Risk For Disproportionte Case 1

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ASSESSMEN DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

T
SUBJECTIVE Risk for SHORT TERM INDEPENDENT SHORT TERM
disproportionate
The mother growth related After 2-3 - Assess - Actions such as After 2-3
states that to malnutrition hours of cognition, withdrawal or hours of
she wants to nursing awareness, aggression and nursing
include interventions, orientation, reactions to interventions,
vegetables in patient will be and behavior environment patient would
her son’s diet able to of the client and stimuli be able to
but her son participate in and caregiver. provide participate in
does not plan of care information for plan of care
want to. as identifying as
appropriate needs and appropriate
for age and planning care. for age and
ability. ability.

- Assess the - Several factors GOAL MET


patient’s ability may affect the
to obtain and patient’s
LONG TERM use essential nutritional LONG TERM
nutrients. intake, so it is
After 2-3 days necessary to After 2-3 days
of nursing assess of nursing
interventions, accurately. interventions,
patient will patient was
receive - Evaluate - Malnutrition is received
appropriate nutritional the most appropriate
nutrition as status. common cause nutrition as
indicated by of growth indicated by
individual failure individual
needs. worldwide. Even needs.
in industrialized
nations, children
continue to
have nutritional
deficiencies that
can impair
growth or
development.
Overfeeding or
malnutrition
(protein and
other basic
nutrients) on a
constant basis
prevents child
from reaching
healthy growth
potential, even
if no
disorder/diseas
e exists.
- Determine if
child’s growth - This may
is below third require
percentile evaluation for
(very short and failure to thrive
small) for age. related to
intrauterine
growth
retardation,
prematurity or
very low birth
weight, small
parents, poor
nutrition, stress
or trauma, or
medical
condition (e.g.,
intestinal
disorders with
malabsorption,
diseases of
heart, kidneys,
and diabetes
mellitus).
Treatment of
the underlying
condition may
alter or improve
the child’s
growth pattern.
- Educate
mother and - Using
child about standardized
providing tests, results of
healthy meals one study
and healthy suggest that a
eating to nutritional
improve education
learning ability. program can
improve
academic
performance
measured by
achievement of
specific
mathematics
and English
education
standards.

- Weigh
regularly - Initial losses or
gains reflect
changes in
hydration and
monitor the
effectiveness of
efforts.
- Promote
adequate/ - To reduce the
timely fluid possibility of
intake. early satiety.

COLLAB.

- Include
nutritionist and - This helps
other determine spec
specialists dietary needs
(e.g., physical for growth and
and weight issues as
occupational well as child’s
therapist) in issues with
developing foods (e.g., child
plan of care. who is sensory
over responsive
may be
bothered by
food textures;
child with
posture
problems may
need to stand to
eat); the child
may require
assistive devices
and appropriate
exercise and
rehabilitation
programs.

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