FAMILY CARE PLAN

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• Family Nursing Care Plan

• It is the blueprint of care that the nurse

designs to systematically minimize or
eliminate the identified family health
problem through explicitly formulated
outcomes of care (goal and objectives) and
deliberately chosen set of
interventions/resources and evaluation
criteria, standards, methods and tools.
Characteristics of Family Nursing Care Plan
• It focuses on actions w/c are designed to solve
or alleviate & existing problem.
• It is a product of deliberate systematic
process.
• The FNCP as with other plans relates to the
future.
• It revolves around identified health problems.
• It is a mean to an end and not an end to itself.
• It is a continuous process, not one shot deal.
Desirable Qualities of Family Nursing Care Plan

• It should be based on a clear definition of the

problem.
• A good plan is realistic, meaning it can be
implemented w/ reasonable chance of
success
• It should be consistent w/ the goals &
philosophy of the health agency.
• It’s drawn w/ the family.
• It’s best kept in written form.
• Setting/ Formulating Goals & Objectives
– This will set direction of the plan.
– This should be stated in terms of client outcomes
whether at the individual, family or community
level.
– The mutual setting of goals w/c is the
cornerstone of effective planning consists of:
• Identifying possible resources.
• Delineating alternative approaches to meet goals.
• Selecting specific interventions.
• Operationalizing the plan - setting of priorities.
Goal
• It is a general statement of the
condition or state to be brought
about by specific courses of action.
Cardinal Principle in Goal setting

• It must be set jointly with the family. This

ensures family commitment to their
realization.
• Basic to the establishment of mutually
acceptable goal in the family’s recognition
and acceptance of existing health needs
and problems.
Barriers to Joint Goal Setting

• Failure in the part of the family

to perceive the existence of the
problem.
• Sometimes the family perceives
the existence of the problem but
does not see it as serious enough
to warrant attention.
Characteristics of Goals/ Objectives

• Specific
• Measurable
• Attainable
• Realistic
• Time bound
Objective

• Refers to a more specific

statement of desired
outcome of care.
• They specify the criteria by
which the degree of
effectiveness of care is to be
measured
• Types of Objective
1. Short term or Immediate
Objective
– Formulated for problem situation w/c
require immediate attention & results can
be observed in a relatively short period of
time.
– They are accomplished w/ few HCP-family
contacts & relatively less resources
2. Medium or Intermediate objective
-Objectives w/c is not immediately
achieved & is required to attain the long ones.
3. Long Term or Ultimate Objective
-This requires several HCP-family contacts & an
investment of more resources.
Plan of Actions/ Interventions
• Its aim is to minimize all the possible
reasons for causes of the family’s
inability to do certain tasks.

It is highly dependent on 2 Major

Variables:
• nature of the problem
• the resources available to solve the
problem
3 Typology of Interventions

• Supplemental - the HCP is the direct

provider of care.
• Facilitative - HCP removes barriers to
needed services.
• Developmental - improves client’s
capacity.
Implementation

• Actual doing of
interventions to
solve health
problems.
Evaluation
• Determination whether goals / objectives are
met.
• Determination whether nursing care rendered
to the family are effective.
• Determines the resolution of the problem or
the need to reassess, and re-
plan and re-implement nursing
interventions.
According to Alfaro-LeFevre:
• Evaluation is being applied through the steps of the
nursing process:

• Assessment – changes in health status.

• Diagnosis – if identified family nursing problems
were resolved, improved or controlled.
• Planning – are the interventions appropriate &
adequate enough to resolve identified
problems.
• Implementation – determine how the plan was
implemented, what factors aid in the
success and determine barriers to the care.
Types of Evaluation:
• Ongoing Evaluation – analysis during the
implementation of the activity, its
relevance, efficiency and effectiveness.

• Terminal Evaluation – undertaken 6-12

months after the care was completed.

• Ex-post Evaluation – undertaken years after

the care was provided
• Steps in Evaluation:

• Decide what to Evaluate.

• Determine relevance, progress, effectiveness, impact and efficiency
• Design the Evaluation Plan
a. Quantitative – a quantifiable means of evaluation which can be done
through numerical counting of the evaluation source.
b. Qualitative – descriptive transcription of the outcome conducted through
interview to acquire an in-depth understanding of the outcome.
• Collect Relevant Data that will support the outcome
• Analyze Data - What does the data mean?
• Make Decisions
a. If interventions are effective, interventions done can be applied to other
client / group with the similar circumstances
b. If ineffective, give recommendations
• Report / Give Feedbacks
• Dimensions of Evaluation

–Effectiveness – focused on the attainment

of the objectives.
–Efficiency – related to cost whether in terms
on money, effort or materials.
–Appropriateness – refer its ability to solve
or correct the existing problem, a
question which involves professional
judgment.
-Adequacy – pertains to its
comprehensiveness
Tools Being used during Evaluation

• Instruments are tools are being used to evaluate the

outcome of the nursing interventions:

• Thermometer
• Tape measure
• Ruler
• BP apparatus
• Weighing scale
• Checklist
• Key Guide Questionnaires
• Return Demonstrations
• Methods of Evaluation

• Direct observation
• Records review
• Review of questionnaire
• Simulation exercises