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Initial Data Base For Family Nursing Practice: A. Family Structure Characteristics and Dynamics

This document outlines an initial database for collecting information on families for nursing practice. It includes 5 sections: (A) family structure and dynamics, (B) socioeconomic and cultural characteristics, (C) home environment, (D) health status of each family member, and (E) health values, habits and practices. Section A includes information on family members, relationships, decision making, and interactions. Section B covers income, education, ethnicity, community involvement. Section C addresses housing, neighborhood, facilities. Section D includes medical history, nutrition, development, risk factors, illnesses. Section E lists health promotion activities like immunizations, lifestyle habits, stress management, and service use.

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337 views3 pages

Initial Data Base For Family Nursing Practice: A. Family Structure Characteristics and Dynamics

This document outlines an initial database for collecting information on families for nursing practice. It includes 5 sections: (A) family structure and dynamics, (B) socioeconomic and cultural characteristics, (C) home environment, (D) health status of each family member, and (E) health values, habits and practices. Section A includes information on family members, relationships, decision making, and interactions. Section B covers income, education, ethnicity, community involvement. Section C addresses housing, neighborhood, facilities. Section D includes medical history, nutrition, development, risk factors, illnesses. Section E lists health promotion activities like immunizations, lifestyle habits, stress management, and service use.

Uploaded by

jaja
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Initial Data Base for Family Nursing Practice

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A. Family Structure Characteristics and Dynamics


1. Members of the household and relationship to the head of the family.
2. Demographic data-age, sex, civil status, position in the family
3. Place of residence of each member-whether living with the family or elsewhere
4. Type of family structure-e.g. patriarchal, matriarchal, nuclear or extended
5. Dominant family members in terms of decision making especially on matters of health
care
6. General family relationship/dynamics-presence of any obvious/readily observable
conflict between members; characteristics, communication/interaction patterns among
members.
B. Socio-economic and Cultural Characteristics
1. Income and expenses
a. Occupation, place of work and income of each working member
b. Adequacy to meet basic necessities (food, clothing, shelter)
c. Who makes decision about money and how it is spent
2. Educational Attainment of each Member
3. Ethnic Background and Religious Affiliation
4. Significant others-role (s) they play in family’s life
5. Relationship of the family to larger community-nature and extent of participation of
the family in community activities
C. Home Environment
1. Housing
a. Adequacy of living space
b. Sleeping in arrangement
c. Presence of breathing or resting sites of vector of diseases (e.g. mosquitoes, roaches,
flies, rodents, etc.)
d. Presence of accident hazard
e. Food storage and cooking facilities
f. Water supply-source, ownership, pot ability
g. Toilet facilities-type, ownership, sanitary condition
h. Garbage/refuse disposal-type, sanitary condition
i. Drainage System-type, sanitary condition
2. Kind of Neighborhood, e.g. congested, slum etc.
3. Social and Health facilities available
4. Communication and transportation facilities available
D. Health Status of Each Family Member
1. Medical Nursing history indicating current or past significant illnesses or beliefs and
practices conducive to health and illness
2. Nutritional assessment (especially for vulnerable or at risk members)
 Anthropometric data: measures of nutritional status of children-weight, height, mid-
upper arm circumference; risk assessment measures for obesity : body mass
index(BMI=weight in kgs. divided by height in meters2), waist circumference (WC:
greater than 90 cm. in men and greater than 80 cm. in women), waist hip
ration (WHR=waist circumference in cm. divided by hip circumference in cm.
Central obesity: WHR is equal to or greater than 1.0 cm in men and 0.85 in women)
 dietary history specifying quality and quantity of food or nutrient per day
 Eating/ feeding habits/ practices
3. Developmental assessment of infant, toddlers and preschoolers- e.g. Metro Manila
DevelopmentalScreening Test (MMDST).
4. Risk factor assessment indicating presence of major and contributing modifiable risk
factors for specific lifestyle diseases-e.g. hypertension, physical inactivity, sedentary
lifestyle, cigarette/ tobacco smoking, elevated blood lipids/ cholesterol, obesity,
diabetes mellitus, inadequate fiber intake, stress, alcohol drinking, and other
substance abuse.
5. Physical Assessment indicating presence of illness state/s (diagnosed or undiagnosed
by medical practitioners )
6. Results of laboratory/diagnostic and other screening procedures supportive of
assessment findings.
E. Values, Habits, Practices on Health Promotion, Maintenance
and Disease Prevention. Examples include:
1. Immunization status of family members
2. Healthy lifestyle practices. Specify.
3. Adequacy of:
 Rest and sleep
 Exercise/activities
 Use of protective measure-e.g. adequate footwear in parasite-infested areas; use of
bed nets andprotective clothing in malaria and filariasis endemic areas.
 Relaxation and other stress management activities
4. Use of promotive-preventive health services

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