ASSESSMENT CUES
Subjective Cues:
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The mother verbalized that the grandmother buys the client pizza or fried chicken everyday when she is at work.
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The client has been missing school because he always gets stomach aches whenever he is about to go to school.
Objective Cues:
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BMI: 25 kg/m2
NURSING DIAGNOSIS
Overweight related to high frequency of restaurant or fried food as evidenced by the client eating pizza and fried chicken when her mother goes to work
GOALS AND OBJECTIVES (NOC)
A. Nutritional Status (1004)
B. Weight Loss Behavior (1627)
C. Exercise Participation (1633)
Goal:
After performing the nursing intervention, the client and family will establish:
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diet modification that promotes weight control using the concept of a balanced intake of nutrients
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physical exercises and activities that increase energy expenditure
Objectives:
At the end of the nursing intervention, the client and family will:
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Enumerate one of the three kinds of food included in the “Pinggang Pinoy”
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Develop and come up with a structured family meal plan
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Identify physical activities that help in weight management and craft an active exercise program incorporating informal exercises
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Verbalize understanding of the need for a lifestyle change to maintain a healthy body
NURSING INTERVENTION (NIC)
A. Nutrition Management (1100)
B. Nutritional Counseling (5246)
C. Weight Management (1260)
D. Exercise Promotion (0200)
The nurse will:
1. determine the family and client’s food intake and eating habits
Rationale: To determine contributing factors to overweight
2. determine the family and client’s nutritional status and ability to meet nutritional needs
Rationale: To determine the family and the client’s state of health in terms of nutrition
3. Initiate Discussion: "How Can You Be Healthier? "
Rationale: The nurse should be cautioned against applying a nursing diagnosis to an overweight or obese person who does not want to participate in a weight-loss program. Motivation for weight loss must come from within.
4. Discuss the three kinds of food included in the “Pinggang Pinoy” as well as the perception of the needed diet modification.
Rationale: To educate the client about the different kinds of food included in the “Pinggang Pinoy” as well as the perception of the needed diet modification.
4. Assist the family in determining guidelines most suited to meeting nutritional needs and preferences
Rationale: To aid the family in making a structured family meal plan
5. Provide food selection while offering guidance towards healthier choices
Rationale: To assist the family in selecting food for the structured meal plan that is appropriate for meeting nutritional needs
6. Presents and introduce various exercise that helps in weight management.
Rationale: To know the different exercises that help in weight management
6. Conduct health teaching about the importance of lifestyle change
Rationale: Educating the family about the proper information will help the family understand more the importance of lifestyle change
EVALUATIONThe client and family identify one of the three kinds of food included in the “Pinggang Pinoy”
The client and family will make and establish a structured meal plan
The client and family identify and develop an active exercise program.
The client and family verbalize understanding about lifestyle change.