FAMILY NURSING

PROCESS

G R O U P 1
leader:
Naparan, Irish Victoria C.

MEMBER
Abella, Edril Cyre M.

S: Acebedo, Dazzel Mae L.

Enierga, Ashley Anne D.
Lebajan, Kimberly Allein M.
Legaspi, Kristine Joy P.
Pasuquin, Kyle Chriestian G.
Rabasto, Angela
CONTENT
FAMILY NURSING PROCESS
A. Family Health Assessment
• Tools for assessment
⚬ Initial Data Base
⚬ Typology of Nursing Problems
in Family Nursing Practice
⚬ Family Health Task
⚬ Family Coping Index
• Family Data Analysis
B. Family Nursing Diagnosis
 FAMILY
NURSING
PROCESS
 FAMILY NURSING PROCESS
Family Nursing Process focuses on the family as a unit of service.

Roles of a community nurse in the family nursing process:

• Assesses the family as a whole - each individual and family functioning
• Establishes client-centered goals relevant to the needs of the entire family
unit
• Develop a trusting and supportive relationship with the family
• Encourage independence
FAMILY HEALTH
ASSESSMENT
Involves a set of actions wherein the nurse assesses the
family's position as a client. Its ability to uphold
wellbeing and prevent, manage, or address issues in
order to promote health and wellbeing among its
members.
major types of assessment:
first level assessment
• A procedure that involves comparing the potential and actual health of a

person, family, and environment to the criteria and norms of social,

personal, and environmental health.

second level assessment

• describes the kind of nursing problem that a family encounters when

carrying out health duties in relation to certain health illnesses or issues,

as well as the causes of any obstacles that the family faces in completing
the assignment.
 OVERVIEW OF
ASSESSMENT TOOLS
• Initial Data Base
• Typology of Nursing Problems in Family Nursing Practice
• Family Health Task
• Family Coping Index
 INITIAL DATA
An BASE
initial database for family nursing practice is a
comprehensive collection of information gathered by a
healthcare provider, typically a nurse, at the beginning
of their interaction with a family. This database serves
as the foundation for assessing and understanding the
health and wellness of the family members.
A. Family Structure, Characteristics, and Dynamics
• Members of the household and relationship to the head of the family.
• Demographic data-age, sex, civil status, position in the family.
• Place of residence of each member-whether living with the family or elsewhere.
• Type of family structure-e.g. patriarchal, matriarchal, nuclear or extended.
• Dominant family members in terms of decision making especially on matters of health care.
• General family relationship/dynamics-presence of any obvious/readily observable conflict between

members; characteristics, communication/interaction patterns among members.

 INITIAL DATA
Family Structure Characteristics and
ANALYSIS
Member of the Relationship to the
Age Sex Civil Status Position in the Family
Dynamics Household Head of the Family

Socio-economic and Cultural

Characteristics
Leland N. De Leon Father/Husband 45 Male Married Father/Husband

Home Environment
Marciana S. De
Health Status of Each Family Member Wife 44 Female Married Mother/Wife
Leon

Mark Leland S. De Eldest

Values, Habits, Practices on Health Son 19 Male Single
Leon child/Son/Brother
Promotion, Maintenance and Disease
Prevention
Youngest
Elaine S. De Leon Daughter 18 Female Single
child/Daughter/Sister
 INITIAL DATA
Family Structure Characteristics and
ANALYSIS
Member of the Household
Place of Residence of
each member of the
Type of Family
Structure
Dominant Family
Members in terms of
General Family
Relationship or
Dynamics family Decision Making Dynamics

Socio-economic and Cultural

Characteristics Short temper/easily
Leland N. De Leon Living Independently Patriarchal/Nuclear
irritated
Home Environment

Health Status of Each Family Member Marciana S. De Leon Living Independently Patriarchal/Nuclear Good listener

Values, Habits, Practices on Health Mark Leland S. De Leon Living with Parents Patriarchal/Nuclear Joker
Promotion, Maintenance and Disease
Prevention

Elaine S. De Leon Living with Parents Patriarchal/Nuclear Easily irritated

B. Socio-economic and Cultural Characteristics
• Income and expenses
• Educational Attainment of each Member
• Ethnic Background and Religious Affiliation
• Significant others-role (s) they play in family’s life
• Relationship of the family to larger community-nature and extent of participation of the

family in community activities

 INITIAL DATA
Family Structure Characteristics and
ANALYSIS
Member of the
Income and Expenses

Household Adequacy to Who makes

Dynamics Income of each
Occupation Place of Work Meet Basic decisions about
working member
Socio-economic and Cultural Necessities money?

Characteristics
Production
Leland N. De Leon Bulacan P15,000.00/mo. Adequate
Home Environment Manager

Health Status of Each Family Member

Marciana S. De Leon Landlady Manila P4,000.00/mo. Adequate

Values, Habits, Practices on Health

Mark Leland S. De
Promotion, Maintenance and Disease BTM Student PUP
Leon
Prevention

Elaine S. De Leon BSN Student UPHSD

C. HOME ENVIRONMENT
• Housing
• Kind of Neighborhood, e.g. congested, slum etc.
• Social and Health facilities available
• Communication and transportation facilities available

Family Structure Characteristics and
Dynamics
Socio-economic and Cultural
Characteristics
Home Environment
Health Status of Each Family Member
Values, Habits, Practices on Health
Promotion, Maintenance and Disease
Prevention
INITIAL DATA
ANALYSIS
The de Leon Family’s House is made of concrete and has three bedrooms, one bathroom, a kitchen, and a living
room which is just enough or adequate for their living space. Every member of the family has their own bedrooms. Mr.
and Mrs. de Leon share bedrooms while the siblings have their own rooms. The Laundry area outside the house, kitchen
sink cabinet and the garbage cans are the resting sites of vectors of disease such as flies, mosquitoes and roaches present
in de Leon family’s house. Their foods are stored in closed door cabinets and the refrigerator. The de Leon’s’ water supply
comes from deep well and not from NAWASA. They use water septic tank for their water supply. The water coming from
the septic tank is used for washing, cleaning, and bathing and not for drinking purposes. The de Leon family buys distilled
water from water refilling stations. The de Leon family has their own bathroom and toilet. Their bathroom is near the
kitchen and is kept clean everyday by Mrs. de Leon and sometimes the siblings. Their garbage is taken out everyday and
collected by garbage trucks everyday. They have three garbage cans inside the house, one is in the kitchen, the other, is in
the bathroom and lastly, near the bedroom. Mr. de Leon built a poso negro near the laundry area and is been cleaned every
once in a while to check for clogs. Their neighborhood is not congested, there is still room for trees and plants to grow
and place to play and hang-out. They have their own telephone line and every family has their own cell phones. They also
have a family van for their transportation facility.
D. Health Status of Each Family Member
• Medical Nursing history indicating current or past significant illnesses or beliefs and practices conducive to health

and illness
• Nutritional assessment (especially for vulnerable or at risk members)
• Developmental assessment of infant, toddlers and preschoolers- e.g. Metro Manila Developmental Screening Test

(MMDST).
• 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.
• Physical Assessment indicating presence of illness state/s (diagnosed or undiagnosed by medical practitioners)
• Results of laboratory/diagnostic and other screening procedures supportive of assessment findings.
 INITIAL DATA
Family Structure Characteristics and
ANALYSIS
Member of the Household
Medical and Nursing
Nutritional Assessment
Risk Factor
History Eating Habits and Assessment
Dynamics Dietary History
Practices
Socio-economic and Cultural
Characteristics
Meat, fruits, and Cigarette and
Leland N. De Leon 4x a day
vegetables tobacco smoking
Home Environment

Health Status of Each Family Member Rheumatic Heart

Marciana S. De Leon 2x a day Sea foods
Disease

Values, Habits, Practices on Health Meat, fish, fruits, and

Mark Leland S. De Leon 4x a day Obesity
Promotion, Maintenance and Disease vegetables

Prevention
Meat, fish, less
Elaine S. De Leon Dengue 3x a day Stress
vegetables, and fish
E. Values, Habits, Practices on Health Promotion
Maintenance and Disease Prevention
• Immunization status of family members
• Healthy lifestyle practices (Specify)
• Adequacy of:
⚬ Rest and sleep
⚬ Exercise/activities
⚬ Use of protective measure-e.g. adequate footwear in parasite-infested areas; use of bed nets

and protective clothing in malaria and filariasis endemic areas.

⚬ Relaxation and other stress management activities
• Use of promotive-preventive health services
 Member of the Household Immunization Status of Family Members Healthy Lifestyle Practices

INITIAL DATA
Family Structure Characteristics and
ANALYSIS
Leland N. De Leon
Dynamics Complete Biking everyday

Socio-economic and Cultural

Characteristics
Marciana S. De Leon Complete Stretching and eating fruits

Home Environment

Mark of
Health Status Leland
EachS.Family
De Leon
Member Complete Basketball (occasionally)

Values, Habits, Practices on Health

Promotion, Maintenance and Disease
Prevention
 INITIAL DATA
Family Structure Characteristics and
ANALYSIS
Adequacy of:

Dynamics Relaxation and other

Use of Protective
Member of the Household Rest/Sleep Exercise/Activities Stress Management
Measures
Socio-economic and Cultural Activities

Characteristics

Rest or watch TV or
Home Environment Leland N. De Leon 9 hours 10-20 minutes Uses jacket
listen to jazz music

Health Status of Each Family Member

Uses slippers in and out
Marciana S. De Leon 8 hours 5-10 minutes Rest and watch TV
the house and umbrella

Values, Habits, Practices on Health

Promotion, Maintenance and Disease Mark Leland S. De Leon 6-8 hours 1 hour Use pads Rest or eat
Prevention

Use umbrella when Rest and surf the

Elaine S. De Leon 6 hours 1 hour
raining, and handkerchiefs internet
Typology of Nursing Problems in Family
Nursing Practice
 Typology of Nursing Problems in Family
Nursing Practice (OVERVIEW)
• Presence of Wellness Condition
First Level
• Presence of Health Threats
Assessment • Presence of Health Deficits
• Stress points/foreseeable crisis situation

• Inability to recognize the presence of the condition or problem.

Second Level
• Inability to make decisions with respect to taking appropriate health action.
Assessment • Inability to provide adequate nursing care to the sick, disabled, dependent, or
vulnerable/at-risk member of the family.
• Inability to provide a home environment conducive to health maintenance and
personal development.
• Failure to utilize community resources for health care.
 First Level Assessment Presence of Wellness Condition

Presence of Wellness Condition

It is stated as potential or readiness clinical or nursing judgment about a client in transition
Presence of Health Threats from a specific level of wellness or capability to a higher level.

Presence of Health Deficits A. Potential for Enhanced Capability for:

• Healthy lifestyle
Stress points
• Healthy maintenance/health management
• Parenting
• Breastfeeding
• S p i r i t u a l w e l l - b e i n g - p r o c e s s o f c l i e n t ’s d e v e l o p i n g / u n f o l d i n g o f m y s t e r y t h r o u g h
harmonious interconnectedness that comes from inner strength/sacred source/God
(NANDA 2001)

B. Readiness for Enhanced Capability for:

• Healthy lifestyle
• Health maintenance/health management
• Parenting
• Breastfeeding
• Spiritual well-being
 First Level Assessment Presence of Health Threats

Presence of Wellness Condition

These are conditions that are conducive to disease and accident, or may result to failure to
Presence of Health Threats maintain wellness or realize health potential.

Presence of Health Deficits A. Presence of risk factors of specific diseases

B. Threat of cross infection from communicable disease case
Stress points
C. Family size beyond what family resources can adequately provide
D. Accident hazards.
• Broken chairs
• Pointed /sharp objects, poisons, and medicines improperly kept
• Fire hazards
• Fall hazards
E. Faulty/unhealthful nutritional/eating habits or feeding techniques/practices.
• Inadequate food intake both in quality and quantity
• Excessive intake of certain nutrients
• Faulty eating habits
• Ineffective breastfeeding
• Faulty feeding techniques
 First Level Assessment Presence of Health Threats

Presence of Wellness Condition

These are conditions that are conducive to disease and accident, or may result to failure to
Presence of Health Threats maintain wellness or realize health potential.

Presence of Health Deficits F. S t r e s s P r o v o k i n g F a c t o r s .

• Strained marital relationship
Stress points
• Strained parent-sibling relationship
• Interpersonal conflicts between family members
• Caregiving burden
G. Poor Home/Environmental Condition/Sanitation.
• Inadequate living space
• Lack of food storage facilities
• Polluted water supply
• Presence of breeding or resting sites of vectors of diseases
• Improper garbage/refuse disposal
• Unsanitary waste disposal
• Improper drainage system
• Poor lighting and ventilation
• Noise pollution
• Air pollution
 First Level Assessment Presence of Health Threats

Presence of Wellness Condition

These are conditions that are conducive to disease and accident, or may result to failure to
Presence of Health Threats maintain wellness or realize health potential.

Presence of Health Deficits H. Unsanitary Food Handling and Preparation

I. Unhealthy Lifestyle and Personal Habits/Practices.
Stress points
• Alcohol drinking
• Cigarette/tobacco smoking
• Wa l k i n g b a r e f o o t e d o r i n a d e q u a t e f o o t w e a r
• Eating raw meat or fish
• Poor personal hygiene
• Self-medication/substance abuse
• Sexual promiscuity
• Engaging in dangerous sports
• Inadequate rest or sleep
• Lack of /inadequate exercise/physical activity
• Lack of/relaxation activities
• Non-use of self-protection measures
 First Level Assessment Presence of Health Threats

Presence of Wellness Condition

These are conditions that are conducive to disease and accident, or may result to failure to
Presence of Health Threats maintain wellness or realize health potential.

Presence of Health Deficits J. Inherent Personal Characteristics

K. Health History
Stress points
L. Inappropriate Role Assumption
M. Lack of Immunization/Inadequate Immunization Status
N. Family Disunity
• Self-oriented behavior of member(s)
• Unresolved conflicts of member(s)
• Intolerable disagreement
 First Level Assessment Presence of Health Deficits

Presence of Wellness Condition

T h e s e r e f e r t o c o n d i t i o n s o f h e a l t h b r e a k d o w n s o r a d v e n t o f i l l n e s s e s i n t h e f a m i l y.
Presence of Health Threats

Presence of Health Deficits A. Illness states, regardless of whether it is diagnosed or undiagnosed by a medical
p r a c t i t i o n e r.
Stress points B. Failure to thrive/develop according to normal rate
C. Disability
 First Level Assessment Stress points/foreseeable crisis situation

Presence of Wellness Condition

It refers to anticipated periods of unusual demand on the individual or family in terms of
Presence of Health Threats adjustment/family resources.

Presence of Health Deficits A. Marriage

B . P r e g n a n c y, l a b o r, p u e r p e r i u m
Stress points
C. Parenthood
D. Additional member-e.g. newborn, lodger
E. Abortion
F. E n t r a n c e a t s c h o o l
G. Adolescence
H. Divorce or separation
I. Menopause
J. Loss of job
K. Hospitalization of a family member
L. Death of a member
M. Resettlement in a new community
N. Illegitimacy
 2nd Level Assessment
Inability to recognize the pre
-sence of the condition
IInability to make decisions with respect to
taking appropriate health action.
Inability to provide adequate nursing care
Inability to provide a home environment
Failure to utilize community resources
for health care
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 a
diagnosis of the problem, specifically:
• Social-stigma, loss of respect of peers/significant others
• Economic/cost implications
• Physical consequences
• Emotional/psychological issues/concerns
C. Attitude/Philosophy in life, which hinders recognition/acceptance of a problem

2nd Level Assessment
Inability to recognize the pre
-sence of the condition
IInability to make decisions with respect to
taking appropriate health action.
Inability to provide adequate nursing care
Inability to provide a home environment
Failure to utilize community resources
for health care
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 the perceived
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. C o n f l i c t i n g o p i n i o n s a m o n g f a m i l y m e m b e r s / s i g n i f i c a n t o t h e r s r e g a r d i n g a c t i o n t o
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
 Inability to make decisions with respect to taking appropriate health action due to:
2nd Level Assessment
Inability to recognize the pre
-sence of the condition
IInability to make decisions with respect to
I. Negative attitude towards the health condition or problem
taking appropriate health action.
J. Inaccessibility of appropriate resources for care, specifically:
Inability to provide adequate nursing care • Physical Inaccessibility
• Cost constraints or economic/financial inaccessibility
Inability to provide a home environment
K. Lack of trust/confidence in the health personnel/agency
Failure to utilize community resources L. Misconceptions or erroneous information about proposed course(s) of action
for health care
 Inability to provide adequate nursing care to the sick, disabled, dependent or
2nd Level Assessment vulnerable/at-risk member of the family due to:

Inability to recognize the pre

-sence of the condition
IInability to make decisions with respect to
A . L a c k o f / i n a d e q u a t e k n o w l e d g e a b o u t t h e d i s e a s e / h e a l t h c o n d i t i o n ( n a t u r e , s e v e r i t y,
taking appropriate health action.
complications, prognosis and management)
Inability to provide adequate nursing care
B. Lack of/inadequate knowledge about child development and care
Inability to provide a home environment C. Lack of/inadequate knowledge of the nature or extent of nursing care needed

Failure to utilize community resources

D. Lack of the necessary facilities, equipment and supplies of care
for health care
E. Lack of/inadequate knowledge or skill in carrying out the necessary intervention or

treatment/procedure of care

F. I n a d e q u a t e f a m i l y r e s o u r c e s o f c a r e s p e c i f i c a l l y :
• Absence of a responsible member

• Financial constraints

• Limitation of luck/lack of physical resources

G. Significant person's unexpressed feelings

H. Philosophy in life that negates/hinders caring for the sick, disabled, dependent,

vulnerable/at-risk member
 IInability to provide adequate nursing care to the sick, disabled, dependent or
2nd Level Assessment vulnerable/at risk member of the family due to:

Inability to recognize the pre

-sence of the condition
IInability to make decisions with respect to
I . M e m b e r ’s p r e o c c u p a t i o n w i t h c o n c e r n s / i n t e r e s t s
taking appropriate health action.
J. Prolonged disease or disabilities, which exhaust the supportive capacity of family
Inability to provide adequate nursing care members.
K. Altered role performance.
Inability to provide a home environment
• Role denials or ambivalence
Failure to utilize community resources • Role strain
for health care
• Role dissatisfaction
• Role conflict
• Role confusion
• Role overload
 Inability to provide a home environment conducive to health maintenance and
2nd Level Assessment personal development.

Inability to recognize the pre

-sence of the condition
A. Inadequate family resources specifically:
IInability to make decisions with respect to
taking appropriate health action.
• Financial constraints/limited financial resources
Inability to provide adequate nursing care • Limited physical resources

Inability to provide a home environment B. Failure to see benefits (specifically long-term ones) of investments in home environment

improvement
Failure to utilize community resources
for health care C. Lack of/inadequate knowledge of the importance of hygiene and sanitation

D. Lack of/inadequate knowledge of preventive measures

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

F. I n e f f e c t i v e c o m m u n i c a t i o n p a t t e r n w i t h i n t h e f a m i l y

G. Lack of supportive relationships among family members

H. Negative attitudes/philosophy in life that 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

r e s u l t o f f a m i l y ’s p r e o c c u p a t i o n w i t h c u r r e n t p r o b l e m o r c o n d i t i o n .
 2nd Level Assessment Failure to utilize community resources for health care due to:

Inability to recognize the pre

-sence of the condition A. Lack of/inadequate knowledge of community resources for health care

IInability to make decisions with respect to B. Failure to perceive the benefits of health care/services
taking appropriate health action.
C. Lack of trust/confidence in the agency/personnel
Inability to provide adequate nursing care D. Previous unpleasant experience with health worker
E. Fear of consequences of action (preventive, diagnostic, therapeutic, rehabilitative)
Inability to provide a home environment
specifically :
Failure to utilize community resources • Physical/psychological consequences
for health care
• Financial consequences
• Social consequences
F. U n a v a i l a b i l i t y o f r e q u i r e d c a r e / s e r v i c e s
G. Inaccessibility of required services due to:
• Cost constraints
• Physical inaccessibility
H. Lack of or inadequate family resources, specifically
• Manpower resources
• Financial resources, cost of medicines prescribe
I . F e e l i n g o f a l i e n a t i o n f r o m / l a c k o f s u p p o r t f r o m t h e c o m m u n i t y, e . g . s t i g m a d u e t o m e n t a l
illness, AIDS, etc.
J. Negative attitude/ philosophy in life which hinders effective/maximum utilization of
community resources for health care
 FAMILY HEALTH TASK
Family Health task differ in degrees from family to family
TASK- is a function, but with work or labor overtures assigned or demanded
of the person

Physical maintenance - provides food shelter, clothing, and health care to its
members being certain that a family has ample resources to provide
Socialization of Family - involves preparation of children to live in the
community and interact with people outside the family
 FAMILY HEALTH TASK
Allocation of Resources - determines which family needs will be met and their order of priority.
Maintenance of Order - task includes opening an effective means of communication between
family members, integrating family values and enforcing common regulations for all family
members.
 FAMILY HEALTH TASK
Division of Labor – who will fulfill certain roles e.g., family provider, home
manager, children’s caregiver
Reproduction, Recruitment, and Release of family member
Placement of members into larger society – consists of selecting community
activities such as church, school, politics that correlate with the family beliefs
and values
Maintenance of motivation and morale – created when members serve as
support people to each other
 FAMILY HEALTH TASK
Nurturing figure – primary caregiver to children or any dependent member.
Provider – provides the family’s basic needs.
Decision maker – makes decisions particularly in areas such as finance, resolution, of
conflicts, use of leisure time etc.
Problem-solver – resolves family problems to maintain unity and solidarity.
Health manager – monitors the health and ensures that members return to health
appointments.
Gate keeper - Determines what information will be released from the family or what new
information cam be introduced.
FAMILY COPING INDEX
Purpose:
• To provide a basis for estimating the
nursing needs of a particular family.

Health Care Need

A family health care need is present when:
⚬ The family has a health problem with
which they are unable to cope.
⚬ There is a reasonable likelihood that
nursing will make a difference in the in the
family’s ability to cope.
Family coping Index
Relation to Coping Nursing Need:
• COPING may be defined as dealing with problems associated with health

care with reasonable success.

• When the family is unable to cope with one or another aspect of health

care, it may be said to have a “coping deficit”

Direction for Scaling

• Three parts of the Coping index:
⚬ Areas/Categories of Assessment
⚬ A point on the scale
⚬ A justification statement
Family coping Index
9 Areas to Be Assessed:
• Physical independence
• Therapeutic Competence
• Knowledge of Health Condition
• Application of the Principles of General Hygiene
• Health Attitudes
• Emotional Competence
• Family Living
• Physical Environment
• Use of Community Facilities
Family coping Index
Scaling Cues
• The following descriptive statements are “cues” to help you as

you rate family coping. They are limited to three points:

1 = no competence
3 = moderate competence
5 = complete competence.
Family coping Index
General Considerations
• It is the coping capacity and not the underlying problem that is being rated.
• It is the family and not the individual that is being rated.
• Rating should be done after 2-3 home visits when the nurse is more acquainted with the

family.
• The scale is as follows:
⚬ 0-2 or no competence
⚬ 3-5 coping in some fashion but poorly
⚬ 6-8 moderately competent
⚬ 9 fairly competent
• Justification- a brief statement that explains why you have rated the family as you have. These

statements should be expressed in terms of behavior of observable facts. Example: “Family

nutrition includes basic 4 rather than good diet.
 FAMILY DATA
ANALYSIS Socioeconomic Characteristics

A comprehensive family health analysis

entails obtaining information about each
Family Environment
family member's overall health and well-
being, as well as the family unit as a
whole. This data can then be utilized to
Family Structure and
identify potential health hazards, develop Charactertistics
preventative care programs, and enhance
family health overall.
Family Health and Behavior
Socioeconomic Characteristics
• Data on social integration
⚬ Ethnic origin
⚬ Languages and dialects spoken
⚬ Social networks
• Educational experiences and literacy
• Wo r k h i s t o r y
• Financial resources
• Leisure time interests
• Cultural influences
• Spirituality or religious affiliation
Family
Environment
• Ty p e a n d q u a l i t y o f h o u s i n g
Adequacy of living space
• Adequacy of sanitation facilities and
resources both in the home and the
community
• Kind of neighborhood
• Expectations of modes of life that
enhance health development and
prevent or control risk factors
• Hazards
 • Data on household membership
• Demographic characteristics
Family Structure and
• Family members living outside the
Characteristics household
• Family mobility
• Family dynamics

• F a m i l y ’s a c t i v i t i e s o f d a i l y l i v i n g
• Self-care
• Risk behaviors
Family Health and Behavior • Health history
• Current health status
• Health care resources (home remedies and
health services)
 STANDARD OF THE FAMILY
AS A FUNCTIONING UNIT
Recognize the presence of a wellness state of health condition
or problem
Make decisions about taking appropriate health action to
maintain wellness or manage the health problem

Maintain a home environment conducive to health maintenance

and personal development

Provide nursing care to the sick, disabled, dependent, or at-risk

members

Utilize community resources for health care

FAMILY nursing diagnosis
Family nursing diagnoses are formulated to assess and address health issues within a
family unit. They are often centered around identifying health problems, risk factors,
or areas needing improvement within the family. Family coping index serve as a
common framework of expressing human responses to actual and potential health
problem

Examples:
• Inability to provide adequate nursing care to the sick, disabled, dependent, or

vulnerable/at risk family member due to..

• Failure to utilize community resources for health care due to..
• Inability to recognize the presence of the condition or problem due to ..
REFERENCES:
https://www.rnpedia.com/nursing-notes/community-health-nursing-notes/initial-data-base-family-
nursing-practice/
https://www.rnpedia.com/nursing-notes/community-health-nursing-notes/family-coping-index/
https://www.studocu.com/ph/document/university-of-perpetual-help-system-dalta/bachelor-of-
science-in-nursing/chn-lecture-module-4-family-health-assessment/18360711
https://nurseslabs.com/nursing-diagnosis/
https://www.slideshare.net/JoseAnilda/family-health-nursing-process https://nurseslabs.com/ida-jean-
orlandos-deliberative-nursing-process-theory/
https://www.rnpedia.com/nursing-notes/community-health-nursing-notes/typology-nursing-problems-
family-nursing-practice/
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