FAMILY NURSING CARE PLAN (FNCP) DEFINITION •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 criteari, standards, methods and tools. FEATURES FNCP 1.The nursing care plan focuses on actions which are designed to solve or minimize existing problem. The plan is a blueprint for action. The cores of the plan are the approaches, strategies, activities, methods and materials which the nurse hopes will improve the problem situation. 2.The nursing care plan is a product of a deliberate systematic process. The planning process is characterized by logical analyses of data that are put together to arrive at rational decisions. The interventions the nurse decides to implement are chosen from among alternatives after careful analysis and weighing of available options. 3.The nursing care plan, as with all plans, relates to the future. It utilizes events in the past and what is happening in the present to determine patterns. It also projects the future scenario if the current situation is not corrected. 4.The nursing care plan is based upon identified health and nursing problems. The problems are the starting points for the plan, and the foci of the objectives of care and intervention measures. 5.The nursing care plan is a means to an end, not an end in itself. The goal in planning is to deliver the most appropriate care to the client by eliminating barriers to family health development. 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. STEPS IN MAKING FAMILY NURSING CARE PLAN The assessment phase of the nursing process generates the health and nursing problems which become the bases for the development of nursing care plan. The planning phase takes off from there. FORMULATING A FAMILY CARE PLAN INVOLVES THE FOLLOWING STEPS: 1.The prioritized condition/s or problems 2.The goals and objectives of nursing care 3.the plan of interventions 4.The plan of evaluating care This is a schematic presentation of the nursing care plan process. It starts with a list of health condition or problems prioritized according to the nature, modifiability, preventive potential and salience. The prioritized health condition or problems and their corresponding nursing problems become the basis for the next step which is the formulation of goals and objectives of nursing care. The goals and objectives specify the expected health/clinical outcomes, family response/s, behavior of competency outcomes. FAMILY NURSING CARE PLAN: ASSESSMENT & DIAGNOSES IN FAMILY NURSING PRACTICE The family nursing process is the same nursing process as applied to the family, the unit of care in the community. These are the common assessment cues and diagnoses for families in creating Family Nursing Care Plans. FIRST LEVEL ASSESSMENT The process of determining existing and potential health conditions or problems of the family. These health conditions are categorized as: I. Presence of Wellness Condition II. Presence of Health Threats III. Presence of health deficits IV. Presence of stress points/foreseeable crisis situations SECONDLEVEL ASSESSMENT Second level assessment identifies the nature or type of nursing problems the family experiences in the performance of their health tasks with respect to a certain health condition or health problem. I. Inability to recognize the presence of the condition or problem II. Inability to make decisions with respect to taking appropriate health action III. Inability to provide adequate nursing care to the sick, disabled, dependent or vulnerable/at risk member of the family IV. Inability to provide a home environment conducive to health maintenance and personal development V. Failure to utilize community resources for health care
