CHAPTER IX

COMMUNITY NURSING CARE PLAN

Evaluation Plan
Health Conditions/s or Problems Objectives of Nursing Outcome
Plan of Interventions Methods /
and Family Nursing Problems care Criteria/Indicators,
Tools
Standards

Malnutrition as Health Deficit After nursing intervention, 1. Assess the capability of the family to Evaluation Standard Methods:
the community will be comprehend and/or understand
Inability to recognize the presence able to: regarding malnutrition. ● Virtual
of malnutrition in a dependent Sufficient amount of meeting via
member due to lack of knowledge ● Verbalize what Rationale: To be able to know if the family nutritional value and Zoom
malnutrition is and members has adequate knowledge when it maintained a normal and ● Visual aids
Inability to decide about taking its causes comes to managing a family member who is healthy weight. (Powerpoint
appropriate health action due to malnourished and how the affected member Presentation)
failure to comprehend the nature, ● Identify the signs will cope with the present health condition. Proper food selection ● Education
magnitude and scope of the and symptoms of Program
problem malnutrition 2. Educate the family about: Performance ● Interview
Criterion/Indicators
Inability to provide adequate ● Recognize the a. What is Malnutrition and its effects Materials:
nursing care to a member suffering manifestations of on the body? The community is able
from malnutrition due to: malnutrition on a b. What are the clinical manifestations to have adequate ● Laptop
affected family of malnutrition? knowledge about ● Record
● Lack of knowledge about member c. How to prevent malnutrition? malnutrition. Review
the health condition ● Assessment
● Lack of knowledge on the ● Improve the Rationale: Educating the family and the The community is able Database
nature and extent of nursing nutrition and affected member about malnutrition will help to identify the Form
care needed health status of the increase their knowledge and prevent this manifestations of
● Inadequate resources for affected family health problem from occurring in the future. malnutrition and is able Resources:
care (responsible family member to prepare proper meal
member and financial 3. Educate the family about the proper plan for the affected ● Time and
constraints) ● Enhance the meal plan that a malnourished person patient. Effort of the
capability of a should take (e.g. protein such as meat, nursing
responsible family fish, chicken, eggs, beans, fruits and The community is able student and
member to look vegetables) to attend a regular the
after the health check-up in the nearest community
status and Rationale: Educating the family on a proper health center.
nutritional needs meal plan will help them develop skills on
of the affected proper meal selection and preparation and to The community is able
family member prevent the occurrence of malnutrition in the to grasp the importance
through proper future. of having an active and
nutrition and responsible member and
health education 4. Advice the patient who is having an initiative to
malnourished to not have drinks take care of one’s health
before meals and have a healthy
lifestyle.
Rationale: To prevent the patient from feeling
full.

5. Encourage the patient who is

malnourished to attend a regular
check-up in the nearest health center.

Rationale: To be able to monitor the health

status of the patient.

6. Encourage the family to be an active

and responsible member of the family
wherein each will have the initiative
to take care of one’s health and have a
healthy lifestyle.

Rationale: For the family members to have

that sense of responsibility and initiative to
look after their health as it is one of the most
important aspects of a well-being.
Health Conditions/s or Problems Objectives of Nursing Evaluation Plan
Plan of Interventions
and Family Nursing Problems care Outcome Methods /
 Criteria/Indicators,
Tools
Standards

Inadequate Family Income to After nursing intervention, 1. Assess the family’s daily income and Evaluation Standard Methods:
Obtain Resources as Health the community will be daily expenses
Threat able to: Proper budgeting skills ● Virtual
Rationale: To help the family know what meeting via
Inability to recognize the presence ● Identify the cause expenses they spend on the most whether it is Zoom
of inadequate family income to of inadequate a necessity or not. Performance ● Visual aids
obtain resource due to lack of family income Criterion/Indicators (Powerpoint
knowledge 2. Identify the cause of the family’s Presentation)
● Determine what inadequate income that failed them to The community is able ● Education
Inability to decide about taking resources should obtain resources to identify the cause of Program
appropriate actions to prevent the be prioritized first inadequate income that ● Interview
possible occurrence of health Rationale: To help the family prioritize failed them to obtain
problem due to inadequate family ● Budget effectively necessities that are more important. resources Materials:
income based on family
income 3. Encourage the family to create a list The community can ● Record
Inability to provide adequate of monthly expenses determine what Review
nursing care to the family with ● Encourage the resources should be ● Laptop
inadequate income to obtain responsible family Rationale: To know what expenses should prioritized first
resources due to: member in they spend on and to avoid buying daily as it Resources:
managing the can consume the budget rapidly.
● Lack of knowledge about budget The community is able ● Time and
the presence of inadequate 4. Encourage the family to set goals to set goals when it Effort of the
family income to obtain when it comes to budgeting. comes to budgeting nursing
resource student and
● Lack of knowledge on the Rationale: To know how much money the the
nature and extent of nursing family should set aside and how much to community
care needed spend
● Inadequate resources for
care (financial constraints)

Health Conditions/s or Problems Objectives of Nursing
and Family Nursing Problems care
Poor Environmental Factors as a After nursing intervention,
Health Threat the community will be
able to:
Inability to recognize the problem
due to lack of knowledge ● Demonstrate
understanding of
Evaluation Plan
Outcome
Plan of Interventions Methods /
Criteria/Indicators,
Tools
Standards
1. Assess condition of the house and Evaluation Standard Methods:
level of knowledge
The areas in the ● Virtual
Rationale: To have baseline data to plan the community has no meeting via
appropriate interventions to be done. presence of breeding Zoom
sites. ● Visual aids
Inability to decide about taking the health 2. Discuss the possible sources of the (Powerpoint
appropriate actions to prevent the teachings with presence of rodents, insects and Demonstration of proper Presentation)
possible occurrence of health regards to the mosquitoes. general cleaning. ● Education
problem possible causes Program
and effects of the Rationale: Knowing the causes of the Performance ● Interview
Inability to provide adequate presence of poor problem serves as one way to manage it. Criterion/Indicators ● General
nursing care to the community due environmental Cleaning
to: factors (presence 3. Explained to the family all the The community
of breeding sites possible harmful effects that these understand the health Materials:
● Lack of knowledge about and improper vectors can cause to the health of the teachings with regards to
the problem waste disposal) entire family the possible causes and ● Cleaning
● Lack of knowledge on the effects of the presence of equipment
nature and extent of nursing ● Determine the Rationale: To increase their awareness poor environmental ● Laptop
care needed diseases that may regarding the presence of the breeding sites so factors (presence of ● Record
● Inadequate resources for occur due to poor as to persuade them in doing actions that breeding sites and Review
care (financial constraints) environmental would avoid the occurrence of breeding sites. improper waste disposal)
factors Resources:
4. Assist the family in cleaning the The community can
● Show behaviour house, removing the spoiled foods determine the diseases ● Time and
and compliance on and providing a cover on each trash that may occur due to Effort of the
measures on how can. poor environmental nursing
to maintain a clean factors student and
environment in Rationale: To avoid breeding places for these the
order to eradicate vectors community
breeding sites of
mosquitoes, flies 5. Educate the family simple methods on
and rodents how to prevent the occurrence of
breeding site (e.g. general cleaning
around the house 2 times a week)

Rationale: Learning about the methods on

how to prevent the presence of breeding sites
can help enhance knowledge and prevent the
future occurrence of breeding sites that may
lead to diseases.
 6. Educate the members of the family
the advantages of having a clean
environment in relation to eliminating
the breeding sites.

Rationale: Being aware about the benefits of

having clean environment can promote a
healthy lifestyle.

Evaluation Plan
Health Conditions/s or Problems Objectives of Nursing Outcome
Plan of Interventions Methods /
and Family Nursing Problems care Criteria/Indicators,
Tools
Standards

Lack of Immunization as a Health After nursing intervention, 1. Establish therapeutic communication Evaluation Standard Methods:
Threat and Foreseeable Crisis the community will be skills of active listening.
able to: Register for the COVID- ● Virtual
Inability to recognize the presence Rationale: To develop trust nurse-client 19 vaccination. meeting via
of the problem due to lack of ● Verbalize relationship and to encourage client to talk Zoom
knowledge knowledge, freely without fear of judgement. The community is fully ● Visual aids
misconceptions, vaccinated. (Powerpoint
and feelings 2. Identify the conditions that may Presentation)
regarding preclude client receiving Performance ● Interview
vaccination. Immunization. Assess client’s Criterion/Indicators
readiness to learn. Materials:
● Explain the
importance of Rationale: Response may vary widely The community is able ● Laptop
Immunization, depending on client’s age, cultural to verbalize knowledge,
needs, safety differences, travel history, family beliefs misconceptions, and
concerns, and about vaccination and medical conditions. feelings regarding Resources:
disease vaccination.
prevention. 3. Discuss ● Time and
a. Client’s perceptions and The community is able Effort of the
● Register for the fearful feelings. Active listen to explain the nursing
COVID-19 client’s concerns. importance of student and
vaccination. b. The cause, signs and vaccination, needs, the
symptoms and mode of safety concerns, and community
transmission of COVID-19. disease prevention.
c. Protective benefits of the
vaccine, route of
administration, expected side
effects and potential adverse
reactions.
d. Common myths about the
COVID-19 vaccine.
e. Importance of herd immunity.
Rationale: Promotes atmosphere of caring
and permits explanation or correction of
misperceptions.

4. Educate and provide written

information of the different types of
the vaccine by sharing video
campaigns and pamphlets; guidelines
on how the client can get vaccinated
such as accessing the website of the
city government or go to the nearest
health center to have their names
listed.
Rationale: Reinforces learning process and
allows the client to proceed on their own
phase.