Dimaano, Heart Vallery S.

2NU04

IDENTIFICATION OF THE CASE

Patient’s Code Name: Mrs. No Space
Age: 29 years old
Nationality: Filipino
Civil Status: Single
Occupation: Vendor
Date of Last Admission: year 1994 due to Asthma Sources of Information:
Mrs. No Space

FIRST ASSESSMENT

LIST OF FAMILY PROBLEMS NATURE OF THE PROBLEM

varicella infection (chicken pox) Health threat

Medical history of asthma Health Deficit

Using charcoal for cooking Health threat

History of severe bleeding after delivery Health threat

History of preeclampsia Health threat

Medical history of ulcer from partner Health threat

Medical history of pneumonia from family Health threat

Lack of medical & prenatal checkups due to Health Threat

financial problem

Fire Hazard Stress Points/Foreseeable crisis

Unwanted Pregnancy Stress Points/Foreseeable crisis

 SECOND ASSESSMENT

1. LACK OF MEDICAL & PRENATAL CHECKUPS DUE TO FINANCIAL PROBLEMS

Problem Computation Computed score Justification

Category Health threat 0.33 This problem is a

2/3 x 1 health threat because
Mrs. No Space could
not afford a medical
& prenatal check up
for herself which
means that she does
not have any
knowledge and
treatment about the
complications she
and/or baby may
possibly have that
can be a danger to
their life.

Modifiability of the Easily modifiable 2 By relying on

Problem 2/2 x 2 insurance
companies, they may
be able to cover their
medical charges.

Preventive Potential High 1 As long as the

3/3 x 1 insurance provide
enough coverage to
the medical bills of
Mrs. No Space then
the financial problem
of the family
regarding this is
preventable.

Salience Serious problem & 1 In the perspective of

needs immediate the family, this is a
attention serious problem
2/2 x 1 because the family,
especially the mother,
may need medical
attention. The mother
 has skipped a
multitude of essential
prenatal check-ups
now that she is
6-months in her
pregnancy.

Total 4.33

2. VARICELLA INFECTION (CHICKEN POX)

Problem Computation Computed score Justification

Category Health Threat 0.67 This problem is a

2/3 x 1 health threat because
varicella infection or
chicken pox may
have an increased
risk for developing
pneumonia to the
baby.

Modifiability of the Easily modifiable 2 Since the mother did

Problem 2/2 x 2 not seek medical
attention due to the
constraints of money
the baby may already
have been affected.

Preventive Potential Moderate 2 Due to their situation,

2/3 x 3 they did not have
enough knowledge or
expenses to treat the
infection, it may have
been difficult to
prevent the disease
from spreading and
affecting the mother
and the baby.

Salience Did not feet a need 0 Due to Mrs. No

for immediate space’s lack of
attention knowledge of her
0/2 x 2 condition, she did not
seek medical
attention.

Total 4.67
3. UNWANTED PREGNANCY

Problem Computation Computed score Justification

Category Foreseeable crisis 0.33 An additional

1/3 x 1 member to the family
may affect the whole
family due to the
financial strain it may
cause.

Modifiability of the Partially Modifiable 1 This is partially

Problem 1/2 x 2 modifiable by having
enough support
system from the
family and family
planning. However
considering that this
is an unwanted
pregnancy, Mrs. No
space may
experience stress,
anxiety, and
emotional distress
due to the added
responsibility and
potential strain on the
family.

Preventive Potential High 1 In future scenarios,

3/3 x 1 with the help of
contraceptives,
unwanted
pregnancies can be
prevented as long as
the family is
educated.

Salience Problem & not 0.5 Mrs. No space went

needing immediate for a prenatal check
attention up despite confirming
1/2 x 1 that her pregnancy
was unwanted.

Total 2.83
4. FIRE HAZARD

Problem Computation Computed score Justification

Category Foreseeable crisis 0.33 The family’s house is

1/3 x 1 made out of wood &
bamboo. Moreover
they use charcoal for
cooking making the
whole family at risk of
a fire hazard.

Modifiability of the Partially modifiable 1 Due to the cost

Problem 1/2 x 2 constraints of the
family, they are
unable to renovate
their house with
much safer materials.

Preventive Potential Moderate 0.67 With the appropriate

2/3 x 1 amount of cost
savings, the family
will be able to fix their
house leading to a
reduced risk of fire
hazard.

Salience Serious problem & 1 The family showed

needs immediate concern about the
attention condition of their
2/2 x 1 home.

Total 3

5. HISTORY OF PREECLAMPSIA

Problem Computation Computed score Justification

Category Health threat 0.67 Mrs. No Space has

2/3 x 1 stated that she had
experienced
preeclampsia during
her past pregnancy

Modifiability of the Easily Modifiable 1 Considering the

Problem 1/2 x 2 financial problems of
the family, as long as
they rely on
insurance companies
they will be able to
cover enough
hospital bills in order
to get further
treatment. But
because of her
situation and her lack
of prenatal check ups
she may have further
complications.

Preventive Potential Moderate 0.67 With the appropriate

2/3 x 1 treatment & health
teaching, Mrs. No
Space will be able to
prevent further
complications of
preeclampsia.
However due to the
lack of prenatal check
up she may have
further complications.

Salience Problem, & not 2 Mrs. No space sees it

needing immediate as a threat as she
attention has a history of
1/2 x 2 preeclampsia.

Total 4.34

TOP 3 PRIORITY PROBLEMS

Top 3 Priority Health Problems Total Computed Score

varicella infection (chicken pox) 4.67

History of preeclampsia 4.34

Fire Hazard 3