FAMILY NURSING CARE PLANPROBLEM #01Problem No.

01Problem Identified: Fall HazardsDate

Identified: July 27, 2009Date Evaluated: August 01, 2009CUES

SC:

“Merong balon sa likod ng aming bahay.” As verbalized byMrs. L.

OC:

The deep well is approximately 2 meters from the housewith thediameter of the hole is approximately
1 meter and it is level totheground. The deep well has a depth of 6 feet and being used bythefamily
without the cover.

Family Nursing Diagnosis

: Inability to anticipate risk factors due tolack of knowledge on the identified problem.

Goal of Care

: Within 4 hours of nursing interventions, the family willbe able toidentify the risk factors on the actual
condition and makeplans tomodify the deep well and to prevent any accidents.

Objectives

: Within 4 hours of nursing interventions, the family will be ableto:1. Recognize the possible risk factors
with regards to the conditionidentified;2. Enumerate various ways on maintaining safety and to prevent
fallhazards;3. Select a course of action to correct and solve the problem;4. Make plans to choose
appropriate ways and materials necessary tocoverthe deep well to prevent any occurrence of injuries;5.
Identify the positive outcomes upon planning the solution to theproblem.

INTERVENTIONSRATIONALE

1. Assess the family’s perceptionswith regards to the problemsidentified.2. Discuss with the family
thepossible risk factors that willresult with the occurrence of theproblem.3. Emphasize to the family
theimportance of solving theproblem and on maintaining anenvironment which is safety athome4.
Provide suggestions aboutsolving the problem andpreventive measures on fallhazards such as putting a
covermade of wood or plywood,having the sides of the wellcemented, and putting awooden fence
around the well toguard the hole and enhance the To acknowledge the family concernsand in order to
promote cooperation To provide information regarding therisk factors such as falls To develop the
family’s ability andcommitment to provide nursing caretothe members of the family and ontaking
actions to solve the problems To guide the family on how to decideorselect for appropriate actions to
takewith regards to the problem identified
safety of each family member5. Evaluate the family’s plan orcourse of action they are goingto make To
enhance the capability of thefamilyto carry out measures to provide safehome facilities and
personaldevelopment

Evaluation:

Goals met. After 2 home visits conducted with nursing interventions,thefamily was able to identify risk
factors of having an uncovered well and shortblocks of the deep-well and verbalized their plans to
modify their situation asevidenced by one of the family member’s verbalization, “Dapat lagyan ngt

OC:

The family kitchen has unwashed plates, unorganizedplacements of utensils, their kitchen utensils are
exposed to insects androdents. Their cooked foods are being placed on the table covered by
abasin,which they also use for washing their dishes. As I visit to theirhome,they were preparing their
meals for lunch, they just leave thefood unattended, which is also exposed to flies.

Family Nursing Diagnosis

: Inability to decide about takingappropriate actionsdue to failure to comprehend the identified problem
as a healththreat.

Goal of Care

: Within 4 hours of nursing interventions, the family willbe able topractice the proper ways on handling
food and recognize theimportance of proper food handling.

Objectives

: Within 4 hours of nursing interventions, the family will be ableto:1. Recognize the risk factors that will
contribute to the identifiedproblems;2. Identify the different measures to prevent the arousal of therisk
factors of the problem3. Determine the importance of preparing and handling the foodproperly;4.
Practice and apply the techniques of food handling andpreparation;5. Keep their kitchen clean and free
from insects’ rodents.

INTERVENTIONSRATIONALE

1. Assess the family concerningtheir practices on handling andto determine the ways that the family To
provide information about the riskfactors on the problem identified.
are practicing at home as basis toplanpreparing the food2. Discuss with the family thehealth problems
that will occur if improper food handling willpersist and lead to undesirableillnesses such as diarrhea3.
Teach the family to do properhandwashing and encouragethem to perform it before andafter handling
foods4. Discuss to the family on how tohandle the food properly:Instruct them to storetheir food in the
rightstorage area like therefrigeratorb. If they don’t have arefrigerator, advise themto buy foods enough
toconsume for one weekand buy those foods that To reduce the spread of microorganisms. To provide
alternative ways onsecuringfood properly. To determine their practice andidentifymodification.

can be preserved for along timec. Encourage them to covertheir foods properly witha clean cover to
preventinsects and rodents formlanding on food5. Motivate the family to utilize theavailable resources
at home forproper food storage andhandling such as containers withcover for keeping the food6.
Encourage the family to keepthe house clean specially thekitchen area for care andintervention. To be
used for handling andpreparingfood clean and proper beforecooking. To maintain cleanliness and to
slowlyeliminate the existence of insectsandrodents in their house.

Evaluation:

Goals met. After 4 hours of nursing interventions, the family wasable topractice the proper ways about
handling food as evidenced by the demonstration

of the family’s washing of plates, proper arrangement of their kitchenutensilsand cleaning of their
kitchen as I observed after the discussion of proper ways on handling food.

FAMILY NURSING CARE PLANPROBLEM #03Problem No.03Problem Identified: Improper HygieneDate

Identified: July 27, 2009Date Evaluated: August 01, 2009

CUES

SC:

“Kumakain kami kahit hindi nililigpitan ang plato. Lalo na angmga batamaglalaro, diretso kain di na
naghuhugas.” As verbalized by Mrs.L.
OC:

Child X1 of Mrs. L eats his meals without washing his handsfirst. Evenhis parents, when I had my visit at
noon. The fingernails as wellasthe toenails of Child X1 are untrimmed, with dirt under the nails. Thechild
is playing on the muddy area under their house; pickingfingerfoods such as cup cakes without washing
hands. At times, ChildX1 plays with chickens with child X2, when he bed wets, they donotthoroughly
wash their blankets. Instead, they hung itimmediatelyunder the sun.

Family Nursing Diagnosis

: Inability to provide home environmentconducive tohealth and maintenance due to improper

hygienetechniques

Goal of Care

: Within 4 hours of nursing interventions, the family willbe able toidentify hygienic measures such as
proper hand washing and itssignificance.

Objectives

: Within 4 hours of nursing interventions, the family will be ableto:1. Include proper hand washing
technique before and after eating;2. Enumerate the health problems that will possibly cause spread of
infection;3. Identify ways on how to maintain hygiene;4. Gain understanding about the importance of
proper hygiene in theactivities of daily living;5. Demonstrate interest with regards to the presented
health teaching

INTERVENTIONSRATIONALE

1. Assess the degree of awarenessof the family with regards to theexisting health problem To identify
the family’s levelunderstanding about proper hygiene

2. Teach the client how to performhandwashing correctly3. Discuss to the family theimportance of
proper hygiene intheir health4. Encourage them to wash theirhands before and after eating5. Discuss
the potential healthproblems that could arise of proper hygiene is notimplemented and practiced To
provide the family awareness inrelation to the proper performance of handwashing and its role in
theprevention of the spread of infection To impart knowledge to the family To promote comfort ability
and self groomingEmphasize to the family thepreventionof arousal of potential healthproblemsif proper
hygiene is practiced

Evaluation:

Goals met. After 4 hours of nursing interventions, the family wasable toidentify the importance of hand
washing and was able to demonstratethe propertechnique of the procedure
FAMILY NURSING CARE PLANPROBLEM # 04Problem No. 4Problem Identified: Improper Garbage
DisposalDate Identified: July 27, 2009Date Evaluated: August 01, 2009CUES

SC:

“Sinusunog lang naming ang aming mga basura. Iniiponnamin sa tabi bago namin sunugin.”As verbalized
by Mrs. L.

OC:

The family is disposing their garbage through burning intheirbackyard at about 4 meters from their
house.

Family Nursing Diagnosis

: Inability to decide about takingappropriate actionsdue to failure to comprehend the nature and scope
of theproblem.

Goal of Care

: Within 4 hours of nursing interventions, the family willbe able todetermine the importance of
practicing proper methods on wastedisposal.

Objectives

: After two home visits, the family will be able to:

1.

Identify the different ways on proper disposal of garbage such as:a. use of compost pit with cover;b.
segregate the non-biodegradable and biodegradablematerials;c. recycling of can-be-used garbage;d.
reusing or selling of some garbage like cans, bottles andplastics.

2.

Enumerate the proper techniques on keeping the surroundings cleanandthrough using proper method
of waste disposal;

3.

Define the meaning of proper garbage disposal and its advantages;

4.
Recognize the possible effects of garbage burning; verbalizeunderstanding about the importance of
practicing proper wastedisposal.

INTERVENTIONSRATIONALE

1. Assess the family’s level of understanding regarding theidentified problem2. Assess the surrounding
and thehouse of the family3. Provide the family informationabout the proper ways on wastedisposal
such as segregation of biodegradable from non-biodegradablewastes and demonstrate themethods.4.
Explore with the family theadvantages and disadvantagesIn order to determine thecognitivelevel of the
family andacknowledgetheir perceptions about theproblemFacilitate on making theappropriateactions
needed by the familyFor the family to learn the properwaysof waste management and forvisualization
of the materializationof methods.

of the different methods of waste disposal5. Emphasize the importance of practicing proper
garbagedisposal with the family To provide options with the familyonselecting proper methods of
wastedisposalSo that the family will grasp thesignificance and demonstrateinterestin initiating lifestyle
modification

Evaluation:

Goals met. After 2 home visits conducted with nursinginterventions, thefamily was able to understand
the importance of practicing the propermethod of waste disposal as evidenced by Mrs. L’s verbalization
“Pagsaasabihanko ang akong asawa na gumawa ng compost pit at tatakpan namin.Pagbubukurin ko ang
bio- degradable at non bio