Formulation of
Family Nursing
Care Plan
Professor Mary Grace L. Araullo RN MSCPD
SUBJECTIVE AND OBJECTIVE CUES
SUBJECTIVE CUE (SC): “May balon sa likod nang bahay
namin” as verbalized by the mother.
OBJECTIVE CUE (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 the 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 hazard;
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.
INTERVENTION WITH RATIONALE
1. Assess the family’s perceptions with regards to the problems identified.
Rationale: To acknowledge the family concerns and in order to promote
cooperation.
2. Discuss with the family the possible risk factors that will result with the
occurrence of the problem. Rationale: To provide information regarding
the risk factors such as fall.
3. Emphasize to the family the importance of solving the problem and on
maintaining an environment which is safety at home. Rationale: To
develop the family’s ability and commitment to provide nursing care to
the members of the family and on taking actions to solve the problems.
INTERVENTION WITH RATIONALE
4. Provide suggestions about solving the problem and preventive measures
on fall hazards such as putting a cover made of wood or plywood, having
the sides of the well cemented, and putting a wooden fence around the
well to guard the hole and enhance the safety of each family member.
Rationale: To guide the family on how to decide or select for appropriate
actions to take with regards to the problem identified.
5. Evaluate the family’s plan or course of action they are going to make.
Rationale: To enhance the capability of the family 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, “kailangan nating gawin at takpan ang
ating balon upang hindi mapanganib ang mga bata, baka
mahulog sila.”