Problem Identification |
Rationale |
Goals of Care After the nursing interventions, the client will: |
Interventions The student nurse will: |
Ineffective adolescent eating dynamics related to changes to self-esteem upon entering puberty and excessive stress |
Adolescent development entails a lot of physical changes that often lead to the decrease in self-esteem and increase in stress. The effects of this is apparent in the current BMI of the client, being underweight. Moreover, the client is still trying to lose weight despite already being underweight, which must be addressed immediately. |
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Imbalanced nutrition: less than body requirements related to desire for weight loss |
Adolescent's perspective on their physical appearance often affects their choices in what and how much they will eat. The client is already underweight, which may pose many possible health issues. |
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Stress overload related to academic pressure |
Adolescents often experience academic pressure and this may increase the mental load that the client is already feeling. Stress can affect physical health by increasing the risk of heart diseases and by weakening one’s immune system. |
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Interrupted family processes related to changes in interaction with a parent |
Parental guidance is crucial in the development of adolescents. The parent’s difficulty in communicating with the client must be addressed so that the client will be guided accordingly in this very eventful and crucial phase in her development. |
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Risk for situational low self-esteem as evidenced by increased consciousness about one’s looks |
With all the physical changes experienced by the client, it is important to mitigate the risk for lowered self-esteem immediately. |
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Anticipated Problems
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HEALTH EDUCATION PLAN
Objectives:
The client will:
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identify the need to address nutritional insufficiency and being underweight;
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identify various stressors;
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verbalize willingness to adhere to these meal plans;
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verbalize willingness to balance time between school, leisure, and rest;
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verbalize willingness to have constant communication with her mother; and
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enumerate ways to healthily cope with stress and problems;
The mother will:
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encourage her daughter to take rests, do hobbies, and perform recreative activities; and
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initiate conversations with her daughter about stressors and challenges;
Content:
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Pinggang Pinoy, food pyramid, nutrition requirements, caloric needs, balanced and nutritious meals
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Stressors, healthy coping mechanism, role of leisure and recreation
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Role of sufficient rest
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Normal changes during adolescence
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Importance of parental guidance and support
Materials and Resources
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DOST’s Pinggang Pinoy and Food Pyramid Guide
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Infographics containing information on the importance of a balanced diet, enough rest, and healthy coping mechanisms
Activities
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Discussion
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Visual aid presentation
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Meal plan making
Evaluation
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Question and Answer
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Interview
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Output evaluation (meal plan)
References:
Adolescent Self-Esteem. (2020). ACT for Youth. https://www.actforyouth.net/resources/rf/rf_slfestm_0603.cfm
Siegel, J. M., Yancey, A. K., Aneshensel, C. S., & Schuler, R. (1999). Body image, perceived pubertal timing, and adolescent mental health. Journal of adolescent health, 25(2), 155-165.
Voelker, D. K., Reel, J. J., & Greenleaf, C. (2015). Weight status and body image perceptions in adolescents: current perspectives. Adolescent health, medicine and therapeutics, 6, 149.
Williams, J. M., & Currie, C. (2000). Self-esteem and physical development in early adolescence: Pubertal timing and body image. The Journal of Early Adolescence, 20(2), 129-149.