FAMILY NURSING CARE PLAN

PROBLEM NO. 3

Problem No. 3
Problem Identified: Fall Hazards
Date Identified: August 13, 2008
Date Evaluated: August 26, 2008

CUES:
SC: “Naay atabay namo sa luyo sa among balay.” As verbalized by
Mrs. L.
OC: The deep well is approximately 2 meters from the house with the
diameter of the hole is approximately 1 meter and it is level to the
ground. The deep well has a depth of 6 feet and being used by the
family without the cover.

Family Nursing Diagnosis: Inability to anticipate risk factors due to lack of

knowledge on the identified problem

Goal of Care: Within 4 hours of nursing interventions, the family will be able
to identify the risk factors on the actual condition and make
plans to modify the deep well and to prevent any accidents.

Objectives: Within 4 hours of nursing interventions, the family will be able

to:
1. recognize the possible risk factors with regards to the condition
identified;
2. enumerate various ways on maintaining safety and to prevent fall
hazards;
3. select a course of action to correct and solve the problem;
4. make plans to choose appropriate ways and materials necessary to
cover the deep well to prevent any occurrence of injuries;
5. identify the positive outcomes upon planning the solution to the
problem.

INTERVENTIONS RATIONALE

1. Assess the family’s perceptions To acknowledge the family concerns

with regards to the problems and in order to promote cooperation
identified.
 2. Discuss with the family the To provide informations regarding the
possible risk factors that will risk factors such as falls
result with the occurrence of
the problem

3. Emphasize to the family the To develop the family’s ability and

importance of solving the commitment to provide nursing care
problem and on maintaining an to the members of the family and on
environment which is safety at taking actions to solve the problems
home
4. Provide suggestions about To guide the family on how to decide
solving the problem and or select for appropriate actions to
preventive measures on fall take with regards to the problem
hazards such as putting a identified
cover made of wood or
plywood, having the sides of
the well cemented, and putting
a wooden fence around the
well to guard the hole and
enhance the safety of each
family member
To enhance the capability of the
5. Evaluate the family’s plan or family to carry out measures to
course of action they are going provide safe home facilities and
to make personal development

Resources Required:
• Home Visits
• Assessment
• Discussion
• Time & Effort by the student nurse and the family members

Evaluation:
Goal met. After 2 home visits conducted with nursing interventions, the
family was able to identify risk factors of having an uncovered well and short
blocks of the deep-well and verbalized their plans to modify their situation.
 FAMILY NURSING CARE PLAN
PROBLEM NO. 2

Problem No. 2
Problem Identified: Improper Food Handling
Date Identified: August 12, 2008
Date Evaluated: August 12, 2008

CUES:
SC: “Pasensya na kayo ah, magulo ang kusina hindi pa nahugasan ang
mga plato at di pa nalinis un pinaglutuan.” As verbalized by Mrs.
L.
OC: The family kitchen has unwashed plates, unorganized placements
of utensils, their kitchen utensils are exposed to insects and
rodents. Their cooked foods are being placed on the table covered
by a basin, which they also use for washing their dishes. During
one of the home visits conducted by the group, while they were
preparing their meals for lunch, they just leave the food
unattended, which is also exposed to flies.

Family Nursing Diagnosis: Inability to decide about taking appropriate

actions due to failure to comprehend the identified
problem as a health threat

Goal of Care: Within 4 hours of nursing interventions, the family will be able
to practice the proper ways on handling food and recognize
the importance of proper food handling.

Objectives: Within 4 hours of nursing interventions, the family will be able

to:
1. recognize the risk factors that will contribute to the identified
problems;
2. identify the different measures to prevent the arousal of the risk
factors of the problem
3. determine the importance of preparing and handling the food properly;
4. practice and apply the techniques of food handling and preparation;
5. keep their kitchen clean and free from insects an rodents.
 INTERVENTIONS RATIONALE

1. Assess the family concerning To determine the ways that the

their practices on handling and
preparing the food
2. Discuss with the family the
health problems that will occur
if improper food handling will
persist and lead to undesirable
illnesses such as diarrhea
family are practicing at home as
basis to plan for care and
interventions
To provide information about the risk
factors on the problem identified

3. Teach the family to do proper

handwashing and encourage To reduce the spread of
them to perform it before and microorganisms
after handling foods

4. Discuss to the family on how to

handle the food properly:
To provide alternative ways on
a. Instruct them to store securing food properly
their food in the right
storage area like the To determine their practice and
refrigerator identify modification
b. If they don’t have a
refrigerator, advise them
to buy foods enough to
consume for one week
and buy those foods that
can be preserved for a
long time
c. Encourage them to
cover their foods
properly with a clean
cover to prevent insects
and rodents form
landing on food

5. Motivate the family to utilize To be used for handling and

 the available resources at preparing food clean and proper
home for proper food storage before cooking
and handling such as
containers with cover for
keeping the food

6. Encourage the family to keep To maintain cleanliness and to slowly

the house clean specially the eliminate the existence of insects and
kitchen area rodents in their house

Resources Required:
• Home Visits
• Discussion
• Time & Effort of the student nurses and the family members

Evaluation:
Goal met. After 4 hours of nursing interventions, the family was able to
practice the proper ways about handling food as evidenced by the
demonstration of the family’s washing of plates, proper arrangement of their
kitchen utensils and cleaning of their kitchen as observed by the student
nurses after the discussion of proper ways on handling food.
 FAMILY NURSING CARE PLAN
PROBLEM NO. 1

Problem No. 1
Problem Identified: Improper Hygiene
Date Identified: August 13, 2008
Date Evaluated: August 25, 2008

CUES:
SC: “Wala lagi sa bahay ang anak ko,katapos mglaro sa labs mhirap
paliguan, khit maghugas ng kamay di magawa diretso kain lng”
As verbalized by Mrs. L.
OC: Child J1 of Mrs. L eats his meals without washing his hands first.
Even his parents, when we had our visit at noon. The fingernails
as well as the toenails of Child J1 are untrimmed, with dirt under
the nails. The child is playing on the muddy area under their
house; picking finger foods such as cup cakes without washing
hands. At times, Child J1plays with chickens. With child J2, when
he bed wets, they do not thoroughly wash their blankets. Instead,
they hung it immediately under the sun.

Family Nursing Diagnosis: Inability to provide home environment

conducive to health and maintenance due to
improper hygiene techniques

Goal of Care: Within 4 hours of nursing interventions, the family will be able
to identify hygienic measures such as proper handwashing and
its significance

Objectives: Within 4 hours of nursing interventions, the family will be able

to:
1. include proper handwashing 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 the
activities of daily living;
 5. demonstrate interest with regards to the presented health teaching

INTERVENTIONS RATIONALE

1. Assess the degree of To identify the family’s level

awareness of the family with
regards to the existing health
problem
2. Teach the client how to
perform handwashing correctly
understanding about proper hygiene
To provide the family awareness in
relation to the proper performance of
handwashing and its role in the
prevention of the spread of infection

To impart knowledge to the family

3. Discuss to the family the
importance of proper hygiene
in their health
To promote comfortability and self-
4. Encourage them to wash their grooming
hands before and after eating
Emphasize to the family the
5. Discuss the potential health prevention of arousal of potential
problems that could arise of health problems if proper hygiene is
proper hygiene is not practiced
implemented and practiced

Resources Required:
• Home Visits
• Discussion
• Demonstration
• Time & Effort of the student nurses and the family members

Evaluation:
Goal met. After 4 hours of nursing interventions, the family was able to
identify the importance of handwashing and was able to demonstrate the
proper technique of the procedure
 FAMILY NURSING CARE PLAN
PROBLEM NO. 4

Problem No. 4
Problem Identified: Improper Garbage Disposal
Date Identified: August 26, 2008
Date Evaluated: September 1, 2008

CUES:
SC: “Sinusunog lang naming basura naming sa likod wala kasing
kmukha ng basura ditto e.”As verbalized by Mrs. L.
OC: The family is disposing their garbage through burning in their
backyard at about 4 meters from their house.

Family Nursing Diagnosis: Inability to decide about taking appropriate

actions due to failure to comprehend the nature and
scope of the problem.

Goal of Care: Within 4 hours of nursing interventions, the family will be able
to determine the importance of practicing proper methods on
waste disposal.

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 biodegradable materials;
c. recycling of can-be-used garbage;
d. reusing or selling of some garbage like cans, bottles and
plastics.
2. enumerate the proper techniques on keeping the surroundings clean
and through using proper method of waste disposal;
3. define the meaning of proper garbage disposal and it’s advantages;
 4. recognize the possible effects of garbage burning;
5. verbalize understanding about the importance of practicing proper
waste disposal

INTERVENTIONS RATIONALE

1. Assess the family’s level of In order to determine the cognitive

understanding regarding the level of the family and acknowledge
identified problem their perceptions about the problem

2. Assess the surrounding and the Facilitate on making the appropriate

house of the family actions needed by the family

3. Provide the family information For the family to learn the proper
about the proper ways on ways of waste management and for
waste disposal such as visualization of the materialization of
segregation of biodegradable methods
from non-biodegradable
wastes and demonstrate the
methods

4. Explore with the family the To provide options with the family on
advantages and disadvantages selecting proper methods of waste
of the different methods of disposal
waste disposal

5. Emphasize the importance of So that the family will grasp the

practicing proper garbage significance and demonstrate interest
disposal with the family in initiating lifestyle modification

Resources Required:
• Home Visits
• Assessment
• Discussion
• Time and Effort of the student nurses with the family members

Evaluation:
Goal met. After 2 home visits conducted with nursing interventions, the
family was able to understand the importance o practicing the proper method
of waste disposal.

FAMILY NURSING CARE PLAN

PROBLEM NO. 5

Problem No. 5
Problem Identified: Inadequate Immunization Status of the Child
Date Identified: August 26, 2008
Date Evaluated: August 26, 2008

CUES:
SC: “Yun isa kong anak kompleto bakuna pero un isa hindi, kulang sya
ng Bakuna kasi noon araw na pinapabalik kme di ako nakabalik
naubusan na kme ng gamut nun ngbalik ako di nako ngbalik
katapos non” As verbalized by Mrs. L.

Family Nursing Diagnosis: Inability to recognize the presence of health

threat due to lack of knowledge about the condition

Goal of Care: Within 4 hours of nursing interventions, the family will be able
to determine the importance of having complete
immunization.

Objectives: After two home visits, the family will be able to:
1. determine the importance o complete immunization of children;
2. enumerate the possible illnesses that can occur due to incomplete
vaccination;
3. follow-up the vaccine of the children;
4. give specific attention to the schedules of the children’s immunization;
5. understand the advantages of having completion of the immunization.

INTERVENTIONS RATIONALE

1. Assess the family’s degree of To determine the level of

perception with concerns to understanding of the family
the immunization of the
children
To provide information and
 2. Discuss with the family the awareness about the advantages of
significance of completing the vaccination
immunization schedules of the
children

3. Encourage the family to In order to be reminded and follow

actively visit the health center the scheduled dates and to prevent
during scheduled lapse from the schedule
immunizations for their 4
months child

4. Include health teachings to

protect the health of the family
members such as:
To strengthen the immune system
• Advice them to let the
children eat fruits and
vegetables rich in
essential nutrients
• Increase intake of
foods rich in vitamin C
such as oranges
• Always practice proper
hygiene
To provide continuation of quality
5. Encourage the family to care to the children
communicate and coordinate
with the health care
officials/team in the barangay
health center

Resources Required:
• Home Visits
• Assessment
• Discussion

Evaluation:
Goal met. After 4 hours of nursing interventions, the family was able to
know the importance of complete immunization as evidenced by Mrs. L’s
verbalization “Kinakailangan makompleto bakuna ng aking anak para
makaiwas sya sa sakit at impeksyon.”