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  • Assessment Nursing Diagnosis Scientific Explanation Intervention Rationale Evaluation

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    The patient presented with complaints of abdominal pain and a sedentary lifestyle. Through nursing assessment, the patient was diagnosed with obesity due to imbalanced nutrition and a lack of physical activity. The nurse developed an intervention plan which included determining the patient's current activity levels, consulting a dietician to calculate caloric needs, and creating a progressive exercise program tailored to the patient's goals. The goals of the intervention were for the patient to accept themselves, seek weight loss information actively, and acknowledge responsibility over their health. The nurse evaluated the patient after interventions to ensure treatment goals were achieved.

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    The patient presented with complaints of abdominal pain and a sedentary lifestyle. Through nursing assessment, the patient was diagnosed with obesity due to imbalanced nutrition and a lack of physical activity. The nurse developed an intervention plan which included determining the patient's current activity levels, consulting a dietician to calculate caloric needs, and creating a progressive exercise program tailored to the patient's goals. The goals of the intervention were for the patient to accept themselves, seek weight loss information actively, and acknowledge responsibility over their health. The nurse evaluated the patient after interventions to ensure treatment goals were achieved.

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    727 views2 pages

    Assessment Nursing Diagnosis Scientific Explanation Intervention Rationale Evaluation

    Uploaded by

    Tracy Tin
    The patient presented with complaints of abdominal pain and a sedentary lifestyle. Through nursing assessment, the patient was diagnosed with obesity due to imbalanced nutrition and a lack of physical activity. The nurse developed an intervention plan which included determining the patient's current activity levels, consulting a dietician to calculate caloric needs, and creating a progressive exercise program tailored to the patient's goals. The goals of the intervention were for the patient to accept themselves, seek weight loss information actively, and acknowledge responsibility over their health. The nurse evaluated the patient after interventions to ensure treatment goals were achieved.

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    ASSESSMENT NURSING SCIENTIFIC INTERVENTION RATIONALE EVALUATION

    DIAGNOSIS EXPLANATION
    SUBJECTIVE Imbalanced Obesity is Independent . Exercise After 2-3 days of
    “ ma musakit nutrition more defined as an furthers weight nursing
    akong tiyan as than body excess Determine loss by intervention
    verbalized by the requirements accumulation of current activity reducing patient will be
    patient” related to food body fat at least levels appetite; able to verbalize
    intake that 20% over and plan increasing a more realistic
    exceeds body average weight progressive energy; toning self-image and
    needs for age, sex, and exercise muscles; and demonstrate
    OBJECTIVES height. Although program (e.g., enhancing some acceptance
    Fatigue,constant considered to be walking) tailored cardiac fitness, of self as is,
    drowsiness, a type of eating to sense of rather than an
    inability/ lack of disorder, obesity the individual’s well-being, and idealized image.
    desire to be is a general goals and choice accomplishment.
    active or engage medical condition Commitment on
    in regular coded on Axis the part of the
    exercise: III, with patient enables
    sedentary psychological the setting of
    lifestyle, factors that more
    adversely affect realistic goals
    V/S the course and and adherence to
    temp: 37.4c treatment of the . the plan
    pulse rate: medical
    75bpm condition, Collaborative
    respiration:18 creating
    b/p: 110/80 additional health
    mmhg risks for the Consult with Individual intake After 1-2 weeks
    individual. dietitian to can be calculated of nursing
    determine by several intervention
    caloric/nutrient different client will be able
    requirements for formulas, but to seek
    individuals weight reduction information and
    weight loss. is based on the actively pursue
    basal caloric appropriate
    requirement for weight
    24 hr, loss and be able
    depending on to
    patient’s sex, acknowledge self
    age, as an individual
    current/desired who has
    weight, and responsibility for
    length self.
    of time estimated
    to achieve
    desired
    weight.Note:
    Standard
    tables are subject
    to error when
    applied to
    individual
    situations,
    and circadian
    rhythms/lifestyle
    patterns need to
    be considered

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