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Imbalanced Nutrition, Less Than Body Requirements - NCP Anemia

Nursing Care Plan for Anemia

Nursing Diagnosis for Anemia : Imbalance nutrition, less than body requirements r / t intake is less, anorexia

Definition : Intake of nutrients is not sufficient for the purposes of the body's metabolism .

Defining characteristics :
  • Weight loss of 20% or more below the ideal.
  • In the report the presence of food intake less than RDA ( Recomended Daily Allowance ).
  • Pale mucous membranes and conjunctiva.
  • Weakness of the muscles used for swallowing / chewing.
  • Wounds, inflammation of the oral cavity.
  • Easy to feel full, shortly after the chewing of food.
  • Reported or the fact that there is a shortage of food.
  • Some people have had changes in taste sensation.
  • Feelings of inability to chew food.
  • Misconception.
  • Losing weight with enough food.
  • Reluctance to eat.
  • Cramps in the abdomen.
  • Poor muscle tone.
  • Abdominal pain with or without pathology.
  • Lack of interest in food.
  • Fragile capillaries.
  • Diarrhea and or steatorrhea.
  • Hair loss is quite a lot ( loss ).
  • Voice hyperactive bowel.
  • Lack of information, misinformation.

Related factors :
  • Inability input or digest food or absorb nutrients associated with biological factors , psychological or economic.

Goal : client adequate nutritional status

Outcome criteria :
  • An increase in body weight in accordance with the purpose .
  • Ideal weight according to height.
  • Being able to identify nutritional needs .
  • No signs of malnutrition .
  • Showed improvement of swallowing function tasting .
  • Weight loss does not happen that means .
  • Adequate input .

Signs of malnutrition .
  • Membrane pale conjunctiva and mukos tidk .
  • Lab .:
Total Protein : 6 -8 g%
Albumin : 3.5 -5.3 g%
Globulin : 1.8 to 3.6 g%
HB is not less than 10 g%


Nutrition Management
  • Assess the food allergy.
  • Collaboration with a nutritionist to determine the amount of calories and nutrients it needs patients.
  • Instruct the patient to increase the intake of Fe.
  • Instruct the patient to increase the protein and vitamin C.
  • Give the substance of sugar.
  • Make sure the diet contains high fiber eaten to prevent constipation.
  • Give foods elected ( already consulted with a nutritionist ).
  • Teach patients how to make food diaries.
  • Monitor the amount of nutrients and calories.
  • Provide information about nutritional needs.
  • Assess the patient's ability to get needed nutrients.

Nutrition Monitoring
  • Patient's weight within normal limits.
  • Monitor change in body weight.
  • Monitor the type and amount of regular activity.
  • Monitor interaction between children or parents during meals.
  • Monitor the environment for eating.
  • Schedule of treatment and action, not during meals.
  • Monitor dry skin and pigmentation changes.
  • Monitor skin turgor.
  • Monitor dryness, dull hair, and brittle.
  • Monitor nausea and vomiting.
  • Monitor levels of albumin, total protein, hemoglobin, and hematocrit levels.
  • Monitor food preferences.
  • Monitor growth and development.
  • Monitor pale, redness, and dryness of the conjunctiva tissue.
  • Monitor and calorie intake nutrition.
  • Note the presence of edema, hyperaemic, hypertonic papillae of the tongue and oral cavity.
  • Note if the tongue magenta, scarlet.

Pediatric Nurses