FAMILY NURSING ASSESSMENT Flashcards
emphasizes the need to understand the
behavior of the family as a dynamic,
functioning unit which affects its capability to
help itself and maintain system integrity, or its
readiness to work with the nurse in enhancing
wellness or addressing problems on health
and illness.
Family Nursing Practice
views the family as a living social system
within a context in which multiple
environmental actions or factors occur over
the life course
Family Systems Theory
views the family as a unity of interacting
personalities whose actions are based on
meanings they derived from interactions and
taken in an ever-changing process of new
interactions, new interpretations, and new
meanings
The Interactional Approach or Symbolic
Interactional Framework
views family development throughout its
generational life cycle, highlighting critical
periods of family growth and development
across the life course
The Developmental Approach
specifies family characteristics such as
member roles, family forms, power structure,
communication processes and value systems
which provide order to family interactions and
interdependent relationships and serve to
organize performance of roles and functions
Structural-Functional Perspective
integrates the application of theoretical
perspectives which converge particularly at
the critical role of family performance of
functions to attain, sustain maintain and regain
individual and family health
Family Health Tasks Perspective
- Data Collection
- Data Analysis
- Formulation of Diagnosis
STEPS IN NURSING ASSESSMENT
- identify the type of data needed
- specify the methods of data gathering and the necessary tools to collect the data
Data Collection
- Observation
- Physical Examination
- Interview
- Record Review
- Laboratory/Diagnostic Tests
Data Gathering Methods and Tools
the nurse gathers information about the family’s
state of being and behavioral responses
direct observation
- Family/household members
- Home and environment
First Level- Data on status:
Data on family’s assumption of
health tasks on each health condition/problem
identified in first level assessment.
Second Level
Data about the current health status of individual
members. The 5 types of data generate the
categories of health conditions or problems of the
family
First Level Assessment
- Family Structure, characteristics and
dynamics - Socio-economic and cultural characteristics
- Home and environment
- Health status of each member
- Values and practices on health
promotion/maintenance and disease
prevention
First Level Assessment types of data
I. Family/household members
a. Health assessment
b. Laboratory/diagnostic test results
c. Records
II. Home and environment
a. Observation/ocular survey
b. Interview
c. Laboratory/diagnostic test results
d. Records
METHODS/SOURCES:
on First Level Assessment