Tool: Typology of Nursing Problems in Family Nursing Practices: First Level Assessment (Health Condition/Problem)

A. Presence of Wellness Condition 1. Potential for enhanced capability for: a. Healthy lifestyle b. Healthy maintenance/ health management c. Parenting d. Breastfeeding e. Spiritual well-being f. Others, specify:_________________ Readiness for enhanced capability for: a. Healthy lifestyle b. Health maintenance/ health management c. Parenting d. Breastfeeding e. Spiritual well-being f. Others, specify:_________________ Presence of Health Threats 1. Presence of risk factors of specific diseases 2. Threat of cross infection from a communicable disease case 3. Family size beyond what family resources can adequately provide 4. Accident hazards, specify: a. Broken stairs b. Pointed/ sharp objects, poisons and medicines improperly kept c. Fire hazards d. Fall hazards e. Others, specify:_________________ 5. Faulty/ unhealthful nutrition/ eating habits or feeding techniques practices. Specify: a. Inadequate food intake both in quality and quantity b. Excessive intake of certain nutrients c. Faulty eating habits d. Ineffective breastfeeding e. Faulty feeding techniques 6. Stress-provoking factors specify: a. Strained marital relationship b. Strained parent-sibling relationship c. Interpersonal coflicts between family members d. Care-giving burden Poor home/ environmental condition/ sanitation specify: a. Inadequate living space b. Lack of food storage facilities c. Polluted water supply d. Presence of breeding or resting sites of vectors of diseases e. Improper garbage/ refuse disposal f. Unsanitary waste disposal g. Improper drainage system h. Poor lighting and ventilation i. Noise pollution j. Air pollution 2. 8. 9. Unsanitary food handling and preparation Unhealthful lifestyle and personal habits/ practices specify: a. Alcohol drinking b. Cigarette/ tobacco smoking c. Walking barefooted or inadequate footwear d. Eating raw meat and fish e. Poor personal hygene f. Self-medication/ substance abuse g. Sexual promiscuity h. Engaging in dangerous sports i. Inadequate rest or sleep j. Lack of/ inadequate exercise/ physical activity k. Lack of/ inadequate relaxation activities l. Non-use of self-protection measures

B.

10. Inherent personal characteristics 11. Health history which may participate/ induce the occurence of a health deficit 12. Inappropriate role assumption 13. Lack of immnization/ inadequate immunization status specially of children 14. Family disunity e.g. a. Self-oriented behavior of member (s) b. Unresolved conflicts of member (s) c. Intolerable disagreement 15. Others, specify:______________________________ C. Presence of Health Deficits 1. Illness states, regardless of whether diagnosed or undiagnosed by medical practitioner 2. Failure to thrive/ develop according to normal rate 3. Disability- whether congenital or arising from illness; transient or temporary or permanent Presence of Stress Points/ Foreseeable Crisis Situations 1. Marriage 2. Pregnancy, labor, puerperium 3. Parenthood 4. Additional member e.g. newborn, lodger 5. Abortion 6. Entrance at school 7. Adolescence 8. Divorce or separation 9. Menopause 10. Loss of job 11. Hospitalization of a family member 12. Death of a member 13. Resettlement in a new community 14. Illegitimacy 15. Others, specify:_____________________

D.

7.

Velez College - Community Health Nursing

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Tool: Typology of Nursing Problems in Family Nursing Practices: Second Level Assessment (Family Nursing Problem)
A. Inability to recognize the presence of the condition or problem due to: 1. Lack of or inadequate knowledge 2. Denial about its existence or severity as a result of fear of consequences of diagnosis of problem, specifically: a. Social-stigma, loss of respect of peer/ significant others b. Economic/ cost implications c. Physical consequences d. Emotional/ psychological issues/ concerns 3. Attitude/ philosophy in life which hinders recognizition/ acceptance of a problem. 4. Others, specify:__________________________________ Inability to make decisions with respect to taking appropriate health action due to: 1. Failure to comprehend the nature/ magnitude of the problem/ condition 2. Low salience of the problem/ condition 3. Feeling of confusion, helplessness and/ or resignation brought about by perceived magnitude/ severity of the situation or problem, i.e., failure to break down problems into manageable units of attack 4. Lack of/ inadequate knowledge/ insight as to alternative courses of action open to them 5. Inability to decide which action to take from among a list of alternatives 6. Conflicting opinions among family members/ significant others regarding action to take 7. Lack of/ inadequate knowledge of community resources for care 8. Fear of consequnces of action, specifically: a. Social consequences b. Economic consequences c. Physical consequences d. Emotional/ psychological consequences 9. Negative attitude towards the health condition or problem. By negative attitude is meant one that interferes with rational decision making 10. Inaccessibility of appropriate for care, specifically: a. Physical inaccessibility b. Cost constraints or economic/ financial inaccessibility 11. Lack of trust/ confidence in the health personnel/ agency 12. Misconcepsion or errorneous information about proposed course (s) of action 13. Others, specify:__________________________________ C. Inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable/ at-risk member of the family due to: 1. Lack of/ inadequate knowledge about the disease/ health condition (nature, severity, complications, prognosis and management) 2. Lack of/ inadequate knowledge about child development and care 3. Lack of/ inadequate knowledge of the nature and extent of nursing care needed 4. Lack of necessary facilities, equipment and supplies for care 5. Lack of or inadequate knowledge and skill in carrying out the necessary interventions/ treatment/ procedure/ care 6. Inadequate family resources for care, specifically: a. Absence of responsible member b. Financial constraints c. Limitations/ lack of physical resources 7. Significant persons unexpressed feelings which disable his/ her capacities to provide care 8. Philosophy in life which negates/ hinder caring for the sick, disabled, dependent, vulnerable/ atrisk member 9. Members preoccupation with own concerns/ intersts 10. Prolonged disease or disability progression which exhausts supportive capacity of family members 11. Altered role performance specify: a. Role denial or ambivalence b. Role strain c. Role dissatisfaction d. Role conflict e. Role confusion f. Role overload 12. Others, specify:__________________________________ D. Inability to provide a home environment conducive to health maintenance and personal development due to: 1. Inadequate family resources, specifically: a. Financial constraints/ limited financial resources b. Limited physical resources 2. Failure to see benefits of investmentt in home environment improvement 3. Lack of/ inadequate knowledge of importance of hygiene and sanitation 4. Lack of/ inadequate knowledge of preventive measures 5. Lack of skill in carrying out measures to improve home environment 6. Ineffective communication patterns within the family 7. Lack of suppportive realtionship aomng family members 8. Negative attitude/ philosophy in life which is not conducive to health maintenance and personal development 9. Lack of/ inadequate competencies in relating to each other for nutual growth and maturation 10. Others, specify:__________________________________ Failure to utilize community resources for health care due to: 1. Lack of/ inadequate knowledge of community resources for health care 2. Failure to perceive the benefits of health care/ services 3. Lack of trust/ confidence in the agency/ personel 4. Previous unpleasant experience with health worker 5. Fear of consequences of action (preventive, diagnostic, therapeutic, rehabilitative), specifically: a. Physical/ psychological consequences b. Financial consequences c. Social consequences 6. Unavailability of required care/ service 7. Inaccessibility of required care/ service due to: a. Cost constraints b. Physical inaccessibility 8. Lack of inadequate family resources, sepcifically: a. Manpower resources b. Financial resources 9. Feeling alienation to/ lack of support from the community 10. Negative attitude/ philosophy in life which hinders effective/ maximum utilization of community resources for health care 11. Others, specify:__________________________________

B.

E.

Velez College - Community Health Nursing

jjyao