Colostomy Case Study Patient Data Mrs. Olive A. Sudden DOB: 02/04/1950 New Mexico State University Dietetic Internship Anthropometrics Diet Labs Medications Height: 5'5" Liquid Diet All WNL IV liquids Weight: 141 lbs NS at 75 mL/hr Intake 50% of liquid diet 900-1200 mL Reason for Visit: Nutrition assessment and colostomy diet educatinon. Case Study Brief Conduct a nutritional assessment on this patient then educate the patient on a colostomy diet. You will need to know: Fluid needs Feeding frequency Foods that thicken stools Foods that cause discomfort Vitamin type needed Steps Case Study Flow Knock on door and ask permission to enter room Greet patient by name Introduce yourself to the patient Identify patient by two patient identifiers State purpose of visit Proceed with patient assessment Proceed with colostomy diet edcuation Proceed with short evaluation of selected foods or nutrition education Ask if the patient has any questions Thank the patient Note You must motion a knock on the virtual door The RD will do this for this case study Full name and DOB will be used for virtual reality case studies The RD will provide this for this case study Use your patient interview sheet as a guide You will be questioned on food frequency, amount, and timing These can be done in any order Date of assessment: Today's Date Admission: 3 days ago. 48YOF S/P L colectomy with colostomy (3 days ago) secondary to ruptured diverticuli, HTN, hypothyroid, h/o diverticulosis x 8 years; discharge pending for 24-48hrs from today's date. • Diet: Low Fiber, advanced on 24 hrs Yesterday's Intake: 100%, 25%, 40%. Today's: 75%, 10%, 50%. 6/4: 50%, 25% . • Anthropometrics: Ht: 5'7" Wt: 150 lbs (day of admission), Yesterday's data: 148 lbs; Today's data: 149 lbs Is/Os: Today's data: 1830 mL urine, 565 ml colostomy; 1600 mL oral intake; yesterday's: 1690 mL urine, 475 ml colostomy; 1342 mL oral intake. Integument: surgical wound with steristrips, colostomy stoma WNL Per WOCN: education of stoma care continues, Pt instructed that takedown is pending for 4 months
Colostomy Case Study Patient Data Mrs. Olive A. Sudden DOB: 02/04/1950 New Mexico State University Dietetic Internship Anthropometrics Diet Labs Medications Height: 5'5" Liquid Diet All WNL IV liquids Weight: 141 lbs NS at 75 mL/hr Intake 50% of liquid diet 900-1200 mL Reason for Visit: Nutrition assessment and colostomy diet educatinon. Case Study Brief Conduct a nutritional assessment on this patient then educate the patient on a colostomy diet. You will need to know: Fluid needs Feeding frequency Foods that thicken stools Foods that cause discomfort Vitamin type needed Steps Case Study Flow Knock on door and ask permission to enter room Greet patient by name Introduce yourself to the patient Identify patient by two patient identifiers State purpose of visit Proceed with patient assessment Proceed with colostomy diet edcuation Proceed with short evaluation of selected foods or nutrition education Ask if the patient has any questions Thank the patient Note You must motion a knock on the virtual door The RD will do this for this case study Full name and DOB will be used for virtual reality case studies The RD will provide this for this case study Use your patient interview sheet as a guide You will be questioned on food frequency, amount, and timing These can be done in any order Date of assessment: Today's Date Admission: 3 days ago. 48YOF S/P L colectomy with colostomy (3 days ago) secondary to ruptured diverticuli, HTN, hypothyroid, h/o diverticulosis x 8 years; discharge pending for 24-48hrs from today's date. • Diet: Low Fiber, advanced on 24 hrs Yesterday's Intake: 100%, 25%, 40%. Today's: 75%, 10%, 50%. 6/4: 50%, 25% . • Anthropometrics: Ht: 5'7" Wt: 150 lbs (day of admission), Yesterday's data: 148 lbs; Today's data: 149 lbs Is/Os: Today's data: 1830 mL urine, 565 ml colostomy; 1600 mL oral intake; yesterday's: 1690 mL urine, 475 ml colostomy; 1342 mL oral intake. Integument: surgical wound with steristrips, colostomy stoma WNL Per WOCN: education of stoma care continues, Pt instructed that takedown is pending for 4 months
Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter33: Nutrition In Health And Disease
Section: Chapter Questions
Problem 33.3CS
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Question
Nutrition Intervention (education, like your talking to the pt)
Nutrition monitoring and evaluation
Need to know:
- Fluid needs
- Feeding frequnecy
- Foods that thicken stools
- Foods that thicken stools
- Foods that cause discomfort
- vitamin type needed
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