Case Study: 4. Jordan is a 14 year old middle school student, weighing 275 pound

Question

Case Study: 4. Jordan is a 14 year old middle school student, weighing 275 pounds and is 5’6” tall. Over the past 2 years, he has gained 60 pounds, as he has begun to withdraw from social activities, and avoid 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, and 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 had “no willpower, or is weak, or that he needed 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”! You are the school nurse doing height and weight assessments on the middle school group this year. How would you assess and advise Jordan? (20 points)

Explanation / Answer

Going hungry without eating is not a solution.Exercise also benefits to a certain extent only.

There are some weight loss treatments available now a days.They replace high calorie food with low calorie food.Taking more protein results in reduced hunger.Along with it there should be physical activity.When these are followed , the calorie intake will reduce ,which results in weight loss.

He has to burn 3,500 calories to lose every 1 pound.

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