Family Care Plan

A Paper Presented to the Faculty of College of Nursing Adventist University of the Philippines

In Partial Fulfillment of the Requirements for the Course Health Care II Community

Submitted by: Karl Garcia

Date Submitted: February 2009

Introduction Nursing is continuing to evolve into a well-defined profession with a more clearly delineated definition and phenomena of concern. Fundamental philosophical beliefs and qualities have been identified that are important for the nurse to possess in order to provide quality care. The nursing profession has developed a body of knowledge that contributes to the growth and well-being of the individual and the community, the prevention of illness, and the maintenance and/or restoration of health (or relief of pain/discomfort and provision of support when a return to health is not possible). It can be applied in any healthcare or educational setting, in any theoretical or conceptual framework, and within the context of any nursing philosophy. Each step of the nursing process builds on and interacts with the other steps, ensuring an effective practice model. Inclusion of the standards of clinical nursing practice provides additional information to reinforce understanding and opportunities to apply knowledge. The family care plan is a process that considers the feelings, emotions, needs (physiological, mental, social, spiritual) of the family that has a bearing on their health status. It is a process that involved assessment to determine the existence of any health problem of the family in the community and how it could be prevented. This care plan assesses the current health status of the family members, and promotes wellness among its members. This family care plan also considers the structure, characteristic and dynamics of the family, their socio-cultural status, their home environment, their values and practices

Narrative A. Family Structure, Characteristics, and Dynamics The Amoroso family resides in Barangay Carmen, Silang, Cavite, Purok 6. They have been residing at this place for 6 years already. Joaquin, 57 years old, is the father and the head of the family. Anita is 52 years old and married to Gregorio. She is the mother of six children: Romel, 24 years old, is the eldest of the six. Edwin, 18 years old, is the second child. The others are: Mary-Anne, 15; Lisel, 14; Danielle, 12 and the youngest is Rizbelle, 9 years old. The Amoroso family is a nuclear family and they all live together with no other family living with them. There doesnt seem to have any conflicts within the family. They all have a good communication when they are together as they talk with each other lovingly every day. They also have positive interaction patterns among members as they each have their own role within the family.

B. Socio-economic culture characteristics The Amorosos monthly family income is not definite. According to them they earn from around P200 to P1000 pesos a month only. The father is currently a farmer and the mother is a housewife.

C. Home and Environment The family owns the house that they currently stay in.. The house is mainly made of wood. They have 2 bedrooms which are large enough to accommodate the parents and some of the children. Electricity is the main source of their lighting. They dont have many types of appliances such as a refrigerator and television. They family gets their water from a nearby water tank. The distance of the source is about 300 meters from the house and they obtain their water through a water pump. The family stores their waste in sacks and either throws it out or burns afterwards because they dont have much any other choice. The Amorosos currently dont own a toilet and just urinate/defecate outside. Their neighborhood is peaceful and quiet most of the time because not that many people live near them. The only noise that could sometimes be heard is the noise of vehicles passing by, dogs and other animals making noise. The family has access to a health center nearby. The house is located near a highway so they can easily travel through jeepney or tricycle.

D. Health status of each member The health history of the Amoroso family is hypertension. Their meals typically consist of fish, rice, and vegetables. They only consult family and designated health care workers for general advice and medical advice. The family claims that they always get adequate rest and sleep, exercise, relaxation activities, and stress management activities.

E. Values and Practices of Health Promotion and Maintenance and Disease Prevention The Amoroso family didnt state any past immunizations. The family said that they get adequate rest most of the time. The family exercises through working on the farm. These activities also serve as their stress management activities.

Name of Student: Garcia, Karl

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Name of Family Head: Joaquin Amoroso__________________________________ Address: Purok 6, Barangay Carmen, Silang, Cavite _____________ List of Health Problems Nature of Problem 1. Low Income Foreseeable Crisis 2. Cough and cold Health Deficit 3. High Blood Pressure Health Deficit

Ranking Health Problems of Family PRIORITY 1 2 3 PROBLEM High Blood Pressure Cough and cold Low Income SCORE 4 2/3 4 1/2 2 1/2

Name of Student: _Karl Garcia_____________________ Name of Family Head: _Joaquin Amoroso_________ Problem: Low Income
Criteria 1. Nature of the Problem` 2. Modifiability of the Problem 3. Preventive Potential 4. Salience Standard Wellness State Health Deficit Health Threat Foreseeable Crisis Easily Modifiable Partially Modifiable Not Modifiable High Moderate Low Needs Immediate Attention A problem but not needing immediate attention Not a problem/or felt need Score 3 3 2 1 2 1 0 3 2 1 2 1 0 1 Weight 1 Actual 1 1 2/3 1/3 2 1 0 1 2/3 1/3 1 Justification It is a foreseeable crisis It takes time and effort to earn money Can be prevented with effort Family currently gets by with current amount of income Total Score: 2 1/2

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Problem: High Blood Pressure

Criteria 1. Nature of the Problem` 2. Modifiability of the Problem 3. Preventive Potential 4. Salience Standard Wellness State Health Deficit Health Threat Foreseeable Crisis Easily Modifiable Partially Modifiable Not Modifiable High Moderate Low Needs Immediate Attention A problem but not needing immediate attention Not a problem/or felt need Score 3 3 2 1 2 1 0 3 2 1 2 1 0 1 Weight 1 Actual 1 1 2/3 1/3 2 1 0 1 2/3 1/3 1 0 Total Score: 4 2/3 Justification It is a health deficit There are ways to treat hypertension Cannot be prevented completely in some cases Needs to be attended to immediately

Problem: Cough and Colds

Criteria 1. Nature of the Problem` 2. Modifiability of the Problem 3. Preventive Potential 4. Salience Standard Wellness State Health Deficit Health Threat Foreseeable Crisis Easily Modifiable Partially Modifiable Not Modifiable High Moderate Low Needs Immediate Attention A problem but not needing immediate attention Not a problem/or felt need Score 3 3 2 1 2 1 0 3 2 1 2 1 0 1 Weight 1 Actual 1 1 2/3 1/3 2 1 0 1 2/3 1/3 1 Justification It is a health deficit Can be easily treated and cured Can be easily prevented Not a high priority problem. It is common therefore not that serious. Total Score: 4 1/2

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Name of Student: Garcia, Karl_____________________________________ Family Health Problems: High Blood Pressure, Cough and cold, DOB due to Asthma Cues Data 1. High blood pressure Subjective Data: I feel dizzy sometimes I sometimes get a mild headache Objective Data: 150/110 mmHg 2. Cough and cold Subjective Data: May sipon ang anak ko as verbalized by mother Objective Data: Observed frequent productive cough of children Observed nasal secretions 3. Low Income Subjective Data: Our income is less than P1000 per month My husband doesnt work every day as stated by wife Objective Data: Lack of common home appliances such as refrigerator Family Health Problem First Level Assessment Second Level Assessment Health Deficit Inability to provide adequate health care to the sick member due to lack/inadequate knowledge of the nature and extent of nursing care needed. Health Deficit Inability to provide adequate health to the sick health member of the member of the family due to lack of necessary facilities.

Foreseeable Crisis

Inability to recognize the seriousness of the problem due to ignorance of facts.

Conclusion

In conclusion, the Amoroso familys condition is good so far. They do not have that many problems and if they acquire any it can be treated by the mother since she is a doctor. The family as of now is living an adequate lifestyle even though their income is low. The problems listed in this form are of health history therefore they cannot be treated completely but the signs and symptoms can be prevented. Even if they have a few problems the family copes with it very well. I am sure that this family care plan has helped the Amoroso family in at least the littlest way. Through the interview they were reminded verbally about their current lifestyle and they could have realized the possible changes that they could do through this plan. I hope that the Amoroso family will continue living a long and healthy life. I believe that this family care plan was effective and will be effective in the future. I, myself, have realized changes that I could do in my lifestyle that can help me through studying this care plan and I know that it helped others too.