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

Shadow health brian foster problem based care plan | 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.

Assessment Cues: During the interview with Brian Foster, he reported that he often forgets to eat meals because he gets distracted with work and other responsibilities. He also mentioned that he does not feel hungry often and when he does, he prefers to eat quick and convenient foods such as fast food and 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 consume at least three meals a day.
• Brian will consume nutrient-dense foods to meet his daily caloric and nutrient requirements.

Interventions:

• Assess Brian’s dietary habits and preferences to identify foods that he likes and dislikes.
• Educate Brian on the importance of consuming a balanced diet and the risks of inadequate caloric intake.
• Encourage Brian to eat at least three meals a day and to consume nutrient-dense foods such as lean proteins, whole grains, fruits, and vegetables.
• Provide Brian with a list of healthy snack options to eat between meals.
• Refer Brian to a registered dietitian for further assessment and dietary recommendations.

Evaluation:

• Monitor Brian’s weight and nutritional status to ensure he is meeting his caloric and nutrient requirements.
• Ask Brian about his appetite and dietary habits during follow-up visits to evaluate progress towards goals.
• Adjust the plan of care as necessary based on Brian’s response to interventions.