DOMAIN 1: Physiological: Basic |
CLASS D: Nutrition Support |
Feeding |
1. Identify the prescribed diet. |
2. Record the intake, if appropriate. |
DOMAIN 1: Physiological: Basic |
CLASS D: Nutrition Support |
Nutritional counseling |
1. Determine the patient's intake and eating habits. |
2. Set realistic mid- and short-term goals for the change in nutritional status. |
3. Use accepted dietary standards to help the patient assess the appropriate dietary intake. |
4. Help the patient record what he usually eats in a 24-hour period. |
5. Review with the patient the measurement of fluid intake and elimination, hemoglobin values, blood pressure readings or weight gain and loss, if applicable. |
DOMAIN 1: Physiological: Basic |
CLASS D: Nutrition Support |
Self-care assistance: feeding |
1. Check the patient's weight, if applicable. |
DOMAIN 1: Physiological: Basic |
CLASS D: Nutrition Support |
Weight reduction assistance |
1. Determine the patient's desire and motivation to reduce weight or body fat. |
2. Determine with the patient the amount of weight loss desired. |
3. Set a weekly weight loss goal. |
4. Weigh the patient weekly. |
5. Recommend the adoption of diets that lead to the achievement of long-term goals in weight loss. |
DOMAIN 1: Physiological: Basic |
CLASS D: Nutrition Support |
Weight gain assistance |
1. Weigh the patient at the intervals determined, if applicable. |
2. Analyze the possible causes of low body weight. |
3. Periodically monitor the daily consumption of calories. |
4. Periodically check serum albumin, lymphocyte and electrolyte levels. |
DOMAIN 1: Physiological: Basic |
CLASS A: Activity and Exercise Management |
Energy management |
1. Control the dietary intake to ensure sufficient energy resources. |
DOMAIN 1: Physiological: Basic |
CLASS A: Activity and Exercise Management |
Nutritional management |
1. Determine the patient's nutritional status and their ability to meet nutritional needs. |
2. Instruct the patient about nutritional needs. |
3. Help the patient determine the guidelines or food pyramids most appropriate to meet nutritional needs and preferences. |
4. Adjust the diet as necessary. |
5. Monitor calories and food intake. |
6. Monitor weight loss and weight gain trends. |
7. Teach the patient to control calories and dietary intake. |
DOMAIN 1: Physiological: Basic |
CLASS D: Nutrition Support |
Eating disorders management |
1. Establish the desired weight gain. |
2. Monitor the necessary physiological parameters (vital signs and electrolyte levels). |
3. Weigh daily (at the same time of day and after evacuation). |
4. Monitor the daily caloric intake of food. |
5. Control the patient's weight routinely. |
6. Determine the acceptable margin of weight variation relative to the reference margin. |
DOMAIN 1: Physiological: Basic |
CLASS D: Nutrition Support |
Weight management |
1. Determine the ideal body weight of the individual. |
2. Determine the ideal body fat percentage of the individual. |
3. Encourage the individual to record their weight weekly, if applicable. |
DOMAIN 1: Physiological: Basic |
CLASS D: Nutrition Support |
Nutritional monitoring |
1. Weigh the patient at the established intervals. |
2. Monitor the trends of weight loss and gain. |
3. Monitor skin fold measurements: triceps skin fold thickness, mid-upper arm muscle circumference and mid-upper arm circumference. |
4. Monitor levels of albumin, total protein, hemoglobin and hematocrit. |
5. Check growth and development. |
6. Control caloric and nutritional intake. |
DOMAIN 1: Physiological: Basic |
CLASS A: Activity and Exercise Management |
Exercise therapy: muscle control |
1. Determine the accuracy of the body image. |
2. Reorient the patient regarding body awareness. |
DOMAIN 1: Physiological: Basic |
CLASS D: Nutrition Support |
Nutrition therapy |
1. Complete a nutritional assessment, if applicable. |
2. Control the ingested food/fluids and calculate the daily caloric intake, as appropriate. |
3. Control laboratory values, as appropriate. |
4. Check whether dietary guidelines meet daily dietary needs, if applicable. |
DOMAIN 2: Physiological: Complex |
CLASS L: Skin/Wound Management |
Pressure ulcer care |
1. Ensure sufficient dietary intake. |
2. Control nutritional status. |
3. Verify sufficient caloric intake and high-quality protein intake. |
DOMAIN 2: Physiological: Complex |
CLASS N: Tissue Perfusion Management |
Fluid management |
1. Weigh daily and control evolution. |
2. Check for patient weight changes before and after dialysis, if applicable. |
3. Control food/fluid intake and calculate caloric intake, as appropriate. |
4. Monitor the nutritional status. |
DOMAIN 2: Physiological: Complex |
CLASS G: Electrolyte and Acid-Base Management |
Fluid/electrolyte management |
1. Weigh daily and assess the evolution. |
2. Keep accurate records of intake and output. |
3. Provide the appropriate prescribed diet to restore the specific fluid or electrolyte balance. |
DOMAIN 2: Physiological: Complex |
CLASS N: Tissue Perfusion Management |
Cardiac care |
1. Encourage the patient to maintain caloric intake at a level that allows achieving the desired weight. |
2. Focus the assistance and therapeutic objectives to allow the patient to continue controlling their weight, not smoking and to be as active as possible. |
DOMAIN 2: Physiological: Complex |
CLASS N: Tissue Perfusion Management |
Shock management |
1. Monitor the hydration status, including weight, hourly diuresis and intake and output. |
DOMAIN 2: Physiological: Complex |
CLASS N: Tissue Perfusion Management |
Fluid monitoring |
1. Monitor the weight. |
2. Monitor the intake and output. |
3. Keep an accurate record of the intake and output. |
DOMAIN 2: Physiological: Complex |
CLASS N: Tissue Perfusion Management |
Shock prevention |
1. Control weight, intake and diuresis daily. |
DOMAIN 3: Behavioral |
CLASS R: Coping Assistance |
Body image enhancement |
1. Determine the patient's body expectations, according to the stage of development. |
2. Use a forward-looking guide in patient preparation for predictable body image changes. |
3. Determine if the dislike perceived by certain physical characteristics creates dysfunctional social paralysis in adolescents and other high-risk groups. |
4. Determine if there has been a recent physical change in the patient's body image. |
5. Observe if there are affirmations that identify perceptions of body image that have to do with shape and body weight. |
DOMAIN 3: Behavioral |
CLASS R: Coping Assistance |
Body image enhancement |
6. Use drawings of oneself as a mechanism for evaluating the perceptions of a child's body image. |
7. Determine the perceptions of the patient and the family on changes in body image relative to reality. |
8. Help the patient at risk of suffering from anorexia or bulimia develop more realistic body image expectations. |