NR228 Week 6: Teen Case Study
Jordan is a 14-year-old middle school student who weighs 275 pounds and is 5’6” tall. Over the past 2 years, he has gained 60 pounds, has begun to withdraw from social activities, and has avoided other students due to bullying from others his age about his weight/appearance. Lately, Jordan has been missing a great deal of school too, particularly on the days he has gym. Jordan’s parents are both average in height and weight. Jordan’s mother says that he just takes after his grandfather William, who “was a husky man, and died of a sudden heart attack at the age of 44.” She says, “We just have fat genes in the family; you can’t do anything about that!”
He has been told he has “…no willpower, or is weak, and that he needs to change his lifestyle, eat less, and exercise more.” Jordan says “I go for a couple days without eating, but then I get so hungry that I could eat the couch!”
Jordan has recently been diagnosed with gallbladder disease and has symptoms that typically occur after eating that include mild pain in the midepigastric region, radiating to the right upper quadrant of the abdomen and right subscapular area of the body.
You are the nurse assigned to Jordan.
- What would you include in your initial assessment data based on the scenario provided?
- What would you teach Jordan based on the Recommended Daily Allowance from choosemyplate.gov (Links to an external site.) discussed in Week 1 and the information provided about gallbladder disease provided in Week 6?
- Based on your assessment data and the information from the scenario, what might be two high-priority nursing diagnoses to guide Jordan’s plan of care?
SOLUTION
Hello everyone,
What would you include in your initial assessment data based on the scenario provided?
The pertinent initial assessment data for this client would be his age, sex, weight and height. I would also assess his medical history, family history and any medications he is currently prescribed. I would discuss what Jordan’s diet consists of on a daily basis and what he enjoys eating. I would ask Jordan if he does any physical activity and what his hobbies are. As the nurse, I would assess his abdomen by inspecting, auscultation, percussion and palpation. Asking Jordan if he has any pain and if it hurts during………..please follow the link below to purchase the solution at $10
