THE FAMILY CARE PLAN

Family Care Plan

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

FEATURES
focuses on actions which are designed to solve or minimize existing problem a product of a deliberate systematic process utilizes events in the past and what is happening in the present to determine patterns
projects the future scenario if the current situation is not corrected

FEATURES
based upon identified health and nursing problems means to an end, not an end in itself nursing care planning is a continuous process, not a one-shot-deal

Qualities of a GOOD NCP

Should be based on clear, explicit definition of the problems Realistic Prepared jointly with the family Most useful in written form

Importance of Planning Care

Individualize care to clients Helps in setting priorities Promotes systematic communication Facilitates continuity of care Facilitates coordination of care

Steps in Developing FNCP

Prioritize the health conditions and problems Define goals and objectives of care Develop the intervention plan Develop the evaluation plan

Prioritizing Health Problems

Criteria:
Nature of the condition or problem categorized into wellness state/potential, health threat, health deficit and foreseeable crisis Modifiability of the condition or problem refers to the probability of success in enhancing the wellness states, improving the condition, minimizing, alleviating or totally eradicating the problem through intervention

Prioritizing Health Problems

Criteria:
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

Prioritizing Health Problems

Criteria:
Salience refers to the familys perception and evaluation of the condition or problem in terms of seriousness and urgency of attention needed or family readiness

CRITERIA
1. Nature of the condition or problem scale --- wellness state health deficit health threat foreseeable crisis 2. Modifiability of the condition or problem scale --- easily modifiable partially modifiable not modifiable 3. Preventive potential scale --- high moderate low 4. Salience scale --- needing immediate attention not needing immediate attention not perceived as a problem or condition needing change 3 3 2 1

WEIGHT
1

2 1 0 3 2 1 2 1 0

SCORING
Decide on a score for each criteria Divide the score by the highest possible score e and multiply by the weight Sum up the scores for all the criteria. The highest score is 5. *conditions/problems with total scores nearer 5 is taken priority

Factors affecting Priority setting

NATURE/CONDITION OF THE PROBLEM highest score is given according to the sense of urgency which may require immediate intervention

Factors affecting Priority setting

MODIFIABLITY OF THE CONDITION or PROBLEM the nurse considers the following:
Current knowledge, technology, and interventions to enhance the wellness state or manage problem Resources of the family Resources of the nurse Resources of the community

Factors affecting Priority setting

PREVENTIVE POTENTIAL consider the following:
Gravity or severity of the problem Duration of the problem Current management Exposure of any vulnerable or high-risk group

Factors affecting Priority setting

SALIENCE evaluates the familys perception of the condition or problem
The familys concerns, felt needs and/or readiness increase the score on salience

CRITERIA
NATURE OF THE PROBLEM

COMPUTATION

ACTUAL SCORE

JUSTIFICATION

MODIFIABILITY OF THE PROBLEM

PREVENTIVE POTENTIAL

SALIENCE OF THE PROBLEM

TOTAL SCORE

Formulation of Goals & Objectives

GOAL a general statement of the condition or state to be brought about by specific courses of action
Must be set jointly with the family Familys recognition and acceptance of existing health needs and problems is essential Should be realistic and attainable

Formulation of Goals & Objectives

BARRIERS:
Failure on the part of the family to perceive the existence of the problem Family may realize the existence of the problem but is too busy at the moment with other concerns and preoccupations Sometimes the family perceives the existence of the problem but does not see it as serious enough to warrant attention

Formulation of Goals & Objectives

BARRIERS:
Failure to develop a working relationship Family perceives presence of problem but refuse to face and do something about the situation
Fear of consequences of taking action Respect for tradition Failure to perceive the benefits of action proposed Failure to relate the proposed action to the familys goals

Formulation of Goals & Objectives

OBJECTIVES:
Refer to more specific statements of the desired results or outcomes of care Specify the criteria by which the degree of effectiveness of care are to be measured Short term or immediate Long term or ultimate Should be realistic, attainable and measurable

DEVELOPING THE INTERVENTION PLAN

Developing the Intervention Plan

Involves selection of appropriate nursing interventions based on formulated goals and objectives Development of most efficient methods of nurse-family contact and the resources needed

Developing the Intervention Plan

Nurse-family contact
Home visit Clinic conference Visit in the work place School visit Telephone call Group approach Use of mail

Resources
Materials (supplies, equipments, teaching aids/kits, visual materials, handouts, charts) Human (members of the health team, development workers, community leaders)

Developing the Intervention Plan

INTERVENTIONS should focus on helping the family, minimize or eliminate the possible reasons for or causes of the familys inability to do the health tasks

Developing the Intervention Plan

Help the family recognize the problem Guide the family on how to decide on appropriate health actions to take Develop the familys ability and commitment to provide nursing care to its members

Developing the Intervention Plan

Enhance the capability of the family to provide a home environment conducive to health maintenance and personal development Facilitate the familys capability to utilize community resources for health care

GUIDE FOR SELECTION OF INTERVENTIONS

Analyze with the family the current situation and determine choices and possibilities based on a lived experience of meanings and concerns Develop/enhance familys competencies as thinker, doer, and feeler Catalyze behavior change through motivation and support

GUIDE FOR SELECTION OF INTERVENTIONS

Focus on interventions to help perform the health tasks
Help the family recognize the problem Guide the family on how to decide on appropriate health actions to take Develop the familys ability and commitment to provide nursing care to its members

GUIDE FOR SELECTION OF INTERVENTIONS

Focus on interventions to help perform the health tasks
Enhance the capability of the family to provide a home environment conducive to health maintenance and personal development Facilitate the familys capability to utilize community resources for health care

THE FAMILY NURSING CARE PLAN