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John (pronouns: he/him/his) is a 28-year-old male. He has struggled with severe Crohn’s disease for 5 years. He recently underwent a partial colectomy with the creation of a transverse colostomy. Post-surgery, he lost 15 pounds, complained of feeling very fatigued, and struggled to keep a job. ​ He has poor eye contact, limited family interaction, and states, “I don’t know how to take care of this thing.” John isn’t showing up for work, has a decrease in appetite, and states, “I don’t know what to eat.” Select the diagnoses that are pertinent to John based on the cues. Self-care deficit ​ Activity intolerance ​ Imbalanced nutrition: Less than body requirements Imbalanced nutrition: More than body requirements ​ Sexual dysfunction Knowledge deficit Impaired skin integrity ​ Disturbed body image Chronic pain ​
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