Assessment

NURSING CARE PLAN FOR ENTERAL FEEDING
Outcome
Nursing
Rationale
Interventions

Nursing Diagnosis

Inference

Imbalanced
Nutrition, less than
body requirements
related to difficulty
in chewing and
swallowing
secondary to
neurological
disorder and damage

Nutrition is the most
basic aspect of our
body’s ability to
function well.
Parenteral feeding is
often chosen by
physicians to
maintain the dietary
and metabolic needs
of clients with
functional
gastrointestinal tract
but with inability to
take enough nutrition
or dietary calories
orally.

Evaluation

Subjective:
“Daddy had some
difficulty taking in
his food for a while
and I guess he had
lost some weight,
too. So, we opted for
enteral feeding...) –
verbatim of client’s
daughter.
Objective:
Weight loss of
almost 10% for the
past 3 months
Present weight:
50 kilograms
Difficulty chewing
and swallowing due
to stroke, with right
sided weakness last
year
Diagnosed with
Parkinson’s disease
3-4 years ago
Hyperactive bowel
sounds
Some pallor

One reason for
enteral feeding is
dysphagia or
difficulty in
swallowing.
Neurological damage
in the form of stroke
and neurological
damage like
Parkinson’s disease
can both cause
dysphagia. Some
nerves and muscles in
the throat are
weakened which
makes it difficult to
move food from the
mouth to the throat.
Aspiration is

After 1 week of
nursing care, the
client will be able
to show an
improved
nutritional status as
evidenced by
progressive weight
gain and be free
from any signs of
malnutrition.

-Weigh client at the
same time and using
the same clothing
daily.

- It monitors the
effectiveness of
enteral feeding and
the progression of
weight of weight
gain.

- Administer enteral
feeding as indicated
by physician
depending on
nutritional needs of
the client.

- Ideal caloric intake
per individual is
usually calculated to
estimate the
metabolic needs of
the client.
- Some enteral
formulas may
contain some
properties or some
medications may
clog the tube, so
flushing it before
and after with water
may help maintain
its patency.
- Aids in preventing
aspiration during
feeding.

- Ensure patency of
enteral tube by
flushing it before and
after with water or as
indicated.

-Always place client
in high fowler’s
position when
feeding and for NGT,
check patency prior
to feeding.
- Offer exercise/
stress reduction
activities.

-Provide resting
periods.

-Helps in
maintaining muscle
function and
prevents muscle
wasting esp. in
stroke clients.
- It could help

After 1 week of
nursing care, the
goal is met as
evidenced by an
increase in weight
by 0.9 kilograms and
freed from any signs
of malnutrition.

commonly at risk
when one attempts
the client to swallow.

conserve energy and
minimizes caloric
requirements.
-Educate family
members/ caregiver
how to give enteral
feeding properly.
-Refer client’s family
to dietician, for
proper food
preparation at home.

- It fosters family
involvement in
maintaining the
nutritional intake of
client.
- Food formulas are
prepared depending
on the caloric
requirements of the
client.

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