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Family Nursing Care Plan

Family Nursing Care Plan



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Published by Mark Llego
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Published by: Mark Llego on Nov 12, 2009
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B. FAMILY NURSING CARE PLANDEFINITIONA Family Nursing Care Plan is the set of actions the nurse decides to implementto be able to resolve identified family health and nursing problems.CHARACTERISTICS1.The nursing care plan focuses on actions which are designed to solve oralleviate an existing problem.
 The plan is a blueprint for action; the meats of the plan are theapproaches, strategies, activities, methods, and materials by which thenurse hopes to change the problem situation.1.The nursing are plan is a product of deliberate systematic process.
It is not based on impulsive or spur of the moment decisions. Theplanning process is characterized by logical thinking wherebyrelationships are put together to arrive at rational decisions. Theactions the nurse decides to implement are chosen from amongalternatives after careful analysis and weighing options open to her.1.The nursing are plan, as with all other plans, relates to the future.
It utilized events in the past and what is happening in the present todetermine trends. It also envisions the future if the problem situation isnot corrected.1.The nursing care plan revolves around identified health and nursingproblems.
 The problems are the starting points for the plan, and the bases for theobjectives of care and subsequent intervention measures.1.The nursing care is a means to an end, not an end in itself.
 The goal in planning is to deliver the most appropriate care to client. If it does not serve the purpose for which it is initiated it becomesuseless and an expensive undertaking.1.Nursing care planning is continuous process, not a one-shot deal.
 The results of the evaluation of the plan’s effectiveness pave the wayfor another cycle of planning until the problems are resolved.DESIRABLE QUALITIES OF A NURSING CARE PLAN1.It should be based on a clear definition of the problems.
A nursing care plan takes time and effort to make. It will be a sheerwaste of resources if it does not produce the intended results becauseof a vague or erroneous definition of a problem. A good plan is basedon a comprehensive analysis of the problem situation. The main aswell as the contributory causes in the perpetuation of the problemshould be identified.1.A good plan is realistic.
It can be implemented with reasonable chance of success. This realismof a plan is related to the quantity and quality of resources required inits execution.1.The nursing care plan should be consistent with the goals and philosophy of the health agency.
If the health agency for instances, promotes self reliance of the clientas one of the philosophies, then the nurse must bear this in mind whenplanning her approach and intervention measures.1.The nursing care plan is drawn with the family.
 This is consistent with the principle that the nurse works with and NOTfor the family. She involves the family in determining health needs andproblems, in establishing priorities, in selecting appropriate course of action, implementing them and evaluating outcomes. Throughparticipatory planning, the nurse also gives the family the feeling thatits dignity and integrity are preserved because of the realization that isnot totally helpless and can still do something about the problemsituation.1.The nursing care plan is best kept in a written form.
It is a means of communication not only among the nurse but alsobetween nurses and other members of the health team. Moreover, it isimpossible for a nurse to keep many family care plan in her mind andremember the salient point of care. The development of standardforms can help motivate nurses to write their nursing care plans.Written plans also serve as useful administrative device for evaluatingstaff performance and the quality of care provided to clients.IMPORTANCE OF PLANNING CARE1.They individualized care to clients
 The recipient of care whether individual of family or the entirecommunity are different from each other. Nursing care, to beappropriate should suit and be unique to a particular client. Planningfacilities the delivery of the most appropriate care by considering theindividuality of each client1.The nursing care plan helps in setting priorities
By providing information about the client as well as the nature of hisproblems, the nurse set her priorities for care.1.Nursing care plan promote systematic communication among the health careteam
Nursing care plan define the problems and details of nursinginterventions done to resolve them.1.Continuity of care is facilitated
Gaps and duplication in services provided are minimized. Gaps andduplications of services are bound to occur in setting where there isfrequent turnover of staff or when several health workers are providingcare to the same family.1.It facilitates the coordination of care
By making known to other members of the health team what nursingcare is rendered. Coordination of care prevents fragmentation of 
services and increases the efficiency of the health service deliverysystem.ESTABLISHING PRIORITIES
After the date analysis, the nurse may realize that the family is facedwith a number of health nursing problems, which cannot be taken upall the same time considering the available resources for both thefamily and the nurse.
Considering this situation, she can rank the identified problems intopriorities. There are four criteria for determining priorities amonghealth problems. These includes:1.NATURE OF PROBLEM PRESENTED- categorized into health threat,health deficit, and foreseeable crisis.2.MODIFIABILITY OF THE PROBLEM- refers to the probability of success in minimizing, alleviation or totally eradicating the problemthrough nursing intervention.3.PREVENTIVE POTENTIAL- refers to the nature and magnitude of future problems that can be minimized or totally prevented if intervention is done on the problem under consideration.4.SALIENCE- refers to the family’s perception and evaluation of theproblem in terms of seriousness an urgency attention needed.FACTORS AFFECTING PRIORITY-SETTING1.Current knowledge, technology, and interventions to manage the problem2.Resources of the family- physical, financial, manpower3.Resources of the nurse- skills, knowledge, and time4.Resources of the community- facilities and community organization orsupport.SCALE FOR RANKING FAMILY HEALTH PROBLEMS ACCORDING TO PRIORITIESCRITERIASCOREWEIGHT1.NATURE OF THE PROBLEMPRESENTEDSCALE:
Health Deficit3
Health Threat21

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