Family Nursing Care Plan

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 possible risk factors that will result with the occurrence of the problem

To provide informations regarding the risk factors such as falls

3. Emphasize to the family the

To develop the family’s ability and

importance of solving the

commitment to provide nursing care to

problem and on maintaining an

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 or

solving the problem and

select for appropriate actions to take

preventive measures on fall

with regards to the problem identified

hazards such as putting a 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 family 5. Evaluate the family’s plan or

to carry out measures to provide safe

course of action they are going

home facilities and personal

to make

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 as evidenced by one of the family member’s verbalization, “Dapat gyud diay nga himuan na namo ug tak-ob and among atabay para dili mamiligro ang mga bata, basin mahulog.”

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 kaayo mo ha. Gubot kaayo nang among kusina. Nah! Wala raba nay hugas among mga kinan-an dinha. Wala pa man gyud nahuman among kusina mao ang among butangan ug mga plato wala puy tabon.” 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 1. Assess the family concerning their practices on handling and

RATIONALE To determine the ways that the family are practicing at home as basis to plan

preparing the food 2. Discuss with the family the health problems that will occur if

for care and interventions To provide information about the risk factors on the problem identified

improper food handling will persist and lead to undesirable illnesses such as diarrhea 3. Teach the family to do proper

To reduce the spread of microorganisms

handwashing and encourage them to perform it before and after handling foods 4. Discuss to the family on how to handle the food properly:

a. Instruct them to store their food in the right

To provide alternative ways on securing food properly To determine their practice and identify modification

storage area like the refrigerator 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 To be used for handling and preparing 5. Motivate the family to utilize the

food clean and proper before cooking

available resources at home for proper food storage and handling such as containers with cover for keeping the food To maintain cleanliness and to slowly 6. Encourage the family to keep the house clean specially the kitchen area

eliminate the existence of insects and 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: “Mangaon lage mi usahay na walay hugasay, diretso na. Labi na ang mga

bata

kay

magdula-dula

tas

mukaonra

diretso,

di

na

manghugas.” 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

1. Assess the degree of awareness of the family with regards to the

RATIONALE

To identify the family’s level understanding about proper hygiene

existing health problem 2. Teach the client how to perform handwashing correctly

To provide the family awareness in relation to the proper performance of handwashing and its role in the prevention of the spread of infection

3. Discuss to the family the

To impart knowledge to the family

importance of proper hygiene in their health 4. Encourage them to wash their hands before and after eating 5. Discuss the potential health

To promote comfortability and selfgrooming Emphasize to the family the prevention

problems that could arise of

of arousal of potential health problems

proper hygiene is not

if proper hygiene is 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: “Ginasunog raman namo ang among basura dinhi. Amo ra tapukon sa kilid unya paugahon, unya sunugon dayon.”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

1. Assess the family’s level of

RATIONALE

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 house of the family 3. Provide the family information

Facilitate on making the appropriate actions needed by the family For the family to learn the proper ways

about the proper ways on waste

of waste management and for

disposal such as segregation of

visualization of the materialization of

biodegradable from non-

methods

biodegradable wastes and

demonstrate the methods 4. Explore with the family the advantages and disadvantages

To provide options with the family on

of the different methods of

selecting proper methods of waste

waste disposal

disposal

5. Emphasize the importance of practicing proper garbage

So that the family will grasp the

disposal with the family

significance and demonstrate interest 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 as evidenced by Mrs. L’s verbalization “Ako na jud sultian akong bana nga maghimo mi ug compost pit ug tak-oban namo, ug ilahi namo ang mga basura na malata ug dili malata.”

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: “Ang akong kamanghuran kay kumpleto sa iya bakuna, pero kini akong kamaguwangan (J1) kay wala na kumpleto ang iyang bakuna. Sa akong mahinumduman, kaisa ra ni siya nahatagan sa Hepa nga bakuna ug sa DPT. Wala na gyud ko kabalik sa petsa na dapat pabalikon mi.” 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 understanding of the family

2. Discuss with the family the

To provide information and awareness about the advantages of vaccination

perception with concerns to the immunization of the children significance of completing the immunization schedules of the children

3. Encourage the family to actively visit the health center during scheduled immunizations for their 4 months child

In order to be reminded and follow the scheduled dates and to prevent lapse from the schedule

4. Include health teachings to protect the health of the family members such as: •

• •

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

5. Encourage the family to

To strengthen the immune system

To provide continuation of quality 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 “Kinahanglan jud diay nga makumpleto ang mga bakuna sa kong anak para makalikay sa mga impeksiyon ug sakit, ug paningkamutan jug nako nga makakumpleto na sa bakuna akong upat ka buwan na anak.”