FAMILY

NURSING CARE
PLAN

NUTRI GIRLS:
AŇANO, CRYSTAL JANE
DON, CINDY ROSE D.
FAJARDO, JESSICA
PANTE, KATE CRISSLE
TURAN. JESSA
(BSN2-4)

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FAMILY HEALTH ASSESSMENT

FAMILY SURNAME: Pante

HOUSE NO.: # 2 STREET: Felipe
BARANGAY: Damayan DISTRICT: 1
MUNICIPALITY/CITY: Quezon City CONTACT NO.: 09205360996
SOURCE(S) OF INFORMATION: Mother
DATA GATHERED BY: Group 4 of BSN2-4 (Nutri Girls)

HOUSEHOLD MEMBERS

NAME AGE RELATIONSHIP TO

HEAD OF HOUSEHOLD
Ronald Pante 42 Husband

Maritess Pante 44 Wife

Kate Crissle Pante 19 1st Daughter

Sharlene Pante 16 2nd Daughter

Angel Nicolah Pante 13 3rd Daughter

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 I. INTRODUCTION

This family nursing care plan has the purpose to provide ways in solving or finding a solution
to health-related problems of the family (Hope RN MD, 2018). This discusses family characteristics,
socio-economic and cultural characteristics, and family health behavior. This is the family nursing
care plan of the Pante family who lives in Quezon City. The interviewer gathered data through a
home visit from the mother of the family. Some health-related problems included are the presence
of vectors that may lead to illness, hypertension of the head of the family (father), and steep and
narrow stairway that can result to fall and injuries. These health-related problems are used to come
up with a nursing care plan that tackled these problems together with their diagnosis and
intervention.

A. GENOGRAM

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 This genogram shows the family history of the Pante family, their relationships, and
emotional bonds between the members. It also shows if inherited disease is present or not in the
family.

The family of orientation of Mrs. Marites includes her mother, father, and her 2 sisters. While
the family of orientation of Mr. Ronald includes his mother, father, three brothers, and three sisters.
Mr. Ronald together with his wife-- Mrs. Marites created their own family of procreation that
includes them and their three daughters. As you can see in the genogram, Mr. Ronald has
hypertension which he got from both of his parents, but fortunately not passed to his three daughters.

I. FAMILY CHARACTERISTICS

As stated by the mother, they don't have a family member who lives outside the household since
their three daughters are still young and studying. The members of the family are composed of the
mother (Mrs. Maritess), the father (Mr. Ronald), and their three daughters who are Kate, Sharlene,
and Angel. The family are living at 2 Filipe Street Barangay Damayan, Quezon City for about 45
years. They started to build their own family there right after they got married. Since the family is
living there for a long period of time, they don't have any previous residence and don't have any
record of geographic moves.

Most of the time the family bonded with each other inside their house. They rarely go out for
leisure because of work. According to the mother, her husband always cooks a meal for the whole
family as a sign of his love for them, especially for her (wife). Even though they rarely go to the
mall or wherever, they still have good emotional bonding. The one who holds the authority and
power in their family is the father (Patriarchal). They should obey him and follow all his rules in
their family. However, when it comes to decision-making, both mother and father decide for the
family; and if it requires the approval of their children, they involve them. Members of the family
talks to each other with respect and in a calm voice because their father doesn’t like it if they shout
while talking. Their father taught them to be respectful at all times to anyone, especially to them
(parents).

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 When there is a problem or conflict within their family, both husband and wife gently discuss
the problem and find a possible solution. They handled it properly because they solved it as early as
they can so that it will not become a big problem for them. When it comes to the division of labor,
all members of the family have a specific task/duty that they need to accomplish. Their father is
assigned to cooking, he always cooks for his family before going to work. The mother and the 1st
daughter are assigned to their store, while the 2nd and 3rd daughters are assigned in cleaning their
house.

II. SOCIOECONOMIC AND CULTURAL CHARACTERISTICS

Filipino is the language they use in everyday conversation with their family and neighbors. They
don't know any other native dialect since they don't have a chance to live in a province or other
places. Based on our observation, when we ask the mother to fill up our questionnaire, she is able to
read and write. Also, we knew that she and her husband graduated at the secondary level. During
their time, they can't afford to continue their studies in college; however, they were still grateful that
they had been given a chance to study. We assumed that her husband can also read and write. Their
daughters are currently studying, the 1st daughter is in 2nd-year college, the 2nd daughter is in senior
high school, and the youngest is currently studying as a grade 9 student.

The Pante family has a good relationship with their neighbors. According to the mother,
whenever she is at their sari-sari store, she used to talk among their regular customers and gossip
about life and other things. No one in their family is a member of any social or religious organization.
Mr. Ronald works as an installer, while her wife works in their small business which is the sari-sari
store. With the use of a motorcycle, Mr. Ronald goes to work at different places because he is an on-
call worker. Having the motorcycle is a big help for them, it is also used as their service. He always
picks up his daughters after work and used it when going to the market. The financial resources of
the family came from their father which is an installer and from their store.

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 On an ordinary day, the family spent most of their time using their cell phones and
working in their sari-sari store. Each member of the family is respectful especially their children
by doing mano and using “po” and “opo” in talking with the elderly. They believe in God, but
sometimes they can't go to church because of their work. Catholic is their religion, they celebrate
Christmas, New Year, Fiestas, and other events in their neighborhood. Their father loves to cook
especially if it's for his family. The food they usually eat is meat such as beef, chicken, and pork.
But of course, they balanced it by eating vegetables.

The father has hypertension, he got it from both of his parents. He is currently taking
medication (Micardis plus, 40 mg orally). Luckily, it is not inherited by his daughters. They
believe in some common folk diseases such as pasma (occurs when the body is exposed to cold
after being excessively hot), and usog (a child suffering from a cultural syndrome where a
stranger’s arrival causes sudden illness and convulsions). Of course, they also believe in
traditional healers. They seek health care from traditional healers that they know in their
neighborhood whenever a member of their family is injured or has an illness such as pilay.

III. FAMILY ENVIRONMENT

A. Family Residences

The foundation of the house is strong. It has two floors and three windows: two windows on
the second floor and one window on the first floor. The space inside the house is small, so it's
cramped, especially on the first floor, where we can see the kitchen, dining room, toilet, sink, and
small living room. The house is cold inside, even though the space is small. In the children's room,
there is a double deck so that they can fit in the small space. The roof of the house is well made, and
it does not leak when it rains. The inside of the house is not too hot, even on sunny days. The stairs
leading to the second floor are quite steep, so if anyone is going up and down, they could slip and
fall if they don't look carefully at their steps. In the kitchen, there is only a small space to cook. They
must be careful and not increase the fire too much. They should turn off the gas immediately after

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 using it, and do not leave anything unattended to avoid fire accident. The walls and every corner of
the house are well and solidly built.

They drink mineral water, while the tap water they used for cleaning, cooking, washing
dishes, laundry, and bathing comes from the Maynilad Water Supply. Sometimes, when their water
is cut off or maybe there is an interruption, they will have nothing to use unless they buy mineral
water or go to those who have a water pump and a well. For the preparation of foods, they clean or
wash them first before cooking or eating. They keep the raw foods and ready-to-eat foods separated
to avoid cross-contamination, and they don't store food in opened cans. The storage that they use
will be cleaned up or washed first, and they will put names on it, so it will not be mistakenly eaten
by a family member. All of their foods are well prepared and managed carefully, and they also have
a refrigerator that has been organized according to the foods they eat and to maintain cleanliness.

Their surroundings are not so clean, there are some scattered garbage outside. Their canals
are smaller and can't flow well because there's some garbage thrown in it. They do not have proper
garbage disposal around their house, but they do have their own sacks in which they simply throw
their garbage unseparated. In their area, the garbage collector collects their garbage every day. They
have a toilet inside the house, and they use water when pooping. They don't have any trash cans
inside the toilet, but the trash was thrown away in the sack properly. Rats and cockroaches can
sometimes be seen running around the house. Flies and mosquitos can also be seen, especially in the
kitchen or other areas where food is stored. They control pests and other vectors by cleaning inside
and outside their house.

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 B. Family Neighborhood

The family is currently living in an urban and residential area. When they travel, they
experience too much traffic, but it depends on the day and time that they travel. Sometimes they just
prefer to travel with their own motorcycle, especially when going to school, just to make the travel
easier and not be late. The neighborhood has street lights during at night. It's also rarely to have a
black-out problem at their area and if they do, it's always came back immediately.

Every night, Barangay officers patrol around their area due to curfew and to ensure the safety
of the people in their barangay at night. There are no records of robberies, and fights are rarely
happening in the area. Their place is quiet, and you won't see many people coming out of their
houses. There are many people residing in the area, the houses around them are close to each other.
But still, the people around them are quiet. The only pollution that we observe in their area is air
pollution because their house is near at the highway where many vehicles pass by.

IV. FAMILY HEALTH AND HEALTH BEHAVIOR

As stated above, on a typical day, they spent most of their time using their phones and
working in their sari-sari store. The only health history of their family is hypertension which only
their father has, who is taking his medication until now as his maintenance. They do self-care such
as avoiding alcohol and smoking and eating nutritious foods. In their family, each member is not
allowed to drink alcoholic beverages or smoke cigarettes. This action of the family will help them
prevent the risk of disease and promotes good health status. In their kitchen, there is also a presence
of some home remedies that they used in treating certain illnesses such as cough. Based on the
interview, the mother stated that the health agencies/facilities within their area are accessible
whenever they seek health care and it is just a kilometer away from their home.

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 V. FAMILY APGAR SCORE

TABLE 1: Family APGAR Questionnaire

ALMOST SOME OF THE HARDLY
ALWAYS TIME EVER
I am satisfied with the help that I receive
from my family* when something is ✓

troubling me.

I am satisfied with the way my family*

discusses items of common interest and ✓

shares problem solving with me.

I find that my family* accepts my wishes

to take on new activities or make changes ✓

in my life-style.

I am satisfied with the way my family*

expresses affection and responds to my ✓

feelings such as anger, sorrow, and love.

I am satisfied with the amount of time my

family* and I spend together. ✓

Scoring: The patient checks one of three choices which are scored as follows: 'Almost
always' (2 points), 'Some of the time' (1) point, or 'Hardly ever' (0). The scores for each of
the five questions are then totaled. A score of 7 to 10 suggests a highly functional family. A
score of 4 to 6 suggests a moderately dysfunctional family. A score of 0 to 3 suggests a
severely dysfunctional family. * According to which member of the family is being
interviewed the physician may substitute for the word 'family' either spouse, significant
other, parents, or children.

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 VI. HOUSE FLOOR PLAN

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1st FLOOR

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FRONT VIEW OF THE HOUSE

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2ND FLOOR

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 VII. IDENTIFICATION OF 3 HEALTH PROBLEMS
DATA
1. We observed that there is
a stagnant water outside
their house that can be a diseases, metabolic syndrome)
reservoir of any
vectors/bacteria.
2. According to the mother Illness state, regardless whether
her husband has
hypertension which is
inherited from his family.
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HEALTH PROBLEMS
Presence of risk factors of
specific diseases (lifestyle
it is diagnosed by medical
practitioner
TYPOLOGY OF HEALTH
PROBLEM
FAMILY NURSING
DIAGNOSIS
Presence of vectors as a health
threat
*Inability to recognize the
presence of condition or problem
due to:
- lack of/inadequate knowledge
*Inability to provide adequate
nursing care to the sick,
disabled, dependent or
vulnerable /at risk member of
the family due to:
- Lack of/inadequate knowledge
about disease/ health conditions
- Lack of necessary care
facilities, equipment and
supplies
Hypertension as a health
deficit
*Inability to make decisions
with respect to taking
appropriate health actions due
to:
a. Low salience of the problem
b. Fear of consequences of
actions:
 - Emotional/Psychological
consequences
c. Inaccessibility of appropriate
resources of care
- Physical accessibility
3. We observed that the Accident hazard Steep and narrow stairway as
stairway of the family is -Fall Hazard a health threat
steep and narrow that may *Inability to recognize the
cause fall. presence of problem due to:
a. Denial about its existence or
severity.
*Inability to provide a home
environment conducive to health
maintenance and personal
development due to:
a. Inadequate family resources
1. Financial constraint/limited
resources
2. Limited physical resources
b. Lack of inadequate
knowledge on preventive
measures

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 VIII. PRIORITIZATION

Family No. 1
Name of Family Head: Ronald
Address: 2 Felipe St. Barangay Damayan, Quezon City
List of Health Problem Nature of Problems

Presence of vectors Health threat

Hypertension of the Father Health deficit

Steep and narrow stairway Health threat

Family No. 1 (Pante)

Problem: Presence of Vector
CRITERIA STANDARDS SCORE WEIGHT COMPUTATION ACTUAL JUSTI-
SCORE FICATION
Nature of Presence of
the problem Health deficit vector is a
health threat for
1 2/3 x 1 0.66 the family and it
Health threat
2
may lead to
infection/illness.
Foreseeable
crisis

Modifiability Removable 2 The family have

Partially the necessary
modifiable resources to
Not modifiable 2 2/ 2 x 2 2 destroy/clean
the presence of
vectors.

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Preventive High Possibility of
Potentials Moderate 2 1 2/3 x 1 0.66 transferring
Low infection to the
family is
moderate and
should,
therefore, be
given an
attention.
The family
knows a way to
prevent
transferring of
infection by
destroying/
cleaning
stagnant water
outside the
house
(reservoir).

Salience of Needs Although there

the Problem immediate is a possibility
attention of transferring
Does not need infection to the
immediate 1 1 1/2 x 1 0.5 family, for them
attention the infection is
Not a problem non-life
threatening to
be given

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 immediate
attention.

TOTAL SCORE: 3.82

Family No. 1 (Pante)

Problem: Hypertension
CRITERIA STANDARDS SCORE WEIGHT COMPUTATION ACTUAL JUSTI-
SCORE FICATION
Nature of Health Deficit 3 Hypertension
the Problem Health Threats is a health
Foreseeable 1 3/3 x 1 1 deficit for the
Crisis family.

Modifiability Removable The family

knows how to
Partially 1
2 1/ 2 x2 1 prevent the
modifiable
worsening of
Not modifiable
the disease but
some
necessary
resources are
not enough/
available.
Preventive High Possibility of
Potentials Moderate 2 1 2/3 x 1 0.66 worsening of
Low this disease is
moderate and

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 should,
therefore, be
given an
attention. The
family knows
how to prevent
the worsening
of this disease
by taking his
maintenance
drugs for
hypertension.
Salience of Needs Although
the Problem immediate there is a
attention possibility of
Does not need worsening of
immediate 1 1 1/ 2 x 1 0.5 the disease,
attention there is a way
Not a problem to prevent it
from
occurring. For
them, it does
not need
immediate
attention since
the father is
properly
taking his
medication.
TOTAL SCORE: 3.16

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 Family No. 1 (Pante)
Problem: Steep and Narrow Stairway
CRITERIA STANDARDS SCORE WEIGHT COMPUTATION ACTUAL JUSTI-
SCORE FICATION
Nature of Health Deficit Steep and
the Problem Health Threats 2 1 2/3 x1 0.66 narrow stairway
Foreseeable is a health
Crisis threats that can
lead to
injury/accident
to the family.
Modifiability Removable The family have
some resources
Partially 1
2 1/ 2 x 2 1 to fix/change
modifiable
their stairway.
Not modifiable

Preventive High Possibility of

Potentials Moderate 1 1/3 x 1 0.33 fall hazard in
Low 1 the stairway is
low because the
they used to it.

Salience of Needs Although these

the Problem immediate problems can
attention lead to
Does not need 1 0/ 2 x1 0 injury/accidents,
immediate for the family it
attention is not a problem
Not a problem 0 because so far,
no one in their
family have

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 been in an
accident
because of their
stairway.
TOTAL SCORE: 1.99

Based on the computation and justifying scores of the three health problems, the health problems
that got the highest score is the presence of vectors. This got a total of 3.82 points while the second health
problem got 3.16, and the third got 1.99. Since, this health problem got the highest score, this should be
prioritized by the family. The family should make an action in preventing the occurrence of any illness
because of the presence of vectors around their house. Preventing this is easy because it only requires them
to be aware of their surroundings, by cleaning stagnant water present outside their house. Cleanliness is the
key to address this problem.

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 IX. FAMILY NURSING CARE PLAN

HEALTH FAMILY GOALS & INTERVENTION METHO- EVALUATION

PROBLEM NURSING OBJECTIVES DOLOGY
DIAGNOSIS
PRESENCE 1. Inability to After the 1.Providing or H Criteria:
OF HEALTH recognize the nursing teaching adequate O Knowledge on
THREATS presence of interventions, knowledge on the M preventing for
- Presence of condition or the family will various ways on E presence of
risk factors of problem due to: prevent/destroy maintaining vector
specific a. lack the presence of cleanliness of their V
diseases of/inadequate vectors. surroundings. I Standard:
(lifestyle knowledge S In 2-3 visits, the
diseases, 2. Inability to The following I presence of
metabolic provide adequate should be T vectors will be
syndrome): nursing care to achieved: destroyed.
Presence of the sick, disabled, - the family
stagnant water dependent or should acquire
outside the vulnerable /at risk adequate
house that can member of the information
be a reservoir family due to: about the
of a a. Lack infection
bacteria/vector of/inadequate carried by
etc. knowledge about vectors.
disease/ health - Discuss with
conditions the family the
b. Lack of consequences
necessary care of failing to
facilities, maintain the

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 equipment and cleanliness of
supplies the
environment.

PRESENCE *Inability to make After the 1.Providing or H Criteria:

O
OF HEALTH decisions with nursing teaching adequate Maintaining
M
DEFICITS respect to taking interventions, knowledge on the E Blood Pressure
- Illness state, appropriate health the head of the various ways on
V
regardless actions due to: family will preventing the I The family
S
whether it is a. Low salience of manage care worsening of the should monitor
I
diagnosed by the problem for the father disease. T their father in
medical b. Fear of with the taking his
practitioner: consequences of following medication
Their father actions: should be (Micardis plus,
has -Emotional/ achieved: 40 mg, orally).
hypertension Psychological - the family
consequences should acquire
c. Inaccessibility adequate
of appropriate information
resources of care about the
- Physical disease,
accessibility immediate
health care
assistance and
preventive
measures.
- Discuss with
the family the
consequences
of failing to

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 take
appropriate
health actions
at the earliest
time.
PRESENCE *Inability to *After nursing 1. Provide H Goals partially
O
OF HEALTH recognize the intervention, information of met
M
THREATS presence of the following safety need or E -Steep stairway
- Accident problem due to: are expected to injury prevention can cause
V
hazard: Steep a. Denial about its take place: and motivation to I fall/accident in
S
stairway and existence or 1. Providing a prevent the hazard. the family.
I
narrow severity. necessary 2. Discuss about T
*Inability to action to supervision for the
provide a home reduce children and
environment potential improvement of
conducive to hazard in the the faculty.
health home
maintenance and environment.
personal *The following
development due should be
to: achieved:
a. Inadequate 1. The family
family resources should acquire
1. Financial adequate
constraint/limited information
resources about the
2. Limited hazard and
physical preventive
resources measures.
b. Lack of 2. The family
inadequate will know the

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 knowledge on importance of
preventive safe
measures environment
free from
hazards and
accidents.

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 X. APPENDIX

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REFERENCES:

MD, I. H. R. (2018, March 13). Family Nursing Care Plan. Rnspeak.com.

https://rnspeak.com/family-nursing-care-

plan/#:~:text=Family%20Nursing%20Care%20Plan%20is

Smilkstein, G. (1978). The family APGAR: a proposal for a family function test and its use by

physicians. The Journal of Family Practice. https://www.semanticscholar.org/paper/The-family-

APGAR%3A-a-proposal-for-a-family-function-

Smilkstein/e21498a755890c18d8e523b2247c11299cd35a8e

What is Pasma? (n.d.). Dermadry. https://dermadry.com/blogs/en/revisiting-pasma-another-word-

for-hyperhidrosis

What does usog mean? (n.d.). Www.definitions.net. https://www.definitions.net/definition/usog

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