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the view from helping someone underweight- it's the same struggle.

Saturday, February 12, 2011

I had the privilege of taking care of a patient whose health problems have lead them into a new place for them and for me- they were severely underweight for their height. They had a BMI of 16, and were considered malnourished. For my nursing homework I had to work up my care map on the nursing NANDA: Imbalanced nutrition: less than body requirements related to decreased oral intake associated with pain and malnutrition 2ndary to Altered GI Function. Lots of nutritional interventions and research and it was enlightening. Sounds really bad like that- and it is a very serious condition to be in, however we are forever bashing on the Obese in nursing- because it is true overweight leads to or contributes to almost every disease process, not the underweight. So for me (a big girl) taking care of someone so tiny and hurting was quite a reversal in thoughts, but a great shift in my paradigm. I have struggled with the changes I needed to learn to eat healthy and loss weight and they are the same kinds of changes a thin person needs to overcome and change to in order to eat well and fill out. we were able to discuss high protein diet choices and recipes and good fats, and carbohydrates (which I now avoid) that she needs to add into her diet and how. I was able to get her a dietary guideline from the nutritional support services on High Protein High calorie Eating. I know she will follow these changes because she is worried about getting her health back and being there for her family... hmmm sounds familiar as most of our goals doesn't it? the view from the other side is the same it just has different methods of getting there!
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