FNCP Flashcards
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 and deliberately chosen set of interventions, resources, and evaluation of criteria, standards, methods and tools
FAMILY NURSING CARE PLAN
is the set of actions the nurse decides to implement to be able to resolve identified family health and nursing problems
FAMILY NURSING CARE PLAN
focuses on actions which are designed to solve or minimize existing problem
CHARACTERISTICS OF A FAMILY NURSING CARE PLAN
the product of a deliberate systematic process
CHARACTERISTICS OF A FAMILY NURSING CARE PLAN
- It relates to the future
- It is based upon identified health and nursing problems
CHARACTERISTICS OF A FAMILY NURSING CARE PLAN
- It is a means to an end, not an end itself
- It is a continuous process, not a one-shot deal
CHARACTERISTICS OF A FAMILY NURSING CARE PLAN
- Clear and explicit definition of the problem
- Realistic
- Prepared jointly with the family
- Useful in written form
DESIRABLE QUALITIES OF A NURSING CARE PLAN
Helps in setting priorities by providing information about the client as well as the nature of his problems
FAMILY NURSING CARE PLAN
Promotes systematic communication among those involved in the health care effort
FAMILY NURSING CARE PLAN
Continuity of care is facilitated through the use of nursing care plans
FAMILY NURSING CARE PLAN
Facilitate the coordination of care by making known to other members of the health team what the nurse is doing
FAMILY NURSING CARE PLAN
- PRIORITIZED CONDITION/S OR PROBLEM
- FORMULATION OF GOALS AND OBJECTIVES
- SELECTION OF NURSING INTERVENTIONS
- PLAN FOR EVALUATING CARE
STEPS IN DEVELOPING A FAMILY NURSING CARE
starts with a list of health condition or problems prioritized according to the nature, modifiability, preventive potential and salience. The prioritized health problems become the basis for the next step which is the formulation of goals and objectives of nursing care
- PRIORITIZED CONDITION/S OR PROBLEM
specify the expected health/clinical outcomes, family responses/s, behavior or competency outcomes
GOALS AND OBJECTIVES
focuses on alternatives and decisions on appropriate intervention measures based on the specific objectives formulated. T
- SELECTION OF NURSING INTERVENTIONS
specify the nursing actions to help the family eliminate the barriers to the performance of health task or the underlying cause/s of non-performance of expected health tasks.
interventions
includes family focused alternatives or strategies to help
members recognize /detect health problems or opportunities to enhance wellness state or condition, monitor, eliminate, control and manage health problems or enhance wellness condition
interventions
specifies the criteria or outcomes as explicit measures that determine achievement of formulated objectives
- PLAN FOR EVALUATING CARE
Conditions to be observed to show problem is prevented, controlled, resolved or eliminated
Expected outcomes
Client responses or behavior
Expected outcomes
Specific, Measurable, Client-Centered Statements/Competencies
Expected outcomes
A general statement of the condition or state to be brought about by specific course of action
Goal
should be realistic or attainable
Goal
best stated in terms of client outcomes, whether at the individual, family, or community levels
Goal
Tells where the family is going after the interventions
Goal
after family nursing interventions, the family will be able to take care of the disabled child competently
goal
Refers to more specific statements of the desired results or outcomes of care
Objectives
Specify the criteria by which the degree of effectiveness of care are to be measured
Objectives
Milestones to reach the destination or the goal
Objectives
The more specific these are, the easier is the evaluation of their attainment
Objectives
- Immediate attention
- Short period of time
- Few family contact
- Less resources
Short term or Immediate Objectives
- Several nurse-family encounters
- Investment of more resources
Long Term or Ultimate Objectives
- Not immediately achieved
- Required long-term care
Medium-Term or Intermediate Objectives:
- Failure on the part of the family to perceive the existence of the problem
Barriers to Join Goal Setting between the Nurse and the Family
The family may realize the existence of a health condition or problem but is too busy at the moment with other concerns and pre-occupations
Barriers to Join Goal Setting between the Nurse and the Family
Sometimes, the family perceives the existence of a problem but does not see it as serious enough to warrant attention
Barriers to Join Goal Setting between the Nurse and the Family
The family may perceive the presence of the problem and the need to take action however refuses to face and do something about the situation
Barriers to Join Goal Setting between the Nurse and the Family
Failure to develop a working relationship
Barriers to Join Goal Setting between the Nurse and the Family
- Barriers to performance of health tasks
HELP FAMILY ELIMINATE THESE
- Underlying cause/s of non-performance of health tasks
HELP FAMILY ELIMINATE THESE
- Family-centered alternatives to recognize/detect, monitor, control or manage health condition or problems
HELP FAMILY ELIMINATE THESE
- Specify Resources needed
- Methods of Contact
DETERMINE METHODS OF A NURSE-FAMILY CONTACT
This involves selection of appropriate nursing interventions based on the formulated goals and objectives
DEVELOPING THE INTERVENTION PLAN
- Analyze with the family the current situation and determine choices and possibilities based on a lived experience of meetings and concerns
GUIDE IN SELECTION OF APPROPRIATE NURSING INTERVENTIONS
- Develop/enhance family’s competencies as thinker, doer, and feeler
GUIDE IN SELECTION OF APPROPRIATE NURSING INTERVENTIONS
Focus on interventions to help perform the health tasks
GUIDE IN SELECTION OF APPROPRIATE NURSING INTERVENTIONS
a. Help the family recognize the problem
b. Guide the family on how to decide on appropriate health actions to take
GUIDE IN SELECTION OF APPROPRIATE NURSING INTERVENTIONS
c. Develop the family’s ability to provide a home environment conducive to health maintenance personal development
d. Facilitate the family’s capability to utilize community resources for healthcare
GUIDE IN SELECTION OF APPROPRIATE NURSING INTERVENTIONS
- Catalyze behavior change through motivation and support
GUIDE IN SELECTION OF APPROPRIATE NURSING INTERVENTIONS
This part specifies criteria/outcomes based on objectives of care
methods/tools
DEVELOP THE EVALUATION PLAN
- This tool aims to objectify priority setting.
- There are four criteria for determining priorities among health condition/s or problems.
SCALE FOR RANKING HEALTH CONDITIONS AND PROBLEMS ACCORDING TO PRIORITIES
3- Wellness/Potential
2- Health Threat
1- Health Deficit
0- Foreseeable Crisis
NATURE OF THE CONDITION OR PROBLEM PRESENTED
Refers to the probability of success in enhancing the wellness state, improving the condition, minimizing, alleviating or
totally eradicating the problem through intervention
MODIFIABILITY OF THE CONDITION OR PROBLEM
Refers to the nature and magnitude of future problems that can be minimized or totally prevented if intervention is done on
the condition or problem under consideration
PREVENTIVE POTENTIAL
Refers to the family’s perception and evaluation of the condition or problem in terms of seriousness and urgency of attention needed or family readiness
SALIENCE
3- Wellness/Potential
2- Health Threat
1- Health Deficit
0- Foreseeable Crisis
WEIGHT = 1
NATURE SCORING
2- easily modifiable
1- partially modifiable
0- Not modifiable
WEIGHT = 2
MODIFIABILITY SCORING
3 - HIGH
2 - MODERATE
1 - LOW
WEIGHT = 1
PREVENTIVE POTENTIAL SCORING
2 - NEED IMMEDIATE ATTENTION
1 - NOT NEEDING IMMEDIATE ATTENTION
0 - NOT A PROBLEM
WEIGHT = 1
SALIENCE SCORING
Which among the following is not a characteristic of a family nursing care plan?
a. it relates to the future
b. It focuses on actions which are designed to solve or minimize existing problem
c. It is a continuous process, not a oneshot deal
d. it is based upon identified health and community problems’
D
Which among the following nurses presents desirable qualities in creating a family nursing care plan?
a. The nurse obtains information about his adopted family from the neighbors
b. The nurse meets up with the family to talk about their desired goals and objectives and plans the intervention with them
c. The nurse provided verbal instructions on the desired goals and outcomes of the family nursing intervention
d. The nurse documents that the family is having trouble with regards to their safety
B
Arrange the following activities based on the steps in developing a family nursing care plan
a. The nurse creates teaching plan regarding proper diet and
importance of balanced nutrition.
b. The family was able to enumerate different food groups and healthy food choices appropriate for the malnourished child.
c. Malnutrition was identified to be the top priority that needs to be addressed by the family.
d. Gain at least 2.5kg after 3 months of nursing intervention.
C, D, A B
When we determine whether the objectives of the family nursing care plan were attained or not, we are determining ?
a. Adequacy
b. Appropriateness
c. Effectiveness
d. Efficiency
C