FNCP Sample

St.
Paul University Philippines

Tuguegarao City, Cagayan 3500
School of Nursing and Allied Health Sciences

College of Nursing
Bachelor of Science in Nursing - III
Summer Term, AY 2021-2022
Problem: DIABETES MELLITUS

1st Level Assessment: PRESENCE OF HEALTH DEFICIT
2nd Level Assessment: Inability to make decisions with respect to taking appropriate health action due to failure to comprehend the nature or the magnitude of the problem or
condition
Analysis of the Method of Family Resources

Cues Objectives Nursing Interventions Rationale Expected Outcome
Problem Contact Required
SUBJECTIVE DATA: The family is Short Term: - Home visit - Competency, GOALS MET
unable to make knowledge, and
Complaints of polyuria Established a friendly To earn the family Short Term:
decisions with skills of the Nurse
for the past four nurse-family member’s trust and
respect to taking After 8 hours of - Virtual conference
weeks. relationship. encourage their
appropriate health nursing intervention,
participation and After 8 hours of nursing
Further assessment action due to the family will be - Time and effort of
cooperation for the interventions, the family:
reveals an upcoming inadequate able to the Nurse
nursing interventions. - Interview method
appointment with knowledge or poor a.) Acknowledged the factors
understanding of a.) Acknowledge the
her optometrist for that may lead to unstable
the progression of factors that may lead
new onset blurred - Observation - Participation and glucose level such as:
the disease. to unstable glucose Assess the family's To develop the
cooperation of the
vision. level. understanding about necessary interventions Inadequate physical activity.
family members
diabetes mellitus. and have baseline
Patient has a family during the Noncompliance with prescribed
data.
history of diabetes on communication. medication management.
b.) Recognize the
her father's side and
body's energy's (GLIMEPERIDE 5MG OD)
admits to a sedentary
requirements. To identify the
occupation and Assess the family's active source/cause of the - Compliance of the
lifestyle participation in family members
important issues such with the nursing
St. Paul University Philippines

College of Nursing
Patient MC states c.) Understand the daily activities, diet and problem and focus on interventions b.) Recognized the body's
that she is following dietary regimen metabolic patterns, and it. addressed to them. energy's requirements:
her meal and provided and family health status.
By Engaging in physical activity
exercise planning understand the
such as jogging, Zumba,
importance of having
goals with little cycling..
active exercises. Assess the family’s
success.
eating patterns.
If dietary
recommendations for a
OBJECTIVE DATA:
specific clinical Strictly adhering to a diet plan.
Patient MC is condition are not (Foods low fat, low carbs, fruits,
referred for fasting followed, blood sugar vegetables, high in fiber)
blood work the next fluctuations may occur.
Taking medication as
day, which reveals Assess for signs and prescribed. (Glimeperide 5mg
the following Long Term:
symptoms of once a day)
results: After 3 days of hyper/hypoglycemia, If you ignore the
nursing intervention, frequent urination, symptoms of
HbA1c: 8.5%
the family will be frequent hunger, blurry hypoglycemia too c.) Understood the dietary
Fasting blood glucose: able to: vision. long, you may lose regimen provided and engaged
147 mg/dL consciousness. That's in an active exercise such as
jogging, Zumba, cycling.
Total Cholesterol: 3.49 because your brain
a.) Participate in
mmol/L needs glucose to (Avoided full fat dairy, sugary
active exercises and
function. Recognize drinks, sweets, high fat red
Triglycerides: 1.20 in developing and
the signs and meat)
mmol/L adhering to a diet
plan to prevent or symptoms of
LDL: 1.98 mmol/L
hypoglycemia early,

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HDL: 0.96 mmol/L minimize changes in because if untreated, Long Term:

glucose levels. hypoglycemia can
Patient MC is After 3 days of nursing
referred to Dr. lead to: Seizures. It is interventions, the family was
Guzman, a advised to follow a able to:
b.) Maintain
diabetologist for satisfactory range of food plan in order to
further evaluation. glucose. keep blood sugar
a.) Participate in developing a
levels stable.
Her follow-up HbA1c diet plan (Foods low fat, low
Associated with
demonstrates carbs, fruits, vegetables, high in
minimal change, diabetes, hyperglyce fiber) to prevent or minimize
with a result of 8.2% mia can cause changes in glucose levels.
(estimated average vomiting, excessive
b.) Maintain satisfactory range
glucose: 189 mg/dL) hunger and thirst, of glucose. Normal fasting
and a fasting blood rapid heartbeat, blood glucose levels of 70-
glucose level of 156 vision problems and 125mg/dL
mg/dL other symptoms.
Self-monitoring of Untreated hyperglyce
blood glucose records mia can lead to
reveals blood glucose serious health
levels consistently problems.
between 135 mg/dL
and 160 mg/dL for
Assess the pattern of
fasting and between
physical activity.
230 mg/dL and 300
Physical activity helps
lower blood glucose

College of Nursing
mg/dL for levels. Regular exercise

postprandial. is a core part of
diabetes management
Patient MC started and reduces risk for
taking glimepiride 5 cardiovascular
mg each morning, Assess for stress complications.
and continuation management.
with her meal and
exercise plans is This information serves
emphasized. as the foundation for
individualized dietary
advice related to the
clinical condition that
contributes to blood
glucose fluctuations
Determine the family's
current knowledge and
comprehension of the To promote a sense of
advised diet. involvement.
This will improve the

family's understanding
of diet and health.
Assess the family’s
pattern of physical
activities.

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To assist them in
adopting a healthy diet
and weight
management practices.
Exercise and activity
will increase blood
flow, lowering the
possibility of unstable
Assist the family in blood glucose level
identifying eating
patterns that need to be
modified. To meet the family's
nutritional needs and
maintain their
condition's health.
Educate the family
regarding the
importance of following
a prescribed meal plan. Provide resources such
as educational guides
for the family to follow
a diabetic diet for
awareness on how to
maintain a normal
Describe the significance range of glucose level.
of encouraging the
family to monitor and

College of Nursing
manage their nutritional

intake. It is advised that
carbohydrates make up
60% of daily caloric
intake. It is advised
that between 20 and
30 percent of calories
come from fat. The
patient should
consume 10–20% of
their calories from
protein sources. In
order to lower total
cholesterol and low-
density lipoprotein
levels, improve blood
glucose levels, reduce
the need for insulin,
Refer the family to and boost fiber intake,
therapy, diet and and the diet should be
nutrition instruction, and changed.
support groups.
A prescribed meal plan

will help the family
maintain stable blood
glucose levels.

College of Nursing
Review meal plan with

the family that focuses
on the recommended
distribution of calories Consistency in food
from carbohydrates, intake and meal
fats, proteins, and other spacing helps prevent
sources. hypoglycemia episodes
and maintain stable
blood sugar levels.
assist the family in
developing strategies to
maintain a normal range
of glucose level
Monitoring blood sugar
helps to determine if
you are meeting your
glucose targets which
helps to reduce the
unpleasant symptoms
of high and low blood
sugar, and avoid long-
term diabetes
Advise the family to complications.
monitor blood glucose
levels.
Blood sugar (blood

glucose) monitoring

College of Nursing
is the primary tool

you have to find out
if your blood glucose
levels are within your
target range. This
tells you your blood
glucose level at any
one time. It’s
important for blood
sugar levels to stay in
a healthy range. If
glucose levels get too
low, we can lose the
ability to think and
function normally.
Provide a list of things
the family can do to
keep your blood sugar
levels normal.
Family’s involvement in
the treatment plan
review the progress enhances adherence to
toward goals during the treatment plan.
each family home visit.

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Teach family how to use To monitor the

the glucometer progress of the
treatment plan
If you are a diabetic

patient or if you have
a family member
having diabetes, this
product can be
beneficial because
it helps you by
regular monitoring,
and from that, it is
possible to manage
diabetes and useful
Administer Glimeperide
to control your blood
5mg OD as prescribed.
sugar.
Glimepiride is an oral
diabetes medicine
that is used together
with diet
and exercise to
improve blood sugar
control in adults with
type 2 diabetes
mellitus. Glimepiride

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helps control blood

sugar

College of Nursing
Problem: HYPERTENSION
1st Level Assessment: PRESENCE OF HEALTH THREAT
2nd Level Assessment: Inability to make decisions with respect to taking appropriate health action due to lack of knowledge/insight as to alternative courses of action open to
them.
Analysis of the Nursing Method of
Cues Objectives Rationale Resources Required Expected Outcome
Problem Interventions Family Contact
Subjective data: The family is SHORT TERM Establish rapport with This is to gain the - Home visit - The GOALS MET
unable to make the family trust of the family, participation
• A family After 3 hours of SHORT TERM
decisions with especially the patient - Interview and the
history of nursing
respect to taking or client that is method cooperation of After 3 hours of nursing
diabetes on interventions, the
appropriate involved. the family interventions the family
her father's family will be able
health action due - Health members with understand the risk
side and to:
to not being able Assess Vital signs Vital signs education/ the student factors that contributes to
admits to a
to recognize that monitoring is crucial teachings nurse
sedentary • understand hypertension and its
the problem is a for living a long and
occupation and effect to the client and the
complication of healthy life. Vitals - Appropriate
and lifestyle determine importance of follow up
her DM type 2. gives us a glimpse materials in
the risk into our overall well- conveying appointments and taking
• States that factors being. knowledge to maintenance medicine
she is contributin the family
following her g to
meal and hypertensio - Sufficient
exercise Assess the knowledge This is to have a knowledge of
n and its
planning and understanding of baseline data, to the student
effect to
goals with the family regarding know what nurse about LONG TERM
the client
little success. the disease the disease

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information can be After 3 days of home visit

given. - PHN bag the family was able to
Objective data: • verbalize
develop a healthy routine
• Blood the Explain to the family which includes a healthy
pressure importance what the effects of the This is to establish diet (food with high
140/90 of check- problem are and how awareness and cholesterol, low fat, and
mmHg ups and can everyone in the initiate cooperation salt) and exercise such as
taking family can help to among the family. cardiovascular, or aerobic
• Pulse Rate 78 maintenanc solve the problem
can help lower your blood
bpm e
pressure and make your
medicines. heart stronger. Examples
Discuss with the family
what is hypertension This is to let the include walking jogging,
and the factors that family be bicycling, and swimming.
LONG TERM:
contribute to its knowledgeable on
After 3 days of existence and the patient MC’s
visit, the family effects of having condition. Patient MC verbalized that
will be able to hypertension she was able to adhere to
develop a healthy her diet plan (food with
routine, which high cholesterol, low fat,
includes a healthy Conduct health and salt) and exercise
teachings to the family This is to let the such as cardiovascular, or
diet and exercise,
about the proper family be introduced aerobic can help lower
Patient MC will be
management of to a preventive your blood pressure and
able to adhere to
hypertension. measure in dealing make your heart stronger.
her diet plan, Examples include walking
with hypertension
exercise.

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Give teachings and jogging, bicycling, and

instruct the family in This is to let the swimming.
developing and family know that
promoting a healthy some food and
lifestyle through the having sedentary
reduction of food with lifestyle can worsen
high cholesterol, low and increase blood
fat, and salt. pressure
Reinforce the
importance of This is to improve the
adhering to check-ups family’s compliance
or appointment
Assess the family’s

learning and This is to assure the
understanding after clarity of the
the health education information that is
given.
Encourage the family

to exercise Regular physical
activity like aerobic
exercise makes your
heart stronger. A
stronger heart can

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pump more blood

with less effort. As a
result, the force on
your arteries
decreases, lowering
your blood pressure
Medication can lower

Taking maintenance
blood pressure
medicines
effectively.

College of Nursing
DIABETES
CRITERIA SCORE WEIGHT COMPUTATION JUSTIFICATION

Nature ➢ Diabetes is
• health deficit 3 3/3=1 considered to be a
• health threat 2 1 1x1=1 health deficit because
• foreseeable crisis 1 it isa disability.
Modifiability Resources of the nurses

• easily 2 1/2=0.5 ➢ the student nurse can
• intermediate (moderate) 1 2 0.5x2=1 provide health
• not modifiable 0 education and
interventions for the
family regarding the
disease
Resources of the community
➢ The patient and
family can visit the
barangay health
center and RHU for
consultations and ask

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for the essential

steps/actions they
can take to handle
the illness.
Preventive Potential > The problem is considered

• highly 3 1/3=0.33 to be severe
• moderate 2 1 0.33x1= 0.33 > The family lacks the
• low 1 knowledge to take any
appropriate action
Salience
• problem needing urgent 2 ➢ the family sought help
attention 1 2/2=1 from the rural health
• problem needing not 1 1x1=1 unit.
urgent attention ➢ The family considered
the condition to need
• not a felt problem 0
immediate action.
TOTAL SCORE 3.33


College of Nursing
HYPERTENSION/HIGH BLOOD PRESSURE
CRITERIA SCORE WEIGHT COMPUTATION JUSTIFICATION

Nature > Hypertension is considered
• health deficit 3 2/3= 0.67 to be a health threat because
• health threat 2 1 0.67x1= 0.67 it is a condition conducive to
• foreseeable crisis 1 disease. (due to diabetes).
Modifiability Resources of the nurses

• easily 2 1/2=0.5 ➢ the student nurse can
• intermediate (moderate) 1 2 0.5x2=1 provide health
• not modifiable 0 education and
interventions for the
family regarding the
disease
Resources of the community
➢ The patient and
family can visit the

College of Nursing
barangay health
center and RHU for
consultations and ask
for the essential
steps/actions they
can take to handle
the illness.
Preventive Potential > lack of understanding of

• highly 3 1/3=0.33 the illness and inability to
• moderate 2 1 0.33x1= 0.33 recognize the problem and
• low 1 take appropriate action
Salience
• problem needing urgent 2 ➢ > the family sought help
attention 1 2/2=1 from the rural health
• problem needing not 1 1x1=1 unit.
urgent attention ➢ The family considered
the condition to need
• not a felt problem 0
immediate action.
TOTAL SCORE 3

College of Nursing
DIABETES 3.33
HYPERTENSION/ HIGH BLOOD PRESSURE 3

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St.

Paul University Philippines

School of Nursing and Allied Health Sciences

Problem: DIABETES MELLITUS

Analysis of the Method of Family Resources

School of Nursing and Allied Health Sciences

School of Nursing and Allied Health Sciences

HDL: 0.96 mmol/L minimize changes in because if untreated, Long Term:

School of Nursing and Allied Health Sciences

mg/dL for levels. Regular exercise

This will improve the

School of Nursing and Allied Health Sciences

School of Nursing and Allied Health Sciences

manage their nutritional

A prescribed meal plan

School of Nursing and Allied Health Sciences

Review meal plan with

Blood sugar (blood

School of Nursing and Allied Health Sciences

is the primary tool

School of Nursing and Allied Health Sciences

Teach family how to use To monitor the

If you are a diabetic

School of Nursing and Allied Health Sciences

helps control blood

School of Nursing and Allied Health Sciences

School of Nursing and Allied Health Sciences

information can be After 3 days of home visit

School of Nursing and Allied Health Sciences

Give teachings and jogging, bicycling, and

Assess the family’s

Encourage the family

School of Nursing and Allied Health Sciences

pump more blood

Medication can lower

School of Nursing and Allied Health Sciences

CRITERIA SCORE WEIGHT COMPUTATION JUSTIFICATION

Modifiability Resources of the nurses

School of Nursing and Allied Health Sciences

for the essential

Preventive Potential > The problem is considered

TOTAL SCORE 3.33

School of Nursing and Allied Health Sciences

HYPERTENSION/HIGH BLOOD PRESSURE

CRITERIA SCORE WEIGHT COMPUTATION JUSTIFICATION

Modifiability Resources of the nurses

School of Nursing and Allied Health Sciences

Preventive Potential > lack of understanding of

School of Nursing and Allied Health Sciences

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