 There are two important things to ensure effective
and efficient data collection in family health
Family Health Tasks
 The first health task is providing its members with
means for health promotion and disease prevention
1. Breastfeeding an instant
2. A health diet for older family members
3. Bringing a young child to the health center for
immunizations
4. Teaching a child about proper hand washing
The following are health tasks of family
[ Freemen & Heinrich ]:
 Recognizing interruptions of health or development
 Seeking health care
 Managing health and nonhealth crises
 Providing nursing care to sick, disabled or dependent
members of the family
 Maintaining a home environment conducive to good
health and personal development
 Maintaining a reciprocal relationship with the
community and its health institutions
Characteristics of a Healthy Family:
 Otto & Pratt characteristics healthy families as
“energized families”
 DeFrain & Montalvo’s traits of a healthy family:
- members interact with each other
- established priorities
- affirm, support and respect each other
- engage in flexible role relationship, share and
autonomy of others and engage in decision making that
affects them
- teaches family and societal and values and beliefs and
shares a spiritual core
- foster responsibility and value service to others
- have a sense of play and humor and share leisure time
- have the ability to cope with stress and crisis and
grow from problems
Family Health Assessment
 This involves a set of actions by which the status of a
family as client its ability to maintain itself as a
system and functioning unit and its ability to
maintain wellness, prevent, control or resolve
problems in order to achieve health and well-being
among its members are measured
Data Collection -> Data Analysis -> Diagnosis
Data Collection
assessment:
 Types and kinds of data needed
 Family structure characteristics and dynamics
 Socio-economic and cultural characteristics
 Home and environment
 Values and practices on health promotion and
maintenance and illness prevention
 Method of data gathering
Types of Data Needed [ 1 ]
 Family Structure, Characteristics and Dynamics
 Members of the household and relationship to the
head of the family
 Demographic data
 Place of residence of each member
 Type of family structure - matriarchal or patriarchal,
nuclear or extended
 Dominant family members in terms of decision
making
 General family relationship of dynamics
Types of Data Needed [ 2 ]
 Socio-Economic and Cultural Characteristics
 Income and Expenses
 Occupation and Place of work of each member
 Adequacy to meet basic needs
 WHO makes decision about family expenditure
 Educational Attainment of each member
 Ethic Background and religious affiliation
 Significant others and roles they play in the family
 Relationship of the family to a larger community
Types of Data Needed [ 3 ]
 Home and Environment
 Housing
 Adequacy of living space
 Sleeping arrangement
 Presence of breeding or resting sites of vectors of
diseases
 Presence of accident hazards
 Food storage and cooking facilities
 Water supply
 Toilet facility
 Garbage disposal
 Drainage system
 Kind of neighborhood
 Social and Health facilities available
 Communication and Transportation facilities
available

Types of Data Needed [ 4 ]
 Health Status of each Family Member
 Medical history indicating current of past significant
illnesses or beliefs and practices conducive to health
and illness
 Nutritional assessment [ anthropometric data,
dietary history, eating/feeding habits/practices ]
 Risk factor assessment indicating presence of major
and contributing modifiable risk factors for specific
lifestyle diseases
 Physical assessment indicating presence or illness
state/s
 Results of laboratory/diagnostic and other screening
procedures supportive of assessment findings
 Values, Habits, Practices on Health Promotion,
Maintenance and Disease Prevention
 Immunization status
 Healthy lifestyle practices
 Adequacy of
 Rest and Sleep
 Exercise/Activities
 Use of Protective Measures
 Use of promotive-preventive health services
Data Gathering Methods and Tools
 Observation
 Physical Examination
 Interview
 Record Review
 Laboratory/Diagnostic Tests
First Level Assessment
 The process whereby existing and potential health
conditions or problems of the family are determined
 It relates what health problems exist and will exist
 Categories:
 Wellness state
 Health threats
 Health deficits
 Foreseeable crisis
Family Data Analysis
 Data analysis is done by comparing findings with
accepted standards for individual family members
and for the family unit
 The nurse correlates findings in the different data
categories and checks for significant gaps in
information or the need for more details related to a
finding
System of Organizing Family Data
Family Structure and Characteristics are Reflected in:
 Data on household membership
 Demographic characteristics
 Family members living outside the household
 Family mobility
1. Family Structure and characteristics are reflected in:
 Family dynamics [ emotional, authority and power
structure, autonomy of members, division of labor
and patterns of communication, decision making and
problem and conflict resolution ]
 Data on family structure can be visualized clearly
through graphic tools such as genogram ecomap and
family
2. Socioeconomic characteristics include:
 Data on social integration [ ethnic origin, languages
and dialects spoken and social networks ]
 Educational experiences and literacy
 Work history
 Financial resources leisure time interests
 Cultural influences
 Spirituality or religious affiliation
3. Family Environment
 Refers to the physical environment inside the
family’s home/residence and its neighborhood
4. Family health and health behaviour include:
 Family’s activities of daily living
 Self care
 Risk behaviours
 Health history
 Current health status
 Health care resources [ home remedies and health
services ]
 Nursing diagnosis may be formulated at several
levels:
- as a individual family members
- as a family unit
- as the family in relation to its
environment/community
 International [ NANDA, 2011 ]
- serve as a common framework of expressing
human responses to actual and potential health
problems
 Family Coping Index
- this tool is based on premise that nursing action
may help a family in providing for a health need or
resolving a health problem by promoting the family’s
coping capacity
Nine Areas of Assessment of the Family Coping
Index
1. Physical Independence - family member’s mobility
and ability to perform activities of daily living [ personal
hygiene ]
2. Therapeutic Competence - ability to comply with
prescribed or recommended procedures and treatments
to be done at home
3. Knowledge of Health Condition - understanding of the
health condition or essentials of care according to the
development stages of family members
4. Application of Principles of Personal and General
Hygiene - practice of general health promotion and
recommended preventive measures
5. Health Care Attitudes - family’s perception of health
care in general
6. Emotional Competence - degree of emotional
maturity of family members according to their
developmental stage
7. Family Living Patterns - interpersonal relationship
among family members, management of family finances,
and the type of discipline in the home
8. Physical Environment - includes home, school, work
and community environment that influence the health of
family members
9. Uses of Community Facilities - ability of the family to
seek and utilize, as needed, both environment-run and
private health
Developing a Family Nursing Care Plan
F N C P: defined
 Blueprint of the care that the N designs to
systematically minimize or eliminate the identified
health and family nsg. problems through explicitly
formulated outcomes of care and deliberately
chosen sets of interventions, resources and
evaluation criteria, standards, methods and tools
Characteristics of FNCP
 Focuses on action to solve/minimize existing
problems
 A product of deliberate systematic process - data
analyses
 Relates to the future; projects future scenario
 Based upon the identified health and nursing
problems - problems are starting points
 It is a means to an end, not an end in itself - deliver
the most appropriate care to the client by
eliminating barriers to family health development
 A continuous process - must be evaluated for its
effectiveness
Desirable Qualities of FNCP
 It should be based on clear, explicit definition of the
problems
- must be based on comprehensive analysis of the
problem
 A good plan is realistic
 Prepared jointly with the family
- N works with family; not works for the family
- N involves family in determining the health needs
& problems, priorities, appropriate actions,
implementation and evaluation of outcomes
 A means of communication [ within the profession
and other professions ]
Importance of Planning Care
 Individualizes patient care
 Sets priorities by providing information abt the ct;
his nature of problems
 Promotes systematic communication involved in
care
 Continuity of care is facilitated, prevent gaps and
duplication of care
 Coordinates care to other health team members
Steps in Formulating a Family Nursing Care Plan
 The assessment phase of the nursing process
generates the health and nursing problems which is
the basis of developing the FNCP
Steps
I. PRIORITIZATION OF PROBLEMS
II. SETTING THE GOALS AND OBJECTIVES
III. PLANNING INTERVENTIONS
IV. EVALUATION OF CARE Health threat 2
Foreseeable crisis 1
Prioritizing the Health Problems 2. Modifiability of the problem 2
A. Nature of the problem Scale: Easily modifiable 2
B. Modifiable Partially modifiable 1
C. Preventive potential Low 0
D. Salience 3. Preventive Potential 3
l Scale: High 3
Formulation of Goals and Objectives of Nursing Care Moderate 2
I Low 1
Selection of Appropriate Nursing Interventions 4. Salience 1
 Consider alternates Scale: Serious px, imm. Attn 2
 Decide in appropriate measures Px, not needing imm. Attn 1
 Determine methods of nurse family contact Not a felt need 0
I
Development of Evaluation Plan
 Criteria
 Standards
 Methods/tools

Prioritization of Problems
 Devised by Maglaya and Bailon
 Known as SCALE FOR RANKING FAMILY HEALTH
PROBLEMS ACCORDING TO PRIORITIES
 Has four [ 4 ] criteria for setting priorities

Four Criteria:
1. Nature of the Problem
A. Health threat
B. Health deficit
C. Foreseeable crisis

2. Modifiability of the Problem

- the probability of success in minimizing, alleviating or
totally eradicating the problem through intervention

3. Preventive Potential
- the nature and magnitude of future problems that can
be minimized or totally prevented if intervention is done
on the problem under consideration

4. Salience
- the family’s perception and evaluation of the problem
in terms of seriousness and urgency of attention needed

Sale For Ranking Family Health Problem Accdg.

To Priority
Criteria Weight
1. Nature of the Problem 1
Scale: Health deficit 3