Nursing and Interprofessional management: Obesity

Nursing and Interprofessional management: Obesity

  • Nursing Assessment
    • Subjective Data
      • Important Health information
        • First rule out physical conditions that may be causing or contributing to obesity
          • Be sensitive and nonjudgmental
          • Clarify rationale for inquiries about weight, dietary habits, and exercise
          • Address patient concerns
      • Past health history
        • Time of obesity onset
        • Diseases related to metabolism and obesity
            • Hypertension
            • Cardiovascular problems
            • Stroke
            • Cancer
            • Chronic joint pain
            • Respiratory problems
            • Diabetes mellitus
            • Cholelithiasis
            • Metabolic syndrome
      • Medications
        • Thyroid preparations
        • Diet pills
        • Herbal products
      • Surgery or other treatments
        • Prior weight-reduction procedures (bariatric surgery)
    • Functional Health patterns
      • Health perception–health management: Family history of obesity; perception of problem; methods of weight loss attempted
      • Nutritional-metabolic: Amount and frequency of eating; overeating in response to boredom, stress, specific times, or activities; history of weight gain and loss
      • Elimination: Constipation
      • Activity-exercise: Typical physical activity; drowsiness, somnolence; dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea
      • Sleep-rest: Sleep apnea, use of continuous positive airway pressure
      • (CPAP)
      • Cognitive-perceptual: Feelings of rejection, depression, isolation, guilt, or shame; meaning or value of food; adherence to prescribed reducing diets, degree of long-term commitment to a weight loss program
      • Role-relationship: Change in financial status or family relationships; personal, social, and financial resources to support a reducing diet
      • Sexuality-reproductive: Menstrual irregularity, heavy menstrual low in women, birth control practices, infertility; effect of obesity on sexual activity and attractiveness to significant other
    • Objective Data
      • General
        • Body mass index ≥30 kg/m2; waist circumference: woman >35 in (89 cm), man >40 in (102 cm)
      • Respiratory
        • Increased work of breathing; wheezing; rapid, shallow breathing
      • Cardiovascular
        • Hypertension, tachycardia, dysrhythmias
      • Musculoskeletal
        • Decreased joint mobility and flexibility; knee, hip, and low back pain
      • Reproductive
        • Gynecomastia and hypogonadism in men
      • Possible Diagnostic Findings
        • Elevated serum glucose, cholesterol, triglycerides; chest x-ray demonstrating enlarged heart; electrocardiogram showing dysrhythmia; abnormal liver function tests

Share:

More Posts

About Cardiomyopathy

KEY POINTS Cardiomyopathy represents a collection of diverse conditions of the heart muscle. Cardiomyopathy can be acquired—developed because of another disease, condition, or factor—or inherited.

What is Cholesterol?

Cholesterol 101: An introduction If you’re reading this, you probably care about your health and the role cholesterol can play. That’s an important first step.

Urgent Care for Seniors

Urgent care centers can also be a good option for seniors. They offer convenient care and can treat a wide variety of conditions, including: Colds

Hydration

Original Article – https://www.cdc.gov/niosh/mining/userfiles/works/pdfs/2017-126.pdf