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Nội dung text 4 Family Nursing Process.pdf

 A systematic approach to help family to develop and strengthen its capability to meet its health needs and solve health problem Step 1: family health assessment Step 2: nursing diagnosis Step 3: planning Step 4: implementation Step 5: evaluation Step 6: reassessment (If needed) 1. Health promotion 2. Prevention from disease 3. Control of health problem 1. Tools for assessment  Initial data base  Typology of nursing  Problems in Family Nursing Practice  Family Health Task  Family Coping Index  This involves a set of actions by which the status of a family as client  Its ability to maintain itself as a system and functioning unit, and its ability to maintain wellness, prevent, control or resolve problems in order to achieve health and well-being among its members are measured Data collection There are two important things to ensure effective and efficient data collection in family health assessment 1. Types and kinds of data needed a. Family structure, characteristics, and dynamics b. Socio-economic, and cultural characteristics c. Home and environment d. Health status of each members e. Values and practices on health promotion and maintenance and illness prevention 2. Methods of data gathering  Nuclear  Extended  Multi-generational extended  Dyad  Blended/reconstituted  Cohabiting/live-in  No-kin  Foster Data Collection Data Analysis Diagnosis

1. Immunization status 2. Healthy lifestyle practices 3. Adequacy of: - Rest and sleep - Exercise/activities - Use of protective measures 4. Use of promotive-preventive health services 1. Observation 2. Physical examination 3. Interview 4. Record review 5. Laboratory/diagnostic tests The process whereby existing and potential health conditions or problems of the family are determined It relates what health problems exist and will exists Categories 1. Wellness state 2. Health threats 3. Health deficit 4. Foreseeable crisis First Level Assessment Presence of wellness condition  Stated as potential or readiness  A clinical or nursing judgment about a client in transition from a specific level of wellness or capability to a higher level  Wellness potential is a nursing judgment on wellness states or condition based on client’s performance, current competencies, or performance, clinical data or explicit expression of desire to achieve a higher level of state or function in a specific area on health promotion and maintenance Examples of this are the following a. Potential for enhances capability for  Healthy lifestyle – e.g. nutrition/diet, exercise/activity  Healthy maintenance/health management  Parenting  Breastfeeding  Spiritual well-being process of client’s developing/unfolding of mystery through harmonious interconnectedness that comes from inner strength/sacred source/ God (NANDA 2001)  Others. Specify. b. Readiness for enhanced capability for  Healthy lifestyle  Health maintenance/health management  Parenting  Breastfeeding  Spiritual well-being  Others. Specify. Presence of Health Threats a. Conditions that are conducive to disease and accident, or may result to failure to maintain wellness or realize health potential Examples of this are the following

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