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Saint Louis University
School of Nursing
Family Nursing Care PlanCarino Family Daldal, Lengaoan, Bugias, Benguet, Philippines
Submitted To: Mrs. Cheryl Danglipen RN
Submitted By: Soriano, Kiji Kiel B.
Submitted On: January 10, 2012
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I. Introduction:
A society is made up of a community and a community is a group containing families, which is the basic unit of a community. Within a family are people bond
marriage and blood. A family composes of a father, mother and their offsprings, a family shares happiness and difficulties together, a family shares one culture and
though they came other backgrounds, a family lives in one house. A dysfunctional family will lead to a dysfunctional community which will also ultimately lead to a d
and unproductive society.
As nurses we must care and look out for families within the community. We must help empower them to manage their own health problems by way of prop
teaching and coaching using current, practical and evidenced based practices. This is due to the fact that some of these families do not have access to certain necess
in urban areas, information and medical managements. But before a health worker interacts with a family, the health worker must first build up rapport with the fam
immerse himself/herself within the communities norms and culture to therefore be like the community. As one immerses himself/herself, the health worker then so
and works with the community identifying health problems and health needs.
Community Health Nursing or Public Health Nursing is defined by the World Health Organization Expert Committee of Nursing as a special field of nursing that c
skills of nursing, the public health program for promotion of health, the improvement of conditions in the conditions in the social and physical environment, reha
illness and disability. Primary Health Care as described by WHO (World Health Organization) recognizes that this setting can be the first level contact with a health
in the close proximity to where people work and live.
II. First Level Assessment
Health Potentials Health Problems
I. Absence of Health Threat
1. Adequate Family size
*cues- one mother and father, three children(spacing of pregnancy is 1-2years),
income is adequate to meet families basic necessities every month
2. Adequate Living Space
*cues- rooms are approximately 8x8m and about 8 feet high, house is made up
of cement and wood (durability wise)
3. Satisfactory Sanitary Environment
*cues- drinking and cooking water are placed in plastic containers, utensils for
I. Presence of Health Threat
1.Unkempt Sharps
*cues-sharps(knives and forks) are within easy access to children, sh
hidden in the cabinet on top of the dinner table in which the children
easy access of the utensils.
2. Inadequate Nutritional Requirements
*cues-food mainly consists of vegetables and rice, rarely do they eat
meat(protein)
3. Poor Home Sanitation
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cooking and eating are placed in sealed cabinets
4. Adequate Ventilation
*cues- approximately 2 windows in each room
5.Sanitary Food Handling and Preparation
*cues-drinking and cooking water are boiled for 30min and food is cooked over a
gas stove
6. Healthy Life Style and Personal habits
*cues- daily food is composed of rice and vegetables, no obesity noted among
members of the family, no smoking personnel within the family, active lifestyle
(parents farm and children playmost of the day together), Adequate sleep for all
members (6-8 hours for parents and 8-10 hours for children), doesnt walk
barefoot going to the farm or outside the house, gas stove routinely checked
before leaving the house, garbage segregation is practiced, all immunizations of
each members of the family are done except for the newborn which is still
waiting for the right age for injection, infant is breastfed prn, family goes to
church daily.
*cues- presence of flies(forms of vectors for disease t ransmission)
4. Unhealthy Lifestyle
*cues- drinks alcohol(Jun Carino) and family only goes for check up w
clients only take a bath 1-3 times a week
2. Presence of Health Deficit
*cues- Janicia currently has cough and colds. Has mild fever (
Celcius), is taking in paracetamol syrup.
3. Presence of Stress Point
*cues- children are currently not going to school, additional member
family (newborm Jarica CArino born November 16, 2012)
III. Prioritization of Problems
1. Unkempt Sharps
CRITERIA AND HIGHEST
POSSIBLE SCORE TO BE
GIVEN
SCORE JUSTIFICATION COMPUTATION ACTUAL SCORE
Nature of the
Problem=Health Threat=2
2 Sharps within easy reach of the children can have
detrimental and disabling results. Children are completely
unaware of the dangers of being debilitated and wounded
(2/3)x1= .67
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from the sharp objects that are within easy reach.
Modifiability of the
Condition/Problem=2
Current knowledge
(.5)
Family resources (.5)
HW resources (0.5)
Community
resources (0.5)
2 It is modifiable because they have current knowledge on
what unkempt sharps may cause provided by the community
norms and healthworker, and they know a better place to
put it. They have adequate family resources in the house
they can use such as a high shelf out of reach.
(2/2)x2 2
Preventive Potential=2.25
Exposure of a risk
member(.75)
Gravity of
Problem(.75)
Duration of
Problem(.75)
Appropriate current
management
initiated by family(0)
2.25 It has a moderate preventive potential since the member
does not perceive it as serious and has no further
verbalizations about it.Also because they scold their children
upon seeing them closing in with the sharps.
(2.25/3)x1 .75
Salience of the Problem=0
Family identified/
verbalized
problem(0)
Feels/ perceives it as
needing immediate
attention(0)
0 The family does not recognize the problem and does not
perceive it as needing immediate attention.
(0/2)x1 0
Total 3.42
2. Unhealthy Lifestyle
CRITERIA AND HIGHEST SCORE JUSTIFICATION COMPUTATION ACTUAL SCORE
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POSSIBLE SCORE TO BE
GIVEN
Nature of the
Problem=Health Threat=2
2 The problem is a health threat because failure to recognize
them can lead to health deficits
(2/3)x1 .67
Modifiability of the
Condition/Problem=2
Current knowledge
(.5)
Family resources (.5)
HW resources (0.5)
Community
resources (0.5)
2 They are fully aware that the need for annual check up is a
necessity as endorsed by the health workers and as
advocated by the rest of the community folks. The family has
the adequate income to spend for the check up. They also
have the resources for bathing such as water and soap. They
are also fully aware of the ill causes cigarette smoking can
cause such as lung cancer, halitosis, and etc. as expounded
by the BHW and the community.
(2/2)x2 2
Preventive Potential=2.25
Exposure of a risk
member(.75)
Gravity of
Problem(.75)
Duration of
Problem(.75) Appropriate current
management
initiated by family(0)
2.25 It has a moderate preventive potential since the member
does not perceive it as serious and has no further
verbalizations about it.Because as verbalized hanggang
kaya pa, kaya parin.
(2.25/3)x1 .75
Salience of the Problem=0
Family identified/
verbalized
problem(0)
Feels/ perceives it as
needing immediate
attention(0)
0 The family does not recognize the problem and does not
perceive it as needing immediate attention.
(0/2)x1 0
Total 3.42
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3. Inadequate Nutritional Requirements
CRITERIA AND HIGHEST
POSSIBLE SCORE TO BE
GIVEN
SCORE JUSTIFICATION COMPUTATION ACTUAL SCORE
Nature of the
Problem=Health Threat=2
2 The problem is a health threat because failure to recognize
them can lead to health deficits
(2/3)x1 .67
Modifiability of the
Condition/Problem=2
Current knowledge
(.5)
Family resources (.5)
HW resources (0.5)
Community
resources (0.5)
2 They are fully aware that the need of adding protein to their
diet. They have the means of buying meat products of fish
and poultry because they have an adequate income. The
BHWs also advocate the need for adequate protein intake
so does the community. The community also sells protein
products like poultry.
(2/2)x2 2
Preventive Potential=2.25
Exposure of a risk
member(.75)
Gravity of
Problem(.75) Duration of
Problem(.75)
Appropriate current
management
initiated by family(0)
2.25 It has a moderate preventive potential since the member
does not perceive it as serious and has no further
verbalizations about it.Also because they are contented with
the food they are eating already.
(2.25/3)x1 .75
Salience of the Problem=0
Family identified/
verbalized
problem(0)
Feels/ perceives it as
needing immediate
attention(0)
0 The family does not recognize the problem and does not
perceive it as needing immediate attention.
(0/2)x1 0
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Total 3.42
4. Poor Home Sanitation
CRITERIA AND HIGHEST
POSSIBLE SCORE TO BE
GIVEN
SCORE JUSTIFICATION COMPUTATION ACTUAL SCORE
Nature of theProblem=Health Threat=2 2 The problem is a health threat because failure to recognizethem can lead to health deficits (2/3)x1 .67
Modifiability of the
Condition/Problem=2
Current knowledge
(.5)
Family resources (.0)
HW resources (0.5)
Community
resources (0.5)
1.5 They are fully aware that the need for the elimination of the
flies around the vicinity of the house. But it is impossible to
eradicate them due to their location to a farm. They also
dont have the resources to completely eliminate all flies
around their place. Although they have a BHW to help them
reduce the number of the flies near the vicinity. They also
have the community resources to which they can use to
reduce flies by community effort.
(1.5/2)x2 1.5
Preventive Potential=2.25
Exposure of a risk
member(.75) Gravity of
Problem(.75)
Duration of
Problem(.75)
Appropriate current
management
initiated by family(0)
2.25 It has a moderate preventive potential since the members
does not perceive it as serious and has no further
verbalizations about it. For they live with it as if it doesntpose a threat and that nothing yet has caused them their
lives because of the flies,
(2.25/3)x1 .75
Salience of the Problem=0
Family identified/
verbalized
problem(0)
0 The family does not recognize the problem and does not
perceive it as needing immediate attention.
(0/2)x1 0
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Feels/ perceives it as
needing immediate
attention(0)
Total 2.67
5. Presence of Health Deficit
CRITERIA AND HIGHESTPOSSIBLE SCORE TO BE
GIVEN
SCORE JUSTIFICATION COMPUTATION ACTUAL SCORE
Nature of the
Problem=Health Threat=3
3 The problem is a health deficit because the actual member
of the family is ill with cough and colds and is only being
managed by the use of paracetamol syrup obtained from the
RHU.
(3/3)x1 1
Modifiability of the
Condition/Problem=2
Current knowledge
(.5)
Family resources (.5)
HW resources (0.5) Community
resources (0.5)
2 They are fully aware that the need to alleviate their
daughter of the cough and colds because if left untreated
may lead to complications such as pneumonia. They BHW
are present in the community. They also have the means to
spend for medications. The community in itself has RHU and
hospital.
(2/2)x2 2
Preventive Potential=3
Exposure of a risk
member(.75)
Gravity of
Problem(.75)
Duration of
Problem(.75)
Appropriate current
management
3 Elimination of cough and colds will help achieve better
nutrition and have better growth and development
achievement.
(3/3)x1 1
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initiated by
family(.75)
Salience of the Problem=2
Family identified/
verbalized
problem(1)
Feels/ perceives it as
needing immediate
attention(1)
0 The family has identified the condition as a problem through
verbalization. The family also has taken appropriate action
by going to the nearest RHU for check up and having to buy
the prescribed medication. They are now currently feeding
the medication to their child.
(2/2)x1 1
Total 5
6. Presence of a Stress Point
CRITERIA AND HIGHEST
POSSIBLE SCORE TO BE
GIVEN
SCORE JUSTIFICATION COMPUTATION ACTUAL SCORE
Nature of the Problem=
Foreseeable Crisis1
1 The problem is a foreseeable crisis because the addition of a
new family member may need several necessities that the
whole family has to adjust to such as increasing expenses for
food, medications and clothing for the baby.
(1/3)x1 .33
Modifiability of the
Condition/Problem=2
Current knowledge
(.5)
Family resources (.5)
HW resources (0.5)
Community
resources (0.5)
2 They are fully aware that the addition of a new family
member would entail new challenges and needs so as
adjustments. The BHW is present to help them immunize
and help properly rear the child into maturity. The family
also has the means to nurture the child. The community also
has RHU and a Hospital for use during a crisis occurs.
(2/2)x2 2
Preventive Potential=2.25
Exposure of a risk
member(.75)
.75 It has a lowpreventive potential since the member does not
perceive it as serious and has no further verbalizations about
it.Also it is only seen as a foreseeable crisis
(.75/3)x1 .25
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Gravity of
Problem(.0)
Duration of
Problem(.0)
Appropriate current
management
initiated by family(0)
Salience of the Problem=0
Family identified/
verbalized
problem(0)
Feels/ perceives it as
needing immediate
attention(0)
0 The family does not recognize the problem and does not
perceive it as needing immediate attention.
(0/2)x1 0
Total 2.58
Final List of Prioritized Problems:
Number Problem Score
1 Presence of Health Deficit: Jancia has Cough and Colds 52 Unkempt Sharps 3.42
3 Inadequate Nutrition: Decreased Protein Intake 3.42
4 Unhealthy Lifestyle: No annual check ups, Cigarettes smoking, bathing 1-3 per week 3.42
5 Poor Home Sanitation: Presence of Flies around the vivinity of the House 2.67
6 Presence of Stress Point: Additional Family Member 2.58
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SECOND LEVEL ASSESSMENT
Presence of Health Deficit: Jancia has Cough and Colds Inability to provide adequate nursing care to the dependent memfamily due to inadequate knowledge and skill in carrying out the interventions/ treatment/ care
Unkempt Sharps Inability to recognize the presence of the problem due to lack of
Inadequate Nutrition: Decreased Protein Intake Inability to make decisions with respect to taking appropriate headue to low salience of the problem
Unhealthy Lifestyle: No annual check ups, Cigarettes smoking, bathing 1-3 per week Inability to provide a home environment conducive to health maand personal development due to lack of knowledge of importanhygiene and sanitation
Poor Home Sanitation: Presence of Flies around the vicinity of the House Inability to provide a home environment conducive to health maand personal development due to lack of knowledge of importanhygiene and sanitation
Presence of Stress Point: Additional Family Member ------------- --
FNCP PROPER
HEALTH PROBLEM FAMILY NURSING
PROBLEM
GOAL OF CARE OBJECTIVES OF
CARE
INTERVENTION PLAN
NURSING
INTERVENTIONS
METHOD EVALUATIO
Illness state:Cough
and Colds
Inability to provide
adequate nursing
care to the
dependent member
of the family due to
inadequate
knowledge and skill
in carrying out the
necessary
interventions/
The goal is to let the
clients parents
understand and
perform appropriate
and independent
procedures in
managing cough and
colds
After nursing
interventions, the
client will be able to:
a. verbalize
understanding of
importance of
maintaining normal
temp 37.0 C
b. demonstrate
a. Assess Temp
b. administer prescribed
medications
c. Do tepid sponge bath
observing proper
strokes
d. Demonstrate proper
Home visits,
return
demonstration
Objectives are
met since the c
was able to pe
the objectives s
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treatment/ care proper TSB
c. enumerate ways
to promote cooling of
the body
TSB to parents
e. Discuss importance of
maintaining proper body
temp
f. Emphasize
importance of
compliance to
therapeutic regimen
g. Encourage proper
hygiene
h. Discuss ways to
promote body cooling