Imbalance Nutrition Less Than Body Requirements

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ASSESSMENT EXPLANATION OF GOALS INTERVETIONS RATIONALE EVALUTATION

THE PROBLEM
Subjective: Biologic, STO:  Document actual  Patients may be STO:
“Lagi akong parang Psychologic, and After 2 weeks of weight and unaware of their After 2 weeks of
nanghihina at pagod” Economic factos. nursing interventions, height; do not actual weight and nursing interventions,
as verbalized by the the patient will be estimate. height or weight the goal was met.
patient. able to demonstrate loss due to Patient was able to
progressive weight estimating demonstrate
Objective: gain toward goal. weight. progressive weight
 Poor muscle tone Impair a person’s gain toward goal.
 Loss of weight ability to ingest or  Obtain a  Identifies
with adequate digest food /absorb thorough deficiencies and
food intake nutrients. LTO: nutritional needs to aid in LTO:
 Hyperactive After 4 weeks of assessment. choice of After 4 weeks of
bowel sounds nursing interventions, interventions. nursing interventions,
the patient will be the goal was met. The
able to demonstrate  Determine  Proper patient was able to
Vital signs: Imbalanced nutrition behaviors, lifestyle etiological assessment demonstrate
Temp.: 36.7 less than body changes to regain factors for guides behaviors, lifestyle
PR: 57 bpm requirements. and/or maintain reduced intervention. changes to regain
RR: 18 proper weight. nutritional intake. and/or maintain
BP: 100/70 mmHg proper weight.
O2 sat.: 94%  Auscultate bowel  Return of
sounds. intestinal
function indicates
Diagnosis: readiness to
 Imbalanced resume oral
Nutrition less intake.
than body
requirements  Resume solid  Reduces
related to foods slowly. incidence of
Inability to abdominal
ingest/digest cramps and
foods or to nausea.
absorb nutrients
due to biological,  Identify odor-  Patient can
psychological, causing foods. experiment with
and economic Gradually food several
factors as reintroduce one times before
evidenced by food at a time. determining
weight loss. whether it is
creating problem.

 Monitor or  Many
explore attitudes psychological,
toward eating and psychosocial, and
food. cultural factors
determine the
type, amount, and
appropriatement
of food
consumed.

 Monitor the  Fewer families


environment today have a
which eating general meal
occurs. together. Many
adults find
themselves
“eating on the
run” or relying
heavily on foods
with reduced
nutritional
components.
 Consult dietitian  Dietitians have a
for further greater
assessment and understanding of
recommendations nutritional value
regarding food of foods and may
preferences and be helpful in
nutritional evaluating
support. specific ethnic or
cultural foods.
 Establish  Depending on
appropriate short how etiological
and long term factors of the
goals. problem,
improvement in
nutritional status
may take a long
time. Without
realistic short-
term goals to
provide tangible
rewards, patients
may lose interest
in addressing this
problem.

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