10.

Inherent personal characteristics

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