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

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