PRIORITIZATION

1. Hypertension

Criteria Computation Actual Score Justification

Hypertension is a Health
deficit in which will
cause complications that
1. Nature of the
3/3 x 1 1 requires immediate
problem
attention and adequate
management of one’s
blood pressure.
Current knowledge,
interventions and
2. Modifiability of resources are available
2/2 x 2 2
the problem to solve the problem of
high blood pressure or
hypertension
Increase blood pressure
can be prevented
3. Preventive through proper health
3/3 x 1 1
Potential teaching and proper
health management of
hypertension.
The family perceives
4. Salience of the Hypertension as a
2x 1 1
Problem serious problem needing
attention
TOTAL SCORE 5

2. Smoking

Criteria Computation Actual Score Justification

1. Nature of the 2/3 x 1 0.66 Smoking is a health
Problem threat in which may
cause a major risk in
one’s health
however does not
demand immediate
action
 2/2 x 2 2 Current knowledge
2. Modifiability and resources are
of the available and
Problem interventions are
feasible in the
elimination of
smoking
3. Preventive 3/3 x 1 1 Smoking can be
Potential stopped, reduced or
minimized

4. Salience of 1/2 x 1 0.5 The family

the Problem recognizes it as a
problem. It does not
seem the problem as
needing immediate
action.
TOTAL SCORE 4.16

3. Inadequate Living Space

Criteria Computation Actual Score Justification

It is a health threat that
1. Nature of the
2/3 x 1 1.67 does not need or demand
problem
immediate action.
Increasing the living
space will require quite a
2. Modifiability of financial expenditure.
1/2 x 2 1
the problem The family’s resources
are presently not
adequate.
Increasing the living
space will provide
3. Preventive bigger space to allow
3/3 x 1 1
Potential adequate movements
when performing
housework.
 It is not perceived as a
4. Salience of the
0/3 x 1 0 problem or condition
Problem
needing change.

TOTAL SCORE 3.67

THE PRIORITIZED HEALTH PROBLEMS:

RANK 1 HYPERTENSION 5
RANK 2 SMOKING 4.16

RANK 3 INADEQUATE LIVING 3.67

SPACE
 1. HYPERTENSION

HEALTH TEACHING

Good morning Mrs. Estrella, we’re student nurse Elaine de Leon and Mark
Aquino from UERM. We would like to discuss about high blood pressure also known as
hypertension.

A normal blood pressure ranges from a systolic pressure of 100 to 140 and it
diastolic pressure of 60 to 90.

Hypertension or High Blood Pressure generally means when systolic blood

pressure is consistently over 140 (systolic pressure represents the pressure generated
when the heart beats) and diastolic blood pressure is consistently over90 (diastolic
pressure represents the pressure in the vessels when the heart is at rest.

Usually, no symptoms are present. Occasionally, you may experience a mild

headache. If your headache is severe, or if you experience any of the symptoms below,
you must be seen by a doctor right away. These may be a sign of dangerously high blood
pressure called malignant hypertension or a complication from high blood pressure. You
may also experience tiredness, confusion, vision changes, crushing chest pain, heart
failure, and blood in urine, nosebleed, irregular heartbeat and ear noise or buzzing. Blood
pressure elevated systolic of 140 and diastolic of 90 at any single measurement is
considered as hypertension.

High blood pressure happens because of sedentary lifestyle, smoking, obesity, diet
(fat, cholesterol-rich and salty food), alcohol, and stress.

Also, certain complications may develop if blood pressure is not monitored and
maintained. These are the following:

Stroke --High blood pressure is the most important risk factor for stroke. Very
high pressure can cause a break in a weakened blood vessel, which then bleeds in
the brain. This can cause a stroke. If a blood clot blocks one of the narrowed
arteries, it can also cause a stroke.

Impaired Vision --High blood pressure can eventually cause blood vessels in the
eye to burst or bleed. Vision may become blurred or otherwise impaired and can
result in blindness.

Arteriosclerosis --As people get older, arteries throughout the body "harden,"
especially those in the heart, brain, and kidneys. High blood pressure is associated
with these "stiffer" arteries. This, in turn, causes the heart and kidneys to work
harder.
 Heart Attack-- High blood pressure is a major risk factor for heart attack. The
arteries bring oxygen-carrying blood to the heart muscle. If the heart cannot get
enough oxygen, chest pain, also known as "angina," can occur. If the flow of
blood is blocked, a heart attack results.

Congestive Heart Failure-- High blood pressure is the number one risk factor for
congestive heart failure (CHF). CHF is a serious condition in which the heart is
unable to pump enough blood to supply the body's needs.

You can take steps to prevent high blood pressure by adopting a health lifestyle.
These steps include maintaining a healthy weight; being physically active; following a
healthy eating plan, that emphasizes fruits, vegetables, and low fat dairy foods; choosing
and preparing foods with less salt and sodium; and, if you drink alcoholic beverages,
drinking in moderation.

Hypertension is controllable with treatment. It requires lifelong monitoring, and

the treatment may require adjustments periodically.

A healthy diet may also reduce the risk of hypertension and the maintenance of a
normal blood pressure. Minimize salt, fat, and cholesterol intake in the body. Not only it
caused hypertension may also contribute to heart disease which may lead to hypertension.

Herbal medicine like GARLIC (BAWANG) has been used to lower cholesterol
levels in the body and may help lowering blood pressure. Garlic may be fried, roasted,
soaked in vinegar for 30 minutes, or blanched in boiled water for 5 minutes. Take two
pieces three times a day after meals. Take on full stomach to prevent stomach and
intestinal ulcers.
 Health Family Nursing
Goal/ Objective Intervention Rationale Evaluation
Problem Problem
Hypertension 1. Inability to General: 1. Broaden the -will develop an -discussed
recognize the After nursing knowledge of the awareness/ Hypertension on
presence of possible intervention, the family family on understanding patient’s level of
complication in will take the necessary Hypertension in the about the health understanding.
hypertension due to measures to prevent patient’s level of condition
lack of knowledge. and properly manage understanding by
hypertension. providing pamphlets
2. Inability to decide and pictures:
about taking Specific:
appropriate action After nursing a. Discuss the
due to failure to Intervention, the meaning of
comprehend the family: hypertension and
nature, magnitude a. can understand importance of
and scope of the and explain maintaining a
problem. hypertension normal blood
pressure
3. Inability to b. Will be able to
provide adequate plan and prepare b. Discuss the
nursing care to a the appropriate implications of
member suffering meals. the signs and
from hypertension symptoms of
due to: c. Will be able to do hypertension
a. lack of knowledge exercises and
about the heath activities that will c. Discuss the
condition; improve one’s cause, effects and
health and consequences of
b. lack of prevent increase hypertension
knowledge on the in blood pressure.
nature and extent of d. Discuss the
nursing care needed. d. Will be able to prevention and
take the treatment of - for proper - Family was able
appropriate Hypertension food selection to identify
medication and and healthy appropriate food
treatment 2. Discuss with the food preparation selection and
family the proper that will lessen preparation in
food selection and increase in lessening cholesterol
food preparation in blood pressure level in blood.
preventing
hypertension such as
preventing salty, high
in fat and high in
cholesterol food and
more of vegetables - to improve the -discussed possible
and fruits. mother’s health exercises and
condition and activities and
3. Discuss the possible prevention of recommended rest
exercises such as increase in period in between
walking and blood pressure. activities.
activities like
sweeping,
dishwashing and
recommend rest
period in between - to lower -demonstrated
activities. cholesterol preparation of garlic
levels in blood. as a herbal medicine
4. Demonstrate to the in he treatment and
family members the prevention of
preparation of garlic hypertension.
(bawang) as a herbal
medicine in the
 treatment and
prevention of
hypertension.

Health Family Nursing

Goal/ Objective Intervention Rationale Evaluation
Problem Problem
Cigarette I. Inability to General:
Smoking recognize the To eliminate or
presence of the minimized smoking
condition or problem habits.
due to:
a. Lack of or Specific:
inadequate 1. to provide 1. Discuss to the family Develops a Discussed to the
knowledge about the health teaching about the cause and knowledge and family the cause and
risks and effects of about cigarette effects of smoking and understanding effects and possible
cigarette smoking smoking. its possible about cigarette complication of
complications. smoking. smoking.
II. Inability to make
decision with respect
to taking appropriate 2. to provide 2. provide activities such Provides a -provided activities
health action due to: activities that as dancing or playing healthy such as dancing or
a. Failure to will disregard with her children. alternative from playing with her
comprehend the from smoking. smoking. children
nature/ magnitude
of the problem of
cigarette smoking.
3. provide 3. advise client to minimize Provides a -Advised to
b. Negative attitude adequate smoking by removing one gradual minimize smoking
towards the health counseling on stick a week. elimination of by removing 1 stick
condition or the elimination/ smoking. a week.
 problem of reduction of
cigarette smoking. smoking.

Health Family Nursing Goal/ Objective Intervention Rationale Evaluation

Problem Problem
Inadequate I. Inability to General:
Living Space provide a home After Nursing
environment Intervention, the family
conducive to health will be able to provide
maintenance and an environment
personal development conducive to health
due to: maintenance and proper
utilization of
a. inadequate community resources.
family resources,
specifically, limited Specific:
financial resources a. to provide health
teaching on the basic
b. lack of measures in preventing
knowledge of illness/disease to a
preventive measures. family member.

II. Failure to utilize c. be able to utilize

community resources community resources
for health care due to efficiently and
lack of family economically
resources,
specifically, financial
resources.