Republic of the Philippines

PAMANTASAN NG LUNGSOD NG MAYNILA

University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

NUTRITIONAL CARE PLAN

(Young Adult)

SUBMITTED BY:
CARIAGA, Claire Marie I.
CATALUÑA, Lady Miqueclaire
CHAN, John Kenneth B.
CLAR, Keeshia Cassandra E.
CONCEPCION, Ada Beatrice C.
CORONEL, Angela Marie R.
CRUZ, Justin Mae Z.
CRUZ, Rossel S.
DE JESUS, Elaidah Joannah S.
DELOS REYES, Janna Claire S

SUBMITTED TO:
Prof. Albina L. Garcia
Prof. Almeida A. Nierves

November 2021
 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

PATIENT’S NAME: L.M.J.C a.k.a. Soleil

AGE: 20 years old

PRIORITY PROBLEM:
Imbalanced Nutrition: More Than Body Requirements

SUBSTANTIAL/OTHER OBSERVED PROBLEM/S:

Knowledge deficit related to food and nutrition

NUTRITION NUTRITION PLANNING/GOALS NUTRITION NUTRITION MONITORING AND

ASSESSMENT DIAGNOSIS INTERVENTION EVALUATION

SUBJECTIVE Ineffective Health SPECIFIC The client agrees with the After 2 and 3 weeks of nutrition
DATA/CUES: Maintenance following interventions: intervention:
related to The client will be able to
Anthropometric Inadequate Health change her behavior and ● The client will ● The client demonstrated
Measurement: Teaching. As attitude in relevance to demonstrate behavior modification
evidenced by diet in order to lower her behavior modification techniques: self-
Usual weight: 132 (lbs.) client’s (+) caloric intake. techniques: self- monitoring
60 kg) overweight, (+) monitoring
Recent changes in MEASURABLE
Excess
weight ● The client can ● The client was able to
Carbohydrates
Pre-pandemic: 57 kg The client should be able formulate a current monitor her meal plan
intake, (+)
Post pandemic: 72 kg to lose approximately 1 kg eating plan to reach calories for each day via
Measurements of
After 2 weeks of of body weight every enough calorie MyFitnessPal.
food intake, (+) Time
workout and a calorie week. intake by installing
deficit diet: 71 kg
and duration or the MyFitnessPal
intervals of food application to
 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

Planned change? intake. ACHIEVABLE monitor daily food

o Go back to 57 kg,
min of 55kg
o present in the foods that
Dietary Intake Data:
“I am on a caloric
deficit and I am not
guided by a
nutritionist. The
following are my
caloric intake in a day;
a minimum of 1000
kcal and a maximum of
1500 kcal” as verbalized
by the patient.
“I have one snack, one
dinner, and then
magkasama na yung
lunch and breakfast ko
every day. For brunch,
I had 100 g of Rice, 100
g of Sauteed sayote,
and 1 serving of
chicken breasts. For
dinner, I had 100 g of
The client must be mindful intake ensuring its
regarding the nutrients proper amount.
she is consuming, through ● The client should
targeting nutrient-dense choose appropriate
foods which are high in and healthy food
nutrients but low in choices with
calories. relevance to the type
of diet (Caloric
REALISTIC Deficit Diet).
The client should be able ● The client will modify
to increase her self- her diet by reducing
efficiency in terms of the consumption of
improving her lifestyle to food rich in
achieve her desired carbohydrates (pies,
weight. rice cakes, siopao).
Lean more into
protein-rich foods
TIME-BOUND (beef, chicken, fish,
yoghurt) through
In a span of 2 - 3 weeks, nutrient-dense foods.
the client will be able to
slowly incorporate the ● The client should
suggested modifications know that an
in her food choices, food increase in the
● The usual meals of the
patient such as barbeque,
beef mami and asado
siopao were successfully
shifted in accordance with
her Caloric Deficit Diet.
● From the client’s usual
consumption of
carbohydrates which is
616. 56 kcal to 1592.063
kcal. The patient relies on
foods that are rich in
protein such as beef,
chicken, fish and yoghurt.
● Given that the patient has
a 0.10 rate in uric acid, the
patient consumed 2L of

PAMANTASAN NG LUNGSOD NG MAYNILA
Rice, 2 sticks of
Barbeque,1 serving of
Beef Mami, and 1
serving of Asado
siopao. For my snacks,
I had 100 g of Biko
Rice Cake '' as
verbalized by the patient.
Meal Time/Usual Meal
Time:
Brunch: 11 am
Snack: 3pm
Dinner: 7pm
Meal Place: Home
“I usually drink 2 L of
water a day” as
verbalized by the patient.
Habits:
“There are no food
restrictions for me, any
food is acceptable. I
am not picky when it
comes to food, and I
Republic of the Philippines
University of the City of Manila
College of Nursing
A.Y. 2021-2022
COLLEGE OF NURSING
(Dalubhasaan ng Narsing)
intake, diet, and exercise intake of fluids water a day.
and progressively achieve particularly water,
proper and balanced ideally 11.5 cups
nutrition towards her (2.7 liters) per day is
planned change of weight. an integral part of
being healthy.
● The client will follow ● The patient applies in her
the proportioning of meal the right proportion of
food groups in food groups based in
MyPlate to have an MyPlate with the following
appropriate amount groups:
of nutrients; e.g., 2
cups of fruits, 2 ½ ✓ Dairy = 2-3
cups of vegetables, servings
6 ounces of grains, 3 ✓ Protein = 2-3
cups of dairy servings
products, and 5 ½ ✓ Vegetable = 3-5
ounces of meat daily servings
to balance ✓ Fruit = 2-4 servings
consumption. ✓ Grains = 6-11
servings
● The client will control ● The client followed a strict
food portion sizes proportion of food by meal
through meal replacements.
replacements.
 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

eat whatever is ● The client will ● Every 2-4 weeks the

available. However, reassess calorie patient repeatedly
vegetables and foods requirements every assesses her calorie
high in protein are my 2-4 week. (Changes requirements of:
food preferences.” as in metabolism occur)
verbalized by the patient. ✓ Protein = 882.78
kcal
“The usual preparation ✓ Fats = 709. 335
for our meats is either kcal
boiled, fried, grilled, or ✓ Carbohydrates =
saute. The vegetables 1592. 063 kcal
are usually sauteed,
fried, or boiled." as ● The client should ● Each week the patient
verbalized by the patient. assess weight and assessed her weight and
blood pressure once blood pressure once or
“I do exercises six or twice each week. twice.
times a week for two
hours each time. ● The client should be ● The client takes note on
Weight loss, cardio, able to demonstrate how to read food labels
and strength are the how to read food and calories on food
kinds of exercise I do” labels and calories products, also considers
as verbalized by the on food products, as foods that are low in
patient. as verbalized by well as to choose Carbohydrates and added
the patient. foods that are low in sugars.
Carbohydrates and
added sugars.
 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

Risk Factors: ● The client verbalized ● The patient returned from

a plan to continue her work-out routine for
Ventilation is good. her exercise regimen cardio, strength and weight
for cardio, strength, loss, every 2 hours a day
“Kulob kasi, bale and weight loss for 2 and 6 times a week.
walang bintana and hours a day and 6
exhaust fan. Minsan times a week. This
mainit dalawa lang din shall be designed
kasi ang opening na along with their
parang door type yung primary healthcare
isa gate na mismo” as provider.
verbalized by the patient.
● The client should ● The client took her vitamins
General sanitary take vitamins and and minerals supplements
condition is good. mineral supplements after meals as
as prescribed by the recommended by her
“We clean every day doctor. doctor.
and we also do general
cleaning. Nevertheless,
since our drainage is ● The client will utilize ● The client utilized
open the insects and proper measuring measuring devices like
vermin are devices to attain measuring spoons and
uncontrollable” as adequate serving cups for her daily meal.
verbalized by the patient. sizes for her diet.

Drainage facility is open.

 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

The garbage container is After 6-12 months of nutrition

open. intervention:

OBJECTIVE DATA: ● The client will attend ● The client attended four
routine consultations follow-up visits with a
Vital Signs: with a dietitian to dietician and improved her
Temperature: 36.5 C improve her diet plan diet plan and caloric intake.
Blood pressure: 110/70 and caloric intake.
mmHg
Pulse rate: 68 bpm
Respiratory rate: 17
bpm

Anthropometric
Measurement:

Height: 161 cm

Present weight: 157.63

(lbs.)/71.5 (kg)

Triceps skin fold 21.1

(mm) Standard: 27.7
(mm)
 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

Body Mass Index:

𝐵𝑀𝐼 = 𝑊𝑒𝑖𝑔ℎ𝑡 𝑖𝑛 𝑘𝑔
𝐻𝑒𝑖𝑔ℎ𝑡 𝑖𝑛 𝑚2 = 71.5 𝑘𝑔
1.612 = 27.58

*As interpreted in the

calculation of the body
mass index of the client,
she is overweight. *

Required basal
metabolic rate (BMR)
as calculated by the
student nurse:

Basal Metabolic Rate:

Caloric Deficit
(157.63 lbs.) (14) =
2206.82 - 400 = 1806.82

CHON
(157.63 lbs.) (1.4 g) =
220.682 g x 4 = 882.728
kcal

FATS
(157.63 lbs.) (.5) =
 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

78.815 g x 9 = 709.335
kcal

CHO
882.728 kcal + 709.335
kcal = 1592.063 kcal

1592.063 – 1806.82 =
214.757 kcal

Biochemical Data:

Laboratory:
Uric Acid: 0.46
SGOT: 13.0
Calcium: 2.11
Globulin: 38.1
Stab: 0.01

Clinical Data:

Teeth: Dentures: N/A

but the client is wearing
braces
 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

Dietary Intake Data:

Kcal count for

Carbohydrates
(154.14 g) (4 kcal) =
616.56 kcal

Kcal count for Protein

(83.74 g) (4 kcal) =
334.96 kcal

Kcal count for Fats

(36.25 g) (9 kcal) =
326.25 kcal

Total Kcal Count:

616.56 kcal + 334.96
kcal + 326.25 kcal =
1,277.77 kcal
 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

REFERENCES

Protein. (n.d.). Better Health Channel. Retrieved November 24, 2021, from
https://www.betterhealth.vic.gov.au/health/healthyliving/protein

Sampson, W. (2019, May 29). How to lower uric acid levels naturally. Medical News Today.
https://www.medicalnewstoday.com/articles/325317

Wayne, G. (2021, September 1). Imbalanced Nutrition: More Than Body Requirements Nursing Care Plans. Nurselabs.
https://nurseslabs.com/imbalanced-nutrition-more-body-requirements/