e.g. poor impulse control 11. Health history which induce the occurrence of a health deficit, e.g. previous history of difficult labor 12. Inappropriate role assumption e.g. child assuming mother's role, father not assuming his role 13. Lack of immunization/ inadequate immunization status specially of children 14.Family disunity Self-oriented behavior of member(s) Unresolved conflicts of member(s) Intolerable disagreement Other 15.Other III. Presence of Health Deficits instances of failure in health maintenance. Examples include:
1. Illness states, regardless of
whether it is diagnosed or by medical practitioner 2. Failure to thrive/ develop according to normal rate 3. Disability whether congenital or arising from illness; temporary IV. Presence of stress Points/ Foreseeable Crisis Situations anticipated periods of unusual demand of the individual or family in terms of family resources. Examples of these include: 1. Marriage 9. Menopause 2. Pregnancy 10. Loss of job 3. Parenthood 11. Hospitalization of a 4. Additional member family member 5. Abortion 12. Death of a manner 6. Entrance at school 13. Resettlement in a 7. Adolescence new community 8. Divorce 14. illegitimacy Second Level Assessment
Focus on determining familys capacity to
perform the health tasks Statements on family health nursing problem: a. Inability to recognize the presence of the condition or problem b. Inability to make decisions with respect to taking appropriate health action c. Inability to provide adequate nursing care to the sick, disabled , dependent or vulnerable member of the family d. Inability to provide a home environment conducive to health maintenance or personal development e. Failure to utilize community resources for health care Scale for Ranking Health Conditions and Problems according to priorities Criteria: a. Nature of the condition or problem presented ( wellness state, health deficit, health threat, forseeable crisis) b. Modifiability of the condition or problem ( easily, partially, not modifiable) c. Preventive Potential (high, moderate , low) d. Salience ( needs immediate attention, not immediate, not perceived as a problem) COMMUNITY HEALTH CARE PROCESS Assessment Purpose : To identify the health needs of the people Planning of nursing actions Purpose : To act on the determined needs of the community people Implementation Purpose : To achieve the optimum level of health of the community people Evaluation Purpose : To determine the effectiveness of health care programs NURSING PROCEDURES CLINIC VISIT - process of checking the clients health condition in a medical clinic HOME VISIT - a professional face to face contact made by the nurse with a patient or the family to provide necessary health care activities and to further attain the objectives of the agency BAG TECHNIQUE -a tool making of the public health bag through which the nurse during the home visit can perform nursing procedures with ease and deftness saving time and effort with the end in view of rendering effective nursing care THERMOMETER TECHNIQUE -to assess the clients health condition through body temperature reading NURSING CARE IN THE HOME - giving to the individual patient the nursing care required by his/her specific illness or trauma to help him/her reach a level of functioning at which he/she can maintain himself/herself or die peacefully in dignity ISOLATION TECHNIQUE IN THE HOME -done by : 1. separating the articles used by a client with communicable disease to prevent the spread of infection: 2. frequent washing and airing of beddings and other articles and disinfections of room 3. wearing a protective gown , to be used only within the room of the sick member 4. discarding properly all nasal and throat discharges of any member sick with communicable disease