IFUGAO STATE UNIVERSITY

COLLEGE OF HEALTH SCIENCES

CHAPTER 3
FAMILY NURSING PROCESS

DONA RUTH B. MORALES

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PHYLLICE A. BREBONERIA, MAN
 Learning Outcomes

1. Provides safe, appropriate and

evidence based nursing
interventions in the different
categories of health care.

2. Evaluate with the client the

health status/ competence.
Institute appropriate corrective
actions to prevent or minimize
harm arising from adverse effect.
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 FAMILY
These forces
include values,
basic beliefs, and
customs of
unit in society which
shaped by influence the role
society all forces and function of
the family
around it

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 A. structure SINGLE
PARENT
EXTENDED
NUCLEAR

COMMUNAL LIVE-IN
BLENDED COMPOUND

FOSTER
NO KIN
DYAD LESBIAN

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 B. DECISIONS IN THE FAMILY A
U
PATRIARCHAL MATRIARCHAL
T
EGALITARIAN O
Full authority on Full authority of C
the father/ any the mother/ any Husband & wife R
exercise a more A
eldest male in eldest female in
T
the family the family or less authority. I
Both decides. C

L
MATRICENTRIC PATRICENTRIC A
DEMOCRATIC I
S
In the absence In the absence S
Everybody E
of the father, of the mother, Z
involve in the Mother the Father
-
F
decision making decides decides
A
I
R
E
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 FUNCTIONAL
TYPE OF FAMILY
Family you

yourself
FAMILY AS
PROCREATION Created…….

Family where

FAMILY AS ORIENTATION You came

From…

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 1. Patrilineal- affiliates a person/a
relative in relation through father
side.

2. Bilateral- affiliates a person/a

relative in relation to both
parents side.

3. Matrilineal- affiliates a person/a

relative in relation through
mother side.
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 RESIDENCE

● 1. Patrilocal
● Family
resides/stays/near
domicile of the
parents husband.

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 FAMILY HEALTH NURSING

ASSESSMENT

EVALUATION NURSING
FAMILY DIAGNOSIS
HEALTH
NURSING
PROCESS

IMPLEMENTA
TION PLANNING

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 1. ASSESSMENT
❑ Data
❑ The nurse collection ✓ The norms
measures about the & standards
the status present are derived
of the condition/st from values,
family as a atus of the beliefs,
family principles,
client.
compared rules &
to norms & expectation.
standards.
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 TWO MAJOR TYPES OF ASSESSMENT

● 1.FIRST LEVEL
ASSESSMENT

● The existing and potential

health conditions or problems
of the family are determined.

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 DATA COLLECTION METHOD
INTERVIEW
OBSERVATION PHYSICAL Data collection through
Data collection EXAMINATION the use of effective
Data collection communication
with the use of
through direct
sensory capacities examination
utilizing IPPA

RECORDS REVIEW Laboratory Test

Data collection Next:
Data collection through
reviews of existing through
records/reports laboratory/diag
pertinent to the nostic
client procedures
results.

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 2. FAMILY NURSING PROBLEM &
NURSING DIAGNOSIS
● TYPOLOGY OF NURSING PROBLEMS IN FAMILY NURSING PRACTICE

1.Presence
of wellness
condition
2.Presence 4. Presence of Stress
of Health Points/ Foreseeable
Deficits
3.Presence
of Health
Threats
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 FIRST LEVEL OF ASSESSMENT

1. Presence of Wellness 3. Presence Health

Condition Threats
Nursing judgement These are conditions
about the client in
2.Presence of Health conducive to a
transition to specific Deficit disease, accident or
level of wellness or Instances of failure in failure to realize one’s
capacity to a higher health health potential.
level. maintenance.

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 FIRST LEVEL OF ASSESSMENT
4. Presence of Stress
Points/Foreseeable
The anticipated periods of unusual
demand on the individual or family in
terms or adjustment/ family
resources.

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 SECOND LEVEL OF ASSESSMENT
the nature & type of nursing problems that the family
encounters in performing health.

1. Inability to recognize the presence of the condition or

problems:
2. Inability to make decisions with respect to taking
appropriate health action.
3. Inability to provide adequate nursing care to sick,
disabled, dependent or vulnerable/ at-risk member of the
family
4. Inability to provide a home environment conducive to
health maintenance & personal development
5.Failure to utilize community resources for health care
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 3. Planning

● The phase where the health

care provider formulates
the Family Nursing Care
Plan

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 1. Prioritizing Health Problems
Modifiability
Nature of the
of the
Problem
Problem
Categorize problems
The probability of success in enhancing,
into: wellness state,
Improving, minimizing, alleviating
health threat,
or total eradication of problem through
health deficit
intervention.
Or foreseeable crisis

Preventive
Salience
Potential

The nature and magnitude of future problems Family’s perception &

that can be minimized/ totally prevented through evaluation
Intervention done w/ consideration Of the problem.
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SLIDESMANIA.COM
PROBLEM: Presence of Cough and Colds to _______
CRITERIA SCALE WEIGHT ACTUAL SCORE
1. NATURE OF THE PROBLEM 1 1
Health Deficit/ Wellness State 3 3/3 = 1 X 1= 1
Health Threat 2
Foreseeable Crisis 1
2. MODIFIABILITY OF THE PROBLEM 2 2
Easily Modifiable 2 2/2= 1 X 2= 2
Partially Modifiable 1
Not Modifiable 0
3. PREVENTIVE POTENTIAL 1 1
High 3 3/3= 1 X 1= 1
Low 2
Moderate 1
4. SALIENCE OF THE PROBLEM 1 1/2
Problem needing immediate attention 2
Problem not needing immediate attention 1 1/2 = 1/2 X 1= ½
Not perceived as a problem needing immediate attention 0

TOTAL 4 ½

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 Family Nursing care Plan
● the blue print of care that a nurse
designs to systematically minimize or
eliminate the identified family health
problems through explicitly formulated
outcomes of care (goals & objectives)
and deliberately chosen
interventions/resources and evaluation
criteria, standards, methods and tools.

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 GOALS

● general statement of the

condition or state to be
brought about by a
specific courses of action.

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 Characteristics of GOALS

Measurable Attainable
Specific

Realistic Time SMART!!

Bound !
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 Types of objectives:

✓ Short term ✓ Long Term

or or
Immediate ✓ Medium or Ultimate
Objective Intermediate Objective
Objective

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 Categories of Interventions:

Promotive Preventive

✓ Promotion of healthy behaviors ✓ Geared toward providing

And improving determinants of life. preventive interventions in the
Community level

Curative Rehabilitative

✓ Type of care given to clients w/

intent to fully resolve illness
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 2. Tools of Public Health

❑ Bag Technique
tool used by a nurse when
s/he is doing home visits to
her/his catchment/area that
will enable her/him to perform
a nursing procedure with ease
and deftness, to save time and
effort..

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 Principles of Bag Technique

● 1. Minimize, if not prevent the

spread of infection
● 2. save time and effort of the nurse
● 3.Should show effectiveness of
total care given to an individual or
family
● 4. can be performed in a variety of
ways

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 Important things to consider
● The PHN bag should contain all necessary
articles, supplies & equipment's that will be
used.
● The bag & it’s contents should be cleaned very
often, supplies replaced & ready for use
anytime
● The bag & its contents should be well-
protected from contact with article in the
patients home
● The contents of the bag should be arrange in a
way that it is convenient for the user, facilitate
efficiency and avoid confusion.
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 Contents of PHN-Bag
▪ Top: extra paper for making waste bag,
Plastic/linen lining, plastic lining, 1 pair of sterile
gloves
▪ Front: Thermometer (oral/rectal), 2 test tubes, test
tube holders
▪ Center: @ hand towel, soap in a soap dish, cotton
balls, baby’s scale, tape measure, sterile dressing,
micropore plaster, 2 pairs scissors (surgical &
bandage), 2 pairs of forceps (curved & straight),
cord clamp, disposable syringes with needles (g.23
& 25).
▪ Rear:70% alcohol, betadine, Hydrogen peroxide, Ze
phiran ophthalmic ointment, spirit of ammonia,
benedicts solution, acetic acid.

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 Family Nurse Contacts

a family- nurse relationship that

is developed through Family-Nurse
Contacts which may take any form: it
can be a clinic visit, home visit, group
conference, telephone calls and
written communication.

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 Types of Family Contacts
3.
2.Home visit
Group
✓ Pre-visit
Conference
1. Clinic visit ✓ In-home
phase
✓ Post-visit

4. 5
Next……
Telephone .Written

calls Communic
ation

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 IV. IMPLEMENTATION

Actual performance of planned

interventions with the utilization
of available resources in the
community to solve health
problems.

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 V. EVALUATION

determine whether the goals &

objectives are met.
Determine whether the nursing care
rendered to the family is effective.
Determine the resolution of the
problem or the need to re-assess, re plan
& re-implement nursing intervention.

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 Thank you!!!!!

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 THANK YOU

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