This document outlines the nursing process for family health assessments. It describes the steps of assessment, diagnosis, planning, implementation, and evaluation. The assessment involves collecting data on the family structure, health of each member, and ability to manage health. Diagnoses identify nursing problems interfering with the family's health tasks. Planning prioritizes problems based on their nature, modifiability, prevention potential, and importance to the family. The plan is then implemented and evaluated for effectiveness.

1. Family Health
Nursing process

2. ASSESSMENT
Collecting, organizing, validating and recording data
about client’s health status

3. ASSESSMENT
a. Identifying assessment priorities determined by
the purpose of the assessment and the client’s
condition.
b. Prioritizing types of data to be collected
systematically.
c. Prioritizing types of data to be collected
systematically.
d. Establishing the data base
nursing history
Physical examination
Review of client record and nursing literature
Consultation with health professionals and
client’s support persons

4. d. Continuous updating of the records
e. Validating data
f. Communicating data

5. Diagnosis
a. Interpreting and analyzing client data
b. Identifying client strengths and health problems
c. Formulating and validating nursing diagnoses.

6. PLANNING
• Decision making and problem solving. It
involves a series of steps in which the nurse
and the client set priorities and goals or
expected outcomes to resolve or minimize the
identified client problems.
a. establishing priorities.
b.Writing goals/ outcomes and developing an
evaluate strategy.
c.Selecting nursing interventions.
d.Communicating the plan of nursing care.

7. IMPLEMENTATION
A phase in which the same puts the nursing care
plan into action. It includes the following activities:
a. Carrying out the plan of care.
b.Continuous data collection and modification of
the plan of care as needed.
c.Documentation of care.

8. EVALUATION
• Planned , ongoing, purposeful activity in which
clients and health care professionals determine
the client’s progress toward goal achievement,
and the effectiveness of the care plan. It
includes the following activities:
a. Measuring how well the client has achieved
desired goals or outcomes.
b. Identifying factors contributing to the client’s
success or failure.
c.Modifying the plan of care, if necessary

9. ASSESSMENT AND DIAGNOSES IN FAMILY
NURSING PRACTICE
• FIRST LEVEL ASSESSMENT – determining
existing and potential health conditions or
problems of the family.
a. Wellness condition – a clinical or nursing
judgment about a client in transition
from a specific level of wellness or
capability to a higher one. Ex. Potential for
enhanced capability for healthy lifestyle.
b. Health threats – conditions that are
conducive to disease, accident, or failure to
realize one’s health potential. Ex. Family
history of asthma.

10. ASSESSMENT AND DIAGNOSES IN
FAMILY NURSING PRACTICE
c. Health deficits – instances of failure in health
maintenance (disease, disability, development
lag) Ex. Illness state such as pulmonary
tuberculosis.
d. Stress points/Foreseeable crisis situation –
anticipated periods of unusual demand on the
individual or family in terms of adjustment or
family resources. Ex. Fifth pregnancy for an
unemployed couple.

11. ASSESSMENT AND DIAGNOSES IN
FAMILY NURSING PRACTICE
Data collection for first level assessment involves
gathering five types of data:
 Family structure and characteristics
 Socio-economic and cultural factors
 Environmental factors.
 Health assessment of each member
 Value placed on health promotion, health
maintenance and prevention of disease.
Data gathering methods include: observation,
physical examination, interview, review of records,
and laboratory and diagnostic procedure.

12. SECOND LEVEL ASSESSMENT
Identifies the nature or type of nursing problems
the family experiences in the performance of their
health task with respect to a certain health
condition or health problem.
For the family to achieve wellness, maintain
health, and reduce or eliminate health problems,
the family as a social unit should be able to
posses the abilities based on health tasks
identified by Ruth Freeman:

13. ASSESSMENT AND DIAGNOSES IN
FAMILY NURSING PRACTICE
• Ability to recognize the existence of a wellness
state, health condition or a health problem.
• Ability to make decisions with respect to taking
appropriate health actions.
• Ability to provide nursing care to the affected
(sick, disabled, dependent, or at risk) family
member.
• Ability to provide a home environment conducive
to health maintenance and personal
development.
• Ability to utilize community resources for health
care.

14. ASSESSMENT AND DIAGNOSES IN
FAMILY NURSING PRACTICE
In second level assessment, Dr. Maglaya et al.,
adopted Freeman’s family health tasks as the
framework when they developed the tool Typology
of Nursing Problems in Family Nursing Practice.
Their reason for this is the fact that in CHN
practice, the nurse deals mostly with family
problems in the domain of human behavior.

15. FIVE MAIN TYPES OF FAMILY
NURSING PROBLEMS
• Inability to recognize the existence of a health
condition/problem.
• Inability to make decisions with respect to taking
appropriate health action.
• Inability to provide nursing care to the sick,
disabled, or dependent member of the family.
• Inability to provide a home environment that is
conducive to health maintenance and personal
development.
• Failure to utilize community resources for health
care.

16. PLANNING, IMPLEMENTING AND EVLUATING
IN FAMILY NURSING PRACTICE
When faced with numerous family nursing
problems, the nurse should learn to prioritize
considering the available resources of both the
nurse, the family and the community. Dr. Maglaya
et al. identified the FOUR CRITERIA IN
PRIORITIZING HEALTH CONDITIONS:
• NATURE OF THE PROBLEM
is the problem a:
a. wellness condition
b. Health deficit
c. Health threat, or
d. Foreseeable crisis

17. • MODIFIABILITY OF THE CONDITION –refers
to the probability of success in enhancing the
wellness state, improving the condition,
minimizing, alleviating, or totally eradicating the
problem through intervention.
• PREVENTION POTENTIAL – refers to the
nature and magnitude of future problems that
can be minimized or totally prevented if
intervention is done on the problem under
consideration.
• SALIENCE – refers to the family’s perception
and evaluation of the problem in terms of
seriousness and urgency of attention needed.

18. SCALE FOR RANKING HEALTH CONDITIONS
AND PROBLEMS ACCORDING TO PRIORITIES
CRITERIA SCORE WEIGHT
NATURE OF THE CONDITION
Wellness state
Health deficit
Health threat
Foreseeable crisis
3
3
2
1
1
MODIFIABILITY OF THE CONDITIONS
Easily modifiable
Partially modifiable
Not modifiable
2
1
0
2
PREVENTION POTENTIAL
High
Moderate
Low
3
2
1
1
SALIENCE
A condition needing immediate attention
A condition not needing immediate attention.
Not perceived as a condition needing change
2
1
0
1

19. Thank you!
You can use this PowerPoint template for free based on creative commons license.
Follow us on Twitter @slideh or subscribe to our mailing list
Or upload your presentation for free and share online in SlideOnline.com
www.SlideHunter.com
Upload to Slide Online.com
Download Free Templates