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NANDA NURSING

Friday, July 1, 2011

Nursing Diagnosis and Nursing Intervention for Marasmus

Nursing Diagnosis and Nursing Intervention for Marasmus

Marasmus Nursing Diagnosis and Nursing Intervention


Marasmus is one component of protein-energy malnutrition (PEM), the other being kwashiorkor. It is a severe form of malnutrition caused by inadequate intake of protein and calories , and it usually occurs in the first year of life, resulting in wasting and growth retardation. Marasmus accounts for a large burden on global health. The World Health Organization (WHO) estimates that deaths attributable to marasmus approach 50 percent of the more than ten million deaths of children under age five with PEM.


Nursing Diagnosis and Nursing Intervention for Marasmus

Nursing Diagnosis

Imbalanced Nutrition : Less Than Body Requirements

Related to
inadequate food intake (appetite).

Goal:
Patients receive adequate nutrition

Expected outcomes:
improving oral inputs.

Nursing Intervention for Marasmus
  • Get a diet history
  • Encourage parents or other family members for feeding the child or there while eating
  • Ask the children to eat over the kitchen, in a group and make mealtime a pleasant
  • Use a familiar cutlery
  • Nurses should be there at mealtime to provide assistance, prevent disruption, and praised the child to eat them
  • Serve eat little but often
  • Serve small portions of food and give each portion separately

Nursing Diagnosis

Deficit Fluid Volume

Related to
diarrhea

Goal:
Prevent dehydration

Expected outcomes:
  • Lip mucosa moist,
  • there was no increase in temperature,
  • good skin turgor.

Nursing Intervention for Marasmus
  • Monitor vital signs and signs of dehydration
  • Monitor the number and type of fluid intake
  • Measure urine output accurately

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