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    University of Santo Tomas College of Nursing Espa: Ña BLVD., Manila, Philippines 1015

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    Celiz Hilario
    The nursing care plan addresses a patient with pancreatic cancer who is experiencing nutritional imbalance due to loss of digestive enzymes and insulin. The objectives are to help the patient understand causative factors, promote wellness after interventions, and demonstrate progressive weight gain. Interventions include assisting the patient to select appropriate foods and fluids, encouraging exercise, considering enteral or parenteral nutrition support if needed, and providing insulin as appropriate. The rationale explains how these interventions will help meet nutritional needs, regain appropriate weight, and improve metabolism.

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    University of Santo Tomas College of Nursing Espa: Ña BLVD., Manila, Philippines 1015

    Uploaded by

    Celiz Hilario
    320 views3 pages
    The nursing care plan addresses a patient with pancreatic cancer who is experiencing nutritional imbalance due to loss of digestive enzymes and insulin. The objectives are to help the patient understand causative factors, promote wellness after interventions, and demonstrate progressive weight gain. Interventions include assisting the patient to select appropriate foods and fluids, encouraging exercise, considering enteral or parenteral nutrition support if needed, and providing insulin as appropriate. The rationale explains how these interventions will help meet nutritional needs, regain appropriate weight, and improve metabolism.

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    NCP_pancreatic-Cancer.doc

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    The nursing care plan addresses a patient with pancreatic cancer who is experiencing nutritional imbalance due to loss of digestive enzymes and insulin. The objectives are to help the patient understand causative factors, promote wellness after interventions, and demonstrate progressive weight gain. Interventions include assisting the patient to select appropriate foods and fluids, encouraging exercise, considering enteral or parenteral nutrition support if needed, and providing insulin as appropriate. The rationale explains how these interventions will help meet nutritional needs, regain appropriate weight, and improve metabolism.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    320 views3 pages

    University of Santo Tomas College of Nursing Espa: Ña BLVD., Manila, Philippines 1015

    Uploaded by

    Celiz Hilario
    The nursing care plan addresses a patient with pancreatic cancer who is experiencing nutritional imbalance due to loss of digestive enzymes and insulin. The objectives are to help the patient understand causative factors, promote wellness after interventions, and demonstrate progressive weight gain. Interventions include assisting the patient to select appropriate foods and fluids, encouraging exercise, considering enteral or parenteral nutrition support if needed, and providing insulin as appropriate. The rationale explains how these interventions will help meet nutritional needs, regain appropriate weight, and improve metabolism.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
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    The key takeaways are that the patient has pancreatic cancer and is experiencing imbalanced nutrition due to loss of digestive enzymes and insulin. Nursing interventions focus on managing the patient's nutrition through diet, exercise, and possible enteral/parenteral support.

    The nursing diagnosis identified is imbalanced nutrition related to loss of digestive enzymes and insulin.

    The short term goal is for the patient to understand causative factors and necessary interventions. The long term goal is for the patient to demonstrate progressive weight gain toward their goal weight.

    UNIVERSITY OF SANTO TOMAS COLLEGE OF NURSING

    España Blvd., Manila, Philippines 1015

    NCP: Care of patients with Pancreatic Cancer

    NURSING NURSING
    DATE CUES/CLUES OBJECTIVE RATIONALE EVALUATION
    DIAGNOSIS INTERVENTION
    September 4, 2018 OBJECTIVE DATA: SHORT TERM:
    Patient is a known case Imbalanced Within our 6 hours >Assist the patient in 1.) For education of the  Patient was able to
    of pancreatic cancer. Nutrition: Less shift the client will demonstrating behavior, patient for appropriate partially
    > Adequate nutrition is than body be able to manifest lifestyle changes to regain recovery from nutritional demonstrate
    necessary to meet the requirements the following appropriate weight. imbalance behavior, lifestyle
    body’s demand. A related to loss changes: changes to regain
    symptom such as of digestive >Assist patient in selecting food 2.) Previous dietary habits appropriate
    insulin deficiency is enzymes and  Verbalize and fluids that meet nutritional may be unsatisfactory in weight.
    usually the early sign insulin understanding with needs and restrictions when diet meeting current needs for
    of colorectal cancer. causative factors is resumed. tissue regeneration and
    Loss of digestive when known and healing. Use of gastric
    enzymes and insulin necessary stimulants (caffeine,
    due to pancreatic intervention. alcohol, cigarettes, gas-
    outflow obstruction or  To promote wellness producing foods), or
    necrosis/auto digestion after interventions ingestion of large meals
    which may result to have been done may result in excessive
    imbalanced nutrition. LONG TERM: stimulation of the
     Demonstrate pancreas and recurrence
    progressive weight of symptoms.
    gain toward goal
    > Set appropriate short-term 3.) Patients may lose concern
    and long-term goals. in addressing this
    dilemma without realistic
    short-term goals.

    4.) A pleasing atmosphere helps in


    > Provide a pleasant decreasing stress and is more
    environment. favorable to eating.

    > Consider the use of seasoning 5.) Seasoning may improve the
    for patients with changes in flavor of the foods and attract
    their sense of taste; if not eating.
    contraindicated.
    6.) Metabolism and utilization of
    nutrients are improved by
    > Encourage exercise. activity.

    7.) Nutritional support may be


    recommended for patients who
    > Consider the possible need are unable to maintain nutritional
    for enteral or parenteral intake by the oral route. If
    nutritional support with the gastrointestinal tract is
    patient, family, and caregiver, as functioning well, enteral tube
    appropriate. feedings are indicated. For those
    who cannot tolerate enteral
    feedings, parenteral nutrition is
    recommended.

    8.) Corrects persistent


    hyperglycemia caused by injury
    > Provide insulin as to cells and increased release of
    appropriate. glucocorticoids. Insulin therapy is
    usually short-term unless
    permanent damage to pancreas
    occurs..

    PATIENT CARE RECORD - NURSING CARE PLAN

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