i need a good rationale for risk for imbalanced nutrition..not NANDA-based.

[nhie baby maanne]

i don't want my nursing care plan to be too NANDA-based. i can't seem to rationalize properly at this point. My clinical instructor kept insisting that I should know how to rationalize on my own..I already presented some rationales that I made, but they're still no good to her. Can you help me with this?

[Daytonite, BSN, RN]

it is hard to understand what you are talking about by "rationales" when you have presented none of them. rationales are normally only presented for interventions, but it sounds like your instructor wants you to give a risk factor for this diagnosis.

you want to use risk for imbalanced nutrition. why? what is the specific problem you are trying to prevent the patient from getting? then, what is the physiologic reason (that would not be in the words of nanda) that this problem would happen? that physiologic reason will be the rationale (actually, the risk factor) for your diagnosis.

"risk for" diagnoses are handled differently than actual nursing problems. see https://allnurses.com/forums/2751313-post8.html.

[nhie baby maanne]

it is hard to understand what you are talking about by "rationales" when you have presented none of them. rationales are normally only presented for interventions, but it sounds like your instructor wants you to give a risk factor for this diagnosis.

you want to use risk for imbalanced nutrition. why? what is the specific problem you are trying to prevent the patient from getting? then, what is the physiologic reason (that would not be in the words of nanda) that this problem would happen? that physiologic reason will be the rationale (actually, the risk factor) for your diagnosis.

"risk for" diagnoses are handled differently than actual nursing problems. see https://allnurses.com/forums/2751313-post8.html.

okay okay..fine. here's one of the rationales i made:

nursing dx:

risk for imbalanced nutrition, less than body requirements related to inadequate bile secretion

rationale:

different factors may affect/ alter an individual’s nutrition. surgical operations may affect an individual’s food and fluid intake which may be due to the effects of anesthesia, discomfort or pain that one may experience, decreased gastric motility, etc. fat restriction after cholecystectomy, usually 4-6 weeks, is advised because it allows the ampulla of vater to compensate for the loss the gallbladder that once stored the bile.

>>now, can you tell me what's wrong with my rationale?

[Daytonite, BSN, RN]

okay okay..fine. here's one of the rationales i made:

nursing dx:

risk for imbalanced nutrition, less than body requirements related to inadequate bile secretion

rationale:

different factors may affect/ alter an individual’s nutrition. surgical operations may affect an individual’s food and fluid intake which may be due to the effects of anesthesia, discomfort or pain that one may experience, decreased gastric motility, etc. fat restriction after cholecystectomy, usually 4-6 weeks, is advised because it allows the ampulla of vater to compensate for the loss the gallbladder that once stored the bile.

>>now, can you tell me what's wrong with my rationale?

not enough secretion of bile doesn't cause the patient to lose weight. your premise that it goes with imbalanced nutrition, less than body requirements is faulty.