TYPOLOGY OF NURSING PROBLEMS IN FAMILY NURSING PRACTICE II.

Presence of Health Threats

- Conditions that are conducive to disease and accident or
FIRST LEVEL ASSESSMENT may result to failure to maintain wellness or realize health
I. Presence of Wellness Condition potential
- Stated as potential or readiness EXAMPLES
- A clinical or nursing judgement about a client in transition A. Presence of risk factors of specific diseases (lifestyle diseases,
from a specific level of wellness or capability to a higher metabolic syndrome)
level. B. Threat of cross infection from communicable disease case
- Wellness potential is a nursing judgement on wellness state C. Family size beyond what family resources can adequately provide
or condition based on client’s performance, current D. Accident hazards
competencies, or performance, clinical data or explicit 1. Broken chairs
expression of desire to achieve a higher level of state or 2. Pointed / sharp objects, poisons and medicines
function in a specific area on health promotion and improperly kept
maintenance 3. Fire hazards
EXAMPLES 4. Fall hazards
A. Potential for enhanced capability for: 5. Others. Specify
1. Healthy lifestyle (nutrition/diet, exercise/activity) E. Faulty/unhealthy nutritional/eating habits or feeding
2. Health maintenance / health management techniques/practices
3. Parenting 1. Inadequate food intake both in quality and quantity
4. Breastfeeding 2. Excessive intake of certain nutrients
5. Spiritual well being 3. Faulty eating habits
- Process of client’s developing / unfolding of 4. Ineffective breastfeeding
mystery through harmonious 5. Faulty feeding techniques
interconnectedness that comes from inner F. Stress provoking factors
strength /sacred source/God (NANDA 2001) 1. Strained marital relationship
6. Others. Specify 2. Strained parent-sibling relationship
B. Readiness for enhanced capability for: 3. Interpersonal conflicts between family members
1. Healthy lifestyle 4. Care-giving burden
2. Health maintenance / health management G. Poor home/environmental condition/sanitation
3. Parenting 1. Inadequate living space
4. Breastfeeding 2. Lack of food storage facilities
5. Spiritual well-being 3. Polluted water supply
6. Others. Specify 4. Presence of breeding or resting sights of vectors of
diseases
5. Improper garbage/refuse disposal
 6. Improper drainage system EXAMPLES
7. Poor lighting and ventilation A. Illness states, regardless of whether which it is diagnosed or
8. Noise pollution undiagnosed by medical practitioner
9. Air pollution B. Failure to thrive/develop according to normal rate
H. Unsanitary food handling and preparation C. Disability-whether congenital or arising from illness; transient
I. Unhealthy lifestyle and personal habits/practices /temporary (e.g. aphasia or temporary paralysis after a CVA) or
1. Alcohol drinking permanent (e.g. leg amputation secondary to diabetes, blindness
2. Cigarette/tobacco smoking from measles, lameness from polio)
3. Walking barefooted or inadequate footwear
4. Eating raw meat or fish IV. Presence of Stress Points / Foreseeable Crisis Situations
5. Poor personal hygiene - Anticipated periods of unusual demand on the individual or
6. Self-medication/substance abuse family in terms of adjustment/family resources
7. Sexual promiscuity EXAMPLES
8. Engaging in dangerous sports A. Marriage
9. Inadequate rest or sleep B. Pregnancy, labor, puerperium
10. Lack of / inadequate exercise / physical activity C. Parenthood
11. Lack of / relaxation activities D. Additional member (e.g. newborn, lodger)
12. Non-use of self-protection measures (non-use of bed E. Abortion
nets in malaria and flariasis endemic areas) F. Entrance at school
J. Inherent personal characteristics (ex. Poor impulse control) G. Adolescence
K. Health history, which may participate / induce the occurrence of H. Divorce or separation
health deficit (ex. Previous history of difficult labor) I. Menopause
L. Inappropriate role assumption (ex. Child assuming mother’s role, J. Loss of job
father not assuming his role) K. Hospitalization of a family member
M. Lack of immunization/inadequate immunization stats specially of L. Death of a member
children M. Resettlement in a new community
N. Family disunity N. Illegitimacy
1. Self-oriented behaviour of member(s) O. Others. specify
2. Unresolved conflicts of member(s)
3. Intolerable disagreement
O. Others specify

III. Presence of Health Deficit

- Instances of failure in health maintenance