Well Child NURSING CARE PLAN

NURSING CARE PLAN

Priority # ___1____                                                                                                                            Student Name:

Nursing Diagnostic Label R/T Etiology/etiologies M/B S&S/Defining characteristics (include all applicable subjective, objective and diagnostic findings): Nursing plan for sedentary lifestyle for a child whose 9 years old who is overweight for his age.

 

Expected Outcome with Evaluation Criteria AND Evaluation of Outcomes: Interventions (a comprehensive list of dependent, independent, and interdependent/collaborative nursing interventions) Theory-based rationale for each Intervention Evaluation of Interventions
STO: The patient will maintain a BMI of 18.5–24.9 by the end of the interventions. 02/8/2017.

STO:  Client will be able to identify specific foodstuff and nutritional patterns that are responsible for gaining more weight by the end of the treatment visits. 03/18/2017.

 

LTO: The patient will effectively and efficiently manage his weight after discharge from the hospital. 03/18/2017

Evaluation of Outcomes

STO: Met, Patient maintained BMI range of 18.5–24.9.

 

STO: Met: Patient states the causes of weight gain.

 

LTO: In progress:  Patient confirms compliance and the target of the intervention is in progress.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  1. The nurses will use Wide blood-pressure cuffs to take blood-pressure readings.
  2. The nurse will use Tape measures, weight and height conversion  charts to estimate BMI
  3. Nurse will ask the client when the problem of weight gain started.
  4. Nurse will ask the patient how many times he/she tried to lose weight.
  5. Nurse will measure BMI regularly until it fits the threshold of 18.5-24.9
  6. Nurse will check fasting blood-glucose, cholesterol and thyroid functions.
  7. Nurse will assess possible presence of hypothyroidism, diabetes and impaired glucose tolerance.
  8. Nurse will calculate the cardiovascular risk of the patient.
  9. Nurse will assess the food intake and level of physical exercise undertaken by the patient before and after treatment.
  10. Nurse will take weight readings and compare if there is any reduction with time.
  11. Nurse will administer anti-obesity drug orlistat as part of their treatment medications to help the patient cut on weight.
  12. Nurse will inform the patient on appropriate nutritional balance and prescribe minimum physical exercise duration .
1.      Using Wide blood-pressure cuffs to take blood-pressure readings is more accurate and reliable.

2.      Height and weight are useful in calculation of BMI.

3.      Knowledge of when the problem started provide clue on appropriate remedial measures.

4.      This information will help the nurse to determine and recommend more effective approach to weight loss.

5.      This data will provide an indication as to whether there is an improvement in the condition of the patient.

6.      Cholesterol level will help in determining the progress of recovery and reduction of risk.

7.      This will indicate if the patient also risks such obesity related conditions and Cardiovascular risk.

8.      Cardiovascular risk is associated with overweight hence need to be measured.

9.      Food intake level and physical exercise are therapeutic measures that will help in cutting weight.

10.  This will help reduce risk factors such as hypertension.

11.  This medication will help steady weight loss without risks of poor nutrition.

12.   Duration of exercise and specific diet will help in reduction of weight.

1.      Patient’s blood pressure readings were taken.

2.      Client’s weight was high against a constant low height and nurses are monitoring it.

3.      Client stated that he started experiencing weight loss at age of 7 years.

4.      Client has attempted to lose weight a couple of times without significant improvement.

5.      Client’s BMI is moving closer to the normal range due to several interventions,.

6.      Client’s fasting blood-glucose, cholesterol is low and thyroid functions are fine indicating improvement.

7.      Client’s recorded lower presence of hypothyroidism, diabetes and impaired glucose tolerance which is a sign of improvement.

8.      Client’s cardiovascular risk is low indicating higher chances of recovery.

9.      Client confirms regular exercise and change in less fatty and sugary diet and the progress is noted from the readings on weight loss.

10.    Client registers lower weight than previous checkup.

11.   Patient is adherent to the prescription and shows progress.

12.  Patient confirms at least two hours of exercise a day and diet of low sugar and fat content and this has prospects of calorie cuts.

 

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