CHN LECTURE NOTES MODULE 3

8/25/21-II

FAMILY HEALTH NURSING PROCESS 5. Teacher – health education

6. Counselor – HIV counseling, guidance for teens
Family CHN – Deals with clients
= basic unit of society
= bound by blood, marriage, adoption NURSING PROCESS
= have familial roles/maintain common culture = Problem solving approach
= 2 or more living in a family household = difference on data collection, data analysis,
= functional and culture, socioeconomic, extrinsic problem definition
= generates, prevents, tolerates, correct health =Still ADPIE but different approach
problems
= health are interlocking (Covid-hawaan, can be ASSESSMENT
financial-psychological) A. establishing Working Relationship (Pre-
= most frequent focus of health decision and action interaction/introduction phase)
= effective channel for effort of health worker
= GOAL: optimal functioning for individual and = Establish rapport
family as a unit (help become independent, health = Contract setting: (1) goals and objectives (2)
education to carry proper tasks) duration of nurse-client contract (3) expectations
from each other to address effectively the client
5 FAMILY HEALTH TASK needs and problems (all you have to do is answer
1. Recognize interruptions of health development questions and depends po ang intervention based
2. Making decision about seeking health care to on what the family will need)
take action
3. Deals w/ health & non-health situation (non- B. Assessment phase
health situations: family dynamics, family feuds, = major phase of nursing process
finances) = demographic profile, interview, physical
4. Provide care for all members (sponge bath, assessment (1st level assessment)
getting bp, measure medicine, first aid)  Individual
5. Maintain home environment conducive to  Family
health maintenance  Community
= 5 TYPES OF DATA
ROLE AS HEALTH PROVIDERS (Methods, interview, PA, observation)
1. Health monitor – monitor for disease trends,  Family structure
communicable diseases,  Socio-economic
2. Provider of care – Providing oxygen, how to  Home and environment
clean colostomy bag, gnt, treat/dress pressure  Health status of each members
ulcers.  Values and practices on health promotion
3. Coordinator – help on health programs to = DIAGNOSIS: Health Conditions Family &Individual
barangay health center, hospital, coordinates  Wellness state
with political leaders or policy makers.  Health threats
4. Facilitator – Holding seminar, campaigns,  Health deficit
programs on other health aspect: nutritionist,  Foreseeable crisis
dentist, etc.
CHN LECTURE NOTES MODULE 3
8/25/21-II

SECOND LEVEL ASSESSMENT 1ST LEVEL ASSESSMENT: TYPOLOGY OF N.P

= in-depth interview = 5 family health task A. Wellness condition
= Why they have present health problems? = potential or enhanced capability
= health task became family nursing problem and = readiness for enhanced capability
health needs
= realities, perceptions, barriers and attitudes B. Presence of Health threats
related to 1st level assessment =Risk factors
= Ex: May Covid sa family member = cross infection on communicable disease
= Family size
1st level assessment-health conditions =Accident hazards
Diagnosis: presence of health threat = Faulty/unhealthy eating habits
1 family member testes for Covid = stress provoking factors
= poor environment
2nd level assessment – health needs =Unsanitary food handling
Questions are regarding to health task? = unhealthy lifestyle
=Kelan niyo po nalaman agad?
Napansin niyo po ba agad or hindi? C. Presence of Health deficits
Ano pong ginawa gamot nung nagka ubo siya? = illness state (may sakit na)
= failure to develop normal rate
DATA GATHERING METHODS Disability
= observation
=Physical Examination D. Presence of foreseeable crisis
=Interview = marriage
=Record review =pregnancy
=Lab/diagnostic =parenthood
5 types =Abortion
 Family structure, characteristics, and =Entrance at school
dynamics =Adolescence
=Divorce
 Socio –economic and cultural = financial, =Menopause
occupation, education =Loss of job
=Hospitalization of members
 Home and environment= kind of condition
they live in, status ng kitchen, cr, ocular SECOND LEVEL ASSESSMENT
observation 1. Data collection
2. Data Analysis
 Health status of each member = lifestyle and 3. Diagnosis = base on the 5 health task
habits or members, family history or health METHOD OF OBSERVATION = INDEPTH INTERVIEW
problems, immunizations status

 Values and practices = way of living, KAP,

knowledge, attitude
CHN LECTURE NOTES MODULE 3
8/25/21-II
5 DIAGNOSIS
FAMILY NURSING CARE PLAN
= Blueprint of care that nurse will develop to
systematically minimize health problems
Features
1. Focuses on actions designed to solve problems.
Core is approach, strategies, methods and
materials.
2. Systematic process following careful analysis
and weighing options
3. Ncp relates to future (family centered) not u
4. Ncp based upon identified health and nursing
problems
5. Goal of planning is eliminate barrier
6. Ncp is continuous process (endorse sa barangay
healthworker, next student coz its them who
will deal with the next household.)
Qualities
1. Base on clear explicit definition of problem
2. Realistic (counselling,emotional support for
them kung walang work, hindi ka
magbibigay ng work )
3. Ncp is prepared jointly with family
4. Most useful in written form (to easily
endorse it to other
organization/collaborator)
Importance of Planning care
= Individualization of care ( but prioritize always)
= prioritization (weighs all the problems identified)
= Systematic communication
PRIORITIZING HEALTH PROBLEMS
=Nature of condition (healthcare deficit,
foreseeable crises, health treat, wellness condition)
= modifiability of problem
=Preventive potential (gaano kalaki ung
mapeprevent na bad condition if we act now? )
= salience ( familys perception and evaluation in
terms of seriousness and urgency)
FACTORS AFFECTING PRIORITY SETTING:
MODIFIABILITY
= current knowledge (ANO BA YUNG SAKIT, IS IT
EASILY TREATED?) , technology, interventions
= Resouces of family (Physical – (covid-separate
room or cr or sama sam?) financial (man income)
man power (can someone provide care for their
family)
= resources of the nurse (skills, knowledge, time-
kaya pa ba magcounseling)
=Resource of community- Community organization
PREVENTIVE POTENTIAL
= gravity/severity – progress of problems (ano mas
malala ung nagkasore eyes or covid, sore eyes
magiging preventive)
=duration of problem – covid or gestational
diabetes
=current management – presence of
appropriateness of intervention
= exposure of any vulnerable or high risk group
SALIENCE
= Evaluation of family perception
Example:
1. Presence of health threat – threat of cross
infection r/t to scabies
2. Presence of health deficit r/t preeclampsia
CHN LECTURE NOTES MODULE 3
8/25/21-II

FORMULATION OF GOALS AND OBEJCTIVES

Short term/immediate objective – after 3 months

the family will have a home conducive environment.

BARRIER TO JOINT GOAL SETTING

= failure to perceive existence
= busy with other family concerns
= doesn’t see it seriousness enough to warrant
attention
= Behavioral – fear of consequence, respect for
tradition, failure perceiving benefits, proposed
action to family’s goal
= failure to develop working relationship

WHEEL
= Collaborate- barangay nutritionist. Counselor,
dentist, midwife, psych
= Consultation – not just with community members
but also other people in community like poilitical
leaders, the doctor’s there,
= Counseling –
= Health teaching – Health teaching plan, na kaya ng
level naten, ex: unhealthy eating habit r/t to
inability to make decisions. Ano ba need ng anak ko
sa ganitong age? Tailor fits with needs of family.
= Delegate functions – especially with family roles
problem, convene family ex:ito mommy role mo
talag ito? Like food safe handling. Daddy ikaw
bahala sa hazard free environment, nakausli na
pako, slippery floor, their roles in improving health
= Case management – certain illness state pag may
sakit, tuturuan ng sponge bath, wound care,
= Referral & follow up - if we can’t handle it, we can
ask them to seek more professional health.
Especially if they have problems identifying their
health status