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 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

5. Evaluate the family’s plan or To enhance the capability of the family

course of action they are going to carry out measures to provide safe
to make 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 To provide alternative ways on securing

handwashing and encourage food properly.
them to perform it before and
after handling foods

4. Discuss to the family on how to To determine their practice and identify

handle the food properly: modification.
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
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 To be used for handling and preparing
available resources at home for food clean and proper before cooking.
proper food storage and
handling such as containers with
cover for keeping the food

6. Encourage the family to keep To maintain cleanliness and to slowly

the house clean specially the eliminate the existence of insects and
kitchen area for care and intervention. 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
of the family with regards to the
existing health problem
2. Teach the client how to perform
handwashing correctly
RATIONALE
To identify the family’s level
understanding about proper hygiene
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 To promote comfort ability and self grooming
hands before and after eating

5. Discuss the potential health 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

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 RATIONALE

1. Assess the family’s level of 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 Facilitate on making the appropriate

house of the family actions needed by the family
3. Provide the family information
about the proper ways on waste
disposal such as segregation of
biodegradable from non- biodegradable
wastes and demonstrate the methods.
For the family to learn the proper ways
of waste management and for
visualization of the materialization of
methods.

4. Explore with the family the To provide options with the family on
advantages and disadvantages selecting proper methods of waste
of the different methods of disposal
waste disposal

5. Emphasize the importance of So that the family will grasp the

practicing proper garbage significance and demonstrate interest
disposal with the family 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 RATIONALE

1.Assess the family’s degree of To determine the level of understanding

perception with concerns to the of the family
immunization of the children

2.Discuss with the family the To provide information and awareness

significance of completing the about the advantages of vaccination
immunization schedules of the
children

3. Encourage the family to actively In order to be reminded and follow the

visit the health center during scheduled dates and to prevent lapse
scheduled immunizations for from the schedule
their 4 months child
4. Include health teachings to To strengthen the immune system
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 communicate and To provide continuation of quality care

coordinate to the children
with the health care
officials/team in the barangay
health center

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.