72 1. Lack of/inadequate competencies. in relating to each other for mutual growth 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 ____ _ v. Failure to utllhte community resources for health care due to: A. Lack of/Inadequate knowledge of ~ommur,lty resources for health care B. Failure to perceive the benefits of health care/servh;es c. Lack of trust/confidence In the agency/personnel o. Previous unpleasant experience with health worker E. Fear of consequences of action (preventive, diagnostic, therapeutic rehabllftatjvel, speclffcally: 1 physlcal/psychologlcal consequences 2. financial consequences 3. social consequences-e. g., loss of esteem of peer/significant others F. unavailability of required care/service G. inaccessibility of required care/service due to: 1. cost constraints 2. physical Inaccessibility, I. e. focatlon of facillry ~-Lack of or Inadequate family resouirces, specifically : 1. manpower resources-e. g., baby sitter 2. financial resources-e. g., cost of medicine presorlbed I. feeling of allenatlon to/lack of support from the community, e. g., stigma due to mental illness, AIDS, etc. J. Negative attitude/philosophy in life which hinders effective/maximum utilization of community resources for health care K. Others, specify ________ _ Developed and pubtrshed by Salvacion G. Bailon-Reyes and Araceli S. Maglaya in 1978 (see Bailon SG and Maglaya AS: Family Health Nursing-The Process, Printing 4. Manila. Braincillld Managers and Consultants, 1990); reviewed and updated in :1994, 1997, 2003 and 2009 by A. S. Maglaya. CONCLUSIO N: Guided by four major theoretical 1nodels presented earlier in this chapter, family nursing assessment is a deliberate and systematic process of gathering and analyzing data to identify and continuously validate J1ealth and nursing prohlems of families. TI1e operational framewo rk for family nursing assessmen t described in this chapte. r guides lbc nurse on how to understand and work with the family as a system and client as it goes through growth, development, health and il Jness experiences among its members. By going through the process of data collection and analysis, the nurse learns that families as clients have varied views of life, that they bold different nspirati. ons and that they respond to sjtuations or problems in unique ways. Family nursing assessment is an opportunity for learning about the families ' ways of knowing. The process challenges the nurse to evaluate her assumptions and premise s in order 