Family Folder Format | Community Health Nursing Practical File
đ Family Folder Format
Subject: Community Health Nursing Practical |
Suitable For: ANM / GNM / BSc Nursing Students
Educational Purpose Only: This family folder format is prepared for nursing practical file work.
1. Cover Page
Name of Practical
Family Folder
Subject
Community Health Nursing
Student Name
________________________
Course
ANM / GNM / BSc Nursing
Roll No.
________________________
Submitted To
________________________
College Name
________________________
Date of Submission
________________________
2. Index
S.No.
Content
Page No.
1
Introduction
_____
2
Objectives
_____
3
Family Identification Data
_____
4
Family Composition
_____
5
Socio-Economic Status
_____
6
Environmental Assessment
_____
7
Health Assessment
_____
8
Family Health Problems
_____
9
Nursing Care Plan
_____
10
Home Visit Report
_____
11
Conclusion
_____
3. Introduction
Family folder is a complete record of a selected family prepared by a nursing student during community health nursing practical. It includes family identification data, socio-economic condition, environmental sanitation, health status of family members, health problems, nursing care plan, home visit report and health education given to the family.
4. Objectives
To assess the health status of the family.
To identify health problems and risk factors.
To assess housing, sanitation, water supply and nutrition.
To provide need-based health education.
To prepare nursing care plan for identified problems.
To promote health and prevent diseases in the family.
5. Family Identification Data
Name of Head of Family
________________________
Address
________________________
Type of Family
Nuclear / Joint / Extended
Religion
________________________
Total Family Members
________________________
Monthly Income
________________________
Occupation of Head
________________________
6. Family Composition
S.No.
Name
Age
Sex
Relation
Education
Occupation
Health Status
1
2
3
7. Socio-Economic Status
Monthly income: ________________________
Source of income: ________________________
Education status: Literate / Illiterate
Economic class: Lower / Middle / Upper
Food expenditure: ________________________
Health expenditure: ________________________
8. Environmental Assessment
Type of House
Kutcha / Pucca / Semi-pucca
Number of Rooms
________________________
Ventilation
Adequate / Inadequate
Lighting
Adequate / Inadequate
Water Supply
Tap / Hand pump / Well / Other
Toilet Facility
Available / Not Available
Waste Disposal
Proper / Improper
Drainage
Open / Closed / Poor
9. Health Assessment of Family Members
Name
Present Illness
Past Illness
Immunization
Nutrition
Personal Hygiene
10. Nutritional Assessment
Type of diet: Vegetarian / Non-vegetarian / Mixed
Meal frequency: ________________________
Milk intake: Adequate / Inadequate
Fruit and vegetable intake: Adequate / Inadequate
Junk food intake: Yes / No
Signs of deficiency: Pallor / Weakness / Thinness / None
11. Family Health Problems Identified
Poor personal hygiene.
Improper waste disposal.
Inadequate ventilation.
Unsafe drinking water.
Anemia / weakness among family members.
Incomplete immunization.
Poor nutritional habits.
Lack of knowledge regarding disease prevention.
12. Nursing Care Plan
Health Problem
Objective
Nursing Intervention
Health Education
Evaluation
Poor personal hygiene
To improve hygiene practices.
Assessed hygiene habits and demonstrated hand washing.
Educated about bathing, nail cutting, clean clothes and hand washing.
Family understood importance of hygiene.
Unsafe drinking water
To prevent water-borne diseases.
Assessed water source and storage method.
Advised boiling/filtering water and covered storage.
Family agreed to use safe drinking water.
Poor nutrition
To improve balanced diet intake.
Assessed dietary pattern and deficiency signs.
Educated about balanced diet, iron-rich foods and seasonal fruits.
Family verbalized understanding.
13. Health Education Given
Importance of hand washing.
Use of safe drinking water.
Balanced diet and iron-rich food.
Personal hygiene and environmental sanitation.
Proper waste disposal.
Immunization of children.
Prevention of communicable diseases.
Family planning and maternal-child health services.
Regular health check-up.
14. Home Visit Report
Visit No.
Date
Purpose of Visit
Observation
Advice Given
Signature
1
Family assessment
2
Health education
3
Follow-up visit
15. Conclusion
The family folder helped in assessing the health status, socio-economic condition, environmental sanitation and health problems of the selected family. Need-based health education was provided regarding personal hygiene, safe drinking water, balanced diet, immunization and prevention of diseases. Follow-up visits are required to observe improvement in health practices.
16. Bibliography
K. Park, Textbook of Preventive and Social Medicine.
Basavanthappa, Community Health Nursing.
Stanhope and Lancaster, Community Health Nursing.
Indian Nursing Council Practical Guidelines.
WHO and Government Health Department Guidelines.
Disclaimer: This format is for nursing academic practical file purposes only. Students should fill real family data as per clinical/community posting instructions.