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. 1.What would you include in your initial assessment data based on the scenario provided? 2.What would you teach Jordan based on the Recommended Daily Allowance from choosemyplate.govdiscussed in Week 1 and the information provided about gallbladder disease provided in Week 6? 3.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? Discussion Board Response: As Jordan's nurse, I can say objectively, it appears that Jordan is experiencing high levels of stress revolving around his body weight, bullying at school, and his mother being unsupportive and insensitive to his circumstance. The environment and those around Jordan may be causing him higher levels of stress and feeling ungrounded. It can be extremely difficult to navigate through this hardship without a strong support system. Subjectively, Jordan states that he has been experiencing symptoms after meals including mild pain in the mid epigastric region, that ramify towards the right upper quadrant of the abdomen and right subscapular area of his body. He also states that he goes a couple of days without food consumption. I also noted that Jordan's mother is not supportive or sympathetic. In fact, it appears that she is making this situation more difficult for Jordan. Statements like "We just have fat genes in the family; you can't do anything about that!" or being told, “...no willpower, or is weak, and that he needs to change his lifestyle, eat less, and exercise more". Comments like these make a huge impact on how an individual views themselves. It is our obligation as nurses to educate our patients and assist them in understanding their modifiable risk factors, as well as the measures required to make the necessary adjustments to live a healthy lifestyle (Thede, 2021). Explaining to Jordan, how much food he should consume, what kinds of foods to incorporate, and how often he should eat full and snack meals will give him the opportunity to improve his quality of life.
Order this paper