DIRECTION: Develop a Community Nursing Process based on this scenario;

The Barangay Liputan is an island barangay that can be reached only by boat.

The total population is 6,745. The source of income is fishing, but due to pollution of the

water in the streams and rivers no more fish are caught in the area, so women shifted to

become market vendors in the nearby municipalities. There are some sari-sari stores in

the barangay. Electricity is the power used in the barangay. The roads are cemented.

The health indices of the barangay are: Total birth 44, death 8, no Maternal Death, fetal

death 1, Infant death 2. the source of water is a deep well, owned by private

individuals. Some households have their pitcher-type pump or their water supply. The

Causes of death are as follows, Heart diseases and cardiovascular accident 3, diarrhea

2, Diabetes 1, Cancer 1, and stillbirth 1. Common Illnesses recorded are as follows,

Hypertension 65, cough and colds 80, diarrhea 33, malnutrition 11, parasitism 22.

The MHO and CHN visit the place once a month, and there is a midwife assigned

in the area that could help the community.

There is an elementary school in the barangay and to proceed to further studies,

students must go to town proper or other municipalities. Many children were not able to

proceed with their schooling due to poverty.

The people in the barangay were devoted Catholics, they celebrated their fiesta

every year and other church activities.

ASSESSMENT

(DATA ANALYSIS)

Name of the Community: Barangay Liputan

Total Population = 6,745

PHYSICAL ENVIRONMENT

A barangay situated on an island that can be reached by the means of a boat.

The Barangay has a source of electric power, and the source of their water is a deep

well, the roads were cemented. The stream and river in the Barangay are polluted.

HEALTH AND SOCIAL SYSTEM

Only the midwife is the health care giver in Barangay Liputan.

ECONOMIC

Since the streams and river of the Barangay were polluted and there were no

more fish to be caught, the women of Barangay have become market vendors, and

some have a sari-sari store.

SAFETY AND TRANSPORTATION

The Barangays’ main transportation is by boat, but the Barangay has a road and

it was cemented. The main source of drinking water for people in Barangay Liputan was

a deep well and some used pitcher-type pumps.

POLITICS AND GOVERNMENT

The people of Barangay Liputan are devoted Catholics. The people of barangay

Liputan were celebrating Fiestas and activities of church every year.

COMMUNICATION

There was no mentioned means of communication in the given scenario.

EDUCATION

The Barangay has an Elementary School, but doesn’t have a Secondary and

Tertiary School. To continue the study of the people of Barangay Liputan they need to

go to other Municipalities, and because of poverty, the people of Barangay Liputan did

not proceed with their studies.

RECREATION

The only recreation mentioned in the scenario was church-related activities and

may include fishing.

GIVEN FORMULA AND COMPUTATION

Crude Birth Rate (CBR) Total No. Live Birth / Total Population x 1000
= 44 / 6,745 × 1,000
Live Birth: 44 Total = 6. 52%
Population: 6,745 INDICATION:
In Brgy. Liputan, there are 6.52% of babies are born for
every 1,000 population.

Crude Death Rate (CDR) Total No. of Death / Total Population x 1,000 or 10,00
= 8 / 6,745 x 1,000
Total no. of Death: 8 = 1.19%
Total Population: 6,745 INDICATION:
In Brgy. Liputan, 1.19% of people are dying in each and
every 1,000 population.

Infant Mortality Rate (IMR) Total No. of Infant Death / Total No. of Live Birth x 1,000
= 2 / 44 x 1,000
Total No. of Infant Death: 2 = 45.45%
Total No. of Live Birth: 44 INDICATION:
In Brgy. Liputan has a 45.45% infant mortality rate per 1,000
population.

Fetal Death Rate (FDR) Total No. of Fetal Death / Total No. of Live Birth x 1,000
= 1 / 44 x 1,000
Total No. Of Fetal Death: 1 = 22.73%
Total No. of Live Birth: 44 INDICATION:
In Brgy. Liputan, there are 6.52% fetal death incidents for
every 1,000 population.

Case Fatality Rate of Diarrhea No. of Death Cause of Diarrhea / No. of Cases of Diarrhea
x 100
No. of Death Cause of Diarrhea: 2 = 2/ 33 x 100
No. of Cases of Diarrhea: 33 = 6.06%
INDICATION:
Diarrhea causes the deaths of 6.06% of the people in Brgy.
Liputan in every 100,000 population.

Specific Death Rate of Heart Diseases Total No. of Death Rate of HD & CI / Total Population
and Cardiovascular Incidents x 100,000
= 3 / 6,745 x 100,000
Total no. of Death Rate of Heart = 44.48%
Disease (HD) and Cardiovascular INDICATION:
Incidents (CI): 3 Heart disease and cardiovascular incidents cause the
Total Population: 6,745 deaths of 44.48% of the people in Brgy. Liputan in every
100,000 population.

Specific Death Rate of Diabetes Total No. of Death Rate of Diabetes / Total Population
x 100,000
Total no. of Death Rate of Diabetes: 1 = 1 / 6,745 x 100,000
Total Population: 6,745 = 14.83
INDICATION:
Diabetes causes the deaths of 14.83% of the people in Brgy.
Liputan in every 100,000 population.

Specific Death Rate of Cancer Total No. of Death Rate of Cancer / Total Population
x 100,000
Total no. of Death Rate of Cancer: 1
Total Population: 6,745 = 1 / 6,745 x 100,00
= 14.83

INDICATION:
Cancer incidents claim the lives of 14.83% of the people in
Brgy. Liputan in every 100,000 population.

Specific Death Rate of Still Birth Total No. of Death Rate of Still Birth / Total Population
x 100,00
Total no. of Death Rate of Still Birth: 1 = 1 / 6,745 x 100,00
Total Population: 6,745 = 14.83

INDICATION:
Stillbirth incidents claim the lives of 14.83% of the people in
Brgy. Liputan in every 100,000 population.
COMMUNITY NURSING DIAGNOSIS

Deficient community health related to insufficient access to healthcare providers as

evidenced by 80 reported cases of coughs and cold

Deficient knowledge related to insufficient knowledge of resources as evidenced by 65

cases of HPT and 3 cardiovascular-related deaths

Imbalanced nutrition: less than body requirements related to insufficient dietary intake
as evidenced by poverty

Contamination related to unsanitary sources of water as evidenced by the usage of a

deep well and pitcher-type-pump.

Ineffective health management related to insufficient social support as evidenced by a

lack of healthcare providers

PRIORITIZATION OF PROBLEMS

Cough and Colds

CRITERIA WEIGHT COMPUTATION POINTS

Nature of the Problem 1 3/3x1 1

Health status 3
Health resources 2
Health-related 1

Magnitude of the Problem 3 1/4x3 0.75

75-100% affected 4
50-74% affected 3
25-49% affected 2
<25% 1
Modifiability of the Problem 4 3/3x4 3
High 3
Moderate 2
Low 1
Non-Modifiable 0

Preventive Potential 1 3/3x1 1

High 3
Moderate 2
Low 1

Social concern 1 1/2x1 0.5

Urgent Community Concern
expressed readiness 2
Recognized as a problem
but not needing urgent attention 1
Not a community concern 0

TOTAL POINTS = 6.25

DIARRHEA

CRITERIA WEIGHT COMPUTATION POINTS

Nature of the Problem 1 3/3x1 1

Health status 3
Health resources 2
Health-related 1

Magnitude of the Problem 3 1/4x3 0.75

75-100% affected 4
50-74% affected 3
25-49% affected 2
<25% 1

Modifiability of the Problem 4 3/3x4 3

High 3
Moderate 2
Low 1
Non-Modifiable 0

Preventive Potential 1 3/3x1 1

High 3
Moderate 2
Low 1

Social concern 1 1/2x1 0.5

Urgent Community Concern
expressed readiness 2
Recognized as a problem
but not needing urgent attention 1
Not a community concern 0

TOTAL POINTS = 7.25

MALNUTRITION
CRITERIA WEIGHT COMPUTATION POINTS

Nature of the Problem 1 1/3x1 0.33

Health status 3
Health resources 2
Health-related 1

Magnitude of the Problem 3 1/4x3 0.75

75-100% affected 4
50-74% affected 3
25-49% affected 2
<25% 1

Modifiability of the Problem 4 3/3x4 4

High 3
Moderate 2
Low 1
Non-Modifiable 0

Preventive Potential 1 3/3x1 1

High 3
Moderate 2
Low 1

Social concern 1 1/2x1 0.5

Urgent Community Concern
expressed readiness 2
Recognized as a problem
but not needing urgent attention 1
Not a community concern 0

TOTAL POINTS = 6.58

HYPERTENSION
CRITERIA WEIGHT COMPUTATION POINTS

Nature of the Problem 1 3/3x1 1

Health status 3
Health resources 2
Health-related 1

Magnitude of the Problem 3 1/4x3 0.75

75-100% affected 4
50-74% affected 3
25-49% affected 2
<25% 1

Modifiability of the Problem 4 2/3x4 2.7

High 3
Moderate 2
Low 1
Non-Modifiable 0

Preventive Potential 1 2/3x1 0.77

High 3
Moderate 2
Low 1

Social concern 1 1/2x1 0.05

Urgent Community Concern
expressed readiness 2
Recognized as a problem
but not needing urgent attention 1
Not a community concern 0

TOTAL POINTS = 5.27

PARASITISM
CRITERIA WEIGHT COMPUTATION POINTS

Nature of the Problem 1 3/3x1 1

Health status 3
Health resources 2
Health-related 1

Magnitude of the Problem 3 1/4x3 0.75

75-100% affected 4
50-74% affected 3
25-49% affected 2
<25% 1

Modifiability of the Problem 4 1/3x4 1.33

High 3
Moderate 2
Low 1
Non-Modifiable 0

Preventive Potential 1 2/3x1 0.67

High 3
Moderate 2
Low 1
Social concern 1 1/2x1 0.5
Urgent Community Concern
expressed readiness 2
Recognized as a problem
but not needing urgent attention 1
Not a community concern 0

TOTAL POINTS = 4.25

RANKING OF COMMUNITY PROBLEMS

PRIORITY PROBLEMS SCORE

1 Cough and Cold 7.25

2 Diarrhea 7.25

3 Malnutrition 6.58

4 Hypertension 5.27

5 Parasitism 4.25
PLANNING OBJECTIVES ACTIVITY RESPONSIBLE TIMELINE RESOURCES OUTCOME/
PERSON EVALUATION

S- Short Term ● To provide ● Survey the ● Barangay Material The community of

efficient community chairman September. Resources: the barangay
● Discover disease-prev for and staff 28, 2022 exhibit and
the cause ention assistance ● Survey verbalize their
of disease strategies in ● Barangay forms and understanding of
determining Health pen illness causes
● Coughs ● To acquire a the origin of Center and preventive
and colds, significant diseases. ● Office methods to
as well as number of ● Student supplies, prevent disease
their subjective ● Health Nurse brochures, transmission.
symptoms clues for education sound
and signs, further for the ● LGUs (Local systems,
were assessment community. Government whiteboard
reported Units) , and
verbally ● To prevent writing
the spread of tools for
● Enunciate coughs and health
understan colds caused education
ding of by bacterial
the transmission. Human
disease Resources:
process ● To determine
and if the teaching
treatment plan's ● Time and
plan implementatio effort of the
n was health care
effective workers,
student
● To reduce the nurses and
prevalence of the
coughs and community.
colds among
I-Intermediate the ● Barangay Material
● Schedule a chairman October. Resources: The community
community 28, 2022 became aware
● Relieve meeting and staff
the with the ● Medication about the disease
symptoms community ● Barangay and and how to
of cough leaders and Health vitamins for properly prevent
and colds healthcare Center distribution it as an outcome
providers to of the conducted
gain ● Student Human health teachings
support for Nurse Resources: and seminars of
the health Barangay officials
teaching ● LGUs (Local ● Time and and health care
and Government effort of the practitioners.
seminars to Units) health care
combat the workers,
spread of student
diseases in nurses and
the the
community, community.
especially
coughs and
colds.

Long Term ● Supply and ● Barangay Material The community

distribution chairman November. Resources: was able to
● Eliminate of vitamins and staff 28, 2022 eliminate the
cough and ● Medication disease and also
and colds medication ● Barangay and the cause of it.
in the for cough Health vitamins for Furthermore, the
communit suppressan Center distribution community kept
y t, fever, and the disease from
runny nose ● LGUs (Local ● Office spreading.
● Eliminate Government supplies,
the cause Units) brochures,
of the ● Provide sound
disease community systems,
seminars whiteboard
● Prevent and health , and
the further education writing
spread of about tools for
the diseases health
disease in and how to education
the reduce the
communit risk of Human
y. spreading Resources:
them,
particularly ● Time and
coughs and effort of the
health care
colds. workers
and the
community.