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Family Nursing

Care Plan
Tracy D. Demata
Corazon Theresa S. Gomez
Carla Angelique N. Padua

The Prioritized
Health Problems
The list of health condition or
problems ranked according to
priorities is presented:

Proble

Problem

Date

m#

Identified

Identified

Presence of breeding

February 3,

sites of vectors of

2014

Score

4.16

diseases:
mosquitoes, flies

Improper garbage

February 3,

disposal

2014

Accident Hazards:

February 3,

Fall Hazards

2014

4.16

3.66

Proble

Problem

Date

Score

m#

Identified

Identified

Inadequate food

February 3, 2014

3.66

February 3, 2014

3.66

February 4, 2014

3.66

intake both in
quality and
5

quantity
Accident Hazards:
Pointed/Sharp
Objects

Accident Hazards:
Fire Hazards

Probl

Problem

Date

Score

em #

Identified

Identified

Forseeable crisis

February 4, 2014

2.99

February 4, 2014

2.66

February 4, 2014

2.16

situation: Additional
member in the
household
8

Improper drainage
system

Inadequate Living
Space

Problem Identified: Presence of breeding sites of vectors of


diseases: mosquitoes, flies

Criteria

1. Nature of
Problem

2. Modifiability
of the
Problem

Computation

2/3x1

2/2x2

Actual
Score

Justification

0.66

This is a health threat.


This is considered as
health threat because the
presence of the problem
may affect the health of
the individual and the
family.

The problem is easily


modified since resources
or materials needed to
solve
problem
is
available
in
the
environment.

3. Preventive
Potential

3/3x1

If this problem is
addressed by the family,
complications may be
prevented such as
acquiring communicable
diseases such as dengue,
malaria, etc.

4. Salience of
the Problem

1/2x1

0.5

The problem presented is


perceived as a problem by
the family. However, the
family does not see the
problem
as
needing
immediate action. mao
lage sad kay daghan kaayo
lamok ug langaw diri sa
amo. Amo ra man bugawon
unya mawala ra pud, ang
kanang manok kay dili man
pud na amoa jud.

Total Score

4.16

Problem Identified: Improper garbage disposal

Criteria
1. Nature of
Problem

2. Modifiability
of the
Problem

Computa
tion
2/3x1

Actual
Score
0.66

2/2x2

Justification
This problem is considered
a health threat where the
family is at risk for acquiring
diseases from improper
disposal of their garbage as
evidenced
Problem is easily modified
because of available such
resources as sacks for
garbage segregation. Health
teachings can help family
decide to take appropriate
action
regarding
the
problem.

Criteria

Computa
tion

Actual
Score

Justification

3. Preventive
Potential

3/3x1

Diseases can be prevented


and contamination can be
eliminated if garbage is placed
in appropriate areas.

4. Salience of
the Problem

1/2x1

0.5

The family recognizes this as


a problem but does not need
immediate attention. sunogon
ra man namo ang among
basuraha kay la man mi lain
kalabugan. Unya wala bayay
truck na mukuha sa among
mga basura diri

Total Score

4.16

Problem Identified: Accident Hazards: Fall


Hazards
Criteria
1. Nature of
Problem

2. Modifiability
of the
Problem

Computation
2/3x1

2/2x2

Actual
Score
0.66

Justification
This
problem
is
considered a health
threat in which family
can acquire injuries,
which could hinder
their performance of
daily living.
Resources
are
available
in
the
environment such as
woods
and
interventions
are
feasible.

Criteria

Computation

Actual
Score

Justification

3. Preventive
Potential

3/3x1

Injuries
can
be
minimized
if
this
hazard is eliminated.

4. Salience of
the Problem

0/2x1

The family does not


perceive this as a
problem. Wala man
pud mahulog diha sa
among atabay kay
magbantay man mi,
bantayan sad namo
ang bata para dili
mahulog.
Tabunan
man sad namo ug
planggana.

Total Score

3.66


Problem Identified: Inadequate food
intake both in quality and quantity
Criteria

1. Nature of
Problem

2. Modifiability
of the
Problem

Computati
on
2/3x1

Actual
Score
0.66

2/2x2

Justification

This problem is considered


a health threat in which
family can acquire illness,
which could hinder their
performance of daily living,
if not intervene properly.
The problem is easily
modifiable since the nurses
sources are available; they
could provide teachings on
the proper selection and
preparation of foods and
feeding practices.

Criteria

Computation

3. Preventive
Potential

3/3x1

4. Salience of
the Problem

0/2x1

Total Score

Actual
Justification
Score
1
The possibility of acquiring
illness from inadequate
food intake can be
prevented if interventions
are done.

3.66

The family does not


recognize the existence of
the problem. delata og
nooodles ra man gyud mi
pirmi. Mag-gulay man sad
mi pero usahay ra mga
once a week.

Problem Identified: Accident


Hazards: Pointed/Sharp Objects
Criteria
1. Nature of
Problem

2. Modifiability
of the
Problem

Computation
2/3x1

2/2x2

Actual
Score
0.66

Justification
This
problem
is
considered
a
health
threat in which family can
acquire
injury, which
could
hinder
their
performance of daily
living, if not intervene
properly.
Resources are available
and interventions are
feasible. The student
nurses could provide the
family teachings about
importance of safety.

Criteria

Computation

Actual
Score

Justification

3. Preventive
Potential

3/3x1

The possibility of
acquiring injuries can be
prevented if
interventions are done

4. Salience of
the Problem

0/2x1

This problem was not


recognize by the family
as verbalized by Mrs. S
bantayan lang gyud
namo ang bata nga dili
mag-dula dula ug mga
kutsilyo kay maabot ra
ba niya

Total Score

3.66

Family Nursing Care Plan


Problem No. 1

Problem Identified:
Presence of breeding sites of vectors of diseases:
mosquitoes and flies
Date Identified:
February 3, 2014

Subjective Cues:
maglagot lage mi kay daghan kaayo lamok diri sa amo,
unya ang mga manok manulod sa among balay unya
bisag asa ra mangiti.

Objective Cues:
Flies and mosquitoes are present during home visitation.

Family Nursing Problem:


Inability to provide a home environment conducive to
health maintenance and personal development due to
lack of knowledge of preventive measures.
Goal of Care:
Within 2 home visitation and 4 hours of nursing
interventions the family will be able to display less
breeding sites in their home until it is completely
eradicated.
Objectives: Within 2 home visitation and 4 hours of
nursing interventions, the family will be able to:
be aware and be more knowledgeable about the
importance of proper sanitation especially at home;
recognize the causes of breeding sites to prevent the
occurrence of diseases;
perform ways to eliminate the presence of breeding
sites of vectors.

Nursing Intervention

Rationale

1. Assess the familys


To determine the
knowledge about the
understanding of the
presence of breeding sites
family about the causes of
of vectors.
breeding sites.
2.Assess the familys level
to determine how they can
of understanding with
understand thoroughly
regards to cause and
about the problem
effect of presence of
identified
breeding sites of vectors.
3. Examine how the family
To identify the ways and
solves the problem before.
teachings the student
nurse must provide to help
family.
4. Determine with the family To allow them to identify
the causes of breeding
the causes of problem in
sites in their home.
their home.
5. Discuss the importance and To give additional
purposes of proper
informations and teachings
sanitation.
to the family

Nursing Intervention

Rationale

6. Cite the causes and


To give ideas to the
effects of the presence of
family and assess the
these unwanted pests
consciousness about their
around the home.
health
7. Tackle with the family the To provide them awareness
disease and problems they
about the magnitude of the
might acquire if this not
problem.
eradicated.
8. Suggest
To provide or give the
alternatives/methods that
family all or some
would eliminate the
choices.
breeding sites of vectors:
a) changing water and scrubbing
sides lower vases once a week;
b) destroy breeding places of
mosquito by cleaning
surroundings;
c) keep water containers and foods
covered;
d) avoid too many hanging clothes
inside the house;
e) isolating by screening or
sleeping under the mosquito

net.

Nursing Intervention
9. Give family health
teachings about the
advantages if problem is
intervened.

Rationale
To encourage family to
promote sanitation.

10. Explore with the family


to give them choices in
the ways of improving home
order to modify things as
sanitation considering its
possible as to minimize
limited resources:
the breeding sites of
a) emphasize to the family
vectors.
the proper storage of food
that may attract vectors;
b) instruct all family
members to prevent
accumulation of stagnant
water around their home
since this is a good
breeding place for
insects.

Resources Required:
Home visits
Assessment
Health teachings
Time and effort by the family members and the
student nurse

Evaluation:
Goal met. After 2 home visitations and 4 hours
of nursing interventions the family recognize
the causes of breeding sites and the
importance of proper sanitation. And was seen
to be throwing the open canned goods in the
trash instead of placing it at the dirty kitchen.

Family Nursing Care Plan


Problem No. 2
Problem Identified:
Improper garbage disposal
Date Identified:
February 3, 2014

Subjective Cues:
sunogon ra man namo among basura kay la man mi lain kalabugan.
Unya wala bayay truck na mukuha sa among mga basura diri.

Objective Cues:
Their way of disposing their garbage is by burning it.
They used a broken basin as their makeshift trashcan placed outside
their house.
Some garbage such as canned goods are left at their dirty kitchen.
Trashes are seen a few feet away from their house.

Family Nursing Problem:


Inability to provide a home environment conducive to
health maintenance and personal development due to
inadequate knowledge of preventive measures.
Goal of Care:
Within 3 home visitation and 4 hours of nursing
interventions the family will be able to recognize the
importance of proper garbage disposal.

Objectives: Within 3 home visitation 4 hours of nursing


interventions, the family will be able to:
Enumerate ways to improve sanitation;
Identify health advantages for proper waste segregation
and disposal;
Demonstrate proper waste disposal;
Participate in making garbage segregation.
Display a positive attitude towards a healthy practice.

Nursing Intervention
1. Assess the familys
level of understanding
regarding the
identified problem.
2. Asses the surrounding
and the house of the
family.
3. Provide information
regarding the ways on
proper waste disposal.
4. Involve the family in
planning and making of
the garbage bins.
5. Emphasize the
importance of
practicing proper
garbage disposal with
the family.

Rationale
determine
the
To
cognitive level of the
family and acknowledge
their perceptions about
the problem.
to facilitate in making
the appropriate actions
of the family.
for the family to learn
proper ways of waste
management.
to gain family
participation
the
family
to
for
initiate
lifestyle
modifications.

Nursing Intervention

Rationale

6. Encourage the family to avoid


burning as a means of garbage
disposal.

may
cause
burning
unfavourable effects to the
health
of
the
family
especially to the children.

7. Provide information about the


effects of burning the
garbage and improper garbage
disposal to the family and to
the community.

for the family to initiate


lifestyle modifications.

8. Encourage the family to


maintain cleanliness and
proper garbage segregation.

to prevent illnesses brought


about by flies because of
garbage dumped anywhere.

9. Provide a material (sack) as


a garbage bag.

for proper disposal and


segregation

10. Facilitate and help the


family in making garbage bags
and cleaning the home
environment.

clean
home
maintaining
environment prevents presence
of vectors thus preventing
illnesses and diseases.

Resources Required:

Home visits
Assessment
Health teachings
Time and effort by the family members and the student nurse
Nails
Woods
Sacks

Evaluation:
Goal met. After 3 home visitations and 4 hours of
nursing interventions the family was able to recognize
ways of disposing their garbage such as segregating it
as verbalized by Mrs M. Kung maglabog mi ug basura
maam amo nang ilahi ang malata ug di- malata. Ug
amo na lang ilubong ang mga malata nga basura.

Family Nursing Care Plan


Problem No. 3

Problem Identified:
Accident Hazards: Fall Hazards

Date Identified:
February 3, 2014

Subjective Cues:
wala man pud mahalog diha sa among atabay kay magbantay man
mi, bantayan man sad namo ang bata para dili mahulog. Tabunan
man sad namo ug planggana.

Objective Cues:
Presence of a well 1 meter away from the front door;
Artesian well without cover most of the time;
Washbasin was used as a cover for the well;

Family Nursing Problem:


Inability to make decision with respect to taking appropriate
health action due to failure to comprehend the the
nature/magnitude of the problem.

Goal of Care:
Within 2 home visits and 4 hours of nursing interventions, the
family will be able to identify the importance of maintaining a
safe environment for the family to reduce the risk for falls.

Objectives: Within 2 home visits and 4 hours of nursing


interventions, the family will be able to:
Verbalize fully the importance of safety in the family.
Recognize the presence of the problem.
Identify conditions that hinder them from intervening with this
problem.
Demonstrate interest with regard to the presented health teaching
by actively participating in the interventions done.

Nursing Intervention

Rationale

1. Assess the familys level - To determine the cognitive


of understanding regarding
level of the family and
the identified problem.
acknowledge
2.

Assess
the
family
concerning their practices
on how they intervene the
situation.
3. Ask the family members
concerns about the
interventions they had
done and suggested to be
done.
4. Provide health teachings
regarding the importance
of maintaining a safe
environment;
5. Discuss with the family
the possible risk factors
that will result

To determine the ways that


the family are practicing.
To gain their trust and
cooperation.

For the family to gain


awareness regarding the
existence of the problem.
To demonstrate behaviors
and lifestyle changes to
reduce risk factors and
protect self and others
from injury.

Nursing Intervention
6. Include the family in
planning and keeping the
home safe.
7.

Rationale
To gain family
participation.

Explore with the family To provide information to


ways to provide a safe
the family.
environment.

8. Provide suggestions about To guide family to choose


solving the problem;
on the appropriate ways or
action
to
solve
the
problem.
9.
Discuss
the
possible To realize that the result
consequences
that
may
of
having
a
safe
result if problem will
environment
minimizes
continue.
cause of accidents.
10. Provide teachings on how For the family to
to make intervene if this

independently intervene

problem will occur again.

this problem in the


future.

Resources Required:
Home visits
Assessment
Health teachings
Time and effort by the family members and the student nurse
Nails, hammer and bamboo sticks

Evaluation:

Goal met. After 2 home visitation and 4 hours of


nursing interventions the family was able to recognize
the importance of maintaining safety in their
environment and they actively participate in the
interventions done. Mrs. S verbalized Pirmi na gyud
na namo tabunan para makalikay pud sa disgrasya ba
kay naa ra baa amo bata

Family Nursing Care Plan


Problem No. 4
Problem Identified:

Inadequate food intake both in quality and quantity


Date Identified:

February 3, 2014

Subjective Cues:

delata og noodles ra man gyud mi pirmi. Mag-gulay man sad

mi pero usahay ra mga once a week.

Objective Cues:

Family was observed to eat canned goods and noodles most of


the time.
Grandchild L was always seen to be eating junk foods.

Family Nursing Problem:


Inability to make decisions with respect to taking appropriate
health actions due to failure to comprehend the
nature/magnitude of the problem.

Goal of Care:
Within 4 hours of nursing interventions, the family will be
able to comprehend the magnitude of problem and
perform ways to promote healthy food intake.

Objectives: Within 4 hours of nursing interventions, the


family will be able to:
Participate in the cooking demonstration;
Enumerate ways to improve eating habits;
Construct a healthy meal plan for the family;
Identify the benefits of eating healthy;
Recognize the importance of having a healthy food intake

Nursing Intervention

Rationale

1. Assess the familys


level of understanding
regarding the identified
problem.

-to determine the cognitive


level of the family and
acknowledge their
perceptions about the
problem.
-to facilitate in making
appropriate actions of the
family;

2. Assess the height and


weight of the family;
3.Provide health teachings
regarding the importance
of maintaining a healthy
eating habits;
4. Conduct a cooking
demonstrations with the
family;

-for the family to gain


awareness regarding the
existence of the problem.

5. Involve the family


during the cooking
demonstration;

-to gain family


participation.

-for the family to learn


proper ways of cooking.

Nursing Intervention

Rationale

6.Provide relevant
-for the family to identify
information about the
the benefits of eating
nutritional benefits from healthy foods.
the food being prepared;
7. Explore with the family
ways of improving eating
habits;
8. Discuss the possible
consequences that may
result if problem will
continue.
9. Include the family in
planning for a healthy
meal;
10. Provide information
regarding the ways on
having a healthy eating
habits;

-to provide information to


the family.
-to realize that the result
of having a healthy eating
habits minimizes cause of
illness.
-to gain family
participation
-for the family to learn
proper ways of maintaining
healthy eating habits.

Resources Required:
Home visits
Assessment
Health teachings
Cooking demonstration
Cooking materials
Time and effort by the family members and the student
nurse

Evaluation:

Goal met. After 4 hours of nursing interventions, the


family was able to recognize the need to address the
problem and was able to create a healthy meal plan.
Makadaot gyud diay nang sige rag kaon og noodles
og mga delata no? magluto na lang mi pirmi ug gulay

Family Nursing Care Plan


Problem No. 5

Problem Identified:
Accident Hazards: Pointed/Sharp Objects
Date Identified:
February 3, 2014

Subjective Cues:
Usahay lage pud kay dula dulaan ra ba pud na sa bata.

Objective Cues:
Sharp and pointed objects (kitchen utensils) such as knife are
improperly kept and within reach by the child
Grandchild L was seen playing with a knife

Family Nursing Problem:


Inability to make decision with respect to taking appropriate
health action due to lack of knowledge as to alternative courses
of action open to them.

Goal of Care:
Within 3 home visitations and 4 hours of nursing interventions the
family will be able to acknowledge the presence of problem and
take actions to eradicate the problem.

Objectives: Within 3 home visitations and 4 hours of nursing


interventions, the family will be able to:
Recognize the presence of problem;
Verbalize the importance of safety for the family;
Identify interventions that would eradicate the presence of
problem;
Display interest by actively participating in the interven tions
done.

Nursing Intervention
1. Assess the familys
knowledge regarding the
existing problem

Rationale
-to determine if the family
has perceived this as a
problem

2.Evaluate the familys


-to evaluate familys
understanding of safety and awareness and to what health
accident/injury prevention teachings must be supplied
3. Determine previous
incidences that the family
had experienced with
regards to the problem

-to help the family recognize


the need for immediate
intervention for this
situation

4. Explore the familys ways -to anticipate familys need


to intervene the identified for assistance
problem
5. Discuss the possible
accidents that may occur
if problem is not
addressed.

-for them to realize the


magnitude of problem

Nursing Intervention

Rationale

6. Tackle the significance -to build awareness and


of maintaining safety
reduce chances of
within the household
accidents in their home
7. Suggest ways on how to -to enforce preventive
store properly the sharp measures towards accidents
and harmful objects;
a.Securing the sharp
objects at areas away
from the childs
reach
b.Keeping them at a
locked container
c.Putting them in a
place beyond the
childs knowing/
sight

Nursing Intervention

Rationale

8. Explain the importance


of child supervision

-to establish awareness


and promote safety

9. Assist in removing and


keeping the sharps
safely in a storage

-to implement safety


measures

10. Provide teachings


about advantages of
injury prevention and
safety

-to encourage family to


maintain observance of
safety within the
household

Resources Required:
Home visits
Assessment
Health teachings
Human resourcesa
Financial resources
Time and effort by the family members and the student
nurse

Evaluation:

After 3 home visitations and 4 hours of nursing


interventions, the family was able to identify
alternatives in keeping all the accidental hazards.
Importante jud lage na taguan ning mga hait sa
kanang dili jud Makita sa mga bata aron malikay ta sa
disgrasya.