+ Check for Inconsistencies + Complete Missing Information 4 t Recognize Need to Use Data based on Evidence Ensure Accuracy and Reliability of Data DATA COLLECTION |-») DATA ANALYSIS. Fema Compretensie Aberoacn| |» Sort Data to Assessment Firstevel - Data on Status/ + Cluster/Group Condition of amily/Household Members Related Data + Home and Environment Second-level - Data _on| + Distinguish Family's Assumption of Health Tasks on each Health Condition Problem identified in first-level assessment Relevant from Irrelevant Data Identify Patterns (e.g., function, behavior, lifestyle) Methods / Sources: First-level Assessment (Table 2): + Health Status of Family/ Household Member: © Health Assessment © Laboratory! Diagnostic Test Compare Patterns with Norms or Standards + Home and Environment © Observation/Ocular Survey Interpret Results Interview 3 Laboratory/Diagnostic Test + Make Inferences/ enn Draw Conclusions ° ‘Second-level Assessment: + In-depth Interview on Realities/Perceptions about and Altitudes towards Assumption/ Performance of Health Tasks + Observation; Relate Verbal with Non-verbal Cues | ; uous Data Valic ion/Update for HEALTH CONDITIONS / PROBLEMS AND FAMILY NURSING DIAGNOSES First-level Assessment: Define the Health Conditions / Problems (categorized as: wellness states, health deficits, health threats, foreseeable crises or stress points) Second-level Assess- ment: Define the Family Nursing Problems! Diagnoses (Table 3) as Statements of: Family’s Inability to Perform Health Tasks on each Health Condition / Problem specifying the Barriers to Performance or Reasons for Non-performance of Family Health Tasks — 4 fae of Evidence to Support Diagnosis Figure 1. The Assessment Phase in Family Health Nursing Practice: The Critical Thinking ApproachTABLE 2. INITIAI A. Family Structure, Characteristics, and Dynamics B. Socio-economic and Cultural Characteristics Ub Or en) . Home and Environment fc 2. 3. 4. Saree eee een] “Developed and published by Salvacion G, Ballon-Re\ cali S, Maglaya, 1978 ce ea ae) Maglaya AS: Family Health Nhe ae ee , Printing 4. nila. Braincl nagers and Con: ; reviewed & updated in 1994, 1997, 2003, by AS. Maglaya ey spe LL DATA BASE FOR FAMILY NURSING PRACTICE * ‘hold and relationship to the head of the family ex, civil status, position in the family member — whether living with the family Members of the housel Demographic data — age, S| Place of residence of each or elsewhere Type of family structure — e.g. mal extended Dominant family members in terms of di matters of health care F General family relationship/dynamics — presence of any obvious/readily ‘observable conflict between members; characteristic communication/in- teraction patterns among members itriarchal or patriarchal, nuclear or lecision-making, especially in Income and Expenses a. Occupation, place of work and income of each working member b. Adequacy to meet basic necessities (food, clothing, shelter) c. Who makes decisions about money and how it is spent Educational attainment of each member Ethnic background and religious affiliation Significant Others — role(s) they play in family's life Relationship of the family to larger community — Nature and extent of participation of the family in community activities Housing a. Adequacy of living space b. Sleeping arrangement c. Presence of breeding or resting sites of vectors of diseases (¢.9. mosquitoes, roaches, flies, rodents, etc.) Presence of accident hazards rood storage and cooking facilities later supply — source, ownership, potability Toilet facility — type, ownership, sanitary condition Garbage/refuse disposal — type, sanitary condition i. Drainage system ~ type, sanitary condition Kind of neighborhood, e.g. congested, slum, etc. Social and health facilities available Communication and transportation facilities available FereaD. Health Status of each Family Member 1, Medical and nursing history indicating current or past significant illnesses or beliefs and practices conducive to health and illness 2. Nutritional assessment (specially for vulnerable or at-risk members) a. Anthropometric data; Measures of nutritional status of children = weight, height, mid-upper arm circumference; Risk assess- ment measures for Obesity*: body mass index (BMI = weight in kgs. divided by height in meters? ), waist circumference (WC: greater than 90 cm. in men and greater than 80 cm. in women ), waist hip ratio (WHR = waist circumference in cm. divided by hip circumference in cm. Central Obesity: WHR equal to or greater than 1.0 cm. in men and 0.85 in women). b. Dietary history specifying quality and quantity of food/nutrient intake per day ¢. Eating/feeding habits/practices 3. Developmental assessment of infants, toddlers, and preschoolers = @.., Metro Manila Developmental Screening Test (MMDST). 4. Risk factor assessment indicating presence of major and contrib- uting modifiable risk factors for specific lifestyle diseases — e.g. hypertension, physical inactivity, sedentary lifestyle, cigarette/to- bacco smoking, elevated blood lipids/cholesterol, obesity, diabetes mellitus, inadequate fiber intake, stress, alcohol drinking and other substance abuse 5. Physical assessment indicating presence of illness state/s (diag- nosed or undiagnosed by medical practitioners) 6. Results of laboratory/diagnostic and other screening procedures supportive of assessment findings £. Values, Habits, Practices on Health Promotion, Maintenance and Dis- ease Prevention. Examples include: | 4. Immunization status of family members 2. Healthy lifestyle practices. Specify. 2: ene) of: rest and sleep b exercise/activities c. use of protective measures — e.g. adequate footwear in para- site-infested areas; use of bednets and protective clothing in malaria and filariasis endemic areas d. relaxation and other stress management activities 4. Use of promotive-preventive health services * Source: Compendium of Philippine Medicine, Guidelines for a veatty/and See! Weight Management Program, PASOO Recommendation, 3% Ed. (2000). pee