Additional information I would gather would be: height and weight to calculate BMI, daily log of what food she is eating and how often, and family history, history of present illness.
Marias health risks include: hypertension, anxiety, depression, diabetes, obesity.
Marias culture is important in doing a health assessment because Hispanic /Latinos have a higher risk for obesity and diabetes. “Latinos have disproportionately higher rates of obesity and diabetes mellitus. Other health problems include stress, neurocysticercosis, and tuberculosis” (Juckett, 2013). Many Latinos believe in herbal healing.
“Approximately 43 percent of Mexican Americans older than 20 years are obese, compared with 33 percent of the non-Latino white population.12 (Links to an external site.) Diabetes and hypertension are closely linked with obesity; 11.8 percent of Latinos older than 20 years have type 2 diabetes (13.3 percent of Mexican Americans), making it the foremost health issue in this population.14 (Links to an external site.) A higher-calorie diet, a more sedentary lifestyle, and genetic factors contribute to this problem” (Juckett, 2013).
The health risk I would choose would be risk for obesity or Imbalanced nutrition: more than body requirements. A goal for this would be to improve healthy food choices and reduce caloric intake.
Nursing interventions would include: Daily food diary- to record calorie intake and establish healthy eating patterns, discuss emotions and situations related to times of eating to identify what times and what emotions may be causing the cravings and learn ways to cope, formulate an eating plan to set a specific meal plan to assist with healthy eating patterns , weigh periodically(weekly)and record measurements to track progress, implement restrictions of salt and carb intake if needed, consult with a dietitian when able.
Juckett, G. (2013, January 01). Caring for Latino Patients. Retrieved April 30, 2018, from https://www.aafp.org/afp/2013/0101/p48.html