San Beda College College of Nursing Mendiola, Manila

Patient: R.U. Case: Dengue DCN Assessment: Cues and Clues Signs and Symptoms Su )e$ti(e Cues: ayaw niyang kumain at kanina dalawang beses syang sumuka as verbalized by the mother & )e$ti(e Cues: -weakness and irritability -vomits 2x -abdominal pain BP: 9 !" #emp: $% Nursing Diagnosis (Pro lem ! "tiology# &isk 'or altered nutrition less than body re(uirements related to loss o' appetite as mani'ested by )lient skipping meals S$ienti%i$ Rationale Client &ut$ome Planning Nursing Implementations' Inter(entions Rationale Group: 11 III"(aluation

*engue virus disseminates in the bloodstream &elease o' )ytokines *ire)t )ellular destru)tion +n'e)tion ,emorrhagi) 'ever s!sx o' dengue weakness- 'evermalaiseabdominal pain et). de)reased

S*ort +erm: /'ter 0 hours o' nursing intervention- the pt. will start taking 'oods whi)h he usually eats. ,ong term: /'ter $-1 days o' nursing intervention- the pt. will maintain ade(uate )alori) intake.

IND"P"ND"N+: -2stablish rapport

S*ort +erm: - #o make the )lient 'eel )om'ortable and to establish a good nurse-patient relationship. -#he )onse(uen)es o' malnutrition )an lead to 'urther de)line in the patient3s )ondition that then be)omes sel'-perpetuating i' not re)ognized and treated. - 4'ten pt will eat more 'ood i' other people are present /'ter 0 hours o' nursing interventionthe pt. was able to start taking 'oods whi)h he usually eats. ,ong term: /'ter $-1 days o' nursing interventionthe pt. was able to maintain ade(uate )alori) intake.

-/ssess 'or re)ent )hanges in physiologi)al status that may inter'ere with nutrition.

-Provide )ompanionship at mealtime to en)ourage nutritional intake.

P&: 5$6 &&: $1

appetite C&,,A-&RA+I.": Resour$e: /tlas o' Pathophysiology 2nd 2d. By 7ippin)ot 8illiams and 8ilkins -9onsult dietitian 'or 'urther assessment and re)ommendations regarding 'ood pre'eren)es and nutritional support. /"A,+/ +"AC/INGS: -suggest li(uid drinks 'or supplemental nutrition

at mealtimes.

-*ietitians have greater understanding o' the nutritional value o' 'oods.

-su)h supplements )an be used to in)rease )alories and protein without inter'ering with voluntary 'ood intake

-importan)e o' maintaining ade(uate )alori) intake -maintain */#!2*9: diet D"P"ND"N+: -&egulate +; rate as re(uested by a)tual do)tor3s order. -#o ensure that ade(uate amount o' parenteral 'luid would be taken by the patient.

Su mitted y: 0arisolle Gra$e S. Gregorio 0e)ia RN

Su mitted to: 0rs. "mma