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Develop a plan of care for patient Mrs. MO.

Assessment Diagnosis Planning Intervention Rationale Evaluation


Assessment Diagnosis
Uncontrolled diet Risk for high Planning
After 3 hours of Intervention
Monitor vital signs Rationale
To assess After 3Evaluation
hours of
Uncontrolled diet blood
Risk pressure
for elevated nursing
After 3intervention,
hours of Review client’s To have an
condition of the After 8intervention,
nursing hours of
On her third maternal
related to serum nursing
the patientintervention,
will display diet, especially overview
patient on the the patientintervention,
nursing reported
Mrs. MOshe
trimester, waswas uncontrolled
glucose levels the patient
diet, vital will be able
signs within carbohydrate intake patient’s daily the patient
relief was able to
of discomfort
fond of eating
surprised upon related to being
deviations from to verbalize
acceptable limits and Provide calm, intake
To help reduce verbalize
and enumerate
chocolates,
knowing fruits vital
some fondsigns
of eating
and understanding
report relief of of the restful sympathetic understanding
strategies of the
to provide
shakes, and
deviations ice
from sweets
discomforts in factors thatand
discomfort may lead Determine
surroundings, To inform the
stimulation, factors that may lead
relief.
cream.
her vital signs certain areas of to elevatedstrategies
enumerate glucose individual factors
minimize patient on the
promotes to elevated glucose
the body toand importance
provide relief. of that may contribute
environmental possible risks
relaxation and importance of
She was troubled lifestyle in keeping the to elevated
activity glucose
or noise factors that may lifestyle in keeping the
about some blood sugar levels in a contribute to blood sugar levels in a
discomforts in healthy range. Introduce having
To reduceelevated healthy range
certain areas of relaxation glucose stress
physical level
her body techniques and stimuli, produce
Ascertain
guided client’s calming
imagery To assesseffect
knowledge and patient’s
understanding
Determine the of awareness
To facilitateon her
conditionofand
specifics the conditionof
diagnosis
treatment needs
discomforts, such problem and
as intensity, initiation of
Provide
location and To supply the
appropriate
information on
duration patient with
therapy
balancing food options on
intake, antidiabetic
Encourage rest medications
To minimize and
agents and
during severe energy in maintaining
stimulation and a
expenditure
discomfort healthy diet
promotes
episodes relaxation
Assess family To know the level
support ofmethods
Introduce client of provide
To assistance the
family caninimpart
of relief according techniques
to specifications of relieving
discomforts discomforts
Note availability To maximize the
and use of resources
resources available and to
choose which
strategy will be
the most
convenient and
effective for the
patient

Assessment Diagnosis Planning Intervention Rationale Evaluation


Diet was Risk for After 3 hours of Carry out and to allow the After 3 hours of
uncontrolled imbalanced nursing intervention, review daily food patient to focus nursing intervention,
nutrition: more the patient will be able diary (caloric on a realistic the patient was able to
She was fond of than body to enumerate factors intake, types and picture of the enumerate factors that
eating chocolates, requirements that may lead to amounts of food, amount of food may lead to
fruits shakes, and related to imbalanced nutrition eating habits) ingested and imbalanced nutrition
ice cream uncontrolled diet and strategies to corresponding and strategies to
demonstrate change in eating habits demonstrate change in
eating patterns and eating patterns and
involvement in Formulate an to keep the plan involvement in
individual exercise eating plan with the as similar to individual exercise
program. patient, using patient’s usual program.
knowledge of eating pattern as
individual’s height, possible
body build, age,
gender, and
individual patterns
of eating, energy,
and nutrient
Be alert to binge To avoid negative
eating and develop feelings that may
strategies for sabotage further
dealing with these weight loss
episodes efforts

Develop an To understand
appetite and recognize
reeducation plan signals of hunger
with patient and fullness

Encourage patient To introduce


to eat only at a techniques that
table or designated modify behavior
eating place and to in avoiding diet
avoid standing failure
while eating

Consult with To make proper


dietitian to referral and to
determine caloric promote and
and nutrient effective weight
requirements for reduction based
individuals weight on the basal
loss. caloric
requirement for
24 hours

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