Family Nursing Care Plan

The blueprint of 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 evaluations criteria, standards, methods and goals.
Specific features of nursing care plan
1. Focuses on actions which are designed to solve or minimize existing problem
2. A product of a deliberate systematic process
3. Relates to the future
4. Based upon identified health and nursing problems
5. A means to an end, not an end in itself,
6. A continuous process, not a one shot deal
Desirable qualities of a nursing care plan
1. It should be based on clear, explicit definition of the problems
2. A good plan is realistic
3. Prepared jointly with the family
4. Most useful in written
Importance of planning care
1. Individualize care to clients
2. Helps in setting priorities
3. Promotes systematic communication among those involved in the health care effort
4. Continuity of care is facilitated
5. Facilitates the coordination of care
Steps in developing a family nursing care plan
1. The prioritized condition/s or problems
2. The goals and objective of nursing care
3. The plan of interventions
4. The plan for evaluating care
1.

Nature of the conditions or problem presented

1.1 wellness state/potential
1.2 health threat
1.3 health deficit
1.4 foreseeable crisis
II. Modifiability of the condition or problem
Refers to the probability of success
Enhance the wellness state
Improving the conditions
Minimizing, alleviating or totally eradicating the problem through intervention
1. easily modifiable
2. partially modifiable
3. not modifiable
Factors on determining the modifiability of a health condition
1. current knowledge technology and interventions to enhance the wellness state or manage the problem
2. resources of the family-physical, financial or man power
3. resources of the nurse knowledge, skill and time
4. resources of the community facilities and community organization or support
III. Preventive potential
Refers to the nature and magnitude of future problems that can be minimized or totally prevented if intervention is
done on the problem under consideration
1. high
2. moderate
3. low
Factors in determining the preventive potential of a health condition or problem
1.
gravity or severity of the problem
Refers to the progress of disease problem indicating extent of damage on the patient/problem
Indicates prognosis, reversibility or modifiability of the problem
The more severe or advanced the problem is, the lower the preventive potential
2. Duration of the problem
Refers to the length of time the problem has existing
3. Current management
Refers to the presence and appropriateness of intervention measures instituted to remedy the
problem
Institution of appropriate intervention increase the problems preventive potential
4.
Exposure of any high risk group

IV. Salience
1.
2.
CRITERIA
1.

Increase the prevention potential of a problem

Refers to the familys perception and evaluation of the problem in terms of seriousness and urgency
A condition or problem, needing immediate attention
A condition or problem not needing immediate attention
WEIGHT

Nature of the condition

Problem presented
Scale: wellness state
Health deficit
Health threat
Foreseeable crisis1

3
3
2

2.
Modifiability of the problem
Scale: easily modifiable
2
Partially modifiable 1
Not modifiable
0
3.
Preventive potential
Scale: High 3
Low
2
Moderate 1
4.
Salience
Scale: a condition or problem needing immediate attention
A condition or problem not needing immediate attention
Not perceived as a problem or condition needing change

2
1
0

Formulation of goals and objectives of nursing care

Goal
Objectives
-

A general statement of the condition or state to be brought about by specific courses of action
Global and broad in nature
The final outcome of what is achieved at the end of a teaching-learning process
Served as long term targets
Desired outcomes are realistically achievable in weeks or months
Multidimensional
Short term in nature
Specific, single uni dimensional
Achievable at the conclusion of one teaching session or within a matter of a few days
Must be achieved before the goal can be reached
Observable
Measurable
Derived from goals and must be consistent with and R/T that goal

Barriers to joint goal setting between the nurse and the family
3 Important Characteristics
1. Performance
Describes what the learner is expected to be able to do or perform to demonstrate the kinds of
behaviors the teacher will accept as evidence the objectives have been achieved
2. Condition
Describes the testing situation or constraints under which the behavior will be observed or the
performance is expected to occur
3.
Criteria
Describes how well or with what accuracy the learner must be able to perform for the behavior to be
considered acceptable
Outline of a 3 part method of objective writing:

Samples:
Condition
Performance
Without using a calculator
The learner will be able to solve
Following a 30 min. group discussion
The learner will be able to list

Criteria
5 out of 6 problems
at least 2 reasons

Other samples of written objectives

1.
Well-written objectives:
After watching demonstration on suctioning, the staff members will be able to correctly suction a
tracheostomy tube using aseptic technique.
Following a class of hypertension, the clients will be able to state three out of four causes of high
blood pressure.
II. Poorly written objectives:
The clients will be able to prepare a memo using low salts foods.
Given a list of exercise to relieved low back pain, the patient will understand how to control low-back
pain
Family Nursing Care Plan (Format)
Health
Problem

Family
Nursing
Problem

Goal of care

Objectives of
Care

Intervention
Measures

Cues/Data
Subjective
and objective
cues.
Used at the
first level
assessment

Using the 2nd

level
assessment

A general
statement

3 part writing
objective

Selection of
appropriate
nursing
interventions
based on the
formulated
goals and
objectives

Methods of
Nursing
Family
Contact
E.g. includes
home visits,
clinic
conference,
visit in the
work place,
school visit,
telephone,
group
approach,
mothers
class,
conferences
with the client

Resource
Requirement

Material
resources,
visual aids,
time and
efforts,
transportation
expenses of
the nurse and
the family