SUBJECTIVE:
Patient
verbalizes:
I always resort
to eating
whenever I feel
happy, bored or
depressed.
OBJECTIVES:
Triceps skin
fold >25 mm
Weight: 80.6
kgs
Height: 54
Sedentary
lifestyle
Eating in
response to
boredom
DIAGNOSI
S
Imbalanced
body
nutrition
(more than
body
requirement
s) related to
excess
intake of
high-calorie
food,
Sedentary
lifestyle and
Poor dietary
habits
INFERENCE
Imbalanced BMI
PLANNING
After 48 hours of
nursing
intervention,
patient will be
able to:
verbalize
measures
necessary to
achieve
weight
reduction;
demonstrate
appropriate
selection of
meals or
menu
planning
toward the
goal of
weight
reduction;
and begin an
appropriate
program of
exercise.
INTERVENTIONS
Independent:
Obtain a
thorough history.
Refer to dietitian
if client has a
medical
condition
Evaluate client's
physiological
status in relation
to weight control.
Refer as
appropriate.
Calculate body
mass index (BMI)
(use this formula:
weight in kg
divided by height
in m2 [kg/(m)2];
or use this
alternate
formula: weight
in lb multiplied
by 705, divided
by height in
RATIONALE
EVALUATION
After 48 hours
of nursing
intervention,
goal met.
Patient was
able to state
measures
needed to
reduce weight,
demonstrate
appropriate
selection of
meals that
would lead to
weight
reduction. And
begin an
appropriate
program of
exercise as
tolerated and
indicated.
inches, divided
again by height
in inches
Define client's
healthy body
weight with
client,
considering
physiological,
experiential, and
cultural factors
Assess current
activity levels
and plan
progressive
exercise program
(e.g., walking,
jogging, and
stretching)
tailored to the
individuals goals
and choice.
Assess the
importance and
meaning of food
for the patient.
Encourage
patient to keep a
daily log of food
or liquid
Collaborative:
Consult dietitian
for further
assessment and
recommendation
s regarding a
weight loss
program.