Krizzia Marika A.

Bendiola
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
SUBJECTIVE: • Imbalance • After the • Monitor vital • In order to get
“hindi ako makakain nutrition less nursing signs the baseline
nang maayos dahil than body intervention date
nahihilo nga ako kahit requirements the patient will
nakaupo lang.” as r/t inadequate verbalize • Monitor intake • Determination
verbalized by the food intake understanding and output of amount of
patient the importance fluid intake and
of proper • Encourage output
OBJECTIVE: nutrition and verbalization of • To know the
• Loss of weight exercise feelings perception of
with adequate client
food intake • Keep safe and
• Weakness comfortable in • In order to
• Pale bed avoid accidents
• Poor skin
turgor • Reinforce • To regain
adequate rest energy
periods

• Facilitate
proper position • Elevating the
while eating head of bed
and observe 30o aids in
SAP swallowing and
reduces risks of
• Provide good aspiration
oral; hygiene • In order to give
comfort to the
patient through
feeling clean
• Provide and fresh
companionship • Attention to
during the social
mealtime aspects of
eating is
important in
both hospital
and home
setting