A Typology of Nursing Problems in Family Nursing Practice

First Level of Assessment

I. Presence of Wellness Condition

A. Potential for Enhance Capability
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B. Readiness for Enhanced Capability for:
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II. Presence of Health Threats
A. Presence of risk factors of specific diseases :
 Hypertension
 Cancer
 Stroke
 Diabetes
B. Threat of cross infection from communicable disease case:
 There is no threat of cross infection from communicable disease case in
the family
C. Family size beyond what family resources adequately provide:
 It compose of four members in the family and both of the parents are
working
D. Accidents hazards:
 Presence of electrical post or chords
E. Faulty/unhealthful nutritional/eating habits or feeding techniques/practices:
 have an adequate and balance intake of food both in quality and quantity
of nutrients
 mostly considered in preparing for the contributions of nutrients in a given
food sources is from enriched foods
 shares four meals in a day breakfast, lunch, snacks and dinner
 cook using stoves as cooking facilities
F. Stress Provoking factors:
 Increase in financial obligations
 Illness or injury
 Emotional problems (anger & sad)
G. Poor Home/Environmental Condition/Sanitation:
 family has adequate living space since each family members has
individual bedrooms
 They have refrigerators, stove, microwave, and toaster used as food
storage and cooking facilities
 no water supply from the Metro Iloilo Water District (MIWD)
 regarding with the toilet facilities, the toilet is privately owned and is
located inside their house
 For the garbage disposal, they have garbage can mixed with biodegradable
and non-biodegradable. There is garbage collector that makes rounds
every week
 The type of drainage system they have is an open pit
 presence of breeding or resting sights of vectors of diseases such as flies,
mosquitoes and roaches
 The houses are not congested, spaced adequately and lives in a peaceful
area and distant from noise pollution.
H. Unsanitary Food Handling and Preparation:
 Leaving food uncovered
 Touching parts of the body while handling food
 Licking fingers while handling food
I. Unhealthy Lifestyle and Personal Habits/Practices:
 Eating of junk foods
 Bringing work tension at home
 Getting annoyed
J. Inherent Personal Characteristics:
 Openness
 Perseverance
 Honesty
 Helpful
 Willing to learn
 Humorous
 Positive
K. Health History, which may Participate/Induce the Occurrence of Health
Deficit
L. Inappropriate Role Assumption

M. Lack of Immunization/Inadequate Immunization Status Especially of

Children
 N. Family Disunity
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III. Presence of Health Deficits
A. Illness states, regardless of whether it is diagnosed or undiagnosed by
medical practitioner:
 seeks medical checkup or advice if unexpected illness or disease condition
happened in the family members
 no malnourish or over nourish in the family members
 able to identify health status but don’t have any action
B. Failure to thrive/develop according to normal rate:
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C. Disability
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IV. Presence of Stress points/foreseeable crisis situations
A. Marriage:
 Married couple experience quarrels but they easily resolve it by talking
through it
 They support each other in terms of decision making but sometimes they
do not understand each other
B. Pregnancy, labor, puerperium
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C. Parenthood
 Physical and emotional maturation and self-fulfillment achieved by
family members through natural support and guidance
 They are sharing decision making and nurturing responsibilities by family
members
 Caring and loving in the family can be witnessed
D. Additional member
 No
E. Abortion
 No
F. Entrance of school
 All their children are now graduated in college
G. Adolescence
H. Divorce or separation:
 In terms of family living, it implies that the family is close knit to each
other
I. Menopause
 No
J. Loss of job
 No
K. Hospitalization of a family member
 The family doesn’t have intra and extra familial resources for problem
solving when family equilibrium is under stress
 They mentioned that whenever they have financial problems, their
grandmother help them if there’s a need, especially when it comes to
financial assistance
L. Death of a member
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M. Resettlement in a new community
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N. Illegitimacy
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O.