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The client is a 46 year old female, 5'5" and 240 pounds who seeks assistance for weight control. She reports feeling out of control with her eating habits and being disgusted with her physical appearance. The two major nursing diagnoses are overweight and disturbed body image. Dietary principles that should be followed include eating foods at strategic times, choosing low calorie density foods, setting SMART goals, finding an individualized diet plan, and maintaining consistency in healthy eating habits. Obesity puts the client at risk for developing heart disease, type 2 diabetes, depression, certain cancers, and premature death.

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Maye Arugay
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60 views

SITUATION

The client is a 46 year old female, 5'5" and 240 pounds who seeks assistance for weight control. She reports feeling out of control with her eating habits and being disgusted with her physical appearance. The two major nursing diagnoses are overweight and disturbed body image. Dietary principles that should be followed include eating foods at strategic times, choosing low calorie density foods, setting SMART goals, finding an individualized diet plan, and maintaining consistency in healthy eating habits. Obesity puts the client at risk for developing heart disease, type 2 diabetes, depression, certain cancers, and premature death.

Uploaded by

Maye Arugay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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SITUATION: A client seeks assistance for weight control because she is tired of

being fat”. Upon assessment , objective findings include 46 year old female, 5’5” ,
and 240 pounds. She also reports feeling out of control with her eating behavior and
being disgusted with her physical appearance. The following questions relate to client:

1. What are two of her major nursing diagnoses?


 OVERWEIGHT
-The patient reported that she feels out of control with her eating behavior which is
related to food intake that excess body needs and reported of observed dysfunctional
eating patterns intake more than body requirements . A physiological factors of her
age because at 46 , changes that women experience are due to decrease hormones ,
reduced activity level , and medical conditions . Their level estrogen decrease and
this triggers the increase of her insulin , a hormone that helps the body sugar .
 DISTURBED BODY IMAGE
- The patient seeks assistance for weight control because she said tired of being fat
and because of that she is being disgusted with her physical appearance. This can be
related to the view of self in contrast to societal values which usually discriminate
people who are not in the spectrum of accepted ideal body types . It also can be
perceived as her failure at the ability to control weight which was evidenced by her
negative feelings towards her body . This diagnosis may be also be related to family
or sub-cultural encouragement of overrating and control, sex and love issues that
were recorded by the healthcare practitioner or mentioned by the patient.

2. In counselling this client, what are at least three characteristics of dietary


principles that should be followed?

Nutrient timing involves eating foods at strategic times in order to achieve certain


outcomes. It's supposedly very important for muscle growth, sports performance and
fat loss. If you've ever rushed for a meal or protein shake after a workout, this
is nutrient timing.

Low calorie density foods tend to provide less fat and more water and fiber. This is
great for making you feel full and reducing your daily calorie intake . In contrast,
many calorie-dense foods are highly processed and extremely palatable, making them
easy to overeat.

Motivated - use these tips to keep your motivation levels high when working toward a
weight loss goal.

At the beginning of your weight loss journey it can be helpful to set a SMART goal.
SMART goals are
Specific
Measurable
Attainable
Realistic
Time-bound
In additional ;

Finding the Perfect Fit each of us is unique – metabolically, psychologically, and


circumstantially. For this reason, there’s no single diet plan that works well for everyone.
Each person needs to find what works for him or herself

Consistency healthy eating is not like a vaccine: one shot and you’re covered for life.
Instead it requires a daily, lifelong commitment. There is growing evidence that the
more consistent you are in your wholesome eating habits, the greater your chances of
maintaining a healthy body weight. 

3. What diseases might she be at risk for developing as a result of her obesity?

Common condition or risk related to obesity

1. Heart Diseases - excess weight can elevate cholesterol levels , increase blood
pressure , and increase stress on your heart .
2. Type 2 Diabetes - obesity leads to insulin resistance which can cause blood-sugar
levels to remain chronically high .
3. Depression - people with obesity are 45% more likely develop depression
compared to those with a healthy BMI.
4. Cancer - as many as 40% of all cancers have been linked to obesity , including
colon , ovary and breast cancer .
5. Premature Death - individuals who are obese tend to die about six years earlier than
those with a healthier weight .

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