FAMILY HEALTH NURSING PRACTICE

TYPOLOGY OF NURSING PROBLEMS IN FAMILY NURSING PRACTICE

(Copied From Maglaya, A. Nursing Practice in the Community, 2009, pp 70-72(

SECOND LEVEL ASSESSMENT (LIST OF FAMILY NURSING DIAGNOSES) G. Significant person’s unexpressed feelings (e.g.
I. INABILITY TO RECOGNIZE THE PRESENCE OF THE CONDITION OR hostility/anger, guilt, fear, anxiety, despair, rejection)
THE PROBLEM RELATED TO: which affect his/her capacity to provide care
A. Lack of or inadequate knowledge H. Philosophy in life which negates/hinders caring for the
B. Denial about its existence or severity as a result of fear sick, disabled, dependent, vulnerable/at risk member
of consequences of diagnosis of problem, specifically: I. Member’s preoccupation with own concerns/interests
1. Social stigma, loss of respect of J. Prolonged disease or disability progression which
peer/significant others exhausts supportive capacity of family members
2. Economic/cost implications K. Altered role performance – specify:
3. Physical consequences 1. Role denial or ambivalence
4. Emotional/psychological issues/concerns 2. Role strain
C. Attitude/philosophy in life which hinders 3. Role dissatisfaction
recognition/acceptance of a problem 4. Role conflict
D. Others, specify ___________________________ 5. Role overload
II. INABILITY TO MAKE DECISIONS WITH RESPECT TO TAKING L. Others, specify ___________________________
APPROPRIATE HEALTH ACTION RELATED TO: IV. INABILITY TO PROVIDE A HOME ENVIRONMENT CONDUCIVE TO
A. Failure to comprehend the nature/magnitude of the HEALTH MAINTENANCE AND PERSONAL DEVELOPMENT
problem/condition RELATED TO:
B. Low salience of the problem /condition A. Inadequate family resources, specifically:
C. Feeling of confusion, helplessness, and/or resignation 1. Financial constraints/limited financial
brought about by perceived magnitude or severity of resources
the situation or problem, i.e. failure to break down 2. Limited physical resources – e.g. lack of
problems into manageable units of attack space to construct facility
D. Lack of/inadequate knowledge/insight as to alternative B. Failure to see benefits (specifically long term ones) of
courses of action open to them investment in home environment improvement
E. Inability to decide which action to take from among a C. Lack of/inadequate knowledge of importance of
list of alternatives hygiene and sanitation
F. Conflicting opinions among family members/significant D. Lack of/inadequate knowledge of preventive measures
others regarding action to take E. Lack of skill in carrying out measures to improve home
G. Lack of/inadequate knowledge of community environment
resources for care F. Ineffective communication patterns within the family
H. Fear of consequences of action, specifically: G. Lack of supportive relationship among family members
1. Social consequences H. Negative attitude/philosophy in life which is not
2. Economic consequences conducive to health maintenance and personal
3. Physical consequences development
4. Emotional/psychological consequences I. Lack of/inadequate competencies in relating to each
I. Negative attitude towards the health condition or other for mutual growth and maturation (e.g. reduced
problem – negative attitude means one that interferes ability to meet the physical and psychological needs of
with rational decision making other members as a result of family’s preoccupation
J. Inaccessibility of appropriate resources for care, with current problem or condition)
specifically: J. Others, specify ________________________________
1. Physical inaccessibility V. FAILURE TO UTILIZE COMMUNITY RESOURCES FOR HEALTH CARE
2. Cost constraints or economic/financial RELATED TO:
inaccessibility A. Lack of/inadequate knowledge of community
K. Lack of trust/confidence in the health resources for health care
personnel/agency B. Failure to perceive the benefits of health/care services
L. Misconceptions or erroneous information about C. Lack of trust/confidence in the agency/personnel
proposed course (s) of action D. Previous unpleasant experience with health worker
M. Others, specify ___________________________ E. Fear of consequences of action (preventive, diagnostic,
III. INABILITY TO PROVIDE ADEQUATE NURSING CARE TO THE SICK, therapeutic, rehabilitative), specifically:
DISABLED, DEPENDENT OR VULNERABLE/AT RISK MEMBER OF 1. Physical/psychological consequences
THE FAMILY RELATED TO: 2. Financial consequences
A. Lack of/inadequate knowledge about the 3. Social consequences – (e.g. loss of esteem
disease/health condition (nature, severity, of peer/significant others)
complications, prognosis and management); F. Unavailability of required care/service
B. Lack of/inadequate knowledge about child G. Inaccessibility or required care/service due to:
development and care 1. Cost constraints
C. Lack of/inadequate knowledge of the nature and 2. Physical inaccessibility, i.e. location of
extent of nursing care needed facility
D. Lack of the necessary facilities, equipment and supplies H. Lack of or inadequate family resources, specifically
for care 1. Manpower resources – e.g. baby sitter
E. Lack of or inadequate knowledge and skill in carrying 2. Financial resources – e.g. cost of medicines
out the necessary interventions prescribed
/treatment/procedure/care (e.g. complex therapeutic I. Feeling of alienation to/lack of support from the
regimen of healthy lifestyle program) community, e.g. stigma due to mental illness, AIDS,
F. Inadequate family resources for care, specifically etc.
1. Absence of a responsible family member J. Negative attitude/philosophy in life which hinders
2. Financial constraints effective/maximum utilization of community resources
3. Limitations/lack of physical resources – e.g. for health care
isolation room K. Others, specify _______________________________