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Typology of Nursing Problems in Family Nursing Practice
Typology of Nursing Problems in Family Nursing Practice
II. Presence of Health Threats-conditions that are conducive to disease and accident, or may result in
failure to maintain wellness or realize health potential. Examples of this are the following:
A. Presence of risk factors of specific diseases (e.g. lifestyle diseases, metabolic syndrome)
B. Threat of cross infection from communicable disease case
C. Family size beyond what family resources can adequately provide
D. Accident hazards specified.
1. Broken chairs
2. Pointed /sharp objects, poisons and medicines improperly kept
3. Fire hazards
4. Fall hazards
5. Others specify.
K. Health History, which may Participate/Induce the Occurrence of Health Deficit, e.g. previous history
of difficult labor.
L. Inappropriate Role Assumption- e.g. child assuming mother’s role, father not assuming his role.
N. Family Disunity-e.g.
1. Self-oriented behavior of member(s)
2. Unresolved conflicts of member(s)
3. Intolerable disagreement
Second-Level Assessment
I. Inability to recognize the presence of the condition or problem due to:
A. Lack of or inadequate knowledge
B. Denial about its existence or severity as a result of fear of consequences of diagnosis of problem,
specifically:
1. Social-stigma, loss of respect of peer/significant others
2. Economic/cost implications
3. Physical consequences
4. Emotional/psychological issues/concerns
II. Inability to make decisions with respect to taking appropriate health action due to:
A. Failure to comprehend the nature/magnitude of the problem/condition
I. Negative attitude towards the health condition or problem-by negative attitude is meant one that
interferes with rational decision-making.
1. Physical Inaccessibility
2. Costs constraints or economic/financial inaccessibility
K. Lack of trust/confidence in the health personnel/agency
III. Inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable/at
risk member of the family due to:
A. Lack of/inadequate knowledge about the disease/health condition (nature, severity, complications,
prognosis and management)
H. Philosophy in life which negates/hinder caring for the sick, disabled, dependent, vulnerable/at risk
member
J. Prolonged disease or disabilities, which exhaust the supportive capacity of family members.
IV. Inability to provide a home environment conducive to health maintenance and personal development
due to:
A. Inadequate family resources specifically:
1. Financial constraints/limited financial resources
2. Limited physical resources-e.i. lack of space to construct facility
B. Failure to see benefits (specifically long-term ones) of investments in home environment improvement
H. Negative attitudes/philosophy in life which is not conducive to health maintenance and personal
development
I. Lack of/inadequate competencies in relating to each other for mutual growth and maturation (e.g.
reduced ability to meet the physical and psychological needs of other members as a result of family’s
preoccupation with current problem or condition.
1. Physical/psychological consequences
2. Financial consequences
3. Social consequences
1. Cost constraints
2. Physical inaccessibility
H. Lack of or inadequate family resources, specifically