MALNUTRITION

MALNUTRITION

1. Weight loss > 10% of body weight, decreased intake of food or anorexia, diarrhea or constipation, muscle wasting, edema, loss of subcutaneous fat, skin and mucous membranes are dry, altered metabolism

2. Decreased thyroxin, decreased plasma oncotic pressure, impaired liver function, decreased protein synthesis, fatty liver, insulin resistance, anemia

3. Imbalanced Nutrition:less than body requires related to anorexia, dysphagia, or increased metabolic needs or decrease in access or absorption of food.

   • Personalize a diet that has enough calories required for the patient, Help patient get access to meals such as Meals on Wheels, consider having the patient eat six small meals a day, and assess and consider the need for enteral or parenteral feedings.
     • The patient will achieve an ideal body weight and continue to maintain that body weight. Patient will have an increase in subcutaneous fat. Patient will also demonstrate behavior and lifestyle changes to help maintain adequate weight

4. Fluid Volume Deficit related to factors affecting access or absorption of fluids and the presence of dry mucous membranes and dry skin

   • Monitor I & O, Increase the amount of fluid for patient to drink in a day,keep skin moisterized with lotion throughout the day, monitor urine specif gravity, determine likes and dislikes of fluids
     • Patient will drink at least 2000ml of liquids a day, Patients urine specific gravity will be within normal range, mucous membranes will be moist, and the patient will not exhibit any signs or symptoms of dehydration

5. Risk for impaired skin integrity related to poor nutritional state and loss of subcutaneous fat

   • Continuously assess for any signs or symptoms of skin breakdown and treat any open areas on the skin promptly to help prevent further breakdown in that area. Pad bony prominences while patient is in bed to help relieve pressure on the area.
     • Patient will not have any skin breakdown or open areas to the skin. Patient will not have any infections that can impair skin integrity