FAMILY NURSING CARE PLAN
DEFINITION • Nature
• a systematic approach to solving an
existing problem/meeting the needs of
family
o Rapport
o Assessment
o Planning
o Intervention
o Evaluation
ELEMENTS OF THE FAMILY NURSING
PROCESS
1. ASSESSMENT OF THE CLIENT’S PROBLEM
2. DIAGNOSIS OF CLIENT RESPONSE NEEDS
THAT NURSE CAN DEAL WITH
3. PLANNING OF CLIENT CARE
4. IMPLEMENTATION OF CARE
5. EVALUATION OF THE SUCCESS OF
IMPLEMENTED CARE
FAMILY HEALTH NURSING PROCESS
1. RAPPORT
• Trust building
• Knowing your client
• Adjusting to the situation and
environment
• RESPECT
2. ASSESSMENT
• Data Gathering: tools or instruments
used during the survey:
o Interview
o Observation
o Questionnaires
▪ mostly patronized&usedinCHN
o Records & Reports available
o Consolidation or Collation:
▪ Collecting back
questionnaires, tabulating and
summarize
TYPOLOGY OF NURSING PROBLEMS
A. First-Level Assessment
• To determine problems of family
• Sources of Problems using IDB
• Family:
o Use of Initial Data Base(IDB)
o Health Deficit (HD)
o Health Threat (HT)
o Foreseeable Crisis (FC)
USE OF INITIAL DATABASE (IDB)
A. Family Chart Structure
• Nuclear
o Father, mother, and children
• Extended (3rd generation)-
o Relatives staying with the
family
• Multi-generational extended-
o “apo sa tuhod” or “apo sa
talampakan”
• Dyad
o Husband & wife only (childless
couple)
• Blended
o widow married another widow
& have children
• Gay
o Same-sex living together
• Matriarchal
o Mother is the decision maker
• Patriarchal
o Father is the decision maker
• Communal
o different families forming a
community
B. Socio-economic
• poverty level
• educational
• attainment & nature of the
occupation of members of the
family (sources of income)
the
C. Socio-cultural
• different nature of religion
D. Home environment
• assessment according to
o environmental sanitation
o treatment of garbage
o preparation of food
o availability of toilet
o water & food sanitation
 FAMILY NURSING CARE PLAN
o sources of diseases environmental hazards, poverty,
E. Medical history family history of chronic illness
• history of a certain disease, C. Foreseeable Crisis (FC)
• family member with the disease • stress points, anything which is
F. Resources available in the community anticipated/expected to become a
for use by the family problem
• 5 Generalized M’s in resources • Foreseeable crises or stress points,
available in the community refer to anticipated periods of
o Man/Manpower unusual demand for the individual
o Money or the family in terms of
o Machine adjustment or family resources.
o Materials • These demands may be pregnancy,
o Methods retirement from work, and
DEFINE THE PROBLEM AFTER adolescence.
IDENTIFYING IT ACCORDING TO NATURE 3. PLANNING
A. Health Deficit (HD) FOUR (4) STANDARD STEPS
• if the identified problem is an 1. Prioritization
abnormality, illness, or disease, • start if there are multiple identified
there’s a gap/difference between problems2.
normal status (ideal, desirable, 2. Formulation of objectives
expected) &actual status (the • planning a procedure will start here
outcome/ result/ problem if there is only one problem
encountered on that actual day) 3. Developing strategies of action
• also includes: 4. Formulation of evaluation tools for the
o Diagnosed/ suspected illness identified strategy developed
states of family members
o Sudden or premature or
untimely death illness or
disability and failures to adapt
to the reality of life emotional
control and stability.
o Deviations in growth and
development
o Personality disorders.
B. Health Threat (HT) & health
disturbance
• Health threats refer to conditions
that predispose to disease,
accident, poor or retarded growth
and development and personality
disorder, and a failure to realize
one’s health potential.
• These situations are incomplete
immunization among children,