Fam NCP

• Family Health Assessment


  A set of actions by which the nurse measures the status of a family as a client, its ability to maintain the following: Functioning unit, Maintain wellness, Prevent and control Problems, Health and well being
• Nursing Assessment


  • Data collection
  • Data analysis or interpretation
  • Problem definition or Diagnosis
• First Level Assessment

  • Wellness state
  • Health threats
  • Health deficit
  • Foreseeable crisis
• Data Analysis Subtypes

  • Sorting of data
  • Clustering
  • Distinguishing relevant from irrelevant
  • Identifying patterns
  • Comparing patterns
  • Interpreting results
  • Making inferences or drawing conclusion
• Poor quality/inaccurate and inadequate data can lead to inaccurately defined health and nursing problem, hence a poor designed Family Nursing Care Plan
• Family Nursing Diagnosis


  After collecting and analyzing data the Community Health Nurse will now make a Nursing Diagnosis and prioritize them
• Example of Family Nursing Diagnosis


  • Poor Environmental Condition specifically presence of breeding or resting sights of vectors of diseases as Health Threat due to lack or knowledge of the importance of hygiene and sanitation
  • Inability to make decisions with respect to taking appropriate health action due to failure to comprehend the nature, magnitude or scope of the problem
• Family Nursing Diagnosis


  • Inability to recognize the presence of the condition or problem
  • Inability to make decisions with respect to taking appropriate health action
  • Inability to provide adequate nursing care to 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
• Factors affecting priority status of Health Problems


  • Nature of the problem
  • Modifiability
  • Preventive potentials
  • Salience
• Nature of the Problem


  • Wellness Condition
  • Health Deficit
  • Health Threat
  • Foreseeable Crisis
• Presence of Wellness Condition


  • Potential for enhanced Capabilities for: Healthy Lifestyle, Health Maintenance/Health, Parenting/Breastfeeding, Spiritual Well-being
• Presence of Health Deficits


  • Illness States, Failure to thrive/develop according to normal rate, Disability
• Presence of Health Threats


  • Risk factors, Threat of cross infection, Family size beyond what family resources can adequately provide
• Presence of Stress Points/Foreseeable Crisis


  • Marriage, Parenthood, unexpected pregnancy, Loss of Job, Hospitalization
• Modifiability


  • Probability of Success in minimizing, alleviating or totally eradicating the problem through health intervention, Current knowledge, technology and intervention to manage the problem, Resources of the family (physical, financial, manpower), Resources of the community (facilities and organization), Resources of the community health manager (knowledge, skill and time)
• Preventive Potential


  • Severity of the problem, Duration of the problem, Current management
• Salience


  To determine the salience score, evaluate the family's perception ad evaluation of the problem in terms of seriousness and urgency of attention needed. The family's concern and felt needs require priority attention