CUES

HEALTH PROBLEM

FAMILY NURSING PROBLEMS

GOAL OF CARE

OBJECTIVES OF CARE

INTERVENTION PLAN NURSING INTERVENTIONS METHOD OF NURSE- FAMILY CONTACY

* Establish rapport with the client. Home visit

RESOURCES REQUIRED
*Human resources: - Time and effort of the nursing student and the client. *Financial resources: - Money for the nursing students transportation

CRITERIA

EVALUATION STANDARD

METHOD OR TOOL

Subjective cues: Waray pa ako mag 16 han akon pagtikang pagsigarilyo. Nakakaubos ako hin 15 [sticks] kada adlaw. as verbalized by the client. Gusto ko man ngani umundang pero naglalaway liwat ako. Nawawara kun nasigarilyo ako. Sige la pagbinalik balik han akon ubo. Kun naabat ako na makuri an akon pagginhawa, gintutumaran ko nala dayun hin Salbutamol. As

Readiness a.Inability to for make enhanced decisions capability with respect for: Healthy to taking lifestyleappropriate Cessation health of smoking actions due to: i. Failure to comprehend the nature of the problem

After nursing interventions, the client will decide what appropriate actions to choose as to cessation of smoking

After 2 weeks of nursing intervention, the client will be able to:

I. a. Explore feelings which hinders him from cessation of smoking.

*Assess the knowledge of the client regarding his ways of dealing with the problem. *Assess the clients feelings, level of desire to stop smoking and his coping mechanisms.

Verbal feedback

I. a. Explore feelings which hinders him from cessation of smoking.

Interview

I.b. Recognize harmful effects of active and passive smoking

*Discuss with the client the harmful effects of active and passive smoking such as: a. Cough b. headache c. asthma d. lung cancer *Discuss with the client the withdrawal symptoms of smoking such as: Cravings to smoke

Verbal feedback

I.b. Recognize harmful effects of active and passive smoking

Interview

ii. Fear of the consequence s of action: physical

II.a. Enumerate at least 3 withdrawal symptoms of smoking.

Verbal feedback

II.a. Enumerate at least 3 withdrawal symptoms of

Interview

verbalized by the client.

consequence .

Objective cues: -productive cough with whitish colored phlegm -smoking -dark colored lips. -loss of teeth -anxiety -Inability to concentrate

Irritable, cranky Insomnia Fatigue Inability to Concentrate Headache Cough Sore throat Dry mouth Postnasal drip Tightness in the chest Verbal feedback and compliance to agreed upon interventions

smoking.

II.b. Determine approaches as to dealing with the withdrawal symptoms.

*Discuss with the client tips on cessation of smoking such as: The Five D's Delay until the urge passes - usually within 3 to 5 minutes. Distract yourself. Call a friend or go for a walk. Drink water to fight off cravings. Deep Breaths Relax! Close your eyes and take 10 slow, deep breaths. Discuss your feelings with someone close to you or at the support forum here at About.com

II.b. Determine approaches as to dealing with the withdrawal symptoms.

Interview

Smoking Cessation. Other Ways to Manage Nicotine Withdrawal Include:

Exercise. Take 15 minute walk and work after the exercise. Get More Rest. If fatigue settles in, take a rest. Sleeping earlier than usual may help. Take a Multivitamin. It will help offset nicotine withdrawal symptoms and replenish depleted nutrients. Relaxation and Rewards. Whatever pampers and relaxes you is a great choice.

CUES

HEALTH PROBLEM

FAMILY NURSING PROBLEMS

GOAL OF CARE

OBJECTIVES OF CARE

INTERVENTION PLAN NURSING METHOD OF INTERVENTIONS NURSE- FAMILY CONTACY

* Establish rapport with the client. *Assess the familys knowledge on garbage disposal. *Discuss with the family the advantages of proper disposal of garbage such as: -Reduces risk for pollution -Promotes a healthy and sick-free environment -Reduces the incidence of green house effect from burning the trash. Home visit

RESOURCES REQUIRED
*Human resources: - Time and effort of the nursing student and the client. *Financial resources: - Money for the nursing students transportation

CRITERIA

EVALUATION STANDARD

METHOD OR TOOL

Subjective cues: Ginsusuritan namon an amon basura kun waray truck [garbage truck] na naagi as verbalized by the client.

a. Inability to Poor recognize the environmental presence of the sanitation: problem due Improper to: garbage disposal

i. Inadequate knowledge as to proper garbage disposal

After nursing interventions, the family will be able to decide appropriate actions as to proper disposal of garbage

After nursing interventions, the family will be able to:

Verbal feed back

i.a. Cite atleast 3 advantages of proper disposal of garbage.

i.a. Cite atleast 3 advantages of proper disposal of garbage.

Interview

Objective cues: -Big trash can with no cover -overflowing pieces of trash -foul smell -scattered trash on one side of the house -

b. Inability to make decisions with respect to taking appropriate health actions due to: i. Low salience of the problem

i.a. Involved in the decision making for choosing the proper ways of disposing garbage.

*Discuss with the family ways in disposing garbage such as: -Providing a trash can with a cover -Making a compost pit for biodegradable materials -Proper segregation of garbage into biodegradable and non-biodegradable.

Verbal feedback and compliance with the agreed upon interventions

i.a. Involved in the decision making for choosing the proper ways of disposing garbage.

Interview

*Discuss with the family the 3 Rs namely: - Reduce -Reuse -Recycle

CUES

HEALTH

FAMILY NURSING

GOAL OF CARE

OBJECTIVES OF

INTERVENTION PLAN

EVALUATION

PROBLEM

PROBLEMS

CARE

Objective cues: -soiled clothes uncombed hair -dirty nails -dirty hands and feet

Unhealthful a. Inability to make personal decisions with practice: respect to Poor taking personal appropriate Hygiene
health actions due to:

After nursing interventions, the family will practice good personal hygiene

After nursing interventions, the family will be able to:

METHOD OF NURSE- FAMILY CONTACY *Establish rapprt with the Home visit family. *Assess their culture and beliefs.

NURSING INTERVENTIONS

RESOURCES REQUIRED
*Human resources: - Time and effort of the nursing student and the client. *Financial resources: - Money for the nursing students transportation

CRITERIA

STANDARD

METHOD OR TOOL

ii. Failure to comprehend the nature of the problem.

i.a. recognize the benefits of personal hygiene

*Discuss the benefits of personal hygiene such as: - promotes well-being -promotes social acceptance in the community

Verbal feedback

i.a. recognize the benefits of personal hygiene

Interview

b. Inability to provide a home environment conducive to health maintenance and personal development: i. Inadequate knowledge of the importance of hygiene and sanitation.

i.a recognize the importance of personal hygiene

*Discuss with the family the importance of personal hygiene such as: -helps prevent diseases -increases circulation of i. body the -may be a form of exercise

Verbal feedback and compliance

i.a recognize the importance of personal hygiene

Interview

CUES

HEALTH PROBLEM

FAMILY NURSING

GOAL OF CARE

OBJECTIVES OF

INTERVENTION PLAN

EVALUATION

PROBLEMS

CARE

NURSING INTERVENTIONS

METHOD OF NURSE- FAMILY CONTACY

RESOURCES REQUIRED
*Human resources: - Time and effort of the nursing student and the client.

CRITERIA

STANDARD

METHOD OR TOOL

Subjective cues: masakit an akon ulo, maluya akon lawas, ginkukuri-an ako paglakat.Sige liwat an akon paginuro. 3 na ka adlaw As verbalized by the client. talagudti la an akon ihi as verbalized by the client Waray ako gana pagkaon as verbalized by the client. Objective cues: -BP-160/90 mmHg -RR-24cpm -PR- 94bpm -pallor noted on both hands and lips -bipedal edema (non-

Chronic Kidney Disease Stage 5 from hypertensive nephrosclerosis.

a. Inability to recognize the presence of the problem due to: i. Lack of knowledge b. Inability to make decisions with respect to taking appropriate health actions due to: i. Failure to comprehend nature and magnitude of the problem ii. Inadequate insights as to alternative courses of action open to them

After nursing interventions, the family will make a decision appropriate for the family member.

After nursing interventions, the family will be able to : i.a. recognize the overview of the disease process

i.a. identify symptoms of kidney failure and hypertension. ii.a.

*Financial resources: - Money for the nursing students transportation -Financial Support from the government and the Barangay officials

iii. Fear of consequence s of an actionEconomic consequence s

pitting) -weakness

c. Inability to provide a home environment conducive to health maintenance and personal development

i. Lack of
knowledge and skill in carrying out the necessary interventions or care.

CUES

HEALTH PROBLEM Asthma

FAMILY NURSING PROBLEMS

a. Inability to make decisions with respect to taking appropriate health actions due to: ii. Failure to comprehe nd the nature of the problem iii. Low salience of the problem

GOAL OF CARE

OBJECTIVES OF CARE

INTERVENTION PLAN METHOD OF NURSENURSING INTERVENTIONS

FAMILY CONTACY

RESOURCES REQUIRED

CRITERIA

EVALUATION STANDARD

METHOD OR TOOL