Typology of Nursing Problems
Stress provoking factors
Typology of Nursing Problems in Family
Nursing Practice
Health threats- conditions which are
conducive to disease, accident or failure to
realize one’s health potential
Health Deficit- instances of failure in health
maintenance
Foreseeable crisis- anticipated periods of
unusual demands on the individual/ family
or community in terms of adjustment/ family
resources/
FIRST LEVEL ASSESSMENT
1. Presence of Wellness Condition
- Stated as potential or readiness
- Nursing judgement about client
transition from specific to wellness
state
- Wellness potential- based on client’s
performance and current
competencies
 Potential for Enhanced Capability
 Readiness for enhanced Capability
1. Healthy lifestyle
2. Health maintenance/ health
management
3. Parenting
4. Breastfeeding
5. Spiritual well-being
2. Presence of Health Threat
- Condition conducive to disease,
accident or failure to realize health
potential
1. Family history of hereditary
condition or disease
2. Threat of cross infection from
communicable diseases
3. Family size beyond what family
resources can adequately provide
4. Accident hazard
5. Faulty/ unhealthful nutritional/
eating habits or feeding
techniques/ practices
6.
7. Poor home/ environmental
condition/ sanitation- specify:
8. Unsanitary food handling and
preparation
9. Unhealthful lifestyle and
personal habits/ practices
10. Inherent personal characteristics
11. Health history which may
participate/ induce the
occurrence of a health deficit-
e.g. history of difficult labor
12. Inappropriate role assumption
13. Lack of immunization/
inadequate
14. Immunization status especially
on children
15. Family disunity
3. Presence of Health Deficit
 Instances of failure in health
maintenance
1. Illness state-diagnosed or
undiagnosed
2. Failure to thrive/ develop
according to normal state
3. Disability
4. Presence of Stress Points/
Foreseeable Crisis
 Anticipated periods of unusual
demands on the individual or family
in terms of adjustment/ family
resources
1. Marriage
2. Pregnancy
3. Parenthood
4. Additional member
5. Abortion
6. Entrance to school
7. Adolescence
8. Divorce or separation
9. Menopause
10. Loss of job
11. Hospitalization of family
member
12. Death of a member
13. Resettlement in new community
 14. Illegitimacy
Second Level Assessment
1. Inability to recognize the presence
of a problem or condition due to:
 Lack/ inadequate knowledge
 Denial about existence/ or severity as
a result of fear and consequences
 Attitude/ philosophy in life which
hinders recognition/ acceptance of
problem
2. Inability to make decision with
respect to talking action due to:
 Failure to comprehend nature.
Magnitude
 Low salience
 Feeling of confusion, hopelessness/
resignation brought about by
perceived magnitude/ severity
 Lack of/ inadequate knowledge/
insight as to alternatives
 Inability to decide which action to
take among alternatives
 Negative attitude towards health
condition
 Inaccessibility of appropriate
resources
 Lack of trust/ confidence among
personnel
 Misconceptions/ erroneous
information about courses of action
 Conflicting opinion among family
members
 Lack of/ inadequate knowledge of
community resource
 Fear of consequences
3. Inability to Provide Nursing care
to the Sick/ Disabled, Dependent
or Vulnerable Member due to:
 Lack of/ inadequate knowledge
about disease/ health condition
 Lack of/ inadequate knowledge
about child development and care
 Lack of/ inadequate knowledge of
the nature and extent of nursing care
 Lack of necessary facilities,
equipment and supplies of care
 Lack of/ inadequate knowledge and
skill in carrying out necessary
interventions/ treatment/ procedures
and care
 Inadequate family resources for care
 Significant person’s unexpressed
feelings
 Philosophy in life which
negates/hinder caring for the sick
 Member’s preoccupation with own
concerns/interests
 Prolonged disease or disability
progression
 Altered role performance
4. Inability to Provide a Home
Environment conducive to Health
Maintenance Personal
Development due to:
 Inadequate family resources
 Failure to see benefits
 Lack of/ inadequate knowledge of
the importance of hygiene and
sanitation
 Lack of/ inadequate knowledge of
preventive measures
 Lack of skill in carrying out
measures to improve home
environment
 Ineffective communication patterns
within the family
 Lack of supportive relationship
among family members
 Negative attitude/ philosophy in life
which is not conducive to health
maintenance and personal
development
 Lack of/ inadequate competencies in
relating to each other for mutual
growth and maturation
5. Failure to Utilize Community
Resources for Health Care due to:
 Lack of/ inadequate knowledge of
community resources for health care
 Failure to perceived the benefits of
health care/ services
 Lack of trust/ confidence in agency/
personnel
 Previous unpleasant experience with
health worker
 Fear of consequences of action
 Unavailability of required care/
service
 Inaccessibility of required care/
service
 Lack of or inadequate family
resources
 Feeling of alienation to/lack of
support from the community
 Negative attitude/ philosophy in life
which hinders affective/maximum
utilization of community resouces