記錄一下曾寫過的PES......
P : Food- And Nutrition-Related Knowledge Deficit NB-1.1
E : 1. Lack of prior exposure to information
2. New diagnosis of Diabetes mellitus ( newly diagnose diabetes mellitius )
S : 1. Demonstrates inability to apply food- and nutrition-related information
2. Undesirable food choices
P : Altered nutrition-related laboratory values（K, P） NＣ-2.2
E : 1. Physiological causes effect biochemical data due to renal insufficiency
2. Excessive phosphorus intake
S : 1. 10/29 K 6.0(mmol/L)、P 6.7(mg/dL)
2. Inappropriate food choices, such as ..........
3. Phosphorus intake 1240 mg/day, exceed 55%
P : Excess energy intake
E :
S :
P : Altered GI function
E : Physiological causes decrease GI active due to illness and bed ridden
S : constipation .................. Abdominal fullness
P : Altered nutrition-related laboratory values
E : pathological causes increase nutrition-needs due to disease
S : Alb ............. Energy requirement ................
P : Protein-energy malnutrition
E : Pathological causes increase nutrition-need due to disease
S : Alb ........... Edema ............. wound healing poor ........
Energy intakes 60% of the estimated energy requirement
P : Without nutrition-related problem recently
E : Nil
S : Digestion well, no abdominal fullness, Alb........
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ICU 常用 :
P : Inappropriate infusion of EN or PN
P : Inadequate or excessive intake from EN or PN infusion
P : Inadequate or excessive fluid intake
P : Inadequate oral food and beverage intake
創作內容
nutrition diagnosis
未分類 (3)