Medical Diagnosis: Chronic Renal Failure Problem: Altered Nutrition: Less than Body Requirements RT Catabolic State, Anorexia and Malnutrition

Assessment Nursing Diagnosis Scientific Explanation

Planning Interventions Rationale Evaluation

Subjective: (none) Objective:

Anorexia

Anemia

Fatigue

Reported inadequate food intake less than recommended daily allowance

(Don’t forget which of the following signs and symptoms above that the patient manifested and may manifest)

Altered Nutrition: Less than body Requirement R/T Catabolic state, Anorexia and Malnutrition 2O to Renal Failure

Due restricted foods and prescribed dietary regimen, an individual experiencing renal problem cannot maintain ideal body weight and sufficient nutrition. At the same time patients may experience anemia due to decrease erythropoietic factor that cause decrease in production of RBC causing anemia and fatigue.

Short Term: After 6-7 hours of NI, the patient will display normalization of laboratory values and be free of signs of malnutrition. Long Term: After 4-5 days of NI, the patient will demonstrate behaviors, lifestyle change to regain and maintain an appropriate weight.

1. Establish rapport

2. Assess general

appearance and monitor vital signs.

3. Identify

patient at risk for malnutrition.

4. Ascertain

understanding of individual nutritional needs.

5. Assess weight,

age, body build, strength, rest level.

6. Assist in

developing individualized regimen.

7. Provide diet

modification as indicated.

1. To gain patient’s trust.

2. To establish

baseline data. 3. To assess

contributing factors.

4. To determine

what information to provide the patient.

5. To provide

comparative baseline.

6. To control

underlying factors.

7. To establish a

nutritional plans.

Short Term: The patient shall have displayed normalization of laboratory values and be free of signs of malnutrition. Long Term: The patient shall have demonstrated behaviors, lifestyle changes to regain and maintain an appropriate weight.

8. Determine whether patient prefers more calories in a meal.

9. Avoid high in

sodium-rich food.

10. Promote

relaxing environment.

11. Provide oral

care.

12. Provide safety.

13. Maintain bed rest.

14. Change

position every 2 hours.

15. Position the bed into semi-fowler’s position.

16. Limit fluid

intake as ordered.

17. Encourage to

8. To establish a

nutritional plans. 9. To prevent

further increase in sodium level.

10. To enhance

intake. 11. To prevent

further spread of dental caries.

12. To prevent

injury. 13. To decrease

metabolic demand.

14. To prevent

ulcerations. 15. To enhance lung

expansion. 16. To prevent water

retention.

do Passive range of motion exercise.

18. Encourage

early ambulation.

19. Regulate

Intravenous line as Ordered.

20. Administer

Medications as ordered.

17. To have proper

circulation of blood.

18. To prevent

muscle atrophy. 19. To maintain

hydration status. 20. To prompt

treatment.