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Nursing Diagnosis and Interventions for Morbid Obesity


Morbid obesity is a multifactorial disease, which occurs due to excessive accumulation of fat tissue, so as to disturb the health. Obesity occurs when a large and growing number of fat cells in a person's body. When a person to gain weight, the fat cell size will increase and then the numbers increased. Research to study a variety of hormones and the neuroendocrine system, which regulates energy balance and body fat is a long standing challenges in the field of biology, with obesity as an important public health focus. Today we live in an era when more weight (body mass index (BMI) 23-24.9 kg / m2) and obese (BMI 25-30 kg / m2) has become an epidemic, with allegations that the increased prevalence of obesity will reach 50% in 2025 for developed countries.

Actual current health worker must appear together more and more to know about the regulation of body weight, the mechanism of the development of overweight and obese, and the number of comorbidities associated with almost all subspecialty. Because only by studying it we can conduct a comprehensive approach to effective treatment for obesity.




Nursing Diagnosis and Interventions for Morbid Obesity

1. Imbalanced Nutrition: more than body requirements related to the increase in the intake of nutrients.

Interventions:

  • Create a meal plan with the patient.
  • Measure body weight per day.
  • Emphasize the importance of realizing full and stop inputs.
  • Give liquid diet, softer, high in protein and fiber and low in fat with the addition of liquid as needed.
  • Refer to a dietitian
  • Encourage clients to do a lot of activities.

Rationale:
  • After the act of division, decreased gastric capacity of approximately 50 ml, so the need to eat a little.
  • Supervision loss and nutritional needs.
  • Overeating may cause nausea / vomiting.
  • Provide nutrients without adding calories.
  • Need help planning a diet that meets the nutritional needs.
  • Do a lot of activities can burn more calories.


2. Ineffective breathing pattern related to a decrease in lung expansion.

Goal: breathing pattern becomes effective.

Expected outcomes:
  • Maintain adequate ventilation.
  • Not experiencing cyanosis or other signs of hypoxia.
Interventions:
  • Monitor the speed / depth of breath. auscultation of breath sounds.
  • Investigate cyanosis, increased restlessness.
  • Elevate the head of the bed 30 degrees.
  • Encourage deep breathing exercises.
  • Change position periodically and ambulation as early as possible.
  • Give supplemental oxygen.
  • help the patient use breathing apparatus.
  • Monitor pulse oximetry when indicated.

Rationale:
  • Respiratory snore decrease ventilation, can cause hypoxia.
  • Encourage the development of the diaphragm or lung expansion and minimize the maximum pressure in the abdominal contents.
  • Increase the maximum lung expansion and airway clearance.
  • Increase air filling the entire segment of the lung, mobilize and remove secretions.
  • Maximizing preparations for the exchange of oxygen and decreased breath work. Increase lung expansion, lowering atelectasis.
  • Show ventilation / oxygenation and acid-base status, used as a basis for evaluating the need for respiratory therapy.


3. Activity intolerance related to being overweight.

Goals: The need to move fulfilled.
Expected outcomes:
  • Physical activity increases.
  • Normal ROM.
  • The client can perform the activity.

Interventions:
  • Create a schedule of activities to do and ask the client to do it with discipline.
  • Help the client to engage in activities that hard to do.
  • Make sure the client motivation to sustain the movement.
  • Encourage the client perform normal daily activities, according to ability.
  • Collaboration with physiotherapy.
Rationale:
  • Reduce stiffness and familiarize the client activity.
  • Help clients to more easily perform the activity.

Related Articles : Morbid Obesity, Nursing Diagnosis, Nursing Diagnosis and Interventions for Morbid Obesity, Nursing Interventions,