Family Nursing Care Plan

FAMILY NURSING CARE PLAN PROBLEM #01 Problem No. 01 Problem Identified: Fall Hazards Date Identified: July 27, 2009 Date Evaluated: August 01, 2009 CUES: SC: “Merong balon sa likod ng aming bahay.” 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 information 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 to

problem and on maintaining an environment which is safety at home

the members of the family and on taking actions to solve the problems

4. Provide suggestions about solving the problem and preventive measures on fall 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

To guide the family on how to decide or select for appropriate actions to take with regards to the problem identified

safety of each family member

5. Evaluate the family’s plan or course of action they are going to make

To enhance the capability of the family to carry out measures to provide safe home facilities and personal development

Evaluation: Goals 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 lagyan ng taklob ang balon para walang mahulog na bata.”

FAMILY NURSING CARE PLAN PROBLEM #02 Problem No.02 Problem Identified: Improper Food Handling Date Identified: July 27, 2009 Date Evaluated: August 01, 2009 CUES: SC: “Pasensya na kayo ha. Madumi ang aming kusina. Hindi pa naliligpitan ang pinag-kainan. Hindi pa kasi tapos ayusin ang aming kusina at wala pang takip.” 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. As I visit to their home, 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’ rodents. INTERVENTIONS

RATIONALE

1. Assess the family concerning

To provide information about the risk

their practices on handling and

factors on the problem identified.

to determine the ways that the family

are practicing at home as basis to plan preparing the food

2. Discuss with the family the

To reduce the spread of microorganisms.

health problems that will occur if improper food handling will persist and lead to undesirable illnesses such as diarrhea

3. Teach the family to do proper handwashing and encourage them to perform it before and

To provide alternative ways on securing food properly.

after handling foods

4. Discuss to the family on how to handle the food properly: Instruct them to store their food in the right 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

To determine their practice and identify modification.

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 the available resources at home for proper food storage and handling such as containers with

To be used for handling and preparing food clean and proper before cooking.

cover for keeping the food

6. Encourage the family to keep the house clean specially the To maintain cleanliness and to slowly kitchen area for care and intervention.

eliminate the existence of insects and

rodents in their house. Evaluation: Goals 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 I observed after the discussion of proper ways on handling food.

FAMILY NURSING CARE PLAN PROBLEM #03 Problem No.03 Problem Identified: Improper Hygiene Date Identified: July 27, 2009 Date Evaluated: August 01, 2009

CUES: SC: “Kumakain kami kahit hindi nililigpitan ang plato. Lalo na ang mga bata maglalaro, diretso kain di na naghuhugas.” As verbalized by Mrs. L. OC: Child X1 of Mrs. L eats his meals without washing his hands first. Even his parents, when I had my visit at noon. The fingernails as well as the toenails of Child X1 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 X1 plays with chickens with child X2, 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 hygienetechniques Goal of Care: Within 4 hours of nursing interventions, the family will be able to identify hygienic measures such as proper hand washing and its significance. Objectives: Within 4 hours of nursing interventions, the family will be able to: 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 the activities of daily living; 5. Demonstrate interest with regards to the presented health teaching INTERVENTIONS 1. Assess the degree of awareness

RATIONALE To identify the family’s level

of the family with regards to the

understanding about proper hygiene

existing health problem

2. Teach the client how to perform

To provide the family awareness in

handwashing correctly

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

To promote comfort ability and self grooming

5. Discuss the potential health problems that could arise of proper hygiene is not implemented and practiced

Emphasize to the family the prevention of arousal of potential health problems if proper hygiene is practiced

Evaluation: Goals met. After 4 hours of nursing interventions, the family was able to identify the importance of hand washing and was able to demonstrate the proper technique of the procedure.

FAMILY NURSING CARE PLAN PROBLEM # 04 Problem No. 4 Problem Identified: Improper Garbage Disposal Date Identified: July 27, 2009 Date Evaluated: August 01, 2009 CUES: SC: “Sinusunog lang naming ang aming mga basura. Iniipon namin sa tabi bago namin sunugin.”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 its advantages; 4. Recognize the possible effects of garbage burning; verbalize understanding about the importance of practicing proper waste disposal. INTERVENTIONS 1. Assess the family’s level of understanding regarding the identified problem

2. Assess the surrounding and the

RATIONALE In order to determine the cognitive level of the family and acknowledge their perceptions about the problem

house of the family

3. Provide the family information about the proper ways on waste

Facilitate on making the appropriate actions needed by the family

disposal such as segregation of biodegradable from nonbiodegradable wastes and demonstrate the methods.

4. Explore with the family the advantages and disadvantages

For the family to learn the proper ways of waste management and for visualization of the materialization of methods.

of the different methods of waste disposal

5. Emphasize the importance of practicing proper garbage

To provide options with the family on selecting proper methods of waste disposal

disposal with the family So that the family will grasp the significance and demonstrate interest in initiating lifestyle modification Evaluation: Goals met. After 2 home visits conducted with nursing interventions, the family was able to understand the importance of practicing the proper method of waste disposal as evidenced by Mrs. L’s verbalization “Pagsaasabihan ko ang akong asawa na gumawa ng compost pit at tatakpan namin. Pagbubukurin ko ang bio- degradable at non bio degradable.

FAMILY NURSING CARE PLAN PROBLEM # 05 Problem No. 5 Problem Identified: Inadequate Immunization Status of the Child Date Identified: July 27, 2009 Date Evaluated: August 01, 2009 CUES: SC: “Ang anak kong bunso ay kumpleto sa bakuna, pero yung panganay X1 hindi sya kumpleto ng bakuna. Sa aking ala- ala, isang beses lang syang nabakunahan at sa DPT. Hindi na ako nakabalik sa petsa na dapat kong balikan.”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 of 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 1.Assess the family’s degree of perception with concerns to the immunization of the children

2.Discuss with the family the

RATIONALE To determine the level of understanding of the family

significance of completing the immunization schedules of the children

To provide information and awareness about the advantages of vaccination

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:

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

5. Encourage the family to communicate and coordinate with the health care officials/team in the barangay health center

To provide continuation of quality care to the children

Evaluation: Goals 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 “Kailangan talagang makumpleto ang bakuna ng aking mga anak para makaiwas sa mga impeksyon at sakit, at sisikapin kong makumpleto ang bakuna ng aking 4 na buwang anak.