FAMILY NURSING CARE PLAN

Presented to
The College of Nursing

Our Lady of Fatima University - San Fernando Campus

City of San Fernando, Pampanga, Philippines

In Partial Fulfillment
Of the Requirements
For the Course
CHNN 211 - Community Health Nursing I

Submitted by:
Deang, Sophia E.
Guina, Mark Lester M.
Lampa, Kenneth Paul S.

1
 TABLE OF CONTENTS

Introduction ………………………………………………………………......... 1

Spot Map Description…………………………………………………………. 2

Spot Map……………………………………………………………………........ 3

Community in General………………………………………………………… 4

Family Nursing Assessment…………………………………………………. 5

Assessment of the Family

Home Characteristics

Environmental and Health Sanitation

Lifestyle and Health Behavior

Health Problems………………………………………………………………… 6

Scale for Ranking Health Conditions and Problems

According to Priorities………………………………………………… 7

Family Nursing Care Plan……………………………………………………...8

Services and Progress Notes………………………………………………… 9

Appendices……………………………………………………………………….10

References………………………………………………………………………. 11

2
INTRODUCTION

3
SPOT MAPPING DESCRIPTION

4
SPOT MAP

5
COMMUNITY IN GENERAL

6
FAMILY NURSING ASSESSMENT

7
HEALTH PROBLEMS

8
 SCALE FOR RANKING HEALTH CONDITIONS AND PROBLEMS
ACCORDING TO PRIORITIES

Problem:
Actual
Criteria Standard Computation Justification
Score
Nature of the
/3X1
problem
Modifiability of
/2X2
the problem
Preventive
/3X1
potential
Salience of the
/2X1
problem

Total Score

Problem:
Actual
Criteria Standard Computation Justification
Score
Nature of the
/3X1
problem
Modifiability of
/2X2
the problem
Preventive
/3X1
potential
Salience of the
/2X1
problem

Total Score

9
Problem:
Actual
Criteria Standard Computation Justification
Score
Nature of the
/3X1
problem
Modifiability of
/2X2
the problem
Preventive
/3X1
potential
Salience of the
/2X1
problem

Total Score

Problem:
Actual
Criteria Standard Computation Justification
Score
Nature of the
/3X1
problem
Modifiability of
/2X2
the problem
Preventive
/3X1
potential
Salience of the
/2X1
problem

Total Score

Problem:

10
 Actual
Criteria Standard Computation Justification
Score
Nature of the
/3X1
problem
Modifiability of
/2X2
the problem
Preventive
/3X1
potential
Salience of the
/2X1
problem

Total Score

Problem:
Actual
Criteria Standard Computation Justification
Score
Nature of the
/3X1
problem
Modifiability of
/2X2
the problem
Preventive
/3X1
potential
Salience of the
/2X1
problem

Total Score

Problem:
Actual
Criteria Standard Computation Justification
Score

11
 Nature of the
/3X1
problem
Modifiability of
/2X2
the problem
Preventive
/3X1
potential
Salience of the
/2X1
problem

Total Score

Problem:
Actual
Criteria Standard Computation Justification
Score
Nature of the
/3X1
problem
Modifiability of
/2X2
the problem
Preventive
/3X1
potential
Salience of the
/2X1
problem

Total Score

Problem:
Actual
Criteria Standard Computation Justification
Score
Nature of the
/3X1
problem

12
Modifiability of
/2X2
the problem
Preventive
/3X1
potential
Salience of the
/2X1
problem

Total Score

Problem:
Actual
Criteria Standard Computation Justification
Score
Nature of the
/3X1
problem
Modifiability of
/2X2
the problem
Preventive
/3X1
potential
Salience of the
/2X1
problem

Total Score

13
 FAMILY NURSING CARE PLAN
Intervention Plan
Family Nursing
Health Problem Objectives Nursing Resources Evaluation
Problem
Intervention Required / Used

Intervention Plan
Family Nursing
Health Problem Objectives Nursing Resources Evaluation
Problem
Intervention Required / Used

Intervention Plan
Family Nursing
Health Problem Objectives Nursing Resources Evaluation
Problem
Intervention Required / Used

14
 SERVICE AND PROGRESS NOTES

HEALTH CONDITION AND NURSING NURSING INTERVENTIONS, ACTIONS AND

DATE PROBLEMS EVALUATION OF PROGRESS/OUTCOME

Health Problem Nursing Problem

1.

2.

3.

15
APPENDICES

16
REFERENCES

17