Nursing Care Plan Date/Shift Assessment Needs Nursing Diagnosis Objective of Care Nursing Intervention Evaluation

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Patient: Malanguis, Janeross

Age: 31 years old


Chief complaint: Fever and Vomiting

Physician: Dr. Kintanar


Diet: Diet as Tolerated

NURSING CARE PLAN


Date/Shift

Assessment

11/29/201
6
7-3 shift

S:
nalang jud ko
ug suka, wala
koy
gana
ikaon
as
verbalized.
O:
- complained
of nausea and
vomiting
Decrease
food and fluid
intake
Decrease
weight
from
51kg to 49kg

Needs
N
U
T
R
I
T
I
O
N

Nursing
Diagnosis
Imbalanced
Nutrition: Less
Than
Body
Requirements
Rationale:
A
decreased
appetite is when
you have a
reduced desire to
eat.
Nausea,
vomiting,
sadness,
depression, grief,
and anxiety are a
common cause
of weight loss

Objective of
care
After
8
hours
of nursing
intervention
,
Patient will
be able to
regain
considerable
appetite for
food.

Nursing Intervention

Evaluation

Independent
: Explain to patient
why certain foods
are restricted in
her condition.
R: Togain patients
participation in the
current diet
required.
(https://www.scribd.
com/doc/6282069
4/Loss-of-AppetiteNCP, July 2015)
Promote pleasant
,relaxing
environment,
including
socialization
R: To enhance
intake(https://ww
w.scribd.com/doc/6
2820694/Loss-ofAppetite-NCP, July
2015)

After 7 hours of Nursing


care, goal not met as
evidenced by:
- Dili ko gusto mu
kaon, wala koy gana
as verbalized.
-Weight loss
-Loss of appetite

Prevent,

Submitted by: Nejie Zarrah S. Diaz BSN4

or minimize
unpleasant odors
or sights
R: May have a
negative effect on
appetite and eating.
(https://www.scribd.
com/doc/6282069
4/Loss-of-AppetiteNCP, July 2015)
Promote adequate
and timely fluid
intake.
R: To reduce
possibility of
early satiety.
(https://www.scribd.
com/doc/6282069
4/Loss-of-AppetiteNCP, July 2015)
Limit fluids1
hour prior to meal
R: To enhance
intake
(https://www.scribd.
com/doc/6282069
4/Loss-of-AppetiteNCP, July 2015)

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