Family Nursing Process

Initial Data Base

a. Family structure and characteristics b. Socio-economic and cultural factors c. Environmental factors d. Health assessment of each member e. Value placed on prevention of disease

First Level Assessment

a. 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 one(NANDA,2011). Ex. Potential for effective breastfeeding

 b. Health threats conditions that are conducive to disease, accident or failure to realize ones health potential. Ex. Medical history of recurrent urinary tract infection

 c. Health deficits instances of failure in health maintenance (disease, disability, developmental lag). Ex. Head of the family was diagnosed for Emphysema

 d. Stress points/ Foreseeable crisis situation anticipated periods of unusual demand on the individual or family in terms of adjustment or family resources. Ex. Unplanned pregnancy

Second Level Assessment (based on Freemans Family Health Tasks)

a. Ability to recognize the existence of a problem b. Ability to make decisions with respect to taking appropriate health actions c. Ability to provide nursing care to the affected family member

 d. Ability to provide a home environment that is conducive to health maintenance and personal development e. Ability to utilize community resources for health care

Problem Prioritization:
a. Nature of the Problem -Wellness condition -Health deficit -Health threat -Foreseeable crisis

 b. Preventive Potential refers to the nature and magnitude of future problems that can be minimized or totally prevented if intervention is done on the problem under consideration

 c. Modifiability of the Condition refers to the probability of success in enhancing the wellness state, improving the condition, minimizing, alleviating or totally eradicating the problem through intervention

 d. Salience refers to the familys perception and evaluation of the problem in terms of seriousness and urgency of attention needed

Scale for Ranking Health Conditions and Problems According to Priorities

Criteria NATURE OF THE CONDITION: Score Weight

Wellness State
Health Deficit Health Threat Foreseeable Crisis

3
3 2 1

1
1 1 1

Criteria MODIFIABLITY OF THE CONDITION:

Score

Weight

Easily Modifiable
Partially Modifiable Not Modifiable

2
1 0

1
1 1

Criteria PREVENTIVE POTENTIAL:

Score

Weight

High
Moderate Low

2
2 1

1
1 1

Criteria SALIENCE: A condition needing immediate attention

Score 2

Weight 1 1 1

A condition not needing 1 immediate attention Not perceived as a condition needing change 0