FAMILY NURSING CARE PLAN

Problem No. 1
Problem Identified: Improper Hygiene
Date Identified: March 13, 2020
Date Evaluated: March 25, 2020

CUES:
OC: Child J1 of Mrs. L eats his meal without washing his hands first. Even his
parents, when we had our visit at noon. The finger nails as well as the toe nails
of child J1 are untrimmed, with dirt under the nails. The child is playing on the
muddy area under their house: picking finger foods such as cupcakes without
washing hands. At times, Child J1 plays with chickens. With Child J2, when he
bed wets, they do not thoroughly washed their blankets, instead, they hang it
immediately under the sun.

Family Nursing Diagnosis:

Inability to provide home environment conductive to health and
maintenance due to improper hygiene techniques.

Goal of Care: Within 4 hours of nursing interventions, the family will be able to
identify hygienic measures such as proper hand washing and its
significance.

Objectives:
Within 4 hours of nursing interventions, the family will be able to:

1. Include proper hand washing technique before and after eating.

2. Enumerate the health problems that will possibly cause spread of infection.
3. Identify ways on how to maintain hygiene.
4. Gain understanding about the importance of proper hygiene in the activities of
daily living.
5. Demonstrate interest with regards to presented health teaching.

INTERVENTIONS RATIONALE
1. Assess the degree of awareness of the To identify the family’s level
family with regards to the existing health understanding about proper hygiene.
problem.

2. Teach the client how to perform

handwashing correctly. To provide the family awareness in
relation to the proper performance of
3. Discuss to the family the importance of handwashing and its role in the prevention
proper hygiene in their health. of the spread of infection.
To impart knowledge to the family.
4. Encourage them to wash their hands
before and after eating.
To promote comfortability and self-
5. Discuss the potential health problems grooming.
that could arise of proper hygiene is not
implemented and practiced. Emphasis to the family the prevention of
arousal of potential health problems If
proper hygiene is practiced.

Resources required:
 Home visits
 Discussion
 Demonstration
 Time and effort of the student nurse and the family members.

Evaluation:
Goal met. After 4 hours of nursing interventions, the family was able to identify
the importance of handwashing and was able to demonstrate the proper technique of
procedure.
Problem No. 2
Problem Identified: Improper Food Handling
Date Identified: March 12, 2020
Date Evaluated: March 12, 2020

CUES:
OC: The family kitchen has unwashed plates, unorganized placements
of utensils, their kitchen utensils are exposed to insects and
rodents. Their cooked foods are being placed on the table covered
by a basin, which they also used for washing their dishes. During
one of the home visits conducted by the group, while they were
preparing their meals for lunch, they just leave the food
unattended, which is also exposed to flies.

Family Nursing Diagnosis:

Inability to decide about taking appropriate actions due to failure
to comprehend the identified problem as a health threat.

Goal of Care: Within 4 hours of nursing interventions, the family will be able to
practice the proper ways of handling food and recognize the
importance of proper food handling.

Objectives:
Within 4 hours of nursing interventions, the family will be able to:

1. Recognize the risk factors that will contribute to the identified problems.
2. Identify the different measures to prevent the arousal of the risk factors of the
problem.
3. Determine the importance of preparing and handling the food properly.
4. Practice and apply the techniques of food handling and preparation.
5. Keep their kitchen clean and free from insects and rodents.

INTERVENTIONS RATIONALE
1. Assess the family concerning their To determine the ways that the family are
practices on handling and preparing the practicing at home as basis to plan for
food. care and interventions.

2. Discuss with the family the health To provide information about the risk
problems that will occur if improper food factors on the problem identified.
handling will persist and lead to
undesirable illness such as diarrhea.

3. Teach the family to do the proper hand

washing and encourage them to performTo reduce the spread of microorganisms.
it before and after handling foods.

4. Discuss to the family on how to handle

the food properly: To provide alternative ways on securing
food properly.
a. Instruct them to store their food in
the right storage area like the To determine their practice and identify
refrigerator. modification.
b. If they don’t have a refrigerator,
advise them to buy food enough
to consume for one week and
buy those foods that can be
preserved for a long time.
c. Encourage them to cover their
foods properly with a clean cover
to prevent insects and rodents
from landing on food.

5. Motivate the family to utilize the

available resources at home for proper
food storage and handling such as
containers with cover for keeping the
food.. To be used for handling and preparing
food clean and proper before cooking.
6. Encourage the family to keep the house
clean specially the kitchen area.

To maintain cleanliness and to slowly

eliminate the existence of insects and
rodents in their house.

Resources required:
 Home visits
 Discussion
 Time and effort of the student nurses and the family members.

Evaluation:
Goal met. After 4 hours of nursing interventions, the family was able to practice
the proper ways about handling food as evidenced by the demonstration of the family’s
washing of plates, proper arrangement of their kitchen utensils and cleaning of their
kitchen as observed by the student nurses after the discussion of proper ways on
handling food.
Problem No. 3
Problem Identified: Fall Hazards
Date Identified: March 13, 2020
Date Evaluated: March 26, 2020

CUES:
OC: The deep well is approximately 2 meters from the house with the
diameter of the hole is approximately 1 meter and it is level to the ground.
The deep well has a depth of 6 feet and being used by the family without
cover.

Family Nursing Diagnosis:

Inability to anticipate risk factors due to lack of knowledge
On the identified problem

Goal of Care:
Within 4 hours of nursing interventions, the family will be able to
identify the risk factors on the actual condition and make plans to
modify the deep well and to prevent any accidents.

Objectives:
Within 4 hours of nursing interventions, the family will be able to:

1. Recognize the possible risk factors with regards to the condition identified.
2. Enumerate various ways on maintaining safety and to prevent fall hazards.
3. Select a course of action to correct and solve the problem.
4. Make plans to choose appropriate ways and materials necessary to cover
the deep well to prevent any occurrence of injuries.
5. Identify the positive outcomes upon planning the solution to the problem.

INTERVENTIONS RATIONALE
1. Assess the family’s perceptions with To acknowledge the family concerns and
regards to the problems identified. in order to promote cooperation.

2. Discuss with the family the possible risk

factors that will result the occurrence of the
To provide information regarding the risk
problem. factors such as falls.

3. Emphasis to the family importance of

solving the problem and on maintaining To develop the family’s ability and
an environment which is safety at home. commitment to provide nursing care to the
members of the family and on taking
4. Provide suggestions about solving the actions to solve the problems.
problem and preventive measures of fall
hazards such as putting a cover made of To guide the family on how to decide or
wood or plywood, having the sides of the select for appropriate actions to take with
well cemented and putting a wooden regards to the problem identified.
fence around the well to guard the hole
and enhance the safety of each family
member.

5. Evaluate the family’s plan or course of To enhance the capability of the family
action they are going to make. to carry out measures to provide safe
home facilities and personal
development.

Resources required:
 Home visits
 Assessment
 Discussion
 Time and effort by the student nurse and the family members.

Evaluation:
Goal met. After 2 home visits conducted with nursing interventions, the family
was able to identify risk factors of having an uncovered well and short blocks of the
deep-well and verbalized their plans to modify their situation as evidenced by one of
the family member’s verbalization.
Problem No. 4
Problem Identified: Improper Garbage Disposal
Date Identified: March 26, 2020
Date Evaluated: April 1, 2020

CUES:
OC: The family is disposing their garbage through burning in their backyard at
about 4 meters from their house.

Family Nursing Diagnosis: Inability to decide about taking appropriate actions

due to failure to comprehend the nature and scope of
the problem.

Goal of Care: Within 4 hours of nursing interventions, the family will be able to
determine the importance of practicing proper methods on waste
disposal.

Objectives:
After two home visits, the family will be able to:

1. Identify the different ways on proper disposal of garbage such as:

a. Use of composite pit with cover.
b. Segregate the non-biodegradable and biodegradable materials.
c. Recycling of can-be-used garbage.
d. Reusing or selling of some garbage like cans, bottles and plastics.

2. Enumerate the proper techniques on keeping the surroundings clean and

through using proper method of waste disposal.
3. Define the meaning of proper garbage disposal and its advantages.
4. Recognize the possible effects of garbage burning.
5. Verbalize understanding about the importance of practicing proper waste
disposal.

INTERVENTIONS RATIONALE
1. Assess the family’s level of In order to determine the cognitive level of
understanding regarding the identified the family and acknowledge their
problem. perceptions about the problem.

2. Assess the surrounding and the house Facilitate on making the appropriate
of the family. actions needed by the family.

3. Provide the family information about the For the family to learn the proper ways of
proper ways on waste disposal such as waste management and for visualization
segregation of biodegradable from non- of the materialization of methods.
biodegradable wastes and demonstrate
the methods.
4. Explore with the family the advantages To provide options with the family on
of the different methods of waste selecting proper methods of waste
disposal. disposal.

5. Emphasis the importance of practicing So that the family will grasp the
proper garbage disposal with the family. significance and demonstrate interest in
initiating lifestyle modification.

Resources required:
 Home visits
 Assessment
 Discussion
 Time and effort of the student nurse with the family members.

Evaluation:
Goal met. After 2 hours home visit conducted with nursing interventions, the
family was able to understand the importance practicing the proper method of waste
disposal as evidenced by Mrs. L’s verbalization.
Problem No. 5
Problem Identified: Inadequate Immunization Status of the Child
Date Identified: March 26, 2020
Date Evaluated: March 26, 2020

CUES:

Family Nursing Diagnosis:

Inability to recognize the presence of health threat due to lack of
knowledge about the condition.

Goal of Care: Within 4 hours of nursing interventions, the family will be able to
determine the importance of having complete immunization.

Objectives:
After two home visits, the family will be able to:

1. Determine the importance of complete immunization of children.

2. Enumerate the possible illness that can occur due to incomplete vaccination.
3. Follow-up the vaccine of the children.
4. Give specific attention to the schedule of the children’s immunization.
5. Understand the advantages of having completion of the immunization.

INTERVENTIONS RATIONALE
To determine the level of understanding of
1. Assess the family’s degree of perception the family.
with concerns to the immunizations of the
children.

2. Discuss with the family the significance of To provide information of awareness about
completing the immunizations schedules of the advantages of vaccination.
the children.

3. Encourage the family to actively visit the

health center during scheduled In order to be reminded and follow the
immunizations for their 4 months child. scheduled dates and to prevent lapse from
the schedule.
4. Include health teachings to protect the
health of the family member such as:

 Advise them to let the children eat fruitsTo strengthen the immune system.
and vegetables rich in essential
nutrients.
 Increase intake of foods rich in vitamin
C such as Oranges.
 Always practice proper hygiene.

5. Encourage the family to communicate and To provide continuation of quality care to

coordinate with the health care officials / the children.
teams in the barangay health center.

Resources required:
 Home visits
 Assessment
 Discussion

Evaluation:
Goal met. After 4 hours of nursing interventions, the family was able to know the
importance of complete immunizations as evidenced by Mrs. L’s verbalization.