Professional Documents
Culture Documents
College of Nursing
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2. Kind of neighbourhood, congested, slum, etc.
3. Social and health facilities available
4. Communication and transportation facilities available
1. Medical and nursing history indicating current or past significant illnesses or beliefs and
practices conductive to health and illnesses
2. Nutritional Assessment
a. Anthropometric data
b. Dietary history specifying quality and quantity of food/nutrient intake/day
c. Eating/feeding habits
3. Developmental assessment of infants, toddlers and preschoolers
4. Risk factor assessment indicating presence of major or contributing modifiable risk factor
for specific lifestyle diseases
5. Physical Assessment indicating presence of illness state
6. Results of laboratory and other screening procedures supportive of assessment findings
A.5 Values, Habits, practices on health promotion, maintenance and disease prevention
Family Nursing Diagnosis ( Family Coping Index by Freeman and Heinrich, 1981)
D. Prioritizing Health Problems/Ranking and Scaling Health problems (Identify at least 3 prioritized
problems stated in the typology of Nursing Problems
E. Family Care Plan
F. Final Family Coping Index
G. Recommendation
H. References
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GUIDE IN THE FORMULATION OF Nursing Problems in Family Nursing Practice
1. Healthy lifestyle
2. Health maintenance/health management
3. Parenting
4. Breastfeeding
5. Spiritual well-being
6. Others. Specify.
II. Presence of Health Threats-conditions that are conducive to disease and accident, or may
result to failure to maintain wellness or realize health potential. Examples of this are the
following:
A. Presence of risk factors of specific diseases (e.g. lifestyle diseases, metabolic syndrome)
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C. Family size beyond what family resources can adequately provide
1. Broken chairs
2. Pointed /sharp objects, poisons and medicines improperly kept
3. Fire hazards
4. Fall hazards
5. Others specify.
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9. Noise pollution
10. Air pollution
1. Alcohol drinking
2. Cigarette/tobacco smoking
3. Walking barefooted or inadequate footwear
4. Eating raw meat or fish
5. Poor personal hygiene
6. Self medication/substance abuse
7. Sexual promiscuity
8. Engaging in dangerous sports
9. Inadequate rest or sleep
10. Lack of /inadequate exercise/physical activity
11. Lack of/relaxation activities
12. Non use of self-protection measures (e.g. non use of bed nets in malaria and filariasis
endemic areas).
K. Health History, which may Participate/Induce the Occurrence of Health Deficit, e.g. previous
history of difficult labor.
L. Inappropriate Role Assumption- e.g. child assuming mother’s role, father not assuming his
role.
N. Family Disunity-e.g.
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O. Others. Specify._________
Examples include:
A. Marriage
B. Pregnancy, labor, puerperium
C. Parenthood
D. Additional member-e.g. newborn, lodger
E. Abortion
F. Entrance at school
G. Adolescence
H. Divorce or separation
I. Menopause
J. Loss of job
K. Hospitalization of a family member
L. Death of a member
M. Resettlement in a new community
N. Illegitimacy
O. Others, specify.___________
Second-Level Assessment
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3. Physical consequences
4. Emotional/psychological issues/concerns
II. Inability to make decisions with respect to taking appropriate health action due to:
1. Social consequences
2. Economic consequences
3. Physical consequences
4. Emotional/psychological consequences
I. Negative attitude towards the health condition or problem-by negative attitude is meant one
that interferes with rational decision-making.
1. Physical Inaccessibility
2. Costs constraints or economic/financial inaccessibility
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M. Others specify._________
III. Inability to provide adequate nursing care to the sick, disabled, dependent or
vulnerable/at risk member of the family due to:
H. Philosophy in life which negates/hinder caring for the sick, disabled, dependent, vulnerable/at
risk member
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L. Others. Specify._________
IV. Inability to provide a home environment conducive to health maintenance and personal
development due to:
B. Failure to see benefits (specifically long term ones) of investments in home environment
improvement
I. Lack of/inadequate competencies in relating to each other for mutual growth and maturation
(e.g. reduced ability to meet the physical and psychological needs of other members as a result of
family’s preoccupation with current problem or condition.
J. Others specify._________
1. Physical/psychological consequences
2. Financial consequences
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3. Social consequences
1. Cost constrains
2. Physical inaccessibility
I. Feeling of alienation to/lack of support from the community, e.g. stigma due to mental illness,
AIDS, etc.
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