FAMILY NURSING ASSESSMENT Flashcards
(36 cards)
emphasizes the need to understand the
behavior of the family as a dynamic,
functioning unit which affects its capability to
help itself and maintain system integrity, or its
readiness to work with the nurse in enhancing
wellness or addressing problems on health
and illness.
Family Nursing Practice
views the family as a living social system
within a context in which multiple
environmental actions or factors occur over
the life course
Family Systems Theory
views the family as a unity of interacting
personalities whose actions are based on
meanings they derived from interactions and
taken in an ever-changing process of new
interactions, new interpretations, and new
meanings
The Interactional Approach or Symbolic
Interactional Framework
views family development throughout its
generational life cycle, highlighting critical
periods of family growth and development
across the life course
The Developmental Approach
specifies family characteristics such as
member roles, family forms, power structure,
communication processes and value systems
which provide order to family interactions and
interdependent relationships and serve to
organize performance of roles and functions
Structural-Functional Perspective
integrates the application of theoretical
perspectives which converge particularly at
the critical role of family performance of
functions to attain, sustain maintain and regain
individual and family health
Family Health Tasks Perspective
- Data Collection
- Data Analysis
- Formulation of Diagnosis
STEPS IN NURSING ASSESSMENT
- identify the type of data needed
- specify the methods of data gathering and the necessary tools to collect the data
Data Collection
- Observation
- Physical Examination
- Interview
- Record Review
- Laboratory/Diagnostic Tests
Data Gathering Methods and Tools
the nurse gathers information about the family’s
state of being and behavioral responses
direct observation
- Family/household members
- Home and environment
First Level- Data on status:
Data on family’s assumption of
health tasks on each health condition/problem
identified in first level assessment.
Second Level
Data about the current health status of individual
members. The 5 types of data generate the
categories of health conditions or problems of the
family
First Level Assessment
- Family Structure, characteristics and
dynamics - Socio-economic and cultural characteristics
- Home and environment
- Health status of each member
- Values and practices on health
promotion/maintenance and disease
prevention
First Level Assessment types of data
I. Family/household members
a. Health assessment
b. Laboratory/diagnostic test results
c. Records
II. Home and environment
a. Observation/ocular survey
b. Interview
c. Laboratory/diagnostic test results
d. Records
METHODS/SOURCES:
on First Level Assessment
Define the health condition/problems
(categorize as: wellness state, health deficits,
health threats, foreseeable crisis or stress
points
First Level HEALTH CONDITION/PROBLEMS AND FAMILY
NURSING DIAGNOSIS:
Data include those that specify or describe the
family’s realities, perception and attitudes related to
the assumption or performance of family health
tasks on health condition or problem identified
during the first level assessment
Second Level Assessment
I. In-depth interview on realities/perceptions
about and attitudes towards
assumptions/performance of health tasks
II. Observation: Relate verbal with Non-verbal
cues
METHOD/SOURCES:
on Second Level Assessment
- Define the family nursing problems/diagnosis
as statement - Family’s inability to perform health tasks on
each health condition/problem specifying the
barriers to performance or reasons for non-performance of family health tasks
Second Level HEALTH CONDITION/PROBLEMS AND FAMILY
NURSING DIAGNOSIS:
Supported and complemented by other family
assessment tools to elicit generational information
about family structure and processes (genogram),
factual data about family relationship with the
external environment and its resources (ecomap),
and interactive processes and family relationship
problems/difficulties and strengths (family life
chronology)
The Assessment Database (ADB)
- Graphically display information about family
members and their relationship over the at
least three generations. - Softwares: Edraw max, GenoPro
Genograms
- Conceptual framework for constructing and
analyzing genogram patterns - Structural, relational and functional
information about family) - Viewed horizontally across the family
context and vertically through generations
Family Systems Theory of Murray Bowen (1978)
Visually diagrams the family’s interactions or
relationships with the external environment
and its resources. It summarizes on one page
the family strengths, conflicts and stresses in
relation to its interactions with individuals and
agencies outside the family system. Hartman
(1978) used the tool to examine boundary
maintenance aspects of family functioning.
The ecomap dramatically illustrates the
amount of energy used by a family to maintain
its system
Ecomap
helps capture family interactive processes
that have evolved (Satir 1967). It can help the
family identify the strengths in family member
relationships over time and the need to alter
family functioning to reduce stress
Family Life Chronology
