CUES/ NURSING SCIENTIFIC BASIS OUTCOME NURSING RATIONALE EVALUATION

EVIDENCES DIAGNOSIS CRITERIA INTERVENTIONS

Imbalanced A cancer patient's To stop future weight
SUBJECTIVE: Nutrition: less than nutritional health may loss, the patient and
NURSINGINDEPENDENT:
CARE PLAN
body requirements be impacted by the caregiver must For anorexia:  Client’s response
-Taste changes r/t to nausea and tumor, the verbally communicate Analyze dietary preferences, Whenever possible, providing to care,
-Reported food vomiting or the tumor is treated their comprehension as well as cultural and foods from the patient's "like" list interventions,
intake less than anorexia occurring with chemotherapy of fundamental religious influences and ideally, eliminating foods on teaching, and
RDA with chemotherapy, and/or radiation dietary principles at preferences pertaining to food your "dislike" list will encourage actions
-lack of interest radiation therapy, therapy, as well as any least 24 hours before selections. enough intake. However, performed
in food or disease; fatigue; related side effects. hospital discharge. formerly favored meals could developed
or taste changes Chemotherapy- become unpalatable, whereas  Results of
radiotherapy does not formerly unpopular items could periodic weigh
just attack malignant be appealing. in has progress
cell populations; as a  Attainment or
result, normal tissues Taste and olfactory receptors progress toward
OBJECTIVE: may also be harmed Explain how the proliferate rapidly in the cell and desired
-Body weight and may worsen some pathophysiology of cancer may be tolerate chemotherapy outcomes
20% or more nutritional difficulties. may contribute to anorexia and radiation therapy with
under ideal (for Depending on the and surgery, as well as the sensitivity.
height and particular negative effects of
frame) chemotherapeutic chemotherapy and radiation.
- abnormal agent, dose, or Recognizing the rhythm of
laboratory schedule used, For Nausea and Vomiting: nausea and vomiting allows
studies: impaired nutrition Assess the patient’s pattern of usage of the right dosage,
Decreased brought on by nausea and vomiting: onset, method, and time
albumin,total anorexia, mucositis, frequency,duration, intensity,
proteins, iron nausea, vomiting, and and amount and character of
deficiency, diarrhea may occur. emesis. The pathophysiology of nausea
electrolyte Radiation therapy side and vomiting is complex and
imbalance effects are dependent Tell the patient that involves transmission of impulses
on the dose, chemotherapy side effects to receptors in the brain. Various
fractionation, and including nausea and antiemetics work at different
volume irradiated. vomiting are possible points in the nausea/vomiting
manifestation brought cycle. This action helps ensure
by radiation therapy coverage of the expected
emetogenic period of the
 chemotherapy agent given.
SOURCE:
RA;, D. S. S. L. (n.d.).
Alterations of nutritional
status: Impact of The energy required to consume
chemotherapy and and digest a large meal may
radiation therapy. For Fatigue: exacerbate fatigue and discourage
Cancer. Retrieved Encourage the patient to have further nutritional intake.
October 13, 2022, from frequent, little meals if they
https://pubmed. are easily exhausted, A fatigued person will be less likely
ncbi.nlm.nih.gov/ and intake of documents. to want to eat and will tire quickly
109184/ while eating, which also requires
Avoid offering meals energy expenditure.
immediately after exertion.

Thrush infections can cause taste

For Taste Changes:
Encourage good mouth care;
assess mucous membrane for
thrush, lesions, or mucositis.
alterations yet are easily treated. A
coated tongue may interfere with
ability to taste.

Increasing calories boosts
COLLABORATIVE: energy, slows down weight loss,
and helps in tissue repair. A
Consult a dietitian, and higher protein intake promotes
emphasize the value of repair and the regrowth of cells.
increasing protein and calorie
consumption.

CUES/ NURSING SCIENTIFIC BASIS OUTCOME CRITERIA NURSING RATIONALE EVALUATION

EVIDENCES DIAGNOSIS INTERVENTIONS

NURSING CARE PLAN

 Activity Fatigue may be brought on
SUBJECTIVE: intolerance: by chemotherapy, radiation
Fatigue r/t to therapy, surgery, bone
decreased oxygen- marrow transplantation, and
carrying capacity of immunotherapy. If cancer
the blood occurring treatment harms healthy
with anemia cells in addition to the
(caused by some cancer cells, you could feel
OBJECTIVE: chemotherapeutic fatigued. As your body
drugs, radiation attempts to repair harm
therapy, chronic brought on by treatment,
disease such as weariness could also
renal failure, or develop.
surgery)
If your treatment kills too
many healthy red blood
cells, you could develop
anemia. If the cancer has
progressed to your bone
marrow and impedes blood
cell synthesis or results in
blood loss, you could also
develop anemia.
SOURCE:
Mayo Foundation for Medical
Education and Research.
(2022, July 12). Cancer fatigue:
Why it occurs and how to
Cope. Mayo Clinic. Retrieved
October 13, 2022, from
https://www.mayoclinic.
org/diseases-conditions/
cancer/ in-depth/cancer-
fatigue/art-
20047709#:~:text=
Chemotherapy %2C
- The patient
experiences less INDEPENDENT:
exhaustion
following Identify any signs of fatigue Fatigue and activity
treatment. and exercise intolerance, intolerance are temporary side
- Rates perceived and emphasize that these effects of chemotherapy
exertion at 3 or conditions are the or radiation therapy and will
less on a 0-10 consequences of the blood's abate gradually when therapy
scale diminished ability to carry has been completed. Knowing
- Respiration rate oxygen and can be this association will probably
(RR) 12-20 restrained by the numerous benefit the patient.
breaths/min measures listed below. withstand the treatment
with normal better.
depth and
rhythm,
demonstrating Highlight the importance of Consumption of foods strong
tolerance to proper nutrition intake in iron like liver and vitamin
exercise and iron supplements
(eupnea) shellfish, green vegetables,
- HR 100 bpm or cereals, nuts, and other organ
less meats legumes grains will
- absence of probably assist in reversing
headaches and the consequences of anemia.
headache
Monitor for dyspnea upon These are symptoms of
exertion as the patient reduced tissue oxygenation
completes ADLs. and activity intolerance. If
headaches, palpitations, if the patient exhibits these
dizziness, and verbalized symptoms, they may be at
increased danger of falling, which
effort level. requires the implementation
of safety precautions.
With the application of Borg An indication of activity is a
scale, ask the patient to rate of perceived exertion
estimate their perceived (RPE) greater than 3.
effort. typically requires halting the
%20radiation%
20therapy%2C%20surgery
2C,repair%20damage% Be on the lookout for
20caused%20by%20treatment. indications of increasing
effort, such as verbalizing it
and experiencing dizziness,
palpitations, headaches, or
dyspnea when the patient is
performing ADLs.
activity due to sensitivity
These are symptoms of
reduced tissue oxygenation
and activity intolerance. If
if the patient exhibits these
symptoms, they may be at
danger of falling, which
requires the implementation
of safety precautions.

Analyze oximetry and Oxygen is required when

present important findings. oxygen saturation is 92% or
lower supplements and might
only be required during active
periods.

COLLABORATIVE:
The facilitation of care
providers' coordination to
offer relaxation intervals as
between care tasks, needed.
At least 90 minutes of
uninterrupted slumber will
benefit the sufferer.
replenish your energy. periods
of repeated activity without
breaks. Depleted energy
reserves and emotional
tiredness may be the outcome
of periods.

Coordinate with the Doctor’s Fatigue can be reduced by

order for oxygen improving the oxygen flow to
administration the tissues.

Coordinate with the Doctor’s

order for administration of
blood components
Mayo Foundation for Medical Education and Research. (2022, July 12). Cancer fatigue: Why it occurs and how to Cope. Mayo Clinic. Retrieved October 13, 2022, from
https://www.mayoclinic.org/diseases-conditions/cancer/in-depth/cancer-fatigue/art-20047709#:~:text=Chemotherapy%2C%20radiation%20therapy%2C%20surgery%2C,repair
%20damage%20caused%20by%20treatment.
RA;, D. S. S. L. (n.d.). Alterations of nutritional status: Impact of chemotherapy and radiation therapy. Cancer. Retrieved October 13, 2022, from
https://pubmed.ncbi.nlm.nih.gov/109184/

Swearingen, P. L., & Wright, J. D. (2019). All-in-one nursing care planning resource medical-surgical, pediatric, maternity, and Psychiatric-Mental Health. Elsevier.