I.

Introduction
What is Family?
According to the U.S. Census Bureau:

"A family is a group of two people or more (one of whom is the householder) related by
birth, marriage, or adoption and residing together."

For Meriam Webster, family is:

1. A social group made up of parents and their children.

2. A group of people who come from the same ancestor. You resemble your mother's side of
the family.

I. Introduction
 In Community Health Nursing:
• A Family constitutes a single household, interacts with each other in their
respective familial roles and create and maintain a common culture.
• A Family is an open and developing system of interacting personalities
with a structure and process enacted in relationships among the
individual members, regulated by resources and stressors, and existing
within the larger community.

I. Introduction
 Importance of a Family
• Family is important because it provides love, support, and a construction of
principles to each of its people. Family members coach each other, serve each
other and show life's joys and sorrows. Using their first occasions of life,
children rely upon parents and family to safeguard them and offer for their needs

• The family is a unit of care. People often live-in households as families.

Families are organized in a structure with identified roles and leadership, and
society expects families to assume some responsibility for each of their
members. The family is also a critical resource in the delivery of health care

I. Introduction
 Importance of a Family

• The family performs several essential functions for

society. It socializes children, it provides emotional
and practical support for its members, it helps
regulate sexual activity and sexual reproduction, and
it provides its members with a social identity.

I. Introduction
 Health Benefits of Spending Time with Reason for choosing the family as the case
Family
You should value your family. Family is the
• Improves Mental Health. single most important influence in a child's life.
From their first moments of life, children depend
• Helps children perform well academically. on parents and family to protect them and
provide for their needs. Families provide a
• Lowers risk of behavioral problems setting for personal growth. For better and for
worse, family relationships play a central role in
• Boosts self-confidence. shaping an individual’s well-being across the life
course (Merz, Consedine, Schulze, & Schuengel,
2009).

I. Introduction
 II. Family Profile

THE FAMILY
STRUCTURE AND
CHARACTERISTICS
II. Family Profile
 A. Family Structure, Characteristics, and Dynamics

Place of
Name of Family
Age Sex Civil status Position Residence of
Member
each member

Gerry Jesus C. De
Table 1.1 Shows that type of family structure
52 M Married Father Living together
la Riarte
is Nuclear family, in which only 2
Ma. Lyra D. De la
Riarte
55 M Married Mother Living together generations live in the same house, only the
Kyle Ethan D. de la
Riarte
22 M Single Brother Living together parents and their sons. There are 5 all in all.
Djaryl Greg Roy D.
20 M Single Brother
Living together The parents age is 50 above, the oldest son is
De la Riarte
Gerard Sean De la
currently 22 and the youngest is 16 years old.
16 F Single Brother Living together
Riarte
They all live in the same common address
#1266 Punta Macabalan, Cagayan de Oro City
COMMON ADDRESS OF THE
FAMILY and both parents decide when it comes to
Nuclear making decisions in the family.
TYPE OF FAMILY STRUCTURE

FATHER AND MOTHER

DOMINANT FAMILY MEMBER
IN TERMS OF DECISION
MAKING)

Table 1.1 Family Structure, Characteristics and Dynamics

II. Family Profile

 A.1. FAMILY DOCUMENTATION

II. Family Profile

 B. Socio- Economic and Cultural Characteristics

Table 2.1 Socio- Economic and Cultural Characteristics

Table 2.1 Shows the occupation of the members of the family, in which the father (Gerry Jesus C. De la Riarte) with an
occupation of supervisor in the hospital has an income of 40k a month, while the mother (Ma. Lyra D. De la Riarte) with
an occupation a physician has a total monthly income of 100k. The 3 sons have no work yet since, there are continuing
their education, with 2 already in college and 1 graduating high school. All members of the family are Roman catholic in
Religion.

II. Family Profile

 C. Home and Environment

Table 3.1 shows what is to be describe in

family’s environment and how the house looks
like. There are two houses, but all are living in
Punta Macabalan, CDO. The house has two
floors and Three transportation facilities

II. Family Profile

 C.2 Home and Environment Documentation

II. Family Profile

 C.2 Home and Environment Documentation

II. Family Profile

III. Typology of Nursing Problems in
Family Nursing Practice

FIRST LEVEL
ASSESSMENT

III. Typology of Nursing Problems in Family Nursing Practice

I. Presence of Wellness Condition- stated as Potential or Readiness
A clinical or nursing judgment about a client in transition from a specific level of wellness or
capability to a higher level. Wellness potential is a nursing judgment on wellness state or condition
based on client’s performance, current competencies, or performance, clinical data or explicit
expression of desire to achieve a higher level of state or function in a specific area on health
promotion and maintenance. Examples are the following:
A. Potential for Enhanced Capability for:
Healthy lifestyle-e.g. nutrition/diet, exercise/activity ✓
Healthy maintenance/health management ✓
Parenting NONE
Breastfeeding NONE
Spiritual well-being-process of client’s developing/unfolding of mystery ✓
through harmonious interconnectedness that comes from inner
strength/sacred source/God (NANDA 2001)
Others. Specify. NONE

III. Typology of Nursing Problems in Family Nursing Practice

 B. Readiness for Enhanced Capability for:
Healthy lifestyle ✓
Health maintenance/health management ✓

Parenting NONE
Breastfeeding NONE
Spiritual well-being ✓
Others. Specify. NONE

III. Typology of Nursing Problems in Family Nursing Practice

II.Presence of Health Threats
conditions that are conducive to disease and accident or may result to failure to maintain wellness or
realize health potential. Examples of this are the following:
A. Presence of risk factors of specific diseases (e.g. lifestyle diseases, NONE
metabolic syndrome)
B. Threat of cross infection from communicable disease case NONE

C. Family size beyond what family resources can adequately provide NONE

D. Accident hazards specify

Broken chairs NONE
NONE
Pointed /sharp objects, poisons and medicines improperly kept
Fire hazards NONE
Fall hazards NONE
Others specify. NONE
E. Faulty/unhealthful nutritional/eating habits or feeding
techniques/practices. Specify.
Inadequate food intake both in quality and quantity NONE
Excessive intake of certain nutrients NONE
Faulty eating habits NONE
Ineffective breastfeeding NONE
Faulty feeding techniques NONE

III. Typology of Nursing Problems in Family Nursing Practice

II.Presence of Health Threats
F. Stress Provoking Factors. Specify.
Strained marital relationship NONE
Strained parent-sibling relationship NONE
Interpersonal conflicts between family members NONE
Care-giving burden NONE
G. Poor Home/Environmental Condition/Sanitation. Specify.
Inadequate living space NONE
Lack of food storage facilities NONE
Polluted water supply NONE
Presence of breeding or resting sights of vectors of diseases NONE

Improper garbage/refuse disposal NONE

Unsanitary waste disposal NONE
Improper drainage system NONE
Poor lightning and ventilation NONE
Noise pollution NONE
Air pollution NONE
H. Unsanitary Food Handling and Preparation NONE

III. Typology of Nursing Problems in Family Nursing Practice

II.Presence of Health Threats
I. Unhealthy Lifestyle and Personal Habits/Practices. Specify.
Alcohol drinking NONE
Cigarette/tobacco smoking NONE
Walking barefooted or inadequate footwear NONE
Eating raw meat or fish NONE
Poor personal hygiene ✓
Self-medication/substance abuse NONE
Sexual promiscuity NONE
Engaging in dangerous sports NONE
Inadequate rest or sleep ✓
Lack of /inadequate exercise/physical activity NONE
Lack of/relaxation activities NONE
Non-use of self-protection measures (e.g. non-use of bed nets in malaria and NONE
filariasis endemic areas).

J. Inherent Personal Characteristics-e.g. poor impulse control NONE

K. Health History, which may Participate/Induce the Occurrence of Health ✓

Deficit, e.g. previous history of difficult labor.

L. Inappropriate Role Assumption- e.g. child assuming mother’s role, father NONE
not assuming his role.

III. Typology of Nursing Problems in Family Nursing Practice

II.Presence of Health Threats
M. Lack of Immunization/Inadequate Immunization Status Specially of NONE
Children
N. Family Disunity-e.g.
Self-oriented behavior of member(s) NONE
Unresolved conflicts of member(s) NONE
Intolerable disagreement NONE
O. Others. Specify NONE

III.Presence of Health Deficits

instances of failure in health maintenance.
A. Illness states, regardless of whether it is diagnosed or undiagnosed by NONE
medical practitioner.

B. Failure to thrive/develop according to normal rate NONE

C. Disability-whether congenital or arising from illness; NONE

transient/temporary (e.g. aphasia or temporary paralysis after a CVA) or
permanent (e.g. leg amputation secondary to diabetes, blindness from
measles, lameness from polio)

III. Typology of Nursing Problems in Family Nursing Practice

 IV.Presence of stress points/foreseeable crisis situations
anticipated periods of unusual demand on the   individual or family in terms of adjustment/family
resources. Examples of this include:
A. Marriage NONE
B. Pregnancy, labor, puerperium NONE

C. Parenthood NONE
D. Additional member-e.g. newborn, lodger NONE

E. Abortion NONE
F. Entrance at school NONE
G. Adolescence NONE
H. Divorce or separation NONE
I. Menopause NONE
J. Loss of job NONE
K. Hospitalization of a family member

L. Death of a member NONE

M. Resettlement in a new community NONE

N. Illegitimacy NONE
O. Others, specify. ___________ NONE

III. Typology of Nursing Problems in Family Nursing Practice

III. Typology of Nursing Problems in
Family Nursing Practice

SECOND LEVEL
ASSESSMENT

III. Typology of Nursing Problems in Family Nursing Practice

 I.Inability to recognize the presence of the condition or problem due to:

NONE
A. Lack of or inadequate knowledge

B. Denial about its existence or severity as a result of fear of consequences of diagnosis of problem, specifically:

Social-stigma, loss of respect of peer/significant others NONE

Economic/cost implications NONE

Physical consequences NONE

Emotional/psychological issues/concerns
NONE
NONE
C. Attitude/Philosophy in life, which hinders recognition/acceptance of a
problem

D. Others. Specify _________

III. Typology of Nursing Problems in Family Nursing Practice

II.Inability to make decisions with respect to taking appropriate health action due to:
A. Failure to comprehend the nature/magnitude of the problem/condition NONE

B. Low salience of the problem/condition ✓

C. Feeling of confusion, helplessness and/or resignation brought about by NONE

perceive magnitude/severity of the situation or problem, i.e. failure to
breakdown problems into manageable units of attack.
D. Lack of/inadequate knowledge/insight as to alternative courses of action ✓
open to them
E. Inability to decide which action to take from among a list of alternatives ✓

F. Conflicting opinions among family members/significant others regarding NONE

action to take.
G. Lack of/inadequate knowledge of community resources for care NONE
H. Fear of consequences of action, specifically:
Social consequences NONE
Economic consequences NONE
Physical consequences NONE
Emotional/psychological consequences NONE

III. Typology of Nursing Problems in Family Nursing Practice

II.Inability to make decisions with respect to taking appropriate health action due to:
NONE

I. Negative attitude towards the health condition or problem-by negative

attitude is meant one that interferes with rational decision-making.

J. In accessibility of appropriate resources for care, specifically:

Physical Inaccessibility
Costs constraints or economic/financial inaccessibility NONE

K. Lack of trust/confidence in the health personnel/agency

L. Misconceptions or erroneous information about proposed course(s) of NONE

action

M. Others specify. _________ NONE

III. Typology of Nursing Problems in Family Nursing Practice

 III.Inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable/at risk
member of the family due to:
A. Lack of/inadequate knowledge about the disease/health condition (nature, NONE
severity, complications, prognosis and management)

B. Lack of/inadequate knowledge about child development and care NONE

C. Lack of/inadequate knowledge of the nature or extent of nursing care needed ✓

D. Lack of the necessary facilities, equipment and supplies of care ✓

E. Lack of/inadequate knowledge or skill in carrying out the necessary ✓

intervention or treatment/procedure of care (i.e. complex therapeutic regimen or
healthy lifestyle program).

F. Inadequate family resources of care specifically:

Absence of responsible member NONE
Financial constraints ✓
Limitation of luck/lack of physical resources ✓

III. Typology of Nursing Problems in Family Nursing Practice

 III.Inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable/at risk
member of the family due to:
G. Significant persons unexpressed feelings (e.g. hostility/anger, guilt, NONE
fear/anxiety, despair, rejection) which his/her capacities to provide care.

H. Philosophy in life which negates/hinder caring for the sick, disabled, NONE
dependent, vulnerable/at risk member

I. Member’s preoccupation with on concerns/interests ✓

J. Prolonged disease or disabilities, which exhaust supportive capacity of family NONE

members.
K. Altered role performance, specify.
Role denials or ambivalence NONE
Role strain ✓
Role dissatisfaction ✓
Role conflict ✓
Role confusion ✓
Role overload ✓
L. Others. Specify. _________ NONE

III. Typology of Nursing Problems in Family Nursing Practice

 IV. Inability to provide a home environment conducive to health maintenance and personal
development due to:
A. Inadequate family resources specifically:
Financial constraints/limited financial resources NONE
Limited physical resources-i.e. lack of space to construct facility NONE
B. Failure to see benefits (specifically long-term ones) of investments in home ✓
environment improvement
C. Lack of/inadequate knowledge of importance of hygiene and sanitation NONE
D. Lack of/inadequate knowledge of preventive measures NONE
E. Lack of skill in carrying out measures to improve home environment NONE
F. Ineffective communication pattern within the family ✓
G. Lack of supportive relationship among family members NONE
H. Negative attitudes/philosophy in life which is not conducive to health NONE
maintenance and personal development
I. Lack of/inadequate competencies in relating to each other for mutual growth NONE
and maturation (e.g. reduced ability to meet the physical and psychological
needs of other members as a result of family’s preoccupation with current
problem or condition.
J. Others specify. _________ NONE

III. Typology of Nursing Problems in Family Nursing Practice

 V.Failure to utilize community resources for health care due to:
A. Lack of/inadequate knowledge of community resources for health care ✓
B. Failure to perceive the benefits of health care/services ✓
C. Lack of trust/confidence in the agency/personnel ✓
D. Previous unpleasant experience with health worker NONE
E. Fear of consequences of action (preventive, diagnostic, therapeutic, rehabilitative) specifically:
Physical/psychological consequences ✓
Financial consequences NONE
Social consequences NONE
F. Unavailability of required care/services NONE
G. Inaccessibility of required services due to:
Cost constrains ✓
Physical inaccessibility NONE
H. Lack of or inadequate family resources, specifically
Manpower resources, e.g. babysitter NONE
Financial resources, cost of medicines prescribe NONE
I. Feeling of alienation to/lack of support from the community, e.g. stigma due to mental illness, NONE
AIDS, etc.
J. Negative attitude/ philosophy in life which hinders effective/maximum utilization of NONE
community resources for health care
K. Others, specify __________ NONE

III. Typology of Nursing Problems in Family Nursing Practice

 Computation for the
prioritization of the family
problems (Ranking)
1.  Fatigue due to Lack of sleep 
Criteria Score Actual Score Justification
1.Nature of the problem: 2/3 x1 =0.67 0.67 It is considered a health threat because
Health Deficit          3 lack of sleep and being fatigue can cause
Health Threat          2 more health problems.
Foreseeable crisis   1

Weight: 1
2. Preventive Potential 3 /3 x2 =1 1 The preventive potential is HIGH,
High 3 because the health threat can be solved by
Moderate 2 sleeping early, getting adequate amount
Low 1 of rest

Weight: 1

3. Modifiability of the problem 2/2 X2 =2 2 The problem is easily modifiable

Easily Modifiable 2 because sleeping is easy to do
Partially Modifiable 1
Not Modifiable 0
Weight: 2

4. Salience 1/2X1 = 0.5 0.5 SUBJECTIVE CUE: “Palagi nalang ako

Serious Problem, immediate attention puyat kaya siguro di ako active sa
needed 2 umaga”
Problem, but not needing immediate
attention 1
Not felt need/problem 0
Weight: 1

Total 4.17

III. Typology of Nursing Problems in Family Nursing Practice

2.Walking outside, not wearing shoes
Criteria Score Actual Score Justification

1.Nature of the problem: 2/3x1=0.67 0.67 It is considered a health threat

Health Deficit          3 because walking without shoes can
Health Threat          2 cause an injury to the feet
Foreseeable crisis   1

Weight: 1
2. Preventive Potential 3/3x1=1 1 The preventive potential is high
High 3 because there would be no threat if
Moderate 2 walking with shoes
Low 1

Weight: 1
3. Modifiability of the problem 2/2x2=2 2 The problem is easily modifiable,
Easily Modifiable 2 because minimizing the chances of
Partially Modifiable 1 getting injury is super easy
Not Modifiable 0
Weight: 2

4. Salience 1/2x1=0.5 0.5 The client views this as a problem

Serious Problem, immediate attention needed 2 because the client verbalized
Problem, but not needing immediate attention 1 “kasalanan ko to kung nag sapatos lang
Not felt need/problem 0 ako di ata to mangyari,”
Weight: 1

Total 4.17

III. Typology of Nursing Problems in Family Nursing Practice

3.Lack of hygiene due to laziness
Criteria Score Actual Score Justification
1.Nature of the problem: 2/3x1=0.67 0.67 It is considered a health threat because
Health Deficit          3 lack of hygiene in our body can cause
Health Threat          2 illness.
Foreseeable crisis   1

Weight: 1
2. Preventive Potential 3/3x1=1 1 The preventive potential is high
High 3 because cleaning yourself is easy and
Moderate 2 can help avoid illness.
Low 1

Weight: 1
3. Modifiability of the problem 2/2x2=2 2 The problem is easily modifiable,
Easily Modifiable 2 because minimizing it is easy just by
Partially Modifiable 1 cleaning yourself daily and taking care
Not Modifiable 0 of your body.
Weight: 2
4. Salience 1/2x1=0.5 0.5 SUBJECTIVE CUE: “Tamad kasi ako
Serious Problem, immediate attention needed 2 maligo, di ako sanay ngayon na
Problem, but not needing immediate attention 1 makapagligo araw araw.”
Not felt need/problem 0
Weight: 1
Total 4.17

III. Typology of Nursing Problems in Family Nursing Practice

4. Amputated legs due to peripheral vascular disease 
Criteria Score Actual Score Justification
1.Nature of the problem: 3/3x1 =1 1 It is considered a health deficit because
Health Deficit          3 lack of legs due to a certain disease
Health Threat          2 makes you a gap person physically.
Foreseeable crisis   1

Weight: 1
2. Preventive Potential 2/3x1=0.67 1.34 The preventive potential is Moderate
High 3 because diseases can be prevented if
Moderate 2 you do take precautions
Low 1

Weight: 1
3. Modifiability of the problem 1/2x1=0.5 0.5 The problem is partially modifiable,
Easily Modifiable 2 because it can be minimized if taken by
Partially Modifiable 1 precautions and avoiding any necessary
Not Modifiable 0 factors that can progress the illness
Weight: 2
4. Salience 2/2x1 =1 1 SUBJECTIVE CUE: “di na ako
Serious Problem, immediate attention needed 2 malakad ng maayos nito, di na complete
Problem, but not needing immediate attention 1 yung legs ko”
Not felt need/problem 0
Weight: 1

Total 3.84

III. Typology of Nursing Problems in Family Nursing Practice

5.Eating a lot of sweet foods and soda
Criteria Score Actual Score Justification
1.Nature of the problem: 2/3x1=0.67 0.67 It is considered a health threat because
Health Deficit          3 eating too many sweets and soft drinks
Health Threat          2 can cause diabetes
Foreseeable crisis   1

Weight: 1
2. Preventive Potential 3/3x1=1 1 The preventive potential is high
High 3 because illness could be easily avoided
Moderate 2 if u do not eat too many sweets
Low 1

Weight: 1

3. Modifiability of the problem 2/2x2=2 2 The problem is easily modifiable,

Easily Modifiable 2 because minimizing the chances of
Partially Modifiable 1 getting injury is super easy
Not Modifiable 0
Weight: 2

4. Salience 1/2x1=0.5 0.5 SUBJECTIVE CUE: “Sanay kasi ako

Serious Problem, immediate attention needed 2 kumain ng sweets, di ko akalain na may
Problem, but not needing immediate attention 1 mangyari pala.”
Not felt need/problem 0
Weight: 1

Total 4.17

III. Typology of Nursing Problems in Family Nursing Practice

IV. Family Nursing Care Plan

Cues and Data

IV. Family Nursing Care Plan

 CUES AND DATA FAMILY NURSING PROBLEM

SUBJECTIVE:
A. Consistent Staying up late at night
“Di ko makatulog kay daghan ko permi ginahunahuna, daghan ko gusto
buhaton pagkagabii imbis na tingkatulog na unta”
Unhealthy Lifestyle and Personal Habits/Practice specifically
Using of cellphones for entertainment which causes the family to stay Inadequate rest or sleep
awake at night

Habitual cramming of schoolworks, that hinders them from sleeping on Inability to recognize the presence of the condition or problem
the right time due to: Attitude in life, which hinders recognition of a problem

OBJECTIVE:
Inability to make decisions with respect to taking appropriate
Usual sleeping time of members health action due to failure to comprehend the nature of the
  condition
Father: 10 am to 12 am
Mother: 11 am to 1 am
Eldest son: 12 am to 1 am

IV. Family Nursing Care Plan

 Health Family Nursing Goals of care Objectives of care Intervention measures Methods of Resources
Problem Problems Nurse-Family required
Contact
Fatigue due to Inability to The family will After 30 mins of • Teach the family about the risk Home visit and -Caregiver, family
lack of sleep. make decisions have an teaching the family, factors of fatigue and have Video Chat member
and actions due improved they will be able to: knowledge on the negative effects
to low salience energy levels of fatigue of their action. -Adequate Food
and inadequate and physical • know the proper
knowledge as state amount and variety • Teach the family on stress and time -Equipment for
toalternative of foods to eat. management, through this the exercise
courses of -Within weeks family will be able to divide the rest
action open to and work throughout the day.
them • add and adjust the
day-to-day • The nurse will plan and discuss
activities as a part with the family about relaxation
of their routine activities- an exercise where they
Within a week, can lessen the effects of stress and
fatigue
• manage their time
well and practice a • Discuss on the change on the diet
consistent healthy within the family.
sleeping pattern.

IV. Family Nursing Care Plan

 learning experience

IV. Family Nursing Care Plan

 References
https://coreaspect.org/reasons-family-much-important-life/

https://lifestyle.allwomenstalk.com/reasons-why-family-should-always-come-first/

https://nursekey.com/a-family-perspective-in-communitypublic-health-nursing/#:~:text=The%20family%20is%20a
%20unit,for%20each%20of%20their%20members.&text=The%20family%20is%20also%20a,the%20delivery%20of
%20health%20care.

https://www.dictionary.com/browse/family

https://www.merriam-webster.com/dictionary/family

https://www.bartleby.com/essay/Reasons-For-Choosing-My-Family-F3BS8BKTG5YQ

IV. Family Nursing Care Plan