Introduction to Nursing Diagnosis: Obesity
Obesity is a major health concern, as it can lead to serious health issues, including increased risk of type 2 diabetes, cancer, cardiovascular disease and stroke. Nursing diagnoses are specific statements made by nurses to identify actual or potential health conditions in patients and can include obesity. The NANDA International (NANDA-I) created a standardized language for the nursing profession that can apply within a variety of contexts, including obesity.
Nursing Diagnosis Definition
The most current NANDA-I definition for obesity is “Body weight significantly greater than what is generally accepted as normal for a given population” (Acton et al., 2016).
Defining Characteristics
Subjectives
- Expresses concern about excessive body weight
- Expresses difficulty controlling diet
- Expresses feelings of embarrassment
- Shows preference for carbohydrate foods
- Reports low self-esteem
Objectives
- Weighs significantly higher than 95th percentlle (based on age, gender, and height)
- Consumes high calorie snacks/foods frequently
- Significantly higher body mass index (BMI)
- High waist circumference
- Low physical activity
The factors associated with obesity may be biological, psychological, social, or environmental. Examples of related factors for obesity could include family history of obesity, lack of physical activity, sedentary lifestyle, poor nutrition, excessive snacking, and socio-economic factors such as poverty.
Risk Population
Obesity is more common in certain populations such as those who are older, female, and of lower socioeconomic status. Other risk factors may include cultural or religious beliefs, psychosocial stressors, and psychotropic drug use.
Associated Problems
- Increased risk of hypertension
- Increased risk of type 2 diabetes
- Increased risk of coronary artery heart disease
- Excessive fatigue
- Increased time to recuperate from physical activities
- Elevated cholesterol
Suggestions for Use
It is important to remember that each patient's diagnosis should be individualized based on their specific needs and health conditions. Some of the suggested uses for nursing diagnosis for obesity can include: evaluation of treatment efficacy for patients with obesity, assessing risk factors for developing obesity, as well as providing education about healthy lifestyle practices including diet, exercise and stress management.
Suggested Alternative Nursing Diagnosis
- Ineffective Self Health Management
- Activity Intolerance
- Potential Compromised Respiratory Status
- Impaired Social Interaction
- Powerlessness
- Impaired Oral Nutrition
Usage Tips
- Consider other diagnoses prior to diagnosis of obesity
- Be aware of variations in body weight due to ethnicity, age and gender
- Focus on risk factors associated with obesity
- Use evidence-based assessment tools to accurately determine a patient's BMI
NOC Results
- Body Mass Index: measure utilized to determine overweight status.
- Nutrition: level of health attained through nutrient intake.
- Weight Status: amount or state of the health of an individual's body weight.
- Nutrition Management: understanding and knowledge of food choices that best meet nutritional needs.
- Health Promotion: identification of ongoing health maintenance activities to prevent disease, illness, and injury.
- Appetite: desire for food in order to satisfy hunger.
NIC Interventions
- Physical Activity Promotion: education and counseling designed to increase physical activity.
- Weight Management Education: guidance and instruction regarding nutrition, weight control, and energy balance.
- Lifestyle Redesign: facilitation of changes in lifestyle patterns to improve safety and health outcomes.
- Nutrition Counseling: guidance and instruction regarding dietary and nutritional habits.
Conclusion
nursing diagnosis for obesity can be used to assess patient symptoms, provide interventions, and monitor progress. It is important to consider all associated factors, alternatives, and related diagnoses when making decisions and providing care. With proper weight management strategies and evidence-based interventions, nurses can improve health outcomes for those with obesity.
FAQ
- What is nursing diagnosis?
- nursing diagnosis is the standardized language used by nurses to identify and solve actual or potential health problems in patients. It can be used to develop an individual plan of care based on an individual’s particular needs.
- What is included in a nursing diagnosis?
- A nursing diagnosis typically includes a definition, defining characteristics, related factors, risk population, associated problems, suggestions for use, suggested alternative diagnoses, usage tips, NOC results, and NIC interventions.
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