Initial Database for Family Nursing Practice A. Family Structure & Characteristics

1. Members of the household & relationship to the head of the family 2. Demographic data age, sex, civil status, position in the family & etc. 3. Place of residence of each members whether living w/ family or elsewhere 4. Type of family structure (ex. matriarchal or patriarchal, nuclear or extended) 5. Dominant family members in terms of decision-making in matters of health care 6. General family relationship presence of any obvious/ readily observable conflict bet. members,

characteristic communication patterns among members.

B. Socio-economic & Cultural Factors 1. Income & expenses

a. Occupation, place of work & income of each working member b. Adequacy to meet basic necessities (food, clothing & shelter) c. Who makes decisions about the money & how it is spent

2. Educational attainment of each member 3. Ethnics background & religious affiliation 4. Significant others roles they play in the family life 5. Relationship of the members to the large community what’s the participation of the family in

community activities.

C. Environment Factors

1. Housing a. Adequacy of living space b. Sleeping arrangement c. Adequacy of furniture d. Presence of insects & rodents e. Presence of accidental hazards f. Food storage & cooking facilities g. Water supply source, ownership, & potability h. Toilet facility type, ownership, sanitary condition i. Garbage/ refuse disposal type, sanitary condition j. Drainage system type, sanitary condition

2. Kind of neighborhood (ex. congested, slum & etc.) 3. Social & health facilities available 4. Communication & transportation facilities available

D. Health Assessment of Each Member

1. Medical & nursing history indicating past significant illnesses, beliefs & practices conducive to illness a. Anthropometric data ex. weight, height, mid-upper arm circumference b. Dietary history indicating quality & quantity of food intake per day c. Eating/f feeding/ habits/ practices

2. Developmental Assessment of infants, toddlers and preschoolers – e.g. Metro Manila Developmental Screening Test (MMDST)

3. Nutritional assessment (especially for vulnerable or at risk members) 4. Physical Assessment /Current health status indicating presence of illness states (diagnosed or

undiagnosed by medical practitioner) 5. Results of laboratory/diagnostic procedures supportive of physical assessment findings

E. Values and Practices on Health Promotion/Maintenance and Disease Prevention

1. Immunization status of children and family members 2. Use of other preventive services 3. Adequacy of:

a. Rest and Sleep

b. Exercise c. Relaxation Activities d. Stress Management Activities

F. Family Community Diagnosis Sequence of Activities in Family Nursing Practice

1. Establishment of working relationship with the family a. initiates contact b. communicates interest in family’s welfare c. expresses/ shows willingness to help w/ expressed needs d. maintains a two-day communication w/ the family

2. Conducts an initial assessment to determine the presence of any health problem ¤ Tool Typology of Nursing Problem in Family Nursing Practice

3. Categories health problems into: a. health threats b. health deficits c. stress points/ foreseeable crisis ¤ Tool Typology of Nursing Problem in Family Nursing Practice

4. Determine the nature & extent of the family’s performance of the health tasks on each of the health problems categorized in activity no. 3 : defines the family nursing problems ¤ Tool Typology of Nursing Problem in Family Nursing Practice second level assessment

5. Determine the priorities among the lists of health problems a. consider the nature of the problems presented b. evaluates the modifiability of the problem c. evaluates the preventive potential of a problem d. evaluates the family’s perception/ evaluation of each problem in the term of seriousness &

urgency of attention needed ¤ Tool Seals for Ranking Family health Problems Accdg. To priorities

6. Decides on what problems to take in the order of immediate, urgency based on priorities set. 7. Ranks health problems according to priorities 8. Defines nursing objectives in realistic measurable terms jointly w/ the family 9. Plans approaches, strategies of action/ intervention, criteria & standards of evaluation 10. Implements the plan of care 11. Evaluates the effectiveness of implemented aspects of the plan 12. Re-defines nursing problems & re-formulates objectives according to evaluation findings