care plan

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Hello,

I just have a question for the care plan that I am working on. I turned it in to my instructor and she stated that the AEB: was not good enough so now I am stuck and don't really know what to put. My entire care plan was looked over and the only thing I was marked off for was my AEB:

Imbalanced nutrition R/T decreased food intake AEB: abnormal hemoglobin and hematocrit

Please help, thank you

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Specializes in NICU, ICU, PICU, Academia.

What are some other manifestations of decreased intake? Besides lab values?

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Hi so with a decreased food intake your evidence would be more related to what happens to the human body when it does not get food. Like cachexia or low albumin or sarcopeia or recent weight loss. There are tons more AEBs that may be present; if I were you I would check your nanda book under imbalanced nutrition for examples. Anemia can be related to imbalanced nutrition but low H&h is not the only AEB for an inbalanced nutrition nanda.

Also when you say "abnormal" that is very nondiscriptive and vague. For example the Hct could be high because they are dehydrated or low because of poor protein intake or lack of intrinsic factor or b12 or poor protein absorption From GI ISSUES or a thousand other reasons honestly so that is not a good aeb. Now a decreased RBC of 3.2, ALBUMIN of 1.5, CALCIUM 7.4, cachexic apearance and weight loss of 7 pounds in 2 weeks would be a great aeb. Examples. I don't have spell check so hope this all makes sense good luck. Let me know if you have any questions.

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client has not been eating anything besides yogurt for a week before coming into the hospital. has decreased peristalsis and has not had a BM in 5 days. CT also showed stool balls in colon and client reported severe abdominal pain.

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@ Noctor_Durse thank you so much

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Specializes in Med/Surg.
What are some other manifestations of decreased intake? Besides lab values?

That was my first thought as well, a lab value may not necessarily be "physically" seen, at least immediately. Has there been weight loss?

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