IMBALANCED NUTRITION Student's Name * First Middle Last Suffix This field is required. Please complete the following fields: First,Last. PhotoAccepted file types: jpg, gif, png, jpeg, Max. file size: 100 MB.DoB Month Incorrect Value for Month field Day Incorrect Value for Month field Year Incorrect Value for Month field Please enter a valid date. GR/LevelDaycareEEPKKN010203040506070809101112Post-GraduateWould you like to add the student's ID number? Yes No ID Campus/Building Would you like to add the student's homeroom number and teacher's name? 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Yes No ContactContact Name Add RemoveRelationship Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Name RelationshipChoose one:ParentGuardianOtherContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFaxContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFax Add More Treating Physician Add RemovePhysician Phone Number Add RemovePhysician Fax Number Add RemoveTreating Physician Physician Phone Number Physician Fax Number Add More Preferred Hospital City MEDICAL DIAGNOSIS(ES)Add a medication or procedure? Yes No MEDICATIONS/PROCEDURES Medication/Procedure Strength Dose ModeChoose one:OralTopicalInhaledIntranasalSQNebulizerSublingualRectalIMIVSched/PRN?Choose OneScheduledPRNTime Frequency If PRN, administer for Medication/Procedure Add RemoveStrength Add RemoveDose Add RemoveMode Add RemoveSched/PRN? Add RemoveTime Add RemoveFrequency Add RemoveIf PRN, administer for Add Remove Add More MEDICAL HISTORYASSESSMENT NursingList InterventionList OutcomesList Nursing Diagnosis: Imbalanced Nutrition: Less than Body Requirements Related to inadequate food intake due to poor appetite, financial constraints, or lack of knowledge about proper nutrition. Related to increased metabolic demands due to stress, physical activity, or illness. Related to gastrointestinal disturbances, such as nausea, vomiting, or malabsorption. Related to high academic stress leading to skipped meals or poor meal planning. Related to limited access to nutritious foods due to busy schedule or financial limitations. Related to an underlying medical condition such as gastrointestinal disorder or infection that affects nutrient absorption. Interventions The school nurse will assess the student’s dietary habits and food preferences. The school nurse will collaborate with a dietitian to develop a balanced meal plan that fits the student’s budget and preferences. The school nurse will educate the student on the importance of proper nutrition and the impact on energy levels and academic performance. The school nurse will monitor weight and body mass index (BMI), and lab values (if available). The school nurse will encourage the student to keep a food diary to track intake and identify any patterns or triggers for poor nutrition. The school nurse will assess for any medical conditions or stressors affecting the student’s ability to eat. The school nurse will develop a meal planning strategy that fits the student’s schedule, focusing on quick and easy nutritious meals. The school nurse will educate on the importance of small, frequent meals if the student experiences poor appetite. The school nurse will encourage the student to seek campus or community resources, such as food pantries, if financial constraints are present. The school nurse will monitor the student’s weight and overall health status, including energy levels and mood. Expected Outcomes The student will demonstrate an understanding of the importance of balanced nutrition by choosing appropriate foods. The student will achieve and maintain an ideal body weight and BMI within the normal range for age and gender. The student’s lab values will remain within the normal range, indicating improved nutritional status. The student will verbalize an understanding of the need for consistent and balanced meals. The student will develop and follow a meal plan that ensures adequate caloric and nutrient intake. The student will maintain a stable weight and report improved energy levels and academic focus. Nursing Diagnosis: Imbalanced Nutrition: More than Body Requirements Related to high caloric intake with low physical activity levels. Related to emotional eating due to stress or anxiety related to academic performance. Related to lack of knowledge about portion control and healthy food choices. Interventions The school nurse will assess the student’s eating habits, including portion sizes, frequency of meals, and food choices. The school nurse will collaborate with a dietitian to create a weight management plan that includes healthy, balanced meals and snacks. The school nurse will provide education on portion control, reading food labels, and making healthier food choices. The school nurse will encourage the student to engage in regular physical activity and offer support for finding activities they enjoy. The school nurse will monitor the student’s weight and BMI regularly and provide positive reinforcement for progress. Expected Outcomes The student will demonstrate an understanding of healthy eating habits and portion control. The student will engage in physical activity at least three times per week. The student will achieve gradual weight loss or maintain an appropriate weight as evidenced by BMI within normal limits. Nursing Diagnosis: Knowledge Deficit related to Nutrition Related to lack of understanding about balanced diet requirements. Related to inadequate information on the nutritional value of foods commonly consumed by students. Related to misconceptions about dieting, weight loss, or "healthy" food trends. Interventions The school nurse will assess the student’s current knowledge about nutrition and dietary habits. The school nurse will provide educational resources or workshops on balanced diets, reading food labels, and cooking simple, healthy meals. The school nurse will demonstrate meal planning techniques, including how to incorporate all food groups. The school nurse will offer support for developing a shopping list and budget for groceries. The school nurse will evaluate the student’s understanding by asking them to describe their daily food choices and suggest healthier alternatives. Expected Outcomes The student will demonstrate an understanding of basic nutrition concepts by verbalizing the components of a balanced meal. The student will successfully plan and prepare balanced meals that fit within their budget and schedule. The student will report increased confidence in making healthy food choices and maintaining a balanced diet. Would you like to add another nursing diagnosis? Yes No Nursing DiagnosisNursing DiagnosisAdd your own nursing diagnosisInterventionsAdd your own nursing interventionsExpected OutcomesAdd your own expected outcomesNursing Diagnosis Add RemoveInterventions Add RemoveExpected Outcomes Add Remove Add More EVALUATIONNOTESIHP Developed ByName First Last Title Date Month Day Year Please enter a valid date. 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