Five main types of family

nursing problems
1. Inability to recognize the presence of the
condition/problem due to….
2. Inability to make decisions with respect to taking
appropriate health action due to….
3. Inability to provide nursing care to the sick, disabled or
dependent member of the family due to…
4. Inability to provide a home environment which is
conducive to health maintenance and personal
development due to…
5. Failure to utilize community resources for health care due1
to…
 Five main types of family
nursing problems
1. Recognition of the presence of condition/problem
2. Decision making with respect to taking appropriate health action
3. Provision of nursing care to the sick, disabled or dependent member of the family
4. Provision of a home environment which is conducive to health maintenance and
personal development
5. Utilization of community resources for health care
SECOND LEVEL ASSESSMENT
• Inability to provide
•Presence of adequate nursing
stress points: care to the
dependent member
•Parenthood of the family (young
children) due to
•Death of altered role
husband performance
specifically role
overload
SECOND LEVEL ASSESSMENT
• Presence of Health Threats
• Poor environmental sanitation
specifically
• Polluted water supply
• Presence of flies and
mosquitoes
• Improper garbage
disposal
• Unsanitary waste
disposal
SECOND LEVEL ASSESSMENT
•Presence of
health deficit:
children are
underweight
(malnourished)
Data Analysis Procedure
• Sorting Data
• Distinguishng relevant from irrelevant information
• Checking for inconsitencies
• Completing missing information
• Clustering or grouping
• Determining patterns
• Comparing patterns
• Interpreting results
• Making inferences
Definition:

Family Nursing Care Plan

• Blueprint of the care
• designs to systematically minimize or eliminate the identified health
and family nursing problems
• Through formulated outcomes of care (goals and objectives)
• and deliberately chosen set of interventions, resources and evaluation
criteria, standards, methods and tools
Features
1. Focuses on actions
2. Product of a deliberate systematic process
3. Relates to the future
4. Based upon identified health and nursing problems
5. Means to an end, not an end in itself
6. Continuous process, not a one-short-deal
Desirable Qualities of a Nursing Care
Plan

1. Based on clear, explicit definition of the

problem(s)
2. Plan is realistic
3. Prepared jointly with the family
4. Most useful in written form
The Importance of Planning Care
1. They individualize care to clients
2. Nursing care plan helps in setting priorities
3. Promotes systematic communication
4. Continuity of care
5. Facilitate the coordination of care
Steps in Developing a Family Nursing Care Plan

1. The prioritized condition/s or problems

2. The goals and objectives of nursing care
3. The plan of interventions; and.
4. The plan for evaluating care
Prioritizing Health Problems
• Scale for Ranking Health Conditions and
Problems According to Priorities
Scale for Ranking Health Conditions and
Problems According to Priorities
Scale for Ranking Health Conditions and Problems
According to Priorities
 Nature of the Condition Presented
•Wellness
•Potential for Enhanced Capability
•Readiness for Enhanced Capability
•Health threat
•Health deficit
•Stress points/foreseeable crisis
Factors in determining the modifiability

• Current knowledge, technology and

interventions to enhance the wellness state
or manage the problem
• Resources of the family – physical, financial
and manpower
• Resources of the nurse – knowledge, skills
and time
• Resources of the community – facilities and
community organization or support
Factors in determining the preventive
potential

1. Gravity or severity of the problem

2. Duration of the problem
3. Current Management
4. Exposure of any vulnerable or high-risk
group
Salience
•Family’s perception and
evaluation of the condition or
problems in terms of seriousness
and urgency of attention needed
or family readiness
Scabies as a health deficit to 3 pre-
school
CRITERIA COMPUTATION ACTUAL SCORE JUSTIFICATION

Nature of the 3/3 x 1 1 It is a health deficit that requires

Problem immediate attention and adequate
management to reduce likelihood
of transfer of the disease to the
rest of the family members.

Modifiability of ½x2 1 The family does not have adequate

the Problem resources to solve the problem.
Inadequacy of living space and
water supply are barriers to
achievement of good personal
hygiene, which is important in the
management and prevention of
scabies
Preventive 3/3 x 1 1 Transferability of scabies to
Potential other family members is
reduced or eliminated if the
problem is managed
adequately as soon as
possible.

Salience of the 1/1 x 1 1 The family recognizes it as a

Problem problem. She consulted the
health personnel a month
ago. However, she does not
see the problem as needing
immediate action
Total Score 4
Formulation of Goals and Objective of
Care
• Must be set jointly with the family

• Goals should be realistic or attainable

Nursing Goal

- The family will manage malaria as a disease

and threat

• Short term/immediate objective

• Medium/intermediate (not immediately
achieved)
• Long term (ultimate objective)
Developing the intervention plan
• Analyze with the family the current situation and determine choices
and possibilities based on a lived experience of meanings and
concerns
• Develop/enhance family’s competencies as thinker, doer and feeler
• Focus on interventions to help perform health tasks
• Catalyze behavior change through motivation and support
Family Nurse Contact
• Types of family-nurse contact
• Home Visit
• Clinic or office conference
• Telephone conference
• Written communication
• School visit/conference
• Industrial plant/job site visit
• Major criteria for selecting the type of family-nurse
contact
• Effectivity
• Efficiency
• Appropriateness
Developing the Evaluation Plan
• Specifies how the nurse will determine changes in health status,
condition or situation and achievement of the outcomes of care

• Criteria, evaluation methods/tools and sources of evaluation data

HEALTH FAMILY GOAL OF OBJECTIVES NURSING METHODS RESOURCES
PROBLEM NURSING CARE OF CARE INTERVENT OF FNC
PROBLEMS IONS
Scabies as a
Health
Deficit
HEALTH FAMILY NURSING G OBJECTIVES NURSING METHODS RESOURCES
PROBLEM PROBLEMS O OF CARE INTERVENT OF FNC
A IONS
L
O
F
C
A
R
E

Scabies as a Inability to provide

Health adequate nursing
Deficit care to three
preschoolers with
scabies due to:
a. lack of knowledge
about the condition
b. inadequate
knowledge of the
nature and extent of
nursing care needed
HEALTH FAMILY NURSING G OBJECTIVES NURSING METHODS RESOURCES
PROBLEM PROBLEMS O OF CARE INTERVENT OF FNC
A IONS
L
O
F
C
A
R
E

Scabies as a c. Inadequate family

Health resources for care
Deficit specifically:
-responsible family
member
-financial resources
and
-physical resources
i.e. water supply
facility
HEALTH FAMILY GOAL OF OBJECTIVES NURSING METHODS RESOURCES
PROBLEM NURSING CARE OF CARE INTERVENT OF FNC
PROBLEMS IONS
Scabies as After
a Health nursing
Deficit intervention,
the _____ of
the three
prechoolers
will ____ in
three
months.
HEALTH FAMILY NURSING G OBJECTIVES OF CARE METHODS RESOURCES
PROBLEM PROBLEMS O OF FNC
A
L
O
F
C
A
R
E

Inability to provide After nursing

adequate nursing intervention, the
care to three family will be able to
preschoolers with apply therapeutic
scabies due to: measures, including
a. lack of knowledge skin care, to manage
about the condition adequately the scabies
b. inadequate of three members.
knowledge of the
nature and extent of
nursing care needed
 Family Nursing Care Plan
• Situation:
Lilia is a Grade III pupil. Nits and lice are seen in her hair. She is living
with his father who works as a Company Driver. She is left with her
grandmother who is a balot vendor. Her lola uses a fine comb to
remove the lice once a week. Lilia takes a bath every other day because
of water scarcity in their area. Lilia sleeps with her cousins.
HEALTH FAMILY GOAL OF OBJECTIVES NURSING METHODS RESOURCES
PROBLEM NURSING CARE OF CARE INTERVENT OF FNC
PROBLEMS IONS
Pediculosis
capitis as a
health
deficit
HEALTH FAMILY GOAL OF OBJECTIVES NURSING METHODS RESOURCES
PROBLEM NURSING CARE OF CARE INTERVENT OF FNC
PROBLEMS IONS