COMMUNITY HEALTH

NURSING

NURSING CARE PLAN

SUBMITTED TO: Shabeena bernard

(Associate proff.)

SUBMITTED BY: Vaishali Singh

Msc(N) Ist year
 FAMILY CARE PLAN

Date of Survey : 29/01/ 2024

Date of Survey Completed : 09/02/ 2013

Name of the Health Center : CHC bhangel

Name of the Head of Family : Rakesh Sharma

House Number : 603 block (D)

Religion : Hindu

Occupation : Worker
 1.FAMILY DATA

NAME
RELATION EDUCATION MARITAL IMM OCCUPA INCOME
OF THE D.O.B SEX F.PLANNING
WITH HOF STATUS TION
HEAD
OF THE
FAMILY CCIUCD Cu-T Oral C P

Rakesh 17.6.1976 M Self 12th M - - - - - Worker 6000

Sharma

Rama 10.9.1983 F Wife 8th M - - - - - House --

Sharma Wife

Shetaks- 5.2.2003 F Daught- 3rd -- -- -- -- -- -- Student --

hi er

Ashmit 15.9.2005 M Son 1st -- -- -- -- -- -- Student --

2. Type of Family : Nuclear

3. Migrated From : Himachal Pradesh

4. Number of years of Migration : 9 yrs

5. Dietary Habits : Vegetarian

3 meals per day

6. Type of House

 Pucca
 Owned : No
 Rented : Yes
 Amount Paid : 700
 Number of Rooms : 2 rooms
 Ventilation : Poor
 Electricity : Yes
7. Bathing Facility
 In the same room : No
 Combined with toilet : Yes
  Separate bathroom
a) Parents : No
b) Children : No
 Any other : Single bathroom for all rented
house.

8. Toilet Facility

 Separate : No
 Combined with bathroom : Yes
 The family members
a) Use toilet : Yes
b) Use drain : No
c) Open defecation : No
d) Drain and toilet : No
e) Number of people who share
Parents :4
Children :7

9. Cooking Facility

 Separate Kitchen
 Uses Gas

10. Health Habits: Alcohol drinking occasionally.

11. Drinking Water Supply

 Open Well : No
 Hand Pump : Yes
 Tube Well : No
 Piped : Yes
 Others
a) Animals/Pets : No
b) Pests/Rodents : Yes
c) Arthropods : Yes

12. Environment Hygiene

 Surroundings : Clean/Flies
 Garbage : Thrown Outside
 Open Drain : Yes
 Closed drainage system : No
 Distance between drinking
Water and sewage : 50feet
 Noise Pollution : No
  Stray Animal : Yes

13. Entertainment

 Television viewing/DVD player

 Types of Programmes : T.V Serials
 Number of hours spent : 4-5 hrs

14. Personal Hygiene

 Uses common towel

 Use Soap
 Changes under garments after every bath

15. Health Indicators

 Assessment of Malnutrition
1) Weight of the first child (female) 21kg
Degree of malnutrition: Normal

2) Weight of the second child (male)18kg

Degree of malnutrition: Normal

 Height of the first child (female) : 3.5 ft (Normal)

 Height of the second child(male) : 3 ft (Normal)

 Presence of Chronic Disease : No

 HIV : Never Tested

 Maternal and Child Health Services

1) Total number of live births Male:1 , Female: 1

2) Total number of Children died : None
3) Total number of still Births : None
4) Total number of Abortions : None

16. Community Environment

 Social facilities available : Yes

 Health facilities

1) Pvt. Practioners : Yes

2) Pvt. Nursing : Yes
3) Hospital : Yes
 4) Health Center : Yes
 Transportation
1) Type : Public Transportation
2) Easily available : Yes

17. Socio-Economic and Cultural Factors

 Family Income Status

1) Rent : No
2) Agriculture : No
3) Animals/Pets : No
4) Service : Worker- Rs 6000
5) Any other(Property) : Land in village (Himachal Pradesh)

 Expenditure (Monthly)
1) Food : 1000-1500 Rs
2) House : 700 Rs
3) Education : 2000 Rs
4) Health : When needed
5) Conveyance : 300 Rs
6) Recreation : 200 Rs
7) Festival : 200 Rs
8) Telephone : 200 Rs
9) Electricity : 250 Rs

18. Value System

 Beliefs about health : Some of the illness they believe as super natural
causes, and some as dysfunction in body.
 Beliefs about illness : Superstitious
 Value of Health : Health according to them is very important aspect of
life.
 Attitudes toward health services: They use the Heatlh Clinics and
Hospitals when needed.
 Utilization of health services : Curative and Preventive.

19. Growth and Development Assessment (of each child under five years) and
Immunization Record. N/A

 Immunization : Complete of both the children

20. Maternal Health Care (For any pregnant women) : N/A

21. List Health Needs and Problems

 Permanent Family Planning methods.
 Importance of Food and Hand Hygiene.
 Diet modifications related to Anemia
  Importance of Physical Activities.
 Prevention of Home Accidents.

22. List Nursing Diagnosis According to (Priority) Both Individual and Family’s.

S. No Subjective Data Objective Data Nursing Diagnosis

While taking the family Mother enquired Knowledge deficit related to
1. information, came to about different family Family Planning Methods
know that they have planning methods. and importance of
not adopted any permanent family planning
permanent family method.
planning methods.

When taking the weight Mother complained Care giver role strain related
2. I found that weight of of getting tired very to fatigue, tiredness and
the mother was less soon and loss of anemia.
than the normal, she appetite.
was very thin built.

Children eat food

3. without hand-washing Mother informed that Knowledge deficit related to
after playing. children often Importance of hand washing
complain about and hygiene.
stomach pain and
often suffer with
loose stools.

4. During home visit I There are small Risk of home accidents

saw that the detergents children at home and related to sharp objects and
and phenols are kept at often they are injured. poison kept at home
the lower rack in home. Mother enquired
about the first aid
measure at home.
 Family Nursing Care Plan
NAM NURSING GOALS PLANNING IMPLEMENTATION EVALUAT
E, DIAGNOSIS ION
AGE,
SEX
Rama Knowledge -to inform about -to give health -Health education was
Shar deficit related to different family education on given on health education She was
ma, Family Planning planning. family planning explaining about the convinced
28, Methods and methods. importance of family by the
Femal importance of -to encourage planning and diff. planning permanent
e permanent family for permanent -to provide methods available. methods
planning method. family planning information on and
and its facilities provided -explained about the services by
importance by govt. for different services and govt.
adopting permanent payments provided by
family planning govt. for adopting
method permanent methods.

- to provide free -packets of free condoms

contraceptives from given from the center and
the center and informed about this free
inform about this facility.
service.

Care giver role -to check the Hb was checked and found
strain related to hemoglobin - to test the Hb by to be < 10gm%
fatigue, tiredness level. using talequist She was
and anemia. scale. well
-to assess the Provided health education informed
dietary pattern. Enquire about the on diet modifications like and told
eating habits intake of fruits like apple, that she
-to educate and vegetables like will surely
about spinach, grams, and visit the
modifications in To give health jaggery. CHC for
diet. education on iron iron
rich fruits and To visit the Dr. and get tablets.
vegetables. iron supplements.
NAME, NURSING GOALS PLANNING IMPLEMENTATION EVALUATION
AGE, DIAGNOSIS
SEX

Family Knowledge -To educate -To Demonstrated the Family

deficit related to them about demonstrate the procedure of proper hand- members re-
Importance of the procedure of washing and to wash demonstrated
hand washing and importance of hand washing. before and after taking the procedure
hygiene. hand food and after going to of hand
washing. - To educate toilet. washing and
- To them about the - educated them about to were also well
encourage harmful effects cover the drainage and not informed
them to keep of stagnant allow the water to stand about the
their water and for long time. change of
surroundings diseases it may - educated them to change cooler water.
clean. cause. the water inside cooler
Children every week.

-To provide - Mother was advised to

Risk of home -To educate health keep all the sharp objects,
accidents related them about education on phenols and detergents
to sharp objects different prevention of away from the reach of
and poison kept home home accidents. children. Parents were
at home. accidents - To teach - Children were advised well informed
- To teach about the first not to touch any electric about the
them about aid wires medicines and syrup. prevention of
first aid management of - Parents were taught home
measures at poison, about the first aid measure accidents.
home. inhalation, and at home.
fire.

Health Education: Health education given on Family Planning Methods and Prevention of Home
Accidents. I have also educated and demonstrated them about hand washing and preparation of ORS.