A.
COMPUTING AND JUSTIFYING SCORES OF HEALTH PROBLEMS
DIRECTION: Encircle the actual standard scores and the scores that apply to the
family’s problems. Justify the scores you gave in the indicated column. Compute for
the sum of all the actual scores you have encircled and write them on the space
provided.
Family No. ___1_
Problem: Hypertension
Criteria Standards Score Weight Actual Justification
Score
1. Nature of the Health Deficit 3 0.7 It is Considered health
Problem Health Threat 2/ 1 threat because of the
Foreseeable Crisis 1 cause of emotional
problems of the family,
worrying to everyone’s
health because of the
health history of the
clan.
2. Modifiability Removable 2/ Inability to have
of the Partial Modifiable 1 2 2 sufficient control to self
Problem Not Modifiable 0 on preventing
hypertension due to:
A. Lack of Vitamin
Intake.
B. Failure to apply
healthy lifestyle
in the family.
C. Lack of physical
activities.
3. Preventive High 3 0.7 Taking a rest,
Potential Moderate 2/ 1 drinking a lot of
Low 1 water.
Avoid things/
situation that
causes stress.
Avoid alcohol
and fatty foods.
4. Salience of Needs immediate 2/ 1 Family views this as a
the Problem attention problem that needs
Does not need 1 1 immediate action.
immediate attention
Not a problem 0
4.4
TOTAL SCORE
Family No. __
Problem: cigarette smoking
Criteria Standards Score Weight Actual Justification
Score
1. Nature of the Health Deficit 3 0.8 It is Considered health
Problem Health Threat 2/ 1 threat because of the
Foreseeable Crisis 1 Presence of risk factors
of specific diseases
5. Modifiability Removable 2/ The problem can
of the Partial Modifiable 1 2 1 be partially
Problem Not Modifiable 0 modified
because the
client is aware of
various methods
for quitting
smoking but
does not use
them.
6. Preventive High 3 1 The prospect of
Potential Moderate 2/ 1 eliminating the
Low 1 smoking habit
exists:
accessible family
resources can be
used to support
growth and
proper
healthcare.
7. Salience of Needs immediate 2 0.7 The family sees it as a
the Problem attention minor issue that doesn't
Does not need 1/ 1 need to be addressed
immediate attention right away.
Not a problem 0
3.5
TOTAL SCORE
Family No. __
Problem: cigarette smoking
Criteria Standards Score Weight Actual Justification
Score
1. Nature of the Health Deficit 3 0.7 It is Considered health
Problem Health Threat 2/ 1 threat because of the
Foreseeable Crisis 1 Presence of risk factors
of the possible disease.
8. Modifiability Removable 2/ The problem can
of the Partial Modifiable 1 2 1 be partially
Problem Not Modifiable 0 modified
because the
client is aware in
how to properly
segregate
garbage.
9. Preventive High 3 1 Because they have a
Potential Moderate 2/ 1 BHW that will assist
Low 1 them in preventing the
problem, the preventive
potential is moderate.
10. Salience of Needs immediate 2 0.6 The family sees it as a
the Problem attention minor issue that doesn't
Does not need 1/ 1 need to be addressed
immediate attention right away.
Not a problem 0
3.3
TOTAL SCORE