Typology of Nursing Health Problem

FIRST LEVEL SECOND LEVEL

ASSESSMENT ASSESSMENT
CUES

Inability to provide adequate

nursing care to the sick,
disabled, dependent or
vulnerable/at-risk member of
the family due to inadequate
Health condition of the 4th Presence of disability from
family resources for care,
child of the W Family arising illness
specifically financial
(Cerebral Palsy)
constraints.

Inability to recognize the

presence of health threat
condition to failure to
Barb wire as a fence around comprehend the nature,
the perimeter of the house magnitude, and scope of
Accident hazard
accidental hazard from the
barb wire.

Inability to provide a home

environment conducive to
health maintenance and
personal development due to
inadequate knowledge of
importance of hygiene and
Piled garbage at the Poor home/environmental sanitation, preventive
backyard condition/sanitation measures and time in carrying
out measures to improve
home environment.

Inability to make decisions

with respect to taking
 Not properly covered deep appropriate health action due
well to low salience of the
Accident hazard
problem/condition.

Inability to provide a home

environment conducive to
health maintenance and
personal development due to
lack of inadequate knowledge
Erected coconut tree inside
of importance of preventive
the premise of their house
Accident hazard measures and not perceiving
it as a health threat.

Inability to provide a home

environment conducive to
Sharing of toilet as a threat of
health maintenance and
cross infection from a
personal development due to
communicable diseases case
inadequate knowledge of
Health threat
importance of hygiene and
sanitation

Failure to utilize community

resources for health care due
Inability to submit herself for
to lack of or inadequate family
a pre-natal check-up. (Mrs.
Health threat for unwanted resources, specifically skilled
M’s second and last check-
gestational complications individual who knows how to
up was she was still 5 month
take cares a child with
pregnant)
cerebral palsy.

Inadequate to provide a home

environment conducive to
health maintenance and
Inadequate living space Poor home personal development due to
inadequate resources
specifically, financial
 constraints and limited
physical resources.

Inability to make decisions

with respect to taking
appropriate health action due
Shattered window glass Accident hazard to low salience of the
beside their house problem/condition.

Additional member of the Inability to make decisions

family and a need to expand with respect to taking
Presence of Stress
family resources appropriate health action due
Points/Foreseeable Crisis
to financial constraints and
Situation
positive experience to home
delivery that enable them to
not seek more advance
available health care resulting
in inadequate knowledge in
solving the problem.

Inadequate to provide a home

environment conducive to
health maintenance and
House is located in a low personal development due to
lying area and situated near lack of skill in carrying out
Poor environmental condition
a clogged dike that causes measure to improve home
flood during heavy rain. environment because it is a
local government concern.
III. FAMILY COPING INDEX
Scale
0-2 - no competence
3-5 - coping in some fashion but poorly
6–7 - moderately competent
9 - fairly competent

AREA SCALE JUSTIFICATION HEALTH

TEACHING

1. Physical The members of the We encouraged the

Independence family are able to do mother to attend the
- Concerned with their tasks. The prenatal and
the ability of the pregnant mother explained to her its
family to move admitted that she importance between
about, to get out could not fulfil all her the mother and
of bed, to take duties because of child’s health.
care of daily her condition. Almost
We also explained to
grooming and all her time is
the family the
also the family’s focused in taking
importance of
quantity and care of her children.
maintaining the
quality of For example the
cleanliness of the
competence 8 mother fails to attend
surroundings. And
and actual prenatal check –up
teach everyone in
physical that could benefit her
the family to
capacity. and the fetus
maintain good
because she could
grooming and
not leave her son A
hygiene.
alone. However, the
rest of the family
members can do
 independently their R: This is to prevent
respective tasks birth complications
based on their so that she can
capacity, easily cope up after
the delivery and that
she can normally do
what usual routine
she’s doing. Also,
maintaining hygiene
and grooming,
spread of diseases
will be lessened or
eliminated.

2. Therapeutic The family, We

Competence especially the encouraged the
mother fails to submit mother to attend
- This category herself for prenatal the pre natal
includes all of check-up for three check-up for her
the procedures months now to know how
or treatments because she can’t prenatal benefits
prescribed for leave her son alone the fetus. Always
the care of in the house. The W follow the
illness, such as family practice self- prescribe
giving medication without medicine
medications, knowing the adverse appropriate for
dressings, effect of the drugs. pregnant and
exercises and The family couldn’t always take only
relaxation 6 find time for exercise. those prescribed
Both of the couple by the physician.
takes turns feeding
R: this is
their son A.
again for safe
pregnancy, to
maintain balance
 and to avoid birth
defects when
taking
unprescribed
medicines.

3. Knowledge of The Family Influenced

Health specially the the mother to
Condition mother knows give priority to
the underlying necessary
benefits of actions about her
- This system is
attending prenatal check-
concerned with
prenatal check- up and
the particular
up but she understand its
health condition
doesn’t have important benefit
that is the
enough time for her baby.
occasion for
because no one Encourage the
care.
can look after for family to have a

5 her son. She clean

takes medicine surrounding and
even without the promote the
doctor’s underlying effect
prescription. of having a good
They lack of sanitation and to
enough seek medical
information on consultation with
the health the nature of the
condition of their health condition
son A. of her son.

R: When you
are pregnant you
should also be
 watchful in
everything and
undergo pre-
natal check –up
as for her son,
they need
medical advice
to understand
the nature of the
disease and how
to properly give
care for their
son.

4. Application of The family We

Principle of fails to observe suggested the
General some general mother to trim
Hygiene hygiene the nails of her
principle. They children
- Concerned with dump their table whenever it
family action in rag beside the grows to avoid
the relation to gas stove where disease and
maintaining they cook their accidental
family nutrition, meals. The pricks.
securing mother fails to Emphasized
adequate rest cut the nails of proper hand
and relaxation 5 her sons while in washing before
for the family front of their and after eating
members, house has a lot of food and proper
carrying out garbage and they storage of food
preventive throw their left left overs and
measures such overs in the canal cooking the food
as medical or wherever well to avoid food
appraisal, safe poisoning.
 homemaking there are ducks Lastly, taught
habits. and chickens. them the
importance of
proper garbage
segregation and
not dumping it
anywhere.

R; Proper hygiene is
a must to prevent the
spread of diseases.

5. Health Attitudes The Family We

specially the recommended
mother is willing the mother to
- This is
to participate in submit herself for
concerned with
medical services a pre-natal
the way the
such as prenatal checkup and to
family feels
check-up but eat more
about health
because for her nutritious foods
care in general,
above mention and suggested to
including
reasons, she do some
preventive
can’t participate. exercise to
services, care of
The mother prepare herself
illness and
always take care for the delivery.
public health
of her children
measures. 5 R: our health
specially A.
attitude defines
much of wellness
we could have. If
we develop a
good and
positive health
attitude then
surely, we will
 live a healthier
life.

6. Emotional The family is We

Competence coping with their encouraged the
shortcomings, family to be more
specially the open with each
- This category
mother. She other to promote
has to do with
stays strong good family
the maturity and
despite of relationship that
integrity with
different could help them
which the 6
problems that easily resolve
members of the
measures her their problems
family are able
patience. She whenever they
to meet the
oversees have one. Also
usual stresses
everything about we motivated the
and problems of
the family but mother that she’s
life.
sometimes she fighting a good
missed taking battle for her
care of her older family.
sons because
R: No man is
she is pre-
an island; we
occupied with her
need each other
daily routines.
to survive.
Seeking advice
or opening up to
someone when
you have
problems can
help a lot. Your
support system
is very important
that includes
your spouse,
 family, relatives
and friends.

7. Family Living The family Encouraged

Pattern sometimes has the family to
their ups and continue
- Concerned downs just like supporting each
largely with the any other other and spend
interpersonal or families. But at more time
group aspects the end of the together to have
of family life – day they tend to quality time as a
how well the accept and family. And
members of the forgive each advise the
family get along ones mother to
6
with one shortcomings to supervise her
another. maintain their family well to
family avoid possible
relationship. accident to any
Together, the part of the family.
couple makes
R. Having an
decision for the
good and open
family.
communication
like sharing of
problems and
openly
discussed
matters towards
family members
is good way to
acquire
emotional
security and
 stability in each
members.

8. Physical The physical Advised the

Environment appearance of family to have a
the house is proper and
- Concerned with good but the functioning
the home, the environment is drainage to avoid
community and quiet untidy flood when
the work because you can heavy rainfall
environment as see dump of comes. And
it affects the garbage that are encourage the
family’s health. not properly family to promote
The condition of segregated. The proper
the house and absence of segregation to
the availability adequate keep the
of drainage system surrounding
transportation. 6 and the low-lying clean and to
location of their avoid any form of
house make it disease that may
flood prone when came from those
heavy rainfall dump garbage.
comes.
R. Having a
clean
surrounding and
free from
pollutants
signifies a good
sanitation
management.
Also, healthy
workplace and
accessibility of
transportation
 lessen the
stressors and
helps a lot in
your wellness.

9. Use of The family is Advised the

Community aware that there mother to avail
Facilities are services free services
offered in the from the
barangay but still barangay health
- Has to with the 7
they can’t center and even
degree of
participate from the city
family’s use and
diligently with the health that would
awareness of
services offered. assist and help
the available
Disregarding the them in so many
community
benefits they can ways, like
facilities for
get from them. assistance for
health
her son A.
education and
welfare. This R. Building
includes the linkages and
ways in which using of
they would use community
services of facilities is
private important
physician, because they
welfare offer a lot of
organizations, assistance for
churches and so the families
forth especially those
families who
need much
attention on their
health condition.
Total score: 54