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Second Level Assessment

This document discusses barriers that can prevent families from properly addressing health issues. It identifies several factors that can lead to an inability to recognize problems, make appropriate health decisions, provide adequate care to sick or vulnerable family members, or create a health-promoting home environment. These factors include ignorance, fear, attitudes, lack of resources, and failure to access community healthcare services. The document also provides an overview of the purpose, characteristics, qualities and importance of developing a nursing care plan to help address identified family health and nursing problems in a systematic way.

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302 views2 pages

Second Level Assessment

This document discusses barriers that can prevent families from properly addressing health issues. It identifies several factors that can lead to an inability to recognize problems, make appropriate health decisions, provide adequate care to sick or vulnerable family members, or create a health-promoting home environment. These factors include ignorance, fear, attitudes, lack of resources, and failure to access community healthcare services. The document also provides an overview of the purpose, characteristics, qualities and importance of developing a nursing care plan to help address identified family health and nursing problems in a systematic way.

Uploaded by

bon
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Second level assessment

Jfgvicente, rn, man


Inability to recognize the presence of a problem due to:
1. Ignorance of facts
2. Fear of consequences of diagnosis of problem
 Social stigma, loss of respect of peer/significant others
 Economic - cost
 Physical / Psychological
3. Attitude / Philosophy in life

Inability to make decisions with respect to taking appropriate health action


due to:
 Failure to comprehend the nature, magnitude / scope of the problem
 Low Salience of the problem
 Feeling of confusion and/or resignation brought about by failure to breakdown problems
into manageable units of attack
 Lack of knowledge / insight as to the alternative courses of action open to them
 Inability to decide which action to take from among a list of alternatives
 Conflicting opinions among family members / significant others regarding action to take
 Ignorance of community resources for care
 Fear of consequences of action
o Social
o Economic
o Physical / Psychological
 Negative attitude towards the problem – by negative attitude is meant one that interfere
with rational decision making
 Inaccessibility of appropriate resources of care
o Physical – location
o Cost
 Lack of trust / confidence in the health personnel / agency
 Misconceptions or erroneous information about proposed course (s) of action

Inability to provide adequate nursing care to the sick disabled, dependent or


vulnerable/ at risk member of the family due to:
 Ignorance of facts about the disease/ health condition (nature, severity, complications,
prognosis and management); child development & child care
 ignorance of the nature & extent of nursing care needed
 Lack of the necessary facilities (equipment & supplies) for care
 Lack of knowledge & skill in carrying out the necessary treatment/ procedure/ care
 Inadequate family resources for care
o Responsible member
o Financial
o Physical resources – isolation room
 Negative attitude towards the sick, disabled, dependent, vulnerable / at risk member
 Attitude / philosophy in life
 Members preoccupation with own concerns / interests
Inability to provide a home environment which is conducive to health
maintenance and personal development due to:
 Inadequate family resources
o Family
o Physical (lack of space to construct facility)
 Failure to see benefits (specifically long term ones) of investment in home environment
improvement
 Ignorance of importance of hygiene and sanitation
 Ignorance of preventive measures
 Lack of skill in carrying out measures to improve home environment
 Ineffective communication patterns
 Attitude / philosophy in life

Failure to utilize community resources for health care due to:


 Ignorance or lack of awareness 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)
o Physical / Psychological
o Financial
o Social (ex. loss of esteem of peer / significant others)
 Unavailability of required care / service
 Inaccessibility of required care / service
o Cost
o Physical location
 Lack of inadequate family resources
o Manpower
o Financial (cost of medicine prescribed)
 Feeling of alienation to / lack of support from the community (ex. mental illness)
 Attitude / philosophy in life

Family Nursing Care Plan


 Is the set of actions the nurse decides to implement to be able to resolve identified family
health and nursing problems.

Characteristics of nursing care plan


 focuses on actions (designed to solve or alleviate existing problems)….The PLAN is a
Blueprint for action.
 product of deliberate systematic process
 relates to future
 revolves around identified health & nursing problems
 means to an end, not an end in itself
 continuous process

Qualities of a nursing care plan


Clear definition of problem
Consistent with the goals & philosophy of the health agency
Realistic
It is drawn with the family…nurse works with the family not for the family
Be kept in written form

Importance of nursing care plan


o Provides individualized care
o Helps in setting priorities
o Promotes systematic communication
o Continuity of care
o Facilitate coordination of care

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