chn_Family Nursing Care Process

Family Nursing Process

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 and deliberately chosen set.

Nursing Process

a problem-solving approach that enables the nurse to provide care in an organization and scientific manner.

Phases of nursing process

assessment, diagnosis, outcome identification, planning, implementation, evaluation

Nursing Assessment Phase

- collection of data
- comparison of data against the standard or norm

data collection has three sources of data (true or false)

true

First Source of Data

health status of the family

Second source of Data

family's status as a functioning unit

Third Source of Data

family's environment

Methods of Gathering Data

1. direct observation
2. interviewing
3. physical examination
4. review of records
5. laboratory or diagnostic tests

Types of Data use as Initial Data Base for Family Nursing Practice

1. family structure and characteristics
2. socio-economic and cultural factors
3. environmental factors
4. health assessment of each member
5. value placed on preventive disease

Types of Standards or Norms

1. normal health of individual members
2. home and environment conditions conducive to family development
3. family characteristics from a dynamic and level of functioning conducive to family development.

health problem

is defined as a tuition or condition which interferes with the promotion and/ or maintenance of health and recovery from illness and injuries

Health Need

exist when there is a health problem that can be alleviated with medical or social technology

Typology Of Nursing Practice

the study or systematic recitation of types it is a tool or classification of a family nursing problems that reflects the family status and its capabilities as a functioning unit

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

Characteristics of FNCP

1. the nursing care plan focuses on action which are designed to solve or minimize existing problems

2. the nursing care plan is a product of deliberate systematic process

3. the nursing care plan as well as other plans relates to the future

4. the nursing care plan is based upon identified health and nursing problems

5. the nursing care is a means to an end not an end in itself

6. nursing care plan is a continuous process not a one shot deal

the nursing care plan should be consistent with the goals and philosophy of the health agency
(true or false)

true

the nursing care plan is best kept in a typewritten form (true or false)

false

Importance of Planning Care

1. they individualized care to clients

2. nursing care plan helps in setting priorities for providing information about the client as well as the nature of his problem

3. the nursing care plan promotes systematic communication among those involved in the healthcare effort

4. continuity of care is facilitated through the use of nursing care

5. nursing care plans facilitate the coordination of care by making known to other members of the health team what the nurse is doing

Criteria for Determining Priorities

1. nature of condition or problems
2. modifiability of the problem
3. preventive potential
4. salience

nature of condition or problem

category city wellness state or potential commercial threat , health deficit , or foreseeable crisis

modifiability of the problem

refers to the probability of success in minimizing , elevation or totally eradicating the problem through nursing interventions

preventive potential

refers to the nature and magnitude of future problems that can be minimize or totally prevented if intervention is done on the problem under consideration

Salience

refers to the family's perception and evaluation of the problem in terms of seriousness an urgency attention needed

Goals

is a general statement of condition or state to be brought about by specific courses of action and is the end toward which all efforts are directed

objectives

refers to more specific statement of the desired result or outcomes of care and it can either be nurse-oriented based on activities of the nurse or client-oriented stated in terms of outcomes

Objective Time Frame

-short-term or immediate objectives
-medium-term or intermediate objectives
-long-term or ultimate

SMART goals

Specific, Measurable, Attainable, Realistic, Timely

Types of Resources

- family resources
- nurse resources
- community resources

Methods of Intervention

-family-nurse contact
-home visit
-clinic visit

evaluation is always related to objectives. (true or false)

true

there is always an element of subjectivity in evaluation; the process involves value judgement which is objective

false

Dimensions of Evaluation

Effectiveness
Efficiency
Appropriateness
Adequacy

Effectiveness

a dimension of evaluation that focuses on attainment of the objective

Efficiency

a dimension of evaluation that relate to cost weather in terms of money , time , effort , or materials

Appropriateness

a dimension of evaluation where we solves or correct existing problem situation , a question that involves professional judgment

Adequacy

a dimension of evaluation which pertains to its comprehensiveness whether all necessary activities were performed in order to realize the intended results

Criteria

differ to the signs or indicators that tell us if the objective has been achieved they are the names and description of variables that are relevant indicators of having attained the objectives.

Standard

it refers to the desired level of performance corresponding with a period against which actual performance is compared . it tell us what the acceptable level of performance or state of affairs should be for us to say that the intervention was successful

Activities

are actions performed to accomplish an objective . They are are the things the nurse does in order to achieve a desired result or outcome

Outcomes

is the result produced by activity where activity is the cause , outcome is the effect .

Physical Condition

decrease temperature or weight and change in clinical manifestations

Psychological or Attitudinal Status

decrease anxiety and favorable attitude towards health care personnel

Knowledge on Learning Behavior

compliance of the patient with instructions given by the nurse