Republic of the Philippines

Cebu Normal University

Osmeña Blvd., Cebu City, 6000, Philippines

College of Nursing
Telephone No.: (+63 32) 254 4837
Email: cn@cnu.edu.ph
Website: www.cnu.edu.ph

SCALE FOR RANKING HEALTH CONDITIONS AND

PROBLEMS ACCORDING TO PRIORITIES

COPAR

I. PUBLIC HEALTH

: Tobacco Use

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE
Tobacco use leads to a range of healthcare issues
such as respiratory problems and complications.
1. Nature of
3/3X 1 1 These problems not only affect individuals living in
the problem
the community but they also add to the strain of
healthcare cost and resources.
Tobacco use in the community is highly modifiable,
since a number of ways and strategies can be
2. Modifiability
formed to help address this issue such as
of the 2/2 X 2 2
implementing strong tobacco policies, promoting
problem
smoke-free environments, and promoting
awareness regarding the effects of tobacco use.
The problem stated above has a high preventive
3. Preventive potential since a number of complications arising
3/3X 1 1
potential from tobacco use can be prevented if the issue of
tobacco use is resolved.
The community perceives the problem of tobacco
4. Salience of use as serious and needs urgent attention since
2/2 X 1 1
the Problem they are aware that it can lead to a series of health
complications.

TOTAL SCORE : 5

: Low birthweight

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE
Low birthweight can have long-term effects on a
child's development and health, resulting in
1. Nature of problems like learning disabilities, chronic
2/3 X 1 0.67
the problem illnesses, and cognitive impairments later in life.
Addressing low birthweight among newborns is
essential in ensuring healthy outcomes and
 Republic of the Philippines
Cebu Normal University
Osmeña Blvd., Cebu City, 6000, Philippines

College of Nursing
Telephone No.: (+63 32) 254 4837
Email: cn@cnu.edu.ph
Website: www.cnu.edu.ph

reducing the burden on healthcare cost and

services
Low birthweight in babies is a condition that can
be greatly modified, and there are a number of
2. Modifiability strategies and interventions that may be used to
of the 1/2 X 2 1 lessen its incidence. By combining strategies and
problem interventions, communities can significantly
reduce the prevalence of low birthweight and
improve outcomes for newborns and families.
The risk of low birthweight can be highly
prevented by having access to high-quality
prenatal care, nutritional assistance, smoking
cessation programs, addressing social
3. Preventive determinants of health, and encouraging good
3/3X 1 1
potential lifestyle choices throughout pregnancy. These
preventative actions demonstrate the value of
proactive treatments in reducing low birth weight
in the community by improving birth outcomes as
well as long-term mother and child health.
According to the residents we interviewed, they do
4. Salience of not see low birthweight as a problem since
0/2 X 1 0
the Problem according to them, they see this occurrence as
“normal” and “common” among their community.
2.67
TOTAL SCORE :

: Teen births

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE
The problem of the incidence of teen births in the
community can be considered as a foreseeable
crisis due to its impact on the health, education,
social well-being, and financial stability of young
1. Nature of
1/3 X 1 0.33 parents and their children. It is an urgent concern
the problem
that calls for community support and aggressive
measures due to the number of risks of health
difficulties, social stigma, financial pressure, and
insufficient parental abilities of young parents.
Teen births are a highly modifiable issue because
2. Modifiability there are numerous solutions that have a high
of the 2/2 X 2 2 chance of success in resolving the problem.
problem
 Republic of the Philippines
Cebu Normal University
Osmeña Blvd., Cebu City, 6000, Philippines

College of Nursing
Telephone No.: (+63 32) 254 4837
Email: cn@cnu.edu.ph
Website: www.cnu.edu.ph

By providing young people with the knowledge,

skills, and tools they need to make informed sexual
health decisions, we can drastically reduce the
number of unwanted pregnancies among
3. Preventive teenagers. In addition to encouraging healthier
3/3X 1 1
potential relationships and behaviors, this preventative
strategy helps young people and their
communities achieve better educational
outcomes, lower health risks, and greater social
and economic well-being.
The community views teen births as a problem in
4. Salience of
1/2 X 1 0.5 the community but does not view it as one that
the Problem
needs immediate or urgent attention.

TOTAL SCORE : 3.83

PRIORITIZATION:

TOTAL
RANK COMMUNITY HEALTH PROBLEMS
SCORE

1 TOBACCO USE 5

2 TEEN BIRTHS 3.83

3 LOW BIRTHWEIGHT 2.67

 Republic of the Philippines
Cebu Normal University
Osmeña Blvd., Cebu City, 6000, Philippines

College of Nursing
Telephone No.: (+63 32) 254 4837
Email: cn@cnu.edu.ph
Website: www.cnu.edu.ph

II. ENVIRONMENTAL :

1. Open Dumping

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE
This is a health threat since this can be a breeding
1. Nature of
2/3X1 0.7 site for vectors of diseases which causes further
the problem
hazards to the child.
The problem is easily modifiable because
2. Modifiability intervention and resources are available to solve
of the 2/2X2 2 the problem, initiative and enforcement from the
problem community can be implemented.

The problem is highly preventable as it decreases

3. Preventive the risks, threats and minimizes the spread of
3/3X1 1
potential pathogens that might cause infections.

4. Salience of
0/2X1 0 The family does not perceive this as a problem.
the Problem

3.7
TOTAL SCORE :

2. Exposure to Tobacco

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE
The problem is classified as a health threat
because people are directly exposed to a wide
range of dangerous substances and carcinogens,
1. Nature of
2/3X1 0.7 which can cause lung cancer, heart disease, stroke,
the problem
respiratory disorders, and other health problems.
The act of smoking or consuming tobacco products
puts the user's health at risk.
Tobacco exposure is easily modifiable. Many
components of tobacco use are under an
2. Modifiability
individual's control and can be modified to limit
of the 2/2X2 2
exposure and associated health concerns, even if
problem
there are other characteristics related to tobacco
exposure that individuals may not be able to
 Republic of the Philippines
Cebu Normal University
Osmeña Blvd., Cebu City, 6000, Philippines

College of Nursing
Telephone No.: (+63 32) 254 4837
Email: cn@cnu.edu.ph
Website: www.cnu.edu.ph

change (such as past exposure or genetic

predispositions). People who are in close proximity
to smokers or users of tobacco can keep a safe
distance from users or make use of a face mask.
The problem is highly preventable as risks and
3. Preventive threats for exposure will be prevented if proper
3/3X1 1
potential management of the problem is well executed
earlier.

4. Salience of They see it as a problem that needs immediate

2/2X1 1
the Problem attention.

TOTAL SCORE : 4.7

3. Air Pollution

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE
This is a health threat since it contributes to
1. Nature of
2/3X1 0.7 respiratory and cardiovascular diseases especially
the problem
to those susceptible like children.
The problem is partially modifiable because
intervention and resources are available to solve
the problem, initiative and enforcement from the
2. Modifiability community can be implemented. While there are
of the 1/2X2 1 certain sources of air pollution that may be
problem difficult to completely eliminate or control, there
are numerous measures that can be taken to
reduce pollution levels and mitigate its impact on
public health and the environment.
Air pollution in the Philippines has a moderate
preventive potential. While there are numerous
measures that can be taken to mitigate air
pollution and improve air quality, there are also
significant challenges that may limit the
3. Preventive effectiveness of preventive efforts. While there are
2/3X1 0.7
potential opportunities to prevent and mitigate air pollution
in the Philippines, addressing this issue requires a
multi-faceted approach that addresses regulatory,
technological, behavioral, and socio-economic
factors. This moderate preventive potential
indicates that while progress can be made,
 Republic of the Philippines
Cebu Normal University
Osmeña Blvd., Cebu City, 6000, Philippines

College of Nursing
Telephone No.: (+63 32) 254 4837
Email: cn@cnu.edu.ph
Website: www.cnu.edu.ph

significant efforts and investments are needed to

achieve substantial improvements in air quality.

4. Salience of The family does not recognize the existence of the

0/2X1 0
the Problem problem.

2.7
TOTAL SCORE :

PRIORITIZATION:

TOTAL
RANK COMMUNITY HEALTH PROBLEMS
SCORE

1 EXPOSURE TO TOBACCO 4.7

2 OPEN DUMPING 3.7

3 AIR POLLUTION 2.7

 Republic of the Philippines
Cebu Normal University
Osmeña Blvd., Cebu City, 6000, Philippines

College of Nursing
Telephone No.: (+63 32) 254 4837
Email: cn@cnu.edu.ph
Website: www.cnu.edu.ph

III. PEDIATRIC

Health Problem: URTI

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

The problem is considered a health deficit

1. Nature of
3/3 x 1 1 since the situation requires immediate
the problem
management.

The problem is considered easily modifiable as

2. Modifiability
the nurse can help the community on effective
of the 2/2 x 2 2
intervention strategies including proper
problem
disposal and hygiene practices.

The problem is highly preventable because

susceptibility to secondary bacterial infection
3. Preventive or exacerbation of respiratory conditions can
3/3 x 1 1
potential be prevented if URTI is eliminated, improves
health and reduced transmission can thus be
attained.

4. Salience of
2/2 x 1 1 It is a felt problem by the family.
the Problem

5
TOTAL SCORE :

Health Problem: Lack of recreational areas

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

The problem is considered as a health threat

1. Nature of because inadequate living space predisposes the
2/3X1 0.7
the problem family to health problems and may affect the
activities of its members.
 Republic of the Philippines
Cebu Normal University
Osmeña Blvd., Cebu City, 6000, Philippines

College of Nursing
Telephone No.: (+63 32) 254 4837
Email: cn@cnu.edu.ph
Website: www.cnu.edu.ph

This problem in a community is partially modifiable

for children because it can be addressed through
interventions such as building parks, playgrounds,
2. Modifiability or sports facilities. While factors like available
of the 1/2X2 1 resources and community support influence the
problem extent of modification, proactive efforts can
enhance children's access to opportunities for
physical activity and social interaction, thereby
promoting overall wellness.
The lack of recreational area has a moderate
preventive potential because while it may not
completely eliminate health issues, such as lack of
3. Preventive physical activities, it can still significantly reduce
2/3X1 0.7
potential their prevalence by providing opportunities for
physical activity and social engagement, thereby
contributing to overall wellness and healthy
development.

The family does not see this as a problem that

4. Salience of needs urgent or immediate action.
1/2X1 0.5
the Problem

2.9
TOTAL SCORE :

Health Problem: Exposure to tobacco use

ACTUAL
CRITERIA COMPUTATION JUSTIFICATION
SCORE

The problem is considered as a health threat

1. Nature of because exposure to first hand and second hand
2/3X1 0.7
the problem smoke predisposes the family to health problems
and may affect the activities of its members

The problem is partially modifiable because while

2. Modifiability some factors contributing to tobacco use are within
of the 1/2X2 1 an individual's control (like personal habits and
problem environments), others, such as societal norms and
marketing, are more challenging to change.
 Republic of the Philippines
Cebu Normal University
Osmeña Blvd., Cebu City, 6000, Philippines

College of Nursing
Telephone No.: (+63 32) 254 4837
Email: cn@cnu.edu.ph
Website: www.cnu.edu.ph

The problem is highly preventable because

intervening early can significantly reduce the risk
3. Preventive
3/3X1 1 and magnitude of future health problems or
potential
complications by preventing strategies, such as
education, support programs, and policy measures.

The family perceives the problem as something

4. Salience of
2/2X1 1 that needs immediate attention as it poses great
the Problem
discomfort and threat to the family members.

3.7
TOTAL SCORE :

PRIORITIZATION:

TOTAL
RANK COMMUNITY HEALTH PROBLEMS
SCORE

1 URTI 5

2 EXPOSURE TO TOBACCO USE 3.7

3 LACK OF RECREATIONAL AREA 2.9

 Republic of the Philippines
Cebu Normal University
Osmeña Blvd., Cebu City, 6000, Philippines

College of Nursing
Telephone No.: (+63 32) 254 4837
Email: cn@cnu.edu.ph
Website: www.cnu.edu.ph

COMMUNITY NURSING CARE PLAN

Name of Group : ___________________________________

Address : __________________________________ Date : ___________________________________
Sitio : __________________________________ Section : ___________________________________

SITUATION:
Sitio Enriquez, nestled in the outskirts of Cebu, Philippines, paints a picture of resilience amidst environmental challenges. Its narrow pathways wind past makeshift
homes, where stagnant water pools due to poor drainage and the scent of open dumping sites linger in the air. Yet, amidst these hardships, the community thrives with a
palpable sense of solidarity and peace. Children play joyfully on dusty streets, their laughter echoing resilience in the face of adversity. Unlike bustling urban areas, Sitio
Enriquez exudes a sense of camaraderie, insulated from the violence often associated with crowded neighborhoods. Here, the nursing students of Cebu Normal University,
led by their dynamic clinical instructor, see an opportunity to enact positive change, not just in healthcare provision but in fostering empowerment and community
resilience.

INTERVENTION PLAN

Community Community Nursing Goal of Care Objectives of Nursing Nursing Interventions Methods of Resources Required Evaluation
Problem Problems Community-
Nurse Contact

Presence of Inability to make After 6 months After 6 months of ● Tailoring educational Home visit Material Resources:
health decisions with of nursing intervention, materials and ⦁ Educational materials
deficit respect to taking intervention/s, the community will be activities to local interactive such as posters and
specifically appropriate health there is a 10% able to: cultural norms and workshops pamphlets that
Upper action due to: decrease from ● Perform literacy levels conveys information
Respiratory (1) Lack the previous handwashing regarding the seminars regarding the
Tract of/inadequate 143 URTI cases practices and cough prevention of URTIs importance of good
 Republic of the Philippines
Cebu Normal University
Osmeña Blvd., Cebu City, 6000, Philippines

College of Nursing
Telephone No.: (+63 32) 254 4837
Email: cn@cnu.edu.ph
Website: www.cnu.edu.ph
 Republic of the Philippines
Cebu Normal University
Osmeña Blvd., Cebu City, 6000, Philippines

College of Nursing
Telephone No.: (+63 32) 254 4837
Email: cn@cnu.edu.ph
Website: www.cnu.edu.ph

Infection knowledge of last November etiquette and the risks of hygiene and proper
community 2023 - April ● Gain knowledge tobacco smoking sanitation.
resources for care 2024 of the about the
under importance of ● Explain the effects Human Resources:
(2) Lack of/ 5-year-old age being vaccinated to and possible diseases ⦁ The time and effort to
inadequate group of the be less susceptible that can be obtained be spent by both the
knowledge/ insights East Health to respiratory because of tobacco public health nurse,
as to alternative Area, health diseases smoking midwives, barangay
courses of action health care workers,
open to them ● Gain knowledge ● Educate the residents and residents of Sitio
about the risks of about the benefits of Enriquez.
Inability to provide Upper Respiratory vaccinations, proper ⦁ Assitance of the
a home Tract Infections nutrition, and using of Department of Health,
environment (URTI) and tobacco masks to prevent Local Government
conducive to health exposure URTIs Units,
maintenance or Non-Governmental
personal ● Discuss the effects of Organizations (NGOs),
development due URTIs to children 5 Civil Society Groups,
to: years old and below and Academic
(1) failure to see Institutions.
benefits (specifically ● Educate the
long-term ones) of community about the Financial Resources:
investment to health threats they ⦁ Transportation
environment can prevent by resources of the nurses
improvement promoting good and barangay health
hygiene, proper workers to conduct
(2) lack of/ sanitation, and cough home visit
inadequate etiquette ⦁ Payment for the
knowledge of the services of 1 Project
 Republic of the Philippines
Cebu Normal University
Osmeña Blvd., Cebu City, 6000, Philippines

College of Nursing
Telephone No.: (+63 32) 254 4837
Email: cn@cnu.edu.ph
Website: www.cnu.edu.ph

importance of Coordinator, 1
hygiene and Community Liaison
sanitation Officer, 3 Health
Educators/Trainers, 1
(3) Lack of/ Finance Officer, and 1
inadequate Monitoring and
knowledge of Evaluation Officer
preventive
measures ⦁ Budget for the
following material
resources necessary
for the planned
interventions and
Resources: actions:
⦁ Maglaya, A. S. (2009). Nursing practice in the community (5th ed.). Argonauta Corporation.
1. Survey Materials
(Paper, printing
services 100pcs)
2. Educational
Materials (Visual
Aids, pamphlets,
brochures,
tarpaulins,
3. Flu Vaccines,
Pneumococcal
Vaccines, and
Pertussis
Vaccines
4. Ventilation