ASSESSMENT Subjective: Walang ganang kumain ang anak ko as verbalized by the mother

DIAGNOSIS Imbalance Nutrition less than body requirements related to loss of appetite as evidenced by lack of interest in food, loss of weight, weakness and vomiting after meal Inference:

PLANNING Short Term Goal: After 1 hour of nursing intervention client will be able to Consume at least 50% of breakfast, lunch and dinner trays at the end of the day Long Term Goal:

INTERVENTION Independent: Weigh client daily. Weight loss or gain is important assessment information. Stay with client during meals to assist as needed and to offer support and encouragement. Keep strict documentation of intake, output, and calorie count. This information is necessary to make an accurate nutritional assessment and maintain client safety. Suggest liquid drinks to the mother for supplemental nutrition. Discourage beverages that are caffeinated and carbonated. These may decrease appetite and lead to satiety. Collaborative: Consult dietitian for further assessment and recommendations regarding food preferences and nutritional support. Dietitians have a

EVALUATION Short Term goal: Goal met, after 1 hour of nursing intervention client consumed 50% of her breakfast, 50% lunch and 50% at dinner trays at the end of the day.

Objective: Lack of interest in food Loss of weight Weakness Vomiting after meals Malnutrition is the condition that results from taking an unbalanced diet in which certain nutrients are lacking, in excess (too high an intake), or in the wrong proportions. It is a broad term which refers to both under nutrition (sub nutrition) and over nutrition. Individuals are malnourished, or suffer from under nutrition if their diet does not provide them with adequate calories and protein for maintenance and growth, or they cannot fully utilize the food they eat due to illness.

Long Term Goal: After 1 week of Nursing intervention client will be able to exhibit no sign and symptoms of malnutrition and will be able to gain 3 pounds at the end of the week. Goal met, after 1 week of nursing intervention client exhibit no signs and symptoms of malnutrition and gain 3 pounds at the end of the week.

greater understanding of the nutritional value of foods. DEPENDENT: Administer parenteral nutrition solutions containing vitamins and minerals as indicated e.g. cyanocobalamine(vit. B12) folic acid (folvite) ascorbic acid (vit. C) Total parenteral nutrition, maintains nutritional intake and meets metabolic needs in presence of severe complications or sustain esophageal or gastric injuries that do not permit enteral feeding.