FAMILY CARE PLAN

A Paper Presented to

The Faculty of College of Nursing

Adventist University of the Philippines

In Partial Fulfillment of

the Requirements for the Course

Maternity and Child Health Nursing

By

Juan Dela Cruz

July 17, 2019

 Family Health Problem
Problem Cues
1st Level Assessment 2nd Level Assessment

Subjective:

Mother verbalized, “Rina is really small Malnutrition as a Health 1. Inability to recognize the presence of malnutrition in a
Malnutrition in build since she was a baby. She is not Deficit dependent member due to lack of knowledge
fond of eating too…”
2. Inability to decide about taking appropriate health action
Objective: due to failure to comprehend the nature, magnitude and
scope of the problem
 Rina, three years old, weighs 10
kgs; looks pale, lethargic and 3. Inability to provide adequate nursing care to a member
apathetic; markedly suffering from malnutrition due to:
underweight and
undernourished. a. Lack of knowledge on the health condition
 Three preschoolers member b. Lack of knowledge on the nature and extent of
usually are left to the care of nursing care needed.
eight-year-old sister when
parents are working and older c. Inadequate resources for care, i.e. responsible
children are in school. family member and financial constraints.
 Mother is very busy helping
earn a living that she could
hardly see to the needs of the
children.
 Family income is P500 a day.
Problem __ : Malnutrition

Criteria Standard Score Weight Actual Justification

Score

1. Nature of the Wellness State 3 3 1 1 It is a health deficit that requires immediate management to eliminate untoward
Problem Health Deficit 3 consequences
Health Threat 2
Foreseeable 1
Crisis/Stress points
2. Modifiability of Easily 2 2 2 2 The problem is easily modifiable since the nurse’s resources are available; she
the problem Partially 1 can help the family in budgeting of money and scheduling of time; she can
Non-modifiable 0 develop the skills of other members to achieve good nutrition---proper food
selection and preparation, and feeding practices.

3. Preventive High 3 3 1 2/3 The child has 2nd degree malnutrition; mother verbalized that Rinna has been
Potential Moderate 2 small in built since birth; the family is not soing anything to solve rinna’s
Low 1 nutrition problem since they do not recognize it a problem. Rinna is 3 year old
and belongs to vulnerable or high risk group.

4. Salience A condition or problem, 0 1 0

needing immediate attention

2
A condition or problem not Not a felt problem
needing immediate attention

Not perceived as a problem

0
Total Score: 3 2/3
HEALTH PROBLEM FAMILY NURSING GOAL OF CARE OBJECTIVE OF INTERVENTION PLAN
PROBLEMS CARE Nursing Interventions Method of Nurse- Resources Required
Family Contact
Malnutrition 1. Inability to recognize After nursing After nursing 1. Discuss: Home Visit Material resources:
the presence of intervention, Rina’s intervention, the family a. the implications of the signs Visual aids, examples of
malnutrition in a nutritional state will will: and symptoms of malnutrition food stuffs for
dependent member due to improve from second a. avail itself of food observed in Rina and demonstrating
lack of knowledge degree malnutrition to at supplements provided by b. the consequences of preparation of low-cost
2. Inability to decide least first degree in six health and related malnutrition. menus, supplies and
about taking appropriate months’ time. agencies for preschool 2. Discuss with the family the equipment for cooking
health action due to malnourished children; reasons for Rina’s malnutrition; demonstration.
failure to comprehend the b. be able to plan and inquire about and observe the
nature, magnitude and prepare balanced meals family’s food selection and Time and effort of the
scope of the problem which are within the preparation and the eating nurse and family
3. Inability to provide family’s budget. habits/practices of Rina. members.
adequate nursing care to c. feed Rina according to 3. Discuss with the family the
a member suffering from agreed-upon quantity of courses of action open to them, Expenses for teaching
malnutrition due to: food and manner of specifically: aids and transportation of
a. Lack of feeding; a. Explore the possibility of the nurse.
knowledge on the health d. make Rina’s weight arranging the schedule of all
condition increase by at least one members such that responsible
b. Lack of pound per month. ones take turns in seeing to the
knowledge on the nature needs of younger ones when
and extent of nursing Mrs. A is not around, and
care needed. b. explore with the family better
c. Inadequate ways of budgeting family
resources for care, i.e. income
responsible family
member and financial
constraints.

Outcomes
Goal:
After nursing intervention, Rina’s
nutritional state will improve from
second degree malnutrition to at
least first degree in six months’ time.
Evaluation Criteria/Indicators
Weight (as nutritional status
criterion)
Performance Criteria/Indicator:
a. avail itself of food supplements
provided by health and related
agencies for preschool malnourished
children ;
b. be able to plan and prepare
balanced meals which are within the
family’s budget.
c. feed Rina according to agreed-
upon quantity of food and manner of
feeding;
d. make Rina’s weight increase by at
least one pound per month.
EVALUATION
Evaluation Standards
Method Tool/Data Source
Clinic follow-up at least once during Record review early childhood care and
the month development card for 0-6 years
Accurate application of Daily Record review Menu Plan
Nutrition Guide Pyramid for Filipino
children 1-6 years.
Child’s daily food intake based on Record review, observation and Estimated food record performance
recommended energy and nutrient interview evaluation checklist
intake for age group
Increase of at least 1 kilogram in six Weight monitoring Weighing scale, early childhood
weeks. care and development card for 0-6
years
 Family Nursing Diagnosis
Health Problem Cues Goals & Objective Nursing Intervention Evaluation
1. Inability to recognize the 1. Discuss:
Problem No.??? Subjective: presence of malnutrition in a Goal a. the implications of the signs and symptoms of Goal Met
Malnutrition Mother verbalized, dependent member due to After nursing intervention, malnutrition observed in Rina and After six months of nursing
“Rina is really lack of knowledge Rina’s nutritional state will b. the consequences of malnutrition. intervention, the client
small in build since 2. Inability to decide about improve from second degree 2. Discuss with the family the reasons for Rina’s manifested a normal weight b
she was a baby. She taking appropriate health malnutrition to at least first malnutrition; inquire about and observe the based on early childhood
is not fond of eating action due to failure to degree in six months’ time. family’s food selection and preparation and the care and development card for
too…” comprehend the nature, eating habits/practices of Rina. 0-6 years.
Objective: magnitude and scope of the 3. Discuss with the family the courses of action
 Rina, three problem Objectives: open to them, specifically:
years old, 3. Inability to provide a. avail itself of food a. Explore the possibility of arranging the
weighs 10 adequate nursing care to a supplements provided by health schedule of all members such that responsible
kgs; looks member suffering from and related agencies for ones take turns in seeing to the needs of younger
pale, malnutrition due to: preschool malnourished children ones when Mrs. A is not around, and
lethargic a. Lack of knowledge ; b. explore with the family better ways of
and on the health condition b. be able to plan and prepare budgeting family income
apathetic; b. Lack of knowledge balanced meals which are within
markedly on the nature and extent of the family’s budget.
underweigh nursing care needed. c. feed Rina according to agreed-
t and c. Inadequate upon quantity of food and
undernouris resources for care, i.e. manner of feeding;
hed. responsible family member d. make Rina’s weight increase
 Three and financial constraints. by at least one pound per month.
preschooler
s member
usually are
left to the
care of
eight-year-
old sister
when
parents are
working
and older
 children are
in school.
 Mother is
very busy
helping
earn a
living that
she could
hardly see
to the needs
of the
children.
Family income is
P500 a day.