By Constantina C.

Chan, RM, RN-MAN, LPT-EdD

1. Assessment of client’s problem
2. Diagnosis of client response needs that
nurse can deal with
3. Planning of client’s care
4. Implementation of care
5. Evaluation of the success of implemented
care
*a systematic approach of solving an
existing problem/meeting the needs of
family
*R apport
*A ssessment
*P lanning
*I ntervention
*E valuation
*Trust building
*Knowing your client
*Adjusting to the situation and environment
*RESPECT
*Data Gathering: tools or instruments used
during survey:
*Interview
*Observation
*Questionnaires-mostly patronized & used in
CHN
*Records & Reports available
*Consolidation or Collation: collecting back the
questionnaires, tabulate and summarize
A.First Level Assessment: to determine
problems of family
*Sources of Problems using IDB
*Family: use of Initial Data Base (IDB)
*Nature: Health Deficit (HD), Health
Threat (HT), Foreseeable Crisis (FC)
1. Family Chart Structure:
*Nuclear -Father, mother, children
*Extended (3rd generation)-Relatives staying with the family
*Multi-generational extended-“apo sa tuhod” or “apo sa
talampakan”
*Dyad -Husband & wife only (childless couple)
*Blended -widow married another widow & have children
*Gay -Same sex living together
1. Family Chart Structure:
*Matriarchal -Mother is the decision maker
*Patriarchal -Father is the decision maker
*Communal -different families forming a community
2. Socio-economic: poverty level, educational
attainment & nature of occupation of members
of the family (sources of income)
 *USE OF INITIAL DATA BASE
(IDB):

3. Socio-cultural: different nature of religion

4. Home environment: assessment according
to:
1) environmental sanitation
2) treatment of garbage
3) preparation of food
4) availability of toilet
5) water & food sanitation
6) sources of diseases
 *USE OF INITIAL DATA BASE
(IDB):

5. Medical history: history of certain disease,

family member with disease
6. Resources available in community for use
by the family:
*5 Generalized M’s in resources available in
community:
*Man/Manpower *Materials
*Money *Methods
*Machine
*Health Deficit (HD)
*if identified problem is an abnormality,
illness or disease, there’s a
gap/difference between normal status
(ideal, desirable, expected) & actual
status (the outcome/ result/ problem
encountered on that actual day)
*Health Deficit (HD)
*Health deficits includes:
*Diagnosed/ suspected illness states of family
members
*Sudden or premature or untimely death illness
or disability and failures to adapt reality of life
emotional control and stability.
*Deviations in growth and development
*Personality disorders.
 *DEFINE THE PROBLEM AFTER
IDENTIFYING IT
ACCORDING TO NATURE

*Health Threat (HT) & health disturbance.

*Health threats refers to conditions which
predispose to disease, accident, poor or retarded
growth and development and personality disorder
and a failure to realize one’s health potentials.
*These situations are incomplete immunization
among children, environmental hazards, poverty,
family history of chronic illness *eg., diabetes
 *DEFINE THE PROBLEM AFTER
IDENTIFYING IT
ACCORDING TO NATURE
*Foreseeable Crisis (FC)
*stress points, anything which is anticipated/ expected
to become a problem
*Foreseeable crisis situations or stress points,
refers to anticipated periods of unusual demands
on the individual or the family in terms of
adjustment or family resources.
*These demands may be pregnancy, retirement
from work and adolescence.
§ Though these conditions are expected but still lead to various types of crisis
in family.
Four (4) Standard Steps:
1. Prioritization
*start if there are multiple identified problems
2. Formulation of objectives
*planning a procedure will start here if there
is only one problem
3. Developing strategies of action
4. Formulation of evaluation tools for the
identified strategy developed