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Case summary:
Person S and his wife are an old couple of about 70 years of age. Person S used to drive even at this age but his children were concerned about his safety.
Person S's wife is a type 1 diabetes and hypertension.
Person S is also hypertensive and he underwent a surgery. In the month of September, Person S's wife had chest discomfort and breathing problem and she was hospitalized.
She underwent a surgery and she was moved to rehabilitation facility. Later Person S was given a flu shot by a nurse practitioner.
In rehabilitation, Person S's wife got physical therapy and did quite well. She was discharged from rehabilitation. After two weeks, she got a stroke and she was admitted in the hospital. In rehabilitation, she suffered from another stroke was admitted to a long-term care facility. Person S was very adamant to continue his drive, as he had to visit his wife every day. He was also worried how long they could afford for the long-term care facility, which is nearby to their home.
Characters in the case:
- Person S
- Person S's wife
To discuss:
The way how Person S and his wife select their professional caregivers and health care services.
Case summary:
Person S and his wife are an old couple of about 70 years of age. Person S used to drive even at this age but his children were concerned about his safety.
Person S's wife is a type 1 diabetes and hypertension.
Person S is also hypertensive and he underwent a surgery. In the month of September, Person S's wife had chest discomfort and breathing problem and she was hospitalized.
She underwent a surgery and she was moved to rehabilitation facility. Later Person S was given a flu shot by a nurse practitioner.
In rehabilitation, Person S's wife got physical therapy and did quite well. She was discharged from rehabilitation. After two weeks, she got a stroke and she was admitted in the hospital. In rehabilitation, she suffered from another stroke was admitted to a long-term care facility. Person S was very adamant to continue his drive, as he had to visit his wife every day. He was also worried how long they could afford for the long-term care facility, which is nearby to their home.
Characters in the case:
- Person S
- Person S's wife
To discuss:
The way to know the quality of care.
Case summary:
Person S and his wife are an old couple of about 70 years of age. Person S used to drive even at this age but his children were concerned about his safety.
Person S's wife is a type 1 diabetes and hypertension.
Person S is also hypertensive and he underwent a surgery. In the month of September, Person S's wife had chest discomfort and breathing problem and she was hospitalized.
She underwent a surgery and she was moved to rehabilitation facility. Later Person S was given a flu shot by a nurse practitioner.
In rehabilitation, Person S's wife got physical therapy and did quite well. She was discharged from rehabilitation. After two weeks, she got a stroke and she was admitted in the hospital. In rehabilitation, she suffered from another stroke was admitted to a long-term care facility. Person S was very adamant to continue his drive, as he had to visit his wife every day. He was also worried how long they could afford for the long-term care facility, which is nearby to their home.
Characters in the case:
- Person S
- Person S's wife
To discuss:
The avenues available for Person S and his wife to express their displeasure.
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Chapter 12 Solutions
TAYLOR FUNDAMENTALS W/ COURSEPOINT ENHA
- 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 neededarrow_forwardNeed: What labs are high Nutrition Intervention (what to educate her on, like you're talking to her) Nutrition Monitoring and Evaluationarrow_forwardA 65 year old male with a small bowel obstruction is to be started on TPN. He is 5’ 9” and weighs 70 kg. 3.1 What is his kcal requirements using Mifflin St Jeor equation? Assume an activity factor of 1.2. 1770 kcal 1980 kcal 2020 kcal 2080 kcal 3.2 What is his fluid requirements (ml)? 2000 ml 2100 ml 2200 ml 2300 ml 3.3 The patient has just undergone a small bowel resection. His albumin dropped to 2.2. He has no significant past medical history except for a minor bicycle accident when he was 10 years old. How many grams of protein will this patient require based on your assessment? 105 – 126 g/day 110 – 130 g/day 84 – 105 g/day 110 – 180 g/dayarrow_forward
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- Questions to as a CKD patient with diabetes during an assessment (as a dietitian)?arrow_forward* Question Completion Status: Usual Padiat Patient's Doss Directions for Micing NDC 61442-202-01 CEPHALEXIN For Oral Suspension USP Low 250 mg per 5 mL Each 5ml Arom than contain: Cephalesin Manched quant to 250 ing Cephasn Rev. 09 10 Rx Only Carlsbad Technology, Inc. 100 ml (When Mored) 61442 2020 Lot CCP50 Order: cephalexin 350 mg p.o. every 6 hrs for 7 days for a child who weighs 70 lbs. What is the child's weight in kg to the nearest tenths? Calculate the safe total "daily dose range" for this child (round to whole number) Calculate the safe "single dose range" for this child (round to a whole number) Is the ordered dose a "safe dose"? How many mLs will the nurse administer for each dose? 31 798 mg/day; 1,599 mg/day 198.7 mg/dose; 397.5 mg/dose Yes 7 mL O 31.8 795 mg/day; 1,590 mg/day 199 mg/dose; 398 mg/dose Yes 7 mL 31.8 795 mg/day; 1,590 mg/day 198.75 mg/dose; 397.5 mg/dose Yes 7 mL 31 795 mg/day; 1,590 mg/day 199 mg/dose; 398 mg/dose No 7 mL Click Save and Submit to save and…arrow_forwardConsidering the kcals the patient is receiving from propofol and D51⁄2NS, what should be the rate (ml/hr) of the tube feeding you selected? 30 ml/hr 45 ml/hr 55 ml/hr 65 ml/hrarrow_forward
- You are seeing a 68 year-old male patient admitted to the ICU. He is sedated on the ventilator with propofol at 20ml/hr, D51⁄2NS running at 75ml/hr. and a past medical history of DM2, obesity, CAD, HTN, and Pneumonia. Ht 172cm, Wt 72kg, Alb 2.3, VE=7.9 L/min, Tmax =38.4 C 4.1 What is the total kcal this patient is receiving before the initiation of TF (Hint: include propofol and D51⁄2 NS in calculation)? 306 kcal 528 kcal 678 kcal 834 kcal What is the estimated kcal goal for this patient? 1787 kcal 1847 kcal 1927 kcal 2317 kcal What is the estimated protein need for this patient? 45 – 50 g/day 86 – 108g/day 108 – 180g/day 144 – 188 g/day What type of tube feeding formula would you recommend for this patient? Standard 1.5 kcal/ml formula Glycemic control product, 1.0 kcal/ml Low residue, high protein, nutritionally balanced,1.2 kcal/ml High protein, calorie control product, 2.0 kcal/mlarrow_forwardYou are seeing a 68 year-old male patient admitted to the ICU. He is sedated on the ventilator with propofol at 20ml/hr, D51⁄2NS running at 75ml/hr. and a past medical history of DM2, obesity, CAD, HTN, and Pneumonia. Ht 172cm, Wt 72kg, Alb 2.3, VE=7.9 L/min, Tmax =38.4 C 4.1 What is the total kcal this patient is receiving before the initiation of TF (Hint: include propofol and D51⁄2 NS in calculation)? 306 kcal 528 kcal 678 kcal 834 kcal Which estimated prediction equation will you recommend to calculate the kcal need for this patient? Penn State Equation (2003b): Mifflin(0.96)+ VE (31) + Tmax (167)-6212 MifflinStJeor =(10xW)+(6.25xHt)–(5xAge)+5 Harris-Benedict equation: kcal/day (male) = 66 +13.8 (W) + 5.0(H) – (6.8 x A) Ireton-Jones equations (1992)(ventilator-dependent): 1925 – 10 (A) + 5 (W) + 281 (S) + 292 (T) + 851 (B) What is the estimated kcal goal for this patient? 1787 kcal 1847 kcal 1927 kcal 2317 kcal What is the…arrow_forwardYou are seeing a 68 year-old male patient admitted to the ICU. He is sedated on the ventilator with propofol at 20ml/hr, D51⁄2NS running at 75ml/hr. and a past medical history of DM2, obesity, CAD, HTN, and Pneumonia. Ht 172cm, Wt 72kg, Alb 2.3, VE=7.9 L/min, Tmax =38.4 C 4.1 What is the total kcal this patient is receiving before the initiation of TF (Hint: include propofol and D51⁄2 NS in calculation)? 306 kcal 528 kcal 678 kcal 834 kcal Which estimated prediction equation will you recommend to calculate the kcal need for this patient? Penn State Equation (2003b): Mifflin(0.96)+ VE (31) + Tmax (167)-6212 MifflinStJeor =(10xW)+(6.25xHt)–(5xAge)+5 Harris-Benedict equation: kcal/day (male) = 66 +13.8 (W) + 5.0(H) – (6.8 x A) Ireton-Jones equations (1992)(ventilator-dependent): 1925 – 10 (A) + 5 (W) + 281 (S) + 292 (T) + 851 (B) What is the estimated kcal goal for this patient? 1787 kcal 1847 kcal 1927 kcal 2317 kcal What is the…arrow_forward
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