Family Case Analysis Format
Family Case Analysis Format
I. Introduction
II. Purpose of the Case Analysis
A. General Objectives
B. Specific Objectives
III. Assessment
A. Initial Database
1. Family Structure, Characteristics and Dynamics
2. Socio Economic and Cultural Characteristics
3. Home and Environment
4. Health Status of Each Family Member
5. Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention
B. Family Coping Index
1. Initial
2. Final
IV. Nursing Diagnosis
A. Typology of Nursing Problem
V. Planning
A. Problem Prioritization
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COLLEGE OF NURSING & PHARMACY
C-RLE 104 Community Health Nursing 1 (Individual & Family)
First Semester | AY 2021-2022
B. Problem Ranking
Note: Prepare Family Nursing Care Plan for every identified problem
VI. Implementation
A. Lists of daily nursing actions done to the family
Day 1 (Date)
Objectives:
Activities done (narrative)
Documentation
Minimum of 5days interaction with the family maximum of 10 days interaction with the family.
VII. Evaluation
A. Tool for evaluation
(How are you able to evaluate the activities done)
B. Summary of Evaluation
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COLLEGE OF NURSING & PHARMACY
C-RLE 104 Community Health Nursing 1 (Individual & Family)
First Semester | AY 2021-2022
IX. References
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COLLEGE OF NURSING & PHARMACY
C-RLE 104 Community Health Nursing 1 (Individual & Family)
First Semester | AY 2021-2022
_________________________
_______________________
PRESENTED BY:
NAME OF STUDENT
PRESENTED TO:
DATE
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