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    Case Study Obesity

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    Paolo Alshu Pacres
    This case study describes a 43-year-old woman named CC who is overweight and wants to lose weight. CC has gained weight after each of her three pregnancies, eats mostly fast food and snacks from vending machines, and admits to a weakness for sweets. The summary provides CC's BMI, recommends a 1500 calorie per day diet according to MyPlate guidelines, and suggests focusing on whole grains, vegetables and fruits while limiting red meat, fried foods, and sweets. A sample 1500 calorie meal plan is also included.

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    Case Study Obesity

    Uploaded by

    Paolo Alshu Pacres
    309 views2 pages
    This case study describes a 43-year-old woman named CC who is overweight and wants to lose weight. CC has gained weight after each of her three pregnancies, eats mostly fast food and snacks from vending machines, and admits to a weakness for sweets. The summary provides CC's BMI, recommends a 1500 calorie per day diet according to MyPlate guidelines, and suggests focusing on whole grains, vegetables and fruits while limiting red meat, fried foods, and sweets. A sample 1500 calorie meal plan is also included.

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    This case study describes a 43-year-old woman named CC who is overweight and wants to lose weight. CC has gained weight after each of her three pregnancies, eats mostly fast food and snacks from vending machines, and admits to a weakness for sweets. The summary provides CC's BMI, recommends a 1500 calorie per day diet according to MyPlate guidelines, and suggests focusing on whole grains, vegetables and fruits while limiting red meat, fried foods, and sweets. A sample 1500 calorie meal plan is also included.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    309 views2 pages

    Case Study Obesity

    Uploaded by

    Paolo Alshu Pacres
    This case study describes a 43-year-old woman named CC who is overweight and wants to lose weight. CC has gained weight after each of her three pregnancies, eats mostly fast food and snacks from vending machines, and admits to a weakness for sweets. The summary provides CC's BMI, recommends a 1500 calorie per day diet according to MyPlate guidelines, and suggests focusing on whole grains, vegetables and fruits while limiting red meat, fried foods, and sweets. A sample 1500 calorie meal plan is also included.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Name: Paolo Alshu Pacres Level: BSN-2 Date: Nov.

    27, 2021

    Case Study #9 – Obesity and Eating Disorders

    CC: “I hate being fat.” Client history: CC is a 43-year-old mother of three who has experienced gradual
    weight gain after the birth of each of her children. She is 5 ft 7 in tall, weighs 189 pounds, works full
    time, and does not engage in regular exercise. She is considered pre-diabetic and has prehypertension
    and appears eager to make lifestyle changes to improve her health and be a better nutritional role
    model for her children. She has successfully lost weight in the past through Weight Watchers but
    eventually got bored and regained all of the weight she lost. She does not want to count calories. She
    wants to know how many servings from each food group she should eat to lose weight and what the
    best foods from each group are. Her usual intake is as follows: no breakfast; snacks at a vending
    machine twice a day; fast food for lunch; and dinner with the family. Her dinner usually consists of
    about 6 oz of meat, potatoes, sometimes a vegetable, bread with butter, and dessert. CC admits to a
    weakness for “sweets.”

    ■ What is CC’s weight status based on her BMI?

    : BMI = 29.6 kg/ m square. Weight status of CC: Overweight.

    ■ What additional information about her eating behaviors would be helpful?

    : Whether she has any thirst for food or certain food items.
    Whether she has symptoms of Bulimia nervosa which have the habits of binge eating and followed
    with purging habits.
    Her satisfaction with her current eating pattern.
    Whether she has any secret eating habits.
    Effect of her weight on the way she feels about herself. Family
    history of obesity and eating disorders.

    ■ What MyPlate calorie level would you recommend for her?

    : My plate recommends 2000 calories/day. However, she needs to reduce her body weight. So, she can
    have a diet that gives 1500 calories/day, so that she can reduce 1 pound/weak.

    ■ What food groups does she need to consume more of? Less of? What would you tell her about the
    “best” foods from each group?

    : She should consume more vegetables and fruits group.

    She should consume less grain and protein group which are high calorie like fast food, sweets, lots of
    meat.

    Example of best foods ㆍ chicken breast, lean meat, fish for protein
    group ㆍ dark green vegetables, tomatoes, Broccoli for vegetable
    group ㆍ whole wheat bread, whole grains for grains group ㆍ
    variety of fruits for fruit group ㆍ skimmed milk, low-fat yogurt for
    dairy group
    Powered by TCPDF (www.tcpdf.org)

    ■ Create a nursing care plan complete with nursing diagnosis, client goal, interventions, and
    monitoring recommendations.

    : Nursing diagnosis - Imbalanced nutritional status more than body requirements related to poor
    dietary habits and sedentary lifestyle as evidenced by BMI of 29.6.

    Client goal - Patient can weight loss 1- 2 pounds in a week.

    Interventions - Review individual cause for obesity. Formulate an eating plan with the patient and
    patient follow the eating plan (Encourage her to add whole grains, vegetables, fruits to the diet
    according to My plate recommendations. Also, avoid red meats, fatty diary products, fried items, and
    artificial sweeteners). Instruct her the importance of exercise and physical activity on regular basis
    and patient do exercise regularly.

    Monitoring recommendations – she knows her cause for obesity. She formulates an eating and
    follow the eating plan. She knows importance of exercise and Physical activity on regular basis. She
    exercises regularly. Monitoring her weight loss every week.

    ■ Devise a meal pattern with the calorie allowance you recommend; include three meals per day
    and two snacks. Prepare a sample menu.

    : Breakfast - 1 serving Muesli with Raspberries, 1 medium banana


    Snack - 1 oz. Cheddar cheese, 1 hard-boiled egg
    Lunch - 1 serving Veggie & Hummus Sandwich
    Snack - 1 medium apple
    Dinner - 1 serving Curried Sweet Potato & Peanut Soup, 1 slice whole-wheat baguette

    ■ What behavioral strategies would you recommend for her?

    : I recommend key behavior modification strategies that are self-monitoring, goal setting, stimulus
    control, problem solving, cognitive restructuring, and relapse prevention.

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