GROUP 2 ASSIGNMENT

Q2. Define the concept family health care and

describe the steps of the family health nursing
process.
Group Members

• 1. ABRAHAM KIBET SIMIYU H13/05132/21

• 2. WINFRED KAWIRA H13/04710/21
• 3. WINNIE CHEPKOECH H13/04717/21
• 4. BRIAN CHELANGA H13/04727/21
• 5. PENINA WANJIRU HP13/14234/21
• 6. JANNILE CHEPKEMOI H13/05064/21
• 7. ANASTACIA CHELANGAT H13/05280/21
• 8. JUSTUS MUTATI H13/04712/21
• 9. LEWIS KARANI H13/03452/19
• 10. IVYNE ENGESIA H13/04739/21
• 11. MERCY MUTHEU H13/04711/21
• Family is the basic unit of society and the social institution that has the
most marked effect on its members. It is a group of two or more
members related by birth, marriage or adoption who live together.
• Health care is the preservation of mental, physical and social well being
by preventing or treating illness through services offered by the health
professional.
• Family health care refers to the provision of services that cater to the
well being of all members within a family unit. It involves addressing
physical, mental and social aspects of health for each family member.
• Family health nursing process is a systematic approach to help family
to develop and strengthen its capacity to meet its health needs and
solve health problems. The nursing process considers the family and
not the individual, as the unit of care. It is problem solving with the
family to assist successful adaptation of the family to identify health
care needs and problems.
• The steps of nursing process include:
1. Assessment.
It involves gathering data of every family member to determine
their health status and potential problems. It includes the health
history of the family and physical examinations.
Steps of assessment are;
 Planning for data collection.
 Data collection method and techniques.
 Analysis of data.
 Family profile and diagnosis.
2. Diagnosis.
Identify the health issues and potential problems related to either
environment or health history of the family. It focuses and highlights wide
factors which influence health and wellness status of family members.
There are two types of diagnosis; Actual diagnosis and potential diagnosis.
An example of an actual diagnosis is; Ineffective marital and parental role
performance related to arrival of another baby, heavy childcare
responsibilities and inadequate family coping patterns as evidenced by
mother stating that she is feeling overwhelmed, unable to stop siblings from
fighting and husband working overtime every day.
Example of a Potential diagnosis; Potential for breeding of rodents or insects
related to unhygienic surroundings.
3. Planning.
The health care provider collaborates with the family members to set
goals that can be achieved and how they are going to achieve them. This
involves interventions and strategies according to the need of every
individual in the family. The strategies should involve using resources
that are available as much as possible to the family. It involves;
 Analysis of diagnosed health problem
 Establish priorities
 Setting goals and objectives
 Formulating family health nursing care plan
4. Implementation
It is the initiation and completion of actions necessary to achieve the
objectives defined in the planning stage. The nurse may assist the family by
direct care, preparing family members for giving care and improving physical
facilities by modifying old ones and adopting new ones.
The CHN is required to;
• Help family understand the situations.
• Motivate family to implement actions.
• Help family to utilize the community resources.
5. Evaluation
The family members and healthcare assess the effectiveness of their
interventions towards established goals. Planning has to be adjusted
according to the family’s response and feedback.
Documentation is done to determine if the goals have been achieved or not.
Evaluation is either;
• Quantitative -it determines the extent of services rendered to the family. It
accounts the number of visits number of immunizations completed,
reduction in mortality and morbidity
• Qualitative -has three dimensions;

i. Structure evaluation-measures the adequacy of resources in terms of

manpower, material and time.
ii. Process evaluation-measures the adequacy of nurses’ action and
activities
iii. Outcome evaluation-it measures the end result of the care given to the
client.
6. Termination /follow-up
If the goals are met there’s termination of services offered by the healthcare
provider.
If the goals are partially met, there’s planning for other strategies and the family
gets support from the healthcare provider.
REFERENCES
B.Sridhar Rao, textbook of community health nursing,1 st edition published by
AITBS
Family healthcare theory, practices and research.2 nd edition, published by F.A
Davis publishers
Ayers, Bruno,community based nursing care, published by Mosby publishers
S.Kalaman ,essentials in communities health nursing ,concept and practices 5 th