Alteration in Nutrition: Less Than Body Requirements

Published on Saturday March 10th , 2007

Alteration in Nutrition: Less Than Body Requirements

(_)Actual (_) Potential

**Related To:**
*[Check those that apply]*
(_) Dysphagia caused by:_________________ (_) Absorptive disorders (_) Anorexia (_) Allergy (_) Burns (_) Cancer (_) Chemotherapy (_) Chemical dependence (_) Crash or fad diet (_) Depression	(_) Inability to obtain food (_) Infection (_) Lack of knowledge of adequate nutrition (_) Nausea and vomiting (_) Radiation Therapy (_) Social isolation (_) Stress (_) Trauma (_) Other:___________________________ __________________________________ __________________________________

**As evidenced by:**
*[Check those that apply]*
Major: (Must be present)	(_) Reported inadequate food intake less than recommended daily allowance with or without weight loss and/or actual or potential metabolic needs in excess of intake.
Minor: (May be present)	(_) Weight 10% to 20% or more below ideal for height and frame. (_) Tachycardia on minimal exercise and bradycardia at rest. (_) Muscle weakness and tenderness. (_) Mental irritability or confusion. (_) Decreased serumm albumin.

Date &
Sign.

Plan and Outcome
[Check those that apply]

Target
Date:

Nursing Interventions
[Check those that apply]

Date
Achieved:

The patient will:

(_) Experience adeuqate nutrition through oral intake.

(_) Experience an increase in the amount or type of nutrients ingested.

(_) Gain weight.

(_) Other:

(_) Assess and document patient's dietary history, patters of ingestion, intolerance to foods.

(_) Assess patient likes and dislikes. Inform dietary.

(_) Teach techniques to maintain adequate nutritional intake and stimulate appetite:

administer/instruct pt. on good oral hygiene before and after feedings
maintain pleasant environment for patient

(_) Determine proper denture fit and profice adhesive as necessary.

(_) Increase social contact with meals by:____________________
_______________________

(_) Plan care so that unpleasant/painful tests/tx's don't take place before meals.

(_) Medicate pt. for pain 2 hrs before meals per physician's orders.

(_) Consult with dietitian re:

calorie count
change in food consistency
spacing meals
provision of high caloric supplements
provision of high protein supplementation
food intolerances/preferences
extra fluids on tray
dietetic teaching, food selelction
therapeutic diet restrictions:
__________________

(_)Consult with PT/PT re:

strengthening exercises
prosthetic devices
swallowing disorders

(_) Environmental support to improve intake:

be sure pt. is alert and responsive before eating
sit upright 60-90 degrees for 15-20 min. before, during & after eating
decrease distractions
demonstrate patience by providing specific directions until finished
assure good mouth care

(_) Weigh patient q______
at _______ a.m./p.m.

(_) Other:________________
________________________
________________________
________________________

__________________________
Patient/Significant other signature

__________________________
RN signature

Top Nursing Programs

Kaplan University - RN to NS in Nursing. Kaplan University offers a RN to BSN degree to help fulfill the growing demand for students with proper education and training in serving the healthcare industry. The program could be completed online, allowing students to continue working at their current institutions.

Jacksonville University - B.S. in Nursing. Jacksonville University allows students to complete their Nursing degree completely online, at their own pace and time. Their program provides current registered nurses with the opportunity to advance and continue their growth.

South University - BS in Nursing. As an accredited online college, South University offers a respectable Bachelor's degree in Nursing for those seeking to pursue a career in the healthcare industry. The program is offered completely online, allowing students to learn in their own time without sacrificing their current responsibilities.