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Ncp-Imbalanced-Nutrition

Health Assessment (University of the Cordilleras)

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Cues Nursing Inference Goal and Interventions Rationale Evaluation


Diagnosis Objectives
Subjective: Imbalanced Adequate Goal
 He loses Nutrition: nutrition is
his Less than necessary to meet By November 15, After 2 months
weight body the body’s 2010 the client will of nursing
during his requirements demands. weigh within 10% intervention,
stay in related to lack Nutritional status of ideal body was the client
the of appetite as can be affected by weight. able to reach
hospital manifested by disease or injury 10% of his ideal
because weight loss states (e.g., Objectives body weight?
during gastrointestinal () yes ()no
the start [GI]
of his malabsorption, 1) After 2hrs of 1. Assess the weight 1. Provides baseline
illness, he cancer, burns); nursing of the client. data about the client.
lost his physical factors intervention
appetite. (e.g., muscle , the patient 2. Determine 2. To assess the usual
 “Grabe, weakness, poor or caregiver client’s nutritional food that she eats
sobra na dentition, activity will history. even before
nga ang intolerance, pain, verbalize pregnancy.
ipinayat substance abuse); and
ko eh, social factors (e.g., demonstrat
hindi lack of financial e selection 3. Determine the 3. Psychological
naman resources to of foods or client’s factors towards
ako obtain nutritious meals that attitude towards eating may
ganito foods); or will achieve eating. affect one person’s
kapayat psychological a cessation appetite and also to
dati para factors (e.g., of weight know the client’s
na nga depression, loss. eating habits.
akong boredom). During
buto’t times of illness

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lOMoARcPSD|14066217

balat”, (e.g., trauma,


patient surgery, sepsis,
verbalize burns), adequate 4. Education provides
d. nutrition plays an 4. Educate the
 “Sino ba important role in client ample information
naman healing and regarding the that the client may
kasi ang recovery. Cultural importance of not be aware of,
makakaka and religious eating hence leading to the
in ng factors strongly healthy foods and kind of eating habits
maayos affect the food it’s benefits to his and diet she is
dito diba, habits of patients. body. following.
syempre Women exhibit a
iba yung higher incidence 5. Educate the 5. For the client to be
pagkain of voluntary client aware of the needed
dito restriction of food regarding the nutrients by her body
kumpara intake secondary vitamins to nourish herself
sa to anorexia, and minerals that and her baby
kinakain bulimia, and self- are throughout the
mo sa constructed fad important such as pregnancy. Also,
bahay”, dieting. Patients vitamin C, iron, giving sources of
patient who are elderly calcium, and these nutrients helps
added. likewise protein; the client to easier
When he experience and the sources of familiarize herself as
gets problems in these to what foods she
wounded, nutrition related nutrients. may include in her
that wound to lack of financial diet.
doesn’t resources,
heal easily. cognitive 6. Involving the client
impairments 6. Plan with the to his plan of care
Objective: causing them to client his gives the client the
 Small forget to eat, desired meals. feeling of
independence. It

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body physical limitations


frame that interfere with also personalizes the
 Weak preparing food, plan of care since the
looking deterioration of client does make the
 Pale their sense of choices in some
conjuncti taste and smell, aspects of the plan.
va and reduction of
mucous gastric secretion 7. Suggest ways 7. A pleasant
membran that accompanies that may environment gives
e aging and assist the client in the client a relaxed
 Dry skin interferes with eating feeling and will not
 Evidence digestion, and a. Ensure pleasant spoil her appetite.
of lack of social isolation and environment. And proper
available boredom that b. Facilitate proper positioning reduces
food cause a lack of positioning the risk of aspiration
interest in eating. and heartburn.
Measurem 8. Instruct the
ent: client to 8. Caffeinated
Weight: avoid caffeinated beverages may
Height: beverages. decrease the
BMI: appetite and will
make the client feel
full easily.

9. Instruct the 9. Junk foods have


client to empty calories that
avoid junk foods. provide no
nutritional
help to the client.
The weight gain that
these foods may
bring is of no good

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lOMoARcPSD|14066217

for the client and her


baby.
10. Instruct the
client to 10.Too much food
follow the intake
prescribed is not good for the
number of servings body. Too much
of
the meals included weight gain, which is
in his out of the expected,
meal plan. may bring about
complications, such
11.Encourage the as
client to diabetes mellitus.
maintain the intake
of 11.To provide
the healthy foods nourishment to the
needed by his body client that keeps both
to achieve ideal of
body weight. them healthy.

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Far Eastern University


Nicanor Reyes, St.,
Sampaloc, Manila

Nursing Care Plan

Submitted by:
Sosing Charles Joseph C.
Group 134

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lOMoARcPSD|14066217

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