Caring for the Nguyen

Caring for the Nguyens

Recall that you have written the following nursing diagnosis for Mr. Nguyen: Overweight related to inappropriate food choices and serving size, as evidenced by body mass index (BMI) of 28.5

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Based on the outcomes you wrote in Chapter 5, Planning Outcomes, identify four possible interventions to address the diagnosis and outcomes. Review the interventions, and identify two that would be most appropriate for Mr. Nguyen given all of the information you have about his health status. Write a nursing order for each of the two interventions you identified above.

Rubric
NUR 215 Caring for the nguyens rubric (3)
NUR 215 Caring for the nguyens rubric (3)
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeCritical thinking skills
25.0 pts
Level 4
Questions are logically answered with feasible and acceptable interventions backed by literature.
15.0 pts
Level 3
Questions are answered with feasible and acceptable interventions. Mostly linked with literature
10.0 pts
Level 2
Questions are answered however interventions are unfeasible or not acceptable. Literature not fully linked or inappropriate.
5.0 pts
Level 1
Questions are mostly unanswered or interventions do not apply.
0.0 pts
Level 0
Assignment not turned in/past due date.
25.0 pts
This criterion is linked to a Learning OutcomeContent
20.0 pts
Level 4
Responded to assignment questions with knowledge and insight from literature.
12.0 pts
Level 3
Responded to assignment questions with knowledge and insight. Some details missing or 1 question not fully answered.
8.0 pts
Level 2
Responded to questions with insight not linked to literature. 2-3 questions not answered completely.
4.0 pts
Level 1
Used opinion to answer questions rather than facts from literature. 4+ questions left unanswered or incomplete.
0.0 pts
Level 0
Assignment not turned in/past due date.
20.0 pts
This criterion is linked to a Learning OutcomeGrammarly and Scholarly Composition
5.0 pts
Level 4
Students are articulate and no grammatical errors are noted.
3.0 pts
Level 3
Students are articulate with 1-2 grammatical errors noted
2.0 pts
Level 2
Students missing transitions and flow. 3-4 grammatical errors noted
1.0 pts
Level 1
Student writing difficult to follow. Many grammatical (4+) errors noted.
0.0 pts
Level 0
Assignment not turned in/past due date.
5.0 pts
Total Points: 50.0

Please use the rubric to write this paper.

 

 

 

 

 

 

Caring for the Nguyen

Name of the student

 

 

 

 

 

ANSWER

 

 

Caring for the Nguyen

Nursing interventions are those actions, measures, strategies taken based on clinical judgement and knowledge, such as through the diagnosis and planning outcomes created in Mr. Nguyen’s case that are necessary to achieve the identified outcomes. The outcomes identified included poor health for Mr. Nguyen due to his eating habits, food size, and food choices (Dailey, 2016). The essential goals include effective weight management, which will be achieved through short and long-term goals. In that case, the interventions plausible in adopting based on the outcomes include direct care, in-direct care, interdependent, and independent interventions. In direct care intervention, I will work and interact with Mr. Nguyen directly by providing physical, emotional assistance and patient learning or teaching during his weight loss and management journey. This will occur mostly during the identified strategies such as physical activities and therapies (Treas & Wilkinson, 2013). In the interdependent intervention, the collaboration with other healthcare team members, most notably the therapists will be required. Among the identified strategies of weight management, include dietary, pharmacotherapy, and behavioral therapies, which would require an SME in the fields to provide maximum help.

Short/Long-term Goals/Outcomes Strategies
Reduced food size, habits, and choices Dietary therapy
Healthy weight loss and improved overall health Weight loss therapy

Pharmacotherapy

Physical activity

Weight loss management Combination of all

 

In the indirect care intervention, Mr. Nguyen will require the support and care from his family members through the adaptation and implementation of new dietary plans that will help support during his weight management journey. Moreover, in cases, the nurse is absent during physical activity; other team members in the healthcare team can be consulted (Treas & Wilkinson, 2013). Finally, the independent intervention, most notably, the health promotion nursing intervention, will be integrated that will grant increased autonomy with the patient to initiate actions and measures effectiveness. This will include extensive patient teaching and education on the need to take up the treatment plan on weight loss (Fruh, 2017). In cases, Mr. Nguyen fails to take therapies or physical activities; the intervention will involve education on the importance, thus health promotion.

The two most appropriate interventions identified for Mr. Nguyen include health promotion (independent intervention) and interdependent interventions. These two interventions will help maximize the health outcomes, and defined goals as the autonomy of the decisions will help monitor Mr. Nguyen’s health throughout. The help of the SMEs in the therapies is an added advantage for maximized quality of healthcare and wellbeing. These two interventions will help to develop more standardized-interventions and individualized-nursing orders. The table below outlines the standardized-integrations and individualized-nursing order for Mr. Nguyen.

Standardized interventions Individualized nursing order
Assess weight and BP Assess weight and BP biweekly during the scheduled clinic days (Monday and Friday)
Discuss current eating habits and provide strategies to maintain healthy diets and nutrition 26/7/2020, day shift between 9:00-11:00

Assist with choosing foods that maximize fiber intake and healthy options.

Encourage his family to reduce calorie intakes fats, reduce food sizes and to provide salads and fruits after every 1 day.

Discuss the role of physical activity and therapies  in weight loss management and healthy wellbeing 28/7/2020, morning shift

Encourage the attendance of all physical activity and therapy sessions

Assist Mr. Nguyen on all-day sessions of his physical activity afterwards between 9:00-10:00.

Teach food diary keeping Teach how to develop a food diary for an examination of eating habits on 30/7/2020, day shift
Discuss behavior modification and lifestyle control strategies Provide books from the hospital to read at least once a week on the issue to sensitive change

 

 

 

References

Dailey, R. M. (2016). Meeting weight management goals: The role of partner confirmation. Health communication, 31(12), 1482-1494.

Fruh, S. M. (2017). Obesity: Risk factors, complications, and strategies for sustainable long‐term weight management. Journal of the American Association of Nurse Practitioners, 29(S1), S3-S14.

Treas, L. S., & Wilkinson, J. M. (2013). Basic Nursing: Concepts, Skills, & Reasoning. F.A. Davis, Medical.

 

 

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