Family Nursing Care Plan

-Ladiero FamilyIntervention Plan Health Problem Family Nursing Problem Goal of Care After nursing intervention the family will be able to eradicate the presence of these unwanted sites of vectors causing diseases and therefore will maintain a home environment conducive to health. Objectives of Care After nursing intervention the family will: a. be aware and be more knowledgeable about the importance of proper sanitation especially at home; b. be able to eliminate the presence of these breeding sites of vectors c. recognize the causes of breeding sites such as to prevent the occurence of diseases.
Nursing Interventions Method of NurseFamily Contact Resources Required

Presence of Breeding Sites of Vectors of Diseases

Inability to provide a home environment conducive to health maintenance and personal development due to: 1. Ignorance of the importance of hygiene and sanitation 2. Lack of knowledge of regarding preventive measures

1. Discuss the importance and purposes of proper sanitation 2. Cite the causes and effects of the prevalence of these unwanted pests around the home. 3. Suggest alternatives/methods that would eliminate the breeding sites of vectors 4. Explore with the family the ways of improving home sanitation considering its limited resources: a. emphasize to the family the proper storage of food that may attract vectors b. instruct all family members to prevent accumulation of stagnant water around their home since this is a good breeding place for insects.

Home Visit

- Material

Resources: Visual Aids, materials and low-cost supplies needed for demonstration - Time and effort on the part of the nurse and family

Intervention Plan Health Problem Family Nursing Problem Inability to make decisions with respect to taking appropriate health actions due to: a. Low salience of the problem/conditi on b. Lack of/inadequate knowledge/insi ght as to alternative courses of action open to them. Goal of Care After the nursing intervention the family will be able to eliminate the cough and colds and will prevent the recurrence of the disease in the future. Objectives of Care After nursing intervention the family will: a. acquire adequate information about the disease, including signs and symptoms of the disease, immediate health care assistance and preventive measures; b. be aware on how to reduce the chances of spreading communicable diseases to other family members; c. utilize community resources openly available in resolving the condition experienced.
Nursing Interventions Method of NurseFamily Contact Resources Required

Cough and Colds

1. Discuss with the family the causes, effects and complications of cough and cold. 2. Provide adequate knowledge on the various ways of maintaining cleanliness in their surroundings. 3. Explain the importance of proper food preparation, good nutrition, rest and sleep in strengthening ones resistance against illness, so as to prevent occurence of cough and colds 4. Cite ways in eliminating the disease and limiting the occurence of transmission by suggesting courses of action such as medications (e.g. measures like the application of alternative medicines like lagundi if

Home Visit

- Material

Resources: Visual Aids and low-cost materials needed for demonstration - Time and effort on the part of the nurse and family

resources in the community is inadequate) and preventive measures such as covering the mouth when sneezing or coughing and proper disposal of nasal or oral discharges. 5. Promote proper personal and environmental hygiene among all members of the family. 6. Provide information on health centers in the vicinity for immediate care assistance.

Intervention Plan Health Problem Family Nursing Problem Goal of Care After nursing intervention the family will take the necessary measures to properly manage, control and lessen the risk factors of hypertension. Objectives of Care After nursing intervention the family will: a. have adequate knowledge about proper nutrition that will help reduce hypertension and prevent to occurence of relative complications in the future. b. be able to determine the risk factors that contribute to hypertension c. practice proper lifestyle with regards to nutrition and physical fitness.
Nursing Interventions Method of NurseFamily Contact Resources Required

Hypertension

Inability to make decisions with respect to taking appropriate health actions due to: 1. failure to comprehend the nature/magnitude of the problem. 2. lack of adequate knowledge as to alternative courses of action open to them.

1. Discuss the nature, signs, symptoms and complications that might arise due to hypertension. 2. Discuss with the family the risk factors of hypertension such as family history, age, salt and alcohol intake and obesity. 3. Promote a healthy lifestyle such as: a. encouraging proper food intake like reduced salt and fatty foods. b. Prevent obesity through good nutrition and exercise. c. Smoking cessationtobacco or nicotine promotes atherosclerosis that may contribute to hypertension both passive and active smoker 4. Encourage check-ups and provide referral with a medical practitioner to lessen hypertension and modify risk-factors.

Home Visit

- Material

Resources: Visual Aids, materials and low-cost supplies needed for demonstration - Time and effort on the part of the nurse and family

Intervention Plan Health Problem Family Nursing Problem Goal of Care After nursing intervention the family will be able to fix the rusty protruding nails and therefore prevent the dangers it encompasses. Objectives of Care After nursing intervention the family will: a. be able to remove the protruding nails and thus minimize the possibility of accidents at home b. recognize the prevalence of the dangerous debris hanging on their walls that they would inspect further to remove other possible dangers in their home. c. know the importance of a home free from danger and thus conducive to health and living. d. be knowledgeable of injuries and other dangers that is caused, not only by protruding nails but other accident hazards that are present in their home.
Nursing Interventions Method of NurseFamily Contact Resources Required

Accident Hazard: Protruding Nails

Inability to recognize the presence of condition or problem due to lack of knowledge

1. Discuss with the family the possible effects of protruding nails such as puncture, tetanus and other wounds. 2. Encourage home inspections for other dangers so that immediate action will be applied at once. 3. Suggest the family to fix the protruding nails as soon as possible to prevent the dangers that they might experience if not acted upon immediately. 4. Cite available resources to resolve the problem.

Home Visit

- Material

Resources: Materials and low-cost supplies needed to eliminate problem. - Time and effort on the part of the nurse and family

First Level Assessment The process of determining existing and potential health conditions or problems of the family. These health conditions are categorized as: I. Presence of Wellness Condition Stated as Potential or Readiness; a clinical or nursing judgment about a client in transition from a specific level of wellness or capability to a higher level. Wellness potential is a nursing judgment on wellness state or condition based on clients performance, current competencies, or performance, clinical data or explicit expression of desire to achieve a higher level of state or function in a specific area on health promotion and maintenance. Examples of this are the following A. Potential for Enhanced Capability for: Healthy lifestyle-e.g. nutrition/diet, exercise/activity Healthy maintenance/health management Parenting Breastfeeding Spiritual well-being-process of clients developing/unfolding of mystery through harmonious interconnectedness that comes from inner strength/sacred source/God (NANDA 2001) Others. Specify. B. Readiness for Enhanced Capability for: Healthy lifestyle Health maintenance/health management Parenting Breastfeeding Spiritual well-being Others. Specify. II. Presence of Health Threats Are conditions that are conducive to disease and accident, or may result to failure to maintain wellness or realize health potential. Examples are the following: A. Presence of risk factors of specific diseases (e.g. lifestyle diseases, metabolic syndrome, smoking) B. Threat of cross infection from communicable disease case C. Family size beyond what family resources can adequately provide D. Accident hazards specify. Broken chairs Pointed /sharp objects, poisons and medicines improperly kept Fire hazards Fall hazards Others specify. E. Faulty/unhealthful nutritional/eating habits or feeding techniques/practices. Specify. Inadequate food intake both in quality and quantity Excessive intake of certain nutrients Faulty eating habits Ineffective breastfeeding Faulty feeding techniques F. Stress Provoking Factors. Specify. Strained marital relationship Strained parent-sibling relationship Interpersonal conflicts between family members Care-giving burden G. Poor Home/Environmental Condition/Sanitation. Specify. Inadequate living space Lack of food storage facilities Polluted water supply Presence of breeding or resting sights of vectors of diseases Improper garbage/refuse disposal Unsanitary waste disposal Improper drainage system Poor lightning and ventilation Noise pollution Air pollution H. Unsanitary Food Handling and Preparation I. Unhealthy Lifestyle and Personal Habits/Practices. Specify. Alcohol drinking Cigarette/tobacco smoking Walking barefooted or inadequate footwear Eating raw meat or fish Poor personal hygiene Self medication/substance abuse Sexual promiscuity Engaging in dangerous sports Inadequate rest or sleep Lack of /inadequate exercise/physical activity Lack of/relaxation activities Non use of self-protection measures (e.g. non use of bed nets in malaria and filariasis endemic areas). J. Inherent Personal Characteristics e.g. poor impulse control K. Health History, which may Participate/Induce the Occurrence of Health Deficit e.g. previous history of difficult labor. L. Inappropriate Role Assumption- e.g. child assuming mothers role, father not assuming his role. M. Lack of Immunization/Inadequate Immunization Status Specially of Children N. Family Disunity Self-oriented behavior of member(s) Unresolved conflicts of member(s) Intolerable disagreement

O. Others. Specify._________ III. Presence of health deficits Are instances of failure in health maintenance. Examples include: A. Illness states, regardless of whether it is diagnosed or undiagnosed by medical practitioner. B. Failure to thrive/develop according to normal rate C. Disability Whether congenital or arising from illness; transient/temporary (e.g. aphasia or temporary paralysis after a CVA) or permanent (e.g. leg amputation, blindness from measles, lameness from polio) IV. Presence of stress points/foreseeable crisis situations Are anticipated periods of unusual demand on the individual or family in terms of adjustment/family resources. Examples of this include: A. Marriage B. Pregnancy, labor, puerperium C. Parenthood D. Additional member-e.g. newborn, lodger E. Abortion F. Entrance at school G. Adolescence H. Divorce or separation I. Menopause J. Loss of job K. Hospitalization of a family member L. Death of a member M. Resettlement in a new community N. Illegitimacy O. Others, specify.___________ Second-Level Assessment Second level assessment identifies the nature or type of nursing problems the family experiences in the performance of their health tasks with respect to a certain health condition or health problem. I. Inability to recognize the presence of the condition or problem due to: A. Lack of or inadequate knowledge B. Denial about its existence or severity as a result of fear of consequences of diagnosis of problem, specifically: Social-stigma, loss of respect of peer/significant others Economic/cost implications Physical consequences Emotional/psychological issues/concerns C. Attitude/Philosophy in life, which hinders recognition/acceptance of a problem D. Others. Specify _________ II. Inability to make decisions with respect to taking appropriate health action due to: A. Failure to comprehend the nature/magnitude of the problem/condition B. Low salience of the problem/condition

C. Feeling of confusion, helplessness and/or resignation brought about by perceive magnitude/severity of the situation or problem, i.e. failure to breakdown problems into manageable units of attack. D. Lack of/inadequate knowledge/insight as to alternative courses of action open to them E. Inability to decide which action to take from among a list of alternatives F. Conflicting opinions among family members/significant others regarding action to take. G. Lack of/inadequate knowledge of community resources for care H. Fear of consequences of action, specifically: Social consequences Economic consequences Physical consequences Emotional/psychological consequences I. Negative attitude towards the health condition or problem-by negative attitude is meant one that interferes with rational decision-making. J. In accessibility of appropriate resources for care, specifically: Physical Inaccessibility Costs constraints or economic/financial inaccessibility K. Lack of trust/confidence in the health personnel/agency L. Misconceptions or erroneous information about proposed course(s) of action M. Others specify._________ III. Inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable/at risk member of the family due to: A. Lack of/inadequate knowledge about the disease/health condition (nature, severity, complications, prognosis and management) B. Lack of/inadequate knowledge about child development and care C. Lack of/inadequate knowledge of the nature or extent of nursing care needed D. Lack of the necessary facilities, equipment and supplies of care E. Lack of/inadequate knowledge or skill in carrying out the necessary intervention or treatment/procedure of care (i.e. complex therapeutic regimen or healthy lifestyle program). F. Inadequate family resources of care specifically: Absence of responsible member Financial constraints Limitation of luck/lack of physical resources G. Significant persons unexpressed feelings (e.g. hostility/anger, guilt, fear/anxiety, despair, rejection) which his/her capacities to provide care. H. Philosophy in life which negates/hinder caring for the sick, disabled, dependent, vulnerable/at risk member I. Members preoccupation with on concerns/interests J. Prolonged disease or disabilities, which exhaust supportive capacity of family members. K. Altered role performance, specify. Role denials or ambivalence Role strain Role dissatisfaction Role conflict Role confusion Role overload L. Others. Specify._________ IV. Inability to provide a home environment conducive to health maintenance and personal development due to:

A. Inadequate family resources specifically: Financial constraints/limited financial resources Limited physical resources-e.i. lack of space to construct facility B. Failure to see benefits (specifically long term ones) of investments in home environment improvement C. Lack of/inadequate knowledge of importance of hygiene and sanitation D. Lack of/inadequate knowledge of preventive measures E. Lack of skill in carrying out measures to improve home environment F. Ineffective communication pattern within the family G. Lack of supportive relationship among family members H. Negative attitudes/philosophy in life which is not conducive to health maintenance and personal development I. Lack of/inadequate competencies in relating to each other for mutual growth and maturation Example: reduced ability to meet the physical and psychological needs of other members as a result of familys preoccupation with current problem or condition. J. Others specify._________ V. Failure to utilize community resources for health care due to: A. Lack of/inadequate knowledge of community resources for health care B. Failure to perceive the benefits of health care/services C. Lack of trust/confidence in the agency/personnel D. Previous unpleasant experience with health worker E. Fear of consequences of action (preventive, diagnostic, therapeutic, rehabilitative) specifically : Physical/psychological consequences Financial consequences Social consequences F. Unavailability of required care/services G. Inaccessibility of required services due to: Cost constrains Physical inaccessibility H. Lack of or inadequate family resources, specifically Manpower resources, e.g. baby sitter Financial resources, cost of medicines prescribe I. Feeling of alienation to/lack of support from the community e.g. stigma due to mental illness, AIDS, etc. J. Negative attitude/ philosophy in life which hinders effective/maximum utilization of community resources for health care K. Others, specify __________