Nursing Process In Family-Based Nursing PDF

NURSING PROCESS IN FAMILY-BASED NURSING Family-Based Assessment -a systematic collection of data to determine the family’s status and to identify any actual or potential health problems Ferrick, M. (2020). Limited Family Assessment. Photo. Retrieved from h...

NURSING PROCESS IN FAMILY-BASED NURSING Family-Based Assessment -a systematic collection of data to determine the family’s status and to identify any actual or potential health problems Ferrick, M. (2020). Limited Family Assessment. Photo. Retrieved from https://marshaferrickcoaching.com/limited-family-assessment/  NURSING PROCESS IN FAMILY-BASED NURSING Family-Based Assessment DATA COLLECTION -involves gathering of 5 types of data which generate the categories of Maglaya, A. (2012) Nursing Practice in the Community, health condition or problem 8th ed., Marikina City: Argonauta Corporation NURSING PROCESS IN FAMILY-BASED NURSING Steps: DATA COLLECTION 1. Family structure, 2. Socio-economic 3. Home and characteristics and and cultural environment dynamics characteristics NURSING PROCESS IN FAMILY-BASED NURSING Steps: DATA COLLECTION 4. Health status 5. Values and of each practices on member health promotion NURSING PROCESS IN FAMILY-BASED NURSING Steps: DATA Gathering Methods and Tools 1. Observation 2. Physical 3. Interview examination NURSING PROCESS IN FAMILY-BASED NURSING Steps: DATA Gathering Methods and Tools 4. Record Review 5. Laboratory / diagnostic tests NURSING PROCESS IN FAMILY-BASED NURSING Steps: DATA COLLECTION -involves gathering of 5 types of data which generate the categories of health condition or problem NURSING PROCESS IN FAMILY-BASED NURSING Steps: DATA ANALYSIS -sorts out and classifies or groups data by type or DATA nature COLLECTION -involves gathering of 5 types of data which generate the categories of health condition or problem NURSING PROCESS IN FAMILY-BASED NURSING Steps: DATA ANALYSIS Wellness states Threats DATA Deficits COLLECTION -involves gathering of 5 Foreseeable crisis types of data which generate the categories of health condition or problem NURSING PROCESS IN FAMILY-BASED NURSING Steps: DATA ANALYSIS Relates data with each other DATA Compares data with COLLECTION -involves gathering of 5 norms and standards types of data which generate the categories of health condition or problem NURSING PROCESS IN FAMILY-BASED NURSING FORMULATION OF NURSING Steps: DIAGNOSIS -developing Family DATA nursing problems for each ANALYSIS health condition -sorts out and classifies data by type or nature DATA COLLECTION -involves gathering of 5 Relates data with each types of data which other generate the categories of Compares data with health condition or problem norms and standards NURSING PROCESS IN FAMILY-BASED NURSING FORMULATION OF NURSING Steps: DIAGNOSIS -a tool was developed to DATA facilitate the process of ANALYSIS defining health condition / problem -sorts out and classifies data by type or nature DATA COLLECTION -involves gathering of 5 Relates data with each types of data which other generate the categories of Compares data with health condition or problem norms and standards NURSING PROCESS IN FAMILY-BASED NURSING FORMULATION OF NURSING Steps: DIAGNOSIS DATA The TYPOLOGY OF NURSING ANALYSIS PROBLEMS IN FAMILY NURSING PRACTICE -sorts out and classifies data by type or nature DATA COLLECTION -involves gathering of 5 Relates data with each types of data which other generate the categories of Compares data with health condition or problem norms and standards  NURSING PROCESS IN FAMILY-BASED NURSING The TYPOLOGY consists of six (6) main categories of problems in Family Nursing Care. 1. The result of the analysis of data taken during the First Level Assessment [Assessment Data Base (ADB)] - Family Structure, Characteristics and Dynamics, etc. is reflected as “statement of the health condition or problem” – wellness state, health threat, health deficit or foreseeable crisis NURSING PROCESS IN FAMILY-BASED NURSING The TYPOLOGY consists of six (6) main categories of problems in Family Nursing Care. 2. The remaining five (5) main categories of problems contain statements of the family’s “Inability to perform the health tasks” that constitute the Second Level Assessment.  NURSING PROCESS IN FAMILY-BASED NURSING SECOND-LEVEL ASSESSMENT 1. Inability to recognize the presence of the condition or problem due to: 2. Inability to make decisions with respect to taking appropriate health actions due to: 3. Inability to provide adequate nurding care to the sick, disabled, dependent or vulnerable / at risk member of the Family due to:  NURSING PROCESS IN FAMILY-BASED NURSING SECOND-LEVEL ASSESSMENT 4. Inability to provide home environment conducive to health maintenance and personal development due to: 5. Failure to utilize community resources for health care due to: NURSING PROCESS IN FAMILY-BASED NURSING FORMULATION OF GOAL AND OBJECTIVES A  NURSING PROCESS IN FAMILY-BASED NURSING Formulation of Goal and Objectives Goal is defined as broad desired outcome toward which behavior is directed  NURSING PROCESS IN FAMILY-BASED NURSING Formulation of Goal and Objectives s  NURSING PROCESS IN FAMILY-BASED NURSING Formulation of Goal and Objectives Example: After nursing interventions, the family will be able to take care of the disabled child competently.  NURSING PROCESS IN FAMILY-BASED NURSING Formulation of Goal and Objectives Cardinal principle: GOAL MUST BE SET JOINTLY WITH THE FAMILY.  NURSING PROCESS IN FAMILY-BASED NURSING Formulation of Goal and Objectives Barriers to joint goal setting between the Nurse and the Family include the following: 1. Failure on the part of the family to perceive the existence of the problem. 2. The family may realize the existence of the problem but is too busy at the moment with other concerns and preoccupations.  NURSING PROCESS IN FAMILY-BASED NURSING Formulation of Goal and Objectives 3. Sometimes the family perceives the existence of a problem but does not see it as serious enough to warrant attention. 4. The family may perceive the presence of the problem and the need to take action. The family may however refuse to face and do something about the situation.  NURSING PROCESS IN FAMILY-BASED NURSING Formulation of Goal and Objectives GOALS SET BY THE NURSE AND THE FAMILY SHOULD BE REALISTIC AND ATTAINABLE.  NURSING PROCESS IN FAMILY-BASED NURSING Formulation of Goal and Objectives GOALS LIKE OBJECTIVES ARE BEST STATED IN TERMS OF CLIENT OUTCOMES; OBJECTIVE IN CONTRAST TO GOALS REFER TO MORE SPECIFIC STATEMENTS OF THE DESIRED RESULTS OR OUTCOMES OF CARE.  NURSING PROCESS IN FAMILY-BASED NURSING Formulation of Goal and Objectives GOALS SET BY THE NURSE AND THE FAMILY SHOULD BE S – M – A – R - T.  NURSING PROCESS IN FAMILY-BASED NURSING Formulation of Goal and Objectives Objectives stated as outcomes of care in family health nursing practice specify physical, psychosocial or family behavior.  NURSING PROCESS IN FAMILY-BASED NURSING Formulation of Goal and Objectives Example: After nursing intervention, the malnourished member of the family will increase the weight by at least one pound per month.  NURSING PROCESS IN FAMILY-BASED NURSING Formulation of Goal and Objectives After nursing intervention, the family will be able to: Feed the malnourished child according to prescribed quantity and quality of food  NURSING PROCESS IN FAMILY-BASED NURSING Developing the INTERVENTION Plan Involves selection of appropriate nursing Intervention Plan interventions based on the formulated goals and objectives  NURSING PROCESS IN FAMILY-BASED NURSING Developing the INTERVENTION Plan The nurse decides on appropriate nursing actions specifying the most effective and Intervention Plan efficient method of NURSE-FAMILY contact and the resources needed Nurse-family contact: refer to previous discussion  NURSING PROCESS IN FAMILY-BASED NURSING Developing the INTERVENTION Plan Focus on Intervention Plan interventions that will help family perform the health task  NURSING PROCESS IN FAMILY-BASED NURSING Developing the INTERVENTION Plan 1. Help the family Intervention Plan recognize the problem  NURSING PROCESS IN FAMILY-BASED NURSING Developing the INTERVENTION Plan 2. Guide the family Intervention Plan on how to decide on appropriate health action to take  NURSING PROCESS IN FAMILY-BASED NURSING Developing the INTERVENTION Plan 3. Develop family’s ability and commitment Intervention Plan to provide care to its members  NURSING PROCESS IN FAMILY-BASED NURSING Developing the INTERVENTION Plan 4. Facilitate Family’s capability to utilize Intervention Plan community resources for healthcare  NURSING PROCESS IN FAMILY-BASED NURSING Developing the INTERVENTION Plan 5. Enhance Family’s capability to provide Intervention Plan home environment conducive to health maintenance  NURSING PROCESS IN FAMILY-BASED NURSING Developing the EVALUATION Plan The Evaluation Plan specifies how the nurse will determine changes in health status, condition or situation and achievement of outcomes of care specified in the Objectives of Family Nursing Care Plan  NURSING PROCESS IN FAMILY-BASED NURSING Developing the EVALUATION Plan CRITERIA / INDICATORS Evaluation Plan EVALUATION METHODS / TOOLS SOURCES OF EVALUATION DATA  NURSING PROCESS IN FAMILY-BASED NURSING Developing the EVALUATION Plan The Evaluation process can be initiated at the planning stage where objectives and criteria are specified.  NURSING PROCESS IN FAMILY-BASED NURSING Developing the EVALUATION Plan Criteria are objective, measurable, relevant and flexible indicators related to Objectives could be further performance, behavior, elaborated by using more circumstances or clinical specific criteria. status.  NURSING PROCESS IN FAMILY-BASED NURSING Developing the EVALUATION Plan Examples: Objective: Criteria: After two sessions, Mr. Mr. Santos Santos will be able to 1. washes his hands before Administer insulin correctly. preparing his injection. 2. prepares the prescribed dose of insulin  NURSING PROCESS IN FAMILY-BASED NURSING Developing the EVALUATION Plan Examples: Objective: Criteria: After two sessions, Mr. Mr. Santos Santos will be able to 3. disinfects the injections site Administer insulin correctly. with alcohol swab 4. injects insulin subcutaneously  NURSING PROCESS IN FAMILY-BASED NURSING Developing the EVALUATION Plan Examples: Objective: Criteria: After one month, the family The family will be able to: will be able to take care the 1. identify the factors that Malnourished child. contributed to malnutrition 2. allocate resources to meet the nutritional needs of the malnourished child  NURSING PROCESS IN FAMILY-BASED NURSING Developing the EVALUATION Plan Examples: Objective: Criteria: After one month, the family The family will be able to: will be able to take care the 3. identify readily available and Malnourished child. affordable nutritious food 4. prepare food properly 5. bring the child to the Health center for weight monitoring  NURSING PROCESS IN FAMILY-BASED NURSING Developing the EVALUATION Plan CRITERIA / INDICATORS Evaluation Plan EVALUATION METHODS / TOOLS SOURCES OF EVALUATION DATA  NURSING PROCESS IN FAMILY-BASED NURSING Developing the EVALUATION Plan Methods: 1. Direct Observation EVALUATION 2. Interview METHODS AND TOOLS 3. Oral / written tests 4. Record review 5. Physical examination 6. VS and Anthropometric measurement  NURSING PROCESS IN FAMILY-BASED NURSING Developing the EVALUATION Plan EVALUATION METHODS AND TOOLS “Note that these are similar methods used during the Assessment Phase.”  NURSING PROCESS IN FAMILY-BASED NURSING Developing the EVALUATION Plan Tools: 1. Performance Evaluation EVALUATION checklist METHODS AND TOOLS 2. Raring scale 3. Interview guide 4. Food recall form 5. Food frequency and food record form  NURSING PROCESS IN FAMILY-BASED NURSING Developing the EVALUATION Plan Instruments: EVALUATION 1. Weighing scale METHODS AND TOOLS 2. VS apparatus 3. Tape measure 4. Glucometer  NURSING PROCESS IN FAMILY-BASED NURSING Developing the EVALUATION Plan CRITERIA / INDICATORS Evaluation Plan EVALUATION METHODS / TOOLS SOURCES OF EVALUATION DATA  NURSING PROCESS IN FAMILY-BASED NURSING Developing the EVALUATION Plan SOURCES OF EVALUATION -records and reports which DATA document the data results generated from specific methods and tools  FAMILY NURSING CARE PLAN Maglaya, A. (2012) Nursing Practice in the Community, 8th ed., Marikina City: Argonauta Corporation FAMILY NURSING CARE PLAN (FNCP) o Blueprint of the nursing care designed to systematically enhance the Family’s capability to maintain wellness and manage health problems o How? Through formulated goals and objectives and chosen set of interventions and evaluation criteria /standards, methods and tools o FNCP is regularly updated or modified based on family’s response Maglaya, A. (2012) Nursing Practice in the Community, 8th ed., Marikina City: Argonauta Corporation  FAMILY NURSING CARE PLAN Steps in Developing Family Care Plan Maglaya, A. (2012) Nursing Practice in the Community, 8th ed., Marikina City: Argonauta Corporation  FAMILY NURSING CARE PLAN Steps in Developing Family Care Plan PRIORITIZE HEALTH 1 CONDITIONS AND PROBLEMS BASED ON: Nature of condition or problem Modifiability Preventive potential Salience Maglaya, A. (2012) Nursing Practice in the Community, 8th ed., Marikina City: Argonauta Corporation  FAMILY NURSING CARE PLAN Steps in Developing Family Care Plan PRIORITIZE HEALTH DEFINE GOALS 1 CONDITIONS AND 2 AND OBJECTIVES PROBLEMS BASED ON: OF CARE Nature of Formulate: condition or problem 1. Expected Modifiability Outcomes Preventive 2. Specific , potential Measurable and Salience Client-centered competencies Maglaya, A. (2012) Nursing Practice in the Community, 8th ed., Marikina City: Argonauta Corporation  FAMILY NURSING CARE PLAN Steps in Developing Family Care Plan PRIORITIZE HEALTH DEFINE GOALS DEVELOP THE 1 CONDITIONS AND 2 AND OBJECTIVES 3 INTERVENTION PROBLEMS BASED ON: OF CARE PLAN Nature of Formulate: Decide on: condition or 1. Measures to help the family problem 1. Expected eliminate barriers Modifiability Outcomes to performance of Preventive 2. Specific , health tasks potential Measurable and 2. Method of Nurse- Salience Client-centered Family contact competencies 3. Specify resources needed Maglaya, A. (2012) Nursing Practice in the Community, 8th ed., Marikina City: Argonauta Corporation  FAMILY NURSING CARE PLAN Steps in Developing Family Care Plan PRIORITIZE HEALTH DEFINE GOALS DEVELOP THE DEVELOP THE 1 CONDITIONS AND 2 AND OBJECTIVES 3 INTERVENTION 4 EVALUATION PROBLEMS BASED ON: OF CARE PLAN PLAN Nature of Formulate: Decide on: Specify: condition or 1. Measures to help the family Criteria, problem 1. Expected eliminate barriers standards, Modifiability Outcomes to performance of Preventive 2. Specific , outcomes health tasks based on potential Measurable and 2. Method of Nurse- objectives of Salience Client-centered Family contact care competencies 3. Specify resources needed Methods / Tools Maglaya, A. (2012) Nursing Practice in the Community, 8th ed., Marikina City: Argonauta Corporation Sample FAMILY NURSING CARE PLAN Sample FAMILY NURSING CARE PLAN Sample FAMILY NURSING CARE PLAN Sample FAMILY NURSING CARE PLAN  ROLE OF COMMUNITY HEALTH NURSE IN FAMILY-BASED NURSING  Promoting and protecting the The CH Nurse well-being performs varied roles. Family and individual family members  Assists families to ROLE OF identify and use COMMUNITY Client community resources Advocate HEALTH NURSE IN FAMILY-BASED NURSING  ROLE OF COMMUNITY Client Advocate HEALTH NURSE IN FAMILY-BASED The CHN gives NURSING support and motivation to the family through health education  ROLE OF COMMUNITY Client Advocate HEALTH NURSE IN FAMILY-BASED NURSING Provides advice and assistance to families with psychosocial concerns  ROLE OF COMMUNITY Client Advocate HEALTH NURSE IN FAMILY-BASED NURSING Provides nursing care to sick member/s of the family  ROLE OF COMMUNITY Client Advocate HEALTH NURSE IN FAMILY-BASED NURSING Conducts research to improve health care delivered to individuals and families