Student Nurses Community

NURSING CARE PLAN More Than Body Requirement

ASSESSMENT

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

Excess intake of high-calorie

food
Sedentary lifestyle
Poor dietary habits

Intake of nutrients that

exceeds metabolic needs

Imbalanced body nutrition

(more than body requirements)

Imbalanced BMI

Triceps skin fold >25mm

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

The most appropriate

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.

clients for the nursing

intervention of Weight
Management are adults
with no major health
problems who require diet
therapy. If a patient has a
medical condition
necessitating diet therapy,
the assistance of a dietitian
may be required
Nondieting approaches
focus on changing
disturbed thoughts,
emotions, and body image
associated with obesity to
help obese persons to
accept themselves and
resolve issues that may
hinder long-term weight
maintenance
A normal BMI is 20 to 25,
26 to 29 is overweight, and
a BMI of greater than or

Student Nurses Community

Minimal
physical
activity

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

equal to30 is defined as

obesity.
Overweight has been
viewed as an individual
problem, and treatment
oriented toward an
individual victim-blame
model, with little
consideration of personal
context or the influence of
cultural values on behavior
(Allan, 1994). Children have
been included in weight
management programs but
their growth factor has not
been factored into the
equation, potentially risking
future growth-related
health problems. These
potential risks may require
the direct attention of
dietitians and physicians

Exercise encourages further

weight loss by reducing
appetite; increasing energy;
toning muscles; and
enhancing cardiac fitness,
sense of well-being, and
accomplishment.

Student Nurses Community

ingestion and
caloric intake.
Encourage water
intake
Encourage
exercise as
tolerated by
patient. Exercise
is an integral
part of weight
reduction
programs
Encourage
calorie intake
appropriate for
body type and
lifestyle.

Collaborative:
Consult dietitian
for further
assessment and
recommendation
s regarding a
weight loss
program.

When food is used as a

coping mechanism or as a
self-reward, the emotional
needs being met by intake
of food will need to be
addressed as part of the
overall plan for weight
reduction.
Memory is inadequate for
quantification of intake, and
a visual record may also
help patient to make more
suitable food choices and
serving sizes.
Water assists in the
excretion of byproducts of
fat breakdown and helps
prevent
The combination of diet and
exercise promotes loss of
adipose tissue rather than
lean tissue.
Diet change is a
complicated process that
involves changing patterns
that have been firmly
established by culture,
family, and personal
factors.

Student Nurses Community

Changes in eating patterns
are required for weight loss.
A professional should be
considered when planning
weight loss programs.