Malnutrition NCP
Malnutrition NCP
Malnutrition NCP
for supplementalnutrition.
Discourage beverages that arecaffeinated and carbonated.
These may decrease appetiteand lead to satiety.Collaborative:
Consult dietitian for furtherassessment andrecommendations regardingfood preferences
and nutritionalsupport.
Dietitians have aShort Term goal:
Goal met, after 1 hour of nursingintervention client consumed50% of her breakfast, 50%
lunchand 50% at dinner trays at theend of the day.
Long Term Goal:
Goal met, after 1 week of nursingintervention client exhibit nosigns and symptoms
of malnutrition and gain 3 poundsat the end of the week.
1.
2.
anorexia resulting from decreased activity, depression and social isolation, the effect of
negative nitrogen balance, and early satiety that occurs with decreased
gastrointestinal motility
B.
increased nutritional needs associated with an imbalance in the rate of catabolism and
anabolism (in the immobilized person, catabolic processes occur at a faster rate than anabolic
processes).
Desired Outcome
II.
III.
IV.
V.
VI.
VII.
VIII.
IX.
serve frequent, small meals rather than large ones if client is weak,
fatigues easily, and/or has a poor appetite
implement measures to prevent gastrointestinal distention (e.g.
perform actions to prevent constipation, administer prescribed
gastrointestinal stimulants) in order to prevent feeling of fullness and
early satiety
encourage significant others to bring in client's favorite foods unless
contraindicated and eat with him/her to make eating more of a
familiar social experience
encourage significant others to be present to assist client with meals if
needed
allow adequate time for meals; reheat foods/fluids if necessary
X.
XI.
XII.
limit fluid intake with meals (unless the fluid has high nutritional
value) to reduce early satiety and subsequent decreased food intake
enable client to feed self if possible; if client needs to be fed, offer
foods/fluids in the order he/she prefers
increase activity as allowed (activity usually promotes a sense of wellbeing, which can improve appetite)
B. ensure that meals are well balanced and high in essential nutrients; offer
high-protein, high-calorie dietary supplements if indicated
C. administer vitamins and minerals if ordered.
4. Perform a calorie count if ordered. Report information to dietitian and physician.
5. Consult physician about an alternative method of providing nutrition (e.g. parenteral
nutrition, tube feedings) if client does not consume enough food or fluids to meet
nutritional needs.