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FAMILY CARE PLAN

CHN LEC CARE OF THE MOTHER, CHILD AND ADOLESCENT /1 ST SEMESTER / 2ND YEAR LEVEL

FAMILY CARE PLAN 1. It should be based on clear, explicit

definition of the problems.
2. A good plan is realistic.
DEFINITION
3. The nursing care plan is prepared jointly
→ It is the blue print of the care that the nurse
with the family.
design to systematically minimize or eliminate
4. The nursing care plan is most useful in
the identified health and nursing problem
written form.
through explicitly formulated outcomes of care
(goals and objectives) and deliberately chosen set
IMPORTANCE OF PLANNING CARE
of interventions, resources and evaluation
1. They individualize care to clients.
criteria, standards, methods and tools.
2. The nursing care plan helps in setting
priorities by providing information about the
1. The nursing care plan focuses on actions,
client as well as the nature of his problem.
which are designed to solve or minimize
3. The nursing care plan promotes systemic
existing problems. It should be on the
communication among those involve in the
interventions in order to solve the problems.
health care effort.
o The cores of the plan are
4. Continuity of care is facilitated through the
approaches, strategies, activities,
use of nursing care plans.
methods and materials, which the
o Gaps and duplications in the
nurse hopes, will improve the
services provided are minimized, if
problem.
not totally eliminated.
2. The nursing care plan is a product of the
5. Nursing care plans facilitate the coordination
liberate systematic process.
of care by making known to other members
3. The nursing care plan as with all other plans
of the health team what the nurse is doing.
relate to the future.
o It utilizes events in the past and
STEPS IN DEVELOPING CARE PLAN
what is happening in the present to
1. The prioritized conditions of the problem.
determine patterns. It also projects
2. Goals and objectives of the nursing care.
the future scenario if the situation is
3. The plan of the interventions.
not corrected.
4. The plan for evaluating care.
4. The nursing care plan is based upon
identified health and nursing problems.
PRIORITIZING HEALTH PROBLEMS
5. The nursing care plan is a means to an end,
→ Four Criteria for Determining Priorities:
not and end itself.
1. Nature of the condition or problem-
o The goal in planning is to deliver
categorized into wellness state/potential,
the most appropriate care to the
health threat, health deficit of foreseeable
client by eliminating barriers to the
crisis.
family health development.
2. Modifiability of the condition or problem-
6. The nursing care plan is a continuous
refers to the probability of success in
process not a one shot deal.
enhancing the wellness state improving the
o The results of evaluation of the
condition minimizing, alleviating or totally
plan’s effectiveness trigger another
eradicating the problem through
cycle of the planning process until
intervention.
the health and nursing problem are
3. Preventive potential- refers to the nature
eliminated.
and magnitude of future problem that can be
minimized or totally prevented if
DESIRABLE QUALITIES OF A NURSING
interventions are done on the condition or
CARE PLAN
problem under consideration.

FAMILY CARE PLAN
CHN LEC CARE OF THE MOTHER, CHILD AND ADOLESCENT /1 ST SEMESTER / 2ND YEAR LEVEL
4. Salience- refers to the family’s perception
and evaluation of the condition or problem
in terms of seriousness and urgency of
attention needed or family rediness.
FACTORS AFFECTING SETTING
1. Nature of the problem
o The biggest weight is given to the
wellness state or potential because
of the premium on client’s effort or
desire to sustain/ maintain high
level of wellness.
o The same weight is given to health
deficit because of its sense of
clinical urgency, which may require
immediate intervention.
o Forseeable crisis is given the least
weight because culture linked
variables/ factors usually provide
our families with adequate support
to cope with developmental or
situational crisis.
FORMULATION OF GOALS AND
OBJECTIVES
→ GOAL- is a general statement of condition or
state to be brought about by specific courses of
action.
→ OBJECTIVE- refers to a more specific
statement of the desired results or outcomes of
care. They specify the criteria by which the
degree of effectiveness of care is to be measured.
BARRIERS TO JOINT GOAL SETTING
BETWEEN THE NURSE AND THE FAMILY
1. Failure on the part of the family to perceive
the existence of the problem.
2. The family may realize the existence of the
health condition or problem but is too busy
at the moment.
3. Sometimes the family perceives the
existence of the problem but does not see it
as serious enough to warrant attention.
4. The family may perceive the presence of the
problem and the need to take action. It may
however refuse to face and do something
about the situation.
 Reasons to this kind of behaviour:
1. Fear of consequences of taking actions
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2. Respect for tradition
3. Failure to perceive the benefits of action
4. Failure to relate the proposed action to
the family’s goals.
5. A big barrier to the collaborative goal setting
between the nurse and the family is the working
relationship.
FOCUS ON INTERVENTIONS TO HELP THE
FAMILY PERFORMS HEALTH TASKS:
1. Help the family recognize the problem
o Increasing the family’s knowledge
on the nature, magnitude and cause
of the problem.
o Helping the family see the
implications of the situation or the
consequences of the condition.
o Relating the health need to the
goals of the family.
o Encouraging positive or
wholesome emotional attitude
toward the problem by affirming
the family’s capabilities/ qualities/
resources and providing
information on available actions.
2. Guide the family on how to decide on
appropriate health actions to take.
o Identifying or exploring with the
family courses of action available
and the resources needed for each.
o Discussing the consequences of
action available.
o Analyzing with the family of the
consequences of inaction.
3. Develop the family’s ability and
commitment to provide nursing care to
each member.
o Contracting-is a creative
intervention that can maximize the
opportunities to develop the ability
and commitment of the family to
provide nursing care to its
members.
4. Enhance the capability of the family to
provide home environment conductive to
health maintenance and personal
development.
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FAMILY CARE PLAN
CHN LEC CARE OF THE MOTHER, CHILD AND ADOLESCENT /1 ST SEMESTER / 2ND YEAR LEVEL

o The family can be taught specific schedule of visit or family decision, and updates
competencies to ensure such home on outcomes or responses to care and treatment.
environment through o Written communication
environmental manipulation or → It is another less time consuming option for the
management to minimize or nurse in instances when there are large number
eliminate health threats or risks or of families needing follow-up on top of problems
to install facilities of nursing care. of distance or travel time.
5. Facilitate the family’s capability to utilize o School visit or conference
community resources for health care. → It is done to work with family and school
o Involves maximum use of available authorities on how to appraise the degree of
resources through the coordination, vulnerability of and worked out interventions to
collaboration and teamwork help children and adolescence on specific health
provided by effective referral risks, hazards or adjustment problems.
system. o Industrial or job site visit
→ It is done when the nurse and family need to
make an accurate assessment of health risks or
CRITERIA FOR SELECTING THE TYPE OF
hazards and work with employer or supervisor
NURSE FAMILY CONTACT
on what can be done to improve on provisions
1. Effectivity for health and safety of workers.
2. Efficiency
3. Appropriateness IMPLEMENTING THE NURSING CARE PLAN
→ During this phase, the nurse encounters the
realities in family nursing practice that motivates
TYPES OF NURSE FAMILY CONTACT her to try out creative innovations overwhelm her
→ Home visit to frustration or inaction. A dynamic attitude on
o While it is expensive in terms of time, effort personal and professional development is,
and logistics for the nurse, it is an effective therefore, necessary if she has to face up
and appropriate type of family nurse contact challenges of nursing practice.
if the objectives and outcomes of care
require accurate appraisal of family
relationship, home and environment and
family competencies. i.e. The best
opportunity to serve the actual care given by
family members.
o Clinic or office conference
→ It is less expensive for the nurse and provides the
opportunity to use equipment that can’t be taken
to the home. In some cases, the other team
members in the clinic may be consulted or called
in to provide additional service.
o Telephone conference
→ May be effective, efficient, and appropriate if the
objectives and outcomes of care require
immediate access to data given problems on
distance or travel time. Such data include
monitoring of health status or progress during the
acute phase of an illness state, change in