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@Nur 180 Exam 3 > Obesity > Flashcards

Obesity Flashcards

1
Q

More than 30% adults in US are obese

-Increasing incidence of obesity in children.

A

Obesity

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2
Q
  • Nutrients in food provide energy.
  • Excess calories stored as fat, triglycerides
  • Basal metabolic rate (BMR)
  • Appetite regulated by CNS, emotions
  • Hormones involved in regulating obesity
  • thyroid hormone
  • insulin
  • Lepton
A

Etiology of Obesity

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3
Q
  • Genetic
  • Psychologic
  • Self-esteem
  • Physiologic
  • Physical inactivity
  • probably most important factor
  • Environmental
  • food supply
  • fast food, vending machines
  • advertising
  • Sociocultural
A

Risk Factors assoc. with Obesity

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4
Q
  • Defined by body mass index (BMI)
  • BMI 25-29.9 kg/m2=overweight
  • BMI more than or greater to 30 kg/m2=obese
A

Clinical Manifestations [obesity]

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5
Q

Central obesity
-Waist-to-hip ratio
more than 1 in men
more than 0.8 in women

A

Clinical Manifestations [obesity]

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6
Q

Peripheral obesity

-Waist-to-hip ratio less than 0.8

A

Clinical Manifestations [obesity]

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7
Q 
Adverse consequences increase
-Morbid obesity
*more than 200% of ideal body weight
*Risk of dying 12x greater
Significant risk factor for Cardiovascular disease
60% have metabolic syndrome
Affects reproductive function
Increased weight increases risk for:
-Gallstones
-Several types of cancer
-Osteoarthritis
-Cardiovascular disease
-Type 2DM
-Depression
-Postoperative complications
A

Complications of Obesity

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8
Q 
-Waist circumference
Other Tests:
Thyroid profile
Serum glucose
Serum cholesterol
Lipid profile
EKG
A

Dx test for Obesity

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9
Q 
Prescription and OTC
-Amphetamine, non-amphetamine appetite suppressant
***Phentermine
***Sibutramine (Meridia)
***Orlistat (Xenical)
_OTC---
Bulk forming agents
A

Pharmacologic Therapies Obesity

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10
Q
  • Critical element
  • Under care of physician
  • Aerobic exercise 30-40 mins 5 days/wk
A

Exercise Therapy for Obesity

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11
Q
  • Collaborate with nutritionist
  • Create diet plan to create 500-1000 kcal deficit
  • Low kcal, low fat, high fiber
  • Very low calorie diet for client BMI more than 30
A

Nutrition for Obesity

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12
Q
  • Critical component
  • Food records
  • Eliminating cues that precipitate eating
  • Examine factors that affect eating behaviors
  • Social support and group programs successful
A

Behavior Modification Obesity

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13
Q

Bariatric surgery; BMI over 40 kgm2

  • Malabsorptive procedures
  • Bypass portion of small intestine
  • Rapid weight loss
  • Restrictive procedures
  • Safer
  • Generally less effective in long term
  • Complications
  • High risk of complications
  • *Gastric bypass
  • *Adjustable gastric banding
  • *Vertical banding
A

Surgery; Obesity

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14
Q 
Health History
-risk factors/fam hx
-recent weight gain/loss
-perceptions of weight, health
-diet/food intake
Physical Examination
-Vital signs, height, weight
-Skinfold measurements
A

Nursing Process: Assessment

Obesity

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15
Q

Imbalanced Nutrition: More than body requirements
Chronic Low Self-Esteem
Ineffective Therapeutic Regimen Management
Activity intolerance

A

Nursing Diagnoses for Obesity

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16
Q
  • Client makes sensible dietary choices.
  • Client follows exercise routine.
  • Client relates strategies to deal with hunger
  • Client will attend support group meetings.
  • Client demonstrates appropriate weight loss
A

Plan of Care for Obesity

17
Q
  • Caring interventions:
  • Encourage client to identify contributing factors.
  • Establish realistic goals/objectives
  • Assess knowledge of balanced diet plans
  • Discuss behavior modification strategies
  • Monitor weight loss, BP, lab data
  • Exercise program:
  • Assess current activity level and tolerance
  • With medical clearance, plan program
  • Weight-loss program
  • Discuss ability, willingness to incorporate change
  • Help identify behavior modification strategies
  • Have client establish strategies for “stress” eating
  • Self-esteem
  • encourage client to verbalize experience
  • Set small goals
  • Offer positive feedback and encouragement
  • Refer for counseling as appropriate
A

Implementation for Obesity

18
Q
  • Identification and understanding of factors contributing to weight loss
  • Understanding and application of behavioral modification techniques to lose weight.
  • Accomplishment of desired weight loss
  • Incorporation of physical activity
A

Evaluation for Obesity

@Nur 180 Exam 3 (6 decks)

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