NURSING DIAGNOSIS: Imbalanced nutrition: less than body requirements related to inappropriate nutritional intake to meet metabolic needs

as evidenced by: Lack of interest in eating/food Dysfunctional eating pattern (e.g., eating in response to internal cues other than hunger) Recent weight loss, poor muscle tone, decreased subcutaneous fat/muscle mass; pale conjunctiva and mucous membranes MEDICAL DIAGNOSIS: Major Depressive Disorder EXPECTED OUTCOMES INTERVENTIONS LONG TERM: Emphasize importance of well-balanced, nutritious intake. Provide The client will: information regarding individual nutritional needs. (To promote wellness) Gradually return to weight consistent for height and age or Develop consistent, realistic weight goal with client (Facilitate clients baseline before illness as cooperation) evidenced by: Health teaching on the following: Weight: 54-66kg Eat a wide variety of foods every day. (A person should choose *Desired body weight based on different kinds of foods from all the food groups to obtain all the Tannhausers or Broca Index important nutrients needed by the body. Variety is important BMI: 18.5-22.9 because no single food has it all.) *BMI based on Asia Pacific Exercise regularly, do not smoke, and avoid drinking alcoholic Guidelines beverages. (Healthy lifestyle practices are related to good nutrition. SHORT TERM: Encourage small, high-calorie, and high-protein snacks and fluids frequently The client will: throughout the day. (Minimize weight loss, dehydration, and constipation.) Demonstrate behaviors to regain appropriate weight as Encourage eating with others. (Increase socialization, decrease focus on evidenced by: food.) (+) gain of one pound a week (+) interest in eating/food Develop behavior modification program with client involvement appropriate to specific needs. (Client participation in plan will facilitate cooperation) Serve foods or drinks the client likes. (Clients are more likely to eat the foods they like) Weigh the client weekly and observe the clients eating patterns. (Give the information needed for revising the intervention.) EVALUATIONS LONG TERM: The client was able to: Gradually return to weight consistent for height and age or baseline before illness as evidenced by: Weight: 60 kg BMI: 19

The client was able to: Demonstrate behaviors to regain appropriate weight as evidenced by: (+) gain of one pound a week (+) interest in eating/food