Instructions Below You Will Find A Description Of A Patient S Medical And Nutritional History Complete The Questions A 1 (65.31 KiB) Viewed 10 times
Instructions Below You Will Find A Description Of A Patient S Medical And Nutritional History Complete The Questions A 2 (28.6 KiB) Viewed 10 times
Instructions: Below you will find a description of a patient's medical and nutritional history. Complete the questions and submit this form to the instructor via Blackboard or as an e-mail attachment. Point values for each question are given in parentheses. Questions may have more than one part, so answer all parts for full credit. You may need to use information from chapters 13, 14, or 15 to complete this assignment. Do your own work. Identical papers will receive zero credit. Answers containing information copied directly from websites or other sources will be given a score of zero. Put your name on your assignment paper, please. Patient: Mr. Stevenson is a 68-year-old retired teacher. He has been diagnosed with an intestinal disorder. He complains of cramping and diarrhea. He has been losing weight because of the malabsorption. Currently, he is 6'0" and 160 pounds. However, he was at his usual body weight of 202 pounds one month ago. 1. A. Calculate the patient's, IBW, % UBW and % IBW Show your calculations. Simply writing the answers will receive no credit. For IBW use the Hamwi equation as described in the lecture notes. Do not use BMI. (6 points) IBW: %UBW: %IBW B. Using chapter 13 of your textbook and based on the calculations from question 1A, explain if Mr. Stevenson is at nutritional risk and if so, what level of risk. (2)
2. Mr. Stevenson continues to lose weight and the decision is made to put him on a tube feeding. He is not at risk for aspiration, he will be discharged from the hospital with the feeding tube and he will likely be on the feeding tube for months (long term). What type of specific feeding tube placement would you recommend for Mr. S. and why? (3) 3. At some point the feeding tube will be removed and Mr. S. will start eating orally again. Upon re-feeding, you will want to check for signs of refeeding syndrome? What is refeeding syndrome and what signs/symptoms would you look for? Name 4 specific signs or symptoms. (4) EXTRA CREDIT Name 4 specific food or beverages that are allowed on a clear liquid diet. (2)
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