ASSESSMENT DIAGNOSIS BACKGROUN PLANNING INTERVENTION RATIONALE EVALUATION
D
KNOWLEDGE
Subjective: Imbalance Unfamiliar or After 2 weeks of Independent: Independent: After 2 weeks of
Nutrition: unpalatable nursing nursing
The patient has Less than food intervention 1. Document 1. Clients may intervention patient
experienced body patient will be actual often shall have
chest pain with requirements able to: weight overestimat verbalized
complaints of related to Decreased using e the understanding of
acute epigastric anorexic strength and Verbalize weighing amount of causative factors
pain, growing in stamina scale; food eaten. when known and
and
character and on
demonstr Assess for The client necessary
and off. The
patient was ate body weight may not eat interventions. Also
anorexic and Decreased coping changes sufficient establishing
hypertensive. food intake mechanis calories or nutritional eating
ms not 2. Obtain a essential patterns.
related to nutrional nutrients as
Intake food history a way to
Objective: insufficient to reduce pain
meet Client will 3. Determine episodes
TEMP:36.6 C metabolic establish etiologic with peptic
PR: 54 bpm needs adequate factors for ulcer
RR: 18 cpm nutritional reduced disease.
BP: 130/100 eating nutritional Because of
mmHg Imbalanced patterns intake. this, clients
Height: 5’3” Nutrition (less are at high
Weight: 55. 5 kgs than body 4. Assist the risk for
requirements) client with malnutrition.
identifying
foods hat 2. Weight loss
cause is an
gastric indication of
irritation inadequate
nutritional
5. Monitor intake.
laboratory
values for 3. Clients
serum need to
albumin learn what
foods they
6. Instruct in can tolerate
the without
importance gastric pain.
of Soft, bland,
abstaining non acidic
from foods cause
excessive less gastric
alcohol irritation.
7. Encourage 4. Alcohol
the client to causes
limit the gastric
intake of irritation and
caffeinated increases
beverages gastric pain.
such as tea
and coffee 5. Caffeine
stimulates
the
Dependent: secretion of
gastric acid.
8. Ask
dietrician for Dependent:
further
evaluation 6. Specific
and dietary
suggestions restrictions
regarding are no
food longer part
partialities of the
and treatment
nutrional for PUD.
assistance During the
symptomati
9. Establish c phase of
appropriate an ulcer the
short- and client may
long-range find benefit
goals from eating
small meals
10. Teach at more
about the frequent
importance intervals.
of eating a
balanced
diet with
meals at
regular
intervals.
Discharge Planning
Medications Medications used to treat anorexic include;
Certain antidepressant medications such as
selective serotonin reuptake inhibitors (SSRIs) might
be used to help control anxiety and depression
associated with an eating disorder. Some
antidepressants may also help with sleep and
stimulate appetite. Other types of medications also
might be offered to help control anxiety and/or
distorted attitudes toward eating and body image.
Environment Encourage the patient to keep active to adhere to exercise
program and to remain self-sufficient as possible make your
environment/around be productive.
Treatment Treatment most often involves a combination of the
following treatment methods;
Psychotherapy
Medication
Nutrition counseling
Group and/or family therapy Hospitalization
Health Teaching Your doctor or dietitian can offer suggestions for improving
your appetite and reducing fatigue. For example, you may
need to change your diet to include more high-calorie,
protein-rich foods, and fewer sugary or empty calorie
options. Taking your food in liquid form such as green
smoothies or protein drinks may be easier on your stomach.
If you have trouble with big meals, you can also try eating
small meals throughout the day to help keep food down.
While fatigue and loss of appetite can’t always be
prevented, living a healthy lifestyle can minimize lifestyle-
related causes of fatigue and appetite loss. You may feel
less fatigued and have more energy if you eat a balanced
diet of fruits, vegetables, and lean meats, exercise
regularly, and sleep for at least seven hours each night.
Observation/Out-Patient Department The first step toward recovery is to set up a treatment plan
with your doctor. And even if you’re already seeing a
specialist, there are still many things you can do to help
yourself.
Set Goals You Can Meet
Practice Smart Eating Habits
Wear Clothes You Like
Pamper Yourself
Ask for Emotional Support
Help Others
Give Your Mind a Rest
Get plenty of sleep at night.
Diet This strategy is designed to teach a healthy approach to
food and weight, to help restore normal eating patterns, and
to teach the importance of nutrition and following a
balanced diet.
