TYPOLOGY OF FAMILY NURSING PROBLEMS  Others. Specify.

Araceli S. Maglaya, 2009

II. Presence of Health Threats
Are conditions that are conducive to disease and accident, or may
The family nursing process is the same nursing process as applied to the result to failure to maintain wellness or realize health potential.
family, the unit of care in the community. These are the common Examples are the following:
assessment cues and diagnoses for families in creating Family Nursing
Care Plans. A. Presence of risk factors of specific diseases (e.g. lifestyle
diseases, metabolic
First level Assessment syndrome, smoking)
B. Threat of cross infection from communicable disease case
The process of determining existing and potential health conditions or
C. Family size beyond what family resources can adequately
problems of the family. These health conditions are categorized as:
provide
D. Accident hazards specify.
I. Presence of Wellness Condition
 Broken chairs
Stated as “Potential” or “Readiness”; a clinical or nursing
 Pointed /sharp objects, poisons and medicines improperly
judgment about a client in transition from a specific level of
kept
wellness or capability to a higher level. Wellness potential is a
 Fire hazards
nursing judgment on wellness state or condition based on client’s
 Fall hazards
performance, current competencies, or performance, clinical data
 Others specify.
or explicit expression of desire to achieve a higher level of state
E. Faulty/unhealthful nutritional/eating habits or feeding
or function in a specific area on health promotion and
techniques/practices. Specify.
maintenance. Examples of this are the following
 Inadequate food intake both in quality and quantity
A. Potential for Enhanced Capability for:
 Excessive intake of certain nutrients
 Healthy lifestyle-e.g. nutrition/diet, exercise/activity
 Faulty eating habits
 Healthy maintenance/health management
 Ineffective breastfeeding
 Parenting
 Faulty feeding techniques
 Breastfeeding
F. Stress Provoking Factors. Specify.
 Spiritual well-being-process of client’s developing/unfolding of
 Strained marital relationship
mystery through harmonious interconnectedness that comes
 Strained parent-sibling relationship
from inner strength/sacred source/God (NANDA 2001)
 Interpersonal conflicts between family members
 Others. Specify.
 Care-giving burden
B. Readiness for Enhanced Capability for:
G. Poor Home/Environmental Condition/Sanitation. Specify.
 Healthy lifestyle
 Inadequate living space
 Health maintenance/health management
 Lack of food storage facilities
 Parenting
 Polluted water supply
 Breastfeeding
 Presence of breeding or resting sights of vectors of diseases
 Spiritual well-being
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 Improper garbage/refuse disposal O. Others. Specify._________
 Unsanitary waste disposal
 Improper drainage system III. Presence of health deficits
 Poor lighting and ventilation These are  instances of failure in health maintenance.
 Noise pollution Examples include:
 Air pollution A. Illness states, regardless of whether it is diagnosed or
H. Unsanitary Food Handling and Preparation undiagnosed by
I. Unhealthy Lifestyle and Personal Habits/Practices. Specify. medical practitioner.
 Alcohol drinking B. Failure to thrive/develop according to normal rate
 Cigarette/tobacco smoking C. Disability
 Walking barefooted or inadequate footwear Whether congenital or arising from illness; transient/temporary
 Eating raw meat or fish (e.g. aphasia or temporary paralysis after a CVA) or permanent
 Poor personal hygiene (e.g. leg amputation, blindness from measles, lameness from
 Self medication/substance abuse polio)
 Sexual promiscuity
 Engaging in dangerous sports IV. Presence of stress points/foreseeable crisis situations
 Inadequate rest or sleep Are anticipated periods of unusual demand on the individual or
 Lack of /inadequate exercise/physical activity family in terms of adjustment/family resources. Examples of this
 Lack of/relaxation activities include:
 Non use of self-protection measures (e.g. non use of bed nets A. Marriage
in malaria and filariasis endemic areas). B. Pregnancy, labor, puerperium
J. Inherent Personal Characteristics C. Parenthood
 e.g. poor impulse control D. Additional member-e.g. newborn, lodger
K. Health History, which may Participate/Induce the Occurrence of E. Abortion
Health F. Entrance at school
Deficit G. Adolescence
 e.g. previous history of difficult labor. H. Divorce or separation
L. Inappropriate Role Assumption I. Menopause
 e.g. child assuming mother’s role, father not assuming his J. Loss of job
role. K. Hospitalization of a family member
M. Lack of Immunization/Inadequate Immunization L. Death of a member
Status Especially of M. Resettlement in a new community
Children N. Illegitimacy
N. Family Disunity O. Others, specify.___________
 Self-oriented behavior of member(s)
 Unresolved conflicts of member(s)
 Intolerable disagreement

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Second-Level Assessment F. Conflicting opinions among family members/significant others
regarding
Second level assessment identifies the nature or type of nursing
action to take.
problems the family experiences in the performance of their
G. Lack of/inadequate knowledge of community resources for care
health tasks with respect to a certain health condition or health
H. Fear of consequences of action, specifically:
problem.
 Social consequences
 Economic consequences
I. Inability to recognize the presence of the condition or problem
 Physical consequences
due to:
 Emotional/psychological consequences
A. Lack of or inadequate knowledge
I. Negative attitude towards the health condition or problem-by
B. Denial about its existence or severity as a result of fear of
negative
consequences of
attitude is meant one that interferes with rational decision-
diagnosis of problem, specifically:
making.
 Social-stigma, loss of respect of peer/significant others
J. In accessibility of appropriate resources for care, specifically:
 Economic/cost implications
 Physical Inaccessibility
 Physical consequences
 Costs constraints or economic/financial inaccessibility
 Emotional/psychological issues/concerns
K. Lack of trust/confidence in the health personnel/agency
C. Attitude/Philosophy in life, which hinders
L. Misconceptions or erroneous information about proposed
recognition/acceptance of a
course(s) of
problem
action
D. Others. Specify _________
M. Others specify._________
II. Inability to make decisions with respect to taking appropriate
III. Inability to provide adequate nursing care to the sick, disabled,
health action
dependent
due to:
or vulnerable/at risk member of the family due to:
A. Failure to comprehend the nature/magnitude of the
A. Lack of/inadequate knowledge about the disease/health
problem/condition
condition (nature, severity, complications, prognosis and
B. Low salience of the problem/condition
management)
C. Feeling of confusion, helplessness and/or resignation brought
B. Lack of/inadequate knowledge about child development and
about by
care
perceive magnitude/severity of the situation or problem, i.e.
C. Lack of/inadequate knowledge of the nature or extent of
failure to break down problems into manageable units of
nursing care
attack.
needed
D. Lack of/inadequate knowledge/insight as to alternative courses
D. Lack of the necessary facilities, equipment and supplies of care
of action
E. Lack of/inadequate knowledge or skill in carrying out the
open to them
necessary
E. Inability to decide which action to take from among a list of
alternatives
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intervention or treatment/procedure of care (i.e. complex C. Lack of/inadequate knowledge of importance of hygiene and
therapeutic sanitation
regimen or healthy lifestyle program). D. Lack of/inadequate knowledge of preventive measures
F. Inadequate family resources of care specifically: E. Lack of skill in carrying out measures to improve home
 Absence of responsible member environment
 Financial constraints F. Ineffective communication pattern within the family
 Limitation of luck/lack of physical resources G. Lack of supportive relationship among family members
G. Significant persons unexpressed feelings (e.g. hostility/anger, H. Negative attitudes/philosophy in life which is not conducive to
guilt, health
fear/anxiety, despair, rejection) which his/her maintenance and personal development
capacities to provide care. I. Lack of adequate competencies in relating to each other for
H. Philosophy in life which negates/hinder caring for the sick, mutual growth
disabled, and maturation
dependent, vulnerable/at risk member Example: reduced ability to meet the physical and psychological
I. Member’s preoccupation with on concerns/interests needs of
J. Prolonged disease or disabilities, which exhaust supportive other members as a result of family’s preoccupation with
capacity of current
family members. problem or condition.
K. Altered role performance, specify. J. Others specify._________
 Role denials or ambivalence
 Role strain V. Failure to utilize community resources for health care due to:
 Role dissatisfaction A. Lack of/inadequate knowledge of community resources for
 Role conflict health care
 Role confusion B. Failure to perceive the benefits of health care/services
 Role overload C. Lack of trust/confidence in the agency/personnel
L. Others. Specify._________ D. Previous unpleasant experience with health worker
E. Fear of consequences of action (preventive, diagnostic,
IV. Inability to provide a home environment conducive to health therapeutic,
maintenance rehabilitative) specifically :
and personal development due to:  Physical/psychological consequences
A. Inadequate family resources specifically:  Financial consequences
 Financial constraints/limited financial resources  Social consequences
 Limited physical resources-e.i. lack of space to construct F. Unavailability of required care/services
facility G. Inaccessibility of required services due to:
B. Failure to see benefits (specifically long term ones) of  Cost constraints
investments in home  Physical inaccessibility
environment improvement H. Lack of or inadequate family resources, specifically

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 Manpower resources, e.g. baby sitter
 Financial resources, cost of medicines prescribe
I. Feeling of alienation to/lack of support from the community
 e.g. stigma due to mental illness, AIDS, etc.
J. Negative attitude/ philosophy in life which hinders
effective/maximum
utilization of community resources for health care
K. Others, specify __________