1. What is Family Health Assessment?
Presence of Foreseeable Crisis
This involves a set of actions by which the status
of a family as client, its ability to maintain itself
as a system and functioning unit, and its ability
to maintain wellness, prevent, control, or resolve
problems in order to achieve health and well-
being among its members are measured.
3. What are the gathering data and
tools?
Data Gathering Methods and Tools:
 Observation
 Physical Examination
 Interview
 Record Review
 Laboratory/Diagnostic Tests
4. What are the levels of assessment in
Family Health Nursing?
1. First Level Assessment (1)
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
2. First Level Assessment (2)
Presence of Wellness Condition
- A clinical judgement about a client
in transition from a specific level of
wellness or capability to a higher
level.
- Based on client’s performance,
current performance, current
competencies, or clinical data but
no explicit expression of client
desire.
- May either be potential or readiness
3. First Level Assessment (3)
Presence of Health Threats
- Conditions that are conducive to
disease and accident, or may result
to failure to maintain wellness or
realize health potential
Presence of Health Deficits
- Instances of failure in health
maintenance
- Anticipated periods of unusual
demand on the individual or family
in terms of adjustment/family
resources
4. Second Level Assessment (1)
Defines the nature or type of nursing
problems that the family encounters in
performing the health tasks with respect to a
given health condition or problem, and the
etiology or barriers to the families’
assumption of these tasks.
It explains the family’s problems related to
maintaining health and wellness.
It specified the measures that the family did
not do due to INABILITY.
5. Second Level Assessment (2)
- 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.
- If the family recognizes the
presence of the condition or
problem, determine if something
has been done to maintain the
wellness state or resolve the
problem. If the family has not done
anything about it, determine the
reasons why. If the family has done
something about the problem or
condition, determine if the solution
is effective. Determine if the family
encounters other problems in
implementing the interventions for
wellness state/potential, health
threat, health deficit, or crisis.
Identify these problems.
- Determine how all the other
members are affected by the
wellness state/potential, health
threat, health deficit, or stress point.
6. Give the typology of problems in Family
Health Level 1 and Level 2:
Typology of Problems in Family Health (First
Level)
Wellness Condition
1. Potential for Enhanced Capability for
2. Readiness for Enhanced Capability for:
a. Healthy Lifestyle
b. Health Maintenance
c. Parenting
d. Breastfeeding
e. Spiritual Well-being
Health Threats
1. Presence of risk factors of specific diseases
2. Threat of cross infection from a communicable
disease
 3. Family size beyond what resources can
adequately provide
4. Accident hazards
5. Faulty/unhealthful nutritional/eating habits for
feeding techniques/practices
6. Stress provoking factors
7. Poor environmental condition
8. Unsanitary food handling and preparation
9. Unhealthful lifestyle and personal habits
10. Inherent personal characteristics
11. Inappropriate role assumption
12. Lack of immunization
13. Family disunity
Health Deficits
1. Illness states (wellness diagnosed or
undiagnosed)
2. Failure to thrive/develop according to normal
rate
3. Disability
Foreseeable Crisis
1. Marriage
2. Pregnancy
3. Parenthood
4. Additional family member
5. Abortion
6. Entrance to school
7. Adolescence
8. Divorce
9. Menopause
10.Loss of Job
11.Hospitalization
12.Death of a member
13.Resettlement in a new community
Typology of Problems in Family Health (Second
Level)
Inability to recognize the presence of the
condition or the problem due to:
1.Lack of inadequate knowledge
2.Denial about its existence or severity as result of
fear of consequences of diagnosis of problem
3.Attitude/philosophy in life which hinders
recognition/acceptance of a problem
Inability to make decisions with respect to taking
appropriate health action due to:
1. Failure to comprehend the nature/magnitude of the
problem/condition
2. Low salience of the problem
3. Feeling of confusion, helplessness, and/or
resignation brought about by perceived
magnitude/severity of the situation or problem
4. Lack of knowledge as to alternative courses of
action open to them
5. Inability to decide which action to take from among
a list of alternatives
6. Conflicting opinions among family members
7. Lack of knowledge of community resources for care
8. Fear of consequences of action 9. Negative attitude
towards the health condition or problem
10.Inaccessibility of appropriate resources for care
11.Lack of trust/confidence in the health
personnel/agency
12.Misconceptions or erroneous information about
proposed courses of action
Inability to provide adequate care to the sick,
disabled, dependent, or vulnerable/at-risk member
of the family due to:
1. Lack of knowledge about the disease/health
condition
2. Lack of knowledge about child development and
care
3. Lack of knowledge of the nature and extent of care
needed
4. Lack of the necessary facilities, equipment, and
supplies of care
5. Lack of inadequate knowledge and skill in carrying
out the necessary interventions
6. Inadequate family resources for care
7. Significant person’s unexpressed feelings
8. Philosophy in life which negates or hinders caring
for the sick, disabled, dependent, and at risk member
9. Member’s preoccupation with own concerns or
interests
10.Prolonged disease or disability progression which
exhausts supportive capacity of family members
11.Altered role performance
Inability to provide home environment conducive
to health maintenance and personal development
due to:
1. Inadequate family resources
2. Failure to see benefits of investment in home and
environment improvement
3. Lack of knowledge of preventive measures
4. Lack of skill in carrying out measures to improve
home environment
5. Ineffective communication patterns with the family
6. Lack of supportive relationship among family
members
7. Negative attitude in life which is not conducive to
health maintenance and personal development
8. Lack of competencies in relating to each other for
mutual growth and maturation
Failure to utilize community resources for health
due to:
1. Lack of knowledge of community resources for
health
2. Failure to perceive the benefits of health services
3. Lack of trust or confidence in the agency or
personnel
4. Previous unpleasant experience with health worker
5. Fear of consequences in action
6. Unavailability of required care
7. Inaccessibility of required care
8. Inadequate family resources
9. Feeling of alienation to the community
10.Negative attitude in life which hinders effective
utilization of community resources for health care
7. How will you prioritize Family
Health Problems?

Prioritizing Health Problems

CRITERIA WEIGHT
Nature or condition of the 1
problem
Scale: wellness state (3)
health deficit (3) health threat (2)
foreseeable crisis (1)
Modifiability of the problem 2
Scale: easily modifiable (2)
partially modifiable (1)
not modifiable (1)
Preventive potential 1
Scale: high (3)
moderate (2)
low (1)
Salience 1
Scale: Needs immediate attention
(2)
Does not need immediate
attention (1)