A Typology of Nursing Problems in Family Nursing Problem

7/29/2019 A Typology of Nursing Problems in Family Nursing Problem

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A typology of Nursing Problems in Family Nursing Problem

First Level Assessment

1. Presence of Wellness Condition stated as potential or Readiness a clinical or nursingjudgement about a client in transition from a specific level of wellness or capability in a higher

level. Wellness potential is a nursing judgement on wellness state or condition based on clients

performance, current competencies, or performance, clinical data or explicit expression of

desire to achieve a higher level of state of 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 ex nutrition, diet, exercise activity2. Healthy maintenance health management3. Parenting4. Breastfeeding5. Spiritual well-being process of clients developing/unfolding of mystery through

harmonious interconnectedness that comes from inner strength/sacred source God

(NANDA 2001)

6. Others. SpecifyB. Readiness for Enhanced Capability for:

1. Healthy Lifestyle2. Health maintenance/health management3. Parenting4. Breastfeeding5. Spiritual well-being6. Others. Specify

2. Presence of Health Threats conditions that are conducive to disease and accident, or mayresult to failure to maintain wellness or realize health potential

Examples of this are the following:

A. Presence of risk factors of specific diseases ex. Lifestyle disease, metabolic syndromes)B. Threat of cross infection from communicable disease caseC. Family size beyond what family resources can adequately provideD. Accident hazards specify:

1. Broken charts2. Pointed sharp objects, poisons and medicines improperly kept3. Fire hazards4. Fall hazards5. Others specify

E. Faulty/un healthful/nutritional/eating habits or feeding techniques practices specify1. Inadequate food intake both in quality and quantity2. Excessive food intake of certain nutrients3. Faulty eating habits4. Ineffective breastfeeding5. Faulty feeding techniques

F. Stress provoking factors specify:a. Strained marital relationshipb. Strained parent-sibling relationshipc. Interpersonal conflicts between family membersd. Care-giving burden

G. Poor Home Environmental Condition/Sanitation Specify:1. Inadequate living space2.

Lack of food storage facilities

3. Polluted water supply


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4. Presence of breeding or resting sights of vectors of diseases5. Improper garbage/refuse disposal6. Unsanitary waste disposal7. Improper drainage system8. Poor lightning and ventilation9. Noise pollution10.Air pollution

H. Unsanitary Food Handling and PreparationI. Unhealthy Lifestyle and Personal habits/Practices

Specify:

a. Alcohol drinkingb. Cigarette tobacco smokingc. Walking barefooted or inadequate footweard. Eating raw meat or fishe. Poor personal hygienef. Self medication substance abuseg. Sexuality promiscuityh. Engaging in dangerous sportsi. Inadequate rest or sleepj. Lack of relaxation activitiesk. Lack of inadequate exercise/physical activityl. Non use of self protection measure (non use of bed nets in malaria and filariasis

endemic areas)

J. Inherent Personal Characteristics ex poor impulse controlK. Health History which may Participate/Induce the Occurrence of Health Deficit ex. Previous

history of difficult labor

L. Inappropriate Role Assumption ex child assuming mothers role, father not assuming his roleM. Lack of Immunization/Inadequate Immunization Status Specialty of ChildrenN. Family Disunity ex

1. Self oriented behaviour of members2. Unresolved conflicts of members3. Intolerable disagreements4. Oters, specify

3. Presence of Health Deficits instances of failure in health maintenanceExamples Include:

A. Illness states, regardless of whether it is diagnosed or undiagnosed by medical practitionerB. Failure in thrive develop according to normal rateC. Disability whether congenital or arising from illness: transient/temporary (e.g. aphasia or

temporary paralysis after a CVA) or permanent (e.g. leg amputation secondary to diabetes,

blindness from measles, lameness from polio)

4. Presence of stress points/foreseeable crisis situation anticipated periods of unusual demandon the individual or family in terms of adjustment family resources. Examples of this include:

A. MarriageB. Pregnancy, labor, puerperiumC. ParentlhoodD. Additional member e.g. newborn, lodgerE. AbortionF. Entrance at schoolG. AdolescenceH. Divorce or separationI. MenopauseJ. Loss of jobK. Hospitalization of a family memberL.

Death of a member

M. Resettlement in a new community


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N. IllegitimacyO. Others, speify________________

Second level assessment

1. Inability to recognize the presence of the condition or problem due to:A. Lack or inadequate knowledgeB. Denial about its existence or severity as a result of fear of consequences of diagnosis of

problems

Specifically:

1. Social-stigma, loss of respect of peer significant other2. Economic/cicalost implications3. Physical consequences4. Emotional/psychological issues/concern

C. Attitude/Philosophy in life, which hinders recognition/acceptance of a problemD. Others, specify

II. Inability to make decisions with respect to taking appropriate health action due to

A. Failure to comprehend the nature/magnitude of the problem/conditionB. Low salience of the problem conditionC. Feeling of confusion, helplessness and/or resignation brought about by perceive magnitude

severity of the situation or problem i.e. failure to breakdown problems into manageable units of

attach

D. Lack of/ inadequate knowledge /insight as to alternative courses of action open to themE. Inability to decide which action to take from among a list of alternativesF. Conflicting opinions among family members/significant others regarding action to takeG. Lack of/inadequate knowledge of community resources for careH. Four consequences of action, specifically:

1. Social consequences2. Economic consequences3. Physical consequences4. Emotional/psychological consequences

I. Negative attitude towards the health conditions or problem by negative attitude is meant onethat interferes with rational decision-making

J. In accessibility of appropriate resources for care, specifically:1. Physical accessibility2. Costs constraints or economic/financial inaccessibility

K. Lack of trust/confidence in the health personnel/agencyL. Misconception or erroneous information about proposed courses of actionM. Others specifyIII. inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable/at risk,

member of the family, due t

A. Lack of/inadequate knowledge about the disease/health condition (nature, severity,complications, prognosis and management)

B. Lack of / inadequate knowledge of the nature or extent of nursing care neededC. Lack of the necessary facilities, equipment and supplies of careD. Lack of/inadequate knowledge about child development and careE. 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)

F. Inadequate family resources of care specifically:1. Absence of responsible member2. Financial constraints3. Limitation of lack/lack of physical resources


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G. Significant persons unexpressed feelings (ex 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/atrisk member

I. Members preoccupation with no concern/interestJ. Prolonged disease or disabilities, which exhaust supportive capacity of family membersK. Altered role performance, specify:

1. Role denials or ambivalence2. Role strain3. Role dissatisfaction4. Role conflict5. Role confusion6. Role overload

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 resources2. Limited physical resources i.e lack of space to construct facility

B. Failure to see benefits (specifically long term ones) of investment in home environmentimprovement

C. Lack of/inadequate knowledge of importance of hygiene and sanitationD. Lack of/inadequate knowledge of preventive measuresE. Lack of skill in carrying out measures to improve home environmentF.

Ineffective communication pattern within the family members

G. Lack of supportive relationship among family membersH. 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 maturation exreduced ability to meet the physical and psychological needs of other members as a result of

familys preoccupation with current problem or condition

J. Others specifyV. Failure to utilize community resources for health care due to

A. Lack of inadequate knowledge of community resources for health care

B. failure to perceive the benefits of health care/service

C. Lack of trust/confidence in the agency personnel

D. previous unpleasant experience with health worker

E. Fear of consequences of action ((preventive, diagnostic, therapeutic, rehabilitative) specificall

1. physical/psychological consequences

2, financial consequences


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A Typology of Nursing Problems in Family Nursing Problem

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