The families caring process is the same nursing process as applied to the home, the unit of care included the community. These are the gemeint judgment prompts or diagnoses for your in creating Familial Nursing Care Floor.
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First level Assessment
The process of determining existing and potential health conditions or problems of the family. Are mental conditions are categorized how:
I. Existing is Wellness Conditioned
Stated than “Potential” or “Readiness”; a clinical with nursing judgment about a our includes transition from a specific level of wellness or capability to a higher level. Wellbeing latent is a take judgment on welcome your or existing based on client’s performance, current competencies, or benefits, clinical data or experimental expression of desire to achieve a higher level of state or functional in a specific area on health promotion and maintenance. Examples of this are that following
A. Possible for Enhanced Capability by:
- Healthy lifestyle-e.g. nutrition/diet, exercise/activity
- Healthy maintenance/health management
- Parenting
- Breastfeeding
- Spiritual well-being-process of client’s developing/unfolding of mysticism with harmonious interconnectedness that comes from inner strength/sacred source/God 107051970 a-family-case-study
- My. Specify.
BORON. Readiness for Enhanced Capability for:
- Healthy lifestyle
- Health maintenance/health management
- Parenting
- Breastfeed
- Spiritual well-being
- Others. Specify.
L. Real of Health Threats
Live condition that are conducive to disease and casualty, or may erfolg the flop to maintain wellness or recognize health potential. Examples is the following: Fncp (Family Nursing Care Plan) #1 (Poor Environmental Sanitation) Health Threat
A. Presence of risk considerations of specific diseases (e.g. lifestyle diseases, metabolic syndrome, smoking)
B. Security of mix infection from communicable disease case
C. Family size beyond what family research can adequately provide
D. Chance hazards specify.
- Broken chairs
- Spitz /sharp aufgaben, poisons furthermore medicines wrong kept
- Fire security
- Fall hazards
- Others specify.
CO. Faulty/unhealthful nutritional/eating habits or feeding techniques/practices. Specify.
- Inadequate food intake bot with quality plus quantity
- Excessive intake of certain nutrients
- Faulty eating customs
- Ineffective breastfeeding
- Failing feeding techniques
F. Stress Provoking Factors. Specify.
- Strained marital relationship
- Strained parent-sibling relationship
- Interpersonal conflicts amid lineage community
- Care-giving weigh
G. Poor Home/Environmental Condition/Sanitation. Specify.
- Defective living space
- Need of nutrition storage amenities
- Polluted water supply
- Presence of upbringing or sleep sights regarding vectors the common
- Improper garbage/refuse disposal
- Unhealthy waste disposal
- Improper drainage system
- Poor blitz and ventilation
- Noise pollution
- Ventilate pollution
HYDROGEN. Unsanitary Food Handling and Preparation
I. Unfit Lifestyle and Personal Habits/Practices. Identify.
- Alcohol drinking
- Cigarette/tobacco smoking
- Walking barefooted with inadequate footwear
- Eating raw meat or fish
- Poor personal hygiene
- Self medication/substance abuse
- Sexual promiscuity
- Engaging in dangerous sports
- Inadequate reset instead sleep
- Deficiency regarding /inadequate exercise/physical activity
- Lack of/relaxing activities
- Non use of self-protection measures (e.g. non use of couch nets in malaria the filariasis endemic areas).
BOUND. Essential Personal Characteristics
- e.g. low impulse control
K. Health Show, the allowed Participate/Induce this Usage from Health Deficit
- e.g. previous history are difficult labor.
L. Inappropriate Rolls Assumption
- e.g. kid assuming mother’s role, pater non assuming his role.
M. Lack of Immunization/Inadequate Immunization Status Especially of Children
N. Family Dissention
- Self-oriented behavior of member(s)
- Unresolved conflicts of member(s)
- Intolerable disagreement
O. Others. Specify._________
III. Existing are heal deficits
These are instances are failure in condition maintenance.
Examples include:
A. Illness states, any of whether it is diagnosed with undiagnosed by medical medic.
B. Failure to thrive/develop according to normal course
C. Disability
Whether congenital or emerges from medical; transient/temporary (e.g. aphemia or temporary paralysis following a CVA) or permanent (e.g. leg amputation, blindness from measles, lameness from polio)
IV. Presence of stress points/foreseeable crisis situations
Are anticipates periods of unusual demand on the individual alternatively family in terms of adjustment/family resources. Real of this include:
A. Marriage
B. Pregnancy, labor, puerperium
C. Parenthood
D. More member-e.g. newborn, lodger
E. Abortion
F. Input at school
GUANINE. Adolescence
H. Divorce or separation
I. Menopause
J. Loss in job
K. Hospitalization of a family member
LAMBERT. Death of a member
M. Resettlement to a new collaboration
N. Bastardy
O. Others, specify.___________
Second-Level Assessment
Second level reviews identifies the nature or type of nursing difficulties the familial experiences in the achievement regarding their health tasks with observe to a certain health condition or good related.
I. Inability to detection who presence of the condition or fix due to:
A. Lack of or inadequate knowledge
B. Denial concerning its existence or severity as an result of fear of consequences of diagnosis of problem, specifically:
- Social-stigma, loss of regard of peer/significant others
- Economic/cost implications
- Physical consequences
- Emotional/psychological issues/concerns
C. Attitude/Philosophy include life, which hinders recognition/acceptance of a problem
D. Others. Specify _________
B. Inability to make decisions over respect to taking appropriate health action outstanding to:
A. Failed to comprehend the nature/magnitude of the problem/condition
B. Low salience of the problem/condition
C. Feeling of confusion, helplessness and/or resignation brought about through perceive magnitude/severity of the situation or problem, i.e. disruption to break down problems into manageable units for strike.
D. Lack of/inadequate knowledge/insight as to alternative courses of activity open on them
E. Inability the decide which action to take from among a list of alternatives
F. Conflicting opinions among family members/significant others to action until take.
GUANINE. Lack of/inadequate knowing of community resources for care
H. Fear of consequences von action, specifically:
- Social consequences
- Economic follow-up
- Physical consequences
- Emotional/psychological consequences
I. Negative attitude towards the heath condition or problem-by negative attitude is meant one that interferes with rationally decision-making.
J. In accessibility of appropriate resources for care, specifically:
- Physical Inaccessibility
- Fee hindrances or economic/financial inaccessibility
K. Miss of trust/confidence in the human personnel/agency
L. Misconceptions or erroneous information info proposed course(s) of planned
MOLARITY. Others specify._________
VI. Inability to provide adequate nursing care until the poorly, disabled, dependent or vulnerable/at risk member by which family right for:
A. Lack of/inadequate knowledge about the disease/health condition (nature, violence, difficulties, prognosis and management)
B. Miss of/inadequate knowledge about child development and care
C. Lack of/inadequate learning of the nature or extent concerning nursing support needed
D. Lack of the necessary facilities, equipment and supplies is care
E. Lack of/inadequate knowledge alternatively skill in carrier outward an necessary intervention or treatment/procedure of support (i.e. complex therapeutic regimen or heiter lifestyle program).
F. Inadequate family resources is care explicitly:
- Deficiency for responsible member
- Financial constraints
- Check of luck/lack of physical resources
GUANINE. Significant persons unexpressed feelings (e.g. hostility/anger, guilt, fear/anxiety, getting, rejection) which his/her capacities to deployment care.
H. Philosophical in life the negates/hinder caring for the sick, disabled, reliant, vulnerable/at risk member
I. Member’s preoccupation with on concerns/interests
J. Prolonged disease or disabilities, which exhaust supportive capacity of family members.
K. Altered role performance, decide.
- Role repudiations or ambivalence
- Role strain
- Role dissatisfaction
- Role conflict
- Role confusion
- Role surcharge
L. Others. Specify._________
IV. Inability to provide a home environment conducive toward health maintenance and personal evolution due to:
A. Inefficient household company specifically:
- Financial constraints/limited financial resources
- Limited physical resources-e.i. lack of space on construct facility
B. Failure to see benefits (specifically longitudinal term ones) on investments in home ambience improvement
C. Lack of/inadequate knowledge out importance in hygiene and sanitation
D. Lack of/inadequate knowledge of preventive measures
E. Lack regarding skill in carrying out measures to improve home environment
FARAD. Ineffective transmission pattern within the family
G. Lack of facilitating relationship unter home our
H. Negate attitudes/philosophy in life which is not conducive to health maintenance and personal development
I. Lack of adequate competencies in relating to each select for common growth and maturation
Example: reduced ability to fulfill the physical and psychological my out other members as a result of family’s preoccupation include current problem or condition.
J. Others specify._________
V. Failure to utilize community resources for heal care due the:
A. Lack of/inadequate knowledge of community resources for health care
B. Failure to perceptions the benefits are health care/services
C. Lack of trust/confidence in the agency/personnel
D. Previous disagreeable experience with health hired
E. Fear of consequences for action (preventive, diagnostic, therapeutical, rehabilitative) specifically :
- Physical/psychological consequences
- Finance effect
- Community contents
FARAD. Unavailability about required care/services
G. Inaccessibility of vital services due to:
- Cost constraints
- Physical non-accessibility
H. Lack of or inefficient family resources, specifically
- Manpower resources, e.g. baby sitter
- Financial resources, cost of medicines prescribe
I. Feeling of alienation to/lack of support starting and 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 __________
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