Nursing Diagnosis: Imbalanced Nutrition: Less than body requirement related to N/V and loss of appetite

Cues and Evidences Outcome Criteria Nursing Intervention Rationale Evaluation

Subjective: At the end of my 8 Independent: After my 8 hours nursing
“Wala koy gana hours nursing a. ) Determine client’s ability to chew, swallow, -Asses all factors that can be affect intervention, the goal
mukaon kay ang baho sa interventions, client and taste food . Evaluate teeth and gums for ingestion and/or digestion of were:
lamas magsuka ko taga will: poor oral health. nutrients.
humag kaon” as a.) Verbalize a.) Partially met as
verbalized by the understanding of b.) Discuss eating habits, including food -To appeal to client’s likes/dislikes. evidence by:
patient. causative factors when preferences, intolerance / aversions. Verbalized understanding
known and necessary -To stimulate appetite. of causative factors when
Objective: interventions. c.) Encourage client to choose foods / have known or necessary
>flat affect family member bring food that seem appealing. interventions.
>weight: 43 kg b.) Demonstrate
> N/V after meal behaviors and lifestyle d.) Promote pleasant, relaxing environment -To prevent increase gastric b.) Demonstrated
>inadequate food changes to mean to including socialization. motility. behaviors and lifestyle
intake.Consumes 4 tbsp regain and maintain changes to mean to regain
of food appropriate weight. f.) Evaluate total daily foods intake, Obtain -To reveal possible cause of and maintain appropriate
>excessive loss of hair patterns and number of times of eating. malnutrition or changes that could weight
>poor muscle tone c.) Demonstrate be made in client’s intake.
>poor mucous progressive weight gain Dependent:
membrane toward goal. g.) Administer pharmaceutical agent, as -To establish nutritional program
indicated. that meets patient’s needs.