Lesson 3 Flashcards
Typology of Nursing Problem and GUIDE TO DO AN EFFECTIVE NURSING DIAGNOSIS
It is the process whereby existing and potential health conditions or problems of the family are determined. It relates what health problems exist and will exist.
Categories:
- Wellness State
- Health threats
- Health Deficits
- Foreseeable Crisis
FIRST LEVEL ASSESSMENT
stated as_______-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 state 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?
Potential or Readiness
conditions that are conducive to disease and accident, or
may result to failure to maintain wellness or realize health
potential?
Ex.
- Presence of risk factors of specific diseases (e.g.
lifestyle diseases, metabolic syndrome)
-Threat of cross infection from communicable disease
case
- Family size beyond what family resources can adequately provide
-Accident hazards
-Faulty/unhealthful nutritional/eating habits or feeding
techniques/practices
-Stress Provoking Factors
-Poor Home/Environmental Condition/Sanitation
-Unhealthy Lifestyle and Personal Habits/Practices
Unsanitary Food Handling and Preparation
- Inherent Personal Characteristics-e.g. poor impulse control
- Health History, which may Participate/Induce the Occurrence of
Health Deficit, e.g. previous history of difficult labor.
- Inappropriate Role Assumption- e.g. child assuming mother’s role,
father not assuming his role.
- Lack of Immunization/Inadequate Immunization Status Specially of
Children
- Family Disunity
Health Threats
instances of failure in health maintenance?
Examples include:
A. Illness states, regardless of whether it is diagnosed or
undiagnosed by medical practitioner.
B. Failure to thrive/develop according to normal rate
C. Disability-whether congenital or arising from illness;
transient/temporary (e.g. aphasia or temporary paralysis
after a CVA) or permanent (e.g. leg amputation
secondary to diabetes, blindness from measles, lameness
from polio)
Health Deficits
anticipated periods of unusual demand on the individual or family in terms of
adjustment/family resources?
Presence of stress points/
foreseeable crisis situations
It determine if the family recognizes the existence of the condition or problem. If the family does not recognize the presence of the condition or problem, explore the reasons why.
Second level Assessment
It is a first level assessment where a clinical judgement about a client in transition from a specific level of well or capability to a higher level?
PRESENCE OF WELLNESS CONDITION
It is a first level assessment where conditions that are conducive to disease and accident, or may result to failure to maintain wellness or realize health potential?
PRESENCE OF HEALTH THREATS
It is a first level assessment where instances of failure in health maintenance?
PRESENCE OF HEALTH DEFICITS
It is a first level assessment where anticipated periods of unusual demand on the individual or family in terms of adjustment/family resources?
FORESEEABLE CRISIS
is a formal process that includes correctly
identifying existing needs, as well as recognizing
potential needs or risks. Care plans also provide
a means of communication among nurses, their
patients, and other healthcare providers to
achieve health care outcomes. Without the
nursing care planning process, quality and
consistency in patient care would be lost?
FNCP/NCP
It is an in-depth process of finding out of the
profiles, health status of the community and the
factors affecting the present status?
Community Diagnosis
Is the blueprint of the care that the nurse designs to
systematically minimize or eliminate the identified
health and family nursing problems through explicitly
formulated outcomes of care (goals and objectives)
and deliberately chosen set of interventions, resources
and evaluation criteria, standards, methods and tools?
Family Nursing Care Plan (FNCP)
What are the contents of Community Diagnosis?
- Introduction
- Target Community Profile
- Analysis of Data
- Action Plan based from prioritized
problem identified
Formula of Population Density?
PD= Total No. of population X 1000/
Total No. of Square meter
Formula of Sex Ratio?
SR= No. of Males X 100/
No. of Females
Formula of dependency Ratio?
DR= No. of pop. 0-14+ 65 y.o and above/
Population 15-64 years old
Formula of Literacy Rate?
LR= No. of pop. 8 years and above whom you can read and write/
Total No. of pop. 8 years old and above
It is the key information approach, same as “grape-vine”
approach- certain individuals or key informants by
virtue of their experience, profession or elected
officers who can contribute valuable information
on issues pertaining to health needs of the
community?
Data Collection Techniques
