ASSESSMENT DIAGNOSI SCIENTIFIC PLANNING INTERVENTION RATIONALE EVALUATION

S EXPLANATION
Discharge 1. Provides baseline At the end
Subjective: Imbalance Pregnancy Independent:
Outcome: data about the client. of the
d nutrition
“Walang kaming After 1 day of 1. 1.Assess the pre- 2. To assess the usual nursing
less than
pambili ng nursing pregnancy weight and food that she eats interventions,
body Increased physiologic
pagkain”, as stated interventions, present weight of the even before the
requiremen needs
the client. pregnancy. client is
Objective: ts related
Increase Increased client will be 2. 2. Determine client’s 3. Psychological able to
• Poverty to
d blood metabolism able nutritional history, factors towards eating understand the
increased
to: including her pre- may importance
• Stress physiologic volume to increase
a. demonstrate pregnancy diet. affect one person’s of proper
• Depressed needs as for breast tissue,
changes in 3. Determine the appetite and also to diet. She is
evidenced metaboli blood and her diet as client’s attitude towards know the client’s also able
• Insufficient by c needs water volume manifested eating. eating habits. to select
intake of weakness,
of fetus in the form of by proper 4. 4. Educate the client 4. Education provides the meals
nutritional loss of
extravascular food regarding the sample information she wants
food weight,
and selection importance of eating that the client may to eat,
pale
• Weakness After 1 week of healthy foods during not be aware of, which are
conjunctiva extracellular
nursing her hence leading to the good
• Loss of , pallor skin fluid
interventions, pregnancy in terms of kind of eating habits sources of
weight
Due to poverty, stress, the benefits to her body and diet she is the
• Pale and unhealthy food client will be and following. nutrients
conjunctive able especially to her baby.5. 5. For the client to be needed by
preferences
to: 5. 5. Educate the client aware of the needed her and
• Pallor skin Insufficient intake of a. demonst regarding the vitamins nutrients by her body the baby.
• Unhealthy nutritional food needed of rate and minerals that are to nourish herself The client
food the body adequate important during her and her baby is also able
preferences weight gain pregnancy, such as throughout the to
Weakness, loss of as expected vitamin C, folic acid, pregnancy. Also, maintain
weight, pale conjunctiva, in pregnancy iron giving sources of the
pallor skin (3-5 lbs in the calcium, and protein; these nutrients helps expected
and the sources of
 1st trimester, these the client to easier weight
1-2 lbs per nutrients. familiarize herself as gain during
week during 6. Plan with the client to what foods she the pregnancy
the 2nd and her may include in her
3rd trimester) diet.
Desired meals.
Short-term: 6. Involving the client
After 30 7. Instruct the client to
to
minutes avoid junk foods.
her plan of care gives
of nursing the client the feeling
interventions of independence. It
the also personalizes the
client will be plan of care since the
able client does make the
to: choices in some
a. Verbalize aspects of the plan
Understanding
on the 7. Junk foods have
importance of empty calories that
proper diet. provide no nutritional
b. b. Enumerate help to the client.
foods to be
included in her
diet. Collaborative: 1. To implement
1. consult dietitian interdisciplinary
or nutritional team
team as management
indicated 2. For initiation or
2. refer to home supervision of
health resources home nutrition
therapy.