Nutrition Through The Life Cycle
Nutrition Through The Life Cycle
7th Edition
ISBN: 9781337919333
Author: Brown, Judith E.
Publisher: Cengage Learning,
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Chapter 15, Problem 1.8CS
Summary Introduction

To answer: Person A BMI and percentile from the preemployment physical visit.

Introduction: Body mass index (BMI) is an effective measurement of the status of the health of a person whose height and weight are known. It is determined using the height and weight of the child which is then used to determine the corresponding BMI-for-age percentile based on the child’s sex and age. BMI-for-age percentile gives a comparative view of a child’s BMI with respect to those of other children of the same age and sex.

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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.
Mary 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…
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