GROUP #8

I. Submit a Nursing Care Plan* with the appropriate diagnosis (Select only one):

SITUATION 2: Select a patient who may have one of these health concerns:

1. Fluid overload
2. Fluid deficit in over hydration
3. Dehydration
4. Imbalanced Nutrition: Less than Body Requirement or More than Body Requirement

* You can make your own judgment on assessment, planning, intervention, and evaluation.

https://youtu.be/1yH-4el0X7c Timestamp 7:30 - 12:00

Patients Name: Jeremy

Age: 14 Years old

Expected weight: 46.6 Kgs

Current weight: 12.3 Kgs equivalent weight to a 2-year-old boy

Height: 3’6

Assessment Diagnosis Intervention Monitoring Evaluation

Subjective: Imbalanced Nutrition -Explore the patient’s Pt has a f/u appointment in 3 SHORT TERM
As verbalized by the Less than their Body daily nutritional intake weeks to go over food options GOAL
mother they only eat Requirement related to and food habits; Meal that will help the patient’s After 1 hour of
once a day with limited insufficient food intake times and duration of nutritional gaps. nursing
food intake. as evidenced by the meals. intervention, the
mother's verbalization Rationale: To create a RD will monitor/evaluate family was able to
Objective: and the child’s weight. baseline of the patient’s carbohydrate choice servings verbalize
- 14 years old nutritional status and to determine if the pt is understanding
- 12.3 kilograms preferences. consuming enough nutrient about malnutrition
- 3’6 ft intake. as evidenced by
- BMI: 10.81 -Start the Patient in a the family gave
- BMI Interpretation: food diary and assess Time for Food intake: their side of the
Underweight caloric intake. scenario.
- Edema on both feet Rationale: A record of Dinner = 6:00 AM
and hands what the patient eats Goal is met.
- With signs of can help direct Lunch = 12:00 PM
severe wasting of treatment. LONG TERM
the shoulders, Dinner = 7:00 PM GOAL
arms, buttocks, and -Weigh the patient After 3 weeks of
leg muscles. regularly and document Nursing
readings. Intervention, the
Rationale: The patient was able to
patient's weight history reach a weight that
will be useful in was within his
assessing their normal BMI range
improvement. and showed good
eating habits and
-Assess what the Patient food preferences
can safely eat and drink. without any
Rationale: In order to indications of
support nutrition and set malnutrition.
up food options become
 available, it is important Goal is Met.
to determine what the
patient can eat.

-Explain nutrition and

the patient’s personal
nutritional needs.
Rationale:
Understanding the
importance of
maintaining proper
nutrition will encourage
the patient to become
proactive in adhering to
the treatment plan.

- Refer the patient to a

pediatrician, dietitian,
and/or nutritionist.
Rationale: Medical
team assesses the
patient’s nutritional
status and recommends
food options that will
help the patient’s
nutritional gaps.

II. Discuss when and why a meal is osteorized; and how osteorized feeding is prepared. (Cite your references).

When is a meal osteorized?

The term "enteral feeding" describes the process of ingesting food through the GI system. The mouth, esophagus,
stomach, and intestines make up the GI tract. Nutrition may be consumed orally or through a tube that is inserted directly
into the stomach or small intestine. Tube feedings may be required if you are unable to consume enough calories to meet
your nutritional requirements. This can happen if you are physically unable to eat, are unable to eat safely, or if your
caloric requirements exceed your ability to eat. If you don't eat enough, you risk malnourishment, weight loss, and serious
health problems. This could happen for a number of reasons.
Some of the more common underlying reasons for enteral feeding include:
● a stroke, which may impair the ability to swallow
● cancer, which may cause fatigue, nausea, and vomiting that make it difficult to eat
● critical illness or injury, which reduces energy or ability to eat
● failure to thrive or inability to eat in young children or infants
● serious illness, which places the body in a state of stress, making it difficult to take in enough nutrients
● neurological or movement disorders that increase caloric requirements while making it more difficult to eat
● GI dysfunction or disease, although this may require intravenous (IV) nutrition instead

The majority of patients are given sustenance and maintain their GI system functioning by being fed through a tube. Their
whole caloric intake may come from enteral feeding, or it may be used as a supplement. When the patient consumes
enough calories to fulfill their nutritional demands, tube feedings may become essential. This might happen if they are
physically unable to eat, can't eat securely, or if their caloric needs have gone beyond what they can consume. Patients
who don’t take adequate food are at risk for malnourishment, weight loss, or very serious health problems. Some of the
more common underlying reasons for enteral feeding include
Why is a meal osterized?
Enteral feeding is frequently used as a temporary solution while a patient recovers from an illness, injury, or surgery. The
majority of people who receive enteral feedings resume normal eating habits. Enteral feeding is used as a long-term
solution in some cases, such as for people with movement disorders or children with physical disabilities. In some cases,
enteral nutrition can be used to prolong the life of a critically ill person or an elderly person who is unable to meet their
nutritional needs. The ethics of using enteral feeding to extend life must be considered in each individual case.

This form of nutrition support is used for patients who are unable to eat enough food, either because they have a poor
appetite, eating is difficult, or because their body requires additional energy because of illness. Tube feeding is a therapy
where a feeding tube supplies nutrients to people who cannot get enough nutrition through eating. A flexible tube is
inserted through the nose or belly area to provide nutrients by delivering liquid nutrition directly into the stomach or small
intestine.

how does this kind of feeding work?

Insertion of a nasogastric tube or orogastric tube is relatively simple and painless. No anesthesia is required. A nurse will
typically measure the length of the tube, lubricate the tip, place the tube in your nose or mouth, and advance the tube until
it is in your stomach. Soft tape is usually used to secure the tube to the skin. The nurse or doctor will then use a syringe to
extract some gastric juice from the tube. The pH (acidity) of the liquid will be tested to ensure that the tube is in the
stomach. A chest X-ray may be required in some cases to confirm placement. The tube can be used immediately after
placement is confirmed.

Dix, M. (2018, October 30). Enteral feeding: Definition, Types, procedure, indications, and more. Healthline.
Retrieved July 5, 2022, from https://www.healthline.com/health/enteral-feeding#procedure

Gulanick, M., & Myers, J.L (2017). Nursing care plans: diagnoses, interventions, & outcomes. St. Louis, MO:
Elsevier.

Ackley, B.J., Landwig, G. B., Makic, M.B., Martinez-Kratz, M. R., & Zanotti, M. (2020). Nursing diagnoses
handbook: An evidence-based guide to planning care. St. Louis, MO: Elsevier.