Assessment Nursing Diagnosis Planning Implementation Rationale Evaluation

SUBJECTIVE: Overweight related to consumption of food Long-term goal: Client have a

more than the recommended amount. normal BMI
The client verbalized that After 1 month, the client between 18.5-
he eats 2-3 times a day will have a normal BMI 24.9
based on his diet recall. between 18.5-24.9 kg/m2. Met
According to the World Health Organization
He stated that he drinks Partially met
(2013), being overweight can have serious
11 glass of water a day. Unmet
impact on health such as cardiovascular If no why?
Short-term goal:
disease, type 2 diabetes, musculoskeletal
disorders and some cancers. After 4 hours of nursing Client consume
intervention the client will adequate
OBJECTIVE: be able to understand nutrition each
Reference: appropriate measures to day.
achieve normal weight. Met
World Health Organization. (2013). What are Partially met
Height: 148 cm
the health consequences of being overweight? Unmet
Weight: 38 kg World Health Organization. Retrieved from If no why?
Objectives:
https://www.who.int/features/qa/49/en/
BMI: 17.3 (Overweight) Teach the client Client states at
State at least 5
inappropriate behaviors/ about the least 5
eating patterns and inappropriate inappropriate
behaviors on behaviors/ eating
consequences related to
eating and its patterns and
overeating and weight
effect to weight consequences
gain. gain and obesity. related to
overeating and
weight gain.
Verbalize three reasons on Discuss with the Met
the connection of weight client on his Partially met
loss, weight control and current eating Unmet
exercise habits and If no why?
strategies to
reduce fat and
caloric intake. Client verbalizes
three reasons on
the connection of
weight loss,
 weight control
and exercise
Create and keep a food Met
diary for 1 week Partially met
Unmet
If no why?

Client creates
Individualize an and keep a food
exercise plan diary for 1 week
Brisk walk in the morning
based on the Met
for thirty minutes
client’s current Partially met
health status Unmet
If no why?

Design his own meal plan
guided by the Pinggang
Pinoy by FNRI (2016).
Coordinate with
dietician for the
meal plan and
individualize it for
patient’s
preferences and
him teach about
the Pinggang Pinoy
for adult.

Demonstrate appropriate
changes in lifestyle and
behaviors, including eating
patterns, food
quantity/quality, and
exercise program.

Recognizes the balance of

eating food and exercise in
achieving health as
reflected on verbalizing
three reasons on the
connection of weight loss,
weight control and
exercise.

Cooperates on the meal

plan and exercise plan
grounded on his adherence
to create food diary, have
brisk walk every morning
and design his own meal
plan.