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Paul University Philippines

Tuguegarao City, Cagayan 3500
School of Nursing and Allied Health Sciences

COLLEGE OF NURSING
Center of Excellence for Nursing
First Semester, AY. 2021 – 2022

Name and Section: CHRISTIAN KIRBY UMOSO, BSN 2B Date: November 19, 2021

FAMILY NURSING CARE PLAN

Problem #1: DYSMENORRHEA

1ST Level of Assessment: Presence of Health Threats due to Dysmenorrhea.
2nd Level of Assessment: Inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable/at risk member of the family due to the lack
of/inadequate knowledge or skill in carrying out the necessary intervention or treatment/procedure of care.

Cues Analysis of Objectives Nursing Interventions Rationale Method of Resources Expected

the Problem Family Contact Required Outcomes
Subject:
“Kahapon pa po -Pt. Short Term: - Establish a rapport with -Obtaining the patient's Short Term:
sumasakit yung complains of - After two the Pt. and enlighten trust in order to establish Area Visit Time and After two
puson ko dahil abdominal hours of him. on the meaning, therapeutic effort on hours of
dalaw ko po ngayon. cramps due nursing symptoms, and communication and Health the part of nursing
Hindi ako makagawa to intervention, consequences of provide understanding of Education the intervention,
ng gawaing bahay at menstruation the Pt. will Dysmenorrhea, as well as the ailment. student the Pt.
magklase dahil sa have a better how to avoid it Interview nurse and understood
abala ng sakit na -Pt. understanding -To describe the patterns client.  the threats
dulot ng aking Dysmenorrhe of the threats - Determine what causes of unhealthy lifestyle. Observation and
kondisyon.” Ms. B a is a type of and the condition to occur In-depth preventions
verbalized. Acute Pain preventions of -Ask questions and rate Delivery of knowledg of
caused by an Dysmenorrhea. - Determine the location, the level of the pain from Basic Health e of the Dysmenorrhe
She then added that increase in characteristics, onset, 0 to 10 to help the patient Services student a.
she took Dolfenal as uterine Long Term: duration, frequency, explain his or her nurse.  Long Term:
medication and it contractility - Mrs. R’s quality, and intensity of behavior and pain Mrs. R’s
helped eased the and dysmenorrhea pain by performing a full severity. Cooperati dysmenorrhe
pain. hypersensitivi should subside assessment. on of the a subsided
ty. after 2 to 3 -The practice of adhering client. after 2 to 3
Objective: days, and the to pain relief measures days, and the
Took the following Pt. will utilize - Demonstrate Pain relief helps to reduce the pain’s PHN Bag Pt. utilized
vital signs of the pharmacologic measures unusual occurrence. pharmacologi
patient: al or (nonpharmacological and cal or
nonpharmacol noninvasive techniques) -The heat from the hot nonpharmac
-Body temp (36.5) ogical pain- such as HOT COMPRESS compress helps to relieve ological pain-
-PR (80 beats per relief and RELAXATION cramps by increasing relief
minute) strategies. TECHNIQUES SUCH AS vasodilation. strategies.
-RR (19 breaths per YOGA.
minute) -Muscle tension can be
-BP - As prescribed, administer reduced with relaxation
(110/80 mmHg) analgesics and establish techniques like Yoga.
-Oxygen Saturation a treatment plan.
(98%) -Educate the Pt. on the
importance of adhering to
a treatment plan and
following the prescription
of the pain-relief
medications.
Problem # 2: INSOMNIA
1st Level of Assessment: Presence of Health Threat due to Dehydration

Cues Analysis of Objectives Nursing Interventions Rationale Method of Resources Expected

the Problem Family Contact Required Outcomes
S:
“Hindi ako - The client is Short Term: -Create a rapport with the - To acquire the Short Term:
makatulog ng gabi. having After 1 week client. To acquire the client's trust. Area Visit Time and After 1 week
At wala akong gana trouble the client must client's trust. effort on the client
sa umaga.” sleeping develop an - To help with the Health the part of developed an
and feels uninterrupted - The nurse will encourage anxiety in the Education the student uninterrupted
O: tired every sleep pattern 5 the patient to explore patient’s life nurse and sleep pattern 5
Dark shadows under time the to 8 hours per possible stressors and Interview client.  to 8 hours per
the eyes client wakes night. lifestyle changes that the -To avoid interference night.
up. patient can change with the patient’s Observation In-depth
Appears tired in the Long Term: ability to relax and knowledge Long Term:
morning - Insomnia The client must - Educate the patient on the fall asleep. Delivery of of the The client
related to obtain optimal proper food and fluid Basic Health student obtained
Lack of energy in the metabolic amounts of intake such as avoiding - To refrain from Services nurse.  optimal
morning disease as sleep as heavy meals, caffeine, etc. going to the amounts of
evidenced evidenced by before bedtime. bathroom in Cooperatio sleep as
by look of rested between sleep. n of the evidenced by
tiredness appearance, - Remind the patient to client. rested
and lack of verbalization of avoid taking a large appearance,
energy in feeling rested, amount of fluid s before PHN Bag verbalization of
the morning and bedtime. feeling rested,
improvement and
in sleep pattern. improvement
in
sleep pattern.
increased skin.
Problem # 2: POOR ENVIRONMENTAL SANITATION
1st Level of Assessment: Presence of Health Threats due to Poor Home/Environmental Condition/Sanitation by Unsanitary Waste Disposal
2nd Level of Assessment: Inability to provide a home environment conducive to health maintenance and personal development due to the lack of/inadequate
knowledge of importance of hygiene and sanitation.

Cues Analysis of Objectives Nursing Interventions Rationale Method of Resources Expected Outcomes
the Problem Family Contact Required
Subjective:
Short Term: -Discuss the relevance -Raise awareness of the Short Term:
Objective: -Improper After 2 hours of of waste segregation dangers of irresponsible Area Visit Time and After 2 hours of
Presence of waste nursing as well as the dangers waste disposal, which acts effort on the nursing intervention,
Dirty segregation intervention, the Pt. of an unclean as a breeding ground for Health part of the the Pt. and her
Surroundings and garbage and her family will environment and vectors, raising the risk of Education student nurse family gained
disposal gain awareness on pollution. illness or other diseases. and client.  awareness on the
Garbage is the importance of Interview importance of
noticeable -Lack of sanitation. -Encourage them to -Maximize the resources In-depth sanitation.
with resting knowledge of utilize resources like available at the Pt’s Observation knowledge of
sites of the Long Term: empty rice sacks or household while minimizing the student Long Term:
vectors of importance of After a month of cans as garbage the cost of purchasing new nurse.  After a month of
diseases such sanitation home visit, The Pt. containers. items. home visit, The Pt.
as and her family will Cooperation of and her family
mosquitoes, -Presence of maintain excellent -Highlight the -Recycling reduces garbage the family maintained excellent
breeding or sanitation and importance of waste and environmental members sanitation and
Trash is not resting sites dispose of waste recycling. threats such as pollution. dispose of waste
stored of insects or properly. Materials that properly.
properly in a rodents. -Emphasize the -To avoid cross- were needed
bin or sack. The family will importance of proper contamination among for the The family decided
decide on the best handwashing. family members. demonstration the best course of
course of action to . action to avoid the
avoid the occurrence of vector
occurrence of breeding grounds.
vector breeding
grounds.