MAKE 5 OBJECTIVES FOR THIS DX.
Main Dx:Imbalanced nutrition less than body requirements related to Lacto-Ovo vegetarian diet as evidenced by lack of essential minerals & nutrients (Iron, Zinc & Omega Fatty-acids)
OBJECTIVES: (ex. after 10 mins, the patient will.. after nursing shift, the patient will.. THE OBJECTIVES ARE ALL ABOUT THE PATIENT.)
again, PATIENT-BASED OBJECTIVE
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SCENARIO:
Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as she can remember. Her mother ensures that she takes daily supplemental vitamins such as vitamin C and B complex, and every year she gets flu vaccine from their family doctor. During the interview with the nurse, Aubrey mentioned that she has no known allergies. She said “I don’t think I have any problems with my health. I am lacto-ovo vegetarian. Most of the time I hang out with my friends for a tea or coffee. Although I think everything’s okay, I still would like to be active, and do activities that won’t take up so much of my time but help me lose few pounds to 45 kg. I just live across this university, although I walk to church every Thursday, Friday, and Sunday for 15 minutes, I think it’s not enough. Last month, during the enhanced community quarantine, I gained 2 kg.” CBC and X-ray results were reviewed by the doctor and noted with normal findings.