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What are the=e Planning and Evaluation (short-term and long-term) of this Case Scenario? DIAGNOSIS: Risk for deficient fluid volume evidenced by risk factors of inadequate intake of food and liquids PLANNING: Short term: After 8 hours of nursing intervention, the client will: Long term: After 4 weeks of nursing intervention, the client will: Evaluation: After 8 hours of nursing intervention, the desired goals were met as evidenced by: After 4 weeks of nursing intervention, the desired goals were met as evidenced by: A 14-year-old girl was admitted to a general hospital because of prolonged weight loss and refusal to eat. On admission, she weighed 35.9 kg, height of 1.52 m with a BMI of 15.5 kg/m2 and her blood pressure is 80/40. She experienced dry and flaky skin, weakness, and fatigue, her hair was easily falling out, and she felt depressed. Her period, which had started 1 year previously, stopped 5 months before her admission. She started dieting 8 months ago because she felt fat. She verbalized “Sometimes, I skipped meals on breakfast and lunch, and I don’t have an appetite during dinner so I secretly throw it, because I feel that my weight is increasing rapidly when I eat”. She perceived herself as ‘fat’. She also experienced low self-esteem, as she believed her physical appearance is not appealing. During the clinic visits, her blood investigations which included full blood count, renal profile, liver function test, thyroid profile, and serum calcium phosphate were within normal limits. Serum follicle-stimulating hormone (FSH), luteinizing hormone (LH) and estradiol values were low which were consistent with anorexia nervosa disorder. The urine pregnancy test was negative. Pelvic ultrasound and electrocardiogram (ECG) showed no abnormality.

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