FAMILY

NURSING
CARE PLAN
GROUP 2
Introduction
This work shows a real-life scenario. Family nursing diagnosis is a clinical judgment regarding existing or
probable health problems and life processes that occur in the family. It allows us to reconcile theory and practice.
It is validated when the defining traits, relevant factors, and risk factors uncovered during the assessment are
clearly defined and linked to it. Logical reasoning, in which relationships are formed to arrive at reasoned
judgments, distinguishes the planning process. This presentation focuses on the family's health needs and
problems to be able to establish priorities, select appropriate and or implement the nursing actions and evaluate
each member of the family.

FAMILY NURSING CARE PLAN | GROUP 2

The family nursing procedure will result in a care plan that describes each client's needs and care. It is a
collection of actions that we select and implement from a variety of options after careful consideration and
evaluation of alternatives in order to address identified family health and nursing issues.

The particular reason for choosing this family is, we are able to identify their health problems and provide
solutions through health education and treatments. The family will be able to comprehend and learn about
All the data included in this case presentation was collected from a personal interview which was conducted by one
of our members inside of the client's home. Social distancing and safety protocols are implemented during the
interview.
DATA INITIAL BASED NARRATIVE
A. FAMILY STRUCTURES AND CHARACTERISTICS
FAMILY AGE RELATIONSHIP GENDER
MEMBERS
FAMILY NAME: Dalipe Family
TYPE OF FAMILY: Single Parent Family Lourdes D. 57 y.o Mother F

The case is a Single Parent type of family

Trisha 21 y.o Daughter F
composed of 4 members. The head of the

FAMILY NURSING CARE PLAN | GROUP 2

family is 57 years old Lourdes D., the Cesar 18 y.o on M

mother. She has 2 children, one daughter

named Trisha (21 years old) and son named Xian 2 y.o Grandchild M

Cesar (18 years old). And has a 2 years old

grandchild who is Xian.
 DATA INITIAL BASED NARRATIVE
B. SOCIO ECONOMIC STATUS
FAMILY MEMBERS EDUCATIONAL OCCUPATION INCOME
ATTAINMENT For The financial matters, Mrs. Lourdes who is
unemployed but has a monthly pension of
Lourdes D. COLLEGE N/A
Vendor
(Not permanent) 4,000.00 pesos and sometimes she has a part
time job as a helper on a sari-sari store. Also
she is the one who decides for the family
Trisha 3rd year College Student None
financial matters. She has 2 children, a
daughter and a son and a grandchild, the eldest
Trisha is 21 years old, currently in 3rd year

FAMILY NURSING CARE PLAN | GROUP 2

Cesar Senior High School Student None
Grade 12
college and her younger son Cesar. 18 years old,
a Senior High Grade 12 student, and a
Xian N/A N/A N/A grandson Xian 2 years old who has a normal
health status. Moreover, despite of being
unemployed, Mrs. Lourdes pension is adequate
 DATA INITIAL BASED NARRATIVE
C. ENVIRONMENTAL FACTORS POSITIVE
ENVIRONMENTAL
NEGATIVE ENVIRONMENTAL
FACTORS
FACTORS
The Dalipe Family has a good family interaction without conflict on any
personal issues. For their daily living they usually spend their leisure
Garbage Disposal Mixed construction materials
hours by watching tv, basketball games, and discussing issues that
happen locally. They eat 3 meals a day and wake up at 5:00 am and nap at
1:00 pm – 3:00 pm, when it's 5:00 pm the youngest son does his exercise Pail system toilet Open Drainage Facility

that lasts for 2 hours. The members of the family formed a strong bond
by expressing their feelings and sharing their thoughts to one another.
Congested Neighborhood

FAMILY NURSING CARE PLAN | GROUP 2

The family owns a house that is built in mixed material and the living
Presence of breeding sites
space is inadequate as well as the furniture. Dalipe Family gets their
water from a public water source, and their food storage is container
and jars. For the cooking materials they are using a gas stove. On the Inadequate living space

other hand, the drainage facility is an open drainage, toilet facility is a

pail system and the sanitary conditions are fair. Garbage disposal is
 DATA INITIAL BASED NARRATIVE
D. HEALTH STATUS AND HISTORY OF THE FAMILY
FAMILY PAST ILLNESS DIAGNOSIS HEALTH ACTION
MEMBERS
The members of the family with the history and present
health status are Trisha Mae Dalipe and Xian Earnest
Lourdes D. None None None Cudia.
Trisha, 21 years old, oldest daughter of Mrs. Lourdes , was
Trisha Lung Sarcoidosis None diagnosed with Lung Sarcoidosis. Sarcoidosis is a rare
disease caused by inflammation. It usually occurs in the
Took a medication lungs and lymph nodes, but it can occur in almost any
Corticosteroids as prescribed by organ. She takes medication Corticosteroids prescribed by
the Physician. their physician.
Cesar None None None
Also, Xian , 2 years old, grandchild of Ms. Lourdes.

FAMILY NURSING CARE PLAN | GROUP 2

currently diagnosed with G6PD (glucose-6-phosphate
Xian None G6PD
dehydrogenase) Deficiency. G6PD deficiency is an
(glucose-6-phosphate
dehydrogenase) inherited condition. It is when the body doesn't have
Deficiency Following the physician advice such as
prohibiting ingestion of foods contains enough of an enzyme called G6PD (glucose-6-phosphate
fava beans, soya products that can cause dehydrogenase). This enzyme helps red blood cells work
haemolysis. correctly. A lack of this enzyme can cause hemolytic
anemia. This is when the red blood cells break down faster
 DATA INITIAL BASED NARRATIVE
Following the approval of the data acquired, we have come up with the following problem. Poor Home/Environmental
Sanitation, Sedentary Lifestyle, Poor Ventilation, Improper Drainage Facility, Inadequate Living Space and Presence of
Vector .

Additionally, the abovementioned 6 discovered problems have been subjected to a rating procedure that tries to
determine the most important problem priority. The first of the priorities is the Improper Drainage Facility with the
total score of 4.67. It is a health threat because it can spread infections like dengue fever and malaria, putting the
family's health at risk. Second is the Poor Home/Environmental Sanitation with a total score of 3.84. It can be a health

FAMILY NURSING CARE PLAN | GROUP 2

threat because of poor disposal of trash, by getting a bacterial infection using water from an open drum of water, and
It can also be a breeding site for mosquitos. Thirdly, the Presence of Vectors with the total score of 3.67. It is a health
threat to the family because there is a possibility for the family to acquire vector borne diseases. Next is Sedentary
Lifestyle with a total score of 2.84. It is considered a health threat that may lead to cardiovascular diseases especially to
Mrs. Lourdes. Second to the last is Poor Ventilation with the total score of 1.97. It can be a health threat because
inadequacy of ventilation may increase hazard vulnerability of transmission of bacteria viruses. Lastly, the least and
 • Poor Home/Environmental Sanitation
Six 2. Sedentary Lifestyle
3. Poor Ventilation
Existing
4. Improper Drainage Facility
Problems 5. Inadequate Living Space
6. Presence of Vector

FAMILY NURSING CARE PLAN | GROUP 2

 TOP 3
PROBLEMS
1. Improper Drainage Facility

2. Poor Home / Environmental Sanitation

3. Presence of Vector
 SCORING OF IMPROPER DRAINAGE
FACILITY
ACTUAL
CRITERI COMPUTATION JUSTIFICATION
SCORE
A An open drainage is considered as a health threat
NATURE OF PROBLEM because this can cause spread of diseases like dengue
and malaria whereas it can be a breeding ground for
• Health Threat 2/3 x 1 0.6 mosquitoes and cholera for contamination of water
sources. Different sicknesses can also be acquired
7 because of build-up of toxins and bad odor.

MODIFIABILITY
• Easily Modifiable 2/2 x 2 2 Health teaching about proper garbage disposal and
using a drain guard to minimize the amount of
waste that gets washed down the sink is essential to
keep the drainage clean. Use BTI products to
eliminate mosquito and larvae and make a cover for
the drainage. Also, if safe water is not available, boil
tap water first before drinking.
 SCORING OF IMPROPER DRAINAGE
FACILITY
ACTUAL
CRITERI COMPUTATION JUSTIFICATION
SCORE
A
PREVENTIVE POTENTIAL Preventive Potential (High) (1) - This is easily

• Moderate 3/3 x 1 1 preventable because of health teaching about

proper waste disposal and prevention of diseases
caused by mosquitoes and drinking of unsafe
SALIENCE water.

• A serious problem,
2/2 x 1 1 This is a serious problem needing immediate
immediate action needed attention because with poor garbage disposal, this
can possibly cause flooding and can favor cholera
and vector-borne diseases such as dengue and
malaria.

TOTAL SCORE: 4.6

7
SCORING OF POOR HOME / ENVIRONMENTAL SANITATION

ACTUAL
CRITERI COMPUTATION JUSTIFICATION
SCORE
A Health threat because of poor disposal of trash
NATURE OF PROBLEM that can cause family’s disease, also the family can
get a bacterial infection by using a water from
• Health Threat 2/3 x 1 0.6 open drum of water, and It can also be a breeding
site of mosquitos.
7
MODIFIABILITY
• Easily Modifiable 2/2 x 2 2
Easily modifiable once the family members know
some way to properly sanitize and also by using a
cover to a drum of water.
SCORING OF POOR HOME / ENVIRONMENTAL SANITATION

ACTUAL
CRITERI COMPUTATION JUSTIFICATION
SCORE
A
PREVENTIVE POTENTIAL
By cleaning properly the surroundings, emptying
• Moderate 2/3 x 1 0.6 , draining the water or covering all the surfaces of
the drum of water.

SALIENCE
7
• A serious problem,
1/2 x 1 0. Perceived as a problem but the family doesn’t
but not needing need an immediate action for this because the

immediate attention 5 family need to store more water in case of

emergency

TOTAL SCORE: 3.8

4
 SCORING OF PRESENCE OF
VECTOR
ACTUAL
CRITERI COMPUTATION JUSTIFICATION
SCORE
A
NATURE OF PROBLEM
Considered as health threat because there is a high

• Health Threat 2/3 x 1 0.6 possibility of family acquiring vector borne diseases,
dengue fever and malaria.

7
MODIFIABILITY
• Easily Modifiable 1/2 x 2 1
It is partially modifiable because of open drainages
that is common site of vectors that can be only
modified if local government give immediate action
to this open drainages.
 SCORING OF PRESENCE OF
VECTOR
ACTUAL
CRITERI COMPUTATION JUSTIFICATION
SCORE
A
PREVENTIVE POTENTIAL
Preventive Potential (High) (1) - For the reason
• Moderate 3/3 x 1 1 that family is aware of protecting themselves
from acquiring disease manifesting by the usage
of insect repellant lotion, wearing protective
SALIENCE garments such as pants, sleeves and using traps.

• A serious problem,
2/2 x 1 1 This is a serious problem needing immediate
immediate action needed attention because it is common source of illness
based on our gathered data by the head of the
family.

TOTAL SCORE: 3.6

7
 FACILITY
IMPROPER DRAINAGE

FAMILY NURSING CARE PLAN | GROUP 2

IMPROPER DRAINAGE FACILITY
HEALTH NURSING GOAL OBJECTIVE NURSING METHOD OF Required EVALUATION
FAMILY OF OF INTERVENTION NURSE FAMILY
PROBLEM Resource
PROBLEM CARE CARE CONTACT
HUMAN RESOURCES:
Family Ignoring After 2 hours of student 1. Establish rapport with the
Improper drainage After 2 hours of Due to Pandemic Covid-19, •After 1 day of home visit,
the problem that interaction between nurse and client family. Home Visits
facility as a health threat. 2. Make a statement about one student nurse was the family acknowledges
may cause student nurses and interaction and a health
lecture, the family will be the action's purpose.
conduct the home visit and the importance of having a
impairment of clients, the family
Subjective 3. Assess whether or not the interview to the family. proper drainage facility
their health for the will be able to able to :
"Yung drainage namin family is willing to help
reason that they get identify effective
Interview
dahil nasa gitna ng use to it measures to a. Be aware of the solve the problem.
Health protocols are strictly •the family was able to
4. Assess the family's level of
pathwalk at nadadaanan eradicate or at least problem and understand followed during the home develop the proper
ng motor kaya nababasag minimize the the need of maintaining a understanding of the visit.
drainage facility.
tapos nababarahan at problems that can clean environment, such situation. Observation
• Time and effort of both
diyan din minsan cause drainage as proper garbage disposal. 5. Discuss with the family •the family regularly clean
their present condition and student nurse and the
lumalabas mga daga at obstruction in order and maintain the
allow them to verbalize their family
ipis"as verbalized by the to promote b. Identify the cleanliness of having an
environmental disadvantages of having a perception about the • 2 days of conducting
head of the family proper drainage facility
cleanliness. poor drainage system. problem. the interview, March 22,
6. Encourage them to keep 2022 3:00 pm and 2nd
Objective the family's surroundings in
c. Name at least two visit March 23, 2022
Based on our observation
vector-borne illnesses that a suitable environment.
drainage system of whole 7. Discuss the necessity of
the family could get.
street were the family having a proper drainage
lived in is too small for system with the family, such
number of neighborhood as:
 c. Increased risk of MATERIAL RESOURCES:
weight the lid is
vector-borne > Visual aids to be used in
concrete so discussing
it is easily to disease. the proper ways of maintaining

damage have a 8.Discuss with the proper drainage system

> Home visit survey form
lotclogged thethat
of debris family the drawbacks > Pen and paper

drainage of a improper >Cellphone for communication

>Camera for documentation
that may drainage system, such 


as: FINANCIAL RESOURCES:

lead to flood • Php 1,225 for groceries
a. noxious odor
and didn't 

b. vectors are present
get
c. Increases the
maintain for
amount of leftovers
unknown
d. Increased risk of
reason.
vector borne disease
9.Discuss with the
family instances of
vector-borne illnesses
that the family can
contract if the
drainage system isn't
improved, such as:
10. Discuss and show
several options for
correcting/managing
the faulty improper
drainage system, such
as:
a. At the end of the
drainage tube, place a
pail or a deep container
that will function as a
waste reservoir.
b. Cleaning of the
left-overs at the
drainage system's
conclusion on a regular
basis
d. Cover the region
with sand if there is
stagnant water at the
tube's end.
11. Encourage the
12. Check up with the
family to see if they've
put their skills and
knowledge about
proper drainage
systems .
DOCUMENTATION
"A warm smile is the
universal language of
kindness,"
 FAMILY NURSING CARE PLAN | GROUP 2 MARCH 29, 2022

GROUP MEMBERS:
Acon, Hamera
Thank you!
Barranda, Julius
Daigdigan, Abegail
Fernandez, Christian Have a great day ahead.
Gabon, Fiona
Lagdan, Alexander
Mobreros, Allyssa
Molina, Felicity
Pagdilao, Hanz
Panelo, Adrienne
Perez, Jacqueline
Salvador, Catherine
Solis, Phobie