FAMILY HEALTH NURSING PRACTICE
TYPOLOGY OF NURSING PROBLEMS IN FAMILY NURSING PRACTICE
(Copied from Maglaya, A. Nursing Practice in the Community, 5th Ed, 2009 pp 67-72)
FIRST-LEVEL ASSESSMENT (GUIDE TO WELLNESS CONDITIONS AND
FAMILY HEALTH PROBLEMS)
I. Presence of Wellness Condition – stated as potential or
readiness – a clinical nursing g judgment about a client in
transition from a specific level of wellness or capability to
a higher level (NANDA, 2001). Examples of these are the
following:
a. Potential for Enhanced Capability for: (… nursing
judgment on wellness state or condition based on
client’s performance, current competencies or
clinical data but no explicit expression of client
desire.
1. Healthy life-style – e.g. nutrition /
diet, exercise / activity
2. H e a l t h m a i n t e n a n c e / h e a l t h
management
3. Parenting
4. Breastfeeding
5. Spiritual well being – process of client’s
developing / unfolding of mystery
through harmonious interconnectedness
that comes from inner strength /
sacred source / God (NANDA, 2001)
6. Others, specify: ___________________
b. Readiness for Enhanced Capability for: (…nursing
judgment on wellness state or condition based on
client’s performance, clinical data and explicit
expression of desire to achieve a higher level of
state or function in a specific area on health
promotion and maintenance.
1. Healthy life style
2. H e a l t h m a i n t e n a n c e / h e a l t h
management
3. Parenting
4. Breastfeeding
5. Spiritual well being
6. O t h e r s , specify:
______________________
II. Presence of Health Threats – conditions that are conducive
to disease and accident, or may result to failure to
maintain wellness or realize health potential. Examples of
these are the following:
1) Presence of risk factors of specific diseases (e.g.
lifestyle diseases, metabolic syndrome)
2) Threat of cross-infection from a communicable
disease case
3) Family size beyond what family resources can
adequately provide
4) Accident hazards: examples
1. Broken stairs
2. Pointed/sharp objects, poisons, and
medicines improperly kept
3. Fire hazards
4. Fall hazards
5. O t h e r s , specify:
_____________________
5) Faulty / unhealthful nutritional/eating habits or
feeding techniques or practices – specify:
1. Inadequate food intake both in quality
and quantity
2. Excessive intake of certain nutrients
3. Faulty eating habits
4. Ineffective breastfeeding
5. Faulty feeding practices
6) Stress-provoking factors – specify:
1. Strained marital relationship
2. Strained parent-sibling relationship
3. Interpersonal conflicts between family
members
4. Care-giving burden
7) Poor home/environmental condition/sanitation –
specify:
1. Inadequate living space
2. Lack of food storage facilities
3. Polluted water supply
4. Presence of breeding or resting sites of
vectors of diseases (e.g. mosquitoes,
flies, roaches, rodents, etc.)
5. Improper garbage/refuse disposal
6. Improper drainage system
7. Poor lighting and ventilation
8. Noise pollution
9. Air pollution
8) Unsanitary food handling and preparation
9) Unhealthful lifestyle and personal habits/
practices – specify:
1. Alcohol drinking
2. Cigarette/tobacco smoking
3. Walking barefoot or inadequate
footwear
4. Eating raw meat or fish
5. Poor personal hygiene
6. Self-medication/substance abuse
7. Sexual promiscuity
8. Engaging in dangerous sports
9. Inadequate rest or sleep
10. Lack of/inadequate exercise/physical
activity
11. L a c k o f / i n a d e q u a t e r e l a x a t i o n
activities
12. Non-use of self-protection measures
(e.g. non-use of bednets in malaria and
filariasis endemic areas)
10) Inherent personal characteristics – e.g. poor
impulse control
11) Health history which may precipitate/induce the
occurrence of a health deficit, e.g. history of
difficult labor
12) Inappropriate role assumption – e.g. child
assuming mother’s role, father not assuming his
role
13) Lack of immunization/inadequate immunization
status specially of children
14) Family disunity – examples:
1. Self-oriented behavior of member (s)
2. Unresolved conflict of member (s)
3. Intolerable disagreement
15) Others, specify:
_______________________________
III. Presence of Health Deficits – instances of failure in health
maintenance. Examples include:
A) Illness states, regardless of whether diagnosed or
undiagnosed by a medical practitioner
B) Failure to thrive/develop according to normal rate
C) Disability – whether congenital or arising from illness,
transient or temporary (e.g. aphasia or temporary paralysis
after a CVA) or permanent (e.g. leg amputation secondary
to diabetes, blindness from measles, lameness from polio)
IV. Presence of Stress Points / Foreseeable Crisis Situations –
anticipated periods of unusual demand on the individual or
family in terms of adjustment/family resources, transitions
(i.e. passage from one life phase, condition or status to
another, causing a forced or chosen change that results in
the need to construct a new reality). Examples of these
include
A. Marriage
B. Pregnancy, labor, puerperium
C. Parenthood
D. Additional member – e.g. newborn, lodger
E. Abortion
F. Entrance at school
G. Adolescence
H. Divorce or separation
I. Menopause
J. Chronic illness
K. Loss of job
L. Hospitalization of a family member
M. Death of a member
N. Resettlement in a new community
O. Illegitimacy
P. Others, specify