Thursday, February 21, 2019
Abnormal assessment Essay
Describe 3 abnormal assessment findings for a child, teenage, pregnant woman, adult or erstwhile(a) adult which indicate a nutritional problem. What additional uncertaintys should the nurse train based on these findings? What atomic number 18 the Healthy People Goals for this population? How ignore the nurse promote health and adequate nutrition based on this problem? Does the nutritional problem stir any legal or ethical implications?AdolescentsThree abnormal assessment findings for an adolescent are as follows malnutrition, obesity, eating dis orderings such as anorexia or bulimia. First and foremost, being dainty to the patients self-im suppurate can be crucial. Talking with them in a non-judgmental way can be key in maintain a great relationship with them. Once we establish a trusting relationship, we as nurses whitethorn begin to promote health and adequate nutrition done teaching methods. Even if the nutritional unfreeze is appearside our comfort govern we may rea ch out to an another(prenominal) professional for guidance, such as a Registered Dietitian. If we didnt have to take that big of a tonus we can always use not only our knowledge, knowledge of coworkers and other medical professionals, but also the books and other various tools that we have apply on our educational journey.Discussing BMI according to the adolescents gender and age is an important factor in health promotion. One helpful legislate to healthy eating is the My Pyramid. Physical act with healthy fare choices is a great way to manage your free tilt and maintaining your overall healthy torso. many an(prenominal) adolescents like to skip meals or have irregular meal patterns. I know first-hand that we have busy lives but being able to be consistent and eat healthy or the healthier of choice of meals pull up stakes allow us to continue to maintain a healthier body. A healthy diet should be balanced with adequate natural activity. I know some sight work late nights so food choices are much more limited in this scenario.Choosing foods that arent in high spirits in fat will definitely help with nutrition. Sometimes sight probe themselves as being a certain way which alters their eating habits. You could have someone that is of healthy size and weight that may see themselves as being overweight. In their mind they need to lose this weight which affects them in the future. As they start to diet and possibly exercise more, their body may not be receiving the necessary nutrients it needs in order to maintain a healthy status. This can lead to malnutrition. Some physical signs and symptoms suggestive of malnutrition are as follows (Jensen, 2011) * Hair that is dull, brittle, dry, or falls out easily* Swollen glands of the neck and cheeks* Dry, rough, or spotty skin that may have a sandpaper feel* Poor or detain wound healing or sores* Thin appearance with lack of subcutaneous fat* Muscle wasting (decreased size and strength)* Edema of the lower extremities* wasted hand grasp* Depressed mood* Abnormal center of attention rate, heart rhythm, or blood pressure* Enlarged liver or lien* Loss of balance or coordinationAbnormal findings of malnutrition are as follows (Jensen, 2011) kookie malnutrition 80%-90% of ideal weightModerate malnutrition 70%-80% of ideal weightSevere malnutrition 70% of ideal weightQuestionsWhat have you eaten in the destruction 24 hours? Is this intake typical? What did you drink in the last 24 hours? What is your typical meal pattern? Have you noticed a convert in your weight? Are you concerned about your weight? Do you think that you are too fat? Do you think that you are too skinny? Do you ever use diet supplements or laxatives or limit the amount of calories you ingest? What type of physical activity do you get each week?According to healthy people 2020 the goal for nutrition and weight status is to promote health and drop chronic disease risk through the consumption of healthful diets and con summation and maintenance of healthy body weights (Healthy People, 2012). In regards to the question, does the nutritional problem have any legal or ethical implications, it would depend on the situation. If the adolescent was in the care of a facility and they were not providing the necessary nutrients for them to give way then there would definitely be a legal issue at hand. If the adolescent was experiencing this issue on their own as hypothesise a self-identity issue then it is more of an ethical scenario. There are various situations and there may be a different serve to similar questions or maybe even different answers to the same question but given to different patients. This is why we do the assessments. We need to ruck up all the information and implement the best approach for that particular patient.
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