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A Typology of Nursing Problems in Family Nursing Practice

First Smooth Assessment
I. Presence of Wellness Condition-stated as undeveloped or Readiness-a clinical or nursing verdict environing a client in transition from a local smooth of wellness or cleverness to a excellent smooth. Wellness undeveloped is a nursing verdict on wellness set-forth or tidings grounded on client’s work, prevalent competencies, or work, clinical basis or patent look of crave to close a excellent smooth of set-forth or power in a local area on heartiness elevation and subsistence. Examples of this are the following A. Undeveloped for Enhanced Cleverness for:
  1. Healthy vitalitystyle-e.g. nutrition/diet, exercise/activity
  2. Healthy subsistence/heartiness superintendence
  3. Parenting
  4. Breastfeeding
  5. Spiritual well-being-process of client’s developing/unfolding of secrecy through musical interconnectedness that comes from interior strength/sacred source/God (NANDA 2001)
  6. Others. Specify.
B. Readiness for Enhanced Cleverness for:
  1. Healthy vitalitystyle
  2. Health subsistence/heartiness superintendence
  3. Parenting
  4. Breastfeeding
  5. Spiritual well-being
  6. Others. Specify.
II. Presence of Heartiness Threats-conditions that are causative to disorder and clothing, or may bud to call-for to subsistence wellness or accomplish heartiness undeveloped. Examples of this are the following: A. Nearness of occasion factors of local disorders (e.g. vitalitystyle disorders, metabolic syndrome) B. Threat of perverse contamination from communicable disorder case C. Rise magnitude over what rise media can abundantly arrange D. Clothing hazards indicate.
  1. Broken chairs
  2. Pointed /sharp objects, poisons and medicines awry kept
  3. Fire hazards
  4. Fall hazards
  5. Others indicate.
E. Faulty/unhealthful nutritional/eating comportment or sustentation techniques/practices. Specify.
  1. Inabundant prop inprocure twain in virtue and quantity
  2. Excessive inprocure of real nutrients
  3. Faulty eating comportment
  4. Ineffective breastfeeding
  5. Faulty sustentation techniques
F. Pressure Provoking Factors. Specify.
  1. Strained hymeneal kindred
  2. Strained parent-sibling kindred
  3. Intersingle conflicts betwixt rise constituents
  4. Care-giving burden
G. Weak Home/Environintellectual Condition/Sanitation. Specify.
  1. Inabundant aid measure
  2. Lack of prop storage facilities
  3. Polluted infiltrate supply
  4. Presence of manners or relative sights of vectors of disorders
  5. Improper garbage/refuse disposal
  6. Unsanitary wane disposal
  7. Improper drainage system
  8. Poor lightning and ventilation
  9. Noise pollution
  10. Air pollution
H. Unsanitary Prop Handling and Preparation I. Unstrong Lifestyle and Single Habits/Practices. Specify.
  1. Alcohol drinking
  2. Cigarette/tobacco smoking
  3. Walking barefooted or irregular footwear
  4. Eating raw meat or fish
  5. Poor single hygiene
  6. Self medication/substance abuse
  7. Sexual promiscuity
  8. Engaging in hazardous sports
  9. Inabundant security or sleep
  10. Lack of /irregular exercise/visible activity
  11. Lack of/relaxation activities
  12. Non use of self-protection measures (e.g. non use of bed nets in stink and filariasis antipathetic areas).
J. Inherent Single Characteristics-e.g. weak feeling control K. Heartiness History, which may Participate/Induce the Occurrence of Heartiness Deficit, e.g. antecedent fact of perplexing strive. L. Inmisspend Role Assumption- e.g. offshoot ostentatious mother’s role, father not ostentatious his role. M. Stagnation of Immunization/Inabundant Immunization Status Specially of Children N. Rise Disunity-e.g.
  1. Self-oriented comportment of constituent(s)
  2. Unresolved conflicts of constituent(s)
  3. Intolerable disagreement
O. Others. Specify._________ III. Presence of heartiness deficits-instances of call-for in heartiness subsistence. Examples include: A. Sickness set-forths, thriftless of whether it is diagnosed or undiagnosed by medical practitioner. B. Call-for to thrive/develop according to typical rate C. Disability-whether ingrained or arising from sickness; transient/immediate (e.g. aphasia or immediate paralysis after a CVA) or enduring (e.g. leg pollarding inferior to diabetes, dullness from measles, lameness from     polio) IV. Nearness of pressure points/foreseeable opportunity footings-anticipated periods of remarkable call-for on the   separate or rise in provisions of adjustment/rise media. Examples of this include: A. Marriage B. Pregnancy, strive, puerperium C. Parenthood D. Additional constituent-e.g. newborn, lodger E. Abortion F. Entrance at school G. Adolescence H. Divorce or separation I. Menopause J. Damage of job K. Hospitalization of a rise constituent L. Death of a constituent M. Resettlement in a new fraternity N. Illegitimacy O. Others, indicate.___________
Second-Level Assessment
I. Inforce to avow the nearness of the tidings or example due to: A. Stagnation of or irregular apprehension B. Denial environing its entity or hardship as a bud of timidity of consequences of peculiarity of example, localally:
  1. Social-stigma, damage of regard of peer/significant others
  2. Economic/consume implications
  3. Physical consequences
  4. Emotional/subjective issues/concerns
C. Attitude/Philosophy in vitality, which hinders recognition/acceptance of a example D. Others. Indicate _________ II. Inforce to form decisions delay regard to insertion misspend heartiness resuscitation due to: A. Call-for to grasp the essence/magnitude of the example/condition B. Low salience of the example/condition C. Feeling of laziness, helplessness and/or patience brought environing by recognize magnitude/hardship of the  footing or example, i.e. call-for to breakdown examples into practicable units of aggression. D. Stagnation of/irregular apprehension/insight as to opinion orders of resuscitation notorious to them E. Inforce to run which resuscitation to procure from unordered a roll of opinions F. Conflicting opinions unordered rise constituents/significant others concerning resuscitation to procure. G. Stagnation of/irregular apprehension of fraternity media for thrift H. Timidity of consequences of resuscitation, localally:
  1. Social consequences
  2. Economic consequences
  3. Physical consequences
  4. Emotional/subjective consequences
I. Privative position towards the heartiness tidings or example-by privative position is meant one that interferes delay  sensible decision-making. J. In accessibility of misspend media for thrift, localally:
  1. Physical Inaccessibility
  2. Costs constraints or economic/financial inaccessibility
K. Stagnation of trust/confidence in the heartiness personnel/agency L. Misconceptions or false counsel environing projected order(s) of resuscitation M. Others indicate._________ III. Inforce to arrange abundant nursing thrift to the ill, disabled, subject or vulnerable/at occasion  constituent of the rise due to: A. Stagnation of/irregular apprehension environing the disorder/heartiness tidings (nature, hardship, complications, prognosis and superintendence) B. Stagnation of/irregular apprehension environing offshoot bud and thrift C. Stagnation of/irregular apprehension of the essence or size of nursing thrift needed D. Stagnation of the needful facilities, equipment and anticipation of thrift E. Stagnation of/irregular apprehension or expertness in carrying out the needful mediation or treatment/procedure of thrift  (i.e. multifarious remedial sustenance or heartinessy vitalitystyle program). F. Irregular rise media of thrift localally:
  1. Absence of obligatory constituent
  2. Financial constraints
  3. Limitation of luck/stagnation of visible media
G. Significant individuals silent feelings (e.g. hostility/anger, criminality, timidity/anxiety, faint, refusal) which his/her capacities to arrange thrift. H. Philosophy in vitality which negates/hinder caring for the ill, disabled, subject, vulnerable/at occasion constituent I. Member’s awaiting delay on concerns/interests J. Prolonged disorder or disabilities, which consume subsistenceive size of rise constituents. K. Altered role work, indicate.
  1. Role denials or ambivalence
  2. Role strain
  3. Role dissatisfaction
  4. Role conflict
  5. Role laziness
  6. Role overload
L. Others. Specify._________ IV. Inforce to arrange a settlement environment causative to heartiness subsistence and single bud due to: A. Irregular rise media localally:
  1. Financial constraints/limited financial media
  2. Limited visible media-e.i. stagnation of measure to form facility
B. Call-for to see benefits (specifically desire tidings ones) of investments in settlement environment reformment C. Stagnation of/irregular apprehension of concern of hygiene and sanitation D. Stagnation of/irregular apprehension of contrariant measures E. Stagnation of expertness in carrying out measures to reform settlement environment F. Ineffective despatch specimen delayin the rise G. Stagnation of subsistenceive kindred unordered rise constituents H. Privative positions/philosophy in vitality which is not causative to heartiness subsistence and single bud I. Stagnation of/irregular competencies in touching to each other for interchangeable development and maturation (e.g. subsided force to coalesce the visible and subjective needs of other constituents as a bud of rise’s awaiting delay    prevalent example or tidings. J. Others indicate._________ V. Call-for to economize fraternity media for heartiness thrift due to: A. Stagnation of/irregular apprehension of fraternity media for heartiness thrift B. Call-for to recognize the benefits of heartiness thrift/services C. Stagnation of trust/confidence in the agency/personnel D. Antecedent dull test delay heartiness worker E. Timidity of consequences of resuscitation (preventive, sign, remedial, rehabilitative) localally :
  1. Physical/subjective consequences
  2. Financial consequences
  3. Social consequences
F. Unavailforce of required thrift/services G. Inaccessibility of required services due to:
  1. Cost constrains
  2. Physical inaccessibility
H. Stagnation of or irregular rise media, localally
  1. Manpower media, e.g. baby sitter
  2. Financial media, consume of medicines prescribe
I. Feeling of derangement to/stagnation of subsistence from the fraternity, e.g. mark due to intellectual sickness, AIDS, etc. J. Privative position/ philosophy in vitality which hinders effective/maximum utilization of fraternity media for heartiness thrift K. Others, indicate ________


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