Kenno Michael M Uy
NURSING CARE PLAN
Problem: Decreased food intake
Nursing Diagnosis: Altered nutrition; less than body requirements related to nausea/ vomiting and dietary restrictions.
Taxonomy: Nutritional/ Metabolic Pattern
Cause Analysis: Unfamiliar and unappealing food served in the hospital and unpleasant environment for eating.
CUES
Subjective:
The patient verbalizes…
“Dili ko ganahan mo kaon
kay dili ko ganahan sa mga
pagkaon nga gi hatag sa ako
a. Wala man guy lami. Unya
ang tambal nako kay lain
kaayo ug lami maonang
masuka nako usahay. Naa
unta koy ganahan nga
pagkaon pero gi bawal man
pud sa ako a.”
Objective:
The patient vomits while a
take the v/s. And he only ate
half of the food given to him.
The appears to be generally
weak. He has pale
conjunctival and mucous
membranes.
Reference: Brunner & Suddarth’s: Medical Surgical Nursing (S. Smeltzer & B. Bare) 10th edition vol.2 pp. 1330-1331
OBJECTIVES
Short term objective:
After 8 hour of giving nursing
intervention and health
teaching the patient will be
able to verbalize an
understanding of nutritional
requirements and will
described understanding of
any known factors
contributing to low weight.
Long term objective:
After 3 days of giving nursing
intervention and health
teaching the patient will be
able to maintain adequate
nutritional intake and will be
free of signs of malnutrition
NURSING INTERVENTIONS
Independent:
=Provide patient’s nutritional food
preferences within dietary restrictions.
=Encourage high-calorie, low-protein,
low-sodium, and low potassium snack
between meals.
=Alter schedule of medications so that
they are not given immediately before
meals.
=Explain rationale for dietary
restrictions and relationship to kidney
disease and increased urea and
creatinine levels.
=Provide written lists of foods allowed
and suggestions for improving their
taste with out use of sodium or
potassium.
=Provide pleasant surroundings at
meal-times.
Dependent:
Administration of medication depends
on physicians order.
RATIONALE EVALUATION
-Increased dietary intake is encouraged.
-Reduces source of restricted foods and
proteins and provides calories for
energy, sparing protein for tissue
growth and healing.
-Ingestion of medications just before
meals may produce anorexia and
feeling of fullness.
-Promotes patient understanding of
relationships between diet and urea and
creatinine levels to renal disease.
-Lists provide a positive approach to
dietary restrictions and a reference for
patient and family to use when at home.
-Unpleasant factors that contribute to
patient’s anorexia are eliminated.