Activity 3.

Developing a Family Nursing Care Plan

Introduction: A FNCP is the blueprint of the care that the nurse designs to systematically
minimize or eliminate the identified health and family nursing problems through explicitly
formulated outcomes of care (goals and objectives) and deliberately chosen set of
interventions, resources and evaluation criteria, standards, methods and tools. Specific features
of NCP are based on the concept of planning as a process. The following are characteristics of
NCP:

1. It focuses on actions which are designed to solve or minimize existing problem.

2. It is a product of a deliberate systematic process
3. It relates to the future. It utilizes events in the past and what is happening in the
present.
4. It is based upon identified health and nursing problems
5. It is a means to an end, not an end in itself.
6. Nursing care planning is a continuous process, not a one-shot deal. The results of
evaluation of the plan’s effectiveness trigger another cycle of planning.

Qualities of a NCP:

1. It should be based on clear, explicit definition of the problem/s.

2. A good plan is realistic
3. It is prepared jointly with the family
4. It is most useful in written form. It is a means of communication among nurses and
between nurses and other members of the health team.

Steps in developing a FNCP

Step 1: Prioritize the health conditions and problems based on the nature of condition or
problem; modifiability, preventive potential and salience.

Step 2: Define the goals and objectives of care. Formulate the expected outcomes to be
observed to show problem is prevented, controlled, resolved or eliminated; client’s response/s
or behavior. Be sure to state specific, measurable client-centered statements/competencies.

Step 3: Develop the intervention plan. Decide on:

a. Measures to help eliminate barriers to performance of health tasks and underlying

cause/s of non-performance of health tasks
b. Family-centered alternatives to recognize/detect, monitor, control or manage health
conditions or problems.
c. Determine methods of nurse-family contact
 d. Specific resources needed

Step 4: Develop the evaluation plan. Specify criteria/outcome based on objectives of care and
methods or tools used.

Analyze your answers in Activity 1 and Activity 2 and fill in the tables below.

1. Utilizing the information you learned in your CHN lecture, prioritize the 4 problems you
have identified in the first and 2nd activity.

Health conditions / Priority rank Justification/Rationale

Problems
Preeclampsia 1 The problem is health
deficit and requires
more immediate
intervention

The family does not

recognize the
existence of the
problem
Family size beyond 4 The problem is health
family resources can threats, the available
adequately provide family resources are
not enough to
provide the needs of
family.
Malnutrition 2 It is a health deficit
and requires
immediate
management to
eliminate untoward
consequences
Inability to provide a 3 The problem is health
home environment threats, it can be
conductive to health linked to the diseases
maintenance and cause by poor
personal development
hygiene and
due to inadequate
sanitation
knowledge of
importance of hygiene
and sanitation
2. Formulate the goals and objectives of care

Health conditions / Goal of Care Objectives of Care

Problems
Preeclampsia After nursing After nursing intervention, the
intervention, family will:
The family will take - Ensure that Mrs. A
the necessary will have regular
measures to prenatal check up at
prevent or properly the clinic.
manage - Implement agreed
preeclampsia. upon health actions
for Mrs. A especially
in the areas of
laboratory work-up,
nutrition diet of
physical activity, rest
and sleep and general
hygiene
- Decide on a hospital
delivery for Mrs. A
Malnutrition After nursing After nursing intervention the family
intervention, will:
The family will have - Can explain the sign
the knowledge and symptoms of
about malnutrition malnutrition
and be aware of the - Have the knowledge
health of their on how malnutrition
family members occur In one person
- Can prepare healthy
foods that cost less
yet still nutritious
food
- Improve the weight
of Rina with the help
of the health
teachings being
taught to eat various
kinds of food
Inability to provide After nursing After nursing intervention the family
a home intervention, will:
environment The family will take - Identify necessary
conductive to health the necessary actions to improve
 maintenance and measures to their living
personal properly - Change their
development due to maintain/manage behavior regarding
inadequate to improve family their health
knowledge of environment and - Practice proper waste
importance of good proper disposal, proper
hygiene and sanitation segregation of the
sanitation garbage
Family size beyond After nursing After nursing intervention,
family resources can intervention, The couple will:
adequately provide The family will - Can explain what
decide on planning the family is
appropriate action all about
to maintain family - Can enumerate the
size based on a various ways of
sense of maintaining the size
responsibility for of the family
love and life - Will select the a
family planning
method that most
appropriate to them
- Will consult the nurse
after delivery for
guidance on what
method had chosen

3. Develop the intervention plan

Health Goal of Care Objectives of Care Nursing Interventions Meth

conditions od of
/ Nurse
Problems -
Famil
y
Conta
ct
Preeclamp After nursing After nursing intervention, • Broaden the knowledge Home
sia intervention, the family will: of the family on visit
The family - Ensure that complication of and
will take the Mrs. A will pregnancy specifically: clinic
necessary have regular - Discuss the visit
measures to prenatal implication
prevent or check up at s of the
properly the clinic. signs and
 manage - Implement symptoms
preeclampsia. agreed upon presented
health actions by Mrs. A
for Mrs. A - Discuss the
especially in consequen
the areas of ces of
laboratory action on
work-up, the
nutrition diet problem
of physical •discuss with the family
activity, rest the courses of action
and sleep and open to them
general
hygiene • explore ways of which
- Decide on a urinalysis can be done
hospital either by having:
delivery for - A family
Mrs. A member
bring the
specimen
to the
nearest
laboratory
and have
the result
available
or
- The agency
set up its
own
laboratory
for simple
test
especially if
accessibilit
y of a
laboratory
service is a
major
problem of
clients in
the
community
Malnutriti After nursing After nursing intervention • Assess the degree of Home
on intervention, the family will: awareness of the family visit
The family - Can explain regards to existing health
will have the the sign and problems
knowledge symptoms of
about malnutrition • Emphasize the
malnutrition - Have the importance of proper
and be aware knowledge on nutrition
of the health how
of their family malnutrition • Teach the family on
members occur In one proper food preparation
person
- Can prepare • Enumerate the
healthy foods advantages and
that cost less disadvantages of
yet still malnutrition
nutritious
food • Identify cheaper
- Improve the nutritious and healthy
weight of Rina foods
with the help
of the health
teachings
being taught
to eat various
kinds of food
Inability After nursing After nursing intervention • Discuss with the family Home
to provide intervention, the family will: the strategies to improve visit
a home The family - Identify their living regards to
environm will take the necessary cleanliness and garbage
ent necessary actions to disposal
conductiv measures to improve their
e to properly living • Guide the family
health maintain/ma - Change their implementing the
maintena nage to behavior strategies
nce and improve regarding
personal family their health • Motivate the family to
developm environment - Practice maintain cleanliness and
ent due to and good proper waste healthy living
inadequat proper disposal,
e sanitation proper • Encourage the member
knowledg segregation of of the family to actively
e of the garbage participate in
importanc Every household chores.
e of
hygiene
and
sanitation
Family After nursing After nursing intervention, • Analyze with the couple Home
size intervention, The couple will: critical issues related with visit
beyond The family - Can explain marital relationship and
family will decide on what planning parent’s responsibility for
resources appropriate the family is love and life as basis for
can action to all about maintaining family size
adequatel maintain - Can
y provide family size enumerate • Discuss with the couple
based on a the various the alternative courses of
sense of ways of action
responsibility maintaining
for love and the size of the • Analyze with the couple
life family the advantages and
- Will select the disadvantages of each
a family alternative method to
planning encourage better decision
method that making on the best option
most given the family’s situated
appropriate to possibilities
them
- Will consult • Explore with the family
the nurse especially with the couple
after delivery ways of encouraging
for guidance growth promoting
on what activities to enhance
method had marital relationship for
chosen family life education

4. Develop the evaluation plan

Health Objectives Criteria for Evaluation

conditions / evaluation tool
Problems
Preeclampsi After nursing intervention, the The goal was Visual aids
a family will: met,
- Ensure that Mrs. A Time and
will have regular Mrs. A effort of the
prenatal check up understand nurse and
at the clinic. the family
- Implement agreed importance
upon health actions of regular
 for Mrs. A especially prenatal Transportatio
in the areas of check up n and
laboratory work-up, and decided expenses of
nutrition diet of on a hospital the nurse and
physical activity, delivery family
rest and sleep and because of
general hygiene complication
- Decide on a hospital .
delivery for Mrs. A
Malnutrition After nursing intervention the The goal was • Weighing
family will: partially scale
- Can explain the sign met,
and symptoms of • Time and
malnutrition The family effort of
- Have the knowledge can nurse and
on how malnutrition verbalize the family
occur In one person signs and
- Can prepare healthy symptoms of • Money for
foods that cost less malnutrition the nurse
yet still nutritious and transportatio
food importance n and
- Improve the weight of proper nutritious
of Rina with the nutrition. food
help of the health
teachings being • Tape
taught to eat measure
various kinds of
food • BMI chart

Inability to After nursing intervention the The goal was

provide a family will: partially • Time and
home - Identify necessary met, effort of the
environmen actions to improve nurse and
t conductive their living The family family
to health - Change their can
maintenanc behavior regarding verbalize the
e and their health importance
personal - Practice proper of good
developmen waste disposal, hygiene and
t due to proper segregation sanitation.
inadequate of the garbage
knowledge The family
of divided the
importance household
of hygiene chores for
and cleanliness
sanitation of their
home.

Family size After nursing intervention, The goal was Visual aids on
beyond The couple will: met, methods
family - Can explain what regulating
resources planning the family The couple fertility.
can is all about can now
adequately - Can enumerate the explain what Time and
provide various ways of planning the effort of both
maintaining the size family is all nurse and
of the family about, they family
- Will select the a can now
family planning decide what Money for
method that most family the nurse
appropriate to them planning transportatio
- Will consult the method they n
nurse after delivery will choose
for guidance on and not be
what method had confuse
chosen about
possible
effect of it.