1st Level of Assessment 2nd Level of Assessment

Problem Cues
PRESENCE OF WELLNESS CONDITION

Potential for Enhanced Management

of Hypertension

PRESENCE OF HEALTH DEFICIT

Elevated blood pressure

PRESENCE OF HEALTH THREAT
RISK FOR FALL
FORESEEABLE CRISIS
JUSTIFICATION OR EXPLANATION OF THE PROBLEM AND PRIORITIZATION

PRIORITIZATION

Health Deficit:: Elevated blood pressure

CRITERIA AND TOTAL INTERPRETATION AND SCORING AND ACTUAL SCORE

JUSTIFICATION COMPUTATION
NATURE It is an actual illness 3/3x1= 3
condition which is an
instance of failure in health
and illness condition. It
needs an urgent
intervention and requires
immediate attention to
prevent complications like
heart failure and multi-
system and organ failure.
MODIFIABILITY This health problem is 1.5/2x2= 1.5
considered to be easily
modifiablr because of the
following justification:

a. Current knowledge, .5
technology and
interventions are
widely available for
the treatment of
hypertension
b. The community
where the family .5
lives is rich in green
leafy vegetables and
fruits which are high
in fiber content and
meat is not a usual
part of the diet
which makes it low
in fat and sodium,
the health center
also gives free
antihypertensive
medications and BP
taking (Community
resources)
c. The rural health
midwife and
barangay health .5
workers are willing
and have time and
concern to help the
family as seen by
their desire to help
the student nurses
in assessing the
families in the
community.
(Manpower
PREVENTIVE POTENTIAL The problem has a low 0.75/3x1= 1.75
preventive potential
because:

a. Hypertension is a 0.75
severe disease
which may cause
complications in
various organs of
the body especially
the heart.Certain
interventions can be
done to resolve it
however strict
compliance to
treatment regimen
is needed (Severe)
b. The client 0.75
mentioned that
they have been
experiencing this
illness for years
which makes it
chronic (Long
duration)
c. The management 0.75
instituted by the
family is taking of
antihypertensive
medications and
eating more
vegetables than
meat.
d. Hypertension is not 3
a communicable
disease however,
the diet in a family
can be a factor for
development of
hypertension. In the
clients case, the diet
is appropriate and
adequate which
lessens the
vulnerability of
other members
SALIENCE The problem has a low 1 1
salience because:
a.the mother verbalized it is
very common to the old age
group. Furthermore shes
been taking medication
TOTAL SCORE 7.25
Wellness Condition: Potential for enhanced diet and nutrition regarding hypertension

CRITERIA AND TOTAL INTERPRETATION AND SCORING AND ACTUAL SCORE

JUSTIFICATION COMPUTATION
NATURE It is a wellness state that
serves as a transition from
a specific level of wellness
toa higher level and serves
as a premium for clients
effort to maintain a high
level wellness and public
health nurses effort to
assist families in health
promition, health
maintenance and disease
prevention
MODIFIABLITY This health problem is
considered to be easily
modifiablr because of the
following justification:

a. Current
knowledge,
technology and
interventions are
widely available for
the treatment of
hypertension
b. The community
where the family
lives is rich in green
leafy vegetables
and fruits which
are high in fiber
content and meat
is not a usual part
of the diet which
makes it low in fat
and sodium, the
health center also
gives free
antihypertensive
medications and BP
taking (Community
resources)
c. The rural health
midwife and
barangay health
workers are willing
and have time and
concern to help the
 family as seen by
their desire to help
the student nurses
in assessing the
families in the
community.
(Manpower)
PREVENTIVE POTENTIAL The problem has a low
preventive potential
because:

e. Hypertension is a
severe disease
which may cause
complications in
various organs of
the body especially
the heart.Certain
interventions can
be done to resolve
it however strict
compliance to
treatment regimen
is needed (Severe)
f. The client
mentioned that
they have been
experiencing this
illness for years
which makes it
chronic (Long
duration)
g. The management
instituted by the
family is taking of
antihypertensive
medications and
eating more
vegetables than
meat.
h. Hypertension is not
a communicable
disease however,
the diet in a family
can be a factor for
development of
hypertension. In
the clients case,
the diet is
appropriate and
adequate which
lessens the
 vulnerability of
other members
SALIENCE The problem has a low
salience because:
a.the mother verbalized it
is very common to the old
age group. Furthermore
shes been taking
medication
TOTAL

Health Problem: Risk for fall

CRITERIA AND TOTAL INTERPRETATION AND SCORING AND ACTUAL SCORE

JUSTIFICATION COMPUTATION
NATURE It is a health threat which is
a risk factor conducive to
the development of
injuries. These does not
require immediate
attention ascompared to
health deficits
MODIFIABILITY
PREVENTIVE POTENTIAL
SALIENCE
TOTAL