Concept explainers
To determine: Long-term outcome and prognosis of Person A’s issue.
Introduction: A person’s dietary plan and behavioral pattern are usually very important in predicting the long-term outcome of a given medical condition. Anorexia nervosa is a psychological eating disorder in which the person abstains from having nutritious food in time. Patients with this syndrome are typically characterized by low body weight with respect to age and height as compared to the unaffected individuals. As a result, various systems in the body are compromised. The persons suffer from fear of becoming overweight, but it can result in development of serious life-threatening conditions in the long term. Person A is suspected to have long-term effects of the current eating issue.
Anorexia nervosa is a psychological eating disorder typically characterized by low body weight with respect to age and height of the affected individuals. These individuals have fear of becoming overweight which adversely affects their eating habits and patterns and can result in development of serious life-threatening conditions.
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Chapter 15 Solutions
Nutrition Through The Life Cycle
- Rashidah is a 55-year-old female who is experiencing acute chest pain and shortness of breath. She describes the pain as “pressure and squeezing.” When she becomes nauseous and light-headed, her son insists that he take her to the emergency room. Health History: She started smoking when she was 18, attempted to quit several times in her 40s, and had her last cigarette on her 50th birthday. She has been overweight for most of her adult life but has gained 20 pounds in the last few years, which increased her BMI to 34. The last time she had a physical exam was when she turned 50. Her vital signs and blood test results from that exam are listed below. BP: 178/90 HDL: 62 mg/dl LDL: 190 mg/dl Triglycerides: 174 mg/dl Total cholesterol: 252 mg/dl Fasting blood glucose: 128 mg/dl Given her last physical exam results, Rashidah’s physician believes she has likely had undiagnosed atherosclerosis for years. Briefly describe the pathophysiology of atherosclerosis.arrow_forwardMary Crusader (age 81) was admitted to Madonna Hospital 10 days ago and has been receiving treatment for bacterial pneumonia (Rocephin 1 gram IVPB q12 hours). Her past medical history includes hypertension, MI (4 years ago), angina, and Class III heart failure. Mary is the primary caregiver of her husband. George has moderate dementia and is currently in a skilled rehabilitation center. Mary and George's only child died in a car accident many years ago. Mary has completed her advanced directives that stated that she does not artificial ventilation or nutrition under any circumstances. Mary's niece Kristina is her medical power of attorney. Mary became restless and confused this morning with diminished lung sounds bilaterally, and increased heart rate and respiratory rate. The hospitalist met with Kristina and recommended Mary be transferred to the ICU for medical ventilation. Kristina knew that this was against her aunt's advance directives and a decision was made with Mary to transfer…arrow_forwardBetty presents at the ED with chest pain, accompanied by Alan and her daughter Cheryl. On triage, Betty reports that the pain started overnight. Betty is diaphoretic, pale and is complaining of pain - 7/10. She is alert and oriented but needs help to get into the ED from the car via a wheelchair. Once she is moved to a treatment cubicle, a cannula is inserted for IV access and she is given 5mg Morphine IV as a stat does. Her observations are as follows: T: 36.7 , HR:110bpm, BP: 150/90 Sats: 95%RA The admitting ED doctor orders and ECG and Bloods. ECG shows some <ST elevation> suggesting a myocardial infarction (MI). Her bloods show raised troponin – also suggestive of a MI. Provisional diagnosis –a second MI and she is admitted to a cardiology ward for a GTN infusion and ongoing monitoring History: Chronic Kidney Disease (CKD) Type 2 diabetes Coronary Artery Disease (CAD), Peripheral Vascular Disease (PVD) Hypertension Myocardial infarction (MI) Height: 168 cm; Weight: 50kg Betty…arrow_forward
- Betty presents at the ED with chest pain, accompanied by Alan and her daughter Cheryl. On triage, Betty reports that the pain started overnight. Betty is diaphoretic, pale and is complaining of pain - 7/10. She is alert and oriented but needs help to get into the ED from the car via a wheelchair. Once she is moved to a treatment cubicle, a cannula is inserted for IV access and she is given 5mg Morphine IV as a stat does. Her observations are as follows: T: 36.7 , HR:110bpm, BP: 150/90 Sats: 95%RA The admitting ED doctor orders and ECG and Bloods. ECG shows some <ST elevation> suggesting a myocardial infarction (MI). Her bloods show raised troponin – also suggestive of a MI. Provisional diagnosis –a second MI and she is admitted to a cardiology ward for a GTN infusion and ongoing monitoring History: Chronic Kidney Disease (CKD) Type 2 diabetes Coronary Artery Disease (CAD), Peripheral Vascular Disease (PVD) Hypertension Myocardial infarction (MI) Height: 168 cm; Weight: 50kg Betty…arrow_forwardTwenty-six-year-old Wei isn’t feeling well. Wei uses he/him/his pronouns. He is more tired than usual, dragging through his workdays despite going to bed earlier and napping on the weekends. He doesn't have much of an appetite and has started losing weight. When he presses on the side of his neck he notices an unusual lump. Wei goes to his doctor, who performs a physical exam and determines that the lump is a swollen lymph node. Lymph nodes are part of the immune system, and they will often become enlarged when the body is fighting off an infection. Dr. Bouazizi thinks that the swollen lymph node and fatigue could be signs of a viral or bacterial infection, or indicate a type of cancer called lymphoma. However, an infection is a more likely cause, particularly in a young person like Wei. Dr. Bouazizi prescribes an antibiotic in case Wei has a bacterial infection and advises him to return in a few weeks if his lymph node does not shrink or if he is not feeling better. Wei returns a few…arrow_forwardMrs. Ethel Jones is an 86 year old women living in an assisted living home. She has been widowed for 4 years and has 2 grown sons ages 62 and 65, 4 grandchildren, and 2 great-grandchildren. She receives visits from family at least once a week. Before she retired she worked as an elementary school teacher. She reports that she enjoys reading, playing card games, working in the garden, and going on outings. She has a diagnosis of type 1 diabetes, hypertension, peripheral vascular disease, and asthma. About 6 years ago she got an infection in her right foot and required an amputation at the level of the ankle. She is still able to transfer independently with the use of a floor to ceiling poll; however she does spend most of her day in a wheel chair. Unfortunately in the past 3 months she has had 4 falls and is reporting that she is feeling weaker. Luckily she has not seriously hurt herself during these falls. She reports that she is very happy with the care that she receives and she…arrow_forward
- Mrs. Ethel Jones is an 86 year old women living in an assisted living home. She has been widowed for 4 years and has 2 grown sons ages 62 and 65, 4 grandchildren, and 2 great-grandchildren. She receives visits from family at least once a week. Before she retired she worked as an elementary school teacher. She reports that she enjoys reading, playing card games, working in the garden, and going on outings. She has a diagnosis of type 1 diabetes, hypertension, peripheral vascular disease, and asthma. About 6 years ago she got an infection in her right foot and required an amputation at the level of the ankle. She is still able to transfer independently with the use of a floor to ceiling poll; however she does spend most of her day in a wheel chair. Unfortunately in the past 3 months she has had 4 falls and is reporting that she is feeling weaker. Luckily she has not seriously hurt herself during these falls. She reports that she is very happy with the care that she receives and she…arrow_forwardMrs. Ethel Jones is an 86 year old women living in an assisted living home. She has been widowed for 4 years and has 2 grown sons ages 62 and 65, 4 grandchildren, and 2 great-grandchildren. She receives visits from family at least once a week. Before she retired she worked as an elementary school teacher. She reports that she enjoys reading, playing card games, working in the garden, and going on outings. She has a diagnosis of type 1 diabetes, hypertension, peripheral vascular disease, and asthma. About 6 years ago she got an infection in her right foot and required an amputation at the level of the ankle. She is still able to transfer independently with the use of a floor to ceiling poll; however, she does spend most of her day in a wheelchair. Unfortunately in the past 3 months she has had 4 falls and is reporting that she is feeling weaker. Luckily she has not seriously hurt herself during these falls. She reports that she is very happy with the care that she receives, and she…arrow_forwardMrs. Ethel Jones is an 86 year old women living in an assisted living home. She has been widowed for 4 years and has 2 grown sons ages 62 and 65, 4 grandchildren, and 2 great-grandchildren. She receives visits from family at least once a week. Before she retired she worked as an elementary school teacher. She reports that she enjoys reading, playing card games, working in the garden, and going on outings. She has a diagnosis of type 1 diabetes, hypertension, peripheral vascular disease, and asthma. About 6 years ago she got an infection in her right foot and required an amputation at the level of the ankle. She is still able to transfer independently with the use of a floor to ceiling poll; however she does spend most of her day in a wheel chair. Unfortunately in the past 3 months she has had 4 falls and is reporting that she is feeling weaker. Luckily she has not seriously hurt herself during these falls. She reports that she is very happy with the care that she receives and she…arrow_forward
- Mrs. Ethel Jones is an 86 year old women living in an assisted living home. She has been widowed for 4 years and has 2 grown sons ages 62 and 65, 4 grandchildren, and 2 great-grandchildren. She receives visits from family at least once a week. Before she retired she worked as an elementary school teacher. She reports that she enjoys reading, playing card games, working in the garden, and going on outings. She has a diagnosis of type 1 diabetes, hypertension, peripheral vascular disease, and asthma. About 6 years ago she got an infection in her right foot and required an amputation at the level of the ankle. She is still able to transfer independently with the use of a floor to ceiling poll; however she does spend most of her day in a wheel chair. Unfortunately in the past 3 months she has had 4 falls and is reporting that she is feeling weaker. Luckily she has not seriously hurt herself during these falls. She reports that she is very happy with the care that she receives and she…arrow_forwardMrs. Ethel Jones is an 86 year old women living in an assisted living home. She has been widowed for 4 years and has 2 grown sons ages 62 and 65, 4 grandchildren, and 2 great-grandchildren. She receives visits from family at least once a week. Before she retired she worked as an elementary school teacher. She reports that she enjoys reading, playing card games, working in the garden, and going on outings. She has a diagnosis of type 1 diabetes, hypertension, peripheral vascular disease, and asthma. About 6 years ago she got an infection in her right foot and required an amputation at the level of the ankle. She is still able to transfer independently with the use of a floor to ceiling poll; however she does spend most of her day in a wheel chair. Unfortunately in the past 3 months she has had 4 falls and is reporting that she is feeling weaker. Luckily she has not seriously hurt herself during these falls. She reports that she is very happy with the care that she receives and she…arrow_forwardMrs. Ethel Jones is an 86 year old women living in an assisted living home. She has been widowed for 4 years and has 2 grown sons ages 62 and 65, 4 grandchildren, and 2 great-grandchildren. She receives visits from family at least once a week. Before she retired she worked as an elementary school teacher. She reports that she enjoys reading, playing card games, working in the garden, and going on outings. She has a diagnosis of type 1 diabetes, hypertension, peripheral vascular disease, and asthma. About 6 years ago she got an infection in her right foot and required an amputation at the level of the ankle. She is still able to transfer independently with the use of a floor to ceiling poll; however she does spend most of her day in a wheel chair. Unfortunately in the past 3 months she has had 4 falls and is reporting that she is feeling weaker. Luckily she has not seriously hurt herself during these falls. She reports that she is very happy with the care that she receives and she…arrow_forward
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