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FAMILY NURSING CARE PLAN (FNCP)

In Partial Fulfillment of the


Requirements in NCM 204
COMMUNITY HEALTH NURSING ROTATION

Submitted to:
Prof. Luke Christopher Avila, RN
Clinical Instructor

Ms. Aiveanne Gyl Layaguin, RN


Practicing Clinical Instructor

Submitted by:
Ralph Julien S. Calzada, St. N
Isabella T. Dacaya, St. N
Rodolfo B. Dacquel II, St. N
Julia Mariz G. Estabillo, St. N
Edle Mae L. Fugata, St. N
BSN 2I - Subgroup 2
September 12, 2022
PRIORITIZATION

Health Problem Total Score Rank

Lack of Food Storage Facilities 1 9th

Presence of Breeding or resting sights for vectors of 3.67 4th


disease

Poor home condition as evidenced by Improper 3.67 3rd


garbage disposal

Hypertension 5
1st

Self-medication 4 2nd

Lack of immunization/Inadequate immunization status 2 8th


specially of children

Unhealthy lifestyle and personal habits/practices: 3.67 5th


Alcohol Drinking
Unhealthy lifestyle and personal habits/practices: 3.34 6th
Cigarette Smoking

Improper drainage system 0.67 10th

Unsanitary food handling and preparation 2.34 7th

TOTAL 29.36
Hypertension (Health deficit)

CRITERIA Wt. Computation Score

Nature of the Problem 3/3 x 1 = 1 1


Wellness State 3
Health Deficit 3 3
Health Threat 2
Stress Point/Foreseeable Crisis 1

Modifiability of the Problem/Condition 1/2 x 2 = 1


Easily modifiable 2 1 1
Partially modifiable 1
Not modifiable 0

Preventive Potential 3/3 x 1 = 3 3


High 3 3
Moderate 2
Low 1

Salience 0/2 x 1 = 0 0
Problem needing immediate attention 2 0
Problem not needing immediate attention 1
Not perceived as a problem needing change 0

Total: 5
Unhealthy lifestyle and personal habits/practices as specified by self-medication (Health threat)

CRITERIA Wt. Computation Score

Nature of the Problem 2/3 x 1 = 0.67 0.67


Wellness State 3
Health Deficit 3 2
Health Threat 2
Stress Point/Foreseeable Crisis 1

Modifiability of the Problem/Condition 1/2 x 2 = 2 2


Easily modifiable 2 1
Partially modifiable 1
Not modifiable 0

Preventive Potential 2/3 x 2 = 1.33 1.33


High 3 2
Moderate 2
Low 1

Salience 0/2 x 1 = 0 0
Problem needing immediate attention 2 0
Problem not needing immediate attention 1
Not perceived as a problem needing change 0

Total: 4
Poor home condition as evidenced by improper garbage disposal (Health threat)

CRITERIA Wt. Computation Score

Nature of the Problem 2/3 x 1 = 0.67 0.67


Wellness State 3
Health Deficit 3 2
Health Threat 2
Stress Point/Foreseeable Crisis 1

Modifiability of the Problem/Condition 2/2 x 2 = 2 2


Easily modifiable 2
Partially modifiable 1 2
Not modifiable 0

Preventive Potential 3/3 x 1 = 1 1


High 3
Moderate 2 3
Low 1

Salience 0/2 x 1 = 0 0
Problem needing immediate attention 2
Problem not needing immediate attention 1 0
Not perceived as a problem needing change 0

Total: 3.67
Poor home sanitation as specified by presence of breeding or resting sights for vectors of disease (Health threat)

CRITERIA Wt. Computation Score

Nature of the Problem 2/3 x 1= 0.67 0.67


Wellness State 3
Health Deficit 3 2
Health Threat 2
Stress Point/Foreseeable Crisis 1

Modifiability of the Problem/Condition 2


Easily modifiable 2 2/2 x 2 = 2
Partially modifiable 1 2
Not modifiable 0

Preventive Potential 1
High 3 3/3 x 1 = 1
Moderate 2 3
Low 1

Salience 0
Problem needing immediate attention 2 0/2 x 1 = 0
Problem not needing immediate attention 1 0
Not perceived as a problem needing change 0

Total: 3.67
Unhealthy lifestyle and personal habits/practices: alcohol drinking (Health threat)

CRITERIA Wt. Computation Score

Nature of the Problem 2/3 x 1 = 0.67 0.67


Wellness State 3
Health Deficit 3 2
Health Threat 2
Stress Point/Foreseeable Crisis 1

Modifiability of the Problem/Condition 2


Easily modifiable 2 2/2 x 2 = 2
Partially modifiable 1 2
Not modifiable 0

Preventive Potential 1
High 3 3/3 x 1 = 1
Moderate 2 3
Low 1

Salience 0
Problem needing immediate attention 2 0/2 x 1 = 0
Problem not needing immediate attention 1 0
Not perceived as a problem needing change 0

Total: 3.67
Unhealthy lifestyle and personal habits/practices: cigarette smoking (Health threat)

CRITERIA Wt. Computation Score

Nature of the Problem 2/3 x 1 = 0.67 0.67


Wellness State 3
Health Deficit 3 2
Health Threat 2
Stress Point/Foreseeable Crisis 1

Modifiability of the Problem/Condition 2


Easily modifiable 2 2/2 x 2 = 2
Partially modifiable 1 2
Not modifiable 0

Preventive Potential 0.67


High 3 2/3 x 1 = 0.67
Moderate 2 2
Low 1

Salience 0
Problem needing immediate attention 2 0/2 x 1 = 0
Problem not needing immediate attention 1 0
Not perceived as a problem needing change 0

Total: 3.34
Unsanitary food handling and preparation as evidenced by the food that is almost spoiled (Health threat)

CRITERIA Wt. Computation Score

Nature of the Problem 2/3 x 1 = 0.67 0.67


Wellness State 3
Health Deficit 3 2
Health Threat 2
Stress Point/Foreseeable Crisis 1

Modifiability of the Problem/Condition 1


Easily modifiable 2 1/2 x 2 = 1
Partially modifiable 1 1
Not modifiable 0

Preventive Potential 0.67


High 3 2/3 x 1 = 0.67
Moderate 2 2
Low 1

Salience 0
Problem needing immediate attention 2 0/2 x 1 = 0
Problem not needing immediate attention 1 0
Not perceived as a problem needing change 0

Total: 2.34
Lack of immunization/inadequate immunization status specially of children (Health threat)

CRITERIA Wt. Computation Score

Nature of the Problem 2/3 x 1 = 0.67 0.67


Wellness State 3
Health Deficit 3 2
Health Threat 2
Stress Point/Foreseeable Crisis 1

Modifiability of the Problem/Condition 1


Easily modifiable 2 1/2 x 2 = 1
Partially modifiable 1 1
Not modifiable 0

Preventive Potential 0.33


High 3 1/3 x 1 = 0.33
Moderate 2 1
Low 1

Salience 0
Problem needing immediate attention 2 0/2 x 1 = 0
Problem not needing immediate attention 1 0
Not perceived as a problem needing change 0

Total: 2
Poor home sanitation as specified by lack of food storage facilities (Health threat)

CRITERIA Wt. Computation Score

Nature of the Problem 2/3 x 1 = 0.67 0.67


Wellness State 3
Health Deficit 3 2
Health Threat 2
Stress Point/Foreseeable Crisis 1

Modifiability of the Problem/Condition 0


Easily modifiable 2 0/2 x 2 = 0
Partially modifiable 1 0
Not modifiable 0

Preventive Potential 0.33


High 3 1/3 x 1 = 0.33
Moderate 2 1
Low 1

Salience 0
Problem needing immediate attention 2 0/2 x 1 = 0
Problem not needing immediate attention 1 0
Not perceived as a problem needing change 0

Total: 1
Poor home condition as evidenced by improper drainage system (Health threat)

CRITERIA Wt. Computation Score

Nature of the Problem 2/3 x 1 = 0.67 0.67


Wellness State 3
Health Deficit 3 2
Health Threat 2
Stress Point/Foreseeable Crisis 1

Modifiability of the Problem/Condition 0/2 x 0 = 0 0


Easily modifiable 2
Partially modifiable 1 0
Not modifiable 0

Preventive Potential 0/3 x 0= 0 0


High 3
Moderate 2 0
Low 1

Salience 0/2 x 0 = 0 0
Problem needing immediate attention 2
Problem not needing immediate attention 1 0
Not perceived as a problem needing change 0

Total: 0.67
FAMILY NURSING CARE PLAN
Hypertension

Date & Time Health Family Nursing Goal Of Care Objectives of Care Nursing Interventions Nurse- Resources Required Evaluation
Cues Problem Problem Family
Contac
t

09/12/2022 Hypertension Inability to After the nursing Within three hours of 1. Establish rapport H Material resources: 09/12/2022
9:00 am as health provide intervention, the nursing interventions, with family O ● Visual aids (PPT) on 12 pm
deficit adequate family will be able the family should be M ○ Importance of
Subjective: nursing care to to: able to: 2. Identify the E maintaining Goal met
● The father the sick, family's scope of healthy lifestyle
is a disabled, a. Grasp a. Determine the knowledge about V ○ Health effects of After
drinker dependent, orknowledge risk factors for the hypertension I vices to the nursing
and a vulnerable/at-ris about the hypertension, S individual and intervention
smoker for k member of the importance of including age, eating 3. Discuss and I family s the family
20 years. family due to: maintaining habits, obesity, and explain to the T ○ Ways to manage was able to:
well-being family history family the risk and control
● The ● Inadequate b. Learn the factors of the hypertension •Determine
mother family correct way to b. Acquire causative agents ○ Over the counter the risk
verbalized resources of respond to the information about on hypertension maintenance factors for
“Sige ra care, problem by alternate methods for such as vices, drugs for hypertensio
na siyag specifically being able to managing high blood lifestyle, nutritional hypertension n by
inom ug financial manage, pressure using herbal intake, family based verbalizing
sigarilyo constraints control, and medications. history, and age. ○ Alternative food “Sukad
tibuok minimize the and supplements karon
adlaw, risk factors of c. Incorporate 4. Instruct that will help ginabawala
wala najud hypertension low-sodium and importance and manage n na
ko low-fat foods into the promotion of a hypertension for a muinom ug
kasabot” diet. healthy lifestyle cheaper value alcohol
through reducing pati
● The foods high in salt, manigarily
patient fat, and o kay mao
verbalizes cholesterol, and na ang
“Gusto ra exercising gapataas
nako mag sa dugo ni
inom ug 5. Monitor blood papa.”
manigarily pressure of the
o” hypertensive • The family
patient from time was able to
Objective: to time (q2) acquire
Blood information
pressure - 6. Educate the family about
140/90 on the importance alternate
of drug methods for
maintenance and managing
regular check-ups high blood
at health centers. pressure by
using
ginger,
basil, and
garlic.

• The family
was able to
incorporate
the DASH
(Dietary
Approaches
to Stop
Hypertensio
n) diet.
Self-medication

Date & Time Health Family Nursing Goal Of Care Objectives of Nursing Interventions Nurse- Resources Required Evaluation
Cues Problem Problem Care Family
Contac
t

09/12/2022 Unhealthy Failure to utilize After the Within three 1. Establish rapport H Material resources: 09/12/2022
9:00 am lifestyle and community nursing hours of nursing with family O ● Visual aid 12 pm
personal resources for health intervention, interventions, M (brochure) on:
Subjective: habits/practic care due to: the family will the family 2. Present to the E ○ The risks Goal met
● The mother es as be able to: should be able family the and possible
gives specified by ● Lack to: adverse effects V effects of After nursing
medications self-medicatio of/inadequate a. Stop a. Identify the of buying I taking interventions,
to the father n as health knowledge of administeri adverse over-the-counter S unprescribed the family was
without threat community ng effects of medicine without I medications be able to:
prescription. resources for medication administerin a physician’s T ○ The services a. Identify
● She buys health care s that are g prescription. offered by the
over the not unprescribed the nearest adverse
counter prescribed medications 3. Make the family health center effects of
drugs for b. Visit the b. Tell the need aware of the ● Printed pictures administe
treatment. health of visiting the importance of that: ring
● The mother center clinic for an going to the ○ Shows the unprescri
verbalized, when accurate health center for alternative bed
“Wala man needed health regular home-based medicatio
mi kabalo c. Use checkup check-ups and medications ns
nga naa diay home-bas prior to encourage them and practices b. Tell the
health center ed beginning to do so. as treatment need of
na duol diri alternative any visiting
ug libre s as medication. 4. Share the the clinic
check up.” prescribed c. List the location of the for an
by doctors alternative nearest health accurate
Objective: medications center health
● Outdated checkup
prescriptio 5. Guide the family prior to
n about what to do beginning
and present in any
the health center medicatio
for them to be n.
given an c. List the
intervention alternativ
e
medicatio
ns
Improper garbage disposal

Date & Time Health Family Nursing Goal Of Care Objectives of Care Nursing Interventions Nurse- Resources Evaluation
Cues Problem Problem Family Required
Contact

09/12/2022 Poor home Inability to provide After the Within three 1. Educate the family H Material 09/12/2022
9:00 am a home nursing hours of nursing on different methods O resources: 12 pm
condition as
environment intervention, interventions, the of garbage disposal: M ● Visual aids
Subjective: evidenced by conducive to health the family will family should be E (PPT) on Goal met
● The mother maintenance and be able to: able to: a. Recycling ○ Definition
improper
verbalized, personal b. Segregation V of proper After nursing
“Ilabay lang na garbage development due a. Know the a. Identify the c. Biodegradable I garbage interventions, the
diha.” to: importance different and S disposal, family was able
disposal as a
● The father ● Lack of skill in of proper ways of non-biodegradab I recycling, to:
verbalizes, health threat carrying out garbage garbage le disposal T and a. Identify the
“Mao ra measures to disposal disposal segregatio different
gihapon, improve the b. Practice the 2. Emphasize the n ways on
kit-kiton sa iro home b. Be proper importance and ○ Methods of garbage
kadugayan, environment educated method of positive effects of segregatio disposal
muhugaw on how to garbage practicing proper n: b. Practice
napud..” maintain the recycling garbage disposal Biodegrada the proper
cleanliness and with the family in ble and method of
Objective: of the segregation order to initiate Non-biodeg garbage
● Garbage is surrounding c. Realize the interest in lifestyle radable recycling
outside, c. Identify the positive and modification. ○ Importance and
not right time of negative s of 3Rs segregatio
segregated garbage effects of 3. Realize to them the (Reduce, n
and some disposal or garbage to negative effects of Reuse, c. Realize the
were open garbage bin the family garbage on their Recycle) positive
because of clearance. health, environment, ○ Effects of and
the dog and community. improper negative
garbage effects of
4. Instruct the family to segregatio garbage to
situate their nLocations the family
dumping site far for
from their house far available
from dogs and garbage
children’s reach disposal

5. Teach the family


how to make a
compost pit.

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