FAMILY HEALTH ASSESSMENT

NCM 104-COMMUNITY HEALTH NURSING I

2021-2022
ST. SCHOLASTICA’S COLLEGE OF TACLOBAN

IVY G. CARMEN, RN
CLINICAL INSTRUCTOR
 • Basic unit of the society.
• a group of persons united by the ties of
marriage, blood, or adoption,
constituting a single household and
interacting with each other in their

FAMILY
respective social positions, usually those
of spouses, parents, children, and
siblings.
• Performs two major functions:
Definition
REPRODUCTION & SOCIALIZATION
 • Nuclear family: Traditional type

• Extended family: grandparents, married

offspring, and grandchildren

TYPES OF FAMILY • Joint family: composed of sets of siblings,

theirs spouses, and their dependent children

• Blended family: Divorced or widowed

parents who have children marry

• Family by Choice: newly recognized type of

family
 FIRST LEVEL OF ASSESSMENT: Process of
determining the existing or potential
health condition or problems of the
family.
NURSING ASSESSMENT (1) Wellness state
PROCESS (2) Health threats
(3) Health deficit
(4) Stress points/foreseable crisis
 SECOND LEVEL OF ASSESSMENT: Nature
or type of nursing problems that the
family encountered. Factors related in
maintaining wellness, environment &
NURSING ASSESSMENT personal development
PROCESS • Family’s realities
• Perceptions/assumptions
 1. Family structure, characteristics and
dynamics
2. Socio-economic and Cultural
characteristics
STEPS IN FAMILY 3. Home & Environment
NURSING ASSESSMENT
4. Health Status of each member
5. Values and practices on health
promotion/maintenance & disease
prevention
 1. Data Collection
1. Source of Data: Primary | Secondary
2. Data Validation
3. Data Analysis/Interpretation
DATA GATHERING: 4. Family Nursing Diagnosis
FAMILY NURSING
ASSESSMENT These are assessment, diagnosis, planning,
implementation, and evaluation.
1. Assessment. Assessment is the first step and
involves critical thinking skills and data
collection; subjective and objective. ...
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
 1. Observation: Communication and
interaction patterns, role
perceptions, current home &
environment conditions
DATA GATHERING 2. Physical Examination: Inspection,
METHODS Auscultation, Percussion & Palpation
3. Interview: Family health history
4. Records Review: Gathers data using
existing patient health records
5. Laboratory/Diagnostics Tests
 NURSING DIAGNOSIS: FAMILY NURSING
PROBLEM
(1) Statement of unhealthful response
(2) Statement of factors which retains the
undesirable response and preventing
the desired change.
DATA ANALYSIS
Note: The more specific the problem, the
more useful is the nursing diagnosis
e.g. Inability to utilize community resources
for health care due to lack of adequate
family resources, specifically…
a. financial resources
b. manpower resources
c. time
 -a systematic blueprint that the nurse
designed to minimize or eliminate the
identified health and family nursing
problems.

NURSING CARE PLAN

- Action oriented
- Systematic approach
- Risk-based (foreseeable)
- Goal: Deliver the most appropriate care to
the client by eliminating barriers to the
family development.
 Four Criteria for Determining Priorities:
1. Nature of the condition or problem
presented
2. Modifiability of the condition
PRIORITIZING HEALTH
PROBLEMS 3. Preventive potential
4. Salience: Family perception to
urgency/seriousness of condition.
RLE: FAMILY HEALTH
ASSESSMENT &
NURSING CARE PLAN