Definition :
A situation where an individual experiencing or at risk of weight gain associated with the input that exceeds the metabolic needs.
Related Factors:
Pathophysiology
Related to changes in the pattern of satisfaction
Drugs (corticosteroids, antihistamines)
Radiation (decreased sense of taste and smell)
Situational (Personal, environmental)
Related to the risk of weight gain more than 25-39 pounds during pregnancy
Related to lack of basic nutrition knowledge
Maturisional
(The adult / elderly)
Related to the decline in activity patterns and a decrease in metabolic demand.
Major Data
- Being overweight (10% higher than the ideal body standards)
- Obesity (20% higher than the ideal body standards)
- Triceps skinfolds greater than 15 mm in men, and 25 mm in women
Minor Data
- Reported a diet of unwanted
- Input exceeds the metabolic needs
- Monotonous activity pattern
Expected Outcomes Nursing Care Plan for Imbalanced Nutrition More than Body Requirements
Individuals will :
- Have increased the use of activity with weight loss.
- Explain the relationship between activity with weight.
- Identifying eating patterns that support weight gain
- Weight loss
Nursing Intervention Nursing Care Plan for Imbalanced Nutrition More than Body Requirements
- Increase awareness of individuals about the type / amount of food consumed
- Instruct the individual to keep a diet diary for one week.
- What, when, where, and why eat?
- Will do anything else (eg, watching TV, dinner preparation)
- Emotions just before eating
- The presence of another person
- Review the diary with the individual's diet to show a pattern (eg, time, place, people, emotions, food)
- Review of food items of high and low in calories.
- Instruct the individual to keep a diet diary for one week.
- Assist individuals to set realistic goals (eg, by lowering the oral input of 500 calories will cause weight loss 1-2 pounds per week)
- Teach the techniques of behavior modification
- Eat only a special place at home (eg, table)
- Do not eat while doing other activities such as reading or watching TV, eating only when seated.
- Drinking 240 cc of water before eating.
- Use a small plate, so portions look more.
- Prepare small portions, just enough to eat and the excess residual removed.
- Do not ever eat from plates of others.
- Eat slowly and chew thoroughly.
- Put cutlery and wait 15 seconds between bites.
- Eating low-calorie snack that need to chew to satisfy the needs of oral (carrots, celery, apples)
- Reduce calorie fluids, drinking diet sodas or water.
- Plan a daily walking program and gradually increase speed and distance running.
- Start with 500 m to 1 km / day; add 100m / week.
- Increase slowly
- Avoid holding or pushing too hard and being too tired.
- Stop immediately if the following signs occur:
- Sense of tightness or chest pain.
- Very difficult to breathe.
- Pain was floated.
- Dizziness.
- Loss of muscle control.
- Nausea.
- Set a regular time of day to exercise, with the aim of 3-5 times a week with a duration of 15-45 minutes and with a frequency of 80% of cardiac stress tests or rough count (170 x / min for 20-29 years of age; 160 x / min for age 30-39 years; 150 x / min for 40-49 years of age; 140 x / min for ages 50-59 years).
Nursing Care Plan for Imbalanced Nutrition Less than Body Requirements
