Sample FNCP
Sample FNCP
Sample FNCP
This is the family health nursing care plan for the ARENOS family of Tublay
Central. Data was surveyed September 30, 2010, Thursday with the informant Rita
Arenos.
What is a family?
How well a family works together and how well it can organize itself against potential
threats depend on who its members are and the activities or roles the family members
carry out. Recognizing different family structures allows health care providers to focus
on family-centered care or provide a family-friendly environment for care.
By context, we define “family client” as group of people who live in the same
household, share a common emotional bond, and perform certain interrelated social tasks
to which health care is directed. With the aid of health care providers, the family client is
the co-facilitator of its own care.
Place of Residence
The Arenos family owns a house and lives at BenguetTublay Central.
The family income comes from the 3 members of the family, namely
SaniyoArenos(head of the family), Rita Arenos(wife of Saniyo), and Julius Arenos(their
first child). They are working mainly as a farmer. Since the three members of the family
are working, their salary is good enough for the allocation of the family’s needs as
confessed by Rita. According to the wife, income for a month is roughly P2, 000.00. The
income is distributed to the house expenses, food and farm equipments. The electric bill
has an amount of P100.00. The child’s milk is also one of the major expenses of the
family. A box of bonamil is P95.00 and is only good for 4 days while a can, P475.00 is
usually consumed in 2 weeks. Since the client’s water avail from community water
system, it is also added to the expenses of the family. The family is incapable of having
luxuries like clothes, and other machineries since their focus is on their necessities.
The family has a good relationship with the community since they do not have enemies
or conflicts with other person but they are active in any community organization. Saniyo,
Rita, and Julius spend more time in the farm. Ana, the wife of Julius is a plain housewife;
she spends her time at home and to watch her one and only child.
They have pets like dogs, chickens, and carabao. The house of the client is prone to many
accident hazards, because the house is located in an unsafe area. It is noticeable that place
become muddy and slippery when it comes the rain. Risk for falls or injury therefore it is
considered as foreseeable crisis or it can be also a health threat for the whole family.
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C. Home and Environment
The family owns a house made up of light materials such as wood, hallow blocks and
galvanized iron sheets. They have two bed rooms, a living room and a kitchen. All things
found in their house are fixed. Their house is neat and clean. There are four windows,
which keep the entire house well lighted and ventilated and they have also a connection
of electricity. However, cob webs are seen on the ceiling, fire woods are not properly
piled up and garbage are not properly placed on a sealed container so as with the drums
containing rain water and they are just burning their garbage’s. These areas could be a
breeding site for mosquitoes, flies and cockroaches.
Outside the house water is stagnant on the backyard for there was no proper and
good drainage system. And the grasses are evidently tall and not well trimmed. This
could serve as a site for mosquitoes, cockroaches, rodents and snakes.
The family utilizes “saleng” in cooking their food, woods are located near the area for
cooking, and one window is located in the kitchen for ventilation. Pots and pans are
properly at one corner together with their plates, bowls, glasses and eating utensils. Food
supplies are stored in a basket or in the small built-in cabinet. Excess food were placed in
a container and left on the table. The table on the other hand is clean and flies are absent.
The only problem is the garbage is not properly sealed and there garbage is not properly
disposed.
The family utilizes a level two water supply facilities or a communal faucet system.
Abundant and continues water supply came from a spring, which were stored in a
reservoir and distributed through pipeline. The family boils their water intended for
drinking purposes for 30 minutes and stores it in plastic containers.The family is
defecating in an open pit style.
There is no drainage system utilized by the family. Waste water from the kitchen, laundry
and the water used for bathing flows directly on the background and it had already
formed a pool of stagnant water, which serves as a breeding site for vectors.
The compound where the family lives is free from noise disturbance. Houses are 5 to 10
meters away from each other. The people within the compound know each other and they
have an open communication with one another.
The road is quite difficult to reach because of landslides, slippery and rocky terrain which
is about two to three kilometers away. No public unity vehicle can reach the area so
people need to walk. At the highway, trucks, jeepneys, buses, motorcycles and private
vehicles can passé through and the road is well developed aside from some cases of
landslides due to the previous typhoon.
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D. Family Development Stages and Health Status of Each Family Member
Saniyo- grandfather
Since the client is not always around during the assessment because of his work, he was
not physically assessed. Saniyo is monitored to be hypertensive according to her wife. No
hypertensive drugs taken for maintenance. Never been hospitalized and had her last
check up at the Rural Health Unit at Acop, Tubay few years ago (Not remembered).
Rita – grandmother
Rita is currently 66 years old. She is anemic. She sometimes feels body weakness and
headache when she is stressed. Pain relievers like paracetamol are taken to alleviate
condition and she also taking Vitamins. The diet of the client consists mainly of rice,
vegetables and some meat and fruits. She eats three times a day with snacks in between
meals.
Rita is alert and coherent. She responds well to verbal stimuli and responds appropriately
to noise, touch, and painful stimuli. In addition, she is well oriented to time, place and
person. She is able to understand and responds appropriately to stimuli. She is well
oriented to her environment and she is not using any restraints devices for
morbidity.Cough and colds are the common illnesses occur in the family.
Julius – Son
During the visit the mother of Julius said to us that Julius is suffering from cough and
colds. According to Rita it is because of the weather and maybe of their neighbors who
just suffer from colds. They have not consulted physicians because they believe it is
normal to get cough and cold. In cases of serious medical problems the family usually
visits RHU Acop and Benguet General Hospital.
They have a strong faith to health care professionals because they expect them to provide
them the quality care they need for a good health status.
Julius is under the developmental task vs. isolation. He is already coped up with this task
since he is already. The only thing to do is to maintain the marriage working and setting
problems or issues to avoid conflicts.
Ana is currently 23 years old. She is also under the developmental task of intimacy vs.
isolation. Ana is also suffering from cough and colds. According to Rita it is because of
the weather and maybe of their neighbors who just suffer from colds. They have not
consulted physicians because they believe it is normal to get cough and cold. Her child
was delivered in the hospital when she labored. Further assessment reveals that the client
didn’t have any difficulties with her pregnancies. She is well oriented to her
environment. She is able to read and write. She relates to other family members well.
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Joan- Grand-daughter
Joan is a 1-year-old baby girl. She is under the developmental task of trust vs. mistrust.
Since she is on this stage, the parents must be able to provide the child with a loving and
caring environment. It was observed that the mother carries and talks with child and the
child felt safe with mother as manifested by hugging her when the student nurse is
around.
The client was exclusively breastfed for the first five months of life. From then on, water
was incorporated. At 5 months, formula milk was introduced but still mixed breastfeed.
Complementary feedings like mashed potatoes, am with milk porridge, biscuits and
breads were also given. The mother noticed that the child was choosy with foods.The
mother doesn’t do any home remedies to deal with client’s illnesses since she believe that
the medications will do.
The baby sleeps most of the time during the day about 1-2 hours interval. During the
night the baby sometimes wake up but most of the time asleep. The client is already able
to crawl, stand with assistance and hold objects. The baby can also utter words such as
mama or papa and other short words.
The family goes to the RHU they only utilize such services when someone in the family
gets too ill because of its distal proximity and lack of financial resources. The family does
not have beliefs on food and nutrition. They just considerfoods as a source of strength
and energy that keeps them alive.
The family goes to bed at 8 o’clock. They usually wake up at 4 to 5 o’ clock in the
morning. During the afternoon when they do not to go to the farm they usually have an
hour of nap at noontime. Gardening and farming, as verbalized is one of the recreational
and at the same time relaxation technique utilized by the clients.
The clients are non-smoker and non-alcohol drinker. Gambling for them is just a waste of
money so they do not practice any. The family does not utilize the barangay health
services due to its distant location; medical check-up was seldom done due to financial
inadequacy.
The family believes on “atang practices” and super natural being such as fairies and
dwarfs. Many beliefs are also present regarding supernatural phenomena such as “kulam”
and ”buyon”. The family is conscious, coherent, and conversant. They are oriented
toperson, place, and time. They can speak in Ilocano and Tagalog.
There were no reported infectious diseases present neither in the family nor in the
neighborhood except for cough and colds. As observed, hand washing is not given
attention; health education regarding infection control is best required. They claimed that
they get irritable in too much noise. There are four windows, which keep the entire house
well lighted and ventilated. However, cod webs are seen on the ceiling, fire woods are not
properly piled up and garbage are not properly placed on a sealed container so as with the
drums containing rain water. These areas could be breeding sites for mosquitoes, flies,
and cockroaches.
Outside the house wastewater is stagnant on the backyard for there was no proper and
good drainage system. The yard also serves as a place where they urinate, and the grasses
are evidently tall and not trimmed; this could serve as a site tor mosquitoes, rodents and
snakes.
The following are the immunizations of Ana and Joan: BCG; DPT1, DPT2, DPT3;
OPV1, OPV2, OPV3; HEPB1, HEPB2, HEPB3 and AMV. Joan is fully immunized.
Ana, on the other hand already had 5 doses of Tetanus Toxoid
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II. FIRST AND SECOND LEVEL OF ASSESSMENT
A. Health Strengths
B. Health Problems
Health Problem (First Level Supporting Cues/ Strengths Second Level Assessment (Family
Assessment) and Weaknesses Nursing Diagnosis)
A. Health Deficit
Illness states: Cough and Crackles noted upon 1. Inability to make decisions with
colds auscultation on lower lobes of respect to taking appropriate health
the lungs. Occasional coughing action due to:
episodes noted. Mother a.) fear of consequences of
reported that client has actions, specifically: economic
secretions with vomitus whitish consequences
in color and thick consistency. 2. inability to provide adequate
No use of accessory muscles nursing care to sick member of the
noted. Since the family has family due to:
inadequate resources of money, a.) lack of inadequate knowledge
the mother tends to delay about the disease/health condition
check-up of child until the (nature, severity, complications,
funds are available. prognosis and management)
3. inadequate family resources for
care,
B. Heath Threat
Improper garbage disposal The collection of garbage is not - Inability to make decisions with
practiced in the community. respect to taking appropriate health
Waste segregation is practiced action due to:
and composting is not done. a. Fear of consequences of action,
Usual practice is placing the specifically economicconsequences.
trash in an old sack or plastic
bags and burning the garbage.
Presence of mosquitoes as Outside the house wasted water Inability to make decisions with
health threats is stagnant on the backyard for respect to taking appropriate health
there was no proper and good action due to lack of knowledge
drainage system. The yard also with the presence of problem.
serves as a place where they
urinate, And the grasses are
evidently tall and not trimmed;
This could serve as a site tor
mosquitoes, rodents and snakes.
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III.PRIORITIZATION TABLES & JUSTIFICATION OF ALL HEALTH
PROBLEMS IDENTIFIED
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List of prioritized Health Problem