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• As we discussed in class, nutrition education was not appropriate during the initial visit due to her emotional state. You return in two days. She is tolerating the Low Fiber Diet and eating 75% or greater of her meals. Mrs. Flowers is calmer and seems to be adjusting to the colostomy. She has been assessed by the Wound/Ostomy Nurse who instructed her daily for three days on how to take care of her colostomy. Mrs. Flowers tells you that the surgeon is planning to takedown her colostomy in 3 to 4 months. • During your second visit with Mrs. Flowers you obtain a diet history for her typical intake at home. Indicate if a change is necessary for management of her ostomy and why. Also note your suggested change to her menu. Breakfast at 7:00 am 1-2 scrambled eggs 1 slice whole wheat toast with butter and sometimes jam or jelly OR ½ cup oatmeal with 2-3 Tbsp. raisins 2-3 days/wk: also has a sausage patty or 1 chorizo or 1 slice ham 8 oz. orange or grape juice Large cup of regular coffee w/cream and sugar Is change needed? Suggested change If yes, why? Lunch at 11:30-12:00 About 1/2 cup tuna salad with mayo OR 2-3 slices of turkey or roast beef with 1 slice of cheese with mustard 2 slices whole wheat bread Lettuce and tomato slices for sandwich 1 orange or a handful of grapes Large glass of lemonade Afternoon snack at 3:00 1 apple or pear with: 2 Tbsp chunky peanut butter OR 1 string cheese OR ½ cup cottage cheese with ½ cup pineapple chunks one 12-oz can of ginger ale Is change needed? Suggested change If yes, why? Is change needed? Suggested change If yes, why?

• As we discussed in class, nutrition education was not appropriate during the initial visit due to her emotional state. You return in two days. She is tolerating the Low Fiber Diet and eating 75% or greater of her meals. Mrs. Flowers is calmer and seems to be adjusting to the colostomy. She has been assessed by the Wound/Ostomy Nurse who instructed her daily for three days on how to take care of her colostomy. Mrs. Flowers tells you that the surgeon is planning to takedown her colostomy in 3 to 4 months. • During your second visit with Mrs. Flowers you obtain a diet history for her typical intake at home. Indicate if a change is necessary for management of her ostomy and why. Also note your suggested change to her menu. Breakfast at 7:00 am 1-2 scrambled eggs 1 slice whole wheat toast with butter and sometimes jam or jelly OR ½ cup oatmeal with 2-3 Tbsp. raisins 2-3 days/wk: also has a sausage patty or 1 chorizo or 1 slice ham 8 oz. orange or grape juice Large cup of regular coffee w/cream and sugar Is change needed? Suggested change If yes, why? Lunch at 11:30-12:00 About 1/2 cup tuna salad with mayo OR 2-3 slices of turkey or roast beef with 1 slice of cheese with mustard 2 slices whole wheat bread Lettuce and tomato slices for sandwich 1 orange or a handful of grapes Large glass of lemonade Afternoon snack at 3:00 1 apple or pear with: 2 Tbsp chunky peanut butter OR 1 string cheese OR ½ cup cottage cheese with ½ cup pineapple chunks one 12-oz can of ginger ale Is change needed? Suggested change If yes, why? Is change needed? Suggested change If yes, why?

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter22: The Patient History And Documentation
Section: Chapter Questions
Problem 2CR
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BMI 30.4 55 YOF 5'5" 183 lbs
• As we discussed in class, nutrition education was not appropriate during the initial visit due to her emotional state. You return in two days. She is tolerating the Low Fiber Diet and eating 75% or greater of her meals. Mrs. Flowers is calmer and seems to be adjusting to the colostomy. She has been assessed by the Wound/Ostomy Nurse who instructed her daily for three days on how to take care of her colostomy. Mrs. Flowers tells you that the surgeon is planning to takedown her colostomy in 3 to 4 months. • During your second visit with Mrs. Flowers you obtain a diet history for her typical intake at home. Indicate if a change is necessary for management of her ostomy and why. Also note your suggested change to her menu. Breakfast at 7:00 am 1-2 scrambled eggs 1 slice whole wheat toast with butter and sometimes jam or jelly OR ½ cup oatmeal with 2-3 Tbsp. raisins 2-3 days/wk: also has a sausage patty or 1 chorizo or 1 slice ham 8 oz. orange or grape juice Large cup of regular coffee w/cream and sugar Is change needed? Suggested change If yes, why? Lunch at 11:30-12:00 About 1/2 cup tuna salad with mayo OR 2-3 slices of turkey or roast beef with 1 slice of cheese with mustard 2 slices whole wheat bread Lettuce and tomato slices for sandwich 1 orange or a handful of grapes Large glass of lemonade Afternoon snack at 3:00 1 apple or pear with: 2 Tbsp chunky peanut butter OR 1 string cheese OR ½ cup cottage cheese with ½ cup pineapple chunks one 12-oz can of ginger ale Is change needed? Suggested change If yes, why? Is change needed? Suggested change If yes, why?
Transcribed Image Text:• As we discussed in class, nutrition education was not appropriate during the initial visit due to her emotional state. You return in two days. She is tolerating the Low Fiber Diet and eating 75% or greater of her meals. Mrs. Flowers is calmer and seems to be adjusting to the colostomy. She has been assessed by the Wound/Ostomy Nurse who instructed her daily for three days on how to take care of her colostomy. Mrs. Flowers tells you that the surgeon is planning to takedown her colostomy in 3 to 4 months. • During your second visit with Mrs. Flowers you obtain a diet history for her typical intake at home. Indicate if a change is necessary for management of her ostomy and why. Also note your suggested change to her menu. Breakfast at 7:00 am 1-2 scrambled eggs 1 slice whole wheat toast with butter and sometimes jam or jelly OR ½ cup oatmeal with 2-3 Tbsp. raisins 2-3 days/wk: also has a sausage patty or 1 chorizo or 1 slice ham 8 oz. orange or grape juice Large cup of regular coffee w/cream and sugar Is change needed? Suggested change If yes, why? Lunch at 11:30-12:00 About 1/2 cup tuna salad with mayo OR 2-3 slices of turkey or roast beef with 1 slice of cheese with mustard 2 slices whole wheat bread Lettuce and tomato slices for sandwich 1 orange or a handful of grapes Large glass of lemonade Afternoon snack at 3:00 1 apple or pear with: 2 Tbsp chunky peanut butter OR 1 string cheese OR ½ cup cottage cheese with ½ cup pineapple chunks one 12-oz can of ginger ale Is change needed? Suggested change If yes, why? Is change needed? Suggested change If yes, why?
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