COLLEGE OF NURSING
CARLATAN, SAN FERNANDO CITY, LA UNION
FIRST LEVEL ASSESSMENT
HEALTH PROBLEM
WELLNESS
The community’s spiritual well-being
HEALTH THREAT
Improper waste disposal
TYPOLOGY OF NURSING PROBLEM
CUES JUSTIFICATION
Subjective: “haan nga nalaka ti biyag ngem
naragsak kamin nga makita nu naragsak
The community portrays an optimistic
metten dagiti annak mi. Ayos lang nu awan
atmosphere and positivity, which cleanses
unay iti teknolohiya tapno makaayayam ti
their well-being from all negative energy—
ubbing ijay war” Stated by Mr. Bentong.
another way of achieving the well-being of a
person.
Objective: People living in the community are
happy and satisfied just by seeing the beauty
of the children’s faces, even with the lack of
technology.
Subjective:”Awan pag bellengan mo ittoy isu
ibelbelleng mi langen kumkumpurmi dita,
This becomes a threat since the spread of
awan met maaramidan mi” Stated by
diseases and infection is high due to the poor
Mr.Tako.
sanitation and cleanliness of the community.
Objective: Garbages are seen everywhere in
their vicinity; even human excretes are seen.
Subjective:”Permi ngamin ti adayo na jay This becomes a health threat because the
 clinic mi ditoy ayan mi isu nga no adda community's health is uncared for, which
agsakit haan kame map mapanen ta awan could lead to severe diseases, infection, and
No visible health facility
met ti asideg nga klinik” Stated by Mr. Nell. even death.

Objective:

HEALTH DEFICIT Subjective: “ Kanayun nga uggot kamote ti

kan kanen mi ta isu met laeng ti adda nga
This is considered a health deficit because the
mula mi ditoy arubayan mi ken man mano
body has an imbalance of nutrients.
Malnutrition kame lang agsida ti kar karne” stated by Mrs.
Inadequate nutrients may cause a weak
Gena.
immune system and future illnesses.

Objective: Most children were visibly

overweight but suffering from malnutrition.
Their BMI was not in the normal range.

Subjective:”Kananayun ag takki dagitay

ubbing ditoy ken pati met dagitay annak min.
This becomes a health deficit since it causes
madik man ammo nu gappo iti maininom da
the body to lose more body fluids, such as
Diarrhea wennu makmakan da” Stated by Mrs. Aming.
sodium, chloride, and potassium, which leads
to dehydration due to electrolyte imbalance.

Objective: There are several reports of

children having runny stool in the
community.

FORESEEABLE CRISIS Subjective:”Mayat metlang kanyak nu aganak
pay ni baket ko. Inted ata ti Diyos ket
malamang awawirek dayta” Stated by Mr.
Overpopulation Bato.
This becomes a foreseeable crisis since
overpopulation creates inadequate space in
the living household, which can affect their
health. Overpopulation can also decrease
their resources to provide for the whole
community.
 Objective: Each household in the community
has at least more than five children.

Subjective: “Haan kame maka aw awat ti sao
nga tagalog ken english .. isu nga ilocano lang
ti ammo mi ta isu ti nakasanayan mi nga sao”
Language barrier Stated by Mr. kento.
This is considered a foreseeable crisis
because of the language barrier. Difficulty in
communication with healthcare workers may
occur, and miscommunication may happen
during health services.

Objective: The residents were not able to

understand the nurses when speaking in
tagalog or phrases in english.

COLLEGE OF NURSING
CARLATAN, SAN FERNANDO CITY, LA UNION

SECOND LEVEL ASSESSMENT

HEALTH PROBLEMS FAMILY NURSING DIAGNOSIS

HEALTH THREAT 1. Inability to provide a home environment conducive to health maintenance and personal
development due to:

a. Lack of/inadequate knowledge of preventive measures

Improper waste disposal
b. Lack of/inadequate knowledge of importance of hygiene and sanitation
No visible health facility 1. Inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable/at
risk member of the family due to:

a. Lack of the necessary facilities, equipment and supplies of care

b. Inadequate family resources of care specifically financial constraints

2. Failure to utilize community resources for health care due to:

a. Unavailability of required care/services

b. Lack of/inadequate knowledge of community resources for health care

HEALTH DEFICITS 1. Inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable/at
risk member of the family due to:

a. lack of/inadequate knowledge about the disease/health condition (nature, severity,

Diarrhea
complications, prognosis and management)

b. Lack of/inadequate knowledge or skill in carrying out the necessary intervention or

treatment/procedure of care (i.e. complex therapeutic regimen or healthy lifestyle
program).

Malnutrition 1. Inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable/at
risk member of the family due to:

a. Inadequate family resources of care specifically financial constraints

2. Inability to provide a home environment conducive to health maintenance and personal

development due to:
 a. Inadequate family resources specifically financial constraints/limited financial
resources

FORESEEABLE CRISIS 1. Inability to recognize the presence of the condition or problem due to:

a. Lack of or inadequate knowledge

Overpopulation
b. Attitude/Philosophy in life, which hinders recognition/acceptance of a problem

Language barrier 1. Inability to provide a home environment conducive to health maintenance and personal
development due to:

a. Ineffective communication pattern within the family

2. Inability to recognize the presence of the condition or problem due to:

a. Lack of or inadequate knowledge

 COLLEGE OF NURSING
CARLATAN, SAN FERNANDO CITY, LA UNION

PRIORITIZATION OF PROBLEMS
Health Problem: Diarrhea

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

A. Nature of the problem (3/3) x 1 1 The problem is a health deficit

Health Deficit that requires immediate
management and attention in
order to prevent negative health
consequences, reduce the
number of people suffering from
diarrhea, and prevent the disease
from spreading to other family
members.

B. Modifiability of the problem (2/2) x 2 2 The problem is easily modifiable.

The resources and interventions
Easily
needed to solve the problems are
available to the family, and the
family's knowledge of diarrhea
will also be taken into
consideration as well.

C. Preventive potential (3/3) x 1 1 The potential to prevent

problems is HIgh because an
High
increased number of people
 experiencing diarrhea can be
managed and prevented with the
assistance of health care facilities
and services for residents that
provide health teachings and
support.

D. Salience of the problem (2/2) x 1 1 This requires immediate

attention to prevent diseases and
High
infections caused by poor
sanitation and waste
management.

TOTAL SCORE 5
 COLLEGE OF NURSING
CARLATAN, SAN FERNANDO CITY, LA UNION

PRIORITIZATION OF PROBLEMS
Health Problem: Poor waste management.

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

E. Nature of the problem

Health threat ( 2/3 ) x 1 2/3 The problem is a health threat

that can lead to the spread of
diseases, air pollution,
respiratory problems,
psychological distress,
negatively impacting the health
and well-being of a community.

F. Modifiability of the problem The resources and interventions

to solve the problem are
available to the family and
( 2/2 ) x 2 2 community. The community can
Easily
 be educated about proper waste
disposal and its effect on the
health and well-being of
individuals in the community.
G. Preventive potential The possibility to lessen and
minimize the poor proper waste
disposal is high if health
( 3/3 ) x 1 1 education, resources for proper
High waste disposal are managed and
done early.

H. Salience of the problem This requires immediate

attention since it contributes to
( 2/2 ) x 1 1 diseases and infection due to
poor sanitation and waste
High management, which can affect
the community's health.

TOTAL SCORE 4⅔
 COLLEGE OF NURSING
CARLATAN, SAN FERNANDO CITY, LA UNION

PRIORITIZATION OF PROBLEMS
Health Problem: Overpopulation

CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

I. Nature of the problem (1/3) x 1 1/3 The problem states that it is a
foreseeable crisis, as
Foreseeable crisis overpopulation might not be a
threat, but it could still be an
incoming possible danger and a
risk that would have a long term
effect.
J. Modifiability of the problem (1/2) x 2 1 The modifiability of this problem
is partially modifiable, as the
death rate, declining rate of
Not Modifiable children, and increasing rate of
elders seem to pose a possible
qualification to modify the
 overpopulating adversity. Though
it is still not a possible cause for
an effective modification.
K. Preventive potential (1/3) x 1 1/3 The possibility of lessening and
minimizing the problem, or the
population, is low, as the
Low certainty of the people’s
compliance isn’t definite, and
half of the population wouldn’t
agree to a declining birth rate.
L. Salience of the problem (2/2) x 1 1 This problem requires serious or
immediate attention, as
overpopulation means an
Serious/High increased demand for food,
water, housing, energy,
healthcare, transportation, and
more. And all that consumption
contributes to ecological
degradation, increased conflicts,
and a higher risk of large-scale
disasters like pandemics.
TOTAL SCORE 2⅔
 COLLEGE OF NURSING
CARLATAN, SAN FERNANDO CITY, LA UNION

PRIORITIZATION OF PROBLEMS

THE LIST OF HEALTH PROBLEMS RANK ACCORDING TO PRIORITIES

RANK HEALTH PROBLEMS SCORE

1 Diarrhea 5
2 Poor waste management 4⅔
3 Overpopulation 2⅔

PREPARED BY:
LEDDA, Monica D.
LEE, Fiona Claire F.
LIM, Kevean Kimi D.
LUBRICA, Ronalie P.
MADAYAG, Richlyn Ezra O.

SUBMITTED TO: Mr. Kelvin M. Rioflorido, RN