David is a 83 y.o. white male admitted with L leg fx after fall. He lives with h

Question

David is a 83 y.o. white male admitted with L leg fx after fall. He lives with his son and daughter in law. Per his son, David appetite has been poor the past 6 months, his dentures are very loose and he refuses to wear them. He also refuses pureed foods. Ht: 6 ft. weight 133 lb: usual weight 1 year ago 165 lb. Meds: milk of magnesia, Pepcid, Di-Gel. No significant medical hx save progressive dementia: labs after hydration serum alb 2.4 g/dL: Hgb 10.6 g/dL: HCT 35.3%: BUN, Cr, liver fxn tests WNL Write a PES statement for this patient!

Explanation / Answer

Accorsing to Nanda Diagnosis list 2015-2017 the PES statement for this patient will be as follows:

Imbalancednutrition less than body requirement related to anorexia, loose dentures as evidenced by refusal to eat food, reduced weight from 165 lb to 133 lb, Hgb - 10.6 g/DL.

P is the nutritional problem statement which indicates the type of problem faced by the patient. In this patient, inadequate nutrition is taken in by patient which is less than normal body requirement. This statement describes the nursing need of the patient.

E stands for etiology factors. For this patient etiology is anorexia and physical difficulty such as loosening of Dentures which Is causing the process of ingestion difficult.

S stands for sign and symptoms exhibited by patient to support the diagnostic label. For this patient, reduction in weight from 165lb to 133 lb within a duration of 1 yr, reluctance in eating food and reduced Hgb counts support the data of inadequate nutrition which is less than body requirement.

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