CHN PT

PAROAN, Yzobel Phoebe R.
BSN 2A
CHN-PT
Case Scenario:
Mr. and Mrs. Rosario are living together for almost 15 years at Brgy. Masikap, Lucban, Quezon. They have five children -
three girls and two boys. Three of them are studying, and their eldest is an out-of-school youth. Mrs. Rosario is currently
pregnant and she's on her sixth month. The couple are both high school graduates. Mrs. Rosario is a vendor, while her
husband is a tricycle driver.
According to Mrs. Rosario, her pregnancy is unplanned and unwanted as they are facing financial issues due to their daily
expenses and school requirements of their children. They depend on their small and unstable income, and sometimes
receive support coming from their in-laws. As of current, she has no pre-natal check-up due to financial constraints. Their
estimated monthly family income, when combined, is Php 5,000.00. Mrs. Rosario manages and able to allocate budget
for their food, and school expenses of their three children. But according to her, it is not enough for them but she
managed it appropriately so that they can eat three times a day.
Their house is made up of light materials, like pieces of plywood. It measures approximately 25 square meters. Living
room is situated as soon as you enter the house, just beside that is the area where they usually sleep, change clothes,
eat, and for the privacy of the couple. They use charcoal for cooking, electricity is not available due to the limited
resources, instead they use gas lamp. Water source is from the deep well, where they need to get 25 meters away from
their house. They use plastic containers to store water for drinking purposes. Toilet facility is not available, thus, public
toilet is being shared among the neighborhood. Waste materials are not being segregated, and are just being thrown at
the river.
Mrs. Rosario's youngest, who is 10 month old now, is very sickly and does not have any immunization as the mother
verbalize that she wasn't able to bring the child to the health center. Last week, a health worker visited and assess the
child, hence confirmed underweight.
1. Identify the initial data base for family according to: Family structure, characteristics, and dynamic, Socio-economic and
cultural characteristics, Home environment, Health status of each family member, Values, habits, practices on health
promotion, maintenance and disease prevention
2. Identify and prioritize the problem
3. Make a family nursing care plan (top 2 problem)
ANSWER:
1. INITIAL DATA BASE
a) Family Structure- 7 in the family- 2 married couple; 5 children (3 girls and 2 boys)
b) Home environment- house is made up of light materials, like pieces of plywood. It measures approximately 25 square
meters. Living room is situated as soon as you enter the house, just beside that is the area where they usually sleep,
change clothes, eat, and for the privacy of the couple. They use charcoal for cooking, electricity is not available due to
the limited resources, instead they use gas lamp. Water source is from the deep well, where they need to get 25
meters away from their house. They use plastic containers to store water for drinking purposes. Toilet facility is not
available, thus, public toilet is being shared among the neighborhood. Waste materials are not being segregated, and
are just being thrown at the river.
c) Health status of each family member- Mother’s youngest child (10 months old and sick)
d) Practices on health promotion- low income to support health financials
2. IDENTIFY AND PRIORITIZE THE PROBLEM

Mrs. Rosario's youngest, who is 10 month old now, is very sickly and does not have any immunization as the mother
verbalize that she wasn't able to bring the child to the health center. Last week, a health worker visited and assess the child,
hence confirmed underweight.
3. MAKE A NURSING CARE PLAN

Cues/ Clues Nursing Diagnosis Nursing Goals Nursing Intervention Rationale Evaluation
Malnutrition Inability to gain a strong

Underweight BMI of the immune system due to:
following family  Ignorance of facts
members: that some of the Goals partially met:
family members are
 10month old infant malnourished -Emphasize the
After the nursing -They are able to
importance of proper
intervention, the family -to educate the family perform the importance
 Fear of nutrition
will be able to: about proper nutrition of nutrition through
Consequences of abstaining unnecessary
diagnosis of -Teach the family on
•Perform the -to gain knowledge food like“junk” foods.
problem related to proper food preparation
importance of nutrition about the nutrients of
economic among the family different foods -able to identify cheaper
- Enumerate the
members through their nutritious and healthy
advantages and
actions of abstaining -to prevent the family foods but fail to
disadvantages of
unhealthy food. from getting sick demonstrate the
malnutrition
importance of food
•Identify cheaper yet -to support the family preparation due to the
- Identify cheaper
nutritious and healthy needs location of their kitchen
nutritious and healthy
foods and the lack of necessary
foods
utensils.

CHN PT

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PAROAN, Yzobel Phoebe R.

2. Identify and prioritize the problem

3. Make a family nursing care plan (top 2 problem)

2. IDENTIFY AND PRIORITIZE THE PROBLEM

3. MAKE A NURSING CARE PLAN

Malnutrition Inability to gain a strong

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