Nurse's Pocket Guide

imbalanced NUTRITION: risk for more than body requirements
NURSING PRIORITY NO. 3. To promote wellness (Teaching/
Discharge Considerations):
• Review individual risk factors and provide information to
assist the client with motivation and decision making.
• Consult with dietitian/nutritionist about specific nutrition/
dietary issues.
• Provide information to new mothers about nutrition for
developing babies.
• Encourage client to make a decision to lead an active life and
control food habits.
• Assist client in learning to be in touch with own body and to
identify feelings that may provoke “comfort eating,” such as
anger, anxiety, boredom, sadness.
• Develop a system for self-monitoring to provide a sense of
control and enable the client to follow own progress and
assist with making choices.
• Refer to support groups and appropriate community
resources for education/behavior modification, as indicated.
Documentation Focus
ASSESSMENT/REASSESSMENT
• Findings related to individual situation, risk factors, current
caloric intake/dietary pattern, activity level.
• Baseline height/weight, growth percentile.
• Results of laboratory tests.
• Motivation to reduce risks/prevent weight problems.
PLANNING
• Plan of care and who is involved in the planning.
• Teaching plan.
IMPLEMENTATION/EVALUATION
• Response to interventions/teaching and actions performed.
• Attainment/progress toward desired outcome(s).
• Modifications to plan of care.
DISCHARGE PLANNING
• Long-range needs, noting who is responsible for actions to be
taken.
• Specific referrals made.
Information in brackets added by the authors to clarify and enhance
the use of nursing diagnoses.
490 Cultural Collaborative Community/Home Care