Family Problem Risk for unstable blood glucose level

Family Nursing Problem 1. Inability to recognize the presence of the problem due to inadequate knowledge about the factors that may lead to unstable glucose level 2. Inability to manage and monitor dietary intake

Goal of Care After 2 days the family: a.) will be able to gain knowledge and recognize the presence of the problem b.) will be able to do some action to prevent the occurrence of diabetes in the future

Objectives of Care After 2 days the family will be able to: a.) acknowledge the factors that may lead to unstable glucose level b.) understand the needs of the body and energy c.) plan to prevent or minimize shifts in glucose level d.) maintain satisfactory range of glucose

Nursing Intervention Plan Intervention Method 1.) Assess the family about the contributing factors such as the family health history, nutrition and metabolic pattern, daily activities. 2.) Explain the importance of monitoring and managing the dietary intake of the family and encourage them to do it. 3.) Help and assist the family in developing strategies to maintain normal range of glucose level. 4.) Cite ways to stabilized normal glucose level by doing some activities. -Home Visit-

Resources Material: Visual aids and some materials needed for demonstration Time and effort on the part of the nurse and the family

3. Inability to maintain glucose level at a normal range 4. Inability to provide nursing care for the sick or vulnerable at risk member of the family due to deficient knowledge about diabetes.

Family Problem Recreational activity deficit

Family Nursing Problem 1. Inability to recognize the problem due to inadequate knowledge 2. Inability to make decisions with respect to taking appropriate action due to: a. Failure to comprehend the nature of the problem b. Lack of initiative and interest in doing some recreational activity 3. Inability to provide nursing care to the member of the family due to lack of knowledge about the importance of doing and engaging in some recreational activity

Goal of Care After 5 hours the family: a.) will be able recognize the importance of being engage to some recreational activity b.) will be able take some action to improve the skills, health, physical and emotional aspect of the members of the family

Objectives of Care

Nursing Intervention Plan Intervention Method -Home Visit-

Resources Material: Visual aids and some materials needed for demonstration and for recreational activities Time and effort on the part of the nurse and the family as well as energy.

After 5 hours the family will 1.) Assess the familys be able to: physical, emotional, cognitive, health and a.) recognize and appreciate environmental status the importance of being that can be a factor in engage into some doing recreational recreational activity activities. b.) take some action to motivate and initiate themselves to do some recreational activity c.) Engage themselves in satisfying activities which is good for their health and physical condition. 2.) Motivate and stimulate the members of the family to be involved in the activities. 3.) Suggest some activities so that they can get some ideas on what is interesting and fun to do. 4.) Provide information about the advantages of being engage to recreational activities and also discussed the importance of it.

Family Problem Altered Nutrition: More than body requirement

Family Nursing Problem 1. Lack of knowledge about normal nutrients requirement of the body 2. Inability to make decisions with respect to taking appropriate action due to: a. Failure to comprehend the nature of the problem b. Lack of knowledge about nutrition 3. Inability to monitor and manage BMI and daily intake of foods 4. Inability to provide nursing care to the member of the family due to lack of knowledge about the problem that my occur due to too much nutrient intake

Goal of Care After 1 week the family: a.) will be able to acquire adequate knowledge about nutrition b.) will be able to recognize the problem c.) will be able to take some action to monitor the daily nutrient intake of each member

Objectives of Care After 1 week the family will be able to: a.) Acquire sufficient knowledge about nutrition and be aware of their daily nutrient intake. b.) Comprehend and recognize the nature of the problem c.) Monitor and manage their BMI and daily nutrients intake. d.) Do some activities to reduce their weight if there is a member who is obese or overweight.

Nursing Intervention Plan Intervention Method 1.) Explain the essence of having a proper nutrient consumption and also the importance of it. 2.) Assess the familys potential factors for undesired weight gain such as the nutritional and metabolic pattern including their BMI. 3.) Guide or assist the client to develop preventive program to avoid weight gain. 4.) Encourage and motivate them to make a decision to lead an active life and control food habits. 5.) Encourage the family to consult to a dietician or nutritionist about specific nutrition and dietary issues. -Home Visit-

Resources Material: Visual aids and some materials needed for demonstration Time, energy and effort on the part of the nurse and the family

Family Problem Risk for urolithiasis due to too much intake of iced tea

Family Nursing Problem

1. Inability to recognize the presence of the problem due to inadequate knowledge 2. Inability to make decisions with respect to taking appropriate action due to: a. Failure to comprehend the nature of the problem b. Lack of knowledge about cause of drinking iced tea everyday 3. Inability to control and monitor the intake of iced tea or drink w/c contains high concentration of oxalate. 4. Inability to provide nursing care to the member of the family due to lack of knowledge about the problem that may occur due to drinking iced tea everyday.

Goal of Care After 5 days the family: a.) will be able to acknowledge the problem cause by drinking Ice tea b.) will be able to recognized what is Urolithiasis

Objectives of Care After 5 days the family will be able to: a.) Acquire sufficient and adequate knowledge about the urolithiasis and the cause of having this disease

Nursing Intervention Plan Intervention Method 1.) Explain and provide information about the signs and symptoms, preventive measure of the disease. 2.) Assist the family to prevent formation of kidney stones. -Home Visit-

Resources Material: Visual aids and some materials needed for demonstration Time and effort on the part of the nurse and the family

c.) will be able to take some action to reduce consumption of ice tea

b.) Recognized the nature of the problem and the 3.) Advice them to consult disadvantage of drinking to the physicians to iced tea everyday. check their health c.) Reduce consumption of iced by 85% to prevent formation of Kidney stones or Urolithiasis 4.) Encourage them to easy up on salty food, eat meat sparingly, drink several glasses of water and eat foods high in calcium because it will help to reduce the amount of oxalate the body absorbs. 5.) Inform them to avoid eating chocolate, spinach, nuts, etc which is high in oxalate content.

Outcomes

Evaluation Criteria/ Indications

Evaluation Standards

Evaluation Method Tool/ Data Source

GOAL: Monitor the Glucose intake and acquire sufficient knowledge about having stable blood glucose level to prevent occurrence of diabetes. OBJECTIVES: After 2 days the family will be able to: a.) Acknowledge the factors that may lead to unstable glucose level b.) understand the needs of the body and energy c.) plan to prevent or minimize shifts in glucose level d.) maintain satisfactory range of glucose Apply what they have learned about garbage disposal in their daily life and to lessen the waste.

Stabilized the glucose level at Glucose monitoring device and some laboratory screening a normal range and reduce sugar intake by 35%. test (as the indicator if the blood glucose level is stable)

Monitoring the glucose level and sugar intake of each member of the family.

Records of the glucose level and some screening test. Evaluation checklist

PERFORMANCE CRITERIA/ INDICATORS: y identify the factors that Correct identification, knowledge and understanding may lead to unstable of the importance of glucose level maintaining normal level of glucose to prevent having understand the needs of the body and energy diabetes Apply what theyve learned and do some action to monitor and manage the glucose intake. Create a plan to prevent or minimize shifts in glucose level maintain normal range of glucose level Proper application of what they have learned to reduce, monitor, and manage their sugar intake to maintain stable blood glucose level

Evaluation Interview Observation

Performance evaluation checklist Record Review Observation

Outcomes

Evaluation Criteria/ Indications

Evaluation Standards

Evaluation Method Tool/ Data Source

GOAL: Increase the recreational activity of the family and motivate them. OBJECTIVES: After 5 hours the family will be able to: a.) recognize and appreciate the importance of being engage into some recreational activity b.) take some action to motivate and initiate themselves to do some recreational activity c.) Engage themselves in satisfying activities which is good for their health and physical condition. Apply what they have learned.

Types of activity, time and energy used ( as the indicator of the number of activities done) PERFORMANCE CRITERIA/ INDICATORS: a.) Identify the importance of being engage into some recreational activity b.) Engage themselves in satisfying activities.
c.) Motivate them in

Increase engagement and interest to recreational activity by 10%

Monitoring the daily activities of the family.

Records of the activities being done.

Correct identification and understanding of the importance of recreational activity to improve health status of the family Engagement to recreational activity and application of what they have learned about the benefits of doing recreational activities.

Interview Observation

Evaluation

Observation

Performance evaluation checklist

doing lots of recreational activity and gain interest to it.

Outcomes

Evaluation Criteria/ Indications

Evaluation Standards

Evaluation Method Tool/ Data Source

GOAL: Reduce the nutrient intake and weight to normal nutrient requirement of the body and normal BMI.

Weight ( as nutritional status criterion)

Reduce intake of food to normal nutrients required by the body and acquire normal BMI

Monitoring the food intake and the weight of the family

Weighing scale Observation records

OBJECTIVES: After 1 week the PERFORMANCE family will be able to: CRITERIA/ INDICATORS: a.) Acquire sufficient knowledge about nutrition and be aware of their daily nutrient intake. b.) Comprehend and recognize the nature of the problem c.) Monitor and manage their BMI and daily nutrients intake. Apply what they have learned. a.) Identify the importance of monitoring the dietary intake of the family b.) Proper management and control of eating. c.) Proper application of what they have learned about nutrition and BMI Correct identification and understanding of the Nutrients required by the body. Evaluation Interview Observation

Manage and control eating pattern and do some exercise to reduce weight.

Observation

Performance evaluation checklist

Outcomes

Evaluation Criteria/ Indications

Evaluation Standards

Evaluation Method Tool/ Data Source

GOAL: Reduce consumption of iced by 85% to prevent formation of Kidney stones or Urolithiasis. . OBJECTIVES: After 5 days the family will be able to: a.) Acquire sufficient and adequate knowledge about the urolithiasis and the cause of having this disease b.) Recognized the nature of the problem and the disadvantage of drinking iced tea everyday.

Fluid intake and output (as the indicator)

Reduce consumption of iced by 85% to prevent formation of Kidney stones.

Monitoring the fluid intake and output to know if there is formation of kidney stones

Records of the fluid intake and also include the output. Evaluation checklist

PERFORMANCE CRITERIA/ INDICATORS: a.) Identify the importance of having proper knowledge about the effect of too much consumption of ice tea Correct identification and understanding of Urolithiasis. Interview Observation Evaluation

Manage and control intake and b.) Proper management and control of drinking also output. and eating foods which is high in oxalate content.

Observation Interview

Performance evaluation checklist Review of records

Apply what they have learned.

Scoring: I. Altered nutrition: more the body requirement: Nature of the condition or problem Presented: Health threat Modifiability of the condition or problem: Partially modifiable Preventive potential: High Salience: a condition or problem, needing immediate attention 2/ 3 x 1 = .67 1/ 2 x 2 = 1 3/ 3 x 1 = 1 2/ 2 x 1 = 1 . 3.67

II.

Risk for Urolithiasis Nature of the condition or problem Presented: Health threat Modifiability of the condition or problem: Partially modifiable Preventive potential: High Salience: a condition or problem, needing immediate attention

2/ 3 x 1 = .67 1/ 2 x 2 = 1 3/ 3 x 1 = 1 2/ 2 x 1 = 1 . 3.67

III.

Risk for unstable blood glucose level: Nature of the condition or problem Presented: Health threat Modifiability of the condition or problem: Partially modifiable Preventive potential: Moderate Salience: a condition or problem, needing immediate attention 2/ 3 x 1 = .67 1/ 2 x 2 = 1 2/ 3 x 1 =.67 2/ 2 x 1 = 1 . 3.34 2/ 3 x 1 = .67 1/ 2 x 2 = 1 2/ 3 x 1 =.67 1/ 2 x 1 = .5 . 2.84

IV.

Recreational Activity Deficit: Nature of the condition or problem Presented: Health threat Modifiability of the condition or problem: Partially modifiable Preventive potential: Moderate Salience: a condition or problem, not needing immediate attention

APPENDICES

FAMILY INFORMATION