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Name: Cañete, Princess Laira V.

Section: BSN 2-YC-2


ASSESSMENT DIAGNOSIS PLANNING INTERVENTION EVALUATION

Subjective: “Imbalance Nutrition less Short Term Goal: Independent: Short Term Goal:
“Walang gana kumain ang than body requirements “After 1 hour of nursing Assist as needed and to offer Goal met, after 1 hour of
anak ko” as verbalized of related to loss of appetite as intervention client will be support and encouragement. nursing intervention client
mother. evidenced by lack of interest able to. Consume at least consumed 50% at dinner
in food, loss of weight and 50% of breakfast, luch and Keep strict documentation trays at the end of day.
Objective: weakness. dinner trays at the end of of intake, output and calorie
Lack interest in food day” count. This information is
Loss weight Inference: necessary to make an Long Term Goal:
Weakness Malnutition is the condition Long Term Goal: accurate nutritional Goal met, after 1 week of
that results from taking an “After 1 week of Nursing assessment and maintain nursing intervention client
unbalanced diet in which intervention client will be client safety. exhibit no signs and
certain nutrients are lacking, able to exhibit no sign and symptoms of malnutrition
in excess, or in wrong symptoms of malnutrition Suggest liquid drinks to the and gain 3 pounds at the end
proportions. It is a broad and will be able to gain 3 mother for supplemental of week.
term which refers to both pounds at the end of week” nutrition.
under nutrition and over
nutrition. Collaborative:
Consult dietitian for further
assessment and
recommendations regarding
food preferences.
Course Task 7

Make a sample community or family nursing care plan based on nutritional problem that you encounter during your community health
nursing related learning experience with pattern on nutritional care process.

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