Nurse's Pocket Guide

• Encourage buying personal items/clothing as a reward for
weight loss or other accomplishments. Suggest disposing of
“fat clothes” to encourage positive attitude of permanent
change and remove “safety valve” of having wardrobe available
“just in case” weight is regained.
• Involve SO(s) in treatment plan as much as possible to
provide ongoing support and increase likelihood of
success.
• Refer to community support groups/psychotherapy, as
indicated.
• Provide contact number for dietitian, bibliography/Internet
sites for resources to address ongoing nutrition concerns/
dietary needs.
• Refer to NDs disturbed Body Image; ineffective Coping.
Documentation Focus
ASSESSMENT/REASSESSMENT
• Individual findings, including current weight, dietary pattern;
perceptions of self, food, and eating; motivation for loss, support/feedback
from SO(s).
• Results of laboratory/diagnostic testing.
• Results of weekly weigh-in.
PLANNING
• Plan of care/interventions and who is involved in planning.
• Teaching plan.
IMPLEMENTATION/EVALUATION
• Responses to interventions, weekly weight, and actions performed.
• Attainment/progress toward desired outcome(s).
• Modifications to plan of care.
DISCHARGE PLANNING
• Long-term needs and who is responsible for actions to be
taken.
• Specific referrals made.
SAMPLE NURSING OUTCOMES & INTERVENTIONS
CLASSIFICATIONS (NOC/NIC)
NOC—Weight Control
NIC—Weight Reduction Assistance
Information in brackets added by the authors to clarify and enhance
the use of nursing diagnoses.
Diagnostic Studies Pediatric/Geriatric/Lifespan Medications 487
imbalanced NUTRITION: more than body requirements