This is a nursing care plan assignment, based on your assessment of Brian Foster. You should identify a nutritional problem for your care plan based on your assessment. You will see I speak of “Cues” you should find cues in your transcripts of your interview with Brian Foster. For example, if we had a diagnosis of risk for unstable glucose level…what evidence does Brian provide to you that this is a problem? For example during your interview you would identify I just have a lot going on in my life, and I only have space in my mind for so much, you know? It’s a lot easier to stay away from sweets than it is to remember to test my sugar and be pricking my finger all the time and all of that. Anyway, the num

Lehman College City University of New York| NUR 400 | Lehman College, City University of New York

Nutritional Problem: Inadequate caloric intake related to poor appetite as evidenced by patient’s self-report of skipping meals and not feeling hungry.

Brian Foster revealed that, during an interview, he frequently forgets meals due to his work and other duties. In addition, Brian Foster said that he doesn’t feel hungry very often. When he is feeling hungry, he prefers quick food or snacks. Brian’s current weight is also below his recommended BMI range, which may suggest inadequate caloric intake.

Nursing Diagnosis: Based on the assessment cues, the nursing diagnosis for Brian Foster would be: -Inadequate caloric intake related to poor appetite as evidenced by patient’s self-report of skipping meals and not feeling hungry.

Goals:

• Brian will have at least 3 meals per day.
• Brian’s daily nutritional and caloric requirements will be met by eating foods that are nutrient dense.

Interventions:

• Assess Brian’s dietary habits and preferences to identify foods that he likes and dislikes.
• Brian should be educated on the dangers of an inadequate caloric diet.
• Encourage Brian to eat three meals daily and to choose foods rich in nutrients, like lean protein and whole grains.
• Give Brian a list with healthy snacks to choose from between meals.
• Brian should be referred to a dietitian registered for further evaluation and diet recommendations.

Evaluation:

• Monitor Brian’s weight and nutritional status to ensure he is meeting his caloric and nutrient requirements.
• Ask Brian questions about his diet and eating habits at follow-up appointments to assess progress toward goals.
• Adjust the plan of care as necessary based on Brian’s response to interventions.