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    Subjective: No Subjective Cues. Objective

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    1S VILLEGAS Gabriel
    The nursing assessment identified an imbalanced nutrition diagnosis related to inadequate diet and impaired metabolism secondary to liver cirrhosis, as evidenced by weakness, fatigue, and iron deficiency anemia. The nursing plan was to provide interventions over 3 days aimed at meeting nutritional requirements, including taking a nutritional history, restricting sodium intake, promoting intake of vitamins/minerals, elevating the head of the bed during meals, promoting an appropriate cirrhosis diet, giving small frequent meals, providing oral hygiene before meals, encouraging multivitamins, and consulting a dietician if needed. The expected outcome was that after 3 days of nursing interventions, the patient's energy level and nutritional status would improve with no body weakness.

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    Subjective: No Subjective Cues. Objective

    Uploaded by

    1S VILLEGAS Gabriel
    427 views2 pages
    The nursing assessment identified an imbalanced nutrition diagnosis related to inadequate diet and impaired metabolism secondary to liver cirrhosis, as evidenced by weakness, fatigue, and iron deficiency anemia. The nursing plan was to provide interventions over 3 days aimed at meeting nutritional requirements, including taking a nutritional history, restricting sodium intake, promoting intake of vitamins/minerals, elevating the head of the bed during meals, promoting an appropriate cirrhosis diet, giving small frequent meals, providing oral hygiene before meals, encouraging multivitamins, and consulting a dietician if needed. The expected outcome was that after 3 days of nursing interventions, the patient's energy level and nutritional status would improve with no body weakness.

    Original Title

    NCP LIVER CIRRHOSIS

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    The nursing assessment identified an imbalanced nutrition diagnosis related to inadequate diet and impaired metabolism secondary to liver cirrhosis, as evidenced by weakness, fatigue, and iron deficiency anemia. The nursing plan was to provide interventions over 3 days aimed at meeting nutritional requirements, including taking a nutritional history, restricting sodium intake, promoting intake of vitamins/minerals, elevating the head of the bed during meals, promoting an appropriate cirrhosis diet, giving small frequent meals, providing oral hygiene before meals, encouraging multivitamins, and consulting a dietician if needed. The expected outcome was that after 3 days of nursing interventions, the patient's energy level and nutritional status would improve with no body weakness.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    427 views2 pages

    Subjective: No Subjective Cues. Objective

    Uploaded by

    1S VILLEGAS Gabriel
    The nursing assessment identified an imbalanced nutrition diagnosis related to inadequate diet and impaired metabolism secondary to liver cirrhosis, as evidenced by weakness, fatigue, and iron deficiency anemia. The nursing plan was to provide interventions over 3 days aimed at meeting nutritional requirements, including taking a nutritional history, restricting sodium intake, promoting intake of vitamins/minerals, elevating the head of the bed during meals, promoting an appropriate cirrhosis diet, giving small frequent meals, providing oral hygiene before meals, encouraging multivitamins, and consulting a dietician if needed. The expected outcome was that after 3 days of nursing interventions, the patient's energy level and nutritional status would improve with no body weakness.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    ASSESSMENT NURSING PLANNING NURSING RATIONALE EVALUATION

    DIAGNOSIS INTERVENTION

    Subjective: Independent: Independent:


    No subjective cues. Imbalanced After 3days of 1. Take Px nutritional 1. It provides important Goal met After 3
    nutrition: less nursing history with participation information about Px days of nursing
    Objective: than body interventions, of significant others intake, needs, and interventions, the
    * (+) Weakness requirements the patient will (since our Px is already deficiency patient will meet
    * (+) Fatigue related to meet nutritional old). nutritional
    *(+) Iron deficiency inadequate requirements as 2. Restrict Px sodium 2. This reduced requirements as
    anemia diet, impaired evidenced by consumption (table salts, accumulation of fluid evidenced by
    metabolism improved salty foods, all canned into patient peritoneal improved energy
    and storage of energy level and frozen foods that are cavity that causes level with no body
    vitamins with no body not specially prepared for ascites. weakness.
    secondary to weakness. low sodium (should be
    lover cirrhosis avoided.) 3. These are the most
    as evidenced 3. Promote sufficient common micronutrients
    by fatigue and nutritional intake such as deficiency in patient
    body food rich in iron & with liver cirrhosis due
    weakness. vitamin A,D,E,K. to impaired storage that
    body can’t use as an
    energy.
    4. Elevate the head of the 4. It reduces discomfort
    bed during meals. from abdominal
    distention and decreases
    sense of fullness
    produced by pressure of
    5. Promote appropriate abdominal contents and
    diet for Px with liver ascites.
    cirrhosis. 5. This diet helps to
    avoid worsening of the
    condition especially the
    6. Give patient small sign and symptoms.
    frequent meal.
    6. Poor tolerance to
    larger meals may be due
    7. Provide oral hygiene to increased intra-
    before meals. abdominal pressure and
    ascites.
    Dependent: 7. It increases patient
    8. Encourage to take appetite and reduces
    multivitamins as ordered unpleasant taste.
    by the physician.
    Dependent:
    8. Patient should take at
    least multivitamin and
    mineral supplements that
    Collaborative: meet 100% of dietary
    9. Consult or refer to allowances as there is a
    dietician for further reduction of food intake
    evaluation and and deficiencies of
    suggestions regarding various nutrients in liver
    food partialities and cirrhosis.
    nutritional assistance. Collaborative:
    9. Dietician have a
    broader knowledge of
    the nutritional value of
    foods and may be useful
    in determining foods
    appropriate for the
    client’s condition.

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