UNIVERSITY OF CEBU LAPU-LAPU & MANDAUE

COLLEGE OF NURSING

RESOURCE UNIT

“FAMILY NURSING CARE PLAN”

SUBMITTED BY: GROUP 1 (BSN-2C)

ABUCAY, CHRISTOREY
ADLAWAN, PRINCESS
ALFORQUE, KRISTINE
BACALSO, LOVELY KIRSTEN
BALAGON, KRIZZA CHARIZZE
BULANON, JOSEPH CLIFFORD
CAMBALON, MAREDYL
CANTON, SHIELA MAE
DELA PENA, ALEXANDER

SUBMITTED TO: MR. STEVEN GUILTOR R. ANGUSTURA, RN

CLINICAL INSTRUCTOR
 UNIVERSITY OF CEBU LAPU-LAPU & MANDAUE
COLLEGE OF NURSING
RESOURCE UNIT

UNIT : Tayud, Liloan Health Office

CONCEPT : Family Nursing Care Plan
GENERAL OBJECTIVE: After 45 minutes of lecture-discussion, the BSN-2C, Tayud group will be able to gain knowledge, develop positive attitude and verbalize understanding
towards Family Nursing Care Plan.

TIME
SPECIFIC OBJECTIVE CONTENTS METHODOLOGY RESOURCES EVALUATION
ALLOTMENT

Specifically the learners Introduction:

will be able to: The Family is the basic unit of the society. 2 minutes Lecture-Discussion Materials Resources: Quiz
Formulation of the care plan is the next step in the nursing Manila papers
process after assessment, when health and family nursing Pentel pens
problems have been clearly defined. Scotch tape

Book Resources:
1. Define Family Nursing A family nursing care plan is the blueprint of the care 9 minutes Araceli S. Maglaya,
Care Plan. that the nurse designs to systematically minimize or Nursing Practice in the
eliminate the identified health and family nursing Community, 4th
problems through explicitly formulated outcomes of care Edition, Published by
(goals and objectives) and deliberately chosen set of Argonauta
interventions, resources and evaluation criteria, standards, Corporation.
methods, and tools.

Features:
The definition points to specific features of a nursing
care plan. These characteristics are based on the concept
of planning as a process.
1. The nursing care plan focuses on actions which are
designed to solve or minimize existing problem. The plan
is a blueprint for action. The care of the plan is the
approaches, strategies, activities, methods, and materials
which the nurse hopes will improve the problem situation.

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

systematic process. The planning process is characterized
by logical analyses of data that are put together to arrive
at rational decisions. The interventions the nurse decides
to implement are chosen from among the alternatives after
careful analysis and weighing of available options.

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. The problems are the starting
points for the plan, and the foci of the objectives of care
and intervention measures.

5. The nursing care plan is a 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.
2. Identify the different Types of health problems: 6 minutes
types of health problems 1. health deficit
2. health threat
3. foreseeable crisis

3. Determine ways on how After the assessment phase, the nurse may realize that the 9 minutes
to prioritize health family is faced with a number of health and nursing
problems. problems which cannot be taken up all at the same time
considering the available resources of both the family and
the nurse. There are four criteria for determining priorities
among health conditions or problems.

1. Nature of the condition or problem presented –

categorized into wellness state/potential, health threat,
health deficit and foreseeable crisis.

2. Modifiability of the conditions or problems – refers to

the probability of success in enhancing the wellness state,
improving the condition, minimizing, alleviating or totally
eradicating the problem through intervention.

3. Preventive potential – refers to the nature and

magnitude of future problems that can be minimized or
totally prevented if intervention is done on the condition
or problem under consideration.

4. Salience – refers to the family’s perception and

evaluation of the condition or problem in terms of
seriousness and urgency of attention needed or family
readiness.
Scale for Ranking Health Conditions and Problem
According to Priorities:

Criteria Weight

1. Nature of the condition or problem 1

presented
Scale: wellness state 3
health deficit 3
health threat 2
foreseeable crisis 1

2. Modifiability of the condition or 2

problem
Scale: easily modifiable 2
partially modifiable 1
not modifiable 0

3. Preventive Potential 1
Scale: high 3
moderate 2
low 1

4. Salience 1
Scale: a condition or problem
needing immediate attention 2
a condition or problem not
needing immediate attention 1
not perceived as a problem
or condition needing change 0
 Scoring:
1. Decide on a score for each of the criteria.
2. Divide the score by the highest possible score and
multiply by the weight: (Score/ Highest Score) x
Weight
3. Sum up the scores for all the criteria. The highest
score is 5, equivalent to the total weight.

4. Identify the different The components of Family Nursing Care Plan include: 10 minutes
components of Family
Nursing Care Plan. 1. Health Problem – the current problem of the family.

2. Family Nursing Problem – the problem that cannot be

Solved by the family alone,
Thus, needing the assistance
of the nurse.

3. Goal of Care – is a general statement of the condition

or state to be brought about by specific courses of action.
It must set jointly with the family. This ensures the
family’s commitment to their realization. It should also be
realistic and attainable.

Barriers:
a. Failure on the part of the family to perceive the
existence of the problem. In many instances the problem
is seen only by the nurse while the family is perfectly
satisfied with the existing situation.
b. The family may realize the existence of a health
condition or problem but too is too busy at the moment
with other concerns and preoccupations.
c. Sometimes the family perceives of a problem but does
not see it as a serious enough to warrant attention.
d. The family may perceive the presence of the problem
and the need to take action. It may, however, refuse to
face and do something about the situation.
e. A big barrier to collaborative goal setting between the
nurse and the family is failure to develop a working
relationship. The elements of mutual trust and confidence
are crucial to the success of the nurse-family endeavor
towards better health.

4. Objectives of Care – refer to more specific statements

of the desired results or outcomes of care. They specify
the criteria by which the degree of effectiveness of care
are to be measured. Objectives are the milestones to reach
the destination.
Objectives vary according to the time span required for
their realization.

• Short-term/immediate objective – are formulated

for problem situations which require immediate
attention, and results can be observed in a
relatively short period of time.
• Medium-term/intermediate objective – are those
which are not immediately achieved and are
required to attain the long-term ones.
• Long-term/ultimate objectives – require several
nurse-family encounters and an investment of
more resources. The nature of outcomes sought
require time to demonstrate.

5. Intervention Plan – this involves selection of

appropriate nursing interventions based on the formulated
goals and objectives.
 - Nursing Interventions – are identified and written
during the planning process. The nurse decides on
appropriate nursing actions among a set of alternatives,
specifying the most effective or efficient methods of
nurse-family contact and the resources needed. It is
classified into:
a. Independent interventions – are those activities that
nurses are licensed to initiate on the basis of their
knowledge and skills.
b. Dependent interventions – are activities carried out
under the physician’s orders or supervision, or according
to specified routines.
c. Collaborative interventions – are actions the nurse
carries out in collaboration with other health team
members. Collaborative nursing activities reflect the
overlapping responsibilities of, and collegial relationships
between, health personnel.

- Method of Nurse-Family Contact – it refers to what

method the nurse is using to come up with the problem.
Some examples of methods of nurse-family contact are
home visit, clinic conference, visit in the work place,
school visit, etc.
- Resources Required – it includes the materials (e.g.
charts, visuals, handouts, etc.), or human (e.g. other health
members, development workers, community leaders)

6. Evaluation

5. Appreciate the steps in The assessment phase of the nursing process generates the 9 minutes
making Family Nursing health and nursing problems which become the bases for
Care Plan. the development of the nursing care plan.
Developing a family care plan involves many steps.

1. The prioritized conditions or the problems – The

prioritized health condition or problems and their
corresponding nursing problems become the basis fir the
next step which is the formulation of goals and objectives
of nursing care.

2. The goals and objectives of nursing care – it focuses

on alternatives and decision on appropriate intervention
measures based on the specific objectives formulation.

3. The plan of interventions – the interventions specifies

the nursing actions to help the family eliminate the
barriers to the performance of the health tasks. These
interventions include family focused alternatives or
strategies to help members recognize/detect heath
problems or opportunities to enhanced wellness state or
conditions, monitor, eliminate, control and managed
health problems or enhance wellness condition.

4. The plan for evaluating care – its specifies the criteria

or outcomes as explicit measures that determine
achievement of formulated objectives.

Bibliography:
Araceli S. Maglaya, Nursing Practice in the Community,
th
4 Edition, Published by Argonauta Corporation.