FAMILY NURSING CARE PLAN

PROBLEM #01

Problem No. 01
Problem Identified: Fall Hazards
Date Identified: July 27, 2009
Date Evaluated: August 01, 2009

CUES:
SC: “Merong balon sa likod ng aming bahay.” As verbalized by
Mrs. L.

OC: The deep well is approximately 2 meters from the house

with the
diameter of the hole is approximately 1 meter and it is level to
the
ground. The deep well has a depth of 6 feet and being used by
the
family without the cover.

Family Nursing Diagnosis: Inability to anticipate risk factors due to

lack of knowledge on the identified problem.

Goal of Care: Within 4 hours of nursing interventions, the family will

be able to
identify the risk factors on the actual condition and make
plans to
modify the deep well and to prevent any accidents.

Objectives: Within 4 hours of nursing interventions, the family will be able

to:

1. Recognize the possible risk factors with regards to the condition

identified;
2. Enumerate various ways on maintaining safety and to prevent fall
hazards;
3. Select a course of action to correct and solve the problem;
4. Make plans to choose appropriate ways and materials necessary to
cover
the deep well to prevent any occurrence of injuries;
5. Identify the positive outcomes upon planning the solution to the
problem.

INTERVENTIONS RATIONALE
1. Assess the family’s perceptions To acknowledge the family concerns

with regards to the problems and in order to promote cooperation

identified.

2. Discuss with the family the To provide information regarding the

possible risk factors that will risk factors such as falls

result with the occurrence of the

problem.

3. Emphasize to the family the To develop the family’s ability and

importance of solving the commitment to provide nursing care

to
problem and on maintaining an
the members of the family and on
environment which is safety at
taking actions to solve the problems
home

4. Provide suggestions about

To guide the family on how to decide
solving the problem and
or
preventive measures on fall
select for appropriate actions to take
hazards such as putting a cover
with regards to the problem identified
made of wood or plywood,

having the sides of the well

cemented, and putting a

wooden fence around the well to

guard the hole and enhance the

safety of each family member

5. Evaluate the family’s plan or

course of action they are going To enhance the capability of the

family
to make
to carry out measures to provide safe

home facilities and personal

development

Evaluation:

Goals met. After 2 home visits conducted with nursing interventions,

the
family was able to identify risk factors of having an uncovered well and short
blocks of the deep-well and verbalized their plans to modify their situation as
evidenced by one of the family member’s verbalization, “Dapat lagyan ng
taklob ang balon para walang mahulog na bata.”

FAMILY NURSING CARE PLAN

PROBLEM #02

Problem No.02
Problem Identified: Improper Food Handling
Date Identified: July 27, 2009
Date Evaluated: August 01, 2009

CUES:
SC: “Pasensya na kayo ha. Madumi ang aming kusina. Hindi pa
naliligpitan ang pinag-kainan. Hindi pa kasi tapos ayusin ang
aming kusina at wala pang takip.” As verbalized by Mrs. L.
 OC: The family kitchen has unwashed plates, unorganized
placements of
utensils, their kitchen utensils are exposed to insects and
rodents.
Their cooked foods are being placed on the table covered by a
basin,
which they also use for washing their dishes. As I visit to their
home,
they were preparing their meals for lunch, they just leave the
food unattended, which is also exposed to flies.

Family Nursing Diagnosis: Inability to decide about taking

appropriate actions
due to failure to comprehend the identified problem as a health
threat.

Goal of Care: Within 4 hours of nursing interventions, the family will

be able to
practice the proper ways on handling food and recognize the
importance of proper food handling.

Objectives: Within 4 hours of nursing interventions, the family will be able

to:

1. Recognize the risk factors that will contribute to the identified

problems;
2. Identify the different measures to prevent the arousal of the
risk factors of
the problem
3. Determine the importance of preparing and handling the food
properly;
4. Practice and apply the techniques of food handling and
preparation;
5. Keep their kitchen clean and free from insects’ rodents.

INTERVENTIONS RATIONALE

1. Assess the family concerning To provide information about the risk

their practices on handling and factors on the problem identified.

to determine the ways that the family

are practicing at home as basis to
plan

preparing the food

To reduce the spread of

2. Discuss with the family the microorganisms.

health problems that will occur if

improper food handling will

persist and lead to undesirable

illnesses such as diarrhea

3. Teach the family to do proper To provide alternative ways on

securing
handwashing and encourage
food properly.
them to perform it before and

after handling foods

4. Discuss to the family on how to

To determine their practice and
handle the food properly:
identify
Instruct them to store
modification.
their food in the right
storage area like the

refrigerator

b. If they don’t have a

refrigerator, advise them

to buy foods enough to

consume for one week

and buy those foods that

can be preserved for a

long time

c. Encourage them to cover

their foods properly with

a clean cover to prevent

insects and rodents form

landing on food

5. Motivate the family to utilize the

available resources at home for To be used for handling and

preparing
proper food storage and
food clean and proper before
handling such as containers with
cooking.
cover for keeping the food

6. Encourage the family to keep

the house clean specially the

To maintain cleanliness and to slowly

eliminate the existence of insects

kitchen area for care and and
intervention.

rodents in their house.

Evaluation:

Goals met. After 4 hours of nursing interventions, the family was

able to
practice the proper ways about handling food as evidenced by the
demonstration
 of the family’s washing of plates, proper arrangement of their kitchen
utensils
and cleaning of their kitchen as I observed after the discussion of
proper ways on handling food.

FAMILY NURSING CARE PLAN

PROBLEM #03

Problem No.03
Problem Identified: Improper Hygiene
Date Identified: July 27, 2009
Date Evaluated: August 01, 2009
 CUES:
SC: “Kumakain kami kahit hindi nililigpitan ang plato. Lalo na ang
mga bata
maglalaro, diretso kain di na naghuhugas.” As verbalized by Mrs.
L.

OC: Child X1 of Mrs. L eats his meals without washing his hands
first. Even
his parents, when I had my visit at noon. The fingernails as well
as
the toenails of Child X1 are untrimmed, with dirt under the nails.
The
child is playing on the muddy area under their house; picking
finger
foods such as cup cakes without washing hands. At times, Child
X1 plays with chickens with child X2, when he bed wets, they do
not
thoroughly wash their blankets. Instead, they hung it
immediately
under the sun.

Family Nursing Diagnosis: Inability to provide home environment

conducive to
health and maintenance due to improper hygienetechniques

Goal of Care: Within 4 hours of nursing interventions, the family will

be able to
identify hygienic measures such as proper hand washing and its
significance.

Objectives: Within 4 hours of nursing interventions, the family will be able

to:
1. Include proper hand washing technique before and after eating;
2. Enumerate the health problems that will possibly cause spread of
infection;
3. Identify ways on how to maintain hygiene;
4. Gain understanding about the importance of proper hygiene in the
activities of daily living;
5. Demonstrate interest with regards to the presented health teaching

INTERVENTIONS RATIONALE
1. Assess the degree of awareness To identify the family’s level

of the family with regards to the understanding about proper hygiene

existing health problem

2. Teach the client how to perform To provide the family awareness in

handwashing correctly relation to the proper performance of

handwashing and its role in the

prevention of the spread of infection

3. Discuss to the family the To impart knowledge to the family

importance of proper hygiene in

their health

4. Encourage them to wash their To promote comfort ability and self

grooming
hands before and after eating

5. Discuss the potential health

Emphasize to the family the
problems that could arise of
prevention
proper hygiene is not
of arousal of potential health
implemented and practiced problems

if proper hygiene is practiced

Evaluation:
Goals met. After 4 hours of nursing interventions, the family was
able to
identify the importance of hand washing and was able to demonstrate
the proper
technique of the procedure.
 FAMILY NURSING CARE PLAN
PROBLEM # 04

Problem No. 4
Problem Identified: Improper Garbage Disposal
Date Identified: July 27, 2009
Date Evaluated: August 01, 2009

CUES:
SC: “Sinusunog lang naming ang aming mga basura. Iniipon
namin sa tabi bago namin sunugin.”As verbalized by Mrs. L.

OC: The family is disposing their garbage through burning in

their
backyard at about 4 meters from their house.

Family Nursing Diagnosis: Inability to decide about taking

appropriate actions
due to failure to comprehend the nature and scope of the
problem.

Goal of Care: Within 4 hours of nursing interventions, the family will

be able to
determine the importance of practicing proper methods on waste
disposal.

Objectives: After two home visits, the family will be able to:
 1. Identify the different ways on proper disposal of garbage such as:
a. use of compost pit with cover;
b. segregate the non-biodegradable and biodegradable
materials;
c. recycling of can-be-used garbage;
d. reusing or selling of some garbage like cans, bottles and
plastics.
2. Enumerate the proper techniques on keeping the surroundings clean
and
through using proper method of waste disposal;
3. Define the meaning of proper garbage disposal and its advantages;
4. Recognize the possible effects of garbage burning; verbalize
understanding about the importance of practicing proper waste
disposal.

INTERVENTIONS RATIONALE

1. Assess the family’s level of In order to determine the

cognitive
understanding regarding the
level of the family and
identified problem
acknowledge

their perceptions about the

2. Assess the surrounding and the problem
house of the family

Facilitate on making the

appropriate
3. Provide the family information
actions needed by the family
about the proper ways on waste

disposal such as segregation of

biodegradable from non-
biodegradable
wastes and demonstrate the
methods.
For the family to learn the proper
ways
of waste management and for
visualization of the materialization
of

methods.
4. Explore with the family the

advantages and disadvantages

 of the different methods of

waste disposal To provide options with the family

on

selecting proper methods of waste

5. Emphasize the importance of
disposal
practicing proper garbage

disposal with the family

So that the family will grasp the

significance and demonstrate

interest

in initiating lifestyle modification

Evaluation:
Goals met. After 2 home visits conducted with nursing
interventions, the
family was able to understand the importance of practicing the proper
method of
waste disposal as evidenced by Mrs. L’s verbalization “Pagsaasabihan
ko ang akong asawa na gumawa ng compost pit at tatakpan namin.
Pagbubukurin ko ang bio- degradable at non bio degradable.
 FAMILY NURSING CARE PLAN
PROBLEM # 05

Problem No. 5
Problem Identified: Inadequate Immunization Status of the Child
Date Identified: July 27, 2009
Date Evaluated: August 01, 2009

CUES:
SC: “Ang anak kong bunso ay kumpleto sa bakuna, pero yung
panganay X1 hindi sya kumpleto ng bakuna. Sa aking ala- ala,
isang beses lang syang nabakunahan at sa DPT. Hindi na ako
nakabalik sa petsa na dapat kong balikan.”As verbalized by Mrs.
L.

Family Nursing Diagnosis: Inability to recognize the presence of

health threat
due to lack of knowledge about the condition.

Goal of Care: Within 4 hours of nursing interventions, the family will

be able to
determine the importance of having complete immunization.

Objectives: After two home visits, the family will be able to:

1. Determine the importance of complete immunization of children;

2. Enumerate the possible illnesses that can occur due to incomplete
vaccination;
3. Follow-up the vaccine of the children;
4. Give specific attention to the schedules of the children’s
immunization;
5. Understand the advantages of having completion of the
immunization.

INTERVENTIONS RATIONALE

1.Assess the family’s degree of To determine the level of

understanding
perception with concerns to the
of the family
immunization of the children

2.Discuss with the family the

significance of completing the To provide information and
awareness
immunization schedules of the
about the advantages of vaccination
children

3. Encourage the family to actively

visit the health center during

In order to be reminded and follow
scheduled immunizations for
the
their 4 months child
scheduled dates and to prevent lapse

from the schedule

4. Include health teachings to

protect the health of the family

members such as:

To strengthen the immune system
· Advice them to let the

children eat fruits and

vegetables rich in

essential nutrients

· Increase intake of foods

rich in vitamin C such as

oranges

· Always practice proper

Hygiene

5. Encourage the family to

communicate and coordinate

with the health care

To provide continuation of quality
officials/team in the barangay
care
health center
to the children
Evaluation:
Goals met. After 4 hours of nursing interventions, the family was
able to
know the importance of complete immunization as evidenced by Mrs.
L’s
verbalization “Kailangan talagang makumpleto ang bakuna ng aking
mga anak para makaiwas sa mga impeksyon at sakit, at sisikapin kong
makumpleto ang bakuna ng aking 4 na buwang anak.