ASSESSMENT DIAGNOSIS
Subjective: “Imbalance Nutrition less than
body requirements related to
“ Walang ganang kumain ang loss of appetite as evidenced by
anak ko “ as verbalized by the lack of interest in food, loss of
mother “ weight, weakness and vomiting
after meal”
Inference:
Objective:
Malnutrition is the condition
Lack of interest in food that results from taking an
Loss of weight unbalanced diet in which certain
Weakness nutrients are lacking, in excess
Vomiting after meals (too high an intake), or in the
wrong proportions.
It is a broad term which refers to
both under nutrition (sub
nutrition) and over nutrition.
Individuals are malnourished, or
suffer from under nutrition if
their diet does not provide them
with adequate calories and
protein for maintenance and
growth, or they cannot fully
utilize the food they eat due to
illness.
PLANNING
Short Term Goal:
“After 1 hour of nursing
intervention client will be able to
Consume at least 50% of
breakfast, lunch and dinner trays
at the end of the day”
Long Term Goal:
“After 1 week of Nursing
intervention client will be able to
exhibit no sign and symptoms of
malnutrition and will be able to
gain 3 pounds at the end of the
week.
INTERVENTION EVALUATION
Independent: Short Term goal:
Weigh client daily. Weight loss Goal met, after 1 hour of nursing
or gain is important assessment intervention client consumed
information. 50% of her breakfast, 50% lunch
and 50% at dinner trays at the
Stay with client during meals to end of the day.
assist as needed and to offer
support and encouragement.
Long Term Goal:
Keep strict documentation of
intake, output, and calorie Goal met, after 1 week of nursing
count. This information is intervention client exhibit no
necessary to make an accurate signs and symptoms of
nutritional assessment and malnutrition and gain 3 pounds
maintain client safety. at the end of the week.
Suggest liquid drinks to the
mother for supplemental
nutrition.
Discourage beverages that are
caffeinated and carbonated.
These may decrease appetite
and lead to satiety.
Collaborative:
Consult dietitian for further
assessment and
recommendations regarding
food preferences and nutritional
support. Dietitians have a
greater understanding of the
nutritional value of foods.

DEPENDENT:
Administer parenteral nutrition
solutions containing vitamins and
minerals as indicated
e.g. cyanocobalamine(vit. B12)
folic acid (folvite)
ascorbic acid (vit. C)
Total parenteral nutrition,
maintains nutritional intake and
meets metabolic needs in
presence of severe
complications or sustain
esophageal or gastric injuries
that do not permit enteral
feeding.