Criteria

Scale for Ranking in Different

Health Problems
according toPriorities
Priorities

1. Nature of the Problem Presented

• Categorized whether a Health Threat, Health Deficit or Foreseeable
Crisis

2. Modifiability of the Problem

• Refers to the probability of success in minimizing alleviating or
totally eradicating the problem through health intervention

Factors:
– Current knowledge, technology and interventions to manage the
problem
– Resources of the family (physical, financial, manpower)
– Resources of the nurse (knowledge, skills, time)
– Resources of the community (facilities & community organization)
3. Preventive Potential
– Refers to the nature and magnitude of the future problem that can be
minimized or totally prevented if intervention is done in the problem.

Factors:
• Gravity and severity of the problem
• Duration of the problem
• Current management
• Expose of any high risk group

4. Salience
– Refers to the family perception & evaluation of the problem in terms
seriousness & urgency of attention needed.

– To determine the score for Salience, the nurse evaluates the family’s
perception of a problem. As a general rule, the family’s concerns and
felt needs require priority attention
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
----------------- X Weight
Highest Score

3. Sum up the scores for all the criteria. The highest score is 5, equivalent
to the total weight.

4. The higher the score (near 5 and above) of a given problem, the more
likely it is taken as a PRIORITY.

5. With the available scores, the nurse then RANKS health problems
accordingly.
 SCALE FOR RANKING FAMILY HEALTH PROBLEMS
ACCORDING TO PRIORITIES

Criteria Weight

1. Nature of the problem presented

Scale: 1
Health Threat……………. 2
Health Deficit……………. 3
Foreseeable Crisis……… 1

2. Modifiability of the Problem

Scale: 2
Easily modifiable………... 2
Partially modifiable……… 1
Not modifiable…………… 0
Criteria Weight

3. Prevention Potential
Scale: 1
High…………………….. 3
Moderate………………. 2
Low…………………….. 1

4. Salience
Scale: 1
A serious problem,
immediate attention………. 2
A problem but not needing
immediate attention………. 1
Not a felt need / problem….. 0
 SCALE FOR RANKING FAMILY HEALTH PROBLEMS ACCDG
TO PRIORITIES
Criteria Weight
1) Nature of the Problem 1
scale: Health Deficit 3
Health Threat 2
Foreseeable Crisis 1
2) Modifiability of the Problem 2
scale: Easily Modifiable 2
Partially modifiable 1
Low 0
3) Preventive Potential 1
scale: High 3
Moderate 2
Low 1
4) Salience 1
scale: Serious px, imm. Attn 2
Px, not needing imm. Attn 1
Not a felt need 0
Examples of computation

1. Intestinal infestation/parasitism (PRIORITY)

Criteria
1. Nature of the problem
Health Deficit 3/3 x 1 1

2. Modifiability of the problem

Partially modifiable ½x2 1

3. Preventive Potential
Moderate 2/3 x 1 2/3

4. Salience
A serious problem, immediate
attention 2/2 x 1 1

Total 3 2/3
 2. Inadequate nutrition

Criteria
1. Nature of the problem
Health Threat 2/3 x 1 2/3

2. Modifiability of the problem

Partially modifiable ½x2 1

3. Preventive Potential
Low 1/3 x 1 1/3

4. Salience
A serious problem, immediate
attention 2/2 x 1 1

Total 3
 3. Poor environmental sanitation

Criteria

1. Nature of the problem

Health Threat 2/3 x 1 2/3

2. Modifiability of the problem

Partially modifiable ½x2 1

3. Preventive Potential
Low 1/3 x 1 1/3

4. Salience
A problem but not needing
immediate attention. ½x1 ½

Total 2½
 - Is the set of actions the nurse decides to implement to be
able to resolve identified family health and nursing problems.

1. focuses on actions (designed to solve or alleviate

existing problems)….The PLAN is a Blueprint for action.
2. product of deliberate systematic process
3.continuous process
1. Clear definition of problem
2. Consistent with the goals & philosophy of the health agency
3. Realistic
4. It is drawn with the family…
nurse works with the family not for the family
5. Be kept in written form

- Provides individualized care

- Helps in setting priorities
- Promotes systematic communication
- Continuity of care
- Facilitate coordination of care