Childhood Obesity

Running head: CHILDHOOD OBESITY 1
Childhood Obesity
Student Name
Institutional Affiliation
Date
CHILDHOOD OBESITY 2
Introduction
The patient is a boy who is 12 years old African American who is obese. The most active
thing that the child does is playing computer games and walking around in the house and at
school. His diet includes oatmeal, coffee with cream, sandwich with chips, cracker, cheese,
burger, chicken, meat, vegetables and fruits.
Assessment
The boy is overweight for his height and age. He also shows various symptoms of
diabetes, ear infection, scoliosis, and gynecomastia. The doctor has ordered labs for him to
complete, like CBC, and lipid panels.
Diagnoses
Imbalanced nutrition: the boy has been taking more than his body requires. He takes food more
than his use of energy.
He has a risk for ineffective therapeutic routine management as he lacks knowledge on the
activities that he can engage in to use food consumed.
He has poor eating habits since his diet is composed more of fats, carbohydrates, and sugars.
Expected outcomes
Identify the inappropriate behaviors and the consequences that are associated with overeating or
gaining weight.
Identify behavior change strategies so as to avoid overeating.
Identify support systems required for behavior change.
Verbalize a comprehension of the association between losing weight, controlling weight and
exercise (In Harlan, 2015).
Show a change in his eating habits and involvement in an exercise program.
CHILDHOOD OBESITY 3
Weight loss should be evident with maximum health maintenance
Planning and implementation
Review the cause for obesity so as to identify choice of intervention
Review the daily food diary of the patient. For example, examine the types of foods and the
amount of food as well as eating habits. This step offers the individual an opportunity of
focusing on the realistic picture of the amount of food taken and the corresponding diet (In
Harlan, 2015).
Use learning theory to discuss the patient emotions and events that associated with eating. The
step is important in identifying when the patient eats to satisfy an emotional need instead of
physiological hunger.
An eating plan should then be formulated together with the patient, sung the knowledge of
height, age, gender, energy and nutrient required. Even though there is no basis for
recommending a diet, a proper diet for reducing ought to comprise of all the major food groups
focusing on intakes of low-fats and enough intake of proteins to prevent lean muscle mass loss
(In Harlan, 2015).
By use of learning theory, it advised stressing to the parents on the importance of avoiding fad
diets. Removing the components needed could result in imbalances like reducing carbohydrates
excessively can cause fatigue, weakness, and metabolic acidosis, and therefore, interfering with
the program of losing weight (Pender, Murdaugh & Parsons, 2015).
Determine the current level of activity and plan an exercise program that is progressive and
tailored to the goals and choices of an individual. Exercise is important as it further the loss of
weight by lowering appetite, toning muscles, increasing energy and creating a sense of wellbeing
(Pender, Murdaugh & Parsons, 2015).
CHILDHOOD OBESITY 4
Discuss behavior and lifestyle change strategies so as to encourage progressive loss and control
of weight.
Evaluation
After two weeks of changing diet and starting to exercise, the outcome should be
evaluated. The patient should be guided accordingly based on the results of the evaluation. The
challenges that the patient is facing in the lifestyle change should be addressed to make the
program useful. Evaluation should continue after another period of two weeks (Pender,
Murdaugh & Parsons, 2015).
CHILDHOOD OBESITY 5
References
In Harlan, C. A. (2015). Global health nursing: Narratives from the field. New York, NY:
Springer Publishing Company, LLC.
Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2015). Health Promotion In Nursing Practice.
Boston: Pearson.

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