Need help with rationales for interventions

[NoviceRN10]

I am writing two interventions for a patient that has imbalanced nutrition related to inability to procure healthy foods. One intervention I came up with is to set up an appt with a nutritionist for the patient, the rationale for that intervention was right in my diagnoses book (Carpenito). Another intervention I thought of was to provide the patient with resources or contacts for agencies that can help provide her with groceries. I am wondering how to find a rationale for that? There isn't one that fits that intervention in my book. Is there a list of nursing intervention rationales somewhere that I can reference? I am a little lost . If anyone can help me I'd appreciate it!

[GingerSue]

does the patient have a knowledge deficit? you are providing information

[NoviceRN10]

does the patient have a knowledge deficit? you are providing information

The knowledge deficit would be not knowing where to acquire assistance with getting groceries. I guess I'm not sure where the rationale comes from. Is it a general list somewhere (like nursing diagnoses are) or is it anything I find in the reference books or online that states "Lower income people gain a health benefit from receiving resources for procuring cheap or free food assistance?"

[Jules A, MSN]

I take everything directly from the book, our instructors keep saying "don't reinvent the wheel". If its not in the book it doesn't go in my care plans. This is a great idea and if you can actually do it for this client it would be awesome but again it probably wouldn't make it in my care plan unless I could find it pretty much directly from my book. Good luck.

[NoviceRN10]

I take everything directly from the book, our instructors keep saying "don't reinvent the wheel". If its not in the book it doesn't go in my care plans. This is a great idea and if you can actually do it for this client it would be awesome but again it probably wouldn't make it in my care plan unless I could find it pretty much directly from my book. Good luck.

Well buggers ! It's a nutrition assessment I did, so I can skew the diagnosis anyway that fits my "client" to get a good intervention out of it. I just figured the one I picked was good and I could get a couple interventions out of it. How else would one intervene for a patient that has a nutrition deficiency besides educating them about nutrition and helping them get the food they need? ughh.

[curlylocks29]

hey chica....page 511 in carpenito has the interventions and right below it has the rationals in order that match the interventions above....for instance the one that matchs with consulting a nutrionist is...consultation can help ensure a diet that provides optimal caloric and nutrient intake :)...hope this helps

[curlylocks29]

ooops i see that you used that one....now i see your problem ....so i looked into it....sometimes you have to think outside the book...her issue isnt really nutrion its a problem with aquiring things....impaired home maintence related to unavailable support system might be better....a lot of the interventions and rational seem to match your problem but then again i didnt read the whole case study....check it out maybe it will help :)

[NoviceRN10]

ooops i see that you used that one....now i see your problem ....so i looked into it....sometimes you have to think outside the book...her issue isnt really nutrion its a problem with aquiring things....impaired home maintence related to unavailable support system might be better....a lot of the interventions and rational seem to match your problem but then again i didnt read the whole case study....check it out maybe it will help :)

I am going in circles with this diagnosis ! I have a 37 yr old woman with osteoporosis and premature ovarian failure that appears healthy but has an imbalanced diet, due to lack of knowledge about the importance of nutrition, and also due to lack of money because she's a single, divorced mother. I looked on page 511 when I was going to diagnose her as "Imbalanced nutrition: less than body requires" but that doesn't fit to a T, because she is eating enough to sustain herself, it's just all crap food, so she's not at risk for reduced weight (which is a major defining characteristic for that one). Ughh. I came up with Ineffective Health maintenance last night, but I'm struggling with all the associated factors for that too. Ughh. I can't get the rationales to match up with my interventions . Fun fun! I want to send this lady to a dietician and also give her referrals for food assistance.

[curlylocks29]

they do get easier as you go along :)