Rle 217... Typology of Nursing Problems in Family Nursing Practice Maglaya
Rle 217... Typology of Nursing Problems in Family Nursing Practice Maglaya
Rle 217... Typology of Nursing Problems in Family Nursing Practice Maglaya
PRACTICE
First Level Assessment
I. Presence of Wellness Condition-stated as potential or Readiness-a clinical or nursing judgment about a
client in transition from a specific level of wellness or capability to a higher level. Wellness potential is a
nursing judgment on wellness state or condition based on client’s performance, current competencies, or
performance, clinical data or explicit expression of desire to achieve a higher level of state or function in a
specific area on health promotion and maintenance. Examples of this are the following
A. Potential for Enhanced Capability for:
1. Healthy lifestyle-e.g. nutrition/diet, exercise/activity
2. Healthy maintenance/health management
3. Parenting
4. Breastfeeding
5. Spiritual well-being-process of client’s developing/unfolding of mystery through harmonious
interconnectedness that comes from inner strength/sacred source/God (NANDA 2001)
6. Others. Specify.
B. Readiness for Enhanced Capability for:
1. Healthy lifestyle
2. Health maintenance/health management
3. Parenting
4. Breastfeeding
5. Spiritual well-being
6. Others. Specify.
II. Presence of Health Threats-conditions that are conducive to disease and accident, or may result to
failure to maintain wellness or realize health potential. Examples of this are the following:
A. Presence of risk factors of specific diseases (e.g. lifestyle diseases, metabolic syndrome)
B. Threat of cross infection from communicable disease case
C. Family size beyond what family resources can adequately provide
D. Accident hazards specify.
1. Broken chairs
2. Pointed /sharp objects, poisons and medicines improperly kept
3. Fire hazards
4. Fall hazards
5. Others specify.
K. Health History, which may Participate/Induce the Occurrence of Health Deficit, e.g. previous history of
difficult labor.
L. Inappropriate Role Assumption- e.g. child assuming mother’s role, father not assuming his role.
N. Family Disunity-e.g.
C. Parenthood
E. Abortion
F. Entrance at school
G. Adolescence
H. Divorce or separation
I. Menopause
J. Loss of job
L. Death of a member
N. Illegitimacy
O. Others, specify.___________
I. Negative attitude towards the health condition or problem-by negative attitude is meant one that
interferes with rational decision-making.
M. Others specify._________
III. Inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable/at
risk member of the family due to:
A. Lack of/inadequate knowledge about the disease/health condition (nature, severity, complications,
prognosis and management)
E. Lack of/inadequate knowledge or skill in carrying out the necessary intervention or treatment/procedure
of care (i.e. complex therapeutic regimen or healthy lifestyle program).
G. Significant persons unexpressed feelings (e.g. hostility/anger, guilt, fear/anxiety, despair, rejection)
which his/her capacities to provide care.
H. Philosophy in life which negates/hinder caring for the sick, disabled, dependent, vulnerable/at risk
member
L. Others. Specify._________
IV. Inability to provide a home environment conducive to health maintenance and personal
development due to:
A. Inadequate family resources specifically:
1. Financial constraints/limited financial resources
2. Limited physical resources-e.i. lack of space to construct facility
B. Failure to see benefits (specifically long term ones) of investments in home environment improvement
H. Negative attitudes/philosophy in life which is not conducive to health maintenance and personal
development
I. Lack of/inadequate competencies in relating to each other for mutual growth and
J. Others specify._________
I. Feeling of alienation to/lack of support from the community, e.g. stigma due to mental illness, AIDS, etc.