Nutritional Status Assessment

PHYSICAL EXAMINATION: Vital signs are WNL. Apparently he has had no chills, night sweats, or favors. Generalized malaise and a lack of energy have been the main concerns. HEART: Regular rate and rhythm with S1 and S2. No S3 or S4 is heard at this time. LUNGS: Bilateral rhonchi. No significant amphoric sounds are noted. ABDOMON: Soft nontender. No hepatosplenomegaly or masses are detected. RECTAL EXAM: Prostate smooth and firm. No stool is present for hemoccult test.

In this assignment I will be describing the characteristics of nutrients and the benefits to the body.

Nutrition education plays a major role in patient care. When a patient is admitted into the Veterans Affairs Hospital (VA) for treatment they may be put on a specific therapeutic diet. For example, if the patient is diagnosed with diabetes they are put on a carbohydrate consistency diet of 1800 calories per day or, if the patient has hypertension they may prescribe a 2.5g sodium restriction diet. All patients at the VA are assessed by a Registered Dietitian who make the recommendations on which therapeutic diet the patient would benefit from. Following a diet while inpatient is relatively simple because all meals are prepared and served to the patient. The dietitian along with the kitchen staff take care of what types of foods should avoid

This patient is a 35 y/o young women with a new diagnosis of breast cancer. Problems are the diagnosis of breast cancer, dehydration, and depression. Her depression is affecting her nutritional intake which is causing her malnutrition and poor intake. As an RN, I would encourage her to increase her daily intake and encourage

Nutrition assessment would be the first step with the patient. This evaluation will help me to know the current eating pattern: types and amounts of food typically eaten throughout the day, especially types and amounts of carbohydrates. Also know the medicines that the patient is taking to give to him education about food medication interaction. I would ask to him if is receiving nutritional program such as Supplemental Nutrition Assistance Program. During the nutrition counseling I would empowering him to self- manage diabetes and maintain good control of blood glucose. I would provide nutrition knowledge of healthy eating. Explain the benefits of following a dietary pattern that emphasizes intake of vegetables, fruits, nuts, whole grains,

His past medical history is pretty benign. He smoked only in his youth probably quit before he was 30 years old. There were no chronic diseases. His past history included an appendectomy, cataract extraction in the distant past. He did see Mike Pike at Cary GI for esophageal problems and apparently had a couple of dilatations of esophageal strictures. He had been followed by the neurology clinic by Dr. Perkins for sleep apnea and used CPAP for the last several years. He does have glaucoma. His most significant past history was that he had some type of a follicular lymphoma treated by Ken Zeitler. He took a pill which apparently put it in remission and took no radiation therapy or chemotherapy. Apparently, he was living very independently in all his ADL's. He drove, took care of all the finances, could complete all his ADL's and instruments of daily living. He was actually still working buying produce at the farmer's market and distributing it and selling it to various restaurants. All this came to an abrupt ending on 10/13, when he presented to the hospital with an acute stroke was there for a week. He had some abnormal liver findings. They thought it might be a recurrence of the lymphoma but these were biopsied and turned

During his old age he suffered from Emphysema and Parkinson’s. Even though he had Emphysema he continued to smoke until the day he died. He refused to take medication because he thought that the side effects would be worse than the illness and it was not worth it. Eventually he lost most of his taste too and everything he ate tasted gross. This caused him to not eat as much as he was supposed to. Also, in the last few years because of the Parkinson’s, he started to have really bad tremors. The worst developed during the last 6 months of his life especially since he refused his

I chose to log my daily diet, exercise and rest for a week to find what changes I can make to better my health. I found so many things that I can change to help me with all three of these areas. I might even need to keep track every week of my habits so I feel more organized and have everything planned out so I don’t get off track of my goals.

Identify the preoperative fasting time and the acceptance of nutritional supply until the third postoperative day.

Nutrition therapy is one of the core components of a treatment plan for critically ill patient. Warren, McCarthy, and Roberts (2016) discussed that ICU patients are at risk for malnutrition with consequences of organ dysfunction, increased mortality, and prolonged hospitalization which can be effectively minimized with early initiation of a nutritional therapy.

At today's visit he is accompanied by his wife. He is awake, alert and hard of hearing. He reports that he has a poor appetite and not eating much. His wife reports that he has had significant weight loss. She reports that he has not eat lunch or dinner in 7 days. She states that he cough, moan and groan through the nights. He denies having pain. She reports that he has gotten progressively weaker and she is having difficulty care for him by herself. He ambulated with a walker, his gait is unsteady. She reports

Your post is well articulated. I agree with you nutritional status assessments. In addition, to your assessments, Mr. J takes multiple daily medications such as; furosemide (Lasix), potassium chloride, and phenytoin (Dilantin). A person who takes multiple daily medications is at higher risk for nutritional alterations due to medication side effects, which may alter appetite. Furthermore, he is at a higher risk for altered nutrition due to his history of chronic obstructive pulmonary disease which affects his appetite & also his admitting diagnosis; pneumonia (Sole, Klein, Moseley, 2013, p. 81). The patients’ nutritional status signify that they need intervention which requires the collaboration of the nurse, dietician, physician,

Recorded Protein, Carbohydrates, and Lipid Intake On the three consecutive recorded days, my respective breakfast intake of Protein was 29 grams, 3 grams, and 21 grams; my respective breakfast intake of Carbohydrates was 80 grams, 11 grams, and 12 grams; and my respective breakfast intake of total Lipids was 53 grams, 36 grams, and 21 grams (Rinzler, 2004). On the three consecutive recorded days, my respective lunch intake of Protein was 17 grams, 28 grams, and 31 grams; my respective lunch intake of Carbohydrates was 27 grams, 38 grams, and 49 grams; and my respective lunch intake of total Lipids was 33 grams, 56 grams, and 22 grams (Rinzler, 2004). On the three consecutive recorded days, my respective dinner intake of Protein was 30 grams, 26 grams, and 31 grams; my respective dinner intake of Carbohydrates was 57 grams, 14 grams, and 32 grams; and my respective dinner intake of total Lipids was 32 grams, 23 grams, and 16 grams (Rinzler, 2004).

A review of his medical record indicates that he is currently suffering from multiple pressure ulcer. He suffers from multiple comorbidities which includes cervical vertebrae fracture, frequent falls, Alzheimer, , pneumonia, anemia, cholelithiasis, pleural effusion, ascites, and hepatic cirrhosis.

He states he cannot swallow but spits into a rag because of the pain. His