Domain 2. Nutrition
Class 1. Ingestion
Diagnostic Code: 00233
Nanda label: Overweight
Diagnostic focus: Overweight
Introduction to Nursing Diagnosis Overweight
Nursing diagnosis overweight is a very relevant issue in modern healthcare. It refers to the evaluation of a person’s physical health, well-being, and lifestyle behaviors when they may be underweight or obese. This type of diagnosis is important as it can help nurses to identify any associated risks, illnesses, or other health concerns associated with an individual’s weight. The nurse would then be able to develop an effective plan of care and determine appropriate treatment options based on the individual’s specific needs. Recognizing the need for accurate assessment and management of nursing diagnosis overweight will help nurses ensure that patients receive the best quality care possible.
NANDA Nursing Diagnosis Definition
NANDA Nursing Diagnosis Overweight is defined by the National Alliance of Nursing Diagnostic Administrators (NANDA) as “an individual who is identified as having a BMI greater than 30 kg/m2 that increases the individual’s risk for cardio-metabolic and psychosocial health issues”. In other words, individuals whose body mass index is greater than 30 are considered to be at increased risk for various diseases and associated health problems.
Defining Characteristics
The defining characteristics of NANDA Nursing Diagnosis Overweight include both subjectives and objectives. Subjective characteristics may include a subjective feeling of being overweight, difficulty exercising, fatigue and physical discomfort (such as joint pain or indigestion), eating disturbances, and dyspnea. Objective characteristics may include changes in lab values (such as elevated blood pressure or glucose levels), body composition changes (such as higher body mass index or waist circumference), and physical alterations (such as extra adipose tissue in the abdominal area).
The related factors of NANDA Nursing Diagnosis Overweight involve certain lifestyle behaviors, physical conditions and environmental influences. Examples of relevant lifestyle behaviors may include consumption of unhealthy foods and beverages, low physical activity level, sedentary lifestyle and certain psychologically-based behaviors such as emotional eating. Physical conditions may include certain medical diagnoses (such as hypothyroidism), pharmacological treatments (such as corticosteroid use), and metabolic diseases (such as Prader-Willi Syndrome). Environmental influences may refer to easy access to unhealthy foods, negative family relationships, or exposure to media or marketing messages that promote unhealthy dietary habits or that encourage weight gain.
At Risk Population
Certain populations of people are at increased risk of becoming overweight or obese. Those who are elderly, have disabilities, or have lower incomes or educational attainment tend to be more vulnerable. Furthermore, people who have a negative relationship with food, body image or general self-care, those with mental health conditions, or those who have experienced abuse or trauma are also at higher risk. It is important to recognize that there may be cultural or social influences that contribute to a person’s risk for this diagnosis.
Associated Conditions
NANDA Nursing Diagnosis Overweight is not a stand-alone diagnosis, rather, it is associated with other conditions, such as hypertension, diabetes, cardiovascular disease, and some forms of depression and anxiety. Of particular note is the propensity for overweight individuals to suffer from sleep-associated problems and breathing difficulties.
Suggestions of Use
When making a diagnosis of NANDA Nursing Diagnosis Overweight, nurses should take into account all relevant factors, including lifestyle behaviors, physical conditions, and environmental influences. It is important to consider the whole person, not just their BMI or body weight.Nurses may also use diagnostic tests such as lab studies, imaging techniques, and other forms of assessment to confirm the diagnosis.
Suggested Alternative NANDA Nursing Diagnosis
Some alternative NANDA Nursing Diagnoses regarding weight and nutrition may include:
- Imbalanced Nutrition: Less Than Body Requirements.
- Excess Fluid Volume.
- Impaired Physical Mobility.
- Impaired Oral Mucous Membrane.
- Risk for Unilateral Neglect.
Usage Tips
When making a diagnosis of NANDA Nursing Diagnosis Overweight, nurses should be aware of any potential issues related to cultural context, age, gender, and socio-economic status as these may affect the individual’s responses to treatment. Furthermore, nutrition and fitness education should always be included in care plans when making this diagnosis. Finally, nurses should be mindful of potential barriers to weight management, including limited access to nutritious foods, lack of physical activity options, and any psychological or emotional stresses that may be present.
NOC Outcomes
NOC outcomes related to NANDA Nursing Diagnosis Overweight include:
- Nutritional Status: This outcome measures the nutrition levels of a patient, including adequate calorie and nutrient intake.
- Physical Activity: This outcome focuses on a patient’s ability to participate in physical activities, such as walking, running, or light exercise.
- Self-Care: This outcome evaluates the ability of a patient to perform basic self-care activities, such as bathing, dressing, and grooming oneself.
- Body Image: This outcome assesses a patient’s perception of their body and how satisfied they feel with its appearance.
- Physical Health: This outcome evaluates a patient’s overall physical health, including measures of blood pressure and cholesterol.
Evaluation Objectives and Criteria
The evaluation objectives and criteria of NANDA Nursing Diagnosis Overweight include a review of the patient’s medical history, nutritional status, physical activity level, body mass index, and laboratory values. It is also important to assess the patient’s psychological health, environmental influences, and any medication or drug use. These evaluations will help the healthcare team to determine if additional interventions are needed to assist the patient in attaining and maintaining a healthy weight.
NIC Interventions
The interventions associated with this diagnosis include:
- Nutritional Management: This intervention involves providing the patient with information about nutrition, encouraging healthy dietary choices, and developing a meal plan.
- Physical Activity Planning: This intervention focuses on helping the patient to develop an appropriate and safe exercise routine.
- Psychological Support: This intervention focuses on emotional support and counseling, as well as resources to help the patient cope with any emotional issues associated with their weight.
- Health Education: This intervention provides the patient with information to help them understand the consequences of obesity, the importance of healthy lifestyle habits, strategies for successful weight management.
- Medication Monitoring: This intervention is used to monitor the patient’s use of medications or other substances to help manage their weight.
Nursing Activities
The nursing activities involved in care for individuals with NANDA Nursing Diagnosis Overweight include performing ongoing assessments, monitoring the patient’s progress, providing emotional and psychological support, developing and implementing appropriate interventions, and facilitating the referral to appropriate resources. In addition, it is important to provide patient education regarding the risks associated with obesity, the importance of exercise and good nutrition, and strategies for maintaining a healthy weight.
Conclusion
NANDA Nursing Diagnosis Overweight is an important issue due to the many health risks and complications associated with being overweight or obese. Nurses must take into account all relevant factors when making a diagnosis, including lifestyle behaviors, physical conditions, and environmental influences. It is essential for nurses to provide comprehensive care to individuals with this diagnosis, including nutritional management, physical activity planning, psychological support, health education, and medication monitoring. Finally, it is important for nurses to provide patient education regarding the risks associated with an unhealthy weight and the importance of following a healthy lifestyle.
5 FAQs
- What is NANDA Nursing Diagnosis Overweight? NANDA Nursing Diagnosis Overweight is a diagnosis used to identify individuals with a body mass index that is greater than 30, who are at increased risk for cardio-metabolic and psychosocial health concerns.
- What are the related factors of this diagnosis?The related factors of this diagnosis include lifestyle behaviors such as unhealthy eating habits and physical inactivity, medical conditions such as hypothyroidism, pharmacological treatments such as corticosteroid use, and environmental influences such as easy access to unhealthy foods.
- What populations are at a higher risk for this diagnosis?Individuals who are elderly, have disabilities, or have lower incomes or educational attainment are more vulnerable to becoming overweight or obese. In addition, people who have a negative relationship with food, body image or self-care, those with mental health conditions, or those who have experienced abuse or trauma are also at higher risk.
- What are the nursing activities involved in care for this diagnosis?The nursing activities involved in care for individuals with this diagnosis include performing ongoing assessments, monitoring the patient’s progress, providing emotional and psychological support, developing and implementing appropriate interventions, and facilitating the referral to appropriate resources.
- What are theevaluation objectives and criteria for NANDA Nursing Diagnosis Overweight?The evaluation objectives and criteria for this diagnosis include a review of the patient’s medical history, nutritional status, physical activity level, body mass index, and laboratory values.
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