Nursing Diagnosis and Nursing Interventions

Nursing Diagnosis and Nursing Intervention for Marasmus

Nursing Diagnosis and Nursing Intervention for Marasmus
Marasmus is a form of severe malnutrition characterized by energy deficiency. Marasmus occurrence increases prior to age 1. Marasmus is one of the gravest types of protein-energy malnutrition in the world. Characterized by chronic wasting of fat, muscle, and other body tissues. Body weight is reduced to less than 60% of the normal (expected) body weight for the age.

Symptoms can be rather severe:
  • Chronic, persistent diarrhea.
  • Tiredness.
  • Faintness.
  • Inexplicable loss of weight.
Symptoms of marasmus that point towards a serious problem include:
  • An alteration in the level of consciousness; lassitude and sluggishness; giddiness.
  • Complete or partial paralysis of the legs.
  • Loss of bowel / bladder control.
  • Long drawn out periods of diarrhea and vomiting.

Nursing Diagnosis and Nursing Intervention for Marasmus

1. Imbalanced Nutrition : Less Than Body Requirements

Related to
inadequate food intake (appetite).

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

2. Deficit Fluid Volume

Related to

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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