Enteral Feeding Nursing Care Plan v6z1i

Assessment

NURSING CARE PLAN FOR ENTERAL FEEDING Outcome Nursing Rationale Interventions

Nursing Diagnosis

Inference

Imbalanced Nutrition, less than body requirements related to difficulty in chewing and swallowing secondary to neurological disorder and damage

Nutrition is the most basic aspect of our body’s ability to function well. Parenteral feeding is often chosen by physicians to maintain the dietary and metabolic needs of clients with functional gastrointestinal tract but with inability to take enough nutrition or dietary calories orally.

Evaluation

Subjective: “Daddy had some difficulty taking in his food for a while and I guess he had lost some weight, too. So, we opted for enteral feeding...) – verbatim of client’s daughter. Objective: Weight loss of almost 10% for the past 3 months Present weight: 50 kilograms Difficulty chewing and swallowing due to stroke, with right sided weakness last year Diagnosed with Parkinson’s disease 3-4 years ago Hyperactive bowel sounds Some pallor

One reason for enteral feeding is dysphagia or difficulty in swallowing. Neurological damage in the form of stroke and neurological damage like Parkinson’s disease can both cause dysphagia. Some nerves and muscles in the throat are weakened which makes it difficult to move food from the mouth to the throat. Aspiration is

After 1 week of nursing care, the client will be able to show an improved nutritional status as evidenced by progressive weight gain and be free from any signs of malnutrition.

-Weigh client at the same time and using the same clothing daily.

- It monitors the effectiveness of enteral feeding and the progression of weight of weight gain.

- ister enteral feeding as indicated by physician depending on nutritional needs of the client.

- Ideal caloric intake per individual is usually calculated to estimate the metabolic needs of the client. - Some enteral formulas may contain some properties or some medications may clog the tube, so flushing it before and after with water may help maintain its patency. - Aids in preventing aspiration during feeding.

- Ensure patency of enteral tube by flushing it before and after with water or as indicated.

-Always place client in high fowler’s position when feeding and for NGT, check patency prior to feeding. - Offer exercise/ stress reduction activities.

-Provide resting periods.

-Helps in maintaining muscle function and prevents muscle wasting esp. in stroke clients. - It could help

After 1 week of nursing care, the goal is met as evidenced by an increase in weight by 0.9 kilograms and freed from any signs of malnutrition.

commonly at risk when one attempts the client to swallow.

conserve energy and minimizes caloric requirements. -Educate family / caregiver how to give enteral feeding properly. -Refer client’s family to dietician, for proper food preparation at home.

- It fosters family involvement in maintaining the nutritional intake of client. - Food formulas are prepared depending on the caloric requirements of the client.