NURS 156 & NURS 157 NURSING CARE PLAN Nursing Diagnosis & Scientific Rationale (with reference)

Imbalanced nutrition: less than body requirements related to an intake of nutrients insufficient to meet metabolic needs in relation to psychological and increased metabolic demand as well as biological factors Nurses Pocket Guide, diagnoses, prioritized interventions, and rationales Expected Outcomes & Evaluation of Outcomes Body weight 20% or more under ideal weight Weakness of muscles required for swallowing or mastication Abnormal Laboratory studies Nursing Interventions Rationale for Interventions (with reference) Chewing and swallowing status- determine the consistency of food and fluids based on the ability of the patients capability. Pt lab values indicated a diet for diabetes that was well balanced The patient enjoyed most foods and especially beverages with particular attention to carbohydrates. The patient was offered complex carbohydrate meals with sugar substitutes. Patient is encourage and taught the importance of eating the meals prescribed and the consistency and pace of eating Evaluation of Clients Response to Interventions Patient was evaluated for consistency of foods and liquids and adjusted to a pureed diet with nectar thickened liquids. The patients lab values indicated the need for diabetic diet interventions and increased vitamins and mineral intake Encouraging the patients preference in meal planning helped to increase his intake of food. The patient ate more during breakfast and encouraging more variety of foods and a pace with proper consistency helped with his intake of nutrient rich foods and beverages

Assess causative factors related to the disease process Evaluate degree of deficit Establish a nutritional plan that meets the patients needs Promotion of wellness through emphasis of well balanced , nutritious intake and consistency and pace and quantity of eating.