Need help with Nursing Diagnosis

  1. 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!
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    About aim928

    Joined: Jan '04; Posts: 10


  3. by   jenrninmi
    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
  4. by   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!
  5. by   manna
    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!
  6. by   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!
    Last edit by LauraLou on Feb 7, '05
  7. by   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!
  8. by   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 $$
  9. by   wonderbee
    Hmmm... for just plain lazy:

    Noncompliance with treatment regimen r/t obesity.