Emma •14 years old •5 ft tall, weighs 155 lbs= BMI 30 • Sedentary • Possibly uses food for comfort Imbalanced nutrition: More than body requirements r/t caloric intake greater than metabolic requirements NIC: Nutrition Management -Ask Emma to complete a 24 hr food diary -Develop plan for less caloric intake but keeping a balanced diet • Find out what she likes to do • Begin with easy exercises • plan 15- 20 min of exercise a day • Provide material with calorie ct for foods • Find out food preferences NIC: Weight Reduction Assistance -Work with Emma to set up plan to increase physical activity -Set up activity calendar/log -Help Emma establish a reasonable weekly weight loss goal -Work with pt and parents to plan non-food rewards NOC: Weight control Within 2 weeks Emma will: °Identify factors that contribute to obesity ° Visit MD for ok to begin wt loss program • Develop plan for health gradual wt loss Within 1 month Emma will: •Maintain optimal daily caloric intake • Balance exercise with caloric intake
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