Determining BMI. 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.

• 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?

BMI Calculation: To calculate the client’s Body Mass Index (BMI), you can use the following formula: BMI = (Weight in kilograms) / (Height in meters)^2

BMI = 95.25 kg / (1.68 m)^2 BMI = 33.83

The client’s BMI is approximately 33.83.

Screening Tools: To assess the client’s nutritional and exercise knowledge, you can use the following screening tools:…..Determining BMI…..

a. Mini Nutritional Assessment (MNA): This tool can help assess the client’s nutritional status, including their risk of malnutrition. It evaluates aspects such as BMI, weight loss, and dietary habits.

b. Nutrition Knowledge Questionnaire: Use a simple questionnaire to assess the client’s knowledge of nutrition principles, healthy eating habits, and their understanding of dietary requirements.

c. Exercise Habits Questionnaire: Use a questionnaire to assess the client’s exercise knowledge, current physical activity level, and awareness of the importance of regular exercise for health.

Reasoning: These tools provide a comprehensive assessment of the client’s knowledge and practices related to nutrition and exercise. They can help identify any gaps in understanding and areas for improvement.

Outcome/Intervention/Rationale:

Outcome: Improve the client’s dietary choices to achieve a healthier BMI within six months.

Intervention: Provide the client with educational materials on balanced nutrition, portion control, and the importance of maintaining a healthy weight. Offer resources on healthy recipes and meal planning. Encourage the client to keep a food diary to track their daily food intake.

Rationale: This intervention is reasonable, measurable, and realistic. It aims to provide the client with the knowledge and tools to make healthier food choices. By setting a goal to achieve a healthier BMI within six months, the client can work towards a specific and attainable target. …..Determining BMI…..

Impact of Weakness on Activity and Diet: The client’s strong sense of independence and self-reliance may impact their activity and diet. They may be resistant to seeking help, even when it could be beneficial. This resistance may lead to a lack of engagement in social or group physical activities or reluctance to consult with a nutritionist or dietitian. …..Determining BMI…..

Referrals:

a. Nutritionist/Dietitian: Refer the client to a nutritionist or dietitian for a personalized dietary plan. This can help address any knowledge gaps, improve dietary choices, and work towards achieving a healthier BMI. The nutritionist can provide tailored guidance that respects the client’s independence.

b. Physical Therapist/Exercise Specialist: Encourage the client to consult with a physical therapist or exercise specialist who can develop a fitness plan tailored to the client’s needs and preferences. They can also provide guidance on safe and effective exercises.

c. Support Groups or Social Activities: Suggest participation in support groups or social activities related to fitness and nutrition. This can address the client’s independence while providing opportunities for social engagement and encouragement.

d. Financial Advisor: If the client’s financial situation is a barrier to healthier food choices, consider referring them to a financial advisor who can help with budgeting and financial planning to ensure access to nutritious foods.

Reasoning: These referrals address the client’s specific needs while respecting their independence. They aim to provide support and resources that align with the client’s goals of improving activity and diet while maintaining self-reliance.