Care Plan

Comprehensive Care Plans for Nutritional Imbalance, Mobility, and Cardiac Output Management Student’s Name Institution Affiliation Course Name & Code Instructor’s Name Date Comprehensive Care Plans for Nutritional Imbalance, Mobility, and Cardiac Output Management Care Plan 1: Imbalance Nutrition Nursing Diagnosis: Decreased food intake or a failure to eat as evidenced by weight loss and a lack of desire. Long-Term Goal: At discharge, the patient will maintain or gain weight and take appropriate calories daily for their nutritional requirements. Interventions and Rationales: Weigh yourself daily and keep a record of the food you eat (Rachakonda et al., 2020). Constant weight measurement of the patient and monitoring of the food intake will help the nurse evaluate the achievement of the goals and identify any signs of sustained lack of proper nutrition. Supervision determines whether further plan modification to achieve enough nutrition is required. Consult with a nutritionist to help find the best diet for yourself. A nutritionist can prepare a meal plan that caters to the patient's conditions, such as nutritional needs or restrictions (Rozga et al., 2020). This plan enhances the patient’s chances of following the nutritional recommendation, which enhances overall intake. It would also be desirable to make more small meals within a day. The patient can take small frequent meals instead of large meals because the appetite or nausea may not allow this (Amiri et al., 2023). This strategy ensures the patient gets all the nutrients in one day so that they can achieve the prescribed calorie intake without feeling full of some of the essential nutrients in one sitting, and therefore helps ensure that the patient gets the nutrients they require in one day and still be able to have the necessary amount of calorie intake in a day Prescribe and administer Oral Nutrition Supplements (ONS). When oral ingestion is problematic, nutritional supplements are the most convenient and appropriate means of giving the patient vitamins, minerals, and calories (Muscaritoli et al., 2021). These supplements can help supplement the patient's nutrient intake in cases where the patient cannot eat adequate food. Sensitizing the patient and the family on the proper diet will be necessary for recovery. The patient and the family must be informed about the relationship between adequate nutrition and the patient's recovery to ensure that the latter sticks to the former (Rafeeqi & Pearson, 2021). This also enables them to have a say in the patient's care plan, especially regarding their diets, hence enhancing their assignment of better nutritional status in the patient. Evaluation: The patient will demonstrate improved nutritional intake by consuming adequate calories and maintaining or gaining weight, as measured by daily weight monitoring and dietary records, by the time of discharge. Care Plan 2: Risk for Falls (Impaired Mobility) Nursing Diagnosis: Left-sided neglect impacting the use of the left upper extremity and decreased physical activity level due to stroke; activity tolerance; and restricted mobility initiating fall risk at level 4. The patient needs supervised transfers (assist x 1) and has permission for a stand-pivot bathroom shower. Long-Term Goal: At the time of discharge, the patient's mobility and stability will have improved, and the patient is unlikely to fall; transfers and activities of daily living require assistance x 1 only. Interventions and Rationales: Individually consider the patient's mobility and risk of falls every morning based on an assessment tool for the risk of falls (Strini et al., 2021). Discharge PREEMPT mobility and fall assessment enables early identification of deterioration of the patient's condition and confirmation of protective measures to avoid falls. Do environmental safety assessments to confirm that your patient’s environment has no obstacles and provides enough light (Wong et al., 2020). Less clutter also means less chance of tripping and falling. Two c...