RLE 107 – Family Nursing Care Plan | Group 2A 2
A. Malnutrition
Criteria
1. Nature of the Problem
2. Modifiability of the Problem
3. Preventive/Potential
4. Salience of the Problem
Total
Computation Actual Score Justification
3/3x1 1 The presence of malnutrition among the children is identified
as a health deficit, hence it requires more immediate
intervention.
2/2x2 2 The modifiability of the problem is high because it was seen in
the latter part of the documentary that the family has received
groceries and financial assistance, making the sources and
intervention needed to solve the problem available to the
family. Mae has also shared that they plan to start a sari-sari
store business in order to have an additional and more stable
source of income.
3/3 x 1 1 Both the present and further problems related to malnutrition
can be minimized because the family can utilize the
resources provided by Mr. Mark and Ms. Rhea in providing
adequate food for the family.
2/2 x 1 1 The family does recognize the problem as serious and needs
immediate attention. However, financial constraints hinder
them from getting the adequate nutritional requirements their
bodies need, especially Mae and her children as they are
considered vulnerable to diseases.
5

B. Poor Physical Environmental Conditions
Criteria
1. Nature of the Problem
2. Modifiability of the Problem
3. Preventive/Potential
4. Salience of the Problem
Total
RLE 107 – Family Nursing Care Plan | Group 2A 2
Computation Actual Score Justification
2/3x1 2/3 Poor physical environmental conditions are identified as a
health threat.
1/2x2 1 The problem is partially modifiable because while it is true that
the family has already moved into a place that is more
conducive to live in than residing in the street, it is evident that
it is still poor in terms of environmental sanitation. Thus, there
is a need to modify their current home with regards to
cleanliness and eradication of the presence of hazards.
2/3 x 1 2/3 Taking into account that the family is already living in a house
with a proper structure, the possible problems related to poor
environmental conditions such as the threat of acquiring
communicable diseases, pollutants, and weakened immunity
are decreased. However, as seen in the documentary, there is
still inadequate living space for the family members and
improper ventilation in the house they are renting.
2/2 x 1 1 The family recognizes the problem as serious and needs
immediate attention. However, due to financial instability, their
desire to improve and move to a more conducive home is
being impeded.
3 1/3 (3.33)
 RLE 107 – Family Nursing Care Plan | Group 2A 2

C. Pregnancy Complications
Criteria Computation Actual Score Justification

1. Nature of the Problem 1/3 x 1 1/3 Pregnancy is identified as a foreseeable crisis.

2. Modifiability of the Problem
2/2 x 2 2 It is easily modifiable because the resources in their
community are available and accessible for mothers like Mae.
The problem in the food supply of the family has been
addressed since they received support and have started a
small business to increase their source of income. Moreover,
their rental house offers enough space for Mae to have
enough rest in the course of her pregnancy.

3. Preventive/Potential 3/3x1 1 The possibility of Mae to prevent complications during

pregnancy is high since the family was able to rent a house to
accommodate their need for living space and they received
financial support to aid them in their daily needs, especially
food.

4. Salience of the Problem
1/2 x 1 1/2 The family has a low salience and does not fully recognize the
existence of the problem or of the foreseeable crisis as
evidenced by the lack of focus and attention to her pregnancy.
Too, since the gaps between the age of the children are not
idealistic, one can say that they do not fully comprehend the
gravity of the possible problems entailed with unplanned
pregnancies considering their living conditions.

Total 3 5/6 (3.83)

The Prioritized Health Problems:

The list of health problems ranked to priority is presented:
1. Malnutrition …………………………………. 5 (first or top priority)
2. Pregnancy Complications …….…………... 3 5/6 (second priority)
3. Poor Environmental Conditions ……………3 1/3 (third priority)
 RLE 107 – Family Nursing Care Plan | Group 2A 2

Family Nursing Care Plan: Malnutrition

Nursing Intervention

Method
of
Family Specific
Health Nursing Family Resources
Nursing Goal of Care Objectives of Rationale Evaluation
Problem Intervention Nursing Required
Diagnosis Care
-Family
Contact

Subjective: Imbalanced Within 3 hours Short-term: 1. Establish 1. To promote Home Material After rendering
“Bumibili lang nutrition of nursing After 3 hours of rapport with harmonious Visitatio resources: nursing
ako ng isang less than interventions, rendering the family nurse-client n  list of low- interventions
kanin, at ng body the family will nursing relationship cost but and health
libreng requirement be able to interventions nutritiously teaching, the
sabaw. s related to understand: and health 2. Monitor V/S 2. Vital signs are sufficient family will be
Paghahati- inadequate  the teaching, the regularly important supplies and able to:
hatian na food supply importance family will be components of recipes
namin iyon.” secondary of balanced able to: patient care as ● Establishe
to inability nutrition they establish  visual aids d
“Hindi na to make  identify baseline data. (food harmoniou
muna ako decisions cheap yet pyramid) s
kakain, and with respect nutritious relationshi
importante, to taking meals  Recognize 3. Discuss the 3. Health  V/S ps with the
makakain ang appropriate  the need to the importance education assessment nurse as
mga bata,” as health perform importance of having regarding the equipment evidenced
verbalized by action due adequate of adequate family’s eating (sphygmoma by them
the client. to cost manageme improving nutrition, as habits is nometer, being able
constraints nt to the quantity well as the important in thermometer, to express
increase and quality signs, improving their pulse their
Objective: their of foods symptoms, health and oximeter) concerns
 presence weight, served in and well-being as comfortabl
of especially the family. possible this is the basic  weighing y.
distended of the risk of need of the scale
abdomen children. malnutrition body to ● Recognize
among function  height chart d the
the properly. This importanc
children subsequently e of
 dry and allows the improving
slightly members to the
 RLE 107 – Family Nursing Care Plan | Group 2A 2
blonde prevent further Human quantity
color hair complications resources: and quality
 height of of the health  Time and of foods
the deficit. effort of the served in
children is nurse and the family
not  Identify 4. Devise a 4. This serves as family as
proportion cheaper yet meal plan a guide on members evidenced
ate to nutrient- that is what kind of  Adequate by
their age dense meal congruent food can be a knowledge of exhibiting
options. to the good source of nurse to desire to
financial nutrients, facilitate the change
capability without the plan of care their
of the need of effectively current
family spending practices.
much.
Financial ● Planned
 Plan and 5. Encourage 5. To include the resources: and
cook the mother family in the  Money cooked
nutritious to keep a care and to (nurse’s nutritious
meals on a diary of the help them self- transportatio meals on
limited daily food monitor their n) a limited
budget or intake of adherence, budget or
allowance. the family. maintenance, allowance
and as
performance of evidenced
the by the
interventions to record in
meet the the
desired goals. mother’s
Long-term: diary of
After 1 week of 6. Provide 6. Exercising their daily
nursing health helps people to food
interventions, education stay healthy intake.
the family will about the and improve
be able to: importance energy levels.
of exercise, Relaxation
 Increase relaxation activities aid in ● Increased
overall activities, stress overall
health and management, health
status of avoiding thus status of
 RLE 107 – Family Nursing Care Plan | Group 2A 2
family vices. contributing to family
members. overall health. members
Avoiding vices as
in general evidenced
helps people to by weight
get healthier gain,
body and increased
reduces the BMI score,
risk of and
acquiring possibly
diseases. height
gain.

 Gain at 7. Monitor 7. To determine if ● Gained at

least 2 height, they are least 2
pounds by weight, and meeting the pounds by
the end of BMI of the appropriate the end of
the week. family height and the week
members weight as
specifically for evidenced
their age. by weight
gain,
8. Document 8. This provides increased
the height, baseline BMI score.
weight, and information
BMI of the about the
family progress and
members. effectiveness
of the
interventions
toward the
desired goals
for the family.