Professional Documents
Culture Documents
-practice of nursing which is directed towards maximizing the health and well-being of all individuals
within a family system
A systematic approach to help family develop and strengthen to meet health needs and solve
health problems.
STEPS
STEPS:
Secondary
Derived from review of records like charts, health center records, agency records
GENOGRAM/FAMILY TREE
ECO MAP
Theres a broken line, straight line connected toa unit. Put a legend where the patient frequently
meets.
- observation
Questioning
Listening
Examination
Investigation
Interview
GUIDELINES:
Be systematic
Do not force to get information
Explain the reason for data collection
Ensure confidentiality
Be polite
Don’t let the family feel small and embarrassed
Make them comfortable
Sympathizes and listen attentively and meaningfully
Record the data
1. Manners
-introduce to client and addressing client by name and title
- Mr, Mrs, Ms and etc.
- Or directed by the client (Mang, Ale, Ate, etc.)
-family expectation, home visit, challenges, concerns, and problems encountered during the visit.
- nurse must listen and remember that even 1 sentence has the potential to heal and help
Identifying Information
Head of the family – write name of the recognized head of the household. Start with family name first,
first name and middle initial.
Address – write the full address, to include house number, streetr, municipality, disctric andcity.
1. Name – write the names of all members of the household, surname first, then the given name
In case of the wife, write the maiden name
If several members with the same name are listed in order, the surname not be written
Names of others members of the hosehold like servants and boarders should also be entered
2. Relation to the head –
CIVIL STATUS
Educational Attainment – refers to the highest level completed in the regular and formal system
of education. Excluded are purely vocational courses as dessmaking
Environment
Construction Materials
o Light -refers to materials as bamboo, nipa, coconut leaves or cardboard
o Mixed – combination of light materials, wood and/ or concrete
o Strong – predominantly concrete house
Number of rooms for sleeping – refers to the number of rooms in the house, not necessarily
private bedrooms
Lightning facilities – candle, lamp, light bulb, fluorescent tubes, chandelier’
General Sanitation Condition – write your impression of the general state of cleanliness of the
house. Include objective data to support your impression.
Use senses: what you see (any hazardous materials) , what you smell, etc.
WATER SUPPLY
Drinking water
o Source – MCD, Deep well
o Distance from home – the distance of the water source from the house in meter
o Storage – covered water container
KITCHEN
WASTE DISPOSAL
TOILET
1. Type
a. Pail system – a pail or box is used to receive the excreta and disposed later when filled. This
includes the “ballot” system wherein excreta is wrapped Ina piece of paper or plastic and
thrown later
b. Open Privy Pit – consists of a pit covered by a platform with a hole. The hole is usually not
covered. The platform may, in its simplest form, consists of only two pieces of wood and
bamboo
c. Closed Privy Pit – a pit privy in which the hole over the platform or toilet floor is provided
with cover
d. Bored- Hole Latrine – consists of a deep but relatively narrow hole made with a boring
system
e. Overhung Latrine – the toilet house is constructed over a body of water into which excreta is
allowed to fall freely
f. Water sealed – bored-hole latrine or any pit privy wherein a water-sealed toilet bowl is
placed instead of a simple platform hole
g. Flush Type – a toilet system where waste is disposed by flushing water through pipes into a
sewerage system or into an individual disposed system like an individual septic tank
SEPTIC TANK
a. Distance from the House – write the distance of the toilet from the house if located outside
b. Sanitary condition – state of cleanliness of the toilet
DOMESTIC ANIMAL
Kind – write the number of animals kept in the house and in the community
Number- the number for each kind of animal
General sanitary condition – the state of sanitization of the immediate vicinity where the house
is located. Mention specific observations to substantiate general impression
Housing congestion – distance from one house to another
Recreational facilities – write recreational facilities available in the community
o Basketball court
o Reading center
o Etc.
Available of Health Care Facilities – include government health centers and hospitals, private
clinics and hospital; private medical an
Distance of house from the nearest health care facility
EGALITARIAN – Husband and wife exercise a more or less same amount of authority
AUTOCRATIC – head of the family maintains control of and responsibility for decision
LAISSEZ-FAIRE – “full autonomy” families are emotionally detached from each other, children a
DECENT
PATRILINEAL – affiliates a person with a group of relatives who are related to him through his father
BILOCAL – couple decided to live with the parents of either the groom or bride for some time
ROLES OF FAMILY
C. ANALYSIS OF DATA
- should be categorized as health deficit, health threat and foreseeable crisis situations
-Health threats and foreseeable crisis situations are potential problems and health deficits are actual
problems
1. Health deficits – instances of failure in health maintenance and includes illness state whether
diagnosed or undiagnosed, failure to thrive (retarded
2. Health Threats – conditions which predispose to disease, accidents or failure to realizes one’s health
potential
Ex: fam history of hereditary diseases (diabetes, hypertension, cancer, heart disease, heart blood
disorders), accident hazards, inadequate immunization of children
Marriage
Pregnancy
New born
Developmental stages
New job
Death
Change of residence
The nurse organizes volume of family data into clusters, comparing findings, from individual family
members and for the family unit.
-family profile implies the brief description of family structure and characteristics, family life cycle and
culture, socio-economic conditions
- Family health diagnosis is the written statement of family health problems which are assessed from
analysis of data collected
FAMILY NURSING DIAGNOSIS
Formulated at several levels as individual family mebers, as a family unit, or as the family in
relation to its environment/ community
Absed on diagnosis
4 STEPS:
A. Analysis of diagnosed health problems and assessment of family’s ability to resolve problems
BASIS of:
1. Ability to recognize the presence of health problems
2. To make decisions for taking appropriate health actions
3. To provide desired care to the sick disabled
4. To maintain environment conductive to health promotion maintenance and personal
development
5. To utilize community for health care
B. ESTABLISH PRIORITIES
-means rank ordering of health problems
CRITERIA:
Interpersonal relationship
Families’ perception of the problem
Families felt need
Families’ perception about seriousness of the problem
Families’ ability to face reality
A. Supplemental – direct nursing care done by the nurse in behalf of the family to a sick or disabled
family member
B. Developmental – Community Health nurse prepare some family members to give similar care in
her absence
C. Facilitative – Refers to actions that removes barriers to appropriate health actions (ex. Assiting
family to avail maternal and child care services)
Should be:
Realistic
Consistent with the goals
Agreeable with the family
Need active involvement of the family members
In written form
III. ACTION PHASE (FAMILY HEALTH AND NURSING CARE PLAN IMPLEMENTATION)
STEPS:
IV EVALUATION PHASE
A. QUANTITATIVE EVALUATION
-determines the extent of services rendered to the family
- it accounts the number of visits
B. QUALITATIVE
2. Process Evaluation
3. Outcome Evaluation
ASPECTS OF EVALUATION
CLINIC VISIT
Takes place in a private clinic, health center, barangay health station or ambulatory clinic during
a community outreach program.
ADVANTAGE: Family member takes the initiative of visiting the professional health worker
indicating the family’s readiness t