Mendoza, Joshua G.

BSN 2B-2b
ASSESSMENT EXPLANATION OF OBJECTIVES NURSING RATIONALE EVALUATION
THE PROBLEM INTERVENTION

S: "I am eating a Although we may all feel an increase in appetite STO Dx: STO:
lot lately" as in certain situations — such as after exercise or After 3 hours of nursing
verbalized by the if we haven’t eaten in awhile — sometimes it intervention: -Note presence of factors as -A high (Goal met)
patient. can be a sign of an underlying condition. listed in Risk Factors. correlation exists between
a) The patient will obesity in parents and their After 3 hours of
O: In people with diabetes, glucose can’t enter cells acknowledge he is -Assess eating patterns in children. When one parent is nursing intervention,
T=37.4⁰C to be used for energy. This can be due to either overweight and is as risk for relation to risk factors. Note obese, 40% of the children the patient
RR=18 low insulin levels or insulin resistance. Because many health problems if he patterns may be overweight; when Acknowledge
PR=102 your body can’t convert this glucose to energy, does not lose weights.-Pt of hunger and satiety. both are obese, the responsibility for own
BP= 120/80 you’ll begin to feel very hungry. will develop a daily food occurrence actions and need to
plan menu based on a daily -Determine weight change may be as high as 80%. “act,
Irritable The hunger associated with polyphagia doesn’t caloric intake of 2,500 patterns, history of dieting not react” to stressful
Shakiness of go away after consuming food. In fact, in people calories and -Patterns differ in those who situations.
hands with unmanaged diabetes, eating more will just kinds of diets used. are predisposed to weight Maintain weight at a
contribute to already high blood glucose levels. gain (e.g., client is skipping satisfactory level for
- ongoing IVF of LTO -Determine whether yo-yo meals to height, body build,
D5LRS x Like polydipsia and polyuria, other things can After 3 days of nursing dieting or bulimia is a factor. reduce total calories, but is age, and gender.
12⁰hours at the cause polyphagia as well. Some examples intervention, the patient will be unaware that this practice
level of 750cc include: able to: decreases the metabolic rate).
infusing well at
the left arm an overactive thyroid, or hyperthyroidism a. Pt will develop a Tx: LTO:
premenstrual syndrome (PMS) exercise regime to -If client’s concern regarding
Lab: fasting stress complete daily.-Pt will -Provide information, as weight control is motivated (Goal met)
glucose taking certain medications, such as verbalize support groups indicated, on nutrition, taking by reasons other than
167/HbA1c 6.5 corticosteroids. he can attend to help into personal well-being The patient After 48
-75g OGTT/ with weight loss. account client’s age and hours of nursing
100g OGTT b. Maintain weight at a developmental stage -Physical health and activity intervention, goal met.
Ref: satisfactory level for tolerance, financial and Patient was able to
https://www.healthline.com/health/diabetes/3- height, body build, age, socioeconomic factors, and state measures
ps-of-diabetes#polyphagia and gender. client’s/SO’s potential for needed to reduce
A: Imbalanced -Help client develop new management of risk factors. weight, demonstrate
Nutrition More eating patterns and habits
appropriate selection
than body (e.g., eating slowly, eating
of meals that would
requirements only when hungry, -IEncourages client to
evidence to controlling portion size, incorporate plan into lead to weight
polyphagia in stopping when full, not lifestyle. reduction. And begin
an appropriate
Mendoza, Joshua G. BSN 2B-2b
relationship to skipping meals). program of exercise as
Gestational tolerated and
diabetes mellitus - Eating well is fundamental indicated.
to good health and well-
-Assist client to develop being; maintain
strategies for reducing a healthy weight
stressful thinking or actions.

-Successful change is more

Edx: likely to occur if patient has
formulated plans for dealing
-Encourage client to make a with any barriers.
decision to lead an active life
and
control food habits.

-Develop a system for self- -To slowly change the eating

monitoring to provide a sense habits
of
control and enable the client
to follow own progress and
assist with making choices.

-To meet fluid requirements

and reduce possibility of
early satiety, followed
quickly by recurrent hunger.
Mendoza, Joshua G. BSN 2B-2b