ASSESSMENT PLANNING INTERVENTIO RATIONAL EVALUATIO

N E N
S: Wholly Independent:
“J.T. takes 30-40 Compensator Goal Met
minutes to take y Check out for The patient
2-3 ounces of other signs of poor may appear Patient’s
formula,” as Short term nutrition intake. lethargic and condition
stated by the goal: tired. improved as
mother. evidenced by
After 8 hours Monitor vital signs This will serve consumption of
O: of nursing as a baseline adequate
 Weight: 4kg interventions, information nutrition and
 Poor feeding patient will be and any weight gain
and lack of able to changes may
gain weight consume indicate
as concerned adequate infant’s
by nutrition and condition.
pediatrician will enhance
 HR: 195 at feeding. Monitor patient’s To see if the
rest weight. patient's
 Rectal Long term condition is
Temperature: goal: improving by
36.6 degree comparing her
Celsius After 3 weeks current weight
 Appears of nursing to her initial
weak interventions, weight.
DIAGNOSIS patient will
Imbalanced will gain Provide a pleasant A pleasant
nutrition: less weight environment. environment
than body reduces
requirements stress and
related to poor makes
feeding feeding more
favorable.

Promote proper Elevating the

positioning. head of by 30
Position infant on degrees helps
right side or prone, with
with head of swallowing
mattres elevated 30 and lowers the
degrees. danger of
aspiration
when feeding.
This will also
facilitate
 gastric
emptying and
prevents
reflux

Promote adequate This will

rest to the patient. reduce fatigue
and improve
the patient's
capacity and
desire to eat.

Dependent:

Monitor IVF and This if for

regulate as hydration
prescribed. and glucose.

As directed by the Monitoring

physician, have a intake ensures
strict monitoring of that the patient
intake and output. is getting
enough fluid
and other
nutrients,
while
monitoring
output
determines
whether the
patient is
having enough
urine output
and defecating
normally.

Collaboration:

Determine an Nitrogen
appropriate body balance can be
weight for your determined by
age and height. For experts such
a thorough as a dietitian
nutritional as a measure
assessment and of the patient's
nutritional support nutritional
options, consult a state.
nutritionist.