Please read the following case study below and answer these questions: 1. The pr

Question

Please read the following case study below and answer these questions:

1. The primary cause of obesity is energy imbalance. What factors within the patient's individual, family, or community environment may affect energy balance?

2. What specific recommendations would you make for this child and her family?

3. How would you monitor the outcome of your intervention?

4. What factors may hinder compliance with healthy lifestyle recommendations in this family?

The patient is a 9,2-year-old girl. She was referred for weight loss in your outpatient weight management program. She has been diagnosed with asthma and complains of shortness of breath while exercising, so tends to avoid it. She has no other medical history. The patient lives with her mother, baby sister, two brothers, and grandmother in a suburban neighborhood. The mother is single and works to support the family. The grandmother cooks for the family and takes care of the patient and her siblings after school until her mother gets home. Mom is also obese but grandmother and the siblings are normal weight. The patient's school district has recently cut its physical education programs. The client enjoys playing outside after school, but her grand- mother makes her come inside after a short time to do homework. After homework she is allowed to watch TV. The total time that she spends in

Explanation / Answer

The primary cause of obesity is energy imbalance. What factors within the patient's individual, family, or community environment may affect energy balance?

-The environment of not keeping a check on the calorie intake, plus grandmother not allowing to play outside but making the client sit in front of computer / TV.

-Screen time being 4—6 hours is also a major contribution factor for obesity.

-The school reducing its physical activities has given its share in the client’s obesity.

-The client being a shy child and having minimal friends has let her to keep to herself and not involve in physical activity adding to obesity.

-Buying food / snacks out of proportion.

What specific recommendations would you make for this child and her family?

-Involve fruits and vegetables in diet

-Improve physical activities both in school and home

-Reduce screen time

-Try helping the client in regards to self-confidence about physical image and make more friends

-Reduce buying food from outside and prepare healthy dinner at home

-Reduce high calorie intake (juices / snacks) and replace by healthy and low calorie food stuff.

How would you monitor the outcome of your intervention?

-Weekly assessment of weight

-Weekly observation and interview

-Charting and documentation of progress

-Give recommendations as and when required about changes in diet.

What factors may hinder compliance with healthy lifestyle recommendations in this family?

-Lack of interest from family and client side

-Lack of motivation towards healthy life

-Bullying

-Low self-esteem

-Hurry in reducing weight and adopting methods like crash diets, etc.

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