A nursing practice guideline found here offers a list of possible nursing diagnoses for an obese patient. Five of these nursing diagnoses are below:
- Imbalanced nutrition: more than body requirements
- Knowledge deficit
- Ineffective Health Maintenance
- Activity intolerance (related to impaired mobility)
- Sedentary Lifestyle
Nursing diagnosis: Imbalanced
nutrition: more than body requirements
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Actual or potential problem
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Actual problem. For this hypothetical patient, it has already been
demonstrated that they consume more calories than their metabolism requires. A
potential problem would be described in a nursing diagnosis as “at risk for
_____”
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What is the problem related to?
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This may be related to several issues which we have already
discussed. Imbalanced nutrition may be related to deficient knowledge,
cultural habits, and limited access to fresh foods.
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Plan and desired outcome
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Discuss the patient’s current dietary habits. Educate the patient
concerning their body’s metabolic needs, how this relates to losing weight
(decreasing calorie intake prompts the body to metabolize fats for energy),
and how to use a tool like the MyPlate Food Tracker to assess and maintain a balanced diet.
Desired outcome is gradual, consistent loss of weight (about 1-2 pounds per
week) through a balanced and calorie-limited diet.
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Nursing intervention
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Provide the education and conversation discussed above, as well as
encouragement and continued support during this difficult lifestyle change.
Promote enrollment in a cooking class to increase patient’s confidence in
preparing healthy meals. Offer information on any local weight loss support
groups, particularly ones focusing on proper nutrition.
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