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Family Health Nursing Lect 2019 FINAL
Family Health Nursing Lect 2019 FINAL
Practice
Sequence of Activities in The Family Nursing Practice:
a. initiates contact
b. communicates interest in the family’s welfare
c. expresses/shows willingness to help with
expressed need (s)
d. maintains a two-way communication with the
family
1. Housing
• Adequacy of living space
• Sleeping arrangement
• Adequacy of the furniture
• Presence of insects and rodents
• Presence of accident hazards
• Food storage and cooking facilities
• Water supply – source, ownership, potability
• Toilet Facility – type, ownership, sanitary condition
• Garbage/Refuse Disposal – type, sanitary condition
• Drainage System – type, sanitary condition
4. Accident hazards – ex. broken stairs, fire & fall hazards, pointed/
sharp objects, poisons & medicines improperly kept
5. Nutritional
• Inadequate food intake both in quantity & in quality
• Excessive intake of certain nutrients
• Faulty eating habits
9. Personal habits/practices
• Frequent drinking of alcohol
• Excessive smoking…………………….
• Walking barefoot
• Poor personal hygiene
• Self medication
Ex. 1. Marriage
2. Pregnancy, Labor, Puerperium
3. Parenthood
4. Additional member (newborn, lodger)
5. Abortion
6. Entrance at School
7. Adolescence
8. Loss of Job
9. Death of a member
10. Resettlement in a new community
11. Illegitimacy
Scale for RankingCriteria in Different
Health Problems
according to Priorities
Priorities
Factors:
– Current knowledge, technology and interventions to manage the
problem
– Resources of the family (physical, financial, manpower)
– Resources of the nurse (knowledge, skills, time)
– Resources of the community (facilities & community organization)
3. Preventive Potential
– Refers to the nature and magnitude of the future problem that can be
minimized or totally prevented if intervention is done in the problem.
Factors:
• Gravity and severity of the problem
• Duration of the problem
• Current management
• Expose of any high risk group
4. Salience
– Refers to the family perception & evaluation of the problem in terms
seriousness & urgency of attention needed.
– To determine the score for Salience, the nurse evaluates the family’s
perception of a problem. As a general rule, the family’s concerns and
felt needs require priority attention
Scoring
1. Decide on a score for each of the criteria.
2. Divide the score by the highest possible score and multiply by the weight.
Score
----------------- X Weight
Highest Score
3. Sum up the scores for all the criteria. The highest score is 5, equivalent
to the total weight.
4. The higher the score (near 5 and above) of a given problem, the more
likely it is taken as a PRIORITY.
5. With the available scores, the nurse then RANKS health problems
accordingly.
SCALE FOR RANKING FAMILY HEALTH PROBLEMS
ACCORDING TO PRIORITIES
Criteria Weight
3. Prevention Potential
Scale: 1
High…………………….. 3
Moderate………………. 2
Low…………………….. 1
4. Salience
Scale: 1
A serious problem,
immediate attention………. 2
A problem but not needing
immediate attention………. 1
Not a felt need / problem….. 0
2. Inadequate nutrition
Criteria
1. Nature of the problem
Health Threat 2/3 x 1 2/3
3. Preventive Potential
Low 1/3 x 1 1/3
4. Salience
A serious problem,
immediate attention 2/2 x 1 1
Total 3
3. Poor environmental sanitation
Criteria
3. Preventive Potential
Low 1/3 x 1 1/3
4. Salience
A problem but not needing
immediate attention. ½x1 ½
Total 2½
II. Inability to recognize the presence of a problem due to:
1. Ignorance of facts
3. Preventive Potential
Moderate 2/3 x 1 2/3
4. Salience
A serious problem, immediate
attention 2/2 x 1 1
Total 3 2/3