Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

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Client will demonstrate change in eating patterns resulting in a Long-term GoalShort-term GoalClient will verbalize understanding of what must be done to lose weight. 4. Identify realistic increment goals for weekly weight loss. Goals/Objectivessteady weight loss.Interventions with 1. Encourage the client to keep a diary of food intake. 2. Discuss feelings and emotions associated with eating. 3. With input from the client, formulate an eating plan that in-^232 more likely to stay on the eating plan if he or she is able to participate in its creation and it deviates as little as possible calories while maintaining adequate nutrition. Client is diary provides the opportunity for the client to gain a realis-client’s usual eating pattern as possible. on which to base the dietary program.Reasonable weight loss (1 to 2 lb/wk) results in more lasting low-fat intake. It is helpful to keep the plan as similar to the helps to identify when client is eating to satisfy an emotional need rather than a physiological one.from usual types of foods.cludes food from the basic food pyramid with emphasis on tic picture of the amount of food ingested and provides data^ ●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONSelected RationalesDiet must eliminate A food This

2 2506_Ch12_218-235.indd Sec1:232 506 Ch 12 218 - 235 .ind^ 7. Provide instruction about medications to assist with weight 5. Plan progressive exercise program tailored to individual goals 6. Discuss the probability of reaching plateaus when weight d Sthat this is likely to happen as changes in metabolism occur. Plateaus cause frustration, and client may need additional support during these times to remain on the weight loss program.ing goals for weight loss. Motivation is more easily sustained loss if ordered by the physician.calories and reducing appetite, increasing energy, toning (e.g., sibutramine) and others that have weight loss as a side effect (e.g., fland irritability and may ultimately lead to failure in meet-muscles, and enhancing sense of well-being and accom-plishment. Walking is an excellent choice for overweight individuals.by meeting “stair-step” goals.effects. Excessive, rapid weight loss may result in fatigue remains stable for extended periods. and choice. ec 1 : 232 Exercise may enhance weight loss by burning uoxetine; topiramate) may be helpful to Appetite-suppressant drugs Client should know 1 10/1/10 9:36:02 AM 0 / 1 / 10 9 : 36 : 02 AM

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