ASSESSMENT Interaction: " Hindi ako madalas nakakakain kasi hindi ko gusto ang mga pagkain dito sa ospital, mas gusto ko ung mga pagkain sa bahay.” Observation: Conscious and coherent; pale Measurement : BP:170/100 mmHg PR:92bpm RR:25 c/min T*:37.1 *C
DIAGNOSIS Imbalanced Nutrition: Less than body requirement s related to knowledge deficit of appropriate foods to eat Intermediat e Cause: Easily available and affordable in their community Intermediat e Cause: Food preference of dried fish
like daing na bangus, danggit and tuyo and vegetables. Root Cause: Lack of knowledge on proper food nutrition
PLANNING Goal: The patient’s nutritional status will improve. Short-term: After 30 minutes of nursing interventions the client will be able to: a. Verbalize understandin g on the importance of proper diet. b. Enumerate foods to be included in her diet. c. Understan d the importance of proper food nutrition using the food pyramid as a guideline
INTERVENTIONS
1. Assess the previous weight and present weight of the client. 2. Determine client’s nutritional history.
3. Determine the client’s attitude towards eating.
4. Educate the client regarding the importance of eating healthy foods during her hospital stay in terms of its benefits. 5. Educate the client regarding the vitamins and minerals that are important during her pregnancy, such as vitamin C, folic acid, iron, calcium, and protein; and the sources of these nutrients.
RATIONALE
1. Provides baseline data about the client. 2. To assess the usual food that she eats even before and during hospitalization. 3. Psychological factors towards eating may affect one person’s appetite and also to know the client’s eating habits. 4. Education provides ample information that the client may not be aware of, hence leading to the kind of eating habits and diet she is following. 5. For the client to be aware of the needed nutrients by her body to nourish herself. Also, giving sources of these nutrients helps the client to easier familiarize herself
EVALUATION
Effectiveness Was the client was able to:
•
•
•
Verbalize understandi ng on the importance of proper diet. Enumerate foods to be included in her diet. Understand the importance of proper food nutrition using the food pyramid as a guideline