Client’s BMI

The client’s BMI is 34.3, which is classified as obese.

Screening Tools for Nutritional and Exercise Knowledge

The following screening tools can be used to assess nutritional and exercise knowledge:

• Mini Nutritional Assessment (MNA): The MNA is a short, easy-to-administer tool that can be used to screen for malnutrition in older adults. It includes questions about the client’s food intake, weight loss, and overall health status.
• Diet History Interview: A diet history interview can be used to assess the client’s usual dietary intake. This information can be used to identify any areas where the client’s diet may be lacking in essential nutrients.
• International Physical Activity Questionnaire (IPAQ): The IPAQ is a short, self-administered questionnaire that can be used to assess the client’s physical activity level. It includes questions about the frequency, intensity, and duration of the client’s physical activity.

Outcome/Intervention/Rationale

One reasonable, measurable, and realistic outcome/goal for this client is:

Outcome: The client will be able to identify and implement two healthy lifestyle changes within 1 month.

Intervention: The nurse will provide the client with education on healthy eating and exercise. The nurse will also help the client to develop a personalized plan for making healthy lifestyle changes.

Rationale: Education and support are essential for helping clients to make and maintain healthy lifestyle changes. The nurse can play a vital role in providing this support.

Weakness in the Client’s Life Impacting Activity and Diet

One weakness in the client’s life that may be impacting her activity and diet is her social isolation. The client lives alone and has no restrictions for mobility, but she is very independent and is proud of her self-reliance. This social isolation may make it difficult for her to stay motivated to be active and eat healthy meals.

Referrals

The following referrals could be made for this client:

• Registered dietitian (RD): An RD can provide the client with individualized nutrition counseling and help her to develop a healthy meal plan.
• Certified personal trainer (CPT): A CPT can help the client to develop a safe and effective exercise program.
• Community support groups: There are many community support groups available for older adults. These groups can provide social support and encouragement for healthy living.

Conclusion

This client is at risk for a number of health problems related to her obesity. The nurse can play an important role in helping her to make healthy lifestyle changes and reduce her risk of chronic disease.