Nutrition Care (Feeding Care)
Depending on the patient's condition, nutritional requirements may be provided by regular meals or by tube feeding. Patient who are unable to feed themselves are assisted and abnormal intake of food is recorded and reported. Supplemental nourishment is supplied when indicated and fluids are offered between meals.
The nutritional assessment includes observations of the patient's appetite, food preferences, allergies, intake and output, weight & height, measurements of the head, arms, abdomen, and skin fold thickness, skin color and turgor, and condition of the mouth, eyes, nails, and hair.
Any cutaneous lesions, thyroid enlargement, dental caries, loose teeth gum problems, nausea, vomiting, dehydration, diarrhoea, or constipation is noted.
Interventions the nurse sees that food is presented attractively, offers a wash cloth and oral hygiene before and after meals, and, when necessary, feeds the patient to maintain an adequate intake. If indicated, such as in obese patients or those with disorders requiring a highly restricted diet, the nurse restricts food intake as ordered. Tube feedings are administered as ordered.
Outcome criteria obvious good health, maintenance of a normal body mass index, and the absence of GI symptoms usually indicate that the individual's nutritional requirements are being fulfilled.
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