Family Nursing Process

Assessment Phase

The family health process involves conducting an initial assessment to determine the presence of any health problem.

3 Sources of Data Reflecting the Family Health Status

1. 2.

3.

Health Status of family members Ability and willingness of the family to promote wellness among its members Family Environment

Health Status of family members

Shows whether there are deviations in the health condition of individual members

Ability and willingness of the family to promote wellness among its members

Shows the nature and the extent of the familys performance of specific tasks to meet the physical, social and emotional needs of its members

Family Environment

Defines the condition in the home and environment that interfere with the promotion and/or maintenance of the family members health and recovery from illness

Collect assessment for:

Demographic data

Family structure and characteristics Socio-economic & cultural factors

Home and home environment details Health and health practices

Individual health assessment

Awareness on community resources and organizations

First Level Assessment

a. b. c.

d.

Wellness Condition Health Threats Health Deficits Stress Points/ Foreseeable crisis situation

Wellness Condition

Stated as POTENTIAL or READINESS

A clinical or nursing judgment about a client in transition from a specific level of wellness or capability to a higher one

Ex. Potential for effective breastfeeding

Health threats

Conditions that are conducive to disease, accident or failure to realize ones health potential

Ex. Medical History of recurrent UTI

Health Deficits

Instances of failure in health maintenance (disease, disability, developmental lag)

Ex. Head of the family was diagnosed for Emphysema

Stress Points/ Foreseeable Crisis

Anticipated periods of unusual demand on the individual or family in terms of adjustment or family resources

Ex. Unplanned pregnancy

Second Level Assessment

Second-level assessment data include those that specify or describe the familys realities, perceptions about and attitudes related to the assumption or performance of family health tasks on each health condition or problem identified during the first-level assessment

5 Health Tasks
1. 2.

3.

4.

5.

Inability to recognize the presence of the condition/ problem due to Inability to make decisions with respect to taking appropriate health action due to Inability to provide nursing care to the sick, disabled, dependent or at-risk member of the family due to Inability to provide a home environment which is conducive to health maintenance and personal development due to Failure to utilize community resources for health care due to

Making a Diagnosis
1.

2.

Definition of Wellness State/ Potential or Health Condition or Problems Definition of Family Nursing Problems

Problem Prioritization Nature of the Problem

Preventive Potential

Nature and magnitude of future problems that can be minimized or totally prevented if intervention is done Probability of success familys perception and evaluation of the condition

Modifiability of the Condition

Salience

Scale for Ranking

Criteria Score Weight Nature of the Condition 1 Wellness State 3 Health Deficit 3 Health Threat 2 Foreseeable Crisis 1 Modifiability of Condition 2 Easily Modifiable 2 Partially Modifiable 1 Not Modifiable 0 Preventive Potential 1 High 3 Moderate 2 Low 1 Salience 1 A condition needing immediate attention 2 A condition not needing immediate attention 1 Not perceived as a problem/ condition needing change 0

To compute:
1. 2.

Decide on a score for each criteria Divide the score by the highest possible score and multiply by the weight (Score/ Highest Score) X Weight

3.

Sum up the scores for all the criteria.