lOMoARcPSD|8163834
Anorexia care plan1
Fundamentals of nursing (North Country Community College)
, lOMoARcPSD|8163834
NCCC Department of Nursing Care Plan Format
Assessment NANDA Planning Rationale Evaluation
Objective Subjective Nursing Diagnosis Goals Intervention With Citation of Goal
Full Code Reports depressed Disturbed body image PT will verbalize Nurse will assess the The extent of the Goal ongoing PT
Vitals bp 86/80 anxious mood R/T fear of obesity AEB acceptance of self in patient’s perception of patient’s response is verbalizing and
PT expressed fear of
situation and
P-64 Reports weight loss gaining weight; PT asking change in the structure more related to the understanding the
R-14 over 4 months if writer thinks she is fat understanding of of her body daily value or importance importance of a
O2-98% RA Refuses to gain during assessment. body image within 3 starting 10/9/20 @1600 the patient places on healthier body
Temp 96.8D weight days of stay starting the body part that is image but will
Pain- Denise Reports constipation 10/9/20 Nurse will assess changing. keep until PT
Braden=low mild Exercise use is to: patients verbal remarks (Gulanick; 2017 PG 29)acceptance of
No fall risks calm her mind” PT will establish about the actual or Negative statements healthy body
Pale dry skin Continued adaptation to a more perceived change in about the affected image has been
Well-dressed well antidepressant “for a realistic body image body appearance daily body part may meet and
groomed while”- noted that this by discharge from starting 10/9/20 @ 1600indicate limited acknowledged
Thin medication helped facility or within 2 ability to integrate until discharge
HENNT: no deficits with this DX in the weeks starting Nurse will demonstrate change from facility
Brady cardiac past 10/9/20 positive caring routine (Gulanick; 2017 PG 29)starting 10/25/20.
EKG- sinus brady College is her activities for the patient Professional
Breath sounds clear “distraction from life” daily starting 10/9/20 @caregivers represent a Goal ongoing PT
with equal aeration 1600 microcosm of society exhibiting signs of
bilaterally, therefor the patient adaptation and
nonlabored. Nurse will teach the will scrutinize their working at
No sensory deficits patient about the actions and behaviors.interventions
A/Ox4 normalcy of body Positive comments by toward goal, will
Normal gait image disturbance once the nurse will help thereevaluate at two
Negative Romberg now and PRN starting patient develop weeks on 10/23/20.
10/9/20@1600 positive responses to
change.
Nurse will administer (Gulanick; 2017 PG 32)
Fluoxetine 10 mg PO Medications may help
daily per MD order to resolve some of the
starting 10/9/20 @ 1800psychological issues,
or depressive issues
Nurse will help patient with the patient and in
identify ways to cope change help with the
with the changing of healthy body weight.
her body, and find (Gulanick; 2017 PG
Anorexia care plan1
Fundamentals of nursing (North Country Community College)
, lOMoARcPSD|8163834
NCCC Department of Nursing Care Plan Format
Assessment NANDA Planning Rationale Evaluation
Objective Subjective Nursing Diagnosis Goals Intervention With Citation of Goal
Full Code Reports depressed Disturbed body image PT will verbalize Nurse will assess the The extent of the Goal ongoing PT
Vitals bp 86/80 anxious mood R/T fear of obesity AEB acceptance of self in patient’s perception of patient’s response is verbalizing and
PT expressed fear of
situation and
P-64 Reports weight loss gaining weight; PT asking change in the structure more related to the understanding the
R-14 over 4 months if writer thinks she is fat understanding of of her body daily value or importance importance of a
O2-98% RA Refuses to gain during assessment. body image within 3 starting 10/9/20 @1600 the patient places on healthier body
Temp 96.8D weight days of stay starting the body part that is image but will
Pain- Denise Reports constipation 10/9/20 Nurse will assess changing. keep until PT
Braden=low mild Exercise use is to: patients verbal remarks (Gulanick; 2017 PG 29)acceptance of
No fall risks calm her mind” PT will establish about the actual or Negative statements healthy body
Pale dry skin Continued adaptation to a more perceived change in about the affected image has been
Well-dressed well antidepressant “for a realistic body image body appearance daily body part may meet and
groomed while”- noted that this by discharge from starting 10/9/20 @ 1600indicate limited acknowledged
Thin medication helped facility or within 2 ability to integrate until discharge
HENNT: no deficits with this DX in the weeks starting Nurse will demonstrate change from facility
Brady cardiac past 10/9/20 positive caring routine (Gulanick; 2017 PG 29)starting 10/25/20.
EKG- sinus brady College is her activities for the patient Professional
Breath sounds clear “distraction from life” daily starting 10/9/20 @caregivers represent a Goal ongoing PT
with equal aeration 1600 microcosm of society exhibiting signs of
bilaterally, therefor the patient adaptation and
nonlabored. Nurse will teach the will scrutinize their working at
No sensory deficits patient about the actions and behaviors.interventions
A/Ox4 normalcy of body Positive comments by toward goal, will
Normal gait image disturbance once the nurse will help thereevaluate at two
Negative Romberg now and PRN starting patient develop weeks on 10/23/20.
10/9/20@1600 positive responses to
change.
Nurse will administer (Gulanick; 2017 PG 32)
Fluoxetine 10 mg PO Medications may help
daily per MD order to resolve some of the
starting 10/9/20 @ 1800psychological issues,
or depressive issues
Nurse will help patient with the patient and in
identify ways to cope change help with the
with the changing of healthy body weight.
her body, and find (Gulanick; 2017 PG
