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Mrs. Sota's next door neighbor, Mr. Wes Consin, a 68 YOM with rheumatoid arthritis, is admitted to your acute care hospital. The physician notes the patient has mild to moderate inflammation. You assess the patient on day 2 of admission. He tells you his appetite is no longer as good as it used to be; he states his appetite has been fair for the last 3 months. His wife tells you she thinks he has been losing weight. You determine the following: • You calculate his intake as meeting 82% of his estimated daily energy requirements for the last 3 months. • Current intake in the hospital is about 50% at each meal. b) Height: 5 ft 11 inches. Weight at admission: 183 pounds. Weight 3 months ago: 190 lbs. ⚫NFPE findings: loss of muscle mass to two body sites, loss of fat to one body site, no edema; you are unable to use a hand dynamometer to determine hand grip strength as Mr. Consin has arthritis to the hand and wrist. What is the percent weight change? Calculate to one decimal point. 'Does the patient meet criteria for malnutrition? If so, what type of malnutrition and what is the severity? Justify your answer citing the parameters from the Consensus Statement. You decide to provide nutrition education to Mr. and Mrs. Consin. What is your basic concern about his nutrition status that you want to convey to the patient and his wife? Provide details of your discussion. In addition to eductation, are there any other interventions you will discuss with the Pt and his wife?

Mrs. Sota's next door neighbor, Mr. Wes Consin, a 68 YOM with rheumatoid arthritis, is admitted to your acute care hospital. The physician notes the patient has mild to moderate inflammation. You assess the patient on day 2 of admission. He tells you his appetite is no longer as good as it used to be; he states his appetite has been fair for the last 3 months. His wife tells you she thinks he has been losing weight. You determine the following: • You calculate his intake as meeting 82% of his estimated daily energy requirements for the last 3 months. • Current intake in the hospital is about 50% at each meal. b) Height: 5 ft 11 inches. Weight at admission: 183 pounds. Weight 3 months ago: 190 lbs. ⚫NFPE findings: loss of muscle mass to two body sites, loss of fat to one body site, no edema; you are unable to use a hand dynamometer to determine hand grip strength as Mr. Consin has arthritis to the hand and wrist. What is the percent weight change? Calculate to one decimal point. 'Does the patient meet criteria for malnutrition? If so, what type of malnutrition and what is the severity? Justify your answer citing the parameters from the Consensus Statement. You decide to provide nutrition education to Mr. and Mrs. Consin. What is your basic concern about his nutrition status that you want to convey to the patient and his wife? Provide details of your discussion. In addition to eductation, are there any other interventions you will discuss with the Pt and his wife?

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Mrs. Sota's next door neighbor, Mr. Wes Consin, a 68 YOM with rheumatoid arthritis, is admitted to your acute care hospital. The physician notes the patient has mild to moderate inflammation. You assess the patient on day 2 of admission. He tells you his appetite is no longer as good as it used to be; he states his appetite has been fair for the last 3 months. His wife tells you she thinks he has been losing weight. You determine the following: • You calculate his intake as meeting 82% of his estimated daily energy requirements for the last 3 months. • Current intake in the hospital is about 50% at each meal. b) Height: 5 ft 11 inches. Weight at admission: 183 pounds. Weight 3 months ago: 190 lbs. ⚫NFPE findings: loss of muscle mass to two body sites, loss of fat to one body site, no edema; you are unable to use a hand dynamometer to determine hand grip strength as Mr. Consin has arthritis to the hand and wrist. What is the percent weight change? Calculate to one decimal point. 'Does the patient meet criteria for malnutrition? If so, what type of malnutrition and what is the severity? Justify your answer citing the parameters from the Consensus Statement. You decide to provide nutrition education to Mr. and Mrs. Consin. What is your basic concern about his nutrition status that you want to convey to the patient and his wife? Provide details of your discussion. In addition to eductation, are there any other interventions you will discuss with the Pt and his wife?
Transcribed Image Text:Mrs. Sota's next door neighbor, Mr. Wes Consin, a 68 YOM with rheumatoid arthritis, is admitted to your acute care hospital. The physician notes the patient has mild to moderate inflammation. You assess the patient on day 2 of admission. He tells you his appetite is no longer as good as it used to be; he states his appetite has been fair for the last 3 months. His wife tells you she thinks he has been losing weight. You determine the following: • You calculate his intake as meeting 82% of his estimated daily energy requirements for the last 3 months. • Current intake in the hospital is about 50% at each meal. b) Height: 5 ft 11 inches. Weight at admission: 183 pounds. Weight 3 months ago: 190 lbs. ⚫NFPE findings: loss of muscle mass to two body sites, loss of fat to one body site, no edema; you are unable to use a hand dynamometer to determine hand grip strength as Mr. Consin has arthritis to the hand and wrist. What is the percent weight change? Calculate to one decimal point. 'Does the patient meet criteria for malnutrition? If so, what type of malnutrition and what is the severity? Justify your answer citing the parameters from the Consensus Statement. You decide to provide nutrition education to Mr. and Mrs. Consin. What is your basic concern about his nutrition status that you want to convey to the patient and his wife? Provide details of your discussion. In addition to eductation, are there any other interventions you will discuss with the Pt and his wife?
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