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F N C P : defi
ed
!"uepri # of #$e %&re #$&# #$e N de'i( ' #o systematically minimize or eliminate #$e identified health and family nsg problems #$rou($ e)p"i%i#"* for+u"&#ed ou#%o+e' of %&re & d de"i,er&#e"* %$o'e 'e#' of i #er-e #io '. re'our%e' & d e-&"u&#io %ri#eri&. '#& d&rd'. +e#$od' & d #oo"'/
C0ARAC1ERIS1ICS OF FNCP
Fo%u'e' o &%#io #o 'o"-e2+i i+i3e e)i'#i ( pro,"e+' A produ%# of de"i,er&#e '*'#e+&#i% pro%e'' 4 d&#& & &"*'e' Re"&#e' #o #$e fu#ure5 pro6e%#' fu#ure '%e &rio !&'ed upo #$e ide #ified $e&"#$ & d ur'i ( pro,"e+' 4 pro,"e+' &re '#&r#i ( poi #'
Co #7
I# i' & +e& ' #o & e d. o# & e d i i#'e"f 4 de"i-er #$e +o'# &ppropri&#e %&re #o #$e %# ,* e"i+i &#i ( ,&rrier' #o f&+i"* $e&"#$ de-e"op+e # A %o #i uou' pro%e'' 4 +u'# ,e e-&"u&#ed for i#' effe%#i-e e''
Co #7
Prep&red 6oi #"* :i#$ #$e f&+i"*/ 9 N works with the family; not works for the family 9 N i -o"-e' f&+i"* i de#er+i i ( #$e $e&"#$ eed' ; pro,"e+'. priori#ie'. &ppropri&#e &%#io '. i+p"e+e #&#io & d e-&"u&#io of ou#%o+e' A +e& ' of %o++u i%&#io <:i#$i #$e profe''io & d o#$er profe''io '=
THE ASSESSMENT PHASE OF THE NURSING PROCESS GENERATES THE HEALTH AND NURSING PROBLEMS WHICH IS THE BASIS OF DEVELOPING THE FNCP.
STEPS
I.
PRIORITIZATION OF PROBLEMS SETTING THE GOALS AND OBJECTIVES PLANNING INTERVENTIONS EVALUATION OF CARE
III.
V.
VII.
Prioritizing the Health Problems %= N&#ure of #$e pro,"e+ d= Modifi&,i"i#* e= Pre-e #i-e po#e #i&" f= S&"ie %e
Selection of Appropriate Nursing nterventions Formulation of Goals and Objectives of Nursing Care
>Co 'ider &"#er &#i-e' >De%ide o &ppropri&#e +e&'ure' >De#er+i e +e#$od' of ur'e?f&+i"* %o #&%# >Spe%if* re'our%e'
I. PRIORITIZATION OF PROBLEMS
Devised by Mag aya a!d Bai "! #!"$! as SCALE FOR RANKING FAMILY HEALTH PROBLEMS ACCORDING TO PRIORITIES Has %"&' ()* +'i,e'ia %"' se,,i!g -'i"'i,ies
2) MODIFIABILITY OF THE PROBLEM . ,/e probability of success i! mi imi!i "# $%%&'i$(i " )* ()($%%+ &*$,i-$(i " (.& /*)0%&m ,/'"&g/ i!,e've!,i"! 1) PREVENTIVE POTENTIAL . ,/e $(2*& $ , m$" i(2,& )3 32(2*& /*)0%&m4 ,/a, +a! be minimized or totally prevented i% i!,e've!,i"! is d"!e "! ,/e -'"b e0 &!de' +"!side'a,i"! 5) SALIENCE . ,/e %a0i y1s perception and evaluation "% ,/e -'"b e0 i! ,e'0s "% 4&*i)24 &44 $ , 2*"& -+ "% a,,e!,i"! !eeded
)* Sa ie!+e s+a e4
S-)*i "
3*
6*
5*
De+ide "! a s+"'e %"' ea+/ +'i,e'ia Divide ,/e s+"'e by ,/e /ig/es, -"ssib e s+"'e a!d 0& ,i- y by ,/e $eig/, 4 s+"'e:/ig/es, s+"'e 8 $eig/, S&0 &- ,/e s+"'es %"' a +'i,e'ia. T/e /ig/es, s+"'e is ;9 e<&iva e!, ," ,/e ,",a $eig/,.
G'ea,e' $eig/, "! Hea ,/ De%i+i, = !eeds 0"'e i00edia,e a,,! a!d %e , by ,/e -, "ve' a /ea ,/ ,/'ea, F"'eseeab e +'isis = "$es, s+"'e d:, +& ,&'e. i!>ed va'iab es:%a+,"'s ,/a, -'"vide "&' +, $i,/ ade<&a,e s&--"', ," +"-e
C&''e!, >!"$ edge9 ,e+/. a!d i!,e've!,i"!s ," 0a!age ,/e -'"b e0 Res"&'+es "% ,/e %a0i y ? -/ysi+a 9 %i!a!+ia 9 0a!-"$e' Res"&'+es "% ,/e N ? S9 #9 ,i0e Res"&'+es "% ,/e +"00&!i,y ? %a+i i,ies a!d +"00&!i,y "'g:s&--"',
G'avi,y : seve'i,y "% ,/e -8 = dse -'"g'essi"!9 e8,e!,9 da0age "! ,/e -,:%a0 = ,/e 0"'e seve'e "' adva!+ed9 ,/e "$e' is ,/e -'eve!,ive -",e!,ia
D&'a,i"! "% ,/e -8 = e!g,/ "% ,i0e ,/e -8 /as bee! e8is,i!g C&''e!, 0a!age0e!, = a--'"-'ia,e!ess "% i!,e've!,i"! i!s,i,&,ed E8-"s&'e ," a!y /ig/ 'is> g'"&-
Pe'+e-,i"! "% ,/e -,:%a0 "% ,/e -'"b e0 Fa0i y1s +"!+e'!s a!d %e , !eeds
GOALS
Mu'# ,e 'e# #o(e#$er :i#$ #$e f&+i"* F&+i"* +u'# ,e &,"e #o re%o( i3e & d &%%ep# #$e pre'e %e of e)i'#i ( $e&"#$ eed' & d pro,"e+'/ Nur'e +u'# &'%er#&i #$e f&+i"*A' B o:"ed(e & d &%%ep#& %e of #$e pro,"e+' & d #$e de'ire #o +&Be &%#io ' #o re'o"-e #$e+/
!ARRIERS 1O GOAL?SE11ING
C= F&i"ure of #$e f&+i"* #o per%ei-e #$e e)i'#e %e of #$e pro,"e+/ 9 f&+i"* +&* fee" '&#i'fied :i#$ #$e e)i'#i ( 'i#u&#io 2= F&+i"* i' #oo ,u'* :i#$ o#$er %o %er ' or preo%%up&#io ' &# #$e +o+e #/
Co #7
D= F&+i"* doe' o# 'ee #$e e)i'#e %e of & pro,"e+ &' 'eriou' e ou($ #o e%e''i#&#e &##e #io E= F&+i"* +&* per%ei-e #$e pro,"e+ & d #$e eed #o #&Be &%#io . ,u# #$e* f&%e #o do 'o+e#$i ( &,ou# #$e 'i#u&#io /
Co #7 !ARRIERS 1O GOAL?SE11ING
G= F&i"ure ,e#:ee #$e ur'e & d #$e f&+i"* #o e'#&,"i'$ & :orBi ( re"&#io '$ip/ 9 1RUS1 AND CONFIDENCE
Cont,
N must s"ec f# the most effect !e or eff c ent resources
Teach ng ) ts - ! sual a $s* han$outs* charts 'uman - other team mem.ers* commun t# lea$ers
5. C. 3.
N.I. s $e"en$ent u"on l !e$ mean ng of the e4"er ences of fam l# mem.er (2 each other an$ the nurse FA+IL8 s the act !e "art c "ant n the a""lc6n of Nsg. Process FA+IL8 9 NURSE are "art c "ants n act !e* mutual* $#nam c nterchange of real t es* concerns an$ resources
The# .oth nee$ to anal#1e 9 un$erstan$ the current health2 llness s tuat on Nurse must e4"lore (2 the F the "oss . l t es an$ cho ces "resente$ .# current s tuat on
+ean ngs Concerns Soc al relat ons Resources
Pro! $es the fam l# (a#s to .e T'IN:ER* 3OER 9 FEELER T'IN:ER - N must .e a.le to share nfo2)no(le$ge; must .e access .le for ease an$ conf $ence n un$erstan$ ng current s tuat ons an$ health2 llness
3OER - N must enhance conf $ence to the F n carr# ng out2 n t at ng an$ susta n ng change for health "romot on 9 ma ntenance* an$ accurate $se mgt. FEELER - N must hel" the F strengthen ts affect !e com"etenc es n or$er to a""ro"r atel# ac)no(le$ge 9 un$erstan$ emot ons generate$ .# fam l# l fe or health llness s tuat ons; so that these emot ons ( ll .e transforme$ nto gro(th%"romot ng act ons
C. FOCUSING ON T'E INTERVENTIONS TO 'ELP T'E FA+IL8 PERFOR+ T'E 'EALT' TAS:S
<= 'el" the F recogn 1e the "4. % nformat on%g ! ng a.out the nature* magn tu$e* cause of the "4 % hel" the F see the m"l cat ons of the "4 % relate health nee$s to the goals of the fam l# % hel" the F recogn 1e ts ca"a. l t es2>ual t es an$ resources
Cont,
?= Gu $e the F on ho( to $ec $e on a""ro"r ate health act ons to ta)e. % $ent f#2e4"lore the courses of act on @ resources a!a la.le % $ scuss the conse>uences of each courses of act on % anal#1e together (2 the F the conse>uences of nact on
Cont,
A= 3e!elo" the F6s a. l t# an$ comm tment to "ro! $e nurs ng care to ts mem.ers. % nsg care to s c)* $ sa.le$* $e"en$ent mem.er2s $emonstrat on 2 "ract ce sess ons on "roce$ures2t4* techn >ues B use of lo(%cost* a!a la.le resources
CONTRACTING
+a4 m 1es o""ortun t es to $e!elo" the a. l t# 9 comm tment of the fam l# to "ro! $e nsg care to ts mem.ers N creates a s tuat on n or$er that the ct learns to ach e!e a s"ec f c health%relate$ .eha! our through ste"s an$ con$ t ons or elements Co ntl# $ent f e$ .# .oth "art es Uses "os t !e re nforcement
D= Enhance the ca"a. l t# of the F to "ro! $e a home en!6t con$uc !e to health ma ntenance an$ "ersonal $e!6t. % en!6t mo$ f cat on* man "ulat on* management to re$uce health threats2r s)s E= Fac l tate the F6s ca"a. l t# to ut l 1e commun t# resources for health care. % coor$ nat on* colla.orat on* team (or) referral s#stem