Module 6
Module 6
Module 6
Concept/Digest
THE FAMILY CARE PLAN
• Formulation of the care plan is the next step in the nursing process after
assessment, when health and family nursing problems have been clearly
defined.
• A family nursing 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 set of interventions, resources and
evaluation criteria, standards, methods and tools.
Features
• The definition above points to specific features of a nursing care plan.
These characteristics are based on the concept of planning as a
process.
1. The nursing care plan focuses on actions which are designed to solve
or minimize existing problem.
2. The nursing care plan is a product of a deliberate systematic process.
3. The nursing care plan, as with all other plans, relates to the future.
4. The nursing care plan is based upon identified health and nursing
problems.
5. The nursing care plan is a means to an end, not an end in itself.
6. Nursing care planning is a continuous process, not a one shot deal.
The results of the evaluation of the plan's effectiveness trigger
another cycle of the planning process until the health and nursing
problems are eliminated.
2
2. Modifiability of the condition or problem 2
Scale **: Easily Modifiable 1
Partially Modifiable 0
1
Not Modifiable
3
4.Preventive Potential 2
Scale **: High 1
Moderate 1
Low
4.Salience 2
Scale **: A condition or problem needing
immediate attention 1
A condition or problem not needing
immediate attention 0
Not perceived as a problem or
condition needing change
Scoring:
1. Decide for a score on each of the criteria.
2. Divide the score by the highest possible score and multiply by the
weight.(Score / Highest Score) x Weight
3. Sum up the score for all the criteria. The highest score is 5 equivalent to
the total weight.
• The nurse considers the availability of the following factors in deter mining
the modifiability of a health condition or problem:
• To determine the score for salience, the nurse evaluates the family’s
perception of the condition or problem. As a general rule the family’s
concerns, felt needs and/or readiness increase the score on salience.
SCORING
• After the score for each criterion has been decided on, the number divided
by the highest possible score in the scale.
• The quotient is multiplied by the weight indicated for the criterion being
considered.
• Then the sun the scores for all the criteria is taken.
• The highest score is five (5), equivalent of the total weight.
• The nurse considers as priority those conditions and problems with total
scores nearer five (5). Thus, the higher the score of a given condition or
problem the more likely it is taken as a priority.
• With the available scores, the nurse then ranks health conditions and
problems accordingly.
Concept/Digest
▪ Goals set by the nurse and the family should be realistic or attainable.
▪ They should therefore, be set at reasonable levels. Too high goals and their
consequent failure frustrate both the family and the nurse.
▪ Goals, like objectives, are best stated in terms of client out whether at the
individual, family or community levels.
Long-term objective - All members will carry out mosquito vector control
measures.
2. Health care requirement cards as per health conditions and morbidity status
• Pregnant women or antenatal card
• Intra natal card or labor record
• Person with illnesses (e.g. Tuberculosis record, Diabetes record,
Hypertension case card)
• Drug addicts or alcoholics record
• Any chronic care records
• Immunization record
❖ Usually for family health service a family folder including different cards is
maintained. This includes socio-demographic information, children’s health
status (including height, weight, immunization and feeding habits etc.)
maternal records, morbidity records and observations of general health
status of family and the environment of the family.
FILLING OF RECORDS
Different systems may be adopted depending on the purposes of the records and
on the merits of a system. Records could be arranged in the following ways:
• Alphabetically
• Numerically
• Geographically and
• With index cards
REGISTERS
It provides indication of the total volume of service and type of cases seen.
Clerical assistance may be needed for this. Registers can be of varied types such
as immunization register, clinic attendance register, family planning register, birth
register and death register.
REPORTS
Reports can be compiled daily, weekly, monthly, quarterly and annually.
Report summarizes the services of the nurse and/or the agency and may be in
the form of an analysis of some aspect of a service.
PURPOSES OF WRITING REPORTS
• To show the kind and quantity of service rendered over to a specific period.
• To show the progress in reaching goals.
• As an aid in studying health conditions.
• As an aid in planning.
• To interpret the services to the public and to other interested agencies.
In addition to the statistical reports, the nurse should write a narrative report every
month which provides as opportunity to present problems for administrative
considerations. Maintaining records is time consuming, but they are of definite
importance today in the community health practice in solving its health problems.
Learning Activity:
1. Collect data on population, location, and social systems of an assigned
community.
2. Make a plan of community health interventions for the top priority problem.
3. Prepare a plan for evaluation of the community health interventions in the plan.