Family Nursing Care Plan
THE FAMILY CARE PLAN
- 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 of interventions, resources and evaluation
criteria, standards, methods and tools.
DESIRABLE QUALITIES OF A NURSING CARE PLAN
1. It should be based on clear, explicit definition of the problems. A good
nursing plan is based on a comprehensive analysis of the problem
situation.
2. A good plan is realistic.
3. The nursing care plan is prepared jointly with the family. The nurse
involves the family in determining health needs and problems, in
establishing priorities, in selecting appropriate courses of action,
implementing them and evaluating outcomes.
4. The nursing care plan is most useful in written form.
THE IMPORTANCE OF PLANNING CARE
1. They individualize care to clients.
2. The nursing care plan helps in setting priorities by providing information
about the client as well as the nature of his problems.
3. The nursing care plan promotes systematic communication among those
involved in the health care effort.
4. Continuity of care is facilitated through the use of nursing care plans. Gaps
and duplications in the services provided are minimized, if not totally
eliminated.
5. Nursing care plans, facilitate the coordination of care by making known to
other members of the health team what the nurse is doing.
STEPS IN DEVELOPING A FAMILY NURSING CARE PLAN
1. The prioritized condition/s or problems based on:
a. NATURE OF CONDITION/ PROBLEM PRESENTED
- Categorized as wellness state/potential, health threat, health deficit,
foreseeable crisis.
b. MODIFIABILITY OF THE CONDITION/PROBLEM
- Probability of success in enhancing the wellness state, improving
the condition, minimizing, alleviating or totally eradicating the
problem through intervention.
c. PREVENTIVE POTENTIAL
- Nature and magnitude of future problems that can be minimized or
totally prevented if intervention is done on the problem under
consideration.
d. SALIENCE
- Family’s perception and evaluation of the problem in terms of
seriousness and urgency of attention needed or family readiness
Scoring – this process will help the nurse in determining which among the family
problems or needs be prioritized
1. Decide a score for each of the criteria
2. Divide the score by the highest possible score in that item and multiply by
the weight
Score x weight
Highest score
3. Sum up the scores of all criteria. The highest score is 5 which is equivalent
to the total weight.
4. The highest score is given the priority, and so on with depending on the
next highest score
CRITERIA SCALE WEIGHT
Nature of the problems Presented
Health deficit / Wellness 3 1
Health threat 2
Foreseeable crisis 1
Modifiability of the problem
Easily modifiable 2 2
Partially modifiable 1
Not modifiable 0
Preventive potential
High 3 1
Moderate 2
Low 1
Salience
A condition / problem needing Immediate 2 1
attention
A condition / problem not needing 1
Immediate attention
Not perceived as a problem or condition 0
needing change
Factors affecting priority setting:
The nurse considers the availability of the following factors in determining the
modifiability of a health condition or problem.
1. Current Knowledge, technology and interventions
2. Resources of the family - physical, financial & manpower
3. Resources of the nurse - knowledge, skills and time
4. Resources of the community - facilities and community organization or
support
Factors in Deciding Appropriate Score for Preventive Potential
1. Gravity or severity of the problem - Refers to the progress of the disease/
problem indicating extent of damage on the patient / family. Also
indicates the prognosis, reversibility of the problem
2. Duration of the problem - refers to the length of time the problem has
been existing
3. Current Management - refers to the presence and appropriateness of
intervention
4. Exposure of any high-risk group
Family Nursing Care Plan
It is the blueprint of care that the nurse designs to systematically minimize
or eliminate the identified family health problem through explicitly
formulated outcomes of care (goal and objectives) and deliberately chosen
set of interventions/resources and evaluation criteria, standards, methods
and tools.
Characteristics of Family Nursing Care Plan
1. It focuses on actions w/c are designed to solve or alleviate & existing
problem.
2. It is a product of deliberate systematic process.
3. The FNCP as with other plans relates to the future.
4. It revolves around identified health problems.
5. It is a mean to an end and not a end to itself.
6. It is a continuous process, not one shot deal.
Desirable Qualities of Family Nursing Care Plan
1. It should be based on a clear definition of the problem.
2. A good plan is realistic, meaning it can be implemented w/ reasonable
chance of success
3. It should be consistent w/ the goals & philosophy of the health agency.
4. It’s drawn w/ the family.
5. It’s best kept in written form.
