Professional Documents
Culture Documents
Family Nursing Care Plan
Family Nursing Care Plan
Family Nursing Care Plan
- involves a set of actions by which the nurse measures the status of the family as a client, its ability
to maintain itself as a system and functioning unit, its ability to maintain wellness, prevent,
control or resolve problems in order to achieve health and well-being among its members.
b.) socio-economic & cultural characteristics – include occupation, place of work, and income
of each working member; educational attainment of each family member; ethnic background
and religious affiliation; significant others and the other role(s) they play in the family’s life;
and, the relationship of the family to the larger community.
c.) home and environment – include information on housing and sanitation facilities; kind of
neighborhood and availability of social, health, communication and transportation facilities in
the community.
d.)health status of each member – includes current and past significant illness; beliefs and
practices conducive to health and illness; nutritional and developmental status; physical
assessment findings and significant results of laboratory/diagnostic tests/screening
procedures.
e.) values and practices on health promotion/maintenance & disease prevention – include use
of preventive services; adequacy of rest/sleep, exercise, relaxation activities, stress
management or other healthy lifestyle activities, and immunization status of at-risk family
members.
Data Gathering Methods & Tools
a.) Observation – method of data collection through the use of sensory capacities --- sight,
hearing, smell and touch.
Data gathered through this method have the advantage of being subjected to
validation and reliability testing by other observers.
c.) Interview – completing the health history of each family member. The health history determines
current health status based on significant past health history.
The second type of interview is collecting data by personally asking significant family
members or relatives questions regarding health, family life experiences and home environment to
generate data on what wellness condition and health problems exist in the family.
Productivity of the interview process depends upon the use of effective communication
techniques to elicit the needed responses.
Second level assessment can be adequately done for each wellness state, health threat,
health deficit or crisis situation by going through the following procedures:
Determine how all the other members are affected by the wellness
state/potential, health threat deficit or stress point.
d.) Record Review – reviewing existing records and reports pertinent to the client. ( individual
clinical records of the family members; laboratory & diagnostic reports; immunization records;
reports about the home & environmental conditions.
e.) Laboratory/Diagnostic Tests – performing laboratory tests, diagnostic procedures or other tests
of integrity and functions carried out by the nurse herself and/or other health workers.
2. Data Analysis
- sort data
- cluster/group related date
- distinguish relevant from irrelevant data
- identify patterns
- compare patterns with norms or standards
- interpret results
- make inferences/draw conclusions
3. Nursing Diagnoses: Family Nursing Problems
* A wellness condition is a nursing judgment related with the client’s capability for wellness.
A health condition or problem is a situation which interferes with the promotion and/or
maintenance of health and recovery from illness or injury.
NURSING DIAGNOSIS in the FAMILY NURSING PRACTICE - the family’s failure to perform
adequately specific health tasks to enhance the wellness state or manage the health
problem.
II. PRESENCE OF HEALTH THREATS – conditions that are conducive to disease and accident, or
may result to failure to maintain wellness or realize health potential.
SECOND-LEVEL ASSESSMENT
II. Inability to make decisions with respect to taking appropriate health action.
III. Inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable/at-risk
member of the family.
IV. Inability to provide a home environment conducive to health maintenance and personal
development.
THE FAMILY CARE PLAN – is the blueprint of the care that the nurse designs to systematically
minimize or eliminate the identified health and family nursing problems through explicitly formulated
outcomes of care ( goals and objectives) and deliberately chosen of interventions, resources and
evaluation criteria, standards, methods and tools.
1. It should be based on clear, explicit definition of the problems. A good nursing plan is
based on a comprehensive analysis of the problem situation.
2. A good plan is realistic.
3. The nursing care plan is prepared jointly with the family. The nurse involves the family in
determining health needs and problems, in establishing priorities, in selecting appropriate
courses of action, implementing them and evaluating outcomes.
4. The nursing care plan is most useful in written form.
COMMUNITY DIAGNOSIS
Collecting
Organizing
Synthesizing
Analyzing and interpreting health data
1. DETERMINING THE OBJECTIVES – the nurse decides on the depth and scope of the data
she needs to gather.
2. DEFINING THE STUDY POPULATION – the nurse identifies the population group to be
included in the study.
3. DETERMINING THE DATA TO BE COLLECTED – the objectives will guide the nurse in
identifying the specific data she will collect, and will also decide on the sources of these
data.
4. COLLECTING THE DATA – the nurse decides on the specific methods depending on the
type of data to be generated.
5. DEVELOPING THE INSTRUMENT – instruments/tools facilitate the nurse’s data-gathering
activities.
Most common instruments:
- survey questionnaire
- interview guide
- observation checklist
6. ACTUAL DATA GATHERING – the nurse supervises the data collectors by checking the
filled-up instruments in terms of completeness, accuracy and reliability of the information
collected.
7. DATA COLLATION – the nurse is now ready to put together all the information.
8. DATA PRESENTATION – will depend largely on the type of data obtained. (descriptive &
numerical data)
9. DATA ANALYSIS – aims to establish trends and patterns in terms of health needs and
problems of the community.
10. IDENTIFYING THE COMMUNITY HEALTH NURSING PROBLEMS
11. PRIORITY-SETTING – prioritize which health problems can be attended to considering the
resources available at the moment.
CRITERIA WEIGHT
Nature of the Problem
Health status 3 1
Health resources 2
Health-related 1
Magnitude of the problem 3
75% - 100% affected 4
50% - 74% affected 3
25% - 49% affected 2
<25% affected 1
Modifiability of the problem 4
High 3
Moderate 2
Low 1
Not Modifiable 0
Preventive potential 1
High 3
Moderate 2
Low 1
Social Concern 1
Urgent community concern;
expressed readiness 2
recognized as a problem
but not needing urgent attention 1
not a community concern 0
WHAT IS PLANNING?
PLANNING – is a process that entails formulation of steps to be undertaken in the future in order to
achieve a desired end.
Concepts of Planning:
. Planning is futuristic.
. Planning is change-oriented.
. Planning is a continuous and dynamic process.
. Planning is flexible.
. Planning is a systematic process.
1. Situational Analysis
- gather health data
- tabulate, analyze and interpret data
- identify health problems
- set priority
3. Strategy/Activity Setting
- Design CHN Program
- Ascertain resources
- Analyze constraints and limitations
5. Evaluation
- determines outcomes
- specify criteria and standards