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DEVELOPING A FAMILY NURSING CARE PLAN

Group 2 MAN_2008 AUL

F N C P : defi

ed

!"uepri # of #$e %&re #$&# #$e N de'i( ' #o systematically minimize or eliminate #$e identified health and family nsg problems #$rou($ e)p"i%i#"* for+u"&#ed ou#%o+e' of %&re & d de"i,er&#e"* %$o'e 'e#' of i #er-e #io '. re'our%e' & d e-&"u&#io %ri#eri&. '#& d&rd'. +e#$od' & d #oo"'/

C0ARAC1ERIS1ICS OF FNCP
Fo%u'e' o &%#io #o 'o"-e2+i i+i3e e)i'#i ( pro,"e+' A produ%# of de"i,er&#e '*'#e+&#i% pro%e'' 4 d&#& & &"*'e' Re"&#e' #o #$e fu#ure5 pro6e%#' fu#ure '%e &rio !&'ed upo #$e ide #ified $e&"#$ & d ur'i ( pro,"e+' 4 pro,"e+' &re '#&r#i ( poi #'

Co #7
I# i' & +e& ' #o & e d. o# & e d i i#'e"f 4 de"i-er #$e +o'# &ppropri&#e %&re #o #$e %# ,* e"i+i &#i ( ,&rrier' #o f&+i"* $e&"#$ de-e"op+e # A %o #i uou' pro%e'' 4 +u'# ,e e-&"u&#ed for i#' effe%#i-e e''

DESIRA!LE 8UALI1IES OF FNCP


I# '$ou"d ,e ,&'ed o %"e&r. e)p"i%i# defi i#io of #$e pro,"e+'/ 9 Mu'# ,e ,&'ed o %o+pre$e 'i-e & &"*'i' of #$e pro,"e+ A (ood p"& i' re&"i'#i%

Co #7
Prep&red 6oi #"* :i#$ #$e f&+i"*/ 9 N works with the family; not works for the family 9 N i -o"-e' f&+i"* i de#er+i i ( #$e $e&"#$ eed' ; pro,"e+'. priori#ie'. &ppropri&#e &%#io '. i+p"e+e #&#io & d e-&"u&#io of ou#%o+e' A +e& ' of %o++u i%&#io <:i#$i #$e profe''io & d o#$er profe''io '=

IMPOR1ANCE OF PLANNING CARE


I di-idu&"i3e' p&#ie # %&re/ Se#' priori#ie' ,* pro-idi ( i for+&#io &,# #$e %#5 $i' &#ure of pro,"e+'/ Pro+o#e' '*'#e+&#i% %o++u i%&#io i -o"-ed i %&re/ Co #i ui#* of %&re i' f&%i"i#&#ed. pre-e #' (&p' & d dup"i%&#io of %&re/ Coordi &#e' %&re #o o#$er $e&"#$ #e&+ +e+,er'/

THE ASSESSMENT PHASE OF THE NURSING PROCESS GENERATES THE HEALTH AND NURSING PROBLEMS WHICH IS THE BASIS OF DEVELOPING THE FNCP.

STEPS
I.

PRIORITIZATION OF PROBLEMS SETTING THE GOALS AND OBJECTIVES PLANNING INTERVENTIONS EVALUATION OF CARE

III.

V.

VII.

Prioritizing the Health Problems %= N&#ure of #$e pro,"e+ d= Modifi&,i"i#* e= Pre-e #i-e po#e #i&" f= S&"ie %e

!evelopment of "valuation Plan >Cri#eri& >S#& d&rd' >Me#$od' 2 #oo"'

Selection of Appropriate Nursing nterventions Formulation of Goals and Objectives of Nursing Care
>Co 'ider &"#er &#i-e' >De%ide o &ppropri&#e +e&'ure' >De#er+i e +e#$od' of ur'e?f&+i"* %o #&%# >Spe%if* re'our%e'

I. PRIORITIZATION OF PROBLEMS

Devised by Mag aya a!d Bai "! #!"$! as SCALE FOR RANKING FAMILY HEALTH PROBLEMS ACCORDING TO PRIORITIES Has %"&' ()* +'i,e'ia %"' se,,i!g -'i"'i,ies

SCALE FOR RANKING FAMILY HEALTH PROBLEMS ACCORDING TO PRIORITIES


FOUR CRITERIA: 1) NATURE OF THE PROBLEM a) health threat b) health deficit c) foreseeable crisis

2) MODIFIABILITY OF THE PROBLEM . ,/e probability of success i! mi imi!i "# $%%&'i$(i " )* ()($%%+ &*$,i-$(i " (.& /*)0%&m ,/'"&g/ i!,e've!,i"! 1) PREVENTIVE POTENTIAL . ,/e $(2*& $ , m$" i(2,& )3 32(2*& /*)0%&m4 ,/a, +a! be minimized or totally prevented i% i!,e've!,i"! is d"!e "! ,/e -'"b e0 &!de' +"!side'a,i"! 5) SALIENCE . ,/e %a0i y1s perception and evaluation "% ,/e -'"b e0 i! ,e'0s "% 4&*i)24 &44 $ , 2*"& -+ "% a,,e!,i"! !eeded

SCALE FOR RAN#ING FAMIL2 HEALTH PROBLEMS ACCDG TO PRIORITIES


Weig/, 3* Na,&'e "% ,/e P'"b e0 s+a e4 Hea ,/ De%i+i, Hea ,/ T/'ea, F"'eseeab e C'isis 6* M"di%iabi i,y "% ,/e P'"b e0 s+a e4 Easi y M"di%iab e Pa',ia y 0"di%iab e L"$ 5* P'eve!,ive P",e!,ia s+a e4 Hig/ M"de'a,e L"$ Se'i"&s -89 i00. A,,! P89 !", !eedi!g i00. A,,! C'i,e'ia 3 5 6 3 6 6 3 7 3 5 6 3 3 6 3

)* Sa ie!+e s+a e4

S-)*i "
3*

6*

5*

De+ide "! a s+"'e %"' ea+/ +'i,e'ia Divide ,/e s+"'e by ,/e /ig/es, -"ssib e s+"'e a!d 0& ,i- y by ,/e $eig/, 4 s+"'e:/ig/es, s+"'e 8 $eig/, S&0 &- ,/e s+"'es %"' a +'i,e'ia. T/e /ig/es, s+"'e is ;9 e<&iva e!, ," ,/e ,",a $eig/,.

F8s A%%e+,i!g P*i)*i(+ 6 S&((i "

G'ea,e' $eig/, "! Hea ,/ De%i+i, = !eeds 0"'e i00edia,e a,,! a!d %e , by ,/e -, "ve' a /ea ,/ ,/'ea, F"'eseeab e +'isis = "$es, s+"'e d:, +& ,&'e. i!>ed va'iab es:%a+,"'s ,/a, -'"vide "&' +, $i,/ ade<&a,e s&--"', ," +"-e

F8s i! De,e'0i!i!g ,/e M),i3i$0i%i(+ )3 (.& P*)0%&m

C&''e!, >!"$ edge9 ,e+/. a!d i!,e've!,i"!s ," 0a!age ,/e -'"b e0 Res"&'+es "% ,/e %a0i y ? -/ysi+a 9 %i!a!+ia 9 0a!-"$e' Res"&'+es "% ,/e N ? S9 #9 ,i0e Res"&'+es "% ,/e +"00&!i,y ? %a+i i,ies a!d +"00&!i,y "'g:s&--"',

F8s A%%e+,i!g ,/e S+"'i!g "% P*&'& (i'& P)(& (i$%

G'avi,y : seve'i,y "% ,/e -8 = dse -'"g'essi"!9 e8,e!,9 da0age "! ,/e -,:%a0 = ,/e 0"'e seve'e "' adva!+ed9 ,/e "$e' is ,/e -'eve!,ive -",e!,ia

D&'a,i"! "% ,/e -8 = e!g,/ "% ,i0e ,/e -8 /as bee! e8is,i!g C&''e!, 0a!age0e!, = a--'"-'ia,e!ess "% i!,e've!,i"! i!s,i,&,ed E8-"s&'e ," a!y /ig/ 'is> g'"&-

SALIENCE OF THE PROBLEM

Pe'+e-,i"! "% ,/e -,:%a0 "% ,/e -'"b e0 Fa0i y1s +"!+e'!s a!d %e , !eeds

II/ FORMULA1ION OF GOALS AND O!@EC1IVES OF NURSING CARE


GOA#S Ge er&" '#&#e+e # of #$e %o di#io or '#&#e #o ,e ,rou($# &,ou# ,* 'pe%ifi% %our'e' of &%#io C"ie # ou#%o+e' Go&"' #e"" :$ere #$e f&+i"* i' (oi ( O$%"C& '"S
More 'pe%ifi% '#&#e+e #' of de'ired re'u"#' or ou#%o+e' of %&re Spe%if* #$e %ri#eri& ,* :$i%$ #$e de(ree of effe%#i-e e'' of %&re &re #o ,e +e&'ured Mu'# ,e 'pe%ifi% i order #o f&%i"i#&#e i#' &##&i +e # Mi"e'#o e' #o re&%$ #$e de'#i &#io

GOALS
Mu'# ,e 'e# #o(e#$er :i#$ #$e f&+i"* F&+i"* +u'# ,e &,"e #o re%o( i3e & d &%%ep# #$e pre'e %e of e)i'#i ( $e&"#$ eed' & d pro,"e+'/ Nur'e +u'# &'%er#&i #$e f&+i"*A' B o:"ed(e & d &%%ep#& %e of #$e pro,"e+' & d #$e de'ire #o +&Be &%#io ' #o re'o"-e #$e+/

!ARRIERS 1O GOAL?SE11ING
C= F&i"ure of #$e f&+i"* #o per%ei-e #$e e)i'#e %e of #$e pro,"e+/ 9 f&+i"* +&* fee" '&#i'fied :i#$ #$e e)i'#i ( 'i#u&#io 2= F&+i"* i' #oo ,u'* :i#$ o#$er %o %er ' or preo%%up&#io ' &# #$e +o+e #/

Co #7
D= F&+i"* doe' o# 'ee #$e e)i'#e %e of & pro,"e+ &' 'eriou' e ou($ #o e%e''i#&#e &##e #io E= F&+i"* +&* per%ei-e #$e pro,"e+ & d #$e eed #o #&Be &%#io . ,u# #$e* f&%e #o do 'o+e#$i ( &,ou# #$e 'i#u&#io /

Re&'o ' for No# Doi ( A * A%#io


C= Fe&r of %o 'eFue %e of doi ( &%#io 9 'o%i&" '#i(+& 2 fi & %i&" re&'o ' 2= Re'pe%# for #r&di#io D= F&i"ure #o per%ei-e #$e ,e efi#' of &%#io propo'ed 9 pre-iou' e)perie %e E= F&i"ure #o re"&#e #$e propo'ed &%#io #o #$e f&+i"*A' (o&"'

Co #7 !ARRIERS 1O GOAL?SE11ING
G= F&i"ure ,e#:ee #$e ur'e & d #$e f&+i"* #o e'#&,"i'$ & :orBi ( re"&#io '$ip/ 9 1RUS1 AND CONFIDENCE

1IME SPAN OF O!@EC1IVES


C= S$or# 1er+ 2 I++edi&#e O,6e%#i-e' ? i++edi&#e &##A 5 re'u"#': %& ,e o,'er-ed i & period of '$or# #i+e 2= Mediu+ 4 1er+ 2 I #er+edi&#e O,6e%#i-e' ? reFuired #o &##&i "o ( 4 #er+ o,6e%#i-e' D= Lo ( 4 1er+ or U"#i+&#e O,6e%#i-e' ? 'e-er&" N?F %o #&%# H +ore re'our%e' ? #&Be' #i+e #o 'ee #$e re'u"#

III. SELECTION OF APPROPRIATE NURSING INTERVENTIONS


N must choose among set of alternat !es N must s"ec f# the most effect !e or eff c ent metho$ of N%F contact
& & & & & & 'ome ! s t Cl n c conference V s t n the (or)* "lace* school Tele"hone call Grou" a""roach +a l

Cont,
N must s"ec f# the most effect !e or eff c ent resources
Teach ng ) ts - ! sual a $s* han$outs* charts 'uman - other team mem.ers* commun t# lea$ers

'O/ TO C'OOSE T'E APPROPRIATE NURSING INTERVENTION0


A. Anal#1e (2 the Fam l# the Current S tuat on an$ 3eterm ne Cho ces an$ Poss . l t es .ase$ on a L !e$ E4"er ence of +ean ngs an$ Concerns 3e!elo" 2 Enhance Fam l#6s Com"etenc es as Th n)er* 3oer an$ Feeler Focus on Inter!ent ons to 'el" Perform the 'ealth Tas)s Catal#1e 5eha! or Change through +ot !at on an$ Su""ort

5. C. 3.

A. E7PLORATION /2 FA+IL8 C'OICES2POSSI5ILITIES 5ASE3 ON LIVE3 E7PERIENCE OF +EANINGS AN3 CONCERNS

N.I. s $e"en$ent u"on l !e$ mean ng of the e4"er ences of fam l# mem.er (2 each other an$ the nurse FA+IL8 s the act !e "art c "ant n the a""lc6n of Nsg. Process FA+IL8 9 NURSE are "art c "ants n act !e* mutual* $#nam c nterchange of real t es* concerns an$ resources

The# .oth nee$ to anal#1e 9 un$erstan$ the current health2 llness s tuat on Nurse must e4"lore (2 the F the "oss . l t es an$ cho ces "resente$ .# current s tuat on
+ean ngs Concerns Soc al relat ons Resources

5. 3EVELOPING2EN'ANCING COGNITION* VOLITION AN3 E+OTION

Pro! $es the fam l# (a#s to .e T'IN:ER* 3OER 9 FEELER T'IN:ER - N must .e a.le to share nfo2)no(le$ge; must .e access .le for ease an$ conf $ence n un$erstan$ ng current s tuat ons an$ health2 llness

3OER - N must enhance conf $ence to the F n carr# ng out2 n t at ng an$ susta n ng change for health "romot on 9 ma ntenance* an$ accurate $se mgt. FEELER - N must hel" the F strengthen ts affect !e com"etenc es n or$er to a""ro"r atel# ac)no(le$ge 9 un$erstan$ emot ons generate$ .# fam l# l fe or health llness s tuat ons; so that these emot ons ( ll .e transforme$ nto gro(th%"romot ng act ons

C. FOCUSING ON T'E INTERVENTIONS TO 'ELP T'E FA+IL8 PERFOR+ T'E 'EALT' TAS:S

<= 'el" the F recogn 1e the "4. % nformat on%g ! ng a.out the nature* magn tu$e* cause of the "4 % hel" the F see the m"l cat ons of the "4 % relate health nee$s to the goals of the fam l# % hel" the F recogn 1e ts ca"a. l t es2>ual t es an$ resources

Cont,
?= Gu $e the F on ho( to $ec $e on a""ro"r ate health act ons to ta)e. % $ent f#2e4"lore the courses of act on @ resources a!a la.le % $ scuss the conse>uences of each courses of act on % anal#1e together (2 the F the conse>uences of nact on

Cont,
A= 3e!elo" the F6s a. l t# an$ comm tment to "ro! $e nurs ng care to ts mem.ers. % nsg care to s c)* $ sa.le$* $e"en$ent mem.er2s $emonstrat on 2 "ract ce sess ons on "roce$ures2t4* techn >ues B use of lo(%cost* a!a la.le resources

CONTRACTING
+a4 m 1es o""ortun t es to $e!elo" the a. l t# 9 comm tment of the fam l# to "ro! $e nsg care to ts mem.ers N creates a s tuat on n or$er that the ct learns to ach e!e a s"ec f c health%relate$ .eha! our through ste"s an$ con$ t ons or elements Co ntl# $ent f e$ .# .oth "art es Uses "os t !e re nforcement

D= Enhance the ca"a. l t# of the F to "ro! $e a home en!6t con$uc !e to health ma ntenance an$ "ersonal $e!6t. % en!6t mo$ f cat on* man "ulat on* management to re$uce health threats2r s)s E= Fac l tate the F6s ca"a. l t# to ut l 1e commun t# resources for health care. % coor$ nat on* colla.orat on* team (or) referral s#stem

3. CATAL8FING 5E'AVIOR C'ANGE T'ROUG' +OTIVATION 9 SUPPORT


There shoul$ .e an en!6t that nurtures change There shoul$ .e su""ort from .oth "art es n or$er to ma)e a change +OTIVATION 9 SUPPORT Enhance the F6s )no(le$ge an$ ( ll ngness to "re!ent* control health "4s +a)es the F s) llful* emot onall# sta.le an$ creat !e han$l ng the stresses2 ssues surroun$ ng them

+OTIVATIONG $escr .e$


An# e4"er ence or nformat on that lea$s the fam l# to $es re an$ agree to un$ergo the .eha! or change or "ro"ose$ measure an$ ta)es the n t al act on to .r ng a.out a change

SUPPORTG $escr .e$


An# e4"er ence or nformat on that ma nta ns* restores or enhances the ca"a. l t es or resources of the fam l# to susta n these act ons an$ com"lete the change "rocess feel ngs of secur t# an$ n control of the "4 Hfam l#=

3EVELOPING T'E EVALUATION PLAN


S"ec f es ho( the N ( ll $eterm ne ach e!ement of the outcomes of care Cr ter a* stan$ar$s* e!aluat on metho$s an$ sources of $ata