VI.

FAMILY NURSING CARE PLAN (in order of priority)

Problem# 1 Accident Hazards Due to Sharp Objects
CUES
ANALYSIS OF THE PROBLEM

OBJECTIVES

NURSING INTERVENTION S

RATIONALE

RESOURCES REQUIRED

EVALUATION

S>pasensiya na kayu sa kalat, wala kasi akong oras para maglinis, as verbalized by Ms Smurfette. O> The student nurse have observed the following: > the knives, scissors, and other sharp objects are improperly kept. > cooking utensils and equipments can be easily reached by children. > poor lighting

The family is unable to recognize the presence of the condition and problem due to inadequate knowledge about its cause and effect.

After 3 home visits, the family will be able to provide measures in eliminating accident hazards due to sharp objects.

> Discuss the different factors that may cause injury to the family. > Teach different ways on how to minimize the occurrence of injuries such as: >Removing all the sharp items that may be a cause of stumbling and injury. >Explore the familys reaction about the health teachings given.

> To make the family aware and be knowledgeable of the effects of the problem.

Family Resources: >Manpower resources such as time and effort. >Cleaning articles such as broom and broomsticks and dustpan.

Goal partially met, after 3 home visits, the family was able to eliminate accident hazards by: >keeping sharp objects properly kept in places where children will not be able to reach them.

> To prevent injuries and to promote a clean and safe environment.

Student Nurses Resources: >Knowledg e, skills, time and effort of the student nurses.

>To measure the understanding of the health teachings presented.

Problem# 2 Poor Lighting Condition

CUES
ANALYSIS OF THE PROBLEM

OBJECTIVES

NURSING INTERVENTIONS

RATIONALE

RESOURCES REQUIRED

EVALUATION

S> mainit sa min kasi wala kaming kuryente, as verbalized by Ms. Smurfette O> The student nurse have observed the following: >There is no electricity within the household . >Poorly lit rooms (living room, and sleeping area)

The family is unable to perceive the ongoing problem due to other prioritize d needs and lack of financial support.

After 3 home visits, the family decided to put 1 bulb to add some lighting to the house.

>Explore the familys ideas about a good lighting condition

>To obtain a baseline data for the health teachings to be given to the family. >To increase the familys awareness about good lighting condition and promote a good attitude towards the problem.

>Discuss with the family the importance of having a good lighting condition its benefits such as it prevents straining of the eye, and also the consequence s of having a poor lighted house. >Reinforce the familys knowledge on ways on how to provide a well lighted house

>To increase/ suffice the inadequacy of the familys knowledge about other ways of improving their lighting condition. >To measure the understandin g of the health teachings presented.

Goal partially met, after 3 home visits >Manpower the family, resources together such as with the time and student effort. nurses, was able to add >Physical some light and by putting chemical up 1 bulb resources and opening such as the door. insecticides They were , cleaning also able to articles increase such as proper broom and ventilation broomstick by lessening s and the curtains dustpan. around the windows. Family Resources: Student Nurses Resources: >Knowledg e, skills, time and effort of the student nurses.

>Explore the familys reaction about the health teachings given.

Problem# 3 Presence of Dental Caries

ANALYSIS OF THE PROBLEM

CUES

OBJECTIVES

NURSING INTERVENTIONS

RATIONALE

RESOURCES REQUIRED

EXPECTED OUTCOME

S> ay sira sira la reng ipan ku as verbaliz ed by Ms Smurfett e sira la rin pu deng ipan ng Ivan [Joker Smurf] as verbaliz ed by Little Ms Brainy Smurf O> The student nurse have observe d the following : > Presenc e of dental caries upon the inspectio n of Ms Smurfett e and her three children s mouth.

Inability to provide a home environme nt conducive to personal developm ent due to inadequat e knowledg e about personal hygiene and financial difficulties.

After 2 days of nursing intervention the family will be able to demonstrate understandin g of the health teachings given about Dental Caries such as its cause, methods to control and prevent dental caries as evidenced by Ms Smurfette will be able to restate the health teachings given according to her understandin g. The family will be able to perform methods of controlling and preventing dental caries such as proper cleaning of teeth.

>Explore the familys idea of how dental caries occurs, their knowledge of the consequence s of having a dental caries and their management to control it. >Provide the family with the information regarding Dental Caries including the management that could be done to control the disease, and the consequence s that may arise such as tooth loss and infection. >Provide the family with health teachings regarding personal hygiene especially mouth care, the frequency of cleaning the teeth. > Instruct the family to visit the health

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

Family Resources: >Manpower resources such as time and effort. >Physical resources such as tooth brushes and toothpaste.

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

Student Nurses Resources: >Knowledge , skills, time and effort of the student nurses.

The family shall have demonstrated understandin g of the health teachings given about Dental Caries such as its cause; methods to control and prevent dental caries as evidenced by Ms Smurfette will be able to restate the health teachings given according to her understandin g. The family shall have performed methods of controlling and preventing dental caries such as proper cleaning of teeth.

Community Resources: Availability of the Barangay Health Center for consultation .

>To promote personal hygiene to the family.

> To have a proper medical

center for consultation. >Explore the familys reaction about the health teachings given.

management of the dental caries. > To measure the understandin g of the health teachings presented.

Problem# 4 Accident Hazard: Fire Hazards

CUES
ANALYSIS OF THE PROBLEM

OBJECTIVES

NURSING INTERVENTIONS

RATIONALE

RESOURCES REQUIRED

EVALUATION

S>hindi ko nga alam kung san ko ipupuwesto yan eh (charcoal grill). Wala na kasing space, as verbalized by Ms Smurfette. O> The student nurse have observed the following: > The charcoal grill can be easily accessed by the children.

The family is unable to recognize the presence of the condition and problem due to inadequa te knowledg e about its cause and effect.

After 3 home visits, the family will be able to provide measures in eliminating Fire Hazards.

>Discuss the different factors that may cause fire. >Teach different ways on how to minimize the occurrence of fire such as: >moving their charcoal grill to a place where it is not accessible by children or place some barriers.

> To make the family aware and to make them knowledgeabl e of its effects.

> To prevent fire and to promote the importance of having a safe environment.

Goal partially met, after 3 home visits the family was able to >Manpower eliminate fire resources hazards by: such as time and > putting a barrier effort. in the charcoal grill and placing it >Cleaning in a safe place articles where children such as will not be able to broom and reach it. broomstick s, dustpan, and rugs Family Resources: >Constructi on tools like hammer, nails, and wood boards.

>Explore the familys reaction about the health teachings given.

>To measure the understandin g of the health teachings presented.

Student Nurses Resources: >Knowledg e, skills, time and effort of the student nurses.

Problem# 5 Poor Ventilation Condition

CUES
ANALYSIS OF THE PROBLEM

OBJECTIVES

NURSING INTERVENTIONS

RATIONALE

RESOURCES REQUIRED

EXPECTED OUTCOME

S>mainit samin, kasi wala kaming kuryente as verbalized by Ms Smurfette. O>The student nurses have observed the following: >Obstructed window

Inability to make decisions with respect to taking appropria te action due to negative attitude towards the problem.

After 2 days of nursing intervention will be able to restate actions that could be done to improve their ventilation condition as evidenced by Ms Smurfette will be able to repeat the teachings given according to her own understanding.

>Explore the familys ideas about a good ventilation condition.

> To obtain a baseline data for the health teachings to be given to the family. >To increase the familys awareness about good ventilation condition and promote a good attitude towards the problem.

Family Resources: >Manpower resources such as time and effort. >Cleaning articles such as broom and broomsticks and dustpan. Student Nurses Resources:

>Discuss with the family the importance of having a good ventilation condition its benefits such as it prevents easy transfer of diseases, and also the consequence s of having a poor ventilation condition. >Reinforce the familys knowledge on ways on how to provide a well ventilated house

Ms Smurfette shall have restated actions that could be done to improve their ventilation condition as evidenced by Ms Smurfette will be able to repeat the teachings given according to her own understanding. The family shall have showed an improvement on their ventilation condition as evidenced by removal of the clothes that obstruct the windows and by washing the curtains.

>Knowledge , skills, time and effort of the student >To increase/ nurses.
suffice the inadequacy of the familys knowledge about other ways of improving their ventilation condition. >To measure the understandin g of the health teachings presented.

>Explore the familys reaction about the health teachings given.

Problem # 6 Accident Hazard: Fall Hazards

CUES
ANALYSIS OF THE PROBLEM

OBJECTIVES

NURSING INTERVENTIONS

RATIONALE

RESOURCES REQUIRED

EVALUATION

S>pasensiy a na sa bahay naming, maliit lang.., as verbalized by Ms Smurfette O> The student nurse have observed the following: > The stairs is narrow and steep.

The family is unable to recognize the presence of the condition and problem due to inadequate knowledge about its cause and effect.

After 3 home visits, the family will be able to provide measures in eliminating fall hazards.

>Discuss the different factors that may cause injury to the family.

> To make the family aware and be knowledgeab le of the effects of the problem.

Family Resources: >Manpower resources such as time and effort. >Cleaning articles such as broom and broomsticks and dustpan. >Construction tools like hammer, nails, and wood scraps.

> Teach different ways on how to minimize the occurrence of injuries such as: > putting barriers on top of the stairs to prevent falls to the children.

Goal partially met, after 3 home visits, the family was able to eliminate fall hazards by: >putting a barrier on top of the stairs.

>To prevent injuries and to promote a safe environment for the family especially to the children. >To measure the understandin g of the health teachings presented.

>Explore the familys reaction about the health teachings given.

Student Nurses Resources: >Knowledge, skills, time and effort of the student nurses.

Problem # 7 Non-use of Self Protection Against Health Threats

CUES
ANALYSIS OF THE PROBLEM

OBJECTIVES

NURSING INTERVENTIONS

RATIONALE

RESOURCES REQUIRED

EVALUATI ON

S>nakuha niya [Joker Smurf] yan sa mga lamok eh.. as verbalized by Ms Smurfette O> The student nurse have observed the following: >no mosquito nets >dusty surroundin gs >water supply is not properly covered

The family is unable to perceive the presence of the condition and problem due to inadequate financial support.

After 3 home visits, the family learned the proper way to have good personal and oral hygiene and the children used some disinfectant to prevent the cause of allergies and diseases (provided by the mother)

> Discuss to the mother about the potential effects of the problem to the family.

> To encourage the family to include personal hygiene to their activities of daily living. > To educate the family a clear understanding of having and using selfprotection against health threats. >To measure the understanding of the health teachings presented.

> Discuss the different ways to treat the problem like daily cleaning to lessen dust around the surrounding. >Explore the familys reaction about the health teachings given.

Goal met after 2 home visits. The >Manpower family was resources able to such as time use self and effort. protection against >Physical and chemical health threats by: resources
Family Resources: such as insecticides, cleaning articles such as broom and broomsticks and dustpan.

>daily cleaning of the surroundi ng >proper hand washing habits >covering the water supply >good personal hygiene

Student Nurses Resources: >Knowledge, skills, time and effort of the student nurses.

Problem # 8 Inadequate Living Space

CUES
ANALYSIS OF THE PROBLEM

OBJECTIVES

NURSING INTERVENTIONS

RATIONALE

RESOURCES REQUIRED

EVALUATION

S>dahil buntis ako, di ko na magawang maglinis ng bahay as verbalized by Ms Smurfette O> The student nurse have observed the following: > steep and narrow stairs. >inadequat e area for sleeping. > unwashed curtains.

The family is unable to recognize the presence of the condition and problem due to inadequate knowledge on its cause and effects.

After 3 home visits, the family improved the availability of a clean environment, washed the curtains, wiped the floor, organized the cabinets, shoe rack, and medicine storage. They rearranged the sleeping area by putting new stripped carton boxes for sleeping.

> Discuss the effects of having inadequate living space. >Encouraged and reinforced daily cleaning of the house.

> To maintain cleanliness of the available space.

Family Resources: >Manpower resources such as time and effort. >Physical and chemical resources such as detergents and fabric conditioners, cleaning articles such as broom and broomsticks and dustpan.

Enumerated the following factors contributing to inadequate living space: >inadequate ventilation >dirty window screen >dirty curtains Enumerated interventions in response to the problem: >daily cleaning of the house >dusting out the window screens

> To improve proper circulation of air and make them aware of having a well managed space. > To prevent infestation of pests that can cause further health threats.

>Supervision of wet and dry hanging clothes that causes breeding of vectors and mosquitoes.

Student Nurses Resources: >Knowledge , skills, time and effort of the student nurses.

Problem# 9 Insufficient Personal Hygiene

CUES
ANALYSIS OF THE PROBLEM

OBJECTIVES

NURSING INTERVENTIONS

RATIONALE

RESOURCES REQUIRED

EVALUATION

S>hoy Ivan! [Joker Smurf] maligo ka na nga, nakakahiy a sa mga bisita. Isabay mo na rin mga kapatid mo, as verbalized by Ms Smurfette. O> The student nurse have observed the following: > Ms Smurfette has tartar on her teeth and tooth decay > untidy clothes of children upon interaction >unclean fingernails > kids have tartar on their teeth

The family is unable to practice good personal hygiene due to inadequ ate knowled ge on the effect of having a poor personal hygiene.

After 3 home visits, the family will be able to demonstra te proper behavior in maintainin g good personal hygiene

>stress the importance of cleanliness on a persons health and poor hygiene

>To encourage the family to include personal hygiene to their activities of daily living >Poor hygiene can contribute to spread of disease.

Family Resources: >Manpower resources such as time and effort. >Physical and household resources such as toiletries (toothbrush and toothpaste)

>Discuss with the family the possible diseases that might be brought about by poor personal habits. > Discuss and encourage proper hand washing before and after eating. >Explore the familys reaction about the health teachings given.

Goal partially met, after 3 home visits the family was able to demonstrate the proper hand washing techniques, brushing of teeth trim their fingernails and disinfect rashes of Joker Smurf.

>Hand washing minimizes the spread of disease.

Student Nurses Resources: >Knowledg e, skills, time and effort of the student nurses.

>To measure the understanding of the health teachings presented.

Problem# 10 Insufficient Sleeping Area

ANALYSIS OF THE PROBLEM

CUES

OBJECTIVES

NURSING INTERVENTION S

RATIONALE

RESOURCES REQUIRED

EXPECTED OUTCOME

S>masakit nga likuran ko dahil sa sahig lang kami natutulog as verbalized by Ms Smurfette. O>The student nurses have observed the following: >There is not enough space for sleeping. >There are no beds or mattresses.

Inability to make decisions with respect to taking appropriat e action due to negative attitude towards the problem due to inadequat e financial resource and lack of financial support.

After 2 days of nursing intervention the Smurfs will be able to restate actions that could be done to improve their sleeping area as evidenced by Ms Smurfette that will be able to repeat the teachings given according to her own understanding.

>Explore the familys ideas about a good sleeping area. >Discuss with the family the importance of having a good and enough sleeping area.

> To obtain a baseline data for the health teachings to be given to the family. >To increase the familys awareness about the problem and to improve their sleeping area based on their available resources.

Family Resources: >Manpower resources such as time and effort.

>Reinforce the familys knowledge on ways on how to provide a better sleeping area.

>Cleaning articles such as broom and broomsticks and dustpan and any available resources that the >To increase/ Smurfs can suffice the use. inadequacy
of the familys knowledge about other ways of improving their ventilation condition. >To measure the understandin g of the health teachings presented.

Ms Smurfette shall have restated actions that could be done to improve their sleeping area as evidenced by Ms Smurfette, that she will be able to repeat the teachings given according to her own understanding. The family shall have showed an improvement on their sleeping area evidenced by the addition of stripped carton boxes as their bed and sweeping of the floors for them to sleep.

Student Nurses Resources: >Knowledge , skills, time and effort of the student nurses.

>Explore the familys reaction about the health teachings given.

Problem# 11 Family Size Beyond What Family Resources Can Adequately Provide
CUES
ANALYSIS OF THE PROBLEM

OBJECTIVES

NURSING INTERVENTIONS

RATIONALE

RESOURCES REQUIRED

EVALUATION

S>baka pagkapanga nak ko maghanap ako ng trabaho.

The family is unable to provide the needs of the members

After 3 home visits, Ms Smurfette realized that after she gave birth,

>Encourage Ms Smurfette to work after she gave birth.

>To make Ms Smurfette able to provide the needs of her family.

Family Resources: >Manpower resources such as time

Goal partially met, after 3 home visits, the family will be able to realize that it

Wala kasi kami pinagkukun an ng panggastos naming.. as verbalized by Ms Smurfette O>The student nurse have observed the following: >no adequate resources >cannot provide the basic needs of the family (food, clothing, medicine)

due to inadequat e resources (income)

she will work for them to have income that will provide the needs of her family.

and effort.
>Explore the familys reaction about the health teachings given. >To measure the understandin g of the health teachings presented.

Student Nurses Resources: >Knowledge, skills, time and effort of the student nurses.

is a must to provide even just the basic needs of the family members.

Problem# 12 Physical Inactivity

CUES
ANALYSIS OF THE PROBLEM

OBJECTIVES

NURSING INTERVENTIONS

RATIONALE

RESOURCES REQUIRED

EVALUATION

S>nahihiya kasi ako lumabas, natatakot ako sa sasabhin ng mga tao, as verbalized by Ms Smurfette. O> The student nurse have observed the following:

The family is unable to interact with others due to low selfesteem and the family is afraid of criticisms.

After 3 home visits, Ms Smurfette will be able to open up with her personal life

>Encourage the family to mingle with others

>To obtain knowledge not only from their personal resources but also to other social resources that can help them improve their health.

Family Resources: >Manpower resources such as time and effort. Student Nurses Resources: >Knowledge, skills, time and effort of the student nurses.

>no physical activity among Ms

>Continuous practice of all the techniques

>To include a better lifestyle that will lead to good health.

Goal partially met, after 3 home visits, the family was able to demonstrate physical activity like going outside. They were able to mingle with people outside their house especially to the student nurses.

Smurfette >introversion >The Smurfs doesnt mingle much with others

that will minimize health problems and help to avoid the presence of microorganis ms in their bodies. >Explore the familys reaction about the health teachings given. >To measure the understandi ng of the health teachings presented.