What is the purpose of the family health assessment? Assessing the current and past health of a client's family is important because diseases sometimes have a genetic component. These data provide you with a risk profile for inherited conditions.

1. Typology of Nursing
Problems in Family
Nursing Practice
BY: ROMMEL LUIS C. ISRAEL III
BY: ROMMEL LUIS C. ISRAEL III 1

2. FIRST LEVEL ASSESSMENT
BY: ROMMEL LUIS C. ISRAEL III 2

3. First Level of Assessment
– process whereby existing potential health
conditions/problems of the family are
determined.
A.Presence of Wellness Condition – states as
potential or readiness – a clinical or nursing
judgement about a client in transition from a
specific level of wellness or capability to a higher
level.
B. Presence of Health Deficits - Instances of
failure in health maintenance.
Ex.
A. Illness States, regardless of whether it is
diagnosed or undiagnosed by medical
practitioner
B. Failure to thrive/ develop according to normal
rate
C. Disability - whether (1) congenital or (2) arising
from illness
BY: ROMMEL LUIS C. ISRAEL III 3

4. 4

5. 5

6. F. Stress-provoking
factors
• strained marital
relationship
• strained parent-
sibling relationship
• interpersonal conflicts
between family
members
• care-giving burden
BY: ROMMEL LUIS C. ISRAEL III 6

7. G. Poor home / environmental
condition/ sanitation
• inadequate living space
• lack of food storage facilities
• polluted water supply
• presence of breeding or
resting sites of vectors of
diseases
• improper garbage / refuse
disposal
• unsanitary waste disposal
• poor lightning and ventilation
• noise pollution
• air pollution
BY: ROMMEL LUIS C. ISRAEL III 7

8. H. Unsanitary food handling and
preparation
I. Unhealthy lifestyle and personal
habits /practices
• alcohol drinking
• cigarette / tobacco smoking
• walking barefooted or inadequate footwear
• eating raw meat or fish
• poor personal hygiene
• self-medication/ substance abuse
• sexual promiscuity
• engaging in dangerous sports
• inadequate rest or sleep
• lack of / inadequate exercise / physical activity
• lack of / inadequate activities
• non-use of self-protection measures (e.g. non-
use of bednets in Malaria and Filariasis
endemic areas)
BY: ROMMEL LUIS C. ISRAEL III 8

9. 9

10. 10
BY: ROMMEL LUIS C. ISRAEL III

11. 2nd Level assessment
BY: ROMMEL LUIS C. ISRAEL III 11

12. 12

13. • I. Inability to recognize the
presence of the condition or
problem due to:
Lack of or inadequate knowledge
Denial about its existence or
severity as a result of fear of
consequences of diagnosis of
problem, specifically :
social-stigma, loss of respect of
peers / significant others
economic / cost implications
physical consequences
emotional / psychological issues /
concerns
BY: ROMMEL LUIS C. ISRAEL III 13

14. 14
BY: ROMMEL LUIS C. ISRAEL III

15. 15

16. 16

17. 17

18. V. Failure to utilize community resources for
health care due to :
• Lack of / inadequate knowledge of community
resources for health care
• Failure to perceive the benefits of health care /
services
• Lack of trust / confidence in the agency / personnel
• Previous unpleasant experience with health worker
• Fear of consequences of action (preventive, diagnostic,
therapeutic. Rehabilitative ), specifically :
• a. physical / psychological consequences
• b. financial consequences
• b. social consequences – e.g. , loss of esteem of peer /
significant others
• Unavailability of required care / service
• Inaccessibility of required care / service due to:
• cost constraints
• physical inaccessibility, i.e. location of facility
• Lack of or inadequate family resources, specifically ;
• manpower resources – e.g. baby sitter
• financial resources – e.g., cost of medicine prescribed
• Feeling of alienation to / lack of support from the
community, e.g., stigma due to mental illness, AIDS,
etc.
• Negative attitude / philosophy in life which hinders
effective / maximum utilization of community
resources for health care
BY: ROMMEL LUIS C. ISRAEL III 18