Republic of the Philippines

Bulacan State University

City of Malolos

NCM 104B RLE

Community Health Nursing 1:
Individual and Family as Clients

Unit 3: The Family as a Client

Prepared by:

ROWENA P. SANTOS, MAN,RN

ERWIN GUEVARRA,RN

BRIAN ALFONSO, MAN,RN

A.Y. 2020-2021- 1st Semester

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Lesson 3: Family Nursing Care Plan
Duration: 2 hours

Writing your plan of care is the next step in family nursing care plan. Being
through with priority setting using the scoring procedures in the previous lesson, you
are now ready to write your course of action and plan of care towards avoiding if not
eliminating the problem identified. Planning involves establishing goals and
objectives, and determining appropriate interventions to achieve your set goals and
objectives. The nurse has to remember that the plan is for the family’s benefit and
must never lose sight of the fact that the family has the right to self-determination. In
the end, family decisions regarding health care have to be respected.

Goals

A goal is a desired observable family response to planned interventions in

response to a mutually identified family need. The goal is the end that the nurse and
the family aim to achieve. Setting realistic goals within the limits of the resources of
the family, the nurse, and the health agency is of utmost importance. Aside from
limitation of resources, another factor to be taken into consideration is the family’s
perception of its needs. The likelihood of attainment of a goal is higher if the family
“owns” the goal and if it is achievable within the existing family situation.

Using our previous example:

Health Problem:

Faulty eating habits specifically excessive intake of certain nutrients.

Family Nursing Problem:

Inability to recognize the presence of the condition or problem due to

lack of or inadequate knowledge

Your Goal of Care can be:

Identify and understand different diseases that may arise due to a diet
high in fat, salt and carbohydrates.

Objectives

Objectives define the desired step-by-step family responses as they work

toward a goal. Mutually agreed upon objectives provide the family and the nurse
direction for alternatives and selection of family and nursing actions. They are used
to measure family achievement for monitoring and evaluation. Workable, well-stated
objectives should be;

• Specific: The objective clearly articulates who is expected to do what, i.e.,the

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 family or a target family member will manifest a particular behavior.

• Measurable: Observable, measurable and whenever possible, quantifiable

indications of the family’s achievement as a result of their efforts toward a
goal provide a concrete basis of monitoring and evaluation.

• Attainable: The objective has to be realistic and in conformity with available

resources, existing constraints, and family traits, such as style and
functioning.

• Relevant: The objective is appropriate for the family need or problem that is
intended to be minimized, alleviated, or resolved.

• Time-bound: Having a specified target time or date helps the family and the
nurse in focusing their attention and efforts toward the attainment of the
objective

Let us again take for example the previous problem on faulty eating habits.

Goal of Care:

Identify and understand different diseases that may arise due to a diet
high in fat, salt and carbohydrates.

Your Objectives of Care can be:

1. Recognize different diseases that may arise due to a:

a. high fat diet,
b. high salt diet, and
c. high carbohydrate diet

2. Create a healthy menu plan for one week.

3. Encourage to consult a dietician within the local health facility for further
assessment.

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Nursing Interventions

Depending on the identified family needs and the goals and objectives,
interventions may range from the simple or immediate such as offering information
about external health resources available to the family, to the complicated or
prolonged, such as providing care to a family with a member newly diagnosed with
pulmonary tuberculosis. Nursing interventions can be categorized as to:

• Supplemental interventions are actions that the nurse performs on behalf of

the family when it is unable to do things for itself, such as providing direct
nursing care to a sick or disabled family member.

• Facilitative interventions refer to actions that remove barriers to appropriate

health action, such as assisting the family to avail of maternal and early child
care services.

• Developmental interventions aim to improve the capacity of the family to

provide for its own health needs, such as guiding the family to make
responsible health decisions. This type of intervention is directed toward
family empowerment.

Interventions may be a mix of two or all

three of these categories, but make sure that they
are appropriate to the family situation.

Let’s Do This 7!

A specific form for Family Nursing Care Plan can be found on the Google
Classroom. Using your output for Let’s Do This 6, take your first priority family
nursing problem and develop a family nursing care plan.

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Final Requirement

1. Select your own family as your client for this task. Be able to come up with a
family case study with the following components:
a. Assessment Data Base
b. Physical Assessment of all your family members
c. MMDST for members of the family ages 0-6 years old
d. First and Second Level Assessment
e. Prioritization of Family Nursing Problem
f. Family Nursing Care Plan
g. Health Teaching Plan

Requirements A, D, E, F and G have a template which can be found

on the Google Classroom entitled Assessment Data Base. For requirement
B use the Physical Assessment Checklist. Use the MMDST form in Unit 2
for requirement C.

2. Quiz via Google Forms on Google Classroom

Suggested Readings and Websites

1. Maglaya, A. (2009) Nursing Practice in the Community 5th Edition. Chapter 2
assessment in family health nursing practice. Pages 50-72. Argonauta
Corporation Philippines.
2. Atud C and Reyes L. (2020). Unit 4 Family Nursing Process. NCM 104A
Community Health Nursing 1: Individual and Family Module. Bulacan State
University College of Nursing

References

Cuevas, Prescilla, RN,MAN (2000) Public Health Nurse in the Philippines

http://www.doh.state.fl.us/phn...yrplanshort.pdf

Famorca, Zenaida U. MPH,RN, Nies Mary A, PhD, RN,, FAAN, FAAHB, McEwen
Melanie, PhDn RN (2013) Nursing Care of the Community
http://asia.elsevierhealth.com

Maglaya, A. (2009) Nursing Practice in the Community 5th Edition. Argonauta

Corporation Philippines.