Community Health Nursing: Family Care Plan Process

Family Care Plan Prioritization
 
Probability of success in enhancing wellness state, improving and minimizing or eradicating the problem through interventions

Family Care Plan Prioritization
 
Most important, solution of the problem

Family Care Plan Prioritization
 
Future re-occurence of the problem; “paulit-ulit ba ang problema?”

Family Care Plan Prioritization
 
Nature and magnitude of future problems that can be prevented if interventions are done

Family Care Plan Prioritization
 
Patient’s decision, client’s perception of the problem

Family Care Plan Prioritization
 
Family’s perception and evaluation of the condition in terms of seriousness and urgency of attention needed

Typology of Nursing Problems in Family Nursing Practice
 
A gap between actual and achievable health status

Typology of Nursing Problems in Family Nursing Practice
 
Failure in health maintenance

Typology of Nursing Problems in Family Nursing Practice
 
Already developed the disease or disability, developmental lag

Typology of Nursing Problems in Family Nursing Practice
 
Condition that promotes disease or injury and prevent people from realizing their health potential

Typology of Nursing Problems in Family Nursing Practice
 
Anticipated periods of unusual demand on the individual/family in terms of resources or adjustment

Typology of Nursing Problems in Family Nursing Practice
 
This refers to states of wellness and the likelihood for health maintenance or improvement to occur depending on the desire of the family

Foreseeable Crisis vs Stress Point
 
Expected

Foreseeable Crisis vs Stress Point
 
Unexpected

First-Level or Second-Level Assessment
 
"What" are the problems?

First-Level or Second-Level Assessment
 
"Why"; reasons behind the problem

First-Level or Second-Level Assessment
 
Inability to...

Family Care Plan
Planning
  - first step
Constructing plan of action - choosing of nursing interventions
Develop an operational plan - prioritization

Family Care Plan
Planning
Goal setting - first step
Constructing   - choosing of nursing interventions
Develop an operational plan - prioritization

Family Care Plan
Planning
Goal setting - first step
Constructing plan of action - choosing of nursing interventions
Develop an   - prioritization

Prioritization of Health Problems
4 Criteria (NaMo Pre Sal)
Na 
Modifiability of the Problem
Preventive Potential
Salience

Prioritization of Health Problems
4 Criteria (NaMo Pre Sal)
Nature of the Problem
Mo 
Preventive Potential
Salience

Prioritization of Health Problems
4 Criteria (NaMo Pre Sal)
Nature of the Problem
Modifiability of the Problem
Pre 
Salience

Prioritization of Health Problems
4 Criteria (NaMo Pre Sal)
Nature of the Problem
Modifiability of the Problem
Preventive Potential
Sa 

Prioritization of Health Problems
Nature of the Problem
Weight:  
Wellness state:  
Health Deficit:  
Health Threat:  
Forseeable Crisis:  

Prioritization of Health Problems
Modifiability of the Problem
Weight:  
Easily modifiable:  
Partially modifiable:  
Not modifiable:  

Prioritization of Health Problems
Preventive Potential
Weight:  
High:  
Moderate:  
Low:  

Prioritization of Health Problems
Salience
Weight:  
Immediate problem:  
Not that immediate problem:  
Not a problem:  

Prioritization of Health Problems
Formula:  

Prioritization of Health Problems
The higher the score, the   the priority

Family Care Plan
Implementation
  interventions - need doctor's order
Independent interventions - do not need doctor's order as laid out in RA 9173 Sec. 28 (Scope of Nursing Practice)
Interdependent interventions - collaboration with other HCWs aside from the doctor

Family Care Plan
Implementation
Dependent interventions - need doctor's order
  interventions - do not need doctor's order as laid out in RA   Sec.   (Scope of Nursing Practice)
Interdependent interventions - collaboration with other HCWs aside from the doctor

Family Care Plan
Implementation
Dependent interventions - need doctor's order
Independent interventions - do not need doctor's order as laid out in RA 9173 Sec. 28 (Scope of Nursing Practice)
  interventions - collaboration with other HCWs aside from the doctor

Family Care Plan
Evaluation: Quality Assurance Elements (QAE) - SOP
  Element - physical settings, manpower, money, materials/equipment
Outcome Element - changes resulting from nursing interventions
Process Element - steps of nursing process itself (APIE)

Family Care Plan
Evaluation: Quality Assurance Elements (QAE) - SOP
Structural Element - physical settings, manpower, money, materials/equipment
  Element - changes resulting from nursing interventions
Process Element - steps of nursing process itself (APIE)

Family Care Plan
Evaluation: Quality Assurance Elements (QAE) - SOP
Structural Element - physical settings, manpower, money, materials/equipment
Outcome Element - changes resulting from nursing interventions
  Element - steps of nursing process itself (APIE)