Nursing Diagnosis For Obesity

Obesity has become an epidemic in the United States and over 78.6 million Americans are struggling with obesity (CDC). The middle age group(40-59) has the highest obesity rating at 39.5%. In 2011-2012 obesity among adolescents (12-19) was 20.5%.

What is Obesity?

If you have a BMI of 30.0 and over, you are suffering from obesity. Having too much body fat can definitely put a lot of stress on your heart, joints, and bones. Weighing more than the healthy weight for you size and age is classed obesity.

Obesity Symptoms

  • Having extra fat rolls around your waist
  • Extra adipose tissue
  • Having to size up in clothing
  • Scale weight results that show more than the ideal body weight, which is based on size and age

The early signs of obesity is most often noted, when the individual begins to notice that their clothing is becoming too small or tight. They are forced to size up in clothing, which can be a huge financial burden. The symptoms of obesity can also include early onset of osteoarthritis, Type II diabetes, sleep apnea, heart disease, and TIA (mini-stroke).

What Causes Obesity

  • Exceeding the daily calorie count
  • Excessive daily caloric intake
  • Decreased physical activity level
  • Poor meal planning
  • Depression
  • Anxiety
  • Insomnia
  • Smoking cessation
  • Post-pregnancy women that having difficult losing weight
  • Menopause
  • Antidepressant
  • Birth Control Pills
  • Hypothyroidism

Morbid Obesity Symptoms

  • BMI 40.0  and over
  • 100 pounds over the ideal body weight
  • Showing signs of cardiac disease, osteoarthritis, Type II diabetes
  • Respiratory problems (asthma, sleep apnea)
  • Showing signs of Type II diabetes
  • Dyspnea on mild exertion

Medication for Obesity

  • Appetite suppressants
  • Peripherally acting anti-obesity agent (Orlistat)
  • Anorexiants (Apidex-P)
  • CNS stimulants (amphetamine)
  • Gonadotropins (HCG)
  • H2 Antagonists (Tagamet)

Surgical Interventions

  • Restrictive (Gastric banding)
  • Malabsorptive
  • Combination of restrictive and malabsorptive

Naturopathy Treatment for Obesity

  • Lemon water (bowel cleansing)
  • Adopting a workout regiment
  • Devising a healthy diet
  • Psychological therapy
  • Yoga
  • Meditation

Nursing Diagnosis for Morbid Obesity

  • Imbalanced Nutrition: More than body requirements
  • Altered Nutrition: More than body requirements secondary to morbid obesity BMI exceeds 40.0
  • Disturbed Body Image
  • Impaired Social Interaction
  • Deficient Knowledge: Related to lack of interest in learning