NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care and discharge needs
May be related to
- Lack of exposure to/unfamiliarity with information about condition
- Learned maladaptive coping skills
Possibly evidenced by
- Verbalization of misconception of relationship of current situation and behaviors
- Preoccupation with extreme fear of obesity and distortion of own body image
- Refusal to eat; binging and purging; abuse of laxatives and diuretics; excessive exercising
- Verbalization of need for new information
- Expressions of desire to learn more adaptive ways of coping with stressors
- Verbalize awareness of and plan for lifestyle changes to maintain normal weight.
- Identify relationship of signs/symptoms (weight loss, tooth decay) to behaviors of not eating/binging-purging.
- Assume responsibility for own learning.
- Seek out sources/resources to assist with making identified changes.
7 Eating Disorders (Anorexia & Bulimia Nervosa) Nursing Care Plan (NCP)
- Imbalanced Nutrition — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
- Deficient Fluid Volume — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
- Disturbed Thought Process — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
- Disturbed Body Image — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
- Impaired Parenting — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
- Impaired Skin Integrity — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
- Knowledge Deficit — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP)
Knowledge Deficit — Anorexia & Bulimia Nervosa Nursing Care Plan (NCP): Nursing Interventions & Rationale
|Determine level of knowledge and readiness to learn.||Learning is easier when it begins where the learner is.|
|Note blocks to learning, e.g., physical/intellectual/emotional.||Malnutrition, family problems, drug abuse, affective disorders, and obsessive-compulsive symptoms can be blocks to learning requiring resolution before effective learning can occur.|
|Provide written information for patient/SO(s).||Helpful as reminder of and reinforcement for learning.|
|Discuss consequences of behavior.||Sudden death can occur because of electrolyte imbalances; suppression of the immune system and liver damage may result from protein deficiency; or gastric rupture may follow binge-eating/vomiting.|
|Review dietary needs, answering questions as indicated. Encourage inclusion of high-fiber foods and adequate fluid intake.||Patient/family may need assistance with planning for new way of eating. Constipation may occur when laxative use is curtailed.|
|Encourage the use of relaxation and other stress-management techniques, e.g., visualization, guided imagery, biofeedback.||New ways of coping with feelings of anxiety and fear help patient manage these feelings in more effective ways, assisting in giving up maladaptive behaviors of not eating/binging-purging.|
|Assist with establishing a sensible exercise program. Caution regarding overexercise.||Exercise can assist with developing a positive body image and combats depression (release of endorphins in the brain enhances sense of well-being). However, patient may use excessive exercise as a way to control weight.|
|Discuss need for information about sex and sexuality.||Because avoidance of own sexuality is an issue for this patient, realistic information can be helpful in beginning to deal with self as a sexual being.|
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