Plan of care
Identified problem/need:
(include supporting subjective and
objective data)
Imbalanced nutrition r/t food intake
exceeding body requirements as
evidenced by the patient stating
“not having healthy eating habits”.
Objective: Patients body weight is
classified as obese.
Subjective: Patient not eating
healthy foods and not exercising.
Identified goal or outcome:
1. The patient will develop a
nutritional plan involving
healthy exercise and eating
habits within a week.
2. The patient will follow the
plan and begin to see weight
loss of around 8lbs or less
and feel better within a
month.
Plan/ Interventions: Projected Evaluation/ Outcomes: (How will you Community Resources/
(Provide rationale/ and cited evidence to justify measure that it worked?) Referrals: (Must be actual
the rationale) resources from the
client’s community.
Include Name, address,
web address, and phone
number)
1. Carry out and review daily food diary. For 1. The client has written and continues to 1. There is a gym located
example, food caloric intake, types of food, or write in a food diary to make sure the in Seaford, De called Pure
eating habits. client is striving to adhere to the Fitness. This gym is
R- Provides the opportunity for the individual to outlined plan. located at 620 W. Stein
focus on a realistic picture of the amount of food
2. The client has worked with a Hwy. It is open from 4:30
ingested and corresponding eating habits and
feelings. Identifies patterns requiring change or a
professional and has formulated a am-12:30am
base on which to tailor the dietary program. healthy exercise and nutritional plan. Monday-Sunday. Phone
(Vera,2020). 3. Client striving to lose 1-2lbs a week number is 302-262-0262.
2. Formulate an individualized eating plan with and understands it is okay to lose less This gym offers class,
the patient including nutritional than that. one-on-one training, and
requirements, ways to help reduce frustration 4. Client has created has identified nationalists to help the
or stress that may interfere with success. exercise activities they enjoy and a client figure out what
R- Although there is no basis for recommending one
plan for when to do these activities. would work best for
diet over another, a good reducing diet should
contain foods from all basic food groups with a focus
them.
on low-fat intake and adequate protein intake to https://purefamilyfitness.
prevent loss of lean muscle mass. It is helpful to keep com/memberships-seafor
the plan as similar to the patient's usual eating d/
pattern as possible. A plan developed with and
agreed to by the patient is more likely to be
successful. (Vera, 2020).
3. Determine current activity levels and plan
progressive exercise program (walking)
tailored to the individual’s goals and choice.
R- Exercise furthers weight loss by reducing appetite;
increasing energy; toning muscles; and enhancing

Risk for developing depression r/t
family history and personal history.
Subjective: Patient has been seen
looking sad and not wanting to go
anywhere.
Objective: Patient takes depression
and anxiety medications.
1. Patient will continue to
participate in therapy and
discuss any issues she is
having for at least a month.
2. The patient will
participate in 2-3 activities a
week outside of home and
work, for at least a month.
cardiac fitness, sense of well-being, and
accomplishment. Commitment on the part of the
patient enables the setting of more realistic goals and
adherence to the plan. (Vera,2020).
4. Identify realistic increment goals for weekly
weight loss.
R- Reasonable weight loss (1–2 lb per wk) results in
more lasting effects. Excessive and rapid loss may
result in fatigue and irritability and ultimately lead to
failure in meeting goals for weight loss. Motivation is
more easily sustained by meeting “stair-step” goals.
(Vera,2020).
1. Allow the patient to discuss any issues or 1. The client is able to discuss and talk with a There is a counseling
problems they may be experiencing without therapist about her problems and they are group called “Healing
any judgment or verbalization of disapproval. able to find solutions together. Pathways Counseling &
R- The client will feel more relaxed and willing to
2. A treatment plan has been put into place, Consulting Services” this
participate if they feel as though they are able to
openly express how she feels without possible
the patient attends therapy weekly and is on group has many
jugement. (Nurse Study,2021). medications. She also continues to monitor experienced
2. Discuss with the patient and significant others her progress if anything changes in how she professionals that have
the available treatment options for feels. dealt with a wide array of
depression/anxiety and the continued need 3. The patient attends church activities and mental health issues. This
to monitor how the patient is doing on the other social events weekly. group offers individual
current treatment plan. 4. The patient has come up with a daily and group therapy and
R- Depression/anxiety disorders are treatable.
exercise plan and uses music to help her when will work with their
Speaking with a licensed therapist and gradually
learning how to cope with these disorders is part of
she experiences anxiety. clients to create a plan
treatment. As well as taking medications that help for them. They offer a
manage symptoms, with continued monitoring of 24-hour hotline that
progress. (Nurse Study,2021). clients are able to call.
3. Encourage the patient to participate in social Their actual number is
events. Find activities or hobbies that interest 302-536-1395. Their
the patient. address is 1310
R- To provide chances for the patients to interact
Middleford rd. ste. 102
socially. (Nurse Study,2021).
4. Teach the patient to perform relaxation
Seaford, DE.
techniques such as deep breathing, exercise, https://www.heal
meditation, or guided imagery. ingpathwaysde.c
om/
R- To promote relaxation and reduce stress levels.
These activities can help the patient cope with their
anxiety/ depression. (Nurse Study,2021).
 References

Nurse Study (2021, March 14). Depression Nursing Care Plans Diagnosis and interventions. https://nursestudy.net/depression-nursing-care-plans/

Vera, M. (2020, December 5). 4 Obesity Nursing Care Plans. https://nurseslabs.com/4-obesity-nursing-care-plans/