FAMILY HEALTH NURSING problem, and the causes, barriers or etiology of the

family's inability to perform the health task.

It is a practice of nursing directed towards

Step 1- Data collection
maximizing the health and well-being of all individuals
First level Assessment
within a family system.

⤳ 5 types of data
A systemic approach to solving an existing
Second level Assessment-Defines the nature or type
problem/meeting the family's needs.
of nursing problems that the family encounters in
• Assessment
performing health tasks with respect to a given health
• Planning
condition or health problem. Realities/perceptions
• Intervention
about and attitudes towards assumption/performance
• Evaluation
of health tasks.

STEPS IN THE FAMILY HEALTH NURSING PROCESS:

1. Establish a working relationship with the client.
Step 2- Data Analysis
2. Assessment
1. Sorting of data (health status, practices)
3. Categorize Health Problems
2. Clustering of related cues
3. Distinguishing relevant from irrelevant data
3 STEPS IN ASSESSMENT:
4. Identifying patterns
1. Data collection (1st & 2nd level)
5. Relating data to relevant clinical /research findings
2. Data Analysis
6. Interpreting results
3. Problem Definition/Nursing Diagnosis
7. Making inferences/drawing conclusions
⤳ Nursing Diagnosis is the result of 2 major types of
nursing assessment.
Step 3- Formulation of Diagnosis2 Types :
1. Definition of Wellness state/ potential/health
TYPES OF ASSESSMENT:
condition (end-product of 1st level)
2. Definition of Nursing problems (end-product of 2nd
First–level assessment is a process whereby data
level)
about the current health status of individual members,
⤳ Inability to perform a specific health task and the
the family as a system, and its environment are
reasons (etiology) why the family cannot perform the
compared against norms or standards of personal,
task.
social, and environmental health and
interactions/interpersonal relationships within the
The Family Health Nursing Process (The Data
system.
Collection)
• Data gathering: tools or instruments used during the
Second Level Assessment- Specifies the nursing
survey:
problems that the family encounters in performing the
⤳ Interview
health task with respect to a given health condition or
⤳ Observation
⤳ Questionnaires • Housing & sanitation facilities
⤳ Records & reports available • Kind of neighborhood
⤳Consolidation/collation: collect questionnaires, • Availability of social, health, communication &
tabulate and summarize. transportation facilities in the community.

5 Types of Data in Family Assessment Health status of each member

⤳ Family structure, characteristics, and dynamics; • Present & past health conditions/ illness
⤳ Socio-economic & cultural characteristics; • Beliefs & practices conducive to health & illness
⤳ Home & environment; • Nutritional & developmental status
⤳ Health status of each member; and • Physical assessment findings
⤳Values and practices on health • Significant results of laboratory/ diagnostic tests/
promotion/maintenance & disease prevention. screening procedures

First level Assessment Values and practices on health

Family structure &characteristics promotion/maintenance&disease prevention
1. Members of the household and relationship to the • Immunization status
head of the family. • Healthy lifestyle-related services
2. Demographic Data: Age, Sex, Civil Status, Position • Adequacy of rest/sleep
or Rank in the family • Exercise, relaxation
3. Place of residence of each member • Stress management
4. Type of family structure • Other healthy lifestyle practices
5. Dominant family members in terms of
decision-making. 2nd Level Assessment Data include:
6. General family relationship/dynamics 1. The family ’s perception of the condition or problem.
2. Decisions made & appropriateness; if none, reasons
Socio-Economic & Cultural characteristics 3. Actions taken & results; if none, reasons and,
• Occupation, place of work, and income of each 4. Effects of decisions and actions on other family
working member members
• Adequacy to meet necessities (food, clothing and
shelter) STEP 2:
• Who makes decisions about the money and how is it Wellness State
spent? Health Threats
• Educational attainment of each member Health Threats
• Ethnic Background and Religious Affiliation Foreseeable crises/stress points
• Significant Others – a role they play in the family’s
life Step 2: Data Analysis
• Relationship of the family to the larger community. Typology of Nursing Problems in Family Nursing
Practice
Home & Environment
A classification system of family nursing problems is ⤳ Health history which may participate/induce the
used to facilitate the process of defining family occurrence of a health deficit.
nursing problems. ⤳ Accident hazards (broken stairs, fire&fallhazards,
pointed/sharp objects, poisons & medicines
FIRST LEVEL OF ASSESSMENT: improperly stored)
Existing or potential health conditions problems of the
family are determined as well as of the home and C. HEALTH DEFICITS
environment Instances of failure in health maintenance. (disease,
disability, developmental lag)
Nature of the Problem: ⤳ Illness states, regardless whether it is diagnosed
WELLNESS STATES or undiagnosed
HEALTH THREATS ⤳ Failure to thrive/develop according to normal rate
HEALTH DEFICITS ⤳ Disability whether transient/temporary/
STRESS POINTS/FORSEEABLECRISIS SITUATIONS permanent

A. Wellness State/ConditionStated as POTENTIAL or D. FORESEEABLE CRISIS Or Stress points- Anything

READINESSA clinical judgment about a client in that is anticipated/expected to become a problem.
transition from a specific level of wellness capability ⤳ Anticipates periods of unusual demand on the
to a higher one. individual or family interms of adjustments/family
✓ Wellness Potential resources.
✓ Readiness for enhanced wellness
Step 2: Data Analysis
B. HEALTH THREATS 2ND LEVEL ASSESSMENT:
Conditions conducive to disease, accident, or failure
to maintain wellness or realize one’s potential. • Defines the nature or type of nursing problems that
1. Presence of risk factors of specific disease the family encounters in performing the health tasks
2. Threat of cross-infection with respect to a given health condition or health
3. Family size beyond what family resources can problem
adequately provide • Realities/perceptions attitudes towards assumption/
4. Unhealthful lifestyle & personal habits performance of health tasks.
5. Inherent personal characteristics
6. Family disunity Family Health Tasks
1. Recognize the presence of a problem
Faulty/unhealthful nutrition/eating habits 2. Make decisions concerning taking appropriate
⤳ Stress-provoking factors 3. Provide adequate nursing care to the sick, disabled,
⤳ Poor home/environmental condition/sanitation dependent, or vulnerable/at-risk member of the family
⤳ Inappropriate role assumption 4. Provide a home environment conducive to health
⤳ Lack of immunization maintenance & personal development
5. Utilize community resources for healthcare
5 Main Categories of Problems in Family Nursing Care: 2 parts of Nursing Diagnosis:
Inability to recognize the presence of a problem to: 1. The statement of the unhealthful response
Inability to make decisions with respect to taking (GENERAL)
appropriate action due to:
Inability to provide adequate nursing care to the sick, 2. The statement of factors which are maintaining the
disabled, undesirable response and preventing the desired
dependent or vulnerable/at-risk member of the family change. (SPECIFIC)
due to:
Inability to provide a home environment conducive to GENERAL:
health maintenance & personal development due to; Inability to utilize community resources for healthcare
Failure to utilize community resources for health care due to inadequate family resources, specifically
due to: SPECIFIC:
a. financial resources
Validate data on realities/experiences regarding the b. manpower resources
performance of the family health tasks: c. time
✓ Explore the reasons why (if recognized/not)
✓ Determine the reasons why (if done anything) &
determine solutions effectively
✓ What are the problems (if encounters other
problems in implementing the interventions)
✓ Determine how the other family members are
behaving toward each other/how they are affected by
the health condition or problem.

Prioritizing Health Problem:

Salience- Evaluate the family’s perception of the Nursing Note- The Nurse considers specific factors in
condition or problem. As a general rule, the family’s Justifying the score given to each criterion for priority
concerns, felt needs, and/or readiness increase the setting.
score on salience.