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FAMILY NURSING CARE PLAN FNCP # 1

FAMILY PROBLEM Hypertension as a health deficit FAMILY NURSING PROBLEM GOAL OF CARE OBJECTIVES OF CARE INTERVENTION METHOD OF NURSE- FAMILY CONTACT Home Visit RESOURCES EVALUATION

Old: Inability to provide adequate nursing care to the sick, disabled, Assessment: dependent or vulnerable/ Subjective at risk member of the Matagal ng high family due to: inadequate knowledge blood si nanay. Kahit ngayon, and skills in carrying out mataas pa din BP the necessary nya kapag interventions/ treatment/ nagpapacheck-up. procedure/care. Pero sa ngayon, New: Inability to minsan di sya provide adequate nakakainom ng nursing care to the sick, gamot dahil walang pambili disabled, dependent or vulnerable/ at risk Pero ngayon member of the family nagdyedyeta na due to inadequate sya sa pagkain family resources for nya., as verbalized by Mrs. care, specifically financial constraints E.T.Objective: Blood pressure of 160/100 mmHg\ Mrs. A.D. does all the household chores at home

After 20 to 30 minutes of After 20 to 30 nursing visit the mother minutes of nursing will be able to: intervention the mother will be able > manage hypertension to: using alternative medicine > learn nonpharmacologic ways in controlling hypertension specifically the use of garlic and PMRE > know the benefits > know the ways how to use it > know how to prepare it

The student nurses will: > Conduct a health teaching about: * Home care remedies in case of emergency hypertension.

Return Demonstration

After 20 to 30 minutes of nursing intervention the mother will be able to: > learn nonpharmacologic ways in controlling hypertension specifically the use of garlic and PMRE > know the benefits > know the ways how to use it > know how to prepare it >demonstrate PMRE among family members

HEALTH TEACHING PLAN


TOPIC: Hypertension DATE: February 19, 2013 ALOTTED TIME: 15--20 minutes VENUE: House of Family N

After 20 to 30 minutes of nursing visit the mother will be able to manage hypertension using alternative medicine

SPECIFIC OBJECTIVES To be able to introduce nonpharmacologic ways in hypertension management: A. Garlic B. PMRE To be able to know the effects/benefits

CONTENT
Introduction of Garlic and PMRE as 2 non-pharmacologic ways in managing hypertension

TEACHING STRATEGY Lecture

MATERIALS NEEDED Lecturers Participants Brochure

A. Garlic -lunas para sa altapresyon -Ang bawang ay nagtataglay ng kemikal na tinatawag na allicin. Ang nakapapawing epekto ng allicin ay nakakapagrelaks ng mga ugat na dinadaluyan ng dugo kapag may mataas na presyon. Ito din ay pumipigil ng karagdagang pinsala sa daluyan ng dugo. B. PMRE Ay isang pamamaraan na kung saan nirerelaks ang mga kalamnan ng katawan upang mabawasan at mawala ang tensyon sa katawan A. Garlic Preparasyon: (1) Maghanda 2-3 piraso ng bawang (2) Maaaring iprito, ibabad sa suka sa loob ng 30 minuto, o ituslob sa pinakuluang tubig sa loob ng 5 minuto Demonstrate the proper way of conducting PMRE 1. After finding a quiet place and several free minutes to practice progressive muscle relaxation, sit or lie down and make yourself comfortable. 2. Begin by tensing all the muscles in your face. Make a tight grimace, close your eyes as tightly as possible, clench your teeth, even move your ears up if you can. Hold this for the count of eight as you inhale.

To be able to know the ways how to use Garlic

To be able to learn the proper way of PMRE among family members

A comfortable place. Some privacy. A few minutes.

3. Now exhale and relax completely. Let your face go completely lax, as though you were sleeping. Feel the tension seep from your facial muscles, and enjoy the feeling. 4. Next, completely tense your neck and shoulders, again inhaling and counting to eight. Then exhale and relax. 5. Continue down your body, repeating the procedure with the following muscle groups: chest abdomen entire right arm right forearm and hand (making a fist) right hand entire left arm left forearm and hand (again, making a fist) left hand buttocks entire right leg lower right leg and foot right foot entire left leg lower left leg and foot left foot 6.for the shortened version, which includes just four main muscle groups: face neck, shoulders and arms abdomen and chest buttocks, legs and feet Quickly focusing on each group one after the other, with practice you can relax your body like liquid relaxation poured on your head and it flowed down and completely covered you. You can use progressive muscle relaxation to quickly de-stress any time. References: http://stress.about.com/od/generaltechniques/ht/howtopmr.htm

EVALUATION PLAN
EVALUATION CRITERIA/INDICATORS To be able to introduce non-pharmacologic Goal: ways in hypertension management: GENERAL OBJECTIVE: A. Garlic B. PMRE After 20 to 30 minutes of To be able to know the effects/benefits OUTCOMES
nursing visit the mother will be able to manage hypertension using To be able to know the ways how to use alternative medicine

EVALUATION STANDARDS
The family member will be able to briefly define the 2 pharmacologic methods The family member will be able to verbalize the benefits of the two nonpharmacologic interventions The family member will be able to enumerate ways on how to use Garlic

EVALUATION METHOD TOOL/DATA SOURCE Question and Answer Verbalization of answers Demonstration Return Demonstration

Garlic

To be able to learn the proper way of PMRE The family member will be able to among family members demonstrate the proper way of
executing PMRE

HEALTH TEACHING PLAN


TOPIC: Healthy Living DATE: February 19, 2013 ALOTTED TIME: 15--20 minutes VENUE: House of Family N

After 20 to 30 minutes of nursing visit the mother will be able to learn ways on how to live a healthy lifestyle

SPECIFIC OBJECTIVES To understand what a healthy lifestyle is and its importance.

CONTENT A healthy lifestyle is one that focuses on incorporating the eight aspects of wellbeing into ones life (emotional, environmental, financial, intellectual, occupational, physical, social and spiritual). Not only is health important to a person at the individual level, but also it contributes to the advancement of society if more people are performing closer to their fullest potential. Sleep Usually, 6-8 hours is considered to be a good amount of sleep. Sleep is a time for the body to heal, recharge its batteries, regenerate new cells, rest the mind and allow the immune system to function at its highest capacity. For this reason, sleep actually prevents one from getting (or helps heal one if already) sick. In addition, staying well-rested allows one to think more clearly, improves ones mood and reduces the risk for depression. Sleep may also help to prevent or reduce the risk of chronic diseases such as diabetes and heart disease.3 This is because lack of sleep tends to increase inflammation and the amount of hormones that are dangerous at high levels in the body, such as adrenaline and cortisol, among other factors. To get better sleep, consider the following options: Go to bed and wake up at routine times. Dont take long naps during the day (this can throw off your circadian

TEACHING STRATEGY

MATERIALS NEEDED

To be able to know ways on how to live a healthy lifestyle and its benefits

rhythms). Listen to soothing music, if possible. Do not eat less than two hours before going to bed and avoid caffeine.

Exercise Getting exercise on a daily basis is a good idea because it releases endorphins, the happy neurotransmitters, and helps to reduce anxiety and stress. It is typically advisable to get exercise for a minimum of half an hour each day. However, exercising for 45 minutes, an hour or more is even better! Some of the benefits of exercise include: * Mood improvement *Body toning *Reduced risk of developing chronic Diseases Healthy Eating There is disturbing evidence amounting that people from the United States and other regions around the world are consuming more refinedsugars and empty calories that at any other time in history. These foods in excess may increase the risk for developing chronic diseases: Soft drinks and other carbonated drinks Pastries, cookies, cakes and pies Fried foods Fast foods Chips and candies Processed foods In addition, increasing amounts of evidence are showing that eating red meats in excess may raise the amount of saturated fats in the body, heightening the risk for developing chronic diseases later in life.