FAMILY

HEALTH
ASSESSMENT
GROUP 5
 FAMILY HEALTH ASSESSMENT

This involves a set of actions by which the status of a family as client, its ability to maintain itself as a system and
functioning unit, and its ability to maintain wellness, prevent, control, or resolve problems in order to achieve
health and well-being among its members are measured.

 TYPES OF DATA NEEDED

 Family structure, Characteristics and Dynamics

- Families are assessed for their family dynamics, characteristics and structure to determine plan of care (e.g.,
bonding, communication, boundaries, coping mechanisms). They’ll want to understand your family structure
everyone you consider part of your family, like grandparents or a cousin who lives with you to determine who
should be involved with the evaluation process and what plan of action to take.

-These data can affect family’s health both negative and positive. When family is characterized by stress and conflict,
the health of family members tend to be negatively affected.

1. Members of the household and relationship to the head of the family

-who is responsible for the organization and care of the household, or who is regarded as such by the members of
the household.

2. Demographic data

-Include information about household members, including the numbers of members, their relationships to each
other, and each per son’s sex, age, and marital status, to describe the composition of families and households.

3. Place of residence of each member

-family members who stay in one housing unit

-Family members who are overseas workers

-Family members who are married and now separated with their immediate family

-Family members who are temporarily away for the reason of training abroad, business, study and etc.

4. Type of family structure

Getting to know your patient’s family and the role they will play in health care management.

-is the family – extended family, single parent family, binuclear family, functional family and etc.

5. Dominant family members in term of decision making

- who is responsible of decision making in terms of family concerns and problem (wife-dominated or husband-
dominated)

6. General family relationships or dynamics

- how do family members cooperate in terms of decision making

-this involves the bond, communication, decision making, roles, religion, culture, experiences and relationship of the
family members(Close – relationship)

-do family members rely on each other for emotional, physical, and economic support, because they are one of the
primary sources of relationship security or stress.

 Socio-economic and Cultural Characteristics

1.Income and expenses

 Occupation, place of work and income of each working member

 Adequacy to meet basic necessities (food, clothing, shelter)
 Who makes decision about money and how it is spent.

It Is important to asses this data for it Identify families at risk of poverty in order to provide appropriate
information and referrals to resources that will increase income.

2.Educational Attainment of each Member

 Education can also lead to more accurate health beliefs and knowledge, and thus to better lifestyle choices,
but also to better skills and greater self-advocacy

3.Ethnic Background and Religious Affiliation

 Religion, culture, beliefs, and ethnic customs can influence how patients understand health concepts, how
they take care of their health, and how they make decisions related to their health.

4.Significant others-role (s) they play in family’s life

 Significant others majorly influence the quality of the family’s life. There roles might be connected to the
family’s concept of health.

5.Relationship of the family to larger community-nature and extent of participation of the family in community
activities

 The relationship between the families is wholesome and reciprocal; the family utilizes the
community resources and in turn, contributes to the improvement of the community.
 There are families who feel a sense of isolation from the community.
a. Families who maintain proud, “We keep to ourselves” attitude.
b. Families who are entirely passive taking the benefits from the community
without either contributing to it or demanding changes to it.

 Home and Environmentally

 -to assess the living condition of the family and their health practices in order to provide the appropriate health
teaching.

1. Housing

-adequacy of living space

- sleeping in arrangement

-presence of breathing or resting sites of vector of diseases (e.g. mosquitoes, flies and rodents)

-water supply …sources, ownership

-toilet facilities…..type, ownership, sanitary condition

-Garbage/refuse disposal…..type, sanitary condition

-drainage system…. Type, sanitary condition

2. Kind of neighborhood

-poor neighborhood generally have more crime, pollution, fast food outlets and promoting tobacco and alcohol
use and often lack space places to play and exercise.

*Social and health facilities available

-lack of health services

-poverty

3. Communication and transportation facilities available

-Transportation is also a source of pollution, generating air, soil, water, and noise pollutants.

-Physical health – positive relationships with relatives lead to more positive habits later in life, such as taking better
care of yourself and making healthy food choices. In contrast, negative relationships that cause stress can lead to
unhealthy eating habits and poor physical self-care.

 Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention

1. Immunization Status
 Protection of family members: Immunization helps protect individuals from vaccine-preventable diseases.
Knowing the immunization status of family members can help identify those who are at risk of contracting and
spreading diseases, and take appropriate measures to protect them.
 Immunized, it creates herd immunity, which reduces the likelihood of an outbreak.
 Compliance with immunization schedules: Assessing the immunization status of family members ensures that
they are up-to-date on their immunizations and are following the recommended immunization schedule. This is
particularly important for infants and young children who are at a higher risk of contracting vaccine-preventable
diseases.

 Assessing healthy lifestyle practices of a family is important for several reasons:

 1. Prevention of chronic diseases: Many chronic diseases such as heart disease, type 2 diabetes, and certain types
of cancer are often preventable through healthy lifestyle practices. By assessing the healthy lifestyle practices of
a family, healthcare providers can identify areas where improvements can be made to reduce the risk of
developing these diseases.

2. Healthy lifestyle practices

 This includes getting enough exercise, eating a balanced and nutritious diet, getting adequate improve the
overall health of family members. Sleep and avoiding risky behaviors such as smoking or excessive alcohol
consumption.
 Improved quality of life: Healthy lifestyle practices can also improve the quality of life for family members.
Regular exercise, healthy eating, and adequate sleep can improve energy levels, mood, and overall sense of well-
being.

3. Adequacy of:
I. Rest and sleep
 Adequate vest and sleep are important in promoting general health. Ensuring recovery from illness and healing
process.
II. Exercise/activities
 Being physically active can improve brain health, reduce the risk of disease, strengthen bones and muscles, and
improve the ability to do everyday activities.
III. Use of Protective Measures
 It protects it’s the user against any physical harm or hazards that work place environment may present.

4. Use of promotive-preventive health services in a family is important for several Reasons:

 Early detection of health issues: Regular use of preventive health services such as check-ups, screenings, and
immunizations can help identify health issues early, when they are easier to treat and manage.
 Prevention of chronic diseases: Promote-preventive health services can help prevent chronic diseases such as
heart disease, diabetes, and certain types of cancer. For example, regular blood pressure and cholesterol
screenings can help identify risk factors for heart disease and enable providers to recommend lifestyle changes
and other interventions to reduce the risk of developing the disease.

 History of diseases that may be genetic in nature

 Can identify people with a higher-than-usual chance of having common disorders, such as heart disease,
high blood pressure, stroke, certain cancers, and type 2 diabetes
 Can help determine whether someone has an increased genetic risk of having or developing certain
diseases, disorders or conditions.

 First Level Assessment

•The process whereby existing and potential health conditions or problems of the family are determined.

•It relates what health problems exist and will exist.

  Categories:
• Wellness State

Stated as potential or readiness.

Is a nursing judgment on condition based on client’s current competencies

• Health Threats

Conditions that are conducive to disease or accident Examples include:

1. Presence of risk factors of specific diseases

2. Threat of cross infection from communicable disease case
3. Family size beyond what family resources can adequately provide
4. Accident hazards
5. Faulty unhealthy nutritional eating habits or Feeding Techniques/practices
6. Stress provoking factors
7. Poor home environmental conditions/sanitation
8. Unsanitary food handling and preparation.
9. Inherent personal characteristics
10. Health history, which may participate induce the occurrence of health deficit
11. Inappropriate role assumption
12. Lack of immunization inadequate immunization status specially of children
13. Family disunity

•Health Deficit

-Instances of failure in health maintenance

• Examples include:

-Illness states, regardless of whether it is diagnosed or undiagnosed by medical practitioner.

-Failure to thrive/develop according to normal rate

-Disability-whether congenital or arising from illness,

•Foreseeable Crisis

1. Marriage
2. Pregnancy
3. Parenthood
4. Additional family member
5. Abortion
6. Entrance to school
7. Adolescence
8. Divorce
9. Menopause
10. Loss of Job
11. Hospitalization
12. Death of a member
 13. Resettlement in a new community

Presence of Wellness Condition

A clinical judgement about a client in transition from a specific level of wellness or capability to a higher level.

Based on client's performance, current performance, current competencies, or clinical data but no explicit expression of
client desire.

-May either be potential or readiness

Presence of Health Threats

•Conditions that are conducive to disease and accident, or may result to failure to maintain wellness or realize health
potential

Presence of Health Deficits

• Instances of failure in health maintenance

Presence of Foreseeable Crisis

• Anticipated periods of unusual demand on the individual or family in terms of adjustment/family resources.

 Second Level Assessment

Defines the nature or type of nursing problems that the family encounters in performing the health tasks with respect to
a given health condition or problem, and the etiology or barriers to the families’ assumption of these tasks.

It explains the family's problems related to maintaining health and wellness.

It specified the measures that the family did not do due to INABILITY.

•Determine if the family recognizes the existence of the condition or problem. If the family does not recognize the
presence of the condition or problem, explore the reasons why.

• If the family recognizes the presence of the condition or problem, determine if something has been done to maintain
the wellness state or resolve the problem. If the family has not done anything about it, determine the reasons why. If
the family has done something about the problem or condition, determine if the solution is effective.

• Determine if the family encounters other problems in implementing the interventions for wellness state/potential,
health threat, health deficit, or crisis. Identify these problems.

•Determine how all the other members are affected by the wellness state/potential, health threat, health deficit, or
stress point.
  Typology of Problems in Family Health (Second Level)

Inability to recognize the presence of the condition or the problem due to:

1. Lack of inadequate knowledge

2. Denial about its existence or severity as result of fear of consequences of diagnosis of problem
3. Attitude/philosophy in life which hinders recognition/acceptance of a problem

Inability to make decisions with respect to taking appropriate health action due to:

1. Failure to comprehend the nature/magnitude of the problem/condition

2. Low salience of the problem
3. Feeling of confusion, helplessness, and/or resignation brought about by perceived magnitude/severity of the
situation or problem
4. Lack of knowledge as to alternative courses of action open to them
5. Inability to decide which action to take from among a list of alternatives
6. Conflicting opinions among family members
7. Lack of knowledge of community resources for care
8. Fear of consequences of action
9. Negative attitude towards the health condition or problem
10. Inaccessibility of appropriate resources for care
11. Lack of trust/confidence in the health personnel/agency
12. Misconceptions or erroneous information about proposed courses of action

Inability to provide adequate care to the sick, disabled, dependent, or vulnerable/at-risk member of the family due to:

1. Lack of knowledge about the disease/health condition

2. Lack of knowledge about child development and care

3. Lack of knowledge of the nature and extent of care needed

4. Lack of the necessary facilities, equipment, and supplies of care

5. Lack of inadequate knowledge and skill in carrying out the necessary interventions

6. Inadequate family resources for care

7. Significant person's unexpressed feelings

8. Philosophy in life which negates or hinders caring for the sick, disabled, dependent, and at risk member

9. Member's preoccupation with own concerns or intmember

10. Prolonged disease or disability progression which exhausts supportive capacity of family members

11. Altered role performance

Inability to provide home environment conducive to health maintenance and personal development due to:

1. Inadequate family resources

2. Failure to see benefits of investment in home and environment improvement

3. Lack of knowledge of preventive measures

4. Lack of skill in carrying out measures to improve home environment

5. Ineffective communication patterns with the family

6. Lack of supportive relationship among family members

7. Negative attitude in life which is not conducive to health maintenance and personal development

8. Lack of competencies in relating to each other for mutual growth and maturation

Failure to utilize community resources for health due to:

1. Lack of knowledge of community resources for health

2. Failure to perceive the benefits of health services

3. Lack of trust or confidence in the agency or personnel

4. Previous unpleasant experience with health worker

5. Fear of consequences in action 6. Unavailability of required care

7. Inaccessibility of required care

8. Inadequate family resources

9. Feeling of alienation to the community

10.Negative attitude in life which hinders effective utilization of community resources for health care.

Group 5
Silec, France Hariel H.
Falag-ey, Eli Karty F.
Bawiyan, Jessa Mae D.
Anoyan, Clea Mae O.
Viray, Shane B.
Cubebe, Martha S.
Deyan, Kathleen D.
Jimenez, Ariane Jade R.