Nutrition Through The Life Cycle
7th Edition
ISBN: 9781337919333
Author: Brown, Judith E.
Publisher: Cengage Learning,
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Chapter 19, Problem 1.3CS
Summary Introduction
To address: Both clinical and ethical concerns of person L.
Introduction: Good health is very important in older adults who are at higher risks of contracting immunological and chronic diseases. Gastrointestinal problems are one of the most common ones among them and are potentially dangerous. Older adults have high possibilities of succumbing to such conditions. Thus, the intervention of an interdisciplinary team of healthcare personnel is required in order to ensure good health and well being.
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Sally Donovan, 92 years old, is in the gerontology clinic today. She currently lives with her 65-year-old son. You notice that she has lost 30 pounds since her last visit 2 months ago. Her demeanor is submissive and she looks to her son to answer any direct questions from the medical assistant and the provider. At checkout, her son opens her checkbook and writes the check for her co-payment, including signing her name on the signature line. What are the alarm signs for potential elder abuse with Ms. Donovan?
Edna is a 42-year-old mother of two girls. She has been feeling very sluggish lately and finds it hard to get out of bed in the morning, even after a full night’s sleep. She is fatigued throughout the day and has to compensate with a lot of caffeine. She’s gained about 5 pounds this month, but attributes that to all the workouts she’s been skipping lately. Her partner keeps noticing and mentioning how cold Edna’s hands are, even though it is the middle of summer. Edna sees her doctor to find out what is wrong. Her physician takes her vital signs before doing further testing. Here are her results: BP 124/74, Pulse 52, Temperature 98.2 F, Height 5’8”, and Weight 178 pounds.Why would Edna’s doctor inquire about her iodine intake? (Explain why iodine is pertinent in this case and how it affects the thyroid.)
Edna is a 42-year-old mother of two girls. She has been feeling very sluggish lately and finds it hard to get out of bed in the morning, even after a full night’s sleep. She is fatigued throughout the day and has to compensate with a lot of caffeine. She’s gained about 5 pounds this month, but attributes that to all the workouts she’s been skipping lately. Her partner keeps noticing and mentioning how cold Edna’s hands are, even though it is the middle of summer. Edna sees her doctor to find out what is wrong. Her physician takes her vital signs before doing further testing. Here are her results: BP 124/74, Pulse 52, Temperature 98.2 F, Height 5’8”, and Weight 178 pounds.
Which of the following is the most likely and effective form of treatment for Edna’s condition?
Life-long oral medication, such as levothyroxine
Two week prescription of thyroid medication
Thyroidectomy
Dietary changes, including elimination of caffeine
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