NCM 104 – nursing care plan

 Characteristic of FNCP (Family

Nurse Care Plan)
 Prioritization of problem
- Focuses on action to
- known as scale for RANKING
solve/minimize existing problems
FAMILY HEALTH PROBLEMS
- A product of deliberate
ACCORDING TO PRIORITIES
systematic process – data
- four (4) criteria for setting
analyses
priorities:
- Relates to the future, projects
1. nature of the
future scenario
condition/problem
- Based upon the identified health
presented
and nursing problems –
- categories:
problems are starting points
A. wellness state
- Is a means to an end, not an end
B. health threat
in itself.
C. health deficit
- Is a continuous process, not a
D. foreseeable crisis
one shot-deal.
2. modifiability of the
 Desirable qualities of FNCP
problem
- based on clear, explicit definition
- the probability of success in
of the problems.
minimizing, alleviating or totally
- must be based on
eradicating the problem through
comprehensive analysis of the
intervention
problem
- determining the modifiability of
- A good plan is REALISTIC
the problem:
- Prepared jointly with the family.
A. Current knowledge,
- Nurse works with the family; not
technology, and
works for the family
interventions to
- Involves family in determining
manage the problem
the health needs & problems,
B. Resources of the family
priorities, appropriate actions,
– physical, financial,
implementation, and evaluation
manpower
of outcomes means of
C. Resources of the N, S,
communication (within the
K, time
profession and other
D. Resources of the
professions)
community
- A continuous process must be
- facilities and community
evaluated for its effectiveness
org/support
 Steps in developing family 3. preventive potential
nursing care plan: - nature and magnitude of future
1. Prioritization of problem problems that can be minimized
2. Setting goals and objective or totally prevented if
3. Planning interventions Intervention is done on the
4. Evaluation care problem under consideration
- factors affecting the scoring of
preventive potential:
A. GRAVITY / SEVERITY
OF THE PATIENT
- disease progression, extent,
damage on the patient/family
- the more severe or advanced,
the lower is the preventive
potential
B. DURATION OF THE
PROBLEM
- length of time the problem exists
C. CURRENT
MANAGEMENT
 D. SALIENCE OF THE 1. Analyze with the Family the
PROBLEM Current Situation and Determine
E. EXPOSURE TO ANY Choices and Possibilities based
HIGH-RISK GROUP on a Lived Experience of
F. FAMILY’S CONCERNS Meanings and Concerns
AND FELT NEEDS 2. Develop/Enhance Family’s
4. Salience Competencies as Thinker, Doer
- the family’s perception and and Feeler
evaluation of the problem in 3. Focus on Interventions to Help
terms of seriousness and Perform the Health Tasks
urgency of attention needed o Help family recognize the
 formulation of Goals and problem
objectives o Guide the family on how
 goals: to decide on appropriate
- General statement of the health actions to take
condition or state to be brought o Develop the family’s
about by specific course of ability and commitment to
action provide nursing care to its
- states client outcomes members
- realistic and attainable o Enhance the capability of
- set jointly with the family the family to provide a
 objectives: home environment
- Refer to more specific conducive to health
statements of the desired results maintenance and
or outcomes of care personal development
- Define the criteria for evaluation 4. Catalyze Behavior Change
- Time span: through Motivation and Support
A. Short term objectives - o Human needs or the “use
Formulated for problem -value of a given piece of
situations which require knowledge”
immediate attention. o Security, trust, self-
B. Medium term objectives esteem, self –identity,
- not immediately group esteem and group
achieved and are identity
required to attain the o Accurate and appropriate
long-term ones
preparation and
C. Long term objectives -
transmission of messages
Require several nurses
- Motivation
– family encounters and
- Support
investment of more
 Develop Evaluation plan
resource
- Specifies how the nurse will
 Selection of appropriate nursing
determine achievement of the
intervention
outcomes of care (goals and
 Formulate Intervention plan
objectives)
- Method nurse family contact:
- Includes criteria, standards,
A. home visit
evaluation methods/tools and
B. Clinic conference
sources of evaluation data
C. Visit in the workplace
D. School visit
E. Telephone call
F. Group approach
G. Use of mail (letters)
- Resources:
A. Material

 General direction for nursing

interventions: