Family needs & problem list.

Date Family name Family needs/problems Comment

Client : Problems
 Solved
randa Mohamed 1. altered in cardiovascular system related to
abdelaty hypertension As evidenced by:
- Tachycardia
- Decreased oxygen saturation
- Chest pain (angina)
- Difficulty breathing (dyspnea)
- Rapid breathing (tachypnea)
- Restlessness
- Fatigue
2. Altered in endocrine system related to diseases  Solved
process " diabetes mellitus" as evidenced by :
- Frequent urination (polyuria)
- Increased thirst (polydipsia)
- Increased feeling of hunger (polyphagia)
- Blurred vision
- Burning, tingling, or numbness in lower
extremities
- Fatigue
- Headaches
3. Ineffective Tissue Perfusion
Related to: Impaired oxygen transport
-Interruption in blood flow - Elevated blood  Not solved
glucose level
As evidenced by:
 Weak or absent peripheral pulses
 Numbness
 Pain
 Cool, clammy skin
 Difference in BP in opposite extremities
 Prolonged capillary refill
4. Acute Pain Related to: Blockage of coronary  Not solved
arteries Low or no oxygen-rich blood flowing to
the heart .As evidenced by:
- Verbal reports of chest pain, pressure, or
tightness
- Restlessness
- Labored breathing and dyspnea
 Needs
1. Knowledge deficit about complications  Client respond with
management and healthy nutrition for client me well
with hypertension as evidenced by client asks
many questions  Client respond with
me well
2. Knowledge deficit about complications of
wound to prevent infection as evidenced by
client asks many questions  Client respond with
me well
3. Knowledge deficit about diabetes or treatment
as evidenced by client asks many questions
 Client respond with
4. Knowledge deficit about psychological needs as me well
evidenced by client overload and sadness

Student name:
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 Family Pre-visit Plan

Visit Order:
Date Family Health Problems and Nursing Intervention
Member Needs
Sex/age "Nursing Diagnosis"
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Student signature

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 Family Nursing Care Plan

Visit Order:
Date Family Health Problems and Nursing Intervention
Membe Needs
r "Nursing Diagnosis"
Sex/ag
e
Deficient Knowledge Assessment:
Related to: 1. Assess the patient’s understanding of hypertension.
 Lack of
understanding of Many patients do not understand the role high blood pressure plays
hypertension and in contributing to other conditions and placing them at risk for
its effect on the stroke or heart disease. Assess the patient’s knowledge deficit to
body fill in the gaps.
 Lack of knowledge
of risk factors
 Poor health 2. Assess barriers to learning.
literacy
 Lack of interest or Assess for cognitive, cultural, or language barriers. Perception of
motivation the problem and motivation for change is also important. If the
patient is not yet ready to learn or does not perceive a reason to,
As evidenced by:
learning will not take place.
 Worsening blood
pressure
 Inability to recall
information 3. Assess support systems.
provided
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 Incorrect follow- Patients who have difficulty remembering to take medications,
through with diet monitor their BP, limit salt intake, or follow-up with appointments
or lifestyle may need support from family members or friends in order to
recommendations manage their condition.
 Development of a
chronic condition
due to uncontrolled Interventions:
hypertension
1. Help the patient identify their personal risk factors.

Educate between modifiable (stress, diet, weight, tobacco use) vs.

non-modifiable risk factors (age, family history, ethnicity). From
there, patients can identify areas of improvement.

2. Teach the patient how to monitor blood pressure.

Educate the patient on what their blood pressure number should be,
and what is considered high or low. Have the patient bring in their
own BP monitor to calibrate it and observe them using it to ensure
accuracy of readings.

3. Provide positive reinforcement.

Do not criticize a patient for mistakes or difficulty in implementing

their treatment plan. Reinforce any attempt to learn more or even a
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slight improvement.

4. Review medications thoroughly.

Patients may not understand the purpose of their medications and

may skip or miss doses. Review the action, side effects, and
rationale of each blood pressure medication as well as the
frequency and interactions with other drugs.

Student signature

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