Nursing Care Plan
Student Name/Date: ___LaLine Angus 11.11.08___
Expected Outcomes Nursing Interventions/Rationale Outcome Evaluation
Nursing Diagnosis (Short term (8-48 hr.) reasonable
List all interventions for each nsg. dx (include (Patient outcome noted as met or
(Dx, related to, & as evidenced by) expectations stated in measurable,
patient/family teaching) unmet/responses described)
behavioral terms, i.e., action verbs)
Imbalanced nutrition r/t TPN/Lipids Patient will achieve adequate Intervention: Perform a comprehensive Met. Patient’ sodium and
and NPO status as evidenced by 30# nutritional status by the end baseline nutritional assessbefore TPN albumin levels came up and
weight loss hospital stay. administration and periodically thereafter stayed within normal limits.
Rationale: The composition of TPN is
Patient will maintain a stable based on the patient’s calculated Met. Patient achieved some
weight by week two of her nutritional needs. weight gain and maintained
hospital stay. adequate skin integrity and
Intervention: Nurse will obtain accurate nutritional status prior to going
Patient will maintain sodium intake and output, daily weights and home.
and albumin levels WNL calorie counts, including those provided
Rationale:Changed in fluid balance,
weight and caloric intake are used to
monitor the effectiveness of TPN.
Intervention: Assess response to
nutritional support via daily weights, labs,
lytes, glucose, skin condition etc.
Rationale: All of this is used to assess if
nutritional goals are being met.
References: For the entire set of clinical paperwork
Mickley, J.R., & Cowles, K. (2001). Ameliorating the tension: Use of forgiveness for healing.
Oncology Nursing Forum, 28, 31–37