The first card is the Five of Swords, which represents the willpower and commitment needed to achieve important goals. This card suggests that Martina must work hard to achieve her family goals, which could be related to family health, such as improving living conditions and nutrition. Martina's willpower and commitment can lead her to achieve positive results, but will require great dedication.
The second card is the reversed Page of Swords, which represents inner obstacles that prevent Martina from achieving her goals. This tarot indicates that Martina has fears or doubts about her family environment, perhaps because she does not feel ready or competent to take care of her family's health. There is also the possibility that Martina lacks confidence in her abilities or in the people around her, so these inner fears and blocks may need to be addressed before moving forward towards her goals.
In conclusion, Martina's hand suggests that she must work hard to achieve her family health goals. You will probably also have to face some internal blocks to overcome your fears and doubts. If Martina will be able to overcome these barriers, she will be able to achieve greater well-being and health for her family.