64 ~,ellness state or hc~l~1 co~dition/problem becomes a family nursing problem when it 1s stated_ as the fam1ly ~ fmlure to perform adequate ly specific health tasks to enhance o: sustu~n _the we_llness s~::ite or m~ma11,e thc-h~alth problem. This is called u,e nursing d1agnos1s 111 family nursing practice. specifically defined a$ a di11ical judgment,1bout the family's response to actual or potential health problems or life processes (1'onh American Nursing Diagnosis Associat ion [NANDA] 200-1). One of the major barriers to the effective oper. 1tiona] i7,. ation ;ind application of the nursin~ process in family health c. ire is the absence of a classification syslt!m fur nursing problems that reflect the fami J.,· !,"latu:-and cap~bilitic-. s as a functioning unit. To fncilitate the process of defining family nursin}\ prnbleni!>. a rla,;. sifie M inn. ~ys1rm of family nursing problems was developed and field tcl-'tcu in 197R. TI1is tnol. call Fci A Tvpolog y of Nursing Problems in Family Nursing Practice (;. ee Tnhle 2. :-!). has b;cn used by nursing :<tudcnts. community health nurse pra<. :titioncrs and c<lucators. Thi-ough the year. ; redsions lu:l\·e been tk111e to ensure ;ill-inclusiv eness and m11h1al e. xclusivene.,s of the list. Jn 2003, pre. <;ence of wellness condition has been added in the first-level assessment pa1-t of the typology. THE TYPOLOGY OF NURSING PROBLEMS IN FAMILY HEALTH CARE The orgam:r Jng framework of the typc1logy is bnsed on the fomily health tasks (Frttmt1n t1nd l-lcinlich 198i, pp. 94-95). The rationnle for adopting these health tasks as 11,e frnmcwnrk <>f the typology is U1e fact that in con1111u11ir-y health nursing practice. the nun;e deal!. < mostly with problems within tbe domain of Jnmwn hch,l\ior or human response to !Icalth and illn<?SS. It is nol v1:ffy oft1;:n that 1l1e cpmmunity health nurse dcnls wilh Ila; physi<'nl, p,~yc·hologic. 11 nr c;linical condition of the patient requirin,:; he·r sustained di reel scn·kes such 1l!< n11r:-ing t:nre during IJ1c.,cute phase of an i. l. lncss in U1e bospi1:. 1I scttiug. :vruch ot the nurse·s efforts are directed at effecting chang. :-in the behavior of clients to adtie,,e optimum health. 111e conununity hea Jt J1 nu:rsc "·arks with and through the family to improve its capability lo achieve healtl111nd wellness among its meml Jers. TI1e typoloro·contains si;,;; main categoric:~ of problem,:: in family nursing care (see Table 2. 2). The Jirst cate~OT)' refers to the presence of wellness states, health threats, health deficits and foreseeable c,;sis situ:11ions or stress points. The result of the analysis of daw taken during the firsl-level a. s. sessme nt (utilizing t J1e tool Assessment Data Base for Family Nursing ) is reflected as statement of the he,~lth condition or problem. a,,·ellness state. health threal, liealt·h deficit or foreseeab le crisis/stress point.. After idenrif-vin~ these bc:1lth condition s or problems. the nurse tletermines the fornily·s ;ibility to perfom, the five hen Ith 1;1sks on each one. The remaining five main catc-gorics of prol Jlcms contain slatemeats of the family's inability to perform the health t;isk. s. The results of the unalysis of Jata takeu during IJ1e second-Jevel assessment arc reflected as statements of the family nursing problems. There are five main types. namely; J. Inability to recognize t J1e presence of the condition/prob lem due to... 2. Jnnhility to make decisions with respect to ta. king appropriate health action due to... 3. Jnubility to provide nursing care to the sick, disabled, dependent or at-risk member of 1he family due tv... 4. Ioobility to provide a home environment wl1ich is conducive to healtb maintenance and personal development due to... 5. Failure to uli Jize community resources for health care due to... 