Aging Adult Case Study

A 68-year-old client lives alone , is independent with all ADLs, has no restrictions for mobility, and is competent and oriented x4. The client is on a fixed income but has enough to manage a modest lifestyle. The client has family and social support but is very independent and is proud of her self-reliance. The client’s height is 5′ 6″, and weight is 210 lb. / 95.25 kg.

Aging Adult Case Study

BMI

BMI is an estimate of body fat based on the height and weight of an individual. It is computed by dividing an individual’s weight in kilograms by the square of height in meters. According to Khanna et al. (2022), BMI screens for weight brackets that may result in health problems but does not diagnose the body fatness or health of an individual.

A BMI of less than 18.5 is considered underweight, while a normal BMI ranges from 18.5 to 24.9. On the other hand, a BMI of 25 to 29.9 is regarded as overweight, whereas a BMI of 30 to 34.9 is considered obese. Finally, a BMI of 35 to 39.9 is considered severely obese, while a BMI of greater than 40 is regarded as obese. According to Khanna et al. (2022), the BMI is directly proportional to the health risk. The client in the case study has a BMI of 33.9, so she is obese.

Screening Tools to Assess Nutritional and Exercise Knowledge

Nutritional and exercise assessment is best assessed by anthropometric measurements. Anthropometric measurements are non-invasive and customarily encompass the measurement of the weight, size, and proportions of the body.

The principal screening tool is BMI computation. Gutin (2018) highlights that computation of BMI is indispensable as it gauges the risk of developing chronic conditions such as diabetes, depression, hypertension, hyperlipidemia, and cancer. Similarly, the patient is oriented to time, place, and person and traditional screening tools such as questionnaires and 24-hour recall can be deployed to gather first-hand information regarding physical activity and diet.

Outcome and Nursing Intervention

The patient in the case scenario is obese. Obesity is a risk factor for cardiovascular and other health-related problems such as diabetes, cancer, hypertension, and hyperlipidemia, among other concerns (Gutin, 2018). Consequently, interventions must be put in place.

Desired outcomes in this patient include weight reduction, enhancement of physical activity sessions, and an improvement in diet. Weight reduction, physical activity, and an improvement in diet are vital in correcting her BMI and subsequent enhancement of her health.

Nursing interventions that can be deployed to achieve these desired outcomes include patient education and enrollment in a weight reduction program. Patient education is critical as it enhances the patient understanding of the type of physical activity and the recommended duration (Hodgkinson et al., 2019).

Additionally, patient education enhances the patient understanding of the various types of foods and how to achieve a balanced diet (Hodgkinson et al., 2019). Finally, enrolment in a weight reduction program ensures compliance and monitoring.

Weakness that Impacts Client’s Activity and Diet

The patient’s chief weakness is her lifestyle. She does not participate in physical activity. Additionally, she stays alone, and given her age; she is predisposed to making wrong dietary choices. For instance, consuming foods with high caloric content but low nutritional value leading to her obesity.

Referrals

The patient should be referred to a dietician and an internal medicine physician. The dietician will provide the relevant dietary advice and help her formulate a healthy meal plan. On the other hand, the internal medicine physician will assess the health-related conditions associated with obesity, such as diabetes, hypertension, and hyperlipidemia. Finally, the physician will carry out appropriate laboratory investigations and provide the required interventions.

References

  • Gutin, I. (2018). In BMI we trust: reframing the body mass index as a measure of health. Social Theory & Health: STH16(3), 256–271. https://doi.org/10.1057/s41285-017-0055-0
  • Hodgkinson, A., Abbott, J., Hurley, M. A., Lowe, N., & Qualter, P. (2019). An educational intervention to prevent overweight in pre-school years: a cluster randomized trial with a focus on disadvantaged families. BMC Public Health19(1), 1430. https://doi.org/10.1186/s12889-019-7595-2
  • Khanna, D., Peltzer, C., Kahar, P., & Parmar, M. S. (2022). Body mass index (BMI): A screening tool analysis. Cureus14(2), e22119. https://doi.org/10.7759/cureus.22119

Aging Adult Case Study Instructions

Write a 500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4. The client is on a fixed income, but has enough to manage a modest lifestyle. The client has family and social supports but is very independent and is proud of her self-reliance. The client’s height is 5’6”, weight is 210 lb. / 95.25 kg.

Please answer the following:

What is the client’s BMI?

Identify what screening tools you would use to assess nutritional and exercise knowledge, and why?

One Outcome/Intervention/Rationale:
Identify one outcome/goal that is reasonable, measurable and realistic. Identify 1 nursing intervention for the outcome and give rationale for the intervention.
Identify what weakness in the client’s life may be impacting the client’s activity and diet?

What referrals would you make and why?

(Use references for your responses, not just opinion.)
M1 Assignment UMBO – 1, 2, 3

M1 Assignment PLG – 1, 5, 6

M1 Assignment CLO – 2, 3, 7

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Study the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

Consider the discussion and the any insights you gained from it.

Review the Assignment Rubric and the specifications below to ensure that your response aligns with all assignment expectations.

Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling, and review the rubric.

The following specifications are required for this assignment:

Length: 500 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

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