Family Nursing Care Plan

FAMILY NURSING CARE PLAN
Problem Identified: TOBACCO SMOKING

Date Identified: August 28, 2019
Cues:
SUBJECTIVE:
“ Motabako man ko day, mga ka 3 sa isa ka adlaw labi nag lud-on ko paghuman ug kaon”
“usahay gani dai, makaon sa akong apo ang upos” as verbalized by client.
OBJECTIVE:
 Presence of leftover smoked tobacco in the house

 Presence of tobacco smell
 Client was seen smoking during the end of 1st house visit.
Family Nursing Problem: Unhealthy Lifestyle and Personal Habits Specifically Tobacco Smoking.
Goal of Care: After 3 hours of nursing intervention, the family will be able to recognize the
harmful effects of smoking.
Objectives: Within 3 hours of nursing intervention, the family will be able to:
1. Demonstrate interest, cooperation and participation throughout the whole length of

teaching-learning activity.
2. Recognize the problem as a health threat.
3. Develop an understanding of the harmful effects of smoking to own health as well as the
harmful effects of the second hand smoke to other individuals.
4. Increase own awareness on the importance of smoking cessation.
5. Recognize the benefits of smoking cessation in health and financial aspect.
INTERVENTIONS RATIONALE
1. Assess the family’s background knowledge This will serve as a clue on where to start with
of the topic to be discussed the health teaching.
2. Determine the family’s perspective and Client’s willingness to participate is a key factor
interest in relation to the problem identified. to an effective health teaching.
3. Explain the purpose of the health teaching To promote cooperation of the client.
to the family.
4. Discuss the harmful effects of smoking to To help the client understand why smoking
one’s health. Provide Visual Aid. needs to be eliminated. Visual aids can
reinforce the information. Some clients prefer
discussions with visuals to help them
understand more.
5. Discuss each preventable disease that can be Provides the patient with needed information
acquired from smoking for management of risk factor and for
compliance.
6. Explain second hand smoke and mention the To aware the patient that there are also other
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key persons who may also be affected by the people aside from her that is at risk because of
smoking habit her smoking habit.
7. State importance and benefits of smoking Providing relevant information to the client
cessation about the benefits of smoking cessation will
help in encouraging the client to start the
process as soon as possible.
8. Discuss ways on how to stop smoking. Providing information about effective

techniques helps the client in achieving the
goal
Resources Required:
 Pamphlet
 Time and Effort of the Student Nurse and Family
Evaluation:
Within 2 hours of nursing intervention, the family was be able to recognize the harmful effects
of smoking.
“ Karon dai nga gisultihan nako nimo sa mga dili maayo nga epekto sa tobacco, mapursigi nako
nga mounding labi na kay maapektuhan man d.i akong mga apo ug apil” as verbalized by the
client.
Problem Identified: ACCIDENT HAZARD SPECIFICALLY FALL HAZARD: Vertical and Weak Stairs
Cues:
SUBJECTIVE:
“Maglisod bitaw kog naog dha sa hagdanan, usahay mahadlok nako manaog” as
verbalized by the client.
OBJECTIVE:
 Vertical stair
 Weak foundation
 Difficult to use especially when climbing down
 Deteriorating wood
 Absence of hand rails
Family Nursing Problem: Inability to provide home environment conducive to health

maintenance and personal development due to lack of skill in carrying out measures to improve
home environment.
Goal of Care: After 2 hours of nursing intervention, the family will be able to identify risk factors
on the actual condition in order to make plans to prevent any accident.
1. Demonstrate interest, cooperation and participation throughout the whole length of

teaching-learning activity
2. Know the importance of having a safe environment free from hazards.
3. Verbalize understanding of individual factors that contribute to possibility of injury and take
steps to correct situation.
4. Demonstrate behaviors, lifestyle changes to reduce risk factors and protect self from injury.
5. Understand the need for modifying the environment to enhance safety.
1. Assess the family’s level of understanding on This will serve as a clue on where to start with
the identified problem the health teaching.
to the family.
4. Discuss potential hazards existing in their To help the family recognize the presence of
home hazards
5. Discuss the importance of having a safe to supply family’s knowledge regarding safety
environment.
6. Discuss safety precautions to take while the To minimize the risk of accident.
stairs are unfixed.
7. Help the family create a plan on fixing the Cooperation helps the family and the nurse in
damaged stair consider putting handrails. carrying out the task. Handrails provides
support.
8. Scout for possible materials in the area To lessen the expenses.
9. Help the family in fixing the stairs. To prevent the occurrence of accidents in the
future.
Resources Required:
 Hammer
 nails
 wood to fix the structure
 time and effort of student nurse and client
Evaluation:
The family care plan was not implemented due to the family’s refusal to fix the problem.
“dili nalang nato na ayuhon dai kay basig mahugmak na hinoon ning balay ug mag dokdok ta”
Problem Identified: ACCIDENT HAZARD SPECIFICALLY FIRE HAZARD
Cues:
SUBJECTIVE:
“Mahadlok baya ko dai kay kahoy ra na akong abohan, unya dali rani masunog akong balay mao
ng bantayan gyud nan ko ang akong giluto pirmi” as verbalized by the client.
OBJECTIVE:
 cooking area made of wood

 deteriorating dry wood walls
 presence of small burned parts of the wall
 presence of wood charcoal near the wall
 nipa roof
 house materials that are conducive to fire
Family Nursing Problem: Inability to provide home environment conducive to health

maintenance and personal development due to lack of resources in order to carry out measures
to improve home environment specifically financial constraints/limited financial resources.
Goal of Care: After 2 hours of nursing intervention, the family will be able to recognize the
problem and learn measures to minimize the risk factors.
1. Recognize the presence of environmental hazard as a health threat.

2. Identify ways to modify the environment and make it less vulnerable to accidental
fire.
3. Enumerate safety measures to prevent the occurrence of fire.
4.
5. Remain free from injury.
1. Assess the family’s level of understanding on This will serve as a clue on where to start with
the identified problem the health teaching.
to the family.
4. Discuss potential consequences of the To aware the family of the possible negative
hazards existing in their home. outcomes if the problem is left unfixed.
5. Discuss the importance of having a safe To supply family’s knowledge regarding safety
environment.
6. Discuss the nature and cause of the problem Enhance the family’s ability to recognize their
needs and problems
7. Encourage the family to never leave any To minimize the risk of accident.
form of fire unattended such as candles or
burning fire woods.
8. Teach the family other preventive measures Splashing enough water after cooking ensures
such splashing water into the fire after that there will be no burning fire woods left
cooking. unattended.
9. Instruct the family to always put a pale of So that there will be water that is readily
water near the cooking area. available incase its needed.
10. Teach the family to not leave the grandkids To prevent injury to the children as well as to
near the cooking area. ensure that kids are not playing with fire which
may pose a bigger threat.
Resources Required:
• Pale of water and tabo

• time and effort of student nurse and client
Evaluation:
The family was able to recognize the problem and was able to learn measures to minimize the
risk factors.
“Sayangan ma gud ko Mabasa ang kahoy kay pwede pa man na magamit unta. Pero sugod karon
dai, boboan na nako kay dali raman ta makikita ug kahoy pabg sugnod pero lisod magbuhat ug
balay ug mangasunog mi diri”.
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FAMILY NURSING CARE PLAN

Problem Identified: TOBACCO SMOKING

 Presence of leftover smoked tobacco in the house

1. Demonstrate interest, cooperation and participation throughout the whole length of

8. Discuss ways on how to stop smoking. Providing information about effective

Family Nursing Problem: Inability to provide home environment conducive to health

1. Demonstrate interest, cooperation and participation throughout the whole length of

8. Scout for possible materials in the area To lessen the expenses.

FAMILY NURSING CARE PLAN

 cooking area made of wood

Family Nursing Problem: Inability to provide home environment conducive to health

1. Recognize the presence of environmental hazard as a health threat.

• Pale of water and tabo

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