FAMILY NURSING CARE PLAN Target Client: Clasio Family METHO DS OF OBJECTIV NURSE RESOURC ES OF AND ES IMPLEMENTATION CARE

FAMILY REQUIRED CONTAC T After Material Home 1. Establish rapport. Visit nursing Resources:
interventio n, the family: -will be able identify the cause and effect of the disease. -Know the appropriat e interventio n to make. Visual Aids on Measles and cough. Human Resources: Time and effort of both the researchers and the family. Financial Resources: Money for the researchers

HEALT H PROBL EM Seizure

FAMILY NURSING PROBLE M

Inability to manage the condition due to the lack of knowledge regarding its manageme nt and care.

GOAL OF CARE

RATIONALE

EVALUATION

After nursing interventio n, the family must be equipped with the necessary knowledge they need in dealing with the situation.

Rapport is vital to a trusting nurse-family relationship. To organize work and save time for more important things. To facilitate provision of care in the familys convenience to help gain cooperation. To help family understand the nature and cause of the disease. Lack of sleep, flashing lights and prolonged television viewing may increase brain activity that may cause potential seizure activity. Enables the patient to

2. Prepare the necessary equipments needed. 3. Inform the family about the visit. 4. Analyze with the family the problems measles and cough. 5. Health education about the diseases and its management through a structured health teaching. 6. Explore with the

transportati on and food (if necessary).

patient the various stimuli that may precipitate seizure activity and enumerate to the family the danger signs they need to watch out for namely:

protect self from injury. Family will in turn know what to watch out for to their child.

Unusual smells, tastes, or feelings Unusual experiences 'outof-body' sensations; feeling detached; body looks or feels different; situations or people look unexpectedly familiar or strange Feeling spacey, 'fuzzy', or confused Jerking movements of an arm, leg, or body Tingling, numbness or feelings of electricity in part of the body Headaches Unexplained Patient may feel confusion, restless to ambulate or sleepiness, even defecate during

weakness Losing control of urine or stool unexpectedly 7. Discuss with the family the appropriate courses of action. Maintain strict bed rest if prodromal signs or aura experienced.

aural phase, that inadvertently removing self from safe environment and easy observation. Help maintain airway and reduces risk of oral trauma but should not be forced or inserted when teeth are clenched because dental or soft-tissue may damage. Gentle guiding of extremities reduces risk of physical injury when patient lacks voluntary muscle control. Patient may be confused, disoriented after seizure and need help to regain control and alleviate anxiety.

Turn head to side or suction airway as indicated. Insert plastic bite block only if jaw are relaxed. Cradle head, place on soft area, or assist to floor if out of bed. Reorient patient following seizure activity.