UNIVERSITY OF THE CORDILLERAS

COLLEGE OF NURSING

FAMILY NURSING CARE PLAN

A Requirement in Community Health Nursing
2nd Semester S.Y. 2018-2019

Submitted by:

NAME------.
BSN III-Section 2
Group A

Submitted to:

Ms. Letty Midang

Community Instructor
I. INTRODUCTION

A family plays an important role in the community. UHGHUFHEFSA;HIOHDSAIHI

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A community health care provider should formulate a family health care plan
in an attempt to help set priorities of the family or client’s health problems.
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 II. INITIAL DATA BASE

A. FAMILY DYNAMICS STRUCTURE, CHARACTERISTICS AND DYNAMICS

Relationship
Members to the head Age Sex Civil Ethnic Group Place of Residence
of of the Status
Household family
A Head 69 M M Tagalog labueg, Benguet
G Wife 64 M M Tagalog labueg, Benguet
D Son 44 M M Tagalog labueg, Benguet
A Daughter 40 F S Tagalog labueg, Benguet
J Daughter 38 F M Tagalog labueg, Benguet
J Daughter 34 F S Tagalog labueg, Benguet

The family is a matricentric type of family, in terms of decision making A makes the
decision. When we interviewed client, he stated that the family have a strong and
healthy relationship, they respect each other.

B. SOCIO-ECONOMIC AND CULTURAL CHARACTERISTICS

The Family have approximately ----------- monthly income. According to client A

they do have a great amount of expense. Right now, they spent more on their daily
foods, house bills and the children’s education.

NAME ETHNIC EDUCATION RELIGION

BACKGROUND ATTAINMENT
A Tagalog College Graduate Roman Catholic
G Tagalog College Graduate Roman Catholic
D Tagalog College Graduate Roman Catholic
A Tagalog College Graduate Roman Catholic
J Tagalog College Graduate Roman Catholic
J Tagalog College Graduate Roman Catholic

C. HOME AND ENVIRONMET

The family lives in a galvanize one-story house. Their house is near the road
approximately 20 meters away, and at least 2 meters away from their neighbors. Social
and health facilities are available in the area. Communication facilities are also
available.

D. HEALTH STATUS OF EACH FAMILY MEMBER

1. A– According to client A, his father and mother has history of diabetes

and he is a diabetic patient too.
2. G– Not seen and assessed, due to his work.

3. D– Not seen and assessed, in Baguio.

4. A- Not seen and assessed, in Baguio.
5. J- Not seen and assessed, in Baguio.
6. J- Not seen and assessed, in Baguio.
E. Values, Habits, Practices on Health Promotion, Maintenance and Disease
Prevention
According to the client, he does not remember if he was immunized as a
baby. For his diet, he usually eats vegetables mostly every day and he drink plenty
of water throughout the day. He usually sleeps for about eight hours. Due to his job
as a miner, he gets a lot of exercise in to work out his body. For relaxation, he usually
stays at home spending time with his family.

III. ECO MAP

 Legends: Stores Clients House

Waiting shed Houses (Neighbors)

IV. Identification of the Health Problems

a) Diabetics as health Deficit.
 V. Results of First Level Assessment

A.
First Level Assessment Cues/Data Family Nursing Problem
Diabetics as Health The client is 69 years old *Inability.
Deficit and suffering from
diabetics he is not *Failure to
complying with the
medications prescribed.

B. PRIORITIZATION OF THE HEALTH PROBLEMS

a. Diabetics
SCALE FOR RANKING HEALTH CONDITIONS AND PROBLEMS ACCORDING TO PRIORITIES
CRITERIA SCORE JUSTIFICATION COMPUTATION ACTUAL
GIVEN SCORE
1. Nature of the
problem presented

Scale: Wellness state 3 It is a health deficit 1

Health Deficit that requires
Heath Threat immediate
Foreseeable management to
Crisis prevent
complications.

2. Modifiability of 2 2
the conditions

Scale: Easily
modifiable
Partially
modifiable The possibility of
Not stoke/complications
modifiable are prevented if
hypertension is
controlled.

3. Preventive 3 3/3 x 1 1
Potential

Scale: High
Moderate
 Low

4. Salience 1 1/2 x 1 0.5

Scale: A condition
needing immediate
attention.
A condition
not needing
immediate
attention.
Not perceive
as a problem
needing change.

TOTAL 4.5

C. COMPLETE LIST OF PRIORITIZED FAMILY PROBLEM

HEALTH PROBLEM SCORE

1. Diabetics 4.05

VI. Results of Second Level Assessment

Health Problems Cues Family Diagnosis

Diabetes Client rest from time to *Inability.
time when exhausted

VII. 13 Areas of Assessment

1. Psychosocial Status

2. Mental and Emotional Status

3. Environmental Status

The client lives in sitio alapang labueg kapangan and has a peaceful
neighborhood. The client burns his dirt. However, it can be dusty from time to time due
to passing vehicles.

4. Sensory Status
 a. Visual Status
Eyes are symmetrically aligned and showed equal movement when
asked to look up and down, and from side to side. His pupils are color brown and
in equal size. No yellowing of the sclera noted.

b. Auditory Status
Both right and left ear can hear clearly.

a. Olfactory Status
Has no difficulty classifying smell when, when ask to smell the lotion.

b. Gustatory Status
Can distinguish the difference between sweet and sour.

c. Tactile Status
He can identify sharp to dull object as demonstrated by using the tip of
the pen.

5. Motor Status

6. Nutritional Status

The client eats three meals a day plus a snack in between lunch and dinner. He
usually eats vegetables most of the time.

7. Fluid and Electrolyte Status

The client drinks at least six to eight glasses of water per day.

8. Elimination Status

Client usually defecates every morning and urinates about four to six times a
day.

9. Circulatory Status
Client’s pulse rate during home visits

First Home Visit Second Home Visit

89 bpm 92 bpm

The client has normal pulse rate which ranges form 60-100 bpm.

Client’s blood pressure

First Home Visit Second Home Visit
120/80 mmHg 110/60 mmHg

The client is way above the normal range for blood pressure 120/70
 10. Respiratory Status

First Home Visit Second Home Visit

18 breaths per minute 20 breaths per minute

The client has a normal respiratory rate which ranges from 12-20 bpm.

11. Temperature Status

First Home Visit Second Home Visit

36.5 C 37.0 C

The client has a normal temperature which ranges from 36.5-37.5.

12. Integumentary Status

The client has a brown complexion, poorly moisturized, and has good skin turgor.

13. Rest and Comfort

The client usually gets eight hours of sleep a day and sometimes takes a nap in the
afternoon.

VIII. CONCLUSION

Health plays a vital role in the community.

IX. RECOMMENDATION AND INDIVIDAL LEARNING INSIGHTS

 Recommendations

- Family should visit the health center at least 3 times a month.

 Individual learning insights

X. REFERENCES
Family Nursing Care Plan

A. Diabetics

Health Problems Family Nursing Goals of Care Objectives of Care Nursing Intervention Method of Resources
Problem Nurse- Prepared
Family
Contact
Diabetes as *Inability to After effective After 2-3 days of -Home visit -OB Bag
health deficit recognizee. nursing nursing intervention,
interventions, the client will be -Interview -BP
the client will able to: Apparatus
have adequate
knowledge on - - visit the clinic -Money
how to prevent regularly
or properly
manage
asthma.
XI. APPENDICES

PLACE A PICTURE OF YOUR PATIENT AND YOU PROVIDING HEALTH CARE.