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    Family Health Nursing Process

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    chandratappy
    This document outlines the family health nursing process, which includes 4 phases: assessment, planning, implementation, and evaluation. [1] The assessment phase involves collecting data on the family's health status, lifestyle, environment, and structure. [2] The planning phase uses the assessment to formulate goals, objectives, and a nursing care plan. [3] The implementation phase involves carrying out the planned nursing interventions. [4] Finally, the evaluation phase assesses the effectiveness of the nursing care process both quantitatively and qualitatively.

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    Family Health Nursing Process

    Uploaded by

    chandratappy
    137 views31 pages
    This document outlines the family health nursing process, which includes 4 phases: assessment, planning, implementation, and evaluation. [1] The assessment phase involves collecting data on the family's health status, lifestyle, environment, and structure. [2] The planning phase uses the assessment to formulate goals, objectives, and a nursing care plan. [3] The implementation phase involves carrying out the planned nursing interventions. [4] Finally, the evaluation phase assesses the effectiveness of the nursing care process both quantitatively and qualitatively.

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    family assessment

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    This document outlines the family health nursing process, which includes 4 phases: assessment, planning, implementation, and evaluation. [1] The assessment phase involves collecting data on the family's health status, lifestyle, environment, and structure. [2] The planning phase uses the assessment to formulate goals, objectives, and a nursing care plan. [3] The implementation phase involves carrying out the planned nursing interventions. [4] Finally, the evaluation phase assesses the effectiveness of the nursing care process both quantitatively and qualitatively.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    137 views31 pages

    Family Health Nursing Process

    Uploaded by

    chandratappy
    This document outlines the family health nursing process, which includes 4 phases: assessment, planning, implementation, and evaluation. [1] The assessment phase involves collecting data on the family's health status, lifestyle, environment, and structure. [2] The planning phase uses the assessment to formulate goals, objectives, and a nursing care plan. [3] The implementation phase involves carrying out the planned nursing interventions. [4] Finally, the evaluation phase assesses the effectiveness of the nursing care process both quantitatively and qualitatively.

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    FAMILY HEALTH NURSING

    PROCESS
    DEFINITION

    Family health nursing process is a

    systematic approach to help family to develop

    and strengthen its capacity to meet its health

    needs and solve health problems.


    STEPS

    -assessment phase

    -planning phase

    -implementation phase

    -evaluation phase
    I. Assessment phase (family identification)

    The standards of determining family health


    status can be
    -optimum health of individual member
    -family life style
    -family environment
    -family structure, characteristics

    compare families health with these standards


    Steps of assessment phase

    -plan for data collection

    -data collection methods and techniques

    -analysis of data

    -family profile and diagnosis


    1) plan for data collection

    It includes data regarding

    -family structure and characteristics

    -life style, culture and socio economic factors

    -health and medical history and health behavior

    -environmental factors
    Primary source of data collection- obtained
    directly from the client (family members)

    Secondary source of data collection- obtained


    through friends, neighbours, colleagues,
    family records, family team members,
    investigation reports, reference books etc.
    2) Data collection methods and techniques
    -Observation
    -questioning
    -conversation and discussion
    -listening
    -review of family health records
    -examination
    -investigation
    -interview
    Guidelines for data collection
    -be systematic
    -do not force to get information
    -explain the reason for data collection
    -ensure confidentiality
    -be polite
    -don't let the family feel small and
    embarrassed
    -make them comfortable
    -sympathizes and listen attentively and
    meaningfully
    -record the data
    3) analysis of data
    It should be categorized as health deficit,
    health threats and foreseeable crisis
    situations

    Health deficits-failure in health maintenance


    and development..
    -diagnosed illness
    -deviation in growth and development
    -personality disorders
    Health threats
    condition which predispose to disease,
    accident, poor or retarded growth and
    development and personality disorders
    The possible health threats are
    -large family size
    -lack of education
    -immature parents
    -broken family
    -poor environmental condition
    -poor sanitation
    -environmental pollution
    -incomplete immunization
    -unbalanced diet
    Foreseeable crisis situations-anticipated
    periods of unusual demands on the individual
    or the family in terms of adjustment . They
    are
    -marriage
    -pregnancy
    -new born
    -developmental stages
    -new job
    -death
    -change in residence
    Health threats and foreseeable crisis situation

    are potential problems and health deficits are

    actual problems
    4) Family profile and diagnosis
    Family profile implies brief description of
    family structure and characteristics, family
    life cycle and culture, socio economic
    conditions environmental factors health and
    medical history etc.
    Family health diagnosis is the written
    statement of family health problems which
    are assessed from analysis of data collected.
    II. PLANNING PHASE (FAMILY HEALTH AND NURSING CARE

    PLAN FORMULATION)

    -it is based on the diagnosis

    steps of planning phase

    -analysis of diagnosed health problems and assessment of


    families ability to resolve problems (second assessment)

    -establish priorities

    -setting goals and objectives

    -formulating family health and nursing care plan


    1) Analysis of diagnosed health problems and assessment
    of families ability to resolve problems (second assessment)

    Families ability to resolve health problems can be assessed


    on the basis of

    -ability to recognize the presence of health problems

    -ability to make decisions for taking appropriate health


    action

    -ability to provide desired care to the sick disabled

    -ability to maintain environment conducive to health


    promotion maintenance and personnel development

    - Ability to utilize community for health care


    2)Establish priorities

    -means rank ordering of the health problems

    Criteria for setting priorities

    a)Type of problem- health deficit, health


    threats and foreseeable crisis situations
    b)Severity of the consequence of the problem-
    nature and magnitude of the problem
    c)Modifiability of the problem- possibility of
    resolving the problem through nursing
    interventions within available resources
    d)salience-families perception about the
    seriousness of the problem
    e)Preventive potential-whether the problem
    can be prevented, eradicated or controlled.
    3) setting goals and objectives

    Client focused goal-provide need based care to


    malnourished children

    Nurse focused goal- after the nursing


    intervention the mother will be able to
    provide need based care to malnourished
    children
    Factors influence the goal formulation

    -interpersonal relationship

    -families perception of the problem


    -families felt need
    -families perception about seriousness of
    the problem
    -families ability to face the reality
    Selecting appropriate nursing intervention

    supplemental-direct nursing care services


    by the CHN to the sick
    developmental-CHN prepare some family
    members to give similar care in her
    absence
    facilitative-CHN improve families physical
    facilities either by modifying the exiting
    facilities or by developing new facilities
    CHN has to consider the available resource
    while planning intervention. They are

    Family resourses-physical intellectual


    capabilities, physical facilities, finance etc.
    Community resourses-health programmes,
    community organization etc.
    Nurses resourses-her competency, time,
    support etc.
    4) Family health nursing care plan

    -data analyzed- health problem prioritized- goals


    and objectives established- nursing interventions
    decided…. All these components put together for
    the schematic representation of the care plan
    It should be,

    -realistic
    -consistent with the goals
    -agreeable to the family
    -need active involvement of the family
    members
    -in written form
    III. ACTION PHASE (FAMILY HEALTH AND
    NURSING CARE PLAN IMPLEMENTATION

    STEPS

    -review of plan and mobilization of resources


    -implementation and documentation

    CHN required to
    -give adequate informations
    -help family to understand the situation
    -relate families exiting socio economic
    condition to health problem
    -motivate family to implement actions
    -utilize the equipments and supplies
    -help family to utilize the community
    resources
    IV. EVALUATION PHASE (FAMILY HEALTH
    AND NURSING CARE EVALUATION)

    QUANTITATIVE AND QUALITATIVE

    QUANTITATIVE EVALUATION
    It determine the extent of services rendered to the family
    . It accounts the number of visits , clinic visits, no. of
    immunization completed, reduction in mortality and
    morbidity
    QUALITATIVE EVALUATION-has 3 dimensions

    Structure evaluation-it measure the adequacy of


    resources in terms of manpower, material, time etc.

    Process evaluation-it measure the adequacy of nurses


    actions and activities implementing the nursing
    process

    Outcome evaluation- it measure the end result of the


    care given to the client
    Tools of data collection

    -direct observation

    -questing

    -record review

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