Fam Nursing Care Plan g1s2j

FAMILY NURSING CARE PLAN PROBLEM #1: Health Deficit: Presence of Dental Caries Cues

S>

O> The student nurse have observed the following:

>Presenc e of dental caries and tooth loss upon the inspection of mother wendys, KFC,

Analysis of the Problem Inability to provide a home environment conducive to personal developmen t due to inadequate knowledge about personal hygiene.

Objectives

Nursing Interventions

>Explore the family’s idea of how dental >After one day caries occurs, of home visit, their the family will knowledge of be able to the demonstrate consequences understanding of having a of the health dental caries teachings and their given about management Dental Caries to control it. such as its cause, methods to > Provide the control and prevent dental family with the information caries as regarding evidenced by Dental Caries Parent will be able to restate including the management the health Short-term:

Rationale

> To obtain a baseline data for the health teachings to be given to the family.

Method of family H O

Family Resources:

M E V

> To increase/ suffice the inadequacy of knowledge of the family regarding Dental Caries.

Resources Required

>Manpower resources such as time and effort.

I S I T

>Physical resources such as tooth brushes and toothpaste.

Expected Outcome

Short-term: The family shall have demonstrated understanding of the health teachings given about Dental Caries such as its cause; methods to control and prevent dental caries as evidenced by Superman will be able to restate the health teachings 121

Inasal and shakeys.

teachings given according to her understanding .

that could be done to control the disease, and the consequences that may arise such as tooth loss and infection.

Long-term: >After 4 days of home visits, the family will be able to perform methods of controlling and preventing dental caries such as proper cleaning of teeth.

>Demonstrate to the family the proper way of brushing the teeth.

>Provide the family with health teachings regarding personal hygiene especially mouth care, the frequency of cleaning the teeth.

>to promote learning

> To promote personal hygiene to the family.

Student Nurses Resources:

>Knowledge , skills, time and effort of the student nurses.

Community Resources: > To have a proper medical management of the dental caries.

given according to her understanding.

Long-term:

The family shall have performed methods of controlling and preventing dental caries such as proper cleaning of teeth.

Availability of the Barangay Health Center for consultation.

> To measure the 122

> Instruct the family to visit the health center for consultation.

understandin g of the health teachings presented.

>Explore the family’s reaction about the health teachings given.

123

PROBLEM #2: Health Deficit: Presence of Wounds

124

Cues

Analysis of the Problem

Objectives

Nursing Intervention

Rationale

Methods Resources EXPECTED of Required OUTCOME Family S: - Health Deficit: Short-term: H - Knowled Short-term: “Naglalaro presence of After 2  Assess - For problem O ge of the After 2 kasi sila sa wounds due to hours of identification and M student hours of each labas kaya the student for planning an E nurses student family di mo na inability to nurse, action. regarding nurse, family member. maiwasang perceive the family V proper interaction, masugatan health deficit as interaction, I wound the mother sila” as a problem in the mother S care. shall have verbalized the family will be able  Explain to - To prevent I recognized by Mother to know the further T Health the the Wendy importance complications or S teaching importance mother of proper entry of of proper s given the O: wound care. microorganism in wound care. by the possible >Presence the wounds. student complicati of wounds nurse ons if the in both legs Long-term: To prevent Long-term: wound get and feet of After 3-4 further damage. After 4 - Acceptan infected. KFC days of days of ce and >Presence home visit, home visit, complian of wounds the mother the mother ce of the on the right will apply all shall have family foot of health - For the family applied all regardin Inasal teaching see the right way health g proper  Instruct >Presence given by the of cleaning the teaching wound the of wounds student wound. given by care mother on on different nurses - To prevent the student proper parts of regarding contamination of nurses -Materials wound Shakeys wound care wound. regarding needed in care and feet like proper wound cleaning giving cleaning of care. the wound immediate wounds with like medical the use of To prevent betadine, attention. clean cotton infection of the hydrogen and wound. peroxide,  Demonstr betadine for soap, and ate the faster cotton. proper healing. wound -To use this as care. an alternative instead of using

125

PROBLEM #4.5: Malnutrition Intervention Plan Method

Analysis Of Cues

The

Nsg.

Objectives

Interventions

Problem

Rationale

Of

Resources

Expected

Family

Required

Outcome

S> Ø O> One

of

> Inability to Short

>Discuss

recognize

Term:

the family about knowledge

the

After one (1) the

provide

problem the

the

visit,



condition of family

Resources:

Term:

family

O

>

The

family

the

M

Understanding,

shall

have

E

participation

able to find

and

alternative

as

weight problem due be able to increasing them find

the

V

cooperation of nutritious

in

I

the family.

below

to:

normal.

>Lack o of alternative

acquiring health

S

>

inadequate

nutritious

problems

I

effort to listen

Shakeys:

knowledge.

food

T

with the health

14 kg

>

S

teachings.

yet

Attitude/ affordable.

Philosophy FNRI:

> To promote >

Instruct availability

of

Time

Mother Wendy food even with

14 in life which Long Term:

(underweight)

risk

Short

H

the of the problem problem. will such

Family

to

the presence of day of home and the effects about

family have

with >To

to

plant financial

four vegetables

problems.

food

yet

and affordable.

Long Student Nurses Term:

hinders

After

Resources:

The

recognition/

(4) days of such as okra,

>

acceptance

home visits, ampalaya,

skills, time and eat

family

Knowledge, will be able

126

of a problem >

the

family kamote, etc.

Financial will be able

problem

> To prevent

effort

lost of appetite.

student nurses. food

eat

the nutritious yet

affordable.

nutritious food

of

> Before eating yet meals not let >to

affordable.

them

to

save

eat money but still

junk foods.

was

able

to

prepare >provide menu nutritious food. with price list for the family

>To

promote

healthy diet. > Help Mother Wendy prepare nutritious foods like malunggay > To promote and kamote.

health

and

prevent

the

cause

of

> Advice to eat disease. nutritious

food

127

such

as

dalandan, malunggay and >to know that kamote. >Educate

these

simple

foods

can

contribute

to

Mother Wendy the about the food development of that are fortified their weight. with

vitamins

and

minerals

such as flour, sugar and rice

PROBLEM #4.5: Poor Personal Hygiene Cues Objectives

Intervention Plan

128

Method

Analysis Of

Nsg.

The

Interventions

Problem S>

Rationale

Of

Resources

Expected

Family

Required

Outcome



>Inability

to Short Term:

provide

a After

O> Due to home

hours

the

home

environment

presence of conducive to the

>Explain to the > To be able

two family

Family

Short Term:

H

Resources:

The

family

O

>

shall

have

importance of

M

Understanding,

demonstrated

hygiene and

E

participation

a

and

personal

the to verbalize

of importance

of the

visit hygiene family

proper

Mother

health

will

impart

Wendy,

maintenance

demonstrate

knowledge

V

cooperation of hygiene

KFC,

due to lack a

Encourage about this.

I

the family.

Shakeys

of

personal

them to take a

S

>

and

inadequate

hygiene

bath daily

> To have a

I

effort to listen

Inasal’s:

knowledge

through

clean body

T

with the health

of

taking

and to remove

S

teachings.

>Body

importance

bath.

Odor

of

>Dirty Nails

and

Long Term:

>Dandruff

sanitation.

After 4 days techniques

proper >

a

Time

through and taking a bath.

dirt

hygiene

Long Term:

>Discuss

Student Nurses

appropriate

Resources: of >To have

>

The

Knowledge, shall

family have

>Dirty

of home visit, clean hygiene

knowledge

skills, time and demonstrated

Clothes

the

about the

effort

>Dental

will

proper

student nurses. improvement

family >encourage

of

the an

129

Carries

demonstrate

mother

an

trimmed

improvement

fingernails and

in

to hygiene. the

as children

personal

hygiene

as

evidenced by

personal toenails of her >dirty

hygiene

in

clean clothes,

fingernails can

trimmed

evidenced by

impose a

fingernails,

clean

threat to

and decrease

clothes,

health, cutting

in body odor

trimmed

them regularly

fingernails,

>Instruct

and

mother

the can minimize to the

decrease

in regularly brush occurrence of

body odor

the teeth of her the threat. children. >To eliminate >stress importance

the halitosis. of

good personal hygiene

in

relation

to

health

>to create

130

awareness and motivation

PROBLEM #4.5: Health Threat: Inadequate Ventilation Cues

Objectives

Intervention Plan

131

Method Analysis Of

Of

Nsg.

The

Interventions

Problem

Rationale

Family Contac

Resources

Expected

Required

Outcome

t S>

>Inability to Short Term: provide

Short Term:

H

Resources:

The

family

the family will about a good for the health

O

>

shall

have

be

teachings to

M

Understanding

restated

be given to

E

, participation actions

The environment

student

Family

a After 2° of NI family’s ideas baseline data

home O>

>Explore the >To obtain a

able

to ventilation

conducive to repeat actions condition.

nurses have health

that could be

observed the maintenanc

done

the family.

and

that

could be done

to

V

cooperation of to

their

I

the family.

S

>

I

effort to listen condition

evidenced by importance of the family’s

T

with the health evidenced by

window with of

able to repeat having a good awareness

S

teachings.

a

the teachings ventilation

following:

e

due

lack >

to improve of ventilation

one inadequate

obstructed

knowledge

total importance

measuremen

of

condition

>Discuss with as the family the >To increase

proper given

condition

Time

their and ventilation

about good its ventilation

to benefits such condition and

improve

as

able to repeat the teachings

Student

given

Nurses

according

Resources:

their

t of 2.4451 and

according

m2

adequate

their

ventilation.

understanding

easy transfer good attitude

> Knowledge, understanding

.

of

skills, time and .

own as it prevents promote a diseases, towards the

to own

132

Long Term:

and also the problem.

effort

consequence

student

After 4 days of s of having a

nurses.

of

the Long Term: The

family

NI the family poor

shall

have

will be able to ventilation

showed

show

improvement

an condition.

an

improvement

on

on

ventilation

their

ventilation condition

>Reinforce as the

their

condition

family’s >To increase/

evidenced by knowledge on suffice

the

evidenced by removal of the

removal of the ways on how inadequacy

clothes

clothes

other

other that

and to provide a of the family’s things well-ventilated knowledge

obstruct house

the windows

that

about

other

ways

of

as

and things

obstruct

the windows.

improving their ventilation condition. >Explore the family’s

133

reaction about

>To measure the the

health

understandin

teachings

g of the

given.

health teachings presented.

134

PROBLEM #6: Poor Lighting Condition Intervention Plan Method

Analysis Of Cues

The

Objectives

Nsg. Interventions

Problem

Of Rationale

Family Contac

Resources

Expected

Required

Outcome

t S> Ø

Inability to

Short Term:

>Explore the

> To obtain a

Family

Short Term:

make

After 2 hours

family’s ideas

baseline data

Resources:

The family

decisions

of nursing

about a good

for the health

O> The

with

interventions

lighting

teachings to be

H

>Manpower

restated

student

respect to

the family will

condition

given to the

O

resources

actions that

family.

M

such as time

could be done

E

and effort.

to improve

shall have

nurses have taking

be able to

observed

appropriate

restate actions

the

action due

that could be

>Discuss with

>To increase

following:

to negative

done to

the family the

the family’s

V

>Physical

condition as



One bulb

attitude

improve their

importance of

awareness

I

resources

evidenced by

at the

towards

lighting

having a good

about good

S

such as

able to repeat

middle of

the

condition as

lighting

lighting

I

fluorescent

the teachings

the

problem.

evidenced by

condition its

condition and

T

lamps.

given

able to repeat

benefits such

promote a

S

the teachings

as it prevents

good attitude

Student

their own

given

straining of the

towards the

Nurses

understanding.

ceiling which separate

their lighting

according to

s the

according to

eye, and also

room and

their own

the

the

understanding

consequences

>Knowledge,

kitchen.

.

of having a

skills, time

Long Term:

poor lighted

and effort of

The

family

house.

the student

shall

have

nurses.

shown

> Dark lit

problem.

Resources:

rooms

Long Term:

(living room,

After 4 days of

and

NI the family

bedrooms)

will be able to >Reinforce the

> To increase/

on

show

suffice the

lighting

inadequacy of

condition

as

the family’s

evidenced

by

knowledge

removal of the

about other

clothes

that

evidenced by

ways of

obstruct

the

removal of the

improving their

windows

and

clothes

that

lighting

changing their

obstruct

the

condition.

light bulbs with

windows

and

>Obstructed

on

window

lighting

improvement

an family’s

improvement

knowledge on

their ways on how to

condition

provide a wellas lighted house

changing their light bulbs with fluorescent

an their

fluorescent lamps.

lamps.

>Explore the

> To measure

family’s

the

reaction about

understanding

the health

of the health

teachings

teachings

given.

presented.

PROBLEM #7.5: Inadequate Living Space Cues

Objectives

Intervention Plan

Method Analysis Of

Of

Nsg.

The

Interventions

Problem

Rationale

Family Contac

Resources

Expected

Required

Outcome

t S> Ø O>

Inability

to Short

> Assess the > To get

provide

a Term:

adequacy

Total home

measuremen

After

environment

Short

H

Resources:

Term:

for planning

O

>

The family

interventions.

M

Understanding

shall

E

,

of baseline data

four living space.

hours

Family

of

t of the house conducive to home visit, > Discuss the is 11.46 sq. health

the

m.

will

maintenanc e

family family’s needs > To realize the

and exploit

able for

space

developmen

arranging

due

to the

financial

furniture.

constraints.

participation maximized

and

the

cooperation of by

adequate living

I

the family.

space.

S

>

> Discuss to

I

effort to listen furniture.

the

T

with the health

S

teachings.

by

family > To allow

some ways on utilization of

Time

how to utilize unused parts of

arranging and the

Long Term:

the left space the house.

Student

At the end

in the house.

Nurses

of

Resources:

home

Long Term:

space

V

the house area.

personal t

proper needs for

have

>Plan with the >To maximize

At the 4th family on how the limited

> Knowledge, visits,

the the

skills, time and family shall

day of the to arrange the space.

effort

home visits, furniture

student

provide

nurses.

adequate

the

in

family their house.

of

the be able to

will be able to

living

provide >Advise

adequate

family

the >to remove

space

to unnecessary

their

living space separate those things that may in house.

their things don’t

in

house.

they crowd the area. use

anymore >Inform

the >to motivate

family regarding

the family and the create

easy

awareness

transmission of disease due to inadequate space. PROBLEM 7.5: Health Threat: Unhealthful Lifestyle and Practices: Walking Barefooted CUES

FAMILY

OBJECTIVE

NURSING

RATIONALE

METHOD

RESOURCE

EXPECTED

NURSNG

S

INTERVENTION

OF

S

S

FAMILY

REQUIRED

ANALYSI S

OUTCOME

CONTAC T H

Family

>to provide

O

Resources:

of home visit, family the

information and

M

the

the family

importance of

provide baseline

E

Inasal

presence

will be able

wearing slippers

information and

and

of the

to know and

acknowledgeme

shakeys

problem

express

nt of the problem

walking

due to

understandin

S

barefoote

inadequat

g about the

I

>Physical

of wearing

d outside

e

importance

>Discuss to the

>To facilitate

T

resources

slippers.

and

knowledg

of wearing

family the

learning and be

S

such as

inside

e.

slippers.

possible

able to avoid the

their

problems that

occurrence of

house.

they may have in problem

Student

walking

Nurses

barefooted

Resources:

S> Ø

>Inability

Short term:

to

After 1 days

O> Seen

recognize

the KFC,

>Dirty

Long term:

feet and

After 4 days

toe nails

of home

of mother

visits, the

>Explain to the

Short term: The family

>Manpower

shall have

resources

verbalized

V

such as time

understandin

I

and effort.

g about the importance

slippers

Long term: The family

>to help >Give preventive minimize the

>Knowledge,

shall have

skills, time

practiced

wendy,

family will be

measures such

occurrence of

and effort of

wearing of

KFC,

able to

as encouraging

diseases such

the student

slippers

Inasal

practice

the family

as parasitism

nurses.

especially

and

wearing of

to

when the

shakeys

slippers

wear slippers

children are

especially

and trim their

outside their

when the

toenails.

house.

children are outside their house.