ASSESSMENT

Subjective Cues:
Hindi gaanong
nakakakain ang
anak ko, as
verbalized by the
mother of the
patient.
Objective Cues:
- Weight : 48
kgs
- Lethargic
- Weak
appearance
- Height of
55
- BP: 100/60
- Temp: 36.8C
- PR: 82bpm
- RR:25cpm
- BMI: 16. 6
kg/m2
(underweight
)

NURSING
DIAGNOSIS
Altered nutrition
less than body
requirements
related to
disease process
as manifested by
a weight of 48
kgs and a BMI of
16.6.

PLANNING
Long Term:
After 1 - 2
months of
nursing
interventions, the
patients weight
will be increased
from 57 kgs to a
weight of 60 kgs
and a BMI of
18.5 to 22.9
kgs/m2.

INTERVENTIONS

RATIONALE

-Establish rapport

-To gain
cooperation and
trust

-Explain
importance of
adequate nutrition

-to provide
awareness of the
patient as well as
of his family

-Give a safe, fun,

and relaxed
atmosphere

-to prevent stress

or fatigue

-Offer to eat small

portions but in
frequent feedings

-to reduce
feeding tension
in stomach

-Weigh patient at
regular intervals
and document and
results

-to monitor
effectiveness of
dietary
interventions

COLLABORATIVE:
-Collaborate with
-to determine
nutritionists and
daily caloric
dieticians
needs of the
patients

EVALUATION
Long Term:
After 1 month of
nursing
interventions, the
patients weight
increased from
48 kgs to 54 kgs
then another
month 59 kgs and
got a BMI of
20.34 kgs/m2.

VI. Nursing Care Plan