ASSESSMENT NURSING SCIENTIFIC PLANNING / NURSING NURSING INTERVENTION / RATIONALE

DIAGNOSIS EXPLANATION OUTCOME IMPLEMENTATION

SUBJECTIVE: Altered nutrition, Altered Nutrition, SHORT TERM: DEPENDENT: DEPENDENT:
 “Kumakain ako less than body less than body After 4 hours of nursing 1. Ascertain client’s 1. To determine
talbos atsaka requirements, requirements intervention, the patient will be understanding of individual informational
iniinom ko related to means intake of able to verbalize understanding nutritional needs and ways client needs of client/SO
yung vitaplus” inadequate intake nutrients of causative factors when known is meeting those needs
as verbalized of essential insufficient to meet and necessary interventions and 2. Encourage client to choose
by the patient nutrients metabolic needs. plans behaviors and lifestyle foods or have SOs bring foods
included to changes to regain and/or that seem appealing
their diet Inadequate Intake maintain appropriate weight 3. Promote pleasant, relaxing
 “Di ako of Essential environment, including 2. To stimulate
masiyadong Nutrients defined LONG TERM: socialization when possible appetite
nakakainom at as marginal After 24 hours or 1 day of nursing 4. Prevent or minimize unpleasant
madalas nutritional status intervention, the patient will be odors or sights
nalilipasan ng linked to increased able to plan proper diet and 5. Promote adequate and timely
gutom dahil morbidity and nutrition towards progressive fluid intake. Limit fluids 1 hour 3. To enhance
inaalagaan ko mortality weight gain in achieving the prior to meal intake
asawa ko” associated with desired body weight goal. INDEPENDENT:
verbalization of functional decline 1. Assess current weight
insufficient and failure to compared to usual weight and
meal time for thrive norms for age, gender, and body
nutrition size. Measure muscle mass or 4. May have a
calculate body fat by means of negative effect on
OBJECTIVE: anthropometric measurements appetite and
 Food/Fluid and growth scales. eating
intake less than 2. Weigh regularly and graph 5. To reduce
recommended results possibility of early
daily satiety.
allowances INTERDEPENDENT:
 Pale tongue, 1. Collaborate with
nail beds and interdisciplinary team INDEPENDENT:
conjunctiva 1. To identify
deviations from
 the norm and to
establish baseline
parameters.

3. Consult with dietitian or

nutritional support team, as
necessary
4. Refer to home health resources

2. To monitor
effectiveness of
efforts
INTERDEPENDENT:
1. To set
nutritional goals
when client has
specific dietary
needs,
malnutrition is
profound, or long-
term feeding
problems exist.
3. For long-term
needs

4. For initiation
and supervision of
home nutrition
therapy when
used.