Page 1 of 2 Resident Profile and Role Information for IPE Mock Family Conference Resident Profile: Name: Andy Lang Age:

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Resident Profile and Role Information for IPE Mock Family
Conference
Resident Profile:
Name: Andy Lang
Age: 80 years
Identifies as: Male.
PMHx: Type 2 diabetes diagnosed in 2009, BPH, vascular dementia
(MMSE score: 21/30
; MOCA score: 19/30)
Social Hx: Widowed x 2 years, 2 children (both are joint POA health
care, oldest child is POA
financial), 3 grandchildren who visit regularly.
Diet order: No added sugar, regular texture, thin fluids.
Height: 178cm
Weight history: May 2016: 89.7kg September 2016: 92.3kg October
2016: 95.4kg November
2016: 97.1kg
Ideal body weight: 76-91.9kg
Medications: Metformin 500mg BID, Memantine 5mg daily, Advil
prn.
BM: regular with occasional constipation
Urine output: adequate
Laboratory Results: November 13, 2016: Hgb: 133; WBC: 4.2; Na:
138mmol/L; K: 4.1
mmol/L; Cl: 97 mmol/L; CO2: 24 mmol/L, HbA1c: 0.069 mmol/L; CBG:
4.6mmol/L before
breakfast, 6.7mmol/L after breakfast.
Page 2 of 2
Background Information to be given to student playing role
of:
Nutrition and Food Service Manager Student (FSM) x1
Food Service (Dietary) Supervisor/Manager: A Food Service
(Dietary) Supervisor/Manager's responsibility is to watch the Food
Service Worker/Dietary Aide do their job properly. They are also
responsible for teaching Food Service Workers/Dietary Aide.
Finally, the Food Service (Dietary) Supervisor/Manager is
responsible for seeing that patients get the right food on
time.
is to prepare meals. Their second main general duties include
delivering food to patients. Lastly, they are responsible for
following all safety rules and keeping everything clean.
Background:
Andy Lang is an 80-year-old who was admitted to a long-term care
home 6 months ago. Prior to
admission, Andy was living alone and eating very little. Upon
admission, Andy was assessed to
be significantly underweight and malnourished. Since admission, his
food intake has increased,
and he has gained weight and has now surpassed his ideal body
weight by ~5kg. The resident’s
clothing has become too tight and new clothing is required. The
family does not have the
financial means to provide new clothing and suggest instead that
Andy be placed on a weight
loss diet.
While you understand that Andy has gained weight, his blood sugar
values are in the normal
range and he is happy with his meals. As the FNM you provide food
as per the guidelines of the
Ministry of Health and Long-Term Care – 3 meals and 3 snacks per
day. As per the dietitian’s
assessment and orders Andy is provided with a no added sugar diet,
meaning he receives low
sugar versions of items like jam and Jell-O and sugar substitutes
for his coffee. Andy does not
eat larger portions than the other residents. You notice that over
the past 2-3 months he has been
asking for second meals and snacks stating that he “hasn’t eaten
all day” despite having been to
the dining room and consuming his meals. You feel that if he is
hungry, he should be allowed to
eat. Andy has told you that he loves the food and has “never eaten
this well in his life”. You
disagree with putting him on a weight loss diet, as there is no
clinical indication for this and
controlling his intake would make him unhappy.
Instructions:
→ You are a Nutrition and Food Services Management Student (FSM)
who has been invited to
attend an interprofessional team conference related to Andy Lang’s
situation. You are
representing the food services manager for this meeting.
→ You will meet with the interprofessional team at a resident care
conference.
→ In preparation for the family meeting you will need to review
Andy’s chart summary (see
attached) and anticipate questions that the family and team may
have about Andy’s intake, diet,
and weight.