III.

Methods of Data Gathering

1. Health assessment of each family
member
2. Observation
3. Interview
4. Review of records/reports &
laboratory results
5. Assessment of home & environment
6. Tools used in family assessment:
genogram, ecomap, initial
database, family assessment guide
7. Health status of each family member
8. Values & practices on health
promotion

I. FAMILY ASSESSMENT
Initial Data Base
a. Family structure,
characteristics and dynamics
1. Members of the household and
relationship to the head of the
family
2. Demographic data age, civil
status, position in the family
3. Place of residence- whether
living with the family or
elsewhere
4. Type of family structure
5.Dominant family members in
terms of decision making
especially in matters of health
care
6. General family relationship
/dynamics

b. Socio-economic and cultural
characteristics
Income, occupation, place of work
(of each member)
Educational attainment of each
member
Ethnic background and religious
affiliation
Significant others and other roles
they play in the familys life
Relationship of the family to the
larger community (membership in
organizations)
Income
Family income : ________ .
Source :
salary ________ , saving ________ ,
investment ________ .
Others ________ .
Contribution of working members :
Member : ________ , Amount : ________
(JD, $ & SH )
Are expenses greater , less than or
equal to income : ________
Who plans how the money is spent ?

c. Home and environment
Information on housing and
sanitation facilities which
includes:
Housing agency, sleeping
arrangements, food storage, cooking
facilities, water supply, source,
ownership, potability, presence of
accident hazards, toilet, garbage
disposal
Availability of social, health ,
communication and transportation
facilities in the community.

Space : Adequate : ________,
Inadequate : ________
Furniture : Adequate : ________ ,
Inadequate : ________
Accident hazards : ________
Neighborhood : ________
Residential : ________ . Industrial :
________ . Rural : ________ .
Urban : ________ . Suburban : ________.
Other : ________ .
Condition of dwellings and streets :

Accessibility of :
Play area : Yes ________ . No ________
Health facilities ( List ) : Yes ________ .
No________
Mosques , Churches : Yes________ . No
________
Schools : Yes ________ . No ________
Public transportation ? Type ? ________
Family's method of transportation
:________
Neighborhood health hazard : ________
Family's perception of safety in the
neighborhood ?

d. Health status of each
member
Past /current significant
illness
Beliefs/practices about health
Nutritional and development
status
Decision making on which or
whom to seek advice regarding
health
Family health practice :
Immunization status of each family
member :
Self exam ( breast , testicular , ..
etc )
Preventive exams ( dental ,
colon/rectal ) :
Names of physician / date of last
appointment and next scheduled
appointment for each family member :
Medication : is any family member
taken any medication ? Yes: ------.
No : ------ .

If yes ( including over the counter
drugs ) :
Name of the drug _______ .How often
taken : ______.
Drug action ________ .Side effects :
________ .
Date of prescription : ________
.Number of refills : ___ .
Physician : ________ .Pharmacist :
________ .
Treatment prescribed for family
members :
Level of compliance with
prescribed medication and
treatments :

FAMILY NUTRTIONAL-
METABOLIC PATTERN :
Observation about kitchen and
mealtimes :
Who does the grocery shopping ?
Who does the cooking ?
Therapeutic diets :
Observation of family member of
nutritional 24-hrs food/fluid intake :
Break fast , Lunch , Dinner , Snacks
Analyze if diet provides nutrients ?
How is food stored ?
Water supply :Municipal , Well , Other.

e. Health Values and Practices on
Promotion and Maintenance
Preventive aspects- immunization
status
Adequate rest and sleep, exercise,
relaxation activities
Street management activities,
utilization of health care
facilities

FAMILY HEALTH PERCEPTION HEALTH
MANAGEMENT PATTERN :
Reason for visit :
Family's perception of their level of
health :
Medical diagnosis of each family
member :
Familial disease ( heart , cancer ,
stroke , anemia , .. etc )
History of past significant illness
and accident of each family member :
Risk factors ( tobacco , alcohol ,
obesity , lack exercise ) :

FAMILY ACTIVITY SLEEP-REST
PATTERN :
Which family member sleep alone ?
What type of bed does each have ?
What are the usual hours of sleep ?
Bedtime , arising , rest periods for
adult and children ?
Are they any disturbances in family
sleep pattern ?

FAMILY ACTIVITY-EXERCISE PATTERN :
Adults leisure ________ . Children
leisure ________ .
Shared family activities ________ .
Type of activities required for
family roles : ________________ .
Adults : ________ . Children : ________ .
Describe pace of family life :
Fast : ________. Moderate : ________ . Slow :
________.

FAMILY VALUE AND BELIEF PATTERN ?
Ethnic background ________ . Influence
on health behavior .
Religious affiliation ________ . Degree
of family involvement ________ .
Influences on health behavior :
Family's definition of health :
Health beliefs and attitudes :
Folk medicine :
Use of non-traditional healing
methods :
Acceptance / non-acceptance of help
from community agencies ?

Family care plan:
1. FAMILY COGNITIVE / PERCEPTION
PATTERN :
Educational level , What is the
highest grade completed ?
Adults : ________ Children : ________
Members of the family with
learning or developmental
disabilities ?
Decision making : Who make the
decisions ? Give examples :
FAMILY ELIMINATION PATTERN :
Compliance with garbage regulations ?
Yes ________ . No ________ . If no , explain ?
Rodents ?
Yes ________ . No ________ .
Insects ?
Yes ________ . No ________ .
Toilet facilities ?
Yes ________ . No ________ .
FAMILY SEXUALITY-
REPRODUCTION PATTERN :
Sexual relationships :
Family planning :
Sex education of children :
Family care plan:
FAMILY COPING STRESS TOLERANCE PATTERN :
How has the family managed in previous
situation of illness or crises ?
Own resources ________ . Extended family :
________ .
Other relatives ________ . Friends ________ .
Neighborhood ________ .
Significant others ________ . Health
professional ________. Other ________ .
Caregiver's perception of their ability to deal
with crises :
Client perception of caregiver's / family
ability to deal with demands of care :
Family care plan:
Family care plan:
Financing health care :
Health insurances : ________ .
Private insurances : ________ .
Own finance : ________ .
Family nursing diagnosis:
Examples for family nursing diagnosis:
Family Processes, Dysfunctional:
Alcoholism ( substance abuse ).
Family Processes, Interrupted.
Family Processes, Readiness for
Enhanced.
Family coping, ineffective.
Family coping, potential for growth.

Family nursing diagnosis:
Examples for family nursing diagnosis:
Parental role conflict.
Parent/infant/child attachment, altered,
risk for.
Parenting, altered.
Parenting, altered, risk for.
Role performance, altered
Social interaction, impaired.
Social isolation.

IV. Typology of Nursing Problems
in Family Nursing Practice

1. 1st level assessment:
identify health threats,
foreseeable
crisis, health deficits & wellness
potential/state

2. 2nd level assessment:
determining familys ability to
perform
the family health tasks on each
health threat, health
deficit, foreseeable crisis or
wellness potential

V. Statement of a Family Health
Nursing Problem- health problem
and
cause/ contributing factors or
health condition and factors
related with non-performance of
family health tasks

VI. Developing the Care Plan
1. Priority Setting : Criteria
2. Defining/Setting
Goals/Objectives
3. Specifying Intervention Plan
4. Developing the evaluation plan,
specifying methods/tools

VII. Categories of nursing
interventions in family nursing
practice
include:
1. Human becoming:
Methods/Processes
2. Competency-based teaching
3. Motivation-support for behavior
chang3e/lifestyle modification

VIII. Categories of health care
strategies and intervention
1. Preventive
2. Curative
3. Rehabilitative
4. Facilitative
5. Facilitation
6. Direct

IX. Evaluation
1. Qualitative & quantitative data
for evaluation
2. Methods & sources of evaluative
data
3. Steps in evaluation
4. Evaluation criteria
5. Evaluation in Family nursing
practice

X. Records in Family Health
Nursing Practice
1. Importance & uses
2. Types of records& reports

LEVELS OF PREVENTION:
1
ST
LEVEL
2
ND
LEVEL
3
RD
LEVEL
4. tools for measuring and
analyzing community health
problems; and
5. application of principles of
management and organization in the
delivery of health services to the
community

iii. Basic Concepts and Principles
of Community Health Nursing
1. The family is the unit of care; the
community is the patient and there
are four levels of clientele in
community health nursing.
2. The goal of improving community
health is realized through
multidisciplinary effort.
3. The community health nurse works
with and not for the individual
patient, family, group or community.
The latter are active partners, not
passive recipients of care.

4. The practice of community health
nursing is affected by changes in society
in general and by developments in the
health field in particular.
5. Community health nursing is part of
the community health system, which in
turn is part of the larger human services
system.

iv. Roles of the Nurse in Caring for
Communities and Population Groups

v. Brief History of Community
Health/Public Health Nursing Practice in
the Philippines

First level assessment
I.Presence of wellness condition
Stated as potential or readiness- a
clinical nursing judgment about a
client in transition from a specific
level of wellness or capability to a
higher level .
Potential for enhanced capability for
1.healthy lifestyle
2. Health maintenance/health
management
3. Parenting
4. Breastfeeding
5. Spiritual being
6. Others , specify
First level assessment

Wellness potential
Is a nursing judgment on
wellness state or condition
based on clients performance,
current competencies or
clinical data but no explicit
expression of client desire.

First level assessment
Readiness for enhanced wellness state
is a nursing judgment on wellness or state
condition based on client competencies or
performance, clinical data and explicit
expression of desire to achieve a higher
level of state or function in a specific
area on health promotion and maintenance.
1.healthy lifestyle
2. Health maintenance/health management
3. Parenting
4. Breastfeeding
5. Spiritual being
6. Others , specify


First level assessment
Presence of health threats
Conditions that are conducive to
disease and accident , or may result
to failure to maintain wellness or
realize health potential.
A. Presence of risk factors of
specific diseases- e.g. Lifestyle
diseases, metabolic syndrome
B. Threat of cross infection from a
communicable disease case
C. Family size beyond what family
resources can provide