Enteral Feeding Nursing Care Plan

  Assessment

Nursing Diagnosis

NURSING CARE PLAN FOR ENTERAL FEEDING Inference Outcome Nursing Rationale Interventions

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...) –  feeding...) –   verbatim of client’s daughter. Objective:

Weight loss of almost 10% for the  past 3 months 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 Hyperactivee bowel Hyperactiv sounds Some pallor

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

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

After 1 week of nursing care, the client will be able to show an improved nutritional status as evidenced by  progressivee weight  progressiv 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.

- Administer enteral feeding as indicated  by physician physician depending on nutritional needs of

- Ideal caloric intake  per individual individual is usually calculated to estimate the metabolic needs of

the client.

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

the client. - Some enteral - Ensure patency of formulas may enteral tube by contain some flushing it before and  properties or some after with water or as medications may indicated. clog the tube, so flushing it before and after with water may help maintain -Always place client its patency. in high fowler’s - Aids in preventing  position when when aspiration during feeding and for NGT, feeding. check patency prior to feeding. -Helps in - Offer exercise/ maintaining muscle stress reduction function and activities.  prevents muscle muscle wasting esp. in

move from the mouthfood to the throat. Aspiration is

-Provide resting  periods.

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 kilograms and freed from any signs of malnutrition.

  commonly at risk when one attempts the client to swallow.

conserve energy and minimizes minim izes caloric requirements. -Educate family members/ 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 maintainin g the nutritionall intake of nutritiona client. - Food formulas are  prepared depending depending on the caloric requirements of the client.