In: Nursing
Stephanie said “I hate being fat.” Client history: Stephanie is a 43-year-old mother of three who has experienced gradual weight gain after the birth of each of her children. She is 5 ft 7 in tall, weighs 189 pounds, works full time, and does not engage in regular exercise. She is considered prediabetic and has prehypertension and appears eager to make lifestyle changes to improve her health and be a better nutritional role model for her children. She has successfully lost weight in the past through intake of laxatives but eventually got bored and regained all of the weight she lost. She does not want to count calories. She wants to know how many servings from each food group she should eat to lose weight and what the best foods from each group are. Her usual intake is as follows: no breakfast; snacks at a vending machine twice a day; fast food for lunch; and dinner with the family. Her dinner usually consists of about 6 oz of meat, potatoes, sometimes a vegetable, bread with butter, and dessert. Stephanie admits to a weakness for “sweets.”
A. Identify and write the relevant and vital assessment data.
B. Develop a Nutrition Diagnosis basing on the Nutrition Terminologies which is applicable to the patient
C. Formulate a patient’s Nutrition Goal
D. Identify appropriate Nutrition Goal
E. Utilize the ADIME Nutrition Documentation
USE ADIME NUTRITION DOCUMENTATION
A.RELEVANT AND VITAL ASSESSMENT DATA:
B.NUTRITIONAL DIAGNOSIS APPLICABLE TO THE PATIENT IS OVERWEIGHT.STEPHANIE SHOULD BE CAREFUL ABOUT THE DIET REGULATIONS.HER DIET SHOULD INCLUDE MORE OF VEGETABLE AND FRUITS, PROTEIN- RICH FOODS (FISH,BEANS) AND WHOLE GRAINS ,VEGETABLE OILS.SHE SHOULD LIMIT THE INTAKE OF MEAT, POTATOES,FAST FOODS,SUGARED BEVERAGES, AND SNACKS.
C. NUTRITION GOAL FORMULATION:
D.APPROPRIATE NUTRITIONAL GOAL:
E.ADIME NUTRITION DOCUMENTATION:
ASSESSMENT:ANTHROPOMETRIC MEASUREMENTS,BIOCHEMICAL,DIET HISTORY, CLINICAL SIGNIFICANCES.
NUTRITIONAL DIAGNOSIS:OVERWEIGHT
INTERVENTIONS:NUTRITIONAL GOALS AND PLANS.
MONITORING AND EVALUATION:EVALUATION OF OUTCOMES AND FOLLOW UP.