Download SCALE RANKING & FNCP

SCALE RANKING HEALTH CONDITIONS AND PROBLEMS
Problem No.1: Malnutrition as a Health deficit
Criteria
Computation
1. Malnutrition as a
Health Deficit
3
𝑥1
3
2. Partially Modifiable
1
𝑥2
2
3. Low Preventive
Potential
1
𝑥1
2
4. Needing Immediate
Attention
2
𝑥1
2
Total
Score
Actual
Score
1
1
0.5
1
Justification
The problem is a health deficit because the client is experiencing a nutritional deficit, evidenced by the
client’s low weight for age and insufficiency when it comes to important vitamins.
Malnutrition, in this case, is partially modifiable because of the parent's inability to provide nursing care due
to lack of knowledge about the health condition, and lack of necessary equipment and certain supplies for
care. The family is also suffering because of financial restraint, and so they can’t provide for their child’s
health care needs.
Having insufficient knowledge about the condition and a lack of trust in health care professionals will slow
down the progression of improvement of the child. The family is not financially stable, which makes it hard
for the family to seek help. Thus, the health condition of the child has low preventive potential.
They recognized this as a problem that needs immediate attention.
3.5
Problem No.2: Poor Environmental Sanitation-Improper Garbage Disposal as a Health Threat
Criteria
5. Poor Environmental
Sanitation-Improper
Garbage Disposal as
a Health Threat
6. Partially Modifiable
Computation
2
𝑥1
3
1
𝑥2
2
Actual
Score
0.6
1
Justification
The problem is a health threat because improper garbage disposal presents a danger not just in the
surroundings, but also to the family members who live nearby. Unsafe and unclean nature improper garbage
disposal may lead to family members acquiring common or worst, unknown diseases especially to those who
are immunocompromised.
Educational resources for health teachings will be used to help enlighten the family members about the
possible dangers of improper garbage disposal. The client and the family have shown positive regard for the
problem. The lack of community resources from the barangay for the garbage collection hindered the
willingness and cooperation of the family members for this matter.
7. Moderate Preventive
Potential
8. Needing Immediate
Attention
2
𝑥1
3
2
𝑥1
2
Total
Score
0.6
1
The willingness and cooperation from the client and the family to comply with proper garbage disposal is not
enough to solve or lessen the problem. Without help and immediate action coming from the barangay the
garbage disposal future problems will arise and that can be moderately prevented by the client and the
family.
They perceived this problem as a condition that needs immediate attention.
3.2
PRIORITIZATION OF PROBLEM:
1. Malnutrition as a Health Deficit
2. Poor Environmental Sanitation-Improper Garbage Disposal as a Health Threat
3.5
3.2
Problem number 1 which is Malnutrition as a Health Deficit, with a score of 3.5, needs to be prioritized because malnutrition needs more attention. After all,
it involves one’s life and future. The child needs immediate attention and care. This can lead to a more serious condition if not immediately treated. The second
problem which is Poor Environmental Sanitation-Improper Garbage Disposal as a Health Threat, with a score of 3.2, is the next to be given attention because it
is a threat to health that does not need any immediate medical attention.
FAMILY NURSING CARE PLAN
Malnutrition as a Health Deficit
Health Conditions/s
or Problems and
Family Nursing
Problems
Malnutrition as a Health
Deficit
Objectives of Nursing care
After the nursing
interventions, the client and
family will be able to:
Age: 2 years old
Weight: 7 Kg
1. Verbalize understanding of
Height: 70 cm
the health consequences
BMI: 14.3 – underweight
of malnutrition
The patient is pale and
lethargic
Inability to provide
adequate nursing care
to a member suffering
from malnutrition due
to:
a. Lack of knowledge
about the health
condition
b. Lack of knowledge on
the nature and extent of
nursing care needed
c. Inaccessibility of
appropriate resources of
2. Realize what are the
contributing factors to
malnutrition
3. Identify ways on how to
plan and prepare a simple
balanced meal within their
family’s budget to acquire
their child’s nutritional
needs
4. Avail for food supplements
provided by the
government health
agencies for malnourished
children
Plan of Interventions
1. Provide information regarding
malnutrition
Evaluation Plan
Outcome
Criteria/Indicators,
Standards
1. The family verbalizes
understanding of the health
consequences of malnutrition
if left untreated.
Rationale: Some family is not aware of
malnutrition. Providing information about
it can help the family cope with present
2. The family verbalizes
circumstances and prepare and plan for
willingness to prepare a simple
treatment.
2. Discuss the implications of signs &
symptoms of malnutrition and its
possible consequences if left
untreated.
Rationale: Children who do not reach
their optimum height or consistently
experience bouts of weight loss during
childhood are affected in the long term
in numerous ways.
3. Observe the family’s food selection
and preparation, and their eating
habits and practices.
Rationale: To note what needs to change
and what needs to be improved.
4. Provide information and skills on proper
food selection and preparation and
affordable balanced meal for
their child
3. The Family indicates a
willingness to avail of food
supplements and essential
vitamins for their child. They
also verbalized willingness to
consult a health center for
further help needed.
4. After one week, the child's
weight increased by 1 pound.
-
Methods /
Tools
Home visits
Visual aids:
Books,
infographics, and
pictures for
discussing the
following:
a. Consequences
of
malnutrition if
left untreated
b. A simple
affordable
balanced
meal
c. DOH’s
programs
care, especially cost
constraints
5. Increase their child’s
weight by at least one
pound per week.
feeding practices
Rationale: A selection of foods from the
five food groups is necessary to support
growth, energy
needs, physical activity, and health and
wellbeing
5. Inform the family about the feeding
programs present in their community,
as well as
Rationale: Government and nongovernment health agencies have
programs focusing on the nutrition of a
child
6. Discuss the nutritional needs and
recommended energy and nutritional
intake of a child 2 years of age.
Rationale: Good nutrition during the first
2 years of life is vital for healthy growth
and development. Starting good nutrition
practices early can help children develop
healthy dietary patterns.
REFERENCES:
(n.d.). Retrieved September 16, 2021, from Prenhall: https://wps.prenhall.com/wps/media/objects/737/755395/malnutrition.pdf
Centers for Disease Control and Prevention. (2020, December 11). Infant and toddler nutrition. Retrieved September 19, 2021,
https://www.cdc.gov/nutrition/infantandtoddlernutrition/index.html
Doenges, M., Moorhouse, M., & Murr, A. (2014). Nursing Care Plans (9th ed.). Philadelphia, USA: F. A. Davis Company. Retrieved September 17, 2021
from
Mother & Child Nutrition. (n.d.). Malnutrition. Retrieved September 19, 2021, from https://motherchildnutrition.org/malnutrition/about-malnutrition/impact-ofmalnutrition.html
Wayne, G. (2017, September 24). Imbalanced Nutrition: Less Than Body Requirements Nursing Care Plan. Retrieved September 15, 2021, from
https://nurseslabs.com/imbalanced-nutrition-less-body-requirements/