DATE CUES NURSING SCIENTIFIC GOAL OF NUTSING RATIONALE EVALUATION

DIAGNOSIS BASIS CARE INTERVENTI

ON
05/29/20 ASSESSMENT Imbalanced DEFINITION After 3 days of INDEPENDEN After 3 days of
nutrition less OF THE nursing T nursing
Subjective: than body NURSING intervention, intervention, the
“Luya kaayo kog requirements r/t DIAGNOSIS the patient will >Explain what > To give the patient was be
pamati maam nya dietary be able to: causes iron patient able to:
labad sd akong ulo. deficiency of Iron deficiency Deficiency knowledge
Wala lagi ko kainom iron anemia stems >verbalize Anemia. about her >verbalize
ug mga vitamins mam from and understanding condition. understanding of
kay wa man gyuy inadequate of own disease own disease and
kwarta” as verbalized supply of iron and treatment >Provide > For the client treatment plan
by the patient. for optimal plan nutritional to be >Increased
formation of >exhibit education that encouraged to hemoglobin from
Objective: RBC’s, which relevant normal is economical comply with 5g/dL to
>brittle nails produces levels of and easy to the dietary 11.5g/dL
>severely chapped microcytic cells laboratory prepare. plan. >Show positive
nails with less color value such as in changes in
>smooth and shiny on staining. hemoglobin >Provide >For the behavior and
red tongue Body stores of and red blood information patient to know lifestyle leading
>Experiencing iron, including cell level about the what to expect to improved
tachycardia plasma iron, >Show positive supplements with the given nutritional status
>Vital signs: decrease, as changes in taken and its medication. >Show
Temp: 35.5 °C does behavior and side effects compliance with
HR: 125 bpm transferrin, lifestyle medication
RR: 25cpm which binds leading to >Encourage >Enhances treatment
BP: 90/60mmHg with and improved good oral appetite and
>Hemoglobin level of transports iron. nutritional hygiene before oral intake.
5g/dL Insufficient status and after meals
body stores of >Show
iron lead to a compliance >Monitor
 depleted RBC with laboratory >To evaluate
DIAGNOSTIC mass and, in medication studies effectiveness of
STUDIES return, to a treatment treatment
>CBC decreased regimen
hemoglobin DEPENDENT
concentration
and decreased >Administer
oxygen- medication >To provide
carrying with the replacements
capacity of the doctor’s order needed.
blood.

COLLABORA
PATHOPHYS TIVE
IOLOGY
>Consult with
-Iron nutritionist/diet >To establish a
equilibrium in ician dietary plan to
the body is meet the
regulated individual
carefully to needs of the
ensure that patient.
sufficient iron
is absorbed in
order to
compensate for
body losses of
iron. In healthy
people, the
body
concentration
of iron is
regulated
carefully by
absorptive cells
in the proximal
small intestine,
which alter iron
absorption to
match body
losses of iron.
Persistent
errors in iron
balance lead to
either iron
deficiency
anemia or
hemosiderosis.
Both are
disorders with
potentially
adverse
consequences.

RATIONALE
>inadequate
dietary intake
of iron, and in
prolonged
unsupplemente
d breast or
bottle-feeding
of infant
>iron
malabsorption
>Blood loss
secondary to
drug-induced
GI bleeding or
due to heavy
menses,
hemorrhage
from trauma,
GI ulcers,
malignant
tumors, and
varices.
>pregnancy, in
which the
mother’s iron
supply is
diverted to the
fetus for
erythropoiesis.
>Intravascular
hemolysis-
induced
hemoglobinuria
or paroxysmal
nocturnal
hemoglobinuria
>mechanical
erythrocyte
trauma caused
by a prosthetic
heart valve or
vena cava filter