Nutrtitional Self-Assessment Jenny Kim Professor Thrift Methodist University Nursing 315: Nutrition

Jenny Kim 8 February 2013 Professor Thrift Nutritional self-assessment I. Assessment Demographics o Name: Jenny Kim o Age: 22 o DOB: 7/2/1990 o Ethnicity: Asian-Korean o Gender: Female o Occupation: Full time student; Army reserves ROTC o Language spoken: Korean Anthropometrics measurements: o Height: 50 ft o Weight: 150lb Food diary data o BMR: 655 + (9.6 X 68) + ( 1.8 X 152.4) (4.7 X 22)= 1478.72 BMR o Fiber intake: 15g o Fat/cholesterol intake: 200g fat, 600mg cholesterol o protein intake: 250g o water intake: 750mL II. Application of theory Wilkinson (2011) says, Good nutrition is essential to wellness, and poor nutrition contributes to diseases (p.599). Good nutrition and adequate diet attributed to being the foundation to a healthy well functioning individual. Adequate intake of essential compounds from carbohydrates to vitamins to water aid the body to get all the building materials it needs to perform the functions it was meant to do. Some people believe more is better, but this myth does not hold true to nutrition. Increase in caloric intake is associated with excessive weight gain, cardiovascular diseases, diabetes mellitus, and other acute and chronic conditions can occur. The biggest risk for unnecessary increase in caloric intake is being overweight or obese. The cause of obesity is a complicated link between genetics, environmental and behavioral factors. Some of the common factors are high fat/ cholesterol diets, physical inactivity, and drug therapy. The work of hormones can be attributed to increase hunger. A group of hormones called adipokines work to affect appetite and fat metabolism. Two of the major groups of hormones are orexins and anorexins. Orexins are primarily for appetite stimulating. If there is a increase in circulating orexin hormones in the body it will

contribute to the exaggerated hunger response. Anorexins decrease appetite, but in some individuals even high level of circulating of anorexin hormones will not suppress appetite a phenomena called leptin resisitance. Hormones are contributing factors can play a major role in individuals over eating and increase body weight. Many individuals eat empty calories and which are foods that are high in calories, but low in nutritional value. There are many factors that contribute to a individual being overweight. III. Diagnosis Imbalanced nutrition: more than body requirement r/t excessive intake in relation to metabolic needs IV. Expected outcome Develop a healthy appropriate portion-eating plan by the mypyramid dietary guidelines for Americans that incorporates all food groups by the end of the semester. Incorporate 100mL of water per hour per day to a total of 2400 mL of water by the end of the semester. V. Interventions/Rationale/Evaluation Keep a food diary with activities and assess when the most caloric intake occurs. By keeping a journal of not only the foods that are consumed but also the activity that is associated with it, it will clue in on certain behaviors that are associated with over eating. Establishing a pattern and routine is extremely important in maintaining a healthier life style, so figuring out when is the most vulnerable times for over eating is important to kick that habit out or avoid and or modify behaviors. Roth (2011), states that nutritional assessment is important in evaluating food habits (p.11). The data collected can further be analyzed by a computer to determine appropriate intake (Roth, 2011). Evaluate the nutritional value of food before consuming the item. Having a fitness or nutrition application will aid in this and also nutrition labels. It is important to eat high fiber, low calorie items to help maintain the feeling of satisfaction. Foods with a lot of fiber help the stomach feel full. Fiber is a indigestible protein of plant based foods that contain a high water content, which amounts to a low calorie food, but you get the benefit of feeling full (Roth, 2011). Looking at the nutritional content and utilizing the 5/20 rule is important in getting the most out of food instead of eating empty calories. Keep a water bottle at all times with a marked section to indicate a goal per hour. If there is a visual marking on the water bottle it will be a better indicator of actually drinking the necessary water. Breaking down the water intake by hourly will be easier to consume because your spreading out the water intake evenly. Water intake is significant to the body because all body tissue uses water and the human body is about 50 to 60 % water. Incorporate electrolyte drinks after intensive work out in order to maintain fluid volume and electrolytes in the body. Electrolytes in the body play various important roles and help our body function normally. Roth (2011), states that

electrolytes is necessary for building tissues, regulate fluids, assist in various body functions, and is found in all body tissues. Physiologically, electrolytes help out body do the things that we were created to do. A lot of time, electrolyte imbalances show in labs, which can clue healthcare professionals in to what is going on in the body. It is very important to hydrate with water as well as electrolyte drinks when sweating profusely to get adequate hydration. VI. Evaluation of expected outcomes Goal met for developing and executing a healthy appropriate portion control by the mypyramid guidelines aeb weight loss in the amount of 20lbs. Goal not met for drinking 2400mL of water per day. Although, intake of water has increased dramatically. VII. References Carpenito, L. J., (2013). Nursing Diagnosis: Application to Clinical Practice (14th ed). Philadelphia, PA. Lippincott, Williams & Wilkins, 475-478. Ignatavicius, D., Workman, L., (2013). Medical-Surgical Nursing: Patient-Centered Collaborative Care (7th ed). St. Louis, MO. Elsevier/Saunders, 1349-1356. Roth, R., (2011). Nutrition & diet therapy (10th ed). Clifton Park, NY. Delmar, Cengage Learning. Wilkinson, J., Treas, L. (2011). Fundamentals of Nursing: Volume 1, Theory, Concepts, and Applications (2nd ed). Philadelphia, PA. F. A. Davis Company, 599-645.