NCM 104:

Family
Nursing Care
Plan
PRMSU- COLLEGE OF NURSING
Definition:
Is the blueprint of the care that the nurse designs to
systematically minimize or eliminate the identified
health and family nursing problems through explicitly
formulated outcomes of care (goals and objectives)
and deliberately chosen set of interventions, resources
and evaluation criteria, standards, methods and tools.
Definition:
In community health nursing, the family will be considered as a client aside from individual clients
in the family. 
Family Nursing Care Plan is defined as a guide or framework of nursing care designed to provide
ways in solving health-related problems of the family as a whole.
 The nursing process is still implemented in making this type of care plan.

It is important to take in mind that Family Nursing Care Plans are unique since it is continuous in
nature.
A community health nurse must be able to understand that he or she must keep on updating the
nursing care plan as the family is a dynamic unit of the community.
THE FAMILY NURSING CARE PLAN
1. The nursing care plan focuses on actions which are designed to solve or minimize existing problem. The plan
is a blueprint for action.

2. The nursing care plan is a product of a deliberate systematic process.

3. The nursing care plan, as with all other plans, relates to the future. It utilizes events in the past and what is
happening in the present to determine patterns. It also projects the future scenario if the current situation is not
corrected.

4. The nursing care plan is based upon identified health and nursing problems.

5. The nursing care plan is means to an end, not an end in itself. The goal in planning is to deliver the most
appropriate care to the client by eliminating barriers to family health development.

6. Nursing care planning is a continuous process, not a one-shot-deal. The results of the evaluation of the plan’s
effectiveness trigger another cycle of the planning process until the health and nursing problems are eliminated.
THE IMPORTANCE OF PLANNING
CARE
1. They individualize care to clients. Whatever an individual, patient, the family or entire community,
clients are different from each other. In order to be appropriate, nursing care should suit and be unique to
a particular client.

2. The nursing care plan helps in setting priorities

3. The nursing care plan promotes systematic communication among those involved in the health care
effort.

4. Continuity of care is facilitated through the use of nursing care plans.

5. Nursing care plans facilitate the coordination of care

Formulating a family care plan
involves the following steps:
The assessment phase of the nursing process generates the health and nursing problems which become
the bases for the development of the nursing care plan.

The planning phase takes off from there.

Developing a family care plan involves many steps. Generally, a plan consists of the following:

1. The prioritized condition/s or problems;

2. The goals and objectives of nursing care;
3. The plan of interventions; and,
4. The plan for evaluating care
STEPS IN DEVELOPING FAMILY
NURSING CARE PLAN
STEPS IN DEVELOPING FAMILY
NURSING CARE PLAN
This is a schematic presentation of the nursing care plan process.
It starts with a list of health condition or problems prioritized
according to the nature, modifiability, preventive potential and salience.
The prioritized health condition or problems and their corresponding
nursing problems become the basis for the next step which is the
formulation of goals and objectives of nursing care.
The goals and objectives specify the expected health/clinical
outcomes, family response/s, behavior of competency outcomes.
Process in making the Family
Nursing Care Plan
1. Assessment Phase – Happens on the first and succeeding home visits. Making objective
observation can be coupled with subjective statements by each family member.
2. Identification of the Problem/s – Make a list of the problems sited. Prioritization of the needs
must be applied.
3. Formulation of Goals and Objectives – Referring on the problems, goals and objectives
must be measurable, attainable, realistic and time-oriented.
4. Plot Nursing Interventions – The objectives must be the guidelines in making nursing
interventions. Nursing interventions must be rational enough.
5. Evaluate the outcomes – This stage will be the determining stage whether the goals and
objectives have been met or not. Nursing interventions can be modified at this stage.
Example of Family Nursing Care
Plan
Case: This is a case of S. Family. S. Family is composed of 5
children and both parents were alive. Upon observation, the family
practices improper hygiene in eating and waste disposal. The 5
children have 2 to 3 years of age gaps, having the youngest child to
be 1 year old and the oldest to be 9 years old.
Problem Identified: Improper Hygiene
Date Identified: January 5, 2021 7:00AM
Date Evaluated: January 5, 2021 1:00PM
Problem Cues:
Subjective data: “Dahil sa dami ng anak ko, minsan ang dudungis na nila. Mabuti
na lang nandyan ang panganay ko na si Nene, siya yung nagbabantay sa dalawang
kapatid niya.”
Objective data: Nene, her nine-year-old daughter cuddles her younger brother
Jose who has flu at this time. She manages to feed her other sibling with bare
hands without handwashing. The fingernails and toenails of these children were
not trimmed properly and filled with dirt. The other two siblings came into the
house sweating and their feet were smudged with mud. Jose suddenly wet his
shorts and Nene must clean him up. The place wherein he peed was not cleaned
but left only. The pillow that was affected by the urine was just placed outside for
the sun to dry.
Family Nursing Diagnosis:

Inability to provide a home environment

conducive for health and maintenance secondary
to unhygienic practices
Goal of Care: 
Within 3 hours of nursing interventions, the family will be
able to recognize the current home environment and health
practices. They must be able to identify healthy practices and
be able to practice them habitually. These hygienic measures
are as follows: proper hand washing, proper waste disposal
and proper house cleaning.
Objectives:
Within 3 hours of nursing interventions, the family will be able to:
1. Recognize the need for proper handwashing before and after
meals as well as after using the toilet
2. Enumerate factors that promote in unhygienic practices
3. be knowledgeable in ways on how to maintain hygiene
4. Accept the importance of proper hygiene in the activities of daily
living
5. Exhibit the desire to change the current unhygienic practices
Interventions & Rationale:
1. Check if the family is aware of their health practices. This will help the
nurse to know the severity of the health problem.
2. Demonstrate the proper handwashing. The nurse must perform the
proper handwashing technique so that the family will be able to see the
proper technique. A return demonstration will be necessary so that the
nurse can assess if the family members can absorb the lesson.
3. Emphasize the importance of proper hygiene in preventing health
problems. This step will enable the family members to know the
consequences if health practices were not observed in their families.
Interventions & Rationale:
4. Listen to the concerns of the family regarding the hindrance to practice such
hygienic practices. This will be a way of keeping in touch with the family and
facilitate them to be able to find concrete ways to achieve the goal of observing
hygienic practices.
Tools:
1. Home Visits
2. Diagram of the path of infection, steps incorrect hand washing
3. Demonstration
4. Hand washing supplies
5. Time and Effort for the family members as well as to the nurse
Evaluation:

After 3 hours of nursing interventions, the goal was met. The

parents were able to demonstrate proper handwashing. The
siblings who were five years old and above were able to wash
their hands with assistance from their parents. Lunch was served
and the children filed for a line in washing their hands before
and after the meal
 HEALTH FAMILY NURSING GOAL OF OBJECTIVE INTERVENTION PLAN
CARE S
PROBLEM PROBLEMS Nursing intervention Method of Resources
OF CARE Nurse family Required
contact
1.Inability to recognize the presence After nursing After the Nursing 1.Braoden the knowledge of the family on Material
Possible Pre- of possible complication in intervention, the intervention the complications of pregnancy, specifically: Home Visit resources:
Eclampsia pregnancy due to lack of knowledge family will take family will:
a) discuss the implications of the signs and Clinic Visual aids and
the necessary
(Heath
2.inability to provide adequate
nursing care to a pregnant member
measures to
prevent or
a) ensure that the
client will have
and symptoms of the client
Visit possibly reagents,
test tubes, burner,
b) discuss the consequence of failure to
Deficit) due to: properly regular prenatal
checkup take appropriate actions
test tube holder,
bottes, if
manage Pre-
a) Lack of knowledge on the nature urinalysis will be
eclampsia 2.Discuss with the family the course of
of and management of the health b) Implement agreed done by the nurse
condition upon health actions action open to them, and the consequences
especially in the areas of health actions on the family  
b) lack of knowledge on the nature of laboratory workup,
and extent of nursing care needed 3.Explore ways by which urinalysis can be Time and effort
nutrition/diet, rest and
done, either by having: of the nurse and
sleep and general
3.inability to utilize resources for family
hygiene. a) a family member bring the specimen to
health due to:
the nearest laboratory and have the results  
c)decide on a hospital
a) failure to perceive the benefits of available or
delivery for the client
healthcare, and Transportation
b) the agency set up its own laboratory for expenses of the
b) Inaccessibility of required service simple test needed in the community nurse and the
for urinalysis. family
 
HEALTH FAMILY NURSING GOAL OF OBJECTIVES INTERVENTION PLAN
CARE Nursing intervention Method of Resources
PROBLE PROBLEMS OF CARE
M Nurse family Required
contact

Presence of Inability to provide a After nursing After nursing intervention, 1. Discuss the importance and Home Visit Material
Breeding home environment intervention, the the family will: purposes of proper Resources: Visual
Sites of conducive to health family will be able a.be aware and be more sanitation2. Cite the causes Aids, materials
Vectors of maintenance and to eradicate the knowledgeable about the and effects of the prevalence and low-cost
Diseases personal development presence of these importance of proper of these unwanted pests supplies needed
due to: unwanted sites of sanitation especially at around the home.3. Suggest for demonstration
1. Ignorance of the vectors causing home; alternatives/methods that -Time and effort
importance of hygiene diseases and b.be able to eliminate the would eliminate the breeding on the part of the
and sanitation therefore will presence of these breeding sites of vectors4. Explore nurse and family
2. Lack of knowledge maintain a home sites of vectors with the family the ways of
of regarding preventive environment c. recognize the causes of improving home sanitation
measures conducive to breeding sites such as to considering its limited
health. prevent the occurrence of resources:
diseases. a. emphasize to the family the
proper storage of food that
may attract vectors
b. b. instruct all family
members to prevent
accumulation of stagnant
water around their home
since this is a good breeding
place for insects.
 HEALTH FAMILY NURSING GOAL OF CARE OBJECTIV INTERVENTION PLAN
ES Nursing intervention Method of Resources
PROBLEM PROBLEMS
OF CARE Nurse family Required
contact

®The family’s .®Inadequate living .®After the

entire income is space for the family to nursing
not enough to live. intervention the
meet the family’s ®There is no sanitary family will learn
basic necessities, drinking water, the proper way of
which makes it because the family environmental
difficult for the draws water to the sanitation of their
family to waste contaminated house and to
maintain proper river as a source of effectively use the
care and water supply. available
environmental ®Presence of disease resources
sanitation carrying pests is
abundant(mosquito)T
his is threatening to
the family’s health.
®Lack of knowledge
for proper waste
disposal