CAPITOL UNIVERSITY

College of Nursing
Cagayan de Oro City

FAMILY NURSING CARE PLAN

In Partial Fulfilment of

Community Health Nursing

Submitted to:

Mrs. Daryl Mae A. Casirayan, RN

Submitted by:

Fuentes, Krisserei

Gentallan, Kazelle Mae

Jabonillo, Kemuel Sam

Lee, Renee Margareth

Lubi, Jewel B.

Mabelin, Giles Tesha P.

Magno, Vanessa A.

Molate, Yna

1
 ACKNOWLEDGEMENT

“Anything is possible when you have the right people there to support you.” Success would

not be possible without the participation and assistance of so many people towards the completion

of this “Family Nursing Care Plan”, whose names may not all be enumerated. Their contributions

are sincerely appreciated and gratefully acknowledged. The group would like to offer their

sincerest gratitude to the following individuals:

First and foremost, to Father God, for granting our prayers to make this “Family Nursing

Care Plan” successful, for his guidance as we conduct this family case study, for his protection

and patience as we go through the challenges we have faced while doing this family case study,

for giving us patience from the beginning until the end of this assessment.

Secondly, we owe a deep sense of gratitude to our clinical instructor, Mrs. Daryl Mae A.

Casirayan, RN. Her dedication and keen interest above all her overwhelming attitude to help her

students had been solely and mainly responsible for completing this family case study. Her timely

advice, meticulous scrutiny, scholarly advice and scientific approach have helped us to a very great

extent to accomplish this task.

To the Molate’s family, respondents of this study, for being approachable, cooperative, and

for spending their time in answering all the questions being asked.

Lastly, to the beloved family of the students, for their never-ending support, especially

financially and morally. Also, for motivating us to move forward, for encouraging us whenever

we feel down and for being with our side from beginning up till now.

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 TABLE OF CONTENTS

Acknowledgements ………………………………………………………………… 1

I. Introduction
II. Initial Data Base for Family
Nursing Practice
A. Family structure and characteristics
B. Socio-economic and Cultural
Characteristics
C. Home and Environment
D. Health Status of Each Family Member
E. Family APGAR
F. Family Genogram
G. Family Coping Index
III. Typology of Nursing Problems in Family
Nursing Practice
A. First-Level Assessment
B. Second-Level Assessment
IV. Computation and Ranking of Problems
Identified
V. Cues/Data and Family Nursing Problems
VI. Family Nursing Care Plan
VII. Documentation
VIII. Curriculum Vitae
IX. References

3
 I. INTRODUCTION

A family can be defined in a variety of ways. Every family is unique. Every person has

his/her own views about family. For some, family is a group of people who live together and two

or more persons who are joined together by bonds of sharing and emotional closeness and who

identify themselves as being part of the family. The U.S. Census Bureau defines family as a

group of two or more people who are related by birth, marriage, or adoption, and who live

together. Basically, family shares a common values and characteristics with each other and carry

out functions of a family.

In addition, family is a basic unit in the society. The influences in a family are reflected

in how they act in a society. It is significant in a way that every family member, particularly the

children, acquired vital values and responsibilities from their parents. Furthermore, it provides

comfort and security by supplying basic essentials for everyday living, as well as assisting each

family member in socializing with other members of society. That is why it is important to learn

values such as love, trust, hope, and even morals, as these will assist each family member in

interacting in the society and community.

Moreover, this study focuses on Molate family, a residence of Bugo, Cagayan de Oro

City. We chose this family because we wanted to learn and identify problems that might have a

significant impact on their health and well-being, as well as provide care and health education to

them. As a result, the family will be able to comprehend and learn about possible and actual

difficulties, as well as how to handle them on their own.

4
II. INITIAL DATA BASE FOR FAMILY NURSING PRACTICE

A. FAMILY STRUCTURE AND CHARACTERISTICS

Head of the Family: Dante C. Molate

Age: 54 years old

Address: San Francisco, Agusan del Sur

MEMBERS OF THE FAMILY

TABLE 1.

RELATIONSHIP TO
POSITION
CIVIL PLACE OF
THE HEAD OF THE
NAME AGE SEX IN THE
STATUS RESIDENCE
FAMILY
FAMILY

Dante C. 54 M Married Father Head of the family San Francisco,

Molate Agusan del Sur

Sharifa 44 F Married Mother Wife Doha, Qatar

Ainie P.

Molate

5
 Abdel 25 M Single Eldest Son Polomolok,

Aziz P. South Cotabato

Molate

Maricris 22 F Single Middle Daughter Malaybalay City,

P. Molate child Bukidnon

Yna Mae 19 F Single Middle Daughter Bugo, Cagayan

P. Molate child de Oro City

John Paul 9 M Child Youngest Son Bugo, Cagayan

P. Molate de Oro City

TYPE OF FAMILY STRUCTURE

✔ Matriarchal

Patriarchal

Nuclear

Extended

Dominant family members in terms of decision-making in matters of health care

 According to Mr. Dante Molate, both his wife and he is responsible for the decision making

in most aspects of family matters.

Characteristic communication pattern among members of the family

 Relationships within my family are those typical of any other family. We often disagree

on things, but are all still close and supportive of each other.
6
 B. SOCIO-ECONOMIC AND CULTURAL FACTORS

SOURCE OF

NAME EDUCATIONAL RELIGIOUS SIGNIFICANT INCOME OF

ATTAINMENT AFFILIATION ROLES IN THE EACH MEMBER

FAMILY

Dante C. Bachelor of Roman Catholic Provider It depends

Molate Science in

Criminology

(1st yr)

Sharifa Ainie Bachelor of Islam Nurturing figure, P20,000

P. Molate Science in provider

Midwifery

(1st yr)

Abdel Aziz P. Bachelor of Roman Catholic Provider P8,000

Molate Science in

Criminology

(3rd yr)

Maricris P. Bachelor of Roman Catholic Problem solver, P10,000

Molate Secondary provider, decision

Education - Major maker

in English

7
 Yna Mae P. Bachelor of Roman Catholic Health manger -

Molate Science in Nursing

John Paul P. Elementary Level Roman Catholic - -

Molate

Who makes the decision about the money and how it is spent?

 Mrs. Sharifa Ainie Molate is the one who makes the decisions about the money and how

it is spent because she is the one who can recognize the needs of the family especially

the needs of their children as she is a hands-on mother and wife and she can personally

see what they need.

What is the participation of the family in community activities?

 The family has a good relationship with the community since they do not have any

enemies or conflicts with other person and they are active in any community activities.

8
 C. HOME AND ENVIRONMENT FACTORS

HOUSING

Adequacy of living space

Sleeping arrangement (2 rooms where the Mother sleeps together with the youngest in the

family and the second room is being shared by the two females in the family. And one sibling

sleeps in the living room)

Adequacy of the furniture/if not please specify (the family

Presence of insects and rodents (Specify: mosquitoes, fly, cockroaches, rats)

Presence of accident hazard (Specify: Agricultural Chemicals, Pesticides)

Toilet Facility: Owned (Pour-flush with septic tank)

Garbage Disposal: Compost pit

Drainage System: Open drainage system (the water goes directly to the rice field)

2. What type of neighborhood did the family belong?

 The family resides in a rural area in Bugo, Cagayan de Oro City.

3. Are the social and health facilities available in the neighborhood?

 Social facilities includes a school, barangay hall, and a basketball court. They don't

have a health center in their barrio, but they do have one in their municipality, which

is about 15 minutes away.

4. What is the family means of communication and transportation?

9
 The family communicate through phone/video call, text messaging, and online chat.

Their mode of transportation is either commuting or riding on a motor sikad.

10
 D. HEALTH STATUS

HEALTH AND MEDICAL HISTORY

TABLE 3.
BELIEFS AND
PAST SIGNIFICANT
NAME PRACTICES CONDUCIVE
ILLNESSES
TO ILLNESS

Abdel Aziz P. Molate No past history. None

Maricris P. Molate Asthma Always brings an inhaler with her

and has her own nebulizer in case

of an asthma attack

Yna Mae P. Molate No past history. None

John Paul P. Molate No past history. None

Sharifa Ainie P. Molate None None

Dante C. Molate Arthritis Less consumption of beans,

chicken

NUTRITIONAL ASSESSMENT

TABLE 4.
DIETARY EATING
WEIGHT
NAME AGE HEIGHT BMI HISTORY HABITS OR
(kg)
(cm) (kg/m2) PRACTICES
Abdel 25 68 kg 183 cm 20.30 Exclusively Usually eats
Aziz P. breastfed instant foods,
Molate until 1 yr eats 3x a day
and 6 but not on time
months.

11
Maricris 22 58 kg 165 cm 21.32 Exclusively More on meat,
P. Molate breastfed fruits, and less
until 1 yr on vegetables,
and 6 eats 3x a day
months. and on time
Yna Mae 19 48 kg 167 cm 17.20 Exclusively More on white
P. Molate breastfed meat and less
until 1 yr on vegetables,
and 6 eats, 3x a day
months. and on time
John Paul 9 28 kg 130 cm 16.57 Exclusively Likes to eat
P. Molate breastfed sweet foods,
until 1 yr consumes
and 6 more white
months. meat, fruits
and less
vegetables,
drinks milk
every day and
on night, eats
3x a day and
on time
Sharifa 44 60 kg 162 cm 22.81 Exclusively More on
Ainie P. breastfed veggies and
Molate until 1 yr sometimes
and 6 consumes food
months. from fast food
chain, eats on
time and 3x a
day
Dante C. 54 75 kg 178 cm 23.66 Exclusively More
Molate breastfed consumption
until 1 yr of white meats,
and 6 eats twice a
months. day

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BODY MASS INDEX (BMI) VALUES FOR ADULTS

FIGURE 1.

NORMAL BMI VALUES FOR CHILDREN

TABLE 5.
Weight Status Category Percentile Range
Underweight Less than the 5th percentile
Normal or Healthy Weight 5th percentile to less than the 85th percentile

Overweight 85th percentile to less than the 95th percentile

Obese Equal to or greater than the 95th percentile

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 E. FAMILY APGAR

ADAPTATION

Assessment Questions:

 How have family members aided each other in time of need?

 Because we are not particularly vocal about how we feel, we express our gratitude

to each other physically through embraces. When a family member is in need, we,

the siblings, always spend time talking, listening, and offering advice to them.

 In what way have family members received help or assistance from friends and

community agencies?

 Apart from our family and relatives, we feel them to be a safe haven, and they

are also a great source of financial assistance.

PARTNERSHIP

Assessment Questions:

 How do family members communicate with each other about such matters as

vacations, finances, medical care, large purchases and personal problems?

 We always connect via phone calls because we live far apart and need to talk

about various topics, mainly financial matters. It's important that we talk about

it so that we can keep track of our financial situation and see if we still have

enough money to cover key expenses like my school tuition.

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GROWTH

Assessment Questions:

 How have family members changed during the past years?

 For the past few years, every one of us has undergone a significant

transformation. We grew in terms of decision-making maturity, independence,

understanding, and cooperation toward one another, as well as becoming a

better version of ourselves.

 How has this change been accepted by family members?

 It was well received by the family because it provided us with peace,

cooperation, and an advantage.

 In what ways have family members aided each other in growing or developing

independent lifestyle?

 Both of our parents never fail to remind us that we must be responsible enough

to handle our own problems and come up with a way to solve them.

 How have family members reacted to your desires for change?

 For us humans, change is natural and unavoidable, therefore we have no choice

but to accept whatever changes occur in each family member, whether positive

or negative. If someone in our family behaves badly, my parents are always

there to remind us that we are no longer children who need to be guided at all

times.

15
AFFECTION

Assessment Questions

 How have family members of your family responded to emotional expressions such

as affection, love, sorrow or anger?

 Our family's love language is the hug. We hug each other if one of our family

members feels emotionally, psychologically, spiritually, or physically

exhausted. It's to remind us all that no matter what challenges we face, we've

always got our backs.

RESOLVE

Assessment Questions:

 How do members of your family share time, space and money?

 Because our family is separated by distance, we spend every day interacting via

video calls, SMS, and chats. Both parents contribute financially to their two

younger children's school fees, allowances, and meals.

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 F. FAMILY GENOGRAM

Dante C. Molate Sharifa Ainie P. Molate

54 years old 44 years old

Abdel Molate Maricris Molate Yna Molate John Molate

25 years old 22 years old 19 years old 9 years old

LEGEND:

Father

Mother

Male child

Female child

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 G. FAMILY COPING INDEX

Family Definition Point scale Justification

coping areas

This category is 1 2 3 4 5 There are no serious illnesses among

concerned with the family members. The family is

the ability to able to get out of their bed, walk

move about to independently, in terms of household

get out of bed, chores the family is cooperative and

Physical to take care of supportive with each other. With the

Independence daily grooming, help of their aunt, the third child is

walking and the one who looks after the youngest.

other things

which involves

the daily

activities.

This category The family is able to keep their health

includes all the by taking the prescribed medications.

procedures or And they were able to monitor their

Therapeutic treatment health through consultation to their

Competence prescribed for respective doctors when needed.

the care of ill,

such as giving

medication,

18
 dressings,

exercise and

relaxation,

special diets.

This system is The family can detect the existence

concerned with of disease or illness, but instead of

Knowledge of the particular attending the health center or hospital

Health health condition more frequently, they rely on their

Condition that is the own knowledge to cure the condition.

occasion of

care.

This category is The family is aware of the necessity

concerned with of health care, but this is insufficient.

the way the The family understands the

family feels importance of medical treatments,

about health procedures, preventive measures,

Health care in general, and public health measures, but

Attitudes including owing to their busy schedules, they

preventive were unable to attend at times.

services, care of

illness and

public health

measures.

19
 This category Since they live so far apart, the

has to do with family sometimes lacks emotional

the maturity support, yet they are still able to cope.

and integrity

with which the

members of the

Emotional family are able

Competence to meet the

usual stresses

and problems

of life, and to

plan for happy

and fruitful

living.

This category is The family is close with each other,

concerned however because of the distance, it

largely with the results to a few misunderstandings

interpersonal or among family members.

Family
group aspects
Living
of family life –

how well the

members of the

family get

20
 along with one

another, the

ways in which

they take

decisions

affecting the

family as a

whole.

This is The house was no longer well

concerned with maintained because only one

the home, the member of the family lived there.

Physical community and

Environment the work

environment as

it affects family

health.

Generally keeps The family is aware of the

appointments. community facilities that are offered,

Use of Follows but they believe the facility resources

Community through to be lacking, so they consult or visit

Resources referrals. Tells other facilities.

others about

Health services.

21
III. TYPOLOGY

Typology of Nursing Problems in the Family Practice

FIRST LEVEL ASSESSMENT

I. Presence of Wellness Condition

A. Potential for Enhanced Capability for:

✔
 Healthy lifestyle - e.g. nutrition/diet, exercise/activity

✔  Healthy maintenance/health management

✔  Parenting

 Breastfeeding

✔  Spiritual well-being-process of client’s developing/unfolding of mystery

through harmonious interconnectedness that comes from inner strength/sacred

source/God (NANDA 2001)

 Others. Specify.

B. Readiness for Enhanced Capability for:

✔  Healthy lifestyle

✔  Health maintenance/health management

✔  Parenting

 Breastfeeding

✔  Spiritual well-being

 Others. Specify.

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II. Presence of Health Threats

A. Presence of risk factors of specific diseases (e.g. lifestyle diseases, metabolic

syndrome, smoking)

B. Threat of cross infection from communicable disease case

C. Family size beyond what family resources can adequately provide

✔ D. Accident hazards specify.

 Broken chairs

✔  Pointed /sharp objects, poisons and medicines improperly kept

 Fire hazards

 Fall hazards

 Others specify.

✔ E. Faulty/unhealthful nutritional/eating habits or feeding techniques/practices.

Specify.

 Inadequate food intake both in quality and quantity

 Excessive intake of certain nutrients

✔  Faulty eating habits

 Ineffective breastfeeding

 Faulty feeding techniques

✔ F. Stress Provoking Factors. Specify.

 Strained marital relationship

✔  Strained parent-sibling relationship

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✔  Interpersonal conflicts between family members

 Care-giving burden

✔ G. Poor Home/Environmental Condition/Sanitation. Specify.

✔  Inadequate living space

 Lack of food storage facilities

 Polluted water supply

✔  Presence of breeding or resting sights of vectors of diseases

 Improper garbage/refuse disposal

 Unsanitary waste disposal

 Improper drainage system

 Poor lightning and ventilation

 Noise pollution

✔  Air pollution

✔ H. Unsanitary Food Handling and Preparation

I. Unhealthy Lifestyle and Personal Habits/Practices. Specify.

✔  Alcohol drinking

✔  Cigarette/tobacco smoking

 Walking barefooted or inadequate footwear

 Eating raw meat or fish

 Poor personal hygiene

 Self-medication/substance abuse

24
  Sexual promiscuity

 Engaging in dangerous sports

 Inadequate rest or sleep

✔  Lack of /inadequate exercise/physical activity

✔  Lack of/relaxation activities

 Non-use of self-protection measures (e.g. non-use of bed nets in malaria and

filariasis endemic areas).

✔ J. Inherent Personal Characteristics

 e.g. poor impulse control

K. Health History, which may Participate/Induce the Occurrence of Health Deficit

 e.g. previous history of difficult labor.

L. Inappropriate Role Assumption

 e.g. child assuming mother’s role, father not assuming his role.

M. Lack of Immunization/Inadequate Immunization Status Especially of Children

✔ N. Family Disunity

 Self-oriented behavior of member(s)

✔  Unresolved conflicts of member(s)

✔  Intolerable disagreement

O. Others. Specify.

25
III. Presence of health deficits

A. Illness states, regardless of whether it is diagnosed or undiagnosed by medical

practitioner.

B. Failure to thrive/develop according to normal rate

C. Disability

Whether congenital or arising from illness; transient/temporary (e.g. aphasia or temporary

paralysis after a CVA) or permanent (e.g. leg amputation secondary to diabetes, blindness

from measles, lameness from polio)

IV. Presence of stress points/foreseeable crisis situations

A. Marriage

B. Pregnancy, labor, puerperium

✔ C. Parenthood

D. Additional member-e.g. newborn, lodger

E. Abortion

F. Entrance at school

G. Adolescence

✔ H. Divorce or separation

I. Menopause

J. Loss of job

K. Hospitalization of a family member

L. Death of a member

M. Resettlement in a new community

26
 N. Illegitimacy

O. Others, specify.

SECOND LEVEL ASSESSMENT

I. Inability to recognize the presence of the condition or problem due to:

A. Lack of or inadequate knowledge

B. Denial about its existence or severity as a result of fear of consequences of

diagnosis of problem, specifically:

 Social-stigma, loss of respect of peer/significant others

 Economic/cost implications

 Physical consequences

 Emotional/psychological issues/concerns

C. Attitude/Philosophy in life, which hinders recognition/acceptance of a problem

D. Others. Specify.

II. Inability to make decisions with respect to taking appropriate health action due to:

✔ A. Failure to comprehend the nature/magnitude of the problem/condition

B. Low salience of the problem/condition

C. Feeling of confusion, helplessness and/or resignation brought about by perceive

magnitude/severity of the situation or problem, i.e. failure to break down problems

into manageable units of attack.

27
✔ D. Lack of/inadequate knowledge/insight as to alternative courses of action open to

them

✔ E. Inability to decide which action to take from among a list of alternatives

✔ F. Conflicting opinions among family members/significant others regarding action

to take.

G. Lack of/inadequate knowledge of community resources for care

H. Fear of consequences of action, specifically:

 Social consequences

 Economic consequences

 Physical consequences

 Emotional/psychological consequences

✔ I. Negative attitude towards the health condition or problem-by negative attitude is

meant one that interferes with rational decision-making.

J. Inaccessibility of appropriate resources for care, specifically:

 Physical Inaccessibility

 Costs constraints or economic/financial inaccessibility

K. Lack of trust/confidence in the health personnel/agency

L. Misconceptions or erroneous information about proposed course(s) of action

M. Others specify.

28
III. Inability to provide adequate nursing care to the sick, disabled, dependent or

vulnerable/at risk member of the family due to:

A. Lack of/inadequate knowledge about the disease/health condition (nature,

severity, complications, prognosis and management)

B. Lack of/inadequate knowledge about child development and care

C. Lack of/inadequate knowledge of the nature or extent of nursing care needed

D. Lack of the necessary facilities, equipment and supplies of care

✔ E. Lack of/inadequate knowledge or skill in carrying out the necessary intervention

or treatment/procedure of care (i.e. complex therapeutic regimen or healthy

lifestyle program).

✔ F. Inadequate family resources of care specifically:

✔  Absence of responsible member

 Financial constraints

 Limitation of luck/lack of physical resources

G. Significant persons unexpressed feelings (e.g. hostility/anger, guilt, fear/anxiety,

despair, rejection) which his/her capacities to provide care.

H. Philosophy in life which negates/hinder caring for the sick, disabled, dependent,

vulnerable/at risk member

I. Member’s preoccupation with on concerns/interests

29
 J. Prolonged disease or disabilities, which exhaust supportive capacity of family

members.

K. Altered role performance, specify.

 Role denials or ambivalence

 Role strain

 Role dissatisfaction

 Role conflict

 Role confusion

 Role overload

L. Others. Specify.

IV. Inability to provide a home environment conducive to health maintenance and personal

development due to:

A. Inadequate family resources specifically:

 Financial constraints/limited financial resources

✔  Limited physical resources- i.e. lack of space to construct facility

B. Failure to see benefits (specifically long term ones) of investments in home

environment improvement

C. Lack of/inadequate knowledge of importance of hygiene and sanitation

D. Lack of/inadequate knowledge of preventive measures

30
 E. Lack of skill in carrying out measures to improve home environment

✔ F. Ineffective communication pattern within the family

✔ G. Lack of supportive relationship among family members

✔ H. Negative attitudes/philosophy in life which is not conducive to health

maintenance and personal development

✔ I. Lack of/inadequate competencies in relating to each other for mutual growth and

maturation (e.g. reduced ability to meet the physical and psychological needs of

other members as a result of family’s preoccupation with current problem or

condition.

J. Others specify.

V. Failure to utilize community resources for health care due to:

A. Lack of/inadequate knowledge of community resources for health care

B. Failure to perceive the benefits of health care/services

C. Lack of trust/confidence in the agency/personnel

D. Previous unpleasant experience with health worker

E. Fear of consequences of action (preventive, diagnostic, therapeutic,

rehabilitative) specifically:

 Physical/psychological consequences

 Financial consequences

31
✔  Social consequences

F. Unavailability of required care/services

G. Inaccessibility of required services due to:

 Cost constrains

 Physical inaccessibility

✔ H. Lack of or inadequate family resources, specifically

✔  Manpower resources, e.g. baby sitter

 Financial resources, cost of medicines prescribe

I. Feeling of alienation to/lack of support from the community e.g. stigma due to

mental illness, AIDS, etc.

J. Negative attitude/ philosophy in life which hinders effective/maximum utilization

of community resources for health care

K. Others, specify.

32
IV. COMPUTATIONS

SCALE FOR RANKING FAMILY HEALTH PROBLEMS ACCORDING TO

PRIORITIES

ALCOHOL DRINKING (Health Threat)

Criteria Computation Actual Score Justification

Nature of the 2/3 x 1 2/3 The problem is a

Problem health threat that

needs prompt action

since it poses a risk to

the family's health

and well-being.

Modifiability of 1/2 x 2 1 The problem can be

the problem partially modified

since the client knows

how to control his/her

habitual consumption

of alcohol but not

utilizing it.

Preventive 3/3 x 1 1 Risk and threats for

Potential alcohol drinking will

be prevented if proper

management to the

33
 problem will be done

earlier.

Salience 2/2 x 1 1 The family recognize

it as a problem that

needs immediate

attention.

Total Score: 3.67

LACK OF INADEQUATE EXERCISE/PHYSICAL ACTIVITY

Criteria Computation Actual Score Justification

Nature of the 2/3 x 1 2/3 It is a health deficit

Problem because it can

contribute

complications to the

health status of the

family and not getting

enough physical

activity can lead to

heart disease.

Modifiability of 2/2 x 2 2 It is easily modifiable

the problem since the family can

make a schedule and

choose an activity that

34
 is good to the overall

health.

Preventive 3/3 x 1 1 Preventive potential is

Potential high because

resources are

available and

interventions are

feasible in which the

family can do to

prevent health

problems if there is an

appropriate actions

done.

Salience 0/2 x 1 0 The family does not

recognize the

existence of the

problem.

Total Score: 3.67

CIGARETTE/TOBACCO SMOKING (Health Threat)

Criteria Computation Actual Score Justification

Nature of the 2/3 x 1 2/3 It is a health threat

Problem because this practices

35
 or habit precipitates

the development of

many respiratory and

cardiovascular

diseases, such as TB,

COPD, Stroke,

Hypertension,

atherosclerosis and

the like.

Modifiability of 1/2 x 2 1 It is partially

the problem modifiable because

cigarette smoking is

an addicting practice

that is hard to be

eliminated in one’s

system however with

strong determination,

motivation and family

support, it is not

impossible. However,

it will take time to be

eliminated.

36
 Preventive 2/3 x 1 2/3 The problem is

Potential moderately

preventable if

addiction to cigarettes

at an earlier time will

be achieved.

Salience 2/2 x 1 1 The family recognize

it as a problem that

needs immediate

attention.

Total Score: 3.34

FAULTY EATING HABITS (Health Threat)

Criteria Computation Actual Score Justification

Nature of the 2/3 x 1 2/3 The nature of the

Problem problem is a health

threat.

Modifiability of 1/2 x 2 1 Interventions are

the problem feasible but

resources are

limited.

Preventive 3/3 x 1 1 Diseases caused by

Potential imbalanced

37
 nutrition can be

prevented.

Salience 1/2 x 1 0.5 The family does

recognize this as a

health problem but

for them they have

more important

matter to solve.

Total Score: 3.17

INADEQUATE LIVING SPACE (Health Threat)

Criteria Computation Actual Score Justification

Nature of the 2/3 x 1 2/3 This is considered as

Problem a health threat

because inadequate

living space and

ventilation predispose

the family to health

problems and may

affect the activities of

its members.

Modifiability of 1/2 x 2 1 The family’s

the problem resources are

38
 inadequate to provide

a proper living space

to its members duet

prioritized needs. But

there sources of the

nurse such as health

teachings and advises

can promote change

in the problem.

Preventive 2/3 x 1 2/3 The lack of resources

Potential makes it difficult to

achieve total problem

modifiability and

thus, may not totally

decrease the

possibility of

problems that may

occur in the future.

Salience 1/2 x 1 0.5 The family

experiences some

difficulty regarding

this problem but

explains that this is

39
 not their priority.

Total Score: 2.84

PRIORITIZATION

PROBLEM SCORE RANKING

Alcohol drinking 3.67 1st

Lack of inadequate 3.67 2nd

exercise/physical activity

Cigarette/tobacco 3.34 3rd

smoking

Faulty eating habits 3.17 4th

Inadequate living space 2.84 5th

V. CUES/DATA AND FAMILY NURSING PROBLEMS

CUES/DATA FAMILY NURSING PROBLEM

Subjective Data: Unhealthy lifestyle and personal habits

"Lisud undangon ang pag-inom ug due to alcohol consumption

alcoholic beverages since nahimo naman

nako ni nga habit sukad pa sa akong pag Inability to make decisions with respect to

serbisyo pero mapangitaan mani ug taking appropriate health action due to:

pamaagi nga ma hinay-hinay ang intake

40
nako sa alcoholic beverages" as stated by A) Inability to decide which action to

Mr. Dante Molate. take from among a list of

alternatives

Objective Data: B) Conflicting opinions among

The client consumes 2 bottles of alcoholic family members/significant others

drinks every two weeks. regarding action to take

Subjective data: Unhealthy lifestyle and personal

“Usahay sa ka busy natong tanan malimot habits/practices due to lack of

nata ug atiman sa atong kaugalingon labi inadequate exercise/physical activity

najud ang pag exercise which is

importante sa atong pang adlaw-adlaw Inability to make decisions with respect to

kay arun malikay kita sa mga sakit pero di taking appropriate health action due to:

nato kini agkabuhat kay kung humana ta

tanan sa atong trabaho, kapuyan na ta.” A) Failure to comprehend the nature /

verbalized by the mother. magnitude of the problem

Objective Data:

The family is so busy with their tasks and

the other members of the family are not

active, look pale and tired.

Subjective Data: Unhealthy lifestyle and personal habits

“Nahimo na nako nga habit ang pag due to cigarette smoking

panigarilyo busa lisod na kini undanagon,

41
pero unlike sauna nga makahurot ko ug Inability to make decisions with respect to

pila ka kaha karon ga consume nalang ko taking appropriate health action due to:

ug 3-5 ka stick sa sigarilyo everyday”

A) Inability to decide which action to

Objective Data: take from among a list of

The client can consume 3 to 5 sticks of alternatives

cigarettes a day.

B) Conflicting opinions among

family members/significant others

regarding action to take

Subjective data: Faulty eating habits

"Kasagara gyud gina snack namo kay

junkfoods ug nahimo na kini namong habit Inability to make decisions with respect to

nga mag junkfoods sa pag snack. Ug taking appropriate health action due to:

usahay pud mawala na sa among huna

huna ang pag pang hugas sa kamot before A) Failure to comprehend the

mangaon." as verbalized by the Eldest nature / magnitude of the problem

daughter.

Objective data: Some members of the

family are thin.

Subjective Data: Presence of health threats-conditions

that are conducive to disease and

42
“Sa pila ka tuig nga ako ra isa diri accident or may result in failure to

nagpuyo sa balay, napasagdan na nako ug maintain wellness or realize health

wala maatiman ug maayo ang mga butang. potential due to inadequate living space

Naay mga gamit nga dili na gagamiton kay

guba na pero naka display lang gyapon"" Inability to provide a home environment

as verbalized by Mr. Molate. conducive to health maintenance and

personal development due to:

Objective Data:

One family member sleeps in the living A) Inadequate family resources

room.

43
VI. FAMILY NURSING CARE PLAN

ALCOHOL DRINKING

Nursing Diagnosis Goals of Interventions Rationale Evaluation

Care/Objectives

Inability to make Following nursing ✔ Assess the ✔ To be able The goals

decisions with interventions, the client's alcohol to recognize are partially

respect to taking family will be able consumption the steps that attained as

appropriate health to decide and agree history. must be taken. evidenced

action due to lack on an appropriate by:

of knowledge as to health action to

✔ Promote ✔ Health care
alternative courses achieve a healthy Long term
coping skills. provider can
of action open to lifestyle by goal:
help clients
them and reducing or ✔abstaining
identify
conflicting opinions eliminating alcohol from alcohol
problem areas
among family consumption. usage takes
in their lives
members/significan time and
and look into
t others regarding Short term: effort
how substance
action to take. The responsible
abuse may
family member will
have
be able to express
exacerbated
verbally that he or
such issues.
she will limit

44
alcohol ✔ Assess the ✔Many studies

consumption. family for have

internal risk concluded that

Long term: factors no single factor
The family will including has as much
abstain from genetic impact on
alcohol intake factors. whether or not

someone

becomes an

alcoholic as

that person’s

genes.

Biological

children of

alcoholics are

substantially

more likely to

become

alcoholics,

whether they

are raised by

alcoholics or

non-alcoholics.

45
✔ Assess the ✔ Having

family for friends or a

external risk close partner

factors who consumes

including alcohol on a

social and daily basis may

cultural raise your risk

factors. of alcohol

dependence.

✔ Provide ✔ Clients and

health their families

education to require

clients and information on

their families. the substance

and its effects.

46
 LACK OF/INADEQUATE EXERCISE/PHYSICAL ACTIVITY

Nursing Diagnosis Goals of Interventions Rationale Evaluation

Care/Objectives

Inability to Short term: ✔ Discuss ✔ To know Goals met.

recognize the After 4 hours of about the the level of The family

presence of the nursing consequences awareness of already had

condition or intervention, the of most the family knowledge

problem due to family will be able common about the about the

attitude/philosophy to acquire problems that problem. importance

in life, w/c hinders knowledge about may acquire. and benefits

recognition or what are the things of daily

acceptance of a people can get in physical

✔ Establish ✔ Motivation
problem doing exercise. activity.
guidelines and and
They also
goals of cooperation
Long term: Within knew about
activity with are enhanced
2-3 days of nursing the
the family. if the family
intervention, the consequence
participates in
family will be able s if there
goal setting
to: would be an

 Manage inadequate
✔ Encourage ✔ Helps
their physical
physical promote a
schedule to activites.
activity sense of
provide Also, the

47
 time for consistent with autonomy family had

physical the family’s while being learn some

activities. energy levels. realistic about of the basic

capabilities. exercises

 Make it a movements

part in their ✔ Instruct ✔ Activities that they

everyday family to plan should be now

routine. activities for planned ahead carryout

times when to coincide daily as part

 Know the they have the with the of their

basic most energy. family’s peak physical

exercises energy level. activites

and benefits If the goal is Short term:

of doing too low, After 4

physical negotiate. hours of

activities. nursing

intervention,
✔ Emphasize ✔ To help
the family
the importance them
was able to
of having recognize the
acquire
physical benefits that
knowledge
activities/exerc an exercise
about the
ises. can give.
things they

48
could get in

doing

exercise.

Long term:

After 2-3

days of

nursing

intervention,

the family

was able to:

✔ Manage

their

schedule to

provide time

for physical

activities.

✔ Make it a

part in their

everyday

routine.

49
 ✔ Know the

basic

exercises

and benefits

of doing

physical

activities.

CIGARETTE/TOBACCO SMOKING

Nursing Diagnosis Goals of Interventions Rationale Evaluation

Care/Objectives

Inability to make After nursing ✔ Assess the ✔ To be able Goals are

decisions with interventions, the client’s history to identify the partially

respect to taking family will be able of smoking. necessary care met and the
appropriate health to make and agree needed family was

action due to on an appropriate able to:

inability to decide health action to

✔ Discuss ✔ Active
which action to attain a healthy Short term:
among the support will
take from among a lifestyle through Within two
family serve as an
list of alternatives smoking cessation. hours, the
members the encouragemen
and conflicting Short term: family

50
opinions among After two hours of importance of t to the client members

family nursing support to the keep going were able to

members/significan interventions, the client. acknowledge

t others regarding family will be able the

action to take to: ✔ Discuss the ✔ To be able importance

 Recognize alternatives to decide of

the measures which communicati

importance among the appropriate on.

of proper family action to take The family

communicat members as and realized members

ion among well as the the impending were able to

the family consequences effects understand

members of smoking the effects of

 Understand and benefits of smoking to a

the effects smoking person’s

of smoking cessation wellbeing

to a The client

person’s and the

✔ Teach ways ✔ To
overall family
on how to gradually
health members
resist tobacco reduce the
 Decide were able to
cravings such number of
which decide which
as chewing sticks per day
action to action to take
and to cope

51
 take among gums or with the

the candies withdrawal Long term:

alternatives symptoms After three

days of

Long term: ✔ To manage nursing

After three days of ✔ Emphasize stress and interventions

nursing the importance anxiety which :

interventions, the of regular can increase The client

family will be able exercise and the urge of was not able

to: practicing smoking to fully

 Implement relaxation implement

and techniques. the measures

regularly since the

practice the client is still

measures smoking

regarding although

smoking regular

cessation exercise was

regularly

practiced.

52
 FAULTY EATING HABITS

Nursing Diagnosis Goals of Interventions Rationale Evaluation

Care/Objectives

Inability to make After nursing ✔ Evaluate ✔To Goals met.

decisions with intervention, the the family's acknowledge Short term:

respect to taking family will: comprehensio the family’s
After 1-3
appropriate health a) Make it a n of the perception
hours of
action due to failure habit of indicated about the
nursing
to comprehend the washing problem. problem in
intervention
nature and their hands order to
s, the family
magnitude of the before and determine
was be able
problem after eating. their cognitive
to
b) Replace junk level.
understand
foods with
the
more
✔Demonstrate ✔ To learn
importance
nutritious
the proper how to
of eating
foods for
way on hand properly wash
healthy
snack
washing. their hand and
foods rather
c) Know the
to deter the
than
benefits of
spread of
unhealthy
replacing
microorganis
foods such
junk foods
m.
as junkfoods
on their diet.

53
Short term: ✔ Provide ✔To make the and will was

Within 1-3 hours of information family realize able to

nursing about the risk the know the

interventions, the of junk food importance of advantages

family will be able and the nutritious of washing

to understand the significance of food in the hands

importance of eating eliminating it diet. especially

healthy foods rather from one's before

than unhealthy diet. eating.

foods such as
Long term:
junkfoods and will
✔ Emphasize ✔ To provide
After a
be able to know the
the importance a significant
series of
advantages of
of practicing type of proper
nursing
washing hands
the healthy method in
intervention
especially before
eating habits selecting
s, the family
eating.
of each healthy foods
was be able
member of the of the family.
to apply
Long term:
family.
their
Within a series of
knowledge
nursing
✔ Discuss the ✔The family
through
interventions, the
food pyramid will be able to
choosing
family will be able
and provide know a good
healthy
to apply their

54
 knowledge through food choices food selection foods and

choosing healthy for snack. and proper way

foods and washing management of washing

their hands. as well as the their hands

preparation and its

and eating importance.

habits of the

family.

INADEQUATE LIVING SPACE

Nusing Diagnosis Goals of Interventions Rationale Evaluation

Care/Objectives

Inability to provide Short term: After ✔ Suggest to ✔ To make Goals are

a home 3 hours of nursing rearrange the the most of met.

environment intervention the furniture. the available

conducive to health family should be Inform the living space. Short term:

maintenance and able to: family about After 3

personal  Identify risk the ease with hours of

development due to factors that which disease nursing

inadequate family contribute to might spread intervention

resources the due to a lack the family

congestion of living was able

in the area space. to:

55
 such as

unused ✔ Explain to ✔ This is to ✔ Identify

things. the family the raise risk factors

 Demonstrate benefits of awareness that
technique to having enough about how contribute to
promote space to live. quickly the
good diseases congestion
environment spread in in the area
conditions insufficient such as
such as places unused
proper things.
arrangement
✔ Assist the ✔ To help
of
family in them ✔Demonstr
appliances.
making the recognize the ate
 Verbalize
most of their advantages of technique to
understandin
living space. having promote
g about the
adequate good
importance
living space environment
of having
conditions
inadequate
✔ To such as
living space
✔ Advise the minimize proper

family to keep unnecessary arrangement

of

56
Long term: After 3- items they take up of appliances.

4 days of nursing don't use space

interventions the anymore ✔ Verbalize

family will be able separate. understandi

to maintain an ng about the
adequate living ✔ This is to importance
space. ✔ Aid the offer them a of having

family in larger space in inadequate

maximizing which they living space

the living can have more

space. privacy. Long term:

After 3-4

days of

nursing

intervention

s the family

was able to

maintain an

adequate

living space.

57
58