Family Typology Initial Data Base For Family Nursing Practice A. Family Structure, Characteristics, and Dynamics

FAMILY TYPOLOGY
INITIAL DATA BASE FOR FAMILY NURSING PRACTICE
A. Family Structure, Characteristics, and Dynamics

1. Members of the household and relationship to the head of the family.
2. Demographic data- age, sex, civil status, position in the family.
3. Place of residence of each member- e.g. whether living with family or elsewhere.
4. Type of family structure- e.g. matriarchal or patriarchal, nuclear or extended.
5. Dominant family members in terms of decision-making, especially in matters of health care.
6. General family relationship/ dynamics- presence of any obvious/ readily observable conflict
between members; characteristics communication/ interaction patterns among members.
B. Socio-economic and Cultural Characteristics

1. Income and Expenses
1.1 Occupation, place of work and income of each working member.
1.2 Adequacy to meet basic necessities (food, clothing, shelter).
1.3 Who makes decisions about money and how it is spent
2. Educational attainment of each member.
3. Ethnic background and religious affiliation.
4. Ethnic background and religious affiliation.
5. Relationship of the family to larger community- Nature and extent of participation of the
family in community activities.
C. Home and Environment

1. Housing
1.1 Adequacy of living space.
1.2 Sleeping arrangement.
1.3 Presence of breeding or resting sites of vectors of disease (e.g. mosquitoes, roaches,
flies, rodents, etc.)
1.4 Presence of accident hazards.
1.5 Food storage and cooking facilities.
1.6 Water supply- source, ownership, potability.
1.7 Toilet facility- type, ownership, sanitary condition
1.8 Garbage/ refuse disposal- type, sanitation condition
1.9 Drainage system- type, sanitary condition
2. Kind of neighborhood, e.g. congested, slum, etc

3. Social and health facilities available
4. Communication and transportation facilities available.
D. Health status of each Family Member

1. Medical and nursing history indicating current or past significant illnesses or beliefs and
practices conducive to health and illness.
2. Nutritional assessment (specially for vulnerable or at -risk members)
2.1 Anthropometric data: Measures of nutritional status of children- weight, height, mid-
upper arm circumference; Risk assessment measures for Obesity: (BMI= weight in kgs.
Divided by height in meters2), waist circumference (WC; greater than 90 cm in men and
80 cm in women), waist hip ratio (WHR= waist circumference in cm. divided by hip
circumference in cm. Central obesity: WHR equal to or greater than 1.0cm. in men and
0.85 in women.)
2.2 Dietary history specifying quality and quantity of food /nutrient intake per day.
2.3 Eating/ feeding habits/ practices
3. Developmental assessment of infants, toddlers and preschoolers – e.g. Metro Manila
Developmental Screening test (MMDST).
4. Risk factor assessment indicating presence of major contributing modifiable risk factors for
specific lifestyle diseases – e.g. HPN, physical inactivity, sedentary lifestyle,
cigarette/tobacco smoking, elevated blood lipids/ cholesterol, obesity, diabetes mellitus,
inadequate fiber intake, stress, alcohol drinking and other substance abuse.
5. Physical assessment indicating presence of illness state/s (diagnosed or undiagnosed by
medical practitioners)
6. Results of laboratory / diagnostics and other screening procedures supportive of assessment
findings.
E. Values, Habits, Practices on health Promotion, Maintenance and Disease Prevention. Example
include:
1. Immunization status of family members
2. Healthy lifestyle practices. Specify.
3. Adequacy of:
3.1 Rest and sleep
3.2 Exercise/ activities
3.3 Use of protective measure- e.g use of insect repellant, mosquito net, mouse trap,
fogging, long sleeves, pants to protect from epidemic diseases like DF and
leptospirosis.
3.4 Relaxation and other stress management activities.
4. Use of promotive-preventive health services

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FAMILY TYPOLOGY

INITIAL DATA BASE FOR FAMILY NURSING PRACTICE

A. Family Structure, Characteristics, and Dynamics

B. Socio-economic and Cultural Characteristics

C. Home and Environment

2. Kind of neighborhood, e.g. congested, slum, etc

D. Health status of each Family Member

2. Nutritional assessment (specially for vulnerable or at -risk members)

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