FNCP Carino No Narrative

7/29/2019 FNCP Carino No Narrative

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Saint Louis University

School of Nursing

Family Nursing Care PlanCarino Family Daldal, Lengaoan, Bugias, Benguet, Philippines

Submitted To: Mrs. Cheryl Danglipen RN

Submitted By: Soriano, Kiji Kiel B.

Submitted On: January 10, 2012


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I. Introduction:

A society is made up of a community and a community is a group containing families, which is the basic unit of a community. Within a family are people bond

marriage and blood. A family composes of a father, mother and their offsprings, a family shares happiness and difficulties together, a family shares one culture and

though they came other backgrounds, a family lives in one house. A dysfunctional family will lead to a dysfunctional community which will also ultimately lead to a d

and unproductive society.

As nurses we must care and look out for families within the community. We must help empower them to manage their own health problems by way of prop

teaching and coaching using current, practical and evidenced based practices. This is due to the fact that some of these families do not have access to certain necess

in urban areas, information and medical managements. But before a health worker interacts with a family, the health worker must first build up rapport with the fam

immerse himself/herself within the communities norms and culture to therefore be like the community. As one immerses himself/herself, the health worker then so

and works with the community identifying health problems and health needs.

Community Health Nursing or Public Health Nursing is defined by the World Health Organization Expert Committee of Nursing as a special field of nursing that c

skills of nursing, the public health program for promotion of health, the improvement of conditions in the conditions in the social and physical environment, reha

illness and disability. Primary Health Care as described by WHO (World Health Organization) recognizes that this setting can be the first level contact with a health

in the close proximity to where people work and live.

II. First Level Assessment

Health Potentials Health Problems

I. Absence of Health Threat

1. Adequate Family size

*cues- one mother and father, three children(spacing of pregnancy is 1-2years),

income is adequate to meet families basic necessities every month

2. Adequate Living Space

*cues- rooms are approximately 8x8m and about 8 feet high, house is made up

of cement and wood (durability wise)

3. Satisfactory Sanitary Environment

*cues- drinking and cooking water are placed in plastic containers, utensils for

I. Presence of Health Threat

1.Unkempt Sharps

*cues-sharps(knives and forks) are within easy access to children, sh

hidden in the cabinet on top of the dinner table in which the children

easy access of the utensils.

2. Inadequate Nutritional Requirements

*cues-food mainly consists of vegetables and rice, rarely do they eat

meat(protein)

3. Poor Home Sanitation


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cooking and eating are placed in sealed cabinets

4. Adequate Ventilation

*cues- approximately 2 windows in each room

5.Sanitary Food Handling and Preparation

*cues-drinking and cooking water are boiled for 30min and food is cooked over a

gas stove

6. Healthy Life Style and Personal habits

*cues- daily food is composed of rice and vegetables, no obesity noted among

members of the family, no smoking personnel within the family, active lifestyle

(parents farm and children playmost of the day together), Adequate sleep for all

members (6-8 hours for parents and 8-10 hours for children), doesnt walk

barefoot going to the farm or outside the house, gas stove routinely checked

before leaving the house, garbage segregation is practiced, all immunizations of

each members of the family are done except for the newborn which is still

waiting for the right age for injection, infant is breastfed prn, family goes to

church daily.

*cues- presence of flies(forms of vectors for disease t ransmission)

4. Unhealthy Lifestyle

*cues- drinks alcohol(Jun Carino) and family only goes for check up w

clients only take a bath 1-3 times a week

2. Presence of Health Deficit

*cues- Janicia currently has cough and colds. Has mild fever (

Celcius), is taking in paracetamol syrup.

3. Presence of Stress Point

*cues- children are currently not going to school, additional member

family (newborm Jarica CArino born November 16, 2012)

III. Prioritization of Problems

1. Unkempt Sharps

CRITERIA AND HIGHEST

POSSIBLE SCORE TO BE

GIVEN

SCORE JUSTIFICATION COMPUTATION ACTUAL SCORE

Nature of the

Problem=Health Threat=2

2 Sharps within easy reach of the children can have

detrimental and disabling results. Children are completely

unaware of the dangers of being debilitated and wounded

(2/3)x1= .67


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from the sharp objects that are within easy reach.

Modifiability of the

Condition/Problem=2

Current knowledge

(.5)

Family resources (.5)

HW resources (0.5)

Community

resources (0.5)

2 It is modifiable because they have current knowledge on

what unkempt sharps may cause provided by the community

norms and healthworker, and they know a better place to

put it. They have adequate family resources in the house

they can use such as a high shelf out of reach.

(2/2)x2 2

Preventive Potential=2.25

Exposure of a risk

member(.75)

Gravity of

Problem(.75)

Duration of

Problem(.75)

Appropriate current

management

initiated by family(0)

2.25 It has a moderate preventive potential since the member

does not perceive it as serious and has no further

verbalizations about it.Also because they scold their children

upon seeing them closing in with the sharps.

(2.25/3)x1 .75

Salience of the Problem=0

Family identified/

verbalized

problem(0)

Feels/ perceives it as

needing immediate

attention(0)

0 The family does not recognize the problem and does not

perceive it as needing immediate attention.

(0/2)x1 0

Total 3.42

2. Unhealthy Lifestyle

CRITERIA AND HIGHEST SCORE JUSTIFICATION COMPUTATION ACTUAL SCORE


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GIVEN

Nature of the


2 The problem is a health threat because failure to recognize

them can lead to health deficits

(2/3)x1 .67


Condition/Problem=2

Current knowledge

(.5)


HW resources (0.5)

Community

resources (0.5)

2 They are fully aware that the need for annual check up is a

necessity as endorsed by the health workers and as

advocated by the rest of the community folks. The family has

the adequate income to spend for the check up. They also

have the resources for bathing such as water and soap. They

are also fully aware of the ill causes cigarette smoking can

cause such as lung cancer, halitosis, and etc. as expounded

by the BHW and the community.

(2/2)x2 2


Exposure of a risk

member(.75)

Gravity of

Problem(.75)

Duration of

Problem(.75) Appropriate current

management




verbalizations about it.Because as verbalized hanggang

kaya pa, kaya parin.

(2.25/3)x1 .75


Family identified/

verbalized

problem(0)


needing immediate

attention(0)



(0/2)x1 0

Total 3.42


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3. Inadequate Nutritional Requirements



GIVEN


Nature of the


2 The problem is a health threat because failure to recognize

them can lead to health deficits

(2/3)x1 .67


Condition/Problem=2

Current knowledge

(.5)


HW resources (0.5)

Community

resources (0.5)

2 They are fully aware that the need of adding protein to their

diet. They have the means of buying meat products of fish

and poultry because they have an adequate income. The

BHWs also advocate the need for adequate protein intake

so does the community. The community also sells protein

products like poultry.

(2/2)x2 2


Exposure of a risk

member(.75)

Gravity of

Problem(.75) Duration of

Problem(.75)

Appropriate current

management




verbalizations about it.Also because they are contented with

the food they are eating already.

(2.25/3)x1 .75


Family identified/

verbalized

problem(0)


needing immediate

attention(0)



(0/2)x1 0


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Total 3.42

4. Poor Home Sanitation



GIVEN


Nature of theProblem=Health Threat=2 2 The problem is a health threat because failure to recognizethem can lead to health deficits (2/3)x1 .67


Condition/Problem=2

Current knowledge

(.5)


HW resources (0.5)

Community

resources (0.5)

1.5 They are fully aware that the need for the elimination of the

flies around the vicinity of the house. But it is impossible to

eradicate them due to their location to a farm. They also

dont have the resources to completely eliminate all flies

around their place. Although they have a BHW to help them

reduce the number of the flies near the vicinity. They also

have the community resources to which they can use to

reduce flies by community effort.

(1.5/2)x2 1.5


Exposure of a risk

member(.75) Gravity of

Problem(.75)

Duration of

Problem(.75)

Appropriate current

management


2.25 It has a moderate preventive potential since the members


verbalizations about it. For they live with it as if it doesntpose a threat and that nothing yet has caused them their

lives because of the flies,

(2.25/3)x1 .75


Family identified/

verbalized

problem(0)



(0/2)x1 0


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needing immediate

attention(0)

Total 2.67

5. Presence of Health Deficit

CRITERIA AND HIGHESTPOSSIBLE SCORE TO BE

GIVEN


Nature of the


3 The problem is a health deficit because the actual member

of the family is ill with cough and colds and is only being

managed by the use of paracetamol syrup obtained from the

RHU.

(3/3)x1 1


Condition/Problem=2

Current knowledge

(.5)


HW resources (0.5) Community

resources (0.5)

2 They are fully aware that the need to alleviate their

daughter of the cough and colds because if left untreated

may lead to complications such as pneumonia. They BHW

are present in the community. They also have the means to

spend for medications. The community in itself has RHU and

hospital.

(2/2)x2 2

Preventive Potential=3

Exposure of a risk

member(.75)

Gravity of

Problem(.75)

Duration of

Problem(.75)

Appropriate current

management

3 Elimination of cough and colds will help achieve better

nutrition and have better growth and development

achievement.

(3/3)x1 1


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initiated by

family(.75)


Family identified/

verbalized

problem(1)


needing immediate

attention(1)

0 The family has identified the condition as a problem through

verbalization. The family also has taken appropriate action

by going to the nearest RHU for check up and having to buy

the prescribed medication. They are now currently feeding

the medication to their child.

(2/2)x1 1

Total 5

6. Presence of a Stress Point



GIVEN


Nature of the Problem=

Foreseeable Crisis1

1 The problem is a foreseeable crisis because the addition of a

new family member may need several necessities that the

whole family has to adjust to such as increasing expenses for

food, medications and clothing for the baby.

(1/3)x1 .33


Condition/Problem=2

Current knowledge

(.5)


HW resources (0.5)

Community

resources (0.5)

2 They are fully aware that the addition of a new family

member would entail new challenges and needs so as

adjustments. The BHW is present to help them immunize

and help properly rear the child into maturity. The family

also has the means to nurture the child. The community also

has RHU and a Hospital for use during a crisis occurs.

(2/2)x2 2


Exposure of a risk

member(.75)

.75 It has a lowpreventive potential since the member does not

perceive it as serious and has no further verbalizations about

it.Also it is only seen as a foreseeable crisis

(.75/3)x1 .25


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Gravity of

Problem(.0)

Duration of

Problem(.0)

Appropriate current

management



Family identified/

verbalized

problem(0)


needing immediate

attention(0)



(0/2)x1 0

Total 2.58

Final List of Prioritized Problems:

Number Problem Score

1 Presence of Health Deficit: Jancia has Cough and Colds 52 Unkempt Sharps 3.42

3 Inadequate Nutrition: Decreased Protein Intake 3.42

4 Unhealthy Lifestyle: No annual check ups, Cigarettes smoking, bathing 1-3 per week 3.42

5 Poor Home Sanitation: Presence of Flies around the vivinity of the House 2.67

6 Presence of Stress Point: Additional Family Member 2.58


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SECOND LEVEL ASSESSMENT

Presence of Health Deficit: Jancia has Cough and Colds Inability to provide adequate nursing care to the dependent memfamily due to inadequate knowledge and skill in carrying out the interventions/ treatment/ care

Unkempt Sharps Inability to recognize the presence of the problem due to lack of

Inadequate Nutrition: Decreased Protein Intake Inability to make decisions with respect to taking appropriate headue to low salience of the problem

Unhealthy Lifestyle: No annual check ups, Cigarettes smoking, bathing 1-3 per week Inability to provide a home environment conducive to health maand personal development due to lack of knowledge of importanhygiene and sanitation

Poor Home Sanitation: Presence of Flies around the vicinity of the House Inability to provide a home environment conducive to health maand personal development due to lack of knowledge of importanhygiene and sanitation

Presence of Stress Point: Additional Family Member ------------- --

FNCP PROPER

HEALTH PROBLEM FAMILY NURSING

PROBLEM

GOAL OF CARE OBJECTIVES OF

CARE

INTERVENTION PLAN

NURSING

INTERVENTIONS

METHOD EVALUATIO

Illness state:Cough

and Colds

Inability to provide

adequate nursing

care to the

dependent member

of the family due to

inadequate

knowledge and skill

in carrying out the

necessary

interventions/

The goal is to let the

clients parents

understand and

perform appropriate

and independent

procedures in

managing cough and

colds

After nursing

interventions, the

client will be able to:

a. verbalize

understanding of

importance of

maintaining normal

temp 37.0 C

b. demonstrate

a. Assess Temp

b. administer prescribed

medications

c. Do tepid sponge bath

observing proper

strokes

d. Demonstrate proper

Home visits,

return

demonstration

Objectives are

met since the c

was able to pe

the objectives s


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treatment/ care proper TSB

c. enumerate ways

to promote cooling of

the body

TSB to parents

e. Discuss importance of

maintaining proper body

temp

f. Emphasize

importance of

compliance to

therapeutic regimen

g. Encourage proper

hygiene

h. Discuss ways to

promote body cooling

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