First level assessment

• Wellness condition


  Healthy lifestyle-e.g. nutrition/diet, exercise/activity
• Wellness condition


  Parenting
• Wellness condition


  Spiritual well-being-process of client’s developing/unfolding of mystery through harmonious interconnectedness that comes from inner strength/sacred source/God
• Health threats

  Presence of risk factors of specific diseases
• Health threats


  Threat of cross infection from communicable disease case
• Health Threats


  Family size beyond what family resources can adequately provide
• Health Threats


  Accident hazards

  • Broken chairs
  • Pointed /sharp objects, poisons and medicines improperly kept
  • Fire hazards
  • Fall hazards
• Health Threats


  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
• Health Threats


  Strained marital relationship
• Health Threats


  Strained parent-sibling relationship
• Health Threats


  Interpersonal conflicts between family members
• Health Threats

  Care-giving burden
• Health Threats


  Inadequate living space
• Health Threats


  Lack of food storage facilities
• Health Threats


  Polluted water supply
• Presence of breeding or resting sites of vectors of diseases

  Health Threats
• Health Threats


  Improper garbage/refuse disposal
• Health Threats


  Unsanitary waste disposal
• Health Threats


  Improper drainage system
• Health Threats


  Poor lighting and ventilation
• Health Threats


  Noise pollution
• Health Threats


  Air pollution
• Health Threats


  Unsanitary Food Handling and Preparation
• Health Threats


  Unhealthy Lifestyle and Personal Habits/Practices.
• Health Threats


  Sexual promiscuity
• Health Threats


  Inadequate rest or sleep
• Health Threats


  Lack of/relaxation activities
• Health Threats


  Non use of self-protection measures (e.g. non use of bed nets in malaria and filariasis endemic areas).
• Health threats


  Inherent Personal Characteristics-e.g. poor impulse control
• Health threats


  Health History, which may Participate/Induce the Occurrence of Health Deficit, e.g. previous history of difficult labor.
• Health threats


  Inappropriate Role Assumption- e.g. child assuming mother’s role, father not assuming his role.
• Lack of Immunization/Inadequate Immunization Status especially of Children

  Health threats
• Health threats


  Family Disunity-e.g.

  • Self-oriented behavior of member(s)
  • Unresolved conflicts of member(s)
  • Intolerable disagreement
• Health deficits


  Illness states, regardless of whether it is diagnosed or undiagnosed by medical practitioner.
• Health deficits


  Failure to thrive/develop according to normal rate
• Health deficits


  Disability-whether congenital or arising from illness; transient/temporary (e.g. aphasia or temporary paralysis after a CVA) or permanent (e.g. leg amputation secondary to diabetes, blindness from measles, lameness from polio)
• Foreseeable crisis situations


  Marriage
• Foreseeable crisis situations


  Pregnancy, labor, puerperium
• Foreseeable crisis situations


  Parenthood
• Foreseeable crisis situations


  Additional member-e.g. newborn, lodger