judiel editted

8/4/2019 JUDIEL EDITTED

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A.FAMILY STRUCTURE, CHARACTERISTICS AND DYNAMICS

NAME OF FAMILY

MEMBERS

AGE SEX CIVIL

STATUS

POSITION IN

THE FAMILY

RESIDENCE

1.Erlinda Bangis 58 Female Married Grandmother Temporary

2.Josephine Bangis 23 Female Single Mother Temporary

3.Kyla Bangis 3 Female Child Daughter Temporary

NARRATIVE:

The Bangis Family is a typical extended type of matriarchal family which consist of, Mrs.

Erlinda Bangis, Grandmother of Mrs. Josephine Bangis who is the housewife and her3

year-old daughter, Kyla Bangis.They have a good bonding relationship with each other

as evidenced by the verbalization of the grandmother, eto talagang anak ko mahal na

mahal ako dito pa ako tumira sa kanya kahit medyo pasaway ako at magdadalawang

taon na ako dito nakatira kasi dito ako nagpapagamot,mahal kasi sa amin ee, Eto

namang apo ko makulit din , pero sumusunod naman sa mama nya kasi pag hindi

papaluin sya Bangis Family dont have a hard time in terms of decision making

because each of them tend to consider each others opinion first before coming up with

the final decision especially regarding health matters. The mother takes care of the

household chores and their daughter Kyla. Sometimes, when the father is not around

the mother usually decides as verbalized by the client Pag wala yung asawa ko sa

bahay, Ako na mismo yung nagdedesisyon tapos pagkauwe nya pag uusapan namin,

katulad na lang pag si Kyla may sakit kung dadalin ko ba sya sa doctor o hindi?


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B. SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS

FAMILY

MEMBER

RELIGION ETHNIC

BACKGROUND

EDUCATIONAL

ATTAINMENT

OCCUPATION PLACE

OF

WORK

Rogelio

Cruz

Catholic Visaya High school

graduate

Factory worker Antipolo

Erlinda Catholic Visaya High school

graduate

Housewife none

Josephine Catholic Visaya High school

graduate

Housewife none

Kyla Catholic Visaya

NARRATIVE:

Low educational background seems to be an obstacle for Mr. Cruz to get a good

job. He wasnt able to continue his education in college and forced to work as a factory

worker receiving only P2100 per week. On the other hand, Josephine, like her husband,

wasnt able to continue her education in college too and decided to stay at home to take

good care of their first daughter .Mrs Erlinda Bangis also wasnt able to finish her

studies as evidenced by Hindi na ako nagkolehiyo, dati kasi hindi uso sa amin ung


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ganyan ee , maaga pa lang nag aasawa na agad , 17 years old ako nung nag asawa

ako tapos yung asawa ko 20 years old naman , kasi dati , noong panahon namin ,

pagkagraduate mo pwede ka ng mag asawa dahil noon yung mga babae puro gawaing

bahay lang tapos yung mga asawa sila ung magtatrabaho para sa pamilya nila.

The mpde of communication of the family is just a single cellphone. They dont have any

other line ( e.g. PLDT etc. ). The mode of their transportation is just a tricycle and a jeep

and its hard for them to other place because the tricycle is very limmited. They usually

walk until they come where they can ride a jeepney but most of the time they dont

have enough money to travel.

*There is no pie graph because there is a P200 Deficit

INCOME EXPENSES

three times a week

-P2,800 per week

-P8,400 per month

TOTAL :P8,400

Pagkain- P4,000

Upa- P1,500

Miscellaneus-P1,500

Kuryente- P700

Transportation-P600

Tubig- P300

TOTAL:P8,600


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NARRATIVE:

Mr. Cruzs monthly income is approximately P8,400 per month just enough to

pay for their monthly rent, electricity bill, food and expense. Most of the time, the

budget for health maintenance is being sacrifice and not given enough priority due to

lack of money. According to Josephine Bangis, she spends P250 per day to meet their

daily basic needs as verbalized by Araw araw siguro mga P250 ang gastos ko kasi ang

dami kong dapat bilhin katulad ng ulam naming para sa isang araw , tapos minsan may

mga gastusin pa na biglaan katulad ng pagbbili ko ng gamot pag may nagkakasakit sa

amin,Tapos , Yung upa pa namin, buti na lang talaga yung amo ng asawa ko

pinapatirhan kami dito kaso may bayad lang nga, Sa tubig lang at kurynte napupunta

ang sweldo ng asawa ko ee , minsan tataas minsan bababa , Meron din kaming mga

gastusin na biglaan, wala nga madalas matira sa sinasahod ng mister ko kung merun

man mga P30 lng un, buti nga kahit papaano aynakakaraos kami ee , sa sobrang hirap

ng buhay hindi ko alam saan ako kukuha ngpera pag nagkulang kami !

The Bangis are basically from Visayan. They migrated to Antipolo Maligaya I

hoping for a better life, but unfortunately they found out that the lifestyle in urban offers

very little opportunities. The family is a Roman Catholic. They sometimes attend mass

and since they are just one religion ,they follow everything that is required with

the client verbalization of Lahat kami katoliko dito , walang naiiba ,sa Diyos lang


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kami naniniwala at kung anu yung sinabi ng simbahan sinusunod naman namin

Minsan lang kami magsimba kasi lahat kami busy,Sa dami ba naman ng

ginagawa naming ee ! Laba , luto,plantsa , linis ng bahay , mag alaga kay kyla,

mamalengke, halos araw arawpagod ako at si nanay!

If you find the total expenses of the family, it is insufficient, the total expenses is

P8,600, but the income of the family is only P8400, it has a deficit of P200 and

Mrs.Josephine Bangis verbalizes. sobrang kulang yan, minsan hindi ko alam kung

paano pagkakasyahin yan, Minsan utang dito utang doon , syempre nakakahiya kasi

lagi ako nangungutang !.

C. HOME AND ENVIRONMENT

INTERIOR

NARRATIVE:

The lot and the home is just rented by the family to their boss. The housing

material used are mixed, both concrete and wood. The house is a Bungalow type which

is all purpose, the client verbalized Etong bahay namin ,maliit at masikip dito sa sala

kami natutulog , kumakain at nagpapalipas oras , para sa lahat sya kaya nga lang

madilim din kasi nga kulob minsan nga pagtabi-tabi kami natutulog nagkakahawaan

kami kasi sa sobrang sikip halos parang sardinas kami dito.The flooring is cemented

and they have 1 window for ventilation. The type of lighting used is electric. The

NAWASA supplies the water they used for drinking, cooking and general household.


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They have also water sealed toilet facility.The client verbalized also Malinis naman ang

tubig naming dito kahit papaano kasi NAWASA ang nagsusuplay ng tubig namin ,

Diyan kami kumukuha ng pang inom at pangluto.The family have also their refrigerator

where they store their foods.

LIVING SPACE

Total Floor area:

Length x Width = total floor area length= 4.45m

4.55m x 3.56m width= 3.56m

= 15.842 m

Total space requirement:

= Sum of TSR of all members of the family

For every Adult(>18y/o) =3.5 m

For every child(


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INTERPRETATION:

TFA>TSR =ADEQUATE LIVING SPACE

TFA


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The Bangis Famlily has poor ventilation because they have only one

window for ventilation , the result of the computation is 11.90% meaning they have poor

ventilation, their cloth is just hanging outside their windows and even in front of their

doors, or more specifically the cloth was placed around their house. The passageway of

air is not good as well as the light also because the area to which the air will enter is

limited only it may greatly affect their health because they may acquire different

diseases like asthma and respiratory diseases and also the spread of such

microoganism will be a threat to their health because of the poor ventilation the

communicable disease will be greater than to be lessen. As the mother verbalized wala

ako masampayan [ag ganitong marami akong labahin at lalo na kapag umuulan ang

ginagawa ko pinapasok ko yan mga damit sa loob at yung iba sa harap ng pinto okaya

sa sinasabit ko sa bintana para d mabasa pag umuulan.

EXTERIOR

The Bangis Family dispose their garbage in a can and then it will be collected by

the truck with client verbalization of Kinokolekta ung basura namin tuwing huwebes ng

umaga bandang 9:00 ng umaga,Minsan pag wala pa tiatakpan ko na lang ito tapos

nakalagay sa plastik. The family is near the canal , where there is stagnant water and

different mosquitoes are seen.The kind of houses in the community they have is

congested , the houses are close to each other , there are no spaces in between

houses. The family usually seek medical assistance in Health Centers with the client

verbalization of Sa may center ko pinapacheck up si nanay sa diabetes nya pati si kyla

din pag may sakit, tapos minsan nga kulang- kulang din ang gamit nila ee , minsan wala


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ng gamot o nauubusan na, walang bayad kaso matagal dyan ee kasi maraming pamilya

din ang nagpapacheck up They use their cellphones for communication and they ride a

jeep for transportation.

The other one that we noticed that,they dont have any pets such as dogs or

cats, but their cloth (e.g. T- shirt, short, and etc) is just hanging outside their windows

and even in front of their doors, or more specifically the cloth was placed around (e.g

window and door)their house. The family has many unnecessary types of equipment

(e.g. broken cabinets and televisions). within their house, it occupies big space, and

with that set-up the space for the family members is limited. For this instance, the

adequate amount of air is not able to past through the house. The area is poor in

ventilation and due to many things that are scattered around their living area there are

some social facilities near to them (e.g house and wharehouse) where in

they can socialize

D. HEALTH STATUS OF EACH FAMILY MEMBER

NUTRITIONAL ASSESSMENT

NAME AGE HEIGHT WEIGHT Wrist

measurement

BMI REMARKS

Erlinda

Bangis

58 1.48m 46.36kg 17cm 21.17 NORMAL

Josephine

Bangis

23 1.44m 49.55kg 18cm 23.93 NORMAL


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DEGREE OF MALNUTRITION (karla all family members daw to )

NAME Degree of malnutrition Remarks

Kyla Bangis 77.92% 1st

degree malnutrition

BMI= WEIGHT IN KILOGRAMS/ HEIGHT IN m

(Ung Computatiions nito lagay din daw dito )

REMARKS:

BELOW 16- MALNOURISHED

16-19 -UNDERWEIGHT

20-25 -NORMAL

26-30 -OVERWEIGHT

31-40 -MODERATELY TO SEVERELY OBESE>40 -MORBIDLY OBESE

COMPUTATION: BMI (ERLINDA BANGIS)


46.36 KG / ( 1.48 m)

=46.26kg / 2.1904 m

=21.17- NORMAL

COMPUTATION: BMI (JOSEPHINE BANGIS)


=49.55kg / 1.44m

=49.55kg / 2.0736m

=23.93AT RISK

COMPUTATION: BMI (KYLA BANGIS)


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Degree of malnutrition:

= actual body weight / ideal body weight x 100

Ideal body weight= age in years x 2 + 8

3 x 2 + 8 =14

10.91kg/14kg x 100

=77.93 % = 1ST DEGREE MALNUTRITION

INTERPRETATION:

110 AND ABOVE =OBESE

90-109 =NORMAL

75-89= 1ST

DEGREE MALNUTRITION

60-75=2ND

DEGREE MALNUTRITION

NARRATIVE:

The Bangis Family has a problem regarding malnutrition because the family is

Not in a balanced diet because they usually eat meats not vegetables, the daughter of

Mrs.Josephine Bangis prefer noodles than vegetables, Mrs,Erlinda Bangis has a normal

BMI, Mrs.Josephine is risk of being obese because she is near the borderline ,

While her daughter Kyla Bangis is suffering from 1 st degree malnutrition , she is very

small and thin which is not appropriate for her age.

Mrs. Erlinda Bangis is a DM patient , she already diagnosed of having the


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Disease when she was 30 years old, she sometimes seek medical assistance in

Mambugan Health Center , She doesnt take any maintenance but she just self

Medicate by taking Ampalaya Plus to lower her sugar level , she also do some

household chores like cleaning the house and helping her daughter in laundryng.

She doesnt have any doctor for her diabetes. Her usual blood sugar level is 180, she

Frequently urinates and get thirst easily.

E.VALUES,HABITS,PRACTICES ON HEALTH PROMOTION, MAINTENANCE AND

DISEASE PREVENTION

Immunization Status of each family member

FAMILY MEMBER AGE BCG HEPA

B

DPT OPV MEASLES

Josephine Bangis 23

Kyla Bangis 3

The Bangis Family has a completed their vaccination when they were still

young ,Mrs.Erlinda Bangis verbalized Noong bata pa ako kumpleto ako ng bakuna ,

kasi sa amin sa probinsya may libreng bakuna kaya nga pati yang anak ko ay

kumpleto din ee,Hindi ko lang matandaan kung kelan ako pinabakunahan ng

nanay ko at nakalimutan ko din kung kalian yang anak ko pero pinabakunahan

ko yan , lahat sila ng mga kapatid nila kumpleto. Si Kyla din pinabakunahan ng

nanay nya kaso dito na sa antipolo, Siguro mga 2008 un , bandang July un


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ee ,kumpleto yan kasi kasama pa ako pagnagpapabakuna yang apo ko. Mrs.

Erlinda Bangis cant recall the year when she had her vaccination and also her

daughter, She just stated that they both completed their vaccination .Kyla Bangis

also has a presence of scar in her right shoulder which means that she had

already a BCG immunization.

The Bangis Family usually eat 3 times a day , Kyla usually prefer to eat noodles

while Mrs. Erlinda Bangis is having is balanced meal because she has a diabetes , she

usually eat 1 cup of rice and she avoids salty and fatty foods , while Mrs. Josephine

eats whatever food is served.

They usually seek medical assistance in Mambugan Health Center, If they dont

have money to buy for medicines they just self medicate. Mrs.Erlinda is the only one

who has disease in the family and usually self medicateby taking Ampalaya Plus to

lower her sugar level.

The family usually drink occasionally , they are moderate drinkers

No one in the family smokes except Mr. Bangis who is usually not in the house.


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III.TYPOLOGY

FIRST LEVEL OF ASSESSMENT:

1st

DEGREE OF MALNUTRITION TYPOLOGY

CUES/DATA

SUBJECTIVE:

Si Kyla payat yan ! Kasi mahilig yan sa

noodles tapos hindi sya umiinom ng gamot

o kaya vitamins , kumakain naman sya

kumain kahit papaano yun nga lang hindi

sya masyado mahilg sa gulay

OBJECTIVE:

BMI=18.4

BMI= weight in kg/ (height in meters) sq

=10.91/(.77m)sq

=10.91/0.5929

=18.40

Health Deficit


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DIABETES MELLITUS TYPOLOGYCUES/DATA

SUBJECTIVE:

Matagal na akong may diabetes . 30

years old ako nung nagsimula ung

diabetes ko , 20 years na akong may

diabetes, minsan lang ako magpacheck

up, yung huling check up ko nung

nakaraang taon pa, 150 nga ee, mataas

daw, yung iniinom kong gamot para

bumababa yung diabetes ko amapalaya

plu lang , wala akong maintenance na

iniinum minsan nagpapawis ko

nagwawalis dyan sa bakuran

OBJECTIVE:

The complications of diabetes is seen with

Mrs. Erlinda Bangis because she

frequently go to the comfort room while we

It is considered as Health Deficit


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are having the interview, She also get

thirsty easily

( medication saka level of sugar,)

POOR LIGHTING and POORVENTILATION

TYPOLOGY

CUES/DATA

SUBJECTIVE:

Bukod sa masikip at maliit ang bahay

namin,madilim din kasi isang maliit na

ilaw lang ang nilagay namin sa sala para

hindi din magastos sa kuryente , mahirap

ang buhay ee , minsan tumataas ang

kuryente minsan bumababa kaya mabuti

ng magtipid dahil sa hirap ng buhay tapos

pag natutulog kami sobrang init dahil isa

lang ang bintana naming kulang na lang

mahalikan kami buti nga walang may

sakit sa amin baka magkahawa hawa

kami

Health Threat


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OBJECTIVE:

The house is very dark inside because

they use one light bulb only and they use

also the sunlight as alternative source of

light.

Ventilation= Total window opening x (length x

width) / total floor area X 100

Length= 1.3m

Width= 1.45mLength x width

1.3m x 1.45m

= 1.885m

Ventilation:

1.885m / 15.842m x 100

= 11.90%= POOR VENTILATION


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PRESENCE OF POOR HOME

ENVIRONMENTAL CONDITION

TYPOLOGY

CUES/DATA

SUBJECTIVE:

Dito sa labas namin, tabi kami ng canal

kaya makikita mo medyo malamok dahil

nga nakabukas yang malaking canal na

iyan , minsan nga umaamoy pa yan ee

kumakalat yung amoy sa amin at sa mga

kapit bahay, Nagkaroon na din ng dengue

sa lugar na amin kasi yung mga tubig

naiistock lang

OBJECTIVE:

The house is near the canal where there is

stagnant water and the mosquitoes are

present in the water , besides there is a

presence of cockroaches and small

rodents in the canal .It smells bad also

It is considered as Health Threat


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because the canal is open

SECOND LEVEL OF ASSESSMENT:

MALNUTRITION TYPOLOGY

CUES/DATA

SUBJECTIVE:

Si Kyla payat yan ! Kasi mahilig yan sa

noodles tapos hindi sya umiinom ng gamot

o kaya vitamins , kumakain naman sya

kumain kahit papaano yun nga lang hindi

sya masyado mahilg sa gulay

OBJECTIVE:

BMI=18.4

BMI= weight in kg/ (height in meters) sq

=10.91/(.77m)sq

=10.91/0.5929

=18.40

Malnutrition as health Deficit

Inability to recognize the presence of the

condition or problem due to:

a) inadequate knowledge.


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DIABETES MELLITUS TYPOLOGY

CUES/DATA

SUBJECTIVE:

Matagal na akong may diabetes . 30

years old ako nung nagsimula ung

diabetes ko , 20 years na akong may

diabetes, minsan lang ako magpacheck

up, yung huling check up ko nung

nakaraang taon pa, 150 nga ee, mataas

daw, yung iniinom kong gamot para

bumababa yung diabetes ko amapalaya

plu lang , wala akong maintenance na

iniinum minsan nagpapawis ko

nagwawalis dyan sa bakuran

OBJECTIVE:

The complications of diabetes is seen with

Mrs. Erlinda Bangis because she

Diabetes Mellitus as Health Deficit.

Inability to recognize the presence of the

condition or problem due to:

A.Lack or inadequate knowledge

I.Inability to make decisions with respect to

taking appropriate health action due to:

A.Lack of financial assistance

Health deficit -Diabetes

>inability to provide nursing care to the sickdisabled, dependent or vulnerable/ at risk of

family due to:

ignorance of facts about the disease/ healthcondition


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frequently go to the comfort room while we

are having the interview, She also get

thirsty easily

POOR LIGHTING and POOR

VENTILATION

TYPOLOGY

CUES/DATA

SUBJECTIVE:

Bukod sa masikip at maliit ang bahay

namin,madilim din kasi isang maliit na

ilaw lang ang nilagay namin sa sala para

hindi din magastos sa kuryente , mahirap

ang buhay ee , minsan tumataas ang

kuryente minsan bumababa kaya mabuti

ng magtipid dahil sa hirap ng buhay buhay

tapos

pag natutulog kami sobrang init dahil isa

lang ang bintana naming kulang na lang

mahalikan kami buti nga walang may

sakit sa amin baka magkahawa hawa

kami

OBJECTIVE:

Inadequate living space as a healththreat

Inability to provide home environment

conducive to health maintenance due

to:

A.Inadequate family resources

specifically :

-financial resources

-mechanical resources


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The house is very dark inside because

they use one light bulb only and they use

also the sunlight as alternative source of

light.

Ventilation= Total window opening x (length

x width) / total floor area X 100

Length= 1.3mWidth= 1.45m

Length x width1.3m x 1.45m

= 1.885m

Ventilation:

1.885m / 15.842m x 100= 11.90%

= POOR VENTILATION

PRESENCE OF BREEDING OR RESTING

SITES OF VECTORS OF DISEASES LIKE

TYPOLOGY


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MOSQUITOES, FLIES ,RODENTS AND

COCKROACHES

CUES/DATA

SUBJECTIVE:

Dito sa labas namin, tabi kami ng canal

kaya makikita mo medyo malamok dahil

nga nakabukas yang malaking canal na

iyan , minsan nga umaamoy pa yan ee

kumakalat yung amoy sa amin at sa mga

kapit bahay, Nagkaroon na din ng dengue

sa lugar na amin kasi yung mga tubig

naiistock lang

OBJECTIVE:

The house is near the canal where there is

stagnant water and the mosquitoes are

present in the water , besides there is a

presence of cockroaches and small

rodents in the canal .It smells bad also

because the canal is open

Presence of Vectors and Rodents as Health

Threat

1.Inability to recognize the health threat due to

lack of

knowledge about the condition.

2.inability to make decisions with regards to the

management of the condition due to the failure

on identifying what measures are appropriate.

3.Inability to provide home conducive to health

maintenance

and personal development due to ignorance in

preventive measures


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IV .SCALING AND RANKING

Malnutrition

CRITERIA Computation ACTUAL SCORE JUSTIFICATION

Nature of the problem 3/3 x1 1 Illness state,

regardless ofwhether diagnosed or

not by

medical practitionerspecifically

weight and height of

Kyla is a

health deficitModifiability of theproblem

1 /2 x2 1 The clientsknowledge is

available but the

resources are

not enough to solvethe problem.

Preventive Potential 3/3 x1 1 The susceptibility to

other

diseases and infection

can beprevented if the

problem is solve and

achieved.Salience of the

problem

2 /2 x1 1 The family recognize

theexistence of the

problem needing

immediate attention

as evidence by familyverbalization of

mapili sa pag kain si

kyla puro noodlesayaw kumain ng

gulay.TOTAL SCORE 4


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Diabetes Mellitus of Mrs.Erlinda BangisCRITERIA Computation ACTUAL SCORE JUSTIFICATION

Nature of the problem 3/3 x1 1 Illness state,regardless of

whether diagnosed ornot by

medical practitionerspecifically

the Diabetes Mellitus

of Mrs.Erlinda Bangis

Modifiability of the

problem

1 /2 x2 1 The clients

knowledge isavailable, but the

physical,

financial resources of

the familyare not enough to

solve the

problem.Preventive Potential 2/3 x1 2/3 The possibility of

occurrence ofcomplications related

to Diabetes Mellitus

can be controlled

Salience of the

problem

2 /2 x1 1 The family recognize

the

existence of theproblem needing

immediate attention as

the client verbalized

madalas ako maiheat minsan nilalangam

ang aking iheTOTAL SCORE 3 2/3

Poor home/environmental condition specifically presence of breeding sites of vectors and

rodents.


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CRITERIA Computation ACTUAL SCORE JUSTIFICATION

Nature of the problem 2/3 x1 2/3 Poorhome/environmental

condition specifically

poor

lightning andventilation is a

health threat.Modifiability of the

problem

2 /2 x2 2 The problem can be

partially

modifiable sinceavailability of

family resources is

not enough to

solve the problemPreventive Potential 3/3 x1 1 The occurrence of

coughs, colds andother diseases

Salience of the

problem

0/2 x1 0 The family doesnt

recognize the

existence of the

problem

TOTAL SCORE 3 2/3

PRIORITIZED HEALTH PROBLEMS:

The list of health conditions or problems ranked according to priorities is presented:


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HEALTH CONDITIONS OR PROBLEMS SCORES

Poor home/environmental condition specificallypresence of breeding sites of vectors and rodents. 4 2/3

Illness state, regardless of whether diagnosed or

not by medical practitioner specifically weight

and height of Kyla Bangis4

Illness state, regardless of whether diagnosed ornot by medical practitioner specifically the

Diabetes Mellitus of Mrs.Erlinda Bangis

3 2/3

Poor home/environmental condition specifically

poor lighting and ventilation

2 2/3

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