Nursing Goals and

Cues Analysis Intervention Rationale Evaluation

Subjective: Imbalanced a. Health Goal (Long 1. Validate the 1. Validation Was the
nutrition: Implications: term): patient’s lets the goal met,
As the client’s
Intake of feelings patient know unmet, or
guardian have Adequate nutrition is Within 2-3 days of
nutrients regarding the that the nurse partially
stated, “Hindi essential to meet the nursing
insufficient to impact of has heard and met?
na siya gaano body’s demands. interventions, the
meet current understands
ganon Several diseases can client will manifest
metabolic lifestyle, what was
magana greatly affect the significant changes
needs related finances, and said, and it Met ____
masyado nutritional status of an in regaining
to inability to transportation promotes the
kumain, kaya individual, this includes appetite and Unmet
ingest food as on ability to nurse-patient
binibilhan gastrointestinal maintain optimum ____
evidenced by obtain relationship.
naming malabsorption, burns, intake of essential
insufficient nutritious food. 2. Patients with Partially
Jollibee kaso cancer; physical factors foods and fluid.
interest in 2. Encourage specific ethnic met _____
konti pa rin” (e.g., muscle weakness,
food and Objective (Short family or religious
poor dentition, activity
periodical term): Within the members to preferences or
intolerance, pain,
abdominal shift, client should bring food from restrictions
Objective: substance abuse); social
pain be able to finish home to the may not
factors (e.g., economic
Decreased the meal given by hospital. consider
status, financial
food and fluid the resident 3. Encourage foods from
constraint);
intake dietician or by the water intake. the hospital.
psychological factors
attending guardian 4. Negotiate with 3. Water helps
(e.g., boredom,
and consume the patient in the
dementia, depression).
required amount of regarding the elimination of
In certain conditions
fluid. Client should aspects of his byproducts of
such as trauma, sepsis,
also be able to or her diet that fat breakdown
surgery, and burns,
verbalize the and helps
adequate nutrition is
vital to healing and significance of will need to be prevent
recovery. Also, increasing food modified. ketosis.
religious and cultural and fluid intake as 4. Give and take
factors greatly a important aspect with the
influence the food for optimal patient will
habits of patients. recovery from lead to
current condition. culturally
b. Situational
harmonious
analysis:
care.
Immediate cause:
Client refuses to eat in
the prescribed eating
hours in relation to the
abdominal pain that she
feels.
Root cause: Client’s
ability to manifest
healthy eating habits
were reduced due to
current condition and
lack of awareness in the
importance of having a
healthy diet.