OUR LADY OF FATIMA UNIVERSITY • Involves a set of actions by which the nurse measure the status of the family as a
COLLEGE OF NURSING client, their ability to maintain wellness, prevent and control or resolve problems in
NCM 101 order to achieve health and well-being among its members.
FAMILY HEALTH NURSING Steps in Nursing Assessment
1. Data Collection
Family Health Nursing • The process of identifying the types or kinds of data needed.
• Is a special field in nursing in which the family is the unit of care, health as its goal and
• Specify the methods necessary to collect such data.
nursing as its medium or channel of care. Methods of Data Collection
Family Nursing Process a. Observation is use of all sensory capacities. The family’s status can be inferred from
• It is a means by which the health care provider addresses the health needs and the manifestations of problem areas reflected in the following:
problems of the client. 1. communication & interaction pattern expected, used & tolerated by family
• It is a logical and systematic, way of processing information gathered from different members
source and translating into meaningful actions or interventions. 2. role perceptions/ tasks assumptions by each member including decision-
making patterns
Steps: 3. conditions in the home & environment
1. Relating
• Establishing a working relationship. Results in positive outcomes such as good quality
of data, partnership in addressing identified health need and problems, and
b. Physical Examination is done through inspection, palpation, percussion &
satisfaction of the nurse and the client. auscultation
c. Interview by completing health history for each member. Health history determines
current health status.
2. Assessment
• Data Collection, data analysis and data interpretation and problem definition or nursing d. Record Review is the review existing records & reports pertinent to the client/ family
diagnosis. such as diagnostic reports and immunization records.
e. Laboratory/ Diagnostic tests
Two types of assessment:
5 Types of Date in Family Nursing Assessment (Initial Data Base)
1. First Level Assessment - Data on status/ conditions of family household A. Family Structure, Characteristics and Dynamics
members. 1. Members of the household and relationship to the head of the family
2. Demographic data - age, sex, civil status, position in the family
3. Place of residence of each member - whether living with the family or elsewhere.
2. Second Level Assessment - Data on family assumption of health tasks on 4. Type of family structure - e.g. matriarchal or patriarchal, nuclear or extended
each health problem identified in the First Level Assessment. 5. Dominant family members in terms of decision-making, especially in matters of health
care.
3. Planning 6. General family relationship / dynamics - presence of any obvious / readily observable
• Determination of how to assist client in resolving concerns related to restoration, conflict between members; characteristic, communication / interaction pattern among
maintenance or promotion of health. members
• Establishment of priorities, set goals / objectives, selects strategies, describe rationale.
B. Socio-economic and Cultural Characteristics
4. Implementation 1. Income and expenses
• The carrying out of plan of care by client and nurse, make ongoing assessment, update a. Occupation, place of work and income of each working member
/ revise plan, document responses. b. Adequacy to meet basic necessities (food, clothing, shelter)
c. Who makes decisions about money and how it is spent
5. Evaluation 2. Educational attainment of each member
• A systematic, continuous process of comparing the client’s response with written goal 3. Ethnic background and religious affiliation
and objective. 4. Significant Others - role(s) they play in family's life
• Determines progress and evaluate the implemented intervention as to: 5. Relationship of the family to larger community - Nature and extent of participation of
1. Effectiveness the family in community activities.
2. Efficiency
3. Adequacy C. Home and Environment
4. Acceptability 1. Housing
5. Appropriateness a. Adequacy of living space
b. Sleeping arrangement
I. Nursing Assessment c. Presence of breeding or resting sites of vectors of disease (e.g. mosquitoes,
roaches, flies, rodents, etc)
, d. Presence of accident hazards
e. Food storage and cooking facilities 6. Interpreting results of comparisons to determine signs and symptoms or cues of
f. Water supply - source, ownership, sanitary condition specific wellness state/s, health deficit/s, health threat/s, foreseeable crises/stress
g. Garbage/ refuse disposal - type, sanitary condition point/s and their underlying causes or associated factors.
2.
h. Drainage system - type, sanitary condition
Kind of neighborhood, e.g. congested, slum
7. Making conclusions about the reasons for the existence of the health condition or
problem, or risk for non-maintenance of wellness state/s which can be attributed to
3. Social and health facilities available non-performance of family tasks.
4. Communication and transportation facilities available
D. Health Status of each Family Member 3. Problem Definition/Nursing Diagnosis
1. Medical and nursing history indicating current or past significant illnesses or beliefs and • End result of 2 major types of assessment.
practices conducive to health and illness.
2. Nutritional assessment ( specially for vulnerable or risk at-risk members) Family Nursing Problem - Stated as an inability to perform specific health task and the reasons /
a. Anthropometric data : Measures of nutritional status of children- weight, height, etiology) why the family cannot perform such task.
mid-upper arm circumference.
b. Dietary history specifying quality and quantity of food/ nutrient intake per day • Consists of 2 parts: main category of problem (coming from unattained health task) and
c. Eating/feeding habits /practices specific problems (statement of factors contributory for the existence of the main
3. Developmental assessment of infants, toddlers, and preschoolers - e.g., Metro Manila problem.
Developmental Screening Test (MMDST) • Example: (general): Inability to utilize resources for health care due to lack of adequate
4. Risk factor assessment indicating presence of major and contributing modifiable risk family resources, specifically: (specific)
factors for - e.g. hypertension¸ physical inactivity, sedentary lifestyle, cigarette/ tobacco a. financial resources
smoking, elevated blood lipids/ cholesterol, obesity, diabetes mellitus, inadequate fiber b. manpower resources
intake, stress, alcohol drinking and other substance abuse. c. time
• The more specific the problem definition, the more useful is the nursing
5. Physical assessment indicating presence of illness state/s (diagnosed or undiagnosed diagnosis in determining the nursing intervention. Therefore, as many as three or four
by medical practitioners. levels of problem definition can be stated.
6. Results of laboratory / diagnostic and other screening procedures supportive of Typology of Nursing Problems in Family Nursing Practice
assessment findings
1. First Level of Assessment – process whereby existing potential health
E. Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention conditions/problems of the family are determined.
Such as:
1.
2.
Immunization status of family members.
Healthy lifestyle practices.
a. Presence of Wellness Condition – states as potential or readiness – a
clinical or nursing judgement about a client in transition from a specific level of
3. Adequacy of : wellness or capability to a higher level.
a. rest and sleep
b. exercise / activities
c. Use of protective measures - e.g. adequate footwear in parasite- infested b. Presence of Health Deficits - Instances of failure in health maintenance.
areas; use of bednets and protective clothing in malaria and filariasis A. Illness States, regardless of whether it is diagnosed or undiagnosed by medical
endemic areas. practitioner
d. Use of relaxation and other stress management activities B. Failure to thrive/ develop according to normal rate
4. Use of promotive-preventive health services. C. Disability - whether (1) congenital or (2) arising from illness
2. Data Analysis
Steps: c. Presence of Health Threats - Conditions that are conducive to disease, accident or
failure to realize one's health potential.
1. Sorting of data for broad categories (such as those related with health status or A. Family history of hereditary condition / disease
practices – about home and environment). B. Threat of cross infection from a communicable disease case
2. Clustering of related cues to determine relationship among data. C. Family size beyond what family resources can adequately provide
3. Distinguishing relevant form irrelevant data. This will help in deciding what information D. Accident hazards .
1. broken stairs
is pertinent to the situation at hand and what information is immaterial. 2. pointed /sharp objects, poisons, & medicines improperly kept
4. Identifying patterns such as physiologic function, developmental, nutritional/dietary, 3. fire hazards
coping/adaptation or communication patterns. 4. fall hazards
5. others (specify):________
5. Compare patterns with norms or standards of health, family functioning and E. Faulty / unhealthy nutritional / eating habits or feeding techniques / practices.
assumption of health tasks. 1. inadequate food intake both in quality and quantity
COLLEGE OF NURSING client, their ability to maintain wellness, prevent and control or resolve problems in
NCM 101 order to achieve health and well-being among its members.
FAMILY HEALTH NURSING Steps in Nursing Assessment
1. Data Collection
Family Health Nursing • The process of identifying the types or kinds of data needed.
• Is a special field in nursing in which the family is the unit of care, health as its goal and
• Specify the methods necessary to collect such data.
nursing as its medium or channel of care. Methods of Data Collection
Family Nursing Process a. Observation is use of all sensory capacities. The family’s status can be inferred from
• It is a means by which the health care provider addresses the health needs and the manifestations of problem areas reflected in the following:
problems of the client. 1. communication & interaction pattern expected, used & tolerated by family
• It is a logical and systematic, way of processing information gathered from different members
source and translating into meaningful actions or interventions. 2. role perceptions/ tasks assumptions by each member including decision-
making patterns
Steps: 3. conditions in the home & environment
1. Relating
• Establishing a working relationship. Results in positive outcomes such as good quality
of data, partnership in addressing identified health need and problems, and
b. Physical Examination is done through inspection, palpation, percussion &
satisfaction of the nurse and the client. auscultation
c. Interview by completing health history for each member. Health history determines
current health status.
2. Assessment
• Data Collection, data analysis and data interpretation and problem definition or nursing d. Record Review is the review existing records & reports pertinent to the client/ family
diagnosis. such as diagnostic reports and immunization records.
e. Laboratory/ Diagnostic tests
Two types of assessment:
5 Types of Date in Family Nursing Assessment (Initial Data Base)
1. First Level Assessment - Data on status/ conditions of family household A. Family Structure, Characteristics and Dynamics
members. 1. Members of the household and relationship to the head of the family
2. Demographic data - age, sex, civil status, position in the family
3. Place of residence of each member - whether living with the family or elsewhere.
2. Second Level Assessment - Data on family assumption of health tasks on 4. Type of family structure - e.g. matriarchal or patriarchal, nuclear or extended
each health problem identified in the First Level Assessment. 5. Dominant family members in terms of decision-making, especially in matters of health
care.
3. Planning 6. General family relationship / dynamics - presence of any obvious / readily observable
• Determination of how to assist client in resolving concerns related to restoration, conflict between members; characteristic, communication / interaction pattern among
maintenance or promotion of health. members
• Establishment of priorities, set goals / objectives, selects strategies, describe rationale.
B. Socio-economic and Cultural Characteristics
4. Implementation 1. Income and expenses
• The carrying out of plan of care by client and nurse, make ongoing assessment, update a. Occupation, place of work and income of each working member
/ revise plan, document responses. b. Adequacy to meet basic necessities (food, clothing, shelter)
c. Who makes decisions about money and how it is spent
5. Evaluation 2. Educational attainment of each member
• A systematic, continuous process of comparing the client’s response with written goal 3. Ethnic background and religious affiliation
and objective. 4. Significant Others - role(s) they play in family's life
• Determines progress and evaluate the implemented intervention as to: 5. Relationship of the family to larger community - Nature and extent of participation of
1. Effectiveness the family in community activities.
2. Efficiency
3. Adequacy C. Home and Environment
4. Acceptability 1. Housing
5. Appropriateness a. Adequacy of living space
b. Sleeping arrangement
I. Nursing Assessment c. Presence of breeding or resting sites of vectors of disease (e.g. mosquitoes,
roaches, flies, rodents, etc)
, d. Presence of accident hazards
e. Food storage and cooking facilities 6. Interpreting results of comparisons to determine signs and symptoms or cues of
f. Water supply - source, ownership, sanitary condition specific wellness state/s, health deficit/s, health threat/s, foreseeable crises/stress
g. Garbage/ refuse disposal - type, sanitary condition point/s and their underlying causes or associated factors.
2.
h. Drainage system - type, sanitary condition
Kind of neighborhood, e.g. congested, slum
7. Making conclusions about the reasons for the existence of the health condition or
problem, or risk for non-maintenance of wellness state/s which can be attributed to
3. Social and health facilities available non-performance of family tasks.
4. Communication and transportation facilities available
D. Health Status of each Family Member 3. Problem Definition/Nursing Diagnosis
1. Medical and nursing history indicating current or past significant illnesses or beliefs and • End result of 2 major types of assessment.
practices conducive to health and illness.
2. Nutritional assessment ( specially for vulnerable or risk at-risk members) Family Nursing Problem - Stated as an inability to perform specific health task and the reasons /
a. Anthropometric data : Measures of nutritional status of children- weight, height, etiology) why the family cannot perform such task.
mid-upper arm circumference.
b. Dietary history specifying quality and quantity of food/ nutrient intake per day • Consists of 2 parts: main category of problem (coming from unattained health task) and
c. Eating/feeding habits /practices specific problems (statement of factors contributory for the existence of the main
3. Developmental assessment of infants, toddlers, and preschoolers - e.g., Metro Manila problem.
Developmental Screening Test (MMDST) • Example: (general): Inability to utilize resources for health care due to lack of adequate
4. Risk factor assessment indicating presence of major and contributing modifiable risk family resources, specifically: (specific)
factors for - e.g. hypertension¸ physical inactivity, sedentary lifestyle, cigarette/ tobacco a. financial resources
smoking, elevated blood lipids/ cholesterol, obesity, diabetes mellitus, inadequate fiber b. manpower resources
intake, stress, alcohol drinking and other substance abuse. c. time
• The more specific the problem definition, the more useful is the nursing
5. Physical assessment indicating presence of illness state/s (diagnosed or undiagnosed diagnosis in determining the nursing intervention. Therefore, as many as three or four
by medical practitioners. levels of problem definition can be stated.
6. Results of laboratory / diagnostic and other screening procedures supportive of Typology of Nursing Problems in Family Nursing Practice
assessment findings
1. First Level of Assessment – process whereby existing potential health
E. Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention conditions/problems of the family are determined.
Such as:
1.
2.
Immunization status of family members.
Healthy lifestyle practices.
a. Presence of Wellness Condition – states as potential or readiness – a
clinical or nursing judgement about a client in transition from a specific level of
3. Adequacy of : wellness or capability to a higher level.
a. rest and sleep
b. exercise / activities
c. Use of protective measures - e.g. adequate footwear in parasite- infested b. Presence of Health Deficits - Instances of failure in health maintenance.
areas; use of bednets and protective clothing in malaria and filariasis A. Illness States, regardless of whether it is diagnosed or undiagnosed by medical
endemic areas. practitioner
d. Use of relaxation and other stress management activities B. Failure to thrive/ develop according to normal rate
4. Use of promotive-preventive health services. C. Disability - whether (1) congenital or (2) arising from illness
2. Data Analysis
Steps: c. Presence of Health Threats - Conditions that are conducive to disease, accident or
failure to realize one's health potential.
1. Sorting of data for broad categories (such as those related with health status or A. Family history of hereditary condition / disease
practices – about home and environment). B. Threat of cross infection from a communicable disease case
2. Clustering of related cues to determine relationship among data. C. Family size beyond what family resources can adequately provide
3. Distinguishing relevant form irrelevant data. This will help in deciding what information D. Accident hazards .
1. broken stairs
is pertinent to the situation at hand and what information is immaterial. 2. pointed /sharp objects, poisons, & medicines improperly kept
4. Identifying patterns such as physiologic function, developmental, nutritional/dietary, 3. fire hazards
coping/adaptation or communication patterns. 4. fall hazards
5. others (specify):________
5. Compare patterns with norms or standards of health, family functioning and E. Faulty / unhealthy nutritional / eating habits or feeding techniques / practices.
assumption of health tasks. 1. inadequate food intake both in quality and quantity
