nursing diagnosis-nanda advice?

[oKeto]

I just need a little advice here, i made my nanda just wanna share to you guys if its right or need more information..thank you

1. Imbalance nutrion: more than body requirements related to more than calorie intake, basic nutritional knowledge as evidence by BMI 36 or sedentary lifestyle?

question which one do u guys think sounds correct. thanks for the input

[Daytonite, BSN, RN]

it helps when you are first learning to diagnose to use a reference of some kind. here are two webpages with the nanda taxonomy about this diagnosis: [color=#3366ff]imbalanced nutrition: more than body requirements and http://www1.us.elsevierhealth.com/merlin/gulanick/constructor/index.cfm?plan=38. there is a problem with the etiology, or r/t, portion of your diagnostic statement

imbalanced nutrition: more than body requirements related to more than calorie intake, basic nutritional knowledge as evidenced by bmi 36 or sedentary lifestyle

i know that you mean an increased calorie intake, but that is only part of the cause. if you look at the related factor either of the webpages i've listed above they will specifically state "excessive intake in relation to metabolic need" (page 149, nanda-i nursing diagnoses: definitions & classification 2007-2008). use what nanda advises. excessive calorie intake, a bmi of 36 and a sedentary lifestyle are all defining characteristics (symptoms, evidence) that support the diagnosis.

basic nutritional knowledge cannot be a cause of "intake of nutrients that exceeds metabolic needs" (the definition of imbalanced nutrition: more than body requirements). you can include teaching interventions when you address your excessive calorie intake, a bmi of 36 and a sedentary lifestyle symptoms. or, you can set up an entirely separate nursing diagnosis, i.e. deficient knowledge, basic nutrition r/t lack of information aeb [???]

i would re-write this diagnosis to read: imbalanced nutrition: more than body requirements r/t excessive intake in relation to metabolic need aeb excessive calorie intake, a bmi of 36 and a sedentary lifestyle.

[traumaRUs, MSN, APRN]

Will move this to the student nursing asst forum.