Family ADPIE

• Categories of Family Health Problem

  Health Deficit

  • Disease, disability
• Levels of Assessment

  Second Level Assessment 

  • “WHY” is there a problem; “inability”
• Levels of Assessment

  First Level Assessment

  • “WHAT” are the problems?; list the health problems and categorize
• Categories of Family Health Problem

  Health Threat 

  • Factors that increase risk for illness (e.g. smoking) and injury (e.g. octopus wire, wet floor)
• Categories of Family Health Problem

  Wellness State

  • Healthy
• Categories of Family Health Problem

  Foreseeable Crisis or Stress Points

  • Anticipated problem (Developmental, Social)
• Family Care Plan: Nursing Process (APIE)

  Assessment

  • Data collection (interview, observation)
• Family Care Plan: Nursing Process (APIE)

  Planning

  • First step is goal setting
• Family Care Plan: Nursing Process (APIE)

  Evaluation

  • Outcome of care
• Family Care Plan: Nursing Process (APIE)

  Implementation

  • Nursing Interventions 
• First step of planning is Goal-setting
• SMART of Goal Setting

  • S - Specific
  • M - Measurable
  • A - Attainable
  • R - Realistic
  • T - Time-bound
• Family Care Plan Prioritization

  Develop an operational plan: “Prioritizing” using 4 criteria (total highest score is 5)
• Family Care Plan Prioritization

  • N - Nature of the Problem (1)
  • M - Modifiability of the Problem (2) - most important
  • P - Preventive Potential (1)
  • S - Salience (1)
• Family Care Plan Prioritization

  Modifiability of the Problem

  • Probability of success in enhancing wellness state, improving and minimizing or eradicating the problem through interventions
• Family Care Plan Prioritization

  Modifiability of the Problem

  • Most important, solution of the problem
• Family Care Plan Prioritization

  Preventive Potential

  • Future re-occurence of the problem; “paulit-ulit ba ang problema?”
• Family Care Plan Prioritization

  Preventive Potential

  • Nature and magnitude of future problems that can be prevented if interventions are done
• Family Care Plan Prioritization

  Salience

  • Patient’s decision, client’s perception of the problem
• Family Care Plan Prioritization

  Salience

  • Family’s perception and evaluation of the condition in terms of seriousness and urgency of attention needed
• Family Care Plan Prioritization

  Formula (each criteria): (Score/Highest score x Weight); then add all scores to get the overall score
• Family Care Plan Prioritization

  The highest score is the highest priority
• Family Care Plan Prioritization

  2,1,0: Modifiability of Problem and Salience
• Family Care Plan Prioritization

  3, 2,1: Nature of the Problem and Preventive Potential
• Nature of the Problem: 1

  • Wellness State: 3
  • Health Deficit: 3
  • Health Threat: 2
  • Foreseeable Crisis: 1
• Modifiability of the Problem: 2

  • Easily: 2
  • Partially: 1
  • Not Modifiable: 0
• Preventive Potential: 1

  • High: 3 (not reoccuring) e.g. measles
  • Moderate: 2 (sometimes reoccuring) e.g. high blood pressure
  • Low: 1 (reoccuring) 
• Salience: 1

  • Immediate: 2
  • Not Immediate: 1
  • Not a problem: 0 
• Types of Nursing Interventions

  Independent

  • Scope of nursing practice (RA 9173)
• Types of Nursing Interventions

  Dependent

  • Requires doctor’s order
• Types of Nursing Interventions

  Interdependent

  • Collaborative care e.g. working together with a nutritionist, physical therapist
• Types of Evaluation

  Structural

  • Physical settings, manpower, money, material equipments
• Types of Evaluation

  Outcome

  • long-term effects; goal
• Types of Evaluation

  Impact

  • short-term or immediate effects; objectives & subobjectives
• Types of Evaluation

  Process

  • Steps of nursing process; ADPIE; activities