Fermil Pasgala

COMMUNITY HEALTH IN NURSING

FAMILY NURSING CARE PLAN

Situation: Josefina Rivera is a public Health Nurse at the Rural Health Unit. She met
26-year-old Susan Yap, married, 6 months pregnant with her first child, in a Garantisadong
Pambata (outreach health services) visit at an ambulatory clinic in the barangay where the
Yap family was residing.

Josefina found out that Susan never had a prenatal consultation. She also noted that
Susan was underweight, with a weight of only 48kg and a height of 155 cm. When Josefina
asked her where she plans to deliver her baby, she replied that she would probably have a
home delivery under the care of the local “hilot” because professional attendance would be
too expensive for them. Susan explained that she came to the ambulatory clinic upon the
prodding of her husband who heard about the health workers’ visit to the barangay. To
assess the Yaps’ home situation and teach Susan health practices related to her pregnancy,
Josefina asked Susan if she could make a home visit. Seemingly pleased with Josefina’s
attention, Susan agreed with Josefina on a home visit schedule, stating that she wanted to
learn more from Josefina to prevent problems with her pregnancy and delivery.

When Josefina made the home visit, she noted that Susan lived with her 32-year-old
husband Mario, who was at work at the time of the visit. He was the sole breadwinner of his
family – a construction worker earning the daily minimum wage. Susan described her
husband as hardworking. They lived in a rented shack of mixed materials with a bedroom, a
bathroom and toilet, and a small multipurpose room (living and dining room and kitchen).
Susan’s activities consisted mainly of household chores. Sometimes, Susan would spend time
at the homes of some friends and relatives residing in the neighborhood. In the course of
the interview, Josefina found out that Susan had inadequate knowledge about community
health services, prenatal nutrition, preparation for childbirth, and infant care. Susan said
that she and her friends and relatives sometimes talk about such matters, but the
information given was confusing and conflicting. Aside from palmar pallor and underweight,
other findings during physical examination were normal. When asked about her diet, Susan
told Josefina that she limited her food intake because she did not want to have a caesarian
section, which may be needed if baby grew too big. Question :With this given scenario,
create the 5 phases of Family Nursing Process.

1. ASSESSMENT

2. FAMILY NURSING DIAGNOSIS

3. PLANNING (FORMULATION OF GOALS AND OBJECTIVES

4. IMPLEMENTATION

5. EVALUATION

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 Fermil Pasgala
COMMUNITY HEALTH IN NURSING

FAMILY NURSING CARE PLAN

Risk for pregnancy complications related to inability to have prenatal consultation,

self-care deficit , and inadequate knowledge about pregnancy.

ASSESSMENT NURSING PLANNING IMPLEMENTATION EVALUATION

DIAGNOSIS

SUBJECTIVE: Nursing Diagnosis: After 1hr of  Do a health The goal met as the
counseling, the teaching evidence of the
- “I limited my Risk for pregnancy
patient will which client verbalizing
food intake because complications
understand the includes: the key points
I did not want to related to inability
importance of discussed during
have a caesarian to have prenatal A. What is
prenatal consultation the counselling
section, which may consultation, prenatal
in some of the session. The
be needed if baby self-care deficit , consultation and
primary health care patient now plans
grew too big. and inadequate how to does a
services and will have to visit a
knowledge about community health
OBJECTIVE: a strong basis on how professional near
pregnancy. care service can
to prepare for them to seek for
 Weight: 48 Kg help the patient.
childbirth. prenatal
= Body weight consultation.
B. Benefits of
is 20% not ideal
having adequate
for height and
amount of clinical
frame
information
(underweight)
regarding
 Height: 155 cm pregnancy

 Has palmar C. Factors that

pallor may affect the
mother and infant
 6months during pregnancy
pregnant and labor
(primigravida)
D. Possible risks
and consequences
of having self
decisions without
any consultation
from a
professional.

 Discuss what
are the
present risks
factors that
the patient
have and how
to prevent it.

 Encourage the

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Fermil Pasgala
COMMUNITY HEALTH IN NURSING

patient and
family related
to the patient
to visit a
community
health care
for further
counseling.

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