Fncp Sample

FAMILY NURSING CARE

PLANS

Problem # 2: Presence of Fever 1st level of assessment: Presence of health deficit due to fever 2nd Level of Assessment: Inability to recognize the presence of a problem due to inadequate knowledge

Cues Analysis of the Problem

Objectives Nursing Intervention

Rationale Method of Family Contact

Resources Required

Expected Outcome

S> “nandin yapa gagaga at mapali ya salat” as verbalized by the mother

O> anak legs is seen irritated and crying.

> with skin flushing

> skin warm to touch

> body temperature of 38. 3’C

> inability to provide nursing care to the sick because of lack of financial resources and knowledge regarding the problem

Short term:After 1-2 days of home visits, the family will verbalize understanding on the importance of preventive measures as evidenced by children having trimmed nails, wearing slippers and washing of hands before and after eating.

Long term:After 4-5days of home visit, Anak Legs’ temperature will decrease to 37’C

>Establish rapport with the family

>Assess their finger and toenails and walking barefooted inside and sometimes outside the house

>Discuss with the family the importance of wearing foot wears inside and outside the house

>Discuss and demonstrate the proper way of hand washing before and after eating and defecating

>To gain familiarity and to establish a good working relationship with the family

>To obtain baseline data

>This practice promotes hygiene and decreases the occurrence of diseases

>To prevent cross contamination

> Home visits >Time, effort and skills of the student nurses

>Family participation and cooperation

Short term:After 1-2 days of home visits, the family shall have verbalized understanding on the importance of preventive measures as evidenced by children having trimmed nails, wearing slippers and washing of hands before and after eating.

Long term:After 4-5days of home visit, Anak Legs’ temperature shall have decreased to 37’C

>Explain the possible disease that can be acquired from not wearing slippers

>Advise family to have a good personal hygiene

>Advise the family to visit the health center in order to seek proper medical attention to get medications that would disinfest the children

>Proper hand washing can help prevent transmission of microorganisms

>To have a good protection against parasitism

>In order to have the therapeutic regimen that will address the problem of the family

Problem # 2: Presence of Cough and colds 1st level of assessment: Presence of health deficit due to cough and colds 2nd Level of Assessment: Inability to recognize the presence of a problem due to inadequate knowledge




Resources Required

Expected Outcome

S> “adwa neng aldo manguko I anak legs” as verbalize by the mother O> non productive cough (mild to moderate in amount)> with nasal flaring> with nasal discharge that is clear in color.>presence of wheeze upon auscultation on right lung field.

>Inability to provide a home environment which is conducive for health maintenance and personal development due to: a. inadequate family resources, specially financial constraintsb. inadequate living space c. poor personal hygiene

Short term: After one day of home visit, the family will determine the preventive factors about the condition like increase fluid intake, maintain a good hygiene and keep the children’s back dryLong term:home visits, the family will demonstrate compliance to health teachings.

>Establish rapport

>Assess patient’s condition (V/S and physical assessment)

> Assess the house condition

>Instruct to increase fluid intake

> Auscultate lung area

>Instruct the motherto give Vit C to her child.

>Encourage the use of herbal medicines

> To gain trust and cooperation

>For baseline data

> to determine the factors that triggers the disease.

>To liquefy secretions

>To determine the part of affectation and severity of the problem

> To boost the immune system.

>Herbal medicines are free and easy

> Home visits > Health teachings

>Knowledge, skills and time of the student nurses >Compliance and cooperation of the family or patient

Short term: After one home visit, the family shall have determine the preventive factors about the condition as evidence by complying to the health teachings given.Long term:After 4-5 days of home visits, the family shall have maintained demonstrated compliance to health teachings as evidence by relief from cough and colds

(oregano) to prepare.

Problem # 2: Presence of Dental Caries 1st level of assessment: Presence of health deficit due to dental caries

2nd Level of Assessment: Inability to recognize the presence of a problem due to inadequate knowledge




Resources Required

Expected Outcome

S> O

O> Presence of tooth decay on the teeth of all the family members that were assessed.

> Children loves to eat candy.

> Presence of bad breath on all the family members that were assessed.

Inability to provide proper care to the members because:

a. lack of financial resources.

Short term:After 1-2 days of home visits, the family will comply with the causes of tooth decay as discussed by the student nurses.

Long term:After 4-5days of home visit, the family will demonstrate proper way on how to brush their teeth and maintain a good oral hygiene.

>Establish rapport

> Assess the teeth of the family

> Provide health teachings about the diseases they can get from poor oral hygiene.

> Teach the children the proper way of brushing their teeth.

> Emphasize the importance of brushing their teeth after every meal.

>To gain trust and cooperation of the family.

> To note any abnormalities.

> To educate the family about the condition.

> To assure that all the teeth are brushed properly.

> To prevent growth of microorganisms.

> Home visits Knowledge, skills and time of the student nurses.

Short term:After 1-2 days of home visits, the family shall have complied with the causes of tooth decay discussed by the student nurses, as evidenced by the discussion with the family.

Long term:After 4-5days of home visit, the family shall have demonstrated proper ways on how to brush their teeth as evidenced by the absence of bad breath in the family members.

Problem # 4: Unhealthful lifestyle: Walking barefooted

1st level of assessment: Presence of health threat due to unhealthy lifestyle: walking barefooted. 2nd level of assessment: Inability to recognize the presence of a problem due to ignorance of facts.


Objectives Nursing Intervention Rationale Method of Family Contact

Expected Outcome

S> ø O> Anak Wings with dirty and untrimmed finger and toe nails>Seen walking barefooted inside and sometimes outside the house>anak legs and anak wings was seen eating without even washing their hands>Presence of garbage around the house>Presence of dirty surroundings>Stagnant drainage systemPresence of flies

>Inability to recognize the presence of a problem due to lack to adequate knowledge as to the potential to cause injury >Inability to recognize the presence of the problem due to ignorance of the fact and inadequate knowledge about preventive measures

Short term: After one home visit, the mother will be able to identify factors that contribute to parasitism.Long term:After 4-5 days of home visits, the family will initiate necessary lifestyle changes.

>Establish rapport with the family

>Assess their finger and toenails and walking barefooted inside and sometimes outside the house

>Discuss with the family the importance of wearing foot wears inside and outside the house

>Discuss and demonstrate the proper way of hand washing before and after eating and defecating

>Advise family to have a good personal hygiene

>To gain familiarity and to establish a good working relationship with the family

>To obtain baseline data

>This practice promotes hygiene and decreases the occurrence of diseases

>To prevent cross contamination

>To have a good protection against parasitism

> Home Visit Short term: After one home visit, the mother shall have identified factors that contribute to parasitism as evidenced by the mother’s verbalization of possible causes of parasitism..Long term:After 4-5 days of home visits, the family shall have initiated necessary lifestyle changes as evidenced by children having trimmed nails, wearing slippers and washing of hands before and after eating.

>Advise the family to visit the health center in order to seek proper medical attention to get medications that would disinfest the children

>In order to have the therapeutic regimen that will address the problem of the family

Problem # 7: Presence of Rodents and Insects 1st level Assessment: Poor Home/Environmental Condition/Sanitation: Presence of Rodents and vectors of diseases (eg. rats and

cockroaches) 2nd level Assessment: Inability to make decusions with respect to taking appropriate health actionCues Analysis of

the ProblemObjectives Nursing Intervention Rationale Method of

Family Contact

Resources Required

Expected Outcome

S> O

O> Presence of insects and rodents,cockroaches and mice seen inside the house during the first home visit.

Inability to provide a home environment which is conducive to health maintenance and personal development due to: Lack of or inadequate knowledge of the importance of home environment improvement.

Short Term: After 1 home visit, the family will comply with ways on how to control insects and rodents.

Long Term: After 5 home visits, the family will demonstrate behaviors that will help in controlling the presence of insects and rodents.

> Emphasize the importance of insect and rodent control.

> Discuss alternative methods of insect and rodent control such as:

> Regular house cleaning and proper garbage disposal

> Mosquito net may continue to be used in keeping insects away from the family members especially at night when asleep.

> Encourage the family to continue the practice of covering stored food.

> These pests may cause contamination of stored food and control is important.

> To maximize available resources in eradication/alleviating the problem:

>To avoid formation of breeding place

>To prevent the transmission of microorganisms through insect vectors through a mechanical barrier that prevents contact of family members to insects.

> To avoid food contamination of insects and rodents.

> Home visits

Human Resources:

1. Time and effort of both the nurse and the family.

2. Knowledge of the student nurse about the different ways of insect and rodent control.

3. Participation and cooperation of the family.

Short Term: After 1 home visit, the family shall have complied with ways on how to control insects and rodents.

Long Term: After 5 home visits, the family shall have demonstrated methods that help in controlling the presence of insects and rodents such as keeping and maintaining the house clean.

Problem # 7: Presence of Pediculosis 1st level Assessment: Poor Home/Environmental Condition/Sanitation: Presence of Rodents and vectors of diseases (eg. rats and

cockroaches) 2nd level Assessment: Inability to make decusions with respect to taking appropriate health action



Resources Required

Expected Outcome

Problem # 7: Improper Garbage Disposal

1st level of Assessment: Poor Environmental Sanitation: Improper Garbage Disposal

2nd level of Assesment:Inability to recognize the presence of the problem

Cues

Family Nursing Problem Analysis

Objectives

Interventions

Rationale

Method of Nurse Family Contact

Resources Required

Expected Outcome

S = Ø O = - Garbage is scattered inside and outside the house- Open and stagnant drainage system with garbage- presence of flies around the house

Inability to recognize the presence of the condition or problem due to attitude and philosophy in life towards accepting the magnitude of the problem.

Inability to provide a home environment which is conducive for health maintenance and personal development due to ignorance of preventive measures

Short Term: After one Home visit and health teaching the family will be able to demonstrate compliance with the health teachings given as evidenced by the cooperation of the family. Long Term: After 4-5 days of home visit, the family will practice and maintain a good environmental sanitation

-Establish rapport

- Assess the family’s environmental sanitation - Explain to the family the effects of improper garbage disposal such occurrence of diseases - Discuss to the family how garbage could cause illnesses. This could be a breeding site of

-To gain family’s trust and cooperation - To obtain baseline data

- To encourage the family to place the garbage in proper place

- To foster awareness to the family thus preventing potential diseases from occurring

Home visit

-Time and effort of the student nurses & the family -Participation and cooperation of the family - Skills and knowledge of the student nurses

Short Term: After one Home visit and health teaching the family shall have demonstrate compliance with the health teachings given as evidenced by the cooperation of the family. Long Term: After 4-5 days of home visit, the family shall have practiced and maintained a good environmental sanitation

insects and rodents - Teach the family on how they can improve their environment by having time schedule in cleaning their surroundings - Instruct the family to never leave their garbage unattended

- Encourage the family to use a large can with cover for their garbage - Assist the family in cleaning their surroundings and in disposing their garbage

- Let them be aware that they can maintain their environment free from infections and diseases.

- To prevent the breeding sites of insects and rodents that may cause diseases. - To prevent the accumulation of flies

- To let them know that they too can keep their environment safe and clean and free from

properly.

-Apply proper segregation of trash of the family. - Assess the level of understanding of the family regarding to the problem. - Discuss the problem to the family - Present to them the consequences of the present condition - Show to them some alternatives ways

infections - To become orderly in disposing different waste - To allow them recognized the present problem - To allow them to reflect in their current situation - To promote the increase of finance

- to help the family sustain and prioritize their needs

on how to increase income to meet the needs of all the members - Encourage the children to practice saving money and buy those things that are only needed

> to help the family sustain and prioritize their needs

Problem # 7: Presence of breeding sites or vector of diseases 1st level of Assessment: 2nd level of assessment:



Expected Outcome

Problem # 7: Family Size beyond what Family resources can adequately provide

1st level of Assessment: Family Size beyond what Family resources can adequately provide

2nd level of Assessment: Inability to recognize the presence of the condition or problem

CuesProblem Analysis Objectives Interventions Rationale

Method Resources Required

Expected Outcome

S = Ø O = -Family expenses exceed family resources. Income is p10,000 per month for the whole family-Presence of malnourishment on some family members

Inability to recognize the presence of the condition or problem due to attitude and philosophy in life towards accepting the magnitude of the problem.

Short Term: After 2-3 hours of Home visit and health teaching the family will be able to identify the presence of the problem and ways on how to alleviate the problem as evidenced by the discussion of the family. Long Term: After 4 days of home visit, the family will be able to comply and demonstrate the health teaching of the student nurses such as to find

-Establish rapport - Assess the general condition of the family - Assess the living condition of the family. - Assess the level of understanding of the family regarding to the problem. - Discuss the problem to the family

-To gain family’s trust and cooperation - To obtain baseline data

- To identify related factors that affects the health of the family. - To obtain baseline data - To allow them recognized the present problem

Home visit

-Time and effort of the student nurses & the family -Participation and cooperation of the family - Skills and knowledge of the student nurses

Short Term: After 2-3 hours of Home visit and health teaching the family shall have identified the presence of the problem and ways on how to alleviate the problem as evidenced by the discussion of the family. Long Term: After 4 days of home visit, the family shall have complied and demonstrated the health teachings of the student nurses such as to find ways on how to increase income to meet the needs of all the members

ways on how to increase income to meet the needs of all the members

- Present to them the consequences of the present condition - Show to them some alternatives ways on how to increase income to meet the needs of all the members - Encourage the children to practice saving money and buy those things that are only needed

- To allow them to reflect in their current situation - To promote the increase of finance

- to help the family sustain and prioritize their needs

Problem # 11: Poor Status of Toilet Facility as a Health Threat

1st level of assessment: Presence of health threats due to Poor home sanitation 2nd level of assessment: Inability to provide a home conducive to health maintenance and personal development due to inadequate family re-

sources

CUES ANALYSIS OBJECTIVE INTERVENTION RATIONALE METHOD OF FAMILY CONTACT

RESOURCES REQUIRED

EVALUATION

S: O O: The toilet facility is poor with regards to hygienic status and they have a communal comfort room. >Presence of dirty stains in the toilet.>With foul smell

Inability to recognize the presence of the problem. Inability to provide home environment conducive for health maintenance and personal development due to:a. Inadequate family resources specifically financial constraintsb. Lack of adequate knowledge in the importance of having good status of

Short term: After 1 day of home visit the family will identifyimportance of cleaning the toilet facility regularly and gain necessary knowledge on the proper sanitation of toilet facility.Long term:After 5 days of home visits the family will be able to demonstrate compliance to the health teachings given .

>Establish rapport

>Assess the quality of the toilet facility.

>Explain the importance of having a clean toilet facility.

>Provide health teachings regarding the disease that can be acquired due to poor toilet facility.

>Aid in the cleaning of the toilet.

>To gain family’s trust and cooperation

>To obtain base line data.

>To increase the awareness on the benefits of having a good toilet facility.

>To be aware of the danger that may occur if necessary actions would not be initiated.

>To facilitate proper ways of cleaning on how to clean toilet.

Home Visits

1.Knowledge, skills and time of the student nurses 2.Compliance and cooperation of the family or patient

Short term: After 1 day of home visit the family shall have identified the importance of cleaning the toilet facility regularly and gained necessary knowledge on the proper sanitation of toilet facility as evidenced by the family shall comply to the health teachings given..Long term:After 5 days of home visits the family shall have demonstrated compliance to health teachings as evidenced by maintaining the cleanliness of the toilet facility

toilet facility and the disease can be acquired through improper cleaning of toilet.

>Encourage family to maintain the cleanliness of the toilet facility

>Encourage them to practice proper hand washing and cleaning the toilet after using.

>Discuss with the family about the parasites and their effects to the body

>Encourage the family to use detergent in cleaning the toilet

>To provide cleanliness and good condition of the toilet facility.

>To prevent cross contamination and maintain the cleanliness of the toilet

>To increase awareness on parasitism

>To prevent staining and unpleasant odor and to decrease the occurrence of parasitism

Problem # 11: Malnutrition: Undernourishment

1st level of Assessment: Presence of Health deficit: Malnutrition: undernourishment

2nd level of Assessment: Inability to provide a home environment conducive to health maintenance and personal development




Resources Required

Expected Outcome

S> ø

O> > Two out of four seen family members are classified as malnourished specifically Anak breast and , Anak Thigh

Anak Thigh = 9 kg = underweight

Inability of the family to recognize the problem due to inadequate knowledge. >Inability to provide nursing care due to inadequate family resources specifically financial constraints.

Short term: After 1 home visit the family will comply about the preparation and serving nutritious foods as evidenced by discussion with the family.

Long term:After 5 days of home visit the family will demonstrate willingness to serve and eat cheaper but nutritious foods to gain the appropriate weight such as malunggay, or kangkong, in place of broccoli; dilis and tilapia

>Discuss with the family the presence of the problem.

>Explain to the family especially to the mother the causes and effects of malnutrition.

>Assist the mother in planning nutritious meals that the whole family will like

>Encourage mother to have firm discipline towards her children’s eating habits, such as discouraging them from eating junk foods all the

>To make the family aware of the presence of such problem

>To give background idea on malnutrition so as to prevent the problem.

>To improve their eating habits by eating variety of nutritious foods

>To correct faulty found habits and to avoid loss of appetite during meal times.

> Home visits

> Health teachings

>Knowledge, skills and time of the student nurses

>Compliance and cooperation of the family or patient

Short term: After 1 home visit the family shall have complied about the preparation and serving nutritious foods as evidenced by discussion with the family.

Long term:After 5 days of home visit, the family shall have demonstrated willingness to serve and eat cheaper but nutritious foods to gain the appropriate weight. such as malunggay, or kangkong, in place of broccoli; dilis

instead of milkfish; chicken as an alternative for pork.

time

>Instruct the family to wash hands properly.

>To eliminate microorganism since these can cause food poisoning and GI diseases.

and tilapia instead of milkfish; chicken as an alternative for pork.

Problem # 11: UNSAFE DRINKING WATER 1st level of assessment: Presence of health threat: unsafe Drinking water

2nd level of assessment: Inability to recognize the presence of a problemANALYSIS

OF THE PROBLEM

OBJECTIVESNURSING

INTERVENTIONSRATIONALE

METHOD OF CONTACT

RESOURCES REQUIRED

EVALUATION

S: “sa gripo kami umiinom, kinakabit lang naming dyan sa gallon, hindi man naming pinakukuluan”

O: The family gets water from their faucet (NAWASA)>The family does not cover the pitcher

>Inability to recognize the presence of a problem due to ignorance of facts.

>Inability of the family to solve the existing problem.

Short Term: After 1 day of home visit the family will be able to recognize the importance of water storage and the proper way of acquiring safe and steady water supply at home.Long Term:After 4 days of home visit, the family will be able to show compliance to the health teachings given.

>Establish rapport

>Encourage the family to boil their drinking water.

>Encourage the family to store their water in a clean container with cover.

>Explain to the family the effect of this problem in their health.

>Monitor the family’s compliance to health teaching.

>To gain the trust and cooperation

>To kill the water borne molecules and microorganisms.

>To have an adequate supply of clean water.

>To develop awareness and initiate action in controlling this problem.

>To have a safe and potable water to drink.

>Home visits >Observations

> Time effort with participation of the family and student nurse. >Health Teachings.

Short Term: After 1 day of home visit the family shall be able to recognize the importance of water storage and the proper way of acquiring safe and steady water supply at home AEB they cooperate with the SN.Long Term:After 4 days of home visit, the family shall be able to show compliance to the health teachings given AEB they apply their new learnings in their daily lives.

Problem # 13.5: Inadequate Living space

1st level of assessment: poor home condition due to inadequate living space 2nd level of assessment: inability to provide a home environment conducive to helath maintenance and personal development due to inadequate

family resources specifically financial constraints

CUES ANALYSIS OBJECTIVE INTERVENTION RATIONALEMETHOD OF

FAMILY CONTACT

RESOURCES REQUIRED

EVALUATION

S: O

O: Living space is not sufficient for family members as evidence by total floor area of 15.89 sq m, in which if divided into 6, per individual has 2.65 sq m which is considered inadequate

Furniture appliances and clothes are not properly arranged

Inability to provide a home environment which is conducive for health maintenance and personal development due to inadequate family resources specifically financial constraints and limited financial resources.

Short term:

After one home visit, the family will recognize the existing problem as evidenced by holding and arranging clothes, removing unnecessary things in the house.

Long term:

After 4-5 days of home visits, the family will develop ways on how to minimize the problem as evidenced by rearrangement of

>Measure the house

>Assess the living space and taking note of the measurements

>Suggest ways on how to maximize the available living space by rearrangement

>Advise the family to separate those things they don’t use anymore

>Inform the family regarding the easy transmission of disease due to inadequate space

>For baseline data

>To identify possible factors that will help in solving the problem

>To foster self reliance from the family and to develop initiative

>So as to minimize the limited space of their house

>To motivate the family and create awareness

Home Visits >Knowledge, skills and time of the student nurses

>Compliance and cooperation of the family or patient

Short term:

After one home visit, the family shall have recognized the existing problem as evidenced by holding and arranging clothes, removing unnecessary things in the house.

Long term:

After 4-5 days of home visits, the family shall have developed ways on how to minimize the problem as evidenced by rearrangement of furniture to maximize their living space

furniture to maximize their living space

>Explain to the family the possible effects of having inadequate living space

>Explain to the family the advantages of having adequate living space

>Aid the family in maximizing the living space available

>Explain to the family the importance of having adequate living space

>To increase awareness regarding the possible effects of the said condition

>To gain further knowledge

>To improve the resolution of the problem

>To increase awareness regarding the problem and motivate the family further

Problem # 13.5: inadequate Lighting and Ventilation

1st level of assessment: poor home condition due to poor lighting and ventilation 2nd level of assessment: inability to provide a home environment conducive to health maintenance and personal development due to

inadequate family resources specifically financial constraints

CUESANALYSIS OF

THE PROBLEM

OBJECTIVESNURSING

INTERVENTIONSRATIONALE

METHOD OF CONTACT

RESOURCES REQUIRED

EVALUATION

S: Ø

O:

>There is only two windows

There is also inadequate day light due to the lack of appropriate windows and the location of the house

>Unable to read handouts inside the house during daytime

Inability to provide a home environment which is conducive to health maintenance and personal development due to:

-Limited financial resources

Inability to make decision with respect to taking health actions due to:

-Failure to comprehend on the nature of the problem

Short Term:

After 1 home visit, the family will be able to comply on the teachings given about the effects of poor ventilation and lighting

Long Term:

After 5 home visits the family will be able to perform measures to have adequate ventilation and lighting

>Explain the importance of having an adequate ventilation

> Provided some health teachings to eliminate the problem

>Instructed the family remove the curtain

>Provided information on the importance having adequate

>To provide information and to increase awareness regarding the problem

>To helped them to realize the importance of having a good ventilation

>To promote proper ventilation and entry of sunlight in the house

>To provide

Home visits >Time and effort of the student nurses and the family

>Cooperation of the family

>Knowledge of the student nurses

>Tape measure

Short Term:

After 1 home visit the family shall have complied on the teachings about the effects of poor lighting and ventilation

Long Term:

After 5 home visits the family performed measures to have adequate ventilation and compensate for the inadequacy of lighting in their house

and low salience of the problem

-Lack of adequate knowledge in the importance of having adequate lighting and ventilation

lighting and how it affects health

>Encourage the family to modify the structure of the windows and remove unnecessary materials that black passage of air.

>Explain to the family the possible consequences of lighting

>Instructed the family to open the florescent lamp always

>Instructed the family to perform activities that require light during day time such as cooking and cleaning the house

information and to increase awareness regarding the problem.

>To facilitate passage of air.

>To increase the awareness of the family regarding the possible consequences of poor lighting

>to promote lighting

To prevent unnecessary accidents

Problem # 16.5: unsanitary food handling

1st level of assessment: Unsanitary food handling and preparation 2nd level of assessment: Inability to recognize the presence of the condition or problem due to inadequate knowledge

CUES ANALYSIS OF THE PROBLEM

OBJECTIVES NURSING INTERVENTIONS

RATIONALE METHOD OF CONTACT

RESOURCES REQUIRED

EVALUATION

S: Ø

O: >Presence of dirty fingernails among the family members

>The food utensils are not kept well

>During preparation of foods, hand washing is not being done by the family

>Hand washing before eating is not being done by the family

>Inability to maintain proper food handling which is conducive for health maintenance and personal development due to:

>Lack of knowledge of the importance of proper hand washing

>Lack or inadequate knowledge on the importance of proper food handling.

>Lack or inadequate knowledge as to

Short Term:

After 1 day of home visit, the family will demonstrate understanding of the importance of proper food handling.

Long Term:

After 4 days of home visits, the family will perform the health teachings given and will continuously practice proper food handling.

>Establish rapport

>Assess for the food preparation of the family

>Demonstrate and discuss the importance of handling of food

>Instruct the family to clean and keep their cooking utensils on their proper places.

>Instruct the family to wash their hands before and after eating.

>Assess the hygiene practices of the family

>To gain trust and cooperation

>To have a base line data

>To educate the family on the importance of proper food handling.

>To aid in cleanliness and prevent occurrence of health problems related t0o un kept cooking utensils.

>To prevent microorganisms

> To get a baseline data for planning and

Home visits Observations

>Time and effort of the student nurses and the family

>Cooperation of the family

>Knowledge of the student nurses

Short Term:

After 1 day of home visit, the family will demonstrate understanding of the importance of proper food handling.

Long Term:

After 4 days of home visits, the family will perform the health teachings given and will continuously practice proper food handling.

potentially causing health problems.

-Attitude in Life which hinders recognition of a problem

> Discuss to the family the importance of proper hand washing

>Clean and cut nails regularly

implementation

> To know the effects and advantages of having and practicing good personal hygiene

> To avoid dirt from accumulating in between the nails

Problem # 16.5: presence of pointed objects and improperly placed wirings 1st level of assessment: Presence of health threat due to pointed objects and improper wirings 2nd level of assessment: Inability to identify the presence of the condition or problem due to lack of inadequate knowledge

CUES ANALYSIS OBJECTIVEINTERVENTION

RATIONALEMETHOD OF FAMILY CONTACT

RESOURCES REQUIRED

EVALUATION

S : “Nilagyan namen ng kahoy yung s itaas namen baka kasi mahulog sa amin yung sa taas”, as verbalized by the mother. O: Seen protruding nails, and many woods as a support to the upper room Disorganized electrical wirings Open wires hanging on the ceiling Seen holes on the edge of their roof

Presence of accident hazards is related to inability to provide home environment conducive to health maintenance and personal development due to inadequate knowledge and lack of family resources

Short term:After 1 day of home visit the family will perform some interventions to reduce or minimize the problem such as taping hanging electrical wires and etc.

Long term:After 5 days of home visits the family will maintain an environment which is free from injury and accidents.

>Discuss with the family why the presence of accident hazards could be harmful to the health of the family

>Tell the family about the possible consequences of having disorganized wires and protruding nails.

>Demonstrate to the family the ways on how to prevent accident hazards within the family’s available resources

>Instruct the family to always check for open

>To gain family’s cooperation.

>To make the family aware of the consequences of the problem.

>To establish self-reliance.

>To prevent short circuit to

Home Visits

1. The family’s cooperation and physical attribution 2. The student nurse’s skills, knowledge, and attitude.

Short term:The family shall have performed some interventions to reduce or minimize the problem such as taping hanging electrical wires and etc.

Long term:The family shall have maintained an environment which is free from injury and accidents.

which could make the water run through the wires during rainy days

wires, while the main power is switched off. They should not be run by water.

>Instruct family to change the wires immediately if they found them not working.

cause fire. Possible occurrence of electrocution.

>To provide knowledge and prevent potential accident.

PROBLEM # 16.5: Poor personal hygiene 1st level assessment: presence of health threat due to unhealthful lifestyle: poor personal hygiene 2nd level of assessment: Inability to recognize the presence of a problem due to inadequate knowledge




Resources Required

Expected Outcome

S> ø

O> All of the members had dirty, uncut fingernails and toenails>The children do not practice proper hand washing before meals

>The children do not practice proper oral care as evidenced by presence of tooth decay

>Inability to maintain good personal hygiene which is conducive for health maintenance and personal development due to:

>Lack of adequate knowledge of the importance of hygiene and sanitation

>Lack of skills in carrying out measures to improve personal hygiene

>Ignorance of facts about the possible effects of poor personal hygiene that may cause

Short term:>After the first home visit, the family shall have understood the importance of good personal hygiene and its implications on our health.

Long term:After 4-5 days of home visits, the family shall have performed correctly the health teachings given to them such as combing of hair, cutting and keeping the fingernails and toenails shorter and clean and wear neat clothes.

-Assess the hygienic practices of each family member.

-Provide health teaching about the importance of good hygiene.

- Encourage the family to practice hand washing before and after eating

- Encourage them to take a bath everyday and instructed the mother to assist in bathing her children

-Encourage regular trimming of fingernails and toenails

-To get a baseline data for planning and implementation

-To know the effects an advantages of having and practicing good personal hygiene

-To prevent the transmission of diseases

- To aid in washing out microorganisms away form their bodies which may cause several diseases

- To avoid ingestion of unwanted microorganisms

> Home visit >Community:The health center can be utilized to have the family’s regular dental check-up and treat the dental caries of the affected members.

>Knowledge, time and perseverance of the student nurses

>Family’s understanding, cooperation, participation, resources and compliance.

Short term:>The family understood the importance of good personal hygiene and how it affects the health of a person.

Long term:The family applied the health teachings given to them as evidenced by combing of hair, cutting and keeping the fingernails and toenails shorter and clean and wears neat

probable disease condition

- Encourage brushing of teeth of all members at least 3 times a day.

-Bath the children

-Demonstrate the proper bathing, combing of hair, brushing of teeth and proper hand washing

- To prevent dental caries of the affected to worsen and to prevent the occurrence of dental caries to the members who are well.

-To promote hygiene

-To supply them with the proper ways of maintaining a good hygiene.

clothes.

Problem # 16.5: Lack of food storage 1st level of assessment: Presence of health threat due to lack of food storage facility 2nd Level of Assessment: Inability to recognize the presence of a problem due to inadequate knowledge




Resources Required

Expected Outcome

S> o

O> foods were seen left uncovered

>the plates that were already washed were left on a dirty container of plates

> lack of food storage facility related to inability to recognize the presence of problem due to ignorance of facts/ lack of inadequate knowledge

Short term:After 1 home visit the family will comply to the health teachings given.

Long term:After 5 days of home visits, the family will demonstrate behavioral changes with regards to proper storage of foods.

>discuss with family the importance of having proper food storage

>tell the family about the possible complication it could bring to the family’s health if the plates were left unattended and being contaminated with insects.

>instruct the family the different ways in how to keep the food without spending: llike keeping the plates in a covered and clean conatainer.

>to gain the family’s cooperation

>to make the family aware of the consequences of the problem

>to provide knowledge and prevent occurrence of disease.

> Home visits >Time, effort and skills of the student nurses


Short term:After 1 home visit the family shall have complied to the health teachings given as evidenced by performing some of the interventions taught such as covering the left food with a clean plate.

Long term:After 5 days of home visits, the family shall have demonstrated behavioral changes with regards to proper storage of foods such as keeping the container of food and plates

properly covered and clean.

Problem # 19 : Absence of drainage system

1st level of assessment: poor home/environmental condition/sanitation: absence of drainage system 2nd level of assessment: inability to provide a home environment conducive to health maintenance and personal development

CUESANALYSIS

OF THE PROBLEM

OBJECTIVESNURSING

INTERVENTIONS RATIONALEMETHOD

OF CONTACT

RESOURCES REQUIRED EVALUATION

S: Ø

O: No drainage system in their house

Inability to provide a home environment which is conducive for health maintenance and personal development due to inadequate resources especially time and man power to have a drainage system.

Short term: After 1 day of home visit, the family will comply with the health teachings given by the student nurses AEB maintaining the floor dry.

Long term:

After 4 days of home visits, the family will perform the health teachings given and will continuously maintain a clean environment

>Establish rapport

>Discuss with the family the presence of the problem

>Discuss with the family the importance of having drainage system

>Assess the level of understanding of the family regarding to the problem.

To gain family’s trust and cooperation

> To let them be aware of the presence of the problem

>To prevent any possible disease/illness that may occur due to the present problem

> To obtain baseline data

> Home visits

>Time, effort and skills of the student nurses


Short term: After 1 day of home visit, the family shall have complied with the health teachings given by the student nurses AEB maintaining the floor dry.

Long term:

After 4 days of home visits, the family shall have perform the health teachings given and shall have continuously maintain a clean environment

> Provided some health teachings to eliminate the problem.

>Instruct the family to clean and keep dry floor areas.

>To helped them to realize the importance of having a drainage system

>To aid in cleanliness and prevent risk of injury

Fncp Sample

Documents

Transcript of Fncp Sample