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  • Assessment Diagnosis Planning Intrvention Rationale Evaluation

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    Mar Ordanza
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    The document provides a nursing assessment, diagnosis, plan of care, and evaluation for a patient presenting with lack of appetite. The patient reports not feeling like eating and exhibits limited movement and weakness. Nursing interventions include assessing the patient's health status, eating habits, and vital signs, as well as encouraging the patient to discuss feelings and concerns. The goal is for the patient to understand and verbalize the importance of proper nutrition within 1-2 hours of interventions.

    Original Description:

    Nutritional

    Original Title

    Nutritional Imbalance

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    The document provides a nursing assessment, diagnosis, plan of care, and evaluation for a patient presenting with lack of appetite. The patient reports not feeling like eating and exhibits limited movement and weakness. Nursing interventions include assessing the patient's health status, eating habits, and vital signs, as well as encouraging the patient to discuss feelings and concerns. The goal is for the patient to understand and verbalize the importance of proper nutrition within 1-2 hours of interventions.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    175 views1 page

    Assessment Diagnosis Planning Intrvention Rationale Evaluation

    Uploaded by

    Mar Ordanza
    The document provides a nursing assessment, diagnosis, plan of care, and evaluation for a patient presenting with lack of appetite. The patient reports not feeling like eating and exhibits limited movement and weakness. Nursing interventions include assessing the patient's health status, eating habits, and vital signs, as well as encouraging the patient to discuss feelings and concerns. The goal is for the patient to understand and verbalize the importance of proper nutrition within 1-2 hours of interventions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    ASSESSMENT

    DIAGNOSIS

    PLANNING

    INTRVENTION

    RATIONALE

    EVALUATION

    Subjective: wala akong ganang kumain

    Nutritional imbalance less tan body requirements related to lack of appetite

    Objective: > limited movements > weak in appearance > conscious and coherent > afebrile with a 0 temperature of 36.9 C > has a weight of 46kgs.

    After 1-2 hours of Nursing interventions, the client will understand and verbalize the importance of proper nutrition.

    Assess general health status. > assess for eating habits, including food preferences. > Assess weight, age and body weight. >Assess and record vital signs. Tx: >encourage verbalization of feelings and concerns > assisted in patients needs

    To note for other conditions that affects health, or those that affect why the patient dont like to eat. > To determine the content of meal which would identify the patients intake of food is nutritious. > provides comparative baseline. > provides a baseline data > To reveal changes that should be made in a clients dietary intake. > to know the perception of the patient on the problem, and thus promotes patient interaction. > can decrease fatigability, so that the patient can conserve energy.

    Goal met if the patient will understand and verbalize the importance of proper nutrition. Goal is unmet, if the patient cannot understand and verbalize importance of proper nutrition.

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