4.

Breastfeeding
A TYPOLOGY OF NURSING 5. Spiritual well-being
6. Others, specify: ________________________________
PROBLEMS IN FAMILY NURSING
PRACTICES II. Presence of Health Threats – conditions that are conducive to disease and
accident, or may result to failure to maintain wellness or realize health
FIRST LEVEL ASSESSMENT potential. Example of this are the following:

I. Presence of Wellness Condition – stated as potential or readiness- clinical or A. Presence of risk factors of specific diseases (e.g. lifestyle diseases, metabolic
nursing judgment about a client in transition from a specific level of wellness syndrome)
and capability to a higher level. Wellness potential is a nursing judgment on B. Threat of cross infection from communicable disease case
wellness state or condition based on client’s performance, current C. Family size beyond what family resources can adequately provide
competence, or performance, clinical data or explicit expression of desire to D. Accident hazards. Specify:
achieve a higher level of state or function in a specific are on health 1. Broken chairs
promotion and maintenance. Examples of this are the following: 2. Pointed/sharp objects, poisons and medicines improperly kept
3. Fire hazards
A. Potential for Enhanced Capability for: 4. Fall hazards
1. Healthy lifestyle – e.g. nutrition/diet, exercise/activity 5. Others, specify: ________________________________
2. Healthy maintenance/health management E. Faulty / unhealthful nutritional/eating habits or feeding techniques/practices.
3. Parenting Specify:
4. Breasfeeding 1. Inadequate food intake both in quality and quantity
5. Spiritual well-being-process of client’s developing/unfolding of mystery 2. Excessive intake of certain nutrients
through harmonious interconnectedness that comes from inner 3. Faulty eating habits
strength/sacred resources.God (NANDA 2001) 4. Ineffective breastfeeding
6. Others, specify: ________________________________ 5. Faulty feeding techniques
F. Stress Provoking Factors. Specify:
1. Strained marital relationship
B. Readiness for Enhanced Capability for: 2. Strained parent-sibling relationship
1. Healthy lifestyle 3. Interpersonal conflicts between family members
2. Health maintenance/health management 4. Care-giving burden
3. Parenting G. Poor Home/ Environmental Condition/ Sanitation. Specify:
 1. Inadequate living space 1. Self-oriented behaviour of member(s)
2. Lack of food storage facilities 2. Unresolved conflicts of member (s)
3. Polluted water supply 3. Intolerable disagreement
4. Presence of breeding or resting sites of vectors of diseases O. Others, specify: ____________________________________
5. Improper garbage/refuse disposal
6. Unsanitary waste disposal
7. Improper drainage system III. Presence of Health Deficits – instances of failure in health maintenance.
8. Poor lighting and ventilation Examples include:
9. Noise pollution A. Illness states regardless of whether it is diagnosed or undiagnosed by medical
10. Air pollution practitioner.
H. Unsanitary food handling and preparation B. Failure to thrive/ develop according to normal rate
I. Unhealthful lifestyle and personal habits/practices. Speify: C. Disability – whether congenital or arising from illness: transient/ temporary
1. Alcoholic drinking (e.g. aphasia or temporary paralysis after a CVA) or permanent (e.g. leg
2. Cigarette/tobacco smoking amputation secondary to diabetes, blindness from measles, lameness from
3. Walking barefooted or inadequate footwear polio)
4. Eating raw meat or fish
5. Poor personal hygiene
6. Self-medication/substance abuse IV. Presence of Stress Points/ Foreseeable Crisis situations – anticipated periods
7. Sexual promiscuity of unusual demand on the individual or family in terms of adjustment/ family
8. Engaging in dangerous sports resources. Examples of this include:
9. Inadequate rest or sleep A. Marriage
10. Lack of/ inadequate exercise/ physical activity B. Pregnancy, labor, puerperium
11. Lack of/ inadequate relaxation activities C. Parenthood
12. Non-use of self-protection measures (e.g. non-use of bed nets in malaria D. Additional member – e.g. new born, lodger
and filariasis endemic areas) E. Abortion
J. Inherent Personal Characteristics – e.g. poor impulse control F. Entrance at school
K. Health History, which may participate/induce the occurrence of health deficit, G. Adolescence
e.g. previous history of difficult labor H. Divorce or separation
L. Inappropriate Role Assumption – e.g. child assuming mother’s role, father not I. Menopause
assuming his role J. Loss of job
M. Lack of Immunization / Inadequate Immunization Status specifically of children K. Hospitalization of a family member
N. Family Disunity – e.g. L. Death of a member
 M. Resettlement in a new community H. Fear of consequences of action, specifically:
N. Illegitimacy 1. Social consequences
O. Others, specify: __________________________________ 2. Economic consequences
3. Physical consequences
SECOND LEVEL ASSESSMENT 4. Emotional/ Psychological consequences
I. Negative attitude towards the health conditions or problem-by negative
I. Inability to recognize the presence of the condition or problem due to:
attitude is meant one that interferes with a rational decision-making.
A. Lack or inadequate knowledge
J. In accessibility of appropriate resources for care, specifically:
B. Denial about its existence or severity as a result of fear of consequences of
1. Physical inaccessibility
diagnosis of the problem, specifically:
2. Cost constraints or economic/ financial inaccessibility
1. Social stigma, loss of respect of peer/ significant others
K. Lack of trust/ confidence in the heath personnel/ agency
2. Economic/ cost implications
L. Misconceptions or erroneous information about proposed course(s) of
3. Physical consequences
action
4. Emotional/ psychological issues/ concerns
M. Others, specify: ________________________________
C. Attitudes/ philosophy in life, which hinders recognition/ acceptance of a
problem
D. Others, specify: ________________________________
III. Inability to provide adequate nursing care to the sick, disabled,
dependent or vulnerable/ at risk member of the family due to:
A. Lack of/ inadequate knowledge about the disease/ health condition
II. Inability to make decisions with respect to taking appropriate health
(nature, severity, complications, prognosis and management)
action due to:
B. Lack of/ inadequate knowledge about child development and care
A. Failure to comprehend the nature/ magnitude of the problem/ condition
C. Lack of/ inadequate knowledge of the nature or extent or nursing care
B. Low salience of the problem/ condition
needed.
C. Feeling of confusion, helplessness and/ or resignation brought about by
D. Lack of the necessary facilities, necessary facilities, equipment and supplies
perceive magnitude/ severity of the situation or problem, i.e. failure to
of care
breakdown problems into manageable units of attack.
E. Lack of/ inadequate knowledge or skill in carrying out the necessary
D. Lack of/ inadequate knowledge/ insights as to alternative courses of action
intervention or treatment/ procedure of care (i.e. complex therapeutic
open to them
regimen or healthy lifestyle program)
E. Inability to decide which action to take from among a list of alternatives
F. Inadequate family resources of care specifically:
F. Conflicting opinions among family members/ significant others regarding
1. Absence of responsible member
action to take.
2. Financial constraints
G. Lack of/ inadequate knowledge of community resources for care
3. Limitation of luck/ lack of physical resources
 G. Significant persons unexpressed feelings (e.g. hostility, anger, guilt, fear/ psychological needs of other members as a result of family’s pre-
anxiety, despair, rejection) which his/ her capacities to provide care. occupation with current problem or condition.
H. Philosophy in life which negates/ hinder caring for the sick, disabled J. Others, specify: ________________________________
dependent, vulnerable/ at risk member.
I. Member’s preoccupation with on concerns/ interests
J. Prolonged disease or disabilities, which exhaust supportive capacity of V. Failure to utilize community resources for health care due to:
family members. A. Lack of/ inadequate knowledge of community resources for health care
K. Altered role performance, specify: B. Failure to perceive the benefits of health care/ services
1. Role denials or ambivalence C. Lack of trust/ confidence in the agency/ personnel
2. Role strain D. Previous unpleasant experience with health worker
3. Role dissatisfaction E. Fear if consequences of action (preventive, diagnostic, therapeutic,
4. Role conflict rehabilitative) specifically:
5. Role confusion 1. Physical/ psychological consequences
6. Role overload 2. Financial consequences
L. Others, specify: ________________________________ 3. Social consequences
F. Unavailability of required care/ services
IV. Inability to provide a home environment conducive to health G. Inaccessibility of required services due to:
maintenance and personal development due to: 1. Cost constrains
A. Inadequate family resources specifically: 2. Physical inaccessibility
1. Financial constraints/limited financial resources H. Lack of or inadequate family resource, specifically:
2. Limited physical resources – i.e. lack of space to construct facility 1. Manpower resources, e.g. baby sitter
B. Failure to see benefits (specifically long term ones) of investments in home 2. Financial resources, cost of medicines prescribe
environment improvement I. Feeling of alienation to/ lack of support from the community, e.g. stigma
C. Lack of/ inadequate knowledge of importance of hygiene and sanitation due to mental illness, AIDs, etc.
D. Lack of/ inadequate knowledge of preventive measures J. Negative attitudes/ philosophy in life which hinders effective/ maximum
E. Lack of skill in carrying out measures to improve home and environment utilization of community resources for health care
F. Ineffective communication pattern within the family K. Others, specify: ________________________________
G. Lack of supportive relationship among family members
H. 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 (e.g. reduced ability to meet the physical and