Abnormal assessment Essay

Describe 3 abnormal assessment findings for a child, adolescent, pregnant woman, adult or older adult which indicate a nutritional problem. What additional questions should the nurse ask based on these findings? What are the Healthy People Goals for this population? How can the nurse promote health and adequate nutrition based on this problem? Does the nutritional problem have any legal or ethical implications? Adolescents Three abnormal assessment findings for an adolescent are as follows: malnutrition, obesity, eating disorders such as anorexia or bulimia. First and foremost, being sensitive to the patient’s self-image can be crucial. Talking with them in a non-judgmental way can be key in maintain a great relationship with them. Once we establish a trusting relationship, we as nurses may begin to promote health and adequate nutrition through teaching methods. Even if the nutritional issue is outside our comfort zone we may reach out to another professional for guidance, such as a Registered Dietitian. If we didn’t have to take that big of a step we can always use not only our knowledge, knowledge of coworkers and other medical professionals, but also the books and other various tools that we have used on our educational journey. Discussing BMI according to the adolescent’s gender and age is an important factor in health promotion. One helpful guide to healthy eating is the My Pyramid. Physical activity with healthy food choices is a great way to manage your weight and maintaining your overall healthy body. Many adolescents like to skip meals or have irregular meal patterns. I know first-hand that we have busy lives but being able to be consistent and eat healthy or the healthier of choice of meals will allow us to continue to maintain a healthier body. A healthy diet should be balanced with adequate physical activity. I know some people work late nights so food choices are much more limited in this scenario. Choosing foods that aren’t high in fat will definitely help with nutrition. Sometimes people see themselves as being a certain way which alters their eating habits. You could have someone that is of healthy size and weight that may see themselves as being overweight. In their mind they need to lose this weight which affects them in the future. As they start to diet and possibly exercise more, their body may not be receiving the necessary nutrients it needs in order to maintain a healthy status. This can lead to malnutrition. Some physical signs and symptoms suggestive of malnutrition are as follows (Jensen, 2011): * Hair that is dull, brittle, dry, or falls out easily * Swollen glands of the neck and cheeks * Dry, rough, or spotty skin that may have a sandpaper feel * Poor or delayed wound healing or sores * Thin appearance with lack of subcutaneous fat * Muscle wasting (decreased size and strength) * Edema of the lower extremities * Weakened hand grasp * Depressed mood * Abnormal heart rate, heart rhythm, or blood pressure * Enlarged liver or spleen * Loss of balance or coordination Abnormal findings of malnutrition are as follows (Jensen, 2011): Mild malnutrition: 80%-90% of ideal weight Moderate malnutrition: 70%-80% of ideal weight Severe malnutrition: < 70% of ideal weight Questions: What have you eaten in the last 24 hours? Is this intake typical? What did you drink in the last 24 hours? What is your typical meal pattern? Have you noticed a change in your weight? Are you concerned about your weight? Do you think that you are too fat? Do you think that you are too skinny? Do you ever use diet supplements or laxatives or limit the amount of calories you ingest? What type of physical activity do you get each week? According to healthy people 2020 the goal for nutrition and weight status is to promote health and reduce chronic disease risk through the consumption of healthful diets and achievement and maintenance of healthy body weights (Healthy People, 2012). In regards to the question, â€Å"does the nutritional problem have any legal or ethical implications,† it would depend on the situation. If the adolescent was in the care of a facility and they were not providing the necessary nutrients for them to survive then there would definitely be a legal issue at hand. If the adolescent was experiencing this issue on their own as say a self-identity issue then it is more of an ethical scenario. There are various situations and there may be a different answer to similar questions or maybe even different answers to the same question but given to different patients. This is why we do the assessments. We need to gather all the information and implement the best approach for that particular pati ent.