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
 Solved
- Fatigue
2. Altered in endocrine system related to diseases
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  Not solved
-Interruption in blood flow - Elevated blood
glucose level
As evidenced by:
 Weak or absent peripheral pulses
 Numbness
 Pain
 Cool, clammy skin
 Difference in BP in opposite extremities  Not solved
 Prolonged capillary refill
4. Acute Pain Related to: Blockage of coronary
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
management and healthy nutrition for client  Client respond with
with hypertension as evidenced by client asks me well
many questions
2. Knowledge deficit about complications of
 Client respond with
me well
wound to prevent infection as evidenced by
client asks many questions
 Client respond with
3. Knowledge deficit about diabetes or treatment me well
as evidenced by client asks many questions
4. Knowledge deficit about psychological needs as  Client respond with
evidenced by client overload and sadness me well

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
Member Needs
Sex/age "Nursing Diagnosis"
Ineffective Tissue Assessment:
Perfusion
Related to: 1. Assess for pain in the extremities.
 Interruption in In patients with arterial insufficiency, pain is experienced
blood flow while walking that is relieved by rest. Venous insufficiency
 Elevated blood causes aching, cramping, or heaviness in the legs.
glucose level
 Sedentary lifestyle 2. Note skin texture, color, and temperature.
 Insufficient
The nurse may observe shiny skin to the lower legs, pallor,
knowledge of
swelling, and coolness, which signals poor circulation.
hyperglycemia
and its
Interventions:
management
 Poor control of
1. Encourage exercise.
chronic health Bike riding and walking can improve arterial insufficiency.
conditions
As evidenced by:
2. Instruct on when to elevate legs.
 Decreased
peripheral pulses Legs should not be elevated with arterial insufficiency as this
 Capillary refill
decreases circulation to the legs, but legs should be
time >2 seconds elevated with venous insufficiency to reduce swelling.
 Cool, clammy
skin

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4. Inform the client to avoid exposure to extreme
temperatures.
PAD and diabetic neuropathy alter skin sensation. The
patient may not recognize if the temperature is too hot or
cold, which can lead to injury.

Student signature

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