Post on 14-Apr-2018
7/30/2019 FCA Problem
http://slidepdf.com/reader/full/fca-problem 1/12
VI. FAMILY NURSING CARE PLAN (in order of priority)
Problem# 1 Accident Hazards Due to Sharp Objects
CUESANALYSIS OF
THE PROBLEMOBJECTIVES
NURSING
INTERVENTION
S
RATIONALE RESOURCES
REQUIREDEVALUATION
S>”pasensiyana kayu sa
kalat, walakasi akong oras paramaglinis…” ,as verbalizedby MsSmurfette.
O> Thestudent nursehaveobserved the
following:
> the knives,scissors, andother sharpobjects areimproperlykept.
> cookingutensils andequipmentscan be easilyreached bychildren.
> poor lighting
The familyis unable to
recognizethepresenceof theconditionandproblemdue toinadequateknowledgeabout itscause and
effect.
After 3homevisits, thefamily willbe able toprovidemeasuresineliminatingaccidenthazardsdue tosharpobjects.
> Discussthe different
factors thatmay causeinjury to thefamily.
> Teachdifferentways onhow tominimizetheoccurrence
of injuriessuch as:
>Removingall the sharpitems thatmay be acause of stumblingand injury.
>Explorethe family’sreactionabout thehealthteachingsgiven.
> To make thefamily aware
and beknowledgeableof the effectsof the problem.
> To preventinjuries and topromote aclean and safeenvironment.
>To measuretheunderstandingof the healthteachingspresented.
FamilyResources:
>Manpower resourcessuch astime andeffort.
>Cleaningarticlessuch asbroom andbroomsticksanddustpan.
StudentNursesResources:
>Knowledg
e, skills,time andeffort of thestudentnurses.
Goal partiallymet, after 3home visits, thefamily was ableto eliminateaccidenthazards by:
>keeping sharpobjectsproperly kept inplaces wherechildren will notbe able toreach them.
7/30/2019 FCA Problem
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Problem# 2 Poor Lighting Condition
CUESANALYSIS
OF THE
PROBLEM
OBJECTIVESNURSING
INTERVENTIONSRATIONALE
RESOURCES
REQUIREDEVALUATION
S> “mainit sa minkasi walakaming
kuryente” ,asverbalizedby Ms.Smurfette
O> Thestudentnursehaveobservedthe
following:
>There isnoelectricitywithin thehousehold.
>Poorly litrooms(living
room, andsleepingarea)
Thefamily isunable toperceivetheongoingproblemdue toother prioritized needsand lackof financialsupport.
After 3homevisits, thefamilydecided toput 1 bulbto addsomelighting tothe house.
>Explore thefamily’s ideasabout a goodlighting
condition
>Discuss withthe family theimportance of having a goodlightingcondition itsbenefits suchas it preventsstraining of
the eye, andalso theconsequences of having apoor lightedhouse.
>Reinforcethe family’sknowledge onways on howto provide a
well lightedhouse
>Explore thefamily’sreaction aboutthe healthteachings
given.
>To obtain abaseline datafor the healthteachings to
be given tothe family.
>To increasethe family’sawarenessabout goodlightingcondition andpromote agood attitudetowards the
problem.
>To increase/suffice theinadequacy of the family’s
knowledgeabout other ways of improvingtheir lightingcondition.
>To measuretheunderstanding of thehealth
teachingspresented.
FamilyResources:
>Manpower resourcessuch astime andeffort.
>Physicalandchemicalresourcessuch asinsecticides, cleaningarticlessuch asbroom andbroomsticks anddustpan.
StudentNursesResources:
>Knowledge, skills,time andeffort of thestudentnurses.
Goalpartiallymet, after 3home visitsthe family,together with thestudentnurses, wasable to addsome lightby puttingup 1 bulband openingthe door.They werealso able toincreaseproper ventilationby lesseningthe curtainsaround thewindows.
7/30/2019 FCA Problem
http://slidepdf.com/reader/full/fca-problem 3/12
Problem# 3 Presence of Dental Caries
CUESANALYSIS OF
THE PROBLEMOBJECTIVES
NURSING
INTERVENTIONS RATIONALE
RESOURCES
REQUIRED
EXPECTED
OUTCOME
S> “ay sira sira
la reng ipan ku” asverbaliz ed by MsSmurfett e “sira larin pudeng ipan ng
Ivan[Joker Smurf]” asverbaliz ed by Little MsBrainy Smurf
O> Thestudent
nursehaveobserved thefollowing:
>Presence of dentalcaries
upon theinspection of MsSmurfette andher threechildren’s mouth.
Inability toprovide a
homeenvironmentconducivetopersonaldevelopment due toinadequateknowledg
e aboutpersonalhygieneandfinancialdifficulties.
After 2 daysof nursing
interventionthe familywill be abletodemonstrateunderstanding of thehealthteachingsgiven aboutDentalCaries such
as its cause,methods tocontrol andpreventdental cariesasevidencedby MsSmurfettewill be ableto restatethe health
teachingsgivenaccording toher understanding. The familywill be ableto performmethods of controllingandpreventing
dental cariessuch asproper cleaning of teeth.
>Explore thefamily’s idea
of how dentalcariesoccurs, their knowledge of theconsequences of having adental cariesand their managementto control it.
>Provide thefamily withtheinformationregardingDental Cariesincluding themanagementthat could bedone tocontrol thedisease, and
theconsequences that mayarise such astooth lossand infection.
>Provide thefamily withhealthteachingsregarding
personalhygieneespeciallymouth care,the frequencyof cleaningthe teeth.
> Instruct thefamily to visitthe health
>To obtain abaseline data
for the healthteachings tobe given tothe family.
>Toincrease/suffice theinadequacyof knowledgeof the familyregardingDentalCaries.
>To promotepersonalhygiene tothe family.
> To have aproper medical
Family
Resources:
>Manpower resourcessuch astime andeffort.
>Physicalresourcessuch astooth
brushes andtoothpaste.
StudentNursesResources:
>Knowledge, skills, timeand effort of the studentnurses.
CommunityResources:
Availabilityof theBarangayHealthCenter for
consultation.
The familyshall have
demonstratedunderstanding of thehealthteachingsgiven aboutDental Cariessuch as itscause;methods tocontrol andprevent
dental cariesas evidencedby MsSmurfette willbe able torestate thehealthteachingsgivenaccording toher understandin
g.
The familyshall haveperformedmethods of controllingandpreventingdental cariessuch asproper
cleaning of teeth.
7/30/2019 FCA Problem
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center for consultation.
>Explore thefamily’sreactionabout thehealthteachingsgiven.
managementof the dentalcaries. > Tomeasure theunderstanding of thehealthteachingspresented.
Problem# 4 Accident Hazard: Fire Hazards
CUES ANALYSIS OF
THEPROBLEM
OBJECTIVESNURSING
INTERVENTIONS RATIONALE RESOURCES
REQUIREDEVALUATION
S>”hindi konga alamkung san koipupuwestoyan eh
(charcoal grill). Walana kasing space”, asverbalized by MsSmurfette.
O> Thestudentnurse haveobserved the
following:
> Thecharcoal grillcan be easilyaccessed bythe children.
Thefamily isunable torecognizethe
presenceof theconditionandproblemdue toinadequateknowledge aboutits cause
andeffect.
After 3 homevisits, thefamily will beable toprovide
measures ineliminatingFireHazards.
>Discuss thedifferentfactors thatmay causefire.
>Teachdifferent wayson how tominimize theoccurrence of fire such as:
>moving their charcoal grillto a placewhere it is not
accessible bychildren or place somebarriers.
>Explore thefamily’sreactionabout thehealthteachings
given.
> To makethe familyaware and tomake themknowledgeabl
e of itseffects.
> To preventfire and topromote theimportance of
having a safeenvironment.
>To measuretheunderstanding of thehealth
teachingspresented.
FamilyResources:
>Manpower
resourcessuch astime andeffort.
>Cleaningarticlessuch asbroom andbroomsticks, dustpan,
and rugs
>Construction tools likehammer,nails, andwoodboards.
Student
NursesResources:
>Knowledge, skills,time andeffort of thestudentnurses.
Goal partiallymet, after 3 homvisits the familywas able toeliminate fire
hazards by:
> putting a barrin the charcoalgrill and placingin a safe placewhere childrenwill not be able reach it.
7/30/2019 FCA Problem
http://slidepdf.com/reader/full/fca-problem 5/12
Problem# 5 Poor Ventilation Condition
CUES ANALYSIS OF
THEPROBLEM
OBJECTIVESNURSING
INTERVENTIONSRATIONALE
RESOURCES
REQUIRED
EXPECTED
OUTCOME
S>“mainitsamin, kasiwalakamingkuryente” asverbalizedby MsSmurfette.
O>Thestudentnurses haveobservedthefollowing:
>Obstructedwindow
Inabilityto makedecisionswithrespectto takingappropriate actiondue tonegativeattitudetowardstheproblem.
After 2 days of nursinginterventionwill be able to
restate actionsthat could bedone toimprove their ventilationcondition asevidenced byMs Smurfettewill be able torepeat theteachingsgiven
according toher ownunderstanding.
>Explore thefamily’s ideasabout a goodventilation
condition.
>Discuss withthe family theimportance of having agoodventilationcondition itsbenefits suchas it prevents
easy transfer of diseases,and also theconsequences of having apoor ventilationcondition.
>Reinforcethe family’sknowledge on
ways on howto provide awellventilatedhouse
>Explore thefamily’s
reactionabout thehealthteachingsgiven.
> To obtain abaseline datafor the healthteachings to
be given tothe family.
>To increasethe family’s awarenessabout goodventilationcondition andpromote agood attitudetowards the
problem.
>To increase/suffice the
inadequacyof the family’sknowledgeabout other ways of improvingtheir ventilationcondition.
>To measurethe
understanding of thehealthteachingspresented.
FamilyResources:
>Manpower resourcessuch as timeand effort.
>Cleaningarticles suchas broomandbroomsticksanddustpan.
StudentNursesResources:
>Knowledge, skills, timeand effort of the studentnurses.
Ms Smurfetteshall haverestatedactions that
could be doneto improve theirventilationcondition asevidenced byMs Smurfettewill be able torepeat theteachings givenaccording toher ownunderstanding.
The family shalhave showedanimprovementon their ventilation condition asevidenced byremoval of theclothes thatobstruct the
windows andby washing thecurtains.
7/30/2019 FCA Problem
http://slidepdf.com/reader/full/fca-problem 6/12
Problem # 6 Accident Hazard: Fall Hazards
CUES ANALYSIS OFTHE PROBLEM OBJECTIVES
NURSING
INTERVENTIONSRATIONALE
RESOURCES
REQUIREDEVALUATION
S>”pasensiy a na sabahay naming,
maliit lang..”,as verbalized by MsSmurfette
O> Thestudentnurse haveobserved thefollowing:
> The stairsis narrowand steep.
The familyis unabletorecognize
thepresenceof theconditionandproblemdue toinadequateknowledgeabout itscause and
effect.
After 3homevisits, thefamily will
be able toprovidemeasuresineliminatingfallhazards.
>Discuss thedifferent factorsthat may causeinjury to the
family.
> Teachdifferent wayson how tominimize theoccurrence of injuries suchas:
> puttingbarriers on topof the stairs toprevent falls tothe children.
>Explore thefamily’sreaction aboutthe healthteachingsgiven.
> To makethe familyaware andbe
knowledgeable of theeffects of theproblem.
>To preventinjuries andto promote asafeenvironmentfor the familyespecially tothe children.
>To measurethe
understanding of thehealthteachingspresented.
FamilyResources:
>Manpower
resourcessuch as timeand effort.
>Cleaningarticles suchas broom andbroomsticksand dustpan.
>Construction
tools likehammer,nails, andwood scraps.
StudentNursesResources:
>Knowledge,
skills, timeand effort of the studentnurses.
Goalpartiallymet, after 3home visits
the familwas able toeliminatefall hazardby:
>putting abarrier otop of thestairs.
7/30/2019 FCA Problem
http://slidepdf.com/reader/full/fca-problem 7/12
Problem # 7 Non-use of Self Protection Against Health Threats
CUES ANALYSIS OFTHE PROBLEM OBJECTIVES
NURSING
INTERVENTIONSRATIONALE
RESOURCES
REQUIRED
EVALUATI
ON
S>”nakuhaniya [Joker Smurf] yansa mga
lamok eh..” asverbalized by MsSmurfette
O> Thestudentnurse haveobservedthefollowing:
>nomosquitonets
>dustysurroundings
>water supply isnot
properlycovered
The familyis unable toperceive thepresence of
theconditionand problemdue toinadequatefinancialsupport.
After 3homevisits, thefamily
learned theproper wayto havegoodpersonaland oralhygieneand thechildrenused somedisinfectant
to preventthe causeof allergiesanddiseases(providedby themother)
> Discuss tothe mother about thepotential
effects of theproblem tothe family.
> Discussthe differentways to treatthe problemlike dailycleaning tolessen dust
around thesurrounding.
>Explore thefamily’sreactionabout thehealthteachingsgiven.
> Toencourage thefamily toinclude
personalhygiene totheir activitiesof daily living.
> To educatethe family aclear understandingof having andusing self-protection
against healththreats.
>To measuretheunderstandingof the healthteachingspresented.
FamilyResources:
>Manpower resourcessuch as timeand effort.
>Physicaland chemicalresourcessuch asinsecticides,cleaningarticles such
as broomandbroomsticksand dustpan.
StudentNursesResources:
>Knowledge,skills, time
and effort of the studentnurses.
Goal metafter 2homevisits. The
family wasable touse self protectionagainsthealththreats by:
>dailycleaningof the
surrounding
>proper handwashinghabits
>coveringthe water supply
>goodpersonalhygiene
7/30/2019 FCA Problem
http://slidepdf.com/reader/full/fca-problem 8/12
Problem # 8 Inadequate Living Space
CUES ANALYSIS OFTHE PROBLEM OBJECTIVES
NURSING
INTERVENTIONSRATIONALE
RESOURCES
REQUIREDEVALUATION
S>”dahil buntis ako,di ko namagawang
maglinis ng bahay…” asverbalized by MsSmurfette
O> Thestudentnurse haveobservedthe
following:
> steep andnarrowstairs.
>inadequate area for sleeping.
> unwashed
curtains.
The familyis unabletorecognize
thepresenceof theconditionandproblemdue toinadequateknowledgeon itscause andeffects.
After 3 homevisits, thefamilyimproved the
availability of a cleanenvironment,washed thecurtains,wiped thefloor,organizedthe cabinets,shoe rack,andmedicine
storage.Theyrearrangedthe sleepingarea byputting newstrippedcarton boxesfor sleeping.
> Discuss theeffects of havinginadequate
living space.
>Encouragedandreinforceddaily cleaningof the house.
>Supervision
of wet anddry hangingclothes thatcausesbreeding of vectors andmosquitoes.
> To maintaincleanliness of the availablespace.
> To improveproper circulation of air and makethem aware of having a wellmanagedspace.
> To prevent
infestation of pests that cancause further health threats.
FamilyResources:
>Manpower resourcessuch as timeand effort.
>Physicalandchemicalresourcessuch asdetergentsand fabric
conditioners,cleaningarticles suchas broomandbroomsticksand dustpan.
StudentNursesResources:
>Knowledge, skills, timeand effort of the studentnurses.
Enumeratedthe followingfactorscontributing to
inadequateliving space:
>inadequateventilation
>dirty windowscreen
>dirty curtains
Enumerated
interventionsin response tothe problem:
>dailycleaning of the house
>dusting outthe windowscreens
7/30/2019 FCA Problem
http://slidepdf.com/reader/full/fca-problem 9/12
Problem# 9 Insufficient Personal Hygiene
CUES ANALYSIS
OF THEPROBLEM
OBJECTIVESNURSING
INTERVENTIONSRATIONALE
RESOURCES
REQUIREDEVALUATION
S>”hoy Ivan! [Joker Smurf]
maligo kana nga,nakakahiy a sa mgabisita.Isabay mona rin mgakapatid mo”, asverbalized by MsSmurfette.
O> Thestudentnursehaveobservedthefollowing:
> MsSmurfettehas tartar
on her teeth andtoothdecay > untidyclothes of childrenuponinteraction >uncleanfingernails > kids
have tartar on their teeth
Thefamily isunableto
practicegoodpersonalhygienedue toinadequateknowledge ontheeffect of
having apoor personalhygiene.
After 3homevisits, thefamily will
be able todemonstrate proper behavior inmaintaining goodpersonalhygiene
>stress theimportanceof cleanliness
on aperson’shealth andpoor hygiene
>Discusswith thefamily thepossiblediseases that
might bebroughtabout bypoor personalhabits.
> Discussandencourageproper hand
washingbefore andafter eating.
>Explore thefamily’sreactionabout thehealthteachingsgiven.
>Toencouragethe family toinclude
personalhygiene totheir activitiesof daily living
>Poor hygiene cancontribute tospread of disease.
>Handwashingminimizes thespread of disease.
>To measuretheunderstandingof the healthteachingspresented.
FamilyResources:
>Manpower resourcessuch astime andeffort.
>Physicalandhouseholdresourcessuch as
toiletries(toothbrushandtoothpaste)
StudentNursesResources:
>Knowledg
e, skills,time andeffort of thestudentnurses.
Goal partiallymet, after 3home visitsthe family
was able todemonstratethe proper handwashingtechniques,brushing of teeth trimtheir fingernailsand disinfect
rashes of Joker Smurf.
7/30/2019 FCA Problem
http://slidepdf.com/reader/full/fca-problem 10/12
Problem# 10 Insufficient Sleeping Area
CUES ANALYSIS OFTHE PROBLEM OBJECTIVES
NURSING
INTERVENTION
S
RATIONALERESOURCES
REQUIRED
EXPECTED
OUTCOME
S>“masakit nga likuranko dahil sa
sahig lang kami natutulog ”asverbalizedby MsSmurfette.
O>Thestudentnurses have
observedthefollowing:
>There isnot enoughspace for sleeping.
>There areno beds or
mattresses.
Inability tomakedecisions
withrespect totakingappropriate actiondue tonegativeattitudetowardstheproblem
due toinadequate financialresourceand lackof financialsupport.
After 2 days of nursingintervention
the Smurfs willbe able torestate actionsthat could bedone toimprove their sleeping areaas evidencedby MsSmurfette thatwill be able torepeat the
teachingsgivenaccording toher ownunderstanding.
>Explore thefamily’sideas about
a goodsleepingarea.
>Discusswith thefamily theimportanceof having agood andenoughsleeping
area.
>Reinforcethe family’sknowledgeon ways onhow toprovide abetter sleeping
area.
>Explore thefamily’sreactionabout thehealthteachingsgiven.
> To obtain abaseline datafor the health
teachings tobe given tothe family.
>To increasethe family’sawarenessabout theproblem andto improvetheir sleepingarea based
on their availableresources.
>To increase/suffice theinadequacyof the family’sknowledgeabout other ways of improving
their ventilationcondition.
>To measuretheunderstanding of thehealthteachingspresented.
FamilyResources:
>Manpower resourcessuch as timeand effort.
>Cleaningarticles suchas broomandbroomsticksand dustpan
and anyavailableresourcesthat theSmurfs canuse.
StudentNursesResources:
>Knowledge, skills, timeand effort of the studentnurses.
Ms Smurfetteshall haverestated
actions thatcould be doneto improve theirsleeping areaas evidencedby MsSmurfette, thatshe will beable to repeatthe teachingsgiven accordingto her own
understanding.
The family shalhave showedanimprovementon their sleeping areaevidenced bythe addition of stripped cartonboxes as their
bed andsweeping of thefloors for themto sleep.
Problem# 11 Family Size Beyond What Family Resources Can Adequately Provide
CUES ANALYSIS OFTHE PROBLEM OBJECTIVES
NURSING
INTERVENTIONSRATIONALE
RESOURCES
REQUIREDEVALUATION
S>”baka pagkapanganak komaghanapako ng trabaho.
The familyis unableto providethe needsof themembers
After 3 homevisits, MsSmurfetterealized thatafter shegave birth,
>EncourageMs Smurfetteto work after she gavebirth.
>To makeMs Smurfetteable toprovide theneeds of her family.
FamilyResources:
>Manpower resourcessuch as time
Goal partiallymet, after 3home visits,the family willbe able torealize that it
7/30/2019 FCA Problem
http://slidepdf.com/reader/full/fca-problem 11/12
Wala kasi kami
pinagkukunan ng
panggastosnaming..” asverbalized by Ms
Smurfette
O>Thestudentnurse haveobservedthefollowing:
>noadequate
resources
>cannotprovide thebasic needsof the family(food,clothing,medicine)
due toinadequateresources(income)
she will workfor them tohave incomethat willprovide theneeds of her family.
>Explore thefamily’sreactionabout thehealthteachingsgiven.
>To measuretheunderstanding of thehealthteachingspresented.
and effort.
StudentNursesResources:
>Knowledge,skills, time
and effort of the studentnurses.
is a must toprovide even
just the basicneeds of thefamilymembers.
Problem# 12 Physical Inactivity
CUES ANALYSIS OFTHE PROBLEM OBJECTIVES
NURSING
INTERVENTIONSRATIONALE
RESOURCES
REQUIREDEVALUATION
S>”nahihiyakasi akolumabas,natatakot akosa sasabhinng mga tao”,as verbalized by MsSmurfette.
O> Thestudentnurse haveobserved thefollowing:
>no physicalactivityamong Ms
The familyis unableto interactwith othersdue to lowself-esteemand the
family isafraid of criticisms.
After 3homevisits, MsSmurfettewill be ableto open upwith her personal
life
>Encouragethe family tomingle withothers
>Continuouspractice of allthetechniques
>To obtainknowledgenot onlyfrom their personalresourcesbut also toother socialresources
that canhelp themimprovetheir health.
>To includea better lifestyle thatwill lead togood health.
FamilyResources:
>Manpower resourcessuch as timeand effort.
StudentNursesResources:
>Knowledge,skills, timeand effort of the studentnurses.
Goal partiallymet, after 3home visits,the familywas able todemonstratephysicalactivity like
goingoutside.They wereable tomingle withpeopleoutside their houseespecially tothe studentnurses.
7/30/2019 FCA Problem
http://slidepdf.com/reader/full/fca-problem 12/12
Smurfette
>introversion
>The Smurfsdoesn’tmingle muchwith others
that willminimizehealthproblemsand help toavoid thepresence of microorganisms in their bodies.
>Explore thefamily’sreactionabout thehealthteachingsgiven.
>Tomeasure theunderstanding of thehealthteachingspresented.