fca problem

7/30/2019 FCA Problem

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VI. FAMILY NURSING CARE PLAN (in order of priority)

Problem# 1 Accident Hazards Due to Sharp Objects

CUESANALYSIS OF

THE PROBLEMOBJECTIVES

NURSING

INTERVENTION

S

RATIONALE RESOURCES

REQUIREDEVALUATION

S>”pasensiyana kayu sa

kalat, walakasi akong oras paramaglinis…” ,as verbalizedby MsSmurfette.

O> Thestudent nursehaveobserved the

following:

> the knives,scissors, andother sharpobjects areimproperlykept.

> cookingutensils andequipmentscan be easilyreached bychildren.

> poor lighting

The familyis unable to

recognizethepresenceof theconditionandproblemdue toinadequateknowledgeabout itscause and

effect.

After 3homevisits, thefamily willbe able toprovidemeasuresineliminatingaccidenthazardsdue tosharpobjects.

> Discussthe different

factors thatmay causeinjury to thefamily.

> Teachdifferentways onhow tominimizetheoccurrence

of injuriessuch as:

>Removingall the sharpitems thatmay be acause of stumblingand injury.

>Explorethe family’sreactionabout thehealthteachingsgiven.

> To make thefamily aware

and beknowledgeableof the effectsof the problem.

> To preventinjuries and topromote aclean and safeenvironment.

>To measuretheunderstandingof the healthteachingspresented.

FamilyResources:

>Manpower resourcessuch astime andeffort.

>Cleaningarticlessuch asbroom andbroomsticksanddustpan.

StudentNursesResources:

>Knowledg

e, skills,time andeffort of thestudentnurses.

Goal partiallymet, after 3home visits, thefamily was ableto eliminateaccidenthazards by:

>keeping sharpobjectsproperly kept inplaces wherechildren will notbe able toreach them.



Problem# 2 Poor Lighting Condition

CUESANALYSIS

OF THE

PROBLEM

OBJECTIVESNURSING

INTERVENTIONSRATIONALE

RESOURCES

REQUIREDEVALUATION

S> “mainit sa minkasi walakaming

kuryente” ,asverbalizedby Ms.Smurfette

O> Thestudentnursehaveobservedthe

following:

>There isnoelectricitywithin thehousehold.

>Poorly litrooms(living

room, andsleepingarea)

Thefamily isunable toperceivetheongoingproblemdue toother prioritized needsand lackof financialsupport.

After 3homevisits, thefamilydecided toput 1 bulbto addsomelighting tothe house.

>Explore thefamily’s ideasabout a goodlighting

condition

>Discuss withthe family theimportance of having a goodlightingcondition itsbenefits suchas it preventsstraining of

the eye, andalso theconsequences of having apoor lightedhouse.

>Reinforcethe family’sknowledge onways on howto provide a

well lightedhouse

>Explore thefamily’sreaction aboutthe healthteachings

given.

>To obtain abaseline datafor the healthteachings to

be given tothe family.

>To increasethe family’sawarenessabout goodlightingcondition andpromote agood attitudetowards the

problem.

>To increase/suffice theinadequacy of the family’s

knowledgeabout other ways of improvingtheir lightingcondition.

>To measuretheunderstanding of thehealth

teachingspresented.

FamilyResources:


>Physicalandchemicalresourcessuch asinsecticides, cleaningarticlessuch asbroom andbroomsticks anddustpan.


>Knowledge, skills,time andeffort of thestudentnurses.

Goalpartiallymet, after 3home visitsthe family,together with thestudentnurses, wasable to addsome lightby puttingup 1 bulband openingthe door.They werealso able toincreaseproper ventilationby lesseningthe curtainsaround thewindows.



Problem# 3 Presence of Dental Caries

CUESANALYSIS OF

THE PROBLEMOBJECTIVES

NURSING

INTERVENTIONS RATIONALE

RESOURCES

REQUIRED

EXPECTED

OUTCOME

S> “ay sira sira

la reng ipan ku” asverbaliz ed by MsSmurfett e “sira larin pudeng ipan ng

Ivan[Joker Smurf]” asverbaliz ed by Little MsBrainy Smurf

O> Thestudent

nursehaveobserved thefollowing:

>Presence of dentalcaries

upon theinspection of MsSmurfette andher threechildren’s mouth.

Inability toprovide a

homeenvironmentconducivetopersonaldevelopment due toinadequateknowledg

e aboutpersonalhygieneandfinancialdifficulties.

After 2 daysof nursing

interventionthe familywill be abletodemonstrateunderstanding of thehealthteachingsgiven aboutDentalCaries such

as its cause,methods tocontrol andpreventdental cariesasevidencedby MsSmurfettewill be ableto restatethe health

teachingsgivenaccording toher understanding. The familywill be ableto performmethods of controllingandpreventing

dental cariessuch asproper cleaning of teeth.

>Explore thefamily’s idea

of how dentalcariesoccurs, their knowledge of theconsequences of having adental cariesand their managementto control it.

>Provide thefamily withtheinformationregardingDental Cariesincluding themanagementthat could bedone tocontrol thedisease, and

theconsequences that mayarise such astooth lossand infection.

>Provide thefamily withhealthteachingsregarding

personalhygieneespeciallymouth care,the frequencyof cleaningthe teeth.

> Instruct thefamily to visitthe health

>To obtain abaseline data

for the healthteachings tobe given tothe family.

>Toincrease/suffice theinadequacyof knowledgeof the familyregardingDentalCaries.

>To promotepersonalhygiene tothe family.

> To have aproper medical

Family

Resources:


>Physicalresourcessuch astooth

brushes andtoothpaste.


>Knowledge, skills, timeand effort of the studentnurses.

CommunityResources:

Availabilityof theBarangayHealthCenter for

consultation.

The familyshall have

demonstratedunderstanding of thehealthteachingsgiven aboutDental Cariessuch as itscause;methods tocontrol andprevent

dental cariesas evidencedby MsSmurfette willbe able torestate thehealthteachingsgivenaccording toher understandin

g.

The familyshall haveperformedmethods of controllingandpreventingdental cariessuch asproper

cleaning of teeth.



center for consultation.

>Explore thefamily’sreactionabout thehealthteachingsgiven.

managementof the dentalcaries. > Tomeasure theunderstanding of thehealthteachingspresented.

Problem# 4 Accident Hazard: Fire Hazards

CUES ANALYSIS OF

THEPROBLEM

OBJECTIVESNURSING

INTERVENTIONS RATIONALE RESOURCES

REQUIREDEVALUATION

S>”hindi konga alamkung san koipupuwestoyan eh

(charcoal grill). Walana kasing space”, asverbalized by MsSmurfette.

O> Thestudentnurse haveobserved the

following:

> Thecharcoal grillcan be easilyaccessed bythe children.

Thefamily isunable torecognizethe

presenceof theconditionandproblemdue toinadequateknowledge aboutits cause

andeffect.

After 3 homevisits, thefamily will beable toprovide

measures ineliminatingFireHazards.

>Discuss thedifferentfactors thatmay causefire.

>Teachdifferent wayson how tominimize theoccurrence of fire such as:

>moving their charcoal grillto a placewhere it is not

accessible bychildren or place somebarriers.

>Explore thefamily’sreactionabout thehealthteachings

given.

> To makethe familyaware and tomake themknowledgeabl

e of itseffects.

> To preventfire and topromote theimportance of

having a safeenvironment.

>To measuretheunderstanding of thehealth

teachingspresented.

FamilyResources:

>Manpower

resourcessuch astime andeffort.

>Cleaningarticlessuch asbroom andbroomsticks, dustpan,

and rugs

>Construction tools likehammer,nails, andwoodboards.

Student

NursesResources:

>Knowledge, skills,time andeffort of thestudentnurses.

Goal partiallymet, after 3 homvisits the familywas able toeliminate fire

hazards by:

> putting a barrin the charcoalgrill and placingin a safe placewhere childrenwill not be able reach it.



Problem# 5 Poor Ventilation Condition

CUES ANALYSIS OF

THEPROBLEM

OBJECTIVESNURSING


RESOURCES

REQUIRED

EXPECTED

OUTCOME

S>“mainitsamin, kasiwalakamingkuryente” asverbalizedby MsSmurfette.

O>Thestudentnurses haveobservedthefollowing:

>Obstructedwindow

Inabilityto makedecisionswithrespectto takingappropriate actiondue tonegativeattitudetowardstheproblem.

After 2 days of nursinginterventionwill be able to

restate actionsthat could bedone toimprove their ventilationcondition asevidenced byMs Smurfettewill be able torepeat theteachingsgiven

according toher ownunderstanding.

>Explore thefamily’s ideasabout a goodventilation

condition.

>Discuss withthe family theimportance of having agoodventilationcondition itsbenefits suchas it prevents

easy transfer of diseases,and also theconsequences of having apoor ventilationcondition.

>Reinforcethe family’sknowledge on

ways on howto provide awellventilatedhouse

>Explore thefamily’s

reactionabout thehealthteachingsgiven.

> To obtain abaseline datafor the healthteachings to

be given tothe family.

>To increasethe family’s awarenessabout goodventilationcondition andpromote agood attitudetowards the

problem.

>To increase/suffice the

inadequacyof the family’sknowledgeabout other ways of improvingtheir ventilationcondition.

>To measurethe

understanding of thehealthteachingspresented.

FamilyResources:

>Manpower resourcessuch as timeand effort.

>Cleaningarticles suchas broomandbroomsticksanddustpan.



Ms Smurfetteshall haverestatedactions that

could be doneto improve theirventilationcondition asevidenced byMs Smurfettewill be able torepeat theteachings givenaccording toher ownunderstanding.

The family shalhave showedanimprovementon their ventilation condition asevidenced byremoval of theclothes thatobstruct the

windows andby washing thecurtains.



Problem # 6 Accident Hazard: Fall Hazards

CUES ANALYSIS OFTHE PROBLEM OBJECTIVES

NURSING


RESOURCES

REQUIREDEVALUATION

S>”pasensiy a na sabahay naming,

maliit lang..”,as verbalized by MsSmurfette

O> Thestudentnurse haveobserved thefollowing:

> The stairsis narrowand steep.

The familyis unabletorecognize

thepresenceof theconditionandproblemdue toinadequateknowledgeabout itscause and

effect.

After 3homevisits, thefamily will

be able toprovidemeasuresineliminatingfallhazards.

>Discuss thedifferent factorsthat may causeinjury to the

family.

> Teachdifferent wayson how tominimize theoccurrence of injuries suchas:

> puttingbarriers on topof the stairs toprevent falls tothe children.

>Explore thefamily’sreaction aboutthe healthteachingsgiven.

> To makethe familyaware andbe

knowledgeable of theeffects of theproblem.

>To preventinjuries andto promote asafeenvironmentfor the familyespecially tothe children.

>To measurethe

understanding of thehealthteachingspresented.

FamilyResources:

>Manpower

resourcessuch as timeand effort.

>Cleaningarticles suchas broom andbroomsticksand dustpan.

>Construction

tools likehammer,nails, andwood scraps.


>Knowledge,

skills, timeand effort of the studentnurses.

Goalpartiallymet, after 3home visits

the familwas able toeliminatefall hazardby:

>putting abarrier otop of thestairs.



Problem # 7 Non-use of Self Protection Against Health Threats


NURSING


RESOURCES

REQUIRED

EVALUATI

ON

S>”nakuhaniya [Joker Smurf] yansa mga

lamok eh..” asverbalized by MsSmurfette

O> Thestudentnurse haveobservedthefollowing:

>nomosquitonets

>dustysurroundings

>water supply isnot

properlycovered

The familyis unable toperceive thepresence of

theconditionand problemdue toinadequatefinancialsupport.

After 3homevisits, thefamily

learned theproper wayto havegoodpersonaland oralhygieneand thechildrenused somedisinfectant

to preventthe causeof allergiesanddiseases(providedby themother)

> Discuss tothe mother about thepotential

effects of theproblem tothe family.

> Discussthe differentways to treatthe problemlike dailycleaning tolessen dust

around thesurrounding.


> Toencourage thefamily toinclude

personalhygiene totheir activitiesof daily living.

> To educatethe family aclear understandingof having andusing self-protection

against healththreats.


FamilyResources:


>Physicaland chemicalresourcessuch asinsecticides,cleaningarticles such

as broomandbroomsticksand dustpan.


>Knowledge,skills, time

and effort of the studentnurses.

Goal metafter 2homevisits. The

family wasable touse self protectionagainsthealththreats by:

>dailycleaningof the

surrounding

>proper handwashinghabits

>coveringthe water supply

>goodpersonalhygiene



Problem # 8 Inadequate Living Space


NURSING


RESOURCES

REQUIREDEVALUATION

S>”dahil buntis ako,di ko namagawang

maglinis ng bahay…” asverbalized by MsSmurfette

O> Thestudentnurse haveobservedthe

following:

> steep andnarrowstairs.

>inadequate area for sleeping.

> unwashed

curtains.

The familyis unabletorecognize

thepresenceof theconditionandproblemdue toinadequateknowledgeon itscause andeffects.

After 3 homevisits, thefamilyimproved the

availability of a cleanenvironment,washed thecurtains,wiped thefloor,organizedthe cabinets,shoe rack,andmedicine

storage.Theyrearrangedthe sleepingarea byputting newstrippedcarton boxesfor sleeping.

> Discuss theeffects of havinginadequate

living space.

>Encouragedandreinforceddaily cleaningof the house.

>Supervision

of wet anddry hangingclothes thatcausesbreeding of vectors andmosquitoes.

> To maintaincleanliness of the availablespace.

> To improveproper circulation of air and makethem aware of having a wellmanagedspace.

> To prevent

infestation of pests that cancause further health threats.

FamilyResources:


>Physicalandchemicalresourcessuch asdetergentsand fabric

conditioners,cleaningarticles suchas broomandbroomsticksand dustpan.



Enumeratedthe followingfactorscontributing to

inadequateliving space:

>inadequateventilation

>dirty windowscreen

>dirty curtains

Enumerated

interventionsin response tothe problem:

>dailycleaning of the house

>dusting outthe windowscreens



Problem# 9 Insufficient Personal Hygiene

CUES ANALYSIS

OF THEPROBLEM

OBJECTIVESNURSING


RESOURCES

REQUIREDEVALUATION

S>”hoy Ivan! [Joker Smurf]

maligo kana nga,nakakahiy a sa mgabisita.Isabay mona rin mgakapatid mo”, asverbalized by MsSmurfette.

O> Thestudentnursehaveobservedthefollowing:

> MsSmurfettehas tartar

on her teeth andtoothdecay > untidyclothes of childrenuponinteraction >uncleanfingernails > kids

have tartar on their teeth

Thefamily isunableto

practicegoodpersonalhygienedue toinadequateknowledge ontheeffect of

having apoor personalhygiene.

After 3homevisits, thefamily will

be able todemonstrate proper behavior inmaintaining goodpersonalhygiene

>stress theimportanceof cleanliness

on aperson’shealth andpoor hygiene

>Discusswith thefamily thepossiblediseases that

might bebroughtabout bypoor personalhabits.

> Discussandencourageproper hand

washingbefore andafter eating.


>Toencouragethe family toinclude

personalhygiene totheir activitiesof daily living

>Poor hygiene cancontribute tospread of disease.

>Handwashingminimizes thespread of disease.


FamilyResources:


>Physicalandhouseholdresourcessuch as

toiletries(toothbrushandtoothpaste)


>Knowledg

e, skills,time andeffort of thestudentnurses.

Goal partiallymet, after 3home visitsthe family

was able todemonstratethe proper handwashingtechniques,brushing of teeth trimtheir fingernailsand disinfect

rashes of Joker Smurf.



Problem# 10 Insufficient Sleeping Area


NURSING

INTERVENTION

S

RATIONALERESOURCES

REQUIRED

EXPECTED

OUTCOME

S>“masakit nga likuranko dahil sa

sahig lang kami natutulog ”asverbalizedby MsSmurfette.

O>Thestudentnurses have

observedthefollowing:

>There isnot enoughspace for sleeping.

>There areno beds or

mattresses.

Inability tomakedecisions

withrespect totakingappropriate actiondue tonegativeattitudetowardstheproblem

due toinadequate financialresourceand lackof financialsupport.

After 2 days of nursingintervention

the Smurfs willbe able torestate actionsthat could bedone toimprove their sleeping areaas evidencedby MsSmurfette thatwill be able torepeat the

teachingsgivenaccording toher ownunderstanding.

>Explore thefamily’sideas about

a goodsleepingarea.

>Discusswith thefamily theimportanceof having agood andenoughsleeping

area.

>Reinforcethe family’sknowledgeon ways onhow toprovide abetter sleeping

area.


> To obtain abaseline datafor the health

teachings tobe given tothe family.

>To increasethe family’sawarenessabout theproblem andto improvetheir sleepingarea based

on their availableresources.

>To increase/suffice theinadequacyof the family’sknowledgeabout other ways of improving

their ventilationcondition.

>To measuretheunderstanding of thehealthteachingspresented.

FamilyResources:


>Cleaningarticles suchas broomandbroomsticksand dustpan

and anyavailableresourcesthat theSmurfs canuse.



Ms Smurfetteshall haverestated

actions thatcould be doneto improve theirsleeping areaas evidencedby MsSmurfette, thatshe will beable to repeatthe teachingsgiven accordingto her own

understanding.

The family shalhave showedanimprovementon their sleeping areaevidenced bythe addition of stripped cartonboxes as their

bed andsweeping of thefloors for themto sleep.

Problem# 11 Family Size Beyond What Family Resources Can Adequately Provide


NURSING


RESOURCES

REQUIREDEVALUATION

S>”baka pagkapanganak komaghanapako ng trabaho.

The familyis unableto providethe needsof themembers

After 3 homevisits, MsSmurfetterealized thatafter shegave birth,

>EncourageMs Smurfetteto work after she gavebirth.

>To makeMs Smurfetteable toprovide theneeds of her family.

FamilyResources:

>Manpower resourcessuch as time

Goal partiallymet, after 3home visits,the family willbe able torealize that it



Wala kasi kami

pinagkukunan ng

panggastosnaming..” asverbalized by Ms

Smurfette

O>Thestudentnurse haveobservedthefollowing:

>noadequate

resources

>cannotprovide thebasic needsof the family(food,clothing,medicine)

due toinadequateresources(income)

she will workfor them tohave incomethat willprovide theneeds of her family.


>To measuretheunderstanding of thehealthteachingspresented.

and effort.


>Knowledge,skills, time

and effort of the studentnurses.

is a must toprovide even

just the basicneeds of thefamilymembers.

Problem# 12 Physical Inactivity


NURSING


RESOURCES

REQUIREDEVALUATION

S>”nahihiyakasi akolumabas,natatakot akosa sasabhinng mga tao”,as verbalized by MsSmurfette.

O> Thestudentnurse haveobserved thefollowing:

>no physicalactivityamong Ms

The familyis unableto interactwith othersdue to lowself-esteemand the

family isafraid of criticisms.

After 3homevisits, MsSmurfettewill be ableto open upwith her personal

life

>Encouragethe family tomingle withothers

>Continuouspractice of allthetechniques

>To obtainknowledgenot onlyfrom their personalresourcesbut also toother socialresources

that canhelp themimprovetheir health.

>To includea better lifestyle thatwill lead togood health.

FamilyResources:



>Knowledge,skills, timeand effort of the studentnurses.

Goal partiallymet, after 3home visits,the familywas able todemonstratephysicalactivity like

goingoutside.They wereable tomingle withpeopleoutside their houseespecially tothe studentnurses.



Smurfette

>introversion

>The Smurfsdoesn’tmingle muchwith others

that willminimizehealthproblemsand help toavoid thepresence of microorganisms in their bodies.


>Tomeasure theunderstanding of thehealthteachingspresented.

fca problem

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