Help making a nursing care plan. please?

Please help me write a nursing care plan for this situation
i really need it please.

Mr. X a 45 yr old male was admitted in the surgical unit with a diagnosis of cancer of the esophagus. upon interview you gathered that he has been anorexic for the past three weeks with accompanying pain upon swallowing. He appears weak and pale and verbalized that he had lost a remarkable 6 lbs in 4 weeks time.

nursing care plan:
assessment
nursing diagnosis
planning
nursing intervention
rationale
evaluation


your help would mean a lot to me.

For the NANDA diagnosis, I would use Altered Nutrition: Less than Body Requirements reto poor appetite secondary to Esophageal Cancer.

I would like to help you with your care plan, but I would need to know how your instructor has your forms set up.

You can e-mail me if you want... dark_water_falls@yahoo.com

It sounds pretty typical of a cancer patient, bless his heart. I would have to have a lot more specifics to tailor a care plan to Mr. X, but for sure he needs to be started on PPN or TPN and IV fluids for hydration(obviously). And other than taking care of the symptoms as they arise, I would strongly suggest counseling. If there is a priest or pastor or case manager or therapist on staff at the hospital, get them to make a routine visit. The biggest problem (besides the cancer itself), is how the heck does someone deal with the fact that their entire existence is going to end? Good luck, you sound like you're a great caregiver. Thanks for that.


Also, you may want to have speech therapy do a swallow study on him. Sometimes they can provide techniques to help with pain or obstruction.