CHN WEEK 5 Flashcards
Is the blueprint of the care that the nurse designs to systematically minimize or eliminate the identified health and family nursing problems through explicitly formulated outcomes of care (goals and objectives) and deliberately chosen set of interventions, resources and evaluation criteria, standards, methods and tools.
FAMILY NURSING PROCESS
a problem-solving approach that enables the nurse to provide care in an organize and scientific manner. It is applicable to individuals, families and community groups at any level of health. It is adaptable to any practice setting or specialization and the components may be used sequentially or concurrently.
NURSING PROCESS
Phases of Nursing Process:
● 1. Assessment
● 2. Diagnosis
● 3. Planning
● 4. Implementation
● 5. Evaluation
● 1. Collection of data
● 2. Comparison of data against the standard
or norm
THE NURSING ASSESSMENT PHASE
First source
Health status of the family
Second Source
Family’s status as a
functioning unit
Third Source
Family’s environment
Methods of Gathering Data
- Direct observation
- Interviewing
- Physical Examination
● ◼ A method of data collection which is done through the use of all sensory capacities
● ◼ The nurse gathers information about the
family’s state of being and behavioural
responses.
● ◼ Presence of S/S
Direct observation
● ◼ Encourage verbalization of thought and feelings and offer needed support or reassurance.
Interviewing
◼ Done through inspection, palpation, percussion, auscultation measurement of specific body parts and reviewing the body systems
Physical Examination
● 1. Members of the household and relationship to the head of the family.
● 2. Demographic data- age,sex, civil status, position in the family
● 3. Place of residence of each member - whether living with or elsewhere.
● 4. Type of family structure - matriarchal, patriarchal, nuclear or extended.
● 5. Dominant family members in terms of decision making in matters of health care.
● 6. General family relationship - presence of any obvious/ready observable conflict between members; communication patterns among members.
Family structure and Characteristics
● 1. Income and expense
○ ▪ Occupation, place of work and
income of each working member
○ ▪ Adequacy to meet basic necessities (food, clothing and
shelter)
○ ▪ Who makes decision about money
and how it is spent
● 2. Educational attainment of its members
● 3. Ethnic background and religious affiliation ● 4. Significant others - roles they play in the
family
● 5. Relationship of the family to the larger
community-what is the participation of the family in community activities?
Socio-economic and Cultural Factors
- Housing
○ a. Adequacy of living space
○ b. Sleeping arrangement.
○ c. Presence of insects and rodents.
○ d. Adequacy of the furniture
○ e. Food storage and cooking
facilities
○ f. Presence of accidents hazards
○ g. Water supply-source, ownership,
potability
○ h. Toilet facility-type, ownership,
sanitary condition
○ i. Garbage/refuse disposal- type,
sanitary condition
○ j. Drainage system- type and
sanitary condition - Kind of neighborhood- congested, slum, etc.
- Social and health facilities available
- Communication and transportation
Environmental Factors
● 1. Medical and Nursing History indicating past significant illness, beliefs and practices conducive to illness.
● 2. Nutritional assessment (specifically for vulnerable or at risk members)
○ a. Anthropometric data- weight, height.
○ b. Dietary history indicating quality and quantity of food intake per day
○ c. Eating/feeding habits and practices
● 3. Current health status indicating presence of illness states (diagnosed/undiagnosed by medical practitioner)
Health Assessment of Each Member
● 1. Immunization status of children
● 2. Use of other preventive services
- Value Placed on Preventive Disease
Comparison of the gathered DATA to the STANDARDS OR NORMS
Data Analysis
Is defined as situation or condition which interferes with the promotion and/ or maintenance of health and recovery from illness and injury
Health Problem
Exist when there is a health problem that can be alleviated with medical or social technology.
Health Need
the study or systematic classification of types.
◼ A tool or classification of a family nursing problems that reflects the family status and capabilities as a functioning unit.
Typology of Nursing Practice
- Instances of failure in health maintenance and development
- Occurs when there is a gap between actual and achievable health status.
Health Deficits
- diagnosed/suspected illness states of family members
-Sudden or premature or untimely death illness or disability and failures to adapt reality of life emotional control and stability
Health Deficits
-Deviations in growth and development
-Personality disorders
Health Deficits
Anticipated periods of unusual demand on the individual or family in terms of adjustments/family resources.
Stress Points/ Foreseeable Crisis Situation
● ◼ Marriage
● ◼ Pregnancy, labor, puerperium
● ◼ Parenthood
Stress Points/ Foreseeable Crisis Situation
● ◼ Abortion
● ◼ Entrance at school
● ◼ Adolescence
Stress Points/ Foreseeable Crisis Situation
● ◼ Loss of job
● ◼ Death of a member
● ◼ Resettlement in new community
● ◼ Illegitimacy
Stress Points/ Foreseeable Crisis Situation
Condition that are conducive to diseases, accidents or failure to realize one’s health potential.
Health Threats
● a. Broken stairs
● b. Pointed sharp objects,
poison and medicine
improperly kept
● c. Fire hazards
● d. Fall hazards
Accident Hazards
● a. Inadequate food intake both in quantity and quality
● b. Excessive intake of certain nutrients
● c. Faulty eating habits
Nutritional
a. Strained marital relationship
● b. Strain parent-sibling relationship
● c. Interpersonal conflicts between family members.
Stress Provoking Factors
● ●
● ● ●
● ● ● ● ●
a. Inadequate living space
b. Inadequate personal belongings/utensils
c. Lack of food storage facilities
d. Polluted water supply
e. Presence of breeding places of insects and rodents
f. Improper garbage/refuse disposal g. Unsanitary waste disposal
h. Improper drainage system
i. Noise pollution
j. Air pollution
Poor Environmental Sanitation
● a. Frequent drinking of alcohol
● b. Excessive smoking
● c. Walking barefooted
● d. Eating raw meat/fish
● e. Poor personal hygiene
● f. self-medication
● g. Use of dangerous drugs or
narcotics
● h. Sexual promiscuity
● i. Engaging in dangerous sports
Personal Habits/ Practices
● a. Self-oriented behaviour of members
● b. Unresolved conflicts among members
● c. Intolerable disagreements
Family disunity