ASSESSMENT NURSING PLANNING IMPLEMENTATION EVELUATION DIAGNOSIS Subjective Independent: Data: Nutrition: - Assess ability to chew, - Assessed the patient Goal Unmet, “ di ko kayo imbalanced, less taste and swallow. ability to chew, swallow, At the end of 8 hours makakaon” as than body R: Lesions of the mouth, and taste. rendering nursing verbalized by requirement related throat, and esophagus intervention the patient. to inability to ingest (often caused by patient will unable to food as evidenced candidiasis, herpes maintain the desired by weight loss simplex, hairy leukoplakia, weight within 2 KS and other cancer). weeks.
Goal: -Auscultate bowel sounds.
At the end of 8 R: Hypermotility of - Patient abdomen was hours of rendering intestinal tract is common auscultated, sound was nursing intervention and is associated with noted. Objective the patient will vomiting and diarrhea, Data: maintain the weight which may affect choice of >weak and pale towards desired diet/ route. looking goal of 2 weeks. >Low appetite -Teach techniques to maintain adequate - Patient was given nutritional intake and techniques and ways on stimulate appetite: how to maintain the adequate nutritional *Administer/instruct pt. on intake. good oral hygiene before *Patient instructed goods and after feedings. oral hygiene before and after feedings.