List nursing interventions in order of priority
a. Identify factors that have contributed to the weight gain, including review diary of foods ingested; determine how she perceives food and the act of eating; determine previous dietary history; calculate total calorie intake; review daily activity and exercise; monitor for negative feedback.
b. Establish weight program. Set goals for weekly weight loss. Record vital statistics. Work with dietician to create diet plan. Discuss eating habits that contribute to behaviors of overeating. Monitor drug regimen. Encourage involvement in planned activity program of choice. Provide positive reinforcement or encouragement for efforts and actual weight loss. Promote self-esteem. Identify ways to manage stress/tension during meals. Discuss strategies to deal appropriately with feelings instead of overeating. Recommend weighing only weekly. Refer to community support group. Encourage buying personal items as a positive reward for reaching weekly or monthly goals. Encourage a decision to lead an active life and to control dietary patterns. Offer support and understanding.
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