NCP for MG

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  • 7/29/2019 NCP for MG

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    ASSESSMENT NURSING

    DIAGNOSIS

    PLANNING INTERVENTION RATIONALE EVALUATION

    Subjective: Nahihirapan

    siyang lumunok,hindi syanakakakain ngmaayos asverbalized by thepatients SO.

    OBJECTIVE:

    Loss of weightWeaknessElectrolyteimbalancePoor skin turgor

    ImbalancedNutrition: Less than

    BodyRequirementsrelatedto difficultyswallowing.

    Short-TermGoalClient will gain2 pounds perweek for thenext 3 weeks.

    Long-TermGoalClient willexhibit nosigns orsymptoms of

    malnutritionby time ofdischargefromtreatment

    Collaborate to thedietician to determine

    the number of caloriesrequired.

    Weigh client daily.

    Ensure that clientreceives small, frequentfeedings, including abedtime snack, rather

    than three larger meals.Stay with client duringmeals

    Explain the importanceof adequate nutritionand fluid intake.

    Determine clients likesand dislikes, andcollaborate with dietitianto provide favoritefoods.

    To provide more andadequate nutrition for the

    client.

    Weight loss or gain isimportant assessmentinformation.

    Large amounts of food maybe objectionable, or evenintolerable, to the client.

    To assist as needed and tooffer support andencouragement.

    Client may have inadequateor inaccurate knowledgeregarding the contributionof good nutrition to overallwellness.

    Client is more likely to eatfoods that he or sheparticularly enjoys.

    Client hasshown a slow,

    progressiveweight gainduringhospitalization.

    Client is able toverbalizeimportance ofadequatenutrition andfluid intake.