FAMILY NURSING CARE PLAN

In Partial Fulfillment of

The Requirements in NCM 204-RLE

COMMUNITY HEALTH NURSING ROTATION

Submitted to:

Celina Angeli B. Aseneta, RN

Clinical Instructor

Submitted by:

Flormarie L. Tuado, St. N.

BSN-2F-Group 3

Subgroup 3

September 30, 2021

 Family Y is a nuclear family of four members. The couple are married and have been residing in Miniforest, Boulevard, Davao City for 3 years. AY, the husband and head
of the family, is 26 years old, finished high school and is employed as security guard in a department store in Uyanguren. BY, the wife, is 21 years old, finished second year high
school and is a full time housewife. They have two children. CY is 2 years old, female, a fully immunized child. The second child is DY, 5 months old, male, who is being breastfed
by his mother, and has received immunizations for BCG, Penta2, PCV2 and OPV2.In terms of decision making, the couple accounted that they consult each other especially with
regards to financial concerns and emotional problems. BY said that they try their best to understand each other through open communication, and make decisions for the good of
the family.

The family’s net monthly income is P7000, coming from the husband’s job. BY is in-charge of the family budget, prioritizing food, water, electricity, house rental and
clothes. Most of the budget goes to the family’s nutritional needs. BY relayed that sometimes she cannot cook their meals because she is busy attending to the children’s needs,
so they just buy from the “karinderya” in the neighborhood. She also said that she can’t even clean the house regularly since most of her time is devoted to taking care of the kids,
especially DY. The family is affiliated to the Roman Catholic church. However, BY mentioned that they seldom attend the mass in the local parish. They avail of services at the
local health center, and also the local government through the purok organization.

During the interview, the students observed that the floor was not clean. Used dishes are placed in the sink, where some flies were hovering. Left-over food was kept in a
covered plate. The source for drinking water is the city’s water district. They have an open drainage. They don’t have their own toilet and just goes to the neighbor’s toilet when
they need to defecate. Sometimes, they just wrap and throw their waste into the sea. The house is about 20 square meters in floor area. There are two windows providing for
ventilation and lighting is poor. It has one bedroom where all the members sleep together. The houses in the neighborhood are also congested. BY said that it’s useless to clean
the canal and segregate their garbage because their neighbors do not it as well. When a family member gets sick, they go the Miniforest Health Center for check up. However,
DY’s immunization is not up to date because he had fever during the last schedule. He is actually having cough during the interview. The mother also said that CY, the eldest
daughter, is having loose watery stool. BY mentioned that they use over-the-counter drugs for common illnesses and seek medical consultation after three days or when the
illness does not get better. She relayed, however, that sometimes, they cannot complete the prescribed medications due to financial constraints.The student nurses assessed the
children using the IMCI protocol. CY is classified as having dysentery, while DY is classified as having pneumonia.
Family Name: X Barangay: V

Date/ Cues Health Problem Family Goal Of Care Objectives Of Care Nursing Nurse Resource Evaluation
Time Nursing Intervention Famil s
Problem s y Required
Contact
M Subjective : Family size beyond Inability to provide After the Within two days of 1. Build rapport Material September 24,
A what family a home nursing nursing with the family. H Resources: 2021 @ 9 AM
R ● Mrs. BY resources can environment interventions, interventions, the O “Goal Met”
stated “Ang
C M
dati na mga
H gamit ni CY E
kay
gepagamit
1 lang nako V
7 kay baby DY
I
kay wala na
,
mi pang plit S
2 ug mga
I
gamit, para
0
maka tipid T
2 sad mi.”
2
● Mrs. BY does
not cook
@ often and
buys their
food from a
8 “karinderya”.
A However,
M sometimes
their meals
are not
enough.
● “Wala sad mi
pambakal ug
 gatas para sa
mga bata.”
provide as health conducive to health the family will family will be able 2. Assess and 1. Visual aids
presentation:
threats maintenance and recognize and to: evaluate the After the
personal understand a. Express the family’s opinion a. Pamphlet with nursing
development due the thoughts and towards family illustrations about interventions,
to: importance of understandin planning: family planning the family was
family size g of the and family care able to:
A. Inadequate and will be advantages a. Attempts
family resources able to take of family towards family Human a. Express
specifically financial actions to planning planning Resources: understanding
constraints/limited maintain the Time and effort about the
family resources. number of b. Identify b. Availability or on both the advantages and
children disadvantag usage of student nurse, disadvantages
B. Lack of/ based on es of contraceptives clinical instructor, of family
inadequate family absence of and the family. planning by
knowledge of planning. family 2. Discuss what verbalizing, “So
preventive planning by is family size Financial ganito po pala
“Wala pong measures. verbalization and its Resources: ang posibleng
pambili ng agatas connection to Money for the mangyari
8 kaya am nalang po c. Enumerate family planning transportation ma’am kapag
A muna” at least four and token kamo walang
M methods of 3. Explain the family planning
Objective: family effects of family sa pamilya.
planning size beyond b. Identify the
● The family’s financial disadvantages
net monthly
income is
P7000, coming
from the
husband’s job.

● Inadequate
quantity of . d. Determine capability. of the absence
healthy food alternative of family
Supply and ways on 4. Present ways planningg by
facility:
utilizing on how to verbalizing,
a. Rice water as community healthily prevent “Mahirap po
substitute for and services pregnancy such pala kapag
breast milk and programs as as using walangalam sa
milk formula healt contraceptives family planning,
h
resource acquired from mattutustusan
b. They don’t have such as: community ng maayos ang
their own toilet.
They go to the
neighbor’s toilet
when they need to
defecate.
National Family health centers mga bata”
 Planning and abstaining.
● Lack of Program and c. Enumerate
newborn and Child Health and 5. Encourage four methods
child care Development the family to on family
materials such Strategic Plan apply and planning:
as: practice family 1. Abstinence
a. Diapers planning 2. Condoms
b. Milk bottle 3. Pills
c. Reused baby 4. Injectables
 Clothes 6. Assess and d. Determine
evaluate the the alternative
● Pregnant
level of ways on
mother
understanding utilizing
foreseeing
and community
another
comprehensio programs by
family
n of the enumerating
member
discussion. and
verbalizing,
● Absence of
“Tanda ko po
a stable job
yung mga
pamamaraan
pati na din
ano ang
gagawin para
makalapit
kami at
makahingi ng
tulong sa
health center.”

Flormarie
L. Tuado, St. N
Family Case Analysis 1
Case: Pneumonia
Family Developmental Task: Child Bearing Family (Birth – 2 ½ years old)
CASE SCENARIO 1 Group 1
Family Y is a nuclear family of four members. The couple are married and have been residing in Miniforest, Boulevard, Davao City for 3 years. AY, the husband and head of the family, is 26
years old, finished high school and is employed as security guard in a department store in Uyanguren. BY, the wife, is 21 years old, finished second year high school and is a full time
housewife. They have two children. CY is 2 years old, female, a fully immunized child. The second child is DY, 5 months old, male, who is being breastfed by his mother, and has received
immunizations for BCG, Penta2, PCV2 and OPV2.
In terms of decision making, the couple accounted that they consult each other especially with regards to financial concerns and emotional problems. BY said that they try their best to
understand each other through open communication, and make decisions for the good of the family.
The family’s net monthly income is P7000, coming from the husband’s job. BY is in-charge of the family budget, prioritizing food, water, electricity, house rental and clothes. Most of the
budget goes to the family’s nutritional needs. BY relayed that sometimes she cannot cook their meals because she is busy attending to the children’s needs, so they just buy from the
“karinderya” in the neighborhood. She also said that she can’t even clean the house regularly since most of her time is devoted to taking care of the kids, especially DY.
The family is affiliated to the Roman Catholic church. However, BY mentioned that they seldom attend the mass in the local parish. They avail of services at the local health center, and also
the local government through the purok organization.
During the interview, the students observed that the floor was not clean. Used dishes are placed in the sink, where some flies were hovering. Left-over food was kept in a covered plate. The
source for drinking water is the city’s water district. They have an open drainage. They don’t have their own toilet and just goes to the neighbor’s toilet when they need to defecate.
sometimes, they just wrap and throw their waste into the sea. The house is about 20 square meters in floor area. There are two windows providing for ventilation and lighting is poor. It has
one bedroom where all the members sleep together. The houses in the neighborhood are also congested. BY said that it’s useless to clean the canal and segregate their garbage because
their neighbors do not it as well.
When a family member gets sick, they go the Miniforest Health Center for check up. However, DY’s immunization is not up to date because he had fever during the last schedule. He is
actually having cough during the interview. The mother also said that CY, the eldest daughter, is having loose watery stool. BY mentioned that they use over-the-counter drugs for common
illnesses and seek medical consultation after three days or when the illness does not get better. She relayed, however, that sometimes, they cannot complete the prescribed medications
due to financial constrains.
The student nurses assessed the children using the IMCI protocol. CY is classified as having dysentery, while DY is classified as having pneumonia.