Nutrition Through The Life Cycle
7th Edition
ISBN: 9781337919333
Author: Brown, Judith E.
Publisher: Cengage Learning,
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Chapter 15, Problem 1.3CS
Summary Introduction
To classify: Person A weight status during school nursing visit.
Introduction: The status of weight among adolescents is assesessed by their body mass index (BMI). BMI of an individual is calculated by dividing a person's weight (kg) by square of his or her height (m2). The BMI value is then used to determine the BMI-for-age percentile on the basis of age and gender of the child, according to which the individual is considered for underweight or healthy or overweight, or obese.
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Ana is a 15-year-old high school student who is active in school activities, loves to run and bike, and has a 3.95 grade point
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ents are very proud of her for her outstanding academic performance.
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Sports Physical Visit Ana is seen 4 months later (in early fall) by her pediatrician for a sports physical, since she is planning to join the cross-country running team. Weight at this time is 96 pounds. The physician notes that Ana seems to be tired and has lost weight since her most recent visit to the clinic. Ana replies that she has had a lot of sinus and other infections, which causes her to lose her appetite. She also notes that she has been training hard to make the cross-country team but that…
Mrs. Harris is a thin, 84-year-old widow who is a resident of a long-term care nursing facility. She had a CVA 1 ½ years ago and suffers from right hemiplegia and dementia. She is also incontinent of urine and stool and is confined to her bed or wheelchair. She recently had a bout of pneumonia and was admitted to acute care. She has now returned to the nursing home, having lost 7 lbs over the last three weeks. She is very weak and her blood work indicates that she is anemic.
What factors indicate that Mrs. Harris is at risk for the development of decubitus ulcers? Include a brief reason for each factor.
What factors indicate that Mrs. Harris is at risk for the development of contractures? Include a brief reason for each factor.
What measures would be appropriate in the management of her care with regard to these two potential complications – decubitus ulcers and contractures? Include a brief reason for each measure.
This is after Mr. Garcia been seen by a RDN and made changes do his diet and nutrition education before leaving the hospital. The changes included:
1. No added salt / low saturated fat
2. Low cholesterol
3. Pre-diabetic (based of glucose lab)
4. Has no food allergies
5. His wife does the majority of cooking and shopping (she started to use corn oil to cook with and not fry foods as often)
6. Household 5 (his daughter and two grandkids live with him and Mrs. Garcia)
I suggested the following:
1. Mr. Garcia should consume more fiber (soluble and insoluble)
2. Mr. Garcia was interested in taking fish oil supplements (I was thinking added more omega-3 to his diet)
3. Mr. Garcia is very dehydrated (nursing assessment: skin turgor = TENT)
So now that Mr. Garcia left and received education and made diet changes, we are now seeing him and his wife 4 weeks later as an outpatient.
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