able
to grasp
the
possible
effects of
their open
receptacle
waste
disposal.
2. Be able
to show
compliance
on
measures
on how to
properly
manage
their
garbage
bin.
INTERVE
NTION
MEASURE
S
-Discuss to
the
household
members all
the possible
harmful
effects of an
open
receptacle.
-Encourage
the family to
utilize
resources
like cans as
garbage
containers
making sure
that they are
left covered
-Provide
health
teaching on
skill in
carrying out
measures to
improve
home
environment
and then
allow them
to reflect on
the health
teaching.
METHOD OF
NURSEFAMILY
CONTACT
 Home visit
 Observatio
n
 Interview
RE-SOURCES
REQUIRED
- Time and
effort of both
the family and
student nurse
-Fare for the
student-nurse
during home
visitation
-Garbage cans
with cover
21
RECOMMENDATION
With the gathered data regarding the existing problems of the family, the student-nurse came
up with a family care plan to effectively address the issues. With this endeavor, the student nurse
brainstormed with the family to collaborate ideas and efforts. The following are the recommendations
and suggestions regarding the plan of care:
 The community should be aware of the consequences or possible communicable diseases
associated with poor sanitation.
 The members of the community should assume responsibility for contributing to the health of the
community.
 The individuals in the community should also be aware of their actions that may create and impact
disturbances and stress on the other families.
 The family should build trust and confidence in the Barangay workers to establish a strong
relationship to be able to address the problems or conditions that exist within the environment.
 The family should know how to utilize the available resources that are present in their area to
prevent the presence of possible diseases and to ensure a safe environment.
 Give importance to cleaning the surroundings to prevent the presence of health threats.
 The family should have a healthy relationship with its neighbor to improve their health and reduce
possible health risks that will occur in the future.
CONCLUSION
All in all, within the broad definition of community health, it addresses the concerns of the
family, which enables proper interventions that will force change, establish safety, an environment
conducive to health, and improvement to each family utilizing their knowledge and resources. It offers
a realistic view of a process that may benefit the entire neighborhood because of its tools for promoting
a well-integrated strategy to improve the health of the community.
22
ENVIRONMENTAL CONDITION
1. Ania nga klase ti kasilyas ti inkay us-usaren?

water scaled
3. Kasano met iti pagayusan ti danum nga aggapo iti lababo?
 Open
2. a. Ania kadi ti pagibelbelenganyo ti basurayo? (collection)
 open receptacle (Awanan ti kalub)

water scaled
23
b. Kasano ti pampamay-anyo ti basurayo?
 burning
5. a. Adda kadi dimguenyo (animalesyo)?
// YES
/___/ NO
Bulos kadi? ________ wenno nakapupok? __________
4. a. Sadino met ti pagal-alanyo ti danum nga in-inumenyo?

water pump
b. Ania ti pagik-ikkanyo iti danumyo? water jug
c. Adda kadi kalobna daytoy? // YES /___/ NO
d. Basta kadi lattan nga inumenyo? (Diretsoyo kadi nga in-inumenen?) // YES /___/ NO
24
7. Ania kadi ti pagiduldulinanyo ti makmakan?
 refrigerator
 natakkaban a plato (covered plate)
 basket a naibitin
6. observe the type of house construction and circle the number of the best description:

Heavy (house made of strong materials: i.e. galvanized sheets roofing, wood
or cement walls, wood or cement floor)
c. Adequacy of living space: 5 meters width
5 meters length
1 # of bedrooms
25