Name of family: Camal Date: 29 April 2023

SECOND LEVEL OF ASSESSMENT

I. Inability to recognize the presence of the problem due to:

Ignorance of facts/lack of or inadequate of knowledge
Fear of consequences of diagnosis of problem (e.g., social stigma)
Attitude/philosophy in life which hinders recognition/acceptance of the problem
Others, specify:
II. Inability to make decision with respect to taking appropriate health action due to:
Failure to comprehend the nature, magnitude/scope of the problem
Low silence of the problem
Feeling of confusion, helplessness and/or resignation brought about by failure to break down problems into manageable of attack
Lack of knowledge/insight as to alternative courses of action open to them
Conflicting opinions among family members/significant others regarding action to take
Ignorance of community resources for care
Fear of consequences of action (e.g., social, economic, physical/physiological)
Negative attitude towards the health condition of problem – by negative attitude is meant one that interferes with rational decision making.
Inaccessibility of appropriate resources for care (e.g., physical, cost)
Lack of trust/confidence in the health personnel/agency
Misconceptions or erroneous information about proposed course(s) of action
Others, specify:
III. Inability to provide adequate nursing care to the sick disabled, dependent or vulnerable/at risk member of the family due to:
Ignorance of facts about the disease/health condition (nature, severity, complications, prognosis, and management)
Ignorance of the nature and extent of nursing care needed
Lack of the necessary facilities, equipment and supplies of care
Lack of knowledge and skill in carrying out the necessary treatment/procedure/care
Inadequate family resources for care (e.g.,responsible member, financial, physical resources such as isolation room)
Negative attitude towards the sick, disabled, dependent, vulnerable/at risk family member
Attitude/philosophy in life which negates/hinder caring for the sick, disabled, dependent, vulnerable/at risk member
Member’s preoccupation with own concerns/interests
Others, specify:
IV. Inability to provide a home environment which is conducive to health maintenance and personal development due to:
Inadequate family resources (e.g., financial, physical)
Failure to see benefits (specially long term ones) of investment in home environment improvement
Ignorance of importance of hygiene and sanitation
Ignorance of preventive measures
l\ Lack of skill in carrying out measures to improve home environment
Ineffective communication patterns within the family
Negative attitude/philosophy in life which is not conducive to health maintenance and personal development
Others, specify:
V. Failure to utilize community resources for health care due to:
Ignorance or lack of awareness of community resources for health care
Failure to perceive the benefits of health care/services
Lack of trust/confidence in the agency/personnel
Previous unpleasant experience with health worker
Fear of consequences of action (preventive, diagnostic, therapeutic rehabilitative)
Unavailability of required care/service
Inaccessibility of required care/service (e.g., cost constraints, physical inaccessibility)
Lack of or inadequate family resources (e.g, manpower, financial)
Feeling of alienation to/lack of support from the community (e.g., stigma due to mental illness, AIDS)
Negative attitude/philosophy in life which hinders effective/maximum utilization of community resources for healthcare
Others, specify: