University of the Cordilleras

College of Nursing

FAMILY NURSING CASE STUDY

I. INTRODUCTION
- Individual
- Family
II. INITIAL DATA BASE
A. Family Structure, Characteristics and Dynamics
1. Members of the household and relationship to the head of the family
2. Sociodbemographic data
3. Place of residence of each member
4. Type of family structure
5. Dominant family members in terms of decision making
6. General family relationship/dynamics
B. Socio-economic and cultural characteristics
1. Income and Expenses
2. Educational attainment of each family member
3. Ethnic background and religious affiliation
4. Family traditions, envents or practices affecting members health or family functioning
5. Significant others
6. Relationship of the family to the larger community
C. Home and Environment
1. Housing
2. Kind of neighboorhood
3. Social and health facilities available
4. Communication and transportation facilities available
D. Health status of each member
1. Current and past significant health condition/s or illness/es or Beliefs and practices conducive to health and
illness
2. Nutritional status
3. Developmental status
4. Risk Factor assessment indicating presence of major contributing modifiable risk factors
5. Physical assessment
6. Results of laboratory/diagnostic and other screening procedures supportive of assessment findings
E. Values and practices on health promotion/maintenance and disease prevention
1. Immunization status
2. Health lifestyle practices-specifiy
3. Adequacy of
a. rest/sleep
b. exercise/ activities
c. Use of protective measures
d. Relaxation and other stress management activities
e. Opportunities with enhance feelings of self worth, self efficacy and sense of connectedness to self
f. Stress management or other healthy lifestyle practices
g. Use of promotive-preventive health services

III. IDENTIFICATION OF HEALTH PROBLEMS

Health Condition and Problems Family Nursing Problems Cues/Data

Presence of Wellness condition - Refer to page 71-73 ( these are subjective and Objective
Health Deficit ( Nursing Practice in the cues.)
Health Threat Community)
Forseeable crisis/ Presnece of Stree Points

IV. PRIORITIZATION OF HEALTH PROBLEMS

Criteria Computation Actual Score Justification
1. Nature of the Condition or problem presented
Scale: Wellness state
Health Deficit
Health Threat
Forseeable crisis
2. Modifiability of the condition or problem
Scale: Easy Modifiable
Partially modifiable
Not modifiable
3. Preventive potential
Scale: High
Moderate
Low
4. Salience
 Scale: a condition or problem, needing
immediate attention

a condition or problem not

needing immediate attention

not preceived as a problem or

condition needing change

Score:
1. Decide on a score for each of the criteria
2. Divide the score by the highest possible score and
multiply by the weight: ( Score/Highest Score) X
weight
3. Sum up the scores for all criteria. The highest score
is 5, equivalent to the total weight.

Guide for modifiability of the problem

1. Current knowledge, technology and interventions to enhance the wellness state or manage the problem
2. Resources of the family-physical, financial and manpower
3. Resources of the nurse- knowledge, skill and time
4. Resources of the community- facilities and community organization or support

Guide for preventive potential

1. Gravity or severity of the problem- the more severe the more lower preventive potential
2. Duration of the problem- the longer the problem, the poorer prognosis is
3. Current management- presence and appropriateness of intervention measures
4. Exposure of any vulnerable or high-risk group-increases the preventive potential

V. LIST OF PRIORITIZED FAMILY PROBLEM ( tabular form)

SCORE
1.
2.
3.
4.
5.

VI. FNCP
HEALTH PROBLEM FAMILY GOAL OF OBJECTIVES INTERVENTION PLAN
NURSING CARE OF CARE
PROBLEMS
NURSING METHOD OF RESOURCES
INTERVENTIO NURSE REQUIRED
NS FAMILY
CONTACT

B. EVALUATION (Sample Evaluation Plan)

Outcomes Evaluation Criteria Evaluation Standards

Goal: Improve the
nutritional status of the
two-year old family
member
/Indocators
Method Too/Data Source
Weight (as nutritional Increase of at least 1 Weight monitoring Weihging scale,early
status criterrion) kilogram in six weeks. childhood care and
develoment Card for 0-
6 years

Objectives:
The Famly will be able
to:

1. Provide adequate Performance Correct identification of Dietary history taking Food recall form or
care to the two- indicators/Critera: inadequacies in intake of food frequency record
year old member specific
1.a. identify macronutrients,vitamins and
inadequacies in specific minerals,critical to
nutriets generated from growth,bone-development
the baseline dietary and strong immune system.
intake of the child

1.b. prepare meals Accurate application of

Menu Plan
based on cycle menu Daily Nitrition Guide
plan. Pyramid for Filipino Record Review
chirldren 1-6 years.

Preparation of meals guided

byprinciples such as Performace evaluation
nutrients Observation checklist
preservation,increased
variety and appealing to
taste.

Childs daily food intake

1.c. Feed the child bades on recommended Estimated food record
based on agreed upon energy and nutrient intake Record Review performance evaluation
quality and quantity of for are group Observation and checklist
food
interview
Appropriate and effective
1.d.Carry out measures based on childs Performance
strategies/measures to age and nature/magnitude of
adress child’s eating Interview and evaluation checklist.
eating/feeding problems.
idiosyncrasies and Observation
problems

VII. LIST OF REFERENCES