By discharge from treatment, client will exhibit no signs or Long-term GoalShort-term GoalClient will gain lbs per week (amount to be established by client, nurse, and dietitian). 3. Explain to client details of behavior modifiGoals/Objectivessymptoms of malnutrition.Interventions with2. In collaboration with dietitian, determine number of cal-For oral diet: 1. If client is unable or unwilling to maintain adequate oral in-as outlined by physician. Explain benefitake, physician may order a liquid diet to be administered via nasogastric tube. Nursing care of the individual receiving 3 lbs per week.hospital procedures. tube feedings should be administered according to established priority, and without adequate nutrition, a life-threatening situation exists.(according to body structure and height) weight gain. ories required to provide adequate nutrition and realistic equate calories are required to affect a weight gain of 2 to Selected RationalesThe client’s physical safety is a nursing Eating Disorders ts of compliance cation program ●^ Ad-^223
Sit with client during mealtimes for support and to observe 5. Client should be obser ved for at least 1 hour following meals. 6. Client may need to be accompanied to bathroom 7. Strict documentation of intake and output. 8. Weigh client daily immediately on arising and following tray or to engage in self-induced vomiting.imposed on time allotted for meals. privileges, and restrictions will be based on accurate daily meals can become lengthy, drawn-out sessions, providing client with attention based on food and eating.directly on weight gain and loss. Focus is placed on emo-This time may be used by client to discard food stashed from Behavior modifitional issues, rather than food and eating specififiwith prandial routine and consequences for noncompliance. induced vomiting is suspected.amount ingested. A limit (usually 30 minutes) should be is required to promote client safety and plan nursing care.weights. rst voiding. Always use same scale, if possible. cation bases privileges granted or restricted Without a time limit, This information cally.Client care, if self-
2 2506_Ch12_218-235.indd Sec1:223 506 Ch 12 218 - 235 .indd Sec 1 : 223 10/1/10 9:36:00 AM 10 / 1 / 10 9 : 36 : 00 AM
