Family Nursing Care Plan

Family nursing care plan  Decision-making patterns

& dynamics
 Systematically minimize / eliminate identified o Socio-economic & cultural
health & family nursing problem characteristics
 Formulate outcomes of care  Occupation, place of work
 Chose set of interventions, resources & & income of working
evaluation criteria, standards, methods & tolls member
 Involve set of actions  Educational attainment
 Measures status pf family as client  Ethnic background &
 Maintain wellness, prevent, control / resolve religious affiliation
problems in order to achieve health & wellness  Significant others & other
among members roles they play in family life
& relationship of family to
2 MAJOR TYPES OF NURSING ASSESSMENT larger community
o Home & environment
First level assessment  Housing & sanitation
facilities
 Existing & potential health conditions /
 Kind of neighborhood
problems of family are determined
 Availability of social,
 Categories of problem
health, communication &
o Wellness state – potential / readiness transportation facilities in
problem community
o Health threat – conditions that are o Health status of each member
conducive to disease & accident /  Current & past significant
result to failure to maintain wellness / illness
realize health potential  Beliefs & practices to
o Health deficit – instances of failure in health & illness
health maintenance  Nutritional &
o Foreseeable crisis / stress point – developmental status
anticipated period of unusual demand  Physical assessment
on individual / family in terms of findings
adjustment / resources  Significant results of lab /
 Typology of problems in family health diagnostic tests / screening
procedures
o Values & practices on health
promotion / maintenance & disease
prevention
 Use of preventive services
 Adequacy of rest / sleep
 Exercise
 Relaxation act.
 Stress management /
healthy lifestyle
 Immunization status

Second level assessment 2ND LEVEL ASSESSMENT

 Nature / type of nursing problems family Specify / describes family’s:

encounters in performing health tasks
 Etiology / barriers to family’s assumption
 Steps in family nursing assessment
o Data collection
o Data analysis / interpretation
o Problem definition / nursing diagnosis
 Types of data
o Family structure, characteristics &
dynamics
 Composition
demographic data
members of family
 Relationship to head &
place of residence
 Type of family interaction
 Realities
 Perception about attitudes
 Related to assumption / performance of family
health tasks on health condition
Steps:
 Determine if family recognizes existence of
condition / problem
& o What do you think about the
of condition of your…?
o What do you think is the reason why
he appears..(e.g. thin, lethargic)? Or
Why do you think he is behaving this
way….?
 o What do you think is happening to  Use of sensory capacities
your..?  Communication & interaction patterns
 If the family recognizes the presence of the expected, used & tolerated by family members
condition or problem, determine if something  Role perception / task assumption including
has been done to maintain the wellness state or decision-making patterns
resolve the problem  Condition in home & environment
o What have you done to improve the
condition or situation? Physical examination
o What are your plans regarding this?
o What improvements in the condition  Direct examination
of…have been observed?  IPPA
 Determine if the family encounters other  Measurement of specific body parts &
problems in implementing the interventions for reviewing body sys.
the wellness state/potential, health threat,
Interview
health deficit or crisis
o What are the problems or barriers  Complete health history for member
encountered in…?  Determine current health status
o What do you think are the reasons  Family history
why there are no improvement in the o Genetic history
condition of…? o Social history
o Why did you stop doing what you
used to do regarding…? Record review
 Determine how all the other members are
affected by the wellness state/potential, health  Review existing records & reports pertinent to
threat, health deficit or stress point. client
o How are the other members affected  Individual clinical records of family members
by…?  Lab & diagnostic reports, immunization records,
o How are the other members reacting reports about home & environmental conditions
to …? / similar resources

DATA GATHERING METHODS AND TOOLS Laboratory / diagnostic tests

Observation

Developing family care plan

Characteristics of FNCP

 Focuses on action to solve / minimize existing

problems
 Product of deliberate systematic process (data
analysis)
 Relate to future; project future scenario
 Means to end, not end itself
 Continuous process
 Based upon identified health & nursing problem

Desirable qualities of FNCP

 Based on clear, explicit definition of problem

 Based on comprehensive analysis of problem
 Realistic
PRIORITZING HEALTH PROBLEMS
Steps in developing FNCP
Nature of condition / problem presented
1) Prioritization of problems
2) Setting goals & objectives  Category:
3) Planning interventions o Wellness state / potential
4) Evaluation of care
o Health threat
o Health deficit
o Foreseeable crisis

Modifiability of problem

 Current knowledge, technology and

interventions to manage the problem
  Resources of the family – physical, financial,
manpower
 Resources of the community\
Preventive potential
 nature and magnitude of future problems that
can be minimized or totally prevented
 factors affecting scoring of preventive potential
o gravity / severity of pt.
o duration of problem
o current management
o salience of problem
Resources:
o Short term – formulated for problem
situations which require immediate
attention
o Medium term – not immediately
achieved & are required to attain
long-term ones
o Long term – require several nurse –
family encounters & investment of
more resources
SELECTION OF APPROPRIATE NURSING
INTERVENTION

 Material
 Human

General direction for nursing interventions

1) Analyze with the Family the Current Situation

and Determine Choices and Possibilities based
on a Lived Experience of Meanings and
Concerns
2) Develop/Enhance Family’s Competencies as
Thinker , Doer and Feeler
3) Focus on Interventions to Help Perform the
Health Tasks
4) Catalyze Behavior Change through Motivation
and Support

DEVELOP EVALUATION PLAN

 Specifies how the nurse will determine

achievement of the outcomes of care
 Includes criteria, standards, evaluation
methods/tools and sources of evaluation data

FORMULATION OF GOALS & OBJECTIVES

Goals

 General statement of the condition or state to

be brought about by specific course of action
 states client outcomes
 set jointly with the family
 realistic and attainable
 ex. After nursing intervention, the family will be
able to take care of the disabled child
competently

objectives

 more specific statements of the desired results

or outcomes of care
 Define the criteria for evaluation
 Time span