NURSING CARE PLAN

NERI, ANGELA P. BSN209-

GROUP 3A
PARAS, KATHLENE KATE A.

Nursing Analysis Goals and Nursing Rationale Evaluation

Cues Diagnosis Objectives Interventions
Long term:
Objective Imbalanced After 3 weeks After 3 weeks of
Weight: nutrition: less of intervention, intervention, the
7 kg/ 15. 43 than body the client must client will be able
Height: requirement be able to: to manifest weight
2 ft 63 in r/t inability to To reveal gain of 1kg.
BMI: 0th digest food as 1. Manifest Evaluate total possible cause __Goal Met
percentile – evidenced by weight gain of daily food intake of imbalanced __Goal Partially
10.4 below ideal 1kg/2.2 lbs – including patterns nutrition and Met
(Underweight) weight range 2kg/4.4lbs. and times of changes that __Goal Unmet
Temperature: and food eating. could be made
36.4 degree intake less in client’s
Celsius than intake.
Pulse rate: recommended
115 beats per daily Establish
minute allowances. nutritional goals
Respiratory with dietitian to
Rate: meet the dietary
23 breath per needs. To identify
minute deviations of
Teach and explain weight and
to mother the height from
proper assessment normal for
of weight and establishment of
height by means of baseline
2. Demonstrate anthropometric parameters.
healthy lifestyle data.
changes or
behaviors in
regaining and Determine
maintaining of lifestyle factors
infant’s that may affect
nutritional weight. All factors that
status. affect digestion
of nutrients.
Explore specific
eating habits and
ability to swallow
or chew food.

Short term:
After 1 hour,
the mother of
the client must
be able to:

1)Discuss
knowledge and
information Verbalize Short term:
about the understanding of After 1 hour, the
nutritional primary nutritional mother of the
needs of the needs in the client must be able
infant for a growth phase of an to:
healthy infant. 1)Identify atleast 3
lifestyle. potential
complications and
2) Follow the 4 Intake of bottled how to initiate
feeding milk with only 16- appropriate
guidelines with 24 oz and intake of preventive actions.
planned soft foods with __Goal Met
schedule. only 76 to 227 g. __Goal Partially
To stimulate the Met
Avoidance of any appetite of the __Goal Unmet
added sugar infant.
intake, junk foods
and soft drinks 2)Verbalize
that can increase understanding
gastric motility. about effective
airway clearance
Display by enumerating
encouragement of the factors
consumption of affecting it.
soft food through __Goal Met
baby-led weaning __Goal Partially
or traditional Met
weaning. __Goal Unmet

Provide possible
meals with the The guardian of
nutritional needs the patient shall be
in collaboration able to be familiar
with dietitian about the benefits
of clean
environment after
an hour.
__Goal Met
__Goal Partially
Met
__Goal Unmet