Alteration in Nurtition: More Than Body Requirements

Alteration in Nurtition: More Than Body Requirements

(_)Actual (_) Potential

Related To:
[Check those that apply]

(_) Altered satiety patterns (_) Medications (steroids) (_) Lack of knowledge (_) Decreased activity (_) Decreased metabolic needs (_) Other:_____________________________ ____________________________________ ____________________________________

As evidenced by:
[Check those that apply]

Major: (Must be present)	(_) Overweight (weigh 10% to 20% over ideal for height and frame. (_) Obese (weigh over 20% of ideal).
Minor: (May be present)	(_) Reported undesirable eating patterns. (_) Intake in excess of metabolic requirements. (_) Sedentary activity patterns.

Date & Sign.	Plan and Outcome [Check those that apply]	Target Date:	Nursing Interventions [Check those that apply]	Date Achieved:
	The patient will:(_) Decrease total calories ingested. (_) Increase activity level. (_) Loose weight: (_____ pounds by discharge). (_) Other:		(_) Assess and document patient's dietary history, patterns of ingestion, activity patterns.(_) Discuss with patient potential causative factors for weight gain. (_) Assess motivation to correct overweight. (_) Consult with dietician regarding balanced plan for weight loss. Reinforce teaching. Discuss realistic weight loss of not more than 2 pounds per week. (_) Provide positive reinforcement for weight loss. (_) Record intake. (_) Weigh q ___ days at ____ am/pm. (_) Other:________________ ________________________ ________________________ ________________________