Family health assessment helps practitioners identify the health status of
individual members of the family and aspects of family composition, function
and process. Assessment tools: 1. genogram – helps to outline family’s structure 2. ecomap – used to depict’s a family linkages to its suprasystems. 3. family enterviewing – as a medium for providing family intervention. Components: a. manners b. therapeutic questions and conversation c. family genogram ( if indicated) d. commendations Family Data Analysis: 1. family structure and characteristics 2. socioeconomic characteristics 3. family environment 4. family health and behaviour Family Nursing diagnosis: 1. physical independence 2. therapeutic competence 3. knowledge of health condition 4. application of principles of personal and general hygiene 5. health care attitudes 6. emotional competence 7. family living patterns 8. physical environment 9. use of community facilities Formulating a Plan of Care: 1. priority setting a. family safety b. family perception c. practicality d. projected effects 2. establishing goals and objectives a. specific b. measurable c. attainable d. relevant e. time-bounded 3. determining appropriate interventions: a. supplemental interventions b. facilitative interventions c. developmental interventions d. principle of personalization Implementing the Plan of care: = determined by the mutuality agreed upon goals and objectives = the selected courses of action = should be conscious of possible barriers to implementing planned strategies ( family related or nurse related). Evaluation: 1. effectiveness 2. appropriateness 3. adequacy 4. efficiency Application of Nursing process: 1. Assessment a. individual level = Diagnosis - knowledge deficit - risk-prone health behaviour - imbalanced nutrition = Planning - goal - objectives 2. Interventions – based on the diagnosis that is presented 3. Evaluation – based on what the outcome effective or not b. Family level: = Diagnosis - readiness for enhanced family coping related to availability of development support for needs = Planning - goal and objectives = Interventions = Evaluation