NURS 1710 Lecture Notes - Lecture 19: Physical Examination, Health Literacy, Basal Metabolic Rate
5 Feb 2017
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Biological: dieting, increased basal metabolic rate, history of overweight or obesity, lowered brain serotonin. Psychological: low self-esteem, body dissatisfaction, feelings of ineffectiveness. Sociocultural: ideals of beauty, media, fashion, peer pressure, teasing, parental attitudes. Assessment performed to identify clients at risk for malnutrition. Clients found to be at moderate or high risk should have a comprehensive assessment by a dietician. Risk for imbalanced nutrition: more than body requirements. Consider stage of action/change ; level of education, age, socioeconomic factors; barriers- beliefs, physical, health, cultural. Build educational activities to match the health literacy level of clients. Begin from the level of understanding of the client. Special attention to protein, calcium, and limiting cholesterol and caloric intake. Postmenopausal women need to ingest sufficient calcium and vitamin d to reduce osteoporosis. Antioxidants such as vitamin a, c, and e. May need more carbohydrates for fiber and bulk.
