Question

I'd like to have the same of this sample of the family nursing care plan but as a risk of fall nursing diagnosis from the water leaking

Sample Family Nursing Care Plan (FNCP)

Case: This is a case of S. Family. S. Family is composed of 5 children and both parents were alive. Upon observation the family practices improper hygiene in eating and waste disposal. The 5 children have 2 to 3 years of age gaps, having the youngest child to be 1 year old and the oldest to be 9 years old.
Problem Identified: Improper Hygiene
Date Identified: ___________________
Date Evaluated: ___________________

Problem Cue/s

Subjective data: The mother verbalized, “I had a lot of children, reason I cannot maintain their proper hygiene and cleanliness”.

Objective data: A, her nine-year-old daughter cuddles her younger brother B, who has flu at this time. A, manages to feed her other sibling with bare hands without hand washing. The fingernails and toenails of these children were not trimmed properly and filled with dirt. The other two siblings came into the house sweating and their feet were smudged with mud. B, suddenly wet his shorts and A, must clean him up. The place wherein he peed was not cleaned but left only. The pillow that was affected by the urine was just placed outside for the sun to dry.

Family Nursing Diagnosis: Inability to provide home environment conducive for health and maintenance secondary to unhygienic practices

Goal of Care: Within 3 hours of nursing interventions, the family will be able to recognize the current home environment and health practices. They must be able to identify healthy practices and be able to practice them habitually.

These hygienic measures are as follows: proper hand washing, proper waste disposal and proper house cleaning.

Objective/s:
Within 3 hours of nursing interventions, the family will be able to:
1. Recognize the need for proper hand washing before and after meals as well as after using the toilet
2. Enumerate factors that promote in unhygienic practices
3. Be knowledgeable in ways on how to maintain hygiene
4. Accept the importance of proper hygiene in the activities of daily living
5. Exhibit the desire to change the current unhygienic practices

Interventions & Rationale:
1. Check if the family is aware of their health practices. This will help the nurse to know the severity of the health problem.
2. Demonstrate the proper hand washing. The nurse must perform the proper hand washing technique so that the family will be able to see the proper technique. A return demonstration will be necessary so that the nurse can assess if the family members can absorb the lesson.
3. Emphasize the importance of proper hygiene in preventing health problems. This step will enable the family members to know the consequences if health practices were not observed in their family.
4. Listen to the concerns of the family regarding the hindrance to practice such hygienic practices. This will be a way of keeping in touch with the family and facilitate them to be able to find concrete ways to achieve the goal of observing hygienic practices.

Tools/Methods of Implementation
1. Health Education (use of visual aids, demonstration of correct health promotion and illness prevention practices as appropriate and applicable);

2. Home Visit or in the Primary Health Centers

Evaluation:
After 3 hours of nursing interventions, the goal was met. The parents were able to demonstrate proper hand washing. The siblings who were five years old and above were able to wash their hands with assistance from their parents. Lunch was served and the children filed for a line in washing their hands before and after the meal

Answer 1

INTRODUCTION

Hand washing or hand hygiene is the act of cleaning the hands for the purposes of removing the dirt,soil,microorganisms,and it is the single most important family health practices can reduce the occurence of some disaeses like;

-hepatitis-A

-common cold

-the flu

-E.coli

-corona virus

-giardiasis

-streptococcal infections

-cytomegalo virus

QUES-1

-NEED OF HAND HYGIENE

-to reduce the occurance of food borne and water borne disaeses

-to create a safe and clean family enviornment

-to avoid the common eye infections such as pink eye

-to reduce the amount of bacterial cantent in your hands

-to prevent the incidence of diarrhoea and other intestinal disaeses

-to obstruct the some respiratory tract infections like common cold,the flu,

-to prevent and control the spread of infections from one person to another

-to remove dirt and dust from the hands

-to reduce the risk of hand acting as a carrier of infections

QUE-2

FACTORS THAT PROMOTE UNHYGENC PRACTICES

-education

-income level

-housing

  -social status

- occupation

   -access to health care

-nutritional sattus

- electricity available

  - sanitary facilities

-economic status

  -spiritual values

-occupation

-languages

-physical envirnment

-ethnicity and culture

-family and social support

-communication skills

-smoking and alcoholism

  -clean and safe enviornment

HOW TO MAINTAIN HYGEINE

-Family members have to follow handwashing principles like;

-use soap as a cleaning agent

-use warm water

-use friction

-clean all surfaces

-clean nails   

-maintain hand hygeine,hand hygiene have to do in the following times;

-before and after eating foods

-whenever hands are visible dirty

-after using the bathroom

-after toileting

-after contact with body fluids such as vomites,urine,blood etc

-after coughing and sneezing

-after touching pet animals

-keep kitchen surfaces clean

-empty the dust bin regularly

-daily washing and bathing

-keep your house dirt free

- keep your family enviornment clean

-keep bathroom dry

-toilet hygiene

-teeth hygeine

  -nail hygeine

QUE-6

DEMONSTRATION OF HAND HYGEINE

-The steps of hand hygeine as follows;

-wet hands under running water

-apply soap and distribute over hands

-rub hands together-palm to palm

-rub fingertips of each hands in opposit palm

-between and around fingers

-rub each thumb clapsed in opposit hands

-rub back of each hands with opposit arm

-rinse hands thoroughly under running water

-dry with clean towel

IMPORTANCE OF PROPER HYGIENE

-to get good body images

-to maintain personality

-to maintain social behaviours

-to get good body health

-to mainatain good socialization

-to make physically fit

HEALTH EDUCATION

-As a nurse she has to give importance of personal hygeine

-educate about ,how do germs spread;

-touching dirty hands

-changing dirty diapers

-through contaminated water and food

-through droplets in the air

-on contaminated surfaces

-educate about the principles aor guidlines of hand hygeine

-educate about the health issues related to improper hand hygiene such as;

-SCABIES

-HEAD LICE

-BODY LICE

-DIARRHOEA

-RING WORM

-RING WORM

-educate about the best way to wash hands like;

-WET YOUR HANDS

-USE SOAP WITH CLEAN RUNNING WATER

-GET IN BETWEEN YOUR FINGERS

-RINSE AND DRY

-educate about good health care practices such as;

-hand hygiene

-toileting

-nutrition

-washing

-educate about health care practices like;

  -smoking cessation

-quit alcoholism

   -continous health assessment

-conducting school health programmes

  -community based health programmes

-immunization

-supplementary diet and vitamins

-prevention of enviornmenatl pollutions

-ante-natal,pre-natal and post natal care of women

-breast feeding importance

-care of high risk persons like ild age,childrens,

SUMMARY

-Personal hygine is the primary and basic care in a family,family have to aware about the health care practices through health education

'HEALTH IS WEALTH'

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