B.

FIRST AND SECOND LEVEL ASSESSMENT


CUES/DATA FAMILY NURSING DIAGNOSIS

PRESENCE OF RISK FACTORS OF LIFESTYLE DISEASE AS A HEALTH THREAT

S = The mother stated that they only consume small Inability to make decision with respect to taking
amount of food and the foods that they consume are appropriate health action related to:
commonly composed of fried foods. She told that the a. Failure to comprehend the magnitude of the
preferred foods of her daughters are junk foods, street problem
foods and fried foods. Although she is aware that it is not b. inadequate knowledge as to alternative courses of
nutritious, the mother can’t help but to let her daughters action open to them
eat unhealthy foods instead of not eating. She also
believes that when her daughters grew up, they will then Inability to recognise the presence of risk factors of
consume more nutritious foods. They also seldom lifestyle diseases related to philosophy in life which
perform exercise in the form of zumba. The mother hinders recognition of problem
claimed that she and her children have inadequate rest
because of school works and projects. The mother also
believes that because of sleepless nights, her daughter
experiences headache. However, she perceived it as a
normal situation for a student.
O = The children are observed to be petite and Jhillian’s
height and weight is inappropriate to her age. Jhillian
also is observed to be pale and weak-looking.

PRESENCE OF RISK FACTORS OF DENGUE AS A HEALTH THREAT

S = The mother claimed that in their barangay, dengue
cases are prevalent because of the dike and canal that
surrounds their neighborhood. Thus, she makes her
daughter stay inside their house. She believes that her
daughters are safe by just keeping them inside their
house. She also said that since they are residing in a hot
place, they often open their windows even at night.
O = There is a dike present just outside their house
wherein it contains stagnant water. Their surrounding
neighbors have canal where number of mosquitos are
thriving. The drum containing water that is used for
cooking in their home is left uncovered.
Inability to recognise the presence of risk factors of
dengue related to philosophy in life which hinders
recognition of problem.
Inability to make decision with respect to taking
appropriate health action related to inadequate
knowledge as to alternative courses of action open to
them
Inability to provide a home environment conducive to
health maintenance and personal development related
to inadequate knowledge of preventive measures.
CUES/DATA FAMILY NURSING DIAGNOSIS
PRESENCE OF RISK FACTORS OF FOOD BORNE DISEASES AS A HEALTH THREAT

S = The mother stated that the food preference of Sherlyn is
fried and street foods. The mother claimed that neither of the
family members are vaccinated with Hepatitis B vaccine. The
mother believes that her daughter would not acquire such
disease because it is uncommon and rarely acquired by the
people in their community.
O = Sherlyn is observed to be eating “fishball” with sauce that
looks dark, used, and unclean with previous food remnants.
The drums that has water used for cooking is left uncovered.
Inability to recognise the presence of risk factors of food-borne
diseases related to inadequate knowledge about the problem
Inability to make decisions with respect to taking appropriate
health action related to
a. Failure to comprehend the magnitude of the problem
b. Low salience of the problem

UNHEALTHY LIFESTYLE AND PERSONAL HABITS-INADEQUATE EXERCISE AND INADEQUATE REST OR SLEEP AS A
HEALTH THREAT

S = The mother stated that they only consume small amount Inability to make decision with respect to taking
of food and the foods that they consume are commonly appropriate health action related to:
composed of fried foods. She told that the preferred foods of a. Inadequate knowledge as to alternative courses of
her daughters are junk foods, street foods and fried foods.
action open to them
Although she is aware that it is not nutritious, the mother can’t
b. Failure to comprehend the magnitude of the
help but to let her daughters eat unhealthy foods instead of
not eating. She also believes that when her daughters grew problelm
up, they will then consume more nutritious foods. They also
seldom perform exercise in the form of zumba. The mother Inability to recognise the presence of unhealthy lifestyle
claimed that she and her children have inadequate rest and personal habits related to attitude in life which
because of school works and projects. The mother also hinders recognition of problem.
believes that because of sleepless nights, her daughter
experiences headache. However, she perceived it as a normal
situation for a student.

POOR ENVIRONMENTAL CONDITION-PRESENCE OF BREEDING OT RESTING SITES OF VECTORS OF DISEASES AS A

HEALTH THREAT

S = She also said that since they are residing in a hot place, Inability to provide a home environment conducive to health
they often open their windows even at night. maintenance and personal development related to
O = There is a dike present just outside their house that inadequate knowledge of preventive measures.
contains stagnant water. Their surrounding neighbors have
canal where number of mosquitos are thriving. The drum
containing water that is used for cooking in their home is left
uncovered.
CUES/DATA FAMILY NURSING DIAGNOSIS

ACCIDENT HAZARD: FIRE HAZARD AS A HEALTH THREAT

O = The house is made up of cement and woods. The Inability to provide a home environment conducive to health
common materials in the house is made up of wood. The maintenance and personal development related to
distance between houses in the community is 10 meters. inadequate knowledge of preventive measures.
The population density is 400/ sq km. The whole
community is congested. There is also a presence of
extension that has numerous connections and wires
connected to it

PRESENCE OF POOR NUTRITION AS A HEALTH DEFICIT

S = The mother stated that they only consume small Inability to make decision with respect to taking
amount of food and the foods that they consume are appropriate health action related to:
commonly composed of fried foods. She told that the a. Failure to comprehend the magnitude of the
preferred foods of her daughters are junk foods, street problem
foods and fried foods. Although she is aware that it is not b. inadequate knowledge as to alternative courses of
nutritious, the mother can’t help but to let her daughters action open to them
eat unhealthy foods instead of not eating. She also
believes that when her daughters grew up, they will then Inability to recognise the presence of poor nutrition
consume more nutritious foods. They also seldom related to attitude in life which hinders recognition of
perform exercise in the form of zumba. The mother problem
claimed that she and her children have inadequate rest
because of school works and projects. The mother also
believes that because of sleepless nights, her daughter
experiences headache. However, she perceived it as a
normal situation for a student.
O = The children are observed to be petite and Jhillian’s
height and weight is inappropriate to her age. Jhillian is
observed to be pale and weak-looking. The computed
BMI of Jhillian is 14.82 which is interpreted as
underweight. While, the computed BMI of Sherlyn is
15.83 which is also interpreted as underweight.
BUENAVENTURA, MARANATHA RAQUEL M.
BSN II - G

FIRST LEVEL OF ASSESSMENT

HEALTH THREAT

• Presence of risk factors of lifestyle disease

> Nesil, the mother of the family stated that they only consume small amount of food and the foods that they consume
are commonly composed of fried foods.
> The preferred foods of Jhillian and Sherlyn are junk foods, street foods and fried foods.
>The mother of the family, is aware that it is not nutritious, the mother can’t help but to let her daughters eat unhealthy
foods instead of not eating. She also believes that when her daughters grew up, they will then consume more
nutritious foods.
> The family members seldomly engage in exercise in the form of zumba.
> The mother claimed that she and her children have inadequate rest because of school works and projects.
> The mother also believes that because of sleepless nights, her daughter experiences headache. However, she
perceived it as a normal situation for a student.

• Presence of risk factors of dengue

> The mother claimed that in their barangay, dengue cases are prevalent because of the dike and canal that surrounds
their neighborhood .
> The mother makes her daughter stay inside their house. She believes that her daughters are safe inside the house.
> There is a dike present just outside their house that contains stagnant water.
> Their surrounding neighbors have canal where numbers of mosquitos are thriving.
> The drum containing water that is used for cooking in their home is left uncovered.
> All of the windows in their Sala are observed to be widely open all the time.

• Presence of risk factors of food-borne disease

> The mother stated that the food preference of Sherlyn is fried and street foods.
> The mother claimed that neither of the family members are vaccinated with Hepatitis B vaccine.
> Sherlyn is observed to be eating “fishball” with sauce that looks dark, used, and unclean with previous food residues.
> The mother believes that her daughter would not acquire such disease because it is uncommon and is rarely
acquired by the people in their community.
> The drums that has water used for cooking is left uncovered.
• Unhealthy lifestyle and personal habits- inadequate exercise and inadequate rest or sleep
>Nesil, the mother of the family stated that they only consume small amount of food and the foods that they consume
are commonly composed of fried foods.
> The preferred foods of Jhillian and Sherlyn are junk foods, street foods and fried foods.
>The mother of the family, is aware that it is not nutritious, the mother can’t help but to let her daughters eat unhealthy
foods instead of not eating. She also believes that when her daughters grew up, they will then consume more
nutritious foods.
> The family members seldomly engage in exercise in the form of zumba.
> The mother claimed that she and her children have inadequate rest because of school works and projects.
> The mother also believes that because of sleepless nights, her daughter experiences headache. However, she
perceived it as a normal situation for a student.

• Poor environmental condition- presence of breeding or resting sites of vectors of diseases

> There is a dike present just outside the family’s house.
> The surrounding neighbors of the family have canal.
> The drum containing water that is used for cooking in their home is left uncovered.

• Accident hazard: fire hazard

> The house is made up of cement and woods.
> The common materials in the house is made up of wood.
> The distance between houses in the community is 10 meters.
> The approximated population density is 400/ sq km.
> The whole community is congested.
> There is also a presence of extension that has numerous connections and wires connected to it

HEALTH DEFICIT

• Presence of poor nutrition

>Nesil, the mother of the family stated that they only consume small amount of food and the foods that they consume
are commonly composed of fried foods.
> The preferred foods of Jhillian and Sherlyn are junk foods, street foods and fried foods.
>The mother of the family, is aware that it is not nutritious, the mother can’t help but to let her daughters eat unhealthy
foods instead of not eating. She also believes that when her daughters grew up, they will then consume more
nutritious foods.
> The family members seldomly engage in exercise in the form of zumba.
> The mother claimed that she and her children have inadequate rest because of school works and projects.
> The mother also believes that because of sleepless nights, her daughter experiences headache. However, she
perceived it as a normal situation for a student.
> The children are observed to be petite
> Jhillian’s height and weight is inappropriate to her age.
> The computed BMI of Jhillian is 14.82 which is interpreted as underweight. While, the computed BMI of Sherlyn is
15.83 which is also interpreted as underweight.
> Jhillian looks pale and weak.
WELLNESS

• Potential for enhanced family support

> Traditional nuclear type of family
• Potential for enhanced safe food and drinking water storage
> Screened small cabinet for food storage
> Drinking water storage with earthen jar with cover