Paper Example on Client BMI 33.8930Kg: Obesity Risk High

The client has a height of 167.64cm and the weight of 95.25Kg. Based on the information, the body mass index of the patient will be 33.8930Kg per meter squared. According to Shah & Braverman (2012), the body mass index is calculated by dividing the weight by the height in meters squared. In this case, the body mass index of the client is higher than normal. This suggests that it is within the range of obesity. Therefore, the patient is likely to suffer from obesity because the BMI exceeds the limit of a normal person. Hence, with a BMI of more than 30, it means the client is suffering from obesity.

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Identify what screening tools you would use to assess nutritional and exercise knowledge, and why?

Assessment of the patient nutritional and exercise knowledge is important in understanding the appropriateness of the ADLs practice. The effectiveness of the ADLs practice is demonstrated in the proper nutrition and exercise assessment. The ADLs is the practice used by many patients in various approaches in order to return to the normal function. It is a term used in healthcare to refer to the patient's self-care activities. Usually, such activities commonly include bathing and grooming, eating, exercise, dressing, leisure, homemaking, and personal cleanliness. The practice of ADLs helps the patient cope well and live independently.

The assessment of nutrition and exercise knowledge can be screened by the proposed various tools. The evaluation tools include:

Functional independence measure- It is a tool used to measure the ability of the patient to incorporate well into the society and live an independent life, especially those who have a previous record of traumatic injury of the brain. Evaluation of the nutritional and exercise knowledge using this evaluation tool helps to tell accurately the patient status and improvement over time. With assistance from the nurses, the patient is able to make positive miles in the development of the ADLs coupled with the regular checking of improvement to correct any anomaly where necessary. However, despite its associated benefits, the evaluation tool requires intense labor, for instance, many nurses are required to run the equipment and ensure it is operational. In this case, the equipment will assist the patient to improve. Importantly, the equipment requires more personnel, which is not always readily accessible.

Katz model I is a scale that is used to evaluate the patient in relation to how well they try to live an independent life. The scale, therefore, gauges the performance of the patients. Katz scale helps to check the degree of improvement that the patient is making as far as they are adapting to the independent life following an occurrence. The Katz scale helps denote when the patient is having regression, when the patient is improving, and when the patient is stagnant at one stage. The model is important as it shows accurately in terms of how the patient is fairing as far as independence is concerned. It helps the health professional to understand if the patient is working towards an independent lifestyle or she is regressing. This helps the nurse to introduce necessary measures to ensure the patient improves in ADLs.

Identify two client outcomes that are reasonable, measurable, and realistic

Weight and Body mass index are the two client outcomes that not only can be measured but also they are reasonable and realistic. The measuring of the weight and the body mass index helps to monitor the patient as they respond to the change in the eating and exercise following the ADLs practice. Weight is important because it indicates that the patient is either improving in terms of the diet taken through tracing the serial weights measured. This also presents cases where the weight poorly adds up or even the patient is losing weight, which more often than not suggests ineffective eating because of lack of proper nutritional practices or might imply poor self-care. It requires appropriate stipulated training to promote eating as an aspect of ADLs.

Body mass index on the other hand targets to ensure that the patient remains within the normal ranges of BMI of a healthy human being. A decrease below the range shows poor feeding- a resultant weight loss (Cvecka, Tirpakova, Sedliak, Kern, Mayr & Hamar, 2015). However, a high BMI shows obesity that requires control as well. The obesity could be because of the excessive feeding or lack of exercise as the ADLs practice. The target of ensuring normal BMI ensures encouraging the client to engage in regular exercise as trained in the ADLs practice.

Identify three nursing interventions for each client outcome and give rationales

Weight

The client should be encouraged to take feeds as stipulated. If not possible at the stipulated time, then require small meals should be taken but more frequently so that they still cater to the daily requirements. The client should be ensured that the feeds they are getting are enough to maintain normal body functioning. This will promote growth and sustain body weight or even cause improvement in weight. The nurse should train the patient to be able to have self-care when it comes to feeding. The clients should be taught, therefore, how to prepare meals properly.

The nurse should be at the forefront in ensuring that the client has the necessary support to ensure they are adding up weight as necessary. Nutritional support is more important than even medical intervention. The nutritional support entails the correct choice of foods taken by the client so that they can be able to have controlled health status as well.

Body Mass Index

The nurse should advise the client to engage in regular exercise so that to be able to maintain the body in a stable state of health. Whatever assistance the client need should be provided so that she finds it easy to develop a routine of exercise.

In addition, the nurse should be able to keep close monitoring of the BMI of the patient show that they can make necessary interventions should the need arise. These interventions include increasing the nature of exercise depending on how much the patient is able to handle. The regulation of the exercise comes in handy as it ensures that the patient has what they find okay with them in order to promote adherence and development of the self-care practice of exercising.

The nurse should intervene in the management of high BMI with the nutritional support of the patient. The guidance on the feeding of the patient reciprocates to the patient BMI and thus monitoring and regulating the feeding behavior alters the results in the BMI of the level that is good for the patient.

Diet

The client should be encouraged to take a balanced diet, especially observing the before a meal and after meal procedure. Importantly, the client should be advised to eat low-fat content and drink many fluids, for instance, taking a lot of water. This procedure will help to boost the body's immunity and help to burn fatty acids in the body thus attaining the normal BMI.

Identify what weakness in the client's life and supports may be affecting the client's activity and diet?

The major weakness in the client's life is straining to be self-reliant at an elderly age of 68 years owing to the fact that she lives alone despite having a family. The fact that she is elderly and stays alone means that to some extent the client does not have proper home care. Most likely, the client does not adhere to maintain a balanced diet because she does not have the nest keen around to take care of her. Therefore, there is a likelihood the client might skip some meals sometimes because she cannot be able to cook somedays because of her body nature. Thus, the lack of home care is a threat to her physical activity and balance of the diet. Moreover, staying alone means the client is not physically active, thus she does not incorporate some physical activities in her routine, which is posing a threat of obesity because of lack of exercise.

What referrals would you make and why?

While the client is enjoying self-reliance and independent support, I would like to suggest for the client to build a balanced exercise plan to manage her weight. Considering the age of the client, the client should endorse regular physical activity to promote healthy aging. The client should remember to at least undertake basic exercises or change the routine of doing her activities to improve her overall health. Some of the simple exercises the client should practice is having a nature walk while chatting with friends. If the client wants to improve her physical capability, she should be physically active. Once the client has indulged in such exercises, the physiological system gets adapted, especially within the neuromuscular system to promote metabolism and circulation fatty acid and regulating glucose in the body (Cvecka et al. 2015). In this case, the client will find a natural cure for obesity.

References

Cvecka, J., Tirpakova, V., Sedliak, M., Kern, H., Mayr, W., & Hamar, D. (2015). Physical activity in elderly. European journal of translational myology, 25(4), 249.

Shah, N. R., & Braverman, E. R. (2012). Measuring adiposity in patients: the utility of body mass index (BMI), percent body fat, and leptin. PloS one, 7(4), e33308.