INTERVENTION PLAN HEALTH PROBLEM FAMILY NURSING CARE PLAN OBJECTIVES OF -CARE GOAL OF CARE EVALUATION NURSING INTERVENTION ● Child Abuse and Violence The most urgent health problem in this scenario is child abuse and violence. Marco's abusive behavior towards both Elena and, more importantly, her son Carmelo, is a grave concern. Carmelo was physically assaulted to the point where he couldn't walk or talk for days. This constitutes a severe health and safety risk to both Elena and her children, especially Carmelo. Marco is industrious and generally quiet, but on some occasions, while under the influence of liquor, he was very abusive to his wife and most especially to Carmelo who at one time, Marco beat with a rattan whip. The boy couldn’t walk nor talk for days. ● ● Child abuse and violence within the family. Safety and well-being of the children, especially Carmelo. Marco's abusive behavior and its impact on family dynamics. 1. 2. 3. Ensure the safety and well-being of Elena and her children, with a focus on Carmelo. Prevent further instances of child abuse and violence within the family. Address the underlying issues contributing to Marco's abusive behavior. 1. Ensure immediate safety: - Ensure Carmelo's physical and emotional safety. - Remove him from any immediate danger. 2. Assess and document injuries: - Conduct a thorough assessment of Carmelo's injuries and document them. - Document any signs of abuse in Elena and other children. 3. Report abuse: -Report the abuse to the appropriate child protective services or authorities. 4. Provide emotional support: - Offer emotional support to Carmelo and Elena to address the trauma they've experienced. 5. Address Marco's behavior: - Identify the underlying causes of Marco's abusive behavior. - Encourage Marco to seek help or therapy for his behavior. Independent: ● Conduct a comprehensive assessment of the family's living situation, including the physical environment, social support, and any other potential stressors. ● Assess the physical and emotional condition of Elena and her son Carmelo, documenting any signs of abuse or neglect ● Offer emotional support and a non-judgmental environment to Elena and Carmelo to encourage open communication about their experiences. ● Provide resources and referrals to counseling services or support groups for victims of abuse. ● Educate Elena and Carmelo about the cycle of abuse, its effects on victims, and strategies for breaking free from abusive relationships. ● Provide information on available community resources, such as shelters and legal aid services. Dependent: ● Collaborate with social workers and law enforcement to ensure the immediate safety of Elena and her children, especially Carmelo. ● Develop a safety plan that includes emergency METHOD OF NURSE-FAMILY CONTACT ● ● ● ● ● Home Visits Clinic Visits Reporting and Legal Intervention Counseling and Support Collaborativ e Efforts RESOURCES REQUIRED ● ● ● ● Access to medical facilities for Carmelo's immediat e medical needs. Access to a therapist or counselor for emotional support. Contact informatio n for local child protective services. Education al materials on child abuse preventio n and healthy relationshi ps. The immediate safety of Elena and Carmelo has been ensured, with a clear safety plan in place. Elena and Carmelo exhibit improved emotional well-being, decreased anxiety, and increased willingness to discuss their situation. Carmelo's physical injuries are assessed, treated, and monitored for improvement. All documentatio n is complete, accurate, and follows legal and ethical guidelines. Elena and Carmelo ● ● contacts, safe locations, and steps to take if violence escalates. Coordinate with healthcare providers to assess and treat any injuries sustained by Carmelo due to physical abuse. Administer necessary medical care and pain management as indicated. demonstrate an understanding of the dynamics of abuse and the available support services. Effective collaboration with social workers, law enforcement, and healthcare providers is evident in ensuring the family's safety and well-being.