Typology of Nursing Problem in the Family Nursing Practice
Summary
TLDRThis educational video script delves into the family nursing care plan, focusing on the assessment phase, which is the first step in the nursing process. It distinguishes between two levels of assessment: the first level identifies health conditions and potential threats, while the second level assesses the family's ability to perform health tasks. The script provides examples to clarify each type of nursing problem, emphasizing the importance of prioritizing issues in family care.
Takeaways
- π The family nursing process consists of five steps: assessment, diagnosis, planning, implementation, and evaluation.
- π¨βπ©βπ§βπ¦ Assessment in family nursing is crucial for identifying the nature of the problem at both the individual and family levels.
- π There are two levels of assessment: primary (first level) and secondary (second level), which determine the nature of the problem in family nursing practice.
- π The first level of assessment involves identifying health conditions, wellness, health deficits, health threats, and stress points within the family.
- π Wellness conditions are activities that maintain a family's optimum level of functioning, such as healthy lifestyle, good parenting, and spiritual well-being.
- π Health deficits refer to instances of failure in health maintenance, such as illness states, developmental failures, or disabilities.
- β οΈ Health threats are conditions that make individuals or families vulnerable to disease, accidents, or failure to realize health potential, like smoking or family size exceeding resources.
- π€ Stress points, or foreseeable crises, are periods of unusual demands that require adjustment or use of family resources, such as marriage, pregnancy, or hospitalization.
- π Prioritization of problems in family nursing is based on the nature of the problem, modifiability, preventive potential, and salience, with wellness conditions and health deficits scoring higher.
- π The second level of assessment identifies the family's inability to perform health tasks, such as recognizing health conditions, making health decisions, providing nursing care, maintaining a healthy home environment, and utilizing community resources.
- π The script emphasizes the importance of understanding and differentiating between types of nursing problems to effectively prioritize and address family health issues.
Q & A
What are the five steps of the nursing process discussed in the script?
-The five steps of the nursing process are assessment, diagnosis, planning, implementation, and evaluation.
What is the purpose of the assessment in the family nursing care plan?
-The purpose of the assessment in the family nursing care plan is to identify the nature of the problem for the first two levels of clientele, which are the individual and family.
What are the two major typologies of nursing problems in family nursing practice mentioned in the script?
-The two major typologies of nursing problems in family nursing practice are the first level of assessment and the secondary level of assessment.
What is the first level of assessment in family nursing practice?
-The first level of assessment involves identifying or determining the existence of existing and potential health conditions that can affect the optimum level of functioning of a family.
Can you explain what is meant by 'wellness condition' in the context of family nursing?
-A 'wellness condition' refers to any clinical nursing judgment about the client's transition from a specific level of wellness or capability to a higher one, which includes good activities or practices that maintain a healthy living and optimum level of functioning.
What are some examples of wellness conditions mentioned in the script?
-Examples of wellness conditions include a healthy lifestyle, health maintenance and management, parenting and breastfeeding activities, and spiritual well-being.
What is a 'health deficit' and how is it different from a 'wellness condition'?
-A 'health deficit' refers to instances of failure in health maintenance, such as illness states, developmental failure, visible muscle wasting, malnutrition, or disabilities, which is different from a 'wellness condition' that represents good health practices and optimal functioning.
What is the difference between a 'health threat' and a 'health deficit'?
-A 'health threat' is a condition that predisposes an individual to disease, accident, or failure to realize one's health potential, whereas a 'health deficit' is an actual instance of failure in maintaining health, such as existing illnesses or disabilities.
What are 'stress points' in the context of family nursing assessment?
-'Stress points' are anticipated periods of unusual demands on the individual or family in terms of adjustment or family resources, also known as foreseeable crises.
How are the examples of health problems like blindness, regular exercise, hospitalization, and family disunity categorized in the script?
-Blindness is categorized as a health deficit, regular exercise as a wellness condition, hospitalization as a foreseeable crisis or stress point, and family disunity as a health threat.
What are the five issues identified in the secondary level of assessment for family nursing?
-The five issues are the inability to recognize the presence of a condition or problem, inability to make decisions regarding appropriate health action, inability to provide adequate nursing care to the sick or disabled, inability to provide a home environment conducive to health maintenance and personal development, and failure to utilize community resources or health care.
Outlines
π Introduction to Family Nursing Care Plan Assessment
The video script begins with an introduction to the family nursing care plan, focusing on the assessment phase of the nursing process. It outlines the five steps involved: assessment, diagnosis, planning, implementation, and evaluation. The emphasis is on the initial step, assessment, which is crucial for identifying and prioritizing health issues within a family setting. The script discusses the importance of recognizing both individual and family health problems and introduces the concept of typology of nursing problems in family practice, distinguishing between primary and secondary levels of assessment.
π¨βπ©βπ§βπ¦ First Level Assessment: Identifying Family Health Conditions
This paragraph delves into the first level of assessment in family nursing, which involves identifying existing and potential health conditions that impact a family's optimal functioning. It discusses the presence of wellness conditions, health deficits, health threats, and stress points. Wellness conditions refer to positive traits and practices that contribute to a family's health, while health deficits indicate failures in health maintenance. Health threats are conditions that make individuals vulnerable to diseases or accidents, and stress points are situations that require adjustment due to unusual demands on family resources. The paragraph provides examples for each category and explains their significance in the assessment process.
π Health Threats and Foreseeable Crises in Family Assessment
The script continues with a detailed examination of health threats and foreseeable crises as part of the first level assessment. Health threats are conditions that increase the risk of developing diseases or accidents, such as smoking or living in an overcrowded environment. Foreseeable crises, also known as stress points, are anticipated periods of adjustment for the family, including events like marriage, pregnancy, or hospitalization. The paragraph emphasizes the importance of recognizing these factors in order to prioritize and address them effectively within the family nursing care plan.
π’ Prioritization of Family Health Issues in Assessment
This section of the script discusses the criteria for prioritizing health issues identified during the family assessment. It explains that not all problems can be addressed immediately, and thus, a system of scoring is used to determine which issues should be tackled first. Wellness conditions and health deficits are given higher priority scores, while stress points receive lower scores. The paragraph also mentions other criteria such as modifiability, preventive potential, and salience of the problem that will be covered in future videos.
π Second Level Assessment: Family's Performance of Health Tasks
The final paragraph of the script introduces the second level of assessment, which focuses on the family's ability to perform health tasks. It identifies problems such as the inability to recognize health conditions, make appropriate health decisions, provide adequate care for the sick or disabled, maintain a healthy home environment, and utilize community health resources. The script outlines five specific areas where families may face challenges in performing these tasks, highlighting the importance of understanding these issues to develop effective nursing interventions.
π Conclusion and Invitation for Future Discussions
The script concludes with a summary of the key points covered in the discussion and an invitation for viewers to engage with the content. It encourages viewers to comment on their understanding of the material, suggest topics for future videos, and interact with the channel through likes, shares, and subscriptions. The speaker expresses gratitude for the viewers' time and looks forward to their participation in upcoming videos.
Mindmap
Keywords
π‘Family Nursing Care Plan
π‘Assessment
π‘Typology of Nursing Problems
π‘Wellness Condition
π‘Health Deficit
π‘Health Threat
π‘Stress Point
π‘Prioritization
π‘Health Maintenance
π‘Inability to Recognize Condition
π‘Utilization of Community Resources
Highlights
Introduction to the five steps of the nursing process: assessment, diagnosis, planning, implementation, and evaluation.
Emphasis on the importance of assessment in identifying the nature of problems in family nursing care plans.
Discussion on the two levels of assessment in family nursing practice: primary and secondary.
Explanation of the first level of assessment, focusing on identifying existing and potential health conditions affecting family functioning.
Identification of four categories under the first level of assessment: wellness condition, health deficit, health threat, and stress points.
Definition and examples of wellness conditions, including healthy lifestyle practices and good parenting.
Description of health deficits as instances of failure in health maintenance, such as illness states and disabilities.
Health threats defined as conditions that make individuals vulnerable to disease or accidents.
Stress points identified as periods of unusual demands requiring family adjustment or resource allocation.
Prioritization of problems in family nursing, with different scores assigned to wellness, deficit, threat, and stress points.
Introduction to the second level of assessment, focusing on the family's performance of health tasks.
Identification of five issues related to the family's inability to perform health tasks effectively.
Examples provided to illustrate the types of problems that can be identified during the second level of assessment.
The significance of recognizing and addressing health problems in the family to improve overall health and well-being.
Importance of utilizing community resources for health care and the challenges faced by families in doing so.
Conclusion summarizing the key points of the first and second levels of assessment in family nursing practice.
Transcripts
and for today's topic we are going to
discuss your family nursing care plan is
specifically the two levels of your
assessment
so in your family nursing process we
know
that there are
uh five steps of the nursing process
this includes your assessment followed
by your diagnosis then your planning
then your implementation and then the
last part would be your evaluation so
before we can go to the other parts or
the other steps we can proceed to the
other steps we have to go first with the
first step which is your assessment and
part point and adding assessment under
your family nursing care plan is to
identify the nature of the problem of
the first two level of clientele which
is the individual and family which will
now bring us to the topic that we are
going to discuss today the typology
of the problems or the typology of the
nursing problems in the family nursing
practice so basically there are two
major um typology of nursing problems in
the family nursing practice of course we
have the first level of assessment
followed by your secondary level of
assessment so these two typology of
nursing problem in the community will
now determine the nature of the problem
it is important for us to know the
nature of the problem in terms of um
identifying which problem in the family
should be prioritized first because as
we all know once we go and enter the
family or the family's home
we will not be able to identify
only one problem so there are several
problems that we will be able to
identify and the thing is we cannot
provide um an immediate solution okay
together with the family to these types
of problems in the within the family
that is why we have to prioritize which
problem should we address first and in
terms of the prioritizing
problems in the family nursing care plan
or family nursing process is that we
need to identify first the nature of the
problem okay kaya pagusa nothing for
today young first level of assessment
and your secondary level of assessment
under your family nursing practice so
let's discuss first your first level of
assessment when i talk about first level
of assessment guys this is basically
identifying or um
checking or determining the existence
okay the existence of or the presence of
existing and potential health conditions
that can affect the optimum level of
functioning of a family so basically we
are going to identify any failure of the
family to maintain their level of
functioning okay any activities they do
to improve their uh to improve their
wellness okay any presence of risk
factors that can affect their activities
of daily living and of course any
situations
that will um
uh change their overall health status
okay for in general okay so
under the first level of assessment so
under the first level of assessment okay
this is basically identifying if the
family has the presence of wellness
condition okay we are going to define
each and every one of these later on
another one is the presence of health
deficit okay and the third one is the
presence of health threat and of course
the presence of the stress point
okay so the presence of a stress point
so we are going to define each and every
one of these and we're going to provide
examples for better understanding so
let's start first with the presence of
wellness condition when i talk about
wellness condition so this is basically
um stated okay stated as a potential or
readiness okay a potential readiness by
the way when we try to identify
the assessment or paragraphs
diagnosis okay of the problem of the of
the family compared to fundamentals of
nursing okay
okay but for community health nursing we
are going to make use of this uh
typology of nursing problems in the
community okay as i've said earlier
wellness condition is
um
it's i stated as a potential or
readiness okay and when we try to define
what is wellness condition these are any
clinical nursing or clinical or nursing
judgment about the client's transition
from a specific level of wellness or
capability to a higher one so basically
these are any good traits any good
activities any good um
a practice of the family that maintains
um
maintains them to have a healthy living
or a health and optimum level of
functioning or basically in order for
them to have
a wellness condition
okay so these are any activities
and of course which are
less likely to have diseases or to
commit failures to maintain uh their
optimum level of functioning okay
example of your wellness conditions or
the presence of wellness of conditions
are the following so these are potential
for enhanced capability for in healthy
lifestyle okay healthy lifestyle meaning
they are eating good they're doing
exercise their lifestyle is not
sedentary okay they are avoiding vices
in the um
okay which is the number one risk
factors
which is also common in the community
okay now another one is um health
maintenance and health management so
basically if the family um is fine of
doing the right thing whenever uh
someone from the family member is sick
so
hospital or as a doctor
okay that is a good maintenance activity
health maintenance activity and
management parenting and breastfeeding
activities because breastfeeding is an
example of a um
of a an activity that will prevent a
person from acquiring uh diseases or um
increasing the immune system especially
for a baby or an infant okay so that's
why if you if a mother breastfeed their
child that is an example of a wellness
condition because that is a sample of
an example of strength of the family
basically young familia is that will
maintain their optimum level of
functioning and of course good parenting
skills good parenting skills because if
you have good parenting skills basically
your children will grow um healthy then
okay another one is spiritual being okay
a family that prays together stays
together of course if these if they pray
if they if they maintain their spiritual
well-being or the connection with the
higher uh higher um
higher um above okay
okay that is basically will try to
improve their overall condition as well
especially
spiritual and psychosocial status okay
and other that may specify and it can
also be um stated in a form of readiness
for enhanced capability for so basically
wellness condition are any activities
any um anything that the family will do
to maintain an optimum level of
functioning or a good healthy status
is an example of a wellness condition
and in the prioritization wellness
condition actually scores three points
okay which is one of the priority songs
and wellness condition so aside from the
threat of the presence of wellness
condition another first level assessment
is your health deficit so madeline i'm
going to help deficit when you talk
about deficit okay from the word itself
deficit there is already a failure
okay there is already a failure failure
to what failure to maintain okay to
maintain okay i'm sorry for that failure
okay failure to maintain an optimum
level of functioning
so let's go with the definition so talk
about health deficit this is an
instances of failure in health
maintenance
failure in maintaining a person's health
an example of the health deficit or the
presence of health deficit is that if a
person has an illness state okay
illnesses take for example
diabetes
hypertension
escapis okay escape it so let me just
remove my uh pictures here
and so scabies okay so merlin is key
base
so you skip it's basically a skin
condition escape it so those are
examples of illnesses so anything
empathy is a member of familia in a
casket or my socket the condition of
that person is an example of an illness
state which is a health deficit another
one is if there is a failure okay
failure
okay to develop according to normal rate
for example
height is less than um to what is
expected according
okay
visible muscle wasting or malnutrition
okay um
so that's an example of presence of
health deficit as well okay and of
course a disability so any form of
disability may it be neurological by
nature like your stroke what else uh
blindness is an example of your
disability as well
orthopedic by nature or um
any form of disability is an example of
your health deficit later on we will try
to compare everything on the last part
so don't you worry guys we will try to
practice more regarding this okay
another one another
is your health threat by the way with
regards to your health deficit with
regards to your deficit let me just go
back to that okay now wellness statement
and score is three this also scores
three according to prioritization so
according to prioritization and score
point is also three three then pusha so
um so my next video is nothing i will
going to teach you on how to compute
okay for the um for the prioritization
computation in a dialogue in terms of
the family nursing process okay we will
going to discuss that in on our next
videos okay next is your presence of
health threat so presence of health
threat is basically a condition that are
conditioned to disease accident or
failure to realize one's health
potential so basically pakistan be
nothing threat health threat nandu
napoleon
basically this or any condition that
will make a person vulnerable okay to
develop a certain disease accident or
failure to realize one's health
potential so an oman
level of functioning is an example of a
health threat so basically a person does
not have the condition yet but there is
a factor that can contribute to the
development of an of a um unhealthy
condition so like for example let's go
with examples for the presence of health
threat the presence of risk factors for
example if a person is smoking if a
person is smoking we all know as nurses
okay cigarette smoking is the number one
risk factor actually as a matter of fact
okay so if a person is uh smoking okay
caitwala passion cancer but the
situation where in one of the factors
that can contribute for the development
of a certain condition such as your
cancer cardiovascular diseases or your
stroke is present which is the cigarette
smoking so the presence of risk factor
another one okay
um
[Music]
member a member of the family has a
communicable disease if a member of a
family has a communicable disease that
there is a possibility in operating
mahawa
member
family so there's a threat of cross
infection and that is another example
of your health threat another one family
size beyond what family resources can
adequately provide as you can see there
is no problem yet however okay the
larger the number of the family can
affect the ability of the family to
maintain your own carnival or to also
sustain their living
including the management of their health
because
if if the
if the um if the money that the family
has is not enough for the entire family
to to live with okay
more or less
and that's an example of a threat threat
nahindi magawan or hindi management
condition
so those are examples of your health
threat as one of the nature of the
problem
of the problems in the family nursing
practice under your first level of
assessment okay in the family nursing
practice and by the way if we are going
to score this um in the priority session
uh
your health threat will score two points
okay compare to wellness and health
deficit which is both three points for
health threat is only two points okay
now the fourth one and the last one
under your first level of assessment is
the presence of your stress points okay
the presence of your stress points if we
talk about the presence of stress points
these are anticipated periods of unusual
demands on the individual or family in
terms of adjustment or family resources
so basically these are any um
situations in the family that requires
them
uh to adjust in terms of their family
resources okay in terms of family
resources and by the way your stress
point is also known as your foreseeable
okay i'm sorry for that 4c
okay able
crisis okay so your foreseeable or
foreseeable crisis okay foreseeable
crisis so this is also known as your
foreseeable crisis okay foreseeable
crisis i think volatile margin
foreseeable crisis so stress point is is
also known as your foreseeable crisis so
these are examples of your presence of
stress points okay number one is
marriage then follow your pregnancy
labor perfection and parenthood so these
are basically developmental changes that
will bring about stress us conditions or
stressful situations to the family
members or to the entire family like for
example
that would mean that an additional
expense for the family okay marriage
okay is an example of stress point
because a one member of the family
particularly or the woman will need to
move out of the um uh the home or
family to go with the husband
okay same thing with your labor
peripherium and of course parenthood
because indiana mental parents no not
start okay so once we enter that um
developmental stage then i think
especially
it's like a stressful situation because
we are adjusting to new um possibilities
and new conditions that are
that will bring stressful um stressful
or psycho psychosocial or psychological
um stress without for us okay another
one is additional member okay abortion
entrance at school adolescence divorce
or separation
this also includes your menopause loss
of job hospitalization of a family
member and death of a member so
basically making allowances a gain and
loss of a person so they gain something
they lost something but the same time it
will affect your uncanny long current
conditions or your current situation uh
at that moment and your presence of
stress points will score only one point
so among
all the four first level assessments
being champion
priority but of course it comes with
other
uh criteria so in the
nature of the problem and criteria
nothing okay
modifiability of the problem the
preventive potential and of course the
salience of the problem and we will try
to discuss that on our next video okay
so that's the presence of stress point
okay
so
um another one is resettlement in a new
community okay uh illegitimacy these are
also examples of your stress points okay
now
brace yourself okay so we're going to
have some examples here okay um and as
you watch the video please try to answer
okay with me and we'll try to analyze
those among words or phrases
okay so let's play again so identify the
following examples of health problems so
number one is
blindness so i'll give you five seconds
to think about yours
your answer is this an example of a
wellness condition
a health deficit
a health threat
or a foreseeable crisis or a stress
point
okay so let's see let's start with the
camera here yeah okay
so is blindness okay
okay so let's try to answer we're gonna
talk about blindness okay alan attend
functionality nothing blindness guys
blindness is an example of disability
okay disability and of course we'll talk
about disability along that this is an
example of your health deficit okay
no sir that is a health threat
to health threats
my point however okay we have to
generalize the situation okay the
situation uh the only word that's
present here is your blindness and
okay
blindness is an example of disability
and we know that disability is an
example of health deficit okay but
blindness can also become a health
threat dependent situation like for
example okay young constant blindness
would mean that the possibility of a
person to to um
to be uh to be involved in to be
involved in the accident okay
okay another one okay another one is
your regular exercise
okay five seconds so regular exercise is
an example of
is it a wellness
uh condition
health deficit
health threat or a foreseeable crisis or
a stress point
so five seconds
okay so when i talk about regular
exercise this is an example of your
wellness condition okay because uh
regular exercise is actually a good
practice to maintain
a person's optimum level of functioning
and this is one way of managing their
health because if you do exercise it has
a lot of good benefits such as reducing
the cholesterol level and of course
reducing the fat as well and of course
making the body um active okay through
a constant movement okay another one is
hospitalization
okay so the word itself so so
hospitalization so we are referring to
the a person or a member of the family
was hospitalized
okay
so is it a wellness a health deficit
a health threat
or
a foreseeable crisis
okay so this is an example okay
hospitalization is an example of your
foreseeable crisis sir bucket
hospitalization
yes
yes we will be answering your health
deficit however in this situation and
emphasize is your moment or your
situation
is
so basically this is a situation that
brings about stress okay or brings
stress okay to the life of the family
okay and of course it will also uh needs
an adjustment in terms of the resources
or any expenses uh in relation to the
to the the family members
hospitalization okay another one
family disunity
okay
okay so this is an example of a wellness
okay i helped that visit
a foreseeable crisis or
a health threat
okay so you can also comment your
answers
okay
oh by the way uh please do like and
subscribe to my post hating channel and
of course comment down below okay
anything that you want to comment okay
or for improvement for new topics that
you want
that you want us to discuss please do
comment post i think uh sat in comment
section
okay so family disunity is an example of
a health threat okay but
members nothing family basically it will
bring a possible uh
a possible condition in the future
in terms of health management so
basically this is an example of a health
threat okay another one is malnutrition
okay malnutrition
so malnutrition malnourished okay so can
either be an over nourish or under
nourish
okay so malnutrition
is it a wellness health deficit
foreseeable crisis or healthcare
okay for this one this is an example of
your health deficit okay health deficit
nutrition
okay may it be an over nourished or
undernourished sake
okay that's why this is an example of
your health deficit okay i hope that we
are still uh good with this one let me
continue with the last one resettlement
in new village
or expected
situation so that this is an example of
your
okay i know that you know the answer for
this one this is an example of your
stress point or your foreseeable crisis
okay or your foreseeable crisis so these
are examples okay of your um
first level assessment again uh my mama
conditions try and operating making
health deficit at the same time health
threat like for example the presence of
tuberculosis in the family okay family
member who is a family member my
tuberculosis young condition is an
example of a health deficit however the
um the possibility of the disease to be
transferred from one person from one
family member to another is an example
of your health threat
okay
health threat
okay we're done with the first level of
assessment we are now going to the
second one which is the second level of
assessment for second level of
assessment these are identifying so this
uh we are going to identify the nature
okay of the nursing problem the family
experience and in the performance of
their health tasks okay so this is in
relation to the family's performance of
health tasks okay so basically if there
are if they are unable to perform the
family health tasks okay that is an
example of a problem which is a
secondary level assessment so anonymous
problems nato sir okay there are
actually five number one is the
inability of the family to recognize the
presence of condition or a problem so
basically hindi nila in identify or the
neediness the presence of the condition
that is an example of the inability to
recognize okay another one is inability
to make decisions with respect to
appropriate health action so basically
they know that there is a problem but
they choose not to act on it okay
kasinga factors like for example
okay or cool down for anything or
knowledge
okay
next is an ability to provide adequate
nursing care to the sick or disabled
okay improper parenting is an example of
this one
family member those are example of your
problem number three in relation to the
inability or the ability of the family
to provide adequate nursing care okay
and number four is the inability to
provide a home environment conducive to
health maintenance
and personal development so basically um
anything nama kahrun
that would maintain a healthy
environment for the family okay that
prevent them from acquiring disease from
occurring an accident is an example of
problem number four secondary level of
assessment and of course for number five
failure to utilize community resources
or uh for health care for example hindi
no popular health center okay it might
okay due to any reasons for example
with young nurses
no experience
all of those reasons will fall under
your um level five okay or number five
it's a secondary level of assessment
okay
or
is an example of a failure of them um
utilizing whatever is available
resources in the community so those are
your secondary level of assessment okay
so that ends our discussion for today i
hope that you have learned something and
if you do
or if you did please uh comment satin
comment section and don't forget to like
share and of course subscribe chatting
channel by commenting on the next topic
negotiating my discussion for the for
for future for the future and thank you
once again for watching
and i'm gonna see you on my next video
bye for now
Browse More Related Video
The Five Step Nursing Process Explained | Intro to ADPIE | Lecturio Nursing
PENTING KUASAI KONSEP! Konsep Dasar Keperawatan Komunitas
Proses Keperawatan Jiwa
Theoretical Foundations of Nursing Overview
What is a Community/ Public Health Nurse?
Theoretical Foundations of Nursing Practice Fundamental of nursing
5.0 / 5 (0 votes)