Need help with Nursing Diagnosis

[aim928]

Hello,

I am in my 1st sem of nursing. We have to do a teaching plan on ourselves and give a nursing diagnosis. Mine is regarding being overweight. Does this nursing diagnosis sound right? I know that I can do Nutrition Imbalance but I was trying to do being inactive or in the real world "plum lazy!"

Activity Intolerance related to sedentary lifestyle evidenced by a BMI (Body Mass Index) of 36.

Any help would be greatly appreciated!

Amy

[jenrninmi, MSN, RN]

Chronic low Self-Esteem r/t ineffective coping, overeating

Disturbed Body image r/t eating disorder, excess weight

Imbalanced nutrition: more than body requirments r/t caloric intake exceeding energy expenditure

Readiness for enhanced nutrition r/t expressing willingness to enhance nutrition

[nurse_wannabe]

Ok, I got my new care plan book out for this one!

It suggests the following diagnoses for obesity:

Disturbed body image

Chronic low self-esteem

Impaired social interaction

Imbalanced nutrition, more than body requirements

and of course that old standby, knowledge deficit.

I personally think the acitivity tolerance would be a good one... possibly fatigue, hopelessness, or pain if you have any joint problems.

Of course, I don't know which, if any of these fit you personally.

Good luck with school!

[manna, BSN, RN]

Does it have to be a NANDA approved dx?

I don't know that I would say that activity intolerance is r/t sedentary lifestyle, that sounds more like a nutritional thing to me too. I think of activity intolerance more as an "unable to complete ADLs" sort of thing... ?

Among the dx for obesity my nursing care plan includes, I pulled out the following:

Nutrition, imbalanced: more than body requirements r/t excessive intake

Nutrition, readiness for enhanced (might be a good one for a teaching plan?)

Self-concept, readiness for enhanced

Health-seeking behaviors r/t absence of aerobic exercise (might be another good one?)

Knowledge, readiness for enhanced

Body image, disturbed r/t eating disorder OR r/t negative self-image

Hope this helps. Good luck! :)

[LauraLou]

I would suggest using "Nutrition, imbalanced: more than body requirements r/t excess intake and sedentary lifestyle aeb BMI (Body Mass Index) of 36." Activity intolerance applies more to patients with respiratory or cardiac problems that keep them from participating in physical activity. An example would be an emphysema patient who tries to walk 2 miles.

Just my 2 cents!

[aim928]

Thanks so much for all your quick help! I love this website! I call this website to my collegues my nursing god!!

Thanks again!

Amy

[jzprple]

Do you have the Nurse's Pocket Guide to diagnoses, interventions and rationales? It is a lifesaver for me when it comes to doing care plans and care maps etc. etc. It has interventions, assessments and evaluations already written up for you with a handy dandy little NANDA guide that's so easy to figure out. It's not that expensive if you don't have it...and well worth the $$

[wonderbee, BSN, RN]

Hmmm... for just plain lazy:

Noncompliance with treatment regimen r/t obesity.