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CHN 1 LEC - Family Nursing Process
CHN 1 LEC - Family Nursing Process
1. HOUSING
• Sleeping in arrangement
• Presence of breathing or resting sites of vector of diseases (e.g. mosquitoes,
roaches, flies, rodents, etc.)
• Presence of accident hazard
• Food storage and cooking facilities
• Water supply-source, ownership, pot ability
• Toilet facilities-type, ownership, sanitary condition
• Garbage/refuse disposal-type, sanitary condition
• Drainage System-type, sanitary condition
1. Medical Nursing history indicating current or past significant illnesses or beliefs and
practices conducive to health and illness.
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Iii: 2. Nutritional assessment (especially for vulnerable or at-risk members)
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Anthropometric data - measures of nutritional status of children-weight, height, mid-
upper arm circumference; risk assessment measures for obesity: body mass index
90cm (BMI=weight in kgs. divided by height in meters2), waist circumference (WC: greater than colwH
90 cm. in men and greater than 80 cm. in women), waist hip ration (WHR=waist I -0cm
F- 180cm
circumference in cm. divided by hip circumference in cm. Central obesity: WHR is equal heh 10.85cm
to or greater than 1.0 cm in men and 0.85 in women) dietary history specifying quality and
quantity of food or nutrient per day Eating/ feeding habits/ practice.
4. Risk factor assessment indicating presence of major and contributing modifiable risk
factors for specific lifestyle diseases-e.g. hypertension, physical inactivity, sedentary
lifestyle, cigarette/ tobacco smoking, elevated blood lipids/ cholesterol, obesity,
diabetes mellitus, inadequate fiber intake, stress, alcohol drinking, and other substance
abuse.
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TYPOLOGY OF NURSING PROBLEMS IN FAMILY NURSING PRACTICE
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I. Presence C
of Wellness Condition - stated as potential or Readiness- a clinical or
nursing judgment about a client in transition from a specific level of wellness or capability
to a higher level. Wellness potential is a nursing judgment on wellness state or condition
based on client’s performance, current competencies, or performance, clinical data or
explicit expression of desire to achieve a higher level of state or function in a specific area
on health promotion and maintenance. Examples of this are the following:
o C
II. Presence of Health Threats - conditions that are conducive to disease and accident
or may result to failure to maintain wellness or realize health potential. Examples of this
are the following:
SECOND-LEVEL ASSESSMENT
O
I.
O
Inability to recognize the presence of the condition or problem due to:
O
II. C
Inability to make decisions with respect to taking appropriate health action
due to:
A. Failure to comprehend the nature/magnitude of the problem/condition.
B. Low salience of the problem/condition.
C. Feeling of confusion, helplessness and/or resignation brought about by perceive
magnitude/severity of the situation or problem, i.e. failure to breakdown problems
into manageable units of attack.
D. Lack of/inadequate knowledge/insight as to alternative courses of action open to
them.
E. Inability to decide which action to take from among a list of alternatives.
F. Conflicting opinions among family members/significant others regarding action to
take.
G. Lack of/inadequate knowledge of community resources for care.
H. Fear of consequences of action, specifically:
• Social consequences
• Economic consequences
• Physical consequences
• Emotional/psychological consequences
o
III. C
Inability to provide adequate nursing care to the sick, disabled, dependent
or vulnerable/at risk member of the family due to: