CHN Week 5 FNCP Activity
CHN Week 5 FNCP Activity
CHN Week 5 FNCP Activity
Situation:
Josefina Rivera is a public Health Nurse at the Rural Health Unit. She met 26-year-old Susan Yap, married, 6 months pregnant with her first child, in a Garantisadong
Pambata (outreach health services) visit at an ambulatory clinic in the barangay where the Yap family was residing.
Josefina found out that Susan never had a prenatal consultation. She also noted that Susan was underweight, with a weight of only 48kg and a height of 155 cm. When
Josefina asked her where she plans to deliver her baby, she replied that she would probably have a home delivery under the care of the local “hilot” because professional attendance
would be too expensive for them. Susan explained that she came to the ambulatory clinic upon the prodding of her husband who heard about the health workers’ visit to the
barangay. To assess the Yaps’ home situation and teach Susan health practices related to her pregnancy, Josefina asked Susan if she could make a home visit. Seemingly pleased
with Josefina’s attention, Susan agreed with Josefina on a home visit schedule, stating that she wanted to learn more from Josefina to prevent problems with her pregnancy and
delivery.
When Josefina made the home visit, she noted that Susan lived with her 32-year-old husband Mario, who was at work at the time of the visit. He was the sole breadwinner
of his family – a construction weaker earning the daily minimum wage. Susan described her husband as hardworking. They lived in a rented shack of mixed materials with a
bedroom, a bathroom and toilet, and a small multipurpose room (living and dining room and kitchen). Susan’s activities consisted mainly of household chores. Sometimes, Susan
would spend time at the homes of some friends and relatives residing in the neighborhood.
In the course of the interview, Josefina found out that Susan had inadequate knowledge about community health services, prenatal nutrition, preparation for childbirth, and
infant care. Susan said that she and her friends and relatives sometimes talk about such matters, but the information given was confusing and conflicting. Aside from palmar pallor
and underweight, other findings during physical examination were normal. When asked about her diet, Susan told Josefina that she limited her food intake because she did not
want to have a caesarian section, which may be needed if baby grew too big.
SCALE FOR RANKING HEALTH CONDITIONS AND PROBLEMS ACCORDING TO PRIORITIES
4. Salience of the Problem The client recognizes it as a problem but not needing immediate
* A condition or problem not action due to insufficient knowledge on how to do so since the client
1/2x 1 0.5
needing immediate attention relay only her friends and relatives’ information which may make her
confused.
3. Preventive Potential 3/3 x 1 1 Further complications will be avoided if the problem will be
*Highly prevented recognized and be given careful attention.
4. Salience of the Problem 0/2 x 1 0 The family does not recognize it as a problem, and it does not
*Not perceived as a problem or seem the problem as needing immediate action due to
needing condition needing inadequate knowledge about health services and prenatal
change. care.
TOTAL SCORE 3 Rank 3
THE PRIORITIZED HEALTH PROBLEMS:
Family Nursing Diagnosis Scoring Justification Rank
Imbalanced Nutrition: Less than Body 4.5 Underweight is a medical condition that demands immediate attention to avoid harming Rank 1
Requirements related to insufficient dietary her pregnancy such as higher risk for delivery of low birth weight (LBW) infants, retarded
intake as evidence by limitation of food fetal growth, and perinatal mortality. As a fetus relies on its mother's diet to sustain its
intake nutritional needs for growth and development in the womb.
Readiness for enhanced knowledge 4.17 Lack of knowledge and false information places one's health in danger because it has Rank 2
the potential to harm not just the mother but also the unborn child.
Risk for bleeding related to iron deficiency 3 Iron deficiency is a medical problem that can be harmful to both the mother and to the Rank 3
unborn. This increases the risk of premature birth and is also associated with having a
low-birth-weight baby and postpartum depression.
HEALTH METHODS
FAMILY
PROBLEM GOAL OF OF NURSE RESOURCES
NURSING OBJECTIVE INTERVENTIONS RATIONALE EVALUATION
IDENTIFIED CARE FAMILY REQUIRED/USED
DIAGNOSIS
ASSESSMENT CONTACT
Imbalanced Clinic-Visit
UNDERWEIGHT/ Nutrition: Less -After nursing Short Term: 1. Provide -Help the client Home Visit -Time and effort of Goals are met:
MALNUTRITION than Body interventions, information to realize the both public health
Requirements the client will -After 4-5 regarding individual importance of nurse and family. Short Term:
Subjective: related to display hours of nutritional needs and proper
insufficient behaviors and nursing ways to meet these nutrition. - The client was
The client is 6 dietary intake lifestyle intervention, needs within able to
months pregnant, as evidenced changes to the client will: financial constraints. -Low-cost resources understand the
and she limits her by limitation of recover/regain to support lifestyle health teachings
food intake to food intake. appropriate 1. able to avail changes to offered about the
prevent cesarean weight. of food recover/regain need of nutritional
delivery. supplements appropriate weight. intake and was
for pregnant able to use the
women supplements
provided by provided by the
Objective: the health 2. Discuss the -To be aware health facility. In
center. factors that of the factors addition, the client
Underweight contribute to that affect and was able to make
2. able to inadequate nutrition. may affect appropriate food
(155 lbs.) make their health. selections to
appropriate achieve the goal
food weight and
selections to improve their
achieve the overall health.
goal weight
within a -To give
specified 3. Emphasize the information
budget. importance of well- about
malnutrition.
balanced, nutritious
intake.
Long Term: