Client’s electrolytes will be restored to normal within 1 week.[Cheilosis (cracks at corners of mouth)]end stages of the disease. For such a client, it is more appropriate charge. (This is not a realistic goal for a chronic alcoholic in the Client will exhibit no signs or symptoms of malnutrition by dis-[No money for food (having spent what is available on substances)][Problems with malabsorption caused by chronic alcohol abuse] DefiLong-term GoalLoss of weightPale conjunctiva and mucous membranesPoor muscle tone[Poor skin turgor][Edema of extremities][Electrolyte imbalances]^96 [Scaly dermatitis][Weakness][Neuropathies][Anemias][Ascites] Goals/ObjectivesShort-term Goals 1. Client will gain 2 lb during next 7 days.to establish short-term goals, as realistic step objectives, to use^ ning Characteristics (“evidenced by”)●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
2 2506_Ch04_071-104.indd Sec1:96 506 Ch 04 071 - 104 .ind^ 1. In collaboration with dietitian, determine number of calories 5. Ensure that client receives small, frequent feedings, includ- 2. Strict documentation of intake, output, and calorie count. in the evaluation of care given.) 4. Determine client’s likes and dislikes and collaborate with di-6. Administer vitamin and mineral supplements, as ordered by 3. Weigh daily. Interventions with d Sphysician,etitian to provide favorite foods. information.This information is necessary to make an accurate nutri-amounts of food may be objectionable, or even intolerable, to client.ing to body structure and height) weight gain.required to provide adequate nutrition and realistic (accord-ing a bedtime snack, rather than three larger meals. foods that he or she particularly enjoys.tional assessment and maintain client safety.ec 1 : 96 to improve nutritional state.Weight loss or gain is important assessment Selected RationalesClient is more likely to eat Large 1 10/1/10 9:34:03 AM 0 / 1 / 10 9 : 34 : 03 AM
