Republic of the Philippines

PAMANTASAN NG LUNGSOD NG MAYNILA

University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

NUTRITIONAL CARE PLAN

(Young Adult)

SUBMITTED BY:
CARIAGA, Claire Marie I.
CATALUÑA, Lady Miqueclaire
CHAN, John Kenneth B.
CLAR, Keeshia Cassandra E.
CONCEPCION, Ada Beatrice C.
CORONEL, Angela Marie R.
CRUZ, Justin Mae Z.
CRUZ, Rossel S.
DE JESUS, Elaidah Joannah S.
DELOS REYES, Janna Claire S

SUBMITTED TO:
Prof. Albina L. Garcia
Prof. Almeida A. Nierves

November 2021
 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

PATIENT’S NAME: L.M.J.C a.k.a. Soleil

AGE: 20 years old

PRIORITY PROBLEM:
Imbalanced Nutrition: More Than Body Requirements

SUBSTANTIAL/OTHER OBSERVED PROBLEM/S:

Knowledge deficit related to food and nutrition

NUTRITION NUTRITION PLANNING/GOALS NUTRITION NUTRITION MONITORING AND

ASSESSMENT DIAGNOSIS INTERVENTION EVALUATION

SUBJECTIVE Ineffective Health SPECIFIC The client agrees with the After 2 and 3 weeks of nutrition
DATA/CUES: Maintenance following interventions: intervention:
related to The client will be able to
Anthropometric Inadequate Health change her behavior and ● The client will ● The client demonstrated
Measurement: Teaching. As attitude in relevance to demonstrate behavior modification
evidenced by diet in order to lower her behavior techniques: self-
Usual weight: 132 (lbs.) client’s (+) caloric intake. modification monitoring
60 kg) overweight, (+) techniques: self-
Recent changes in MEASURABLE monitoring
Excess
weight ● The client was able to
Carbohydrates
Pre-pandemic: 57 kg The client should be able ● The client can monitor her meal plan
intake, (+)
Post pandemic: 72 kg to lose approximately 1 kg formulate a current calories for each day via
Measurements of
After 2 weeks of of body weight every eating plan to reach MyFitnessPal.
workout and a calorie
food intake, (+) Time week. enough calorie
deficit diet: 71 kg and duration or intake by installing
intervals of food the MyFitnessPal
Planned change? intake. ACHIEVABLE application to
 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

o Go back to 57 kg, The client must be mindful monitor daily food

min of 55kg regarding the nutrients intake ensuring its
o present in the foods that proper amount.
Dietary Intake Data: she is consuming, through ● The usual meals of the
targeting nutrient-dense ● The client should patient such as barbeque,
“I am on a caloric foods which are high in choose appropriate beef mami and asado
deficit and I am not nutrients but low in and healthy food siopao were successfully
guided by a calories. choices with shifted in accordance with
nutritionist. The relevance to the type her Caloric Deficit Diet.
following are my REALISTIC of diet (Caloric
caloric intake in a day; Deficit Diet).
a minimum of 1000 The client should be able ● From the client’s usual
kcal and a maximum of to increase her self- ● The client will modify consumption of
1500 kcal” as verbalized efficiency in terms of her diet by reducing carbohydrates which is
by the patient. improving her lifestyle to the consumption of 616. 56 kcal to 1592.063
achieve her desired food rich in kcal. The patient relies on
“I have one snack, one weight. carbohydrates (pies, foods that are rich in
dinner, and then rice cakes, siopao). protein such as beef,
magkasama na yung Lean more into chicken, fish and yoghurt.
lunch and breakfast ko TIME-BOUND protein-rich foods
every day. For brunch, (beef, chicken, fish,
I had 100 g of Rice, 100 In a span of 2 - 3 weeks, yoghurt) through
g of Sauteed sayote, the client will be able to nutrient-dense foods.
and 1 serving of slowly incorporate the ● Given that the patient has
chicken breasts. For suggested modifications ● The client should a 0.10 rate in uric acid, the
dinner, I had 100 g of in her food choices, food know that an patient consumed 2L of
Rice, 2 sticks of intake, diet, and exercise increase in the water a day.
 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

Barbeque,1 serving of and progressively achieve intake of fluids

Beef Mami, and 1
serving of Asado
siopao. For my snacks,
I had 100 g of Biko
Rice Cake '' as
verbalized by the patient.
Meal Time/Usual Meal
Time:
Brunch: 11 am
Snack: 3pm
Dinner: 7pm
Meal Place: Home
“I usually drink 2 L of
water a day” as
verbalized by the
patient.
Habits:
proper and balanced
nutrition towards her
planned change of weight.
● The client will follow
particularly water,
ideally 11.5 cups
(2.7 liters) per day is
an integral part of
being healthy.
● The patient applies in her
the proportioning of
food groups in
MyPlate to have an
appropriate amount
of nutrients; e.g., 2
cups of fruits, 2 ½
cups of vegetables,
6 ounces of grains, 3
cups of dairy
products, and 5 ½
ounces of meat daily
to balance
consumption.
meal the right proportion of
food groups based in
MyPlate with the following
groups:
 Dairy = 2-3
servings
 Protein = 2-3
servings
 Vegetable = 3-5
servings
 Fruit = 2-4 servings
 Grains = 6-11
servings

“There are no food ● The client followed a strict

restrictions for me, any ● The client will control proportion of food by meal
food is acceptable. I food portion sizes replacements.
am not picky when it through meal
comes to food, and I replacements. ● Every 2-4 weeks the
 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

eat whatever is ● The client will patient repeatedly

available. However, reassess calorie assesses her calorie
vegetables and foods requirements every requirements of:
high in protein are my 2-4 week. (Changes
food preferences.” as in metabolism occur)  Protein = 882.78
verbalized by the kcal
patient.  Fats = 709. 335
kcal
“The usual preparation  Carbohydrates =
for our meats is either 1592. 063 kcal
boiled, fried, grilled, or
saute. The vegetables ● Each week the patient
are usually sauteed, ● The client should assessed her weight and
fried, or boiled." as assess weight and blood pressure once or
verbalized by the blood pressure once twice.
patient. or twice each week.
● The client takes note on
“I do exercises six ● The client should be how to read food labels
times a week for two able to demonstrate and calories on food
hours each time. how to read food products, also considers
Weight loss, cardio, labels and calories foods that are low in
and strength are the on food products, as Carbohydrates and added
kinds of exercise I do” well as to choose sugars.
as verbalized by the foods that are low in
patient. as verbalized by Carbohydrates and
the patient. added sugars.
● The patient returned from
 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

● The client verbalized her work-out routine for

a plan to continue cardio, strength and weight
Risk Factors: her exercise regimen loss, every 2 hours a day
for cardio, strength, and 6 times a week.
Ventilation is good. and weight loss for 2
hours a day and 6
“Kulob kasi, bale times a week. This
walang bintana and shall be designed
exhaust fan. Minsan along with their
mainit dalawa lang din primary healthcare
kasi ang opening na provider.
parang door type yung ● The client took her vitamins
isa gate na mismo” as ● The client should and minerals supplements
verbalized by the take vitamins and after meals as
patient. mineral supplements recommended by her
as prescribed by the doctor.
General sanitary doctor.
condition is good.
● The client utilized
“We clean every day ● The client will utilize measuring devices like
and we also do general proper measuring measuring spoons and
cleaning. devices to attain cups for her daily meal.
Nevertheless, since adequate serving
our drainage is open sizes for her diet.
the insects and vermin
are uncontrollable” as
verbalized by the After 6-12 months of nutrition
 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

patient. intervention:

Drainage facility is open. ● The client attended four

● The client will attend
The garbage container is routine consultations
open. with a dietitian to
improve her diet plan
OBJECTIVE DATA: and caloric intake.
follow-up visits with a
dietician and improved her
diet plan and caloric intake.

Vital Signs:
Temperature: 36.5 C
Blood pressure: 110/70
mmHg
Pulse rate: 68 bpm
Respiratory rate: 17
bpm

Anthropometric
Measurement:

Height: 161 cm

Present weight: 157.63

(lbs.)/71.5 (kg)

Triceps skin fold 21.1

(mm) Standard: 27.7
 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

(mm)

Body Mass Index:

𝐵𝑀𝐼 = 𝑊𝑒𝑖𝑔ℎ𝑡 𝑖𝑛 𝑘𝑔
𝐻𝑒𝑖𝑔ℎ𝑡 𝑖𝑛 𝑚2 = 71.5 𝑘𝑔
1.612 = 27.58

*As interpreted in the

calculation of the body
mass index of the client,
she is overweight. *

Required basal
metabolic rate (BMR)
as calculated by the
student nurse:

Basal Metabolic Rate:

Caloric Deficit
(157.63 lbs.) (14) =
2206.82 - 400 = 1806.82

CHON
(157.63 lbs.) (1.4 g) =
220.682 g x 4 = 882.728
 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

kcal

FATS
(157.63 lbs.) (.5) =
78.815 g x 9 = 709.335
kcal

CHO
882.728 kcal + 709.335
kcal = 1592.063 kcal

1592.063 – 1806.82 =
214.757 kcal

Biochemical Data:

Laboratory:
Uric Acid: 0.46
SGOT: 13.0
Calcium: 2.11
Globulin: 38.1
Stab: 0.01

Clinical Data:

Teeth: Dentures: N/A

but the client is wearing
 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

braces

Dietary Intake Data:

Kcal count for

Carbohydrates
(154.14 g) (4 kcal) =
616.56 kcal

Kcal count for Protein

(83.74 g) (4 kcal) =
334.96 kcal

Kcal count for Fats

(36.25 g) (9 kcal) =
326.25 kcal

Total Kcal Count:

616.56 kcal + 334.96
kcal + 326.25 kcal =
1,277.77 kcal
 Republic of the Philippines
PAMANTASAN NG LUNGSOD NG MAYNILA
University of the City of Manila
College of Nursing
A.Y. 2021-2022

COLLEGE OF NURSING
(Dalubhasaan ng Narsing)

REFERENCES

Protein. (n.d.). Better Health Channel. Retrieved November 24, 2021, from
https://www.betterhealth.vic.gov.au/health/healthyliving/protein

Sampson, W. (2019, May 29). How to lower uric acid levels naturally. Medical News Today.
https://www.medicalnewstoday.com/articles/325317

Wayne, G. (2021, September 1). Imbalanced Nutrition: More Than Body Requirements Nursing Care Plans. Nurselabs.
https://nurseslabs.com/imbalanced-nutrition-more-body-requirements/