FAMILY NURSING CARE PLAN

PROBLEM NO. 3

Problem No. 3
Problem Identified: Fall Hazards
Date Identified: August 13, 2008
Date Evaluated: August 26, 2008

CUES:
SC: “Naay atabay namo sa luyo sa among balay.” As verbalized by Mrs. L.
OC: The deep well is approximately 2 meters from the house with the
diameter of the hole is approximately 1 meter and it is level to the
ground. The deep well has a depth of 6 feet and being used by the
family without the cover.

Family Nursing Diagnosis: Inability to anticipate risk factors due to lack of

knowledge on the identified problem

Goal of Care: Within 4 hours of nursing interventions, the family will be able to
identify the risk factors on the actual condition and make plans to
modify the deep well and to prevent any accidents.

Objectives: Within 4 hours of nursing interventions, the family will be able to:
1. recognize the possible risk factors with regards to the condition identified;
2. enumerate various ways on maintaining safety and to prevent fall
hazards;
3. select a course of action to correct and solve the problem;
4. make plans to choose appropriate ways and materials necessary to cover
the deep well to prevent any occurrence of injuries;
5. identify the positive outcomes upon planning the solution to the problem.

INTERVENTIONS RATIONALE

1. Assess the family’s perceptions To acknowledge the family concerns

with regards to the problems and in order to promote cooperation
identified.

2. Discuss with the family the To provide informations regarding the

possible risk factors that will risk factors such as falls
result with the occurrence of the
problem
 3. Emphasize to the family the To develop the family’s ability and
importance of solving the commitment to provide nursing care to
problem and on maintaining an the members of the family and on
environment which is safety at taking actions to solve the problems
home
4. Provide suggestions about To guide the family on how to decide or
solving the problem and select for appropriate actions to take
preventive measures on fall with regards to the problem identified
hazards such as putting a cover
made of wood or plywood,
having the sides of the well
cemented, and putting a
wooden fence around the well to
guard the hole and enhance the
safety of each family member
To enhance the capability of the family
5. Evaluate the family’s plan or to carry out measures to provide safe
course of action they are going home facilities and personal
to make development

Resources Required:
• Home Visits
• Assessment
• Discussion
• Time & Effort by the student nurse and the family members

Evaluation:
Goal met. After 2 home visits conducted with nursing interventions, the
family was able to identify risk factors of having an uncovered well and short
blocks of the deep-well and verbalized their plans to modify their situation as
evidenced by one of the family member’s verbalization, “Dapat gyud diay nga
himuan na namo ug tak-ob and among atabay para dili mamiligro ang mga bata,
basin mahulog.”

FAMILY NURSING CARE PLAN

PROBLEM NO. 2
Problem No. 2
Problem Identified: Improper Food Handling
Date Identified: August 12, 2008
Date Evaluated: August 12, 2008

CUES:
SC: “Pasensya kaayo mo ha. Gubot kaayo nang among kusina. Nah! Wala
raba nay hugas among mga kinan-an dinha. Wala pa man gyud
nahuman among kusina mao ang among butangan ug mga plato
wala puy tabon.” As verbalized by Mrs. L.
OC: The family kitchen has unwashed plates, unorganized placements of
utensils, their kitchen utensils are exposed to insects and rodents.
Their cooked foods are being placed on the table covered by a basin,
which they also use for washing their dishes. During one of the home
visits conducted by the group, while they were preparing their meals
for lunch, they just leave the food unattended, which is also exposed
to flies.

Family Nursing Diagnosis: Inability to decide about taking appropriate actions

due to failure to comprehend the identified problem as
a health threat

Goal of Care: Within 4 hours of nursing interventions, the family will be able to
practice the proper ways on handling food and recognize the
importance of proper food handling.

Objectives: Within 4 hours of nursing interventions, the family will be able to:
1. recognize the risk factors that will contribute to the identified problems;
2. identify the different measures to prevent the arousal of the risk factors of
the problem
3. determine the importance of preparing and handling the food properly;
4. practice and apply the techniques of food handling and preparation;
5. keep their kitchen clean and free from insects an rodents.

INTERVENTIONS RATIONALE

1. Assess the family concerning To determine the ways that the family
their practices on handling and are practicing at home as basis to plan
 preparing the food for care and interventions

2. Discuss with the family the To provide information about the risk
health problems that will occur if factors on the problem identified
improper food handling will
persist and lead to undesirable
illnesses such as diarrhea

3. Teach the family to do proper To reduce the spread of microorganisms

handwashing and encourage
them to perform it before and
after handling foods

4. Discuss to the family on how to To provide alternative ways on securing

handle the food properly: food properly

a. Instruct them to store To determine their practice and identify

their food in the right modification
storage area like the
refrigerator
b. If they don’t have a
refrigerator, advise them
to buy foods enough to
consume for one week
and buy those foods that
can be preserved for a
long time
c. Encourage them to cover
their foods properly with
a clean cover to prevent
insects and rodents form
landing on food
To be used for handling and preparing
5. Motivate the family to utilize the food clean and proper before cooking
available resources at home for
proper food storage and
handling such as containers with
cover for keeping the food
To maintain cleanliness and to slowly
6. Encourage the family to keep eliminate the existence of insects and
the house clean specially the rodents in their house
kitchen area
Resources Required:
• Home Visits
• Discussion
• Time & Effort of the student nurses and the family members

Evaluation:
Goal met. After 4 hours of nursing interventions, the family was able to
practice the proper ways about handling food as evidenced by the demonstration
of the family’s washing of plates, proper arrangement of their kitchen utensils
and cleaning of their kitchen as observed by the student nurses after the
discussion of proper ways on handling food.

FAMILY NURSING CARE PLAN

PROBLEM NO. 1

Problem No. 1
Problem Identified: Improper Hygiene
Date Identified: August 13, 2008
Date Evaluated: August 25, 2008
 CUES:
SC: “Mangaon lage mi usahay na walay hugasay, diretso na. Labi na ang
mga bata kay magdula-dula tas mukaonra diretso, di na
manghugas.” As verbalized by Mrs. L.
OC: Child J1 of Mrs. L eats his meals without washing his hands first. Even
his parents, when we had our visit at noon. The fingernails as well as
the toenails of Child J1 are untrimmed, with dirt under the nails. The
child is playing on the muddy area under their house; picking finger
foods such as cup cakes without washing hands. At times, Child
J1plays with chickens. With child J2, when he bed wets, they do not
thoroughly wash their blankets. Instead, they hung it immediately
under the sun.

Family Nursing Diagnosis: Inability to provide home environment conducive to

health and maintenance due to improper hygiene
techniques

Goal of Care: Within 4 hours of nursing interventions, the family will be able to
identify hygienic measures such as proper handwashing and its
significance

Objectives: Within 4 hours of nursing interventions, the family will be able to:
1. include proper handwashing technique before and after eating;
2. enumerate the health problems that will possibly cause spread of
infection;
3. identify ways on how to maintain hygiene;
4. gain understanding about the importance of proper hygiene in the
activities of daily living;
5. demonstrate interest with regards to the presented health teaching

INTERVENTIONS RATIONALE

1. Assess the degree of awareness To identify the family’s level

of the family with regards to the understanding about proper hygiene
existing health problem

2. Teach the client how to perform To provide the family awareness in

handwashing correctly relation to the proper performance of
handwashing and its role in the
prevention of the spread of infection
 3. Discuss to the family the To impart knowledge to the family
importance of proper hygiene in
their health

4. Encourage them to wash their To promote comfortability and self-

hands before and after eating grooming

5. Discuss the potential health Emphasize to the family the prevention

problems that could arise of of arousal of potential health problems
proper hygiene is not if proper hygiene is practiced
implemented and practiced

Resources Required:
• Home Visits
• Discussion
• Demonstration
• Time & Effort of the student nurses and the family members

Evaluation:
Goal met. After 4 hours of nursing interventions, the family was able to
identify the importance of handwashing and was able to demonstrate the proper
technique of the procedure

FAMILY NURSING CARE PLAN

PROBLEM NO. 4

Problem No. 4
Problem Identified: Improper Garbage Disposal
Date Identified: August 26, 2008
Date Evaluated: September 1, 2008
 CUES:
SC: “Ginasunog raman namo ang among basura dinhi. Amo ra tapukon sa
kilid unya paugahon, unya sunugon dayon.”As verbalized by Mrs. L.
OC: The family is disposing their garbage through burning in their
backyard at about 4 meters from their house.

Family Nursing Diagnosis: Inability to decide about taking appropriate actions

due to failure to comprehend the nature and scope of
the problem.

Goal of Care: Within 4 hours of nursing interventions, the family will be able to
determine the importance of practicing proper methods on waste
disposal.

Objectives: After two home visits, the family will be able to:
1. identify the different ways on proper disposal of garbage such as:
a. use of compost pit with cover;
b. segregate the non-biodegradable and biodegradable materials;
c. recycling of can-be-used garbage;
d. reusing or selling of some garbage like cans, bottles and plastics.
2. enumerate the proper techniques on keeping the surroundings clean and
through using proper method of waste disposal;
3. define the meaning of proper garbage disposal and it’s advantages;
4. recognize the possible effects of garbage burning;
5. verbalize understanding about the importance of practicing proper waste
disposal

INTERVENTIONS RATIONALE

1. Assess the family’s level of In order to determine the cognitive

understanding regarding the level of the family and acknowledge
identified problem their perceptions about the problem

2. Assess the surrounding and the Facilitate on making the appropriate

house of the family actions needed by the family

3. Provide the family information
about the proper ways on waste
disposal such as segregation of
biodegradable from non-
biodegradable wastes and
For the family to learn the proper ways
of waste management and for
visualization of the materialization of
methods
 demonstrate the methods

4. Explore with the family the

advantages and disadvantages To provide options with the family on
of the different methods of selecting proper methods of waste
waste disposal disposal

5. Emphasize the importance of

practicing proper garbage So that the family will grasp the
disposal with the family significance and demonstrate interest
in initiating lifestyle modification

Resources Required:
• Home Visits
• Assessment
• Discussion
• Time and Effort of the student nurses with the family members

Evaluation:
Goal met. After 2 home visits conducted with nursing interventions, the
family was able to understand the importance o practicing the proper method of
waste disposal as evidenced by Mrs. L’s verbalization “Ako na jud sultian akong
bana nga maghimo mi ug compost pit ug tak-oban namo, ug ilahi namo ang mga
basura na malata ug dili malata.”

FAMILY NURSING CARE PLAN

PROBLEM NO. 5

Problem No. 5
Problem Identified: Inadequate Immunization Status of the Child
Date Identified: August 26, 2008
Date Evaluated: August 26, 2008

CUES:
 SC: “Ang akong kamanghuran kay kumpleto sa iya bakuna, pero kini
akong kamaguwangan (J1) kay wala na kumpleto ang iyang bakuna.
Sa akong mahinumduman, kaisa ra ni siya nahatagan sa Hepa nga
bakuna ug sa DPT. Wala na gyud ko kabalik sa petsa na dapat
pabalikon mi.” As verbalized by Mrs. L.

Family Nursing Diagnosis: Inability to recognize the presence of health threat

due to lack of knowledge about the condition

Goal of Care: Within 4 hours of nursing interventions, the family will be able to
determine the importance of having complete immunization.

Objectives: After two home visits, the family will be able to:
1. determine the importance o complete immunization of children;
2. enumerate the possible illnesses that can occur due to incomplete
vaccination;
3. follow-up the vaccine of the children;
4. give specific attention to the schedules of the children’s immunization;
5. understand the advantages of having completion of the immunization.

INTERVENTIONS RATIONALE

1. Assess the family’s degree of To determine the level of understanding

perception with concerns to the of the family
immunization of the children

2. Discuss with the family the To provide information and awareness

significance of completing the about the advantages of vaccination
immunization schedules of the
children

3. Encourage the family to actively In order to be reminded and follow the

visit the health center during scheduled dates and to prevent lapse
scheduled immunizations for from the schedule
their 4 months child

4. Include health teachings to

protect the health of the family
members such as:

• Advice them to let the To strengthen the immune system

children eat fruits and
vegetables rich in
essential nutrients
• Increase intake of foods
rich in vitamin C such as
oranges
• Always practice proper
hygiene
To provide continuation of quality care
5. Encourage the family to to the children
 communicate and coordinate
with the health care
officials/team in the barangay
health center

Resources Required:
• Home Visits
• Assessment
• Discussion

Evaluation:
Goal met. After 4 hours of nursing interventions, the family was able to
know the importance of complete immunization as evidenced by Mrs. L’s
verbalization “Kinahanglan jud diay nga makumpleto ang mga bakuna sa kong
anak para makalikay sa mga impeksiyon ug sakit, ug paningkamutan jug nako
nga makakumpleto na sa bakuna akong upat ka buwan na anak.”