Altered Nutrition: More Than Body Requirements

 

Instructions: Fill out this form, print it, and hand it in with your assessment to your instructor. When you click on Next at the bottom of the page, you see the data you submitted. Please follow the instructions on how to save the data on the next page.

AOL users: Read this instruction.

Definition:state in which an individual is experiencing an intake of nutrients that exc4eeds metabolic demands

1. Your initials (required): 


2. Defining Characteristics- check those that apply to your client:

None- high risk diagnosis  weight 20% more than ideal weight  
3. Related Factors- check those that apply to your client:

excessive intake in relation to metabolic needs  ethnic or cultural norms lack of exercise  dysfunctional eating patterns  lack of nutritional knowledge  selecting foods that do not meet daily requirements maturational ( decreased metabolic needs and/or decreased activity levels)  medications 



4. Goal (ultimate, long term) 

5. Outcome Criteria (short term) 


6. Evaluation: Was the outcome criteria met? 

Yes- Give Evidence: 

No- Explain how you would change the plan: 


7A. Interventions 

1. 

2.

3. 

4. 

5.

6. 

7B. Rationale for each intervention
1. 

2. 

3. 

4. 

5. 

6. 
 
 

 
 
Back to top
Return to Care Plan Homepage