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    O Overweight: Athena Irish D. Lastimosa BSN 2Y0-1

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    Nicole Gumolon
    The client is a 46-year-old female who is 5'5" tall and weighs 240 pounds. She seeks weight loss assistance because she feels out of control with her eating and is disgusted with her physical appearance. Her major nursing diagnoses are likely to be overweight and disturbed body image. Dietary principles that should be followed include balancing nutrition from all food groups, choosing low calorie dense foods, and maintaining consistency in her diet and exercise. As an obese individual with a BMI over 40, she is at high risk of developing diseases like heart disease, diabetes, cancers, hypertension, stroke, liver and gallbladder disease, and respiratory problems.

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    O Overweight: Athena Irish D. Lastimosa BSN 2Y0-1

    Uploaded by

    Nicole Gumolon
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    The client is a 46-year-old female who is 5'5" tall and weighs 240 pounds. She seeks weight loss assistance because she feels out of control with her eating and is disgusted with her physical appearance. Her major nursing diagnoses are likely to be overweight and disturbed body image. Dietary principles that should be followed include balancing nutrition from all food groups, choosing low calorie dense foods, and maintaining consistency in her diet and exercise. As an obese individual with a BMI over 40, she is at high risk of developing diseases like heart disease, diabetes, cancers, hypertension, stroke, liver and gallbladder disease, and respiratory problems.

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    The client is a 46-year-old female who is 5'5" tall and weighs 240 pounds. She seeks weight loss assistance because she feels out of control with her eating and is disgusted with her physical appearance. Her major nursing diagnoses are likely to be overweight and disturbed body image. Dietary principles that should be followed include balancing nutrition from all food groups, choosing low calorie dense foods, and maintaining consistency in her diet and exercise. As an obese individual with a BMI over 40, she is at high risk of developing diseases like heart disease, diabetes, cancers, hypertension, stroke, liver and gallbladder disease, and respiratory problems.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    2K views3 pages

    O Overweight: Athena Irish D. Lastimosa BSN 2Y0-1

    Uploaded by

    Nicole Gumolon
    The client is a 46-year-old female who is 5'5" tall and weighs 240 pounds. She seeks weight loss assistance because she feels out of control with her eating and is disgusted with her physical appearance. Her major nursing diagnoses are likely to be overweight and disturbed body image. Dietary principles that should be followed include balancing nutrition from all food groups, choosing low calorie dense foods, and maintaining consistency in her diet and exercise. As an obese individual with a BMI over 40, she is at high risk of developing diseases like heart disease, diabetes, cancers, hypertension, stroke, liver and gallbladder disease, and respiratory problems.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Athena Irish D.

    Lastimosa
    BSN 2Y0-1

    UNIT TASK 7

    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 the client:

    1. What are two of her major nursing diagnoses?

    o Overweight
    The patient reported that she feels out of control with her eating behavior which is
    related to food intake that exceeds body needs and reported of observed dysfunctional
    eating patterns intakes more than body requirements. A physiological factor is her age
    because, at 40, changes that women experience are due to decreased hormones, reduced
    activity level, and medical conditions. Their levels of estrogen decrease and this triggers
    the increase of her insulin, a hormone that helps the body use sugar. In combination with
    this, the thyroid levels go down which makes her hungrier. That is why women usually
    end up eating more at this age and burn fewer calories. Her weight is 240 pounds which
    is evidence that her weight is 100% over the optimum body weight for her height (5’5)
    which is 104 - 127lbs. This diagnosis may also be related to socioeconomic status and
    excess body fat by skinfold or other measurements that were not observed by the
    healthcare practitioner or reported by the patient.

    o Disturbed body Image


    The patient seeks assistance for weight control because she said that she is 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 also be related to family or subcultural
    encouragement of overrating and control, sex, and love issue that were not recorded by
    the healthcare practitioner or mentioned by the patient.

    2. In counseling this client, what are at least three characteristics of dietary principles that
    should be followed?

    Nutrition & Diet Therapy


    Ma’am Shangri-la Juan
    Athena Irish D. Lastimosa
    BSN 2Y0-1

    o BALANCE
    An unbalanced diet leads to weight gain. An example of this is eating a lot of sugar
    which increases the release of adrenal hormones. High levels of adrenal stress hormones
    such as cortisol could lower thyroid function which can cause slow metabolism and
    weight gain. Make smart choices from every food group. You’re eating plan should
    include fruits, vegetables, whole grains, and fat-free and low-fat milk and milk products,
    that includes lean meat, poultry, fish, beans, eggs and nuts, and that is low in saturated
    fat, trans fats, cholesterol, salt (sodium), and added sugars.

    o LOW CALORIC DENSITY


    Caloric density refers to the number of calories per unit volume in a given food. A
    food high in calorie density has a large number of calories in a small weight of food,
    whereas a food low in calorie density has much fewer calories in the same weight of the
    food. Processed foods are calorically dense, while fruits and vegetables, with their high
    water and fiber content, are less dense. Foods low in calorie density tend to be higher in
    satiety so by consuming foods lower in calorie density, one can fill up on much fewer
    calories without having to go hungry and without having to weigh, measure or portion
    control our food. Also, foods with lower caloric density are foods that have higher
    nutrient content.

    o CONSISTENCY
    Healthy eating requires a daily, lifelong commitment. Developing a stable schedule
    of healthy eating and exercise can help with keeping weight management consistent. The
    more consistent you are in your diet, the greater chance of maintaining healthy body
    weight. Studies have suggested that slowly but steadily shedding pounds each week can
    be more beneficial for long-term weight loss than seeing your weight drastically drop,
    only to rise again. Consistency powers you through the day-to-day so you can reach goals
    and also make you motivated to do tough routines automatically.

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

    Obesity is a concept that indicates a person has a 30 or higher body mass index
    ( BMI). [ CITATION Mel18 \l 13321 ] She is 5’5 (1.397m) and 240lbs (108.862kgs) which

    Nutrition & Diet Therapy


    Ma’am Shangri-la Juan
    Athena Irish D. Lastimosa
    BSN 2Y0-1

    means that her BMI is 55.8. A BMI of 55.8 is in the range of Morbid obesity and is
    associated with a multitude of health problems, many of which increase the risk of death.
    Morbid obesity is defined as a BMI greater than 40. The more overweight a person is, the
    more likely that his or her lifespan will be shorter. This makes her more vulnerable to
    developing health problems associated with morbid obesity which includes but are not
    limited to:

    o Coronary heart disease


    o Type 2 diabetes
    o Cancers (endometrial, breast and colon)
    o Hypertension (high blood pressure)
    o Dyslipidemia (for example, high total cholesterol or high levels of triglycerides)
    o Stroke
    o Liver and Gallbladder disease
    o Sleep apnea and respiratory problems
    o Osteoarthritis (a degeneration of cartilage and its underlying bone within a joint)
    o Gynecological problems (abnormal menses, infertility)
    o Reproductive disorders (obese women have trouble having children and obese men
    have reduced sperm counts)
    o Blood clots in the legs and clots to the lungs
    o Varicose veins and swollen legs
    o Respiratory problems, including difficulty breathing with small amounts of exertion
    and walking
    o Fat accumulation in the liver and cirrhosis
    o Some forms of cancer, particularly cancer of the uterus, breast, prostate, colon, and
    gallbladder

    Nutrition & Diet Therapy


    Ma’am Shangri-la Juan

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