University:
University of Virginia
Course:
NUCO 2210 | Foundations of Nursing CARE
Academic year:

2024
Views:

357

Pages:

2
Author:

Alma Stephenson

Nursing Care Plan Form Patient Identifier: Patient Medical Diagnosis: n/a Nursing Diagnosis: Readiness for enhanced nutrition related to COVID-19 as evidence by patients reports Assessment Data Subjective: Patient states “I eat all day, and don’t care about what I am eating”, “I don’t eat fruit or vegetables, I order out a lot, and am baking all the time”, “I want to change and build a better foundation for my health. Objective: Patient is lethargic and not as sharp or focused, however is eager when they talk about nutrition and improving health Vitals: Bp: 120/65, Hr: 82 RR: 14 Temp: 97.8 f O2: 98 RA Goals & Outcome Statements A. Patient will follow an meal plan at least 5/7 days and increase level of activity to at least 60 minutes a day within 1 week of leaving the doctor’s office B. Patient will demonstrate a loss of 2 lbs within 1 month of leaving the doctor’s office . Nursing Interventions A-1- Educate the patient on the benefits and appropriate portion sizes A-2- Encourage and educate on the benefits of getting your heart rate up during physical activity A-3- Reduce caloric intake between 1200 and 1500 kcal/day. Rationale A-1- Studies have shown that by changing the thoughts on portion size, you are able to positively influence weight/ BMI of the patient (Poelman et al, 2015) A-2- Research shows that regular physical activity is critical for weight management (Ostendorf, B-1- Encourage 7.5-8 et. Al 2018) hours of sleep a night A-3- Incorporating B-2- Educate on the suggestions from the effects supplements for Academy of Nutrition and vitamins and minerals Dietetics, like reducing have on weight loss caloric intake can help you B-3- Limit fast food intake lose weight (Raynor and to once a week Champagne, 2016) B-1- “evidence suggests weight management is hindered when attempted in the context of sleep Outcome Evaluation for the interventions A. Patient was successful at implementing meal plans and increasing levels of activity 1. Educating the patient on benefits of portion sizes was successful. 2. Educating the patient on the benefits of getting your heart rate up was successful. 3. Reducing caloric intake was not successful every day. Patient was unable to stay below the caloric intake 3 of the days. restriction” (St-Onge, 2017) B-2- The use of micronutrients is predominant in weight loss plans (Engel et al, 2018) B-3- Studies have shown those who eat fast food on a regular basis are 10 lbs. heavier than those who don’t, and are less likely to develop diabetes (Pereiera et al, 2005) B. After educating the patient on sleep habits, the use of supplements and vitamins, and limiting fast food intake was successful in losing 2 lbs in the course of a month. 1. Educating the patient on the benefits of sleep was successful and they were able to sleep at least 7.5 hours a night. 2. Education of supplements was successful, patient was able to use supplements that promoted overall well being 3. Patient was able to limit fast food intake to 0-1 times a week for a whole month.