Nature or Categories of Health Problems in Family Health Nursing Practice

Of course we have the

- First level of assessment

Followed by the...

- Second Assessment

So these 2 typology in community health nursing practice we will now determine the nature or
Categories of Health Problems.

It is important for us to know the nature of problems in terms of identifying which problems in the
family would be prioritized first.

So in, FIRST LEVEL OF ASSESSMENT...

This is basically identifying or determining the existence and potential health conditions.

-that can effect the optimum level of functioning of the family.

So basically we will going to identify any failure of the family to maintain their level of functioning and to
improve their wellness as well as to determine the risk factors that can affect their daily living.

Under the level of assessment

This is identifying if the family has the presence of...

Health deficit , health threat and foreseeable crisis.

2. HEALTH DEFICIT

(Basahon Ang naa sa ppt)

When we talked about dificit, from the word it self deficit... There is already a failure to maintain an
optimum level of functioning.

It means my nahitabo nasa ilang lawas o naapektuhan ng ilang health.

So we have here an example or a presence of health dificits. If a person has an...

-ILLNESS STATES

For example; sa usa ka pamilya may sakit na diabetes mellitus and hypertension.

So anything na ang usa ka member sa usa ka family nagkasakit o may sakit the condition of that person
is an example of an illness state.

-FAILURE TO THRIVE OR DEVELOP ACCORDING TO NORMAL RATE.

For example, mayda kay anak na ang height is less than is what expected according to his or her age.
Like pandak siya or meron siyang malnutrition. O kaya di na siya mo taas na mababa sa kanyang edad so
that's an example of health deficit.

-DISABILITY

So any form of disability may it be neurological nature like stroke, blindness, walang isang kamay,
kulang ug tiil, usa lag mata.

1. HEALTH THREAT

(Basahon Ang ppt)

So pag sinabi nating health threat it is any condition that will make a person vulnerable to develop a
certain disease....

So ug unsa man nga mga butang nga mag contribute sa pagkakaroon ng sakit maaring maaksidente siya
or di niya ma maintain ang iyang optimum level of functioning

So basically a person that has not a condition yet but there is a factors that can contribute to the
development of unhealthy condition.
Like for example sa presence of health threats..

-RISK FACTORS

For example if a person is smoking we all know as nurses. Cigarette smoking the number one risk factor.
As a matter of fact sa tanan sakit pwede na to ma realate sa sigarilyo. Like cancer , cardiovascular
diseases or stroke is present in cigarette smoking

-THREAT OF CROSS INFECTION

For example a member of a family has an communicable disease that there is a possibility na pwede
mahawaan Ang iyang pamilya.

-FAMILY SIZE BEYOND WHAT FAMILY RESOURCES CAN ADEQUATELY PROVIDE.

The number of the family can affect the ability of the family to maintain their management of health
because if their money has not enough of the entire family to live. Naglisod sila sa ilang makaon more
or less maglisod sila labi na kung magkasakit sila. So that's an example of a threat na hindi magawan o di
ma manage yung condition Kasi nga lack of management sila sa ilang health.

3. FORESEEABLE CRISIS.

(Basahon Ang definition)

Basically these are any situation in the family that requires them to adjust in terms of their family
resources. Foreseeable crisis is also known as a stress points.

-MARRIAGE, PREGNANCY, LABOR , PEUPERIUM, PARENTHOOD.

So this are basically developmental changes changes that will bring about a stress conditions to the
family members or to the entire family like for example, pag nabuntis that would mean an additional
members of the family. Marriage is an example of stress points, because one member of the family
particularly a women need to move out to the home, it's because magka ada siya ug sudden changes sa
iyang na kagawian. As well as Ang labor, PEUPERIUM and parenthood cause of the sudden changes
magka cause gud siya ug stress points or a phycological stress.
-ADDITIONAL MEMBER, ABORTION , ADOLESCENCE, DIVORCE, OR SEPARATION

-MENOPAUSE, LOSS OF JOB, HOSPITALIZATION OF A FAMILY MEMBER, DEATH OF A MEMBER.

So may kinalaman Siya sa gain and loss of a person. So they gain something they loss something.

SECOND LEVEL OF ASSESSMENT

-identifies the nature or type of nursing problems the family experiences and the performance of their
health task with respect to a certain health condition or health problem.

INABILITY TO RECOGNIZE THE PRESENCE OF THE CONDITION OR PROBLEM.

-so kini Siya di nila i Identify o dine deny nila Ang presence of their condition or problem.

INABILITY TO MAKE DECISIONS WITH RESPECT TO TAKING APPROPRIATE HEALTH ACTION

-so basically they know that there is a problem but they chose not to act on it. Kasi nga may mga factors.
For example, kulang sa pera or kulang sa knowledge regarding sa sakit.

INABILITY TO PROVIDE ADEQUATE NURSING CARE TO THE SICK, DISABLED, DEPENDENT OR VULNERABLE
OR AT RISK MEMBER OF THE FAMILY.

-a proper parenting is an example of this . Di nila maalagaan Ang isang bedridden na family member.

INABILITY TO PROVIDE A HOME ENVIRONMENT CONDUCTIVE TO HEALTH MAINTENANCE AND

PERSONAL DEVELOPMENT.

-so basically anything that will cause a health threat is an example of this. Kasi pag di nato ma maintain
ang mga situation, or maintain an health environment for the family. Prevent them from acquiring
disease, or from an occurring accident
MODIFIABILITY OF THE PROBLEM

(Magbasa sa ppt)

- so this is how modifiable and changeable condition is, a condition that something that can be change
fully or partially something that we can identify the problem. How modifiable or how changeable the
condition is or problem.

So ma identify nato Siya base on the modifiability of the condition Factors.

We have here the.

-CURRENT KNOWLEDGE, TECHNOLOGY AND INTERVENTIONS.

This is to enhance the wellness state or manage the problem. So this is referring to the identified
problem. Regarding the identifying problem... What is the current knowledge of available regarding the
problem, technology and interventions again to enhance wellness state... To prevent or to change the
problem itself.

What is the recent discoveries developments about this particular condition, like tuberculosis we back in
1990 s wapay available na bakuna napaka dreadful,talagang nakakamatay Ang sakit. But as the time
goes by more researches are done, na identify na kung onsa ang proper way on treating and diagnosing
the condition. So for short it makes more modifiable, it's because available naman ang mga drugs.

-RESOURCES OF THE FAMILY

This is a physical financial and manpower.

Of course in dealing with health condition it requires a lot of resources coming from the family in terms
of the physical financial and manpower. Do they have someone to take care of their members if there
are sick. In terms of financial if there have a financial capability to sustain the treatment. And of course
sa physical... are they physically fit to handle the situation or condition.

Like for example both parents kay mayda sakit... Pano man ilang mga anak. Kaya ba nila alagaan Ang
ilang mga parents.

So things like that we need to consider.

-RESOURCES OF THE NURSE

Of course we are the frontliners in terms of these conditions so in the community we have to make
make sure that the resources of the nurse is also available.

Like for example knowledge... do we know something about the condition, skills... Are we equipped with
the proper skills to handle the situation and of course the time.