Palawan Polytechnic College Inc.

Manalo Extension, Puerto Princesa City

Department of Nursing

Assessment Diagnosis Planning Interventions Rationale Evaluations

Subjective: Imbalanced nutrition After 6 hours of Dependent:

“Medyo nahihirapan less than body nursing intervention Obtain the rough nutritional Identifies needs to After 6 hours of
huminga ang baby requirements r/t client will be able assessment. (Nursing aid in choice of nursing interventions
dahil sa ubo as financial incapability to: history, physical interventions client was able to:
verbalize by the of improper examination, eating patterns, gain weight from
mother. absorption Maintain/restore religious beliefs and etc. 37kgs. To 37.3 kgs.
optimal nutritional Determine food preference
Malnutrition is status. w/ considerations of cultural Social, economic, Maitain/consume
Objective: defined as the lack of social and economic. psychologic factors parenteral feeding
-Pallor noted necessary or Prevent play and role in through IVF of
-Dryskin appropriate found complications Independent: nutrition. D5NM 1 liter
-Lack of the body substances . associated w/ Closely monitor intake and incorporated w/
fat Undernutrition refers undernutrition output vitamins solution (1
-Underweight to an intake of Provides direct ampule venutrex) as
-Flaccid muscles nutrients insufficient Promote healthy indicators of fluid prescribed
-Tounge smooth in to meet daily energy nutritional practices. Identify odor casing foods balance.
appearance requirements Regain specified (cabbage,fish,beans,prawns)
-Decreased because of weight. And temporary restrict from Return of intestinal
-reflexes(mentally inadequate food diet. Gradually reintroduce function indicates
confused) intake or one food at a time. readiness to resume
-Delalayed wound improperdigestion oral intake.
healing and absorption of Recommend client increase
food. use of yogurt,yakult, or soya
milk. Sensitivity to certain
food is not
uncommon
following intestinal
Structure/set the surgery.
environment to create a
pleasant and relaxing
atmosphere.
Collaborative:
Aministered
interal/parenteral feedings
as indicated. ( IVF D5NM+
1 ampule venutrix).
Consult w/dietician as
needed.
May help prevent
gas and decreased
odor formation.
In the presence of
severe debilitation
or intolerance of oral
intake, parenteral or
interal feedings may
be given to supply
needed components
for healing/daily
nutritional
requirements.
Helpful in assessing
clients nutritional
needs in light of
changes in digestion
and intestinal
function, including
absorption of
vitamins/minerals.