FNCP

Family Nursing
Care Plan
Saravon Legaspi-Casauay,RN
Is defined as a guide or framework of
nursing care designed to provide ways
in solving health related problems
of the family as a whole.
CHARACTERISTICS OF
FNCP
 Focuses on action to minimize or solve existing
problems.
A product of deliberate systematic process –
data analysis.
 Relates to the future; projects future scenario.
 Based upon the identified health and nursing
problems – problems are starting points.
 It is a means to an end, not an end to itself-
deliver the most appropriate care by
eliminating barriers to family health
development.
A continuous process- must be evaluated for
its effectiveness.
DESIRABLE QUALITIES
OF FNCP
 It should be based on clear, explicit definition
of the problems.
A good plan is realistic.
 Prepared jointly with the family.
IMPORTANCE OF
PLANNING CARE
 Individualizes patient care.
 Set priorities by providing information about the
client and nature of problems.
 Promotes systematic communication involved in
care.
 Continuity of care is facilitated, prevents gaps
and duplication of care.
 Coordinates care to other health team members
STEPS IN DEVELOPING
FAMILY NURSING CARE
PLAN
1. Prioritization of problems
2. Setting the goals and objectives
3. Planning interventions
4. Evaluation of care
2
0
CASE ILLUSTRATION ON PRIORITY SETTING
Malnutrition
Criteria Computation Actual Score Justification
1. Nature of 3/3 x 1 1 It is a health
the problem deficit that
requires
immediate
management
to eliminate
untoward
consequences
2. Modifiability of 2/2 x2 2 The problem is
the problem easily modifiable
since the nurse
resources are
available; she can
help the family
on effective
budgeting of
money and
scheduling of
time ; she can
develop the skills
of other
members to
achieve good
nutrition – proper
food selection
and preparation
and feeding
practices
3. 3/3 x 1 1 Susceptibilit
Preventive y to other
potential diseases and
infections
can be
prevented if
malnutrition
is
eliminated;
normal
growth and
developmen
t can thus be
achieved
4. 0/2 x 1 0 It is not a
Salience felt
of the problem
problem
Total 4
score
Unsanitary waste disposal
Criteria Computatio Actual justificatio
n score n
1. Nature of 2/3 x 1 2/3 It is a
the problem health
threat
2. 2/2x 1 2 Resources
Modifiabilit are
y of the available
problem and
intervention
s are
feasible
3. 3/3 x 1 1 Occurrence
Preventive of parasitism
potential and other
communicabl
e diseases
can be
reduced or
minimized
4. Salience of No data No data
the problem available available
Total score 3 2/3
Improper refuse disposal
Criteria Computation Actual score Justification
1. Nature of 2/3 2/3 It is a health

the problem threat
2. 2/2 x2 2 Resources
Modifiability are available
of the and
problem interventions
are feasible
3. Preventive 3/3 x 1 1 Communicabl
potential e diseases
are
transferred
by insects
and rodents
can be
prevented
4. Salience of No data No data
the problem available available
Total score 3 2/3
FACTORS IN DETERMINING THE
MODIFIABILITY OF THE PROBLEM
 Current knowledge, technology and
interventions to manage the problem
 Resources
of the family – physical, financial
and manpower
 Resources
of the community- facilities and
community support
FACTORS IN AFFECTING THE SCORING
OF PREVENTIVE POTENTIAL
 Gravity/severity of the patient.
= disease progression, extent, damage on the
patient/family.
= the more severe, the lower is the preventive
potential.
 Current management
= appropriateness of intervention instituted.
= Exposure to any high risk group.
II. FORMULATION OF GOALS AND
OBJECTIVES OF NURSING CARE
GOALS OBJECTIVES
General statement of the  More specific statements of

condition to be brought desired results or outcomes of
care
about by specific courses 
Specify the criteria by which
of action the degree of effectiveness of
Client outcomes care are to be measured
Goals tell where the  Must be specific in order to
family is going facilitate its attainment
GOALS
 Must be set together with the family
 Family must be able to recognize and accept
the presence of existing health needs and
problems
 Nurse must ascertain the family’s knowledge
and acceptance of the problems and the desire
to make actions to resolve them
BARRIERS TO GOAL SETTING
 Failure of the family to perceive the existence of the
problem.
 Family is too busy with other concerns.
 Family does not see the existence of a problem as serious
enough to necessitate attention.
 Family may perceive the problem and the need to take
action, but they don’t want to do something on the
situation.
 Failure between the nurse and the family to establish a
working relationship.
SELECTION OF APPROPRIATE NURSING
INTERVENTIONS
 Thenurse must specify the most effective

method of the nurse and family contact.
 Thenurse must specify the most effective

resources.
HOW TO CHOOSE THE APPROPRIATE
NURSING INTERVENTION?
 Analyze with the family the current situation
and determine choices and possibilities.
 Develop family’s competencies as thinker,
doer and feeler.
 Focus on interventions to help perform the
health tasks.
 Catalyze behavior change through motivation
and support.
DEVELOPING THE EVALUATION PLAN
 Specifies how the nurse will determine
changes in health status, condition, or
situation and achievement of the outcome of
care.
 Itincludes criteria, evaluation methods/ tools
and sources of evaluation data.
SCENARIO 1
You are a Community Health Nurse in Brgy. Masigla and went for home visit for
Mabunga Family. Mr. Rey, the head of the family is a farmer, and his wife is a
"labandera". They have 3 children named Pia who is 10 years old, Rj a 7 years old and
Tina 4years old.
When you reached their home, Mrs. Felly was cleaning their house while Pia was taking
care of their youngest sibling. She entertained you and you let her rest and took her
blood pressure. It was 160/100mmHg, after 30 minutes the reading was 150/100mmHg,
so you decided to recheck it again after 30mins and the result was the same
150/100mmHg. You educate her some home management on how to decrease her blood
pressure and advised to visit the nearest Health Center. All the data was recorded and
made an appointment visit on the next day.
On the following day, Mrs. Felly told you that she was able to visit the Health center
yesterday and was given Losartan (Bepsar) 50mg once a day to be taken at 7am and an
emergency drug which is Metoprolol (Lopressor) 50mg PRN sublingually.
SCENARIO 2
You are taking care of the Dimalanta Family, Mr. Jose is a tricycle
driver, and his wife Rina is a full-time housewife, they have 2
children named Ana who is 8 years old and Bruno who is 4 years old.
While doing your home visit, you noticed that their wooden staircase
was broken and there is a pointed part of the wood that was lifted.
Along the side, you saw that the bleach and Oxalic acid that Mrs.
Rina usually uses for laundry and Muriatic acid for cleaning their
comfort room were improperly kept. You educate Mrs. Rina on what
possible health risks are in this situation.
All the data and observation was recorded and made an
appointment.
THANK YOU. 

FNCP

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1. Nature of 2/3 2/3 It is a health

General statement of the  More specific statements of

 Thenurse must specify the most effective

 Thenurse must specify the most effective

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