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%
NIC :
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.