Patricia Mae T.

Miranda NCM104a- Module 4

BSN II- A

I. Family Nursing Care Plan (FNCP) Completion:

- Complete the FNCP provided by identifying appropriate nursing interventions and evaluation.

Family nursing care diagnoses:

1st Level of Assessment – Pregnancy as a foreseeable crisis situation

2nd Level of Assessment – (1) Inability to recognize the presence of the problem due to denial about its severity as a result of fear of consequences of problem,
specifically cost implications.
(2) Inability to make decisions with respect to taking appropriate health action due to inaccessibility of appropriate resources for care, specifically costs constraints.

Planning:
Goal of Care – After successful nursing interventions, the family will be able to maintain maternal health and well-being.

Objectives of Care (Short Term) – After a day of home visit, the family will be able to: (1) identify implications of pregnancy to the family’s health condition,
(2) identify community resources available to them and (3) list down ways to help themselves cope with pregnancy as a foreseeable crisis.

Objectives of Care (Long Term) – After 8 home visits, the family will be able to cope with pregnancy as evidenced by: (1) Signs and symptoms of a healthy
pregnancy and (2) The family laying out a plan for the delivery and care of the child.

Intervention Plan
Nursing Interventions Rationale Methods of Resources Required Evaluation
Nurse-family
Contact

1. Discuss with the family 1. To understand and
the importance and
implications of
pregnancy to the
family’s health
condition.
2. Conduct health teaching
with the family about the
effective methods on
how to cope with
pregnancy as foreseeable
crisis.
STG: Goal Met. After a day of
raise the awareness Home Visits Visual aids on effective methods on home visit, the family was been able
of the family about how to cope with pregnancy as to:
pregnancy to the foreseeable crisis. a. Identify implications of
family’s health pregnancy to the family’s health
condition and can Human resources condition,
utilize this Time and effort needed in both nurse b. Identify community resources
information in the and the family. available to them
future. 9-10: Health Promotion Program c. List down ways to help
1-3: Health Promotion Program themselves cope with pregnancy
2. This will help the as a foreseeable crisis.
family to have Financial Resources were spent on: LTG: Goal Met.
properly Instructional Materials After 8 home visits, the family will

3. Conduct health teaching
with the family
regarding the proper
utilization of resources
and importance of 3. To assist the family
services available in
their community:
- Hospitals
- Health Center
4. Analyze with the family
about advantages and
disadvantages of 4. This will help the
methods in order to help
the family to provide
rational decision-making
on the best option given
to the family’s situated
possibilities.
management of Transportation be able to cope with pregnancy as
pregnancy that may Snacks evidenced by:
lead to positive a. Signs and symptoms of a healthy
outcomes. pregnancy
b. The family laying out a plan for
the delivery and care of the child.
in assimilating the
importance of
resources and
address the cost
constraints
effectively.
family in making
rational or informed
decision on the best
option given to the
family’s situated
possibilities.

II. CASE STUDY

Community Nurse Mara conducts home visitation at Brgy. Portero where she encounters Family XYZ whose house is built beside a river. While
conducting the home visit, Nurse Mara obtained information regarding the family’s health status. Family XYZ is composed of 12 members, the
mother who at present is 3 months pregnant with no prenatal care. The father is working as a “mangangalakal” that serves as the family’s primary
source of income where the father is able to earn 100 pesos per day with a total of 3,000 pesos in a month. During visitation the nurse observed that 8
month baby is bottle fed using water directly from the faucet. Amongst the children ages 3, 5, and 7 years old were seen playing hide and seek along
the riverside, barefooted. Upon assessment, the 3 year old child weighs 9kg and appears pale; the children who are aged 5 and 7 years old are both
experiencing dry cough for 1 week without having any consultation with a physician.

The family lives in a 12 square meter by 20 square meter house of which the entire space accommodates the households’ kitchen, dining area, and
bedroom. In addition, the garbage is observed placed at the side of the house near the river bank with flies flying around while street dogs and cats
are also seen roaming around the neighborhood. The surrounding is unclean and the household area is apparently not suitable for living. One week
after the home visit, Nurse Mara makes a follow up visit to the family and interviewed the mother for the children’s immunization record. She found
out that 18month old baby XYZ has not received the first dose of MMR vaccine on her 9 th month. Likewise, mother XYZ has not received Tetanus
Toxoid shots.
 Assessment Family Nursing Planning Implementation Evaluation
Care Diagnoses
Subjective: 1st Level of Goals of Care Objectives of Care Nursing Rationale Method of Resources Required STG:
Assessment: Interventions Nurse-
_____ Family Goal Met. After a
Malnutrition as Contact day of home visit,
Objective: health deficit. After nursing STG: 1. Establish 1. To gain the parent was able
3 year old intervention, rapport cooperation to identify the
child weighs 2nd Level of the child will After a day of from the Instructional following:
9kg and Assessment: be able to home visit, the 2. Conduct client and Materials:
appears improve his parent will be able health reduce their Home Visits -Nutritious foods
pale Inability to health status. to identify the teaching anxiety. Flip Chart appropriate to the
recognize the following: regarding the child’s age.
existence of the importance of 2. To Human Resources:
problem due to -Nutritious foods proper intake understand Time and effort - Foods that are
lack of appropriate to the of healthy and value the needed on both unhealthy or
knowledge. child’s age. foods for the importance of nurse and family:10- inappropriate for
children. proper intake 11: Program 1-3: the child.
- Foods that are of healthy health teaching
unhealthy or 3. Conduct foods for the program -Importance of
inappropriate for health children proper eating
the child. teaching healthy foods for
Financial
regarding the 3. To apply the the children.
Resources:
nutritious appropriate
-Importance of
foods needed ways and
proper eating Most of the financial LTG:
and healthy healthy
healthy foods for resources were spent Goal Met.
practices practices
the children. on: After 2
appropriate needed for
- Instructional months, the
for the child’s the child’s
LTG: materials child’s weight
age. age that may
a. After 2 - Transportation was able to
lead to
months, the - Snacks increase by
4. Discuss the positive
child’s weight 2kg.
foods that are outcome.
will be able to
unhealthy and
increase by
inappropriate 4. To provide
2kg.
practices for awareness
the child’s and determine
age. the effects of
unhealthy
foods and
inappropriate
practices for
the child’s
health.