Submitted to: Mrs.

Claire Castro, RN Clinical Instructor

Submitted by: Butch V. Costales, UDM-SN

.) Assist in obtaining/review results of individual testing Edx> To promote optimum wellness: a.) Review Client’s knowledge of current nutritional needs b. of NURSING INTERVENTIONS RATIONALE EVALUATION Name: Estelita Hagler Dx> To develop plan for > Provides E> After 30 mins. >Helps identify strengths and weaknesses in eating patterns and potential for change.6 ˚c IVF-q6 ō 1000ml D5LR/D5NR -I/O. she needs to fart to be able to eat.CUES/DATA NURSING DIAGNOSIS D> Readiness for Enhanced Nutrition BACKGROUND ANALYSIS OUTCOME IDENTIFICATION &PLANNING P> After 1 hr of NURSING INTERVENTIONS RATIONALE EVALUATION Name: Estelita Hagler Age: 27 y/o Post LTCS OB code: G1P1 SUBJECTIVE: “ Gusto ko ng kumain.79 bpm RR.18 bpm T.) Determine patterns of hunger and satiety > Provides baseline for further teaching and interventions.) Discuss the importance of NPO to the client’s current status b.90/60 mmHg PR.) Educate the client that she needs to have (+) flatus to be able to eat > To explain the temporary malfunctioning of gastrointestinal tract because of operation and CUES/DATA NURSING DIAGNOSIS D> Readiness BACKGROUND ANALYSIS OUTCOME IDENTIFICATION &PLANNING P> After 30 mins. E> After 1 hr of nursing intervention the client understood how and when to attain adequate nutrition by verbalizing that >to determine that client is healthy and identify dietary changes that may be helpful in attaining health goals. maintenance of 1000ml every 6 hours D5NR nursing intervention the client will understand how and when to attain adequate nutrition Dx> To determine current nutritional status: a.4000 ml/ FC >The client expresses starvation to enhance nutrition >The client’s attitude towards eating is congruent with health goals >consumes adequate fluid via IV route.) Determine motivation/expectation for change b. Tx> To assist client to develop plan to meet individual needs: a. pwede na ba?” as verbalized by the client (-)Flatus (-)Bowel Movement OBJECTIVE: -V/S BP.36.

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