Week 6 discussion SCIENCE NURSING 228

Week 6 discussion Jordan is a 14 year old middle school student, weighing 275 pounds and is 5’6” tall. Over the past 2 years, he has gained 60 pounds, as he has begun to withdraw from social activities, and avoid other students, due to bullying from others his age about his weight/appearance. Lately, Jordan has been missing a great deal of school too, particularly on the days he has gym. Jordan’s parents are both average in height and weight, and Jordan’s mother says that he just takes after his grandfather William, who “was a husky man, and died of a sudden heart attack at the age of 44”. She says “We just have fat genes in the family; you can’t do anything about that”! He has been told he had “no willpower, or is weak, or that he needed to change his lifestyle, eat less and exercise more.” Jordan says “I go for a couple days without eating, but then I get so hungry that I could eat the couch” and Jordan says “I go for a couple days without eating, but then I get so hungry that I could eat the couch”! Jason has recently been diagnosed with gallbladder disease and has symptoms that typically occur after eating that include mild pain in the mid-epigastric region, radiating to the right upper quadrant of the abdomen and right subscapular area of the body. You are the nurse assigned to Jason. In my initial assessment data, I would like to do nursing assessment and find out his health conditions, including his vital signs, pain level, his daily eating habits, and physical activity. I would also like to do thorough assessment to confirm his present diagnosis or any disease associated with his present signs and symptoms. Based on the scenario provided, he might be progressing to stroke, hypertension, diabetes, and cholelithiasis, and so on. Symptoms of cholelithiasis typically occur after eating and include mild pain in the mid epigastrium region (Grodner, Escott-Stump, & Dorner, 2016). Finally, I would like to check his blood glucose and other lab panels to find out his lipids profiles and other disease progression. As a nurse, the first thing I would like to do is to change his daily eating habits. I would like to include his family members in the teaching sessions and show them how healthy foods are important to shape individuals health and wellness. Secondly, I would show them how much calories Jordan needs to consume from proteins, fruits, vegetables, grains, and dairy products as per his health condition, age, gender, height, weight, physical activities, and so on. He needs to be active, so I would teach and recommend him to join after physical exercise program. I would also like to request Jordan to make daily food journal so that I would be easier to make food adjustment in the next visit. It seems that both mother and son have deficient knowledge how foods play important role in individuals life. The first diagnosis would be: Deficient knowledge related to information misinterpretation as evidenced by the statements, “We just have fat genes in the family; you can’t do anything about that” and “I go for a couple days without eating, but then I get so hungry that I could eat the couch”! Both parents and the child do not have enough knowledge about healthy lifestyle behaviors. Jordan and his family need to understand that how obesity and other health issues need to be ………………………CONTINUED…………………………..