Health Assessment in Nursing Practice

Nutritional Assessment The two identified patients are a child, ten years old, and an adult, 81 years old. Good health is a necessity in all ages and for all people today. It is necessary to have an account of awareness and practice that ensures the body is in a good state of health, sustainable at all times. Even with the differences in the age differences, good health requires a good state of nutrition, regular check, and activity for sustainability. Nutritional assessment for a ten-year-old boy The boy is ten years old.

He does not show complete signs of good health. He is malnourished n some way, and depicting signs of physical and mental weakness. The boy has an overall weight lower than the expected, with a height lower than the expected. The boy has a body mass index lower than the calculated within the Z score. There is the presence of malnutrition at a high rate. There is growth delay as demonstrated by the expected height and other body mass indexes.

There are moderate and acute forms of chronic malnutrition occurring with wasting and stunted growth. These demonstrations indicate a predominant failure to thrive syndrome. There is a mild form of chronically stunted growth accompanied by growth failure and predominant. There is a case of emotional deficiency leading to this growth delay. There are mild cases of anemia, which occurs in the growth process of the child. From the anthropometric measurements, the child suffers scarcity in many of the performed measurements.

The BMI index measurement falls within the normal rate but is not expected out of the ten years child. The clinical observations indicate that the child is weak, with poor malnutrition, and lacking various dietary requirements, there is a lot that needs to be done to protect the state of health of this child. Priority nutritional problems There is a problem with nutrition and stunted growth in the child. There is a need for precautions that will ensure that the child has accessed equitable nutrition, possibly through a good diet.

Moreover, the child has to access what is relevantly available for his physical well-being. The balance of the diet will ensure that the child acquires a good state of physical growth and eradication of secondary infections (Bowling 24). Teaching plan Objective: to create awareness of the need for increased activity and balanced diet in children at age ten Recommended cultural diet A balanced diet is a necessity for the child at ten years.

The child has to feed more on the cultural food materials rich in proteins, carbohydrates, vitamins, oils and fats, among others. The child has to keep doing physical exercises in the form of play activities. The child ought to be subjected to regular clinical checkup and assessment to get rid of the possibilities of secondary infections. Monitoring and assessment of the health are an imperative strategy that should be made key at all times.

Nutritional Assessment for an 81-year-old man The old man is 81 years old but still appears to be going strong. From the physical observation, he is well strong at this age, active regarding speech and thinking. Nonetheless, several assessment options indicated the need for health actions to be undertaken by this old man. The man experiences constipation most of the time when he takes food, even with small amounts. There is a likely decreased immunity given that the state of health decreases with increase in the age of the person.

There is an observed and clinical approval of decreased muscle strength. The body temperature is low as expected (Wilson and Giddens 38). There is a measurable loss in bone weight and strength, probably osteoporosis. From the measurements and assessments done, the old man depicts the loss of memory, which is activated by the old age in most cases. With such descriptions of assessment, there is a high chance that the man might suffer from some cancer, high blood pressure, coronary heart disease, stroke, and type II diabetes.

Nonetheless, if equitable medical care is routinely given, the old man will manage to evade these sufferings in his health. Priority nutritional problems Problems associated several priorities with this adult. The main challenges facing the old man are maintaining good health at this age. There is a reduction in metabolism. The body can burn energy for body use at this rate. Several changes are noticeable in the physiology of the person, which is a factor that will affect the nutritional needs.

There is an average decline of the metabolic rate by a margin of 30%, probably with age, with a reduction in muscle mass by a margin of 25%, with an increasing body fat, which is dangerous for the health of the man. Such changes are dangerous and require the person to make often use of lower calorie diet together with a change in the nutritional intake (Gibson 17).

Teaching plan Objective: to increase awareness of the need for a changed nutritional intake for the old man Recommended Cultural Diet Good health starts with good balanced and checked diet. The old person should feed on food materials rich in vitamins, carbohydrates, fats but in very mild amounts, and all the other nutrients. Eating habits should be balanced in that the person should eat at a recommended times only as a way of avoiding too much intake of fats and other food materials with too much.