I, for myself, tried
intermittent fasting, a 16:8 diet where in you have to stop eating or drinking
with calories for 16 hours and then eat your usual meal after. First week of
doing it, I experienced mild headache, stomachache very common, and very
anxious about the time. The result, however, is very promising a big drop in my
weight for two months of doing it. Don't misjudge me, I really love eating but
discipline and desire will make a body of your dream. Like this girl Tracey, 23
years old, vlogger and freelance model, maintains her slim body by eating only
once each day with adequate intake of liquids. Unfortunately, her obsession to
lose weight makes her so thin, so skinny that lead to imbalanced nutrition:
less than body requirements. Below is a sample of nursing care plan of
imbalanced nutrition: less than body requirements of Tracey. If you want NCP
for imbalanced nutrition: more than body requirements you can also check it out.
Assessment:
Subjective: "I only
eat once a day, 'cause I don't want to get fat." as verbalized by the
patient.
Objectives:
- Height: 6 feet 2 inches
- Weight: 100 pounds
- BMI considered underweight
- Lack of muscle mass
- Thin appearance
- Bluish discoloration of fingers
- Dry skin
Diagnosis:
Imbalanced nutrition:
less than body requirements related to decrease food intake secondary to
anorexia nervosa as evidenced by thin appearance and bluish discoloration of
fingers.
Planning:
After 8 hours of nursing
intervention the patient will eat daily nutritional requirements in accordance
with activity level and metabolic needs and will verbalize the importance of
good nutrition and will identify deficiencies in daily intake.
Interventions:
- Explain to Tracey that
she needs for adequate consumption of carbohydrates, fats, proteins, vitamins,
minerals, and fluids. Consult with a nutritionist to establish appropriate
daily caloric and food type requirements for Tracey, the patient. Encourage the
patient's family to bring permitted foods from home, if possible. Give her
printed materials outlining a nutritious diet that includes her high intake of
complex carbohydrates and fiber and decreased intake of sugar, salt,
cholesterol, total fat, and saturated fats. Discuss with Tracey the importance
of limiting snacks high in salts, sugar, or fat such as soda, candy, and chips
to limit risks for cardiac disorders, obesity, and diabetes mellitus, a
disorder in which blood sugar levels are abnormally high because the body does
not produce enough insulin to meet its needs. Advise the family in evaluating
their nutritional patterns. Make snacks as nutritiously important as meals like
hardboiled eggs, raw vegetable sticks, peanut butter/crackers, fruits, juices,
and cheese.
- Address strategies to improve Tracey's nutrition when eating fast foods such
as drink skim milk, avoid French fries, choose grilled foods, and eat salads
and vegetables.
- Discuss with the patient possible causes of her decreased appetite. With her
decreased appetite, restrict Tracey to liquids with meals and avoid fluids 1
hour before and after meals. Arrange to have high-calorie and high-protein
foods served at the times that she usually feels most like eating. To promote
appetite, determine the patient's food preferences and arrange her to have them
provided, as appropriate. Eliminate any offensive odors and sights from the
eating area. Provide a relaxed atmosphere to her and some socialization during
meals.
- Encourage Tracey, the patient to rest before meals. Offer frequent, small
meals instead of a few large ones, and offer her foods served cold. Control any
pain and nausea before meals, if experience any.
- Encourage and help her to maintain good oral hygiene.
Evaluation:
After 8 hours of nursing intervention the patient had eaten daily nutritional
requirements in accordance with activity level and metabolic needs and
verbalized the importance of good nutrition and will identify deficiencies in
daily intake.
For
more samples of nursing care plan you are free to check it out in our NCP LIST page.
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