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