Care plan help: Imbalanced Nutrition (Less than body requirements)

[Varsityblues]

Hi everyone, I'm doing my very first care plan and I have decided to do it on this 83 year old man who has Aspirated Pneumonia and is NPO with a PEG tube in place. My nursing diagnosis is - Imbalanced Nutrition (Less than body requirements) relating to patient losing weight without trying, as evidenced by 1) Patient has lost 5 pounds within the last 6 weeks (6 foot tall man who's weight went from 118 to 113 pounds) 2) Difficulty swallowing and 3) Doesn't handle PEG tube feedings well. I feel like those 3 all sound dumb

I was just looking for maybe some guidance as to if my plan so far was decent, also maybe some guidance as far as setting goals or possibly changing my "as evidenced by's"

The patient does have below normal calcium levels if that helps.

Im just kinda lost but maybe I'm not giving myself enough credit. I've been brainstorming possible goals as well as interventions

An obvious goal might be that "patient gains at least 2 pounds within the next 7 days. And Maybe I can advise that the Bolus feedings be administered with a liquid form of foods high in calcium and protein to promote health and prevent possible infection? Or maybe add ensure into the feeding tube. As I said I'm very new to all this but I'm just needing some guidance on everything I guess; goals; interventions etc. Maybe I can exaggerate the importance of adequate nutritional intake? Should I reference them to spearhead therapist for help in aiding swallowing functions even though he has aspirated pneumonia ? Or should I reference to a dietician to increase the amount of the feedings? Or possibly more frequent feedings per say maybe like 4 separate smaller feedings a day every 4 hours? I'm sorry to make this so long but I really appreciate any advice on all of this. Thanks guys.