Student Nurses’ Community

NURSING CARE PLAN ─ More Than Body Requirement

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTIONS RATIONALE EVALUATION

SUBJECTIVE: Imbalanced Excess intake of high-calorie food After 48 hours of Independent: The most appropriate After 48 hours of
body nutrition nursing intervention, nursing
Patient verbalizes: Sedentary lifestyle  Obtain a thorough clients for the nursing intervention
(more than patient will be able intervention, goal
history. Refer to of Weight Management are adults
“I always resort to body Poor dietary habits to: met. Patient was
dietitian if client has with no major health problems
eating whenever I requirements) able to state
 verbalize a medical condition who require diet therapy. If a
feel happy, bored or related to measures needed
measures patient has a medical condition
depressed.” excess intake Intake of nutrients that exceeds  Evaluate client's to reduce weight,
necessary to necessitating diet therapy, the
of high-calorie metabolic needs physiological status demonstrate
achieve weight assistance of a dietitian may be
food, in relation to weight appropriate
reduction; required
OBJECTIVES: Sedentary control. Refer as selection of meals
lifestyle and Imbalanced body nutrition (more than  demonstrate appropriate. Nondieting approaches that would lead to
 Triceps skin fold Poor dietary appropriate weight reduction.
body requirements)  Calculate body mass focus on changing
>25 mm habits selection of And begin an
index (BMI) (use this appropriate
 Weight: 80.6 kgs meals or menu disturbed thoughts, emotions, and
formula: weight in kg program of
Imbalanced BMI planning toward body image associated with
 Height: 5’4” divided by height in exercise as
the goal of obesity to help obese persons to
m2 [kg/(m)2]; or use tolerated and
weight accept themselves and resolve
 Sedentary this alternate
reduction; issues that may hinder long-term indicated.
lifestyle Triceps skin fold >25mm formula: weight in lb
weight maintenance
 and begin an multiplied by 705,
 Eating in
appropriate divided by height in A normal BMI is 20 to 25, 26 to 29
response to
program of inches, divided again is overweight, and a BMI of
boredom
exercise. by height in inches greater than or equal to30 is
 Minimal physical defined as obesity.
 Define client's
activity
healthy body weight Overweight has been viewed as an
with client, individual problem, and treatment
Student Nurses’ Community
considering oriented toward an individual
physiological, victim-blame model, with little
experiential, and consideration of personal context
cultural factors or the influence of cultural values
on behavior (Allan, 1994). Children
 Assess current
have been included in weight
activity levels and
management programs but their
plan progressive
growth factor has not been
exercise program
factored into the equation,
(e.g., walking,
potentially risking future growth-
jogging, and
related health problems. These
stretching) tailored
potential risks may require the
to the individual’s
direct attention of dietitians and
goals and choice.
physicians
 Assess the
importance and
meaning of food for Exercise encourages further
the patient. weight loss by reducing appetite;
increasing energy; toning muscles;
 Encourage patient to
and enhancing cardiac fitness,
keep a daily log of
sense of well-being, and
food or liquid
accomplishment.
ingestion and caloric
intake. When food is used as a coping
mechanism or as a self-reward,
 Encourage water
the emotional needs being met by
intake
intake of food will need to be
 Encourage exercise addressed as part of the overall
as tolerated by plan for weight reduction.
patient. Exercise is an
Memory is inadequate for
integral part of
Student Nurses’ Community
weight reduction quantification of intake, and a
programs visual record may also help
patient to make more suitable
 Encourage calorie
food choices and serving sizes.
intake appropriate
for body type and Water assists in the excretion of
lifestyle. byproducts of fat breakdown and
helps prevent

The combination of diet and

Collaborative:
exercise promotes loss of adipose
 Consult dietitian for tissue rather than lean tissue.
further assessment
Diet change is a complicated
and
process that involves changing
recommendations
patterns that have been firmly
regarding a weight
established by culture, family, and
loss program.
personal factors.

Changes in eating patterns are

required for weight loss. A
professional should be considered
when planning weight loss
programs.