DM2 Case Study Patient Data Anthropometrics Height: 6'2" Weight: 225 lbs Mr. Abdullah Oblongata DOB: 05/05/1955 New Mexico State University Dietetic Internship Labs Glucose Diet Meds Intake Consistent -Lantus 100% of tray Carbohydrate Day 1: 350, 287,250, -Novolog 2,300-2,500 300 Sliding Scale mL/day Day 2: 285, 220, 230, 215 ase read the clinical patient record, all the sections, and complete the purple lavender sections throughout the dinical record. A-Assessment 9/10 Reason for Nutrition Assessment: 65 YOM ADMITTED FOR HYPERGLYCEMIA. REFERRED TO RDN FROMP PCP FOR DIABETES NUTRITION EDUCATION. Client History (CH): note which diagnosis is the primary or admitting diagnosis CH-2.11 Patient chief nutrition complaint: HUNGRY/THIRSTY AND WANTS MORE FOOD AND DRINKS EVEN AFTER EATING/DRINKING CH-1.1.1 CH-1.1.3 CH-114 CH-1.16 Age: 65 Sex MALE Race: CAUCASIAN Language: ENGLISH Patient/Client/Family Medical/Health History: CH-2.1.1 Patient chief nutrition complaint: HUNGRY/THIRSTY AND WANTS MORE FOOD AND DRINKS EVEN AFTER EATING/DRINKING CH-2.1.3 Endocrine/metabolism: DM2 DIAGNOSED UPON ADMISSION Social History: CH-3.1.2 CH-3.14 CH-3.15 Living/housing situation (specify) UVES WITH WIFE Social and medical support (specify): WIFE DOES COOKING Geographic location of home (specify): LAS CRUCES Anthropometric Measurements (AD): AD-1117 AD-1.12.1 Stated Height: 188 CM (6'2") Measured Weight: 102 KG (225#) AD-1.15.1 BMI 28.9 OVERWEIGHT Nutrition Focused Physical Findings (PD) PD-115 PD-1.1.5.21 Digestive system: PT WITH GOOD APPETITE AND REPORTED EATING ALL OF HIS MEALS Increased appetite: PER PATIENT REPORT PD-1.1.13.16 Excessive thirst: PER PATIENT REPORT Vital signs: PD-1.1.21.5 PD-1.1.21.6 PD-1.1.21.7 Pulse rate: 85 BPM Respiratory Rate: 15 BREATHS PER MINUTE Temperature: 37 CELSIUS Food/Nutrition Related History (FH) Oral fluid estimated intake in 24 hours: 2300-2500 ML FLUID/DAY Estimated amount of food: 100% OF TRAY FH-1.2.1.1 FH-1.2.2.1 FH-1.2.2.2 Types of food/meals: PRE-SELECT MENU FH-1.2.2.3 FH-2.11.2 Modified diet order: CONSISTENT CARB ON 04/25 Meal/snack pattern: 3-5 MEALS PER DAY AT HOME

3-2-1 Code It
6th Edition
ISBN:9781337660549
Author:GREEN
Publisher:GREEN
Chapter14: Cpt Surgery Iv
Section: Chapter Questions
Problem 8MC
icon
Related questions
Question

You reviewed the patient's medical chart. Now, conduct a nutrition assessment and nutrition focused physical exam on this patient. Keep in mind possible issues this patient might face based on diagnosis lab values. You might want to review your patient assessment template. You will also need to be familiar with lactose-free shakes to recommend to the patient.

 

DM2
Case Study
Patient Data
Anthropometrics
Height: 6'2"
Weight: 225 lbs
Mr. Abdullah Oblongata
DOB: 05/05/1955
New Mexico State University Dietetic Internship
Labs
Glucose
Diet
Meds
Intake
Consistent
-Lantus
100% of tray
Carbohydrate
Day 1: 350, 287,250,
-Novolog
2,300-2,500
300
Sliding Scale
mL/day
Day 2: 285, 220, 230,
215
Transcribed Image Text:DM2 Case Study Patient Data Anthropometrics Height: 6'2" Weight: 225 lbs Mr. Abdullah Oblongata DOB: 05/05/1955 New Mexico State University Dietetic Internship Labs Glucose Diet Meds Intake Consistent -Lantus 100% of tray Carbohydrate Day 1: 350, 287,250, -Novolog 2,300-2,500 300 Sliding Scale mL/day Day 2: 285, 220, 230, 215
ase read the clinical patient record, all the sections, and complete the purple lavender sections throughout the dinical record.
A-Assessment 9/10
Reason for Nutrition Assessment: 65 YOM ADMITTED FOR HYPERGLYCEMIA. REFERRED TO RDN FROMP PCP FOR
DIABETES NUTRITION EDUCATION.
Client History (CH): note which diagnosis is the primary or admitting diagnosis
CH-2.11
Patient chief nutrition complaint: HUNGRY/THIRSTY AND WANTS MORE FOOD AND DRINKS EVEN AFTER
EATING/DRINKING
CH-1.1.1
CH-1.1.3
CH-114
CH-1.16
Age: 65
Sex MALE
Race: CAUCASIAN
Language: ENGLISH
Patient/Client/Family Medical/Health History:
CH-2.1.1
Patient chief nutrition complaint: HUNGRY/THIRSTY AND WANTS MORE FOOD AND DRINKS EVEN
AFTER EATING/DRINKING
CH-2.1.3
Endocrine/metabolism: DM2 DIAGNOSED UPON ADMISSION
Social History:
CH-3.1.2
CH-3.14
CH-3.15
Living/housing situation (specify) UVES WITH WIFE
Social and medical support (specify): WIFE DOES COOKING
Geographic location of home (specify): LAS CRUCES
Anthropometric Measurements (AD):
AD-1117
AD-1.12.1
Stated Height: 188 CM (6'2")
Measured Weight: 102 KG (225#)
AD-1.15.1 BMI 28.9 OVERWEIGHT
Nutrition Focused Physical Findings (PD)
PD-115
PD-1.1.5.21
Digestive system: PT WITH GOOD APPETITE AND REPORTED EATING ALL OF HIS MEALS
Increased appetite: PER PATIENT REPORT
PD-1.1.13.16 Excessive thirst: PER PATIENT REPORT
Vital signs:
PD-1.1.21.5
PD-1.1.21.6
PD-1.1.21.7
Pulse rate: 85 BPM
Respiratory Rate: 15 BREATHS PER MINUTE
Temperature: 37 CELSIUS
Food/Nutrition Related History (FH)
Oral fluid estimated intake in 24 hours: 2300-2500 ML FLUID/DAY
Estimated amount of food: 100% OF TRAY
FH-1.2.1.1
FH-1.2.2.1
FH-1.2.2.2
Types of food/meals: PRE-SELECT MENU
FH-1.2.2.3
FH-2.11.2
Modified diet order: CONSISTENT CARB ON 04/25
Meal/snack pattern: 3-5 MEALS PER DAY AT HOME
Transcribed Image Text:ase read the clinical patient record, all the sections, and complete the purple lavender sections throughout the dinical record. A-Assessment 9/10 Reason for Nutrition Assessment: 65 YOM ADMITTED FOR HYPERGLYCEMIA. REFERRED TO RDN FROMP PCP FOR DIABETES NUTRITION EDUCATION. Client History (CH): note which diagnosis is the primary or admitting diagnosis CH-2.11 Patient chief nutrition complaint: HUNGRY/THIRSTY AND WANTS MORE FOOD AND DRINKS EVEN AFTER EATING/DRINKING CH-1.1.1 CH-1.1.3 CH-114 CH-1.16 Age: 65 Sex MALE Race: CAUCASIAN Language: ENGLISH Patient/Client/Family Medical/Health History: CH-2.1.1 Patient chief nutrition complaint: HUNGRY/THIRSTY AND WANTS MORE FOOD AND DRINKS EVEN AFTER EATING/DRINKING CH-2.1.3 Endocrine/metabolism: DM2 DIAGNOSED UPON ADMISSION Social History: CH-3.1.2 CH-3.14 CH-3.15 Living/housing situation (specify) UVES WITH WIFE Social and medical support (specify): WIFE DOES COOKING Geographic location of home (specify): LAS CRUCES Anthropometric Measurements (AD): AD-1117 AD-1.12.1 Stated Height: 188 CM (6'2") Measured Weight: 102 KG (225#) AD-1.15.1 BMI 28.9 OVERWEIGHT Nutrition Focused Physical Findings (PD) PD-115 PD-1.1.5.21 Digestive system: PT WITH GOOD APPETITE AND REPORTED EATING ALL OF HIS MEALS Increased appetite: PER PATIENT REPORT PD-1.1.13.16 Excessive thirst: PER PATIENT REPORT Vital signs: PD-1.1.21.5 PD-1.1.21.6 PD-1.1.21.7 Pulse rate: 85 BPM Respiratory Rate: 15 BREATHS PER MINUTE Temperature: 37 CELSIUS Food/Nutrition Related History (FH) Oral fluid estimated intake in 24 hours: 2300-2500 ML FLUID/DAY Estimated amount of food: 100% OF TRAY FH-1.2.1.1 FH-1.2.2.1 FH-1.2.2.2 Types of food/meals: PRE-SELECT MENU FH-1.2.2.3 FH-2.11.2 Modified diet order: CONSISTENT CARB ON 04/25 Meal/snack pattern: 3-5 MEALS PER DAY AT HOME
Expert Solution
steps

Step by step

Solved in 2 steps

Blurred answer
Similar questions
  • SEE MORE QUESTIONS
Recommended textbooks for you
3-2-1 Code It
3-2-1 Code It
Biology
ISBN:
9781337660549
Author:
GREEN
Publisher:
Cengage
Curren'S Math For Meds: Dosages & Sol
Curren'S Math For Meds: Dosages & Sol
Nursing
ISBN:
9781305143531
Author:
CURREN
Publisher:
Cengage
Comprehensive Medical Assisting: Administrative a…
Comprehensive Medical Assisting: Administrative a…
Nursing
ISBN:
9781305964792
Author:
Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:
Cengage Learning
Surgical Tech For Surgical Tech Pos Care
Surgical Tech For Surgical Tech Pos Care
Health & Nutrition
ISBN:
9781337648868
Author:
Association
Publisher:
Cengage
Essentials Health Info Management Principles/Prac…
Essentials Health Info Management Principles/Prac…
Health & Nutrition
ISBN:
9780357191651
Author:
Bowie
Publisher:
Cengage