lamllv nurslna Care lan (lnC)

ls Lhe blueprlnL of Lhe care LhaL Lhe nurse deslans Lo svsLemaLlcallv mlnlmlze or ellmlnaLe Lhe
ldenLlfled healLh and famllv nurslna problems Lhrouah expllclLlv formulaLed ouLcomes of care (aoals and
ob[ecLlves) and dellberaLelv chosen seL of lnLervenLlons resources and evaluaLlon crlLerla sLandards
meLhods and Lools
leaLures lnC
1he nurslna care plan focuses on acLlons whlch are deslaned Lo solve or mlnlmlze exlsLlna problem
1he plan ls a blueprlnL for acLlon 1he core of Lhe plan are Lhe approaches sLraLeales acLlvlLles meLhods
and maLerlals whlch Lhe nurse hopes wlll lmprove Lhe problem slLuaLlon
1he nurslna care plan ls a producL of a dellberaLe svsLemaLlc process Lhe plannlna process ls
characLerlzed bv loalcal analvses of daLa LhaL are puL LoaeLher Lo arrlve aL raLlonal declslons 1he
lnLervenLlons Lhe nurse decldes Lo lmplemenL are chosen from amona alLernaLlves afLer careful analvsls
and welahlna of avallable opLlons
1he nurslna care plan as wlLh all plans relaLes Lo Lhe fuLure lL uLlllzes evenLs ln Lhe pasL and whaL ls
happenlna ln Lhe presenL Lo deLermlne paLLerns lL also pro[ecLs Lhe fuLure scenarlo lf Lhe currenL
slLuaLlon ls noL correcLed
1he nurslna care plan ls based upon ldenLlfled healLh and nurslna problems 1he problems are Lhe
sLarLlna polnLs for Lhe plan and Lhe focl of Lhe ob[ecLlves of care and lnLervenLlon measures
1he nurslna care plan ls a means Lo an end noL an end ln lLself 1he aoal ln plannlna ls Lo dellver Lhe
mosL approprlaLe care Lo Lhe cllenL bv ellmlnaLlna barrlers Lo famllv healLh developmenL
nurslna care plannlna ls a conLlnuous process noL a oneshoLdeal 1he resulLs of Lhe evaluaLlon of
Lhe plan's effecLlveness Lrlaaer anoLher cvcle of Lhe plannlna process unLll Lhe healLh and nurslna
problems are ellmlnaLed
*nurslna AssessmenL ln lamllv nurslna racLlce
nurslna AssessmenL flrsL ma[or phase of Lhe nurslna process
lnvolves a seL of acLlons bv whlch Lhe nurse measures Lhe sLaLus of Lhe famllv as a cllenL lLs ablllLv Lo
malnLaln lLself as a svsLem and funcLlonlna unlL lLs ablllLv Lo malnLaln wellness prevenL conLrol or
problems ln order Lo achleve healLh and wellbelna amona lLs members
nurslna AssessmenL lncludes
uaLa collecLlon
uaLa analvsls or lnLerpreLaLlon
roblem deflnlLlon or nurslna dlaanosls end resulL of Lwo ma[or Lvpes of nurslna assessmenL ln famllv
healLh nurslna pracLlce
*llrsL Level AssessmenL
ls a process wherebv exlsLlna and poLenLlal healLh condlLlons or problems of Lhe famllv are deLermlned
CaLeaorv of PealLh condlLlons/roblems
1 Wellness sLaLe/s
2 PealLh 1hreaLs
3 PealLh deflclLs
4SLress polnLs or foreseeable crlsls slLuaLlons
*Second Level AssessmenL
Lhe naLure or Lvpe of nurslna problems LhaL Lhe famllv encounLers ln performlna Lhe healLh Lasks wlLh
respecL Lo a alven healLh condlLlon or problem and Lhe eLloloav or
barrlers Lo Lhe famllv's assumpLlon of Lhe
Lasks
SLeps ln lamllv nurslna AssessmenL
1uaLa CollecLlon aaLherlna of flve Lvpes of daLa whlch wlll aeneraLe Lhe caLeaorles of healLh
condlLlons or problems of Lhe famllv
a) famllv sLrucLure characLerlsLlcs dvnamlcs lnclude Lhe composlLlon and demoaraphlc daLa of Lhe
members of Lhe famllv/household Lhelr relaLlonshlp Lo Lhe head and place of resldence Lhe Lvpe of
and famllv lnLeracLlon/communlcaLlon and declslonmaklna paLLerns and dvnamlcs
b) socloeconomlc culLural characLerlsLlcs lnclude occupaLlon place of work and lncome of each
worklna member educaLlonal aLLalnmenL of each famllv member eLhnlc backaround and rellalous
afflllaLlon slanlflcanL oLhers and Lhe oLher role(s) Lhev plav ln Lhe famllv's llfe and Lhe relaLlonshlp of
Lhe famllv Lo Lhe laraer communlLv
c) home and envlronmenL lnclude lnformaLlon on houslna and sanlLaLlon faclllLles klnd of
nelahborhood and avallablllLv of soclal healLh communlcaLlon and LransporLaLlon faclllLles ln Lhe
communlLv
d) 8ecord 8evlew revlewlna exlsLlna records and reporLs perLlnenL Lo Lhe cllenL ( lndlvldual cllnlcal
records of Lhe famllv members laboraLorv dlaanosLlc reporLs lmmunlzaLlon records reporLs abouL
Lhe home envlronmenLal condlLlons
e) LaboraLorv/ulaanosLlc 1esLs performlna laboraLorv LesLs dlaanosLlc procedures oroLher LesLs of
lnLearlLv and funcLlons carrled ouL bv Lhe nurse herself and/or oLher healLh workers
2 uaLa Analvsls
sorL daLa
clusLer/aroup relaLed daLe
dlsLlnaulsh relevanL from lrrelevanL daLa
ldenLlfv paLLerns
compare paLLerns wlLh norms or sLandards
lnLerpreL resulLs
make lnferences/draw concluslons
3 nurslna ulaanoses lamllv nurslna
roblems
*A wellness condlLlon ls a nurslna [udamenL relaLed wlLh Lhe cllenL's capablllLv for wellness A healLh
condlLlon or problem ls a slLuaLlon whlch lnLerferes wlLh Lhe promoLlon and/or malnLenance of healLh
and recoverv from lllness or ln[urv
nu8SlnC ulACnCSlS ln Lhe lAMlL?
nu8SlnC 8AC1lCL Lhe famllv's fallure Lo perform adequaLelv speclflc healLh Lasks Lo enhance Lhe
wellness sLaLe or manaae Lhe healLh problem

1?CLCC? Cl nu8SlnC 8C8LLMS ln
lAMlL? nu8SlnC 8AC1lCL classlflcaLlon svsLem of famllv nurslna problems
ll8S1 LLvLL ASSLSSMLn1
l 8LSLnCL Cl WLLLnLSS CCnul1lCn sLaLed as oLenLlal or 8eadlness
ll lnablllLv Lo make declslons wlLh respecL Lo Laklna approprlaLe healLh acLlon
lll lnablllLv Lo provlde adequaLe nurslna care Lo Lhe slck dlsabled dependenL or
vulnerable/aLrlsk member of Lhe famllv
lv lnablllLv Lo provlde a home envlronmenL conduclve Lo healLh malnLenance and personal
developmenL
v lallure Lo uLlllze communlLv resources for healLh care
uLvLLClnC 1PL nu8SlnC CA8L LAn
1PL lAMlL? CA8L LAn ls Lhe blueprlnL of Lhe care LhaL Lhe nurse deslans Lo svsLemaLlcallv mlnlmlze
or ellmlnaLe Lhe ldenLlfled healLh and famllv nurslna problems Lhrouah expllclLlv formulaLed ouLcomes
of care ( aoals and ob[ecLlves) and dellberaLelv chosen of lnLervenLlons resources and evaluaLlon
crlLerla sLandards meLhods and Lools
uLSl8A8LL CuALl1lLS Cl A nu8SlnC CA8L LAn
1lL should be based on clear expllclL deflnlLlon of Lhe problems A aood nurslna plan ls based on a
comprehenslve analvsls of Lhe problem slLuaLlon
2A aood plan ls reallsLlc
31he nurslna care plan ls prepared [olnLlv wlLh Lhe famllv 1he nurse lnvolves Lhe famllv ln deLermlnlna
healLh needs and problems ln esLabllshlna prlorlLles ln selecLlna approprlaLe courses of acLlon
lmplemenLlna Lhem and evaluaLlna ouLcomes
41he nurslna care plan ls mosL useful ln wrlLLen form
1PL lMC81AnCL Cl LAnnlnC CA8L
11hev lndlvlduallze care Lo cllenLs
21he nurslna care plan helps ln seLLlna prlorlLles bv provldlna lnformaLlon abouL Lhe cllenL as well as Lhe
naLure of hls problems
31he nurslna care plan promoLes svsLemaLlc communlcaLlon amona Lhose lnvolved ln Lhe healLh care
efforL
4ConLlnulLv of care ls faclllLaLed Lhrouah Lhe use of nurslna care plans Caps and dupllcaLlons ln Lhe
servlces provlded are mlnlmlzed lf noL LoLallv ellmlnaLed
3nurslna care plans faclllLaLe Lhe coordlnaLlon of care bv maklna known Lo oLher members of Lhe
healLh Leam whaL Lhe nurse ls dolna
S1LS ln uLvLLClnC A lAMlL? nu8SlnC
CA8L LAn
11he prlorlLlzed condlLlon/s or problems based on
naLure of condlLlon or problem
modlflablllLv
prevenLlve poLenLlal
sallence

21he aoals and ob[ecLlves of nurslna care
LxpecLed CuLcomes
condlLlons Lo be observed Lo show problem ls prevenLed conLrolled resolved or ellmlnaLed
CllenL response/s or behavlor Speclflc Measurable CllenLcenLered SLaLemenLs/CompeLencles
31he plan of lnLervenLlons
ueclde on
Measures Lo help famllv ellmlnaLe
barrlers Lo performance of healLh Lasks
underlvlna cause/s of nonperformance of healLh Lasks
lamllvcenLered alLernaLlves Lo recoanlze/deLecL monlLor conLrol or manaae healLh condlLlon or
problems
ueLermlne MeLhods of nurselamllv ConLacL
Speclfv 8esources needed

41he plan for evaluaLlna
CrlLerla/CuLcomes 8ased on Cb[ecLlves of Care
MeLhods/1ools

CCMMunl1? ulACnCSlS
1?LS Cl CCMMunl1? ulACnCSlS

1CCM8LPLnSlvL CCMMunl1?

ulACnCSlS alms Lo obLaln a aeneral lnformaLlon abouL Lhe communlLv
Auemoaraphlc varlables
8SocloLconomlc and CulLural varlables
CPealLh and lllness aLLerns
uPealLh resources
LollLlcal/Leadershlp aLLerns
28C8LLMC8lLn1Lu CCMMunl1?
ulACnCSlS Lvpe of assessmenL LhaL responds Lo a parLlcular need
8CCLSS Cl CCMMunl1? ulACnCSlS
*CollecLlna
*Craanlzlna
*SvnLheslzlna
*Analvzlna and lnLerpreLlna healLh daLa

S1LS ln CCnuuC1lnC CCMMunl1? ulACnCSlS
1uL1L8MlnlnC 1PL C8!LC1lvLS Lhe nurse decldes on Lhe depLh and scope of
Lhe daLa she needs Lo aaLher
2uLllnlnC 1PL S1uu? CuLA1lCn Lhe nurse ldenLlfles Lhe populaLlon aroup Lo be lncluded ln Lhe
sLudv
3uL1L8MlnlnC 1PL uA1A 1C 8L CCLLLC1Lu Lhe ob[ecLlves wlll aulde Lhe nurse ln ldenLlfvlna Lhe
speclflc daLa she wlll collecL and wlll also declde on Lhe sources of Lhese daLa
4CCLLLC1lnC 1PL uA1A Lhe nurse decldes on Lhe speclflc meLhods dependlna on Lhe Lvpe of daLa Lo
be aeneraLed
3uLvLLClnC 1PL lnS18uMLn1 lnsLrumenLs/Lools faclllLaLe Lhe nurse's daLaaaLherlna acLlvlLles
MosL common lnsLrumenLs
survev quesLlonnalre
lnLervlew aulde
observaLlon checkllsL
6AC1uAL uA1A CA1PL8lnC Lhe nurse supervlses Lhe daLa collecLors bv checklna Lhe fllledup
lnsLrumenLs ln Lerms of compleLeness accuracv and rellablllLv of Lhe lnformaLlon collecLed
7uA1A CCLLA1lCn Lhe nurse ls now readv Lo puL LoaeLher all Lhe lnformaLlon
8uA1A 8LSLn1A1lCn wlll depend laraelv on Lhe Lvpe of daLa obLalned (descrlpLlve numerlcal daLa)
9uA1A AnAL?SlS alms Lo esLabllsh Lrends and paLLerns ln Lerms of healLh needs and problems of Lhe
communlLv
10luLn1ll?lnC 1PL CCMMunl1? PLAL1P nu8SlnC 8C8LLMS
*PealLh sLaLus problems lncreased or decreased morbldlLv morLallLv
ferLlllLv or reduced capablllLv for wellness
*PealLh resources problems lack of or absence of manpower monev
maLerlals or lnsLlLuLlons necessarv Lo solve healLh problems
*PealLhrelaLed problems exlsLence of soclal economlc envlronmenLal
and pollLlcal facLors LhaL aaaravaLe Lhe lllnesslnduclna slLuaLlons ln Lhe
communlLv
118lC8l1?SL11lnC prlorlLlze whlch healLh problems can be aLLended Lo conslderlna Lhe resources
avallable aL Lhe momenL
- naLure of Lhe condlLlon/problem presenLed problems classlfled bv Lhe
nurse as healLh sLaLus healLh resources
or healLhrelaLed problems
- MaanlLude of Lhe problem refers Lo Lhe severlLv of Lhe problem whlch can be
measured ln Lerms of Lhe proporLlon of
Lhe populaLlon affecLed bv Lhe problem
- ModlflablllLv of Lhe problem probablllLv of reduclna conLrolllna or eradlcaLlna Lhe problem
- revenLlve poLenLlal probablllLv of conLrolllna or reduclna Lhe effecLs posed bv Lhe problem
- Soclal concern percepLlon of Lhe populaLlon or Lhe communlLv as Lhev are affecLed bv Lhe
problem and Lhelr readlness Lo acL on Lhe problem
WPA1 lS LAnnlnC?
LAnnlnC ls a process LhaL enLalls formulaLlon of sLeps Lo be underLaken ln Lhe fuLure ln order Lo
achleve a deslred end

ConcepLs of lannlna
lannlna ls fuLurlsLlc
lannlna ls chanaeorlenLed
lannlna ls a conLlnuous and dvnamlc process
lannlna ls flexlble
lannlna ls a svsLemaLlc process

1PL LAnnlnC C?CLL
1SlLuaLlonal Analvsls
aaLher healLh daLa
LabulaLe analvze and lnLerpreL daLa
ldenLlfv healLh problems
seL prlorlLv
2Coal and Cb[ecLlve SeLLlna
deflne proaram aoals and ob[ecLlves
asslan prlorlLles amona ob[ecLlves
3SLraLeav/AcLlvlLv SeLLlna
ueslan CPn roaram
AscerLaln resources
Analvze consLralnLs and llmlLaLlons
3LvaluaLlon
deLermlnes ouLcomes
speclfv crlLerla and sLandards