Preview

Miss E: Asking For Help To Lose Weight

Good Essays
Open Document
Open Document
1932 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Miss E: Asking For Help To Lose Weight
Val Coleman Leeds A1 valcol@live.co.uk 01434 381793 word count 1,942

Case study, number 2 of 3.
Miss E weight loss

Miss E came to see me asking for help to lose weight. Miss E is 27 years old and other than her weight is a fit and healthy young lady. She works full time as a staff nurse in a busy city centre hospital. Miss E is currently single and sharing a flat with her older sister who is also a nurse at the same hospital.
Initial consultation
Having filled in her initial consultation form and establishing that there were no ethical issues that would prevent me from working with Miss E. I began by asking her what she hoped I could help her with. Miss E didn’t appear to me to be obese.
…show more content…
I wanted to establish how much weight she realistically thought she should lose. Using her weight and height I calculated her Body Mass Index at 28.30 , this meant that her goal of a one and a half stone (9.53kg) weight loss was realistic and achievable. We chatted for the next thirty minutes, in which time I discovered that Miss E had always had a problem with her weight but her biggest problem was not the loosing of the excess pounds but keeping them off. She was a classic yoyo dieter. I asked her how old she was when she first felt unhappy with her weight. She replied by telling me she could not remember a time when she felt happy with the way she looked. The youngest of four sisters, she explained that her mother and sisters were constantly dieting when she was a child and she grew up thinking it was normal to constantly criticise the way you looked. Food was seen as the enemy but also the source of comfort. There were always cupboards full of biscuits and crisps, but these were forbidden and only there for their father, although in times of stress or

You May Also Find These Documents Helpful

  • Satisfactory Essays

    She has worked with me to improve my practice and truthfully informed me about the problem with my behaviour to ensure that I was directed and able to deal more effectively with my clients with particular needs.…

    • 386 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    In “Fear of Fatness” by Peggy Orenstein, she claims that the beauty standards set by society are degrading women’s appearances causing them to constantly stress over how they are perceived. She explains this through the use of satire and the personal experience of a friend, Holly, whose five-year-old daughter, Ava, is overweight. Holly is so concerned about Ava’s weight that she contacts her daughter’s pediatrician to help control Ava’s portion sizes.…

    • 826 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Chrysalis Year 1 module 6

    • 2612 Words
    • 8 Pages

    The purpose of this hypothetical case study is to demonstrate my knowledge and understanding of treating a client (Miss E) who has a desire to lose weight. I shall identify and explain Miss E’s issues, then, compile an outline plan of therapy in order to support her.…

    • 2612 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    She kept trying even if she didn't think she was worth it. She wanted to do it so her dad didn’t have to lose anyone else. She knew this was even harder for him so she lost the weight to help him and so she could give it another try.…

    • 716 Words
    • 3 Pages
    Good Essays
  • Good Essays

    As I observed these tests, I saw how the patient was feeling and was empathetic towards her. The patient became quite upset at this realisation and had asked if we as staff could assist her in losing weight. I helped to promote her in losing weight and gathered the appropriate information about losing weight and informed her about the different ways in which she could reach her ideal BMI of 24.…

    • 766 Words
    • 4 Pages
    Good Essays
  • Good Essays

    If given the opportunity to correct a mistake from my past, appreciating my curves in my childhood is the first slip up that comes to my mind. Rejecting my wide hips and thick thighs,I longed to have a slender figure not unlike my friends. Ultimately, I purchased one of Shaun T’s workout systems called “Insanity” in the seventh grade. Despite the obvious signs of exhaustion that my body exhibited, I kept pushing myself to endure three workouts a day. I set intangible goals for myself such as losing ten pounds a week. After three and a half months of consistently following Shaun T’s program, I was found heavily wheezing in my sleep during my mother’s nightly rounds to check on my siblings and I. Soon after, I began to feel claustrophobic, as…

    • 239 Words
    • 1 Page
    Good Essays
  • Good Essays

    During a nutritional assessment, the client’s height, weight, age, sex, and physical activity level are gathered and used in determining the body mass index (BMI) and daily caloric intake requirements of micro- and macronutrients. The following formula, from the Center for Disease Control and Prevention, was used to determine Josephine’s body mass index (BMI) using her current height and weight of 5’ 7” and 117 pounds: height (inches) x [weight (pounds)2] x 703 (Healthy Weight, 2011). During Josephine’s initial session she mentions wanting to lose weight; however, when using the formula above, her BMI is within normal range at…

    • 1065 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Jean Nidetch Biography

    • 1384 Words
    • 6 Pages

    She tried all kinds of different diets, and even began to see doctors for advice and medications. Although some of the strategies she took helped at first, they never lasted in the long run. In 1961, Jean described herself as “desperate” to lose weight. She went to the New York City Department of Health Obesity Clinic where the professionals put her on a very strict diet. With this new diet, Jean had some success, but often found herself cheating and eating things that her diet did not allow. Her nutritionist was very healthy and had never been overweight, so Jean found it difficult discussing her misbehaviors with her because she felt like the woman would not understand how dieting could be so hard. One day, Jean decided to invite six of her overweight friends over to her house to discuss any secrets they each had to dieting. From that day on, the group agreed to meet every week to share their troubles and successes with the new diet. Jean was known as an amazing motivator, and a great public speaker. These character traits made Jean very well known. By sharing her story and working towards her goal, she became a living example for all of her patients. By word of mouth only, Jean's group of six grew drastically and quickly. By no time, she was teaching and talking to hundreds of people in need of losing weight. She then began to hold biweekly meetings with people and private meetings with those who were not able to come to her meetings. Jean developed a reward system that gave her clients a gold pin for losing ten pounds and for every ten pound after that, they were given a diamond chip. On October of 1962, Nidetch reached her personal goal of losing seventy two pounds and never gained the weight back. Jean then reached out to help her family. By attending the meetings and following the diet plan, Marty Nidetch lost seventy pounds, while Jean's mother was also very…

    • 1384 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Health Care Graded Unit

    • 1149 Words
    • 5 Pages

    I consulted my mentor asking if it would be appropriate for me to assist Mrs A with her meals, she then came with me to gain consent from Mrs A I explained to her that I was a student and that whatever I wrote she would remain anonyms at all times (NMC Consent)which she had no objections to, She then told me a bit about her history but advised me that to gain a better understanding I would have to read her case notes which I did this gave me the relevant information regarding her needs and requirements, this could be such as dietary requirements in relation to culture or allergies also if there is a preference to where Mrs A would like to eat her meal, all these factors will help make it a more comfortable experience for Mrs A as a change in environment and…

    • 1149 Words
    • 5 Pages
    Good Essays
  • Better Essays

    Healthy Body Weight

    • 1051 Words
    • 5 Pages

    Interview: Kim Allman, my sister, lost 45 lbs. She has gained 5 back. She started her weight loss journey through the Leesburg Business Wellness Challenge where local businesses compete against each other to lose weight. She has maintained her weight loss of 40 pounds by working out. She hasn’t really made any dietary changes other than reduced portions at meal time and she uses less sodium in her diet now, also. She went from a size of 20 down to a 14. She has discarded her old size 20 clothing and found that this helps her to keep up with her program.…

    • 1051 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Essential Care Needs

    • 1969 Words
    • 8 Pages

    This was an in-depth look at Mrs Jones’ nutritional status taking into account a variety of factors. This is an important part of the process as it ensures that key information and data can be collected which forms a basis for making decisions with Mrs Jones about the goals she would like to achieve and what would be appropriate for her. According to Kaur Laurence (2017), a dietary history should be taken in order to fully assess nutritional intake. So, Mrs Jones was asked what she usually eats in a typical day to identify nutritional intake. Physical appearance of Mrs Jones was also taken into account. A person who is wearing clothing which appears loose can be an indication of poor nutrition (Kaur Laurence 2017). In addition, Mrs Jones’ mobility was assessed. Poor mobility can indicate a reduction in muscle mass (Kaur Laurence 2017). It is also an indication of Mrs Jones’ ability to carry out tasks such as shopping for food and the preparation of food which can seriously have an impact on dietary intake. Marsh (2009) identifies that a nurse visiting a patient in their home should try and see if the patient has out-of-date food on their shelves as this can indicate that food hasn’t been eaten. In addition, Mrs Jones’ social situation was assessed and was asked if she has any friends or family that live…

    • 1969 Words
    • 8 Pages
    Powerful Essays
  • Best Essays

    The communication used was a twenty minute appointment which took place in a dietetic weight management clinic setting approximately two months ago. It was my first time seeing the patient after they saw another member of the team twice before. The patient had taken on board healthy eating advice from the last session but hadn’t increased exercise yet as they reported their lifestyle to be too busy. They had lost weight since the last appointment as a result of the postive dietary changes implemented. Outcomes from this appointment were to increase activity to four times a week -we decided on three different methods which could be used to achieve this goal which we fit in around their current lifestyle. We also agreed that they would continue with the achieved changes from the previous session.…

    • 3149 Words
    • 13 Pages
    Best Essays
  • Satisfactory Essays

    Descriptive Essay World

    • 291 Words
    • 2 Pages

    I think that this article is very helpful and if people read this the world would have less obese. Many people say they want to lose weight but don’t always want to know how to fix it or just think it’s too hard. I understand that it is hard to lose weight and people think that it’s just a breeze but it’s not. I think that if people knew what they were eating they wouldn’t eat as much as they do. I, myself know overweight people and know that if they really want to lose weight they could, just like people can do whatever they put their mind up…

    • 291 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Itec Nutrition Case Study

    • 8535 Words
    • 35 Pages

    Johann is a 66 year old lady living in rural ireland. She lives by herself in a small cottage in the centre of her village. She is within walking distance to two grocery shops, a national school, a church and two pubs. Her daughter lives on the other side of the village which is within walking distance also. Johann has two daughters and one son that she sees regularly and one son from a previous relationship that she sees occasionally. She was diagnosed with bi-polar (manic) depression at the age of 18 and has been medicated every since. Her colesterol is very high and she hopes that i might be able to reduce her weight. She is 5 foot 1 inch and weights 14 stone. Along with Bi-polar she was also diagnosed with ceoliac disease. This causes dificulties with her other condition due to the sensitivity of her medication. Her symptoms of ceoliac disease is dioraogh and vomotting and if this occurs her medications designed for bi-polar cannot be absorbed and loose the affect. For this among other reasons her moods are rarely stable.…

    • 8535 Words
    • 35 Pages
    Good Essays
  • Good Essays

    In a study done by J.Wardle and F.Johnson regarding dieting and its relationship with levels of weight. J.Wardle and F.Johnson has found that most obese adults correctly perceived themselves as overweight, but many were not trying to lose weight, and only a minority had participated in a programme of weight control. Men's awareness was lower than women's. At the other extreme, few men, but around a quarter of normal-weight women felt overweight or were trying to lose weight, but their preferred weight was only slightly below their actual weight.…

    • 2145 Words
    • 9 Pages
    Good Essays

Related Topics