Typology Flashcards
- “the study or systematic classification of types.”
- “A tool or classification of a family nursing problem that reflects the family status and capabilities as a functioning unit.”
Typology of Nursing Practice
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
Presence of Wellness condition
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
Wellness potential
instances of failure in health maintenance
Health Deficits
conditions that are conducive to disease and accident, or may result to failure to maintain wellness or realize health potential
Health Threats
anticipated periods of unusual demand on the individual or family in terms of adjustment/family resource
Stress points/Foreseeable crisis situations
What do you assess in the First Level of Assessment
- Presence of Wellness
- Presence of health deficit, health threats, and foreseeable crisis/ stress points in the family
What do you assess in the Second Level of Assessment
- Inability to recognize presence of problem or condition
- Inability to make decisions with respect to taking appropriate health action
- Inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable/at risk member of the family
- Inability to provide a home environment conducive to health maintenance and personal development
- Failure to utilize community resources for health care
Denial about its existence or severity as a result of fear of consequences of
diagnosis of problem, specifically:
- Social-stigma, loss of respect
of peer/significant others - Economic/cost implication
- Physical consequences
- Emotional/psychological
issues/concerns
Fear of consequences of action, specifically:
- Social consequences
- Economic consequences
- Physical consequences
- Emotional/psychological
consequences
In accessibility of appropriate resources for care, specifically:
- Physical Inaccessibility
- Costs constraints or economic/financial
inaccessibility
Inadequate family resources of care specifically:
○ Absence of responsible member
○ Financial constraints
○ Limitation of luck/lack of physical
resources
Altered role performance, specify:
○ Role denials or ambivalence
○ Role strain
○ Role dissatisfaction
○ Role Conflict
○ Role Confusion
○ Role overload
Two parts of Nursing Diagnosis
General and Specific
the statement of the unhealthful response
General
the statement of factors which are maintaining the undesirable response and preventing the desired change
Specific
the set of actions the nurse decides to implement to be able to resolve identified family health and nursing problem
Family Nursing Care Plan
List the characteristics of the family nursing care plan
● The nursing care plan focuses on actions which are designed to solve or minimize existing problem.
● The nursing care plan is a product of deliberate systematic process.
● The nursing care plan, as with all other plans, relates to the future.
● The nursing care plan is based upon identified health and nursing problems.
● The nursing care is a means to an end, not an end in itself.
● Nursing care plan is a continuous process not a one-shot deal
Desirable Qualities a Nursing Care Plan
● It should be based on a clear definition of the problems.
● A good plan is realistic.
● The nursing care plan should be consistent
with the goals and philosophy of the health
agency.
● The nursing care plan is drawn with the family.
● The nursing care plan is best kept in a written
for
Four Criteria for Determining Priorities
-Nature of condition or problem
-Modifiability of the Problem
-Preventive Potential
-Salience
Categorized into wellness state/
potential, health threat, health deficit of foreseeable crisis.
Which of the Four Criteria
Nature of condition or problem
Refers to the probability of success in minimizing, alleviation or totally eradicating the problem through nursing intervention
Which of the Four Criteria
Modifiability of the Problem
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
Which of the Future Criteria
Preventive Potential
Refers to the family’s perception and evaluation of the problem in terms of seriousness an urgency attention needed
Which of the Four Criteria
Salience
What is the weight of Nature of condition or problem
1
What is the weight of Modifiability of the Problem
2
What is the weight of Preventive Potential
1
What is the weight of Salience
1
For criteria scoring, divide the score by the _________ possible score and __________ by the weight
- Highest
- Multiply
Sum up the scores for all the criteria. The highest score is __
5
What is the scale for Nature of condition or problem
-Health Deficit
-Health Threat
-Foreseeable Crisis
What is the scale for Modifiability of the Problem
-Easily Modifiable
-Partially Modifiable
-Not Modifiable
What is the scale of Preventive Potential
-High
-Moderate
-Low
What is the scale of Salience
-A serious problem, immediate action needed
-A problem but not needing immediate attention
-Not a felt need/problem
Is a general statement of condition or state to be brought about by specific courses of action. It is the end towards which all efforts are directed
Goals
Will not tell if the nurse’s activities produced some beneficial result’s, they only indicate what the nurse did and in qualitative evaluation, how well she performed them
Nurse-Oriented
Will indicate during the evaluation phase whether the desired changes in the problem situation resulted from the nurse’s action
Client-Oriented
After the nursing intervention, the family will utilize community resources for health care
General Objective
After the nursing intervention, the family will bring the pregnant member to the health center regularly for check ups
Specific Objective
problem situations which require immediate attention
short-term or immediate objectives
are those which are not immediately achieved and are required to attain the long term ones
medium-term or intermediate objectives
-require several nurse-family encounters
-investment of more resources
long-term or ultimate objectives
The infant and preschool members of the family will be immunized with BCG
Short Term
All members of the family will have a complete physical check-up to rule out pulmonary tuberculosis
Medium Term
All members of the family will participate in the care of the sick members and apply preventive measures against the spread of infection
Long Term
The choice of nursing intervention is highly dependent on two major variables
-The nature of the problem
-Resource available to solve the problem
what are the types of resouces
-family resources
-nurse resources
-community resources
physical and psycho-social strengths and assets of individual members, financial capabilities, physical facilities and the presence of support system provided by relatives and significant others
FAMILY RESOURCES
knowledge about family health and her skills in helping family manage them. These skills may range from simple nursing procedure to complicated behavioral problems such as marital disharmony. Availability of time and logistical support are also part of resources of the nurse
NURSE RESOURCES
include existing agencies, programs or activities for health and related needs/problems and community organization for health actions
COMMUNITY RESOURCES
professional, purposeful interaction that takes place in the family’s residence aimed at promoting, maintaining and restoring the health of the family or its members
Home-Visit
● takes place in a private clinic health center, barangay health station.
● Major advantage is the fact that a family member takes the initiative of visiting the professional health worker, usually indicating the family readiness to participate in the health care process.
Clinic- Visit
appropriate for developing cooperation, leadership, self-reliance and or community awareness among group members
Group Approach
used to give specific information to families, such as instructions given to parents through school children
Written Communication
list the methods of intervention
- home-visit
- clinic-visit
- group approach
- telephone conference
- written communication
- school visit
- industrial or job site visit
list the dimensions of evaluation
● EFFECTIVENESS
● EFFICIENCY
● APPROPRIATENESS
● ADEQUACY
focus is attainment of the objectives
EFFECTIVENESS
relates to cost whether in terms of money, time, effort, or materials
EFFICIENCY
ability to solve or correct existing problem situation, a question that involves professional judgement
APPROPRIATENESS
pertains to its comprehensiveness whether all necessary activities were performed in order to realize the intended results
ADEQUACY
refer to the signs or indicators that tell us if the objective has been achieved. They are names and description of variables that are relevant indicators of having attained the objectives. They are free from any value judgement and are independent to time frame.
CRITERIA
once a value judgement is applied to a criterion; it acquires the status of a standard. It refers to the desired level of performance corresponding with a criterion against which actual performance is compared. It tells us what the acceptable level of performance or state of affairs should be for us to say that the intervention was successful
STANDARD
are actions performed to accomplish an objective. They are the things the nurse does in order to achieved a desired result or outcome. Activities consume time and resources
ACTIVITIES
the results produced by activities. Where activity is the cause, outcome is the effect. They can also be immediate, immediate or ultimate outcomes. Patient care outcomes can be measured along three broad lines
OUTCOME
decreased temperature or weight and change in clinical manifestations
PHYSICAL CONDITION
decreased anxiety and favourable attitude towards health care personnel
PSYCHOLOGICAL OR ATTITUDINAL STATUS
compliance of the patient with instructions given by the nurse
KNOWLEDGE ON LEARNING BEHAVIOR
