CHRISTINE JOY A.

ALA
4NUR1
ASSESSMENT NURSING SCIENTIFIC ANALYSIS OBJECTIVES NURSING RATIONALE EVALUATION
DIAGNOSIS INTERVENTIONS
Subjective: Imbalanced Loss of Appetite can be Short-term: 1. Monitor daily food 1. Identifies nutritional Short-term:
Ayoko ng nutrition: less caused by a changed Within 6-8 hours of intake strengths and After 6-8 hours of
kumain, wala na than body sense of taste or smell, nursing interventions, 2. Weigh patient daily. deficiencies. nursing
akong gana requirements feeling full, tumor the patient will be Assess and record 2. To assess adequacy interventions, the
(lack of interest in related growth, dehydration or able to: intake and output of diet. patient was able
food) unwillingness the side effects of 1. Verbalize 3. Determine clients ability 3. All factors that can to:
Busog na agad to eat treatment. (Reedy, understanding to chew, swallow and affect ingestion 1. Verbalize
ako secondary to 2017) of causative taste food. and/or digestion of understanding
(Satiety loss of Another cause can be factors to 4. Discuss eating habits, nutrients. of causative
immediately after appetite due to the advanced adequate including food 4. To appeal to clients factors to
ingesting food) cancer. (Schapira, et al., intake. preferences, tastes. adequate
2017) 2. Participate in intolerances or 5. To stimulate intake.
Loss of appetite is due specific aversions appetite. Makes 2. Participate in
Objective: to reduced or lack of interventions 5. Encourage client to mealtime more specific
Decreased desire for food. It is to stimulate choose foods or have enjoyable, which interventions to
subcutaneous common to cancer appetite/increa family member bring may enhance intake. stimulate
patients and can be se dietary food that seem 6. The effectiveness of appetite/increas
fat/muscle
also result of a condition intake appealing diet adjustment is e dietary intake
mass
called cachexia or a 3. Increase oral 6. Adjust diet before and very individualized in 3. Increase oral
Electrolyte
metabolic change. intake immediately after relief of post-therapy intake
imbalances
Anti-cancer drugs and 4. Demonstrate treatment (clear, cool nausea. Patients 4. Demonstrate
K = 3.49 (3.5
treatments such as Healthy oral liquids, light or bland must experiment to healthy oral
5.1)
Na = 132 (136 chemotherapy, radiation mucous foods, candied ginger, find best solution or mucous
145) therapy can also cause membrane dry crackers, toast, combination. membrane
Weakness of the loss of appetite. carbonated drinks). Avoiding fluids Long-term:
Side effects that disrupt Long-term: Give liquids 1 hr before during meals After 5-7 days of
muscles/poor
the gastrointestinal tract Within 5-7 days of or 1 hr after meals minimizes becoming nursing
muscle tone
(weak to may prompt a loss in nursing interventions, 7. Encourage use of full too quickly. interventions, the
appetite which includes the patient will be relaxation techniques, 7. May prevent onset patient was able
move)
dry mouth, mouth sores, able to: visualization, guided or reduce severity of to:
Decreased
difficulty swallowing, 1. Demonstrate imagery, moderate nausea, decrease 1. Demonstrate
albumin =
 2.10 (3.4-5) chewing and stable weight exercise before meals. anorexia, and stable weight
Loss of constipation; Pain, 2. Display 8. If patient lacks strength, enable patient to 2. Display
appetite fatigue and depression normalization schedule rest periods increase oral intake. normalization of
BP: 100/70 could also lead to loss of laboratory before meals and open 8. Nursing assistance laboratory
Colon Cancer of appetite and can lead values. packages and cut up with activities of values.
stage 4 with to weight loss which can 3. Demonstrates food for patient. daily living (ADLs) 3. Demonstrates
liver and lung compromised the behaviors/lifes Collaborative: will conserve the behaviors/lifest
metastasis immune function. tyle changes 1. Insert and maintain NG patients energy for yle changes to
s/p 24 cycles (Cancer Treatment to recover or feeding tube for activities the patient recover and/or
of Centers of America, and/or keep enteric feedings, or values. Patients who keep
chemotherapy Inc., 2017) appropriate central line for total take longer than one appropriate
Dry mouth weight. parenteral nutrition hour to complete a weight.
(TPN) if indicated. meal may require
References 2. Review laboratory assistance.
Cancer Treatment Centers of values that indicate
America, Inc. (2017).
Retrieved from Cancer well-being or Collaborative:
Treatment Centers of deterioration. 1. In the presence of
America:
severe malnutrition
http://www.cancercente
r.com/ctca- (loss of 25%30%
difference/integrative- body weight in 2
cancer-treatment/loss-
mo) or if patient has
of-appetite/
Reedy, G. (2017). American been NPO for 5
Cancer Society. days and is unlikely
Retrieved from
to be able to eat for
American Cancer
Society, Inc. : another week, tube
https://www.cancer.org/ feeding or TPN may
treatment/treatments-
be necessary to
and-side-
effects/physical-side- meet nutritional
effects/eating- needs.
problems/poor- 2. Laboratory tests
appetite.html
Schapira, L., Ramchandran, K., play a significant
Hudson, M., Chang, part in determining
S., Berek, J., Mayer, the patients
E., . . . Williams, M. S.
(2017). Cancer. Net. nutritional status.
Retrieved from An abnormal value
American Society of in a single
Clinical Oncology:
www.cancer.net diagnostic study
may have many
possible causes.