Nursing Care Plan
Assessment | Nursing Diagnosis | Goals & Expected outcomes | Nursing Interventions | Rationales | Methods of Evaluation | Name of client: Mrs. Tam Age: 65 Sex: Female Student ID:1155016494 Assessment date: 29/11/12
Medical Diagnosis: 1. Lower limbs edema 2. Low albumin level 3. hypokalemia and hypocalcaemia 4. Anemia
Nursing Diagnosis: Imbalanced nutrition: less than body requirements related to vomiting after eating as evidenced by food intake less than the recommended daily allowance and decreased albumin level.
Name of client: Mrs. Tam Age: 65 Sex: Female Student ID:1155016494 Assessment date: 29/11/12
Medical Diagnosis: 1. Lower limbs edema 2. Low albumin level 3. hypokalemia and hypocalcaemia 4. Anemia
Nursing Diagnosis: Imbalanced nutrition: less than body requirements related to vomiting after eating as evidenced by food intake less than the recommended daily allowance and decreased albumin level.
Subjective data :Mrs. Tam said she would vomit after eating .Objective data : 1. Mrs. Tam was diagnosed to have malnutrition. 2. Mrs. Tam daily input was only 700ml and 650ml on 27/11/12 and 28/11/12 respectively.Dysfunctional Health Pattern:Nutrition-metabolic Pattern | Problem:Imbalanced nutrition: less than body requirements Etiology:Vomiting after eatingSigns & symptoms:food intake less than the recommended daily allowance and decreased albumin level. | Goals: Mrs. Tam will ingest daily nutritional requirements in accordance with activity level and metabolic needs.Expected outcomes: 1. Mrs. Tam can verbalize the importance of good nutrition on 1/12/12. 2. Mrs. Tam can states a selection of food or meals that can provide balanced and sufficient nutrients for her on 1/12/12. 3. Mrs. Tam will report absence of vomiting after eating since 1/12/12. 4. Mrs. Tam’s blood albumin level will continuously stay in normal range 5. Mrs. Tam will intake more food daily. | 1. Explain the need for
Medical Diagnosis: 1. Lower limbs edema 2. Low albumin level 3. hypokalemia and hypocalcaemia 4. Anemia
Nursing Diagnosis: Imbalanced nutrition: less than body requirements related to vomiting after eating as evidenced by food intake less than the recommended daily allowance and decreased albumin level.
Name of client: Mrs. Tam Age: 65 Sex: Female Student ID:1155016494 Assessment date: 29/11/12
Medical Diagnosis: 1. Lower limbs edema 2. Low albumin level 3. hypokalemia and hypocalcaemia 4. Anemia
Nursing Diagnosis: Imbalanced nutrition: less than body requirements related to vomiting after eating as evidenced by food intake less than the recommended daily allowance and decreased albumin level.
Subjective data :Mrs. Tam said she would vomit after eating .Objective data : 1. Mrs. Tam was diagnosed to have malnutrition. 2. Mrs. Tam daily input was only 700ml and 650ml on 27/11/12 and 28/11/12 respectively.Dysfunctional Health Pattern:Nutrition-metabolic Pattern | Problem:Imbalanced nutrition: less than body requirements Etiology:Vomiting after eatingSigns & symptoms:food intake less than the recommended daily allowance and decreased albumin level. | Goals: Mrs. Tam will ingest daily nutritional requirements in accordance with activity level and metabolic needs.Expected outcomes: 1. Mrs. Tam can verbalize the importance of good nutrition on 1/12/12. 2. Mrs. Tam can states a selection of food or meals that can provide balanced and sufficient nutrients for her on 1/12/12. 3. Mrs. Tam will report absence of vomiting after eating since 1/12/12. 4. Mrs. Tam’s blood albumin level will continuously stay in normal range 5. Mrs. Tam will intake more food daily. | 1. Explain the need for