PHINMA UNIVERSITY OF ILOILO

COLLEGE OF NURSING
COMMUNITY HEALTH NURSING

NUR 192 LECTURE SESSION 12

LESSON PREVIEW/REVIEW

Differentiate first level and second level assessment.

First level assessment is a process whereby existing and

potential health conditions or problems are categorized as;
Wellness state, Health Threats, Health Deficit, Stress points or
foreseeable crisis situation. Second level assessment defines
the nature or type of nursing problems that the family
encounters in performing the health tasks with respect to a
given health condition or problems and etiology or barriers to
the family’s assumption of these task.

CHECK FOR UNDERSTANDING

SITUATION #1 FIRST LEVEL

Health Deficit, Health Threats

SITUATION #1 SECOND LEVEL

- Inability to recognize presence of a possible complication
of pregnancy due to lack of knowledge.
- Inability to provide adequate nursing care to pregnant
member due to; lack of knowledge on the nature and
management of the health condition; lack of knowledge on
the nature and extend of nursing care needed.
- Failure to utilize community resources for health care due
to; failure to perceived benefits of health care; Physical
inaccessibility of required service facility or urinalysis
in terms of distance from the house.

SITUATION #2 FIRST LEVEL

Malnutrition as a Health Deficit

SITUATION #2 SECOND LEVEL

- Inability to recognize the presence of malnutrition in a
dependent member due to lack of knowledge.
- Inability to decide about taking appropriate health action
due to failure to comprehend the nature, magnitude and
scope of the problem.
 - Inability to provide adequate nursing care to a member
suffering from malnutrition due to:
A. lack of knowledge about health condition
B. Lack of knowledge on the nature and extent of nursing
care needed
C. Inadequate resources for care.

SITUATION #3 FIRST LEVEL

Scabies as Health Deficit

SITUATION #3 SECOND LEVEL

- Inability to provide adequate nursing care to preschooler
with scabies due to:
A. lack of knowledge about health condition
B. Inadequate knowledge of the nature and extend of nursing
care needed
- Inadequate family resources for care:
A. Financial resources
B. Physical resources

WRAP-UP ACTIVITY

THREE THINGS LEARNED

1. Preventive Potentials
2. Modifiability
3. The Prioritized Health Problems

TWO THINGS THAT YOU’D LIKE TO LEARN MORE ABOUT

1. The Typology of Nursing Problems in Family Health Care.
2. Computing and Justifying Scores of Health Problems.

ONE QUESTION YOU STILL HAVE: None.

Prepared by: TOM HUNKS BELO BSN 2-1 UI-FC2