Family

Nursing
Care Plan

Submitted to: Marie Charies M. Velarde

Bsn IV-III Group IV
Submitted by: Ethel Munda R.N, MAN

I. Introduction
 As nursing students in the society, we are grateful to maintain and restore the
optimum health of the people within the community and that aim we have as actively
participating of this generation, we adhere to the problems of our family, which is the
basic unit of the society and the most important component of our country.

We met the family for the first time last November 10, 2010 at Abot Kamay
Langkaan Dasmariñas Cavite. Their geographical location is readily accessible because
you have to ride a tricycle in order for you to reach the place and we took a walk in order
for to locate the place.

The head of the family is Mr. Abner Espinosa Sr., A 34 year’s old resident of
Barangay Langkaan, B4L14 Abot Kamay Langkaan. He is living together with his wife,
Mrs. Tina Espinosa, 33 years old and his five children. The head of the family is a driver
of hardware and earns 8,000pesos per month regardless with the expenses at home and
daily needs. He is a cigarette smoker while Tina is a meat vendor earns 8,000 per month
and taking good care of their children especially their youngest daughter that 7 months
year old.

As the real aim of the nursing profession which is to give care to the people, we
took it as a stepping stone in helping the family in making them realize the essence of a
simple yet healthy life thru many ways of living. We are also responsible for giving our
family the importance of prioritizing such health problems whether a health deficit or
health threat in order to give specific actions for us, together with the cooperation of the
family, to achieve, solve, reduce and completely eliminate the different kinds of problems
thru establishing a good foundation of prioritizing actions and care promotion, prevent
and keep the family away from the occurrence of various diseases.

II. Acknowledgement
As nursing student I ought can give help the people in this community achieve their main
goal.

I would like to thank first Brgy. Captain for allowing

us to have duty in their community and with the members for guidance and tour us in
Abot Kamay.

I want to share my gratitude and appreciation to our clinical instructor to ma’am Munda
and also to ma’am Ganal and ma’am Almarez for the

assistance and advice for instructing us to identify a problem, prioritizing a problem and
making family nursing care plan.

Also thanks to Jun Corbilla with me in the survey and interview to the family living at
Abot Kamay, and I want to thanks my group mates’ groupIV thank you.

Likewise to my parents, for all moral and financial support they had given to us. Above
all to almighty God for giving us

knowledge, wisdom, hope, strength and courage in pursuing this Family Nursing Care
Plan. In addition, for the blessings

and guidance he had showed in facing all stress in our every day life.

III. Demographic Data

Household No.: 7 Barangay House No.: B4L14 Abot Kamay Langkaan

Occupation: Husband- truck driver Religion: Catholic

Wife - meat vendor

IV. Family Structure & Characteristics

V. A. Member of the family

Name Age Sex Position in the Relation to

Family Head
Abner Espinosa 34 male Head of the
Sr. family
Tina Espinosa 33 female mother spouse
Mark Angelo 12 male Eldest son child
Espinosa
Abner Espinosa 10 male Second son child
Jr.
Ace Espinosa 9 male Third son child
Angel Espinosa 7 female Fourth daughter child
Anna Marie 10 months female Youngest child
Espinosa daughter

B. Biological & Sociocultural factors

• Family source of income
Monthly source of income
-Wife: Selling a meat - 8,000pesos
-Husband: Truck driver- 8,000pesos
• Ethnic background/Religious Affiliation
-Catholic
• Who are the family significant to others? - None
• Participations in the community, if yes- what? -None

C. Environmental factors
• Housing
-Structure: Single Detached
-Materials: Wood
-Residence Status: Rent to own the lot.
• Type of neighborhood
-Rural poor
• Living space
-The living space is inadequate.
• Adequacy (furniture)
-Yes, they have adequate furniture.
• Presence of breeding or resting sites of vectors of diseases.
 -Yes, there are breeding sites of mosquitoes, flies etc.
• Accident hazards
-Yes, there accident hazards present like medicines improperly kept.
• Cooking utensils
-They use LPG.
• Water supply source
-They bought water.
• CR/toilet facilities
-Inside the house
• Disposal system
-Wrapped and throw anywhere
• Drainage system
-Open pit.

VI. Social and health facilities in Neighborhood family members of

communication & Transportation
- Television -jeep and tricycle

D. Health and medical history

1. Of each member
-Father: have a flu last year, cigarette smoker
-Mother: Asthma
-Children: Normal
2. Values place of an disease prevention
Summary of immunization
Name: Anna Marie Espinosa, 7 months

Given vaccines Dates

BCG 1/13/10
DPT1 3/3/10
DPT2 4/7/10
DPT3 5/5/10
OPV1 3/3/10
OPV2 4/7/10
OPV3 5/5/10
HEPA B1 1/12/10
HEPAB2 3/3/10
HEPAB3 5/5/10

Other preventives actions

-uses of protective measures e.g. use footwear, use of bed nets and
protective clothing.

3. Family source of medications

-OTC drugs, herbal remedies, self-medications
 4. Perception of the role of the health professional & health services, expectations on
the services of the CHN. – They are concerns about the health condition/problem
and providing health care living in the community.
5. Previous experience with health professionals satisfied with results? –YES

E. Type of Family Structure

-Nuclear

1. Who is dominant family member in terms of decision – making?

-Mr. Abner (head of the family)
2. Describe general family relationship
Criteria Status Additional Information
Observe conflicts between family + Sometimes there is a disagreement
members but we fixed immediately.
Characteristics of communication - They talk calmly and the children
use “po” at “opo” sign of respect to
their parents.
Interaction patterns among members - They have good interaction.

3. Activities for daily living

-household chore
4. Sleeping Pattern
-have had adequate rest and sleep
5. Eating patterns
-Their eating pattern is 3 times a day.
-The vegetables are often served at dining table.
-Classes of foods served in dining table are their own cooked and process food.

C. Leisure time activities

How they spend leisure hours?
-Watching T.V.
Appropriate for the individual?
-Yes
Does any member have consuming hobbies?
-None
Joint activity for leisure?
-smoking after meal (Mr. Abner)
6. What are the problems identified?
Rank Nature of the Problem
1. Unsanitary waste disposal Health Threat
2. Improper garbage disposal Health Threat
3. Cigarette Smoking Health Threat

SCALE FOR RANKING HEALTH CONDTIONS AND PROBLEMS

ACCORDING TO PRIORITIES
 CRITERIA WEIGHT
1. Nature of the condition or problem
presented scale: wellness state 3 1
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 to change 0

Scoring:
1) Decide on a score for each the criteria.
2) Score / Highest Score x Weight
3) Sum up the scores for all the criteria. The highest score is 5, equivalent to the total
weight.

Unsanitary waste disposal

Criteria Computation Actual Justification

Score
Nature of the 2/3 x 1 0.6 It is a health threat.
condition or
problem
Modifiability of the 2/2 x 2 2 Resources are available and
condition or interventions are feasible.
problem
Preventive potential 3/3 x 1 1 Occurrence of parasitism and other
communicable diseases can be
lessen or minimized.
Salience of the No data No data
problem available available

Total Score 3.6

Improper garbage disposal

Criteria Computation Actual Justification

Score
Nature of the 2/3 x 1 0.6 It is a health threat that does not
condition or need immediately attention.
problem
Modifiability of the 2/2 x 2 2 Resources are very much available.
condition or
problem
Preventive potential 3/3 x 1 1 Occurrence of parasitism and other
communicable diseases can be
lessen or minimized.
Salience of the No data No data
problem available available

Total Score 3.6

Cigarette smoking
Criteria Computation Actual Justification
Score
Nature of the 2/3 x 1 0.6 A health threat to the whole family.
condition or
problem
Modifiability of the 1/2 x 2 1 There are many activities that can do
condition or such as walking, answer a crossword
problem puzzle, and keep self busy and stay
away from smoking.
Preventive potential 2/3 x 1 0.6 As much as it can prevent by not do
again on smoking.
Salience of the 2/2 x 1 1
problem

Total Score 3.2