Nursing Care Plan
Student(s) Name: Uvbi Osatohangbon Date:
Medical Diagnosis:
| Assessment Data | Nursing Diagnosis and Related Goals | Nursing Interventions and Rationale | Evaluation |
|
Objective Anorexia diagnosis Overexercises Restrictive diet Weighs 90lbs when needs to weight at least 120lbs. Started period at age 13, loss of period at 14.
Subjective
Mother says client has been an “anxious child” since she was young.
Reached out for support to mom and older sister.
Clint mentioned that weighting 90lbs make her “fell more confident” |
Nursing diagnosis
Imbalanced Nutrition: Less Than Body Requirements related to excessive exercise and restrictive diet as evidenced by excessive weight loss and loss of period.
Goal statement: Short- term With patient family we will plan a food schedule and a weight gain plan
Long- term Have the client and and the family involve in FBT (family based therapy) until target weight is reached
|
Nursing Interventions
1. Establish a minimum weight goal and daily nutritional requirements 2. Allow the patient to choose what they eat from a selective menu. 3. Establish a therapeutic nurse-patient relationship 4. Consult a dietician 5. Consider other markers for health 6. Identifying emotions and developing coping strategies.
Rationale 1. Patients with anorexia are fearful of gaining weight. Instead of providing a weight range that may cause patients to feel their number is “too high,” working towards a minimum weight number will help. 2. This way, the patient is made to feel like they are in control of the situation while helping them gain confidence. 3. Developing an unbiased relationship with the patient will help build trust, necessary to treat a chronic eating disorder. 4. The dietician should be the best person in providing the most helpful and unbiased nutritional support for people with eating disorder. 5. When the patient begins to have things like better digestion, return of period, improved energy and sleep they are likely at a stable weight. 6. Client can be assisted in recognizing emotions by asking her to describe those feelings and allowing an appropriate time for a response. |
Short term – Met
Met with patient and discussed future plans and weight gain goal and food options
Long term – Met
After 2 weeks of being involved in FBT client reached target weight and showed improvement in her health |
References
NANDA International & Herdman, T. H. (2021-2023). NANDA International Nursing diagnoses: Definitions and classification 2012-14.
Wiley Blackwell.
Mayo Foundation for Medical Education and Research. (2022, December 15). High white blood cell count causes. Mayo Clinic. https://www.mayoclinic.org/symptoms/high-white-blood-cell-count/basics/causes/sym-20050611